An empirical, cross-taxon evaluation of landscape-scale connectivity

Connectivity is vital for the maintenance of spatially structured ecosystems, but is threatened by anthropogenic processes that degrade habitat networks. Thus, connectivity enhancement has become a conservation priority, with resources dedicated to enhancing habitat networks. However, much effort may be wasted on ineffective management, as conservation theory and practice can be poorly linked. Here we evaluate the success of landscape management designed to restore connectivity in the Humberhead wetlands (UK). Hybrid pattern-process models were created for six species, representing key taxa in the wetland ecosystem. Habitat suitability models were used to provide the spatial context for individual-based models that predicted metapopulation dynamics, including functional connectivity. To create models representing post-management conditions, landscape structure was modified to represent local improvements in habitat quality achieved through management. Models indicate that management had limited success in enhancing connectivity. Interventions have buffered existing connectivity in several species’ habitat networks, with inter-patch movement increasing for modelled species by up to 22% (for water vole, Arvicola amphibius), but have not reconnected isolated habitat fragments. Field surveys provided provisional support for the accuracy of baseline models, but could not identify predicted benefits from management interventions, likely due to time-lags following these interventions. Despite lacking clear empirical support as yet, models suggest the management of the Humberhead wetlands has successfully enhanced the landscape-scale ecological network, achieving management targets. However we identify key limitations to this success and provide specific recommendations for improvement of future landscape-scale management. Our developments in model application and integration can be developed further and be usefully applied to studies of species and/or community dynamics in a range of contexts

Matrix composition mediates effects of habitat fragmentation: a modelling study

Context Habitat loss has clear negative effects on biodiversity, but whether fragmentation per se (FPS), excluding habitat loss does is debatable. A contribution to this debate may be that many fragmentation studies tend to use landscapes of fragmented focal-habitat and a single vastly different species-poor intervening land cover (the matrix). Objectives How does matrix composition influence the effect of FPS on biodiversity?. Methods Using an individual-based model to investigate the effect of different configurations of the matrix on the relationship between FPS and biodiversity of the focal-habitat. We manipulated the number and quality of land cover types in the matrix, and their similarity to the focal-habitat. Results Extremely different matrix, caused an order of magnitude stronger effect of FPS on alpha- and gamma-diversity and beta-diversity to decline. Low FPS led to high gamma-diversity. Increasing FPS caused a dramatic decline to low diversity. In contrast landscapes with a more similar matrix had lower diversity under low FPS declining little with increasing FPS. Having few matrix types caused beta-diversity to decline in general compared to landscapes with a larger numbers. Conclusions The effects of FPS on biodiversity may change depending on the number of matrix types and their similarity to the focal-habitat. We recommend that fragmentation studies should consider a greater variety of landscapes to help assess in which cases FPS does not have a negative impact and allow better predictions of the impacts of fragmentation. We show the importance of having a diversity of matrix land cover types and improving the hospitability of the matrix for species dependent on the focal-habitat

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe

Supramolecular nesting of cyclic polymers

Advances in template-directed synthesis make it possible to create artificial molecules with protein-like dimensions, directly from simple components. These synthetic macromolecules have a proclivity for self-organization that is reminiscent of biopolymers. Here, we report the synthesis of monodisperse cyclic porphyrin polymers, with diameters of up to 21 nm (750 C–C bonds). The ratio of the intrinsic viscosities for cyclic and linear topologies is 0.72, indicating that these polymers behave as almost ideal flexible chains in solution. When deposited on ​gold surfaces, the cyclic polymers display a new mode of two-dimensional supramolecular organization, combining encapsulation and nesting; one nanoring adopts a near-circular conformation, thus allowing a second nanoring to be captured within its perimeter, in a tightly folded conformation. Scanning tunnelling microscopy reveals that nesting occurs in combination with stacking when nanorings are deposited under vacuum, whereas when they are deposited directly from solution under ambient conditions there is stacking or nesting, but not a combination of both

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

Plasma concentrations of pregnancy-associated glycoprotein-1 (PAG-1) in high producing dairy cows suffering early fetal loss during the warm season

The present study was designed to establish whether plasma pregnancy-associated glycoprotein-1 (PAG-1) measurements during the early fetal period can be associated with early fetal loss. Blood samples were obtained and ultrasound controls performed on days 35, 42, 49, 56, and 63 of gestation or until pregnancy loss from 98 lactating dairy cows. Radioimmunoassay systems were used to determine PAG-1 and progesterone concentrations. Of the 98 pregnancies investigated 18 (18.4%) suffered early fetal loss: 15 (18.5%) in cows carrying singletons, and 3 (16.7%) in twin pregnancies. In cows suffering pregnancy loss, all living embryos registered on day 35 seemed normal in size and development in all weekly ultrasound controls before fetal expulsion. Using analysis of variance, plasma PAG-1 and progesterone values were not different between no loss and fetal loss groups for every gestation period. Based on the odds ratio, and considering only PAG-1 values obtained on day 35 of gestation, the risk of fetal loss was 10 and 6.8 times more likely in cows with low ( 4 ng/ml) PAG-1 values, respectively, than in cows with medium PAG-1 values, used as reference. Of the 10 inseminating bulls included in the study, one was related to increased fetal loss by odds ratio of 21.7, whereas one bull was attributed fetal loss rate reduced by odds ratio of 12.5 (1/0.08) These findings can have a clear clinical application: PAG-1 measurements from one single sample taken on clay 35 of gestation provided more useful information than a series of values obtained from day 35 to 63 of gestation, and can be indicators of subsequent fetal loss. (c) 2007 Elsevier Inc. All rights reserved