Sexual and reproductive health of adolescents in rural Nepal: Knowledge, attitudes and behavior

Background: Nepal has a relatively young and growing population, like most low-income countries. Recently, Nepal has accelerated its commitment to the International Conference on Population and Development (ICPD) Programme of Action by introducing a programme focusing on the sexual and reproductive health of adolescents. This paper aims to report the sexual health knowledge, attitudes and behaviour of adolescents in rural Nepal. Methods: A survey was conducted in four districts of Nepal with representative sample among adolescents aged 15–19 years using pre-tested structured questionnaire in 2011. Questionnaire contents socio-demographic questions including knowledge, attitudes and behaviours related to reproductive and sexual health. The study was approved by the Nepal Health Research Council. Results: A total 3041 adolescents (mean age 16.4 years, 49.4% male and 50.6% female) completed the questionnaire. The data indicated that HIV/AIDS and other reproductive and sexual health knowledge among the respondents was moderate. Male respondents have better knowledge on HIV/AIDS compare to female respondents. Similarly, male have better access to modern means of communications. Both male and female were equally likely to say that they had used a condom the last time they had sex. A small proportion of all respondents (9.3%) had acquired emergency contraception, two thirds of those were male (65%) and among total users of emergency contraceptives, 85% were unmarried. Conclusions: Both education and youth-friendly services, targeting to female adolescents are required to improve the sexual health status of adolescents. The findings have important implications for the (re-)development sexual health interventions for adolescents in Nepal

Analytical modelling of sidewall turbulence effect on streamwise velocity profile using 2D approach: A comparison of rectangular and trapezoidal open channel flows

YesNatural earth-bounded channel flows usually subject to various sidewall turbulences, i.e. in the form of secondary currents, due to non-constant channel shapes at different sections. This paper investigates an improved Shiono-Knight model (SKM) by combining it with a Multi-Zonal (MZ) method (proposed by Pu, 2019) to represent lateral flow turbulence and secondary currents in different shapes of open channel, i.e. rectangular and trapezoidal. By applying the proposed analytical model to both rectangular and trapezoidal channel flows, we have inspected different streamwise velocity characteristics across transverse direction generated by their sidewalls in order to provide crucial fundamental understanding to real-world natural flow system. The proposed model has also been validated via various experimental data conducted in national UK Flood Channel Facility (UK-FCF). It has been observed that the trapezoidal channel has created a larger sidewall zone where secondary current can affect flow velocity; however, the intensity of the secondary flow in trapezoidal channel has been found lesser than that of the rectangular channel. By improving the modelling of natural flow at sidewall, the studied approach could be adapted into different existing analytical models to improve their accuracy

CoMeT: An Integrated Interval Thermal Simulation Toolchain for 2D, 2.5 D, and 3D Processor-Memory Systems

Processing cores and the accompanying main memory working in tandem enable the modern processors. Dissipating heat produced from computation, memory access remains a significant problem for processors. Therefore, processor thermal management continues to be an active research topic. Most thermal management research takes place using simulations, given the challenges of measuring temperature in real processors. Since core and memory are fabricated on separate packages in most existing processors, with the memory having lower power densities, thermal management research in processors has primarily focused on the cores. Memory bandwidth limitations associated with 2D processors lead to high-density 2.5D and 3D packaging technology. 2.5D packaging places cores and memory on the same package. 3D packaging technology takes it further by stacking layers of memory on the top of cores themselves. Such packagings significantly increase the power density, making processors prone to heating. Therefore, mitigating thermal issues in high-density processors (packaged with stacked memory) becomes an even more pressing problem. However, given the lack of thermal modeling for memories in existing interval thermal simulation toolchains, they are unsuitable for studying thermal management for high-density processors. To address this issue, we present CoMeT, the first integrated Core and Memory interval Thermal simulation toolchain. CoMeT comprehensively supports thermal simulation of high- and low-density processors corresponding to four different core-memory configurations - off-chip DDR memory, off-chip 3D memory, 2.5D, and 3D. CoMeT supports several novel features that facilitate overlying system research. Compared to an equivalent state-of-the-art core-only toolchain, CoMeT adds only a ~5% simulation-time overhead. The source code of CoMeT has been made open for public use under the MIT license.Comment: https://github.com/marg-tools/CoMe

Editorial: Environmental hydraulics, turbulence, and sediment transport. Second Edition

YesWithin river systems, the process of bed-forming is intricate, dynamic and is shaped by different factors. Hydraulic forces exerted by water flow play a crucial role, forming the bed substrate over time. Additionally, the presence of vegetation within the riverbed and along its banks introduces further complexity, as the interaction between plants and hydrodynamics can alter sediment transport patterns and riverbed morphology. The movement of both suspended particles and bedload materials within the water column contributes to the ongoing riverbed landscape evolution. The primary aim of this editorial collection is to assemble an extensive range of research methodologies aimed to inform engineering practices pertinent to river management. Through an exhaustive exploration of various topics, including water quality indexing, erosion and sedimentation patterns, influence of vegetation, hydrological modelling for understanding flow dynamics, and identification of critical hydraulic parameters with the utilisation of both analytical and experimental modelling techniques, this paper endeavours to provide valuable insights derived from rigorous research efforts. By synthesising and presenting these findings, we offer a resource that can effectively guide future endeavours in river engineering and related disciplines

Sediment deposition within rainwater: case study comparison of four different sites in Ikorodu, Nigeria

YesBuilding roofs represents a critical pathway for sediment mixing with rainwater. This study aims to explore the correlation between roof-top deposited sediment matter in the different areas of the Ikorodu Local Government Area in Lagos, Nigeria. The deposition rate on the roof was studied for 34 weeks in total (i.e., 17 weekly analyses in the rainy season and 17 weekly analyses in the dry season). The total deposition was collected by a 10 inch funnel and directed into a 5 L container, which was partially filled with sterilised water. The roof-top deposition in four different areas was inspected and analysed. The four areas were selected based on the levels of sanitation and vege-tation. The experimental results showed that the enumerated total depositions in different areas were higher in the dry season than the rainy season, with the highest deposition occurring in the Harmattan period. The data obtained from this study have evidenced that the contamination from roof-harvested rainwater can mainly be attributed to atmospheric deposition. Another key factor was the hygiene and sanitation of the harvesting areas, including the gutter, pipes and proximity to animal faeces

Review of Suspended Sediment Transport Mathematical Modelling Studies

YesThis paper reviews existing studies relating to the assessment of sediment concentration profiles within various flow conditions due to their importance in representing pollutant propagation. The effects of sediment particle size, flow depth, and velocity were considered, as well as the eddy viscosity and Rouse number influence on the drag of the particle. It is also widely considered that there is a minimum threshold velocity required to increase sediment concentration within a flow above the washload. The bursting effect has also been investigated within this review, in which it presents the mechanism for sediment to be entrained within the flow at low average velocities. A review of the existing state-of-the-art literature has shown there are many variables to consider, i.e., particle density, flow velocity, and turbulence, when assessing the suspended sediment characteristics within flow; this outcome further evidences the complexity of suspended sediment transport modelling

Flood Suspended Sediment Transport: Combined Modelling from Dilute to Hyper-concentrated Flow

YesDuring flooding, the suspended sediment transport usually experiences a wide-range of dilute to hyper-concentrated suspended sediment transport depending on the local flow and ground con-ditions. This paper assesses the distribution of sediment for a variety of hyper-concentrated and dilute flows. Due to the differences between hyper-concentrated and dilute flows, a linear-power coupled model is proposed to integrate these considerations. A parameterised method combining the sediment size, Rouse number, mean concentration, and flow depth parameters has been used for modelling the sediment profile. The accuracy of the proposed model has been verified against the reported laboratory measurements and comparison with other published analytical methods. The proposed method has been shown to effectively compute the concentration profile for a wide range of suspended sediment conditions from hyper-concentrated to dilute flows. Detailed com-parisons reveal that the proposed model calculates the dilute profile with good correspondence to the measured data and other modelling results from literature. For the hyper-concentrated profile, a clear division of lower (bed-load) to upper layer (suspended-load) transport can be observed in the measured data. Using the proposed model, the transitional point from this lower to upper layer transport can be calculated precisely

Sustainable Valorisation of Animal Manures via Thermochemical Conversion Technologies: An Inclusive Review on Recent Trends

Purpose: With its substantial CO2eq emissions, the agricultural sector is a significant greenhouse gas (GHG) emitter. Animal manure alone contributes 16% of the total agricultural emissions. With a rapidly increasing demand for animal-based protein, animal wastes are expected to rise if sustainable manure management practices are not implemented. Manures have the potential to be treated to generate valuable products (biofertiliser and biocrude) or feedstock for energy production. Thermochemical conversion technologies such as pyrolysis, combustion, supercritical gasification (SCWG), etc., have demonstrated their potential in manure management and valorisation. This study provides a broader overview of these technologies and envisages future manure valorisation trends. Methods: The paper presents a state-of-the-art review of manure valorisation. Characterisation of manure, modelling and optimisation of thermochemical conversion technologies along with life cycle anaalysis (LCA) are also reviewed. Results: The literature review highlighted that the thermochemical conversion technologies can generate bio-oils, syngas, H2, biofuels, heat, and biochar as carbon-free fertiliser. The reported calorific value of the produced bio-oil was in the range of 26 MJ/kg to 32 MJ/kg. However, thermochemical conversion technologies are yet to be commercialised. The major challenges associated with the scale-up of manure derived feedstocks are relatively high moisture and ash content, lower calorific value and higher concentration of impurities (N, Cl, and S). LCA studies conclude that gasification presents a sustainable option for manure valorisation as it is economical with modest environmental threats. Significance of Study: This review briefly states the current challenges faced in manure management and presents the case for a sustainable valorisation of animal manures using thermochemical technologies. The economic, environmental and societal advantages of these technologies are presented in order to promote the scientific and industrial development of the subject in the academic and research community. Conclusions: Thermochemical conversion technologies are promising for manure valorisation for energy and nutrient recovery. However, their commercialisation viability needs wide-ranging evaluations such as techno-economics, life-cycle analysis, technology take-up and identification of stakeholders. There should be clear-cut policies to support such technologies. It should be advocated amongst communities and industries, which necessitates marketing by the governments to secure a clean energy future for the planet. Graphical Abstract: [Figure not available: see fulltext.]

Leprosy post-exposure prophylaxis with single-dose rifampicin (LPEP): an international feasibility programme

Background Innovative approaches are required for leprosy control to reduce cases and curb transmission of Mycobacterium leprae. Early case detection, contact screening, and chemoprophylaxis are the most promising tools. We aimed to generate evidence on the feasibility of integrating contact tracing and administration of single-dose rifampicin (SDR) into routine leprosy control activities. Methods The leprosy post-exposure prophylaxis (LPEP) programme was an international, multicentre feasibility study implemented within the leprosy control programmes of Brazil, India, Indonesia, Myanmar, Nepal, Sri Lanka, and Tanzania. LPEP explored the feasibility of combining three key interventions: systematically tracing contacts of individuals newly diagnosed with leprosy; screening the traced contacts for leprosy; and administering SDR to eligible contacts. Outcomes were assessed in terms of number of contacts traced, screened, and SDR administration rates. Findings Between Jan 1, 2015, and Aug 1, 2019, LPEP enrolled 9170 index patients and listed 179 769 contacts, of whom 174782 (97·2%) were successfully traced and screened. Of those screened, 22 854 (13·1%) were excluded from SDR mainly because of health reasons and age. Among those excluded, 810 were confirmed as new patients (46 per 10 000 contacts screened). Among the eligible screened contacts, 1182 (0·7%) refused prophylactic treatment with SDR. Overall, SDR was administered to 151 928 (86·9%) screened contacts. No serious adverse events were reported. Interpretation Post-exposure prophylaxis with SDR is safe; can be integrated into different leprosy control programmes with minimal additional efforts once contact tracing has been established; and is generally well accepted by index patients, their contacts, and health-care workers. The programme has also invigorated local leprosy control through the availability of a prophylactic intervention; therefore,