I write in reply to your article ‘A&E bears brunt of dentist shortages’ (news October 26). The article implies the problem is simply a shortage of dentists, but this is not the whole story.
Journal Article X. Country/Region Reports Get access Linda A. Malone, Linda A. Malone Search for other works by this author on: Oxford Academic Google Scholar Howard Mann, Howard Mann Search for other works by this author on: Oxford Academic Google Scholar Patricia Madrigal Cordero, Patricia Madrigal Cordero Search for other works by this author on: Oxford Academic Google Scholar Juan M. Sabogal, Juan M. Sabogal Search for other works by this author on: Oxford Academic Google Scholar Manuel Pulgar Vidal, Manuel Pulgar Vidal Search for other works by this author on: Oxford Academic Google Scholar Manuel Ruiz, Manuel Ruiz Search for other works by this author on: Oxford Academic Google Scholar Reggy Nelson, Reggy Nelson Search for other works by this author on: Oxford Academic Google Scholar Peter Pagh, Peter Pagh Search for other works by this author on: Oxford Academic Google Scholar Frank Horn, Frank Horn Search for other works by this author on: Oxford Academic Google Scholar Geir Ulfstein, Geir Ulfstein Search for other works by this author on: Oxford Academic Google Scholar ... Show more Said Mahmoudi, Said Mahmoudi Search for other works by this author on: Oxford Academic Google Scholar Gretta Goldenman, Gretta Goldenman Search for other works by this author on: Oxford Academic Google Scholar Domas Balandis, Domas Balandis Search for other works by this author on: Oxford Academic Google Scholar Gerhard Loibl, Gerhard Loibl Search for other works by this author on: Oxford Academic Google Scholar Lothar Gündling, Lothar Gündling Search for other works by this author on: Oxford Academic Google Scholar Mário Joäo de Brito Fernandes, Mário Joäo de Brito Fernandes Search for other works by this author on: Oxford Academic Google Scholar Margarita Badenes, Margarita Badenes Search for other works by this author on: Oxford Academic Google Scholar José Juste Ruiz, José Juste Ruiz Search for other works by this author on: Oxford Academic Google Scholar Katharina Kummer, Katharina Kummer Search for other works by this author on: Oxford Academic Google Scholar Matthias Frieden, Matthias Frieden Search for other works by this author on: Oxford Academic Google Scholar Stuart Bell, Stuart Bell Search for other works by this author on: Oxford Academic Google Scholar Maja Seršić, Maja Seršić Search for other works by this author on: Oxford Academic Google Scholar Sergei V. Vinogradov, Sergei V. Vinogradov Search for other works by this author on: Oxford Academic Google Scholar Nikolai V. Storozhev, Nikolai V. Storozhev Search for other works by this author on: Oxford Academic Google Scholar Viktor M. Zarkov, Viktor M. Zarkov Search for other works by this author on: Oxford Academic Google Scholar Tatiana R. Zaharchenko, Tatiana R. Zaharchenko Search for other works by this author on: Oxford Academic Google Scholar Fouad Kanbour, Fouad Kanbour Search for other works by this author on: Oxford Academic Google Scholar Bharat Desai, Bharat Desai Search for other works by this author on: Oxford Academic Google Scholar Armin Rosencranz, Armin Rosencranz Search for other works by this author on: Oxford Academic Google Scholar Richard Campbell, Richard Campbell Search for other works by this author on: Oxford Academic Google Scholar Vikram Raghavan, Vikram Raghavan Search for other works by this author on: Oxford Academic Google Scholar Mohiuddin Farooque, Mohiuddin Farooque Search for other works by this author on: Oxford Academic Google Scholar Syeda Rizwana Hasan, Syeda Rizwana Hasan Search for other works by this author on: Oxford Academic Google Scholar Amado S. Tolentino, Jr., Amado S. Tolentino, Jr. Search for other works by this author on: Oxford Academic Google Scholar Shinya Murase, Shinya Murase Search for other works by this author on: Oxford Academic Google Scholar Wang Xi, Wang Xi Search for other works by this author on: Oxford Academic Google Scholar Bryan Bachner, Bryan Bachner Search for other works by this author on: Oxford Academic Google Scholar David McKellar, David McKellar Search for other works by this author on: Oxford Academic Google Scholar Jiunn-rong Yeh, Jiunn-rong Yeh Search for other works by this author on: Oxford Academic Google Scholar Jae-Gon Lee, Jae-Gon Lee Search for other works by this author on: Oxford Academic Google Scholar Jan I. Glazewski, Jan I. Glazewski Search for other works by this author on: Oxford Academic Google Scholar Gregory Rose, Gregory Rose Search for other works by this author on: Oxford Academic Google Scholar Grant Hewison, Grant Hewison Search for other works by this author on: Oxford Academic Google Scholar Donald R. Rothwell Donald R. Rothwell Search for other works by this author on: Oxford Academic Google Scholar Yearbook of International Environmental Law, Volume 7, Issue 1, 1996, Pages 266–358, https://doi.org/10.1093/yiel/7.1.266 Published: 01 December 1997
Abstract Study Objective Tools proposed to triage patient acuity in COVID-19 infection have only been validated in hospital populations. We estimated the accuracy of five risk-stratification tools recommended to predict severe illness and compare accuracy to existing clinical decision-making in a pre-hospital setting. Methods An observational cohort study using linked ambulance service data for patients attended by EMS crews in the Yorkshire and Humber region of England between 18th March 2020 and 29th June 2020 was conducted to assess performance of the PRIEST tool, NEWS2, the WHO algorithm, CRB-65 and PMEWS in patients with suspected COVID-19 infection. The primary outcome was death or need for organ support. Results Of 7549 patients in our cohort, 17.6% (95% CI:16.8% to 18.5%) experienced the primary outcome. The NEWS2, PMEWS, PRIEST tool and WHO algorithm identified patients at risk of adverse outcomes with a high sensitivity (>0.95) and specificity ranging from 0.3 (NEWS2) to 0.41 (PRIEST tool). The high sensitivity of NEWS2 and PMEWS was achieved by using lower thresholds than previously recommended. On index assessment, 65% of patients were transported to hospital and EMS decision to transfer patients achieved a sensitivity of 0.84 (95% CI 0.83 to 0.85) and specificity of 0.39 (95% CI 0.39 to 0.40). Conclusion Use of NEWS2, PMEWS, PRIEST tool and WHO algorithm could improve sensitivity of EMS triage of patients with suspected COVID-19 infection. Use of the PRIEST tool would improve sensitivity of triage without increasing the number of patients conveyed to hospital.
Abstract The gradual and halting recognition of the contingency of the world made possible the even more halting recognition of the historicity of human being. Indeed, it is arguable that, even today, the fundamental significance of historicity for the way we are in the world is still not fully appreciated by many philosophers. It would be too much to attempt here to trace all the different conceptual developments which have contributed to the emergence of an understanding of our very being as historical. But the first necessary step was the emergence of a sense of history as involving more than a chronology of past events.
Abstract From the pre-Socratic philosophers only disjointed fragments have come down to us by way of quotations in later writers. From none after Parmenides has there survived such a sustained and profound statement focused on the theme of truth. Of course, Parmenides had his followers, most notably Zeno, who developed a systematic series of paradoxes designed to show that motion is impossible, and Melissus, who wrote a treatise On Being in defence of the Parmenidean account of what is. But they appear not to have maintained his central focus on truth.
Abstract For most modem philosophers, truth is to be analysed in terms of the use of the predicate “true” as it is applied to judgements, propositions, or sentences. That is in sharp contrast to the conception of truth in the Platonic tradition, in which truth is assigned primarily to reality, and only derivatively to a propositional item, a logos. For this tradition, truth is ontological in significance and not merely logical.1 This conception was preserved by the Augustinian identification of supreme truth with God, a move which only makes sense if truth is being conceived ontologically. If we are to understand the modern restriction of truth to the propositional domain, we shall need to appreciate how its ontological aspect, witnessed by the Platonic/ Augustinian conception, came to be dropped.
This report will discuss the history and role of Tennessee Valley Authority (TVA) mostly from an energy standpoint, considering current and future obligations, and other issues related to TVA’s provision of electrical energy. Issues for Congress may involve consideration of whether a federal role is still necessary to achieve the TVA Act’s objectives.
With recent climate change measurements, interest in acoustic propagation in the Arctic Ocean is being renewed. An approach is presented to permit efficient computation of the waterborne acoustic field in the presence of sea ice. The range-dependent wide-angle parabolic equation (PE) is used to model the acoustic field with a lower-density layer (ice) placed above the ocean and seafloor. The ice layer is characterized by its thickness, compressional speed, density, and attenuation. Acoustic loss due to sea ice is primarily driven by conversion to shear waves, and in this model the effect will be approximated by volume attenuation within the ice layer. Rough interface scattering at the air-ice and ice-water interfaces will be handled by generating range-dependent realizations from a data-derived ice thickness model. An inversion for ice parameters is conducted by matching the multiple frequency Transmission Loss (TL) measurements of Diachok(Diachok, 1976). The predicted frequency dependence of propagation (TL) and impulse responses is presented.
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