Adequate Management Research Articles

Effectiveness of transdermal diclofenac patch versus intramuscular diclofenac injection in management of pain among patients with rib fracture in a tertiary care hospital

Most common injuries in trauma are rib fractures which leads to increase rick of mortality and morbidity. In India alone, there is are about 10 million cases per year for incidence of rib fractures more commonly due to vehicle accidents whereas 6% are of global accidents in India, itself. The current modality of treatment is with NSAID’s for relief of pain in rib fractures. A prospective study of 203 patients with rib fractures found a prevalence of chronic pain 22% and disability of 53%. Thereby, adequate pain management is crucial for improving the recovery and quality of life. The preferred route of administration of analgesics is either oral or intramuscular. This study entails in determining the effectiveness of transdermal Diclofenac patch versus intramuscular administration of Diclofenac.

Awareness and Practices on Solid Waste Management among Elementary Pupils: Implications for Makakalikasan Core Value

The school sector still faces difficulties in enforcing adequate solid waste management. To address this issue, this study investigated the level of awareness and practices on solid waste management among intermediate elementary pupils. To do so, this study employed the quantitative research design using descriptive and correlational methods. Using stratified random sampling, primary data were gathered through the use of printed survey questionnaires addressed to one hundred eighty-six (186) respondents who are intermediate elementary pupils. In addressing the hypotheses of the study, correlation analysis using Spearman’s RHO test was used. The data showed high levels of awareness, particularly regarding environmental care and resource utilization. The practices were rated high, with segregation being very high. The Spearman rho correlation showed a moderately positive association between awareness and waste management practices. Based on the findings, the researchers recommended creating a school symposium on solid waste management and core values, implementing a “Basura Mo, Pagkakitaan Mo” program for proper disposal, and conducting a comparative study on the difference of performance between males and females in terms of awareness and practices on solid waste management. Keywords: elementary pupils, solid waste management, descriptive-correlation, Philippines

Entrepreneurial culture in small businesses in Sinaloa

This research work aimed to analyse the conditions of entrepreneurial activity and culture in the environment of small businesses in Sinaloa, considering the relevance and correlation between success stories and their processes. The importance of this topic is that there is a requirement for administrative orientation since the functions of the partners are related to the administrative role, and they have been updating themselves in the processes and management of local and international transactions that mark the new orientations. In this way, innovative techniques and strategies are required to deal with conflicts in relation to the above. Likewise, this will enable them to develop and implement strategies and actions aligned with the technological and sustainable (social, economic, and environmental) advances that are demanded today in the rules of world trade. Hypothesis. Adequate management is considered a pillar for the long-term success of small businesses, motivating the innovative spirit of an organisation's partners, and creating competitive advantages for the organisation over its competitors.

Self-management of Risk for the Prevention of Traffic Accidents from a Health Perspective: A Qualitative Study.

Introduction: In the world, deaths and injuries caused by traffic collisions have been considered a public health problem. In Colombia, 7.238 fatalities were recorded in 2021, with motorcycle riders representing the largest group of victims at 59.7%. Methods: The aim of this qualitative phenomenological study is to describe the risky experiences and deliberate actions of diverse road users that influence the self-management of the risk of traffic collisions. Results: Data were obtained from 22 participants: motorists, pedestrians and drivers. The content analysis describes various human conditions that affect self-management of the risk of traffic accidents, such as unsafe behaviors, non-compliance with traffic regulations by the different road actors, competitive culture among drivers, eagerness, among others. Additionally, factors related to care were determined: healthy recreational activities, promoting the value of one's own life and that of others, adequate time management and preventive behaviors by some road users. Conclusion: This research provides information on social and cultural aspects, experiences and risky behaviors of different road actors that influence the incidence of traffic accidents in Colombia.

Evaluation of the drug-drug interaction between triazole antifungals and cystic fibrosis transmembrane conductance regulator modulators in a real-life cohort.

Limited data on the clinical management of drug-drug interactions between triazoles and Cystic Fibrosis transmembrane conductance regulator (CFTR) modulators are available. We retrospectively evaluated azole target attainment and dose adaptations in patients from two Dutch CF centres concomitantly receiving triazoles and CFTR modulators. In total, 21 patients with 59 triazole trough concentrations were evaluated. Subtherapeutic concentrations were frequently observed, especially for itraconazole and voriconazole. Of the investigated antifungal agents, posaconazole appears the most preferable option. Our results emphasize the importance of adequate management of this interaction and underpin the added value of therapeutic drug monitoring of triazoles in this population.

Does Epidural Corticosteroid Application During Spinal Surgery Reduce Postoperative Pain?: An Adjunct to Multimodal Analgesia.

A prospective, randomized, placebo-controlled, double-blinded study. To examine the effect of intraoperative epidural administration of Depo-Medrol on postoperative back pain and radiculitis symptoms in patients undergoing Transforaminal Lumbar Interbody Fusion (TLIF). Postoperative pain is commonly experienced by patients undergoing spinal fusion surgery. Adequate management of intense pain is necessary to encourage early ambulation, increase patient satisfaction, and limit opioid consumption. Intraoperative steroid application has been shown to improve postoperative pain in patients undergoing lumbar decompression surgeries. There have been no studies examining the effect of epidural steroids on both back pain and radicular pain in patients undergoing TLIF. In all, 151 patients underwent TLIF surgery using rh-BMP2 with 3 surgeons at a single institution. Of those, 116 remained in the study and were included in the final analysis. Based on a 1:1 randomization, a collagen sponge saturated with either Saline (1cc) or Depo-Medrol (40mg/1cc) was placed at the annulotomy site on the TLIF level. Follow-up occurred on postoperative days 1, 2, 3, 7, and postoperative months 1, 2, and 3. Lumbar radiculopathy was measured by a modified symptom- and laterality-specific Visual Analog Scale (VAS) regarding the severity of back pain and common radiculopathy symptoms. The patients who received Depo-Medrol, compared with those who received saline, experienced significantly less back pain on postoperative days 1, 2, 3, and 7 (P<0.05). There was no significant difference in back pain beyond day 7. Radiculopathy-related symptoms such as leg pain, numbness, tingling, stiffness, and weakness tended to be reduced in the steroid group at most time points. This study provides Level 1 evidence that intraoperative application of Depo-Medrol during a TLIF surgery with rh-BMP2 significantly reduces back pain for the first week after TLIF surgery. The use of epidural Depo-Medrol may be a useful adjunct to multimodal analgesia for pain relief in the postoperative period.

Wound Irrigation Using Normal Saline 0.9% Versus Tap Water: A Review for Street Medicine and Low-resource Providers

Patients experiencing homelessness are a vulnerable cohort who suffer from disproportionate skin disease burden. Acute and chronic wounds represent high morbidity conditions with severe consequences. Adequate management in the form of cleansing and irrigation is necessary for removing cellular debris, bacteria and contaminants. Providers in low-resource street medicine settings may be the first point of contact in the management of wounds encountered by unhoused patients. This review determines the feasibility of improvised irrigation techniques that can be used in street settings to irrigate wounds. A MEDLINE search was conducted and yielded randomized controlled trials, laboratory studies and case-control studies. No significant difference in wound infection and healing rates was found when normal saline 0.9% or tap water was used in wound irrigation. Improvised cleansing devices with suitable irrigation pressure included water bottles punctured with 14-18-gauge needles, 10-mL syringes and 50-syringes. Lower and upper extremity wounds were found to be at higher risk of infection, requiring judicious management and cleaning. Street medicine providers should consider weighing the benefits versus risks of on-site, improvised wound irrigation for acute soft tissue injuries, especially in the setting of limited resources.

Optimal selection of healthcare waste treatment devices using fuzzy-rough approach.

The escalating volume of healthcare waste (HCW) generated by healthcare facilities poses a pressing challenge for all nations. Adequate management and disposal of this waste are imperative to mitigate its adverse impact on human lives, wildlife, and the environment. Addressing this issue in Bosnia and Herzegovina involves the establishment of a regional center dedicated to HCW management. In practice, there are various treatments available for HCW management. Therefore, it is necessary to determine the priority for procuring different treatments during the formation of this center. To assess these treatment devices, expert decision-making employed the fuzzy-rough approach. By leveraging extended sustainability criteria, experts initially evaluated the significance of these criteria and subsequently assessed the devices for HCW treatment. Employing the fuzzy-rough LMAW (Logarithm Methodology of Additive Weights), the study determined the importance of criteria, highlighting "Air emissions" and "Annual usage costs" as the most critical factors. Utilizing the fuzzy-rough CoCoSo (the Combined Compromise Solution) method, six devices employing incineration or sterilization for HCW treatment were ranked. The findings indicated that the "Rotary kiln" and "Steam disinfection" emerged as the most favorable devices for HCW treatment based on this research. This conclusion was validated through comparative and sensitivity analyses. This research contributes by proposing a solution to address Bosnia and Herzegovina's HCW challenge through the establishment of a regional center dedicated to HCW management.

Variables Associated With Hyperkalemic Renal Tubular Acidosis in Solid Organ Transplant Recipients.

The occurrence of hyperkalemic renal tubular acidosis (RTA) in the post-transplantation period is likely underestimated, and its identification remains important to offer adequate medical management. Transplant recipients frequently present with clinical and biological characteristics that may be associated with the occurrence of this complication. This was a single-center retrospective study that compared transplanted patients with hyperkalemic RTA and a control group to identify variables associated with the occurrence of this complication. Fisher's exact test and the Mann-Whitney test, followed by multivariate logistic regression, were applied to test whether there was a significant association between hyperkalemic RTA and different variables. Kidney and heart transplant recipients were at greater risk of developing RTA than lung transplant recipients (p = 0.016). There was also a significant association between the development of RTA and kalemia (p < 0.01), chloremia (p < 0.01), and bicarbonatemia (p < 0.01). The significant impact of these last three variables was confirmed by the results of the multivariate logistic regression. Residual serum tacrolimus levels (p = 0.13) and creatinine levels (p = 0.17) of renal transplant patients were not significantly associated with hyperkalemic RTA. The type of transplanted organ, kalemia, chloremia, and bicarbonatemia were significantly associated with the occurrence of hyperkalemic RTA. This study calls into question certain approaches to managing this complication proposed in a number of case reports, such as reducing the target serum residual of tacrolimus or discontinuing trimethoprim-sulfamethoxazole(TMP-SMX) in favor of another antibiotic prophylactic agent, potentially exposing patients to graft rejection and opportunistic infections.

Kinetic parameters of Lactobacillus acidophilus growth in the lactic fermentation of non-centrifugal cane sugar agroindustry wastes

The use of sugarcane for the production of non-centrifugal cane sugar is one of the main economic activities in some areas of the central region of the state of Veracruz, México, however, this sector faces different social, techno-economic and environmental challenges. One of the most important problems affecting this agribusiness is the lack of adequate management of the waste generated in the process, mainly sugarcane scum (SCS) and mold wash water (MWW). Lactic fermentation is proposed as an alternative for the utilization of these wastes, since this process reduces the concentration of carbohydrates, producing lactic acid (LA) and increasing the nutrient content. An important aspect of the fermentation process is the knowledge of the kinetic parameters, since with these it is possible to carry out the scaling up. In the present work, the lactic fermentation of SCS and MWW was studied using the bacterium Lactobacillus acidophilus and the kinetic parameters were obtained with the Gompertz model and the Logistic model. The physicochemical characterization of the residues was carried out and the parameters of substrate consumption, lactic acid production and cell density were evaluated during fermentation of a 150 g SCS/L solution in a 0.5 L reactor. After 72 h of fermentation, a maximum growth of 7.63 log CFU/mL, a 50.32% carbohydrate consumption, and a maximum production of 7.56 g LA/L were obtained. For the Gompertz model, the parameters obtained were μmax=1.2420 h-1, λ=20.46 h y A=7.585 log CFU/mL, whereas for the Logistic model they were μmax=0.3214 h-1, λ=25.39 h y A=7.584 log CFU/mL. It was observed that both residues promote the development of the microorganism L. acidophilus, however, the kinetic parameters of μmax y λ indicates that it needs more time to adapt to the residues, so it will be necessary to implement strategies to optimize these values.

Some Growth Characteristics of Pellonula leonensis from Luubara Creek, Niger Delta, Nigeria

The Growth, mortality, population and yield parameters of the Clupeid Pellonula leonensis were studied based on the data collected from artisanal fishers during throughout 2020 along Luubara Creek, Niger Delta. The fish were caught using the Kara cane trap. Total specimen lengths ranged from 4.50-14.50cm and weighing from 0.50-50.00g. The growth pattern of Pellonula leonensis was estimated K (2.300) L∞ (14. 22cm), to (2.140) and Ø (2.72). The value of K and Ø showed that Pellonula leonensis from the creek grows fast and regularly. The evaluation of mortality characteristics of Pellonula leonensis for twelve months showed that total mortality (Z) 7.08yr-1, natural mortality (M) 3.97yr-1 and fishing mortality (F) 3.11yr-1 from the value of M and F, it is crystal clear that M is higher than F. Exploitation (E) of 0.439 obtained in the study showed that the species is under exploited as E was lower than 0.5. The ratio of length at first capture to asymptotic length (Lc/ L∞) estimated showed that Pellonula leonensis with Lc (0.34cm) was caught at a small size. This scenario will lead to growth overfishing if adequate management and regulations are not put in place.

Evaluation of Quality of Life and Treatment Satisfaction in Newly Diagnosed Cutaneous T-Cell Lymphoma Patients.

Little is known about the impact of MF on quality of life (QoL) in newly diagnosed patients. To describe the impact of the MF diagnosis on QoL, patient expectations, and treatment satisfaction over the first 6 months after diagnosis. Outcomes of this prospective cohort study of newly diagnosed MF patients conducted between 2020 and 2022 at the Leiden University Medical Center included the Skindex-29, RAND-12 Health Survey, degree of itch, pain, and fatigue (Visual Analogue Scale (VAS)), patient expectations, and Client Satisfaction Questionnaire-8 (CSQ-8), measured at baseline and after six months. A total of 28 patients with MF were included. At baseline, 66% (n = 18) "strongly-totally" expected positive effects of the treatment. At the time of diagnosis, 28% of the patients (n = 8) were moderately to severely affected. There was no statistical change in the Skindex-29 score sum score (20 [10-34] vs. 20 [9-36]; p = 0.81) or in the other three subdomains, the RAND-12 scores, and the VAS itch, pain, and fatigue over time. Treatment satisfaction was high overall. Despite that the newly diagnosed MF patients anticipate a positive treatment effect, few improvements in QoL and symptom reduction were found. These data can be used for adequate expectation management and provide a rationale for further evaluation of treatment regimens in these patients.

Achievement of adequate nutrition contributes to maintaining the skeletal muscle area in patients with sepsis undergoing early mobilization: a retrospective observational study

BackgroundThe onset of muscle loss in critically ill patients, known as intensive care unit-acquired weakness (ICU-AW), worsens their outcomes. Preventing muscle loss, which begins in the early phase of critical illness, is crucial in patient care. Adequate nutrition management may contribute to maintaining muscles; however, its evidence in patients with sepsis is insufficient. This study aimed to analyze the association between energy achievement rate in the first 7-days of critical care and muscle area changes evaluated by computed tomography (CT).MethodsThis was a retrospective observational study. Patients with sepsis admitted to the intensive care (ICU) of a tertiary care hospital in Japan were included. They were divided into three groups according to tertiles of the first 7-day energy achievement rate calculated using administered energy doses and basement energy expenditure. Skeletal muscle area (SMA) and changes in SMA were determined by CT on ICU admission and within days 7–10 of ICU admission. SMA maintenance was defined as SMA change ≥ 100%. Logistic regression analyses were performed to analyze the association of energy achievement rate with SMA changes (primary outcome) and in-hospital 28-day mortality (secondary outcome).ResultsPatients (n = 93) were classified into low, middle, and high groups according to their 7-day energy achievement rate (median rates, 16.8%, 38.8%, and 73.4%, respectively). The CT scans showed that SMA decreased between the CT scans in the low and middle groups, whereas it was maintained in the high group (median changes, -8.5%, -11.7%, and 2.8%, respectively). Univariate and multivariate logistic regression analyses showed that high energy achievement rate was significantly associated with SMA maintenance (reference, middle energy achieved group; univariate, odds ratio [95% confidence interval] 6.23 [2.04–19.10], P = 0.0013; multivariate, odds ratio [95% confidence interval] 5.92 [1.90–18.40], P = 0.0021). There was no significant difference in the association between energy achievement rate and mortality among the three groups.ConclusionsOur study found that a fulfillment of energy achievement in the first 7 days of hospitalization was associated with maintenance of muscle area. Thus, satisfying adequate energy should be considered even in patients with sepsis.

Fishers’ willingness to report incidental bycatches of endangered, threatened and protected fish species: The case of European sturgeon in the Northeast Atlantic Ocean

Incidental fisheries bycatch contributes to the dire situation of endangered, threatened and protected (ETP) species. Few published estimates of the severity of fisheries impacts exist as incidental bycatch is difficult to monitor, and reporting can be a sensitive matter for fishers. This paper addresses these sensitivities, the reasons for non-reporting, and possible solutions, using bycatch of the critically endangered European sturgeon (Acipenser sturio L.) in the Northeast Atlantic fisheries as a case study. This study comprises 36 interviews with fishers, fisher representatives, environmental non-governmental organizations (NGOs), researchers, and governments involved in European sturgeon conservation from four countries: France, Germany, the Netherlands, and the United Kingdom. Fishers experience difficult economic circumstances, while fear of restrictions in their fishing area and gear makes them reluctant to report such rare bycatch. Adequate management of the European sturgeon and other marine ETP species is worsened by a lack of governmental coordination, and trust issues fuelled by some NGOs’ communication strategies using iconic species to lobby for fishing restrictions. This paper discusses solutions to strengthen fishers’ cooperation in ETP species research. This would need to include developing a shared vision, clear role separation between stakeholders, communication and trust building.

Nutritional management of high-output ileostomies in paediatric patients is vital and more evidence-based guidelines are needed.

Paediatric patients with high-output ileostomies (HOI) face an elevated risk of complications. This study aimed to comprehensively review the existing literature and offer nutritional management recommendations for paediatric patients with an HOI. PubMed and Embase were searched for relevant English or French language papers up to 31 June 2022. The emphasis was placed on studies involving paediatric ileostomy patients, but insights were obtained from adult literature and other intestinal failure pathologies when these were lacking. We identified 16 papers that addressed nutritional issues in paediatric ileostomy patients. Currently, no evidence supports a safe paediatric HOI threshold exceeding 20 mL/kg/day on two consecutive days. Paediatric HOI patients were at risk of dehydration, electrolyte disturbances, micronutrient deficiencies and growth failure. The primary dietary choice for neonates is bolus feeding with breastmilk. In older children, an enteral fluid restriction should be installed favouring isotonic or slightly hypotonic glucose-electrolyte solutions. A diet that is high in calories, complex carbohydrates and proteins, low in insoluble fibre and simple carbohydrates, and moderate in fat is recommended. Adequate nutritional management is crucial to prevent complications in children with an HOI. Further research is needed to establish more evidence-based guidelines.

Macroinvertebrate Community in a Mediterranean Mountain River: Relationship with Environmental Factors Measured at Different Spatial and Temporal Scales

The macroinvertebrate community, physical–chemical water variables and hydromorphological indices were studied in the Turón River (Málaga, Southern Spain). Our study aims to improve the knowledge of the most influential environmental factors at different spatial and temporal scales in Mediterranean rivers, in order to establish better management of Mediterranean river ecosystems. To this end, in this work, seasonal sampling was carried out for one year to evaluate the effect of the characteristics of the drainage basin (i.e., geology, topography, land use) on the macroinvertebrate community. To this end, the environmental variables of the catchment basins were evaluated at three different scales: (i) watershed level, (ii) valley segment level and (iii) local level. The results showed that 13 environmental variables, 3 at the watershed scale, 5 at the valley segment scale and 5 at the local scale, influenced the macroinvertebrate community. Land use is the main explanatory variable at the watershed scale, while stream channel curvature is the most common variable at the valley segment scale, and the habitat assessment index is the variable with the strongest influence at the local scale. The influence of different spatial scales presented a seasonal variation. During spring, autumn and winter, the watershed scale exhibited the highest resolution (adjusted R2 = 0.20–0.29), while in summer, the local scale became the most significant in explaining the presence of macroinvertebrate taxa (adjusted R2 = 0.17). The obtained results emphasize the significance of temporal and spatial scales in Mediterranean rivers for adequate river ecosystem management.

Regional Anesthesia in the Austere Environment: Lessons Learned from Current Out-of-Hospital Practice.

Pain management for trauma in the extreme environment is vital for both casualty comfort and aiding safe extrication. However, adequate pain management in a resource-limited environment can be challenging and is often limited. We conducted a scoping review of the use of regional anesthesia in the prehospital environment, evaluating which regional anesthetic procedure was performed for various indications, their efficacy, and the type of healthcare provider delivering the anesthetic. A PRISMA-guided systematic literature review was conducted of Medline, Embase, and Cochrane databases for studies reporting the use of regional anesthesia in the prehospital environment published before June 30, 2022. Thirty studies met the criteria and were included in the review. The most common types of regional anesthesia were fascia-iliaca compartment block (n = 317, from 12 studies) and femoral nerve block (n = 210, from 8 studies), along with various other blocks for a range of indications. These blocks had good efficacy and a low-risk profile and could be delivered by a wide range of healthcare providers. Regional anesthesia is an effective and non-resource-heavy pain management tool in prehospital environments, which may be applicable to austere settings. It can cover a wide range of injuries and can avoid systemic complications for casualties that may already be challenging to manage in out-of-hospital settings. Additionally, regional anesthesia can be effectively delivered by a wide range of providers. This review provides a holistic summary of pain management using regional anesthesia in the prehospital environment, with a discussion on its potential use in more extreme settings.

Eighteen years of experience in laparoscopic implantation of artificial urinary sphincter in women with intrinsic sphincter deficiency

Introduction and objectives: Artificial urinary sphincter (AUS) is a treatment option for women with stress urinary incontinence (SUI) after failure of previous surgery or as a primary procedure in severe intrinsic sphincter deficiency (ISD). The aim of the study was to assess the long-term efficacy and risk factors for surgical revision and definitive explantation of AUS laparoscopic implantation in female patients.Methods: A retrospective review of all women submitted to AUS implantation between April 2005 and March 2023 was conducted. The AUS was implanted via transperitoneal laparoscopic approach, by two experienced surgeons. The primary endpoint was postoperative continence. Continence was defined as no leakage and no pad usage or leakage and/or pad usage with no impact on social life and failure as leakage and/or pad usage impacting social life. As secondary outcomes, clinical predictive factors for AUS revision and definitive explantation were evaluated.Results: In the last 18 years, females with a mean age of 68±12 years-old were submitted to laparoscopic implantation of AUS. Early overall complication rate was 16%, but only one case was Clavien-Dindo ≥3. After a median follow-up of 67 months, 22.2% of the patients needed a device revision, the majority due to mechanical device dysfunction. AUS definitive explantation was performed in 16%, mainly due to urethral/vaginal erosion (9.9%) and infection (6.2%). Patients with age ≥70 years and follow-up ≥10 years significantly predisposed for device revision. At the time of the last follow-up, 72% of the patients were keeping the urinary continency.Conclusions: Laparoscopic AUS implantation in females is an effective treatment for SUI due to ISD. Meanwhile, adequate patient selection, multidisciplinary evaluation and careful expectation management are essential to achieving good results, concerning their significant complication rate.

COVID-19 death risk predictors in Brazil using survival tree analysis: a retrospective cohort from 2020 to 2022

PurposeThis study analyses the survival of hospitalized patients with Severe Acute Respiratory Syndrome (SARS) due to COVID-19 and identifies the risk groups for death due to COVID-19 from the identification of potential interactions between its predictors.MethodsThis was a retrospective longitudinal study with data from 1,756,917 patients reported in the Influenza Epidemiological Surveillance Information System from 26 February 2020 to 31 December 2022. In this study, all adult and older (≥ 20 years) patients were hospitalized with SARS due to COVID-19, with death as the outcome. Survival tree analysis was used to identify potential interactions between the predictors. A model was built for each year of study.ResultsHospital lethalitywas 33.2%. The worst survival curve was observed among those who underwent invasive mechanical ventilation and were aged 80 years or older in the three years of the pandemic. Black and brown race/color were predictors of deaths in the years 2020 and 2021 when there was greater demand from the health system due to the greater number of cases.ConclusionBy applying survival tree analysis we identified several numbers of homogeneous subgroups with different risks for mortality from COVID-19. These findings show the effects of wide inequalities of access by the population, requiring effective policies for the reduction and adequate management of the disease.

Using 7Be and 137Cs for Assessing the Land Stability of Alexandria Region, Egypt

This paper presents an assessment of land stability using fallout environmental radioisotopes 7Be and 137Cs. The measurement of both isotopes was carried out in samples of soil collected from twenty-five sites covering the studied region. At each site, the samples were taken from five consecutive vertical depth levels to show the vertical displacement or compactness of the soil column. The collected samples were carefully transferred for radioactivity measurement at Alexandria University’s Institute of Graduate Studies and Research. A high-resolution gamma-ray spectrometer utilizing high-purity germanium was employed for the measurements. Surface distribution of the radionuclides levels was used to show the studied lands’ stability over the short- and long-term based on the used radionuclides’ nuclear half-life. For short-term (months) stability, 7Be (half-life: 35.5 days) levels showed that about 73% of the area is very low in stability, while the areas that recorded low, moderate, and high stability are at 18%, 4%, and 5%, respectively. For long-term (years) stability, 137Cs (half-life: 30 years) levels showed that about 80% of the areas are very low in stability, while the remaining areas, predicted as 12.8%, 5.6%, and 1.6%, are low, moderate, and high stability, respectively. It is clear that the eastern side of Alexandria is suffering from soil erosion and subsidence; on the other hand, the western side is more stable. Consequently, due to the origin of the soil, the nature of soil geological formations, and the environmental prevailing conditions, Alexandria is found to be more vulnerable to the consequences of sea-level rise and climate change. Therefore, adequate strategic management, including mitigation measures and adaptation, should be planned and implemented.