Browsing by Author "Phuyal, Naveen"
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Publication Multidrug Resistance Gram-negative Bacteria in Intensive Care Unit of Tertiary Care Hospital: A Descriptive Cross-sectional Study(Nepal Medical Association, 2024) Chaudhary, Raina; Bhatta, Sabita; Pant, Chiranjibi; Phuyal, Naveen; Shrestha, LochanaAbstract Introduction: Antimicrobial resistance is global health problem, amongst major causes for mortality. It is one of the hinderance for achievement of Sustainable Goal 3 (Good health and well-being) of WHO. Multidrug resistant gram negative bacteria are major threat to humanity especially patients admitted in intensive care unit. This is associated with to treatment failure and mortality of the patients in intensive care unit. Therefore, this study was conducted to find out the prevalence of Multidrug resistant gram negative bacteria in intensive care unit of tertiary care center. Methods: A descriptive cross-sectional study was conducted in the Department of Microbiology of a tertiary care hospital from February, 2020 till August, 2021 for 18 months after obtaining ethical approval from the Institutional Review Committee (Reference Number: 246). All the samples from Intensive Care Unit were processed following standard methodology. Only Gram-negative bacteria isolated from samples were included in the study. Convenience sampling method was used. The point estimated was calculated at 95% Confidence Interval. Data was entered in Microsoft Excel 2016 and analysis was done using IBM SPSS Statistics version 16.0. Results: Out of 500 samples only 380 showed growth of gram negative bacteria. The prevalence Multi Drug Resistance was 83.15%. The prevalence of multidrug resistant was notably higher among Acinetobacter spp (100%) followed by Non fermenter (95%) and Escherichia coli (87.1%). Multidrug resistant isolates were least resistant towards carbapenem group of antibiotics. Conclusions: The prevalence of Multidrug resistant gram negative bacteria was found to be lower than in the study conducted in similar setting.Publication Perception of First-Year Medical Students Towards Cadaveric Oath(Nepal Health Research Council, 2023) Singh, Poonam; Phuyal, Naveen; Khadka, Sulochana; Thapa, Trilok Pati; Thakur, Sujit KumarAbstract Background: Cadaveric oath-taking is a special way of expressing respect and gratitude to the donors and their families of medical students. The cadaveric oath-taking ceremony was organized for the first time in our medical college. Our study was carried out with the aim of understanding the perceptions of the students after the oath-taking ceremony. Methods: This is a descriptive cross-sectional study conducted in the Department of Anatomy among first-year medical students of a medical college. The total sample size was 100. Data was collected using a pre-structured questionnaire among a group of students who took part in a cadaveric oath-taking ceremony, conducted for the first time in the medical college. Results: Sixty-eight percent of the respondents strongly agreed that cadaveric oath is important in anatomy learning. Eighty-four percent of respondents fully agree with the fact that cadavers are silent mentors. About 88.00% of respondents strongly agreed that they should be thankful to the family members for the noble gesture of body donation. Ninety-five percent of respondents strongly feel that cadavers should be treated with respect, compassion, care, and dignity. Conclusions: The cadaveric oath-taking ceremony holds significant importance in medical education, providing a unique opportunity and avenue to pay tribute to donors and acknowledge their generous contributions. Our study strongly supports integrating the cadaveric oath ceremony at the start of anatomy dissection, fostering ethical principles among aspiring doctors, and honoring the invisible guides in the field of medical education. Keywords: Anatomy; cadavers; cadaveric oathPublication Responding to a Hazardous Materials Incident in Nepal(Nepal Medical Association, 2025) Phuyal, Naveen; Shrestha, AshisAbstract Paper talks about hazardous materials incidents in Nepal that threaten health, safety and the environment. Rapid urbanisation and industrial growth have made chemical, biological, radiological and nuclear emergencies more likely, but there is still not a clear national plan or complete chemical inventory, leaving the health sector unprepared. Emergency responders rely on the Emergency Response Guidebook and the Wireless Information System for Emergency Responders, but many are not aware of these tools or trained to use them. The Nepalese Army has a dedicated chemical, biological, radiological and nuclear platoon, yet hospitals still lack decontamination protocols, equipment and trained staff. Coordination between agencies is weak, resources are limited and exercises are rare. It feels like the pieces do not fit together. We suggest developing national guidelines aligned with international standards, forming dedicated response teams, running regular training sessions and including chemical incident plans in hospital disaster plans to improve preparedness .