Analysis of hydrochemical characteristics and assessment of organic pollutants (PAH and PCB) in El Fahs plain aquifer, northeast of Tunisia

The availability of good quality groundwater constitutes a major concern in many developing countries. The El Fahs shallow aquifer, northeastern Tunisia, is an important source of water supply for various economic sectors in the agricultural region. The intensive exploitation of this groundwater has led to its quality degradation. In fact, assessment of water quality degradation is very useful in planning the conservation and management practices of water resources in this watershed. This research aims to evaluate the groundwater quality and its suitability for irrigation uses, identify the main processes to assess their chemical composition, and investigate the potential sources of persistent organic pollutants (POPs). The hydrogeochemical investigation is thus conducted by collecting groundwater samples and analyzing their physicochemical characteristics. Polycyclic aromatic hydrocarbons (16 PAHs) and polychlorinated biphenyls (7 PCBs) were determined in groundwaters from nine stations. The sampling took place in July 2020. The relative abundance of ions was Na > Mg > Ca > K for cations and Cl > SO4 > HCO3 for anions. The groundwater exhibits two predominant hydrochemical facies: Ca-Mg-Cl/SO4 and Na-Cl. The relevant recorded pollutant is nitrate, which was generally far above values of pollution thresholds indicating the influence by the intensive agricultural activity. The suitability for irrigation purposes was assessed using several parameters (EC, SAR, %Na, TH, PI, Mh, and Kr). As a matter of fact, the results mentioned that the majority of the samples are unsuitable for irrigation uses. An analysis of the organic pollutants indicates that the total PAH and PCB concentrations are above the permissible values. Therefore, a considerable predominance of naphthalene and PCB28 was observed in order to discriminate between pyrolitic and petrogenic PAH sources; low-molecular-weight (LPAH)/high-molecular-weight (HPAH) ratio was calculated. Results showed that PAHs were mainly of petrogenic origin. The results revealed also that the chemical composition of groundwater is influenced by evaporation process, ion exchange, and water-rock interaction during the flow. A high risk of organic contamination has been highlighted linked to anthropogenic activities which have exerted increasing pressure on groundwater quality. The presence of organic pollutants in groundwater is becoming a serious threat to the environment and human health.

GIS-based multi-criteria decision-making techniques and analytical hierarchical process for delineation of groundwater potential

The profound knowledge and management of groundwater resources is a prerequisite in order to ensure the sustainability of these resources. In this research, multi-criteria decision-making (MCDM) and analytical hierarchical process (AHP) method based on GIS were used to determine the groundwater potential recharge model of the Mornag plain (coastal area in North Tunisia). Influential eight factors were used in the groundwater recharge modeling: lithology, land use/land cover, hydrogeomorphology, elevation, rainfall, drainage density, lineament density, and soil. The influence of each factor was examined by the weighted linear combination method. The results reveal a very high to high groundwater recharge potential in the order of 20% of the total area. The validation of results by the histogram method showed that 41% of the total area corresponds to the moderate to very high recharge potential classes. The groundwater recharge potential model (GIS-MCDM-AHP) is useful in better management and planning of groundwater resources and implementation of wells and hydraulic structures in arid and semi-arid areas.

Psychological impact of the covid-19 pandemic on the operating room paramedical staff

Introduction

the recent covid19 pandemic is not devoid of psychological risks on paramedical staff. Among them, those who work in the operating theaters are exposed to such risks.

Objectives

to determine the perceived stress level and the psychological impact of COVID-19 on paramedics in the operating room.

Methods

This is an observational, descriptive and analytical study carried out in the operating rooms of Sahloul University Hospital during a 3 month period. The data collection tool was a self-administered questionnaire composed of 5 main parts (socio-demographic characteristics, occupational characteristics, exposure to COVID-19, the Perceived Stress Scale (PSS) and the Hospital Anxiety and depression scale (HADS)).

Results

96 paramedical staff participated in our study. The average perceived stress score was significantly higher among anesthetists. 48% of participants had anxiety. Anesthetists had significantly higher anxiety scores (p = 0.001). 26.1% of participants had definite depression. Of those with definite depression, 35.3% were anesthetists (p = 0.028). Factors significantly associated with the occurrence of anxiety were: psychiatric history, increased workload, contact with a positive coronavirus patient in the operating room, and severe perceived stress. However, the factors significantly associated with the occurrence of depression were: initial training in the management of covid-19 patients, personal infection with SARS-COV2 and severe perceived stress.

Conclusions

Covid-19 pandemic is causing significant symptoms of anxiety and depression among operation room staff. Primary and secondary prevention strategies must then be undertaken.

Disclosure

No significant relationships.

Incidence and risk factors of cognitive disorders after urologic endoscopic surgery

Introduction

Postoperative cognitive disorders are an emerging public health problem because of its related socio-economic impact.: Postoperative cognitive disorders are an emerging public health problem because of its related socio-economic impact.

Objectives

To determine the incidence and risk factors of cognitive disorders after endoscopic resection in urology.

Methods

This is an observational, descriptive and analytical study carried out in the urology department of Sahloul University Hospital during a 3 month period, and enrolling patients scheduled for endoscopic resections. Collected data included socio-demographic characteristics and parameters related to the operative management. Cognitive disorders were assessed by the MOCA Test one day before the intervention, then, during the first postoperative day. Patients developing TURP syndrome were excluded.

Results

During the study period, 104 patients were enrolled with a mean age of 67.76 years. The sex ratio was 33.6. Main interventions were transurethral resection of bladder tumor and transurethral resection of the prostate.The incidence of cognitive disorders was 45.2% after endoscopic resection. Main Risk factors in multivariate analysis were age (p <10-3), low educational level (p <0.001), sedentary (p <0.001), smoking (p = 0.029), an age gap with spouse> 10 years (p <0.001), high blood pressure (p <0.001), myocardial infarction (p = 0.005); chronic bronchitis (p = 0.002), sleep disorders (p <0.001), preoperative concentration disturbances (p = 0.005), poor quality of patient information (p <0.05), and the type of anesthesia (p = 0.012).

Conclusions

The incidence of cognitive disorders after urologic endoscopic surgery is considerable. Patients with risk factors require preventive measures, regular screening and optimal management.

Disclosure

No significant relationships.

[The role of B type natriuretic peptide in the assessment of post myocardial infarction prognosis]

Recently cardiac peptides have received close attention as cardiovascular markers. Brain (B type) natriuretic peptide is a neurohormone synthesized predominantly in ventricular myocardium. Previous studies have shown that this hormone can provide prognostic information in patients with myocardial infarction. The aim of this review is to evaluate the impact of plasma levels of BNP on prediction of left ventricular ejection fraction and remodelling and major cardiac events after myocardial infarction.