Outcome and Mortality of Hospitalized children with Severe Acute Malnutrition at Aden, Yemen

Severe acute malnutrition (SAM) is considered a common cause of morbidity and mortality among children in low- and middle-income countries, being responsible for 45% of deaths among under-five children. The aim of the study was to determine the outcome and mortality of severe acute malnutrition among hospitalized children in Aden, Yemen. This is a descriptive, retrospective study. The studied population includes hospitalized children of both sexes with SAM admitted to the nutritional unit of Al-Sadaka General Teaching Hospital/Aden during the period from January 1st to December 31st 2021. Of a total of 537 under 5 years, males constitute 53.4% over females 46.6%. In this study, 509 children had a favorable clinical evolution, while 28 deaths were recorded. This corresponds to a mortality rate of 5.2%. The most common cause of death is due to Acute diarrhea in 60.7% of cases .Mortality is higher among males 67.8 % than females and high 85.7% among children \u3c 24 months. Of these 28 deaths, most mortality cases occurred in the non-edematous type of SAM in 89.3% of cases. The most common nutritional feeding formula was F75 in 66.3% of cases. Only 28% of cases achieved target weight; edema had been resolved in 75.8% of cases of edematous SAM at discharge. Severe acute malnutrition remains a severe public health problem, and it mainly affects children under 24 months. A national policy of nutritional intervention should be implemented

Percutaneous Holmium Laser Fulguration of Calyceal Diverticula

Introduction. Calyceal diverticular stones are uncommon findings that represent a challenge in their treatment, due to the technical difficulty in accessing the diverticulum, and the high risk of their recurrence. Current percutaneous technique for calyceal diverticular stones involves establishing a renal access, clearing the stone, and fulguration of the diverticular lining with a roller-ball cautery electrode using hypotonic irrigation solution such as sterile water or glycine solution which may be associated with the absorption of hypotonic fluids with its inherent electrolyte disturbances. Case Report. In this paper, we present for the first time percutaneous holmium laser fulguration of calyceal diverticula in 2 patients using normal saline. Their immediate postoperative sodium was unchanged and their follow-up imaging showed absence of stones. Both patients remain asymptomatic at 30 months post-operatively. Conclusion. This demonstrates that holmium laser is a safe alternative method to fulgurate the calyceal diverticulum after clearing the stone percutaneously

Prospects of stem cell treatment in benign urological diseases

© The Korean Urological Association, 2015.Stem cells (SCs) are undifferentiated cells that are capable of self-renewal and differentiation and that therefore contribute to the renewal and repair of tissues. Their capacity for division, differentiation, an

Lower genitourinary tract trauma

Lower genitourinary tract trauma comprises a substantial portion of the trauma burden in the USA. Some key trends and findings are described. Mortality is relatively high in patients with bladder trauma due to associated injuries. Urethral injuries should be suspected in patients presenting with the triad of blood at the urethral meatus, suprapubic fullness indicative of a full bladder, and urinary retention. Urethral injury is common in penetrating penile trauma, and stab wounds to the penis are more likely to involve the urethra than gunshot wounds. Penile fracture is largely a clinical diagnosis and suspicion of fracture requires urgent surgical exploration. Zipper injuries are the most common cause of presentation to the emergency department for penile trauma in adults. Toilet seat injuries are the leading cause of penile pediatric trauma presenting to the emergency department. In the setting of testicular trauma, rates of testicular salvage are excellent when exploration is prompt. Trauma in the form of animal or human bites requires treatment with broad-spectrum antibiotics in addition to repair of the injury. Military trauma has seen an increase in explosive injuries to the lower urinary tracts due to evolution of warfare tactics. Increasing awareness of presentation and context of lower genitourinary tract trauma can reduce delay of diagnosis and morbidity associated with such injuries. © 2015, SAGE Publications. All rights reserved

Case series of lipid accumulation in the human corpus cavernosum

Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.Erectile dysfunction is a prevalent problem affecting millions of men in the United States and around the world. There have been no reports of the presence of lipids within the human penile

Lichen Sclerosus Comorbidities and Complications from a National Sample of Patients Treated with Urethroplasty

Introduction: We characterize comorbidities and inpatient complications of patients with lichen sclerosus who underwent urethroplasty from a large national patient data source. Methods: We queried the Nationwide Inpatient Sample for patients who underwent urethroplasty between 2000 and 2010. We compared demographics, comorbidities, complications, length of hospital stay and hospital charges for patients with and without the diagnosis of lichen sclerosus. Results: An estimated 13,700 urethroplasties were performed in the United States during the study period. Patients with lichen sclerosus comprised an estimated 3.8% of the urethroplasty population. The majority of patients with urethral stricture with lichen sclerosus were Caucasian (84%) and older, with 63% age 45 or older. Chronic hypertension, diabetes mellitus, rheumatoid arthritis/collagen vascular disease and obesity were associated with increased odds of having a lichen sclerosus diagnosis. The central East Coast (7.2%) and the Pacific Northwest (6.3%) had the highest percentage of patients treated with urethroplasty with lichen sclerosus. Patients with lichen sclerosus had longer hospital stays than those without lichen sclerosus (3.5 vs 2.6 days, p <0.0001). Patients with lichen sclerosus had more complications and hospital charges than those without lichen sclerosus but these differences did not reach statistical significance. Conclusions: A higher percentage of patients with lichen sclerosus had comorbidities, increased complications and longer hospital stays compared to patients treated with urethroplasty without lichen sclerosus. Our findings demonstrate the increased complexity that providers face when treating men with lichen sclerosus related urethral stricture disease