Intensive renal support in critically ill patients with acute kidney injury did not decrease mortality, improve recovery of kidney function, or reduce the rate of nonrenal organ failure as compared with less-intensive therapy involving a defined dose of intermittent hemodialysis three times per week and continuous renal-replacement therapy at 20 ml per kilogram per hour. (ClinicalTrials.gov number, NCT00076219.)

Background:The dual burden of tuberculosis (TB) and diabetes mellitus (DM) has increased over the past decade with DM prevalence increasing in countries already afflicted with a high burden of TB. The coexistence of the two conditions presents a serious threat to global public health.Objective:The present study examines the global relationship between the prevalence of DM and the incidence of TB to evaluate their coexistence worldwide and their contribution to one another.Methods:This is an ecological longitudinal study covering the period between years 2000 to 2012. We utilized data from the WHO and World Bank sources and International Diabetes Federation to estimate prevalence of DM (%) and the incidence of TB (per 100,000). Measures of central tendency and dispersion as well as the harmonic mean and linear regression were used for different WHO regions. The association between DM prevalence and TB incidence was examined by quartile of DM prevalence.Results:The worldwide average (±S.D.) prevalence of DM within the study period was 6.6±3.8% whereas TB incidence was 135.0±190.5 per 100,000. DM prevalence was highest in the Eastern Mediterranean (8.3±4.1) and West Pacific (8.2±5.6) regions and lowest in the Africa (3.5±2.6). TB incidence was highest in Africa (313.1±275.9 per 100,000) and South-East Asia (216.7±124.9) and lowest in the European (46.5±68.6) and American (47.2±52.9) regions. Only countries with high DM prevalence (>7.6%) showed a significant positive association with TB incidence (r=0.17, p=0.013).Conclusion:A positive association between DM and TB may exist in some – but not all – world regions, a dual burden that necessitates identifying the nature of this coexistence to assist in developing public health approaches that curb their rising burden.

Bangladesh is a disaster prone country. According to one record during last 100 years, there had been 75 severe cyclones and floods in Bangladesh. On the other hand as many as 1200 kilometer of river banks are under active erosion in every year. The government of Bangladesh, nongovernmental organizations, members of the civil society, the health professionals – all of them have chalked out their programme embedded with economic relief and assistance. At best, some sort of medical aid in the form of medicine and physical treatment and recovery are extended to the affected people. The severity of mental and psychological trauma and casualties had always remained beyond their imagination. For the first time in the history of Bangladesh, multiple teams consisted of psychiatrists, psychologists, social workers and other support service staffs rushed to the Cyclone affected area to estimate the need for psychosocial care and for providing management on 2007. In 2013 a multistoried has collapsed in Bangladesh and died more than thousand peoples. Currently, the National Plan for Disaster Management 2010-2015 keeps no space for the people who ardently need post disaster psychosocial care. Consequently, the mental health care professionals are strongly lobbying for inclusion of post-disaster psychosocial rehabilitation service within the National Plan for Disaster Management. Mainstream health professionals specially the primary health care providers should be brought under coverage of a full-fledged training course on disaster psychiatry. In addition, infrastructure development and administrative reform is urgently required in this arena.

Abstract:Background: Pulmonary hypertension (PH) has been reported to be high among maintenance dialysis patients. There is a paucity of data on the incidence and prevalence of pulmonary hypertension in chronic kidney disease (CKD)

Objective: To find out and asses the association between hyperuricaemia and hypertension. Methods: A case control study conducted in hypertension clinic, medicine and cardiac outpatient department of DMCH from December 2009 to November 2010 to evaluate association of hyperuricaemia and essential hypertension. A total of 51 hypertensive subjects aged 30 years and above were included as cases with same number of age & sex matched normotensive subjects as control after excluding metabolic syndrome, renal impairment, clinical evidence of liver disease, IBD, malignant diseases, vascular diseases or history of taking relevant drugs by taking detailed history and thorough physical examination and appropriate laboratory investigations. Serum uric acid was measured in all study patients. Results: The mean serum uric acid level was 5.8 ± 1.5 mg/dl vs 4.5 ± 1.2 mg/dl in case and control patients respectively. A total of 13 (25.4%) patients in cases and 5 (9.8%) patients in control had hyperuricaemia (Odds Ratio 3.15, p <0.05). So, the number of hyperuricaemic person & mean serum uric acid level were significantly higher in hypertensive Cases, as Compared to Those of Healthy Normotensive Control. Keywords: Essential hypertension; Serum Uric Acid; Hyperuricaemia DOI: http://dx.doi.org/10.3329/jdmc.v20i1.8563 J Dhaka Med Coll. 2011; 20(1) : 5-8