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3篇 您的检索式:作者名="Arjun Shrestha"
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1Is laser photocoagulation still effective in diabetic macular edema? Assessment with optical coherence tomography in Nepal显示文摘AIM: To find out the outcome of laser photocoagulation in clinically significant macular edema (CSME) by optical coherence tomography (OCT). · METHODS: It was a prospective, non-controlled, case series study enrolling 81 eyes of 64 patients with CSME between August 2008 and January 2010. All patients received modified grid photocoagulation with frequency doubled Nd: YAG laser. Each patient was evaluated in terms of best-corrected visual acuity (BCVA) and regression or progression of maculopathy after laser therapy at 1, 3 and 6 months. Spearman's correlation test was used to show the correlation between BCVA and total macular volume (TMV). Analysis of variance (ANOVA) was used to compare among groups and independent t-test was used to compare in each group. · RESULTS: There is high correlation between BCVA and TMV (P ≤0.001). BCVA improved in 50.6%, remained static in 39.5 % and deteriorated in 9.9% patients after 6 month of treatment. The Baseline TMV (mean and SD) were 9.26±1.83, 10.4±2.38, 11.5±3.05, 8.89±0.75 and 9.47±1.98 mm3 for different OCT patterns, ST (sponge like thickening), CMO (cystoid macular edema), SFD (subfoveal detachment), VMIA (Vitreo macular interface abnormality) and average TMV respectively (P =0.04). After 6 months of laser treatment, the mean TMV decreased from 9.47±1.98mm3 to 8.77±1.31mm3(P =0.01). In ST there was significant decrease in TMV, P =0.01, Further within these groups at 6 months, they were significantly different, P =0.01. · CONCLUSION: OCT showed the different morphological variant of CSME while the response of treatment is different. TMV decreased the most and hence showed the improvement in vision after 6 months of laser treatment. In the era of Anti vascular endothelial growth factors (VEGFs), efficacy of laser seems to be in shadow but it is still first line of treatment in developing nation like Nepal where antiVEGFs may not be easily available and affordable.Arjun Shrestha Deepak Khadka Angira Karmacharya Nhukesh Maharjan Anand Shrestha Raba Thapa Govinda Poudyal 2012International Journal of Ophthalmology(English edition)2012,5,2:3
2Effect of Pest Exclusion Net(PEN)on the Sustainable Production of Late Season Broad Leaf Mustard(BLM)in Chitwan,Nepal显示文摘Broad leaf mustard(BLM)(Brassica juncea L.var.rugosa,Brassicaceae)is one of the most widely consumed vegetable crops in Nepal.The production of crop in open field is constrained by major pests like mustard aphid and flea beetle.This study was aimed to determine the effects of pest exclusion net(PEN)on pest-infestation and yield of BLM cultivar“Khumal Broad Leaf”.The experiment was carried out in randomized complete block design(RCBD)with five treatments and four replications.The treatments included control(no mulch+no net+no pesticide spray),black plastic mulch only,reflective plastic mulch only,black plastic mulch+no net+pesticide spray,and PEN+black plastic mulch+no pesticide spray.Data were analyzed with RSTAT software package and means were separated by Duncan’s multiple range test(DMRT)at 5%level of significance.The result revealed that crop under PEN had highest plant height(38.99 cm),lowest number of aphid(0-0.86 per plant),flea beetle(0-1.07 per plant)and highest total marketable yield(77.50 ton/ha)while control had lowest plant height(20.06 cm),highest number of aphid(maximum 2.49 per plant),flea beetle(maximum 2.00 per plant)and lowest total marketable yield(13.75 ton/ha).Economic analysis revealed highest benefit-cost ratio in PEN(9.90).This study indicates that the use of PEN protect BLM against aphid and flea beetle,increases yield and can be considered as a viable technology for BLM production by smallholder growers of Nepal.Ram Chandra Neupane Arjun Kumar Shrestha Rajendra Regmi Kim Fooyontphanich Ananta Raj Devkota 2018Journal of Agricultural Science and Technology(A)2018,8,5:1
3Inferior con- junctival autografting for pterygium surgery: an alternative way of preserving the glaucoma filtration site in far western Nepal 显示文摘Arjun Shrestha Anand Shrestha Sujata Bhandari 2012Clin Ophthalmol2012,6,:1
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