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Since inception of soil health card scheme during 2015-16 in order to increase agricultural production and sustain soil health, a large number of soil health card have been distributed to the farmers. In order to assess the perception and adoption of soil health card, the present study was conducted. The present work has been comprise of 60 respondents from ten blocks of Saharsa district. The data collected through interview schedule prepared for the purpose. The result showed that majority of the farmers had medium level of perception (85%) and adoption (63.33%). The correlation coefficient between independent variables and dependent variables is perception and adoption showed non-significant relationship. In order to improve the adoption of soil health card recommendation, practical demonstration to be organized on large scale, awareness meeting on interpretation soil health card.

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Introduction Prolonged hyperbilirubinemia is defined as high bilirubin levels (>10 mg/dL) persisting beyond day 14 of life in term neonates and beyond day 21 in preterm neonates. Methods and Material A prospective cross-sectional study was conducted at a rural tertiary care hospital after obtaining an ethical approval and an informed consent. All infants under 6 months of age with hyperbilirubinemia after 21 days in preterm and 14 days in term were included. This study was designed to determine the proportion of prolonged hyperbilirubinemia and its causes and investigative profile in rural tertiary care. Results Out of total infants showing hyperbilirubinemia, 30.51% of patients had conjugated hyperbilirubinemia with female predominance, whereas 69.49% had unconjugated hyperbilirubinemia with male predominance. In our study, 38.14% were diagnosed with breast milk jaundice, followed by 33.90% caused by septicemia and 10.17% cases of cephalhematoma. In addition, hypothyroidism and TORCH infections were observed in 4.24% of cases, whereas a single case of cystic hygroma, subdural emphysema, pyloric stenosis, and G6PD deficiency was seen. In comparison, late-onset hemorrhagic disease of newborns was observed in 3.39% of cases. Conclusion Breast milk jaundice was the most frequently encountered etiologies of prolonged hyperbilirubinemia and hence, unnecessary investigation for unconjugated hyperbilirubinemia should be avoided.