Traditional cereal-based dishes of the Newari community of Nepal and their preparation process

Around the world, cereal grains provide a significant source of dietary nutrients. Since prehistoric times, cereal-based food products have formed the foundation of the human diet. Fermented foods made from cereals account for a significant portion of the calorie intake in developing nations. Worldwide dietary recommendations are urging the consumption of whole grains due to mounting evidence that these grains and food products made from them can improve health in ways other than just giving energy and minerals. The creation of novel food items with qualities that improve health will be aided by the understanding gained from the functional qualities of the many chemical components found in whole grains. Therefore, the main aim of this study is to illuminate the varied application of cereals like rice, maize, wheat, and barley in preparing a wide range of delightful dishes like (Aila, Dhindo, Yomari, Selroti, Chatamari, Khurma, Chiura, and Lakhamari) which holds immense significance in shaping the cultural identity of the Newari community. In this study, the nutritional advantages of cereals highlight their crucial role in maintaining the health and well-being of the Newar community. Cereals are abundant in essential vitamins, fibers, minerals, and carbohydrates as a fundamental component of a well-balanced diet that promotes overall well-bein

Unzipping flood vulnerability and functionality loss:tale of struggle for existence of riparian buildings

Floods pose significant risk to riparian buildings as evidenced during many historical events. Although structural resilience to tsunami flooding is well studied in the literature, high-velocity and debris-laden floods in steep terrains are not considered adequately so far. Historical floods in steep terrains necessitate the need for flood vulnerability analysis of buildings. To this end, we report vulnerability of riparian-reinforced concrete buildings using forensic damage interpretations and empirical/analytical vulnerability analyses. Furthermore, we propose the concept and implications of functionality loss due to flooding in residential reinforced concrete (RC) buildings using empirical data. Fragility functions using inundation depth and momentum flux are presented for RC buildings considering a recent flooding event in Nepal. The results show that flow velocity and sediment load, rather than hydrostatic load, govern the damages in riparian RC buildings. However, at larger inundation depth, hydrostatic force alone may collapse some of the RC buildings

Fine-scale habitat characteristics influence the winter habitat use of swamp deer (Rucervus duvaucelii) in Shuklaphanta National Park, Nepal

Endemic to India and Nepal, the swamp deer (Rucervus duvaucelii) is crucial for restoring and sustaining populations of top predators like tigers. Despite recent signs of species recovery in protected areas, the species remains vulnerable to extinction due to increasing anthropogenic activities. Information on factors influencing the occurrence of swamp deer is essential to formulate suitable management plans that can help to maintain their viable population and protect their habitats. We recorded swamp deer presence via direct sightings and indirect signs (pellets and footprints) through line transect surveys. Two ecological drivers i.e., habitat variables and disturbance variables that included eleven predictor variables were measured in the field where swamp deer was present ("used plots") and absent ("habitat availability plot"). Binary logistic regression was used to analyze the factors associated with the probability of detecting the swamp deer. The model's outcomes showed that an increase in road/path/fireline distance and settlement distance, mixed forest habitat, and depth of leaf litter were positively correlated with the probability of locating swamp deer, while the other significant predictor variables (canopy cover, distance from water source, and presence of predator) had inverse relationships. In summary, our study has provided crucial insights into the factors influencing the presence of swamp deer in their habitat. These findings are useful for local governments and protected area authorities by providing fine-scale field-based scientific information, that can benefit swamp deer and its habitat. We also recommend similar studies in species range locations considering other influencing factors such as season, climate, interaction with other herbivore species, and predators that might affect the habitat use of swamp deer.Peer reviewe

Psychological Impact and their Associated Factors of COVID-19 Pandemic among Nurses of a Metropolitan City of Central Nepal

Introduction: COVID-19 poses a great challenge to the global health system. The nurses worked in COVID ward and fever clinic act as gatekeepers to the health care system in the public health response to COVID-19 epidemic. The consequences of lockdown, quarantine of COVID-19 pandemic has not only caused physical sufferings but also affected the mental health of the nurses around the globe. This study aimed to assess psychological impact and associated factors of COVID 19 pandemic among nurses working in different level of hospital at Bharatpur Municipality Chitwan, Nepal.&#x0D; Methods: A cross-sectional descriptive study was conducted among 150 nurses working in different hospitals of Bharatpur Municipality. Non-probability Purposive Sampling Technique was used and Data was collected via online survey using Google Form questionnaire. COVID-19 peritraumatic distress index (CPDI) questionnaire was used to find out psychological impact. Statistical analysis of data was done using SPSS version 20.&#x0D; Results: Total of 150 nurses were involved in the study where 99.3% were female, 45.3% in the age group of 26-35 years, mean age 27.22±6.612 years, 87.2% bachelor in nursing. Mild to moderate peritraumatic distress was found in 47.33% and 16% of respondents found to have severe distress level. Chi-square test showed that respondents level of knowledge (p=0.003) and presence of chronic disease (p=0.007) was statistically significant with level of distress.&#x0D; Conclusions: Majority of the nurses had some form of psychological distress. Study highlights the need for counseling for distress and mental health during COVID-19 pandemic. A focus on improving mental wellbeing of nurses should be immediately initiated.</jats:p

Prescribing pattern of proton pump inhibitors among patients visiting the outpatient general medicine clinic in a tertiary care teaching hospital in Nepal

PurposeThe purpose of this study is to evaluate the prescribing pattern of proton pump inhibitors (PPIs) in patients visiting the outpatient general medical clinic in a Tertiary Care Teaching Hospital.Design/methodology/approachA hospital-based cross-sectional study was conducted in 419 patients aged ≥18 years, visiting the outpatient general medicine clinic of a tertiary hospital and prescribed with at least one PPI, from July to September 2016 using a purposive sampling technique. Descriptive statistics were performed using IBM-SPSS 20.0 (IBM Corporation, Armonk, NY, USA).FindingsPatients were mostly less than 30 years (30.78%) and female (58.95%). Pantoprazole was the most frequently prescribed PPIs (57.04%). The majority of PPIs were prescribed for acid peptic disorder (APD) (33.65%), followed by non-steroidal anti-inflammatory drugs (NSAIDs) prophylaxis (30.79%). Most of the PPIs were prescribed for twice-daily administration (68.26%). Nearly one-fourth (21.72%) of the patients presented with at least one additional medical condition, and almost all (99%) patients were receiving at least one additional drug along with PPIs.Originality/valueThe study suggests that PPIs are frequently prescribed and their use has been extended to other conditions that in fact do not require acid anti-secretory therapy. Result has highlighted the need for an interdisciplinary collaboration between pharmacists and medical professionals for the rational use of PPIs and promotion of PPIs prescription from the National List of Essential Medicines.</jats:sec

Qualitative and Quantitative Phytochemical Screening and Free Radical Scavenging Activity of Different Parts of Rubus ellipticus Sm.

Free radicals are molecules with reactive unpaired electrons which are produced during cell metabolism and create the oxidative stress inside tissue resulting in tissue damage. The aim of the present study was qualitative and quantitative phytochemical screening, determination of total phenolic and total flavonoid content, and free radical scavenging activity of different parts of ethnomedicinally used Rubus ellipticus Sm. plant. Root, stem, and leaves of Rubus ellipticus Sm. were collected from Annapurna Rural Municipality, Kaski, Western Nepal. Ethyl acetate and ethanol extracts of the plant parts were obtained by subsequent maceration process. The phytochemical screening of most of the extract showed the presence of phenols, carbohydrates, flavonoids, and glycosides. The ethanolic extract of stem showed the higher phenolic content with the value of 343.75 ± 2.21 µg GAE/mg. Ethanolic extract of stem had the highest amount of flavonoid content (1563.17 ± 10.79 µg QE/mg of extract), whereas all the ethyl acetate extracts of root, leaves and stem showed comparable flavonoid content. Ethanolic extracts of leaves showed potent DPPH free radical scavenging activity with IC50 value of 5.03µg/ml while ethyl acetate extract of stem showed the maximum free radical scavenging properties. The result depicted that the ethanolic extract of Rubus ellipticus Sm. showed the potent antioxidant activity by scavenging free radicals.</jats:p

Impact of invasive alien plants on the resident floral diversity in Koshi Tappu Wildlife Reserve, Nepal

Invasive alien plant species (IAPS) pose a serious threat to overall plant biodiversity across the globe. Nepal's national parks and protected areas are not devoid of the impact of IAPS. Unfortunately, there is a substantial gap in knowledge regarding the extent and impact of invasion in protected areas of Nepal. This study assessed the impact of invasive alien plant species on the resident plant species of the Koshi Tapu wildlife reserve. After a preliminary field observation, we selected five major IAPS in the area, Mesosphaerum suaveolens, Chromolaena odorata, Ipomoea carnea, Lantana camara, and Mikania micrantha for this study. Ten pairs of adjacent plots sized 4 m × 4 m were surveyed for each invasive species, comprising diverse vegetation types. Each pair consisted of one “invaded plot” where the invasive species was dominant with cover greater than 50%, and another “uninvaded plot” laid out in an adjacent area with similar site conditions but without the invasive species. We calculated the Sørensen Index of Similarity for each paired plot. Wilcoxon rank-sum test was employed to compare ecological parameters between invaded and uninvaded plots for various plant species. Similarly, the difference in impact between each of the five invasive species was assessed using the Kruskal–Wallis test. Species richness varied significantly between invaded and uninvaded plots for C. odorata and I. carnea. The most significant impact on species composition of invaded communities (39.6%) was observed for C. odorata. The cover of the other dominant species varied significantly between invaded and uninvaded plots for all five species studied. The Kruskal–Wallis test showed no significant difference in the impact caused by the five studied invasive species on Species richness, Shannon–Wiener diversity index, species evenness, and height of dominant species. However, a significant difference was observed between the impacts of five studied invasive species and the cover of other dominant species. The crown cover of dominant species decreased much more in the invaded plots of L. camara and M. micrantha than in other species. Specialized management efforts are required to control highly invasive species, such as C. odorata and I. carnea, alongside proactive measures to prevent further spread in ecologically sensitive areas.Peer reviewe

Cancer Incidence in Nepal: A Three-Year Trend Analysis 2013-2015

Background: Cancer is an major public health problem in the world. This study aims to present a three-year trend of cancer incidence in Nepal. Methods: This study used the three-year data of National Cancer Registry Program (NCRP) from January 2013 to December 2015. NCRP currently includes 12 major hospitals where diagnostic treatment facilities are available and represent the majority of the cases in Nepal. Descriptive analysis was used to present the demographic profile of the participants and the incidence of different topography of cancer. Age-specific and age-adjusted cancer incidence per 100,000 population were presented. Results: A total of 27,483 new cancer cases were included in the study. The age-adjusted incidence rates were 39.1, 39.8 and 41.8 per 100,000 population in the year 2013, 2014 and 2015 respectively. The most common cancer in Nepal was lung followed by cervical, breast, stomach and colorectal cancer. Among males, lung cancer was the most common followed by lip and oral cavity, stomach, colorectal cancer and leukemia and among females, cervical cancer followed by breast, lung, ovary and stomach. Conclusion: Cancer incidence is rising in Nepal and thus comprehensive policies targeting prevention, early detection, and treatment programs should be carried out.</jats:p

Job Satisfaction among Medical Doctors in Nepal: A Descriptive Cross-sectional Study

Introduction: Job satisfaction is an attitudinal variable representing the extent to which people like or dislike their jobs. It is a critical factor influencing healthcare quality, patient outcomes, and overall well-being in medical professionals. This study aimed to determine Job Satisfaction among medical doctors in Nepal. Methods: A descriptive cross-sectional study was conducted among medical doctors of Nepal between June 2023 and August 2023 after obtaining ethical approval from the Ethical Review Board of Nepal Health Research Council. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval. Results: Among 380 participants, 63 (16.58%) (12.84-20.32 at 95% Confidence Interval) expressed satisfaction. The number of satisfied participants above 40 years were 10 (16%) and less than 40 years were 53 (84%). Out of 63, 46 (73.02%) were male and 17 (26.98%) were females. Conclusions: Job satisfaction among doctors practicing in Nepal was found to be lower than the studies conducted in similar settings