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).

The Koran, or, essays sentiments, characters, and Callimachies, of Tria Iuncta in Uno, M.N.A. or Master of no arts

Essays sentiments, characters, and Callimachies, of Tria Iuncta in Uno, M.N.A. or Master of no arts

Chlorophyll a and carbon fluxes, and characteristics of the water column during summer 2008 in the Beaufort Sea

Following the extreme low ice year of 2007, primary production and the sinking export of particulate and gel-like organic material, using short-term particle interceptor traps deployed at 100 m, were measured in the southeastern Beaufort Sea during summer 2008. The combined influence of early ice retreat and coastal upwelling contributed to exceptionally high primary production (500 ± 312 mg C/m**2/day, n = 7), dominated by large cells (>5 µm, 73% ± 15%, n = 7). However, except for one station located north of Cape Bathurst, the sinking export of particulate organic carbon (POC) was relatively low (range: 38-104 mg C/m**2/day, n = 12) compared to other productive Arctic shelves. Estimates indicate that 80% ± 20% of the primary production was cycled through large copepods or the microbial food web. Exopolymeric substances were abundant in the sinking material but did not appear to accelerate POC sinking export. The use of isotopic signatures (d13C, d15N) and carbon/nitrogen ratios to identify sources of the sinking material was successful only at two stations with a strong marine or terrestrial signature, indicating the limitations of this approach in hydrographically and biologically complex Arctic coastal waters such as in the Beaufort Sea. At these two stations influenced by either coastal upwelling or erosion, the composition and magnitude of particulate sinking fluxes were markedly different from other stations visited during the study. These observations underscore the fundamental role of mesoscale circulation patterns and hydrodynamic singularities on the export of particulate organic material on Arctic shelves.

Relationship between taxocenoses of decapod crustaceans and characteristics of coastal detritic bottoms in the east and southeast of the Spanish coast

Se ha estudiado la composición de las poblaciones de crustáceos decápodos en los fondos detríticos circalitorales del Este y Sureste ibérico, con relación a sus diferentes facies, efectuándose diferentes análisis estadísticos sobre la composición y diversidad. La taxocenosis de crustáceos decápodos muestra elevados valores de abundancia, riqueza y diversidad en las localidades identificadas como fondos detríticos costeros de aspecto típico. Por último, algunos grupos de especies podrían ser utilizados para caracterizar las biocenosis típica de fondos detríticos costeros, tales como: Paguristes eremita, Ebalia edwardsi, E. deshayesi, Eurynome aspera, Galathea intermedia, Parthenope massena, y Anapagurus hyndmani; la biocenosis del detrítico costero enfangada: Ebalia tuberosa, Atelecyclus rotundatus, Ethusa mascarone, y Liocarcinus zariquieyi; y la biocenosis de arenas fangosas: Upogebia deltaura, Goneplax rhomboides.

Abundance and characteristics of Polychaeta taxa and associated sediment during POLARSTERN campaign ANT-XXII/3 (ANDEEP-IIII)

During the austral summer of 2005, the Weddell deep sea and adjacent basins were sampled in the course of the ANDEEP III project. In this study, 19 epibenthic-sledge stations are analyzed, with a focus on species diversity and distribution patterns of polychaetes. The polychaete fauna of the deep Southern Ocean has been found to be similarly speciose and diverse compared with deep-sea basins worldwide. Also, in depths below 2,000 m many polychaete species do not seem to be endemic for certain areas but are rather far spread within the Southern Ocean and beyond. Therefore, ongoing faunal exchanges between adjacent basins, even beyond the Antarctic convergence, are strongly suggested, ruling out a general isolation of the Southern Ocean deep-sea benthos. Driving forces behind species distribution patterns were investigated. The findings indicate that polychaete species' distribution in the Southern Ocean deep sea is rather dependent on local environment than depths.

The gentleman and lady's key to polite literature, or, A compendious dictionary of fabulous history : containing the characters, and principal actions, ascribed to the heathen gods, goddesses, heroes, &c. and the manner in which the ancients represented the deities & heroes ... : intended for the assistance of those who would understand mythology, poetry, painting, statuary and theatrical entertainments, and particularly adapted to the use of Latin and French schools.

Frontispiece signed "Le Pautre." Engraved title-page.

A second census of Finnegans wake; an index of the characters and their roles. Rev. and expanded from the first Census.

Mode of access: Internet.

Foiled; or, A struggle for life and liberty. A drama, in four acts ... To which is added a description of the costumes, cast of the characters ... and the whole of the stage business.

Mode of access: Internet.

A judge by proxy, farce in one act ... To which is added description of the costumes, cast of the characters ... and the whole of the stage business ...

Mode of access: Internet.

The Welsh people; chapters on their origin, history, laws, language, literature, and characteristics,

Mode of access: Internet.

An introduction to the Hindustani language : comprising a grammar, and a vocabulary, English and Hindustani : also short stories and dialogues, short stories in Persian and Nagari characters ... and military words of command, Nagari and English /

Mode of access: Internet.