Background: Hazardous use of alcohol is a public health problem which accounts for 4.0% of global burden of disease. There are very few studies about alcohol consumption trend among tribal in Bangladesh. We investigated the pattern and trend with reasons for alcohol use in Hill Tract dwellers with the aim to increase the awareness of this problem.Objective: To identify the pattern of alcohol use and its effect among the tribal so that effective measures can be taken to eliminate the social evil.Materials and method: This cross-sectional study was conducted among tribal community of Chittagong Hill Tracts, Rangamati district, Bangladesh between June 2014 to February 2015. Out of 846 people coming in Naniarchor and Langadu upazila health complexes 716 (84.6%) constituted the study group. The CAGE test was used as a screening test in determining alcohol dependence.Results: The prevalence of alcohol consumption among tribal is 48.9%. Rural areas (65%) are the most vulnerable area. Home-made alcohol (61%) was the most patronized alcoholic beverage. Most of the cases (82%) started alcohol before 30 years of age and 46% participants took alcohol daily. To get pleasure is the commonest factor for taking alcohol (57%). Physical and mental degenerations were found in most of the alcoholic cases (88%).Conclusion: The results of the present study are likely to increase the awareness of the problem in hill areas and help the concerned authorities to shape the requisite alcohol control policies in these regions.Delta Med Col J. Jan 2016 4(1): 4-8
Objectives The aim of this study is to find out the prevalence and outcome of falciparum malaria with neurological manifestations.
Materials and Methods A prospective cross-sectional hospital-based study of 318 falciparum malaria patients using simple, direct, standardized questionnaire with history, lab investigations and neurological examination from January 2014 to December 2014.
Results July was the most vulnerable month for falciparum malaria causing the highest hospital admission (48.8%) and death (29.3%). The commonest age group affected was 15-30 years (49.2%). Prevalence of neurological manifestations was 41.2%. Altered sensorium (48.7%) was the most frequent neurological manifestation, followed by abnormal behavior (19.8%) and convulsions (15.5%). Case fatality rate was very high with neurological manifestations, highest with altered sensorium (31.3%). Perception of neurological manifestations among tribal was very poor. Primary health care providers also failed to diagnose most of the cases (69%) which presented with neurological features.
Conclusion Falciparum malaria with neurological involvement is associated with increased mortality. By documenting different neurological patterns of falciparum malaria and by trained health care personnel, mortality and morbidity rates can be reduced by early diagnosis and management.
CBMJ 2015 January: Vol. 04 No. 01 P: 18-21
Non Hodgkins Lymphoma (NHL) is a malignant neoplasm of lymphoid tissue representing 5% of all malignant tumors and one of the commonest haematological malignancy in our country. The disease can involve in any organ commonly in lymph nodes, liver, spleen, brain, eye, testis, thyroid. Orbital lymphoma is comprised about 1% of all NHL. This is a case report of a patient age of 50 years from Daudkandi, Comilla admitted in Chittagong Medical College Hospital with history of gradual non tender swelling in the left eye with no other organ involvement or any B symptoms. The objective of this study to consider orbital lymphoma as differential diagnosis of orbital swelling as it can occur almost any part of the body and is to minimize the delay of diagnosis as well as to improve prognosis. We analyzed the history, examination, investigations & histopathology and immunohistochemistry of orbital growth that showed Non Hodgkin Lymphoma (Low Grade). The Patient was treated with consecutive six cycle R-CHOP (Rituximab, Cyclophosphamide, Adriamycin, Vincristine, Prednisolone) resulting in complete remission of lymphoma.
JCMCTA 2014 ; 25 (1): 41-43
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