Discriminating Bangladeshi Adults by Level of Blood Pressure

The objective of the present work was to discriminate Bangladeshi adults of 18 years and above according to their blood pressure level and to identify some factors responsible for discrimination. Accordingly, the analysis was done utilizing the data collected from 960 adults of both urban and rural areas. The respondents were investigated by some doctors and nurses from and nearby their working places. During investigation, the blood pressure (mmHg) of the respondents were recorded. It was observed that 45.4% adults had optimal blood pressure. The percentages of normal, high normal and hypertensive adults were 39.5, 9.4 and 5.7, respectively. High normal and hypertension was more likely among urban, non-Muslim, female, single, aged, illiterate, physically inactive, involved in sedentary activities, obese subjects. Adults of lower income group of families and higher expenditure group of families were also more exposed to the problem of higher blood pressure. The problem was more likely in smokers, restaurant and can food consumers. Age, utilization of time, and accustomed with can food were the most responsible factors in discriminating the adults of different groups. The other responsible variables were gender variation, level of education and body mass index (BMI).

Clinical and Radiologic Diagnosis of a Patient with Maroteaux-Lamy Syndrome

Background: Diagnosis of rare diseases or disorders is understandably challenging because it is unfeasible for practicing physicians to make themselves familiar with hundreds of rare diseases. The diagnosis of rare inherited metabolic syndromes such as mucopolysaccharidoses is additionally complicated by the lack of confirmatory sophisticated laboratory tests in many areas of the world. In the more developed countries, the diagnosis of mucopolysaccharidoses depends on urine tests for excessive mucopolysaccharides and enzyme assays. However, these tests are not easily accessible in countries like Iraq, and the diagnosis has to rely on clinical and radiological findings. Case Report: The clinical and radiologic diagnosis of an Iraqi patient with Maroteaux-Lamy syndrome is described. The clinical diagnosis of the girl with early-onset mucopolysaccharidosis and the abnormalities were recognizable before the age of two. The clinical and radiologic diagnosis was Maroteaux-Lamy syndrome because of the absence of mental retardation and the presence of hepatosplenomegaly. Conclusion: Clinical diagnosis of rare metabolic syndromes like mucopolysaccharidoses requires magnificent clinical skills and huge experience because of the similarity between various types of mucopolysaccharidoses.