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Anastomosing rivers were historically common around the world before extensive agricultural and industrial development in river valleys. Few lowland anastomosing rivers remain in temperate zones, and the protection of these river-floodplain systems is an international conservation priority. However, the mechanisms that drive the creation and maintenance of multiple channels, i.e. anabranches, are not well understood, particularly for lowland rivers, making it challenging to identify effective management strategies. This study uses a novel multi-scale, process-based hydro-geomorphological approach to investigate the natural and anthropogenic controls on anastomosis in lowland river reaches. Using a wide range of data (hydrologic, cartographic, remote-sensing, historical), the study (i) quantifies changes in the planform of the River Narew, Poland over the last 100years, (ii) documents changes in the natural and anthropogenic factors that could be driving the geomorphic change, and (iii) develops a conceptual model of the controls of anastomosis. The results show that 110km of anabranches have been lost from the Narew National Park (6810ha), a 42% reduction in total anabranch length since 1900. The rates of anabranch loss have increased as the number of pressures inhibiting anabranch creation and maintenance has multiplied. The cessation of localized water level and channel management (fishing dams, water mills and timber rafting), the loss of traditional floodplain activities (seasonal mowing) and infrastructure construction (embanked roads and an upstream dam) are contributing to low water levels and flows, the deposition of sediment at anabranch inlets, the encroachment of common reed (Phragmites australis), and the eventual loss of anabranches. By identifying the processes driving the loss of anabranches, this study provides transferable insights into the controls of anastomosis in lowland rivers and the management solutions needed to preserve the unique anastomosing river pattern and diverse wet grasslands that are central to the conservation value of lowland floodplains.
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http://dx.doi.org/10.1016/j.scitotenv.2017.07.183 | DOI Listing |
Front Endocrinol (Lausanne)
September 2025
Department of Endocrinology and Nutrition, Hospital Clínico San Carlos Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain.
Introduction: Dumping syndrome (DS) and postprandial hypoglycemia (PPH) are challenging complications encountered after Roux-en-Y gastric bypass (RYGB). Surgical revision is often the next therapeutic step when pharmacological and dietary treatments fail to control DS and PPH. Endoscopic argon plasma coagulation (APC) is a less invasive alternative that reduces the diameter of the gastrojejunal anastomosis (GJA).
View Article and Find Full Text PDFPatients with cardiovascular compromise are likely to develop hypotension upon receiving even small doses of sedatives. On the other hand, patients with severe dental phobias or with intellectual disability who have a severe gag reflex often require deeper levels of anesthesia. Thus, achieving an optimal level of anesthesia can be difficult in patients with cardiovascular compromise because of the relatively narrow range of sedative dosing capable of providing sufficient sedation to prevent the gag reflex without compromising hemodynamics.
View Article and Find Full Text PDFFam Cancer
September 2025
Department of Colorectal Surgery, Digestive Disease Institute, Cleveland Clinic, 9500 Euclid Avenue / A30, Cleveland, OH, 44195, USA.
Familial adenomatous polyposis (FAP) is an inherited condition that predisposes individuals to colorectal cancer without preventive treatment. Surgical management typically involves restorative proctocolectomy with an ileal pouch anal anastomosis or colectomy with ileorectal anastomosis. Complete removal of the large intestine and rectum with a permanent stoma may also be required in selected cases.
View Article and Find Full Text PDFJ Crohns Colitis
September 2025
Department of Systems Medicine, Gastroenterology Unit, University "Tor Vergata" of Rome, Italy.
Background And Aims: The outcome of Crohn's Disease (CD) patients with entero-enteric anastomosis (EEA) after small bowel resection is undefined. The primary aim of the present case-control study was to compare the clinical recurrence rate within the first 5 years after surgery in CD patients with small bowel EEA (Cases) versus age-matched patients with ileo-colonic anastomosis (ICA, Controls).
Methods: All CD patients with EEA were matched for age at diagnosis (±5years) and smoking habits with 2 Controls with ICA.
In rectal cancer surgery, maintaining a balance between oncologic control and postoperative quality of life is critical. Sphincter-preserving procedures may offer better functional outcomes, but results vary depending on the technique used. This retrospective, observational, single-center study included 62 patients with adenocarcinoma of the rectum 5 cm from the anal verge, operated between August 2022 and August 2024.
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