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Article ; Online: Urban green spaces and sustainability: exploring the ecosystem services and disservices of grassy lawns versus floral meadows

Paudel, Shishir / States, Sarah

Urban Forestry & Urban Greening. 2023 Apr. 11, p.127932-

2023 , Page(s) 127932–

Abstract: Urban green spaces provide important ecological, environmental, and cultural benefits, including biodiversity conservation and human wellbeing. However, a significant portion of urban green space is currently managed as highly manicured grassy lawns that ...

Abstract	Urban green spaces provide important ecological, environmental, and cultural benefits, including biodiversity conservation and human wellbeing. However, a significant portion of urban green space is currently managed as highly manicured grassy lawns that provide limited ecosystem services. Managing urban green spaces as diverse meadows can have a multitude of ecosystem benefits such as biodiversity conservation, stormwater infiltration, and aesthetics. Relatively little is known about the range of ecosystem services or disservices in managing urban green spaces as lawns versus meadows. In this paper, we separately characterize three major categories of ecosystem services and disservices (provisioning, regulation and maintenance, and cultural) delivered by urban lawns and meadows and highlight several trade-offs and synergies associated with urban lawn and meadow management strategies. Additionally, we suggest specific research priorities to better evaluate ecosystem services and disservices across these urban green spaces. Understanding ecological, environmental, and cultural trade-offs and synergies of managing different urban green spaces is key to maintaining multiple ecosystem services in urban environments.
Keywords	aesthetics ; biodiversity conservation ; ecosystems ; green infrastructure ; lawns and turf ; meadows ; social welfare ; stormwater ; urban forestry ; Biodiversity ; ecosystem services ; human well-being ; lawns ; recreation ; urban greenspace
Language	English
Dates of publication	2023-0411
Publishing place	Elsevier GmbH
Document type	Article ; Online
Note	Pre-press version ; Use and reproduction
ISSN	1618-8667
DOI	10.1016/j.ufug.2023.127932
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Depressive symptoms and its associated factors among secondary school adolescents of Birtamod Municipality, Jhapa, Nepal.

Giri, Rachana / Khadka, Santosh / Chalise, Anisha / Swar, Kshitiz / Paudel, Shishir

PLOS global public health

2024 Volume 4, Issue 1, Page(s) e0002826

Abstract: Depression is a rising public health concern affecting adolescents' mental health throughout the world. This cross-sectional study aimed to assess the prevalence of depressive symptoms and its associated factors among adolescents from urban Nepal. The ... ...

Abstract	Depression is a rising public health concern affecting adolescents' mental health throughout the world. This cross-sectional study aimed to assess the prevalence of depressive symptoms and its associated factors among adolescents from urban Nepal. The depressive symptoms among 271 randomly selected secondary school adolescents of Britamod Municipality were assessed using Center for Epidemiologic Studies Depression Scale (CES-D). The chi-square test and multivariable logistic regression were executed to assess the statistical relationship between potential risk factors and depressive symptoms at 5% level of significance. The prevalence of depressive symptoms was 42.8% (95% CI: 37.3-49.1%). Multiple logistic regression revealed that female adolescents (aOR: 2.309, 95% CI: 1.233-4.325), adolescents enrolled in higher grades i.e. 10th grade (aOR: 4.576, 95% CI: 1.482-9.128), studying at private school (aOR: 2.302, 95% CI: 1.184-4.476), not sharing their problems with their friends (aOR: 3.022, 95% CI: 1.477-6.186), presence of perceived academic stress (aOR: 2.388, 95% CI: 1.263-4.518), dissatisfaction with current academic performance (aOR: 2.278, 95% CI: 1.141-4.518), lower perceived family support (aOR: 3.440, 95% CI: 1.276-9.275), and lower self-esteem (aOR: 2.139, 95% CI: 1.061-8.708) had higher odds of experiencing depressive symptoms. There is a high prevalence of depression among Nepalese adolescents. The findings highlight the need for health promotion interventions focusing on mental health awareness, enhancing social support systems, and implementing stress reduction strategies within schools to mitigate the burden of depression among Nepalese adolescents.
Language	English
Publishing date	2024-01-19
Publishing country	United States
Document type	Journal Article
ISSN	2767-3375
ISSN (online)	2767-3375
DOI	10.1371/journal.pgph.0002826
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Social Health Insurance a Key for Universal Health Coverage in Nepal

Sujan Poudel / Anusha Parajuli / Shishir Paudel

Journal of Karnali Academy of Health Sciences, Vol 6, Iss

2023 Volume 2

Abstract: Social health insurance, which offers financial security and risk sharing for health care expenses, could be the key to achieving Universal Health Coverage (UHC) in Nepal. The social health insurance program in Nepal has advanced significantly, but many ... ...

Abstract	Social health insurance, which offers financial security and risk sharing for health care expenses, could be the key to achieving Universal Health Coverage (UHC) in Nepal. The social health insurance program in Nepal has advanced significantly, but many adjustments in the insurance mechanism are needed to make it truly a key to UHC.
Keywords	Health financing ; Social Health Insurance ; Universal Health Coverage ; Medicine (General) ; R5-920
Language	English
Publishing date	2023-08-01T00:00:00Z
Publisher	Karnali Academy of Health Sciences
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Incidentally discovered intestinal malrotation during evaluation for blunt abdominal trauma: A case report.

Devkota, Shishir / Luitel, Prajjwol / Paudel, Sujan / Neupane, Nischal / Dev, Santosh / Kansakar, Prasan Bir Singh

International journal of surgery case reports

2024 Volume 116, Page(s) 109430

Abstract: Introduction and importance: Intestinal malrotation is a congenital abnormality predominantly diagnosed in children, with only a few cases reported in adults. Patients may be incidentally identified during unrelated surgical procedures or postmortem ... ...

Abstract	Introduction and importance: Intestinal malrotation is a congenital abnormality predominantly diagnosed in children, with only a few cases reported in adults. Patients may be incidentally identified during unrelated surgical procedures or postmortem examinations. It is crucial to promptly recognize this condition to prevent severe complications such as bowel ischemia and potential fatality. Case presentation: A 40-year-old male presented to the Emergency Department after a child jumped on his abdomen with complaints of acute left upper quadrant abdominal pain progressing to be generalized. Examination showed pallor, abdominal tenderness without guarding or rigidity, and intact bowel sounds. Preoperative diagnostic tools revealed intestinal malrotation confirmed during the laparotomy, prompting the performance of Ladd's procedure to address the malrotation. Clinical discussion: Disruption in the normal embryological development of bowel is the cause of intestinal malrotation. The role of additional surgery especially in patients with asymptomatic disease related to malrotation is debated. Conclusion: Intestinal malrotation is rare in adults and often found incidentally during evaluation for unrelated medical conditions. Timely identification and surgical intervention usually result in positive outcomes. Our case underscores the incidental discovery of malrotation during the evaluation of blunt abdominal trauma, treated with Ladd's procedure. This is particularly significant due to geographical constraints associated with the patient's rural origin, as untreated malrotation could lead to complications in future occurrences.
Language	English
Publishing date	2024-02-22
Publishing country	Netherlands
Document type	Case Reports
ISSN	2210-2612
ISSN	2210-2612
DOI	10.1016/j.ijscr.2024.109430
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Internet Addiction and Its Associated Factors among Undergraduate Students in Kathmandu, Nepal.

Acharya, Sonu / Adhikari, Laxmi / Khadka, Santosh / Paudel, Shishir / Kaphle, Maheshor

Journal of addiction

2023 Volume 2023, Page(s) 8782527

Abstract: Background: Internet has penetrated all processes of life and has become an unavoidable part of people's daily life. This widespread use of the Internet has resulted in significant concerns with regard to problematic Internet behaviours and related ... ...

Abstract	Background: Internet has penetrated all processes of life and has become an unavoidable part of people's daily life. This widespread use of the Internet has resulted in significant concerns with regard to problematic Internet behaviours and related conditions. The aim of the study was to find out the prevalence of Internet addiction and its associated factors among undergraduate students in Kathmandu. Materials and methods: We included all together 344 undergraduate students from different colleges affiliated to Pokhara University for this cross-sectional study. We used self-administered questionnaire consisting of the Internet Addiction Test scale to assess the Internet addiction. We coded the data, entered it in Epi-Data 3.1 and transferred to IBM SPSS 25 for analysis. We applied bivariate and multivariate logistic regression analysis to identify factors associated with Internet addiction, and Results: The prevalence of Internet addiction was found to be 29.90% (95% CI: 25.0-34.9). In the chi-squared test relationship with parents, parental control over the Internet use, perceived feeling of loneliness, and time spent on internet per day were found to be statistically associated ( Conclusion: This study revealed nearly one-third of the Internet addiction among undergraduate students. Relationship with parents, parental control over the internet use, perceived loneliness feelings, and time spent on internet per day were significantly associated with Internet addiction along other factors. Therefore, it is important to raise awareness among young generation, parents, and teachers towards risk of Internet addiction.
Language	English
Publishing date	2023-04-08
Publishing country	Egypt
Document type	Journal Article
ZDB-ID	2728124-3
ISSN	2090-7850 ; 2090-7834
ISSN (online)	2090-7850
ISSN	2090-7834
DOI	10.1155/2023/8782527
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Internet Addiction and Its Associated Factors among Undergraduate Students in Kathmandu, Nepal

Sonu Acharya / Laxmi Adhikari / Santosh Khadka / Shishir Paudel / Maheshor Kaphle

Journal of Addiction, Vol

2023 Volume 2023

Abstract: Background. Internet has penetrated all processes of life and has become an unavoidable part of people’s daily life. This widespread use of the Internet has resulted in significant concerns with regard to problematic Internet behaviours and related ... ...

Abstract	Background. Internet has penetrated all processes of life and has become an unavoidable part of people’s daily life. This widespread use of the Internet has resulted in significant concerns with regard to problematic Internet behaviours and related conditions. The aim of the study was to find out the prevalence of Internet addiction and its associated factors among undergraduate students in Kathmandu. Materials and Methods. We included all together 344 undergraduate students from different colleges affiliated to Pokhara University for this cross-sectional study. We used self-administered questionnaire consisting of the Internet Addiction Test scale to assess the Internet addiction. We coded the data, entered it in Epi-Data 3.1 and transferred to IBM SPSS 25 for analysis. We applied bivariate and multivariate logistic regression analysis to identify factors associated with Internet addiction, and p value <0.05 was considered as statistically significantt. Results. The prevalence of Internet addiction was found to be 29.90% (95% CI: 25.0–34.9). In the chi-squared test relationship with parents, parental control over the Internet use, perceived feeling of loneliness, and time spent on internet per day were found to be statistically associated (p<0.05) with Internet addiction. Conclusion. This study revealed nearly one-third of the Internet addiction among undergraduate students. Relationship with parents, parental control over the internet use, perceived loneliness feelings, and time spent on internet per day were significantly associated with Internet addiction along other factors. Therefore, it is important to raise awareness among young generation, parents, and teachers towards risk of Internet addiction.
Keywords	Social sciences (General) ; H1-99
Subject code	303
Language	English
Publishing date	2023-01-01T00:00:00Z
Publisher	Hindawi Limited
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Linking responses of native and invasive plants to hurricane disturbances: implications for coastal plant community structure

Paudel, Shishir / Battaglia, Loretta L

Plant ecology. 2021 Feb., v. 222, no. 2

2021

Abstract: Hurricane disturbances produce significant changes in forest microclimates, creating opportunities for seedling regeneration of native and invasive plant species alike. However, there is limited information on how changes in microclimates and pre- ... ...

Abstract	Hurricane disturbances produce significant changes in forest microclimates, creating opportunities for seedling regeneration of native and invasive plant species alike. However, there is limited information on how changes in microclimates and pre-existing forest conditions affect native and invasive plants responses to hurricane disturbances. In this manipulative study, we examined the responses of three common shrub/small stature tree species, two of which are native to the coastal region of the southeastern USA (Baccharis halimifolia and Morella cerifera) and one that is invasive (Triadica sebifera), to two key components of hurricane disturbance (canopy damage and saline storm surge). In a greenhouse, we grew seedlings of these species under a range of shade levels that mimicked pre-and post-hurricane canopy conditions for wet pine forest and mixed hardwood forest, two forest communities common in coastal areas of the southeastern USA. Seedlings were subjected to saline storm surges equivalent to full strength sea water for 3 days. Seedling responses (mortality and growth) to the treatments were monitored for 16 months. All species benefitted from higher canopy openness. Storm surge effects were short-lived and seedlings readily recovered under high light conditions. The storm surge had stronger negative effects on survival and growth of all species when coupled with high shade, suggesting storm surge has greater negative impacts on seedlings where hurricane winds cause minimal or no canopy damage. The invasive T. sebifera was by far more shade tolerant than the natives. Survival of T. sebifera seedlings under highly shaded conditions may provide it a competitive edge over native species during community reassembly following tropical storms. Differential responses of native and invasive species to hurricane disturbances will have profound consequences on community structure across coastal forest stands, and may be regulated by legacies of prior disturbances, community structure, extent of canopy damage, and species’ tolerance to specific microclimates.
Keywords	Baccharis halimifolia ; Morella cerifera ; Triadica sebifera ; canopy ; coastal plant communities ; coasts ; community structure ; coniferous forests ; greenhouses ; hardwood forests ; hurricanes ; indigenous species ; invasive species ; mortality ; seawater ; seedlings ; shade tolerance ; shrubs ; trees ; Southeastern United States
Language	English
Dates of publication	2021-02
Size	p. 133-148.
Publishing place	Springer Netherlands
Document type	Article
Note	NAL-AP-2-clean
ZDB-ID	1364679-5
ISSN	1573-5052 ; 1385-0237
ISSN (online)	1573-5052
ISSN	1385-0237
DOI	10.1007/s11258-020-01093-2
Database	NAL-Catalogue (AGRICOLA)

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Article: Richter supraumbilical hernia managed with invagination: a case report.

Dev, Santosh / Luitel, Prajjwol / Paudel, Sujan / Devkota, Shishir / Khadka, Laxman / Jha, Sanjeev / Dev, Barsha / Neupane, Nischal / Ghimire, Bikal

Annals of medicine and surgery (2012)

2024 Volume 86, Issue 5, Page(s) 3090–3093

Abstract: Introduction and importance: Richter's hernia is an incarceration of the anti-mesenteric border of a segment of bowel through an abdominal wall defect. It primarily affects elderly individuals but can occur at any age, with a slightly increased ... ...

Abstract	Introduction and importance: Richter's hernia is an incarceration of the anti-mesenteric border of a segment of bowel through an abdominal wall defect. It primarily affects elderly individuals but can occur at any age, with a slightly increased incidence in females. The increase in laparoscopic and robotic-assisted procedures has led to a rise in Richter's hernias. Case presentation: A 40-year-old male with a history of laparoscopic cholecystectomy and kidney transplantation presented with a 4-day history of supraumbilical swelling and abdominal pain. The swelling was irreducible and accompanied by mild tenderness, and local signs of inflammation were exhibited. Intraoperatively, a 1.5 cm hernia defect was found, with the sac containing omentum and a portion of bowel segment for which invagination with serosal closure with the Mayo double-breasting technique was done. Clinical discussion: Richter's hernia presents with abdominal discomfort, bloating, nausea, and vomiting, with a notable feature being the delayed onset of symptoms due to its partial involvement of the bowel wall. Diagnosis can be achieved through a computed tomography (CT) scan or intraoperative exploration. Management of Richter hernia is contingent upon the patient's clinical condition, physical examination, and suspicion of strangulation. Conclusion: Diagnosis of Richter's hernia demands higher suspicion, particularly in patients with predisposing factors like a history of minimally invasive surgery. Prompt surgical intervention is crucial for reducing mortality and enhancing prognosis, with invagination alone being adequate if ischaemia is confined and mesh placement is unnecessary.
Language	English
Publishing date	2024-03-12
Publishing country	England
Document type	Case Reports
ZDB-ID	2745440-X
ISSN	2049-0801
ISSN	2049-0801
DOI	10.1097/MS9.0000000000001943
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Tackling COVID-19 in Nepal

Sujan Babu Marahatta / Shishir Paudel

Journal of Karnali Academy of Health Sciences, Vol

Opportunities and Challenges

2020 Volume 3

Abstract: The COVID-19 pandemic has become a global challenge that has driven nations to take some extreme measures in an attempt to prevent outbreaks and save lives. The scientific communities are trying their best to understand the activities of the SARS CoV-2 ... ...

Abstract	The COVID-19 pandemic has become a global challenge that has driven nations to take some extreme measures in an attempt to prevent outbreaks and save lives. The scientific communities are trying their best to understand the activities of the SARS CoV-2 virus to target effective strategies against it. The whole world is trying its best to contain the infection, Nepal is no exception. Nepal underestimated the likelihood of the COVID 19 outbreak during early January however with the increasing case strong measures have been initiated. Nepal reported 1,042 confirmed cases with 187 recoveries and 5 deaths by May 29, 2020. The focus on Social distancing and since the middle of March countrywide lockdown has been taken as a strategy to control the rate of infection but the challenge lies in its continuation. There is also a challenge in extension of testing and other public health intervention. Different nations are dealing with their COVID-19 infection differently. Timely action, testing, tracing, tracking, treating, and togetherness has been seen as the most effective strategies to date. Due to the increasing cases of infection and death, it has triggered disruption to social and mental wellbeing of the global citizens. The confusion and uncertainty rise fueling misinformation, stigma and discrimination which are negatively impacting the prevention strategies adopted by different nations. There is a need for proper communication strategies and community engagement alongside the togetherness of all concerned entities fighting against this wicked virus globally. In light of this global need, this paper aims to provide some insights into the strategies and challenges revolving around COVID-19 prevention and control
Keywords	COVID-19 ; SARS-CoV-2 ; Novel coronavirus 2019 ; Strategies ; Challenges ; Medicine (General) ; R5-920
Subject code	360
Language	English
Publishing date	2020-06-01T00:00:00Z
Publisher	Karnali Academy of Health Sciences
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Social and mental health impact of COVID-19 pandemic among health professionals of Gandaki Province, Nepal: A mixed method study.

Paudel, Shishir / Poudel, Sujan / Khatri, Dhurba / Chalise, Anisha / Marahatta, Sujan Babu

PloS one

2023 Volume 18, Issue 4, Page(s) e0283948

Abstract: Background: The frontline health workers are the key players in the fight against the COVID-19 pandemic, however, several incidences of attacks, stigmatization, and discrimination towards them have been reported throughout the world during the peak of ... ...

Abstract	Background: The frontline health workers are the key players in the fight against the COVID-19 pandemic, however, several incidences of attacks, stigmatization, and discrimination towards them have been reported throughout the world during the peak of infection. The social impact experienced by health professionals can alter their efficiency and also lead to mental distress. This study aimed to examine the extent of social impact experienced by health professionals currently working in Gandaki Province, Nepal along with the factors associated with their depression status. Methods: This was a mixed-method study where a cross-sectional online survey was executed among 418 health professionals followed by in-depth interviews with 14 health professionals of Gandaki Province. The bivariate analysis and multivariate logistic regression were performed to identify the factors associated with depression at 5% level of significance. The information collected from the in-depth interviews was clustered into themes by the researchers. Results: Out of 418 health professionals, 304 (72.7%) expressed that COVID-19 has impacted their family relationships, whereas 293 (70.1%) expressed that it impacted their relationships with friends and relatives, and 282 (68.1%) expressed it impacted their relationships with community people. The prevalence of depression among health professionals was noted at 39.0%. Being a female (aOR:1.425,95% CI:1.220-2.410), job dissatisfaction (aOR:1.826, 95% CI:1.105-3.016), COVID-19 impact on family relation (aOR:2.080, 95% CI:1.081-4.002), COVID-19 impact on relationship with friends and relatives (aOR:3.765, 95% CI:1.989-7.177), being badly treated (aOR:2.169, 95% CI:1.303-3.610) and experiencing moderate (aOR:1.655, 95% CI:1.036-2.645) and severe fear (aOR:2.395, 95% CI:1.116-5.137) of COVID-19 were found to the independent predictors of depression. It was noted that the pandemic has an effect on the social relations of health professionals in multiple ways. Conclusion: This study noted that there is a significant impact of COVID-19 on health professionals in terms of their social and mental health aspects. The social impact experienced by health professionals is an important predictor of their mental health. The mental health and well-being of these vital workforces can be enhanced by focusing on the social aspect during the pandemic.
MeSH term(s)	Humans ; Female ; COVID-19/epidemiology ; Mental Health ; Pandemics ; Nepal/epidemiology ; Cross-Sectional Studies ; Anxiety/psychology
Language	English
Publishing date	2023-04-06
Publishing country	United States
Document type	Journal Article
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0283948
Database	MEDical Literature Analysis and Retrieval System OnLINE

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