Browsing by Author "Das, D. K."

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    Management Of Chyluria With One Time Pelvic Calyceal System Instillation Of Povidone Iodine
    (Indian Society for Health and Advanced Research, 2023-09) Hasan, Arshad; Das, D. K.; Singh, Rohit
    Introduction: Preferred approach of treatment of chyluria is initially with medical management and then followed by endoscopic sclerotherapy in current era. Different types of sclerosing agents are available in the market which has differential success and complication rates. The present study analyzed , outcome of one time instillation of 1% povidone iodine as a sclerosing agent. Materials and Methods: This study was a prospective, observational study. All patients with diagnosis of chyluria, who had failed to give positive response with medical treatment which included dietary restriction and drug named diethylcarbamazine in appropriate dose, were included in the study. Cystopanendoscopy(CPE) was done to know the side of urteric ori?ce with chyle ef?ux. A 5 Fr ureteric catheter was placed into chyle ef?uxing side ureter which was used for injection of diluted contrast in renal pcs to delineate and to know pyelolymphatic connection. 1% povidone iodine as sclerosant was instilled in renal pcs. All Patients were monitored for ?ank pain, fever, and normalization of urine colour. All patients followed three monthly upto one year. Results: In the study sixty patients were analyzed. Out of total patients 42 were men and only 18 were females. Mean age was thirty eight years. In 48% of the patients, pyelolymphatic connections were observed .Urine became of normal colour immediately in all patients. Chyluria re- appeared in 8 percent of the patients in one year follow up who were treated by other regimen of sclerotherapy. Two months were average duration of recurrence. Conclusion: The sclerosant 1% povidone iodine was very effective with one time instillation and is also well tolerated.
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    Morbidity pattern among tribal farmers in a selected district of Tripura, India
    (Medip Academy, 2024-05) Das, D. K.; Dhar, M.
    Background: Tribal communities in Tripura comprise 31.76% of the state's total population. The tribal people of Tripura are primarily farmers, and in spite of concerns about their poor health and unfulfilled requirements, they continue to get healthcare in isolated locations where there are obstacles such as undernourishment, a lack of medical facilities, and a labor scarcity. The study's objective is to ascertain the morbidity pattern among tribal farmers in Tripura. Methods: In 2021 after receiving approval from IIPS, Mumbai, selected farmers from Dhalai district were surveyed. We utilised cross-tabulation, chi2, PCA and straightforward logistic regression. Results: Only 5.17% of the sample population had higher education, 54.1% overall was male, and 23.1% were smokers. Jhum (Hill) cultivation was used by 15.5%, while regular (plain) farming was used by 84.5%. Tribal farmers in Tripura were suffered by both acute and chronic diseases. Diarrhoea and fever amongst acute diseases seemed to have the highest prevalence rates (1.82% each), whereas jaundice and reproductive tract infections have the lowest levels (0.30 each). Asthma had the highest prevalence (3.65%) among the chronic diseases, followed by hypertension (2.74%). The morbidity rate decreased as education levels rose. Normal cultivators and the cultivators who worked more times were more likely to have both acute and chronic diseases than jhum cultivators. Conclusions: It is possible to draw the conclusion that farmers didn't lead a healthy lifestyle and suffered from diseases. The study's findings could serve as a foundation for developing economic, educational, and medical plans for tribal farmers to safeguard them from health risks and workplace dangers.