Background Pregnancy-Related Acute kidney injury (PR-AKI) is a global health problem with substantial maternal and fetal morbidity and mortality. However, little is known about the current situation in the developing world including African countries. Africa is the poorest continent per capita, and women from Sub-Saharan Africa alone account for 66% of the estimated global maternal deaths from preventable obstetric causes. Methods Objective To review the literature on the clinical profile, maternal and renal outcomes of women with PR-AKI in the African continent. Search strategy Medline, ISI Web of Science, Scopus, and Cochrane library were searched in February 2022, using the MeSH terms and text key words: “pregnancy”, “pregnant”, “acute kidney injury”, “acute renal insufficiency”, “acute renal injury”, “acute renal failure”, and “Africa”. Selection criteria and data collection Studies from African countries which reported maternal and renal outcomes in women with PR-AKI during pregnancy or postpartum were included. Editorials, short communications, and case reports were excluded. The study quality was assessed using the NHLBI tool. Data extraction was done using predefined data fields. Results A total of 167 studies were evaluated, of which 14 studies from seven African countries met the inclusion criteria. Preeclampsia, obstetric hemorrhage, and sepsis represented the main causes of PR-AKI. Maternal mortality ranged between 0 and 34.4%. Although the majority of women needed ICU admission and hemodialysis, renal recovery occurred in 53.1–90% of patients. Perinatal mortality has been reported to be 1.5–60.5% in the included studies. Authors’ conclusions PR-AKI in Africa represents the second leading cause of AKI. Limited access to obstetric care, late referral, and late diagnosis of women with risks for PR-AKI hinder the curtailment of the problem. Provision of health care facilities with adequately trained personnel and implementation of preventive strategies will be of great value in decreasing the magnitude of the problem.
Nabq protectorate is one of wonderful natural places in Egypt. It is characterized by diversity of bio-lives such as mangrove forests, coral colonies, wild life plants and migratory birds. Ongoing growth of tourism industries at Sharm El Sheikh northward into the Nabq protectorate causes severe hazards on its natural resources. The aim of the present study is to assess the present geo-environmental hazards in the Nabq protectorate. Assessment includes the analysis of satellite images, topographical, geological and other ancillary geological data using GIS technology. GIS data analyses indicate that the area is under threat from some of geo-hazards. Rough topography and mass wasting with high probability of flash flooding threaten different constructions in this area. The mobilization of coastal sand dunes, wave action and tidal currents are natural impacts on Nabq ecosystems, where moved dunes leave clay soils that are removed in some places by tropical storms increasing sea water turbidity that threaten the corals and other living organisms in the tidal flat region. The seismic activity hazard in the study area is usually active on lineaments extending parallel to the trend of the Gulf of Aqaba-Dead Sea transform fault where the Nabq protectorate occupies its southern segment. Unwise planning activities destroy the natural environmental resources in Nabq area by construction of new resorts on mangrove forests, coral colonies and raised beaches. Hazard assessment identifies land suitability and land use maps that are clearly exhibit models of traditional dams and buffer strips on coastal zone and highways as well as around the Bedouin communities which are worked on tourism and fishing. These maps are urgent in need of an assessment and rehabilitation program to mitigate geo-hazard.
After publication online the author found that the reference citations in the text and reference list were incorrect.The original article has been corrected.
This study was conducted to evaluate factors regulating groundwater quality in an area with agriculture as main use. Thirty three groundwater samples have been collected from the area between El-Sadat and El-Khatatba city. The study area covers an area of approximately 634 km2. Rapid development in recent years has led to an increased demand for water, which is increasingly being fulfilled by groundwater abstraction. A detailed knowledge of the water quality can enhance understanding of the hydrochemical system, to achieve this; a hydrochemical investigation was carried out in the study area. Groundwater samples were chemically analyzed for major physicochemical parameters in order to understand the different geochemical processes affecting the groundwater quality. The analytical results show higher concentration of total dissolved solids (21%), chloride (24%), and total hardness (30%), calcium (9%) and sodium (36.4%) which indicates signs of deterioration as compared with limits of WHO ( 2011) standards. On the other hand, 3% groundwater sample is unsuitable for irrigation purposes according to Soluble Sodium Percent (SSP) and Kelley's Ratio (KR) represent 60% of samples are suitable based on irrigation quality parameters. The study revealed that application of fertilizer for agricultural contributing the higher concentration of ions in aquifer of Miocene.
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