Climate warming may affect the optimal timing of reproduction for migratory geese differently in the low and high Arctic

Rapid climate warming is driving organisms to advance timing of reproduction with earlier springs, but the rate of advancement shows large variation, even among populations of the same species. In this study, we investigated how the rate of advancement in timing of reproduction with a warming climate varies for barnacle goose (Branta leucopsis) populations breeding at different latitudes in the Arctic. We hypothesized that populations breeding further North are generally more time constrained and, therefore, produce clutches earlier relative to the onset of spring than southern populations. Therefore, with increasing temperatures and a progressive relief of time constraint, we expected latitudinal differences to decrease. For the years 2000-2016, we determined the onset of spring from snow cover data derived from satellite images, and compiled data on egg laying date and reproductive performance in one low-Arctic and two high-Arctic sites. As expected, high-Arctic geese laid their eggs earlier relative to snowmelt than low-Arctic geese. Contrary to expectations, advancement in laying dates was similar in high- and low-Arctic colonies, at a rate of 27% of the advance in date of snowmelt. Although advancement of egg laying did not fully compensate for the advancement of snowmelt, geese laying eggs at intermediate dates in the low Arctic were the most successful breeders. In the high Arctic, however, early nesting geese were the most successful breeders, suggesting that high-Arctic geese have not advanced their laying dates sufficiently to earlier springs. This indicates that high-Arctic geese especially are vulnerable to negative effects of climate warming

Barnacle geese Branta leucopsis breeding on Novaya Zemlya: current distribution and population size estimated from tracking data

The Russian breeding population of barnacle geese Branta leucopsis has shown a rapid increase in numbers since 1980, which has coincided with a southwest-wards breeding range expansion within the Russian Arctic. Here barnacle geese also started to occupy coastal and marsh land habitats, in which they were not know to nest on their traditional breeding grounds. While these changes have been well documented by studies and observations throughout the new breeding range of barnacle geese, observations are lacking from the traditional breeding grounds on Novaya Zemlya, as this area is remote and difficult to access. This is especially relevant given rapid climate warming in this area, which may impact local distribution and population size. We used GPS-tracking and behavioural biologging data from 46 individual barnacle geese captured on their wintering grounds to locate nest sites in the Russian Arctic and study nesting distribution in 2008–2010 and 2018–2020. Extrapolating from nest counts on Kolguev Island, we estimate the breeding population on Novaya Zemlya in 2018–2020 to range around 75,250 pairs although the confidence interval around this estimate was large. A comparison with the historical size of the barnacle goose population suggests an increase in the breeding population on Novaya Zemlya, corresponding with changes in other areas of the breeding range. Our results show that many barnacle geese on Novaya Zemlya currently nest on lowland tundra on Gusinaya Zemlya Peninsula. This region has been occupied by barnacle geese only since 1990 and appears to be mainly available for nesting in years with early spring. Tracking data are a valuable tool to increase our knowledge of remote locations, but counts of breeding individuals or nests are needed to further corroborate estimates of breeding populations based on tracking data

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)