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Eventually, there is stupor, coma and death. Children with kwashiorkor are more likely to develop metabolic complications, heart failure and death than those with simple wasting. There is poor population-based data on prevalence of edematous malnutrition. This is due to the fact that large-scale health and nutrition surveys do not make any attempts to detect edema. Case fatality, however, is very high among children hospitalized with edematous malnutrition.
These observations indicate the need for better information on the global, regional and national prevalence of kwashiorkor and other forms of edematous malnutrition.
To characterize the patients with kwashiorkor attended in the therapeutic feeding center in Al-Sadaqa Teaching Hospital, Aden, Yemen.
The study comprised a cross-sectional hospital survey. The setting for the study was at the therapeutic feeding center in Al-Sadaqa Teaching Hospital, Aden, Yemen, within the period The studied population included all children under 5 years old, admitted in feeding center within the period of study, with available records and diagnosed with malnutrition children.
The patients were classified into three groups: severe malnourished children further divided into kwashiorkor and marasmus and mild-moderate malnourished children, using WHO malnutrition classification.
The children were between the ages of 0 and 60 months. The height of every child was measured by means of a height-measurer, the accuracy of which was 0. In order to differentiate between the types of malnutrition, Z-score was used. Severe acute malnutrition was defined as a very low weight for height below -3 Z-scores of the median WHO growth standards; kwashiorkor was below -3 Z-scores with edema, and marasmus was below -3 Z-scores without edema; while mild-moderate malnourished children was defined as weight for height between -1 and -3 Z-scores in accordance with the last WHO growth reference standards.
The data were obtained from the charts of the patients. The written consent was obtained from the administration office of the hospital, the objectives of the study were justified and the information collected was kept totally confidential. Data were processed and analyzed by the SPSS software version This study was done on malnourished children under 5 years old.
Among them, From to the kwashiorkor cases have slightly decreased 1. The total amount of malnourished children admitted at the therapeutic feeding center in Al-Sadaqa Teaching Hospital, Aden was decreased from A high proportion of kwashiorkor children A slight higher proportion of females The results show that for the total kwashiorkor children, the greatest proportion of discharge was found for cured group This study was conducted to estimate the prevalence and pattern of kwashiorkor at the therapeutic feeding center in Al-Sadaqa Teaching Hospital, Aden, Yemen.
TFC is one of the most important center providing services to patients with severe acute malnutrition coming mostly from Aden governorate and other nearby and far governorate. In , WHO rehabilitated the center and expanded the bed capacity in addition to setting up a training room, maternal education and counseling corner, as well as mental development and playing corner.
A population of malnourished children age range: 1- 60 months were studied. The patients were classified into three groups: severe malnourished children kwashiorkor or marasmus and mild-moderate malnourished children, using WHO malnutrition classification.
The overall prevalence of kwashiorkor during the four-year period 4. Protein was not taken much in their common food which contributes to a higher number of edematous malnutrition than marasmus. The decrease in 6. In the present study, there was no statistically significant difference between genders with respect to kwashiorkor. Kwashiorkor was slightly and no significantly higher among female children compared to male children In this study the prevalence of kwashiorkor in Aden city was Other study in Malawi revealed that the children from rural communities, particularly those from non-pastoral subsistence farming areas without cattle, are more likely to present with kwashiorkor than other children.
Most families in Yemen had adopted manners to cope with their limited access to food. These manners included reducing food quantities, combining meals and removing meat from their diets. As Aden is sea land, the families commonly use fish in their meals. On the other hand, the kwashiorkor cases from rural population in the poorest economic and health care conditions, perhaps don't reach the therapeutic feeding center in Al-Sadaqa Teaching Hospital, due to the difficulties in transportation and the lower level of health education and information about the better treatment for the cases of severe malnutrition that this institution can provide.
This study showed significant relationship between kwashiorkor and discharge among study children. The prevalence of kwashiorkor was higher in the cure group compared to the rest.
In addition, histopatological changes of the liver was remarkable in the group fed a low protein diet and aflatoxin B1 when compared with the group fed only a low protein diet and no aflatoxin B1. More significantly, however, was the increase in liver weight in both groups fed a low protein diet groups II and IV. Our conclusion is that aflatoxin B1 could not have contributed to the development of kwashiorkor. Abstract Seventy Swiss albino mice 6-week-old male were selected for the investigation into aflatoxin B1's role in the cause of kwashiorkor.
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