Climate change continues to pose a threat to the sustainability of water resources while, water need is increasing. In spite of the efforts made by the state authorities to build water infrastructure, a large majority...Climate change continues to pose a threat to the sustainability of water resources while, water need is increasing. In spite of the efforts made by the state authorities to build water infrastructure, a large majority of the population is not having access to drinking water. In this study, Water Evaluation and Planning (WEAP) model was used to model the current situation of water supply and demands, to create scenarios for future water demands and supply. The results show that, in contrast to the livestock sector, which has a zero DNS, huge deficits are observed in reference scenario. These unsatisfied demands (DNS) are dominated by deficits in rice irrigation. The analysis of the evolution of demand according to the growth scenarios has shown that the deficits already observed in the reference scenario will reach 100.45 × 10<sup>6</sup> m<sup>3</sup> in 2040. To mitigate the effects of such deficits, water management optimization measures have been proposed. Strengthening the water supply to urban centers from the creation of dams could considerably reduce the observed deficits. These results are an important decision support tool for sustainable water resource management in the Lobo watershed. However, these strategies to improve access to water depend on the government’s political will on water and economic opportunities.展开更多
Endocarditis is an inflammation of the endocardium and its structures (valves), most often of infectious origin, described by William Osler in 1885. In the 21st century, infective endocarditis remains a reality in our...Endocarditis is an inflammation of the endocardium and its structures (valves), most often of infectious origin, described by William Osler in 1885. In the 21st century, infective endocarditis remains a reality in our countries. We report a complicated case of infective endocarditis (IE). This is a 53-year-old woman, obese and passive smoker who died on the 5th day of her hospitalization following an infective endocarditis (IE) with bacterial strains resistant to the usual antibiotics: daughter of acute lithiasic cholecystitis, mother of major mitral valve perforation, brain abscess, ischemic stroke and atrial fibrillation. All were responsible for septic shock and fatal coma. Surgical management of the infective endocarditis in the first hours of her admission could have improved her prognosis. To conclude, in addition to its interests and its clinical particularities, our present observation has highlighted major public health problems specific to our sub-Saharan African countries, namely: The problem of the double health burden, the problem of delays in seeking care, the problem of resistance to antibiotics and the problem of the insufficiency of reference health technical platforms.展开更多
文摘Climate change continues to pose a threat to the sustainability of water resources while, water need is increasing. In spite of the efforts made by the state authorities to build water infrastructure, a large majority of the population is not having access to drinking water. In this study, Water Evaluation and Planning (WEAP) model was used to model the current situation of water supply and demands, to create scenarios for future water demands and supply. The results show that, in contrast to the livestock sector, which has a zero DNS, huge deficits are observed in reference scenario. These unsatisfied demands (DNS) are dominated by deficits in rice irrigation. The analysis of the evolution of demand according to the growth scenarios has shown that the deficits already observed in the reference scenario will reach 100.45 × 10<sup>6</sup> m<sup>3</sup> in 2040. To mitigate the effects of such deficits, water management optimization measures have been proposed. Strengthening the water supply to urban centers from the creation of dams could considerably reduce the observed deficits. These results are an important decision support tool for sustainable water resource management in the Lobo watershed. However, these strategies to improve access to water depend on the government’s political will on water and economic opportunities.
文摘Endocarditis is an inflammation of the endocardium and its structures (valves), most often of infectious origin, described by William Osler in 1885. In the 21st century, infective endocarditis remains a reality in our countries. We report a complicated case of infective endocarditis (IE). This is a 53-year-old woman, obese and passive smoker who died on the 5th day of her hospitalization following an infective endocarditis (IE) with bacterial strains resistant to the usual antibiotics: daughter of acute lithiasic cholecystitis, mother of major mitral valve perforation, brain abscess, ischemic stroke and atrial fibrillation. All were responsible for septic shock and fatal coma. Surgical management of the infective endocarditis in the first hours of her admission could have improved her prognosis. To conclude, in addition to its interests and its clinical particularities, our present observation has highlighted major public health problems specific to our sub-Saharan African countries, namely: The problem of the double health burden, the problem of delays in seeking care, the problem of resistance to antibiotics and the problem of the insufficiency of reference health technical platforms.
