Unusual source of tachycardia in an adolescent

Mahaim fiber tachycardia is an uncommon cause of palpitations among the pediatric population. This case report describes an adolescent female who presented with recurrent episodes of tachycardia with chest pain and dizziness. Her ECG showed tachycardia with wide QRS complexes and left bundle branch block pattern. Repeat ECG after adenosine treatment revealed sinus rhythm with persistence of the left bundle branch block pattern. Metoprolol was started however she continued to have episodes of sustained tachycardia

Risk Perception and Protective Health Measure Regarding COVID-19 among Nepali Labour Migrants’ Returnee from India

Thousands of Nepali migrant workers returned home from India due to the impact of the COVID-19 pandemic. This cross-sectional study examines the association between risk perception and protective behaviour regarding COVID-19 in returnee migrant workers. The study used opportunistic sampling and 384 participants, based in a quarantine center on return from India, volunteered. Using the health belief model (HBM) as a theoretical framework, a structured interview questionnaire was designed and applied as the key data collection tool. Three health workers were interviewed face-to-face. The study showed that the perceived risk of COVID-19 among participants was medium to low. Participants perceived few barriers and had low self-efficacy levels compared to other constructs. This study further showed that participants were more likely to follow a range of protective health behaviours, but not found all. The study revealed a significant association between all risk perception constructs and protective behaviours (p=< 0.05). This study accordingly highlighted a significant relationship between the respondents’ risk perception level and protective health behaviours. The study envisaged that public awareness of risk to the people who returned from India is essential to increase risk perception during the outbreak