This study estimated pollutant load from Kahuwa micro-catchment into Lake Kivu. The micro-catchment was sampled monthly for a year at six locations to capture the contribution of agricultural land, industries and comm...This study estimated pollutant load from Kahuwa micro-catchment into Lake Kivu. The micro-catchment was sampled monthly for a year at six locations to capture the contribution of agricultural land, industries and commercial blocks. Both wet and dry depositions in terms of TN （total nitrogen） and TP （total phosphorus） were estimated monthly. The level of pollution was estimated using LISEC index and IPO （organic pollution indices）. Results show that Kahuwa River micro-catchment is polluted mainly by waste dumping sites and industries within the micro-catchment. The general load to the outlet was respectively about 0.35 tons per year （t/yr） for BODs, 1.9 t/yr for COD, 32.73 t/yr for TP and 224.37 t/yr for TN. Atmospheric deposition of nutrient contributed for about 4% and 18% of TP, 3% and 0.01% of TN during dry and wet deposition, respectively.展开更多
Monitoring of environmental parameters is one of the highest priorities in the evaluation of environmental status of water resources and in environmental protection policy. The main objectives are to understand and ev...Monitoring of environmental parameters is one of the highest priorities in the evaluation of environmental status of water resources and in environmental protection policy. The main objectives are to understand and evaluate the water quantity and quality in order to provide water of appropriate quality to various water users. The water quantity was assessed by the measurement of runoff or discharge at specific river cross sections using floating method for surface water and bucket and stopwatch method for springs and boreholes. The quality of river water and spring was identified in terms of its physical, chemical, and biological parameters. The analyzed data were compared with standard values recommended by WHO. Macroinvertebrates were collected in the rivers using a plankton nets and 10 minutes of sampling. Identification was made at the laboratory of Malacology. Results revealed that the quality of water obtained from sampling points is generally good to use for different domestic purposes except the Idanta River and Rwembwe borehole, which need an appropriate treatment before use. All sampling points are located far from houses and latrines, which can contribute to fecal contamination. On the different sampling points, bathing and washing clothes were observed and could constitute the source of pollution of drinking water. In Idanta and Kamira Rivers animals used water for drinking while also people use this water for domestic and drinking. In the two sampling points high values of Escherichia coli were found. No pollutant-taxa tolerant were found in the two monitored rivers for macroinvertebrates. Since water quality and quantity remain a major challenge in rural areas, the government should provide safe water to the population around Mikeno sector after treatment using suitable techniques.展开更多
Premature Rupture of Membranes (PROM) with the resulting prematurity remains a major public health issue in the Democratic Republic of Congo (DRC). This study aimed to assess expectant management of PPROM before 34 we...Premature Rupture of Membranes (PROM) with the resulting prematurity remains a major public health issue in the Democratic Republic of Congo (DRC). This study aimed to assess expectant management of PPROM before 34 weeks at the university hospital of Kinshasa. We conducted a retrospective analysis of expectantly managed PROM before 34 weeks between January 2008 and December 2018. Maternal and fetal outcomes were collected, and all data were analyzed using the SPSS 23.0 software. Of the 113 patients included in the study, 2.6% were diagnosed with PROM before 34 weeks. We observed prolongation of the pregnancy duration;the median latency period was eight days, and the average gestational age at delivery of 32.85 ± 2.5 weeks. Chorioamnionitis (23%), severe oligoamnios (7%), and acute fetal distress (4%) were complications observed during the latency period. In the postpartum period, endometritis (6.2%), neonatal jaundice (39.8%), anemia (25.7%), ulcerative necrotizing enterocolitis (6.2%), cerebromeningeal hemorrhage (5.3%), and acute respiratory distress syndrome (4.4%) were complications observed. The risk of infection during the latency period was significantly associated with irregular (P = 0.045) or lack (P = 0.006) antenatal care (ANC) attendances and C-Reactive Protein (CRP) results 6 (P = 0.013). The risk of neonatal death was significantly associated to infection during the latency period (P = 0.011), irregular (P = 0.009) or lack of ANC (P = 0.000) attendances, Birth weight g (P = 0.039) as well as Gestational age at birth between 28 to 30 Weeks (S) (P = 0.021). These findings report first-time pregnancy outcomes related to the management of PPROM before 34 weeks in our setting. We found that the conservative attitude adopted allowed the prolongation of pregnancies, reducing the risks associated with prematurity. Nevertheless, attendance in good quality ANC could reduce the frequency of PROM and related adverse outcomes.展开更多
文摘This study estimated pollutant load from Kahuwa micro-catchment into Lake Kivu. The micro-catchment was sampled monthly for a year at six locations to capture the contribution of agricultural land, industries and commercial blocks. Both wet and dry depositions in terms of TN （total nitrogen） and TP （total phosphorus） were estimated monthly. The level of pollution was estimated using LISEC index and IPO （organic pollution indices）. Results show that Kahuwa River micro-catchment is polluted mainly by waste dumping sites and industries within the micro-catchment. The general load to the outlet was respectively about 0.35 tons per year （t/yr） for BODs, 1.9 t/yr for COD, 32.73 t/yr for TP and 224.37 t/yr for TN. Atmospheric deposition of nutrient contributed for about 4% and 18% of TP, 3% and 0.01% of TN during dry and wet deposition, respectively.
文摘Monitoring of environmental parameters is one of the highest priorities in the evaluation of environmental status of water resources and in environmental protection policy. The main objectives are to understand and evaluate the water quantity and quality in order to provide water of appropriate quality to various water users. The water quantity was assessed by the measurement of runoff or discharge at specific river cross sections using floating method for surface water and bucket and stopwatch method for springs and boreholes. The quality of river water and spring was identified in terms of its physical, chemical, and biological parameters. The analyzed data were compared with standard values recommended by WHO. Macroinvertebrates were collected in the rivers using a plankton nets and 10 minutes of sampling. Identification was made at the laboratory of Malacology. Results revealed that the quality of water obtained from sampling points is generally good to use for different domestic purposes except the Idanta River and Rwembwe borehole, which need an appropriate treatment before use. All sampling points are located far from houses and latrines, which can contribute to fecal contamination. On the different sampling points, bathing and washing clothes were observed and could constitute the source of pollution of drinking water. In Idanta and Kamira Rivers animals used water for drinking while also people use this water for domestic and drinking. In the two sampling points high values of Escherichia coli were found. No pollutant-taxa tolerant were found in the two monitored rivers for macroinvertebrates. Since water quality and quantity remain a major challenge in rural areas, the government should provide safe water to the population around Mikeno sector after treatment using suitable techniques.
文摘Premature Rupture of Membranes (PROM) with the resulting prematurity remains a major public health issue in the Democratic Republic of Congo (DRC). This study aimed to assess expectant management of PPROM before 34 weeks at the university hospital of Kinshasa. We conducted a retrospective analysis of expectantly managed PROM before 34 weeks between January 2008 and December 2018. Maternal and fetal outcomes were collected, and all data were analyzed using the SPSS 23.0 software. Of the 113 patients included in the study, 2.6% were diagnosed with PROM before 34 weeks. We observed prolongation of the pregnancy duration;the median latency period was eight days, and the average gestational age at delivery of 32.85 ± 2.5 weeks. Chorioamnionitis (23%), severe oligoamnios (7%), and acute fetal distress (4%) were complications observed during the latency period. In the postpartum period, endometritis (6.2%), neonatal jaundice (39.8%), anemia (25.7%), ulcerative necrotizing enterocolitis (6.2%), cerebromeningeal hemorrhage (5.3%), and acute respiratory distress syndrome (4.4%) were complications observed. The risk of infection during the latency period was significantly associated with irregular (P = 0.045) or lack (P = 0.006) antenatal care (ANC) attendances and C-Reactive Protein (CRP) results 6 (P = 0.013). The risk of neonatal death was significantly associated to infection during the latency period (P = 0.011), irregular (P = 0.009) or lack of ANC (P = 0.000) attendances, Birth weight g (P = 0.039) as well as Gestational age at birth between 28 to 30 Weeks (S) (P = 0.021). These findings report first-time pregnancy outcomes related to the management of PPROM before 34 weeks in our setting. We found that the conservative attitude adopted allowed the prolongation of pregnancies, reducing the risks associated with prematurity. Nevertheless, attendance in good quality ANC could reduce the frequency of PROM and related adverse outcomes.
