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In Geophysics, topographic factors are observations that can be directly measured, but they are often ignored to simplify the model. Studying the coseismic deformation caused by earthquakes helps accurately determine the epicenter's parameterization. It provides a reference for the reasonable layout of coseismic observation stations and GNSS observation stations. After the Mw7.8 earthquake in Nepal in 2015, GCMT, USGS, GFZ, CPPT, and other institutions released their epicenter parameter. However, according to their parameters, the coseismic displacements simulated by the spectral-element method are quite different from the GNSS observations. Firstly, this paper inverts the geometric parameters of the seismogenic fault with Nepal's coseismic GNSS displacement. The spectral-element method determines the source's location and depth under the heterogeneous terrain and outputs the source parameters. Among the results of many studies, the surface source is more consistent with the generation mechanism of large earthquakes. Secondly, this paper calculates the fault slip distribution of this earthquake using SDM (Steepest Descent Method) based on GNSS and InSAR data, which is divided into 1500 subfaults, and the moment tensor of each subfault is calculated. This paper investigates the distribution characteristics of the coseismic deformation field of the 2015 Mw 7.8 earthquake in Nepal under three different models. The results show that the influence of topographic factors is ~ 20%, and the influence of heterogeneous factors is ~ 10%. This paper concludes that the influence of topographic factors is much more significant than that of heterogeneous factors, and the influence of both should be addressed in coseismic deformation calculations. [ABSTRACT FROM AUTHOR]

Simple Summary: This research paper presents a comprehensive study of the patterns of conflicts between humans and Asiatic black bears (Ursus thibetanus) in the Guthichaur rural municipality, Jumla, Nepal. Through semi-structured interviews with villagers, focus group discussions, and key informant interviews, this study explores the extent of crop damage, livestock depredation, and human injuries caused by black bears from 2009 to 2019. It was found that crop damage was the most significant form of conflict, followed by livestock depredation and human casualties. This study identifies anthropogenic activities, such as human encroachment into bear habitats and agricultural practices near forests, as primary drivers of these conflicts. Importantly, this research proposes measures to mitigate these conflicts, including initiating compensation schemes for losses, establishing electric fences for crop protection, and launching educational programs. These recommendations, rooted in local practices and conservation efforts, show promise for managing conflicts in regions facing similar challenges with black bears. This paper fills a critical gap in understanding the dynamics of human–bear conflicts in Nepal, contributing valuable insights into wildlife management and conservation strategies. Its findings are significant for researchers, policymakers, and conservationists aiming to develop sustainable solutions for human–wildlife coexistence. Our study assessed patterns of Asiatic black bear (Ursus thibetanus)–human conflicts within the Guthichaur rural municipality, Jumla, Nepal. Through semi-structured interviews with villagers, focus group discussions (FGDs), and key informant interviews (KIIs), we gathered black bear–human conflict information from 2009 to 2019. We identified three primary types of black bear–human interactions: crop damage, livestock depredation, and human injuries. Of these, crop damage (77.03%) emerged as the most prevalent issue. Notably, peak occurrences were observed during autumn (September–October) typically between 9 PM and 3 AM. Livestock depredations were more frequent during nighttime in April–August, with cows/ox (70.12%) being the most depredated animal. Our data also revealed five recorded cases of black bear attacks on humans, which transpired from September to October, primarily in farmland areas in varying years. Despite a prevailing negative perception of bears, a notable level of support exists for their conservation efforts among local communities. Furthermore, these conflicts could be mitigated by reinforcing indigenous crop protection methods and implementing targeted mitigation strategies, as observed in other regions with successful black bear–human interaction management. [ABSTRACT FROM AUTHOR]

This study is a comprehensive assessment of the waste management system in Besisahar municipality. Information and some data have been collected from the municipality of Besisahar, followed by interviews with municipal officials responsible for waste management, stakeholders, waste workers, and residents. A total of 230 households, 20 schools, 10 government and private offices, 10 financial institutions, 60 commercial hotels, restaurants, and shops, and 20 medical shops and healthcare institutions, were selected in this study by random sampling. An extensive field study was conducted within all municipal wards and at dump sites. The results indicated that 42.14% of solid waste was collected through door-to-door collection services, 5.87% was mismanaged in open public places, 11.21% was used as compost manure, and the rest was discarded on riverbanks, dug up, and burned. A large component of the characterization of household waste consisted of organic waste (68.03%), followed by paper/paper products (8.13%), agricultural waste (5.5%), plastic (5.21%), construction (3.81%), textile (2.72%), metals (0.54%), glass (1.01%), rubber (0.10%), electronic (0.05%), pharmaceutical (0.1%) and others (4.78%) in the Besishahar municipality. Solid waste generation was found to be at 197.604 g/capita/day, as revealed by cluster sampling in 230 households. Around 4.285 tons-solid waste/day were generated in urban areas, while 16.13 tons-solid waste/day was estimated for the whole municipality. An important correlation between the parameters of solid waste was found by statistical analysis. Currently, solid waste is dumped on riverbanks, open fields, and springs, creating environmental and health hazards. The findings of this study will be useful to Besisahar municipality and its stakeholders in forming policies that facilitate waste management practices in this region and promote sustainable waste management systems. [ABSTRACT FROM AUTHOR]

The 2015 Nepal Earthquake (Mw7.8) affected more than 9000 schools in the country. Damage distribution in the 14 most-affected administrative districts shows that the construction practices were an important determent for the level of damage extended. The use of improper construction materials, lack of construction supervision, and non-compliance with the existing building codes during design and construction probably contributed to severe damage to most of the school buildings. Based on the damage analysis data and experience of the rebuilding process after the 2015 Nepal Earthquake, this paper highlights the steps to be considered during a rebuilding plan for school buildings after an earthquake disaster. Preliminary damage assessment results show that in the most-affected districts, about 86% of schools (locations) were affected by the earthquake and about one million students were out of their schools for a long time. The damage survey data indicate that about 30% of classrooms collapsed, about 13% of classrooms sustained major damage, and about 17% of classrooms sustained minor damage within the most-affected 14 districts. This damage report is largely based on the secondary data provided by the concerned government authorities. Such evidence of loss and damage in earthquake disasters provides an opportunity to learn lessons for future preparedness and to encounter disaster challenges. This work shares an experience on the rebuilding process of damaged schools and classrooms. It is expected that the experience reported in this paper will help in better planning of the seismic safety of school buildings in Nepal as well as in other similar seismically active regions. Most papers related to the 2015 Nepal Earthquake focus on overall building damage, but this paper addresses the issues of school buildings. As a case report, this paper probably lacks scientific originality, but the presentation of the damage data and the rebuilding process are the original work of the authors. [ABSTRACT FROM AUTHOR]

On 3 November 2023, a moment magnitude (MW) 5.7 (Local Magnitude, ML6.4) earthquake struck the western region of Nepal, one of the most powerful seismic events since 1505 in the region. Even though the earthquake was of moderate magnitude, it caused significant damage to several masonry buildings and caused slope failures in some regions. The field reconnaissance carried out on 6–9 November by the study team, following the earthquake, conducted the first-hand preliminary damage assessment in the three most affected districts—Jajarkot; West Rukum; and Salyan. This study covers the observed typical structural failures and geotechnical case studies from the field study. To have a robust background understanding, this paper examines the seismotectonic setting and regional seismic activity in the region. The observations of earthquake damage suggest that most of the affected buildings were made of stone or brick masonry without seismic consideration, while most of the reinforced concrete (RC) buildings remained intact. Case histories of damaged buildings, the patterns, and the failure mechanisms are discussed briefly in this paper. Significant damage to Khalanga Durbar, a historical monument in Jajarkot, was also observed. Medium- to large-scale landslides and rockfalls were recorded along the highway. The motorable bridge in the Bheri River suffered from broken bolts, rotational movement at the expansion joint, and damage to the stoppers. The damage observations suggest that, despite the existence of building codes, their non-implementation could have contributed to the heavy impact in the region. This study highlights that the local population faces a potential threat of subsequent disasters arising from earthquakes and earthquake-induced landslides. This underscores the necessity for proactive measures in preparedness for future disasters. [ABSTRACT FROM AUTHOR]

Disaster capitalism creates political and economic space for neoliberal projects to benefit the wealthy disproportionately while marginalizing Indigenous groups. This paper examines how and the extent to which local disaster capitalism has affected Indigenous communities in Nepal's Kathmandu Valley, as they recover from the 2015 earthquakes, and how local disaster capitalism ought to be countered. Based on an in-depth analysis of local disaster capitalism in Rudrayani Guthi, Nepal, the findings of this study demonstrate that Indigenous peoples have been negatively affected by state-sponsored disaster recovery schemes, whereas wealthy people and businesses have benefitted from them. Such schemes focus on "physical reconstruction" and "economic development", dispossessing Indigenous lands to pave the way for housing, motorways, greenfield urban development, and hydropower. Many Indigenous groups are forced to be part of such schemes, while local disaster capitalism continues in the name of "disaster recovery". The paper highlights the unfortunate reality of the local disaster capitalism taking shape and destroying Indigenous lives and livelihoods. The paper concludes by offering some principles used by Indigenous peoples while countering local disaster capitalism through confrontations with powerful actors and while protecting their land during the process of disaster recovery. [ABSTRACT FROM AUTHOR]

Guthi, deeply rooted in the social, cultural, and economic fabric of Nepal, has traditionally managed temples, shrines, festivals, and heritage sites since the Lichchhavi era (400–750). Since 1960, however, this system has been challenged by government land reforms, which have impacted its influence on sustainable heritage conservation. Nevertheless, there is compelling evidence that land nationalization and the guthi's declining authority have harmed local heritage conservation. Nevertheless, the guthi system has endured, serving as an important informal means of heritage conservation and highlighting the adaptability of traditional institutions. These community-based trusts, originally established for social and religious purposes, have played a pivotal role in preserving cultural heritage for future generations. This article aims to demonstrate the central role of the guthi as the cornerstone of Nepal's efforts to conserve and manage both tangible and intangible cultural treasures. Using observational techniques, case studies, and a qualitative approach, it explores the historical evolution of heritage conservation through the lens of the guthi, taking into account subjective, valued, and constructed realities. This paper concludes by urging policymakers to recognize the significant contribution of indigenous systems such as the guthi system in achieving the backbone of sustainable heritage conservation and management. [ABSTRACT FROM AUTHOR]

The recent seismic activity highlights the crucial need to enhance seismic design and safety assessment methods, particularly for irregular structures, in both new and existing constructions. The present study focuses on structural irregularities in elevation for buildings, as the design of structural systems involves multiple variables that often result in irregularities in many buildings. This work aims to perform a comparative assessment of the criteria adopted for the evaluation of the structural irregularities in elevation present in European and international seismic codes. This paper is structured as follows: Firtsly, it discusses structural irregularities and more specifically the most common types of structural damage due to seismic events. Then, it shows the documented experiences of structural damages in seismic events associated with structural irregularities in China, Italy, Spain, Nepal and Mexico. Additionaly, it discusses the requirements of the standards on irregularities and their limitation in that matter. At the end of this section, the different approaches of each code in irregularities in elevation are compared. All assessed seismic codes addresses the structural irregularity issue, attributing the desired characteristics of a seismic-resistant structure. However, there are considerable development differences between norms, demonstrated on ambiguity of few codes on criteria of vertical irregularies. [ABSTRACT FROM AUTHOR]

Food security and dietary diversity, defined as providing either physical (availability) or economic (accessibility) access to food, are linked with access to and control over productive resources and is a highly-gendered phenomenon. In Nepal, labor out-migration has increased household income and may have increased people's ability to access diverse food either by increasing investment in agriculture or purchasing various food items from the market. However, the relationship between household dietary improvement and labor out-migration is complex. Drawing on a survey of 1,053 migrant households in three agroecological regions of Nepal, this paper disentangles this complex phenomenon by showing how household dietary diversity and women's dietary diversity are influenced by biophysical, social, economic, and cultural factors. The influence of the amount of remittances, land abandonment, and women confined to the house by household chores are some factors that policy makers should consider seriously in designing gender-sensitive nutrition policies. The expansion of women's agency contributes to enhancing dietary diversity and specifically women's dietary diversity at the household level; however, how these factors determine an individual's dietary diversity depends on intrahousehold dynamics and relations. [ABSTRACT FROM AUTHOR]

While substantial progress has been made in combating malnutrition at a global level, chronic maternal and child malnutrition remain a serious problem in many parts of the developing world. In this paper, using a randomized controlled trial design in Nepal, we evaluate a program that provided information on best practices regarding infant health and cash to families in extremely poor areas with pregnant mothers and/or children below the age of 2. We find significant and sizable impacts of the information plus cash intervention on maternal knowledge and behavior in the short run. We also find suggestive evidence of improvements in child development for the information plus cash intervention relative to groups that received information only. In a long-run, 2-year follow-up survey, we find that the information plus cash group retained significantly higher knowledge and implementation of best practices regarding early-childhood health. However, there appear to be no sustained impacts on child development or anthropometrics in the follow-up. [ABSTRACT FROM AUTHOR]

Tigers have seen significant population losses due to the degradation and fragmentation of their habitat ranges worldwide. Thus, habitat suitability assessment of such predators is essential for restoring their numbers and devising strategies for their protection. This paper aims to assess the habitat suitability and potential corridors for Bengal tiger species (Panthera tigris tigris) in the Valmiki Tiger Reserve (VTR) located in the West Champaran district of Bihar, India. Nine suitability conditioning factors (tree cover, prey richness, drainage density, vegetation types, elevation, slope, aspect, temperature, and rainfall) and seven threatening factors (forest fragmentation, land use land cover, distance from roads, railway tracks, settlement, range offices, and forest fire points) were selected for emphasizing species-environment association in VTR. The spatial layers of all the factors and presence location data of tigers were integrated into the MaxEnt model to prepare a habitat suitability map. The model was validated utilizing the receiver operating characteristic (ROC) curve (0.822), which was found in good agreement. The least-cost corridor modeling based on surface resistance was utilized to identify the cost-effective pathways and prioritize dispersal routes and potential corridors for this species. The findings revealed that the largest area of the Reserve was found to be moderately suitable (41.92%), followed by low suitable (22.98%), highly suitable (19.34%), and unsuitable areas (15.76%). The potential causes for low suitability and unsuitable habitats included human-induced disturbances, especially in the buffer zone of VTR. The core habitats and their connectivity, particularly in the eastern and central parts of the Reserve, facilitated the dispersal of the Bengal tiger population. This study offers significant insights for identifying crucial habitats and establishing corridors between them. The study calls for suitable measures for restricting human encroachment and increasing predator movements from the adjacent corridors of the protected reserves of Nepal and Uttar Pradesh. The findings may help forest managers and stakeholders for suggesting suitable conservation and restoration practices as well as regulating strategies for the self-sustenance of reintroduced tigers in the Reserve. [ABSTRACT FROM AUTHOR]

Background: Providing improved water, sanitation, and hygiene (WASH) at a household level remains one of the major public health challenges in Nepal. Household mothers are likely to have limited access to combined WASH services, this is influenced by individual, and community factors. Individual components of an improved water source, sanitary toilet, fixed place for handwashing, and availability of soap and water were merged into one and called combined WASH. This paper aimed to identify the individual and community factors associated with combined WASH facilities and practices among mothers with children under five years in Nepal. Methods: A cross-sectional study was conducted using data from the Nepal Demographic and Health Survey (NDHS), 2016. The weighted sample size of this study was 4887 mothers with children under five years. The independent variables within the mothers included age, education, occupation, and caste/ethnicity in addition to education of the husband, wealth index, exposure to the newspaper, radio and television, residence, ecological zones, provinces, distance and participation in health mother groups were analyzed with the outcome variable of combined WASH. A multi-level mixed effects logistic regression model was used to assess the relationship of explanatory variables with WASH. Results: At an individual level, a rich wealth index was positively associated with combined WASH (AOR = 6.29; 95%CI: 4.63–8.54). Higher education levels and exposure to television had higher odds of having combined WASH. At the community level, the hill zone, urban residence, and Sudurpashim Provinces were positively associated with combined WASH while Madesh and Karnali Provinces and distance to water source greater than 31 minutes were associated with lower access to combined WASH. Conclusion: Educated and rich household have positive association with combined WASH. It is recommended that both the health and other sectors may be instrumental in improving the combined WASH service for mothers at households. [ABSTRACT FROM AUTHOR]

Handwashing with soap is a fundamental practice for preventing communicable diseases, particularly in resource-constrained settings like Nepal, where various factors influence maternal handwashing behaviours. A systematic search encompassing PubMed/Medline, Embase, PsycINFO, CINAHL and grey literature source was conducted. Extracted eligible articles underwent descriptive analysis and their quality assessment was carried out following STROBE guidelines. From the initial screening of 187 database articles and 18 from grey literature, a total of 120 full text articles and records were retrieved to evaluated for inclusion in the review, identifying nine articles meeting the inclusion criteria for the review. Maternal handwashing with soap frequencies varied during critical moments ranging from 6% to 100%, and a 47% availability of soap and water at the household level was reported. Factors influencing handwashing included education, wealth, ecology, and participation in health promotion campaigns. Barriers included knowledge gaps, contrary beliefs, unavailability of soap and water, financial constraints, maternal demotivation, and low participation in decision-making. Limitations include study design heterogeneity (cross-sectional, Randomized Controlled Trials-RCT, Cohort), sample size variability, and geographical bias, potentially limiting generalizability of this study, limited reporting on soap and water availability for mothers at the household level is noted, and temporal variability introduces study inconsistency. Availability of soap, water, and effective health education is crucial for promoting sustained handwashing practices. Community-based interventions involving mothers in decision making and policy initiatives are essential for overcoming barriers and promote behavioural change to improve public health outcomes. This paper aims to determine the rates of handwashing with soap among mothers in Nepalese households and explore the factors associated with the uptake of handwashing. [ABSTRACT FROM AUTHOR]

White‐rumped vultures (Gyps bengalensis) are critically endangered species, and protecting their habitats, particularly the nesting trees, may have a positive impact on their reproductive success. For a better understanding of vultures' habitat needs, the characteristics of nesting trees should be accounted. In this paper, we compare the characteristics of the trees that have vultures' nests and that do not by randomly select a control tree within a 10 m radius of the nesting tree. We extensively searched and monitored the white‐rumped vultures' nests, nesting trees, and nesting tree species in Nepal between 2002 and 2022, and measured the characteristics of sampled trees such as their height, girth, canopy spread, branching orders, and whorls. We recorded 1161 nests of white‐rumped vulture in total on 194 trees belonging to 19 species over the past two decades. White‐rumped vultures preferred the kapok trees (Bombax ceiba) for nest construction than other tree species (χ2 = 115.38, df = 1, p <.001) as 66.49% of nests were built on them. In the logistic regression model, the number of whorls on a tree, canopy spread, and the height of the first branch determined whether a nest was present or absent on a tree. These results help to prioritize the tree attributes in a habitat conservation plan for vultures. [ABSTRACT FROM AUTHOR]

This paper describes the results of an experimental investigation on the coefficient of friction at the interface of a PVC–sand–PVC layer that is utilised as part of a low-cost geotechnical seismic isolation devised to be used in low-income countries. The PVC–sand–PVC configuration consists of two smooth PVC surfaces enclosing a single layer of sand grains, with surface densities between 0.5 kg/m2 and 3 kg/m2, which aim to facilitate relative sliding at friction resistance between 0.15 and 0.30 depending on the design acceleration, by acting like "non-perfectly rounded ball bearings". The latter isolation method has been extensively studied both numerically and experimentally by means of large-scale testing at the shaking table of the EQUALS Earthquake Laboratory of the University of Bristol. However, in the light of the construction of the first building worldwide to be designed and constructed in Nepal with the particular low-cost PVC–sand–PVC sliding interface, it was deemed necessary to reliably assess the mean and dispersion of the coefficient of friction as a function of vertical pressure, sand density and degree of saturation. The results of the tests performed using an improved direct shear apparatus are presented herein using sand samples and PVC sheets that were locally resourced in Nepal to be used in construction. The results indicate that the variation of friction is reasonably low and in any case within the desirable range, irrespectively of the parameters examined, thus establishing confidence to the forthcoming design of the novel isolated building. [ABSTRACT FROM AUTHOR]

Ecosystem-based adaptation (EbA) is an ecologically sensitive, cost-effective, and locally adaptive climate adaptation strategy to strengthen the climate resilience of vulnerable communities. While many studies on EbA have been conducted in rural and mountainous regions or within the natural sciences realm, there is a lack of comprehensive research that assesses how urban EbA measures have been incorporated into existing policies and plans in Global South, including in Nepal. Ecosystem-based adaptation is in the early stages of its establishment as a fundamental component to address climate adaptation and sustainable development in urban environments. Accordingly, effective integration strategies, challenges, potential focal areas, and entry points have yet to be extensively studied. To address the literature gap, this paper analyses the types of EbA interventions and the extent of urban EbA integration within Nepal's climate, urban, and sectoral policies and plans. Direct content analysis and a qualitative scoring system were used to evaluate the plan components and assess the level of EbA integration. The findings indicate that the policies and plans recognise the importance of conserving, enhancing, and managing ecosystems for climate change adaptation, and EbA measures are mainly included in action-oriented sections. However, the results also reveal inadequate EbA integration, particularly in the information base, vision and objectives, and implementation aspects. The implementation component notably lacks comprehensive provisions for budget allocation, responsible authorities, definite timelines, and clear roadmaps. The breakdown of EbA integration in the policies and plans suggests that climate and urban plans substantially integrate urban EbA measures, but discrepancies exist with climate and urban policies and sectoral policies and plans. These findings collectively emphasise a pressing need to enhance the recognition and integration of urban EbA measures within policy frameworks with a view towards strengthening climate resilience and mitigating climate-related hazards in urban environments. [ABSTRACT FROM AUTHOR]

In this paper, the stochastic frontier gravity model is applied to analyze the trade potential between China and Nepal and the prospects of Lanzhou-Kathmandu South Asian rail-road freight trains (LKSARFT). Based on the statistical data, we test the Exports Efficiency (EE), Bilateral Trade Efficiency (BTE), Exports Trade Potential (ETP), Bilateral Trade Potential (BTP), Extended Exports Trade Potential (EETP), Extended Bilateral Trade Potential (EBTP), Improved Exports Trade Potential (IETP) and Improved Bilateral Trade Potential (IBTP) between China and Nepal, the following analysis results can be found: for the bilateral trade model, the bilateral non-efficiency factor decreasing at a rate of 0.057 with time increasing, bilateral trade increasing at a rate of 0.057 with time increasing. For the exports model, the exports non-efficiency factor increasing at a rate of 0.004 with time increasing, exports trade decreasing at a rate of 0.057 with time increasing. The BTE between China and Nepal increases when time changes, the EE from China to Nepal remains constant changing during the 18 years. The changing range of BTE is 0.002–0.05; the changing range of EE from China to Nepal is over 0.1, larger than the BTE. The BTE and EE ranking among the eight South Asian countries are ranking fifth and fourth during the 18 years. exports trade resistance from China to Nepal is larger than bilateral trade resistance; The import trade potential from Nepal to China is huge, the focus of bilateral trade between China and Nepal may be changed, there are more goods may be exported from Nepal to China, and China may become trade deficit when trading with Nepal. Then, the development bottlenecks of the LKSARFT are analyzed. Finally, we give policy directions to boost bilateral trade efficiency and tap the potential of bilateral trade between China and Nepal. [ABSTRACT FROM AUTHOR]

The gradual or rapid deterioration of cultural heritage buildings can be a source of the loss of heritage assets over time. Cultural heritage encompasses tangible and intangible aspects of a society's heritage, including historical buildings, archaeological sites, artworks, artifacts, traditions, customs, and ethnic customs. This research paper investigated the causes and effects of the deterioration of the heritage system from the Madhyapur Thimi in Nepal. A case study of tangible heritage (Thimi settlement) and intangible heritage (Bisket Jatra—community celebrations—and Ritual Guthi—a local group formed to conduct cultural activities) helped to achieve the objectives of this study. The existing unique cultures from the Madhyapur Thimi, including the built culture, Guthi, Bisket Jatra, and Ritual Guthi area support the sustainable development of heritage structures to some extent. The cultural heritage is now at risk due to institutional inadequacies, economic and social issues, resource depletion, and natural disasters such as earthquakes and hurricanes. Policy should be modified, and heritage should be conserved and maintained well for future generations to own it as an identity and pride of the Thimi community. [ABSTRACT FROM AUTHOR]

This paper examines the role of experts in implementing Reducing Emissions from Deforestation and Forest Degradation (REDD+) initiatives at the national level and explores the performative politics and power dynamics involved. Original research conducted in Malaysia, Nepal, and Sri Lanka, where REDD+ efforts were underway, provides the empirical basis for the study. The findings reveal tensions between the official win-win narrative of REDD+ and the reflective perspectives of experts based on their empirical knowledge and unique positionalities. These tensions raise questions about the underlying norms and values associated with REDD+. However, the pursuit of professional development within the international development and conservation sector, reliant on donor funding, impedes constructive reflection. The alignment of experts with donor visions for career advancement contributes to this obstacle. Therefore, the paper argues for creating space for a more reflexive approach among scholars and practitioners to foster comprehensive reflection and a fundamental rethink of the future of REDD+. • Examination of REDD+ experts' discourses at the national level reveals another operational challenge for REDD+. • Empirical observations and past experiences of REDD+ experts raise doubts about the core norms and values of REDD+. • The lack of emphasis on this empirical knowledge in international policy processes hinders REDD+'s progress. [ABSTRACT FROM AUTHOR]

This paper presents a case of Moth-Eaten Alopecia as the only clinical manifestation of secondary syphilis in a 28-year-old man from Nepal. The patient exhibited progressive hair loss in the occipitoparietal region without associated pain or itching. With a positive Rapid Plasma Reagin (RPR) test (1:256), the patient received a three-week course of Benzathine Penicillin G, resulting in complete hair regrowth within four months. This case underscores the significance of recognizing moth eaten alopecia as a potential dermatological sign of secondary syphilis, especially when it appears as the sole clinical symptom. [ABSTRACT FROM AUTHOR]

Deer surveys play an important role in the estimation of local ecological balance. In the Chitwan National Park of Nepal, the dense tree canopies and tall vegetation often obscure the presence of wild deer, which has a negative effect on the accurate population surveys of wild deer. UAVs equipped with infrared sensors have been increasingly used to monitor wild deer by capturing a lot of images. How to automatically recognize and obtain the number of deer objects from thermal images is becoming an important research topic. Due to the difference between thermal images and true-color images, as well as the variations in deer object sizes in these two types of images, current ready-to-use object detection models, designed for true-color imagery, are ill-suited for the task of detecting small deer objects within thermal imagery. In this paper, an enhanced Faster R-CNN was constructed to detect small deer objects from thermal images, in which a Feature Pyramid Network (FPN) based on a residual network is used to improve feature extraction for small deer objects and multi-scale feature map constrution for the subsequent region proposals searching, bounding box regression, and regions of interest (RoIs) classification. In addition, small-scaled anchor boxes and a multi-scale feature map selection criterion are devised to improve the detection accuracy of small objects. Finally, based on Faster R-CNN, FPN, and different residual networks including ResNet18, ResNet34, ResNet50, ResNet101, and ResNet152, we constructed five object detection models, and evaluated their detection performance by using COCO evaluation matrix. Under the condition of IoU ≥ 0.5 , the integration of Faster R-CNN, FPN, and ResNet18 demonstrated to perform better than others. Specifically, The COCO evaluation results revealed an Average Precision (AP) score of 91.6% for all deer objects. Small deer objects (area ≤ 200 pixels) achieved an AP score of 73.6%, medium deer objects (200 < area ≤ 400 pixels) demonstrated an AP score of 93.4%, and large deer objects (area > 400 pixels) achieved the highest AP score of 94.3%. Our research is helpful for effective wild deer monitoring and conservation and can be a valuable reference for the exploration of small object detection from low-resolution thermal images. • Drones with infrared sensors capture thermal images for wild deer surveys in areas covered by dense canopies. • The objects within thermal imagery are small and less than 30 × 30 pixels. • Existing object detection models, trained on true-color images, struggle with small objects detection from thermal imagery. • Feature Pyramid Network fuses the feature information extracted by residual networks to construct multi-scale feature maps. • Enhanced Faster R-CNN with customized anchor boxes and multi-scale feature maps achieves an average precision. [ABSTRACT FROM AUTHOR]

Considering recent earthquakes and the COVID-19 pandemic, disaster preparedness has come to the forefront of the public health agenda in Nepal. To strengthen the developing health system, many initiatives are being implemented at different levels of society to build resiliency, one of which is through training and education. The first International Conference on Disaster Preparedness and Management convened in Dhulikhel, Nepal on December 1-3, 2023. It brought together international teaching faculty to help deliver didactic and simulation-based sessions on various topics pertaining to disaster preparedness and management for over 140 Nepali healthcare professionals. This paper focuses on the tabletop exercise-based longitudinal workshop portion of the conference on disaster leadership and communication, delivered by United States-based faculty. It delves into the educational program and curriculum, delivery method, Nepali organizer and US facilitator reflections, and provides recommendations for such future conferences, and adaptation to other settings., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2024 Pandya, Kharel, McMahon, Basnet, Soghoian, Pradhan and Arquilla.)

Introduction: Maternal mortality in Nepal dropped from 553 to 186 per 100 000 live births during 2000-2017 (66% decline). Neonatal mortality dropped from 40 to 21 per 1000 live births during 2000-2018 (48% decline). Stillbirths dropped from 28 to 18 per 1000 births during 2000-2019 (34% decline). Nepal outperformed other countries in these mortality improvements when adjusted for economic growth, making Nepal a 'success'. Our study describes mechanisms which contributed to these achievements., Methods: A mixed-method case study was used to identify drivers of mortality decline. Methods used included a literature review, key-informant interviews, focus-group discussions, secondary analysis of datasets, and validation workshops., Results: Despite geographical challenges and periods of political instability, Nepal massively increased the percentage of women delivering in health facilities with skilled birth attendance between 2000 and 2019. Although challenges remain, there was also evidence in improved quality and equity-of-access to antenatal care and childbirth services. The study found policymaking and implementation processes were adaptive, evidence-informed, made use of data and research, and involved participants inside and outside government. There was a consistent focus on reducing inequalities., Conclusion: Policies and programmes Nepal implemented between 2000 and 2020 to improve maternal and newborn health outcomes were not unique. In this paper, we argue that Nepal was able to move rapidly from stage 2 to stage 3 in the mortality transition framework not because of what they did, but how they did it. Despite its achievements, Nepal still faces many challenges in ensuring equal access to quality-care for all women and newborns., Competing Interests: Competing interests: Dr Punya and Dr Bibek are currently employed by the Government of Nepal. Dr Sharma was previously employed there. Their participation and insights have been invaluable to this report., (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ.)

Background: Physiotherapy is a growing profession in Nepal. Despite efforts to promote strengthening and development, there are still challenges in providing equitable access and availability to services, particularly in underserved areas. Updated information is needed to address challenges to provide proper planning for resource allocation., Objective: To assess implementation of physiotherapy services and to explore plans, policies and the general status of physiotherapy in Nepal., Method: Implementation was assessed with a cross-sectional survey conducted in Province III containing closed-ended questions addressing physiotherapy services, human resources, charging and record-keeping systems, and accessibility. Stratified purposive sampling was used to select eligible facilities from the list of Department of Health Services. Official records were explored through visits to governing institutions and by reviews of registers and reports to obtain data and information on status, plans and policy., Results: The survey included 25 urban and 4 rural facilities, covering hospitals and rehabilitation centres; both public (37.9%) and non-public (62.1%). Most facilities (79.3%) employed physiotherapists with bachelor's degrees. Average number of visits were 29.55 physiotherapy outpatients and 14.17 inpatients per day. Patient records were mainly paper based. Most (69%) used the hospital main card, while others (31%) had their own physiotherapy assessment card. Most referrals came from doctors. The most offered services were musculoskeletal, neurological, and paediatric physiotherapy. Daily basis charging was common. A single visit averaged 311 Nepalese rupees ≈ 2.33 US$. Convenience for persons with disabilities was reported as partial by 79% of outpatient departments. Official register data showed 313 master's and 2003 bachelor's graduates. Six colleges offered physiotherapy bachelor's degree, whereof one also offered a master's program. Government records revealed significant progress in physiotherapy in Nepal., Conclusion: The study highlights variations in physiotherapy services within a province owing to type, size and location, but also unwarranted variations. Despite the progress, implementation of physiotherapy services in the perspective of official records imply a need of systems for proper planning and monitoring. Physiotherapy provision in underserved areas warrants further attention., (© 2024. The Author(s).)

There has been limited research and understanding of the water quality in developing countries. Fresh produce consumed raw is nutrient-dense but is more susceptible to causing foodborne illness when contaminated water is used in production and consumption. There have been increasing reported incidences of foodborne outbreaks in Nepal linked to fresh produce contamination. However, water used in washing fresh produce by consumers and water used by growers or vendors is rarely tested. This research examines the source water used by consumers and growers in fresh produce systems in Nepal. To examine Escherichia coli (E. coli) detection as an indicator of contamination risk in water, we selected five major metropolitan cities for consumer households and ten districts representing commercial growers of vegetable growing areas of all seven provinces of Nepal. Altogether, we collected 394 water samples from randomly selected individual households: 156 from consumer households and 238 from growers or vendors. Results suggest that 59% of the water used in fresh produce systems is contaminated with E. coli in Nepal. On the water source used by consumers to wash fresh produce before consumption, we found that the dominant sources are the stored water in tanks or containers (46%) and municipal or communal supply water (39%)-which have E. coli prevalence rate of 66% and 57%, respectively. On the dominant sources of water used in fresh produce by growers or vendors, we found up to 88% of E. coli prevalence in the water they use. We also discussed the location or regional differences in contamination risks. This nationally represented study has implications for intervention policies and programs for safer food production and consumption practices in countries like Nepal where food safety is an emerging priority., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)

The emergence of carbapenem resistant bacteria (CRB) possesses a remarkable threat to the health of humans. CRB and carbapenem resistance genes (CRGs) have frequently been reported in clinical isolates from hospitals, however, their occurrence and distribution in wastewaters from various sources and river water have not been emphasized in Nepal. So, this study aimed to detect carbapenem resistant bacterial isolates and their resistance determinants in river water and different types of wastewaters. River water and both untreated and treated wastewater samples from hospitals, pharmaceutical industries, and municipal sewage were collected in summer and winter seasons. From 68 grab wastewater samples, CRB were detected only in 16 samples, which included eight hospital wastewater, and four each from untreated municipal sewage and river water. A total of 25 CRB isolates were detected with dominance of E. coli (44.0%) and K. pneumoniae (24.0%). The majority of the isolates harbored bla NDM-1 (76.0%), followed by bla OXA (36.0%) and bla KPC (20.0%) genes. Hospital wastewater majorly contributed to the presence of bla NDM-1 , bla KPC , and bla OXA along with intI1 genes compared to river water and untreated municipal sewage, especially during the winter season. However, CRB were not detected in treated effluents of hospitals and municipal sewage, and both influents and effluents from pharmaceutical industries. The combined presence of each bla NDM-1 & bla OXA and bla KPC & bla OXA occurred in 16.0% of the bacterial isolates. The increased minimum inhibitory concentration (MIC) of meropenem was significantly associated with the presence of CRGs. The results of this study highlight the significance of carbapenem resistance in bacteria isolated from wastewater and river water, and underscore the necessity for efficient monitoring and control strategies to prevent the dispersion of carbapenem resistance in the environment and its potential consequences on human health., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 Elsevier Ltd. All rights reserved.)

Health consequences arising from unsafe drinking water and water insecurity lead to increased reliance on usage of bottled water. Biofilm-producing antibiotic-resistant bacteria in bottled water may pose a risk to public health. This study aims to assess the quality of bottled drinking water with a focus on biofilm-producing and drug-resistant coliform. We analyzed 60 bottled water samples of 30 different brands purchased from Kathmandu for physicochemical and microbial analysis. The parameters pH, iron, total coliform count, Escherichia coli count, and fecal coliform count exceeded National Drinking Water Quality Standards, 2022 in 30.00%, 16.67%, 66.67%, 23.33%, and 16.67% of samples, respectively. Water quality index measurement showed 36.67% and 6.67% of bottled water samples were categorized as grade A and grade B indicating excellent and good water quality, respectively. However, 56.67% of bottled water samples fall under grade E meaning unsuitable for drinking. Among 14 coliform isolates, 85.71% and 14.29% were identified as E. coli and Klebsiella spp, respectively. The antibiotic susceptibility testing revealed that 28.57% of the isolates were multidrug-resistant and Gentamicin resistant isolates comprised 71.43%. However, none of the isolates were carbapenem (meropenem) resistant. In this study, 42.87% of the isolates were found biofilm producers with 14.29% each of strong, moderate, and weak biofilm producers. The genetic potential of biofilm-producing capacity of the isolates was assessed by Polymerase Chain Reaction amplification of bcsA and csgD genes. Our results showed that 66.67% and 50.00% of the isolates harbored bcsA and csgD genes, respectively. This study highlights potential public health hazards associated with the consumption of bottled water containing biofilm-producing and drug-resistant bacteria in Nepal., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023. Published by Elsevier Ltd.)