Epidemiology of stroke: findings from a community-based survey in rural Bangladesh.

OBJECTIVES: This study was designed to determine the epidemiology of stroke in a rural population of Bangladesh. STUDY DESIGN: In a cross-sectional study, we surveyed stroke patients. METHODS: The survey was conducted in a rural community of Bangladesh from January 2016 to June 2016. All community members 15 years and older in a surveillance system were included in this study. The Questionnaire for Verifying Stroke-Free Status was used to screen stroke cases at household level which were again examined by the neurologist for confirmatory diagnosis. RESULTS: The prevalence of stroke was 1.96 (95% confidence interval [CI] 1.69-2.26) per 1000 population. The highest prevalence was 9.65 (95% CI 7.42-12.33) per 1000 population, identified among patients aged 65-79 years. Males had higher prevalence (2.38 per 1000 population) than females (1.55 per 1000 population). Of the 24% of patients who had radiological examination (magnetic resonance imaging and computed tomography scan) reports, 17.2% of stroke cases were ischemic, 4.8% were intracerebral, and about 1.1% were subarachnoid. The ratio of infarction to hemorrhage was 2.91. Approximately 67% of patients were diagnosed as hypertensive, and 37% of patients had elevated blood glucose level. While 15% of patients were found to be overweight or obese, 45% of patients had raised blood cholesterol level. More than 10% of patients reported that they had heart disease before the occurrence of stroke. About 40% of patients had the history of tobacco consumption. CONCLUSIONS: The prevalence of stroke is higher among elderly and male populations. A significant proportion of patients presented with hypertension and/or diabetes.

Soil pollution at outdoor shooting ranges: Health effects, bioavailability and best management practices.

The total lead (Pb) concentrations of the surface soil, sub surface soil, vegetation and surface waters of outdoor shooting ranges are extremely high and above regulatory limits. Lead is dangerous at high concentrations and can cause a variety of serious health problems. Shooters and range workers are exposed to lead dust and can even take Pb dust home to their families while some animals around the shooting range can ingest the Pb bullets. The toxicity of Pb depends on its bioavailability which has been determined to be influenced greatly by the geochemical properties of each site. The bioavailability of Pb in shooting ranges has been found to be higher than other metal contaminated soils probably because of its very low residual Pb (<1%). Despite being an immobile element in the soil, migration of Pb within shooting ranges and offsite has been reported in literature. Best management practices to reduce mobility of Pb in shooting ranges involve an integrated Pb management program which has been described in the paper. The adoption of the non-toxic "green bullet" which has been developed to replace Pb bullets may reduce or prevent environmental pollution at shooting ranges. However, the contaminated soil resulting from decades of operation of several shooting ranges still needs to be restored to its natural state.

Surface coverage effects on the desorption kinetics of selenite from a hydroxyaluminum-montmorillonite complex.

Information on the desorption of metals and metalloids from soils and clays are essential for a better understanding of their mobility, transport, and fate in natural environments. We investigated nitrate-, phosphate-, and citrate-induced desorption kinetics of preadsorbed selenite (presented as Se henceforth) from a hydroxyaluminum-montmorillonite (HyA-Mt) complex at three different surface coverages of 8%, 25%, and 69% of its Langmuir predicted adsorption maximum (262.61 mmole kg(-1)). Generally the mole fraction of preadsorbed Se released after the attainment of desorption equilibrium was significantly higher with increasing surface coverage. Desorption kinetics of Se from the clay was best described by the Elovich model. The Elovich model parameter beta representing the rate of Se desorption increased as the surface coverage increased. Both kinetic data and mole fraction of Se released at desorption equilibrium supported the contention that adsorption bond strength progressively decreases with increasing surface coverage. Both citrate and phosphate remobilized Se at significantly faster rates than nitrate at any surface coverage level. Citrate showed a significantly faster rate of Se release than phosphate only at 8% surface coverage but not at 25% and 69% surface coverages, suggesting that differential ability of these two ligands to influence the kinetics of Se release was also surface coverage dependent. The findings of the present study would help better understand the consequences of different surface coverages on soil colloids by preadsorbed Se as well as the impacts of phosphate fertilization and rhizospheric processes in influencing Se mobility in soil and related environments.

Effects of aspirin and paracetamol on ATPases of human fetal brain: an in vitro study.

In vitro effects of aspirin and paracetamol at the doses 200, 400, 600, 800 nmole/mg protein on ATPases activity were studied in the cerebrum and cerebellum of human fetus covering the age range from 10 weeks to 32 weeks of gestation. Both aspirin and paracetamol inhibit Na+K+ ATPase and Mg2+ ATPase in a dose dependent manner. The inhibition of Na+K+ ATPase and Mg2+ ATPase activity which may affect the release and uptake of biogenic amines in CNS, hinders the maturation of human fetal brain.

Biochemical studies on the in vitro effect of doxepin on Mg2+ & Na+, K+)-ATPases of human foetal & adult brain.

The in vitro effect of doxepin at 10, 50 and 200 micrograms/mg protein on Mg2+ and (Na+ K+)-ATPases (EC 3.6.1.3) activities of human foetal and adult brain (crude homogenate of cerebrum and cerebellum) were studied at 10-30 wk of gestation. Both Mg2+ and (Na+, K+)-ATPases of human foetal and adult brain were found to be inhibited by doxepin in a dose dependent manner. The inhibitory effect neither varied with respect to the region (i.e., cerebrum and cerebellum) nor with the gestational ages. Inhibition of ATPases activity by doxepin may affect the release and uptake of biogenic amines in the CNS, which may hamper the maturation of brain.

In vitro effect of lorazepam on Mg2+ and (Na+,K+) ATPases of human foetal brain.

Lorazepam (LZ), a benzodiazepine group of drug, inhibits Mg2+ and (Na+,K+) ATPases (EC 3.6.1.3) activity of human foetal and adult brain. The inhibitory effect neither varied with respect to the region (i.e. cerebrum and cerebellum) nor with the age of the foetus. The inhibition of ATPases activity indicates that the neuronal transmission processes, may be affected and raises the possibility of developmental disturbances.