A Patient with Tracheal Leiomyoma and Meningioma: A Case Report.

Most of the tumors that form in the trachea and bronchi in adults are malignant but a few are benign. Common benign tumors of the trachea are squamous cell papilloma, fibroma, hemangioma and leiomyoma. Leiomyoma of trachea constitute only 1% of the common benign tumors of the trachea and hence few cases are reported in the literature. Meningiomas are a diverse set of tumors arising from the meninges, majority of these tumors are usually benign and only 8% are either atypical or malignant, which could recur after treatment or removal. Presence of both this uncommon tumors in a single patient is quite rare. We present a case of a woman with both the tumors.

Exposure limits of women in hot environment.

The tolerance of six women to work in hot environments was examined under four environmental conditions from 38 to 44 degrees C dry bulb temperature and 50 to 80 per cent relative humidity, i.e., 32 to 36.5 degrees C effective temperature [ET (normal scale)] in a climatic chamber. The subjects performed bicycle ergometric work at an intensity of 50 W and the exposure duration was determined by the cardiorespiratory, body temperature and sweating responses. At the limit of tolerance, the body core temperature (Tcr) reached over 38.5 degrees C and the heart rates attained a peak level (i.e., about 172 beats/min). The total oxygen demand decreased significantly with higher environmental load, particularly beyond 33.5 degrees C ET (N). While the tolerance time decrement was evident with the higher heat stress, on an average, an increase or decrease of every liter of total oxygen demand was equivalent to a 0.8 min change in the tolerance time. As such, the women volunteers were not susceptible to heat; only in extreme hot situations beyond 33.5 degrees C ET (N), they had unacceptable levels of physiological and psychophysical reactions. Based on the distribution of tolerance time of the women in different exposure conditions, the safe exposure times were estimated, which varied from 43 min [32.0 degrees C ET (N)] to 16 min [36.5 degrees C ET (N)].

Human heat tolerance in simulated environment.

The heat tolerance of 11 male volunteers were examined under seven climatic conditions in a climatic chamber. The conditions were 38 to 49 degrees C dry bulb temperature and 45 to 80 per cent relative humidity, i.e., 32.3 to 40 degrees C effective temperature-basic [ET(B)]. The ET(B) values were equated to other heat stress indices, e.g., WBGT (Wet-bulb Globe Temperature Index) and Oxford Index. The subjects did ergometric work at an intensity of 60 per cent VO2max. The exposure durations were decided by the cardiorespiratory, body temperature and sweating responses. Of the climatic conditions studied, at 35.4, 38, 39 and 40 degrees C ET(B), the body core temperature (Tcr) reached over 39 degrees C and heart rates attained 172 to 182 beats/min, which were taken as the tolerance limit. The total oxygen demand significantly varied with the increase in environmental warmth, i.e., increase or decrease of one litre of oxygen demand was equivalent to one minute change in tolerance time. The volunteers were not susceptible to heat; only in extreme hot situations beyond 35.4 degrees C ET(B), were unacceptable levels of physiological and psychophysical reactions seen. The study suggests the acceptable and tolerable limits for human exposure in heat: (i) acceptable at 38 to 38.2 degrees C Tcr for a tolerance time of 80 to 85 min; and (ii) the tolerable limit of short duration (40-45 min) at 39 degrees C Tcr that corresponded to 31.5 and 36.5 degrees C ET(B).