Background COVID-19 pandemic has provoked a wide variety of psychological problems such as anxiety, depression, and panic disorders, especially among health service providers. Due to a greater risk of exposure to the virus, increased working hours, and fear of infecting their families, health service providers are more vulnerable to emotional distress than the general population during this pandemic. This online survey attempts to assess the psychological impact of COVID-19 and its associated variables among healthcare workers in Nepal. Materials and methods For data collection purposes, Covid-19 Peritraumatic Distress Index (CPDI) Questionnaire, was used whose content validity was verified by Shanghai mental health center. Data for the survey were collected from 11 to 24 October 2020 which was extracted to Microsoft Excel-13 and analyzed. Results A total of 254 health care workers from different provinces of the country participated in this study with a mean age of 26.01(± 4.46) years. A majority 46.9% (n = 119) of the participants were not distressed (score ≤28) while 46.5% (n = 118) were mild to moderately distressed (score >28 to ≤51) and 6.7% (n = 17) were severely distressed (score ≥52) due to the current COVID-19 pandemic. Female participants (p = 0.004) and participants who were doctors by profession (p = 0.001) experienced significantly more distress. Conclusions COVID-19 pandemic has heightened the psychological distress amongst health care service providers. The findings from the present study may highlight the need for constructing and implementing appropriate plans and policies by relevant stakeholders that will help to mitigate the distress among health service providers in the current pandemic so that we can have an efficient frontline health workforce to tackle this worse situation.

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Background: Menstrual hygiene is very important aspect for adolescent girls and proper menstrual hygiene has not been sufficiently addressed in developing countries including Nepal. This study aimed to assess the knowledge on menstruation and menstrual hygiene practices among adolescent girls. Methods:Descriptive cross-sectional study was conducted among adolescent girls studying in selected schools of Chitwan district. A total 193 girls who had menstrual flow experience for at least three consecutive menstrual cycles were selected as sample using the consecutive sampling technique. Data were analyzed in Statistical Package for Social Sciences (SPSS) version 16.0 using descriptive and inferential statistics.Results: Most of the girls knew about menstruation as physiological process, normal age of menstruation, and causes of menstruation as hormonal change. Overall, 66.8% of girls had adequate level of knowledge on menstruation. Regarding practice, 94.8% cleaned their genitalia properly, 93.8% used the sanitary pads, and 97.4% wrapped and disposed the pads in dustbin after use. Overall, 72.5% of girls had good level of menstrual hygiene practices. Adolescent girl's age and grade, and occupation status of their father were significantly associated (p < 0.05) with menstrual hygiene practice. Further, significant positive relationship found between knowledge on menstruation and menstrual hygiene practice. Conclusions:One third of adolescent girls have inadequate knowledge on menstruation and one fourth have poor menstrual hygiene practice. Therefore, an awareness and advocacy programs on menstruation and menstrual hygiene practices are needed for the adolescent girls to safeguard themselves against reproductive tract infections.

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Background Family caregivers of psychiatric disorders likely to face burden. There is a paucity of data regarding the caregiver burden in psychiatric disorders in context of Nepal. Objective To study the caregiver burden in families with psychiatric illness and to find association between socio-demographic variables and caregiver burden in families with psychiatric illness. Method This is an analytical cross-sectional study. The participants (n=96) were caregiver of patients visiting outpatient department of two government of Nepal primary health care centers namely, Panchkhal Primary Health Care Center (PHC) Kavre District and Barhabise Health Care Center Sindhupalchowk district. The sample size has been determined by using statistical formula. Family burden assessment schedule (FBIS) was used for the study. Result The majority of the caregivers were females 56.3%. Most of the caregivers were aged below 45 years 54.2%. The large number of participants were single or separated 74%. The mean score of family burden assessment schedule was 27 ± 9.8 (range 0 to 48) with positive rate of 59.4%.Among the objective burden domains disruption of family leisure 61.5% was the most frequently reported burden. The subjective burden was reported in 95%. There were significant differential demographic associations with different domains of caregivers’ burden. Conclusion Caregivers of Psychiatric patients experience different kind of burden of care. Our findings highlight the support to the family members to reduce their burden.

Wildlife assessments can provide crucial information regarding species richness, relative abundance and spatial, temporal, and ecological information on wildlife habitat associations. The assessment’s information can in turn be used for developing management policies including for establishing touristic zones. We investigated wildlife occurrences in the Chandragiri Hills, Kathmandu Nepal from 2015-2019 to provide baseline data to inform the potential sites for ecotourism. During the study period, we recorded 30 mammal species, 199 bird species, 34 herpetofauna species and 77 butterfly species. The area harbors three globally and six nationally threatened mammal species, two globally and seven nationally threatened with one endemic bird species, one globally and nationally threatened herpetofauna, and one nationally threatened butterfly species. We also explored four potential hiking routes for observing wildlife and providing scenic views of the Himalayan range and Kathmandu city. Therefore, we expect Chandragiri Hills can become one of the hot spot for tourists to observe both common and threatened wildlife species in Nepal.

Background: Attention deficit hyperactivity disorder (ADHD) is one of the most common psychiatric disorders in children and adolescents. Children with ADHD are at risk for psychological, social and academic problems so that teacher’s knowledge on ADHD affects the child’s academic and psychological difficulties. Objective of this study was to identify the knowledge about ADHD in children among school teachers and identify association between knowledge and selected variables. Methods: We used descriptive and cross sectional research design. Structured self administered questionnaire was used to collect data. Total 9public and private schools wererandomly selected for study. Calculated sample size was 380. However, 328 teachers returned the questionnaire (response rate was 86%). Collected data were entered in SPSS for analysis. Descriptive and inferential statistics were used for analysis of data. Results: Among 328 teachers, 68.3% had inadequate knowledge while 31.7% had adequate knowledge on ADHD.  Age and years of teaching were significantly associated with knowledge of ADHD, however, sex of the teachers and type of school were not associated with knowledge of ADHD. Conclusion: Knowledge of ADHD among school teachers is still inadequate which suggests the need for effective health education programme on ADHD for understanding and managing the behavioural and psychological problems caused by ADHD among school children.

Climate change could amplify the extinction risk of endemic species, and the risk is even greater for species occupying high elevations and mountain ranges.In this study, we assessed the climatically suitable habitat of the only endemic Nepalese bird species, the spiny babbler (Turdoides nipalensis), and predicted the extent of the future (2050 and 2070) habitat of this species under two climate change scenarios (SSP2-4.5 and SSP5-8.5). We used georeferenced occurrence points alongside ecologically meaningful climatic and topographic variables to develop an ensemble suitable habitat model using different species distribution modeling algorithms in BIOMOD2. We identified 22,488.83 km 2 (15%) of Nepal's total land area as suitable habitat for this endemic species, where the nonprotected regions incorporated the largest extent of suitable habitat (88%), with a majority of this suitable area within the central Mid-Hill region. Under the SSP2-4.5 scenario, 21.58% and 34.08% of the current suitable habitat range are projected to be lost by 2050 and 2070, respectively. Whereas under the SSP5-8.5 scenario, our projections suggest that 40.45% and 52.18% of habitat will be lost by 2050 and 2070, respectively. Habitat suitability increased with a rise in warmest quarter precipitation (above 1000 mm), coldest quarter precipitation between 50 and 100 mm, and warmest quarter temperature between 20 and 30 C. Given our results, it is crucial to review the conservation policy of nonprotected areas and formulate a spiny babbler-specific conservation action plan with a special focus on protecting their primary habitat in human-dominated landscapes and nonprotected areas.