Hydrography, nutrients and plankton abundance in the hot spot of Abu Qir Bay, Alexandria, Egypt

The hydrography, nutrient levels and plankton abundance were investigated monthly for a complete annual cycle in the southwestern part of Abu Qir Bay, the most polluted and biologically productive area on the Egyptian Mediterranean coast. Intense temporal and spatial variability was observed in all measured parameters characteristic of the effects of several effluents discharged into the bay. Based on the present investigation, the southwestern Bay can be divided ecologically and biologically into two parts: one including the near shore strip, which is directly affected by the waste waters, and a second comprising the southwestern part of the coastal strip and the offshore stations, both of which are relatively far away from the land-based effluents.The Bay water was characterized by low transparency (monthly average: 64-280 cm), dissolved oxygen (monthly average 2.0-6.8 mg/l) and surface salinity (monthly average: 24.8-37.9 ppt), the highest limits usually being in the offshore section. Water fertility and plankton production were high in the Bay indicating an occasionally acute degree of eutrophication, particularly nearshore. Great variations occurred in the concentrations of nutrients throughout the year, with monthly averages of 0.8-50.88 mM for ammonia, 0.42-3.28 mM for nitrite, 1.29-17.36 mM for nitrate, 0.32-3.61 mM for reactive phosphate and 1.09-33.34 mM for reactive silicate. Similarly, the abundance of both phytoplankton and zooplankton showed pronounced temporal and spatial variability, whereas the monthly average chlorophyll-a fluctuated between 2.06 and 52.64 mg/l and zooplankton between 31x103 and 248.6x103 ind./m3. However, the absolute values of all parameters indicated remarkably wider ranges of variations.Significant correlation was found between chlorophyll-a and some ecological parameters like temperature, salinity, transparency, dissolved oxygen, nitrite and between zooplankton and temperature, while there was a significant correlation between nutrient concentrations and salinity changes

Looking back and moving forward: 50 years of soil and soil fertility management research in sub-Saharan Africa

Article purchased; Published online: 02 Nov 2017Low and declining soil fertility has been recognized for a long time as a major impediment to intensifying agriculture in sub-Saharan Africa (SSA). Consequently, from the inception of international agricultural research, centres operating in SSA have had a research programme focusing on soil and soil fertility management, including the International Institute of Tropical Agriculture (IITA). The scope, content, and approaches of soil and soil fertility management research have changed over the past decades in response to lessons learnt and internal and external drivers and this paper uses IITA as a case study to document and analyse the consequences of strategic decisions taken on technology development, validation, and ultimately uptake by smallholder farmers in SSA. After an initial section describing the external environment within which soil and soil fertility management research is operating, various dimensions of this research area are covered: (i) ‘strategic research’, ‘Research for Development’, partnerships, and balancing acts, (ii) changing role of characterization due to the expansion in geographical scope and shift from soils to farms and livelihoods, (iii) technology development: changes in vision, content, and scale of intervention, (iv) technology validation and delivery to farming communities, and (v) impact and feedback to the technology development and validation process. Each of the above sections follows a chronological approach, covering the last five decades (from the late 1960s till today). The paper ends with a number of lessons learnt which could be considered for future initiatives aiming at developing and delivering improved soil and soil fertility management practices to smallholder farming communities in SSA

Pancreatic beta cell protection/regeneration with phytotherapy

Although currently available drugs are useful in controlling early onset complications of diabetes, serious late onset complications appear in a large number of patients. Considering the physiopathology of diabetes, preventing beta cell degeneration and stimulating the endogenous regeneration of islets will be essential approaches for the treatment of insulin-dependent diabetes mellitus. The current review focused on phytochemicals, the antidiabetic effect of which has been proved by pancreatic beta cell protection/regeneration. Among the hundreds of plants that have been investigated for diabetes, a small fraction has shown the regenerative property and was described in this paper. Processes of pancreatic beta cell degeneration and regeneration were described. Also, the proposed mechanisms for the protective/regenerative effects of such phytochemicals and their potential side effects were discussed

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Eutrophication problems in the Western Harbour of Alexandria, Egypt

Eutrophication-related problems in the Western Harbour ofA lexandria were studied monthly from April 1999 to March 2000. Variation in salinity appeared to be the key to all changes in water quality and plankton abundance in the harbour. Both at the surface and near the bottom the salinity was lower (annual average: 35.1 and 38.3 PSU respectively) than in the open sea (39 PSU). Dissolved oxygen levels indicated poor aeration conditions along the water column (2.3–3.98 mg l−1). Average pH values were approximately similar in the two layers (8.1 and 8 respectively) but exhibited different ranges ofv ariations. Nutrient salts varied widely, often occurring in high concentrations, with ranges of 0.12–5.7 and 0.06–2.6 μM at the surface and the bottom respectively for phosphate, 0.21–20.46 and 0.25–18.12 μM for nitrate, 0.29–3.3 and 0.23–1.66 μM f or nitrite, 0.56–57.46 and 2.32–43.73 μM for ammonia and 0.3–36.3 and 0.48–38.4 μM for silicate. As a result ofn utrient enrichment, phytoplankton growth was very intensive, reflected by an abnormally high concentration ofc hlorophyll a (annual average: 33.82 μg l−1). At the same time the death ofl arge numbers ofp hytoplankton cells could be inferred from the relatively large amount of phaeopigment (annual average: 10.39 μg l−1). The high levels ofn utrient salts and phytoplankton biomass together serve as a good indicator ofhig h eutrophication levels in the Western Harbour throughout the year. These conditions clearly affected the zooplankton stock, which varied between 5.8–93.6×103 indiv. m−3, although for most of the time values remained at a low level (annual average: 26 728 indiv. m−3)

Protozoa in a stressed area of the Egyptian Mediterranean coast of Damietta, Egypt

AbstractThe Damietta coast is part of the Egyptian Mediterranean coast off the Nile Delta and has recently been polluted as a result of intensive human activities. The environmental parameters and protozoan community in the area were studied biweekly from January to December 2007. The results of the environmental parameters indicated low salinity, oxic and anoxic conditions, high nutrient levels and intensive phytoplankton growth. A total of 69 protozoan species were identified, belonging to Amoebozoa (8 species), Foraminifera (12 species), non-tintinnid ciliates (22 species) and tintinnids (27 species). The numerical density of protozoans was high over the whole area, with annual averages between 8.2×103 cells m−3 and 51.4×103 cells m−3. Spring was the most productive season for protozoans, but several distinct peaks were observed during the year at the sampling sites. The protozoan groups showed clearly different spatial patterns in both composition and abundance: whereas amoebozoans and non-tintinnid ciliates were dominant in the more polluted areas (sites IV and V), tintinnids dominated in the less polluted areas (sites, I, II and III). Several pollution indicators were recorded: amoebozoans – Centropyxis aculeata, Centropyxis sp., Cochliopodium sp., Difflugia sp.; non-tintinnids – Bursaridium sp., Frontonia atra, Holophrya sp., Paramecium sp., Paramecium bursaria, Vasicola ciliata, Vorticella sp., Strombidium sp.; tintinnids – Favella ehrenbergii, Helicostomella subulata, Leprotintinnus nordgvisti, Tintinnopsis beroidea, Stenosemella ventricosa, Tintinnopsis campanula, T. cylindrica, T. lobiancoi, Eutintinnus lusus-undae

Physicians' guideline adherence is associated with long-term heart failure mortality in outpatients with heart failure with reduced ejection fraction: the QUALIFY international registry

Background: Physicians' adherence to guideline-recommended therapy is associated with short-term clinical outcomes in heart failure (HF) with reduced ejection fraction (HFrEF). However, its impact on longer-term outcomes is poorly documented. Here, we present results from the 18-month follow-up of the QUALIFY registry. Methods and results: Data at 18 months were available for 6118 ambulatory HFrEF patients from this international prospective observational survey. Adherence was measured as a continuous variable, ranging from 0 to 1, and was assessed for five classes of recommended HF medications and dosages. Most deaths were cardiovascular (CV) (228/394) and HF-related (191/394) and the same was true for unplanned hospitalizations (1175 CV and 861 HF-related hospitalizations, out of a total of 1541). According to univariable analysis, CV and HF deaths were significantly associated with physician adherence to guidelines. In multivariable analysis, HF death was associated with adherence level [subdistribution hazard ratio (SHR) 0.93, 95% confidence interval (CI) 0.87–0.99 per 0.1 unit adherence level increase; P = 0.034] as was composite of HF hospitalization or CV death (SHR 0.97, 95% CI 0.94–0.99 per 0.1 unit adherence level increase; P = 0.043), whereas unplanned all-cause, CV or HF hospitalizations were not (all-cause: SHR 0.99, 95% CI 0.9–1.02; CV: SHR 0.98, 95% CI 0.96–1.01; and HF: SHR 0.99, 95% CI 0.96–1.02 per 0.1 unit change in adherence score; P = 0.52, P = 0.2, and P = 0.4, respectively). Conclusion: These results suggest that physicians' adherence to guideline-recommended HF therapies is associated with improved outcomes in HFrEF. Practical strategies should be established to improve physicians' adherence to guidelines. © 2019 The Authors. European Journal of Heart Failure © 2019 European Society of Cardiolog

International Nosocomial Infection Control Consortium report, data summary of 50 countries for 2010-2015: Device-associated module

•We report INICC device-associated module data of 50 countries from 2010-2015.•We collected prospective data from 861,284 patients in 703 ICUs for 3,506,562 days.•DA-HAI rates and bacterial resistance were higher in the INICC ICUs than in CDC-NHSN's.•Device utilization ratio in the INICC ICUs was similar to CDC-NHSN's. Background: We report the results of International Nosocomial Infection Control Consortium (INICC) surveillance study from January 2010-December 2015 in 703 intensive care units (ICUs) in Latin America, Europe, Eastern Mediterranean, Southeast Asia, and Western Pacific. Methods: During the 6-year study period, using Centers for Disease Control and Prevention National Healthcare Safety Network (CDC-NHSN) definitions for device-associated health care-associated infection (DA-HAI), we collected prospective data from 861,284 patients hospitalized in INICC hospital ICUs for an aggregate of 3,506,562 days. Results: Although device use in INICC ICUs was similar to that reported from CDC-NHSN ICUs, DA-HAI rates were higher in the INICC ICUs: in the INICC medical-surgical ICUs, the pooled rate of central line-associated bloodstream infection, 4.1 per 1,000 central line-days, was nearly 5-fold higher than the 0.8 per 1,000 central line-days reported from comparable US ICUs, the overall rate of ventilator-associated pneumonia was also higher, 13.1 versus 0.9 per 1,000 ventilator-days, as was the rate of catheter-associated urinary tract infection, 5.07 versus 1.7 per 1,000 catheter-days. From blood cultures samples, frequencies of resistance of Pseudomonas isolates to amikacin (29.87% vs 10%) and to imipenem (44.3% vs 26.1%), and of Klebsiella pneumoniae isolates to ceftazidime (73.2% vs 28.8%) and to imipenem (43.27% vs 12.8%) were also higher in the INICC ICUs compared with CDC-NHSN ICUs. Conclusions: Although DA-HAIs in INICC ICU patients continue to be higher than the rates reported in CDC-NSHN ICUs representing the developed world, we have observed a significant trend toward the reduction of DA-HAI rates in INICC ICUs as shown in each international report. It is INICC's main goal to continue facilitating education, training, and basic and cost-effective tools and resources, such as standardized forms and an online platform, to tackle this problem effectively and systematically