First results from a Swiss level I trauma centre participating in the UK Trauma Audit and Research Network (TARN): Prospective cohort study

QUESTIONS UNDER STUDY: Patient characteristics and risk factors for death of Swiss trauma patients in the Trauma Audit and Research Network (TARN). METHODS: Descriptive analysis of trauma patients (≥16 years) admitted to a level I trauma centre in Switzerland (September 1, 2009 to August 31, 2010) and entered into TARN. Multivariable logistic regression analysis was used to identify predictors of 30-day mortality. RESULTS: Of 458 patients 71% were male. The median age was 50.5 years (inter-quartile range [IQR] 32.2-67.7), median Injury Severity Score (ISS) was 14 (IQR 9-20) and median Glasgow Coma Score (GCS) was 15 (IQR 14-15). The ISS was >15 for 47%, and 14% had an ISS >25. A total of 17 patients (3.7%) died within 30 days of trauma. All deaths were in patients with ISS >15. Most injuries were due to falls <2 m (35%) or road traffic accidents (29%). Injuries to the head (39%) were followed by injuries to the lower limbs (33%), spine (28%) and chest (27%). The time of admission peaked between 12:00 and 22:00, with a second peak between 00:00 and 02:00. A total of 64% of patients were admitted directly to our trauma centre. The median time to CT was 30 min (IQR 18-54 min). Using multivariable regression analysis, the predictors of mortality were older age, higher ISS and lower GCS. CONCLUSIONS: Characteristics of Swiss trauma patients derived from TARN were described for the first time, providing a detailed overview of the institutional trauma population. Based on these results, patient management and hospital resources (e.g. triage of patients, time to CT, staffing during night shifts) could be evaluated as a further step.

Kerovets : doś iz (rashe tevot) Ḳol rinah ṿi-yeshuʿah be-ohole tsadiḳim ; dos iz ṭayṭsh shṭim gezang un' hilf in getselṭ fun tsadiḳim ...

Übers. d. Hauptsacht.: Hymnen. Die Stimme der Freude und Erlösung

Erosive esophageal reflux vs. non erosive esophageal reflux: oral findings in 71 patients.

BACKGROUND The purpose of this clinical study was to assess the prevalence of acidic oral mucosal lesions and periodontal conditions in patients suffering from erosive esophageal reflux disease (ERD) compared with non erosive esophageal reflux disease (NERD) patients, both treated with long term proton pump inhibitors (PPI). METHODS Seventy-one patients with diagnosed GERD were studied: i.e. 29 ERD and 42 NERD patients. Thorough visual examination of the oral mucosa and a periodontal evaluation was performed. The primary outcome was defined as a statistically significant difference, between the two groups, in the presence of acidic lesions of the oral mucosa and specific periodontal parameters. RESULTS This study failed to demonstrate statistically significant differences between ERD and NERD patients with respect to the prevalence of oral mucosal lesions. However, significantly more ERD patients suffered from severe periodontitis (CAL ≥ 5 mm) as compared to NERD patients. Accordingly, it may be assumed that PPI-use had no adverse effects on the prevalence of acidic oral mucosal lesions and on periodontal destruction. CONCLUSIONS Within the limitations of this study it may be concluded that ERD and NERD patients need separate evaluation with respect to periodontal destruction. Moreover, long term PPI medication had no adverse clinical impact on acidic oral mucosal lesions and periodontal destruction. Further studies are necessary to elucidate the role of reflux in the periodontal destruction of ERD individuals.

Na 1 Nachlass Max Horkheimer, 55 - Korrespondenzen u.a. mit Julien Wavrinek und Walter Benjamin (p. I 26, 1-130)

2 Briefe zwischen Marga Wadsack und Max Horkheimer, 24.08.1937, 29.08.1937; 1 Brief von Gloria H. Wagner an Max Horkheimer, 27.12.1948; 1 Brief von Herta Wagner an Leo Löwenthal, 05.06.1936; 3 Brief und 1 Beilage zwischen Herta Wagner, 12.03.1936, 1936; 8 Brief zwischen Katja Walch-Lux und Max Horkheimer, 1934-1938; 2 Brief zwischen K. Walcher und Max Horkheimer, 07.08.1936, 04.09.1936 sowie Bemerkungen zum Brief von Max Horkheimer; 2 Briefe zwischen Morris Waldman und Max Horkheimer, 17.04.1940, 11.05.1940; 6 Briefe zwischen Sidney Wallach und Max Horkheimer, 1940; 2 Briefe von Max Horkheimer an Waldman; 2 Briefe von Max Horkheimer an Landau; 1 Brief Max Horkheimer an Warburg; 1 Brief von Hans Wallenberg an Leo Löwenthal, 06.05.1940; 1 Brief von Willard W. Waller an Franz Neumann, 28.04.1941; 2 Briefe und 1 Beilage zwischen Hans Waloschek und Max Horkheimer, 04.08.1938, 31.08.1938; 4 Briefe und 2 Beilagen zwischen Emil J. Walter und Max Horkheimer, 1937, 1938; 5 Briefe und 1 Beilage zwischen Hilde Walter und Max Horkheimer, 1937, 1945; 1 Brief von Rose Walter an Max Horkheimer, 16.11.1938; 2 Briefe zwischen Yu-Chuan Wang und Max Horkheimer, 12.10.1936, 09.12.1936; 1 Brief von Rike Wankmüller-Freyh an Max Horkheimer, 06.07.1949; 1 Brief von Ilse Bach an Heinz Wartenberg, 11.11.1940; 1 Brief von Heinz Wartenberg an Richard Bach, 07.02.1941; 1 Brief von Max Horkheimer an Heinz Wartenberg, 11.03.1941; 1 Brief von Richard Bach an Max Horkheimer; 1 Brief von Franz und Hilde Wasem an Max Horkheimer, 16.02.1949; 5 Briefe zwischen Goodwin Watson und Franz Neumann, 1941; 11 Briefe und Notizen zwischen Julien Wavrinek und Max Horkheimer, 1938-1940; 1 Brief von Max Horkheimer an M. Bruhat; 2 Briefe von Max Horkheimer an Walter Benjamin, 03.05.1940;

Spores and pollen at DSDP Holes 36-330 and 71-511

Samples from Upper Jurassic and Lower Cretaceous sediments at Site 511 were analyzed for palynomorphs. Three palynological assemblages were identified: Upper Jurassic (presumably Tithonian), Neocomian-Aptian, and lower Albian. These were correlated to synchronous assemblages in Argentina, South Africa, and Australia and were compared with Jurassic palynoassemblages from Hole 330, Leg 36.