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Health risks of heavy metals in vegetables irrigated with sewage water were investigated in the present study. The findings indicated a massive accumulation of heavy metals in soil and vegetables collected from Dera Ismail khan, Pakistan. The concentration levels of heavy metal in vegetables grown on soil irrigated with untreated sewage water were significantly higher at (P ≤ 0.001) than in vegetables grown on fresh-water-irrigated soil and proceeded the recommended limits of World health organization. Moreover, the findings also indicated that the adults and children consuming such vegetables ingested a large proportion of the selected toxic metals. Health risk index was greater than one for Pb and Cd in all the selected vegetables and was greater than one for Ni in three vegetables like Spinacia oleracea, Benincasa fistulosa and Lactuca sativa. Health risk assessment would be a useful tool for information regarding any threats of heavy metals contamination in vegetables.

The Nagaland State is prone to all kind of natural disaster like earthquake, flash floods, landslide, and forest fire. Every year the state faces huge losses of property due to natural disaster. The degree of losses due to disaster depends on the type of disaster and its place of occurrence. The geographical location places a major role on the occurrence of natural disaster.

The aim of this study was to assess hearing improvement after myringoplasty within ten weeks following surgery. The study population consisted of 30 patients who were suffering from CSOM-77". Pre-operative and post-operative eraminations of the patients were conducted clinically as well as audiologically. Pre-and post-operative air-bone (A-B) gap were calculated by raking the averages of bone conduction and air conduction at the frequencies of 300. 1000 and 2000 Hz. Myringoplasty was done with underlay technique under general anaesthesia by postaural approach. Temporal 'muck fascia was used as grafting material for reconstruction of the tympanic membrane. Pre-operatively, air-bone gap of 30 db or more was observed in 39 (78%) patients whereas post-operatively A-B gap of 30 db or mare was observed in only one patient. Using hearings gain exceeding 15 dB as the criterion. 39 (78%) patients had their hearing gain exceeding 15 dB. Using post-operative A-B gap within 20 dB as the criterion. 42 (84%) patients had their A-8 gap within 20 dB. Myringoplasty is a beneficial procedure for hearing improvement. Using the proportion of patients with a post-operative A-B gap of 30 dB as the criterion, in this study. 98% of patients achieved their A-B gap closer within 30 dB. Using hearing gain exceeding 15 dB as the criterion, 78% patient had their hearing gain exceeding 15 dB.

Functional endoscopic sinus surgery (FESS) is the minimally invasive procedure to clear the disease process from nose and pansnasal sinuses like chronic maxillary sinusitis and to restore aeration and normal nutcocilliary function of sinuses. FESS has recently become a popular technique among the otolatyngologists of Bangladesh. The use of endoscope during FESS improves visualization, enables greater preservation of normal structures and reduces the necessity for wide exposure of operation fields. The result suggests that FESS is a safe and effective method in the treatment of chronic maxillary sinusitis. This study of 50 cases was done front January 2007 to December 2007 at Holy Family Red Crescent Medical College Hospital where FESS is routinely done for the management of chronic maxillary sinusitis. In this study, 76% (38) were completely free from symptom, 16% (08) improved, 4% (02) encountered recurrence of symptom and persistence of symptom observed in another 4% (02) cases. Most of the patients (62%) in this series of FESS were operated without facing any difficulties. Majority of the patients (94%) were released from the hospital within two days of FESS. No post-operative complication was found in 62% patients. FESS for inflammatory sinus diseases is now well established but one should be cautious about the complications associated with Otis technique.

Congenital cystic adenomatoid malformation (CCAM) is a rare developmental, non-hereditary, hamartomatous abnormality of the lung with adenomatoid proliferation of cysts resembling bronchioles. It is usually unilateral with involvement of a single lobe. We report an unusual case of a 33-year-old man who presented with this disease with the involvement of an entire lung. We discuss the patient's pathogenesis, histological findings, clinical presentation, imaging characteristics and treatment, and review the associated literature.

An anchoring system for an offshore structure must meet certain prescribed requirements controlled by factors such as the site environment, operational constraints and the vessel employed. Its adequacy, survival and ability to stay on site must, therefore, be checked out with proper methods of analysis. The inclusion of cable dynamics is an important consideration in the dynamic analysis of a moored vessel. In this paper, mooring line equations of motion are derived for a multi-component, n-segment model using Lagrange’s modified equation, permitting anchor motion, and then numerically solved to yield time histories of cable displacements and cable tensions for the various cable configurations that can occur. Initial conditions can be provided through the mooring line static catenary equations. The nonlinear restoring force terms in the vessel equations of motion are generated through the dynamic tension- displacement characteristics of individual lines. The equations of motion of the moored vessel subjected to an open ocean environment are then numerically solved to yield time histories of vessel motions and cable tensions. An example involving a moored production barge is examined and results are compared with those of previous work in which a quasi-static cable configuration is employed.

Deux cas d'adenome sebace attache au conduit auditif externe et remplissant la conque de l'oreille sont presentes en raison de leur rarete, leur taille exceptionnellement grande et la presence d'une surface huileuse particuliere qui constitue une indication importante pour le diagnostic