Urgent consultations at the dermatology department of Basel University Hospital, Switzerland: characterisation of patients and setting - a 12-month study with 2,222 patients data and review of the literature.

BACKGROUND Urgent consultations for skin disorders are commonly done in different settings. Scarce data exist about the characteristics of these patients. OBJECTIVE The aim of this study was to analyse specific characteristics of patients receiving an urgent consultation at a dermatology department in a university hospital. METHODS We prospectively recorded the data of all patients having had an urgent consultation during a period of 12 months. RESULTS We registered 2,222 urgent consultations. The most frequent diagnoses were eczemas (24.8%), dermatomycoses (5.1%) and dermatitis not otherwise specified (4.8%). The most frequent treatments were topical steroids, emollients, topical antibiotics, systemic antihistamines, antibiotics and virostatics. 2.2% of patients were hospitalized, 78.8% asked for a consultation for a disease lasting less than 4 weeks, and 6.9% presented the same day as the skin disease appeared. CONCLUSIONS This study shows the characteristics of patients receiving an urgent dermatologic consultation. It underlines the need for collaboration between dermatologists, other physicians, general practitioners and nurses.

Translations of a letter addressed by Sir Moses Montefiore to the Jewish Congregations in the Holy Land, on the promotion of agriculture and other industrial pursuits in that country and of the replies received thereto

London Comm. of Deputies of the Brit. Jews

Trends and characteristics of attendance at the emergency department of a Swiss university hospital: 2002-2012.

BACKGROUND The numbers of people attending emergency departments (EDs) at hospitals are increasing. We aimed to analyse trends in ED attendance at a Swiss university hospital between 2002 and 2012, focussing on age-related differences and hospital admission criteria. METHODS We used hospital administrative data for all patients aged ≥16 years who attended the ED (n=298,306) at this university hospital between 1 January 2002, and 31 December 2012. We descriptively analysed the numbers of ED visits according to the admission year and stratified by age (≥65 vs <65 years). RESULTS People attending the ED were on average 46.6 years old (standard deviation 20 years, maximum range 16‒99 years). The annual number of ED attendances grew by n=6,639 (27.6%) from 24,080 in 2002 to 30,719 in 2012. In the subgroup of patients aged ≥65 the relative increase was 42.3%, which is significantly higher (Pearson's χ2=350.046, df=10; p=0.000) than the relative increase of 23.4% among patients<65 years. The subgroup of patients≥65 years attended the ED more often because of diseases (n=56,307; 85%) than accidents (n=9,844; 14.9%). This subgroup (patients≥65 years) was also more often admitted to hospital (Pearson's χ2=23,377.190; df=1; p=0.000) than patients<65 years. CONCLUSIONS ED attendance of patients≥65 years increased in absolute and relative terms. The study findings suggest that staff of this ED may want to assess the needs of patients≥65 years and, if necessary, adjust the services (e.g., adapted triage scales, adapted geriatric screenings, and adapted hospital admission criteria).

Annual Report Department of Community Medicine and Health Care

Annual Report, 2007-2008 Academic Year, Department of Community Medicine and Health Care, University of Connecticut School of Medicine

Na 1 Nachlass Max Horkheimer, 54 - Korrespondenzen u.a. mit Jiri Veltruský (p. I 25, 242-321)

4 Briefe und 8 Beilagen zwischen Gerhard Tinter und Max Horkheimer, 1938; 1 Brief von Hans Tischler an Max Horkheimer, 08.12.1938; 4 Briefe zwischen Bernhard H. Titcomb und Max Horkheimer, 22.09.1935, 1935; 2 Briefe zwischen Paul Titus und Max Horkheimer, 07.06.1942, 09.06.1942; 1 Brief von Ferdinand Tönnies an Max Horkheimer, 17.10.1935; 1 Brief von Tonetti Juliette Favez, 21.11.1935; 1 Brief vom Treasury Department an Max Horkheimer, 11.02.1937; 1 Brief von Edith A. Trotter an Max Horkheimer, 13.02.1941; 2 Briefe zwischen The Twentieth Century Fund und Max Horkheimer, 22.12.1942, 02.01.1943; 4 Briefe zwischen Robert Ulich und F. Pollock, 1936, 10.04.1941, 1941; 1 Brief von Max Horkheimer an United States of America Commissioner for Immigration and Naturalisation, 01.11.1940; 1 Brief von Max Horkheimer an das United States of America Department of Agriculture, 15.01.1940; 1 Brief von Max Horkheimer an das United States of America Department of State, 07.10.1941; 1 Brief von Herbert Marcuse an das United States of America Department of State, 07.10.1941; 1 Brief von Max Horkheimer an das Universität Frankfurt Kuratorium der Johann Wolfgang Goethe Universität, 05.07.1935; 1 Briefkopie von Max Horkheimer an die Universität Frankfurt, Der Rektor, 28.07.1933; 1 Brief und 1 Beilage von der University of Buffalo an Max Horkheimer, 06.03.1940; 5 Briefe zwischen der University of California Berkeley und Max Horkheimer, 1940; 2 Briefe zwischen der University of Colorado Libraries und Max Horkheimer, 17.10.1940, 25.10.1940; 3 Briefe zwischen der University of Newark und Max Horkheimer, 1935, 08.04.1938, 1938; 6 Briefe zwischen Jiri Veltruský und Max Horkheimer, 1948-1949; 1 Brief von Leon Verhille an Max Horkheimer, 19.12.1949; 5 Briefe zwischen Salka Viertel und Max Horkheimer, 1938, 1940; 1 Heiratsanzeige von Edward Walter Violin, 1949; 1 Notiz von Max Horkheimer an Edward Walter Violin; 1 Brief von Stitschan Voehard an Max Horkheimer, 03.01.1950;

Texas Department of Health organizational structure changes: A reflection of public health policy and agency expansion, September 1, 1946--June 30, 1994

The premise of this study is that changes in the agency's organizational structure reflect changes in government public health policy. Based on this premise, this study tracks the changes in the organizational structure and the overall expansion of the Texas Department of Health to understand the evolution of changing public health priorities in state policy from September 1, 1946 through June 30, 1994, a period of growth and new responsibilities. It includes thirty-seven observations of organizational structure as depicted by organizational charts of the agency and/or adapted from public documents. ^ The major questions answered are, what are the changes in the organizational structure, why did they occur and, what are the policy priorities reflected in these changes in and across the various time periods. ^ The analysis of the study included a thorough review of the organizational structure of the agency for the time-span of the study, the formulation of the criteria to be used in ascertaining the changes, the delineation of the changes in the organizational structure and comparison of the observations sequentially to characterize the change, the discovery of reasons for the structural changes (financial, statutory - federal and state, social and political factors), and the determination of policy priorities for each time period and their relation to the expansion and evolution of the agency. ^ The premise that the organizational structure of the agency and the changes over time reflect government public health policy and agency expansion was found to be true. ^

Analyzing the effectiveness of Kinderworld's food program on lowering & controlling childhood obesity

This is an analysis of previously collected data at Kinderworld Child Care and Early Learning Center, as part of an evaluation done to determine the program's effectiveness in reducing/controlling childhood obesity. Kinderworld is a private, for-profit organization that provides healthy, nutritious meals and snacks to children under the guidelines of the Child and Adult Care Food Program, and is reimbursed by the Texas Department of Agriculture on a fixed price-per-meal basis. The primary goal of the program is to reduce childhood obesity. Previous studies have shown a link between obesity and diet. Other, similar programs have shown success in reducing obesity among children with a healthy diet and exercise. The results from the outcome evaluation indicated that time spent in the center was positively related to higher proportions of healthy-weight children, and inversely related to BMI levels. ^