JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Feb 2022
Case ReportsCarvajal Syndrome- A Variant of Naxos Disease: A Case Report.
Carvajal syndrome is a rare variant of Naxos disease, a recessive mutation of the desmoplakin gene characterized by presence of woolly hair, palmoplantar keratoderma and dilated cardiomyopathy, mainly left ventricular involvement. The main clinical complication is progressive heart disease which may lead to heart failure and sudden cardiac death in childhood and adolescence. Cardiomyopathy is diagnosed by Task Force Criteria. ⋯ She was clinically diagnosed as Carvajal syndrome, an under-recognized cardio cutaneous manifestation in children. Clinicians should be aware, if any child present with keratoderma of palm and soles with woolly hair since birth should evaluate for cardiomyopathy. Genetic tests should be done whenever available, for confirming the diagnosis and counseling.
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JNMA J Nepal Med Assoc · Feb 2022
Metabolic Syndrome among Patients with Polycystic Ovarian Syndrome Presenting to a Tertiary Care Hospital: A Descriptive Cross-Sectional Study.
Metabolic syndrome in polycystic ovarian syndrome is associated with a long-term risk of developing type 2 diabetes mellitus and cardiovascular disease. This study aims to find the prevalence of metabolic syndrome among patients with polycystic ovarian syndrome presenting to a tertiary care hospital. ⋯ The prevalence of metabolic syndrome among patients with the polycystic ovarian syndrome was similar to other studies done in similar settings.
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JNMA J Nepal Med Assoc · Feb 2022
Cardiac Myxoma among Patients Undergoing Cardiac Surgery in a Tertiary Care Center: A Descriptive Cross-sectional Study.
Heart neoplasms are rare tumors. Myxoma is the commonest primary benign tumor of the heart presenting with features of obstruction, arrhythmia, and embolism. Surgical excision of the tumor is the gold standard of treatment. The aim of the study is to find out the prevalence of cardiac myxoma among all cardiac surgeries operated during the study period. ⋯ Cardiac myxoma was the most common cardiac tumor encountered as in other studies.
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JNMA J Nepal Med Assoc · Feb 2022
Anxiety among the General Population of Himalayan District during the COVID-19 Pandemic: A Descriptive Cross-sectional Study.
COVID-19 pandemic and subsequent measures taken by the government to control the situation have imposed adverse impacts on the mental health and wellbeing of the general population. We conducted a study to determine the prevalence of anxiety among general population of a Himalayan district during the COVID-19 pandemic. ⋯ The study indicates a higher prevalence of anxiety amidst the COVID-19 pandemic compared to reported studies and highlights the need for a strategic intervention to promote awareness and wellbeing at mental health level.
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JNMA J Nepal Med Assoc · Feb 2022
Malignant Serous Effusions among Hospital In-patients in a Tertiary Care Hospital: A Descriptive Cross-sectional Study.
Cell block technique is an adjunct to conventional smears in the diagnosis of malignancy in effusion fluid. It aims at retrieving cellular material and concentrating cells in a small field, with preservation of cytomorphologic details. The objective of this study was to find the proportion of malignant serous effusions using cell block technique among hospital in-patients in a tertiary care centre. ⋯ The proportion of malignant serous effusions was similar in comparison to other studies. Cell block technique could be routinely incorporated along with conventional smears for a more accurate diagnosis of malignancy on serous effusion.