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Overview This article presents an overview of the additional aspects of history-taking that need to be considered when assessing patients presenting with a rash. This relies on strong underpinning anatomy and physiology knowledge to correlate the skin presentation to what may be happening pathophysiologically within the patient's skin. Four case studies are presented, with leading questions which are then explained. The overall aim of this article is to provide an introduction to key dermatological presentations for the paramedic as a starting point for more thorough reading and exploration on the subject.

In the summer 2003, an evaluation of Danida's rural development programme in Eastern and Coastal Provinces of Kenya took place. This external evaluation, commissioned by Danida's independent evaluation service, was unusual not least because each of the five evaluation teams included Kenya professionals as evaluators, a rare occurrence despite the current level of evaluation requirements. The evaluation covered the period from 1998 to 2003.

This paper introduces a series of African and Asian case studies on environment and development. It explores the tension between optimistic and pessimistic interpretations of environmental maintenance and transformation. It critically examines political ecology and eco-populism before analysing underlying models of governance, social justice and human rights. Key concepts in understanding the relationship between environment and development are discussed, including security, sustainable livelihoods, coping and entitlements. The paper ends with a discussion of marginality and vulnerability with particular attention to urban and informal sector environments.

This article looks at a seasonal river flooded irrigation system in eastern Sudan called the Gash Delta. The Gash Delta, as an irrigation system, has been managed since the 1900s, firstly by the Anglo-Egyptian colonial administration and currently by the Gash Delta Agricultural Corporation (GDAC). The Gash Delta supports a range of ethnic groups who have a diversity of production strategies, some of which are more successful than others. Since the 1980s, there has been a recognition of a breakdown of the irrigation system, illustrated by the declining surface areas available for agriculture and a general degradation of the physical production base. This has had negative impacts on the ethnic groups who rely on the Gash Delta for subsistence and livelihood. This paper examines the process of degradation and the looks at the possibility for rehabilitating the Gash Delta. Copyright © 2001 John Wiley & Sons, Ltd.

Since the late 1980s international aid for development has fallen while humanitarian assistance for emergencies has increased. This change of emphasis reflects the collapse of the USSR and consequent political instability in the former Soviet Union, its former satellites and client states. It also reflects donor disillusion with the failure of many development projects. Much humanitarian assistance is delivered in complex emergencies such as in Angola, Somalia, Rwanda, the Caucasus and former Yugoslavia. Almost without exception these emergencies relate directly to global, regional, national and local political instability created by the ‘new international political order’. Many of the emergencies have roots in the colonial era and a deep history in cultural tensions loosely described as ethnic conflict. Many complex emergencies entail enormous violence, massacres of civilian populations, deliberate destruction of the means of production, ethnic cleansing, torture and rape, displacement of population, ref...

Nepal is associated, in most people's imagination, with Everest (Sagarmatha to the Nepalese), vivid plants and picturesque villages and people. The truth, as always, is other. It is one of the poorest countries in the world, surrounded by big and powerful neighbours. It is immensely diverse, ranging from the great mountains to the north through the trans-Himalaya, a high barren plateau, through the deep valleys, which include the one which contains the ancient cities of Kathmandu, Patan and Bhaktapur, to the Terai which is an extension of Ganges plain. This atlas describes not only the complexity of the environment, but the people, the languages, the towns and industries, the agriculture, food and land management, the natural resources, the effects of tourism, sources of energy, transport and education policies. Originally published in 1991

Consultant paediatrician Bridgend 1972-2000 (b Penrhyndeudraeth, Meirionydd, 1934; q Liverpool 1958; FRCPCH, FRCP, DCH), died from a heart attack on 3 May 2003.​2003. Figure 1 Trefor did national service in Canada before returning to Wales as a paediatric registrar in Bangor. After a spell as research fellow at Alder Hey he returned to Canada as associate professor of paediatrics at the University of Saskatchewan. In 1972 he came back to Wales to become the first consultant paediatrician based at Bridgend. He remained singlehanded for the first seven years and laid the foundations of a modern paediatric department. He was a founder member of the Welsh Paediatric Society and served as medical director of the Bridgend and District NHS Trust. He leaves a wife, Peggy, and three daughters.