Effect of Community Nutrition Rehabilitation Using a Multi-Ingredient Flour on the Weight Growth of Moderately Acute Malnourished Children in Benin.

Childhood malnutrition remains a public health problem in Benin. This study aimed to assess the nutritional potential of complementary food resources to accelerate the weight growth of moderately malnourished children hosted in learning and nutritional rehabilitation centers (LNRs) in eight municipalities in Benin. A multi-ingredient infant flour (i.e., FARIFORTI), composed of 35% corn flour (Zea mays), 15% malted sorghum (Sorghum bicolor), 30% soybean (Glycine max), 10% shelled and roasted peanuts (Arachis hypogeaea), 7% baobab pulp (Adansonia digitata), and 2% dried fried fish (Stolothrissa tanganyicae), was tested with 289 moderately malnourished children aged 6 to 59 months, selected in LNR sessions. Children were given the FARIFORTI flour porridge over 12 days (based on LNR protocol) in addition to other dishes based on local food resources. The weight and height of the children were measured at entry and at the end of the LNR sessions. The sensory evaluation indicated that the FARIFORTI flour was well-accepted by mothers (97%) and children (98%). The FARIFORTI porridge provided significantly higher intakes of carbohydrates and iron in children with weight gain compared to children without weight gain.

[Medical treatment by bilateral endobronchial intubation of iatrogenic tracheal lesion in intensive care]. / Traitement médical par intubation endobronchique bilatérale d'une rupture trachéale iatrogène en réanimation.

We report one case of tracheal lesion following a change of cannula of tracheotomy in intensive care. The clinical features were respiratory failure, bilateral pneumothorax and subcutaneous emphysema. The bronchoscopy made diagnosis of tracheal lesion. The location of the lesion and the features of the patient made us choose a conservative treatment by bilateral endobronchial intubation. The different treatments of the tracheal lesions and the practical achievement of conservative treatment are discussed.

[Contribution of the brain natriuretic peptide in neurogenic pulmonary oedema following subarachnoid haemorrhage]. / Oedème pulmonaire neurogénique au cours des hémorragies sous-arachnoïdiennes et brain natriuretic peptide.

We report two cases of neurogenic pulmonary oedema following subarachnoid haemorrhage. A 58-year-old woman became increasingly dyspneic and needed oxygen support during a few days. A 53-year-old woman rapidly developed clinical and laboratory signs of respiratory failure, recovering in 48 hours. In both cases, chest radiography showed bilateral diffuse infiltrates, electrocardiogram revealed ST abnormalities, and cardiac troponin I level was elevated. In both patients, pro brain natriuretic peptide level was increased whereas global cardiac function was normal. The factors initiating its secretion are discussed.