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“COMPARISON BETWEEN IONIC SILVER AND PLACENTAL EXTRACTS AS A LOCAL APPLICATION IN THE MANAGEMENT OF CHRONIC DIABETIC WOUNDS” Dissertation Submitted toNATIONAL BOARD OF EXAMINATIONS(Ministry of Health and family Welfare, Government of India)In partial fulfilment of the requirements for the award of degree ofDIPLOMATE OF NATIONAL BOARDGENERAL SURGERYSubmitted byDr. CH RADHA SIVA BHARATHReg.No. APMC/FMR/85597Under the Guidance ofDr. D. VIJAYARAGHAVAN M.B.B.S, MS GENERAL SURGERY, FRCSDepartment of General SurgeryST.ISABEL’S HOSPITAL, CHENNAIJUNE 2018 DECLARATION I hereby declare that this thesis and the research work entitled ‘COMPARISON BETWEEN IONIC SILVER AND PLACENTAL EXTRACTS AS A LOCAL APPICATION IN THE MANAGEMENT OF DIABETIC WOUNDS' has been conducted and prepared by me at St. Isabel's hospital, Chennai, under the guidance of Dr. D VIJAYARAGHAVAN and Dr. G JOTHIVEL. It is submitted in partial fulfilment of the requirement for award of degree of DIOLOMATE OF NATIONAL BOARD (DNB) in General surgery by NATIONAL BOARD OF EXAMINATIONS, New Delhi. I hereby declare that this submission is a ‘bonafide' work done by me and that , to the best of my knowledge and belief, it contains no material previously published or written by another person nor material which has been accepted for award of any other Degree or Diploma of the university or other institute of higher education.Chennai Dr. CH Radha Siva Bharath June 2018 (DNB Trainee)Dr. D Vijayaraghavan Dr. G Jothivel Dr. C S Mani Dr. Dr. Philomena Joseph (Guide) (Co Guide) (HOD) (Head of the institute) CERTIFICATEThis is to certify that the dissertation entitled ‘COMPARISON BETWEEN IONIC SILVER AND PLACENTAL EXTRACTS AS A LOCAL APPLICATION IN THE MANAGEMENT OF CHRONIC DIABETI WOUNDS’ is a bonafide work done by Dr. CH RADHA SIVA BHARATH under my direct guidance and supervision in the Department of General Surgery at St. Isabel's Hospital, Chennai, during the period of his post graduate studies in DNB (General surgery), in partial fulfilment of the regulations of National Board Of Examinations for the award of the degree of Diplomate of National Board in General Surgery. I have great pleasure in forwarding it to NATIONAL BOARD OF EXAMINATIONS (MINISTRY OF HEALTH AND FAMILY WELFARE, GOVERNMENT OF INDIA). CHENNAI Dr. D. VIJAYARAGHAVAN,JUNE 2018 Thesis Guide, MBBS, MS GENERAL SURGERY, Department of General Surgery, St. Isabel Hospital, Chennai. CERTIFICATEThis is to certify that the dissertation entitled ‘COMPARISON BETWEEN IONIC SILVER AND PLACENTAL EXTRACTS AS A LOCAL APPLICATION IN THE MANAGEMENT OF CHRONIC DIABETIC WOUNDS’ is a bonafide work done by Dr. CH RADHA SIVA BHARATH under my direct guidance and supervision in the Department of General surgery at St. Isabel's Hospital, Chennai, during the period of his post graduate studies in DNB (General Surgery), in partial fulfilment of the regulations of National Board Of Examinations for the award of the degree of Diplomate of National Board in General Surgery. I have great pleasure in forwarding it to NATIONAL BOARD OF EXAMINATIONS (MINISTRY OF HEALTH AND FAMILY WELFARE, GOVERNMENT OF INDIA). CHENNAI Dr G JOTHIVEL,JUNE 2018 Thesis Co-Guide, MBBS, MS GENERAL SURGERY, St. Isabel Hospital, ChennaiCERTIFICATEThis is to certify that the dissertation entitled ‘COMPARISON BETWEEN IONIC SILVER AND PLACENTAL EXTRACTS AS A LOCAL APPLICATION IN THE MANAGEMENT OF CHRONIC DIABETIC WOUNDS’ is a bonafide work done by Dr. CH RADHA SIVA BHARATH under supervision in the Department of General surgery at St. Isabel's Hospital, Chennai, during the period of his post graduate studies in DNB (General Surgery), in partial fulfilment of the regulations of National Board Of Examinations for the award of the degree of Diplomate of National Board in General Surgery. I have great pleasure in forwarding it to NATIONAL BOARD OF EXAMINATIONS (MINISTRY OF HEALTH AND FAMILY WELFARE, GOVERNMENT OF INDIA). CHENNAI Dr C S MANI,JUNE 2018 HOD Department of General Surgery, MBBS, MS, M.Ch Oncho Surgery, St. Isabel Hospital, Chennai.NATIONAL BOARD OF EXAMINATIONSDiplomate of National Board in General SurgeryDECLARATION BY THE HEAD OF THE INSTITUTE I hereby declare that this dissertation entitled ‘COMPARISON BETWEEN IONIC SILVER AND PLACENTAL EXTRACTS AS A LOCAL APPLICATION IN THE MANAGEMENT OF CHRONIC DIABETIC WOUNDS’ is a bonafide and genuine work carried out by Dr. CH RADHA SIVA BHARATH during his time as a trainee in the Department of General Surgery, St Isabel’s Hospital, Chennai.571527940Place: ChennaiDate: June 201800Place: ChennaiDate: June 2018Dr. Philomena JosephMBBS, DGOHead of the InstituteSt. Isabel hospitalChennai -600004Dedicated to my parentswho taught me unconditional love and generosity...ACKNOWLEDGEMENTI sincerely express my gratitude to the management of St Isabel's Hospital, Rv Sister Dr.PHILOMENA JOSEPH, DGO, Medical Superintendent, for her extensive academic support.I wish to express my heartfelt gratitude to my guide DR. D VIJAYARAGHAVAN, MS, FRCS, Department of General Surgery, St. Isabel's Hospital, for the invaluable encouragement, advice and support. Without him this study would not have been possible.I am deeply indebted to my co-guide DR. G JOTHIVEL, MS, FRCS who was always at hand to give his time and efforts at every stage of this work. I would also like to thank my professor Dr. M KANAGAVEL, DNB MRCS, for his guidance and suggestions.I would like to thank my HOD, Dr C S MANI, MS, M.Ch, FRCS, for is suggestions and guidance in this workI thank Prof. S.M.CHANDRAMOHAN, M.S, M.Ch, sincerely for allowing me to take his patients for the study.I would like to thank DR.G.MURALI MOHAN REDDY MBBS, MD, Statistician for guiding me through the statistical work.I would like to thank OBG postgraduate DR.TELLY JAIN, my colleague Dr. KRATHIKA, my senior Dr. NARESH, my juniors Dr. KRISHNA BHARGAV, Dr. HEMA LATHA, and our Librarian Ms.Kalpana for their timely help and support in this work. I wish to express my deepest gratitude to all my patients, who whole heartedly co-operated with me in my work and I dedicate this work in the name of the Almighty.Chennai Dr. CH RADHA SIVA BHARATHJUNE 2018 ................
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