NCD Risk Factors in Different Administrative Divisions of West Bengal: An Insight Analysis from National Family Health Survey-5 Report

Introduction : This study was designed to find out the group mean prevalence of NCD risk factors in different administrative divisions of West Bengal (WB) and to explore the probable reasons of these differences in different indigenous habitat wise groups of districts of West Bengal. Methods : This descriptive study was conducted on available secondary data from National Family Health Survey- 5 (NFHS-5) regarding NCD risk factors. For this study, WB’s districts were divided into five administrative divisions namely Presidency, Medinipur, Burdwan, Malda and Jalpaiguri. Again WB State divided into three groups namely Jangalmahal (forest region), Pahar (Himalayan Hilly region) and “Rest of West Bengal” (ROW) on the basis of habitat of major indigenous people. Data are analyzed by Microsoft excel software in percentage and group mean. Results : Presidency (M: 20.6% versus F: 21.9%) with Medinipur (M: 20.3% versus F: 19%) divisions and Jangalmahal group of districts (M: 22.1% versus F: 16.5%) have higher group me n prevalence of high blood sugar in West Bengal. High group mean prevalence of high blood pressure was observed in Pahar (M: 26.6% versus F: 25.2%) group of districts and Jalpaiguri (M: 24.7% versus F:24%) division. The group mean prevalence of alcohol intake is very high in Jalpaiguri division (M: 25.2% versus F: 3%). The group mean prevalence of obesity (women aged 15-49 years) is increased from the last NFHS -4 survey. Conclusion : The group mean prevalence of alcohol intake and high blood pressure are very high in Pahar. The tobacco use related habit is comparatively high in Jangalmahal and Pahar group of districts. The group mean prevalence of high blood sugar is comparatively high in Jangalmahal and Presidency division areas.

Assessment of Left Ventricular Diastolic Function Morbidity in Chronic Obstructive Lung Disease in Population of West Bengal.

Introduction: Right ventricular dysfunction is a well known complication or association of Chronic obstructive pulmonary disease (COPD). Only recently the association of Left ventricular dysfunction with COPD has gained importance. Whether this is an independent co-morbidity or a consequence of the COPD is yet to be clearly ascertained but more and more studies are showing Left ventricular dysfunction to be present in patients with COPD. Materials and Methods: We conducted a pilot study in our institutes with 50 patients in our institution. This was an observational Cross sectional study where patients were diagnosed and classified according to GOLD criteria. Results: We found Left Ventricle (LV) dysfunction in about 84% of these patients. Systolic and diastolic dysfunctions were present in 2% cases. Patient’s presenting age, duration and stage of the disease has significant positive correlation with left ventricular diastolic dysfunction. Conclusion: Treatment of this Left ventricular dysfunction was absolutely necessary in the holistic treatment of the patient as left ventricular dysfunction has an independent detrimental effect in COPD patients. As such, we recommend that all COPD patients should have an Echocardiography on first presentation.

Lipid Profile Status in Chronic Obstructive Pulmonary Disease and Association with Interleukin 8.

Background: There are several conflicting pictures found about blood lipid profile parameters in Chronic Obstructive Pulmonary Disease. Aim: The present study was conducted to evaluate the exact profile of lipid status in COPD and as inflammation has been implicated in the pathogenesis of COPD, is there any association between inflammatory chemokines and lipid profile. Methods: From February 2011 to May 2013 five hundred fifty two patients with COPD presented to Burdwan Medical College and Hospital and 521 subjects having no COPD as age and sex-matched control entered to the study. Diagnosis of COPD was confirmed according to clinical findings and pulmonary function test. Lipid parameters and IL8 in serum were measured in all subjects. Results: The mean level of TG was 148.32±12.18 mg/dl and 134.54±11.78 mg/dl in COPD patients and healthy control, respectively. (p<0.001). The mean level of TC was 186.46±22.91 mg/dl and 173.77±15.21 in COPD patients and healthy control respectively (p<0.001). LDL level mean value was 118.91±12.92 mg/dl and 118.91±12.92 mg/dl in COPD patients and control respectively (p<0.001). The mean value of HDL showed 33.46±4.69 mg/dl in COPD patients and 38.38±5.22 mg/dl in control (p = 0.034). Regression analysis was showed IL8 was statistically significantly correlated with TC (r = 0.785, p <0.001), TG (r = 0.871, p<0.001), LDL (r = 0.882, p<0.001), VLDL (r = 0.679, p=0.016) and HDL (r = -0.681, p=0.012), Conclusion: COPD patients showed significantly higher serum levels of TC, TG, LDL, IL8 and serum concentrations of HDL were also decreased significantly compared to controls. Moreover, lipid profile parameters were well correlated with serum IL8.

An intramedullary tumor presenting with hyperhidrosis.

A case of a cervical intramedullary tumor is reported whose presentation was with disabling hyperhidrosis. The symptom resolved after surgical debulking of the tumor. Hyperhidrosis as a presenting manifestation of an intramedullary tumor has not been reported earlier.