In a rural district hospital in Kenya, the authors screened 100 randomly selected outpatients for khat (miraa) chewing. A surprisingly high number of them admitted chewing khat leaves. The implications of this finding and the controversy about whether or not khat is a harmful drug are discussed.

class members in the prior state court case. Plaintiffs’ amended complaint withdrew one Plaintiff, but added two, Jack and Joyce Franklin. If the Franklins lived on, leased, or owned their current Concord Community properties between January 1, 1990 and December 22, 2002, they too were class members unless they opted out. The Franklins' status in the class action, however, is ultimately irrelev...

Of the hospitals that participated in the study, 22 (81.5%) were district level, 3 (11.1%) regional and 2 (7.4%) central hospitals. All 27 hospitals had a defibrillator present in the EC, the number varying from 1 (16 hospitals, 59.3%) to more than 3 (1 hospital, 3.7%). Defibrillator specification varied between facilities: 67% had biphasic, 15% monophasic and 18% both monoand biphasic defibril...

A small rural district in the most northerly province of Sweden was found to have a very high occurrence of multiple sclerosis. A total of 12 patients with multiple sclerosis among 4744 inhabitants were identified (five females, seven males), corresponding to a prevalence of 253/100,000. Many of the patients were related and a further 21 cases with multiple sclerosis (14 females, seven males), ...

Solar Radiation is considered as an important parameter in modeling environmental, hydrologic and biophysical processes. One of the reasons that solar radiations are not extensively used in models is the problem of its measurement in different points. Solar Analyst Viewshed Algorithm makes possible calculation of the topographic effects on solar radiation at local and landscape scales. With res...

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Referral of extremely low birthweight infants (less than 1001 g) from district hospitals in a geographically defined area to a specialist regional centre significantly improved their chances of survival.

childbirth is associated with poorchild growth in developingcountries.We describe the association between psychologicalmorbidityduringpregnancy and lowbirthweight (52.5 kg).Acohort of 270 motherswas recruited froma district hospital in Goa,India; allmothers were interviewedwith a screening questionnaire for psychologicalmorbidity. Babies of 250 motherswere reviewed at birthtomeasure their weigh...

BACKGROUND The theme of the 2014 Southern African Rural Health Conference was 'Building resilience in facing rural realities'. Retaining health professionals in South Africa is critical for sustainable health services. Only 12% of doctors and 19% of nurses have been retained in the rural areas. The aim of the workshop was to understand from health practitioners why they continued working in the...

PROBLEM Hypoxaemia in children with severe or very severe pneumonia is a reliable predictor of mortality, yet oxygen was not available in most paediatric wards in Malawi. APPROACH The Child Lung Health Programme in Malawi made oxygen available by supplying oxygen concentrators and essential supplies to 22 district and 3 regional hospitals' paediatric wards. Five key steps were taken to introd...