Complications related to deep venous thrombosis prophylaxis in trauma: a systematic review of the literature

Deep venous thrombosis prophylaxis is essential to the appropriate management of multisystem trauma patients. Without thromboprophylaxis, the rate of venous thrombosis and subsequent pulmonary embolism is substantial. Three prophylactic modalities are common: pharmacologic anticoagulation, mechanical compression devices, and inferior vena cava filtration. A systematic review was completed using PRISMA guidelines to evaluate the potential complications of DVT prophylactic options. Level one evidence currently supports the use of low molecular weight heparins for thromboprophylaxis in the trauma patient. Unfortunately, multiple techniques are not infrequently required for complex multisystem trauma patients. Each modality has potential complications. The risks of heparin include bleeding and heparin induced thrombocytopenia. Mechanical compression devices can result in local soft tissue injury, bleeding and patient non-compliance. Inferior vena cava filters migrate, cause inferior vena cava occlusion, and penetrate the vessel wall. While the use of these techniques can be life saving, they must be appropriately utilized

Hippopotamus and livestock grazing:influences on riparian vegetation and facilitation of other herbivores in the Mara Region of Kenya

<p>Riparian savanna habitats grazed by hippopotamus or livestock experience seasonal ecological stresses through the depletion of herbaceous vegetation, and are often points of contacts and conflicts between herbivores, humans and their livestock. We investigated how hippopotamus and livestock grazing influence vegetation structure and cover and facilitate other wild herbivores in the Mara region of Kenya. We used 5 km-long transects, each with 13 plots measuring 10 x 10 m(2), and which radiate from rivers in the Masai Mara National Reserve and adjoining community pastoral ranches. For each plot, we measured the height and visually estimated the percent cover of grasses, forbs, shrubs and bare ground, herbivore abundance and species richness. Our results showed that grass height was shortest closest to rivers in both landscapes, increased with increasing distance from rivers in the reserve, but was uniformly short in the pastoral ranches. Shifting mosaics of short grass lawns interspersed with patches of medium to tall grasses occurred within 2.5 km of the rivers in the reserve in areas grazed habitually by hippos. Hence, hippo grazing enhanced the structural heterogeneity of vegetation but livestock grazing had a homogenizing effect in the pastoral ranches. The distribution of biomass and the species richness of other ungulates with distance from rivers followed a quadratic pattern in the reserve, suggesting that hippopotamus grazing attracted more herbivores to the vegetation patches at intermediate distances from rivers in the reserve. However, the distribution of biomass and the species richness of other ungulates followed a linear pattern in the pastoral ranches, implying that herbivores avoided areas grazed heavily by livestock in the pastoral ranches, especially near rivers.</p>

High rate of prey consumption in a small predatory fish on coral reefs.

Small piscivores are regarded as important regulators of the composition of coral reef fish communities, but few studies have investigated their predatory ecology or impact on assemblages of juvenile fishes. This study investigated the foraging ecology of a common coral reef predator, the dottyback Pseudochromis fuscus, using underwater focal animal observations. Observations were conducted at two times of year: the summer, when recruit fishes were an available food item and winter, when remaining juveniles had outgrown vulnerability to P. fuscus. During the summer, P. fuscus directed 76% of its strikes at invertebrates and 24% at recruiting juvenile fishes. When striking at fishes, P. fuscus exhibited two distinct feeding modes: an ambush (26% successful) and a pursuit mode (5% successful). Predator activity in the field peaked at midday, averaging 2.5 captures h⁻¹ of juvenile fishes. Monitoring of activity and foraging in the laboratory over 24-h periods found that P. fuscus was a diurnal predator and was active for 13 h d-1 during the summer. The number of hours during which foraging was recorded differed greatly among individuals (n = 10), ranging from 4 to 13 h. The number of predatory strikes did not increase with standard length, but the success rate and consumption rate of juvenile fishes did increase with size. Estimated hourly mortality on juvenile fish ranged from 0.49 fish h-1 in small P. fuscus individuals (30–39 mm standard length, SL; equating to 6.3 per 13 h day) to 2.4 fish h⁻¹ in large P. fuscus individuals (55–65 mm SL; 30.6 per 13 h day). During the winter, P. fuscus struck at invertebrates with a similar rate to the summer period. These observations of the predatory ecology of P. fuscus support the hypothesis that in coral reef systems, small piscivores, because of their high metabolism and activity, are probably important regulators of coral reef fish community composition