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Knowledge and Perception of Public Towards Medico Legal Autopsy in Nepal

Introduction: Autopsy is an important tool to determine the cause of death. This study was conducted with the objectives to assess the knowledge and perception of Nepalese people towards medico legal autopsy. Methods: It was a questionnaire based cross sectional study performed among the general public of Nepal. A standard pretested questionnaire was used to collect the responses on knowledge and perception of the people about medico legal autopsy. Independent samples t-test was used to compare the mean score of knowledge among the various groups. P value of < 0.05 was considered significant. Results: Mean age of the respondents was 29.06 years (SD = 10.50) and 72.31% were male (n = 188, N = 260). Mean score of knowledge was 6.65 (SD = 1.76) out of a total ten. The score was significantly higher (p = 0.02) among the respondents whose relatives had undergone an autopsy than those whose were not. It was comparable among the educated and uneducated groups.  A total of 75.77% respondents (n = 197, N = 260) would not reject the autopsy of their relatives. Conclusion: People lack knowledge mostly in basic elements of medico legal autopsy. Most of the people showed positive perception towards autopsy and those who were negative, feared of disfigurement of the bodies after an autopsy

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

“You Sleep, You Die”: A Rare Clinical Case of Ondine’s Curse after Posterior Fossa Surgery

Ondine’s curse is a rare condition in which breathing is preserved while awake, but there is absence of autonomic control of ventilation. It is a potentially fatal complication that may result rarely from surgery in posterior fossa in area close to respiratory centers. We describe a patient with posterior fossa hemangioblastoma who underwent subtotal resection via telovelar approach and developed acquired Ondine’s curse postoperatively. The patient’s presentation and management are described. Besides that, Ondine’s is a great example of how modern medicine is linked to ancient literature, and thus, its anecdotal history is also described

Irrigation demands aggravate fishing threats to river dolphins in Nepal

Riverine species are adapted to natural habitat changes caused by seasonal flood-pulses. However, abrupt river channel changes following flooding events intersect with social systems of land and water management (e.g. agriculture,fisheries) and in turn generate significant consequences for conservation of endangered aquatic species. We investigated trade offs between changing river habitat availability and exposure to fishing intensity for a small population of Ganges River dolphins Platanista gangetica gangetica in the Karnali basin of Nepal. A major natural flooding event in the Karnali basin in 2010 caused the river channel to shift from the Geruwa (flows through a protected area where fishing is restricted) to the Karnali channel (high fishing activity, agriculture-dominated), where dolphins moved in response. Based on our survey data (2009–2015) and long-term hydrological trends in the basin, we found that irrigation diversions since 2012 had aggravated fishing impacts on dolphins, suggesting that their new habitat had become an ‘ecological trap’. Regression models showed that at low river depths, fishing intensity negatively affected dolphin abundance, but at higher depths no effect of fishing was observed. Two records of dolphin by catch in gill nets confirmed this, as both events corresponded with periods of sudden increase in water abstraction for irrigation. Overall, dolphin distribution shifted downstream and the population declined from 11 in 2012 to 6 in 2015. Effective protection of this river dolphin population from extinction will require the Government of Nepal to prioritize ecologically adequate river flow regimes for implementing efficient irrigation schemes and adaptive fisheries regulations in the Karnali basi