The objective of our research is to find out if gamification increases motivation for self-directed learning (SDL) of human anatomy among year 1 medical students, and more importantly, their academic grades (n = 120). At the NUS Yong Loo Lin School of Medicine, anatomy teaching has traditionally been delivered via didactic means. To encourage more active learning, suitable games (non-digital) and the script concordance test were utilized to enhance the process. The flipped classroom approach was also introduced to further trigger active learning. In addition, the use of mobile apps (digital) was also initiated as supplements for SDL. Feedback was collected based on the previously validated PRO-SDL scale. Results from the research yielded inconclusive evidence to support enhanced motivation among our students due to gamification (P > 0.05). However, it did help to encourage active participation for a "fun learning" experience supported by numerous positive comments. More importantly, the participant's continuous assessment (CA1, CA2, and CA3) and objective specific practical exam results were better than the cohort's average (P < 0.05), suggesting that enhanced meta-cognition, and factual recall had taken place. While it is positive, there are some caveats to note with gamification, first and foremost, that it is tutor dependent. Taken together, gamification could represent a new paradigm for anatomy education, and also an opportune time to change the prevailing culture in the healthcare and education industry. Clin. Anat. 31:997-1005, 2018. © 2018 Wiley Periodicals, Inc.

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To address the lack of adequate measures for flood risk reduction in Nepal, where recurrent flood-related hazards have had grave consequences for many people over the past decades, we develop a flood risk assessment model for a study area in the Sindhupalchok District. The model considers direct and indirect damages that are assigned to four asset categories (hydropower plants, roads, houses, and farmlands) and two scenarios (low-exposure-low-flood and high-exposure-high-flood scenarios). Model results indicate the following: (a) the planned expansion of hydropower plants reflected in the high exposure scenario is responsible for a substantial increase of economic damage compared with the low scenario and (b) for both scenarios, flood damage is largely related to road closures, which result in the loss of income for villagers and the loss of customs revenues. As this study aims both to provide methods for the assessment of flood risk and to demonstrate them in a case study, we discuss future work related to model-based flood risk assessments that are needed towards flood risk reduction in Nepal. K E Y W O R D S flood damages, modeling, risk assessment 1 | INTRODUCTION Flood risk in Nepal, a country known for recurrent and devastating floods, landslides, and earthquakes, has recently increased because of changes of the spatial/temporal distribution of cumulative precipitation, economic/ demographic growth, and a lack of adequate measures for flood risk reduction (

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