Publications by authors named "Shreya Dhungana"

Article Synopsis
  • - Diabetes Mellitus poses a significant public health challenge globally, particularly in low- and middle-income countries like Nepal, where medication costs hinder patient access to necessary treatments.
  • - A study investigated price variations in oral hypoglycaemic medicines (OHMs) across Nepal, finding a dramatic maximum variation of 484.82%, with many medicine categories surpassing 100% price differences despite the local production of these drugs.
  • - The findings highlight a lack of cost-effective alternatives and suggest a need for better drug policies to make OHMs more affordable, ensuring patients have access without financial strain.
View Article and Find Full Text PDF
Article Synopsis
  • - Autoimmune pulmonary alveolar proteinosis (PAP) involves antibodies against GM-CSF, leading to problems with alveolar macrophages and buildup of surfactant in the lungs.
  • - The main treatment for patients with severe hypoxemia due to PAP is whole lung lavage (WLL).
  • - In places with limited resources, WLL can be done on patients who are intubated and anesthetized using a specialized catheter for saline management.
View Article and Find Full Text PDF

The unique historical and cultural background of Nepal has shaped its perspective on cannabis usage. Narcotic Drugs Control Act 1976 of Nepal prohibits the cultivation, production, manufacture, sales, and distribution of narcotic drugs, which also include various forms of cannabis. With proponents for cannabis legalization increasing in the country, it is equally crucial to analyze context and practices in countries already adopting legalization.

View Article and Find Full Text PDF

Background: Despite declining smoking prevalence globally, South Asia faces a rising burden. In Nepal, existing tobacco control laws haven't curbed use, with 28.9% of young adults engaging in tobacco use.

View Article and Find Full Text PDF

The role of clinical pharmacists or oncology pharmacists in pediatric oncology has been established as important in anticancer regimen review, dose calculation, recommendation, chemocounseling, identification of drug-related problems, its resolution, and, prevention and monitoring of adverse drug reactions within high-income countries. With several hospitals providing pediatric oncology services in Nepal, clinical pharmacist involvement in these hospitals is very poor. Upon reviewing the reputed organization and association focused on pediatric oncology pharmacy practice, it looks imperative for Nepal to initiate clinical pharmacy services which will further help in improving patient health outcomes.

View Article and Find Full Text PDF