Impact of water management on methane emission dynamics in Sri Lankan paddy ecosystems

Paddy ecosystems constitute a dominant source of greenhouse gases, particularly of methane (CH₄), due to the continuous flooding (CF) practiced under conventional paddy cultivation. A new management method, namely alternative wetting and draining (AWD) (i.e., flooding whenever surface water levels decline to 15 cm below the soil surface), is an emerging practice developed to mitigate CH₄ emissions while providing an optimal solution for freshwater scarcity. Despite extensive paddy cultivation in Sri Lanka, no systematic research study has been conducted to investigate CH₄ emissions under different water management practices. Thus, field experiments were conducted in Sri Lanka to investigate the feedback of controlled water management on seasonal and diel variation of CH₄ emission, water consumption, and crop productivity. Adopting the same rice variety, two water management methods, continuous flooding (CF) and alternative wetting and draining (AWD), were compared with plants (W/P) and without plants (N/P) present. The emission of CH₄ was measured using the static closed chamber method. The results show a 32% reduction in cumulative CH₄ emission, on average, under AWD when compared to CF. The yield under the AWD was slightly higher than that of CF. Although it was not statistically significant (p > 0.05) there was not any reduction in yield in AWD than in CF. The total water saving under AWD ranged between 27–35% when compared to CF. Thus, the results support (without considering the effect of nitrous oxide) AWD as a promising method for mitigating CH₄ emissions while preserving freshwater and maintaining grain yield in paddy systems

Global variation in anastomosis and end colostomy formation following left-sided colorectal resection

Background End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection. Methods This study comprised an analysis of GlobalSurg-1 and -2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. Countries were grouped into high-, middle- and low-income tertiles according to the United Nations Human Development Index (HDI). Factors associated with colostomy formation versus primary anastomosis were explored using a multilevel, multivariable logistic regression model. Results In total, 1635 patients from 242 hospitals in 57 countries undergoing left-sided colorectal resection were included: 113 (6·9 per cent) from low-HDI, 254 (15·5 per cent) from middle-HDI and 1268 (77·6 per cent) from high-HDI countries. There was a higher proportion of patients with perforated disease (57·5, 40·9 and 35·4 per cent; P < 0·001) and subsequent use of end colostomy (52·2, 24·8 and 18·9 per cent; P < 0·001) in low- compared with middle- and high-HDI settings. The association with colostomy use in low-HDI settings persisted (odds ratio (OR) 3·20, 95 per cent c.i. 1·35 to 7·57; P = 0·008) after risk adjustment for malignant disease (OR 2·34, 1·65 to 3·32; P < 0·001), emergency surgery (OR 4·08, 2·73 to 6·10; P < 0·001), time to operation at least 48 h (OR 1·99, 1·28 to 3·09; P = 0·002) and disease perforation (OR 4·00, 2·81 to 5·69; P < 0·001). Conclusion Global differences existed in the proportion of patients receiving end stomas after left-sided colorectal resection based on income, which went beyond case mix alone