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D6 dozer specs11/1/2023 ![]() The system contains 1.36 kg of refrigerant which has a CO2 equivalent of 1.946 metric tonnes. The air conditioning system on this machine contains the fluorinated greenhouse gas refrigerant R134a (Global Warming Potential = 1430). Machine Build Number 20B Weights Operating Weightįully Automatic 4-Speed Powershift Service Refill Capacities Fuel Tankħ.5yd³ D6 LGP (30-in) Push Arm Operating Weightħ.6yd³ D6 LGP (36-in) Push Arm Operating Weightĥ.4yd³ D6 LGP (30-in) VPAT Operating Weightĥ.9yd³ D6 LGP (36-in) VPAT Operating Weightĩ8% Air Conditioning System Air Conditioning For complete specifications and dimensions by configuration, blade and track shoe offerings and more, please visit the product download section to view the full Technical Specifications document. Advertised power is tested per the specified standard in effect a Note (2)Ĭat diesel engines are required to use ULSD (ultra-low sulfur diesel fuel with 15 ppm of sulfur or less) or ULSD blended with the following lower-carbon intensity fuels up to: 20% biodiesel FAME (fatty acid methyl ester) ** or 100% renewable diesel, HVO ( Note (3)īasic machine specs provided below. Get dimensions, size, weight, detailed specifications and compare to similar Crawler Tractor models. Net power advertised is the power available at the engine flywheel when the engine is equipped with a fan, air cleaner, clean emissions module and alternator. View updated Komatsu D61PX-12 Crawler Tractor specs. ![]() EPA Tier 4 Final, EU Stage V, Korea Stage V Note (1) Learn More About The Thompson CommitmentĢ15HP Net Power - Rated - ISO 9249/SAE J1349.Get In Touch with a Customer Service Rep.
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Dji fpv drone max speed11/1/2023 ![]() There is a mode switch with ‘N’ (Normal), S (Fast, but still self-levelling) and M (Custom) and – once you’ve enabled ‘M’ in the menu – then all the options (rates) that are available for setting up a properly aggressive flying style. That might not sound quite ‘real’ enough to committed FPV enthusiasts, but the hover, return-to-home, and all the other features can be disabled. That’s the big difference by default the DJI FPV has all the same sensors you’d associate with a flying camera style drone turned on – GPS, altitude, attitude, etc – so that when you power up then let go of the controller the drone will just hover. It’s clear from the front that we’re looking at something different the DJI FPV has a pretty loud fan, because recording all the high res video (and avoiding all those collisions) is processor intensive. Despite that, DJI have stuck with a fairly old-school plug which feels much more robust that on most flying cameras, though is easy to forget to plug in at the same time as the battery. The DJI FPV quad has instead made the battery the centre of the fuselage, inserted from behind, so it acts as a kind of back-foot (there are no feet on the back legs). The vast majority of DIY quad designs are for racing and acro (acrobatics), flight styles which eat through batteries quickly hence the common solution of velcro straps and a simple but reliable plug soldered to the board. (Image credit: Adam Juniper/Digital Camera World) The DJI FPV’s insectoid styling next to a typical FPV quadcopter they have a lot in common though swapping components on a whim is only really practical with one of the two. Together with the main camera lens (which can record at 4K/60fps or 1080p/120fps), mounted on a recessed motorized gimbal, there is no doubting that the designer wanted to give the impression of an insectoid alien. ![]() The drone definitely looks like an FPV drone, with rigid tri-blade propellers which project far enough forward that they’ll absorb the brunt of any head-on collision, and a very firm frame equipped with cool multi-colored LED lighting.Ĭloser inspection, however, reveals some divergence from the typical self-constructed device there are an array of collision sensors (two forward-facing, two downward-facing, and two infra-red altitude sensing). The new drone is being sold as the DJI FPV Combo - which gets you both the headset, standard controller and the drone, for an RRP of $1299 / £1249 / AU$2,099. The one thing which is apparent from the start here is that DJI are sticking to the higher end of the FPV market similar goggles and camera to their previous high-end low-latency system are joined by a new controller (and an optional motion controller).
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Nfl sunday tickey max11/1/2023 ![]() Watch postseason games carried nationally on CBS, FOX, ESPN, and NBC with your YouTube Base Plan.NFL Sunday Ticket starts with the regular season in September. Regular season Sunday afternoon out-of-market NFL games: Watch regular season Sunday afternoon (EST) games carried on CBS and FOX on channels not available in your local area with NFL Sunday Ticket.Watch regular season NFL games carried nationally, like Sunday Night Football on NBC and Monday Night Football on ESPN, and locally on CBS and FOX channels included in your YouTube TV Base Plan.Regular season NFL games on local and national channels:.Thursday Night Football on Amazon Prime is not available on YouTube TV.NFL Sunday Ticket does not include preseason games.Most preseason games are re-aired at later dates and times on NFL Network though, and these rebroadcasts are not subject to the same restrictions. Note: If a preseason game in your local area is airing on a local channel and NFL Network, it will be subject to embargo ("blackout restrictions") and not shown on NFL Network, even if the local channel is not available as part of the YouTube TV Base Plan in your area.To see what channels are available in your area, go to the YouTube TV welcome page and enter your zip code. Watch preseason NFL games carried nationally on NFL Network and ESPN and locally on networks including ABC, CBS, FOX, and NBC on channels included in your YouTube TV Base Plan.Combining a YouTube TV Base Plan with the NFL Sunday Ticket add-on means you can watch: When you add NFL Sunday Ticket to your YouTube TV Base Plan, you can also watch all out-of-market Sunday games throughout the regular season. Thanksgiving games on CBS, NBC, and FOX.Regular season games carried both locally and nationally, including:.Most preseason games carried locally and nationally.With a YouTube TV Base Plan, here’s what NFL games you can watch: A YouTube TV Base Plan is $72.99 per month. YouTube TV is a streaming service that includes live TV from 100+ broadcast, cable, and regional sports networks. NFL games available on YouTube TV with the NFL Sunday Ticket add-on So if you’re a Dallas Cowboys fan currently in Miami, you can watch all of the Sunday Cowboys games that aren’t shown on NBC, CBS, or FOX in your local market. NFL Sunday Ticket includes Sunday afternoon NFL games that aren’t available on your local area broadcasts during the NFL regular season. In this article you can learn about NFL Sunday Ticket, including available games and features, pricing, and much more. You can also get NFL Sunday Ticket on its own as a standalone YouTube Primetime Channel. NFL Sunday Ticket is available as an add-on to a YouTube TV Base Plan subscription. Learn about NFL Sunday Ticket on YouTube TV and YouTube ![]() The action begins this season on Sunday, September 10. NFL Sunday Ticket is a premium sports package bringing you Sunday afternoon regular season National Football League (NFL) games not carried on local broadcasts in your area.
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Noi real estate case11/1/2023 ![]() ![]() Investors should consider both NOI and cash flow when evaluating properties to minimize financial risks. Maximizing NOI is crucial for profitability, but it is important to note that it does not necessarily equate to increased cash flow. Metrics derived from NOI include cap rate, net income multiplier, cash return on investment, and total return on investment. Investors and lenders use NOI to evaluate a real estate property’s potential cash flow and estimate profitability. It helps evaluate the profitability of an investment property and makes it easier to compare different investment opportunities. NOI is a critical concept for aspiring real estate investors. NOI in Real Estate Investment Decision-Making Analyzing a property’s financial statements and performing proper due diligence is necessary to ensure accurate calculations. However, it is important to note that NOI only accounts for necessary expenses and does not include taxes and depreciation. Understanding NOI is essential for maximizing investment returns by evaluating a property’s income and expenses. To accurately calculate NOI, investors must consider the potential rental income, additional revenue streams generated by the property, operating expenses, and vacancy losses. NOI is crucial for evaluating and analyzing income-generating properties, as it measures a property’s profitability by comparing its total income to its total operating expenses. NOI in Evaluating Income-Generating Properties Furthermore, NOI allows investors to negotiate better loan terms and make confident real estate investment decisions. By considering potential rental income, vacancy and credit losses, and other income, investors can gain an accurate picture of the property’s profitability. NOI is a foundational metric in real estate investment analysis, enabling investors to evaluate a property’s profitability and make informed buying, selling, and negotiating decisions. It is crucial to exclude financing costs, taxes, depreciation, tenant improvements, and capital expenditures from the calculation, as they are not directly linked to the property and can vary depending on the investor’s financial situation. Once the GOI is obtained, NOI is calculated by subtracting the operating expenses from the total revenue. NOI is calculated by first determining the Gross Operating Income (GOI), which involves subtracting vacancy rates from the potential rental income. Net Operating Income (NOI) is a key financial metric in real estate investment analysis that represents the income generated by a property after deducting operating expenses. What is net operating income for real estate? What Rising Inflation Means for Multifamily Portfolios.Maximizing NOI with Smart Apartment Building Security.Commercial Real Estate Access Control System.Limitations of NOI in Real Estate Analysis.Increasing NOI for Higher Property Values.NOI in Real Estate Investment Decision-Making.NOI in Evaluating Income-Generating Properties.What is net operating income for real estate?.Understanding NOI is essential for informed financial decision-making, property value assessment, and effective real estate investment analysis. It represents the income generated by a property minus its operating expenses. Net Operating Income (NOI) is a vital metric for real estate investors to evaluate the profitability of a potential investment property.
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Getter robo change doujinshi10/31/2023 ![]() The two Getters combine their energy to create incredible attacks, capable of destroying Jupiter and its Invader-infected moons, but Shin Getter ends up stranded in another dimension, fighting alongside Getters from other universes for all eternity. NEXT CHAPTER Tip: Click on the Getter Robo - Change (Doujinshi) Chapter 1 image to go to the next or previous page. They use Shin Getter until Shin Dragon joins them willingly to fight the Invaders, at which point Ryoma, Hayato and Benkei take up the piloting duties for Shin Getter. Several years later, when the story picks up again, Shin Getter is piloted by Go, Kei Kuruma (Getter teammate Benkei Kuruma's adopted daughter) and Gai. When the trio learns that the military has launched a nuclear warhead at the newly-formed Shin Dragon, they use Shin Getter in an attempt to stop the attack, but ultimately fail, causing a Getter Ray contamination that kills most of the planet's population. After breaking through a group of mass-produced Getter Robo Gs, Ryoma Nagare and Hayato Jin find it inside the Saotome Laboratory along with Go "Saotome", the professor's genetically engineered "son". ![]() In Getter Robo Armageddon, Shin Getter is Professor Saotomes ultimate creation during the prologue of the story. In Getter Robo Armageddon, Shin Getter is Professor Saotome's ultimate creation during the prologue of the story. Getter Robo in Japan, is an original video animation released in 1998 by Bandai Visual, based on the manga and anime series Getter Robo, created by Go Nagai and Ken Ishikawa. Getter Robo Armageddon ( 真(チェンジ!!)ゲッターロボ~世界最後の日, Shin (Chenji!!) Getta Robo~Sekai Saigo no Hi), often simply referred to as Change!! Getter Robo in Japan, is an original video animation released in 1998 by Bandai Visual, based on the manga and anime series Getter Robo, created by Go Nagai and Ken Ishikawa. Manga cover is required something wrong Modify successfully Old password is wrong The size or type of profile is not right Follower Remove The blacklist is empty like my comment: Post You haven't follow anybody yet You have no follower yet You've no message. Delete successfully! At least one picture Your haven't followed any club Follow Club * Manga name can't be empty. Are you sure to cancel publishing? Publish * Manga name has existed. Rate isn't right Size isn't right Please upload 1000*600px banner image We have sent a new password to your registered Email successfully! Please check your Email, Or send again after 60 seconds! Are you sure to delete? Content can't be empty Title can't be empty Are you sure to delete? Are you sure to cancel publishing it? Your manga won\'t show to anyone after canceling publishing. ![]() We promise you that well bring you the latest, hottest manga everyday and FREE. Its great if you read and follow any manga on our website. If you have any question about this manga, Please don't hesitate to contact us or translate team. Getter Robo - Change (Doujinshi) Chapter 1 released in Manga Reader fastest, recommend your friends to read Getter Robo - Change (Doujinshi) Chapter 1 now. The OVA is based on the manga and anime series Getter Robo. ![]() Come visit sometime to read the latest chapter of Getter Robo - Change (Doujinshi). Getter Robo: The Last Day of the World ), often simply referred to as Change Getter Robo or Chenge () in Japan, is an original video animation released in 1998 by Bandai Visual's Emotion label as part of its 15th anniversary and part of Getter Robo's 25th anniversary. GIF Image larger than 300*300px Delete successfully! Remove successfully! Copy Link Original No more data. Getter Robo - Change (Doujinshi) Manga details, Getter Robo - Change (Doujinshi) summary is updating. Picture's max size Success Warn Oops! Something wrong~ Transmit successfully report Transmit Show More Help Followed Are you sure to delete? Cancel Report No more comments Leave reply + Add picture Only. Read Chapter 4 of Getter Robo - Change (Doujinshi) without hassle.
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Netflix subscription cost10/31/2023 If you see inaccuracies in our content, please report the mistake via this form. If we have made an error or published misleading information, we will correct or clarify the article. Our editors thoroughly review and fact-check every article to ensure that our content meets the highest standards. Netflix will send out its last red envelope on Friday, marking an end to 25 years of mailing DVDs to members. Our goal is to deliver the most accurate information and the most knowledgeable advice possible in order to help you make smarter buying decisions on tech gear and a wide array of products and services. Thankfully, you can reduce your subscription fees with a few simple tricks. A year of Netflixs 'Basic' plan is 108, and a year of 'Premium' Netflix costs 192. Netflix costs less than cable, but its still a bit expensive. ZDNET's editorial team writes on behalf of you, our reader. Downgrade to 1080p, Even for Just a Month or Two. Indeed, we follow strict guidelines that ensure our editorial content is never influenced by advertisers. Neither ZDNET nor the author are compensated for these independent reviews. This helps support our work, but does not affect what we cover or how, and it does not affect the price you pay. 149, Netflix has four plans for its users in India and these. Netflix is currently available in more than 190 countries. With the entry-level mobile plan priced at Rs. When you click through from our site to a retailer and buy a product or service, we may earn affiliate commissions. Netflix Subscription Cost for Every Country. And we pore over customer reviews to find out what matters to real people who already own and use the products and services we’re assessing. We gather data from the best available sources, including vendor and retailer listings as well as other relevant and independent reviews sites. ![]() Which countries pay the most and least for Netflix in 2021 Cover image. ![]() ZDNET's recommendations are based on many hours of testing, research, and comparison shopping. Netflix subscription fee in different countries.
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Hopper springs donut county10/31/2023 ![]() You should then be big enough to take the campfire, causing the corn to pop and birds to fly down to it. Grab the junk by the campfire, then follow up with the crates keeping the corn from touching the ground. Make sure you look around for everything so you can also take the bird with you. The bird will drink the water and allow you to repeat this until it's all gone. Let the water enter the hole (you won't be able to take in stuff when it's full of water) and deliver it to the big bird. ![]() In the second area of this level, you will see some big puddles of water. Swing the next chicken off its swing and press the button underneath the chicken on the far left so they're all on the ground. This will cause the chicken on top to fall off it. Grab the blue snake in a cage and use its big tail to spin the blank sign clockwise to unscrew it. Take them along with the rest of the debris here, then move on to the chicken area. There are six snakes in the opening area that pop up and slither around when you move the hole beneath them. It's a little easier to manage if you just check the entries after each level. There's a trophy that requires you to finish the Trashopedia, but that'll happen naturally what you're not told is you also have to view the entries. Note: After each stage, press on the Trashopedia and scroll through all the entries. The little guy will take off alone into a world where there's less and less beneath him by the second. When the kid is in a hot air balloon to avoid the hole, take their furnace and use its heat to raise the hot air balloon. You will eventually consume everything surrounding the animals' house here at Potter's Rock. This is usually extremely easy to do and you should not find any issues with doing so early on in this stage. Our goal, if it wasn't obvious already, is to drop everything into our hole. Carry one with some more texts between Mira and BK, then flash forward to the current situation the pair are in. The screen will expand after the hole is big enough and you can then drop in enough so you can take the honking dude with you. Open the window and move the little hole around so everything on the ground (including small patches of grass and rocks) drop into it. Text your raccoon friend BK and then drag the donut on your blinds to the right so you can see outside. ![]() Meet cute characters, steal their trash, and throw them in a hole.This is our first level of the game. ![]() "Donut County is a story-based physics puzzle game where you play as an ever-growing hole in the ground. When BK falls into one of his own holes, he’s confronted by his best friend Mira and the residents of Donut County, who are all stuck 999 feet underground… and they demand answers!ĭonut County - Full Game Walkthrough You play as BK, a hole-driving raccoon who swallows up his friends and their homes to earn idiotic prizes. Raccoons have taken over Donut County with remote-controlled trash-stealing holes. Meet cute characters, steal their trash, and throw them in a hole. Donut County is a story-based physics puzzle game where you play as an ever-growing hole in the ground.
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Michelle goldberg nytimes today10/31/2023 ![]() Try to refrain from open hostility that derails the quality of the conversation. If the relevance is not obvious at first glance, please add some text explaining the connection to the podcast.Ĭivility - No outright insults of other commenters or swearing at one another. Avoid posting general identity politics issues or the latest firestorm of the day (hour) that's not in some way tied to a specific topic they addressed. Two weeks ago, a 26-year-old anti-feminist TikTok star named Hannah Pearl Davis released an acoustic song titled, “Why Can’t We Talk About the Jews?” (She deleted it after a backlash.) College Republicans United, a hard-right college Republican faction, was scheduled to have Fuentes headline its national convention last weekend, though Fuentes pulled out because of security concerns.BARPod Relevance - Link submissions need to be related to the podcast, or a topic specifically discussed in the podcast, or at the very least, a specific topic that Jesse or Katie have recently discussed somewhere else. (Gonzalez has since renounced his former “performative bigotry,” and blamed the internecine feud between Trump loyalists and DeSantis supporters for the Breitbart story.) In private chats, Gonzalez described his growing radicalization against “subversive” Jews and his admiration for white nationalist Nick Fuentes, who is perhaps best known for shepherding Kanye West into his pro-Hitler era. Greg Abbott of Texas, wrote on TikTok that it’s “hard to talk about the Holocaust and rising antisemitism without discussing Jewish presence in banking.”īoth Breitbart and, on Monday, the right-wing Washington Free Beacon have reported on the unabashed antisemitism of high-profile pro-DeSantis influencer Pedro Gonzalez. Last week, Media Matters for America reported that Matteo Cina, a Fox News staff member and former writer for Gov. Several examples from just the past two months show a similar sort of thinking percolating among some of today’s young conservative revolutionaries. The “conservative revolutionaries” that Stern wrote about “thought that this world had been destroyed by evil hands consequently, they firmly believed in a conspiratorial view of history and society.” Their villain, wrote Stern, “usually was the Jew, who more and more frequently came to be depicted as the very incarnation of modernity.” There’s a reason scholar Fritz Stern titled his 1961 study of the intellectual currents that gave rise to Nazism “The Politics of Cultural Despair.” The sort of right-wing sentiment he’s tapped into, with its histrionic loathing of bourgeois liberalism and deep cultural pessimism, has in the past been a precursor to fascism. ![]() His own politics, as he described them on “Know Your Enemy,” were forged almost entirely in reaction to “wokeness,” and, as he told The New Republic, he sees contemporary America as so far gone that there’s little worth conserving. But whatever his motives, his trajectory from conservative intellectual wunderkind to disgraced troll tells us quite a bit about the culture of the young right.Īs Hochman clearly recognized, these days, young reactionaries find their inspiration not in the adolescent superman fantasies of Ayn Rand but in the nihilistic Joker energy of 4chan. Given that he is Jewish, I’m inclined to believe that rather than being a covert Nazi, Hochman is simply a callow young man immersed in a milieu in which fascist idioms are so commonplace they can be picked up inadvertently. ![]() Although the video’s imagery is clearly fascist - the sonnenrad, or sunwheel, is flanked by two rows of marching soldiers - Hochman has said that he didn’t know what the symbol meant.
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Virtual birthday cards uk10/31/2023 Once you’ve added your personal touches, upload your guests’ contact information, send your birthday card, and let the anticipation build. With Paperless Post, our online design tools make it easy to create the perfect birthday card with customizable fonts, colors, envelopes and liners, backdrops, and stamps. and Jonathan Adler gives you access to legendary stationery templates that will charm every recipient. Our partnership with iconic designers like Rifle Paper Co. Kickoff your birthday card creation by finding a design that embodies the theme of the day and the personality of the honoree. Our kids’ birthday cards feature imaginative designs, graphics of sweet treats, and illustrated animal motifs that bring a playful touch to their special day. Choose a photo birthday card for a great way to highlight a special moment from the year(s) past, or, if the birthday celebrant is a jokester who loves to laugh, give them something to smile about with a funny birthday card. We've done the leg work for you and have broken down our birthday cards into categories like birthday cards for her and birthday cards for him. You don't need a book of stamps, and the lucky recipient can come back to revisit your birthday card in their inbox or text messages. Our online birthday cards make it easy to send a special greeting to everyone in your life. ![]() A digital birthday card is the perfect way to let them know you're sending your well-wishes for a fantastic year ahead. ![]() We've got a special eCard greeting for every person in your life for every day of the year, and they're sure to be thrilled to receive animated eCards from you.Whether you're celebrating your spouse, a client, or a friend of a friend, Paperless Post has a birthday card that will fit their personality and bring a tear to their eye in the best way possible (whether they're crying from laughter or a heartfelt message is totally up to you). Or come up with your own clever greetings and have one of our talking eCards speak your message aloud. If you're leaning to the left or right, you'll definitely want to send one of our political eCards featuring all of your favorite, and not-so-favorite politicians. Treat your friends and family to one of a heartwarming eCard from The Dionne Warwick collection, starring Grammy-winning singer Dionne Warwick in a huge selection of eCards recorded exclusively for Doozy. Vincent Meals on Wheels, the largest privately funded meals program in the US.ĭoozy Cards eCards also feature a special cast of characters that you and your loved ones will come to love, including the Doozy Birds, a four-legged Mariachi band and the Caribbean Hippos. Additionally, a portion of the proceeds from the premier membership goes to St. ![]() ![]() Send as many thoughtful anniversary eCards, birthday eCards or sincere holiday eCards as your big heart desires. We're constantly adding more unique eCards to our already massive collection, so be sure to check out our new eCards section often.Īnd, you guessed it, there's more! Doozy Cards offers a trial period of free eCards when you sign up for our premium membership that includes a host of benefits, such as helpful birthday reminders and free tech support. Your new home for the most heartfelt and hilarious eCards online! If you're looking for silly Birthday eCards, traditional holiday eCards, or just want to say hello with a funny eCard, we have plenty of choices to delight you and your loved ones.Ī family-based company, Doozy Cards is staffed by an extremely talented group of animators, voiceover artists and writers, providing you with a distinctive selection of thoughtful and original eCards for every occasion.
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Sample discharge letter from hospital10/31/2023 ![]() Thus, ensuring high standards of discharge communication and improving current processes is important. Nonetheless, it is known that lack of care continuity through sub-standard discharge communication can lead to adverse outcomes such as preventable readmissions. The factors influencing this variation and the extent of the subsequent impacts and effects on patients remain equivocal. Previous research indicates the quality and content of discharge letters may vary and does not always satisfy the requirements of those receiving them (e.g. Hence, patients may or may not receive these discharge communication letters but the reasons for this and subsequent effects remain unclear. Whilst in the UK patients receiving letters is considered ‘good practice’ and encouraged through initiatives and guidelines, it is not standardised. ![]() outpatient or inpatient), and the individual preferences and style of the physician who authored the content. The content and structure of such discharge letters vary depending on the speciality, type of hospital care (e.g. Such communication is generally described as being a “discharge letter” in the UK, and this is the term that we have used throughout the current paper. Written discharge communication may be sent electronically or in hard copy they may contain information relating but not limited to a summary of the patient’s hospital visit, treatment and required followed up. In the UK, “discharge communication” may follow inpatient or outpatient discharge and typically takes written form as a discharge letter or summary sent from the discharging clinical team to the clinician who is to continue patient care, usually the General Practitioner (GP). The communication that takes place in relation to hospital discharge may be termed “discharge communication”. This is particularly key following care transitions, such as when discharging patients from hospital. Effective communication and co-ordination between healthcare professionals and patients to facilitate positive outcomes is essential. This means use of resources must be maximised, inefficiencies that are due to fragmented care or duplication of care need to be avoided, and patients need to be supported to self-care and self-manage more effectively. The pressure on health services is heightening, in large part due to the need to cope with an increasingly multi-morbid and ageing population. Findings will be disseminated in peer-reviewed journals, reports and newsletters, and presentations. Ethics approval was granted in July 2017 by the UK Health Research Authority. Recommendations for improving discharge letters and the process of patients receiving letters will be made, with the intention of informing guidelines on discharge communication. Patient and practitioner involvement will inform design decisions and interpretation of findings. This mixed-methods study is novel in attempting to triangulate views of patients, GPs and HPs in relation to specific discharge letters. The methods for analysis draw on techniques from the fields of Applied Linguistics and Health Sciences, including: corpus linguistics inferential statistics content analysis. ![]() These “quartets” allow direct comparisons between different discharge experiences within the same communicative event. Participant viewpoints are collected through interviews, focus groups and surveys and will be “matched” to the discharge letter sample, so forming multiple-perspective “quartet” cases. These letters identified potential participants who were invited to take part: the HP letter writer, GP recipient and patient. Participating GPs initially screened and selected a range of recent discharge letters which they assessed to be successful and unsuccessful exemplars. The research aimed to recruit a minimum of 30 GPs, 30 patients and 30 HPs in order to capture 90 experiences of discharge communication. The setting was a region in the West Midlands of England, UK. The study has a particular focus on the impacts of receiving or not receiving letters on patient experiences and quality of care. Hence, the aim of this study was to investigate from GP, hospital professional (HP) and patient perspectives how to improve processes of patients receiving letters and increase quality of discharge letters. Relatively little is known about the barriers and enablers to sending patients discharge letters. These letters are often sent from the hospital discharging physician to the referring clinician, typically the patient’s General Practitioner (GP) in the UK, and patients may or may not be copied into them. Research indicates a need for improvement to increase quality of care and decrease adverse outcomes. Discharge letters are crucial during care transitions from hospital to home. |