Incidental Detection of a Rare Pediatric High-Grade Fibrosarcoma in a Post-traumatic Setting: The Conundrum of Intra-Abdominal Hematoma versus Neoplasia.

Infantile fibrosarcoma (IF) is a rare malignant fibroblastic tumor that affects infants and young children, occurring most commonly in the extremities. Here, we present a 14-year-old patient with an abdominal mass incidentally detected after a blunt injury to the abdomen. The initial trauma protocol CT revealed a high attenuation mesenteric lesion in the left central abdomen suggestive of mesenteric hematoma. However, the possibility of a solid neoplastic mass lesion could not be excluded. Further evaluation with dynamic contrast-enhanced serial MRI showed a progressive enhancing mass and excluded a hyperacute hematoma with active bleeding. The mass was resected, and histopathological examination and molecular analysis of tumor cells were consistent with a high-grade fibrosarcoma with KMT2D : BCOR fusion.

A review of plastic waste circular actions in seven developing countries to achieve sustainable development goals.

Plastic waste circularity is a priority at a global level. Sustainable development goals (SDGs) set the ways to go, and the circular economy principles underlined the 'green' strategies to be employed. However, in practice, there is still much to do, especially in developing countries, where open burning and open dumping still represent the common way of plastic waste disposal. This review aims to analyse current plastic waste circular approaches in low-middle income settings. Seven countries were selected based on the economic level and data availability from the authors, and analysed to collect and critically discuss the actions implemented at a city level. Examples of waste minimization and recycling strategies, selective collection systems and public campaigns are reported from Africa, Asia and Latin America. First, a background analysis related to physical and governance aspects of municipal solid waste management systems of the chosen settings was conducted. The assessment was focused on the treatment processes or minimization actions. Then, the applicability of the projects to achieve the SDGs was commented on. The outcomes of the research underline the need to: (1) scale up small-scale and pilot projects, (2) disseminate good practices in more low- to middle-income settings, (3) create synergies among international partners for further replications in cities. Urgent solutions to plastic waste pollution are needed. The review presented practical actions to be implemented now to boost plastic waste circularity in developing cities.

The Practices of At-Source Segregation of Household Solid Waste by the Youths in Nepal.

Source segregation, the first important step for effective solid waste management, is practised by a handful of organizations in limited areas in Nepal. The inadequacy of source segregation and ineffective collection system in Nepal have led to maximum waste reaching the landfill site. Though several researchers have studied the role of stakeholders and the importance of youths in the waste management sector, there is a paucity of studies on the role of youths, particularly in waste segregation in Nepal. In this regard, this study was conducted to understand the at-source household waste segregation practices by youths in Nepal. The study adopted the snowball sampling technique. A structured survey questionnaire which included information on the sociodemographic status of the respondents, placement of bins, segregation practices, and satisfaction with the waste collection provider was used to elicit information from 522 youths. It was found that almost half (49.2%) of the respondents had installed two dustbins in their kitchen with 80.3% of respondents claiming to practice source segregation in their houses. The majority (75.1%) of participants were ready to pay more for improved solid waste management in their area. Also, 75.8% of respondents declared that everyone is responsible for solid waste management with fewer than 14.8% and 9.4%, stating that waste management should be the responsibility of the government and waste management service provider, respectively. The gender and source segregation was statistically significant with a p value of 0.007 (<0.05). However, the likelihood ratio significance showed no association between the level of education and the practice of source segregation. Hence, the source segregation practice of household solid waste was found to be satisfactory among the youths of Nepal. Thus, there should be a proper monitoring mechanism to ensure that household waste gets collected in a segregated form causing less burden on landfills.

Fused Right Supernumerary Kidney: A Case Report.

Supernumerary kidney is a rare clinical entity with fused supernumerary kidney being even rarer. Caudally located fused right supernumerary kidney with multiple nephrolithiasis was diagnosed in a 69-years-old lady by Computed Tomography Urography. A separate renal artery arising from the abdominal aorta as well as separate renal vein draining into the inferior vena cava was present along with right sided bifid collecting system. Embryological basis of origin of supernumerary kidney, its diagnosis, clinical significance and management are discussed. Keywords: congenital anomaly; CT urography; fused; supernumerary kidney.

Down with the Flu: Hyponatremia in a patient with influenza.

CONTEXT: Syndrome of inappropriate secretion of antidiuretic hormone (SIADH) is a common cause of hyponatremia. Although it has been associated with different pulmonary infections, there have been only few case reports describing the association of SIADH with influenza. CASE REPORT: We report a case of SIADH in a patient with influenza who was successfully treated with fluid restriction. CONCLUSION: It is essential for clinicians to be aware of the association between influenza and SIADH.