The authors have no funding sources to declare. 3Abstract Purpose: To describe the epidemiology of eye trauma presenting to a regional referral health service in New South Wales, Australia. Methods:A two-stage retrospective and prospective case series study was conducted. Patients who presented with eye trauma to Wagga Wagga Base Hospital (WWBH) emergency department (ED) during a one year review period formed the retrospective case series (RCS). Patient inclusion was determined using SNOMED CT and ICD-10 codes applied to medical records. Patients presenting with eye trauma to the WWBH ED or its ophthalmology service over a prospective 80 day study period formed the prospective case series (PCS). The main outcome measures were patient demographics, eye trauma incidence for Wagga Wagga and the Murrumbidgee region and injury details.

Objective: To assess the impact of the opening of an after‐hours general practice clinic on the number of daily low‐urgency presentations to the nearby emergency department. Design, participants and setting: Retrospective time series analysis of emergency presentation data, from the New South Wales Health Emergency Department Information System, for all patients presenting to the emergency department of Wagga Wagga Base Hospital between January 1998 and October 2008. Main outcome measures: Daily emergency department presentations, before and after the March 2003 opening of the after‐hours clinic, of patients triaged as Australasian Triage Scale (ATS) category 4 or 5 (at any time of day, and during the hours of operation of the clinic), and of patients triaged as ATS category 1, 2 or 3 (at any time of day). Results: After adjusting for long‐term trends and weekly and annual cycles, the opening of the after‐hours clinic was associated with a daily reduction of 7.04 patients (95% CI, 5.39–8.70) in emergency department presentations with an ATS category of 4 or 5. This represented an 8.2% reduction in total presentations (95% CI, 6.2%–10.2%). Presentations of ATS category 1, 2 or 3 patients rose by 1.36 patients a day (95% CI, 0.36–2.35), representing 1.6% of total presentations (95% CI, 0.4%–2.7%). The impact of the after‐hours clinic was best modelled by a gradual permanent change. Conclusion: An after‐hours general practice clinic was associated with a reduction in low‐urgency presentations to the emergency department in Wagga Wagga.

Background and Aims: Bariatric surgery is the most effective treatment for obesity. however, not all patients have similar weight loss following surgery and many researchers have attributed this to different pre-operative psychological, eating behavior, or quality-of-life factors. the aim of this study was to determine whether there are any differences in these factors between patients electing to have bariatric surgery compared to less invasive nonsurgical weight loss treatments, between patients choosing a particular bariatric surgery procedure, and to identify whether these factors predict weight loss after bariatric surgery.Material and Methods: this was a prospective study of 90 patients undergoing gastric bypass, vertical sleeve gastrectomy, or adjustable gastric banding and 36 patients undergoing pharmacotherapy or lifestyle interventions. all patients completed seven multi-factorial psychological, eating behavior, and quality-of-life questionnaires prior to choosing their weight loss treatment. Questionnaire scores, baseline body mass index, and percent weight loss at 1 year after surgical interventions were recorded.Results and Conclusions: surgical patients were younger, had a higher body mass index, and obesity had a higher impact on their quality of life than on non-surgical patients, but they did not differ in the majority of eating behavior and psychological parameters studied.