2009 Details

Dr. Malabika Roy, Scientist F, ICMR, New Delhi – 110029. Sub: Attending Meeting on 28th. & 29th. May,09 in New Delhi. Dear Dr. Roy, I have sent the Status report of our center through e- mail. I am sending the hard copy & a CD herewith through Speed Post. This is also to inform you that, Our RO Dr. Amit Kr. Chakraborty is availing the apex air tickets in the economy class like previous occasions, as no confirmed railway tickets are available now. Pl. send the consent letter regarding this & also regarding my air tickets, so that there will be no problem in our audit. Thanks & best wishes,

Prof. Dr. J. Mukherji, OIC – HRRC (ICMR), Dept. of Obst. & Gynae, R.G.K.M.C. & H. Kolkata.

INDIAN COUNCIL OF MEDICAL RESEARCH HUMAN REPRODUCTION RESEARCH CENTRES 1. NAME OF CENTRE : HRRC (ICMR), R.G.Kar Medical College, 1 Khudiram Bose Sarani, Kolkata – 4. 2. YEAR OF INCEPTION : 1974 3. NAME & DESIGNATION OF OFFICER-IN-CHARGE : Prof (Dr.) Joydev Mukherjee, Professor, Dept. of Obst. & Gynae, R.G. Kar Medical College. 4. DATE OF TAKING OVER CHARGE OF HRRC : 01.08.2005 5. ADDRESS : Office : Dept. of Obst. & Gynae., R.G. Kar Medical College. Residence : IX/7 CITIZENS, 103, Manicktala Main Road. Kolkata – 700054. 6. TELEPHONE : Office : (033) 2530-1673. Residence : (033) 2355-8055 Cell: 9433351996 7. E-MAIL : Office – [email protected] FAX : --------X------------. 8.

A) HRRC CORE BUDGET: YEAR SANCTIONED (RS. IN LAKHS)

EXPENDITURE (RS. IN LAKHS)

2005-2006

12,60,000/-

12,42,271/-

2006-2007

13,35,000/-

13,28,617/-

2007-2008

16,75,000/-

15,93,697/-

2008-2009

17,45,000/-

16,45,792/-(approx)

8. b) Budget from other Sources (Specific studies from RHN, ICMR)/ (nonRHN ,ICMR/ Others Year Name of study) Sanctioned (Rs. Received (Rs. Expenditure (Rs. in Lakhs) In Lakhs) in Lakhs) 2007-08 Eclampsia Study 11,160/9,000/-, till 9,000/March,09. [2,160/- after March,09] 2007-08 Infertility Study 2,00,000/2,00,000/20,498/2008-09 Wastage factors 45,000/Received nil for Vaccines after March,09.

9. DETAILS OF STAFF (SANCTIONED/IN POSITION) Post Name of Date of Date of QualifiPay Sanctioned. person Birth joining cations Scale in position Research Dr. 16.11.65 04.04.94 MBBS 9000Officer (M) Amit (Cal), 40,500/Kr. DIH Chakrab -orty Research Dr. 02.05.61 15.05.00 MBBS 9000Officer (M) Chhabi (Cal) 40,500/Bose DGO Research Vac Officer ant till ------------------(NM) date Social Mrs. 11.04.50 01.11.75 B.Sc, 9000Worker – I Gouri B.Ed, 40500/DasDip.in gupta AGSW (2 yrs) Social Mr. 02.01.54 08.09.81 B.Sc. 7100Worker – II Bidyut 37600/Ganguli LDC/ Mr. 06.09.57 31.07.82 B.Com 5400Typist Dilip (Part-I) 25200/Kr. Banerjee Driver – I Mr. 15.10.67 28.05.94 Passed 7049/Nemai Class – (Consoli Das V -dated) Driver – II Mr. 18.03.68 24.07.95 Passed 7049/Padma Class – (Consoli Lochan VIII -dated) Nayak

Total Salary P/ month

Telephone/e-mail Residential

51,296/-

R- 03216-265755 M- 09830833156

50,423/-

R-033-2555-4088 M- 09433186446

15,760/-

-----

36,917/-

R-033-2413-0523 M-09830040694

28,785/-

M-09433905815

20,227/-

R-033-2528-0524 M-09051908284

7,049/-

033-2530-1673

7,049/-

033-2530-1673

10. 10. a) Post sanct ioned

10. b) Post sanct ioned

10. c) Post sanct ioned

DETAILS OF STAFF FOR SPECIFIC PROJECT/ s – nil. 1 SW & 1RO post sanctioned for Centchroman Project, not yet recruited. NAME OF THE PROJECT Name of person in position

Date of Birt h

Date of joinin g

Quali fications

Pay scale

Total salary

Telephone /e-mail Resi. No.

Cell No.

e-mail ID

NAME OF THE PROJECT Name of person in position

Date of Birt h

Date of joinin g

Quali fications

Pay scale

Total salary

Telephone /e-mail Resi. No.

Cell No.

e-mail ID

NAME OF THE PROJECT Name of person in position

Date of Birt h

Date of joinin g

Quali fications

Pay scale

Total salary

Telephone /e-mail Resi. No.

Cell No.

e-mail ID

11. LOGISTIC SUPPORT FOR HRRC ITEM Vehicle(s) i) WNC4683 ii) WB-049774 Computer(s) Printer(s)

Additional Software Refrigerator Others equipments(specify) E mail facility

MODEL

DATE OF PURCHASE

CONDITION (WORKING /NOT WORKING)

Mahindra Jeep– LMV1987 Mahindra Nissan Minibus– 1994

31.03.87

Working

06.01.94

Working

i) HCL-HP 486 SX/33 ii) Intel P 4

29.04.95 26.03.02

Working Working

i) TVSE MSP-155 DMP ii) HP Deskjet 656C iii) EPSON C43 SX v) HP laser jet 1018

29.04.95 26.03.02 02.01.04 04.10.07.

---

---

425 Lts. Deep Fridge Kelivnator LG CD Rewriter

Not Working Not Working Not Working Working ---

31.03.87

Not Working

06.04.0

Working

----------

Working

2 ----------------

12. LOGISTIC SUPPORT FROM OTHER SPECIFIC PROJECTS 12 a) Name of Project: LOW DOSE VERSUS STANDARD DOSE MAGNESIUM SULPHATE REGIMEN FOR MANAGEMENT OF ECLAMPSIA – A RANDOMIZED CONTROLLED TRIAL. Item Model Date of Condition purchase (working/ not working) Name of Equipments /non consumables REMI CETRIFUGE C-854/4 21.08.07. WORKING MACHINE 4 TUBE S/N-7042

13. TRAINING PROGRAMME/S ATTENDED/PAPER/S PRESENTED IN CONFERENCE/WORKSHOP/SEMINAR BY HRRC STAFF IN LAST THREE YEARS : Name

Designatio

Conference/workshop/CME/ Skill training/others

n Prof .J.Mukherji

O.I.C

1.Task Force Study “Prevalance of infertility in India” in NIN, Hyderabad by ICMR 2.Comparative acceptability of Reddy’s “Negative Pressure”Female Condom and Reality Female Condom(FC 1) in Indian Women” in ICMR, New Delhi. 3. “ Low dose Magnesium sulphate regimen

Duration 1d.

Date &year 22.08.07 .

2d

Source of funding ICMR ICMR

15th. & 16th. Jan.07. 2d

13th. & 14th. Dec. 2006.

ICMR

1d.

14.11.08

IMA

5.LOW DOSE VERSUS STANDARD DOSE MAGNESIUM SULPHATE REGIMEN FOR MANAGEMENT OF ECLAMPSIA– A RANDOMIZED CONTROLLED TRIAL.

1d.

05.12.08 .

ICMR

6. A Simple Behavioural Intervention to Reduce Episiotomy Rates”

1d.

16.01.09

ICMR

7. BOGS Annual Conference

2d.

13th. & 14th. Dec.08. 22.08.07 .

BOGS

for management of eclampsia-a randomized controlled trial”. In ICMR HQ.

CME & Conference by IMA at Kolkata. 4.

Dr A.K.Chakr aborty

1 d. R.O (M)

1.Task Force Study “Prevalance of infertility in India” in NIN, Hyderabad by ICMR 2.Comparative acceptability of Reddy’s “Negative Pressure”Female Condom and Reality Female Condom(FC 1) in Indian Women” in ICMR, New Delhi. 3. CME & Conference by IMA at Kolkata. 4. LOW DOSE VERSUS STANDARD DOSE MAGNESIUM SULPHATE REGIMEN FOR MANAGEMENT OF

4d

ICMR

ICMR 15.01.07 to 19.01.07

1d.

14.11.08

IMA ICMR

1d.

05.12.08

ECLAMPSIA– A RANDOMIZED CONTROLLED TRIAL.

5. A Simple Behavioural Intervention to Reduce Episiotomy Rates” 6. “ Phase IV Multicentric Study with Centchroman”

Dr C.Bose

R.O(M)

1.Comparative acceptability of Reddy’s “Negative Pressure”Female Condom and Reality Female Condom(FC 1) in Indian Women” in ICMR, New Delhi. 2. CME & Conference by IMA at Kolkata. 3. “ Phase IV Multicentric Study with Centchroman”

. 1d. 2d.

16.01.09 25th. & 26th.July ,08.

ICMR ICMR

4d

15.01.07 to 19.01.07 .

ICMR

1d

14.11.08

IMA

2d.

25th. & 26th.July ,08.

ICMR

nil

Mrs G. Dasgupta

S.W.O nil

Mr B.Ganguly

S.W.O

14. LISTING OF PUBLICATION/s IN JOURNALs/ NEWSLETTERs/CHAPTER IN BOOKs by Officer-in-Charge and HRRC STAFF IN LAST THREE YEARS : Published in JIMA Ind. J perinatal Reprod. Bio - do -

Obs Gyn Research Blackwell Synergy publication; Japan.

Name of topic Caesarean section for the dead baby – An unhappy reality. Reasons for pregnancy termination – Lack of knowledge, negligence or failure of contraception? An unusual case of haemoperitoneum during antepartum period due to spontaneous rupture of subserous vein over uterine fundus. Relaparotomy after cesarean delivery – experience from an Indian Teaching Institution.

Page 105

Vol 316

No 9

Year 2007

18

33

7

2006

17

47

8

2005

804 809

33

6

Dec. 2007

The Journal of Obstetrics and Gynaecology Research (JOGR-20080460.R3).

A randomized controlled trial comparing short versus long term catheterization after uncomplicated vaginal prolapse surgery

The Journal of Obstetrics and Gynaecology Research (JOGR-20080025.R3).

Maternal mortality and Cesarean Delivery – an analytical observational study.

Journal of Obstetrics and Gynaecology Research, 2008

Maternal mortality in India: A 20year study from a large referral medical college hospital, West Bengal Special Editorial (Safe Surgery Initiative)

JIMA Text Book of Obstetrics. & Gynaecology (J.P.Brothers) Essentials of Research Methodology & Dissertation Writing – J.P.B.

.

499503

Date acce pted: 19Feb2009 Date acce pted: 20Apr2009 34

Fibroid Uterus 1. Evaluation of Diagnostic Tests 2. Evidence Based Medicine.

15. ICMR SPONSORED MULTICENTRE STUDIES CARRIED OUT BY HRRCS IN LAST THREE YEARS: (BRIEF SUMMARY OF THE WORK DONE BY THE CENTRE AND SALIENT FINDINGS, CURRENT STATUS* FOR EACH OF THE ONGOING /COMPLETED STUDIES DURING LAST THREE YEARS (not more than 1-2 pages per study) (* please include tables, graphs where ever applicable) – Attached herewith.

16. HRRC SPECIFIC STUDIES if any; ONGOING/APPROVED/SUBMITTED: FOR EACH STUDY , PLEASE GIVE IN BRIEF RATIONALE, OBJECTIVE, METHODOLOGY, SALIENT FINDINGS, CURRENT STATUS (not more than 1-1/2 pages per study) – NIL.

4

21st. Aug. 2008 April ,09. April ,09 Feb. 09

17. CO-ORDINATION AND COLLABORATION WITH OTHER DEPARTMENTS OF HOST I NSTITUTE OR OTHER ORGANISATION if any, (specify in one paragraph) 1. Infertility Study – with Authorities of the Districts of 24PGS(N) & Hooghly. 2. Childhood Morbidity & Mortality Study – With the Dept. of Paed. Med. Of R.G.K.M.C.H. & Barasat Dist. Hospital (24 PGSN). 3. Wastage Factors of Vaccines - With Authorities of the Districts of 24PGS(N) & Hooghly. 4. Episiotomy Study - With Barasat Dist. Hospital (24 PGSN). 18. CO-ORDINATION AND COLLABORATION WITH STATE / DISTRICT HEADQUARTERS if any, (specify in one paragraph) 1. Infertility Study – with Authorities of the Districts of 24PGS(N) & Hooghly. 2. Childhood Morbidity & Mortality Study – With Barasat Dist. Hospital (24 PGSN). 3. Wastage Factors of Vaccines - With Authorities of the Districts of 24PGS(N) & Hooghly. 4 Episiotomy Study - With Barasat Dist. Hospital (24 PGSN).

19. AWARDS/RECOGNITIONRECEIVED BY OFFICER-IN-CHARGE OR HRRC STAFF (mention the organization and the name of award) NIL

20.

REMARKS, IF ANY (including any issues affecting smooth functioning within the Host Institute / ICMR) 1. Regular sending of salary & contingency from ICMR HQ is essential to run the project works smoothly, specially the field works. 2. Projects involving round-the-clock observation & investigation, and decision of enrollment of cases involving persons other than HRRC Staff are difficult to perform properly. 3. The Vacant post of RO (NM), (which is vacant for last 9 yrs & has been informed to ICMR HQ several times ) should immediately be filled up, otherwise the smooth-running of different (9 at hand till date) project works are hampered due to shortage of staff .

ONGOING STUDIES I.

“MULTICENTRIC PHASE-III CLINICAL TRIAL WITH SUBDERMAL SINGLE-ROD CONTRACEPTIVE IMPLANT – IMPLANON.” TOTAL NO. OF CASES ENROLLED : 110 (starting date 09.11.04. Ending date 04.05.05. ) NO. OF CASES DISCONTINUED : 08 NO. OF CASES REMOVED (including discontd. Cases) till date : 102 NO. OF CASES WITH SEVERELY MIGRATED IMPLANTS : 02 NO. OF CASES WHO ARE LOST TO FOLLOW UP (MIGRATED TO OTHER STATES) : 02 RETURN OF FERTILITY OF 102 REMOVED CASES 1. Removed cases till date : 102 2. Pregnancy occurred till date (including method failure cases) : 20 3. Baby born till date : 02 4. MTP / Spont. Abortion : 12 5. Continuing Pregnancy : 06 6. Interval of conception since removal: All cases Within 1 yr, majority ( 16 cases i.e. 80% )within 6 months.

DISCONTINUATIONS – DETAILS: Sl.N.

Subject No.

Date of Insertion

Date of Removal

Reason of Discontinuation

Difficulty in removal if any No

1

04

19.11.04.

16.03.05.

Jaundice.

2

70

18.01.05.

26.07.05.

Prolonged bleeding and spotting.

3

37

29.12.04.

10.08.05.

4

25

21.12.04.

03.09.05.

Removed outside – husband’s objection due to prolonged bleeding. Prolonged bleeding.

5

05

08.12.04.

07.09.05.

Husband’s objection due to prolonged bleeding.

No

6

19

20.12.04.

17.02.06.

No

7

13

23.12.04.

02.11.06.

She wanted to conceive. conceived after 1yr. LMP 08.10.07. EDD 15.07.08. Delivered safely a normal baby. Separated from husband

Migration, fibrosis & rod broken. No No

No

8

107

19.04.05.

25.11.06.

Husband’s death

No

Salient changes seen in Implanon users: I. Change of weight in 110 enrolled cases at the end of the study: Weight (Kg.) Increased Decreased Unchanged <2 15 (13.64%) 04(3.64%) 10(09.09%) 2–5 37 (33.64%) 09(08.18%) >5 21 (19.09%) 00 10 & more 14 (12.73%) 00 82 (74.55%) 20 (18.18%) 08 (7.27%) II. Menstrual changes as reported by 110 clients during follow up visits: Pattern of change No. % Amenorrhoea since insertion of 17 15.45 Implanon Prolonged and Irregular 71 64.55 spotting Predominantly normal cycle, but 18 16.36 less flow or spotting Prolonged bleeding 04 (discontinued) 03.64 110 100.00 Complaints encountered during follow ups: 1. Itching at the site of implantation – 05 cases (4.5%). 2. Weakness & vertigo –10 cases (9.1%) 3. Loss of libido – 02 cases (1.8%) 4. Jaundice – 01 case (0.9%) 5. Dimness of vision – 03 cases (2.7%) 6. Acidity – 06 cases Conclusion: 1. The clients having amenorrhoea for prolonged period are accepting it for proper preinsertion & constant counselling, though they felt worried. Incident of prolonged and/or irregular spotting and/or bleeding decreased after 2nd. Yr. of use. Few clients experienced regular cycle but bleeding pattern was changed (spotting or less flow), i.e., in none of the clients pre-insertion bleeding pattern exists. 2. Unusual weight gain, loss of libido, jaundice & dimness of vision seen as side effects are to be studied, though the clients with dimness of vision were referred to the Dept. of Ophthalmology & the Ophthalmologists opined that it was not related with the method. 3. After 3 yrs, 42 clients wanted to continue the method for another 1or 2yr & signed consent forms. Implanon was removed in 102 cases after completion of 3 - 4yrs. Of the 8 continued cases till date, 2 cases are with severely migrated implants and after MRI, as per advice of ICMR HQ, we have located the sites & consulted surgeons & Orthopaedicians & planned to remove the implants as early as possible.

II.

LOW DOSE VERSUS STANDARD DOSE MAGNESIUM SULPHATE REGIMEN FOR MANAGEMENT OF ECLAMPSIA – A RANDOMIZED CONTROLLED TRIAL. Enrollment started on: 11.08.07. 4 patients were enrolled out of 16 eclampsia patients admitted from 11.08.07. to 01.09.07. Enrollment stopped from 02.09.07. to 23.11.07. (mainly due to problems encountered in round –the-clock blood collection of the patients by the doctors on duty in L.R. ) Enrollment started again on: 24.11.07. ( after local arrangement of a blood-collector) Enrollment completed on 25.12.08.

Total No. of patients screened: 373 Total No. of patients enrolled : 140 Total No. of Cases Not Enrolled - 233 REASONS FOR NON-ENROLMENT REASONS NO. 1. ELIGIBLE BUT NOT 62 WILLING 2.NOT 171 ELIGIBLE/OTHER CAUSES TOTAL 233 REASONS FOR NON-ELIGIBLITY REASONS NO 1. DIAGNOSIS UNCERTAIN 22 2.GOT STD, LOADING DOSE 35 FROM OUTSIDE 3. REFUSAL by ON-DUTY 18 DOCTORS 4. H/O EPILEPSY 02 5. BLOOD COLLECTOR NOT 53 AVAILABLE 6. Pt. PARTY NOT 27 AVAILABLE FOR CONSENT 7. L.R. DOCTOR’S MISTAKE 11 TO GIVE SCHEDULE DOSE. 8. CONVULSIONS STARTED 03 > 72 Hrs. AFTER DELIVERY TOTAL 171

% 26.6 73.4 100 % 12.9 20.5 10.5 01.2 31.0 15.8 06.4 01.7 100

OUTCOME LD(N=71) NO %

OUTCOME

SD(N=69) NO %

TOTAL(N=140) NO %

A. RECC. CONVULSION

09

12.7

02

02.9

11

07.9

B. MATERNAL DEATH

02

02.8

03

04.3

05

03.6

06

08.4

09

13.0

15

10.7

i) Still birth

04

05.6

03

04.3

07

05.0

ii) Death within 7d.

02

02.8

06

08.6

08

05.7

02 02.8 00 00 02 (by on-duty Doctor) • Recurrent Convulsion were more in LD gr (12.7% vs. 2.9%).

01.4

C. PERINATAL DEATH

D. CHANGE OF REGIMEN

• Maternal death were more in SD gr. (4.3% vs. 2.8%) • Perinatal death were more in SD gr (13.0% vs.8.4%).

III. Task Force Study “Prevalence of Infertility in India” - We have received the necessary orders for the field work from the respective district authorities (24PGSN & Hooghly) after several discussions & meetings at different levels. The randomly selected sites are as follows: A. 24 PGS(N) (24-parganas, north): [C.M.O.H. - Dr. Prabas Chowdhury] a. P.H.C.(Rural) i) Baduria(RUDRAPUR)Block PHC. ii)Chhoto Jagulia Block PHC b. Towns (Urban) i) Bangaon ii)Panihati iii)Taki iv)Bidhan Nagar (Salt Lake) v) Madhyamgram. B. HOOGHLY: [CMOH – Dr. Bhushan Chakraborty] a. P.H.C.(Rural) i) Goghat-II (Kamarpukur) Block PHC ii) Dhaniakhali Block PHC b. Towns (Urban) i) Uttarpara-Kotrang ii) Banshberia iii) Baidyabati iv) Chandan Nagar v) Rishra We were suggested by the district authorities to start the field work after declaration of Election result. We are about to start the field survey.

IV. “ A Simple Behavioural Intervention to Reduce Episiotomy Rates” (ICMR Task Force Study) – Period - From 20.04.09. to 19.05.09. (1 month) SALIENT FEATURES ( as recorded in R.G.K.M.C.& H.):

Total Mothers Enrolled 1226 Total VD 796 (64.9%) Primi with Epi 360 (45.2%) Primi without Epi 116 (14.6%) Para>= 2 with Epi 85 (10.7%) Para >=2 without Epi 235 (29.5%) LUCS (including 2 PMCS) 430 (35.1%)

Episiotomy is done more (45.2% vs. 10.7%)in primi than in multi cases. Perineal tear with Epi (Total VD with Epi: 445): 1st.degree 2nd. Degree

03 (0.7%) 02 (0.4%)

CPT 02 (0.4%) Vulval Hematoma 01 (0.2%) Extension

01 (0.2%)

Perineal tear without Epi (total VD without Epi: 351): 1st.degree 116 (33.0%) 2nd. Degree

044 (12.5%)

CPT

02 (0.6%)

Paraurethral tear Cervical tear Vulval Hematoma Extension

02 01 00 00

(0.6%) (0.3%) (00%) (00%)

In VD, 1st. degree perineal tear occurs in majority of cases, specially in without Epi cases.

V. ‘Childhood Morbidity & Mortality.’ It is in preparatory phase. Co-investigators selected & informed in the meetings, about the study, as per ICMR HQ instruction HOD-Dept. of Paed. Med, R.G.K.M.C. & H. & CMOH, Dist. Of 24 PGS(N). Necessary orders have been received from the District authority to work in the District Hospital. We are going to start the study very soon.

VI. Determination of Wastage Factor for vaccines during routine immunization under the Universal Immunization Programme (UIP) – a Multicentre Task Force study. – We have received the necessary orders for the field work from the respective district authorities (24PGSN & Hooghly) after several discussions & meetings at different levels. We have received the cheque of Rs. 45,000/- , as grant for the study, just few days ago. We were suggested by the district authorities to start the field work after declaration of Election result. We are about to start the field survey.

COMPLETED STUDIES I.

Study on Management & outcome of Eclampsia (Base line information) study period: Feb.06. to July 07.

Month (year) 06-07

Total deliVery

Total primi

Total eclamp cases

Primi with eclamp

Antepartum Eclamp.

Intrapartum Eclamp.

Postpartum Eclamp.

Maternal mortality In eclampsia

Feb. Mar. April May June July Aug. Sep. Oct. Nov. Dec. Jan. Feb. March April May June July Total

0843 0847 1042 1268 1146 1304 1631 1572 1303 1304 1161 0896 0604 0358 0547 1302 1084 1188 19,400

0468 0460 0561 0654 0606 0657 0821 0828 0668 0720 0615 0452 0325 0196 0348 0715 0573 0604 10, 271

15 13 22 19 14 23 34 33 39 30 38 28 13 07 10 21 16 22 397

10 07 17 14 11 13 27 25 31 23 30 19 10 05 09 15 11 17 294

10 10 14 13 07 15 28 27 31 22 33 22 12 07 08 13 14 15 301

02 00 00 01 00 00 01 01 00 00 00 01 00 00 00 01 00 00 07

03 03 08 05 07 08 05 05 08 08 05 05 01 00 02 07 02 07 89

00 00 00 01 00 02 01 00 02 01 02 03 01 01 01 01 00 02 18

Perinatal mortality With Eclamp. (SB + Deaths within 7 days of birth) 5+1 = 6 0+2 = 2 1+3 = 4 3+2 = 5 2+0 = 2 4+1 = 5 2+2 = 4 2+1 = 3 5+3 = 8 3+2 = 5 3+1 = 4 0+0 = 0 0+0 = 0 1+0 = 1 1+2 = 3 1+1 = 2 0+1 = 1 2+0 = 2 35+22 =57

* i) Inj. Pethidine ii) Labetelol ** i) Inj. Largactil & Phenergan ii) Inj. Pethidine & Inj. Phenergan *** i) Inj. Pethidine & Phenergan ii) Amlodipine # Inj. Pethidine & Phenergan ## Inj. Pethidine & Diazepam (from outside) in both the cases. ### Inj. Pethidine & Phenergan in one case & Inj. Diazepam in another case

All these cases were referred from other hospitals and got drugs other than Mag. Sulf. before referal.

I.

DATA BASE ON OBSTETRICAL FISTULAE ( ref. No. – Misc/5/7/1/2000-RHN 10th. October, 2006.)

It was informed that there were only 8 cases of obstetric fistulas operated in our institution during last 1 year, of which VVF – 06, UVF – 01, & RVF – 01. It was also informed that, data recording system in this regard , as far as the details are concerned, is not satisfactory and we can keep detailed prospective records if you so desire. APPROVED STUDIES I. “ Comparative acceptability of male condom and FC 2 Female Condom in young Indian couples seeking contraceptive options” – Got the Ethical Clearance of the local Ethical Committee. We have received a cheque of Rs. 34,000/- only, as grant, on 22.05.09. Awareness programme is going on. Waiting for the final instruction from ICMR HQ to initiate the study. II. “ Phase IV Multicentric Study with Centchroman” initiated by ICMR. – Got the Ethical Clearance of the local Ethical Committee. Awareness programme is going on. Waiting for the fund and instruction from ICMR HQ to initiate the study & to recruit the sanctioned staff for this project . III. A Task-Force, multicentre study entitled “ A study on teen age pregnancy and its outcome” – Till not received the Ethical Clearance from the local Ethical Committee ( Opinions from the Dept. of FSM & Radio-diagnosis wanted by the Local Committee for determination of age. Informations regarding the dispute sent to ICMR HQ.).

Dr. Malabika Roy, Scientist –F, ICMR, New Delhi –110029.

12.05.09.

Dear Dr. Roy, This is to inform you that, I have permitted our RO (Med.) Dr. Amit Kr. Chakraborty, like previous occasions, to attend the ICMR meeting in New Delhi on 28th. & 29th. May,2009, to avail Apex air ticket of Economy class, as there was any confirmed AC2 / 3 tire & 1st. class railway ticket was not available on those days in such a short notice. Thanks & best wishes, Prof. Dr. J. Mukherji, OIC – HRRC (ICMR), Dept. of Obst. & Gynae, R.G.K.M.C. & H. Kolkata.

Dr. Malabika Roy, Scientist –F, ICMR, New Delhi –110029.

12.05.09.

Dear Dr. Roy, This is to inform you that, I have permitted our RO (Med.) Dr. Amit Kr. Chakraborty, like previous occasions, to attend the ICMR meeting in New Delhi on 28th. & 29th. May,2009, to avail Apex air ticket of Economy class, as there was any confirmed AC2 / 3 tire & 1st. class railway ticket was not available on those days in such a short notice.