02-cer+ack

OFFICE OF THE DEPARTMENT OF MEDICINE ASSAM MEDICAL COLLEGE & HOSPITAL DIBRUGARH :: ASSAM

Prof. Beenapani Doley, MD, DPM, MRCPsych (London)

Professor & Head Department of Medicine Assam Medical College & Hospital Dibrugarh – 786 002.

This is to certify that the work in connection with the thesis entitled “A STUDY ON SIGNIFICANCE OF SERUM–EFFUSION ALBUMIN GRADIENT IN THE DIFFERENTIAL DIAGNOSIS OF PLEURAL EFFUSION.” was carried out by Dr. Arijit Kumar Das , in the Department of Medicine, Assam

Medical College & Hospital, Dibrugarh under the direct guidance and supervision of Dr. (Mrs.) Krishna Baruah, M.D. Professor of Medicine, Assam Medical College & Hospital, Dibrugarh. Dr. Arijit Kumar Das has fulfilled the necessary

regulations of the Dibrugarh University for submission of the

thesis

and

for

appearing

Examination in General Medicine.

at

the

M.D.

Degree

Dated, Dibrugarh The

, 2004.

[DR.

B.

DOLEY]

OFFICE OF THE DEPARTMENT OF MEDICINE ASSAM MEDICAL COLLEGE & HOSPITAL DIBRUGARH :: ASSAM

Dr. (Mrs.) K. Baruah, MD. Professor Department of Medicine Assam Medical College & Hospital Dibrugarh – 786 002.

This is to certify that Dr. Arijit Kumar Das has carried out the works with the thesis entitled, “A STUDY ON SIGNIFICANCE OF SERUM–EFFUSION ALBUMIN GRADIENT IN THE DIFFERENTIAL DIAGNOSIS OF PLEURAL EFFUSION.” For the

degree

of

doctor

of

Medicine

(M.D.)

in

general

Medicine under my direct guidance constant supervision in the department of Medicine, Assam Medical College & Hospital, Dibrugarh. The results & observations embodied in the this thesis & the interpretations thereof have been done by Dr. Arijit Kumar Das himself & were checked out and

verified by me. He has fulfilled all the conditions & requisites of Dibrugarh University for submission of the thesis and for appearing at M.D. Degree Examination (General Medicine).

Dated, Dibrugarh The

, 2004.

[DR.

(MRS.)

K.

BARUAH]

OFFICE OF THE DEPARTMENT OF PATHOLOGY ASSAM MEDICAL COLLEGE & HOSPITAL DIBRUGARH :: ASSAM

Dr. (Mrs.) D. Kataki,

DCP, MD (Patho.)

Associate Professor of Pathology Upgraded Department of Medicine, Assam Medical College & Hospital, Dibrugarh – 786 002.

This is to certify that Dr. Arijit Kumar Das has carried

out

the

relevant

Laboratory

Investigations

(Chemical and Histopathological Examination of Pleural Biopsy Slides) in connection with the thesis entitled, “A STUDY ON SIGNIFICANCE OF SERUM – EFFUSION ALBUMIN

GRADIENT IN THE DIFFERENTIAL DIAGNOSIS OF PLEURAL EFFUSION”

for the Degree of Doctor of

Medicine (M.D.)

under my guidance & supervision. All the data recorded by him were checked & verified periodically by me.

Dated, Dibrugarh The

, 2004.

[DR.

(MRS.)

D.

KATAKI]

Acknowledge ment I

am

in

debt

to

Dr.

(Mrs.)

Nandita

Chowdhury,

MD

(Medicine), DM (Nephrology), Ex–Principal–cum–Chief Superintendent, Assam Medical College & Hospital, Dibrugarh, for her kind permission to carry out the study and to utilize hospital cases & records of the same. I am very much thankful to Dr. T.R. Borbora, DMRD, MD (Radiology), Principal–cum–Chief Superintendent, Assam Medical College & Hospital, Dibrugarh, for his kind encouragement & help in completing my study. No word would be enough to express my profound sense of gratitude to Dr. Mihir Goswami, Assistant Professor, Assam Medical

College & Hospital, Dibrugarh, for his valuable guidance & encouragement whenever necessary in carrying out this work. I acknowledge with greatest pleasure my infinite indebtedness to Prof. B. Laskar, Prof. G.N. Gogoi, Prof. R. Kotokey, Prof. P.K. Bhattachajee, Assoc. Prof.

S. Kakati, Asstt. Prof. A.K. Sen, Asstt. Prof T.U. Ahmed,

Asstt. Prof . A.K. Das, Department of Medicine, Assam Medical College & Hospital, Dibrugarh for their constructive criticism & sound advice. I am thankful to Dr. (Mrs.) D. Kataki, DCP, MD, Associate Professor of Pathology, Upgraded Medicine, Assam Medical College & Hospital, Dibrugarh, for carry out necessary carry out necessary Laboratory Investigations in her Department. I am grateful to Dr. B.N. Mahanta, MD (Medicine), DTM&H (London), Dr. (Mrs.) R. Doley, MD (Medicine), Registrars of Medical Unit–V for the constant help & guidance throughout the study period. I also owe my sincere thanks to my colleagues Dr. K. Narzary, Dr. I. Hazarika, Dr. M.P. Baruah, Dr. A. Rahman, Dr. R. Das, Dr. Zaman, Dr. R.V. Saikia and Dr. M. Borgohain. My feelings of gratefulness also go to the interns of

Medical

Unit–V both present & past for giving me sufficient time away from the ward duties toward the preparation of this work. My words are few to express my feelings to my Mother, Father and Brother whose support & blessings help me immensely. I am very much thankful to my patients for their co–operation in carrying out this work smoothly. I am really thankful to “Miss Kannaki Parasar” and Mrs. Sweemy Hati Baruah of CIC, Lahowal Centre, Dibrugarh for their efficient & patient typing of this thesis. I am very much indebted & thankful to Mr. Manash Barman, Statistician, ICMR, Dibrugarh, for helping me in my work. I am also very thankful to Mr. Zahir Ahmed, ZED Print Media,

Dibrugarh, for helping me in carrying out this work. Finally I always remember the names of those whose kind helped & co–operation have been always with me.

Dated, Dibrugarh The,

, 2004.

[ARIJIT KUMAR DAS]