Mitigation Measures for Gaza Coastal Erosion

Coastal erosion is an ongoing hazard affecting Gaza beach, but is worsening due to a wide range of human activities such as the construction of Gaza fishing harbor in 1994-1998. The net annual alongshore sediment transport is about 190×103 m3, but can vary significantly depending on the severity of winter storms. According to the observed wave heights and directions, the net waves are cross-shore, therefore vast quantities of sediments may transfer to deep sea. The main objective of this study is to mitigate the erosion problem of Gaza coast. Change detection analysis was used to compute the spatial and temporal change of Gaza shoreline between 1972 and 2010. The results show negative rates in general, which means that the erosion was the predominant process. Gaza fishing harbor caused a serious damage to the Beach Camp shoreline. Consequently, several mitigation measures were considered in this study, which are: relocation of Gaza fishing harbor to offshore, groins, detached breakwaters, wide-crested submerged breakwaters and beach nourishment. Several numerical model tests associated with coastal structures are conducted to investigate the influence on morphodynamics. The results show that the relocation of the harbor is the best alternative to stop trapping of the sediments. If for any reason the relocation was not carried out, the wide-crested submerged breakwater alternative is an effective structure for preventing sandy beach erosion. The artificial reef type of submerged breakwaters with beach nourishment is recommended for Gaza beach, because it is an environmentally friendly and improving the ecosystem of marine life

The Impact of Gaza Fishing Harbour on the Mediterranean Coast of Gaza

The Mediterranean coast of Gaza strip, which is covered about 40 km in length, is rich by coastal resources. The development that occurred along the coastal lines has led to the host of problems such as increased erosion, siltation, loss of coastal resources and the destruction of the fragile marine habitats. In order to conserve the depleting coastal resources, the changes due to development and associated activities must be monitored. Studying the temporal pattern of shoreline change is considered one of the most effective means of monitoring the cumulative effects of different activities. An attempt was made to study the impact of Gaza harbour on shoreline displacement along 6 km. This paper was intended to detect changes of coastal area in Gaza city to provide future database in coastal management studies. The analysis was carried out using image processing technique (ERDAS) and Geographical Information System platform. The variation during 38 years in the shoreline along the Gaza coast was determined by analyzing MSS, TM and ETM Landsat images from 1972 to 2010. The analyses identified the erosion and accretion patterns along the coast. The shoreline was advanced south of the Gaza fishing harbor, where the wave-induced littoral transport was halted by southern breakwater and the annual beach growth rate was 15,900 m2. On the downdrift side of the harbor, the shoreline was retreating and beaches erode at an annual rate of -14,000 m2. This study was emphasized that the coastal band is considered as a critical area, it is therefore necessary to monitor coastal zone changes because of the importance of environmental parameter and human disturbance. In particular, the projections of future shoreline erosion and accretion rates are considered important for long-term planning and environmental assessment for a variety of projects, including the construction and tourism facilities

The contribution of financial entities to the sustainable development through the reporting of corporate social responsibility information

This paper aims at examining the relationship between board composition and corporate social responsibility (CSR) of a sample of listed financial entities, discussing the driving reasons of these entities to disclose CSR information. We hypothesize that there is a positive association between outside (institutional and independent directors) and female directors and CSR disclosure and a negative relationship between inside directors and CSR reporting. Our findings provide evidence that the proportions of independent directors and female directors on boards encourage CSR disclosure. Moreover, the results also show that the proportions of inside directors and institutional directors on boards do not have influence on CSR reporting. Thus, our evidence suggests that board attributes such as independent and female directors encourage financial entities to report CSR matters, showing the effectiveness of these two corporate governance mechanisms. The paper shed light on the influence of board structure of financial entities on CSR disclosure. Therefore, this study contributes to past research by providing an index to measure CSR disclosure of financial entities and the importance of the distinction between outside and inside directors

Commitment of independent and institutional women directors to corporate social responsibility reporting

This paper examines how independent and institutional women directors on boards affect corporate social responsibility (hereafter CSR) reporting. Most of the previous empirical evidence has shown a linear association between female directors and CSR disclosure, but to the best of our knowledge, no research has investigated the individual effect of independent and institutional female directors on CSR reporting. Therefore, the analysis of how the disclosure of CSR information is affected by independent and institutional women directors in a separate way merits our attention. Thus, we posit that there is a nonlinear association, concretely quadratic, between independent and institutional female directors on boards and CSR reporting. Our results demonstrate that, in line with the monitoring hypothesis, as the presence of independent and institutional women directors on boards increases, the CSR disclosure improves, but when their presence on boards reaches a tipping point (20.47% and 13.32%, respectively), CSR reporting decreases, which is consistent with the collusion hypothesis. This research contributes to the existing literature on the relationship between board gender diversity and CSR disclosure by suggesting that board structures formed by institutional and independent female directors have an effect on CSR reporting. Hence, female directors play a relevant role on boards since they may influence the CSR disclosure

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Background: Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. // Methods: We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung's disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. // Findings: We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung's disease) from 264 hospitals (89 in high-income countries, 166 in middle-income countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in low-income countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. // Interpretation: Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between low-income, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Ionic and isotopic ratios for identification of salinity and missing data in the Gaza aquifer

Groundwater is the only source of fresh water in the Gaza Strip. However, it is severely polluted and requires immediate effort to improve its quality and increase its usable quantity. Intensive exploitation of groundwater in the Gaza Strip over the past 40 years has disturbed the natural equilibrium between fresh and saline water, and has resulted in increased salinity in most areas. Salinization in the coastal aquifer may be caused by a single process or a combination of different processes, including seawater intrusion, upconing of brines from the deeper parts of the aquifer, flow of saline water from the adjacent Eocene aquifer, return flow from irrigation water, and leakage of wastewater. Each of these sources is characterized by a distinguishable chemistry and well known isotopic ratios. In this paper Na/Cl, SO4/Cl, Br/Cl, Ca/(HCO3+SO4), and Mg/Ca ionic ratios were used to distinguish different salinization sources. δ11B and 87Sr/86Sr isotopic composition were also included in the model to study their importance in this monitoring task. The task of monitoring and the associated decision making process are characterized by a high degree of uncertainty with respect to input data and accuracy of models. For this reason, probabilistic expert systems, and more specifically, Bayesian belief networks (BBNs) are used to identify salinization origins. The BBN model incorporates the theoretical background of salinity sources, area-specific monitoring data that are characteristically incomplete in their coverage, expert judgment, and common sense reasoning to produce a geographic distribution for the most probable sources of salinization. The model is also designed to show areas where additional data on chemical and isotopic parameters are needed