Use of iodized salt and the prevalence of goiters in an endemic area of Bangladesh

To find out the prevalence of goitre and assess the knowledge regarding goitre and iodized salt among the respondents in a selected goitre endemic area. This cross-sectional study included 155 respondents of purposively selected endemic villages of Nilphamary Sadar upazilla. Information was collected from all households of the villages considering one responsible person from each household. Data was collected by face to face interview through pre-tested questionnaire and checklist. Study population was 747. Department of Community Medicine, National Institute of Preventive & Social Medicine, Mohakhali, March to June 2001. Out of 155 respondents 63.87% was female and 36.13% were male. Mean age was 34.13 with +/- 10.87 and mean monthly family income was 1974.74 with +/- 1025.92 taka, only 65% had > 5000 taka. Level of education SSC and above was minimum (6.46%). Mean occupation was cultivation, day labour and housewife. Only 11.6% respondents had correct knowledge regarding goitre and 77.30% had knowledge about iodized salt. But only 58.71% respondents' families are using iodized salt according to test result by iodized salt testing solution. The prevalence of goitre among 747 people was found 8.3%, among them 4.53% were male, 12% were female and 6.96% were grade I and 1.07% were grade II (visible) goitre. The study result indicate that the prevalence of goitre still high, knowledge regarding goitre is minimum and use iodized salt is not satisfactory.     

Evaluation of 500 cases of Pap's test in Mymensingh

Papaniculaou test (Pap's test) is a screening test for cervical pre-malignant and malignant lesions. A total of 500 cases of Pap's smear were examined in a private laboratory in Mymensingh during the period from May, 1997 to April 1998. The aim of the present study was to find out the patterns of cytologically detected lesions in these cases. The age of the case range from 17 to 65 years. Majority of the cases was in the age group of 21-30 years (53%). The pattern of cytologically detected lesion was as follows: within normal limit 13.8% (69), Chronic non-specific inflammation 82.8% (414), inflammation associated with Tricomonus vaginalis 1.6% (8), candidiasis 3.2% (16), Herpes simplex 0.6% (3), low grade squamous cells of undetermined significant (ASCUS) 0.6% (3), low grade squamous intraepithelial lesion (LSIL) 1.2% (6), high grade squamous intraepithelial lesion (HSIL) 0.6% (3), squamous cell carcinoma (SCC) 0.2% (1) and squamous metaplasia 1.4% (7).     

Immunomodulator tuftsin augments anti-fungal activity of amphotericin B against experimental murine candidiasis

In the present study, we report the potential of an immunomodulator tuftsin in increasing the efficacy of liposomised Amphotericin B (Amp B) against drug sensitive as well as drug resistant experimental murine candidiasis. The Amp B containing liposomes demonstrated strong potential of eliminating systemic candidiasis (70% survival) in animals infected with Amp B sensitive strain of Candida albicans (C. albicans). The same liposomal formulation was found to be ineffective in treatment of animals infected with drug resistant C. albicans. However, the co-administration of liposomal formulation of Amp B along with an immunomodulator tuftsin, was found to be competent enough in curing even the drug resistant candidiasis. In contrast, none of the animals survived in the control groups, which were treated with free or liposomised Amp B (without tuftsin). Further, the effect of liposomised tuftsin, on T-cell proliferation as well as antibody production reveals that tuftsin elicits strong immunopotentiating effects as well. The pretreatment with liposomised tuftsin prior to challenging the animals with drug resistant C. albicans infection has also been effective and shows an extra edge in prophylactic perspectives.     

Variation in toxin compositions of two harmful raphidophytes, Chattonella antiqua and Chattonella marina, at different salinities

Toxin compositions of the two species of raphidophytes, Chattonella antiqua (Hada) Ono and Chattonella marina (Subrahmanyan) Hara et Chihara, were investigated at different salinities under laboratory conditions. C. antiqua contained toxin components CaTx-I, CaTx-II, CaTx-III, and CaTx-IV, which corresponded to brevetoxin components PbTx-1, PbTx-2, PbTx-3, and oxidized PbTx-2. Similarly, C. marina included CmTx-I, CmTx-II, CmTx-III, and CmTx-IV corresponding to PbTx-2, PbTx-9, PbTx-3, and oxidized PbTx-2. Toxin yields in both species varied markedly with a change in salinity concentration. In C. antiqua CaTx-I, CaTx-II, and CaTx-III peaked at 25 P.P.t. with yields of 0.99, 0.42, and 2.90 pg/cell, but the highest yield (2.35 pg/cell) of CaTx-IV was attained at 30 P.P.t. The yields of all CaTx components decreased sharply at salinities exceeding 30 P.P.t. On the other hand, C. marina yielded higher proportions of CmTx-I (0.55 pg/cell) and CmTx-III (2.50 pg/cell) at 25 P.P.t. However, CmTx-IV was present in its highest amount (1.65 pg/cell) at 30 P.P.t., as seen in C. antiqua. A small amount of CmTx-II was also detected at 20 P.P.t.-35 P.P.t. Both species showed the highest ichthyotoxicities at 25 P.P.t., at which the maximum cell division rate was obtained.     

Bereitschaftspotential in tic disorders: a preliminary observation

Sensory phenomena in tic disorders such as Tourette's syndrome are known but are substantiated by only a handful of studies. In this preliminary report, we studied premonitory urge, a type of sensory phenomenon in three patients of tic disorders. Bereitschaftspotential, a movement-related cognitive potential indicative of motor preparation, was assessed in these patients. As bereitschaftspotential was observed in all our cases prior to occurrence of tics, it is speculated that tics are not entirely involuntary but are quasi-volitional in nature. Bereitschaftspotential may thus represent a neurophysiological marker of premonitory urge in tic disorders. Implications of exploring the voluntary nature of tics are discussed.     

Ultrasound guided fine needle aspiration cytology for diagnosis of mass lesions of liver

The therapeutic and prognostic evaluation of malignant neoplasia of liver depends mostly on morphologic diagnosis. Ultrasound guided fine needle aspiration cytology (FNAC) of liver has been proved to be a rapid, reliable and cost-effective method for cytological diagnosis of hepatic mass lesions. This study was undertaken to find out the frequency of different benign and malignant space occupying lesions (SOL) of liver from patients attending for FNAC in Mymensingh. Ultrasound guided FNAC was performed on 108 patients with hepatic mass lesions from September 2, 2001 to August 19, 2003. There were 67 (62.0%) males and 41 (37.96%) females with a mean age 53 year (SD +/- 14) ranging from 2 to 83 years. Samples were adequate in 101 (93.5%) and inadequate in 7 (6.5%). Out of 101 adequate samples only one was benign (liver abscess) and 100 were malignant. Of the malignant lesions hepatoblastoma was in 1 (1%), hepatocellular carcinomas in 8 (8%), metastatic adenocarcinomas in 73 (73%) and unclassified malignancies were in 18 (18%). Most of the hepatocellular carcinomas occurred in males (7 in 8). The frequency of metastatic adenocarcinoma was more in males (39 vs. 34) but the difference is not significant (p > 0.05). Ultrasound guided FNAC of liver is a rapid, reliable and cost-effective diagnostic method. It can be practice in any centres where ultrasound facility and specialist pathologists are available.     

Outcome of patients treated with the endoscopic dacryocystorhinostomy

DCR allows an abstracted lacrimal drainage system to be drained into the nasal fossa. Since the development of endonasal endoscopic surgical technique, the endonasal approach presents it self as an alternative choice to the conventional external approach as in the former skin scar can be avoided. We performed DCR of 50 cases in endonasal endoscopic approach in Mymensingh Medical Collage Hospital. The age range of patient was found between 7 to 35 years, average 21 & male female ratio was 1:1.5 with follow up to 2.10 years with high success rate. Associated nasal disease correction septoplasty was done in 7 cases. In each & every case silicon tube was introduced & removed after 3 to 6 months. The only complication was periorbital injury in 5 cases, punctal tear in 2 cases and granuloma formation in 2 cases. Overall success rate was 86%.     

Metabolic and stress responses of the body to trauma: produced by the laparoscopic and open cholecystectomy

Laparoscopic cholecystectomy is regarded as gold standard therapy for symptomatic gall stone disease. This study was done to compare the metabolic and stress responses between open and lapraroscopic cholecystectomy and to evaluate their significance in postoperative recovery. Thirty patients with symptomatic gall stone disease were treated with open and laparoscopic cholecystectomy on elective basis (14 versus 16). Three samples of blood were collected from each patient to investigate serum cortisol, adrenaline, nor-adrenaline, C-reactive protein and blood glucose level. The mean age of patients was 41.86+/-10.13 blood glucose and stress hormones (cortisol, adrenaline, nor adrenaline) and C-reactive protein all were found significantly raised in the postoperative period in open cholecystectomy than laparoscopic cholecystectomy group. The postoperative recovery was also prolonged in the open group. The obvious clinical advantages of laparoscopic cholecystectomy over open cholecystectomy is mainly because of less metabolic and stress response.     

A case of molluscum contagiosum

Molluscum contagiosum is a benign contagious disease caused by a poxvirus. The virus proliferates within keratinocytes and forms intracytoplasmic Molluscum bodies. Though it is a common clinical condition, histologically is not yet reported from this region of Mymensingh. We received a skin biopsy specimen in a pathology laboratory for histological examination. The Haematoxylin and Eosin stained sections revealed typical intracytoplasmic Molluscum bodies in keratinocytes. The lesions were in the trunk, which is a common site for Molluscum Contagiosum (MC). As the diagnosis of Molluscum contagiosum is easy by histological examination, every patient suspected to be this disease is recommended to be examined histologically to exclude other similar types of lesions.