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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.

Nepal is a landlocked country bordering two most populous countries, India and China. Nepal shares open border with India from three sides, east, south and west. And, in north with China, where the novel coronavirus infection (CVOVID-19) began in late December 2019. The first confirmed imported case in Nepal was reported in 2nd week of January 2020. The initial response of Nepal to COVID-19 were comparably slow but country geared efforts after it was declared a 'global pandemic' by WHO on 11 March, 2020. Government of Nepal's steps from 18 March, 2020 led to partial lock down and countrywide lockdown imposed on 24 March, 2020. Government devised comprehensive plan on 27 March, 2020 for quarantine for peoples who arrived in Nepal from COVID-19 affected countries. This article covers summary of global status, South Asian Association of Regional Cooperation (SAARC) status, and Nepal's response to contain COVID-19 infection discussed under three headings: Steps taken before and after WHO declared COVID-19 a global pandemic and lab services regarding detection of COVID-19. Nepal has documented five confirmed cases of COVID-19 till the end of March 2020, first in second week of 15 January, 2020 and 2nd case 8-weeks thereafter and 3rd case two days later, 4th on 27 March and 5th on 28 March. Four more cases detected during first week of April. Non-Pharmacological interventions like social distancing and excellent personal habits are widely practiced. Country has to enhance testing and strengthen tracing, isolation and quarantine mechanism and care of COVID-19 patients as Nepal is in risk zone because of comparably weak health system and porous borders with India. The time will tell regarding further outbreak and how it will be tackled.Keywords: COVID-19; lockdown; Nepal; pandemic; response

Background: Health professional students play a critical role in tobacco control by providing services, advocating for policies and serving as role models for social change. This study aimed to estimate the prevalence of tobacco use and determine the attitude and behavior regarding tobacco use among health professional students.Methods: A cross-sectional study was conducted among third-year medical, dental, nursing and pharmacy undergraduates using GHPSS questionnaire.Results: A total of 16.3% students were current cigarette smokers. 33.2% students had ever smoked cigarettes, and 57.0% had smoked first cigarettes during adolescence life. Cigarette smoking consumption was higher than the use of other tobacco products like chewing tobacco, snuff, bidis, hookah, cigar or pipes and. 10.0%students were current users of other tobacco products. 22.1%students had ever used other tobacco products. 31.6% were exposed to second-hand smoke at home and 48.9% were exposed to second-hand smoke at public places.Conclusions: The prevalence of smoking and exposure to second-hand was high among medical students. Medical educators should consider revising the medical curricula to focus on tobacco cessation training/counseling in medical schools.

Background: Health professional students play a critical role in tobacco control by providing services, advocating for policies and serving as role models for social change. This study aimed to estimate the prevalence of tobacco use and determine the attitude and behavior regarding tobacco use among health professional students.Methods: A cross-sectional study was conducted among third-year medical, dental, nursing and pharmacy undergraduates using GHPSS questionnaire. Results: A total of 16.3% students were current cigarette smokers. 33.2% students had ever smoked cigarettes, and 57.0% had smoked first cigarettes during adolescence life. Cigarette smoking consumption was higher than the use of other tobacco products like chewing tobacco, snuff, bidis, hookah, cigar or pipes and. 10.0%students were current users of other tobacco products.22.1%students had ever used other tobacco products.31.6% were exposed to second-hand smoke at home and 48.9% were exposed to second-hand smoke at public places. Conclusions: The prevalence of smoking and exposure to second-hand was high among medical students. Medical educators should consider revising the medical curricula to focus on tobacco cessation training/counseling in medical schools. Keywords: GHPSS;health professional; Nepal; tobacco.

Cambridge Dictionary defines 'lockdown' as a situation in which people are not allowed to enter or leave a building or area freely because of an emergency. Merriam-Webster outlines three definitions of lockdown: a) the confinement of prisoners to their cell for all or most of the day as a temporary security measure, b) an emergency condition in which people are temporarily prevented from entering or leaving a restricted area during a threat of danger and c) a temporary condition imposed by governmental authorities as during theoutbreak of an epidemic disease in which people are required to stay at their homes and refrain from orlimit activities outside the home involving public contact. Our focus, here, is on lockdown strategy adopted to contain corona virus disease 2019 (COVID-19) pandemic.

Cambridge Dictionary defines 'lockdown' as a situation in which people are not allowed to enter or leave a building or area freely because of an emergency. Merriam-Webster outlines three definitions of lockdown: a) the confinement of prisoners to their cell for all or most of the day as a temporary security measure, b) an emergency condition in which people are temporarily prevented from entering or leaving a restricted area during a threat of danger and c) a temporary condition imposed by governmental authorities as during the outbreak of an epidemic disease in which people are required to stay at their homes and refrain from or limit activities outside the home involving public contact. Our focus, here, is on lockdown strategy adopted to contain corona virus disease 2019 (COVID-19) pandemic.

Background: Healthcare workers (HCWs) have found themselves and their families more susceptible to contracting COVID-19. This puts them at a higher risk of psychological distress, which may compromise patient care. In this study, we aim to explore the risk perceptions and psychological distress between HCWs and non-healthcare workers (NHCWs) in Pakistan. Methods: A cross-sectional study was conducted using an online self-administered questionnaire. Psychological distress was assessed through The Hospital Anxiety and Depression Scale (HADS). Comparisons were made between HCWs (front/backend, students/graduates) and NHCWs related to risk perceptions and stress levels related to COVID19. Following tests for normality (Shapiro–Wilk test), variables that fulflled the normality assumption were compared using the independent samples t-test, while for other variables Mann–Whitney U-test was employed. Pearson Chisquare test was used to compare categorical data. Multiple logistic regression techniques examined the association of participant age, gender, household income, and the presence of COVID-19 symptoms with depression and anxiety levels. Results: Data from 1406 respondents (507 HCWs and 899 NHCWs) were analyzed. No signifcant diference was observed between HCWs and NHCWs' perception of susceptibility and severity towards COVID-19. While healthcare graduates perceived themselves (80% graduates vs 66% students, p-value 0.011) and their family (82% graduates vs 67% students, p-value 0.008) to be more susceptible to COVID-19, they were less likely to experience depression than students. Frontline HCWs involved in direct patient care perceived themselves (83% frontline vs. 70% backend, p-value 0.003) and their family (84% frontline vs. 72% backend, p-value 0.006) as more susceptible to COVID-19 than backend healthcare professionals. Over half of the respondents were anxious (54% HCWs and 55% NHCWs). Female gender, younger age, lower income, and having COVID-19 related symptoms had a signifcant efect on the anxiety levels of both HCWs and NHCWs. Conclusion: Frontline HCWs, young people, women, and individuals with lower income were at a higher risk of psychological distress due to the pandemic. Government policies should thus be directed at ensuring the mental