Effectiveness of 8-week TReatment with vortioxetine on depressive symptoms in major depressive disorder patients with comorbid generalized anxiety disorder in UAE (TRUE).

BACKGROUND: Major Depressive Disorder (MDD) is a leading cause of disability and results in excessive utilization of healthcare resources worldwide. The Middle East and North Africa (MENA) region shows a high prevalence of depressive disorders. Generalized Anxiety Disorder (GAD) and MDD have the highest rate of comorbidity of all mood and anxiety disorders, ranging from 40 to 98% in drug studies. Comorbid GAD results in more significant impairment in MDD and increases the severity of symptoms. Although several clinical trials supported the safety and effectiveness of vortioxetine, no data regarding these aspects has been revealed in the MENA region. This study aimed to assess the safety and efficacy of vortioxetine in patients with comorbid GAD in the United Arab Emirates (UAE). METHOD: In a multicenter observational study, 118 patients with confirmed anxiety and depressive disorders were evaluated over four visits (baseline visit, two weeks, four weeks, and eight weeks) using MADRS and HAM-A scales to assess depression and anxiety severity, respectively by calculating mean change and the percent using Kendall's W test. RESULTS: A significant mean difference in MADRS score was observed, with a gradual decrease of mean MADRS total scores over the assessment weeks (p < 0.001) as well as in HAM-A scores, from severe to moderate-severe anxiety through the four visits (p < 0.001). Furthermore, only one case was reported as a serious side effect. Nausea and insomnia were the most predominant side effects reported among the studied population. CONCLUSION: Vortioxetine was found effective and safe among patients with MDD and comorbid GAD.

Egyptian aquaponic celery (Apium graveolens): Phenolic and volatile profiles analysed using HPLC-MS/ms and gc-ms/ms.

Recently, water scarcity has been a substantial problem facing agriculture in Egypt, with a great impact on food security and hence makes it a challenge to satisfy food demand. An aquaponic system with minimum water needs is considered a substitute technique to meet the demand of food shortages. Celery (Apium graveolens) is a widely cultivated herb belonging to the family Apiaceae and widely consumed as a popular ingredient in a wide range of dishes and food recipes. A total of 13 phenolic metabolites were detected and quantified using HPLC-ESI-MS/MS. Chlorogenic acid was detected as the most abundant phenolic compound accounting for 3471.58 mg kg-1. Moreover, 65 volatile compounds belonging to 12 different classes were detected using GS-MS with an abundance of aromatic hydrocarbons at ca.68.15%. and the main constituents were 6-phenyltridecane, 6-phenyldodecane, and 5-phenylundecane at ca.6.78%, 6.62%, and 6.13% respectively. It is the first time to report metabolic profile in celery grown in an aquaponic system.

A scoping review to map the implications of reusing single-use endotracheal suctioning catheter practices in mechanically ventilated patients.

INTRODUCTION: Currently there is limited evidence of the frequency of using endotracheal suctioning catheters. Due to limited resources, many low- and middle-income countries still reuse single-use suction catheters multiple times during the length of a nursing shift. This scoping review was conducted to map the impact of reusing single-use endotracheal suctioning catheters practices on mechanically ventilated patients' outcomes. METHODS: The scoping review was conducted in accordance with the JBI methodology for scoping reviews. Four databases systematically searched using predefined keywords (CINAHL, EMBASE, MEDLINE, GLOBAL HEALTH). Key electronic journals were hand searched, while reference lists of included documents and grey literature sources were screened thoroughly. Two independent reviewers completed the study selection and data extraction. A third reviewer made the final decision on any disagreements disputed records. RESULTS: In total 22 articles were identified, and 14 non-duplicate records were screened, and 8 articles were screened for full text. Six articles met the inclusion criteria and were included in this review. Differences were observed on the findings of included studies, two studies identified that reusing single-use suction catheter might increases the risk of respiratory infection, while two other studies identified no difference in contamination rate between single used or multiple-used catheters. One study indicated that reusing single-use catheters are a safe and cost-effective intervention and finally one study reported that reusing single-use catheters might reduce incidence of ventilator associated pneumonia if flushed with chlorhexidine after suctioning. CONCLUSIONS: There is no strong evidence of the frequency of using endotracheal suction catheters. Further research is needed comparing single-used versus multiple-used endotracheal suction catheters in mechanically ventilated patients. IMPLICATION FOR CLINICAL PRACTICE: Nurses in resource-limited countries can follow their hospital policy regarding the changing frequency of endotracheal suction catheters due to lack of a robust evidence. Flushing suction circuits with chlorhexidine while reusing single-use catheters might reduce the risk of respiratory infections in these hospitals.

Spatial prediction of armed conflicts from the perspective of political geography using bivariate frequency ratio method (FR) in East African States.

Armed conflicts, as significant human phenomena, profoundly impact populations and reflect a state's capacity to fulfill its responsibilities. These conflicts arise from various causes, necessitating robust predictive models to understand their spatial distribution. This study employs the Bivariate Frequency Ratio (FR) method to spatially predict the occurrence of armed conflicts across the East African States, drawing on 42 political geography-related criteria. The development of the predictive model involved classifying the region into five conflict-prone categories influenced by critical political geography factors. Geospatial datasets, curated in a GIS environment, were sourced from approved online portals. The findings indicate that Burundi exhibits the highest vulnerability to armed conflict, followed closely by Rwanda, Uganda, and Somalia. Ethiopia and South Sudan show a moderate risk, while predictions for Zimbabwe, Zambia, and Mozambique suggest lower likelihoods of conflict. The model's accuracy was validated using the Receiver Operating Characteristic (ROC) curve, demonstrating its effectiveness. Furthermore, the model's applicability extends to other regions, offering a valuable tool for global conflict prediction.

RETRACTED: Goud et al. Numerical Case Study of Chemical Reaction Impact on MHD Micropolar Fluid Flow Past over a Vertical Riga Plate. Materials 2022, 15, 4060.

The Materials Editorial Office retracts the article "Numerical Case Study of Chemical Reaction Impact on MHD Micropolar Fluid Flow Past over a Vertical Riga Plate" [...].

Blastocystis species growth inhibition in vitro by plant extracts.

BACKGROUND: The protist Blastocystis species (sp.) inhabits the gastrointestinal tracts of humans and animals. In recent decades, alternative natural products derived from plants have demonstrated potential as effective treatments for Blastocystis infection. The anti-Blastocystis activity of three herbal ethanolic extracts- Odontites linkii subsp. cyprius, Ptilostemon chamaepeuce subsp. cyprius and Quercus alnifolia-were investigated in this study. METHODS: Three distinct isolates of Blastocystis sp. maintained in vitro were molecularly subtyped. Cytotoxicity analysis was performed on individual Blastocystis sp. isolates using 250, 500, 1000, and 2000 µg/mL herbal ethanolic extracts for 24 and 48 hours. Quantitative, morphological, and size alterations of Blastocystis cells assessed the cytotoxicity of herbal anti-Blastocystis effect. RESULTS: Following subtyping analysis, one strain of Blastocystis had ST3 and ST1 mixed subtypes, and two strains had ST1 subtypes. Starting after 24 h of incubation, P. cham. subsp. cyprius (1000 µg/mL) exhibited the most pronounced and consistent anti-Blastocystis cytotoxicity against all three strains, comparable to metronidazole. The Ptilostemon chamaepeuce subsp. cyprius anti-Blastocystis cytotoxicity was evident in parasite quantitative distress, morphological alterations, and significant reductions in cell size. Odontites linkii subsp. cyprius cytotoxicity varied among the three Blastocystis strains. The three Blastocystis strains were resistant to Quercus alnifolia. CONCLUSION: P. cham. subsp. cyprius was a potent and promising new herbal extract against Blastocystis sp. in vitro assays.

Dental students, interns, and junior dentists' awareness and attitude toward the inferior alveolar nerve block technique and related failure.

Background/purpose: Exploration of early practicing dental professionals' awareness and attitude toward inferior alveolar nerve block IANB will directly inform efforts to improve clinical practices and ensure patient safety. The aim was to highlight the students, interns, and junior dentists' awareness and attitude toward the IANB, failure, and related complications in the Kingdom of Saudi Arabia (KSA). Materials and methods: An open web-based survey prepared according to the Checklist for reporting results of Internet e-surveys CHERRIES recommendations was designed and carried out across different regions of the KSA. The questionnaire was composed of four main sections including the participant's details, and qualifications; inferior alveolar nerve block delivery; participants' education, and training-related questions; and attitudes toward proposed solutions to overcome the related failure and complications. Results: 262 participants completed the questionnaire (94 dental students, 79 interns, and 89 junior dentists). There was a significant difference in the following findings: males performed IANBs more frequently than females (P < 0.05); females, students, and private practice/University type showed less attendance to workshops and seminars on IANB with more need for training (P < 0.05); females were more in agreement with ''continuous education courses'' and ''workshops done by specialists'' to propose solutions to overcome IANB failure (P < 0.05). The multivariate logistic regression analysis showed that qualification and attendance of a training course were strong predictors of participants' readiness to manage IANB complications (P < 0.05). Conclusion: The findings emphasize how crucial it is for early dental practitioners to participate in continuing professional development programs to enhance their capacity to administer IANB and handle complications.

Comprehensive evaluation and prediction of groundwater quality and risk indices using quantitative approaches, multivariate analysis, and machine learning models: An exploratory study.

Assessing and predicting quality of groundwater is crucial in managing groundwater availability effectively. In the current study, groundwater quality was thoroughly appraised using various indexing methods, including the drinking water quality index (DWQI), pollution index of heavy metals (HPI), pollution index (PI), metal index (MI), degree of contamination (Cd), and risk indicators, like hazard quotient (HQ) and total hazard indicator (HI). The assessments were augmented through multivariate analytical techniques, models based on recurrent neural networks (RNNs), and integration of geographic information system (GIS) technology. The analysis measured physicochemical parameters across 48 groundwater wells from El-Menoufia region, revealing distinct water types influenced by ion exchange, rock-water interactions, and silicate weathering. Notably, the groundwater showed elevated levels of certain metals, particularly manganese (Mn) and lead (Pb), exceeding the drinking water limits. The DWQI deemed the bulk of the tested samples suitable for consumption, assigning them to the "good" category, whereas a small number were considered inferior quality. The HPI, MI, and Cd indices indicated significant pollution in the central study region. The PI revealed that Pb, Mn, and Fe were significant contributors to water pollution, falling between classes IV (strongly affected) and V (seriously affected). HQ and HI analyses identified the central area of the study as particularly prone to metal contamination, signifying a high risk to children via oral and dermal routes and to adults through oral exposure alone (non-carcinogenic risk). The adults had no health risks due to dermal contact. Finally, the RNN simulation model effectively predicted the health and water quality indices in training and testing series. For instance, the RNN model excelled in predicting the DWQI, with three key parameters being crucial. The model demonstrated an excellent fit on the training set, achieving an R2 of 1.00 with a very low root mean of squared error (RMSE) of 0.01. However, on the testing set, the model's performance slightly decreased, showing an R2 of 0.96 and an RMSE of 2.73. Regarding HPI, the RNN model performed exceptionally well as the primary predictor, with R2 values of 1.00 (RMSE = 0.01) and 0.93 (RMSE = 27.35) for the training and testing sets, respectively. This study provides a unique perspective for improving the integration of various techniques to gain a more comprehensive understanding of groundwater quality and its associated health risks, with a strong focus on feature selection strategies to enhance model accuracy and interpretability.

Impact of Partial Replacement of Clover by Anise, Basil, Mint and Fennel Remnants in Rabbits Diet on Blood Constituents.

<b>Background and Objective:</b> The clover plant (alfalfa) is considered the primary fiber source in the rabbit diet in Mediterranean Sea countries like Egypt, so researchers are always trying to find alternatives and aromatic and medicinal plant remnants could be one of them. So, this study was designed to determine the effects of some aromatic and medicinal plant remnants on New Zealand white rabbits' blood hematological and biochemical aspects. <b>Materials and Methods:</b> A total of 108 weaned white New Zealand rabbits at five weeks of age were used to consider the effect of using remnants of mint, fennel, basil and anise with or without probiotics to replace 50% from alfalfa hay in rabbits' diets. Four remnants were obtained after etheric oil distillation and were incorporated in rabbit diets at level 17.5% without probiotics and with probiotics (replacement 50% of alfalfa hay). Rabbits were randomly assigned into nine experimental groups; the experimental period lasted eight weeks. Rabbit blood hematological and blood biochemical were analyzed. <b>Results:</b> The highest values of RBC 6.03 µL, HCT 37.13%, WBC 12.70 µL and lymph percentage were found in the basil+probiotics group. In contrast, the highest value of hemoglobin (HGB 10,50 g/dL), MCV 64.13 fl, MCH 23.27pg, MCHC 36.40 g/dL, PLT 463 µL, urea 50.33 mg/dL and creatinine 1.30 mg/dL were found in anise+probiotic group. In contrast, RDW-CV 33.17%, Mid 13.17 µL, granulocytes (Gran 7.13 µL) and PDW 16.73 in the mint group. Furthermore, RDW-SD (34.40 fl) and procalcitonin (PCT 0.35%) were found in the control group and the highest values ALT 142 IU/L and AST 77.33 IU/L were found in the fennel group. The highest albumin value (3.10 g/dL) was found in the anise group and the highest total protein (TP 5.23 g/dL) was found in the mint+probiotic group. <b>Conclusion:</b> The results proved that using these medicinal plant remnants and probiotics as substitutes for half the amount of alfalfa used in the diet of New Zealand white rabbits did not have a negative effect and improved their health condition.

Effect of Hyaluronic Acid on Socket Healing After Lower Impacted Third Molar Tooth Extraction in 40 Dental Patients.

BACKGROUND Surgical extraction of impacted mandibular third molars is the most commonly performed procedure in oral surgery; its associated complications include sensory nerve damage, swelling, and trismus. This study aimed to evaluate the effects of hyaluronic acid (HA) on healing of the socket following extraction of the lower impacted third molar tooth in 40 dental patients. MATERIAL AND METHODS This prospective, double-blind, randomized, controlled study was carried out on 40 adult healthy patients indicated for surgical removal of bilateral impacted mandibular third molars with equal surgical difficulty (moderate surgical difficulty according to the Koerner index. Patients with right mandibular third molars were included into the study (HA) group and those with left mandibular third molars were included into the control group. Surgical removal of impacted teeth was performed at different times for each patient for proper measurement of postoperative clinical variables, including pain, swelling, and mouth opening. RESULTS Postoperative pain evaluation results using the visual analog scale (VAS) showed reduced pain levels at all observation periods. Postoperative swelling peaked in intensity within 12-48 hours, resolving between the 5th and 7th days, and there was no significant difference in pre- and postoperative measurements of interincisal opening between both groups (P>0.05). CONCLUSIONS We found that intra-socket application of hyaluronic acid after surgical extraction of impacted mandibular third molars promoted normal wound healing, and there was a clinical benefit of reduced postoperative pain and swelling.

Advanced approach combines integrated weight water quality index and potential toxic elements for environmental and health risk assessment supported by simulation technique in Oued Souf, Algeria.

The current research study evaluated the health and environmental risks issues associated with potentially toxic elements (PTEs) in the complex terminal aquifer located in the Algerian desert. The methods used included principal component and cluster (dendrogram) analysis to estimate source of ions and contamination. Various indices such as the Heavy Metal Pollution Index (HPI), Metal Index, hazard quotient, hazard index (HI), and cancer risk (CR) were applied to assess both environmental and human health risks. Furthermore, the Monte Carlo method was applied for probabilistic assessment of carcinogenic and non-carcinogenic risks through oral and dermal exposure routes in both adults and children. The results revealed that approximately 16% of the samples fell within the low pollution category (HPI < 100), indicating relatively lower levels of heavy metal contamination. However, the remaining 84% of the samples exhibited high pollution levels, indicating a significant presence of heavy metal pollutants in the northeastern part of the investigated area. The calculated average risk index (RI) for the collected samples was 18.99, with a range from 0.03 to 103.21. This indicates that a large portion, 82% of the samples, could cause low ecological risk (RI < 30), whereas the remaining 18% indicate a significant environmental pollution risk. The HI for oral ingestion showed that adults had HI values ranging from 0.231 to 1.54, while children exhibited higher values, ranging from 0.884 to 5.9 (Fig. 5a). For dermal exposure, HI values in adults ranged from 2.71E-07 to 8.74E-06 and in children, from 2.18E-06 to 7.03E-05. These findings highlight the potential non-carcinogenic risks associated with oral exposure to PTEs and underscore the increased vulnerability of children to metals such as Fe, Mn, Pb, and Cr. Most samples showed CR exceeding 1 × 10-4 for chromium (Cr) and lead (Pb), indicating a significant vulnerability to carcinogenic effects in both children and adults.

Comprehensive approach integrating water quality index and toxic element analysis for environmental and health risk assessment enhanced by simulation techniques.

Due to water shortages and the potential impact of Ethiopia's new dam on the Nile River, Egypt is seeking new water resources. This study assesses the drinking water quality and associated risks from potentially toxic elements (PTEs) in the Quaternary aquifer (QA) in Beni-Suef, Egypt. Using a comprehensive approach, including PHREEQC geochemical modeling, ionic ratios, multivariate statistical analyses, and the integrated weight water quality index (WQI), the study evaluated the sources of ion contamination and the mixing of Nile water with QA. Various indices, such as the Heavy Metal Pollution Index (HPI), ecological Risk Index (RI), Hazard Quotient (HQ), and Hazard Index (HI), were used to assess ecological and health risks. Monte Carlo simulations provided probabilistic assessments of non-carcinogenic risks for adults and children. GIS tools were used to map risk indices, identifying the most deteriorated locations for sustainable management. The hydrochemical analysis revealed water facies including Na-Cl, Ca-Mg-HCO3, and mixed types, influenced by carbonate dissolution, ion exchange, and silicate weathering. Contamination sources, particularly in the north and south, were linked to agricultural activities, irrigation return flow, municipal waste, and evaporation. The WQI indicated that 10.14% of samples were extremely poor, 21.7% were poor, 26% were medium, and 42% were good to excellent. PTE contamination varied, with HPI values indicating good water quality in the central area in 53.6% of the collected samples (HPI < 30), but contamination in the north and south is high (HPI > 51). Ecological Risk Index values were below the threshold in 100% of samples (RI < 30), confirming water safety regarding PTEs. In comparison, for hazard index (HI) through oral/ingestion, adults exhibited HI values ranging from 0.012 to 2.16, while children showed higher values, ranging from 0.045 to 8.25. However, the hazard index for oral/ingestion exceeded safe limits in the north and south (HI oral > 1), posing non-carcinogenic risks. Monte Carlo simulations revealed significant risks from oral exposure to manganese (HQ oral > 1), particularly in El-Wasta and El-Fashn, necessitating further treatment and management.

Sex difference in outcomes and management of cardiogenic shock: A systematic review and meta-analysis.

BACKGROUND: Cardiogenic shock (CS) is associated with significant morbidity and mortality. Sex differences in the outcomes and management of cardiogenic shock are not well established. The primary objective of this study is to investigate the differences inik cardiogenic shock outcomes between males and females. METHODS: A systematic review and meta-analysis were conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology. Studies were searched via the MEDLINE/PubMed, EMBASE, and Cochrane Central Register of Controlled Trials databases from inception to December 2022. RESULTS: The analysis included 24 studies comprising 1,567,660 patients. Compared to females, males with CS had a significantly lower risk of in-hospital all-cause mortality (risk ratio [RR] 0.88, 95 % confidence interval [CI] 0.85-0.90, p < 0.001) and 1-year mortality (RR 0.90, 95 % CI 0.89-0.92, p < 0.001). Males were more likely to undergo percutaneous coronary intervention (RR 1.21, 95 % CI 1.13-1.31, p < 0.0001) and intra-aortic balloon pump placement (RR 1.21, 95 % CI 1.11-1.32, p < 0.0001), with no significant sex differences in the use of extracorporeal membrane oxygenation or Impella. During the index hospitalization, males were at higher risk of arrhythmias (RR 1.18, 95 % CI 1.05-1.34, p = 0.003) and less likely to develop acute kidney injury (RR 0.86, 95 % CI 0.79-0.94, p < 0.001). CONCLUSION: Men have a lower all-cause mortality risk in cardiogenic shock. Addressing disparities in management is crucial for improving CS outcomes, especially for women.

Assessing surface water quality in Hungary's Danube basin using geochemical modeling, multivariate analysis, irrigation indices, and Monte Carlo simulation.

Evaluation of water quality is crucial for managing surface water effectively, ensuring its suitability for human use, and sustaining the environment. In the lower Danube River basin, various methods were employed to assess surface water quality for irrigation, drinking, human health risk purposes and the main mechanism control the surface water chemistry. These methods included water quality indicators (WQIs), complex statistical analyses, geographic information systems (GIS), Monte Carlo simulation, and geochemical modeling. Physicochemical analyses of surface water samples revealed primarily Ca-Mg-HCO3- is the dominant water types. Principal component analysis (PCA), ionic ratios and piper, chloro alkaline index, Chadha, and Gibbs diagrams identified three distinct water characteristics influenced by water-rocks interaction, evaporation, ions exchange, and human activities. The geochemical modeling showed Danube River water's strong ability to dissolve gypsum, halite, and anhydrite (SI < 0) and precipitate aragonite, dolomite, and calcite with saturation index (SI) value greater than 0 along its flow path. The irrigation water quality index (IWQI = 99.6-107.6), sodium adsorption ratio (SAR = 0.37-0.68), sodium percentage (Na% = 13.7-18.7), soluble sodium percentage (SSP = 12.5-17.5), Potential Salinity (PS = 0.73-1.6), and Residual Sodium Carbonate (RSC = - 1.27-0.58) values were used, mainly indicating acceptable quality with some limitations. Danube River water was unsuitable for drinking based on WQI value (WQI = 81-104). Oral exposure of children to specific components showed a higher hazard index (HI > 1) compared to adults, indicating a 2.1 times higher overall non-carcinogenic risk hazard index. However, Monte Carlo simulation demonstrated negligible iron, manganese, and nitrate health hazards for both age groups. These findings are valuable for water quality management decisions, contributing to long-term resource sustainability.

Anterior STEMI in a 25-year-old with Cogan syndrome.

Cogan syndrome (CS) is a chronic inflammatory disorder primarily affecting young adults. It is characterized by interstitial keratitis, vestibuloauditory dysfunction, and, rarely, systemic vasculitis and aortitis. In this case report, we present a rare instance of a young male with anterior ST-elevation myocardial infarction in the context of aneurysmal coronary vessels and proximal occlusion of the left anterior descending artery. This case underscores the importance of recognizing cardiac risk factors in the setting of CS, as they can be life-threatening. Regular follow up is necessary, especially for patients showing signs of vasculitis or experiencing cardiac symptoms. A multidisciplinary approach to management can help optimize the prognosis for these complex patients. Learning objective: Comprehend Cogan syndrome (CS): Grasp the clinical manifestations and potential cardiovascular complications of CS. Diagnostic approach in CS: Differentiate cardiac symptoms in CS from typical coronary diseases, emphasizing the role of heart catheterization. Multidisciplinary management: Recognize the importance of integrating rheumatologists, cardiologists, and surgeons for optimal CS patient outcomes.

Evaluation of platelet-rich fibrin matrix combined with PGE-1 injection on erectile function in patients with refractory response to PDE5-I: a randomized placebo-controlled study.

PURPOSE: We studied the effect of a platelet-rich fibrin matrix (PRFM) combined with prostaglandin E-1 (PGE-1) injection on erectile function in patients refractory to response for phosphodiesterase type 5 inhibitors (PDE5-Is). METHODS: This randomized, double-blind, placebo-controlled study included 80 patients. The patients were randomly assigned to four groups and blinded together with the administrating physicians to the nature of the intracorporeal injection (ICI) therapies. Group (1) received saline, group (2) received platelet-rich fibrin matrix (PRFM), group (3) received prostaglandin E-1 (PGE-1), and group (4) received a combination of PRFM + PGE-1. The patients received ICI therapy weekly for 8 consecutive weeks. Clinical information and follow-up data were obtained at 1, 2, 3, and 6 months. RESULTS: A significant increase occurred in the validated Arabic version of the International Index of Erectile Function (ArIIEF-5) score in group (4) compared to the other three groups (p value = 0.037). There was a significant difference in erection hardness scale (EHS) scores among all groups after receiving the different treatments (p = 0.004). A significant increase was seen in the ArIIEF-5 score in groups 4 and 3 compared to that in groups 1 and 2 (p < 0.001). There was also a significant increase in the arterial dilatation % in groups 4 and 3 compared to that in groups 1 and 2 (p = 0.019). CONCLUSION: The combination of PRFM plus PGE-1 had shown significant improvement in the ArIIEF-5 score, yet the patients still had mild to moderate ED.

Comprehensive approach integrating remote sensing, machine learning, and physicochemical parameters to detect hydrodynamic conditions and groundwater quality deterioration in non-rechargeable aquifer systems.

The current study integrates remote sensing, machine learning, and physicochemical parameters to detect hydrodynamic conditions and groundwater quality deterioration in non-rechargeable aquifer systems. Fifty-two water samples were collected from all water resources in Siwa Oasis and analyzed for physical (pH, T°C, EC, and TDS) chemical (SO4 2-, HCO3 -, NO3 -, Cl-, CO3 2-, SiO2, Mg2+, Na+, Ca2+, and K+), and trace metals (AL, Fe, Sr, Ba, B, and Mn). A digital elevation model supported by machine learning was used to predict the change in the land cover (surface lake area, soil salinity, and water logging) and its effect on water quality deterioration. The groundwater circulation and interaction between the deep aquifer (NSSA) and shallow aquifer (TCA) were detected from the pressure-depth profile of 27 production wells penetrating NSSA. The chemical facies evolution in the aquifer systems were (Ca-Mg-HCO3) in the first stage (freshwater of NSSA) and changed to (Na-Cl) type in the last stage (brackish water of TCA and springs). Support vector machine successfully predicted the rapid increase of the hypersaline lake area from 22.6 km2 to 60.6 km2 within 30 years, which deteriorated a large part of the cultivated land, reflecting the environmental risk of over-extraction of water for irrigation of agricultural land by flooding technique and lack of suitable drainage network. The waterlogging in the study was due to a reduction in the infiltration rate (low permeability) of the soil and quaternary aquifer. The cause of this issue could be a complete saturation of agricultural water with chrysotile, calcite, talc, dolomite, gibbsite, chlorite, Ca-montmorillonite, illite, hematite, kaolinite and K-mica (saturation index >1), giving the chance of these minerals to precipitate in the pore spaces of the soil and decrease the infiltration rate. The NSSA is appropriate for irrigation, whereas TCA is inappropriate due to potential salinity and magnesium risks. The best way to manage water resources in Siwa Oasis could be to use underground drip irrigation and combine water with TCA and NSSA.