T his article is about a form of neurosurgical postresidency depression: why it occurs more often than suspected, how I survived it, and some lessons I learned along the way. It is said that a smart man learns from his mistakes but a wise man learns from the mistakes of others. As a neurosurgeon in academia approaching the fourth quarter, I feel a responsibility to share what wisdom I have acqu...

The dramatic loss of Kilimanjaro's ice cover has attracted global attention. The three remaining ice fields on the plateau and the slopes are both shrinking laterally and rapidly thinning. Summit ice cover (areal extent) decreased approximately 1% per year from 1912 to 1953 and approximately 2.5% per year from 1989 to 2007. Of the ice cover present in 1912, 85% has disappeared and 26% of that p...

OBJECTIVE The purpose of the present paper is to assess the relationship between food insecurity and food consumption patterns, anthropometric measures and serum micronutrient levels in rural Kilimanjaro, Tanzania. DESIGN A population-based cross-sectional study was carried out between March and May of 2005. SETTING Rural Kilimanjaro, Tanzania. SUBJECTS Analysis was restricted to 1014 adu...

School of Medicine and Pharmacology, University of Western Australia, Sir Charles Gairdner Hospital, Nedlands, WA. Bruce W S Robinson, MD, FRACP, FRCP, Professor of Medicine. Department of Cardiothoracic Surgery, Royal Perth Hospital, Perth, WA. Mark G Edwards, MB BS, FRACS, FRCS, Cardiothoracic Surgeon. Reprints will not be available from the authors. Correspondence: Professor Bruce W S Robins...

N o tre D am e is fo rg in g ah ead w ith p lans to develop a re ta il and res id en tia l d is­ t r ic t ju s t so u th of c a m p u s a n d h a s c o n f i r m e d ta lk s w ith a p re fe r re d dev e lo p er fo r th e p ro je c t , U n iv e rs ity officials said Tuesday. Greg H akanen , d irec to r of a sse t m an ag em en t and rea l e s t a t e d e v e lo p m e n t fo r N o tre D a m e , s...

Wild animals substantially support crop production by providing ecosystem services, such as pollination and natural pest control. However, the strengths of synergies between ecosystem services and their dependencies on land-use management are largely unknown. Here, we took an experimental approach to test the impact of land-use intensification on both individual and combined pollination and pes...

Eddy covariance data collected over a horizontal surface on the largest ice body on Kilimanjaro, Tanzania, over 26–29 July 2005 were used to assess the uncertainty of calculating sublimation with a surface energy balance (SEB) model. Data required for input to the SEB model were obtained from an existing automatic weather station. Surface temperatures that were solved iteratively by the SEB mod...

Background: Exclusive breastfeeding (EBF) is recommended the first six months after birth as one of cost effective interventions in saving children's lives. Objective: To determine the prevalence of exclusive breastfeeding and describe the common foods introduced to infants before 6months. Design: A prospective cohort study. Setting: Poor community of Moshi urban, Kilimanjaro region, Tanzania. ...