Browsing by Author "Mitra, S"
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Item Abdominoscrotal hydrocele (hydrocele Enbissac).(1972-11-01) Mitra, S; Singh, R; Gopal, SItem Active management of first stage of labour in normal primigravidae.(1973-10-01) Mitra, S; Devi, S; Mahapatra, S KItem Acute nonspecific carditis in adolescents presenting with Stokes-Adams attacks.(1999-12-28) Das Gupta, R; Das, M K; Mitra, S; Tagore, R; Lahiri, DThree patients, aged between 12 and 17 years presented with Stokes-Adams attacks as a result of atrioventricular block, atrioventricular silence and ventricular arrhythmias, complicating acute myocarditis. All the patients required temporary pacing for a few days. One patient required hemodialysis for anuria. All the patients made complete recovery.Item Anterior abdominal wall defects.(1974-12-01) Pathak, I C; Rao, N N; Mitra, SItem Aortoarteritis involving supra-aortic trunks: a profile of six cases.(1997-05-01) Bhattacharyya, S; Sengupta, G; Banerji, P; Roy, S; Bhattacharyya, M; Mitra, S; Panja, M; Kar, A K; Das, DSix patients (2 male, 4 female; age range 24 to 36 years) with aortoarteritis involving the supra-aortic trunks were investigated and surgically managed by bypass graft with either preclotted dacron or polytetrafluoroethylene (PTFE) in an urban institute. There has been no mortality and post-operative functional recovery has been satisfactory in all the cases.Item Approach to the management of a child with epilepsy.(1997-01-01) Singhi, P D; Mitra, SItem Are household food security, nutrient adequacy, and childhood nutrition clustered together? A cross-sectional study in Bankura, West Bengal(Indian Public Health Association, 2019-09) Mitra, S; Mukhopadhyay, DK; Sarkar, AP; Saha, IBackground: Research on different measures of food security and their interrelation in order to identify vulnerable households are scarce in India. Objectives: The objective was to assess household food security (HHFS), nutrient adequacy, dietary diversity, and nutritional status of under-five children along with their interrelation in the slums of Bankura Municipality, West Bengal. Methods: A cross-sectional study was conducted during 2016–2017 among 240 households using two-stage 30-cluster random sampling. Information regarding socioeconomic characteristics, availability, and utilization of different poverty alleviation schemes was collected. HHFS was assessed by a validated HHFS scale-short form in Bengali and nutrient adequacy with 24-h recall method. The eldest under-five child in the family was measured for anthropometry using standard procedure and for dietary diversity with the Individual Dietary Diversity Score. Results: Overall, 74 (29.1%) households had “food security,” whereas 102 (44.3%) and 64 (26.6%) had, respectively, low and very low food security. Among 190 under-five children, 63 (35.3%) had single and 50 (25.5%) had multiple anthropometric failures. Overall, 89 (36.1%) households were deficient for both energy and protein and 111 (47.6%) had deficiency of either of these two. Indicators on the utilization of different poverty alleviation schemes were associated with low/very low food security. A “Composite Index of Food Scarcity” comprising of HHFS, nutrient adequacy, and dietary diversity was proposed which was found to have dose–response relationship with grades of anthropometric failure of under-five children. Conclusions: An index comprising of three indicators might help identify the vulnerable households in relation to food security more effectively than a single indicator.Item Atlanto-axial subluxation in JRA.(1999-11-04) Mitra, S; Sharma, J; Parmar, V RItem Bence-Jones myeloma.(1988-03-01) Roy, D N; Mitra, S; Biswas, T K; Dasbiswas, A; Das, D; Chatterjee, B; Dutta, S KItem Bilateral subdural effusion and subcutaneous swelling with normally functioning csf shunt.(2001-06-12) Mitra, S; Ghosh, D; Pathak, A; Kumar, LWe report a child with hydrocephalus due to tuberculous meningitis who developed a subcutaneous fluid collection around the ventriculoperitoneal shunt tube entry point, after one month of shunting. On investigation, he had decompressed ventricles with bilateral fronto parietal subdural hygroma. Bifrontal burr hole drainage helped resolution of both subdural effusion and subcutaneous scalp swelling. This complication is unique and its pathogenesis has been postulated.Item C-reactive protein (CRP) in haemolymph of a mollusc, Achatina fulica Bowdich.(1990-08-01) Agrawal, A; Mitra, S; Ghosh, N; Bhattacharya, SC-reactive protein (CRP) was found to be one of the major components of the haemolymph of A. fulica with a normal level of approximately 2 mg CRP/ml haemolymph. Immunological cross-reactivity was found between CRP from A. fulica, a mollusc and Limulus polyphemus, an arthropod. The present finding demonstrates the evolutionary significance of C-reactive protein.Item Cardiac tumours: an observational study.(1996-05-01) Kar, A K; Roy, S; Chatterjee, A; Banerjee, A; Panja, M; Mitra, SWe studied 38 patients with cardiac tumours. Of these, 30 had primary cardiac tumours while the rest had secondary tumours. The commonest manifestations in patients with primary tumours were exertional breathlessness (23), fever (9), mitral diastolic murmur (15), loud pulmonary component of the second heart sound (16), and mitral systolic murmur (21). Left atrial myxoma was the commonest diagnosis (24) followed by left ventricular leiomyoma (2), right atrial myxoma (2, one with RA and RV both), RV myxoma (1), and left ventricular haemangioma (1). The commonest modes of presentation of secondary cardiac tumours were atrial extrasystoles (5) and pericardial friction rub (4). Histopathological reports revealed bronchogenic carcinoma (4), breast carcinoma (2), seminoma of the testis (1) and lymphoma (1). The unexpectedly low number of secondary cardiac tumours in this series is attributed to the lack of routine autopsy studies in our institute.Item A case of tuberculous haemorrhagic pericardial effusion with some therapeutic problem.(1987-09-01) Mitra, S; Roy, D N; Biswas, T K; Pal, S; Chakraborty, A; Das, D; Mondal, P S; Das, P K; Biswas, A KItem Changing paradigm of Cryptococcal meningitis: An eight-year experience from a tertiary hospital in South India.(2015-01) Abhilash, K P P; Mitra, S; Arul, J J J; Raj, P M; Balaji, V; Kannangai, R; Thomas, S A; Abraham, O CBackground: Cryptococcal meningitis (CM) is a common opportunistic fungal infection causing sub-acute meningitis with the potential for complications and signifi cant mortality. We conducted this study to describe the difference in presentation and outcome between HIV-infected and HIV-uninfected patients. Materials and Methods: Patients admitted to a tertiary care centre between 2005 and 2013 with confi rmed CM were included in the analysis. Details of the clinical presentation, laboratory fi ndings, treatment details, risk factors for infection and outcome were documented and analysed. Results: During the study period, 102 (87.2%) cases of CM occurred among HIV infected individuals, whereas 15 (12.8%) occurred among HIV-uninfected patients. HIV-infected patients with CM were younger compared with HIV-uninfected patients (38.2 ± 8.5 years vs. 45 ± 11.5 years; P = 0.07). The median duration of symptoms prior to presentation was shorter in the HIV-infected group (20 ± 32 vs. 30 ± 42; P = 0.03). There was no difference between the cerebrospinal fl uid (CSF) lymphocyte counts, CSF protein counts, and CSF sugar levels in both the groups. The diagnostic yield of Cryptococcus was similar with CSF India ink smear (89% vs. 87%), CSF fungal culture (95% vs. 87%), and blood culture (100% vs. 75%) in both the groups. Case fatality rate in the HIV-infected group was 30.6%, whereas there were no deaths in the HIV-uninfected group. Conclusion: HIV-infected patients with CM have a worse outcome compared to HIV-uninfected patients. The overall trend over 3 decades shows increasingly successful rates of treatment and hence early diagnosis and treatment are of paramount importance.Item Characteristics and Outcomes of COVID-19 during the Third Wave of COVID Pandemic: A Single-center Descriptive Study(Association of Physicians of India, 2023-02) Mitra, S; Muley, A; Bavishi, A; Patel, Geetika; Bhattacharya, AmalAim: The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus has been causing a global pandemic of Coronavirus (COVID-19) disease in recurring waves. On November 24, 2021, a new SARS-CoV-2 variant (B.1.1.529) was identified in South Africa. We aimed to study the clinical profile, laboratory parameters, complications, and outcomes in patients hospitalized with COVID-19 infection during the third wave in India. Materials and methods: This was a single-center cross-sectional study conducted from 10th January 2022 to 10th February 2022. Data on demographic profile, clinical symptoms, laboratory findings, complications, and clinical outcome was collected and compared between nonsevere and severe cases. Results: A total of 74 patients were included. Four (5.4%) had a severe disease while 70 (94.6%) had a nonsevere disease. The most common symptoms were fever (60.8%), cough (52.7%), and sore throat (45.9%). There was a significant difference between severe and nonsevere groups in terms of vaccination history (p = 0.0412), and time elapsed from symptom onset to hospitalization (p ?0.001). The severe disease group also had significantly higher levels of leukocyte count, C-reactive protein (CRP), D-dimer, ARDS, sepsis, and a higher need for respiratory support (p < 0.001). A total of 70 (94.6%) patients were discharged while four (5.4%) patients succumbed to complications of COVID-19 infection. Complete vaccination against COVID was associated with significantly lower chances of severe disease [odds ratio (OR) 0.083, 95% confidence interval (CI) 0.0080–0.8632]. Conclusion: As compared to the previous two waves, the current wave of the pandemic had milder symptoms, less severe disease, and fewer ICU admissions and deaths. Successful completion of vaccination against COVID was associated with significantly lower morbidity and mortality.Item A child with prolonged pyrexia and peripheral desquamation: is it Kawasaki disease?(2000-07-25) Mitra, S; Singh, S; Grover, A; Kumar, LItem Childhood malignant nevus giganticus.(1984-09-01) Mitra, S; Mukhopadhyay, B; Chakraborty, A K; Narasimahrao, K L; Mitra, S KItem Chromosomes in transplanted Schwartz Leukemic tumor.(1967-06-01) Mitra, S; Banerjee, AItem Chronic subdural hematoma.(1993-05-01) Mitra, S; Srivastava, V K; Shahab, T; Ahmad, S HItem A clinico-epidemiological study of the first outbreak of Nipah virus in India – report from ground zero(Siddharth Health Research and Social Welfare Society, 2020-06) Saha, R; Mitra, S; Halder, S; Deb, J; Patra, A; Sarkar, GNIntroduction: The first Nipah Virus (NiV) outbreak occurred in India in the year 2001 at Siliguri. The second outbreak happened at Nadia in 2007. Nipah Virus exhibits neurological and pneumonic tropism with the predominant clinical presentation being encephalitis in humans. Material and Methods: The present study was a record based prospective study on 67 cases admitted with pyrexia of unknown origin in North Bengal Medical College during the period from 18.02.2001 to 30.02.2001 and a parallel study on epidemiological record carried out by PSM department also taken into account. All necessary investigations including autopsy examination, pathological, and microbiological study were done. Results: There was a clustering of cases around Bhaktinagar. There was a strong H/O Medinova Nursing Home Contact among the patients. 18 out of 20 cases were staff of that Nursing Home. Serum samples tested show NiV specific IgM and IgG in 9 out of 17 samples with one sample which was positive for IgG only suggesting past infection. The cases were admitted with predominant neurological symptoms (53.73% cases) but about 80% recovered with no residual neuro deficit. The natural reservoir of NiV is present in Bangladesh and in Northern India. Conclusion: When NiV infection is suspected, infection control practices must be strengthened to avoid an outbreak in a hospital setting. Here the present study is presenting the experience in the first outbreak of the Nipah virus in India at Siliguri for awareness of clinical personnel to control further outbreak at the very beginning.