Development of a 1 kW Gravitational Water Vortex Hydropower Plant Prototype

A pilot testing of a Gravitational Water Vortex Hydropower Plant (GWVHP) has been done to evaluate the applicability in a real-world scenario and validate the results from the lab-scale model. A scaled-up model of a capacity of 1 kW was constructed for the evaluation purpose. The test provided data in good agreement with a lab-scale model and a proper visualization to install Gravitational Water Vortex in real-world scenarios. The project lasted for nearly four months and thus provided important information on the problems that might arise in scaling up the lab model to a micro-hydro system. The pilot testing shows an overall plant efficiency of 49%, validating the lab-based studies conducted beforehand. The information obtained from this pilot study shall be implemented in a micro-hydro project on a larger scale

Sustainable green campus in Nepal: 3E analysis

In today's world, where global warming is one of the greatest human challenges, sustainable energy generation is becoming increasingly relevant. The use of green and clean energy sources is the best way to minimize CO2, CO, NOX and other emissions of conventional energy usage. Solar photovoltaic (PV) systems are more beneficial and an exciting application to set up an eco-friendly green educational campus. In this regard, the potential sites within Tribhuvan University, Institute of Engineering, Purwanchal Campus, Dharan city, Nepal are analysed for grid-tied solar PV power plant installation to meet the 100% energy demand of the campus using energy, economic and environment-friendly analysis. The daily, monthly and annual load and solar irradiance data of past years of the campus have been analysed to estimate the solar PV plant's capacity and system performance using PVSYST V7.0 software analysis tools. The simulation results show that 110 kWp of solar PV power plant will be sufficient for the entire campus to qualify for the first fully green-powered campus in Nepal, which corresponds to fulfill 66.4 MWh/year daytime energy demand out of total 161 MWh/year energy consumption of the campus with a capacity to generate a total of 181.5 MWh/year energy from the designed solar PV system. The result also shows that 115.1 MWh/year of surplus energy produced from the PV power plant can be injected into the utility grid to yield considerable savings in utility cost. On the basis of these results, campus authorities and stakeholders may commit to investing and implementing of this project to ensure that the campus is completely green

Analysis of maternal and newborn training curricula and approaches to inform future trainings for routine care, basic and comprehensive emergency obstetric and newborn care in the low- and middle-income countries: Lessons from Ethiopia and Nepal

Program managers routinely design and implement specialised maternal and newborn health trainings for health workers in low- and middle-income countries to provide better-coordinated care across the continuum of care. However, in these countries details on the availability of different training packages, skills covered in those training packages and the gaps in their implementation are patchy. This paper presents an assessment of maternal and newborn health training packages to describe differences in training contents and implementation approaches used for a range of training packages in Ethiopia and Nepal. We conducted a mixed-methods study. The quantitative assessment was conducted using a comprehensive assessment questionnaire based on validated WHO guidelines and developed jointly with global maternal and newborn health experts. The qualitative assessment was conducted through key informant interviews with national stakeholders involved in implementing these training packages and working with the Ministries of Health in both countries. Our quantitative analysis revealed several key gaps in the technical content of maternal and newborn health training packages in both countries. Our qualitative results from key informant interviews provided additional insights by highlighting several issues with trainings related to quality, skill retention, logistics, and management. Taken together, our findings suggest four key areas of improvement: first, training materials should be updated based on the content gaps identified and should be aligned with each other. Second, trainings should address actual health worker performance gaps using a variety of innovative approaches such as blended and self-directed learning. Third, post-training supervision and ongoing mentoring need to be strengthened. Lastly, functional training information systems are required to support planning efforts in both countries

Participatory crop improvement and formal release of Jethobudho rice landrace in Nepal

Jethobudho is an aromatic rice landrace of the Pokhara valley in middle hills of Nepal. Although local consumers are willing to pay a high price for its purchase, the landrace has a problem with quality variation. Decentralized participatory population improvement for specific market-identified traits was conducted on ‘‘Jethobudho’’ populations collected from farmers’ fields in seven geographic regions of the valley in Nepal. The preferred post harvest quality traits, field tolerance to blast and lodging, and superior post harvest quality traits of Jethobudho were established by a consumer market survey. These traits were used for screening the materials. 338 sub-populations of Jethobudho were evaluated for yield, disease, lodging resistance, and post harvest quality traits. Significant variation was found for culm strength, neck blast tolerance, awn characteristics, panicle length, number of grains per panicle, test grain weight and post harvest quality traits, whereas no significant variation was found in grain yield, plant height, tiller number, maturity period and leaf blast. Based on these identified traits and micro-milling evaluations, 183 populations were screened in on-farm and on-station nurseries, and in succeeding years populations were further screened by plant breeders and expert farmers in research trials, resulting in the selection of 46 populations for post harvest quality traits. Six accessions with similar agronomic traits, field tolerance to blast and lodging, and superior post harvest quality traits, were bulked and evaluated on-farm using participatory variety selection (PVS). The enhanced Jethobudho accessions were also evaluated for aroma using simple sequence repeat (SSR) and found to have unique aromatic genetic constitution. Community based seed production groups were formed, linked to the Nepal District Self Seed Sufficiency Programme (DISSPRO), and trained to produce basic seeds (truthfully labeled) of Jethobudho. The National Seed Board of Nepal released the enhanced landrace in the name of ‘‘Pokhareli Jethobudho’’ in 2006, as the first bulk variety of traditional high quality aromatic rice improved through articipatory plant breeding to be formally released in Nepal for general cultivation under the national seed certification scheme. Landrace improvement is shown as an important option for supporting programmes for in situ conservation of landraces on-farm

Selection of study sites and participants for research into Nepal’s Federal Health System

Introduction: This article offers insights into the process of selecting representative study sites and participants in a longitudinal study in Nepal. As part of the research design process, the selection of representative areas in a large-scale study requires both intellectual and practical considerations. Methods: We briefly introduce our study into the impact of federalization on Nepal’s health system before outlining the criteria considered for the identification of fieldwork sites and the most appropriate study participants for the qualitative interviews and participatory components of this research. Findings: The selected areas are presented with an overview of the areas selected and their justification. The study sites and participants should consider a broader coverage with diverse participants’ backgrounds. Several factors can influence the identification and recruitment of the right participants, including the use of appropriate gatekeepers, gaining access to recruit participants, logistical challenges, and participant follow-up. Conclusion: We conclude that longitudinal qualitative research requires a carefully selected diverse set of study sites and participants to assess the complexities and dynamics of the health system and service provision to ensure that longitudinal research is representative and effective in addressing the research question(s) being investigated

Anatomy of terminal moraine segments and implied lake stability on Ngozumpa Glacier, Nepal, from electrical resistivity tomography (ERT)

This research was supported financially by the European Commission FP7-MC-IEF (PIEF-GA-2012-330805), the University Centre in Svalbard (UNIS), National Geographic Society GRANT #W135-10.Moraine-dammed lakes at debris-covered glaciers are becoming increasingly common and pose significant outburst flood hazards if the dam is breached. While moraine subsurface structure and internal processes are likely to influence dam stability, only few sites have so far been investigated. We conducted electrical resistivity tomography (ERT) surveys at two sites on the terminal moraine complex of the Ngozumpa Glacier, Nepal, to aid assessment of future terminus stability. The resistivity signature of glacier ice at the site (100-15 kΩ m) is more consistent with values measured from cold glacier ice and while this may be feasible, uncertainties in the data inversion introduce ambiguity to this thermal interpretation. However, the ERT data does provide a significant improvement to our knowledge of the subsurface characteristics at these sites, clearly showing the presence (or absence) of glacier ice. Our interpretation is that of a highly complex latero-terminal moraine, resulting from interaction between previous glacier advance, recession and outburst flooding. If the base-level Spillway Lake continues to expand to a fully formed moraine-dammed glacial lake, the degradation of the ice core could have implications for glacial lake outburst risk.Publisher PDFPeer reviewe

Protected areas: a resource or constraint for local people?

We investigated local people’s perceptions, knowledge, and attitudes toward conservation planning and management in Chitral Gol National Park in North West Frontier Province (NWFP) of Pakistan. A literature review was undertaken to unravel the historic drivers behind the formation of this protected area. Key informant interviews and questionnaire surveys were conducted to evaluate the effectiveness of current governance approaches adopted by the park management authorities. Community-based questionnaire surveys and key-informant interviews focused on local communities’ knowledge and awareness of the objectives of the park, people’s role in decision-making, social characteristics, and resource use structures. The information from these surveys was evaluated within the context of good governance and sustainability of park management. Results show a lack of awareness and a low level of participation in protected area management, but a high degree of willingness in the communities to participate in conservation activities. An analysis of the survey data suggests that the park authorities enforce strict protection measures within the park, but this approach lacks a strong vision of sustainability. The surveys reveal that the local people have a very strong sense of belonging to the place and are willing to contribute to the protection of the PA. A large majority of the respondents rely on electronic media as their main source of information, which could potentially form the best medium for conservation campaigning in the region. With these findings in mind, we propose changes to the current governance model for effective and sustainable management of the park in the future

Neighborhood Socioeconomic Status and Use of Colonoscopy in an Insured Population – A Retrospective Cohort Study

Background: Low-socioeconomic status (SES) is associated with a higher colorectal cancer (CRC) incidence and mortality. Screening with colonoscopy, the most commonly used test in the US, has been shown to reduce the risk of death from CRC. This study examined if, among insured persons receiving care in integrated healthcare delivery systems, differences exist in colonoscopy use according to neighborhood SES. Methods We assembled a retrospective cohort of 100,566 men and women, 50–74 years old, who had been enrolled in one of three US health plans for $\geq$ 1 year on January 1, 2000. Subjects were followed until the date of first colonoscopy, date of disenrollment from the health plan, or December 31, 2007, whichever occurred first. We obtained data on colonoscopy use from administrative records. We defined screening colonoscopy as an examination that was not preceded by gastrointestinal conditions in the prior 6-month period. Neighborhood SES was measured using the percentage of households in each subject's census-tract with an income below 1999 federal poverty levels based on 2000 US census data. Analyses, adjusted for demographics and comorbidity index, were performed using Weibull regression models. Results: The average age of the cohort was 60 years and 52.7% were female. During 449,738 person-years of follow-up, fewer subjects in the lowest SES quartile (Q1) compared to the highest quartile (Q4) had any colonoscopy (26.7% vs. 37.1%) or a screening colonoscopy (7.6% vs. 13.3%). In regression analyses, compared to Q4, subjects in Q1 were 16% (adjusted HR = 0.84, 95% CI: 0.80–0.88) less likely to undergo any colonoscopy and 30%(adjusted HR = 0.70, CI: 0.65–0.75) less likely to undergo a screening colonoscopy. Conclusion: People in lower-SES neighborhoods are less likely to undergo a colonoscopy, even among insured subjects receiving care in integrated healthcare systems. Removing health insurance barriers alone is unlikely to eliminate disparities in colonoscopy use

Operative versus non-operative management of pediatric medial epicondyle fractures: a systematic review

There is ongoing debate about the management of medial epicondyle fractures in the pediatric population. This systematic review evaluated non-operative versus operative treatment of medial epicondyle fractures in pediatric and adolescent patients over the last six decades. A systematic review of the available literature was performed. Frequency-weighted mean union times were used to compare union rates for closed versus open treatments. Moreover, functional outcomes and range-of-motion variables were correlated with varying treatment modalities. Any complications, including ulnar nerve symptoms, pain, instability, infection, and residual deformity, were cataloged. Fourteen studies, encompassing 498 patients, met the inclusion/exclusion criteria. There were 261 males and 132 female patients; the frequency-weighted average age was 11.93 years. The follow-up range was 6–216 months. Under the cumulative random effects model, the odds of union with operative fixation was 9.33 times the odds of union with non-operative treatment (P < 0.0001). There was no significant difference between operative and non-operative treatments in terms of pain at final follow-up (P = 0.73) or ulnar nerve symptoms (P = 0.412). Operative treatment affords a significantly higher union rate over the non-operative management of medial epicondyle fractures. There was no difference in pain at final follow-up between operative and non-operative treatments. As surgical indications evolve, and the functional demands of pediatric patients increase, surgical fixation should be strongly considered to achieve stable fixation and bony union