Browsing by Author "Rajbhandari, A"
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Publication Anticipated Pain and Pain Experience Among Orthodontic Patients: Is there any Difference?(Kathmandu University, 2012) Kafle, D; Rajbhandari, AABSTRACT Background Orthodontic treatment is taken as a painful procedure by most of the patients. The pain can be experienced during different procedures like separator placement, banding, bonding, extraction as well as arch wire activation and debonding. There are very few studies done on the anticipated pain and pain experienced among mentioned orthodontic procedures. Objectives To compare the anticipated pain and pain experience among the patients going for comprehensive orthodontic treatment. Methods Total 45 patients going for comprehensive orthodontic therapy are enrolled into the study. They are given a 100mm Visual Analogue Scale (VAS) for pain. The anticipated pain as well as perceived pain after different orthodontic procedures are recorded on the VAS by patients and returned back to orthodontic office. The data are analyzed by SPSS 16.00 software by paired and independent t-test for the statistical significance. Results The result showed that there is significant difference between the anticipated pain before orthodontic treatment and the pain experienced following orthodontic treatment. It also showed that perception of pain between two sexes is significantly different. The comparison of anticipated pain among male and female does not show any significant difference, however the pain felt after separator placement as well as after orthodontic bonding is significantly different in two sexes. Conclusion The level of anticipated pain before orthodontic treatment is higher than the real pain experienced after orthodontic procedures. So it is better to counsel and explain the patients about the orthodontic treatment and procedures. KEY WORDS Anticipated Pain, Orthodontic, Visual analogue scalePublication Peutz-Jehger’s Syndrome presenting as adult intussusception(Institute of Medicine, 2009) Athar, Z; Rajbhandari, A; Kansakar, P; Singh, YP; Vaidya, PAbstract Abstract: Peutz- Jehger’s syndrome is an autosomal dominant disorder. It is the second most common hamartomatous syndrome with hamartomatous polyp of gastrointestinal tract and cutaneous melanin deposit. Majority of patients remain relatively asymptomatic. Some present with abdominal pain secondary to obstruction or impending obstruction owing to an intussuscepted polyp with GI bleeding. We report a case of 21 year male who presented with upper central abdominal pain, distension, vomiting and blood mixed stool. He also had black colored spots on perioral region and fingers. Ultrasound revealed mass lesion with echogenic centre suggestive of intussusception. Emergency laparotomy revealed jejunojejunal intususception with gangreneous intussusceptum and two other large polyps. Resection anastomosis of jejunum and excision of polyps was done. Peutz – Jehger’s syndrome is a rare but important cause of intussusception in adults presenting with cutaneous manifestations and features of intestinal obstruction Keywords: Cutaneous melanin, Hamartomatous polyp, Intussusception, Peutz Jegher’s syndromePublication Rett Syndrome: A Case report Authors(Nepal Paediatric Society (JNPS), 2008) Shrestha, M; Rajbhandari, AAbstract: Rett syndrome (RS) is a severe neuro-developmental disorder leading to severe intellectual disability in females all around the world. A four-year-old girl from Kathmandu presented with classic features of Rett syndrome (RS), including developmental regression with dementia, loss of acquired speech and hand function, and stereotypic hand movements along with generalized tonic clonic convulsion.Publication Uterine Perforation following Induced Second trimester Abortion in an Adolescent(Institute of Medicine, 2013) Rijal, H; Baral, J; Gurung, G; Rajbhandari, A; Rana, SAbstract We report a case of a 19 year adolescent, who underwent unsafe induced abortion at 14 weeks of pregnancy followed by continuous pain and fever discovered at laparotomy to be due to uterine perforation with the findings of product of conception along with flat bone popping through a uterine rent in anterior and lower part of the uterus within the vicinity of uterovesical which was repaired with good outcome. Keywords: Unsafe abortion,, septic bortion, uterine perforationPublication Vesicocolic fistula(Institute of Medicine, 2008) Rajbhandari, A; Sharma, U; Gyawali, PR; Shrestha, GK; Joshi, BRAbstract Abstract: Vesicoenteric fistulae, also known as enterovesical or intestinovesical fistulae occur between the bowel and the bladder. We report a case of vesicocolic fistula after undergoing TURBT. After confirmation following radiological investigations and cystoscopy the patient underwent repair of the fistula. Keywords: Vesicocolic fistula, enterocutaneous fistula, Gouverneur syndrome