Testifying the Aquifer Response Under the Stress of Different Scenarios of an Expected Shortage of Surface Water: Case Study South Eastern Nile Delta Fringes, Egypt

Groundwater is considered one of the important sources in Egypt. However, it is expected to face many challenges in the next few decades. The Eastern Nile delta fringes region, the current area of interest, is one of the most highly developed areas in Egypt for more than three decades. Special attention will be given to the existing large reclamation lands (surface water/groundwater) in the high desert lands and low ones which are adjacent and surrounding the Ismailia canal. Under the expected stress of extensive shortage in surface water of the Nile water system, as a result of the construction of GERD, the rapid population and urbanization, a direct impact on the groundwater system in terms of groundwater levels and water budget will be expected. The main research question of the present study is: what is the response of the Nile Delta Aquifer in the south Eastern Nile Delta Fringes in the case of crisis for the sustainability of existing large projects? Visual MODFLOW was used to simulate the existing condition of the irrigation canals and the expected changes under different scenarios of water shortage. The model was simulated and calibrated for the initial hydrogeological conditions throughout the period (1992-2015). The model was tested for scenarios based on the final calibration as an initial condition. Four scenarios were proposed and simulated for the calibrated regional groundwater model at the study area to evaluate and predict the response of the quaternary aquifer during the decrease of surface water levels for 20 years. These scenarios are: 1. Decrease of the surface water levels by 10% against drainage surplus this expression represents the net recharge to the aquifer all the year, 2. Decrease of the surface water levels by 10% against seasonal drainage surplus for six months (summer, winter), 3. Decrease of the surface water levels by 20% against drainage surplus all the year and 4. Decrease of the surface water levels by 20% against seasonal drainage surplus for six months (summer, winter). The results of simulated scenarios showed a change and fluctuation in the groundwater levels, while the maximum value of the change in storage was found in scenario 4.in which this value was decreased by 52.9 % between 2017 and 2037. but in all scenarios, the change in storage of the aquifer still stable and continuously increase, by 36.5% under scenario 2 and 29 % under scenario 4. This volume of storage will be available for pumping by extraction wells in case of surface water reduction. Keywords: Groundwater, Surface water, GERD, water budget, change in storage. DOI: 10.7176/CER/13-3-04 Publication date:May 31st 202

Land Use /Land Cover Change Detection Analysis for Eastern Nile Delta Fringes, Egypt

Egypt has turned its attention to develop many new areas for agricultural development, such as the fringes of the Nile Valley, the eastern, western fringes of the Nile Delta, and also to the desert areas. In this research, integration of GIS and remote sensing (RS&GIS) were used in the South Eastern Nile delta region to follow the change in land use/cover and to assess the change in the agricultural lands in the desert areas. Three satellite images for years 1992, 2002, 2015 were used to produce the land use/cover maps using the maximum likelihood method by selecting five classes for land cover as (Agricultural, water, desert, and urban). The results of the accuracy assessment were evaluated as 85%, 86.2%, and 87.5% for the years 1992, 2002, and 2015. The change detection maps were produced between (1992-2002), (2002-2015) and (1992-2015). To follow up the increase in reclaimed areas that previously planned for reclamation by the National Water Resources Plans. More change detection statistics were performed. The results showed an increase in the area of agricultural lands within the desert regions, with values that are aligned with the areas proposed in the previous national water plans. The area of reclamation lands of the existing reclamation projects started before 1992 increased by 17527.6 (feddan) from the year 1992 to 2015 compared to 115436 feddan for the reclamation lands planned by the Land master plan from (1992 to 2017) for the same period of years. Finally, we can consider the integration between GIS and remote sensing data as an important and powerful tool for accurately detection land use/land cover changes over the study area. Also, these tools were considered very useful for the planning of sustainable management for water resource plans. Keywords: Geographical Information Systems (GIS), Remote Sensing (RS), Land-use/ cover, change detection, the South Eastern Nile delta region. DOI: 10.7176/JEES/10-10-07 Publication date:October 31st 202

Synergistic advancements in sewage-driven microbial fuel cells: novel carbon nanotube cathodes and biomass-derived anodes for efficient renewable energy generation and wastewater treatment

Microbial fuel cells (MFCs) offer a dual solution of generating electrical energy from organic pollutants-laden wastewater while treating it. This study focuses on enhancing MFC performance through innovative electrode design. Three-dimensional (3D) anodes, created from corncobs and mango seeds via controlled graphitization, achieved remarkable power densities. The newly developed electrode configurations were evaluated within sewage wastewater-driven MFCs without the introduction of external microorganisms or prior treatment of the wastewater. At 1,000°C and 1,100°C graphitization temperatures, corncob and mango seed anodes produced 1,963 and 2,171 mW/m2, respectively, nearly 20 times higher than conventional carbon cloth and paper anodes. An advanced cathode composed of an activated carbon-carbon nanotube composite was introduced, rivaling expensive platinum-based cathodes. By optimizing the thermal treatment temperature and carbon nanotube content of the proposed cathode, comparable or superior performance to standard Pt/C commercial cathodes was achieved. Specifically, MFCs assembled with corncob anode with the proposed and standard Pt/C cathodes reached power densities of 1,963.1 and 2,178.6 mW/m2, respectively. Similarly, when utilizing graphitized mango seeds at 1,100°C, power densities of 2,171 and 2,151 mW/m2 were achieved for the new and standard cathodes, respectively. Furthermore, in continuous operation with a flow rate of 2 L/h, impressive chemical oxygen demand (COD) removal rates of 77% and 85% were achieved with corncob and mango seed anodes, respectively. This work highlights the significance of electrode design for enhancing MFC efficiency in electricity generation and wastewater treatment

Influence of socioeconomic factors on pregnancy outcome in women with structural heart disease

OBJECTIVE: Cardiac disease is the leading cause of indirect maternal mortality. The aim of this study was to analyse to what extent socioeconomic factors influence the outcome of pregnancy in women with heart disease.  METHODS: The Registry of Pregnancy and Cardiac disease is a global prospective registry. For this analysis, countries that enrolled ≥10 patients were included. A combined cardiac endpoint included maternal cardiac death, arrhythmia requiring treatment, heart failure, thromboembolic event, aortic dissection, endocarditis, acute coronary syndrome, hospitalisation for cardiac reason or intervention. Associations between patient characteristics, country characteristics (income inequality expressed as Gini coefficient, health expenditure, schooling, gross domestic product, birth rate and hospital beds) and cardiac endpoints were checked in a three-level model (patient-centre-country).  RESULTS: A total of 30 countries enrolled 2924 patients from 89 centres. At least one endpoint occurred in 645 women (22.1%). Maternal age, New York Heart Association classification and modified WHO risk classification were associated with the combined endpoint and explained 37% of variance in outcome. Gini coefficient and country-specific birth rate explained an additional 4%. There were large differences between the individual countries, but the need for multilevel modelling to account for these differences disappeared after adjustment for patient characteristics, Gini and country-specific birth rate.  CONCLUSION: While there are definite interregional differences in pregnancy outcome in women with cardiac disease, these differences seem to be mainly driven by individual patient characteristics. Adjustment for country characteristics refined the results to a limited extent, but maternal condition seems to be the main determinant of outcome

Burnout among surgeons before and during the SARS-CoV-2 pandemic: an international survey

Background: SARS-CoV-2 pandemic has had many significant impacts within the surgical realm, and surgeons have been obligated to reconsider almost every aspect of daily clinical practice. Methods: This is a cross-sectional study reported in compliance with the CHERRIES guidelines and conducted through an online platform from June 14th to July 15th, 2020. The primary outcome was the burden of burnout during the pandemic indicated by the validated Shirom-Melamed Burnout Measure. Results: Nine hundred fifty-four surgeons completed the survey. The median length of practice was 10 years; 78.2% included were male with a median age of 37 years old, 39.5% were consultants, 68.9% were general surgeons, and 55.7% were affiliated with an academic institution. Overall, there was a significant increase in the mean burnout score during the pandemic; longer years of practice and older age were significantly associated with less burnout. There were significant reductions in the median number of outpatient visits, operated cases, on-call hours, emergency visits, and research work, so, 48.2% of respondents felt that the training resources were insufficient. The majority (81.3%) of respondents reported that their hospitals were included in the management of COVID-19, 66.5% felt their roles had been minimized; 41% were asked to assist in non-surgical medical practices, and 37.6% of respondents were included in COVID-19 management. Conclusions: There was a significant burnout among trainees. Almost all aspects of clinical and research activities were affected with a significant reduction in the volume of research, outpatient clinic visits, surgical procedures, on-call hours, and emergency cases hindering the training. Trial registration: The study was registered on clicaltrials.gov "NCT04433286" on 16/06/2020

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p<0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p<0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised