Study of Pulmonary Function Tests of Traffic Policemen In Jammu Region.

The present study was carried out to assess the lung functions of traffic policemen in Jammu region. A cross sectional study was carried out among 100 traffic policemen and compared with healthy persons with the subgroup comparison among rural and urban areas. Lung function like FVC, FEV1 , FEV3,PEFR & MVV on computerized spirometry. The results revealed that all lung functions were lower than the healthy controls and differences were statistically marked in FVC,FEV1, ,PEFR. Intergroup comparison between rural and urban revealed that police personnel's posted in rural areas had better lung function than urban counterpart which varied among each other statistically significantly .(FVC -0.04,FEV1- 0.0003,FEV3-0.0001,MVV-0.003,PEFR-0.03). The traffic policemen exposed to air pollution have lower lung function than the healthy persons and those posted at rural areas have better lung function

Pediatric intramedullary schwannoma without neurofibromatosis.

Pediatric intramedullary schwannoma without neurofibromatosis is extremely rare with only five cases reported so far. We present this rare finding in an 8-year-old boy who presented with a sudden onset of weakness in all limbs. An intraoperative diagnosis of schwannoma enabled us to carry out a total excision of the tumor, which resulted in near complete recovery at 18 months follow-up. Although rare, this diagnosis should be considered when a child presents with a solitary intramedullary tumor, since its total resection can be achieved improving surgical outcome.

Lumboperitoneal shunts: review of 409 cases.

BACKGROUND AND AIMS: A prospective study was carried out to evaluate the lumboperitoneal shunt procedure. MATERIAL AND METHODS: Four hundred and nine patients having communicating hydrocephalus were selected for the procedure during a 10-year period from March 1992 to February 2002. The average follow-up was 45.34 months. RESULTS: Tubercular meningitis (TBM)-related hydrocephalus was detected in 285 patients. Forty per cent of the patients were less than 15 years of age. Glasgow Coma Scale (GCS) of less than 8 was seen in 40% patients and 14.9% patients were in GCS 13-15. At the time of discharge 56.7% patients improved in their GCS to 13 -15 and 14.9% were in GCS 8 or less. The overall mortality was 5.13% and shunt-related mortality was seen in 2% patients. Shunt malfunction requiring revision was seen in 32 patients (7.8%) and the total number of shunt revisions was 44 (11%). Shunt infection was noted in 3.4% patients. CSF leak at the lumbar end occurred in 12 patients. Four patients required conversion of LP shunt to VP shunt. CONCLUSIONS: Lumboperitoneal shunt is an effective shunting procedure in communicating hydrocephalus.

Esophago-gastric dissociation complicating devascularization procedure for portal hypertension.

Devascularization surgery for portal hypertension, indicated in selected patients, is considered safe. A 15-year-old boy with cirrhosis underwent elective modified Sugiura's devascularization procedure for secondary prophylaxis of variceal bleeding. He developed esophago-gastric dissociation, which was successfully managed with emergency feeding jejunostomy and restoration of gut continuity three months later.

Adolescent Tethered Cord Syndrome: Type-2 spilit Cord Malformation with Dermoid Cyst at Split Site.

Presented here is a case of fourteen year old female with diagnosis of Tethered Cord Syndrome (TCS) having type II Split Cord (Diplomyelia-D12 to L, vertebral level) with dermoid cyst at the split cord site (L,-L, vertebral level). She presented with acute onset paraplegia with sphincteric involvement. She was having asymptomatic patent ductus artJ!reosus. After investigations, she was operated upon and has shown significant neurological recovery.