Objectives
The objective of this study is to find the easily measurable associated factor for hypothermic neonatal mortality in a regional Moroccan hospital.
Methods
A retrospective study was carried out in PAGNON hospital. 52 patients admitted to PAGNON hospital neonatal unit for hypothermia between October 1st, 2005, and June 30, 2007, were included in this study. Clinical features including gestational age, body weight at hospitalization, rectal temperature, the day after birth, place of delivery were recorded at the time of hospitalization. Hypothermia was classified as per WHO classification.
Results
In 52 hypothermic neonates, 36 patients (69.3%) survived and 16 patients (30.7%) died. There was a significant statistical difference between survival group and no survival group regarding rectal temperature (31.1±2.7°Cvs. 28.7±2.3°C; mean±SD, p=0.003). All patients who died during hospitalization had below 33°C of rectal temperature at hospitalization. As for WHO classification, the severe hypothermic group had higher mortality rate than the moderate hypothermic group (45.2% vs. 9.5%, p=0.006). There was no significant statistical difference for body weight at hospitalization, the day after birth and gestational age in two groups. The severe hypothermic group was higher in the ratio of delivery at the domicile than those of moderate hypothermic group (22.6% vs. 0%, p=0.020). In multiple logistic regression analysis accounting for rectal temperature, the day after birth and body weight at hospitalization, only rectal temperature was significantly associated with survival rate (odds ratio 1.408, 95% confidence interval 1.088−1.821, p=0.009).
Conclusion
Between the moderate hypothermic neonates and the severe hypothermic neonates classified WHO classification, there was a significant difference between the mortality rate. It is important to keep the rectal temperature more than 32°C. The rectal temperature is an associated factor for hypothermic neonatal mortality which is easily measured at hospitalization in rural hospital in morocco.

Background: A rare angioproliferative condition of the larynx, Kaposhi sarcoma typically affects the skin. Immunosuppressive treatment following organ transplantation and human immunodeficiency virus infection are the causes. Every type of Kaposi sarcoma has human herpesvirus-8. Laryngeal kaposi sarcoma is uncommon in immunocompromised patients; since its initial identification in 1965, 18 cases have been documented globally. A CO2 laser-assisted laryngeal microsurgery is performed through the mouth cavity to remove tumor when kaposi sarcoma of the larynx obstructs the airway. Case report: A 77-year-old woman complained of hoarseness, dry mouth, odynophagia, and dysphagia three months prior when she arrived at the Mongolian-Japan Hospital. Two years ago, she acquired hard, sensitive lumps that were palpable on her right arm, left ankle, and right thigh. At that time, she was diagnosed with Kaposiform hemangiodermatitis and treated at the National Center for Dermatology. HIV test results were negative. Immunohistochemistry: CD31 +/-, CD34 /+/. Using flexible nasopharyngeal endoscopy to get the diagnosis: There was a mass that was about 1.5–2–5 cm in diameter, bluish in color, smooth and movable, and spongy and vascular on the larynx, on the nasopharynx, behind the palatine tonsills, and supraglottic. Surgery: Through the use of Kleinsasser laryngoscopy and a 0-degree endoscope, pathological tissues were extracted under general anesthesia using a laryngeal microsurgical instrument and a laparoscopic bipolar coagulator. The tissues were then sent for histological evaluation, which revealed Kaposi sarcoma, sarcoma grade 1. Results of treatment Pain decreased and quality of life increased following surgery. Upon nasopharyngeal endoscopy, the vocal cord mobility was normal and the surgical incision was clean. Conclusion: Kaposi sarcoma is an extremely uncommon illness. A lower quality of life and further issues can be avoided with an early diagnosis and suitable therapy. It also needs to be continuously monitored because it is a potentially repeatable disease.