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
A systematic study has been carried out to assess the water quality in and around Lake Edward basin in D.R. Congo Side. Fifty four water samples were collected and analyzed for physicochemical parameters, including: t...A systematic study has been carried out to assess the water quality in and around Lake Edward basin in D.R. Congo Side. Fifty four water samples were collected and analyzed for physicochemical parameters, including: temperature, discharge, pH, electrical conductivity, transparency, dissolved oxygen, COD, BOD, Carbonate, Bicarbonate, alkalinity, total hardness, turbidity, calcium hardness, calcium, magnesium hardness, magnesium, total nitrogen, ammonium, nitrate, total phosphorus, soluble reactive phosphorus, chloride, sulphate and total suspended solids. For bacteriological parameters: fecal bacteria, enterococcus bacteria, vibrio and salmonella shigella bacteria were considered. For macroinvertebrates assemblages all taxa using standards methods for each parameter. A comparison of data from dry (June to August) and wet (September to May) season was done in and around Lake Eduard watershed. The analytical data of various physicochemical parameters indicates that water characteristics in the watershed were in the limit of WHO standards for drinking water and aquatic life. Bacteriological water quality of some ecosystems in the watershed revealed the infestation of water with bacteria which make the water unusable for drinking by the surrounding population near and within Lake Eduard watershed. Longtime period sampling in the watershed is needed to understand the variation and composition of water quality and aquatic macroinvertebrate environment of the watershed.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
Maintaining water quality in large reservoirs is crucial to ensure continued delivery of high-quality water to consumers for municipal and agricultural needs. Lake Mead, a large reservoir in the desert southwest, USA,...Maintaining water quality in large reservoirs is crucial to ensure continued delivery of high-quality water to consumers for municipal and agricultural needs. Lake Mead, a large reservoir in the desert southwest, USA, is projected to be affected by both loss of volume and rising air temperatures through the end of the 21<sup>st</sup> century. In this study, reductions in lake volume, coupled with downscaled climate projections for rising air temperatures through the end of the 21<sup>st</sup> century, are incorporated into the 3D hydrodynamic and water quality model for Lake Mead. If current management practices continue in the future, simulations indicate water temperatures will increase in all scenarios and could increase by as much 2℃under the most pessimistic scenarios, but nutrient loads would not increase to concerning levels. Releases from the dam to downstream users are projected to be much warmer, and warmer water temperatures and significant dissolved oxygen in the water column are expected to cause challenges for ecosystem and recreation in the future. Surprisingly, during the Winter and Autumn, retention of heat in Lake Mead is more pronounced at higher surface elevations than the lower elevations as expected. The effects of these projections on the lake water quality and consequently, lake management decisions, are discussed.展开更多
How to manage the experience in IT R＆D department is vital for the IT company. The primary purpose of this paper is to probe into the natural character of the experience in IT R＆D department, and put forward the str...How to manage the experience in IT R＆D department is vital for the IT company. The primary purpose of this paper is to probe into the natural character of the experience in IT R＆D department, and put forward the strategy of how to manage it. The research on the strategies is applied in a mobile phone game software company to further validate its efficiency. The results indicate using the strategies of ＂a learning history＂ and ＂dynamic knowledge map＂ can improve the performance level and more attentions should focus on the relationship between people and how to communicate.展开更多
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.
文摘A systematic study has been carried out to assess the water quality in and around Lake Edward basin in D.R. Congo Side. Fifty four water samples were collected and analyzed for physicochemical parameters, including: temperature, discharge, pH, electrical conductivity, transparency, dissolved oxygen, COD, BOD, Carbonate, Bicarbonate, alkalinity, total hardness, turbidity, calcium hardness, calcium, magnesium hardness, magnesium, total nitrogen, ammonium, nitrate, total phosphorus, soluble reactive phosphorus, chloride, sulphate and total suspended solids. For bacteriological parameters: fecal bacteria, enterococcus bacteria, vibrio and salmonella shigella bacteria were considered. For macroinvertebrates assemblages all taxa using standards methods for each parameter. A comparison of data from dry (June to August) and wet (September to May) season was done in and around Lake Eduard watershed. The analytical data of various physicochemical parameters indicates that water characteristics in the watershed were in the limit of WHO standards for drinking water and aquatic life. Bacteriological water quality of some ecosystems in the watershed revealed the infestation of water with bacteria which make the water unusable for drinking by the surrounding population near and within Lake Eduard watershed. Longtime period sampling in the watershed is needed to understand the variation and composition of water quality and aquatic macroinvertebrate environment of the watershed.
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Maintaining water quality in large reservoirs is crucial to ensure continued delivery of high-quality water to consumers for municipal and agricultural needs. Lake Mead, a large reservoir in the desert southwest, USA, is projected to be affected by both loss of volume and rising air temperatures through the end of the 21<sup>st</sup> century. In this study, reductions in lake volume, coupled with downscaled climate projections for rising air temperatures through the end of the 21<sup>st</sup> century, are incorporated into the 3D hydrodynamic and water quality model for Lake Mead. If current management practices continue in the future, simulations indicate water temperatures will increase in all scenarios and could increase by as much 2℃under the most pessimistic scenarios, but nutrient loads would not increase to concerning levels. Releases from the dam to downstream users are projected to be much warmer, and warmer water temperatures and significant dissolved oxygen in the water column are expected to cause challenges for ecosystem and recreation in the future. Surprisingly, during the Winter and Autumn, retention of heat in Lake Mead is more pronounced at higher surface elevations than the lower elevations as expected. The effects of these projections on the lake water quality and consequently, lake management decisions, are discussed.
文摘How to manage the experience in IT R＆D department is vital for the IT company. The primary purpose of this paper is to probe into the natural character of the experience in IT R＆D department, and put forward the strategy of how to manage it. The research on the strategies is applied in a mobile phone game software company to further validate its efficiency. The results indicate using the strategies of ＂a learning history＂ and ＂dynamic knowledge map＂ can improve the performance level and more attentions should focus on the relationship between people and how to communicate.
