Kathmandu University

Analyses of maximum temperature data from 49 stations in Nepal for the period 1971–94 reveal warming trends after 1977 ranging from 0.06° to 0.12°C yr−1 in most of the Middle Mountain and Himalayan regions, while the Siwalik and Terai (southern plains) regions show warming trends less than 0.03°C yr−1. The subset of records (14 stations) extending back to the early 1960s suggests that the recent warming trends were preceded by similar widespread cooling trends. Distributions of seasonal and annual temperature trends show high rates of warming in the high-elevation regions of the country (Middle Mountains and Himalaya), while low warming or even cooling trends were found in the southern regions. This is attributed to the sensitivity of mountainous regions to climate changes. The seasonal temperature trends and spatial distribution of temperature trends also highlight the influence of monsoon circulation. The Kathmandu record, the longest in Nepal (1921–94), shows features similar to temperature trends in the Northern Hemisphere, suggesting links between regional trends and global scale phenomena. However, the magnitudes of trends are much enhanced in the Kathmandu as well as in the all-Nepal records. The authors’ analyses suggest that contributions of urbanization and local land use/cover changes to the all-Nepal record are minimal and that the all-Nepal record provides an accurate record of temperature variations across the entire region.

This paper presents a new, generalized two‐phase debris flow model that includes many essential physical phenomena. The model employs the Mohr‐Coulomb plasticity for the solid stress, and the fluid stress is modeled as a solid‐volume‐fraction‐gradient‐enhanced non‐Newtonian viscous stress. The generalized interfacial momentum transfer includes viscous drag, buoyancy, and virtual mass. A new, generalized drag force is proposed that covers both solid‐like and fluid‐like contributions, and can be applied to drag ranging from linear to quadratic. Strong coupling between the solid‐ and the fluid‐momentum transfer leads to simultaneous deformation, mixing, and separation of the phases. Inclusion of the non‐Newtonian viscous stresses is important in several aspects. The evolution, advection, and diffusion of the solid‐volume fraction plays an important role. The model, which includes three innovative, fundamentally new, and dominant physical aspects (enhanced viscous stress, virtual mass, generalized drag) constitutes the most generalized two‐phase flow model to date, and can reproduce results from most previous simple models that consider single‐ and two‐phase avalanches and debris flows as special cases. Numerical results indicate that the model can adequately describe the complex dynamics of subaerial two‐phase debris flows, particle‐laden and dispersive flows, sediment transport, and submarine debris flows and associated phenomena.

Additive manufacturing (AM) or 3D printing is a digital manufacturing process and offers virtually limitless opportunities to develop structures/objects by tailoring material composition, processing conditions, and geometry technically at every point in an object. In this review, we present three different early adopted, however, widely used, polymer-based 3D printing processes; fused deposition modelling (FDM), selective laser sintering (SLS), and stereolithography (SLA) to create polymeric parts. The main aim of this review is to offer a comparative overview by correlating polymer material-process-properties for three different 3D printing techniques. Moreover, the advanced material-process requirements towards 4D printing via these print methods taking an example of magneto-active polymers is covered. Overall, this review highlights different aspects of these printing methods and serves as a guide to select a suitable print material and 3D print technique for the targeted polymeric material-based applications and also discusses the implementation practices towards 4D printing of polymer-based systems with a current state-of-the-art approach.

Nanoparticles, with their selective targeting capabilities and superior efficacy, are becoming increasingly important in modern cancer therapy and starting to overshadow traditional cancer therapies such as chemotherapy radiation and surgery. ZnO nanoparticles, with their unique properties such as biocompatibility, high selectivity, enhanced cytotoxicity and easy synthesis, may be a promising anticancer agent. Zinc, as one of the major trace elements of the human body and co-factor of more than 300 mammalian enzymes, plays an important role in maintaining crucial cellular processes including oxidative stress, DNA replication, DNA repair, cell cycle progression and apoptosis. Thus, it is evident that an alteration in zinc levels in cancer cells can cause a deleterious effect. Research has shown that low zinc concentration in cells leads to the initiation and progression of cancer and high zinc concentration shows toxic effects. Zinc-mediated protein activity disequilibrium and oxidative stress through reactive oxygen species (ROS) may be the probable mechanism of this cytotoxic effect. The selective localization of ZnO nanoparticles towards cancer cells due to enhanced permeability and retention (EPR) effect and electrostatic interaction and selective cytotoxicity due to increased ROS present in cancer cells show that ZnO nanoparticles can selectively target and kill cancer cells, making them a promising anticancer agent.

This write-up aims to first clarify the notion of phenomenology by offering sayings of different experts of this genre. Thereafter, it attempts to briefly trace its genesis and classify this broad idea in three different schools viz. transcendental, hermeneutic and existential. After discussing very precisely on each of these schools, it focuses on the premises of hermeneutic phenomenology as a method for doing research. The purpose of this essay is to collect and exhibit a crude paradigmatic clue of doing a hermeneutic phenomenological research. During the course, it emphasizes on the metaphysical stance, methodological grounds, quality concerns and ethical issues that contribute to its paradigmatic assumptions. Bodhi: An Interdisciplinary Journal, 5, 2011, Page 181-200 DOI: http://dx.doi.org/10.3126/bodhi.v5i1.8053

Smart manufacturing is the technology utilizing the interconnected machines and tools for improving manufacturing performance and optimizing the energy and workforce required by the implementation of bigdata processing, artificial intelligence and advanced robotics technology and interconnectivity of them. This paper defines and discusses the smart manufacturing system and states it current implementation status and analyzes the gap between current manufacturing system and the predicted future smart manufacturing system, discusses the technologies associated with it and their contribution in smart manufacturing technology. Also, to realize this rapidly growing technology and cover its all dimensions a survey of the latest developments in this field and its impacts were analyzed and presented along with the challenges of implementation, opportunities and the future directions for smart manufacturing system.

Insulin resistance (IR), a metabolic risk factor, is linked to the pathogenetic mechanism of primary hypertension. Detecting IR in the patients with hypertension will help to predict and stratify the added cardiovascular risk, institute appropriate IR management, and manage hypertension optimally. There are many methods for assessing IR, each with distinct advantages and disadvantages. The euglycemic insulin clamp and intravenous glucose tolerance test, gold standards for measuring IR, are used in research but not in clinical practice. Homeostatic model assessment (HOMA-IR), a method for assessing β-cell function and IR, is frequently applied presently, particularly in Asia. Besides, the triglyceride-glucose index (TyG) first published by South American authors showed a good correlation with the insulin clamp technique and HOMA-IR index. This simple, convenient, and low-cost TyG index is of research interest in many countries in Asia and can be used to screen for IR in the Asian hypertensive community.

Since 2000, many countries have achieved considerable success in improving child survival, but localized progress remains unclear. To inform efforts towards United Nations Sustainable Development Goal 3.2-to end preventable child deaths by 2030-we need consistently estimated data at the subnational level regarding child mortality rates and trends. Here we quantified, for the period 2000-2017, the subnational variation in mortality rates and number of deaths of neonates, infants and children under 5 years of age within 99 low- and middle-income countries using a geostatistical survival model. We estimated that 32% of children under 5 in these countries lived in districts that had attained rates of 25 or fewer child deaths per 1,000 live births by 2017, and that 58% of child deaths between 2000 and 2017 in these countries could have been averted in the absence of geographical inequality. This study enables the identification of high-mortality clusters, patterns of progress and geographical inequalities to inform appropriate investments and implementations that will help to improve the health of all populations.

Abstract. We examine the distribution of aerosols and associated optical/radiative properties in the Gangetic-Himalayan region from simultaneous radiometric measurements over the Indo-Gangetic Plains (IGP) and the foothill/southern slopes of the Himalayas during the 2009 pre-monsoon season. Enhanced dust transport extending from the Southwest Asian arid regions into the IGP, results in seasonal mean (April–June) aerosol optical depths of over 0.6 – highest over Southern Asia. The influence of dust loading is greater over the Western IGP as suggested by pronounced coarse mode peak in aerosol size distribution and spectral single scattering albedo (SSA). Transported dust in the IGP, driven by prevailing westerly airmass, is found to be more absorbing (SSA550 nm<0.9) than the near-desert region in Northwestern (NW) India suggesting mixing with carbonaceous aerosols in the IGP. On the contrary, significantly reduced dust transport is observed over eastern IGP and foothill/elevated Himalayan slopes in Nepal where strongly absorbing haze is prevalent, as indicated by lower SSA (0.85–0.9 at 440–1020 nm), suggesting presence of more absorbing aerosols compared to IGP. Additionally, our observations show a distinct diurnal pattern of aerosols with characteristic large afternoon peak, from foothill to elevated mountain locations, associated with increased upslope transport of pollutants – that likely represent large-scale lifting of absorbing aerosols along the elevated slopes during pre-monsoon season. In terms of radiative impact of aerosols, over the source region of NW India, diurnal mean reduction in solar radiation fluxes was estimated to be 19–23 Wm−2 at surface (12–15% of the surface solar insolation). Furthermore, based on limited observations of aerosol optical properties during the pre-monsoon period and comparison of our radiative forcing estimates with published literature, there exists a general spatial heterogeneity in the regional aerosol forcing, associated with the absorbing aerosol distribution over northern India, with both diurnal mean surface forcing and forcing efficiency over the IGP exceeding that over Northwestern India. Finally, the role of the seasonal progressive buildup of aerosol loading and water vapor is investigated in the observed net aerosol radiative effect over Northwestern India. The radiative impact of water vapor is found to amplify the net regional aerosol radiative forcing suggesting that the two exert forcing in tandem leading to enhanced surface cooling. It is suggested that water vapor contribution should be taken into account while assessing aerosol forcing impact for this region and other seasonally similar environments.

This narrative review summarizes the latest advances in cerebral palsy and identifies where more research is required. Several studies on cerebral palsy were analyzed to generate a general idea of the prevalence of, risk factors associated with, and classification of cerebral palsy (CP). Different classification systems used for the classification of CP on a functional basis were also analyzed. Diagnosis systems used along with the prevention techniques were discussed. State-of-the-art treatment strategies for CP were also analyzed. Statistical distribution was performed based on the selected studies. Prevalence was found to be 2-3/1000 lives; the factors that can be correlated are gestational age and birth weight. The risk factors identified were preconception, prenatal, perinatal, and postnatal categories. According to the evidence, CP is classified into spastic (80%), dyskinetic (15%), and ataxic (5%) forms. Diagnosis approaches were based on clinical investigation and neurological examinations that include magnetic resonance imaging (MRI), biomarkers, and cranial ultrasound. The treatment procedures found were medical and surgical interventions, physiotherapy, occupational therapy, umbilical milking, nanomedicine, and stem cell therapy. Technological advancements in CP were also discussed. CP is the most common neuromotor disability with a prevalence of 2-3/1000 lives. The highest contributing risk factor is prematurity and being underweight. Several preventions and diagnostic techniques like MRI and ultrasound were being used. Treatment like cord blood treatment nanomedicine and stem cell therapy needs to be investigated further in the future to apply in clinical practice. Future studies are indicated in the context of technological advancements among cerebral palsy children.

BACKGROUND: Drowning is a leading cause of injury-related mortality globally. Unintentional drowning (International Classification of Diseases (ICD) 10 codes W65-74 and ICD9 E910) is one of the 30 mutually exclusive and collectively exhaustive causes of injury-related mortality in the Global Burden of Disease (GBD) study. This study's objective is to describe unintentional drowning using GBD estimates from 1990 to 2017. METHODS: Unintentional drowning from GBD 2017 was estimated for cause-specific mortality and years of life lost (YLLs), age, sex, country, region, Socio-demographic Index (SDI) quintile, and trends from 1990 to 2017. GBD 2017 used standard GBD methods for estimating mortality from drowning. RESULTS: Globally, unintentional drowning mortality decreased by 44.5% between 1990 and 2017, from 531 956 (uncertainty interval (UI): 484 107 to 572 854) to 295 210 (284 493 to 306 187) deaths. Global age-standardised mortality rates decreased 57.4%, from 9.3 (8.5 to 10.0) in 1990 to 4.0 (3.8 to 4.1) per 100 000 per annum in 2017. Unintentional drowning-associated mortality was generally higher in children, males and in low-SDI to middle-SDI countries. China, India, Pakistan and Bangladesh accounted for 51.2% of all drowning deaths in 2017. Oceania was the region with the highest rate of age-standardised YLLs in 2017, with 45 434 (40 850 to 50 539) YLLs per 100 000 across both sexes. CONCLUSIONS: There has been a decline in global drowning rates. This study shows that the decline was not consistent across countries. The results reinforce the need for continued and improved policy, prevention and research efforts, with a focus on low- and middle-income countries.

Despite the success rates of dental implants, peri-implantitis presents as the most common complication in implant dentistry. This review discusses various factors associated with peri-implantitis and various available treatments, highlighting their advantages and disadvantages. Relevant articles on peri-implantitis published in English were reviewed from August 2010 to April 2020 in MEDLINE/PubMed, Scopus, and ScienceDirect. The identified risk indicators of peri-implant diseases are plaque, smoking, history of periodontitis, surface roughness, residual cement, emergence angle >30 degrees, radiation therapy, keratinized tissue width, and function time of the implant, sex, and diabetes. Peri-implantitis treatments can be divided into nonsurgical (mechanical, antiseptic, and antibiotics), surface decontamination (chemical and laser), and surgical (air powder abrasive, resective, and regenerative). However, mechanical debridement alone may fail to eliminate the causative bacteria, and this treatment should be combined with other treatments (antiseptics and surgical treatment). Surface decontamination using chemical agents may be used as an adjuvant treatment; however, the definitive clinical benefit is yet not proven. Laser treatment may result in a short-term decrease in periodontal pocket depth, while air powder abrasive is effective in cleaning a previously contaminated implant surface. Surgical elimination of a pocket, bone recontouring and plaque control are also effective for treating peri-implantitis. The current evidence indicates that regenerative approaches to treat peri-implant defects are unpredictable.

Oxidative phosphorylation is carried out by five complexes, which are the sites for electron transport and ATP synthesis. Among those, Complex V (also known as the F1F0 ATP Synthase or ATPase) is responsible for the generation of ATP through phosphorylation of ADP by using electrochemical energy generated by proton gradient across the inner membrane of mitochondria. A multi subunit structure that works like a pump functions along the proton gradient across the membranes which not only results in ATP synthesis and breakdown, but also facilitates electron transport. Since ATP is the major energy currency in all living cells, its synthesis and function have widely been studied over the last few decades uncovering several aspects of ATP synthase. This review intends to summarize the structure, function and inhibition of the ATP synthase.

Purpose – The purpose of this paper is to investigate service quality of e-commerce Websites in online platform and their contribution on e-business promotion. Design/methodology/approach – The online survey was performed on a survey portal provided by Nepal Telecom in Nepal. Findings – The findings of this study suggest that information quality and online service quality were the key determinants for user satisfaction and sustainability of e-commerce technology. Research limitations/implications – Research opportunities of web services and e-commerce area are fruitful and important for both academics and practitioners. Practical implications – The findings on online service quality of e-commerce technology will be useful for current management practice such as making business policies and strategies and sharing information to managers and organization leaders. This study can be used for e-commerce Website operators wishing to enhance the competitiveness of their Websites in the highly competitive online market. Originality/value – E-commerce is considered an excellent alternative for individuals and companies to reach new customers. Service quality delivery through Internet is an essential strategy to success, more important than price and web presence. The e-commerce Website has been identified as having a significant impact on business activities in solving the geographical problem. A number of performance problems have been observed for e-commerce Websites, and much work has gone into characterizing the performance of web-servers and Internet applications.

In the recent SARS-CoV-2 pandemic, public health experts have emphasized testing, tracking infected people, and tracing their contacts as an effective strategy to reduce the spread of the virus. Several diagnostic methods are reported for detecting the coronavirus in clinical, research, and public health laboratories. Some tests detect the infection directly by detecting the viral RNA and other tests detect the infection indirectly by detecting the host antibodies. A diagnostic test during the pandemic should help make an appropriate clinical decision in a short period of time. Recently reported diagnostic methods for SARS-CoV-2 have varying throughput, batching capacity, requirement of infrastructure setting, analytical performance, and turnaround times ranging from a few minutes to several hours. These factors should be considered while selecting a reliable and rapid diagnostic method to help make an appropriate decision and prompt public health interventions. This paper reviews recent SARS-CoV-2 diagnostic methods published in journals and reports released by regulatory agencies. We compared the analytical efficiency including limit of detection, sensitivity, specificity, and throughput. In addition, we also looked into ease of use, affordability, and availability of accessories. Finally, we discuss the limitations of the methods and provide our perspectives on priorities for future test development.

The global burden of headache is very large, but knowledge of it is far from complete and needs still to be gathered. Published population-based studies have used variable methodology, which has influenced findings and made comparisons difficult. The Global Campaign against Headache is undertaking initiatives to improve and standardize methods in use for cross-sectional studies. One requirement is for a survey instrument with proven cross-cultural validity. This report describes the development of such an instrument. Two of the authors developed the initial version, which was used with adaptations in population-based studies in China, Ethiopia, India, Nepal, Pakistan, Russia, Saudi Arabia, Zambia and 10 countries in the European Union. The resultant evolution of this instrument was reviewed by an expert consensus group drawn from all world regions. The final output was the Headache-Attributed Restriction, Disability, Social Handicap and Impaired Participation (HARDSHIP) questionnaire, designed for application by trained lay interviewers. HARDSHIP is a modular instrument incorporating demographic enquiry, diagnostic questions based on ICHD-3 beta criteria, and enquiries into each of the following as components of headache-attributed burden: symptom burden; health-care utilization; disability and productive time losses; impact on education, career and earnings; perception of control; interictal burden; overall individual burden; effects on relationships and family dynamics; effects on others, including household partner and children; quality of life; wellbeing; obesity as a comorbidity. HARDSHIP already has demonstrated validity and acceptability in multiple languages and cultures. Modules may be included or not, and others (e.g., on additional comorbidities) added, according to the purpose of the study and resources (especially time) available.

Abstract The challenge of bacterial infection increases the risk of mortality and morbidity in acute and chronic wound healing. Silver nanoparticles (Ag NPs) are a promising new version of conventional antibacterial nanosystem to fight against the bacterial resistance in concern of the drug discovery void. However, there are several challenges in controlling the size and colloidal stability of Ag NPs, which readily aggregate or coalesce in both solid and aqueous state. In this study, a template‐guided synthesis of ultrafine Ag NPs of around 2 nm using water‐soluble and biocompatible γ‐cyclodextrin metal‐organic frameworks (CD‐MOFs) is reported. The CD‐MOF based synthetic strategy integrates AgNO 3 reduction and Ag NPs immobilization in one pot achieving dual functions of reduced particle size and enhanced stability. Meanwhile, the synthesized Ag NPs are easily dispersible in aqueous media and exhibit effective bacterial inhibition. The surface modification of cross‐linked CD‐MOF particles with GRGDS peptide boosts the hemostatic effect that further enhances wound healing in synergy with the antibacterial effect. Hence, the strategy of ultrafine Ag NPs synthesis and immobilization in CD‐MOFs together with GRGDS modification holds promising potential for the rational design of effective wound healing devices.

Global freshwater biodiversity is declining dramatically, and meeting the challenges of this crisis requires bold goals and the mobilisation of substantial resources. While the reasons are varied, investments in both research and conservation of freshwater biodiversity lag far behind those in the terrestrial and marine realms. Inspired by a global consultation, we identify 15 pressing priority needs, grouped into five research areas, in an effort to support informed stewardship of freshwater biodiversity. The proposed agenda aims to advance freshwater biodiversity research globally as a critical step in improving coordinated actions towards its sustainable management and conservation.

BACKGROUND: Past research in population health trends has shown that injuries form a substantial burden of population health loss. Regular updates to injury burden assessments are critical. We report Global Burden of Disease (GBD) 2017 Study estimates on morbidity and mortality for all injuries. METHODS: We reviewed results for injuries from the GBD 2017 study. GBD 2017 measured injury-specific mortality and years of life lost (YLLs) using the Cause of Death Ensemble model. To measure non-fatal injuries, GBD 2017 modelled injury-specific incidence and converted this to prevalence and years lived with disability (YLDs). YLLs and YLDs were summed to calculate disability-adjusted life years (DALYs). FINDINGS: In 1990, there were 4 260 493 (4 085 700 to 4 396 138) injury deaths, which increased to 4 484 722 (4 332 010 to 4 585 554) deaths in 2017, while age-standardised mortality decreased from 1079 (1073 to 1086) to 738 (730 to 745) per 100 000. In 1990, there were 354 064 302 (95% uncertainty interval: 338 174 876 to 371 610 802) new cases of injury globally, which increased to 520 710 288 (493 430 247 to 547 988 635) new cases in 2017. During this time, age-standardised incidence decreased non-significantly from 6824 (6534 to 7147) to 6763 (6412 to 7118) per 100 000. Between 1990 and 2017, age-standardised DALYs decreased from 4947 (4655 to 5233) per 100 000 to 3267 (3058 to 3505). INTERPRETATION: Injuries are an important cause of health loss globally, though mortality has declined between 1990 and 2017. Future research in injury burden should focus on prevention in high-burden populations, improving data collection and ensuring access to medical care.

Understanding land use and land cover changes has become a necessity in managing and monitoring natural resources and development especially urban planning. Remote sensing and geographical information systems are proven tools for assessing land use and land cover changes that help planners to advance sustainability. Our study used remote sensing and geographical information system to detect and predict land use and land cover changes in one of the world’s most vulnerable and rapidly growing city of Kathmandu in Nepal. We found that over a period of 20 years (from 1990 to 2010), the Kathmandu district has lost 9.28% of its forests, 9.80% of its agricultural land and 77% of its water bodies. Significant amounts of these losses have been absorbed by the expanding urbanized areas, which has gained 52.47% of land. Predictions of land use and land cover change trends for 2030 show worsening trends with forest, agriculture and water bodies to decrease by an additional 14.43%, 16.67% and 25.83%, respectively. The highest gain in 2030 is predicted for urbanized areas at 18.55%. Rapid urbanization—coupled with lack of proper planning and high rural-urban migration—is the key driver of these changes. These changes are associated with loss of ecosystem services which will negatively impact human wellbeing in the city. We recommend city planners to mainstream ecosystem-based adaptation and mitigation into urban plans supported by strong policy and funds.