Climate Services for Resilient Development in South Asia Mid-Term Report, January - June 2018

Aligned with the Global Framework for Climate Services, Climate Services for Resilient Development (CSRD) is a global partnership that works to link climate science, data streams, decision support tools, and training with decision-makers in developing countries. CSRD is led by the United States Government and is supported by the UK Government Department for International Development (DFID), UK Meteorological Office, ESRI, Google, the Inter-American Development Bank, the Asian Development Bank, and the American Red Cross. Led by the International Maize and Wheat Improvement Center (CIMMYT), the CSRD initiative in South Asia implements applied research and facilitates an expanding network of partners assure that actionable climate information and crop management advisories can be generated, refined, and delivered to smallholder farmers. This report details activities of the CSRD project in South Asia during the first six months of 2018

Lupus Vulgaris Causing Nasal Destruction: Rare Presentation in Current Time

A 42-year-old lady reported with slowly progressive reddish lesions over the nose, followed by atrophy and ulceration for about 6 years. Clinical examination revealed atrophied, ulcerated, erythematous lesions over central face, forehead and neck destroying whole nose. Mantoux test resulted 16×18 mm on 48 hours observation. Histopathological examination of the lesion showed noncaseating grunuloma along with Langhans giant cells in the upper dermis surrounded by lymphocytes. The conclusive diagnosis was lupus vulgaris based on above findings. Six months therapy with INH 300 mg plus rifampicin 600 mg supplemented by initial 2 months ethambutol 1000 mg plus pyrazinamide 1500 mg daily resulted clean-looking perforation with healthy margi

Pattern of Dermatological Cases Attending Skin-VD Outpatient Department in a Medical College Hospital of Bangladesh

Background: The pattern of skin diseases varies from one country to another and even from region to region of the same country. We are geographically placed in the tropical region with natural outcome of communicable diseases. We conducted this cross sectional study in a tertiary hospital of Bangladesh keeping the proposition in mind that infectious diseases occupy maximum percentage among skin and venereal diseases in outpatients in Bangladesh. Objectives: To classify the diseases attending the Skin & VD outpatient department of Enam Medical College Hospital (EMCH) and to draw comments and recommendations on the basis of findings. Materials and Methods: All patients irrespective of age and sex attending the OPD of Skin-VD Department of Enam Medical College Hospital during a 2-year time-period (from January 2009 to December 2010) were included in the study. Structured questionnaire, check-list and face-to-face interview (whenever necessary) were used as tools of data collection. Statistical analyses were done by SPSS version Windows 11.1. Results: Total number of patients was 12100. Most of the patients were aged (>18 years; 64.28%), dominated by male (61.63%), married (56.1%), literate (71.11%), coming from far (>5 km; 63.5%) and of middle class origin (59.73%). Out of the total cases, maximum (23.42%) were diagnosed as eczema, followed by infectious diseases (17%), acne (8.69%) and psoriasis (6.36%). Conclusion: In this study we found infectious diseases to occupy the second position next to eczema and our findings nullify the proposition that infectious diseases occupy maximum percentage among skin and venereal diseases in outpatients in Bangladesh

Upgradation of nuclear medical equipment in the developing countries and its impact in Bangladesh

Bangladesh has thirteen Nuclear Medical Centres and one Institute of Nuclear Medicine in the country which are being run and maintained by the physicians scientists and engineers of Bangladesh Atomic Energy Commission. The peaceful application of atomic energy was initiated through all these Centres with the use of clinical isotopes for thyroid and kidney studies. The equipment used for these purposes were the thyroid uptake system, rectilinear scanner and the multiprobe renogram system. The first gamma camera was installed in the country in 1980 at the Institute of Nuclear Medicine, Dhaka. That was the turning point for the country in the field of nuclear medicine. Presently all the nuclear medical establishments are equipped least with a gamma camera, thyroid uptake system and a renogram system. In the last two decades there has been a tremendous development in the design of nuclear medical equipment. Most of the old equipments were slow and manually operated. In the beginning of nineties of the past century there was an uprising in the computer technology and most of the manually operated machines were brought under computerization. It was basically done with a custom built processor to perform only the specific job and spare the users from doing some extra manual work. But the performances of the recent models of the same computerized equipment are by far the best as compared with the past ones. This report describes the role of the IAEA in the upgradation of medical equipment, PC interfacing, upgrading of old gamma cameras and the technological and socio-economic impact in Banglades