Bahawalpur is the largest division of the Punjab province in Pakistan. It is larger than many countries of the world. Gamma activity from the naturally occurring radionuclides namely 226Ra, 232Th, the primordial radionuclide 40K and the artificial radionuclide 137Cs was measured in the soil of the Bahawalpur division using gamma spectrometry technique. The mean activity of 226Ra, 232Th, 40K and 137Cs were found to be 32.9 +/- 0.9, 53.6 +/- 1.4, 647.4 +/- 14.1 and 1.5 +/- 0.2 Bq kg(-1), respectively. The mean radium equivalent activity Raeq, external hazard index, internal hazard index and terrestrial absorbed dose rate for the area under study are 158.5 +/- 4.1 Bq kg(-1), 0.4, 0.5 and 77.32 nGy h(-1), respectively. The annual effective dose equivalent to the public was found to be 0.5 mSv.

Indoor radon concentration levels were measured in seven major cities of the Bahawalpur Division, Pakistan. These included Fort Abbas, Minchin Abad, Hasilpur, Bahawalpur, Liaqatpur, Rahimyar Khan and Sadiq Abad. In order to select houses for this survey, the inhabitants were approached through their school-registered children. Due to several constraints, only those 100 houses were chosen in each city that were relatively the best representatives of the built-up area. The selected houses were then divided into live categories according to the house locations and building characteristics. CR-39 detectors, placed in polyethylene bags. were installed at head height in bedrooms and sitting rooms of all the selected houses and were exposed to radon and its daughter products for 90 days. Four such measurements were performed over a year in order to average out the seasonal variation in radon levels. After exposure, all the detectors were etched and counted under an optical microscope. The track densities of four measurements were averaged out and related to radon concentration levels. The radon levels were found to be 20, 20, 26, 28, 34, 42, 47 Bq m(-3) in the bedrooms and 24, 26, 27, 26, 37, 40, 43 Bq m(-3) in sitting rooms of Hasilpur, Rahimyar Khan, Minchin Abad, Fort Abbas, Sadiq Abad, Bahawalpur and Liaqatpur respectively. The observed variation in the radon level may be attributed to the geological variation in the area. Based on the observed data, excess lung cancer risk was assessed using the risk factors recommended by the USEPA, UNSCEAR and the ICRP. According to the EPA model, the lifetime excess lung cancer risk due to the lifetime exposure is found to vary from 12-102 per million per year in the houses surveyed. This variation is from 16-114 and 26-62 per million per year if UNSCEAR and ICRP limits are applied respectively.

In our population ROP was not seen to occur in infants older than 32 weeks gestational age and/or weighing more than 1500 g.

Miss Merry, 17 years old girl hailing from Barobila., Patkelghata, Satkhira was admitted in Khulna Medical College Hospital on 27-06-2010 Bang Med J (Khulna) 2012; 45 : 33-35

Introduction Indications for surgical management of displaced humeral shaft fractures are not clearly established, leading to variations in practice. The aim of this study was to determine the scale of these variations in the UK practice to help design a future national trial. Methods An online survey was sent to all surgeon members of British Elbow and Shoulder Society to help define humeral shaft fractures, fracture displacement as well as indications for operative and non-operative management. Patient and injury related factors considered important when managing humeral shaft fractures were investigated. Results The survey achieved a response rate of 32% (104/327). There was a lack of consensus on definitions for humeral shaft fractures and fracture displacement. A functional brace was the most common form of non-operative treatment (63%). Majority immobilise humeral shaft fractures for 4–8 weeks or until callus are visible (62%) with a similar number considering operative treatment if adequate signs of healing are not present at around 12–16 weeks. Around half of our respondents exclusively use plates with variations in preference of approach and a minority (2%) exclusively use intra-medullary nails. Conclusion The significant variation in management of displaced humeral shaft fractures in the UK suggests a clear need to evaluate clinical and cost effectiveness through a multi-centre randomised trial.

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