Browsing by Author "Shrestha, Pratistha"
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Publication Acrochordons and diabetes mellitus: A Case control study(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2015) Shrestha, Pratistha; Poudyal, Y; Rajbhandari, S LAbstract Background: Acrochordons (Skin tags) are common benign skin tumors usually occurring on the neck and major flexors of older people. These range in size from 1 mm to 1cm in diameter and are skin colored or brownish. A possible association with diabetes mellitus has been suggested in previous studies, but the result is not conclusive. Objectives: The aim of this study was to find out the association of diabetes mellitus with acrochordons. Material and Methods: One hundred and two patients were selected for the study. Among them 51 (males-23 and females-28) with acrochordons were taken as cases and 51 with other dermatologic disease after matching age and sex were taken as controls. The patients were selected from OPD of Department of Dermatology and Venereology in Universal College of Medical Sciences - Teaching Hospital (UCMS-TH). Blood glucose level including both fasting plasma glucose and 2-hour post-glucose load were determined for both case and control and compared. Results: Patients with acrochordons had significantly higher frequency of diabetes than the control group (p<0.001). Total of 48.5% and 40% of patients with acrochordons having diabetes were obese and overweight respectively. Conclusion: There is an increased risk of diabetes mellitus in patients with acrochordons. With regard to the importance of early diagnosis of diabetes, it is recommended a high level of suspicion for diabetes mellitus in patients with acrochordons. Keywords: Acrochordons, Diabetes mellitus, Skin tagsPublication Irregular Antenatal Care Attendance among Pregnant Women during COVID-19 Pandemic in a Tertiary Care Centre: A Descriptive Cross-sectional Study(Nepal Medical Association, 2022) Maharajan, Meenu; Sen, Kamana; Thapa, Bibechan; Shrestha, Sushmita; Jayaswal, Aradhana; Poudel, Alina; Basnet, Prasnna; Rana, Sunita Rajya Laxmi; Chaudhary, Sneha; Shrestha, Pratistha; Bhandari, KritickAbstract Introduction: The coronavirus disease 2019 pandemic has made access to antenatal care services difficult, which could lead to serious implications for the health of mothers and fetus. There is limited study regarding its impact on pregnant women. This study aimed to find out the prevalence of irregular antenatal care attendance among pregnant women during the COVID-19 pandemic in a tertiary care centre. Methods: A descriptive cross-sectional study was carried out among pregnant women attending antenatal care visits at the Department of Gynaecology and Obstetrics in a tertiary care centre from 23 July 2021 to 5 September 2021. Ethical approval was granted by the Institutional Review Committee (Reference number: 077/078/67). Convenience sampling was done. Point estimate and 95% Confidence Interval were calculated. Results: Among 196 pregnant women, 49 (25%) (18.96-31.06, 95% Confidence Interval) had irregular antenatal care attendance during the COVID-19 pandemic. Conclusions: The prevalence of irregular antenatal care attendance during the COVID-19 pandemic was lower than other studies done in similar settings. Antenatal care is crucial to prevent maternal, fetal morbidity and mortality, hence uninterrupted antenatal care services should be provided even during crisis situation like COVID-19 pandemics.