Negative Pressure Wound Therapy with Instillation and Dwell for the Management of a Complex Burn: A Case Report and Review of the Literature.

Research over the last 50 years has led to significant improvements in outcomes for burn victims. Advances in infection control, attenuation of the hypermetabolic response, and new improved surgical approaches have led to decreased morbidity and mortality. Early wound excision eliminates the devitalized tissue, which is the main reservoir for pathogen propagation.

Using ricelands to provide temporary shorebird habitat during migration.

To help mitigate large wetland losses in California, The Nature Conservancy launched a dynamic conservation incentive program to create temporary wetland habitats in harvested and fallow rice fields for shorebirds migrating along the Pacific Flyway. Farmers were invited to participate in a reverse auction bidding process and winning bids were selected based on their cost and potential to provide high quality shorebird habitat. This was done in 2014 and 2015, for separate enrollment periods that overlapped with spring and fall migration, both before and after the traditional post-harvest flooding period.

The Persistence of Self-Provisioning Among Smallholder Farmers in Northeast Madagascar.

In the Andapa region of northeast Madagascar, smallholders cultivating swidden hill rice () for subsistence are pressing against neighboring nature reserves. A dominant policy approach to reducing this pressure requires that smallholders abandon and purchase rice from proceeds obtained from their environmentally sustainable commercial crops, vanilla and coffee. Economic liberalization policies have succeeded in stimulating the expansion of these commercial crops, but have failed to reduce production.

Early surgical intervention for blunt bowel injury: the Bowel Injury Prediction Score (BIPS).

Background: Computed tomography (CT) scan of the abdomen has been used for 30 years to evaluate the stable blunt trauma patient. However, the early diagnosis of blunt hollow viscus injury (BHVI) remains a challenge. Delayed diagnosis and intervention of BHVI lead to significant morbidity and mortality.