Specifically, an incremental cost-effectiveness ratio (ICER) is the ratio of extra cost to extra effect (i.e., ΔC/ΔE).
(The sentence comes as a paragraph on its own, for extra effect).
The cameras at the blue lines produced the extra effect, but only when they zoomed in.
This systematic zigzag of revisions, of sideways moves, also has a lovely extra effect.
It sounded as if he were stating his ideas in capital letters, then adding boldface and underscores for extra effect.
Soot has a pivotal extra effect, too: it settles on glaciers and other areas of ice, darkening their surface and increasing the rate at which they melt.
Not only do they bulge like a python's coils at dinner time, a matching pair of inch-thick tattooed bands have been added for extra effect.
One of the album's high points is "Almost Is Never Enough," a bracing torch song on which Ms. Grande sneaks in some gospel-singing enunciation for extra effect.
Manifested in tauntingly ad hominem attacks of the type we've seen courtesy of "Jihadi John" (via his victims for extra effect), extremism is as provocative as it gets.
For extra effect, Lyndon Johnson installed a hydraulic "king chair" on board his Air Force One, which enabled him to hover in midair as he harangued the congressmen he invited into his cabin.
This one guy was like, 'You can beat her, Justine; she's not that good.' "I looked at that guy and I was like, 'You don't know me,' " she said, wagging a finger for extra effect.
