Psychiatric morbidity such as anxiety and depression is common among patients with coronary artery disease (CAD). The coexistence of psychiatric morbidity negatively affects the outcome of treatment and increases the overall burden of disease in CAD patients. The objective of the study was to identify the level of anxiety and depression among patients with CAD. Descriptive, cross-sectional research design and purposive sampling were used and a total of 168 patients having coronary artery disease were selected purposively for the study from the patients attending cardiac outpatient department of Sahid Gangalaal National Heart Center, Kathmandu, Nepal. Data was collected on 2017 by using pretested semistructured interview schedule, Hospital Anxiety and Depression Scale. The findings showed that 27.4% of the respondents had anxiety caseness and 23.8% of the respondents had depression caseness. Bivariate analysis showed that patient's level of anxiety was significantly associated with sex, family income, occupation status, and self-esteem. Higher level of anxiety (42.4%) was found in female than male patients. Likewise, level of depression was significantly associated with education status, occupation status, presence of comorbidities, physical exercise, and self-esteem of the patients. There was significant positive relationship between anxiety and depression score. Thus anxiety and depression were common among patients with CAD. Hence, anxiety and depression in CAD patients need be monitored regularly, provide regular counseling services, and refer the patients for the treatment when needed.
The yield and quality of an annual crop are highly dependent on uniform and rapid germination of the seeds. In case of bitter gourd (Momordica charantia), the germination and field emergence is always a problem as seeds have thick and hard seed coat. Pre-sowing hydro-priming is one of the most suitable, affordable, easily available, and cost-effective techniques in breaking down seed dormancy to enhance germination. Hence, a field experiment was conducted in Surkhet district of Nepal 2020 to assess the effect of different hydro-priming duration on germination and seedling growth of bitter gourd. The experiment was laid out in single factor Randomized Complete Block Design (RCBD) with four replications and seven treatments including different hydro-priming durations (T0: control, T1: 6 hours, T2: 12 hours, T3: 18 hours, T4: 24 hours, T5: 36 hours and T6: 48 hours) of bitter gourd seeds of Palee variety, the most popular variety among the farmers. The highest water uptake and germination were found in 48 hours of seed hydro-primed seeds whereas the lowest water uptake and germination were observed on non-primed seeds. Similarly, the tallest seedling, most vigorous seedling in terms of seedling vigour index I and II was observed in 48 hours hydro-primed seeds followed by 36 hours of seed hydro-priming and shortest seedling and the least vigorous seedling in control. Thus 48 hours of seed hydro-priming was found to be effective for increasing germination and seedling growth in bitter gourd, which needs to be further investigated under large, open-field conditions with different varieties.
Fifty nurses working in BP Koirala Memorial Cancer Hospital, Bharatpur, were selected by probability simple random sampling technique for determining the knowledge level about postexposure prophylaxis (PEP) of HIV among nurses during 2014. A descriptive design, semistructured self-administered questionnaire was used for the study. The study showed that 48% of respondents had knowledge on the meaning of PEP, only 39.39% respondents were aware of the first aid management getting needle prick injury, 60% were aware of the best time to start PEP of HIV and 56% respondents had knowledge about the time schedule of HIV test after exposure. Although the respondents answered most of the questions correctly, they had knowledge deficit in certain areas. The respondents' knowledge in this regard needs to be improved with time-to-time awareness program and periodic training, which ultimately helps to decrease the transmission of disease and reduces mortality and morbidity.
Binary logit regression model of econometrics was used to identify the factors affecting adoption of recommended agricultural technology by the commercial farmers of Nepal. A survey was carried out in 2012 in 120 households from Kavre district, Nepal. The objective was to appraise factors affecting adoption of recommended technology of cauliflower, finding out the level of adoption, identifying the constraints of cauliflower cultivation, assessing the perceived level of satisfaction and studying the relationship of certain selected variables on the adoption. Education, Occupation, contact with Personal Localite sources of information, Group membership and Experience were the most influencing factors for adoption of recommended technology. Though, other factors were not strong enough to contribute significantly but indirectly influence the adoption decision of farmers as combined effects. Occupation was found as negatively associated. Landholding size was strongly and positively influencing among the non significant factors. The level of satisfaction and the constraints of cauliflower production were also identified. Transfer of technology will be effective if and only if the client adopts the technology. For an effective transfer of technology, it is better to go for activities for the welfare of the socioeconomic factors of the farmers.
A detail study on the experience of agricultural extension in Nepal was done by discussion with experts, academicians and involved agricultural officers of Nepal along with review of different documents, books and articles on the subject matter. Since from the first effort of extension service, Training and visit, Integrated Rural Development Approach, Tuki Approach, Farming System Research and Extension Approach, Block Production Program were the approaches used in the past. Conventional Educational Approach, Pocket Package Approach, Projectization Approach, Farmers Group Approach, Farmers Field School Approach, Partnership Approach are the approaches being followed presently in agricultural extension in Nepal. The extension efforts in the country are guided by the National Agricultural Extension Strategy. Department of agriculture under ministry of agricultural development is responsible for providing public extension service via District Agriculture Development Office (DADO), Agriculture Service Centre, Contact Centre, Model Agriculture Service Centre and Community Agriculture Service Centre at the farmers level. Farmers Group and cooperatives, International and National Nongovernmental organizations, Community Based Organizations and few private entities are providing the private extension services. major issues found in public extension systems are lack of motivation among the rural youths, farmers; natural resource degradation and climate change and sustainability issues; inadequate number of the extension workers and their qualification and skills; inadequate infrastructure and capacity for use of ICTs among the ground level extension workers; lack of monitoring and assessment of impact of extension activities in rural farmers; low level of need based extension coverage particularly for small farmers; ineffective and weak linkages between stakeholders at different levels; low level of education of farmers; insufficient budget and investment for extension activities; domination of supply driven approaches rather than demand driven; inadequate extension services in parts of value addition and market exposure.
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