Historical and Projected Variations of Precipitation and Temperature and Their Extremes in Relation to Climatic Indices over the Gandaki River Basin, Central Himalaya

Changes in precipitation and temperature, especially in the Himalayan region, will have repercussions for socio-economic conditions in the future. Thus, this study aimed to understand the climatic trend and changes in one of the Himalayan River basins, i.e., Gandaki River Basin (GRB), Nepal. In particular, we analysed the historical (1985–2014) and projected (2015–2100) precipitation and temperature trend and their extremes using observation and 13 bias-corrected Coupled Model Intercomparison Project phase 6 (CMIP6) datasets. Additionally, the relationship between extreme precipitation/temperature indices and ocean-atmospheric circulation patterns were also analysed. The results showed an increasing trend of precipitation amount and temperature at annual and seasonal scales with the highest upward trend for precipitation in monsoon season and temperature in winter season. Among nine precipitation indices analysed, the wet extremes are projected to increase in all Shared Socioeconomic Pathways (SSP) scenarios; with the highest increment of high-intensity related extremes (R10 mm and R20 mm). In contrast, dry spells will decline in the distant-future (2075–2100) as compared to near (2015–2044) and mid-future (2045–2074). Further, increment in temperature trend resulted in a decrease in cold related temperature extremes and an increase in warm related extremes. Furthermore, it was observed that the changes in precipitation and temperature extremes over GRB were influenced by large-scale ocean-atmospheric circulation patterns. The Atlantic Multidecadal Oscillation (AMO), Sea Surface Temperature (SST) and Southern Oscillation Index (SOI) were found to have a major role in driving precipitation extremes while AMO, SST and Pacific Decadal Oscillation (PDO) have strong influence on temperature extremes. The results of this study will be useful for better understanding the implications of historical and future changes in precipitation and temperature and their extremes over the GRB

Dental caries, tobacco usage and associated risk factor of dental caries in patients visiting a government hospital in Western, Nepal

Abstract Background This study was conducted to assess the prevalence of dental caries, tobacco usage, and associated risk factors for dental caries in patients who visited a government hospital in Western, Nepal. Methods This analytical cross-sectional study was conducted from January to April 2022. Patients above 18 years visiting the dental OPD of a government hospital, and who had provided informed consent were enrolled in the study using a convenience sampling technique. As the study also involved an illiterate population, in that case, informed consent was obtained from their respective legal guardian as well. A pretested standardized, close-ended questionnaire was administered by researchers to gather information regarding the associated risk factors and oral hygiene practices. Clinical examination was done for dental caries according to the criteria by the World Health Organization (WHO) using the “DMFT” index (WHO modification 1987). Bivariate and multivariable logistic regression was done and the odds ratio and p-value was calculated. For all tests, statistical significance was set at p < 0.05. Results A total of 219 participants completed the study with a mean age of 31.73 ± 12.46. The prevalence of dental caries and tobacco was found to be 80.36% and 5.02% respectively. Participants without health insurance had 2.35 times higher odds of dental caries (95% CI: 1.03–5.36). Not rinsing the mouth after eating sweets was associated with 3.07 times higher odds of dental caries (95% CI: 1.31–7.18). Those who hadn’t visited a dentist in the past 12 months had lower odds (0.42; 95% CI: 0.18–0.94). Eating fresh fruit daily showed statistically higher odds (2.70; 95% CI: 1.04–6.99) of dental caries. Non-tobacco users had higher odds (14.19; 2.55–78.99) of dental caries. Conclusion Dental caries is highly prevalent, while tobacco usage is relatively low. Factors associated with dental caries included lack of health insurance coverage, consumption of fruits once daily, recent dental visits within the past year, not rinsing the mouth with water after consuming sweets, and non-tobacco users

Vulnerability and impacts of climate change on forest and freshwater wetland ecosystems in Nepal: A review

Climate change (CC) threatens ecosystems in both developed and developing countries. As the impacts of CC are pervasive, global, and mostly irreversible, it is gaining worldwide attention. Here we review vulnerability and impacts of CC on forest and freshwater wetland ecosystems. We particularly look at investigations undertaken at different geographic regions in order to identify existing knowledge gaps and possible implications from such vulnerability in the context of Nepal along with available adaptation programs and national-level policy supports. Different categories of impacts which are attributed to disrupting structure, function, and habitat of both forest and wetland ecosystems are identified and discussed. We show that though still unaccounted, many facets of forest and freshwater wetland ecosystems of Nepal are vulnerable and likely to be impacted by CC in the near future. Provisioning ecosystem services and landscape-level ecosystem conservation are anticipated to be highly threatened with future CC. Finally, the need for prioritizing CC research in Nepal is highlighted to close the existing knowledge gap along with the implementation of adaptation measures based on existing location specific traditional socio-ecological system