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Tribal population is socio economically disadvantaged group. Knowledge about nutritional status of various tribal populations is important because it impels to identify under nutrition which is a leading cause of morbidity and mortality. This study is conducted to assess under nutrition among under 5 tribal children. In this cross sectional study with a sample of 68 under 5 tribal children selected through complete enumeration fulfilling the inclusion criteria after obtaining ethical clearance from Institutional Ethics Committee. Anthropometric measurements were recorded to determine types of under nutrition prevailing among them using World Health Organization Anthro software. 24 h recall of dietary history of children was taken for 7 days to assess mean energy, protein, and fat intake per day and compared with recommended daily allowances. A total of 30.8% children were stunted, 30.8% were wasted, and 14.7% were both stunted and wasted. The consumption of energy, protein, and fat was much low. Chi square test showed a significant association of under nutrition with gender, education of father, type of family, socio economic status, and birth order but binary logistic regression showed significant association only with socioeconomic status. Under nutrition in form of stunting and wasting and low dietary intake of energy, protein, fat was found among these children. Multi sectoral approach is suggested.

Background: Hypertension is a major public health problem in India and considered as a silent killer disease. The national program for prevention and control of cancer, diabetes, CVD and stroke (NPCDCS) recommended opportunistic screening for hypertension at all levels health facility. The present study was conducted with the objectives to estimate the magnitude of hypertension among the General OPD attendees aged 18 years and above in tertiary care hospital in a district of West Bengal and to find out the factors influencing hypertension among them.Methods: The study was a hospital based observational, descriptive study with cross sectional design and conducted among 244 study participants in 2018. Study variables included socio demographic factors and both modifiable and non-modifiable risk factors for hypertension.Results: In this study 40.2% subjects had normal blood pressure, 18.4% were known hypertensive and 101 (41.3%) people were newly diagnosed as having high blood pressure. Among known hypertensive, 75% had poor control of hypertension. Age, religion, family history of hypertension, body mass index (BMI) and central obesity had significant association with hypertension.Conclusions: The study recommended strengthening of opportunistic screening of all patients for hypertension at all levels of health care, especially through the village health nutrition day platform and providing treatment free of cost. Awareness generation and counselling for lifestyle modification should also be strengthened.

The present case report is about a 52-year-old hypothyroid female who was brought by family members with history of recurrent episodes of seizures in last ten days with progressively increasing altered behavior for same duration. There is history of recent, remote memory loss associated inability to carry out activities of daily living. Amongst medical co-morbidities she is hypothyroid (on regular thyroxin replacement 75 mcg/day). Upon neurological examination GCS was 10, no meningeal signs, no cranial nerve palsy, power 3/5 in all four limbs with normal tone. Pupils are bilaterally symmetrical and normally reacting to light, plantar bilateral flexor, deep tendon reflexes are normal. No sensory loss, no meningeal or cerebellar signs, no cranial nerve palsies. Fundus was normal. At admission, complete hemogram, fasting blood sugar, electrolytes, kidney function tests and liver function tests were normal. CSF study at admission had 62 cells with all lymphocytes, protein of 151 mg/dl with sugar of 76 mg/dl. HIV, HBsAg, Anti-HCV-nonreactive. ANA (Hep2 method)-negative, ANA profile-negative. CSF and serum VDRL were negative. Thyroid profile revealed euthyroid state. Anti-Thyroid peroxidase (TPO) Antibody-431.8; (normal<35). Anti-TG antibody-negative. Anti-NAE autoantibodies were positive. VGKC Ab, NMDA receptor Ab A 52-year-old hypothyroid presented with episodes of seizures in last ten days with altered behavior. CT scan of brain showed cerebral atrophy and MRI of brain revealed non-specific changes. In EEG, there was slow wave pattern. CSF study showed increased cell count with all lymphocytes and raised protein with normal glucose. Anti-TPO Antibody was positive. All relevant investigations like HIV, HBsAg, Anti-HCV Ab, ANA (Hep2 method), ANA profile, P-ANCA, c-ANCA, VGKC (voltage gated potassium channel) Ab, NMDA Receptor/Anti-Glutamate Antibody) Ab, VDRL were negative. She was given pulse doses of methylprednisolone followed by maintenance prednisolone. Then her GCS improved followed by sudden deterioration. Repeat CSF showed marginal decrement of protein and cell count. Then she was given IV Immunoglobulin and patient improved. At discharge her CSF study normalized. Anti-TPO Ab titre came to normal level and EEG normalized. Hashimoto's encephalopathy(HE) should be suspected in a case of sub-acute encephalopathy with high levels of anti-thyroid antibodies may be with normal thyroid functions. Here the patient did not have improvement on steroids. The patient needed immunoglobulin to improve.