Land transformation assessment using the integration of remote sensing and GIS techniques: a case study of Al-Anbar Province, Iraq

Human activities and climate changes significantly affect our environment, altering hydrologic cycles. Several environmental, social, political, and economical factors contribute to land transformation as well as environmental changes. This study first identified the most critical factors that affect the environment in Al-Anbar city including population growth, urbanization expansion, bare land expansion, and reduction in vegetation cover. The combination of remote sensing data and fuzzy analytic hierarch process (Fuzzy AHP) enabled exploration of land transformations and environmental changes in the study area during 2001 to 2013 in terms of long and short-term changes. Results of land transformation showed that the major changes in water bodies increased radically (94 %) from the long-term change in 2001 to 2013 because of water policies. In addition, the urban class expanded in two short-term periods (2001–2007 and 2007–2013), representing net changes of 46 and 60 %, respectively. Finally, barren land showed 25 % reduction in the first period because of the huge expansion of water in the lake; a small percentage of growth gain was observed in the second period. Based on the land transformation results, the environmental degradation assessment showed that the study area generally had high level of environmental degradation. The degradation was mostly in the center and the north part of the study area. This study suggested for further studies to include other factors that also responsible for environmental degradation such as water quality and desertification threatening

Intraperitoneal drain placement and outcomes after elective colorectal surgery: international matched, prospective, cohort study

Despite current guidelines, intraperitoneal drain placement after elective colorectal surgery remains widespread. Drains were not associated with earlier detection of intraperitoneal collections, but were associated with prolonged hospital stay and increased risk of surgical-site infections.Background Many surgeons routinely place intraperitoneal drains after elective colorectal surgery. However, enhanced recovery after surgery guidelines recommend against their routine use owing to a lack of clear clinical benefit. This study aimed to describe international variation in intraperitoneal drain placement and the safety of this practice. Methods COMPASS (COMPlicAted intra-abdominal collectionS after colorectal Surgery) was a prospective, international, cohort study which enrolled consecutive adults undergoing elective colorectal surgery (February to March 2020). The primary outcome was the rate of intraperitoneal drain placement. Secondary outcomes included: rate and time to diagnosis of postoperative intraperitoneal collections; rate of surgical site infections (SSIs); time to discharge; and 30-day major postoperative complications (Clavien-Dindo grade at least III). After propensity score matching, multivariable logistic regression and Cox proportional hazards regression were used to estimate the independent association of the secondary outcomes with drain placement. Results Overall, 1805 patients from 22 countries were included (798 women, 44.2 per cent; median age 67.0 years). The drain insertion rate was 51.9 per cent (937 patients). After matching, drains were not associated with reduced rates (odds ratio (OR) 1.33, 95 per cent c.i. 0.79 to 2.23; P = 0.287) or earlier detection (hazard ratio (HR) 0.87, 0.33 to 2.31; P = 0.780) of collections. Although not associated with worse major postoperative complications (OR 1.09, 0.68 to 1.75; P = 0.709), drains were associated with delayed hospital discharge (HR 0.58, 0.52 to 0.66; P < 0.001) and an increased risk of SSIs (OR 2.47, 1.50 to 4.05; P < 0.001). Conclusion Intraperitoneal drain placement after elective colorectal surgery is not associated with earlier detection of postoperative collections, but prolongs hospital stay and increases SSI risk

Community fire use, resource change, and livelihood impacts: The downward spiral in the wetlands of southern Sumatra

Community fire management, Livelihoods, Melaleuca cajuputi , sonor , Sumatra, Swamps, Wetlands,