Aims: Evidence suggests patients from CALD backgrounds may have poorer health outcomes, due to a complex interplay of factors. We aimed to investigate inhospital outcomes for such patients admitted to our new Aged Care Rapid Investigation and Assessment (ARIA) unit. Methods: ARIA heralds a new development within our tertiary hospital, comprising a specialised multidisciplinary team casefinding older patients for admission to a rapidaccess geriatric unit. We prospectively included all such patients admitted to ARIA over a 14 month period and investigated whether CALD status was associated with hospital length of stay (LOS), ED LOS, new RACF admission, inhospital death, or 90day representation. Results: In total, 58% (107/185) patients were from CALD backgrounds, most commonly Italy (22), China (10) and Vietnam (8). Twothirds (69/107) patients were classified as nonEnglish speaking (NES; insufficient English to communicate their history). Compared to nonCALD patients, patients from CALD background were frailer (mean premorbid CSHA score 5.86 versus 5.59, P = 0.03); no differences were seen in terms of age (P = 0.35), sex (P = 0.19) or Charlson comorbidity index (P = 0.11). On multivariable analysis, adjusting for age, delirium, dementia and RACF residence, those from CALD background had a longer ED LOS (adjusted regression coefficient 2.59, P = 0.048; 9 versus 7 hours). CALD background was not associated with other markers of poor outcome. NES status alone was not associated with outcomes assessed. Conclusions: In this cohort of older inpatients, CALD status was not associated with poorer outcomes. Further research might focus on patient and provider factors influencing possible improvements in care and outcomes for these patients. POSTER PRESENTATIONS

O dengue e a arbovirose de maior incidencia nos centros urbanos da America do Sul, America Central, Sudeste Asiatico e Pacifico Ocidental. No continente americano, o virus do dengue e transmitido pelo mosquito Aedes aegypti. Introduzida em 1996, a doenca tornou-se um dos principais problemas de saude urbana no municipio de Belo Horizonte, Estado de Minas Gerais, Brasil. Em 2000, a Secretaria Municipal de Saude de Belo Horizonte e a Universidade Federal de Minas Gerais desenvolveram um estudo soroepidemiologico o Inquerito de Soroprevalencia de Dengue no Municipio de Belo Horizonte (ISDBH) com o objetivo de quantificar a soropositividade pelo virus do dengue nos Distritos Sanitarios Centro-Sul, Leste e Venda Nova. Esta dissertacao, apresentada na forma de dois artigos, reprocessa sob um enfoque analitico os dados obitdos a partir do ISDBH. O primeiro artigo Fatores Associados a Infeccao do Dengue em Belo Horizonte: Caracteristicas Individuais e Diferencas Intra-urbanas discute a analise da infeccao nos Distritos Sanitarios pesquisados em amostra probabilistica de 627 individuos. A prevalância global de infeccao foi de 23,3%, com 95% de nivel de confianca. Dos soropositivos, 17,9% foram infectados pelos sorotipos DEN-1 e DEN-2; 4,9% somente pelo DEN-1 e 0,8% somente pelo DEN-2. Individuos soropositivos, quando, comparados aos soronegativos, eram mais frequentemente moradores dos Distritos Sanitarios Leste e de Venda Nova, nao mudaram de municipio e/ou bairro ou casa e moravam em edificacoes horizontais. Baixa renda associou-se a maior soropositividade, assim como habitacoes horizontais relacionaram-se a infestacao de vetores e a falta de mobilidade espacial do individuo associou-se com a alta taxa de infeccao. O segundo artigo Investigacoes sobre Amostragem de Inquerito Soroepidemiologico de Dengue: a Participacao da Populacao analisa a participacao dos individuos, considerando as perdas na amostragem e a distribuicao espacial dos participantes. Do universo de 1.010 individuos visitados (considerando os sorteios dos imoveis e, dentro do imovel, o do individuo), 358 (35,5%) nao aderiram a pesquisa ou nao foram encontrados, configurando as perdas previamente recompostas na amostragem original. As perdas foram caracterizadas em quatro subgrupos: por casa fechada, recusa, agendamento impossivel e outros motivos. A analise descritiva do perfil dos participantes incluiu as variaveis regiao e motivo de nao-participacao. Utilizou-se o teste da Funcao K de Ripley para observacoes espaciais dos eventos. As perdas por Distrito Sanitario 53,3% no Distrito Sanitario Centro-Sul, 36,5% no Leste e 27,2% no de Venda Nova foram antecipadamente recompostas. As analises apontaram a distribuicao espacial homogenea entre participantes e nao-participantes, a relevância da recomposicao antecipada das perdas e a maior frequencia da recusa motivada. A investigacao da distribuicao espacial da amostra subsidia a discussao sobre as condicoes ambientais e de ocupacao do espaco urbano em diferentes regioes do municipio de Belo Horizonte e propicia informacoes para distintas intervencoes para o controle dos vetores.

CONFLICT OF INTEREST: NONE DECLARED Introduction The International classification of diseases (ICD) is the most important classification in medicine. It is used by all medical professionals. Concept The basic concept of ICD is founded on the standardization of the nomenclature for the names of diseases and their basic systematization in the hierarchically structured category. Advantages and disadvantages The health care provider institutions such as hospitals are subjects that should facilitate implementation of medical applications that follows the patient medical condition and facts connected with him. The definitive diagnosis that can be coded using ICD can be achieved after several visits of patient and rarely during the first visit. Conclusion The ICD classification is one of the oldest and most important classifications in medicine. In the scope of ICD are all fields of medicine. It is used in statistical purpose and as a coding system in medical databases.

INTRODUCTION The paper presents important facts in the application of recombinant human factor VIIa (rFVIIa) and in the treatment of renal cell carcer. CASE REPORT A 69-year old male with infiltrative renal cell carcer underwent radical nephrectomy using Hasagawa's approach. The extirpated tumor was 35 cm in diameter. During surgery, the patient suffered cardiac arrest with 3500 ml blood loss. Twenty-four hours after operation, he lost additional 2100 ml of blood. Despite adequate blood substitution with intensive surgical attempts to treat haemostasis, bleeding did not stop until the application of rFVIIa (300 IU). The patient survived and fully recovered. CONCLUSION To control massive non-surgical bleeding additionally complicated by paraneoplastic syndrome, extensive surgical intervention, haemodilution and massive blood substitution, the application of rFVIIa has proved to be most successful.