https://hdl.handle.net/20.500.14356/1456 Mon, 13 Apr 2026 10:27:00 GMT 2026-04-13T10:27:00Z http://elibrary.nhrc.gov.np:80/retrieve/c7be22b2-1ca1-48a9-818f-f1a87be3366f/journal-cover.webp https://hdl.handle.net/20.500.14356/1456 https://hdl.handle.net/20.500.14356/1502 Title: Impact Factor of Medical Journals Authors: Shrestha, Badri Man Abstract: Abstract Impact factor, which is a measure of the frequency of citation of articles published in a journal over a specified time, measures the rank or importance of a journal. There is a trend towards publication of high quality research in journals with high impact factor. This paper has outlined the importance, method of calculation, clinical implications, pitfalls and financial issues related to the impact factor of medical journals. Description: Viewpoint Mon, 01 Jan 2018 00:00:00 GMT https://hdl.handle.net/20.500.14356/1502 2018-01-01T00:00:00Z https://hdl.handle.net/20.500.14356/1500 Title: Defensive Medicine: Is It Legitimate or Immoral? Authors: Kattel, Pramod Abstract: NA Description: Letters to the Editor Mon, 01 Jan 2018 00:00:00 GMT https://hdl.handle.net/20.500.14356/1500 2018-01-01T00:00:00Z https://hdl.handle.net/20.500.14356/1499 Title: Conflict Management in Healthcare Authors: Piryani, Rano Mal; Piryani, Suneel Abstract: Abstract The conflict is a disagreement within oneself or differences or dispute among persons that has potential to cause harm. It is inevitable and may occur in any profession including healthcare. It could be among any group of healthcare professionals or healthcare team between different group of healthcare professionals or between patient and any of the member of healthcare team. The conflict has a critical effect on the competence, confidence, and morale of healthcare professionals. Consequently, it affects patient care too. To prevent or limit the conflict, emphasis must be focused on proper and impartial implementation of a professional code of conduct, ground rules and discipline. The sources of conflict could real or imagined differences in values, dissimilar goals among individuals, improper communication and personalization of generic or organizational issue. Generally, there are four types of conflicts, intrapersonal, interpersonal, intragroup and intergroup.The conflict usually goes through four phases, frustration of one or more parties involved in conflict, conceptualization or rationalization of cause, expression of behaviors and behaviors resulting in negative outcome. Thomas and Kilmann postulated a matrix explaining five distinct responses or styles to conflict resolution or management varying along the axis of assertiveness and cooperativeness. These five styles are avoiding, accommodating, compromising, competing and collaborating. The issue in conflict is not its existence, rather its management. When it is managed poorly, the outcome will be uncomplimentary with counterproductive results and if managed properly, it encourages competition, recognize legitimate differences and becomes powerful source of motivation. Keywords: Conflict, healthcare, management of conflict, source of conflict, type of conflict. Description: Short Communication Mon, 01 Jan 2018 00:00:00 GMT https://hdl.handle.net/20.500.14356/1499 2018-01-01T00:00:00Z https://hdl.handle.net/20.500.14356/1497 Title: Rising Rates of Caesarean Section in Urban Nepal Authors: Rai, Sulochana Dhakal; Regmi, Pramod Raj; Teijlingen, Edwin van; Wood, Juliet; Dangal, Ganesh; Dhakal, Keshar Bahadur Abstract: Abstract The rising rate of caesarean section in urban Nepal is alarming as the lack of access for women in rural areas to emergency obstetric care, putting lives at risk. The latter is referred to as ‘Too little too late’. At the same time, the sharp rise in caesarean section rates in cities presents the other extreme: “Too much too soon”. The overuse of caesarean section causes harm, unnecessary costs, and misuse of health resources. Availability of private hospitals and increasing hospital childbirth may contribute to the rising rate of caesarean section. This article highlights the rising rate of caesarean section in urban Nepal. Keywords: Caesarean section; emergency obstetric care; Nepal. Description: Viewpoint Mon, 01 Jan 2018 00:00:00 GMT https://hdl.handle.net/20.500.14356/1497 2018-01-01T00:00:00Z