A 35-year-old man presented with a 4-week history of an asymptomatic golden-brown macule on his right lateral ankle (Figures 1 and 2). He first noted the lesion one morning when he was pulling on his socks, and the lesion had not changed in color or size since it appeared. He reported no associated trauma. His past medical history was unremarkable, and he took no medications. What is your diagn...

PURPOSE OF REVIEW This review focuses on development and maturation of the tactical evacuation and en route care capabilities of the military trauma system in Afghanistan and discusses hard-learned lessons that may have enduring relevance to civilian trauma systems. RECENT FINDINGS Implementation of an evidence-based, data-driven performance improvement programme in the tactical evacuation an...

RATIONALE While experiencing or witnessing highly traumatic events is still uncommon, it is clear that the frequency of such events is growing. Consequently, the risk faced by students, staff and the broader school community are also growing. Such events can impact considerably on the psychological well-being of students, teachers, and families having an adverse influence in areas such as learn...

The problem of the incidence of traumas among children is still topical and statistical data confirm an increasing tendency in the last decades. The purpose of the work was to estimate the causes and circumstances of injuries in children at the age of 7 to 15, who were admitted to Surgical Ward of Specialist Paediatric Hospital in Kielce between 30th June 1997 and 30th June 1998. A retrospectiv...

A persistent, but little researched, theme in demographic transition theory is that of transition, especially fertility transition, lagging for cultural reasons behind changes in material circumstances. A sub-theme is that of the lag time being shortened by social upheaval challenging the cultural retardants and thus causing demographic behaviour to catch up with economic reality. This paper ex...

Background We have previously reported a 20.5% annual rise in penetrating trauma attended by our pre-hospital trauma service between 1991 and 2006. Data from national registries was conflicting and surprisingly difficult to obtain. We established an increasing trend and predicted a continued rise. This study was performed to establish whether this prediction was correct. Rising penetrating trau...

A case of acquired posterior keratoconus is presented. As in developmental cases the vision was moderately reduced and the condition was not progressive. Posterior keratoconus is usually developmental in origin, but trauma has been implicated in some cases.