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The granulomagenic properties of serologically active glycolipids A1, B2, B3, and C isolated from Mycobacterium bovis BCG were studied. Glycolipid A1, dissolved in olive and injected intradermally in guinea pigs, was able to elicit a granulomatous response that seemed to be of the nonallergic type. This granulomagenic activity was quite striking since only 2 mug was necessary to elicit the reaction. The B and C glycolipids were milder granulomagenic agents. Glycolipid A1, dissolved in olive oil and injected intraperitoneally, was toxic for mice. Mice lost weight after the injection of as little as 10 mug of A1, although not even a dose of 100 mug was lethal. Glycolipid A1 failed to immunize mice against aerogenic infection with virulent tubercle bacilli.

Iron deficiency is one of the most common nutrient deficiencies, affecting 2 billion people in worldwide. It is also the leading cause of anemia. Estimates of the national prevalence of anemia in Bangladesh have remained constant at 74% for the past 30 years. This high rate of anemia is a major public health concern for Bangladesh. The aim of the study was to determine the knowledge level about Iron Deficiency Anemia (IDA) & nutritional status among the adult women and the pregnant women in the selected hospitals of Dhaka city. A descriptive cross-sectional study was conducted for the study. A pretested semi-structured questionnaire was used for the data collection. The results showed that, majority of the respondents 140 (70%) were pregnant and 60 (30%) were non pregnant among 200 respondents. The Mean ± (sd) age of study population was ±33 years. From all respondents the literacy rate of women were maximum (69%) but knowledge about IDA & nutritional status were not enough at all. Among the respondents the knowledge about IDA & nutritional status of adult women were 23% good, 40% moderate and 37% very poor. In pregnancy period 74% of the respondents did not take their iron related drugs regularly. Most of the adult women and the pregnant women were not significant knowledgeable regarding IDA, nutritional education & modified dietary habit. So, campaign for awareness on healthy life style practice is required for reducing this problem. Overall Government approach is also recommended for the lower prevalence rate of IDA.

Absent left pulmonary artery with Tetralogy of Fallot (TOF) with absent pulmonary valve syndrome (APVS), is a rare congenital cardiac anomaly. Here we present such a case of A 2 year 11 month old girl with cyanosis, exertional dyspnoea. Her diagnosis is confirmed by echocardiography and CT angiogram. There are very few cases have been reported till date with high postoperative mortality. Although per operative decision making was challenging regarding pulmonary valve and size of the RPA, we performed ICR with RPA reductionplasty and creation of monocuspid pulmonary valve with success. As it is a rare association and we have overcome the hindrance we came across per operatively, we are reporting this case. Bangladesh Heart Journal 2020; 35(1) : 74-77

Abstract:Objective: To identify the incidence and related factors for pulmonary complications and its impact on outcome in patients subjected to surgery for congenital heart disease (CHD). Conclusions: Pulmonary complications are common after surgery for CHD which is more common in small children and complex surgeries. It significantly affects outcome including duration of mechanical ventilation and length of stay but no effect in mortality. Methods