Trauma on the high seas: an overview of recreational water use injuries.

Recreational water use (RWU) injuries span from superficial lacerations to even death. Given the global popularity of RWU, radiologists should be aware of the common mechanisms and key imaging findings related to injuries in this setting. The goal of this article is to depict common RWU injuries and their emergent radiographic findings, which may have both important surgical and management implications. We present a broad review with case illustrations of these injuries seen at our level 1 trauma center showing the breadth of injury that can occur, general mechanisms and sample imaging findings.

Rapid Nuclear Medicine Blood Volume Analysis for Emergency Assessment.

Assessment of fluid status can play a critical role in the diagnosis and management of emergent conditions such as trauma, shock, decompensated heart failure, syncope, and hypertension. Unfortunately, common methods are all qualitative and/or indirect, and often inaccurate. With the recent introduction of a modernized method of nuclear medicine blood volume analysis (NM-BVA), offering results in 90 min or less as well as improved precision and ease of performance, this decade-old technique is for the first time a viable tool in the emergent setting. In this review, we discuss the history of NM-BVA, the modern method, and our institution's experience implementing this method.

A review of the relative merits of conserving, using, or draining papyrus swamps.

Wetlands are a vital resource, particularly in Africa where livelihoods are closely linked to natural capital. In recent years, extensive drainage has occurred to make way for agriculture. To gain insight into whether drainage is justified, we review the value of African wetlands dominated by Cyperus papyrus in relation to use, conservation and conversion. Evidence suggests that the value derived from low-intensity, multifunctional wetland use far exceeds the value derived from swamp reclamation and generally exceeds that of conservation. At a local level, the main driver of wetland misuse appear to be a breakdown in collaborative management regimes and the main constraint on wetland use, the value of labor and selling-times. Local drivers are linked to regional factors such as the lack of coordinated wetland policies and difficulties in ensuring that legislation is absorbed by all sectors of society. We highlight opportunities for ensuring more effective collaborative management and legislation communication, which capitalize on existing governance structures. In contrast to predictions by Hardin's Tragedy of the Commons model, we argue that effective wetland management is best achieved by preventing privatization and promoting common property management regimes. We also argue that poverty and income inequity are more important drivers of unsustainable resource use than environmental managers commonly acknowledge.