Browsing by Author "Rana, Arnija"
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Publication Awareness and Pattern of Sexually Transmitted Diseases: A Hospital Based Study(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2023) Thapa, Deeptara Pathak; Rana, ArnijaAbstract: Introduction: Sexually transmitted diseases (STDs) are infections that occurs due to sexual contact. There are various pathogens contributing for STDs. There is a rising trend of STDs globally, but actual reported cases are low due to low screening and reporting. Materials and Methods: This study was a prospective hospital-based study. Patients were included in the study according to the inclusion criteria. All data were recorded in a preset proforma. Routine laboratory investigations along with STD workup was done in patients. Results: A total of 62 patients were included in the study according to the inclusion criteria. The age ranged from 17-52years. There were 63% males and 37% females. The majority of patients were employed (60%). Regarding awareness about symptoms of STDs, the patients responded as Infertility in 22%, ulcers in 17%, followed by swelling, genital discharge, dyspareunia, and 24% gave multiple response. Regarding attitude about awareness of prevention of STDs, maximum patients (43%) responded that, through condom use, prevention of the STDs was possible. Out of the total patients 58% Spouse were the commonest partner in 27%. The patients presented with symptoms like urethral discharge in 26%, followed by genital ulcers, genital growth, mixed infections and vaginal discharge. The commonest diagnosis was Syphilis followed by Gonococcal urethritis, non-gonococcal urethritis, warts, Genital herpes, vulvovaginal candidiasis, molluscum contagiosum, and mixed infections. Conclusion: Syphilis is the most prevalent STD, according to the current study. Due to the dearth of knowledge regarding STDs, the STD patients, who visit our facility may only be the tip of the iceberg. It is necessary to spread awareness about STDs among individuals through social media and educational institutions, starting at the local level and moving up to the national level.Publication Clinico-epidemiological Profile and Photoprotective Behaviour among Patients with Photodermatosis: A Hospital-based Cross-sectional Study(Institute of Medicine, Tribhuvan University, 2025) Bhusal, Mohan; Dhungana, Sanjay; Rana, Arnija; Shrestha, Shristi; Thapa, Deeptara Pathak; Piya, SmritiAbstract: Introduction Photodermatoses (PD) encompass a spectrum of skin conditions induced or exacerbated by sunlight. There is limited data on their clinico-epidemiological profile in Nepal. This study aimed to assess the prevalence and study the clinic-epidemiological profile and photoprotective behaviour among patients with photodermatoses. Methods This hospital-based descriptive cross-sectional study was conducted between September 2023 to August 2024 in the outpatient department of dermatology of a tertiary care centre. Ethical approval was obtained from the Institutional Review Committee. The number of patients diagnosed with PD were determined using Sukraa Hospital Information Management System software, V1.2.24.5 for the calculation of prevalence. Non-probability convenience sampling was used. A total of 69 patients clinically diagnosed with photodermatoses were included in study. Data were collected using a structured proforma and analyzed using Statistical Package for Social Sciences (SPSS) version 16. Results Prevalence of photodermatitis was 2.24% (338/15116). Polymorphic light eruption was the most common diagnosis 48 (69.57%), followed by photo-contact dermatitis. The prevalence was higher among females 41 (59.42%), with a mean age of 37.21±18.18 years. Most patients were in the 21–30 years age group. The neck 28 (28.28%) and face 20 (20.20%) were the most commonly affected sites, and papules were the predominant lesion morphology 41(42.27%). Only 15 (21.74%) used photoprotective measures, of which sunscreen was the most common 10 (66.67%). Conclusion Polymorphic light eruption was the most common type of photodermatosis, particularly among females and younger individuals. There was a notably low use of photoprotective measures among patients with PD, particularly sunscreen usage.Publication Skin Tumors among Biopsy Samples in Patients Attending Dermatological Out Patient Department in a Tertiary Care Hospital of Nepal: A Descriptive Cross-sectional Study(Nepal Medical Association, 2021) Shrestha, Shristi; Rana, Arnija; Karki, Deepika; Shrestha, AsimAbstract: Introduction: Skin tumors are on the rise in the Nepalese community. The different morphological pattern of skin tumors requires its meticulous categorization for understanding its effect on prognosis and treatment. Our study aimed at studying the prevalence of skin tumors among the skin biopsies performed in the dermatology outpatient department in a tertiary care hospital of Nepal. Methods: A descriptive cross-sectional study was done from skin biopsy samples from 1st January, 2017 to 31st December, 2019, at a tertiary care center. Ethical clearance was taken from the institutional review committee (IRC), Ref No: 056-077/078. Convenience sampling was done. A self-designed proforma containing questions on the patients' socio-demographic data and clinical details were used, and a biopsy of those clinically suspected to have skin tumors was done. Skin tumors were classified according to the World Health Organization 2018 classification of skin tumors. Data were analyzed using Statistical Package for the Social Sciences Version 16. Point estimate at 95% Confidence Interval was done, and frequency and proportion were calculated. Results: A total of 671 skin biopsies were done during this study, out of which 125 (18.63%) at 95% Confidence Interval (15.68-21.57) were diagnosed with skin tumors. Among them, 77 (61.6%) were female, and 48 (38.4%) were male. Among the diagnosed cases, 105 (84%) were benign, and 20 (16%) were malignant. Conclusions: The findings from our study show the increasing prevalence of skin tumors, and the results were comparable to other similar studies conducted in various parts of Nepal.