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Emergency Department Visits for Chest Pain and Abdominal Pain: United States, 1999–2008 Farida A. Bhuiya, M.P.H.; Stephen R. Pitts, M.D., M.P.H., F.A.C.E.P.; and Linda F. McCaig, M.P.H., Division of Health Care Statistics Key findings Data from the National Hospital Ambulatory Medical Care Survey: 1999–2008 • The number of noninjury emergency department (ED) visits in which abdominal pain was the primary reason for the visit increased 31.8%. • The percentage of ED visits for which chest pain was the primary reason decreased 10.0%. • Use of advanced medical imaging increased strongly for ED visits related to abdominal pain (122.6%) and chest pain (367.6%). Chest and abdominal pain are the most common reasons that persons aged 15 years and over visit the emergency department (ED) (1). Because EDs provide both emergency and nonemergency care (2,3), visits for these symptoms may vary in their acuity. Advanced medical imaging is often ordered to assist in both diagnosing and ruling out serious illness associated with these symptoms (4,5). This report describes trends in visits for chest and abdominal pain in adults and the seriousness of illness and use of imaging in these visits. All data shown are for persons aged 18 and over whose visit was not injury related. Keywords: National Hospital Ambulatory Medical Care Survey • advanced medical imaging • reason for visit Are ED visits for chest or abdominal pain increasing?
Diagnostic Laparoscopy for Chronic Abdominal Pain Richmond University Hospital, July 2012 David A Vivas, MD www.downstatesurgery.org Case Presentation HPI • 25 y/o female with no significant PMH who was seen in clinic c/o intermittent, moderate to severe, dull abdominal pain, located in epigastric area and right abdomen for the last 3 years. Patient denied any other symptoms (N/V, weight loss) • PMH: None • PSH: None www.downstatesurgery.org Case Presentation • Work up: • EGD: No pathologic findings • RUQ US: No gallstones or other biliary or liver pathology • Pelvic US: No GYN pathology www.downstatesurgery.org Case Presentation • Work up: • CT scan abdomen and pelvis with PO/IV contrast: • Probable diverticulum in the ascending colon • Otherwise unremarkable www.downstatesurgery.org Case Presentation • Work up: • Colonoscopy: • 0.5 cm sessile, friable mass in the distal ascending colon • Mass was removed with cold technique • Area was tattooed with India ink and sent to pathology • Rest of the study was unremarkable for any pathology
Medium-Sized Mixed Breeds: They’re Unique! Your dog is special! She’s your best friend and companion and a source of unconditional love. Chances are that you chose her because you like medium-sized dogs, and you expected her to have certain traits that would fit your lifestyle: • • • • • Well suited as a family dog Intelligent and easy to train People-oriented and eager to please Brave and ready for adventure Lively, with a friendly personality No dog is perfect, though, and you may have noticed these characteristics, too: • • • • Easily bored and can find trouble Determined and has a mind of her own Needs regular exercise and diet regulation to avoid weight gain Prone to separation anxiety and associated chewing and digging behaviors Is it all worth it? Of course! She’s got her own personality, and you love her for it. Your Mixed-Breed Dog’s Health We know that because you care so much about your dog, you want to take good care of him. That’s why we’ll tell you about the health concerns we’ll be discussing with you over the life of your friend. Knowing your pal’s genetic make-up is an important Northwest Neighborhood Veterinary Hospital (503) 227-6047 www.nwneighborhoodvet.com for lumps and bumps when we examine your pet. If she is overweight, we’ll discuss exercise and diet because obesity is a risk factor for some types of cancer.
http://www.prudentialonlinestore.com/medical-uniforms | The transition from nursing school into a hospital environment can be both daunting and exciting. Build yourself an arsenal of resources that will assist in efficient care and ultimately aid in your success. From your healthcare uniforms to your administrative duties, be prepared.
Australian Competition and Consumer Commission 23 Marcus Clarke Street, Canberra, Australian Capital Territory, 2601 © Commonwealth of Australia 2013 This work is copyright. In addition to any use permitted under the Copyright Act 1968, all material contained within this work is provided under a Creative Commons Attribution 3.0 Australia licence, with the exception of: • the Commonwealth Coat of Arms • the ACCC and AER logos • any illustration, diagram, photograph or graphic over which the Australian Competition and Consumer Commission does not hold copyright, but which may be part of or contained within this publication. The details of the relevant license conditions are available on the Creative Commons website, as is the full legal code for the CC BY 3.0 AU licence. Requests and inquiries concerning reproduction and rights should be addressed to the Director, Internal Communication and Publishing Services, ACCC, GPO Box 3131, Canberra ACT 2601, or firstname.lastname@example.org. Important notice The information in this publication is for general guidance only. It does not constitute legal or other professional advice, and should not be relied on as a statement of the law in any jurisdiction. Because it is intended only as a general guide, it may contain generalisations.
Versicherung der gesetzlichen Vertreter Der zusammengefasste Konzernlagebericht ist im Konzernabschluss der GEA Group Aktiengesellschaft enthalten, der im Geschäftsbericht für 2013 auf den Seiten 13-89 abgedruckt ist. Der Jahresabschluss der GEA Group Aktiengesellschaft wird gemäß § 325 HGB im elektronischen Bundesanzeiger bekannt gemacht. GEA Group Aktiengesellschaft Jahresabschluss 2013 3 Organe der Gesellschaft und ihre Mandate Organe der Gesellschaft und ihre Mandate Vorstand Aufsichtsrat Jürg Oleas, Meerbusch/Hausen b. Brugg (Schweiz), CEO – Vorstandsvorsitzender Dr. Jürgen Heraeus, Maintal, Vorsitzender des Aufsichtsrats Vorsitzender des Aufsichtsrats der Heraeus Holding GmbH a) - LL Plant Engineering AG, Ratingen, Vorsitzender des Aufsichtsrats b) - Allianz Global Corporate & Specialty AG, München, Mitglied des Beirats - Deutsche Bank AG, Frankfurt am Main, Mitglied des Beirats Region Mitte - RUAG Holding AG, Bern, Schweiz, Mitglied des Verwaltungsrats - GEA Process Engineering A/S, Søborg, Dänemark, Vorsitzender des Aufsichtsrats (seit 21.02.2013) a) - Heraeus Holding GmbH, Hanau, Vorsitzender des Aufsichtsrats - Hauck & Aufhäuser Privatbankiers KGaA, Frankfurt am Main, Mitglied des Aufsichtsrats - Messer Group GmbH, Sulzbach, Vorsitzender des Aufsichtsrats b) - Argor-Heraeus S.A., Mendrisio, Schweiz, Vorsitzender des Verwaltungsrats (bis 23.05.2013) Reinhold Siegers, Mönchengladbach, stellv. Vorsitzender des Aufsichtsrats Vorsitzender des Konzernbetriebsrats der GEA Group Aktiengesellschaft Dr. Helmut Schmale, Bochum, CFO – Finanzvorstand b) - GEA North America, Inc., Delaware, USA, Vorsitzender des Board of Directors - Commerzbank AG, Frankfurt am Main, Mitglied des Regionalbeirats Nordwest Ahmad M.A. Bastaki, Safat, Kuwait, Executive Director, Office of the Managing Director, Kuwait Investment Authority Markus Hüllmann, Rheda-Wiedenbrück, COO – Mitglied des Vorstands (seit 01.04.2013) b) - GEA Segment Management Holding GmbH, Düsseldorf, Geschäftsführer (seit 20.04.2013) - GEA North America, Inc., Delaware, USA, Mitglied des Board of Directors (seit 20.04.2013) Prof. Dr. Ing. Werner Bauer, Lutry, Schweiz, Vorsitzender des Aufsichtsrats der Nestlé Deutschland AG a) - Nestlé Deutschland AG, Frankfurt am Main, Vorsitzender des Aufsichtsrats
Fourth meeting of the EUROPEAN INTEGRATION FORUM Brussels, 6-7 December 2010 European Economic and Social Committee – rue Belliard 99, room JDE 52 Programme Monday 6 December – room JDE 521 8.30 – 9.20 R egistration of participants 9.30 – 10.00 Opening session Chaired by Staffan Nilsson, President of the European Economic and Social Committee (EESC) Opening speeches • Stefano Manservisi, Director General of DG Home Affairs, European Commission • Mercedes Bresso, President of the Committee of the Regions 10.00 – 11.00 Dialogue speakers-participants 11.00 – 11.30 Coffee break 11.30 – 12.30 P lenary session ‘ Active participation of migrants and strong commitment by the host society: The two-way process beyond words’, chaired by Marta Cygan, Director of Immigration and Asylum, DG Home Affairs, European Commission • Aygül Özkan, Minister for Social Affairs of Lower Saxony, Germany • Peter Bossman, Mayor of Piran, Slovenia • P resentation of the EESC study on national integration forums, by Thomas Huddleston, Migration Policy Group 12.30 – 13.00 Debate 13.00 – 14.30 Lunch nterpretation available from EN, FR, DE, ES, NL, SV into EN, FR, DE, ES I 1 14.30 – 18.30 Roundtables Roundtable A (room JDE 52) Roundtable B (room JDE 53) Moderator: Eva Schultz, European Moderator: Sukhdev Sharma, EESC Commission Roundtable C (room JDE 60) Moderator: Xavier Verboven, EESC Roundtable D (room JDE 61) Moderator: Brenda King, EESC Rapporteur: Eva-Maria Asari, Estonian Cooperation Assembly Rapporteur: Issah Huseini, New Communities Partnership, Ireland Rapporteur: Tarafa Baghajati, Platform for Intercultural Europe Rapporteur: Marco Perolini, European Youth Forum Facilitator: Josep Maria Felip, Valencian Region, Spain Facilitator: Doris Peschke, Churches’ Facilitator: Said Darwane, Union Commission for Migrants in Europe nationale des syndicats autonomes, France Facilitator: Michael Van der Cammen, German Employment Agency Interpretation: From EN, FR, ES, IT, DE into EN FR DE Interpretation: From EN, FR, ES, IT, DE into EN FR ES Interpretation: From EN, FR, ES, IT, DE into EN FR Interpretation: From EN, FR, ES, IT, DE into EN FR IT Topics for discussion (same topics for all roundtables): 14.30 – 16.15 First session: ‘Strong commitment by the host society’ 16.15 – 16.45 Coffee break 16.45 – 18.30 Second session ‘Active participation of migrants’ (including preparation of conclusions by each roundtable – 30 min) 18.30 Reception hosted by the European Economic and Social Committee Tuesday 7 December – room JDE 522 9.15 – 10.00 P resentation of the new platform on the European Web Site on Integration for information exchange between Forum participants 10.00 – 11.00 Conclusions session, chaired by Ann Singleton, University of Bristol Presentation of conclusions by the four rapporteurs.
Lebendige Stadt Foundation Saseler Damm 39 | 22395 Hamburg Phone +49 (0)40/60876172 Fax +49 (0)40/60876187 email@example.com www.lebendige-stadt.de We thank our supporters and joint organizers as well as the sponsors! Chairman: Dr. Hanspeter Georgi Former Minister for Economic Affairs and Employment, Saarland Further members: Dr.-Ing. Daniel Arnold CEO Deutsche Reihenhaus AG Dr. Gregor Bonin Councilor, City of Düsseldorf Heinz Buschkowsky District Mayor, Berlin-Neukölln Dr. Karl-Heinz Daehre Former Minister for Federal Development and Traffic, Saxony-Anhalt Raimund Ellrott Branch Manager Hamburg, GMA Gesellschaft für Markt- und Absatzforschung mbH Dr. Alexander Erdland CEO Wüstenrot & Württembergische AG Arved Fuchs Polar explorer Dr. Roland Gerschermann Managing Director F.A.Z. GmbH Dr. Herlind Gundelach Former State Councilor of the Department of Science and Research of Hamburg Michael Hahn Member of the Management Board DB Regio AG Joachim Herrmann, MdL Bavarian Minister of State of the Interior Susanne Heydenreich Director, Theater der Altstadt, Stuttgart Dr. Eckart John von Freyend Honorary President ZIA Burkhard Jung Lord Mayor of Leipzig Folkert Kiepe Associate Director, German Association of Cities and Towns Maik Klokow Managing Director Mehr! Entertainment GmbH Matthias Kohlbecker Kohlbecker | Architects & Engineers Prof. Dr. Rainer P. Lademann Managing Director, Dr. Lademann & Partner Hermann-Josef Lamberti Member of the Management Board, Deutsche Bank AG Lutz Lienenkämper, MdL Deputy Leader of the CDU state parliamentary group North Rhine-Westphalia Dr. Eva Lohse Lord Mayor of Ludwigshafen Prof. Dr. Engelbert Lütke Daldrup Agency for urban development, Urban Stakeholder Consulting, Former State Secretary Johannes Mock-O’Hara Managing Director Stage Entertainment GmbH Ingrid Mössinger General Director, Kunstsammlungen Chemnitz Klaus-Peter Müller Chairman of the Supervisory Board, Commerzbank AG Michael Müller Mayor and Senator for Urban Development and Environment, Berlin Helma Orosz Lord Mayor of Dresden Aygül Özkan Minister for Social Affairs, Women, Family, Health and Integration, Lower Saxony Reinhard Pass Lord Mayor of Essen Gisela Piltz, MdB Interior and Municipal Affairs Spokesperson, FDP Parliamentary Party Matthias Platzeck, MdL Prime Minister of Brandenburg Jürgen Roters Lord Mayor of Cologne Dr. Dieter Salomon Lord Mayor of Freiburg Dr. Thomas Schäfer Minister of Finance, Hessen Prof. Dr. Wolfgang Schäfers CEO IVG Immobilien AG Bärbel Schomberg CEO and shareholder, Schomberg & Co. Real Estate Consulting Dr. Albrecht Schröter Lord Mayor of Jena Edwin Schwarz Former Chief Economic Affairs and Planning Officer of Frankfurt/Main Prof. Dr. Burkhard Schwenker CEO Roland Berger Strategy Consultants Ullrich Sierau Lord Mayor of the city of Dortmund Dr. Johannes Teyssen Chairman of the Management Boad E.ON AG Prof. Christiane Thalgott Former Civic Planning Officer of Munich Dr. Bernd Thiemann Chairman of the Supervisory Board Hypo Real Estate Markus Ulbig State Minister of the Interior, Saxony Prof. Jörn Walter Chief Planning Director of Hamburg Prof. Dr. Martin Wentz Managing Director Wentz & Co. GmbH Dr. Joachim Wieland Speaker of the Management Board, Aurelis Real Estate GmbH & Co. KG.
Hong Kong Economic and Trade Office Berlin News: Hong Kong’s Secretary for Food and Health Visited Germany Dr York Chow, Secretary for Food and Health of the Hong Kong Special Administrative Region (HKSAR) Government, visited Germany to inform himself about the latest developments in the country’s health care sector. Dr Chow met with Mrs Aygül Özkan, Minister for Social Affairs, Women, Family, Health and Integration in Lower Saxony on 19 May. They briefed each other on health policy in Hong Kong and Germany respectively. Both health care systems are challenged by an aging population and thus, increasing costs in the future. The ministers emphasised that new technologies have to be introduced in the health sector to guarantee a high standard of medical treatment and efficiency without placing excessive burden on government expenditure. Hong Kong Economic and Trade Office, Berlin Address: Jägerstrasse 33, 10117, Berlin Telephone: +49 (0) 30 22 66 77 22 8 Fax: +49 (0) 30 22 66 77 2 88 E-mail: firstname.lastname@example.org Website: www.hketoberlin.gov.hk Visit Hong Kong and its pavilion in the World Expo 2010 Shanghai! www.hkexpo2010.gov.hk Dr Chow also visited the Hannover Medical School. He met with the School’s President Professor Dr Dieter Bitter-Suermann. Dr Chow also visited a number fo research units of the School. He met with Professor Heiko von der Leyen, Chief Executive Officer of the Hannover Clinical Trial Centre (HCTC) and received a briefing on clinical trial and stem cell therapy. He further met with Mr Tilman Fabian, Chief Executive Officer of the Cluster of Excellence in Regenerative Biology and Reconstructive Therapies (REBIRTH) and was briefed on REBIRTH’s training programmes and its interdisciplinary approach. Apart from Hannover, Dr Chow also visited Bad Kötzting in Bavaria on 15 May. He visited the TMC Clinic Kötzting. It is the first German clinic for traditional Chinese medicine. The clinic, with 80 hospital beds, was set up in 1991 under a joint project by the cooperation between Beijing University of Traditional Chinese Medicine and a German entrepreneur. The clinic renders therapeutical services in the form of hospital treatment.
Athletics & Alumni: On the Road Again The Rhode Island College Athletic Association and A lumni Association hit the road for the third time in recent months and found themselves in sunny Orlando, Florida. Dr. John Nazarian ’54, President, Ellie O’Neill, Director of the Alumni Association and Don Tencher, Director of Athletics, welcomed nearly 40 people to the College’s inaugural Orlando Alumni and F riends reception. The eve nt took place on Mar. 11 at the Orlando Marriott’s World Ce nter Hotel. Alumni, donors and friends were able to enjoy the RIC baseball team’s game aga inst Bentley College that afternoon at Disney’s Wide World of Pictured above (left to right): Judy P aige, Vin Cullen ’55 and Sports, followed by the Ennis Bisbano ’55. reception late r tha t evening. Among those in attendance included RIC alumni: Mary Moorehouse ’54, RIC Athletic Hall of Famer, Jackie Hultquist ‘83, as well as Ennis ’55 and Terr y Bisbano, who chaired the alumni event in Punta Gorda earlier this y ear . Men’s Basketball Reaches ECAC Finals Anchormen Record Another Solid Season The Rhode Island College men’s basketball team posted a 19-10 overall record and reached the title game of the Eastern College Athle tic Confere nce (ECA C) New En gland Men’s B asketball Championship for the second consecutive year. Head Coach Bob Walsh, the third head coach for the Anchormen in as many years, led the Anchormen to a 9-5 record (third place) in the Little East Conference. After a disappointing loss to eventual champion UMass-Boston in the semifinals of the LEC Tournament, the Anchormen were once again selected to compete in the ECAC Tournament, made up of the top remaining squads in New England that did not receive NCAA Div. III Men’s Basketball Tournament bids. The four th-seeded Anchormen opened with a tough, 70-68, o ver time win against Coast Guar d at The Murray Center on Mar. 1. That set up a reunion with long-time nemesis and LEC foe: top-seeded Keene State on Mar. 3. RIC traveled to Keene, New Hampshire to take on the Owls at Spaulding Gymnasium, one of the toughest places to play in the Northeast, and completely dismantled KSC, downing the Owls Kevin Payette by 38 points in an 86-48 rout.