The present investigation was carried out to examine the optimum doses of NPK and boron application on broccoli in irrigated agro-ecosystem of western Uttar Pradesh during rabi 2009-10 and 2010-11. Seven different treatments including control were used in Randomized Block design (RBD). The results revealed significant response on growth and yield of broccoli for different treatments. Application of 120 kg N+60 kg P 2 O 5 +40 kg K 2 O+15 kg B ha-1 gave maximum plant height plant-1 (65.33 cm), number of leaves plant-1 (18.26), length longest leaf (52.99 cm), width of longest leaf (17.98 cm), spread of plant (55.53 cm) and stem diameter (4.47 cm), whereas in control was minimum pronounced plant height plant-1 (58.66 cm), number of leaves plant-1 (12.33), length longest leaf (42.70 cm) width of longest leaf (14.18 cm), spread of plant and stem diameter (3.04 cm). Similar, pattern on the curd diameter (13.69 cm), length of curd (16.33 cm), weight of curd plant-1 (286.89 g), weight of sprout plant-1 (126.89 g), weight of curd and sprout plant-1 (0.390 kg) and total yield Curd+sprout (148.51 q ha-1) was recorded with the application of 120 kg N+60 kg P 2 O 5 +40 kg K 2 O+15 kg B ha-1' and minimum was under control treatment.

Background:The transversus abdominis plane (TAP) block is an effective method of providing postoperative analgesia in patients undergoing midline abdominal wall incisions, by blocking the abdominal wall neural afferents via the bilateral lumbar triangles of Petit. We evaluated its analgesic efficacy in patients during the first 48 postoperative hours after abdominal surgery, in a randomized, controlled single-blind clinical trial.Materials and Methods:Sixty patients (mean age 36.2 ± 9.6 years) of either sex of ASA grade 1 and 2 who underwent major gynecological or surgical operation were randomized either to receive standard care, including patient-controlled tramadol analgesia (n = 30), or to undergo TAP block (n = 30) in addition to standard care. After completion of surgery, 20 ml of 0.375% levobupivacaine was deposited into the transversus abdominis neurofascial plane via the bilateral lumbar triangles of Petit. Each patient was assessed in the postanesthesia care unit and at 2, 4, 6, 12, 24, and 48 h postoperatively.Results:The TAP block reduced Visual Analog Scale pain scores at most (2, 4, 6, 12, 24 h), but not at all time (36, 48 h) points assessed. Patients undergoing TAP block had reduced tramadol requirement in 24 h (210.05 ± 20.5 vs. 320.05 ± 10.6; P < 0.01) and 48 h (508.25 ± 20.6 vs. 550.25 ± 20.6; P < 0.01), and a longer time to the first PCA tramadol request (in minutes), compared to the control group (178.5 ± 45.6 vs. 23.5 ± 3.8; P < 0.001).Conclusion:The TAP block provided highly effective postoperative analgesia in the first 24 postoperative hours after major abdominal surgery, and no complications due to the TAP block were detected.

The tracheobronchial origin of non-Hodgkin's lymphoma (NHL) is a very rare presentation, and there are only a few case reports of primary tracheal or endobronchial NHL. We have two cases of primary tracheobronchial NHL; one case was incidentally diagnosed as anaplastic large cell lymphoma of endobronchial origin when a comprehensive workup and surgery were carried out for an endobronchial aspergilloma which was actually sitting on top of lymphoma. The second patient was a case of myelodysplastic syndrome who presented with acute respiratory distress; on thorough workup, he was found to have endotracheal B-cell lymphoma. Both cases were responding well with standard chemotherapy. The mortality in these kinds of patients is due to disease progression or airway compromise and treatment complications.

Pycnodysostosis (the Toulouse-Lautrec syndrome) is a rare autosomal-recessive disorder of osteoclast dysfunction. This disorder was first described by Maroteaux and Lamy in 1962. We describe anaesthetic management of a 35-year-old female having pyknodysostosis with fracture shaft left femur with anticipated difficult intubation. Therefore, spinal anesthesia was planned for her fracture fixation. The intra- and postoperative period remains uneventful.

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