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OFFICE OF THE DEPARTMENT OF

MEDICINE

ASSAM MEDICAL COLLEGE &

HOSPITAL

DIBRUGARH :: ASSAM

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

Professor & HeadDepartment of MedicineAssam Medical College & HospitalDibrugarh 786 002.

This is to cert ify that the work in connection

with the thesis entit led A STUDY ON SIGNIFICANCE OF

SERUMEFFUSION 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 ofDr. (Mrs.) Krishna Baruah, M.D.

Professor of Medicine, Assam Medical College & Hospital,

Dibrugarh.

Dr. Arijit Kumar Das has fulfi l led the necessary

regulations of the Dibrugarh University for submission of

the thesis and for appearing at the M.D. Degree

Examination in General Medicine.

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Dated, Dibrugarh

The , 2004. [DR. B.

DOLEY]

OFFICE OF THE DEPARTMENT OFMEDICINE

ASSAM MEDICAL COLLEGE &

HOSPITAL

DIBRUGARH :: ASSAM

Dr. (Mrs.) K. Baruah, MD.ProfessorDepartment of MedicineAssam Medical College & HospitalDibrugarh 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 SERUMEFFUSION ALBUMIN GRADIENT IN

THE DIFFERENTIAL DIAGNOSIS OF PLEURAL EFFUSION. For

the degree of doc tor of Medicine (M.D. ) in genera l

Medicine under my direct guidance constant supervision in

the department of Medic ine, Assam Medical Col lege &

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

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verified by me.

He has fulfi lled 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 PathologyUpgraded Department of Medicine,Assam Medical College & Hospital,Dibrugarh 786 002.

This is to certify that Dr. Arijit Kumar Das has

carried out the re levant Laboratory Investigations

(Chemical and Histopathological Examination of Pleural

Biopsy Slides) in connection with the thesis entitled, A

STUDY ON SIGNIFICANCE OF SERUM EFFUSION ALBUMIN

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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

(Medic ine) , DM (Nephrology) , ExPrinc ipalcumChief Superintendent ,

Assam Medical Col lege & Hospita l, Dibrugarh , for her k ind permiss ion to

carry out the study and to uti l ize hospital cases & records of the same.

I am very much thank fu l t o Dr . T .R . Borbora , DMRD, MD

(Radiology) , PrincipalcumChief Superintendent, Assam Medical College

& Hospital , Dibrugarh, for his kind encouragement & help in complet ing my

study.

No word would b e enough t o express my pro found sense o f

g rat i tude t o Dr . Mihi r Goswami , Assi s tant Prof essor, Assam Medical

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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. Pro f . S . Kakati , Asst t . Prof . A.K. Sen, Asst t. Pro f T .U. Ahmed,

Asstt . Prof . A.K. Das, Department of Medicine, Assam Medical College &

Hospital , Dibrugarh for their constructive crit ic ism & sound advice.

I am thankful to Dr. (Mrs. ) D. Katak i , DCP, MD, Assoc iate

Prof essor o f Pa tho logy, Upgraded Medic ine , Assam Medical Col l eg e &

Hospital , Dibrugarh, for carry out necessary carry out necessary Laboratory

Invest igations in her Department.

I am grateful to Dr. B.N. Mahanta, MD (Medicine) , DTM&H

(London) , Dr . (Mrs . ) R . Dol ey, MD (Med ic ine ) , Regi s trars o f Medical

UnitV 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 fee l ings o f grate fulness a lso go to the interns o f Medica l

UnitV both present & past for g iv ing me suf f ic ient t ime away from the

ward duties toward the preparation of this work.

My words are few to express my feel ings to my Mother, Father

and Brother whose support & blessings help me immensely.

I am very much thankful to my patients for their cooperation

in carrying out this work smoothly.

I a m r ea ll y t ha nk fu l t o Miss Kannaki Parasar and

Mrs. Sweemy Hat i Baruah o f CIC, Lahowal Centre , Dibrugarh for the ir

ef f ic ient & patient typing of this thesis.

I am very much indebted & thankful to Mr. Manash Barman,

Statist ic ian, ICMR, Dibrugarh, for helping me in my work.

I am also very thankful to Mr. Zahir Ahmed, ZED Print Media,

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Dibrugarh, for helping me in carrying out this work.

F in al ly I a lw ay s r em em be r t he n am es o f t ho se w ho se k in d

helped & cooperation have been always with me.

Dated, Dibrugarh

The, , 2004. [ARIJIT KUMAR DAS]