Impressive progress has been made in global surgery in the past 10 years, and now serious and evidence-based national strategies are being developed for scaling-up surgical services in sub-Saharan Africa. Key to achieving this goal requires developing a realistic country-based estimate of burden of surgical disease, developing an accurate estimate of existing need, deve...

High Risk Foot Service, Liverpool Hospital, South Western Sydney Local Health District, Sydney, Australiaa; LIVE DIAB CRU, Ingham Institute of Applied Medical Research, Sydney, Australiab; Molecular Microbiology Research Group, Microbiology and Infectious Disease, School of Medicine, Western Sydney University, Campbelltown Campus, Sydney, Australiac; Ambulatory Care Department, Liverpool Hospit...

a Department of Psychiatry, National Yang Ming University Hospital, No. 152, Xinmin Rd., Yilan City, Yilan County 260, Taiwan b Department of Psychiatry, Taipei Municipal Gandau Hospital, No. 12, Lane 225, Zhixing Rd., Beitou District, Taipei City 112, Taiwan c Department of Psychiatry, Taipei Veterans General Hospital, No. 201, Sec. 2, Shipai Rd., Beitou District, Taipei City, Taiwan d Departm...

A patient presented to a district general hospital with a type B dissection of the aorta. He was deemed too unwell for surgical intervention. An endovascular stent repair was successfully carried out. The case shows that such a procedure can be safely performed by a multidisciplinary team within a district general hospital.

Cholangiocarcinoma (CCA) is a serious problem in Thailand, particularly in the northeastern and northern regions. Database of population at risk are need required for monitoring, surveillance, home health care, and home visit. Therefore, this study aimed to develop a geographic information system (GIS) database and Google map of the population at risk of CCA in Mueang Yang district, Nakhon Ratc...

In 1994, a national quality assurance programme was established in Uganda to strengthen district-level management of primary health care services. Within 18 months both objective and subjective improvements in the quality of services had been observed. In the examples documented here, there was a major reduction in maternal mortality among pregnant women referred to Jinja District Hospital, a r...

Objective To review the introduction of an overnight stay laparoscopically assisted vaginal hysterectomy (LAVH) service in a district general hospital. Design A retrospective study. Setting Dewsbury District Hospital is a 478-bedded district general hospital with 14 gynaecological inpatient beds, serving a population of 165 000. Data collection Included in the study were 265 consecutive patient...

BACKGROUND The Lao PDR (Laos) is one of the least developed countries in Asia with an estimated 25% of the population living in poverty. It is the habitat of some highly venomous snakes and the majority of the population earns their living from agricultural activities. Under these circumstances the incidence of snakebites is expected to be high. METHODS Two cross-sectional, community-based su...

1 Department of Clinical Pharmacy, School of Pharmacy, Taipei Medical University, No. 250, Wuxing Street, Xinyi District, Taipei 110, Taiwan 2Department of Pharmacy, Taipei Medical University-Wan Fang Hospital, No. 111, Section 3, Xinglong Road, Wenshan District, Taipei 116, Taiwan 3Master Program for Clinical Pharmacogenomics and Pharmacoproteomics, School of Pharmacy, Taipei Medical Universit...

INTRODUCTION A new model permitting free choice of hospital has been introduced in the Region of Madrid. This may result in changes in how outpatient neurological care is provided and managed. The purpose of this study is to analyse initial visits to a general neurology department in the Region of Madrid and record the health district corresponding to each patient's residence. METHODS Observa...