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SUMMARY Clinical features of obstruction of the intrahepatic portion of the inferior vena cava were observed in five out of the 11 patients with the Budd-Chiari syndrome seen during the last four years. These patients apparently formed a distinct group from the remaining six and resembled in clinical course, biochemical features, haemodynamic findings, and radiological investigations the patients described as cases of membranous obliteration of the intrahepatic portion of the inferior vena cava. The present study reports five such patients diagnosed with the help of venous catheterization, percutaneous hepatography, and haemodynamic studies. The value of distinguishing these patients from those with obstruction due to hepatic vein occlusion is highlighted because of the difference in the prognosis and treatment.

SummaryWe investigated the awareness of, and the attitude towards screening for, cervical cancer in Bangladesh. We performed a qualitative study using Focus Group Discussions (FGD). The framework approach to qualitative analysis was used.The study was performed in the catchment areas of Addin hospital, Jessore, Southern Bangladesh (peri-urban) and LAMB hospital, Parbatipur, North West Bangladesh (rural). 220 men, women and adolescents participated in 28 FGD.Awareness of cervical cancer was widespread. Knowledge about causes was often inadequate. The perceived consequences of cervical cancer were numerous and awareness of the need for cervical cancer treatment was present. Barriers to accessing care include: low priority for seeking help for symptoms, limited availability of health services, and cost. Most women were unaware of the possibility of screening via speculum examination which was considered acceptable to women (and men), as long as the examination was done by a female health care provider in an environment with sufficient privacy.In conclusion, adequate gynaecological services are not available or accessible for most women in rural and peri-urban Bangladesh. However, awareness of cervical cancer is widespread. Screening for cervical cancer in these communities is acceptable if done by a female health care provider under conditions with sufficient privacy.

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