Fluvial biotopes influence macroinvertebrate biodiversity in South-East Asian tropical streams

This is the final version. Available from Ecological Society of America via the DOI in this record.Given the widespread degradation of aquatic systems caused by land‐use changes associated with palm oil production in South‐East Asia, it is imperative to identify and study the remaining undisturbed rivers and streams. Stream macroinvertebrates are reliable indicators of environmental health. Linking the community structure of these organisms to natural hydraulic and geomorphic conditions (categorized as biotopes) is vital for the conservation and restoration of streams. This study characterizes the effects of biotopes on macroinvertebrate community structure in three streams within Ulu Temburong National Park in northern Borneo. Biotopes within these streams were categorized as either bedrock (waterfalls and cascades) or mixed substrate (riffles and pools). In total, 119 taxa were collected from all sampled biotopes, but not all taxa were collected from each stream. Biotopes were statistically distinct in terms of taxonomic richness, but not mean individual density or average community biomass. There were differences in community structure between waterfalls, cascades, pools, and riffles. The survey suggests that pool and riffle biotopes were more vulnerable to scouring flows and had similar community structure, while waterfalls and cascades likely experienced lower sheer stress during floods and had similar macroinvertebrate communities. This study has found that classification and mapping of macroinvertebrates with biotope theory in pristine, tropical streams is a useful framework for simplifying the many linkages between ecology, geomorphology, and hydrology. These natural patterns increase our understanding of tropical streams and can be used to assess the impacts of forest degradation.Natural Environment Research Council‐funded PhD Studentshi

Prognostic model to predict postoperative acute kidney injury in patients undergoing major gastrointestinal surgery based on a national prospective observational cohort study.

Background: Acute illness, existing co-morbidities and surgical stress response can all contribute to postoperative acute kidney injury (AKI) in patients undergoing major gastrointestinal surgery. The aim of this study was prospectively to develop a pragmatic prognostic model to stratify patients according to risk of developing AKI after major gastrointestinal surgery. Methods: This prospective multicentre cohort study included consecutive adults undergoing elective or emergency gastrointestinal resection, liver resection or stoma reversal in 2-week blocks over a continuous 3-month period. The primary outcome was the rate of AKI within 7 days of surgery. Bootstrap stability was used to select clinically plausible risk factors into the model. Internal model validation was carried out by bootstrap validation. Results: A total of 4544 patients were included across 173 centres in the UK and Ireland. The overall rate of AKI was 14·2 per cent (646 of 4544) and the 30-day mortality rate was 1·8 per cent (84 of 4544). Stage 1 AKI was significantly associated with 30-day mortality (unadjusted odds ratio 7·61, 95 per cent c.i. 4·49 to 12·90; P < 0·001), with increasing odds of death with each AKI stage. Six variables were selected for inclusion in the prognostic model: age, sex, ASA grade, preoperative estimated glomerular filtration rate, planned open surgery and preoperative use of either an angiotensin-converting enzyme inhibitor or an angiotensin receptor blocker. Internal validation demonstrated good model discrimination (c-statistic 0·65). Discussion: Following major gastrointestinal surgery, AKI occurred in one in seven patients. This preoperative prognostic model identified patients at high risk of postoperative AKI. Validation in an independent data set is required to ensure generalizability