Browsing by Author "Subedi, S"
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Publication Branch Retinal Arterial Occlusion(Kathmandu University, 2010) Subedi, S; Shrestha, CABSTRACT Retinal arterial occlusion is an ocular emergency in which visual prognosis is poor mostly due to late presentation of the patient and macular involvement. The casee described, in this report is ane incidence of Branch Retinal Arterial Occlusion in a 22 year old female with grade II Mitral Regurgitation. The patiente presented witha complaint of painless, diminution of vision in the right eyn. She alsod presented with perception of black shadow in the superior visual fiel n of the same eye5 for five days. There was no significant systemic ord personal history. Her visual acuity at presentation was 6/60 and 6/6 in the right and left eyes,y which did not improve with glasses or pin-hole. Anterior segment including papillary reaction was normal in both eyes while Fundus examination of the right eye revealed retinal whitening inside the inferotemporal vascular arcade that was encroaching foveolar avascular zone. Visual field defect was detected at superonasally inside arhade but Fundus Fluorescence Angiography was normal. An echoycardiograph revealed grade II Mitral Regurgitation. The patient was kept on observation and after two2 days of follow-up, vision in the right eye was improved to 6/6 unaided but visual field defect was remained same. Key Words branch retinal arterial occlusion, cardio valvular disease, visual field defect.Publication Histoid leprosy with ENL reaction(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2013) Pokhrel, K; Ghimire, R; Subedi, SNo Abstract Keywords: Histoid leprosy, ENLPublication Metallic vaginal ring pessary: A rare entity(Kathmandu University, 2008) Uprety, DK; Regmi, MC; Budhathoki, B; Tiwari, RR; Subedi, S; Chhetri, SAbstract Vaginal pessaries still have role in the management of uterovaginal prolapse especially in elderly women, un t for surgery and as a temporary relief for women waiting for surgery. Forgotten vaginal pessaries may cause serious complications. We here by present a case wtih metallic vaginal ring pessary for 16 years without signi cant symtoms. Key words: Prolapse, Ring pessary, Metallic pessaryPublication Periodontitis and Diabetes: How Well the Patients have Knowledge about the Established Interrelationship?(Kathmandu University, 2022) Ranjit, R; Bista, S; Manandhar, P; Subedi, SABSTRACT Background Type 2 diabetes is an escalating health problem in Nepal and it holds a strong bidirectional Inter relationship with periodontitis. However, lack of its knowledge and motivation among patients may deteriorate and complicate their condition. Objective To assess knowledge among general population regarding the relation between diabetes and periodontitis and to evaluate the role of dentists and physicians in suggesting the diabetic patients for oral health care. Method A cross-sectional study was conducted among the patients visiting Department of Periodontics, Gandaki Medical College. A total 422 patients were interviewed using a set of pretested questionnaire and at the end they were counselled about the impact of diabetes mellitus on periodontal status and vice versa. Result Majority of the patients 257 (60.9%) had no idea about the interrelation between periodontitis and diabetes mellitus. Almost all the patients 363 (86.02%) assumed that poor oral health cannot increase the risk of developing diabetes and amongst those who had knowledge about this relation, the major source of information was their diabetic friends and relatives 46 (10.9%) and other sources such as syllabus 46 (10.9%). Only handful of patients 30 (7.10%) were informed about the relation by their dentist. Ironically, none of them were provided information about the interrelation by their treating physician. Conclusion Overall, only few participants had knowledge about the bidirectional relation between periodontitis and diabetes. Hence, our findings support the greater need for more targeted and specific health education along with close collaboration between dentists and physicians. KEY WORDS Awareness, Diabetes, Knowledge, Oral Health, Periodontitis, Physician