Browsing by Author "Shrestha, Saloni"
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Publication Cutaneous Reactions Following Anticancer Drug Therapy in a Tertiary Care Centre(Nepal Medical Association, 2024) Thapa, Deeptara Pathak; Shrestha, Sudip; Shrestha, SaloniAbstract Introduction: Cutaneous reactions are dermatological abnormalities that can occur after anticancer drug therapy in cancer patients. Cutaneous reactions can range from mild dermatological disorders to life-threatening medical conditions and may worsen a patient's quality of life. This study aimed to find out the prevalence of cutaneous reactions following anticancer drug therapy in a tertiary care centre. Methods: A descriptive cross-sectional study was conducted among cancer patients following anticancer therapy in the outpatient department of dermatology of a tertiary care centre between 1 October 2021 to 30 December 2022. Convenience sampling was done. The point estimate was calculated at a 95% Confidence Interval. Results: Among 3,288 patients, the prevalence of cutaneous reactions following anticancer drug therapy was seen in 73 (2.22%) cancer patients. The mean age was found to be 49.42±1.45 years. Anagen effluvium was the frequently observed cutaneous reaction (30.10%) followed by palmar-plantar erythrodysesthesia (19.94%). Conclusions: The prevalence of cutaneous reactions following anticancer drug therapy among cancer patients was found to be lower as compared to the studies conducted in similar settings. An interdisciplinary approach is required to identify cutaneous reactions to anticancer therapy and to navigate change in the treatment plan.Publication Diabetes Mellitus among Patients with Non-alcoholic Fatty Liver Disease Visiting the Outpatient Department of Internal Medicine in a Tertiary Care Centre(Nepal Medical Association, 2023) Adhikari, Prabin; Oli, Kaushal; Shrestha, SaloniAbstract Introduction: Diabetes mellitus is a chronic metabolic illness which is mainly associated with reduced physical activity and obesity. Diabetes mellitus and non-alcoholic fatty liver disease may coexist and synergistically lead to poor clinical outcomes. The aim of the study was to find out the prevalence of diabetes mellitus among patients with non-alcoholic fatty liver disease in a tertiary care centre. Methods: A descriptive cross-sectional study was conducted among patients with non-alcoholic fatty liver disease in the outpatient department of Internal Medicine of a tertiary care centre between 1st January 2022 and 29th June 2023. Convenience sampling was done. A convenience sampling technique was used. The point estimate was calculated at a 95% Confidence Interval. Results: Among 150 patients with non-alcoholic fatty liver disease, diabetes mellitus was seen among 18 (12%) (6.80-17.20, 95% Confidence Interval). Diabetes mellitus was more prevalent in males 12 (66.67%) in patients with non-alcoholic fatty liver disease. Conclusions: The prevalence of diabetes mellitus among patients with non-alcoholic fatty liver disease was found to be lower as compared to similarly reported research studies.Publication Volunteering Experience of the Poor Patient Fund during Medical School(Nepal Medical Association, 2023) Shrestha, Saloni; Gautam, Ashima; Timilsina, RoshnaAbstract Access to healthcare poses significant financial hurdles for economically disadvantaged patients especially in developing countries like Nepal, presenting as one of the most prominent obstacles in ensuring their right to proper medical support. In response to this issue, a student-run organization called, 'Our Attempt Towards Health' has established the poor patient fund to assist those in need. The poor patient fund helps economically deprived patients with their treatment costs by providing them financial assistance and at the same time medical students have the opportunity to volunteer, creating an early and empathetic connection with patients. This experience fosters a sense of purpose and responsibility towards patients, while also honing valuable communication, counseling, and teamwork skills.