Introduction Malnutrition is defined as an imbalance between requirements and intake of energy and/or nutrients that affect the growth—physical and cognitive functions. It is a major public health problem worldwide especially in children under five years. It includes under-nutrition either stunting, wasting, or micronutrient deficiencies and overweight or obesity. Several nutritional screening tools had been designed to detect nutritional risk of hospitalized children at an early stage. There are six tools, however, there is no consensus on which is the best tool to be used. In clinical practice, the most frequently used screening tools are: Screening of Risk for Nutritional Status and Growth (STRONGkids) and the Subjective Global Assessment of Nutritional Status (SGA). The study aimed to assess the nutritional status of hospitalized children at the time of admission and to evaluate the usefulness of STRONGkids. Patients and Methods A cross sectional study was conducted in Benghazi Medical Center (BMC), from July 2020 to November 2020. A total of 116 under five children admitted to the hospital were included in the study. Result and Discussion The study showed that 53.45% of children were males and 46.55% were females and showed that by using STRONGkids score, 42.2% of children were at low risk of malnutrition, 50.0% at medium risk, and 7.8% at high risk. There was an accordance between result of STRONGkids and weight for age, p = 0.000, similarly for height for age and weight for height. conclusion The STRONGkids screening tool could be used as an initial screening tool for children on admission to provide the right intervention at the right time.
Introduction: Noise exposure causes different insults on hearing ranging from mild to severe damages. Objectives: We assessed the effects of acute auditory trauma on hearing at the front line of Braiga, near Benghazi, Libya, from February to November 2011. Patients and Methods: A total of 236 acoustic injury cases referred to audiology department, Hawari ENT Center, Benghazi, were studied. These cases were either seen directly after injury or referred from other hospitals after treatment of associated injuries. History, examination, and audiological assessment in the form of pure tone audiogram were done using Ad629 interacoustic. Results: A total of 236 cases were studied; aged 21–30 years. All were not using measures to protect ear and hearing. The majority of these cases (96.6%) complained of hearing loss and tinnitus. Most of the hearing loss (75.0%) was of the sensorineural hearing loss (SNHL) type. More than 32% had moderate to severe hearing loss. Treatment was given according to type and degree of hearing loss. Patients who was diagnosed as hearing loss (H.L) of S.N type, treatment plan was either hyperbaric oxygenation, hearing aids or cochlear implants according to degree of H.L and availability of treatment. Conclusions: Explosions cause hearing insult of different types and different degrees. The most commonly noted type is sever to profound SNHL. Therapies needed included hearing aids in SNHL or tympanomastoidectomy in conductive hearing loss. Lack of use of hearing protective measures does increase the number of hearing problems in individuals at high risk.
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