Environmental Risk Assessment of Petroleum Activities in Surface Sediments, Suez Gulf, Egypt

The present study focuses on the risk assessment of heavy metal contamination in aquatic ecosystems by evaluating the current situation of heavy metals in seven locations (North Amer El Bahry, Amer, Bakr, Ras Gharib, July Water Floud, Ras Shokeir, and El Marageen) along the Suez Gulf coast that are well-known representative sites for petroleum activities in Egypt. One hundred and forty-six samples of surface sediments were carefully collected from twenty-seven profiles in the intertidal and surf zone. The hydrochemical parameters, such as pH and salinity (S‰), were measured during sample collection. The mineralogy study was carried out by an X-ray diffractometer (XRD), and the concentrations of Al, Mn, Fe, Cr, Cu, Co, Zn, Cd, and Pb were determined using inductively coupled plasma mass spectra (ICP-MS). The ecological risks of heavy metals were assessed by applying the contamination factor (CF), enrichment factor (EF), geoaccumulation index (Igeo), pollution load index (PLI), and potential ecological risk index (RI). The mineralogical composition mainly comprised quartz, dolomites, calcite, and feldspars. The average concentrations of the detected heavy metals, in descending order, were Al > Fe > Mn > Cr > Pb > Cu > Zn > Ni > Co > Cd. A non-significant or negative relationship between the heavy metal concentration in the samples and their textural grain size characteristics was observed. The coastal surface sediment samples of the Suez Gulf contained lower concentrations of heavy metals than those published for other regions in the world with petroleum activities, except for Al, Mn, and Cr. The results for the CF, EF, and Igeo showed that Cd and Pb have severe enrichment in surface sediment and are derived from anthropogenic sources, while Al, Mn, Fe, Cr, Co, Ni, Cu, and Zn originate from natural sources. By comparison, the PLI and RI results indicate that the North Amer El Bahry and July Water Floud are considered polluted areas due to their petroleum activities. The continuous monitoring and assessment of pollutants in the Suez Gulf will aid in the protection of the environment and the sustainability of resources

Integration of Water Quality Indices and Multivariate Modeling for Assessing Surface Water Quality in Qaroun Lake, Egypt

Water quality has deteriorated in recent years as a result of rising population and unplanned development, impacting ecosystem health. The water quality parameters of Qaroun Lake are contaminated to varying degrees, particularly for aquatic life consumption. For that, the objective of this work is to improve the assessments of surface water quality and to determine the different geo-environmental parameters affecting the lake environmental system in Qaroun Lake utilizing the weighted arithmetic water quality index (WAWQI) and four pollution indices (heavy metal pollution index (HPI), metal index (MI), contamination index (Cd), and pollution index (PI), that are enhanced by multivariate analyses as cluster analysis (CA), principal component analysis (PCA), and support vector machine regression (SVMR). Surface water samples were collected at 16 different locations from the lake during years 2018 and 2019. Thirteen physiochemical parameters were measured and used to calculate water quality indices (WQIs). The WQIs of Qaroun Lake such WAWQI, HPI, MI, Cd, PI revealed a different degree of contamination, with respect to aquatic life utilization. The WQIs result revealed that surface water in the lake is unsuitable, high polluted, and seriously affected by pollution for an aquatic environment. The PI findings revealed that surface water samples of Qaroun Lake were significantly impacted by Al, moderately affected by Cd and Cu, and while slightly affected by Zn due to uncontrolled releases of domestic and industrial wastewater. Furthermore, increasing salinity accelerates the deterioration of the lake aquatic environment. Therefore, sewage and drainage wastewater should be treated before discharging into the lake. The SVMR models based on physiochemical parameters presented the highest performance as an alternative method to predict the WQIs. For example, the calibration (Val.) and the validation (Val.) models performed best in assessing the WQIs with R2 (0.99) and with R2 (0.97–0.99), respectively. Finally, a combination of WQIs, CA, PCA, and SVMR approaches could be employed to assess surface water quality in Qaroun Lake

Environmental Pollution Indices and Multivariate Modeling Approaches for Assessing the Potentially Harmful Elements in Bottom Sediments of Qaroun Lake, Egypt

This research intends to offer a scientific foundation for environmental monitoring and early warning which will aid in the environmental protection management of Qaroun Lake. Qaroun Lake is increasingly influenced by untreated wastewater discharge from many anthropogenic activities, making it vulnerable to pollution. For that, six environmental pollution indices, namely contamination factor (Cf), enrichment factor (EF), geo-accumulation index (Igeo), degree of contamination (Dc), pollution load index (PLI), and potential ecological risk index (RI), were utilized to assess the bottom sediment and to determine the different geo-environmental variables affecting the lake system. Cluster analysis (CA), and principal component analysis (PCA) were used to explore the potential pollution sources of heavy metal. Moreover, the efficiency of partial least-square regression (PLSR) and multiple linear regression (MLR) were tested to assess the Dc, PLI, and RI depending on the selected elements. The sediment samples were carefully collected from 16 locations of Qaroun Lake in two investigated years in 2018 and 2019. Total concentrations of Al, As, Ba, Cd, Co, Cr, Cu, Fe, Ga, Hf, Li, Mg, Mn, Mo, Ni, P, Pb, Sb, Se, Zn, and Zr were quantified using inductively coupled plasma mass spectra (ICP-MS). According to the Cf, EF, and Igeo results, As, Cd, Ga, Hf, P, Sb, Se, and Zr demonstrated significant enrichment in sediment and were derived from anthropogenic sources. According to Dc results, all collected samples were categorized under a very high degree of contamination. Further, the results of RI showed that the lake is at very high ecological risk. Meanwhile, the PLI data indicated 59% of lake was polluted and 41% had PLI < 1. The PLSR and MLR models based on studied elements presented the highest efficiency as alternative approaches to assess the Dc, PLI, and RI of sediments. For examples, the validation (Val.) models presented the best performance of these indices, with R2val = 0.948–0.989 and with model accuracy ACCv = 0.984–0.999 for PLSR, and with R2val = 0.760–0.979 and with ACCv = 0.867–0.984 for MLR. Both models for Dc, PLI, and RI showed that there was no clear overfitting or underfitting between measuring, calibrating, and validating datasets. Finally, the combinations of Cf, EF, Igeo, PLI, Dc, RI, CA, PCA, PLSR, and MLR approaches represent valuable and applicable methods for assessing the risk of potentially harmful elemental contamination in the sediment of Qaroun Lake

Environmental Pollution Indices and Multivariate Modeling Approaches for Assessing the Potentially Harmful Elements in Bottom Sediments of Qaroun Lake, Egypt

This research intends to offer a scientific foundation for environmental monitoring and early warning which will aid in the environmental protection management of Qaroun Lake. Qaroun Lake is increasingly influenced by untreated wastewater discharge from many anthropogenic activities, making it vulnerable to pollution. For that, six environmental pollution indices, namely contamination factor (Cf), enrichment factor (EF), geo-accumulation index (Igeo), degree of contamination (Dc), pollution load index (PLI), and potential ecological risk index (RI), were utilized to assess the bottom sediment and to determine the different geo-environmental variables affecting the lake system. Cluster analysis (CA), and principal component analysis (PCA) were used to explore the potential pollution sources of heavy metal. Moreover, the efficiency of partial least-square regression (PLSR) and multiple linear regression (MLR) were tested to assess the Dc, PLI, and RI depending on the selected elements. The sediment samples were carefully collected from 16 locations of Qaroun Lake in two investigated years in 2018 and 2019. Total concentrations of Al, As, Ba, Cd, Co, Cr, Cu, Fe, Ga, Hf, Li, Mg, Mn, Mo, Ni, P, Pb, Sb, Se, Zn, and Zr were quantified using inductively coupled plasma mass spectra (ICP-MS). According to the Cf, EF, and Igeo results, As, Cd, Ga, Hf, P, Sb, Se, and Zr demonstrated significant enrichment in sediment and were derived from anthropogenic sources. According to Dc results, all collected samples were categorized under a very high degree of contamination. Further, the results of RI showed that the lake is at very high ecological risk. Meanwhile, the PLI data indicated 59% of lake was polluted and 41% had PLI 2val = 0.948–0.989 and with model accuracy ACCv = 0.984–0.999 for PLSR, and with R2val = 0.760–0.979 and with ACCv = 0.867–0.984 for MLR. Both models for Dc, PLI, and RI showed that there was no clear overfitting or underfitting between measuring, calibrating, and validating datasets. Finally, the combinations of Cf, EF, Igeo, PLI, Dc, RI, CA, PCA, PLSR, and MLR approaches represent valuable and applicable methods for assessing the risk of potentially harmful elemental contamination in the sediment of Qaroun Lake

Environmental Assessment of Potentially Toxic Elements Using Pollution Indices and Data-Driven Modeling in Surface Sediment of the Littoral Shelf of the Mediterranean Sea Coast and Gamasa Estuary, Egypt

Coastal environmental assessment techniques have evolved into one of the most important fields for the long-term development and management of coastal zones. So, the overall aim of the present investigation was to provide effective approaches for making informed decisions about the Gamasa coast sediment quality. Over a two-year investigation, sediment samples were meticulously collected from the Gamasa estuary and littoral shelf. The inductively coupled plasma mass spectra (ICP-MS) was used to the total concentrations of Al, Fe, Ti, Mg, Mn, Cu, P, V, Ba, Cr, Sr, Co, Ni, Zn, Pb, Zr, and Ce. Single elements environmental pollution indices including the geoaccumulation index (Igeo), contamination factor (CF), and enrichment factor (EF), as well as multi-elements pollution indices comprising the potential ecological risk index (RI), degree of contamination (Dc), and pollution load index (PLI) were used to assess the sediment and the various geo-environmental variables affecting the Mediterranean coastal system. Furthermore, the Dc, PLI, and RI were estimated using the random forest (RF) and Back-Propagation Neural Network (BPNN) depending on the selected elements. According to the Dc results, all the investigated sediment samples categories were considerably contaminated. Cr, Co, Ni, Cu, Zr, V, Zn, P, and Mn showed remarkable enrichment in sediment samples and were originated from anthropogenic sources based on the CF, EF, and Igeo data. Moreover, the RI findings revealed that all the samples tested pose a low ecologically risk. Meanwhile, based on PLI, 70% of the Gamasa estuary samples were polluted, while 93.75% of littoral shelf sediment was unpolluted. The BPNNs -PCs-CD-17 model performed the best and demonstrated a better association between exceptional qualities and CD. With R2 values of 1.00 for calibration (Cal.) and 1.00 for validation (Val.). The BPNNs -PCs-PLI-17 models performed the best in terms of measuring PLI with respective R2 values of 1.00 and 0.98 for the Cal. and Val. datasets. The findings showed that the RF and BPNN models may be used to precisely quantify the pollution indices (Dc, PLI, and RI) in calibration (Cal.) and validation (Val.) datasets utilizing potentially toxic elements of surface sediment

Utilization of Pollution Indices, Hyperspectral Reflectance Indices, and Data-Driven Multivariate Modelling to Assess the Bottom Sediment Quality of Lake Qaroun, Egypt

Assessing the environmental hazard of potentially toxic elements in bottom sediments has always been based entirely on ground samples and laboratory tests. This approach is remarkably accurate, but it is slow, expensive, damaging, and spatially constrained, making it unsuitable for monitoring these parameters effectively. The main goal of the present study was to assess the quality of sediment samples collected from Lake Qaroun by using different groups of spectral reflectance indices (SRIs), integrating data-driven (Artificial Neural Networks; ANN) and multivariate analysis such as multiple linear regression (MLR) and partial least square regression (PLSR). Jetty cruises were carried out to collect sediment samples at 22 distinct sites over the entire Lake Qaroun, and subsequently 21 metals were analysed. Potential ecological risk index (RI), organic matter (OM), and pollution load index (PLI) of lake’s bottom sediments were subjected to evaluation. The results demonstrated that PLI showed that roughly 59% of lake sediments are polluted (PLI > 1), especially samples of eastern and southern sides of the lake’s central section, while 41% were unpolluted (PLI < 1), which composed samples of the western and western northern regions. The RI’s findings were that all the examined sediments pose a very high ecological risk (RI > 600). It is obvious that the three band spectral indices are more efficient in quantifying different investigated parameters. The results showed the efficiency of the three tested models to predict OM, PLI, and RI, revealing that the ANN is the best model to predict these parameters. For instance, the determination coefficient values of the ANN model of calibration datasets for predicting OM, PLI, and RI were 0.999, 0.999, and 0.999, while they were 0.960, 0.897, and 0.853, respectively, for the validation dataset. The validation dataset of the PLSR produced R2 values higher than with MLR for predicting PLI and RI. Finally, the study’s main conclusion is that combining ANN, PLSR, and MLR with proximal remote sensing could be a very effective tool for the detection of OM and pollution indices. Based on our findings, we suggest the created models are easy tools for forecasting these measured parameters

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

© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: 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. Funding: National Institute for Health and Care Research

Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 licenseBackground: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit