Aging is a natural lifelong process ending in death. Many older people are living in poverty. Older people are generally considered dependent on others as they grow older. The purpose of this article is to explore the...Aging is a natural lifelong process ending in death. Many older people are living in poverty. Older people are generally considered dependent on others as they grow older. The purpose of this article is to explore the entrepreneurship activities of Nepalese older adults. Data for this study were collected from the project Help Age International (HAI) implemented in Nepal. Qualitative data observations and interviews were used to collect data. The findings of this study show the formation of the Older People’s Association (OPA) has supported many older people to participate outside the home in various social activities. Moreover, regular deposits through OPAs offer little help. OPAs support older people in their need of financial support to implement minor entrepreneurship. Older people who received support were pleased and were actively involved in their activities and also regularly deposited money in them. Subsequently, older people’s participation in social activities has increased and also helped to lower elderly abuse, loneliness, and depression. Local governments should promote such activities which will help with healthy aging.展开更多
Aging is a natural lifelong process until death. The proportions of the older population are increasing rapidly in Nepal too. There are 2.97 million older people in Nepal as of the 2021 census which is a 38.2% increas...Aging is a natural lifelong process until death. The proportions of the older population are increasing rapidly in Nepal too. There are 2.97 million older people in Nepal as of the 2021 census which is a 38.2% increase compared to the previous census of 2011. The proportion of the older population reached 10.21% of the total population of Nepal. During this decade, Nepal’s average population growth rate is 0.92% and the older population growth rate is 3.29% per year. On the other hand, Nepal’s total fertility is below replacement level, infant mortality is around 23 per thousand live births and average life expectancy is now around 71 years. The median age of Nepal is 25 years and the index of aging increased rapidly from 23.3 in 2011 to 36.7 in the 2021 census of Nepal. These indicators show aging is taking place rapidly and the caregiving burden may increase rapidly in the coming days due to the tendency of migration of the young population to other countries. In this context, the Nepal government needs to focus on how to manage the population and provide quality services and social security for the growing older people of Nepal.展开更多
Rainfall erosivity is an indicator of rainfall potential to cause soil erosion.The Melamchi extreme flood occurred on June-15 and recurred on July-31,2021 in Nepal.During these flooding events,a large volume of sedime...Rainfall erosivity is an indicator of rainfall potential to cause soil erosion.The Melamchi extreme flood occurred on June-15 and recurred on July-31,2021 in Nepal.During these flooding events,a large volume of sediments were eroded,transported and deposited due to the high rainfall erosivity of the basin.In this study,the temporal and the spatial distribution of rainfall erosivity within the Melamchi River Basin was estimated and further linked to sediment discharge and concentration at various sites along the river segments.The daily rainfall data for the event year 2021 of the entire basin were used.Validation was performed by post-flooding grain size sampling.The result showed that rainfall and rainfall erosivity exhibit pronounced intensity within the Melamchi River basin,particularly at Sermathang and Tarkeghang,both located in the middle section of the basin.The average annual rainfall in the Melamchi region was 3140.39 mm with an average annual erosivity of 18302.06(MJ mm)/(ha h yr).The average daily erosivity of the basin was 358.67(MJ mm)/(ha h)during the first event and 1241(MJ mm)/(ha h)for the second event.In the upper section of sampling,the sediment size ranged from 0.1 mm to>8 mm and was poorly graded.However,the lower region had smaller sediment ranging from 0.075 mm to>4.75 mm and also well graded.The smaller size(<1 mm)sediment passing was much higher in the Chanaute(78%)and Melamchi(66.5%)river segments but the larger size(>100 mm)sediments were passed relatively higher from the Kiwil(8.20%)and Ambathan(8.39%)river segments.During premonsoon and monsoon seasons,the highest sediment concentration was found to be 563.8 g/L and 344.3 g/L in Bhimtar and the lowest was 238.5 g/L and 132.1 g/L at the Ambathan,respectively.The sediment concentration during the pre-monsoon was found to be higher than the sediment concentration during the monsoon season in the Melamchi River.The more erosive regions in the basin were associated with the presence of highly fractured rock,weathered rocks and a thrust(weak)zone.The higher rainfall erosivity at upstream and the higher sediment concentration at downstream during flooding events have coincided well in the basin.Thus,the estimation of rainfall erosivity at the catchment scale and its influences on sediment concentration in the river are crucial for erosion control measures during flooding times in the Himalaya.展开更多
Seasonal variations and common mode errors affect the precision of the Global Positioning System(GPS)time series.In this paper,we explore to improve the precision of coordinate time series,thereby providing a better d...Seasonal variations and common mode errors affect the precision of the Global Positioning System(GPS)time series.In this paper,we explore to improve the precision of coordinate time series,thereby providing a better detection of weak or transient deformation signals,particularly co-seismic signals.Based on 97 GPS stations,including the campaign and continuous GPS stations in Nepal and southern Tibet,we first consider seasonal variations and common errors,then obtain co-seismic deformation of the 2015 Gorkha earthquake in Nepal and southern Tibet.Our co-seismic rupture model is characterized by a shallow ramp and a deeper detachment fault,in agreement with the relocated aftershock sequence.Our results indicate that the earthquake rupture is mainly distributed in the upper-crustal fault,and the maximum slip is up to 8.0 m at~15.0 km depth located in the approximate-80 km east of the epicenter.The average slip is more than 5 m,and the total modelled magnitude is M_(W)7.84,consistent with the observed seismic moment.Our rupture model for the 2015 Gorkha earthquake suggests that the rupture zone is not only in the upper crustal Main Himalayan Thrust(MHT),but also spreads to the northern segment of the MHT.展开更多
Introduction: COVID-19 has become a global public health concern. In Nepal, the government has imposed lockdown, school closures, non-pharmacological interventions, isolation, and quarantine. People were asked to acce...Introduction: COVID-19 has become a global public health concern. In Nepal, the government has imposed lockdown, school closures, non-pharmacological interventions, isolation, and quarantine. People were asked to accept self-care interventions. However, the effectiveness of these preventive measures depends on the knowledge and practice of an individual. Therefore, this study aimed to investigate the association between knowledge and practice among Bagmati province residents during the COVID-19 pandemic. Methods: A cross-sectional study was conducted using an online Google Form questionnaire. A total of 296 participants completed the surveys on social media, particularly Facebook. To assess the factors associated with knowledge and practices toward COVID-19, logistic regression analysis was applied. Results: The total scores of knowledge and practice were 7.62 ± 2.06 and 11 ± 1.91, respectively. Results showed that education, people having a medical background, and occupation were significantly associated with knowledge. While urban residence, older age, and living in a rental with a shared room were significantly associated with practice. Conclusions: People with higher education, medical backgrounds, and household workers had high knowledge about COVID-19;however, knowledge was not associated with practice. There was a gap between knowledge and practice.展开更多
The extensive damage to buildings caused by the Nepal M_s 8.1 earthquake has attracted much attention by the international community.Afterthe preliminary scientific investigations on the different affected areas inNep...The extensive damage to buildings caused by the Nepal M_s 8.1 earthquake has attracted much attention by the international community.Afterthe preliminary scientific investigations on the different affected areas inNepal,the construction and damage characteristics of five different types of buildings commonly existing in Nepal were discussed and the reasons of their disaster performance were analyzed.Types of buildings investigated include reinforced concrete(RC) frame structures,rubble structures,brick-wood structures,raw soil structures,and brick-wood structures of historic buildings.In addition,the weak links of the seismic design were pointed out,which was very important for the post-earthquake reconstruction and recovery,and gave a preliminary explanations for the damage experienced.展开更多
The Middle Mountains is one of the regions of Nepal most vulnerable to water erosion, where fragile geology, steep topography, anomalous climatic conditions, and intensive human activity have resulted in serious soil ...The Middle Mountains is one of the regions of Nepal most vulnerable to water erosion, where fragile geology, steep topography, anomalous climatic conditions, and intensive human activity have resulted in serious soil erosion and enhanced land degradation. Based on the 137 Cs tracing method, spatial variations in soil erosion, organic carbon, and total nitrogen(TN) in terraced fields lacking field banks and forestland were determined. Soil samples were collected at approximately 5 m and 20 m intervals along terraced field series and forestland transects respectively. Mean 137 Cs inventories of the four soil cores from the reference site was estimated at 574.33 ± 126.22 Bq m-2(1 Bq(i.e., one Becquerel) is equal to 1 disintegration per second(1 dps)). For each terrace, the 137 Cs inventory generally increased fromupper to lower slope positions, accompanied by a decrease in the soil erosion rate. Along the entire terraced toposequence, 137 Cs data showed that abrupt changes in soil erosion rates could occur between the lower part of the upper terrace and the upper part of the immediate terrace within a small distance. This result indicated that tillage erosion is also a dominant erosion type in the sloping farmland of this area. At the same time, we observed a fluctuant decrease in soil erosion rates for the whole terraced toposequence as well as a net deposition at the toe terrace. Although steep terraces(lacking banks and hedgerows) to some extent could act to limit soil sediment accumulation in catchments, soil erosion in the terraced field was determined to be serious. For forestland, with the exception of serious soil erosion that had taken place at the top of slopes due to concentrated flows from a country road situated above the forestland site, spatialvariation in soil erosion was similar to the "standard" water erosion model. Soil organic carbon(SOC) and TN inventories showed similar spatial patterns to the 137 Cs inventory for both toposequences investigated. However, due to the different dominant erosion processes between the two, we found similar patterns between the <0.002 mm soil particle size fraction(clay sized) and 137 Cs inventories in terraced fields, while different patterns could be found between 137 Cs inventories and the <0.002 mm soil particle size fraction in the forestland site. Such results confirm that 137 Cs can successfully trace soil erosion, SOC and soil nitrogen dynamics in steep terraced fields and forestland in the Middle Mountains of Nepal.展开更多
The equivalence of geophysical fields,the finiteness of measurements and the measurement errors make the result of geophysical inversion non-unique.For example,the measurements and inversion method used,the priori rup...The equivalence of geophysical fields,the finiteness of measurements and the measurement errors make the result of geophysical inversion non-unique.For example,the measurements and inversion method used,the priori rupture model determined and the slip distribution smoothing factor selected will have significant influences on the earthquake rupture slip distribution.Using different data and methods,different authors have given different rupture slip distribution models of the 2015 Mw7.9 Nepal earthquake,with the maximum slip ranging from 3.0 m to 6.8 m.In this paper,geometry parameters of the single rectangular fault model in elastic half-space were inferred constraining with the Global Positioning System(GPS) and Interferometric Synthetic Aperture Radar(InSAR) coseismic deformations and bounding the slip with approximate average value;and then,the single rectangular fault was divided into multiple sub-faults,and the final slip smoothing factor,the final slip distribution and the maximum slip were determined with the misfit-roughness tradeoff curve,the cross-validation sum of squares(CVSS) and the third-party observation data or indexes being comprehensively taken into account.The results show that,the rupture of the Nepal earthquake extended by over 100 km east by south.The maximum slip of the earthquake was about 6.5-6.7 m,and most of the slip is confined at depths of 8-20 km,consistent with the depth distribution of aftershocks.The method for reducing the multiplicity of solutions to rupture slip distribution in this paper was ever used in inversion of rupture slip distribution for the 2008 Wenchuan and 2013 Lushan earthquakes,and the third-party measurement-surface dislocation has very large effect on reducing the multiplicity of solutions to inversion of the Wenchuan earthquake.Other priori information or indicators,such as fault strike,dip,earthquake magnitude,seismic activity,Coulomb stress,and seismic period,can be used for beneficial validation of and comparison with inversion results.展开更多
Landslide distribution and susceptibility mapping are the fundamental steps for landslide-related hazard and disaster risk management activities, especially in the Himalaya region which has resulted in a great deal of...Landslide distribution and susceptibility mapping are the fundamental steps for landslide-related hazard and disaster risk management activities, especially in the Himalaya region which has resulted in a great deal of death and damage to property. To better understand the landslide condition in the Nepal Himalaya, we carried out an investigation on the landslide distribution and susceptibility using the landslide inventory data and 12 different contributing factors in the Dailekh district, Western Nepal. Based on the evaluation of the frequency distribution of the landslide, the relationship between the landslide and the various contributing factors was determined.Then, the landslide susceptibility was calculated using logistic regression and statistical index methods along with different topographic(slope, aspect, relative relief, plan curvature, altitude, topographic wetness index) and non-topographic factors(distance from river, normalized difference vegetation index(NDVI), distance from road, precipitation, land use and land cover, and geology), and 470(70%) of total 658 landslides. The receiver operating characteristic(ROC) curve analysis using 198(30%) of total landslides showed that the prediction curve rates(area under the curve, AUC) values for two methods(logistic regression and statistical index) were 0.826, and 0.823with success rates of 0.793, and 0.811, respectively. The values of R-Index for the logistic regression and statistical index methods were83.66 and 88.54, respectively, consisting of high susceptible hazard classes. In general, this research concluded that the cohesive and coherent natural interplay of topographic and non-topographic factors strongly affects landslide occurrence, distribution, and susceptibility condition in the Nepal Himalaya region. Furthermore, the reliability of these two methods is verified for landslide susceptibility mapping in Nepal’s central mountain region.展开更多
Community forest management helps in mitigating deforestation and forest degradation by addressing the negative aspects of rural livelihoods such as poverty and social exclusion.It is important in regulating global cl...Community forest management helps in mitigating deforestation and forest degradation by addressing the negative aspects of rural livelihoods such as poverty and social exclusion.It is important in regulating global climate by encouraging sequestration of carbon in shoots,roots and soils.We studied the status of community forest management,forest resource harvest and carbon stocks in two community forests of the mid hill region of central and western Nepal.The study was based on primary and secondary data collected through carbon stock measurement from field visits and allometric equations,household surveys,focus group discussions,key informant interviews,and review of past studies.Socioeconomic variables such as gender,age group,livestock and landholding status were related to resource utilization,conservation,and management of community forest.Forest resources such as timber,firewood,fodder and leaf litter were harvested in sustainable ways.People were involved in forest thinning,co-management meetings,guarding and planting trees for forest conservation and management.Density and carbon stock of trees increased gradually in comparison to a previous study.We recommend further research on other community forests for more accurate and better results.展开更多
This research utilized two periods of gravity monitoring results from 2010 to 2013 from the Continental Tectonics Environmental Monitoring Network of China,analyzed the correlation between gravity variation in the Tib...This research utilized two periods of gravity monitoring results from 2010 to 2013 from the Continental Tectonics Environmental Monitoring Network of China,analyzed the correlation between gravity variation in the Tibet area and the Nepal Ms8.1 earthquake,and investigated the gravity variation mechanism in combination with the crust vertical movement and horizontal strain field observed by Global Positioning System(GPS).The research results indicated that(1) the gravity variation exhibited apparent characteristics of a positive anomaly and high gradient zone in the Himalayan frontier.This observation is consistent with the existing recognition of the gravity anomaly and occurrence regularity of a strong earthquake;(2) the gravity variation exhibited apparent consistence with the spacious distribution of the vertical movement and the horizontal deformation field in that area.The crustal vertical movement was not the direct cause leading to the gravity variation.It is assumed that the crust stressestrain accumulation in the Qinghaie Tibetan Plateau and its adjacent areas is the important factor that resulted in the variation of gravity.展开更多
Using data from five SGs at four stations in Chinese mainland,obvious permanent gravity changes caused by the 2015 MW7.8 Nepal(Gorkha)earthquake were detected.We analyzed the gravity effects from ground vertical defor...Using data from five SGs at four stations in Chinese mainland,obvious permanent gravity changes caused by the 2015 MW7.8 Nepal(Gorkha)earthquake were detected.We analyzed the gravity effects from ground vertical deformation(VD)using co-site continuous GPS(cGPS)data collocated at the Lijiang and the Wuhan station,and hydrological effects using GLDAS models and groundwater level records.After removing these effects,SG observations before and after the earthquake revealed obvious permanent gravity changes:−3.0μGal,7.3μGal and 8.0μGal at Lhasa,Lijiang and Wuhan station,respectively.We found that the gravity changes cannot be explained by the results of dislocation theory.展开更多
Unrestrained anti-microbial resistance (AMR) among bacterial pathogens has made the management and treatment of post-operative wound infections difficult. This study assessed the current AMR patterns of bacterial isol...Unrestrained anti-microbial resistance (AMR) among bacterial pathogens has made the management and treatment of post-operative wound infections difficult. This study assessed the current AMR patterns of bacterial isolates in post-operative wound infections in a tertiary care hospital in Kathmandu,Nepal. Pus swabs collected from post-operative wound infections and submitted for culture and sensitivity were included in this study. Isolation and identification of the organism was done by standard microbiological methods. Antibiotic susceptibility test was performed by Kirby Bauer disc diffusion method and result was interpreted as per National Committee for Clinical Laboratory Standards (NCCLS) guide lines. Of the 120 pus swabs processed for culture, 96 showed bacterial growth. Staphylococcus aureus 36 (37.5%) was the predominant gram positive isolate and Escherichia coli 24 (25%) was the major gram negative isolate .The infection was most prevalent in the age group 20-40 years. All S. aureus isolates were sensitive to aminoglycosides and vancomycin. Out of 36 S. aureus, 15 (41.66%) isolates were methicillin resistant S. aureus (MRSA). Staphylococcus epidermidis showed high resistance (50%-100%) to all antibiotics but were sensitive to vancomycin. All gram negative isolates showed high resistance against cephalexin (75%-100%) and ceftriaxone (25%-100%). Overall multi-drug resistant isolates were 66.7%. A high level of AMR was observed in gram negative bacterial isolates. Rational use of antibiotics and a regular monitoring of AMR patterns in post-operative wound infections are essential and mandatory to avert further emergence and spread of anti-microbial resistance among bacterial pathogens.展开更多
Objectives: This study aims to examine Nepalese undergraduate nursing students' knowledge of aging,attitudes towards older adults and perceptions of working with older adults,and to assess differences in these out...Objectives: This study aims to examine Nepalese undergraduate nursing students' knowledge of aging,attitudes towards older adults and perceptions of working with older adults,and to assess differences in these outcomes by socio-demographic characteristics as well as type of nursing program.Methods: A cross-sectional study was conducted among 385 undergraduate nursing students in six nursing colleges located in the Kathmandu Valley,Knowledge of aging,attitudes toward older adults and perceptions of working with older adults were assessed using standardized tools,the Palmore Facts on Aging Quiz,Kogan's Attitudes towards Older People Scale,and Nolan's Intent to Work with Older People Questionnaire,respectively.Results: The mean knowledge scores on older adults and aging were relatively low;participants scored an average of 26.9 out of 50.Scores assessing attitudes towards and perceptions of working with older adults were more favorable.Compared to students pursuing a Bachelor of Science in Nursing (BSN),students pursuing a Bachelor of Nursing (BN) had a significantly higher score on the knowledge,attitudes and perception of aging scales.Linear regression analyses showed that the students' knowledge of aging (β =0.55;95% CI =0.25-0.86) and perceptions of working with older adults (β =0.22;95% Cl =0.05 -0.38) had a significant positive association with their attitudes toward older adults.Conclusions: Undergraduate nursing students in the Kathmandu Valley of Nepal displayed a relatively low level of knowledge,but a positive attitude towards older adults,and a positive perception of working with older adults.Observed differences in knowledge,attitude,and perception scores between students in BSN and BN programs needs further investigation;closing this gap may be important for bolstering undergraduate gerontological preparation in Nepal.展开更多
A rice mill survey covering diverse rice processing companies in terms of their milling output, type of technology and year of establishment was conducted to understand the current situation of the rice milling indust...A rice mill survey covering diverse rice processing companies in terms of their milling output, type of technology and year of establishment was conducted to understand the current situation of the rice milling industry and to identify enablers and barriers to its growth in Nepal. Coarse rice varieties dominate Nepal’s rice processing industry, with a 42% share by total weight, followed by medium rice (34%) and fine varieties (less than 7%). Polished white rice (<em>Arwa</em>) was the dominant rice type in Nepal in the survey, followed by parboiled and steamed rice. The price and profit margins increased from coarse to fine rice varieties and from <em>Arwa</em> to parboiled and steamed rice. The cost of milling also followed a similar trend. The rice milling industry in Nepal largely influences the adoption or non-adoption of any specific type of rice variety by dictating specific brands in the market and this has important implications for rice research and development. The rice processing industry of Nepal was unable to compete with the Indian rice milling industry because of: 1) low profit margins due to the high cost of rice production and procurement, 2) a lack of economies of scale, 3) a lack of milling technologies for long and extra-long and steamed rice in the country and a lack of investment to modernize rice milling technology, and 4) unavailability of paddy throughout the year locally. Millers were willing to upgrade their rice milling technology to include high throughput parboiling, steamed rice as well as long and extra-long grain rice. This will be a strategic decision in counteracting the ever-increasing rice imports in Nepal. We believe that the findings of the study will be vital for formulating an appropriate rice research, development and rice processing strategy for Nepal to achieve food and nutritional security and the Sustainable Development Goals.展开更多
Amphibians are declining worldwide.At the same time,each year many species of amphibians are described,indicating that biological diversity on Earth remains poorly understood.This is especially true for mountainous re...Amphibians are declining worldwide.At the same time,each year many species of amphibians are described,indicating that biological diversity on Earth remains poorly understood.This is especially true for mountainous regions,such as the Himalayas,which are also regarded as a biodiversity hotspot.However,it is most likely that the current diversity of amphibians in Nepal is highly underestimated.Amphibian inventories by the past researchers primarily used phenotypic characters as the basis for species identification.However,the application of molecular systematics methods to taxonomic studies has successfully uncovered the taxonomic status of several cryptic taxa.This study used both molecular(16 S rDNA sequences)and morphological comparisons and estimated the diversity of amphibians from Nepal.This study reports the occurrence of 38 species of amphibians based on both molecular and morphological comparisons.Among them,three species were recorded for the first time in Nepal.This study also invalids the taxonomic status of Sphaerotheca paschima.This study highlights the importa nce of integrative taxonomic approaches that help to resolve the current taxonomic ambiguities of Nepalese amphibians.展开更多
Objectives:The main objective of the study was to ascertain the prevalence of chronic otitis media and determine the corresponding hearing loss in children from Nepal’s Himalayan region now residing in Buddhist Monas...Objectives:The main objective of the study was to ascertain the prevalence of chronic otitis media and determine the corresponding hearing loss in children from Nepal’s Himalayan region now residing in Buddhist Monastic schools of Nepal.Methods:The study was conducted among children at Buddhist monastic school in different parts of Nepal.A total of 3174 children aged between 5 and 15 years,who were originally from the Himalayan region of Nepal and were currently residing in monastic schools,were screened for ear problems and hearing loss.They were examined by otoscope to diagnose chronic otitis media.Hearing was evaluated by pure tone audiometer,and 0.5e4 kHz air conduction hearing threshold was measured and documented.Results:Of the total of 3174 children who were screened for ear diseases and hearing loss,monks constituted 76.21%(n?2419)and Nuns 23.78%(n?755).Chronic otitis media was the most common otoscopic finding during the screening,and it affected a total of 344(10.83%)children.Out of these 344,hearing loss of varying degrees was observed in 5.42%(n?172)children.Conclusion:There is high prevalence of chronic otitis media in children belonging to the Himalayan region of Nepal,and it is the main cause of avoidable hearing loss.Timely diagnosis and treatment of chronic otitis media could prevent unnecessary hearing loss in these children.展开更多
This paper estimates the perceptions, determinants and barriers regarding the adoption of climate change adaptation options among Nepalese rice farmers. A multi-stage sampling technique was used to source respondents ...This paper estimates the perceptions, determinants and barriers regarding the adoption of climate change adaptation options among Nepalese rice farmers. A multi-stage sampling technique was used to source respondents for the study, and structured questionnaire techniques were used to collect data from 773 households across seven districts (3 from Terai and 4 from the hilly region of Nepal). A binomial logistic regression model was used to detangle the determinants for the adoption of climate change adaptation options among farmers. The results revealed that approximately 80.7% of the farmers perceived change in temperature, and 90% believed that there was a decrease in rainfall in the 30-year period. In total, 77% of farming households responded that rice production and yield has decreased due to such changes, which has forced them to adopt available adaptation options. This study found that 12 adaptation options have been mainly used by rice farmers, and among them, there has been an increasing use of chemical fertilizer, climate-smart rice verities, and changes in nursery date, which are the first three adoption options. Overall, 71% of farmers adopt such adaptation options to protect themselves from perceived risk. However, farmers are facing several barriers, such as capital inadequacy, high cost of agricultural inputs, poor adaptation information provided to farmers, inadequate access to credit facilities and inadequate awareness about adaptation regarding the adoption of such options. Binomial regression results revealed that several factors influence a farmer’s choice in adaptation measures. Our findings suggest the need for greater investment to remove these barriers and institutional shortcomings and help to improve a rice farmer’s wellbeing.展开更多
This study attempts to understand the role of ICTs on adoption of climate change adaption options among the Nepalese rice farmers, using data from 773 households from seven districts—3 from Terai region and 4 from hi...This study attempts to understand the role of ICTs on adoption of climate change adaption options among the Nepalese rice farmers, using data from 773 households from seven districts—3 from Terai region and 4 from hilly region. Individual Farmer’s Awareness Index was developed to categorize the respondent knowledge of climate change adaptation and Ordered Logit Model was used to examine the factors influencing their adaptation options in present of ICTs. The result revealed that 65% farmers perceived knowledge about temperature, rainfall and other relative information from various ICT devices that they pose. Farmers received such information mostly from Radio (71%), TV (69%) and mobile phone (62.5%) and argued these three devices are the most prominent, easy access and practical devices to receive such information. 86% farmers used such devices on the daily basis and 90% and more users opined that the information provided from such devices is in their own language and fully understandable. From ICT devices they pose, 71% of the farmers are receiving climate change information and 61% received agro-related information and the majority of them argued that such available information is very much informative and supportive of their resilience to climate change and use of available adaptation options. From the Farmers Awareness Index, this study found 19.8% farmers are high aware, 65.1% medium aware and 15.1% were less aware of the changing climate and its anomalies. Similarly, result from Ordered Logit Model shows that age (0.45***), gender (0.48**), market center (0.32*), bank access (0.54***), availability of subsidy (1.0***), agro-extension services (0.71**), access to TV (0.67***) and membership to a social network (3.20**) played a significant role in increasing farmers’ awareness of climate change which in turn lead to increased adoption of adaptation options available to the farmers. The findings suggest the need for further improvement on ICT devices and publicity of such ICT devices and proper investment to boost rice farmers’ adaptation to climate change, which will in turn help to improve their livelihoods and well-being.展开更多
Background: Thyroid eye disease represents an organ-specific autoimmune process that is usually associated with thyroid disease. Graves’ disease is the most common thyroid abnormality associated with thyroid eye dise...Background: Thyroid eye disease represents an organ-specific autoimmune process that is usually associated with thyroid disease. Graves’ disease is the most common thyroid abnormality associated with thyroid eye disease. Aim: This study was conducted for the profile of ocular manifestation in Thyroid Eye Disease (TED). Methodology: A cross-sectional study of 117 cases of thyroid dysfunction was carried out at BP Koirala Institute of Health System, out of which 84 (71.79%) cases had ocular manifestation. They were evaluated and analyzed in detail and the characteristics documented included patient’s demography, ocular and systemic history and as well as ocular examination and some of the systemic and laboratory findings. Results: In this study, mean age of presentation of TED was 39.7 years. 59 patients were female and 25 were male. The maximum patients of both sexes were in the fourth decade of their lives. The common lid signs were lid retraction and lid lag. Proptosis was seen in 33.3% of cases out of which 68% had bilateral proptosis. Corneal ulcer was seen in 7.1% and optic neuropathy in 1.2% of cases. In 27.3% of cases there was elevation of IOP. Dry eye was seen in 61.9% of cases and POAG seen in 8.3% of cases. In the study population 75% were hyperthyroiditic, 16.7% were hypothyroiditic and 8.3% were in euthyroid state. Conclusion: Female was more commonly affected. The maximum number of patients of both sexes was in the fourth decade of their lives. Hyperthyroidism patient had greater chance of ocular manifestation.展开更多
文摘Aging is a natural lifelong process ending in death. Many older people are living in poverty. Older people are generally considered dependent on others as they grow older. The purpose of this article is to explore the entrepreneurship activities of Nepalese older adults. Data for this study were collected from the project Help Age International (HAI) implemented in Nepal. Qualitative data observations and interviews were used to collect data. The findings of this study show the formation of the Older People’s Association (OPA) has supported many older people to participate outside the home in various social activities. Moreover, regular deposits through OPAs offer little help. OPAs support older people in their need of financial support to implement minor entrepreneurship. Older people who received support were pleased and were actively involved in their activities and also regularly deposited money in them. Subsequently, older people’s participation in social activities has increased and also helped to lower elderly abuse, loneliness, and depression. Local governments should promote such activities which will help with healthy aging.
文摘Aging is a natural lifelong process until death. The proportions of the older population are increasing rapidly in Nepal too. There are 2.97 million older people in Nepal as of the 2021 census which is a 38.2% increase compared to the previous census of 2011. The proportion of the older population reached 10.21% of the total population of Nepal. During this decade, Nepal’s average population growth rate is 0.92% and the older population growth rate is 3.29% per year. On the other hand, Nepal’s total fertility is below replacement level, infant mortality is around 23 per thousand live births and average life expectancy is now around 71 years. The median age of Nepal is 25 years and the index of aging increased rapidly from 23.3 in 2011 to 36.7 in the 2021 census of Nepal. These indicators show aging is taking place rapidly and the caregiving burden may increase rapidly in the coming days due to the tendency of migration of the young population to other countries. In this context, the Nepal government needs to focus on how to manage the population and provide quality services and social security for the growing older people of Nepal.
基金supported by the Collaborative Research Program of the Alliance of International Science Organization(ANSO)(ANSOCR-KP-2021-09)CAS Interdisciplinary Innovation Team(xbzg-zdsys-202104)President’s International Fellowship Initiative(PIFI)visiting scientist grant for the Chinese Academy of Science(CAS)international talent(2023VCC0001,2024VEA0001)。
文摘Rainfall erosivity is an indicator of rainfall potential to cause soil erosion.The Melamchi extreme flood occurred on June-15 and recurred on July-31,2021 in Nepal.During these flooding events,a large volume of sediments were eroded,transported and deposited due to the high rainfall erosivity of the basin.In this study,the temporal and the spatial distribution of rainfall erosivity within the Melamchi River Basin was estimated and further linked to sediment discharge and concentration at various sites along the river segments.The daily rainfall data for the event year 2021 of the entire basin were used.Validation was performed by post-flooding grain size sampling.The result showed that rainfall and rainfall erosivity exhibit pronounced intensity within the Melamchi River basin,particularly at Sermathang and Tarkeghang,both located in the middle section of the basin.The average annual rainfall in the Melamchi region was 3140.39 mm with an average annual erosivity of 18302.06(MJ mm)/(ha h yr).The average daily erosivity of the basin was 358.67(MJ mm)/(ha h)during the first event and 1241(MJ mm)/(ha h)for the second event.In the upper section of sampling,the sediment size ranged from 0.1 mm to>8 mm and was poorly graded.However,the lower region had smaller sediment ranging from 0.075 mm to>4.75 mm and also well graded.The smaller size(<1 mm)sediment passing was much higher in the Chanaute(78%)and Melamchi(66.5%)river segments but the larger size(>100 mm)sediments were passed relatively higher from the Kiwil(8.20%)and Ambathan(8.39%)river segments.During premonsoon and monsoon seasons,the highest sediment concentration was found to be 563.8 g/L and 344.3 g/L in Bhimtar and the lowest was 238.5 g/L and 132.1 g/L at the Ambathan,respectively.The sediment concentration during the pre-monsoon was found to be higher than the sediment concentration during the monsoon season in the Melamchi River.The more erosive regions in the basin were associated with the presence of highly fractured rock,weathered rocks and a thrust(weak)zone.The higher rainfall erosivity at upstream and the higher sediment concentration at downstream during flooding events have coincided well in the basin.Thus,the estimation of rainfall erosivity at the catchment scale and its influences on sediment concentration in the river are crucial for erosion control measures during flooding times in the Himalaya.
基金funded by the Open Fund of Wuhan,Gravitation and Solid Earth Tides,National Observation and Research Station (grant no. WHYWZ202212)the CMONOC project
文摘Seasonal variations and common mode errors affect the precision of the Global Positioning System(GPS)time series.In this paper,we explore to improve the precision of coordinate time series,thereby providing a better detection of weak or transient deformation signals,particularly co-seismic signals.Based on 97 GPS stations,including the campaign and continuous GPS stations in Nepal and southern Tibet,we first consider seasonal variations and common errors,then obtain co-seismic deformation of the 2015 Gorkha earthquake in Nepal and southern Tibet.Our co-seismic rupture model is characterized by a shallow ramp and a deeper detachment fault,in agreement with the relocated aftershock sequence.Our results indicate that the earthquake rupture is mainly distributed in the upper-crustal fault,and the maximum slip is up to 8.0 m at~15.0 km depth located in the approximate-80 km east of the epicenter.The average slip is more than 5 m,and the total modelled magnitude is M_(W)7.84,consistent with the observed seismic moment.Our rupture model for the 2015 Gorkha earthquake suggests that the rupture zone is not only in the upper crustal Main Himalayan Thrust(MHT),but also spreads to the northern segment of the MHT.
文摘Introduction: COVID-19 has become a global public health concern. In Nepal, the government has imposed lockdown, school closures, non-pharmacological interventions, isolation, and quarantine. People were asked to accept self-care interventions. However, the effectiveness of these preventive measures depends on the knowledge and practice of an individual. Therefore, this study aimed to investigate the association between knowledge and practice among Bagmati province residents during the COVID-19 pandemic. Methods: A cross-sectional study was conducted using an online Google Form questionnaire. A total of 296 participants completed the surveys on social media, particularly Facebook. To assess the factors associated with knowledge and practices toward COVID-19, logistic regression analysis was applied. Results: The total scores of knowledge and practice were 7.62 ± 2.06 and 11 ± 1.91, respectively. Results showed that education, people having a medical background, and occupation were significantly associated with knowledge. While urban residence, older age, and living in a rental with a shared room were significantly associated with practice. Conclusions: People with higher education, medical backgrounds, and household workers had high knowledge about COVID-19;however, knowledge was not associated with practice. There was a gap between knowledge and practice.
基金National Science&Technology Pillar Program No.2015BAK17B00Seismic Industry Research Special Fund under Grant No.201508026
文摘The extensive damage to buildings caused by the Nepal M_s 8.1 earthquake has attracted much attention by the international community.Afterthe preliminary scientific investigations on the different affected areas inNepal,the construction and damage characteristics of five different types of buildings commonly existing in Nepal were discussed and the reasons of their disaster performance were analyzed.Types of buildings investigated include reinforced concrete(RC) frame structures,rubble structures,brick-wood structures,raw soil structures,and brick-wood structures of historic buildings.In addition,the weak links of the seismic design were pointed out,which was very important for the post-earthquake reconstruction and recovery,and gave a preliminary explanations for the damage experienced.
基金Financial support for this study was provided by the Aid project on Science and Technology for developing countries from Ministry of Science and Technology of China(2013)the National Natural Science Foundation of China(No.41401313)
文摘The Middle Mountains is one of the regions of Nepal most vulnerable to water erosion, where fragile geology, steep topography, anomalous climatic conditions, and intensive human activity have resulted in serious soil erosion and enhanced land degradation. Based on the 137 Cs tracing method, spatial variations in soil erosion, organic carbon, and total nitrogen(TN) in terraced fields lacking field banks and forestland were determined. Soil samples were collected at approximately 5 m and 20 m intervals along terraced field series and forestland transects respectively. Mean 137 Cs inventories of the four soil cores from the reference site was estimated at 574.33 ± 126.22 Bq m-2(1 Bq(i.e., one Becquerel) is equal to 1 disintegration per second(1 dps)). For each terrace, the 137 Cs inventory generally increased fromupper to lower slope positions, accompanied by a decrease in the soil erosion rate. Along the entire terraced toposequence, 137 Cs data showed that abrupt changes in soil erosion rates could occur between the lower part of the upper terrace and the upper part of the immediate terrace within a small distance. This result indicated that tillage erosion is also a dominant erosion type in the sloping farmland of this area. At the same time, we observed a fluctuant decrease in soil erosion rates for the whole terraced toposequence as well as a net deposition at the toe terrace. Although steep terraces(lacking banks and hedgerows) to some extent could act to limit soil sediment accumulation in catchments, soil erosion in the terraced field was determined to be serious. For forestland, with the exception of serious soil erosion that had taken place at the top of slopes due to concentrated flows from a country road situated above the forestland site, spatialvariation in soil erosion was similar to the "standard" water erosion model. Soil organic carbon(SOC) and TN inventories showed similar spatial patterns to the 137 Cs inventory for both toposequences investigated. However, due to the different dominant erosion processes between the two, we found similar patterns between the <0.002 mm soil particle size fraction(clay sized) and 137 Cs inventories in terraced fields, while different patterns could be found between 137 Cs inventories and the <0.002 mm soil particle size fraction in the forestland site. Such results confirm that 137 Cs can successfully trace soil erosion, SOC and soil nitrogen dynamics in steep terraced fields and forestland in the Middle Mountains of Nepal.
基金supported by the Director Foundation of Institute of Seismology,China Earthquake Adminstration(IS201506220)the National Natural Science Foundation of China(40974012,41304019)the Special Foundation for Seismic Research(201208006)
文摘The equivalence of geophysical fields,the finiteness of measurements and the measurement errors make the result of geophysical inversion non-unique.For example,the measurements and inversion method used,the priori rupture model determined and the slip distribution smoothing factor selected will have significant influences on the earthquake rupture slip distribution.Using different data and methods,different authors have given different rupture slip distribution models of the 2015 Mw7.9 Nepal earthquake,with the maximum slip ranging from 3.0 m to 6.8 m.In this paper,geometry parameters of the single rectangular fault model in elastic half-space were inferred constraining with the Global Positioning System(GPS) and Interferometric Synthetic Aperture Radar(InSAR) coseismic deformations and bounding the slip with approximate average value;and then,the single rectangular fault was divided into multiple sub-faults,and the final slip smoothing factor,the final slip distribution and the maximum slip were determined with the misfit-roughness tradeoff curve,the cross-validation sum of squares(CVSS) and the third-party observation data or indexes being comprehensively taken into account.The results show that,the rupture of the Nepal earthquake extended by over 100 km east by south.The maximum slip of the earthquake was about 6.5-6.7 m,and most of the slip is confined at depths of 8-20 km,consistent with the depth distribution of aftershocks.The method for reducing the multiplicity of solutions to rupture slip distribution in this paper was ever used in inversion of rupture slip distribution for the 2008 Wenchuan and 2013 Lushan earthquakes,and the third-party measurement-surface dislocation has very large effect on reducing the multiplicity of solutions to inversion of the Wenchuan earthquake.Other priori information or indicators,such as fault strike,dip,earthquake magnitude,seismic activity,Coulomb stress,and seismic period,can be used for beneficial validation of and comparison with inversion results.
基金Under the auspices of the CAS Overseas Institutions Platform Project (No. 131C11KYSB20200033)the National Natural Science Foundation of China (No. 42071349)the Sichuan Science and Technology Program (No. 2020JDJQ0003)。
文摘Landslide distribution and susceptibility mapping are the fundamental steps for landslide-related hazard and disaster risk management activities, especially in the Himalaya region which has resulted in a great deal of death and damage to property. To better understand the landslide condition in the Nepal Himalaya, we carried out an investigation on the landslide distribution and susceptibility using the landslide inventory data and 12 different contributing factors in the Dailekh district, Western Nepal. Based on the evaluation of the frequency distribution of the landslide, the relationship between the landslide and the various contributing factors was determined.Then, the landslide susceptibility was calculated using logistic regression and statistical index methods along with different topographic(slope, aspect, relative relief, plan curvature, altitude, topographic wetness index) and non-topographic factors(distance from river, normalized difference vegetation index(NDVI), distance from road, precipitation, land use and land cover, and geology), and 470(70%) of total 658 landslides. The receiver operating characteristic(ROC) curve analysis using 198(30%) of total landslides showed that the prediction curve rates(area under the curve, AUC) values for two methods(logistic regression and statistical index) were 0.826, and 0.823with success rates of 0.793, and 0.811, respectively. The values of R-Index for the logistic regression and statistical index methods were83.66 and 88.54, respectively, consisting of high susceptible hazard classes. In general, this research concluded that the cohesive and coherent natural interplay of topographic and non-topographic factors strongly affects landslide occurrence, distribution, and susceptibility condition in the Nepal Himalaya region. Furthermore, the reliability of these two methods is verified for landslide susceptibility mapping in Nepal’s central mountain region.
基金supported by the University Grants Commission-NepalInstitute of Science and Technology+1 种基金Central Department of Environmental ScienceMinistry of Science Technology and Environment
文摘Community forest management helps in mitigating deforestation and forest degradation by addressing the negative aspects of rural livelihoods such as poverty and social exclusion.It is important in regulating global climate by encouraging sequestration of carbon in shoots,roots and soils.We studied the status of community forest management,forest resource harvest and carbon stocks in two community forests of the mid hill region of central and western Nepal.The study was based on primary and secondary data collected through carbon stock measurement from field visits and allometric equations,household surveys,focus group discussions,key informant interviews,and review of past studies.Socioeconomic variables such as gender,age group,livestock and landholding status were related to resource utilization,conservation,and management of community forest.Forest resources such as timber,firewood,fodder and leaf litter were harvested in sustainable ways.People were involved in forest thinning,co-management meetings,guarding and planting trees for forest conservation and management.Density and carbon stock of trees increased gradually in comparison to a previous study.We recommend further research on other community forests for more accurate and better results.
基金supported by the Director Foundation of Institute of Seismology,China Earthquake Administration(IS201326121)the National Natural Science Foundation of China(41304059)the special earthquake research grant offered by the China Earthquake Administration(201508009,201308009)
文摘This research utilized two periods of gravity monitoring results from 2010 to 2013 from the Continental Tectonics Environmental Monitoring Network of China,analyzed the correlation between gravity variation in the Tibet area and the Nepal Ms8.1 earthquake,and investigated the gravity variation mechanism in combination with the crust vertical movement and horizontal strain field observed by Global Positioning System(GPS).The research results indicated that(1) the gravity variation exhibited apparent characteristics of a positive anomaly and high gradient zone in the Himalayan frontier.This observation is consistent with the existing recognition of the gravity anomaly and occurrence regularity of a strong earthquake;(2) the gravity variation exhibited apparent consistence with the spacious distribution of the vertical movement and the horizontal deformation field in that area.The crustal vertical movement was not the direct cause leading to the gravity variation.It is assumed that the crust stressestrain accumulation in the Qinghaie Tibetan Plateau and its adjacent areas is the important factor that resulted in the variation of gravity.
基金supported by the National Natural Science Foundation of China(No.41774093).
文摘Using data from five SGs at four stations in Chinese mainland,obvious permanent gravity changes caused by the 2015 MW7.8 Nepal(Gorkha)earthquake were detected.We analyzed the gravity effects from ground vertical deformation(VD)using co-site continuous GPS(cGPS)data collocated at the Lijiang and the Wuhan station,and hydrological effects using GLDAS models and groundwater level records.After removing these effects,SG observations before and after the earthquake revealed obvious permanent gravity changes:−3.0μGal,7.3μGal and 8.0μGal at Lhasa,Lijiang and Wuhan station,respectively.We found that the gravity changes cannot be explained by the results of dislocation theory.
文摘Unrestrained anti-microbial resistance (AMR) among bacterial pathogens has made the management and treatment of post-operative wound infections difficult. This study assessed the current AMR patterns of bacterial isolates in post-operative wound infections in a tertiary care hospital in Kathmandu,Nepal. Pus swabs collected from post-operative wound infections and submitted for culture and sensitivity were included in this study. Isolation and identification of the organism was done by standard microbiological methods. Antibiotic susceptibility test was performed by Kirby Bauer disc diffusion method and result was interpreted as per National Committee for Clinical Laboratory Standards (NCCLS) guide lines. Of the 120 pus swabs processed for culture, 96 showed bacterial growth. Staphylococcus aureus 36 (37.5%) was the predominant gram positive isolate and Escherichia coli 24 (25%) was the major gram negative isolate .The infection was most prevalent in the age group 20-40 years. All S. aureus isolates were sensitive to aminoglycosides and vancomycin. Out of 36 S. aureus, 15 (41.66%) isolates were methicillin resistant S. aureus (MRSA). Staphylococcus epidermidis showed high resistance (50%-100%) to all antibiotics but were sensitive to vancomycin. All gram negative isolates showed high resistance against cephalexin (75%-100%) and ceftriaxone (25%-100%). Overall multi-drug resistant isolates were 66.7%. A high level of AMR was observed in gram negative bacterial isolates. Rational use of antibiotics and a regular monitoring of AMR patterns in post-operative wound infections are essential and mandatory to avert further emergence and spread of anti-microbial resistance among bacterial pathogens.
文摘Objectives: This study aims to examine Nepalese undergraduate nursing students' knowledge of aging,attitudes towards older adults and perceptions of working with older adults,and to assess differences in these outcomes by socio-demographic characteristics as well as type of nursing program.Methods: A cross-sectional study was conducted among 385 undergraduate nursing students in six nursing colleges located in the Kathmandu Valley,Knowledge of aging,attitudes toward older adults and perceptions of working with older adults were assessed using standardized tools,the Palmore Facts on Aging Quiz,Kogan's Attitudes towards Older People Scale,and Nolan's Intent to Work with Older People Questionnaire,respectively.Results: The mean knowledge scores on older adults and aging were relatively low;participants scored an average of 26.9 out of 50.Scores assessing attitudes towards and perceptions of working with older adults were more favorable.Compared to students pursuing a Bachelor of Science in Nursing (BSN),students pursuing a Bachelor of Nursing (BN) had a significantly higher score on the knowledge,attitudes and perception of aging scales.Linear regression analyses showed that the students' knowledge of aging (β =0.55;95% CI =0.25-0.86) and perceptions of working with older adults (β =0.22;95% Cl =0.05 -0.38) had a significant positive association with their attitudes toward older adults.Conclusions: Undergraduate nursing students in the Kathmandu Valley of Nepal displayed a relatively low level of knowledge,but a positive attitude towards older adults,and a positive perception of working with older adults.Observed differences in knowledge,attitude,and perception scores between students in BSN and BN programs needs further investigation;closing this gap may be important for bolstering undergraduate gerontological preparation in Nepal.
文摘A rice mill survey covering diverse rice processing companies in terms of their milling output, type of technology and year of establishment was conducted to understand the current situation of the rice milling industry and to identify enablers and barriers to its growth in Nepal. Coarse rice varieties dominate Nepal’s rice processing industry, with a 42% share by total weight, followed by medium rice (34%) and fine varieties (less than 7%). Polished white rice (<em>Arwa</em>) was the dominant rice type in Nepal in the survey, followed by parboiled and steamed rice. The price and profit margins increased from coarse to fine rice varieties and from <em>Arwa</em> to parboiled and steamed rice. The cost of milling also followed a similar trend. The rice milling industry in Nepal largely influences the adoption or non-adoption of any specific type of rice variety by dictating specific brands in the market and this has important implications for rice research and development. The rice processing industry of Nepal was unable to compete with the Indian rice milling industry because of: 1) low profit margins due to the high cost of rice production and procurement, 2) a lack of economies of scale, 3) a lack of milling technologies for long and extra-long and steamed rice in the country and a lack of investment to modernize rice milling technology, and 4) unavailability of paddy throughout the year locally. Millers were willing to upgrade their rice milling technology to include high throughput parboiling, steamed rice as well as long and extra-long grain rice. This will be a strategic decision in counteracting the ever-increasing rice imports in Nepal. We believe that the findings of the study will be vital for formulating an appropriate rice research, development and rice processing strategy for Nepal to achieve food and nutritional security and the Sustainable Development Goals.
基金the Second Tibetan Plateau Scientific Expedition and Research Program(STEP),(Grant No.2019QZKK05010503)the National Natural Sciences Foundation of China(NSFC.31471964)grants to Jianping JIANG+1 种基金supported by the CAS.TWAS President Fellowshipthe Chinese Academy of Sciences President’s International Fellowship Initiative(Grant No.2018PB0016)。
文摘Amphibians are declining worldwide.At the same time,each year many species of amphibians are described,indicating that biological diversity on Earth remains poorly understood.This is especially true for mountainous regions,such as the Himalayas,which are also regarded as a biodiversity hotspot.However,it is most likely that the current diversity of amphibians in Nepal is highly underestimated.Amphibian inventories by the past researchers primarily used phenotypic characters as the basis for species identification.However,the application of molecular systematics methods to taxonomic studies has successfully uncovered the taxonomic status of several cryptic taxa.This study used both molecular(16 S rDNA sequences)and morphological comparisons and estimated the diversity of amphibians from Nepal.This study reports the occurrence of 38 species of amphibians based on both molecular and morphological comparisons.Among them,three species were recorded for the first time in Nepal.This study also invalids the taxonomic status of Sphaerotheca paschima.This study highlights the importa nce of integrative taxonomic approaches that help to resolve the current taxonomic ambiguities of Nepalese amphibians.
文摘Objectives:The main objective of the study was to ascertain the prevalence of chronic otitis media and determine the corresponding hearing loss in children from Nepal’s Himalayan region now residing in Buddhist Monastic schools of Nepal.Methods:The study was conducted among children at Buddhist monastic school in different parts of Nepal.A total of 3174 children aged between 5 and 15 years,who were originally from the Himalayan region of Nepal and were currently residing in monastic schools,were screened for ear problems and hearing loss.They were examined by otoscope to diagnose chronic otitis media.Hearing was evaluated by pure tone audiometer,and 0.5e4 kHz air conduction hearing threshold was measured and documented.Results:Of the total of 3174 children who were screened for ear diseases and hearing loss,monks constituted 76.21%(n?2419)and Nuns 23.78%(n?755).Chronic otitis media was the most common otoscopic finding during the screening,and it affected a total of 344(10.83%)children.Out of these 344,hearing loss of varying degrees was observed in 5.42%(n?172)children.Conclusion:There is high prevalence of chronic otitis media in children belonging to the Himalayan region of Nepal,and it is the main cause of avoidable hearing loss.Timely diagnosis and treatment of chronic otitis media could prevent unnecessary hearing loss in these children.
文摘This paper estimates the perceptions, determinants and barriers regarding the adoption of climate change adaptation options among Nepalese rice farmers. A multi-stage sampling technique was used to source respondents for the study, and structured questionnaire techniques were used to collect data from 773 households across seven districts (3 from Terai and 4 from the hilly region of Nepal). A binomial logistic regression model was used to detangle the determinants for the adoption of climate change adaptation options among farmers. The results revealed that approximately 80.7% of the farmers perceived change in temperature, and 90% believed that there was a decrease in rainfall in the 30-year period. In total, 77% of farming households responded that rice production and yield has decreased due to such changes, which has forced them to adopt available adaptation options. This study found that 12 adaptation options have been mainly used by rice farmers, and among them, there has been an increasing use of chemical fertilizer, climate-smart rice verities, and changes in nursery date, which are the first three adoption options. Overall, 71% of farmers adopt such adaptation options to protect themselves from perceived risk. However, farmers are facing several barriers, such as capital inadequacy, high cost of agricultural inputs, poor adaptation information provided to farmers, inadequate access to credit facilities and inadequate awareness about adaptation regarding the adoption of such options. Binomial regression results revealed that several factors influence a farmer’s choice in adaptation measures. Our findings suggest the need for greater investment to remove these barriers and institutional shortcomings and help to improve a rice farmer’s wellbeing.
文摘This study attempts to understand the role of ICTs on adoption of climate change adaption options among the Nepalese rice farmers, using data from 773 households from seven districts—3 from Terai region and 4 from hilly region. Individual Farmer’s Awareness Index was developed to categorize the respondent knowledge of climate change adaptation and Ordered Logit Model was used to examine the factors influencing their adaptation options in present of ICTs. The result revealed that 65% farmers perceived knowledge about temperature, rainfall and other relative information from various ICT devices that they pose. Farmers received such information mostly from Radio (71%), TV (69%) and mobile phone (62.5%) and argued these three devices are the most prominent, easy access and practical devices to receive such information. 86% farmers used such devices on the daily basis and 90% and more users opined that the information provided from such devices is in their own language and fully understandable. From ICT devices they pose, 71% of the farmers are receiving climate change information and 61% received agro-related information and the majority of them argued that such available information is very much informative and supportive of their resilience to climate change and use of available adaptation options. From the Farmers Awareness Index, this study found 19.8% farmers are high aware, 65.1% medium aware and 15.1% were less aware of the changing climate and its anomalies. Similarly, result from Ordered Logit Model shows that age (0.45***), gender (0.48**), market center (0.32*), bank access (0.54***), availability of subsidy (1.0***), agro-extension services (0.71**), access to TV (0.67***) and membership to a social network (3.20**) played a significant role in increasing farmers’ awareness of climate change which in turn lead to increased adoption of adaptation options available to the farmers. The findings suggest the need for further improvement on ICT devices and publicity of such ICT devices and proper investment to boost rice farmers’ adaptation to climate change, which will in turn help to improve their livelihoods and well-being.
文摘Background: Thyroid eye disease represents an organ-specific autoimmune process that is usually associated with thyroid disease. Graves’ disease is the most common thyroid abnormality associated with thyroid eye disease. Aim: This study was conducted for the profile of ocular manifestation in Thyroid Eye Disease (TED). Methodology: A cross-sectional study of 117 cases of thyroid dysfunction was carried out at BP Koirala Institute of Health System, out of which 84 (71.79%) cases had ocular manifestation. They were evaluated and analyzed in detail and the characteristics documented included patient’s demography, ocular and systemic history and as well as ocular examination and some of the systemic and laboratory findings. Results: In this study, mean age of presentation of TED was 39.7 years. 59 patients were female and 25 were male. The maximum patients of both sexes were in the fourth decade of their lives. The common lid signs were lid retraction and lid lag. Proptosis was seen in 33.3% of cases out of which 68% had bilateral proptosis. Corneal ulcer was seen in 7.1% and optic neuropathy in 1.2% of cases. In 27.3% of cases there was elevation of IOP. Dry eye was seen in 61.9% of cases and POAG seen in 8.3% of cases. In the study population 75% were hyperthyroiditic, 16.7% were hypothyroiditic and 8.3% were in euthyroid state. Conclusion: Female was more commonly affected. The maximum number of patients of both sexes was in the fourth decade of their lives. Hyperthyroidism patient had greater chance of ocular manifestation.
