Electroconvulsive therapy in a 12-year-old boy with a severe depression

Electroconvulsive therapy (ect) is an uncommon treatment in children and adolescents. This could partially be explained by the fact that a large proportion of the (child and adolescent) psychiatrists have little knowledge on ect in youths. We describe a case of a 12-year-old boy with a severe depression refractory to pharmacotherapy and psychotherapy, in which ect treatment was successful, including six years follow-up. Additionally, this report represents the state of the art concerning the efficacy and safety of ect in youths.</p

Was ist Geschlechtergerechtigkeit?

In Decolonizing Universalism: A Transnational Feminist Ethic zielt Serene Khader auf eine Neuausrichtung der feministischen Perspektive, welche es schafft, dekolonial und anti-imperialistisch zu sein, ohne gleichzeitig dem Universalismus komplett abzuschwören. Die Motivation hinter dieser Neuorientierung ist die Einsicht, dass der liberale moralische Universalismus oftmals kulturelle Vorherrschaft und Imperialismus verstärkt. In diesem Kommentar wollen wir (a) uns mit der Frage beschäftigen, was genau unter Geschlechtergerechtigkeit verstanden werden soll und welcher Maßstab zur Beantwortung der Frage nach Gerechtigkeit angebracht ist und (b) einige Ideen zum Unterschied zwischen idealer und nicht-idealer Theorie liefern

Einleitung zu Serene Khaders Decolonizing Universalism: A Transnational Feminist Ethic

Serene Khader ist eine der wenigen feministischen Philosoph:innen in der anglosächsischen Philosophie, die sich gezielt mit globaler Ungerechtigkeit und Imperialismus aus Sicht jener Frauen beschäftigen, die von kolonialer und kultureller Herrschaft betroffen sind. Hierbei entlarvt sie eindrucksvoll die oftmals westliche Prägung von Feminismus, Gleichstellungspolitik und Philosophie und verfolgt so das Ziel, die Autonomie und Entscheidungskraft aller Frauen anzuerkennen. So zielt Khader in Decolonizing Universalism: A Transnational Feminist Ethic auf eine Neuausrichtung der feministischen Perspektive, welche es schafft, dekolonial und anti-imperialistisch zu sein, ohne gleichzeitig dem Universalismus komplett abzuschwören. Die folgende Buchdiskussion begibt sich in eine kritische Auseinandersetzung mit Khaders interessanter wie wichtiger Theorie. Einleitend werden wir einen Überblick über Khaders Grundgedanken geben. Es schließen sich kritische Kommentare von Tamara Jugov, Mirjam Müller, Kerstin Reibold sowie Hilkje C. Hänel und Fabian Schuppert an, auf die Serene Khader abschließend antwortet

If you care about social equality, you want a big state: Home, work, care and social egalitarianism

Justified scepticism about distant bureaucracies and transactional politics mutated into a wholesale retreat from the state on the left – but to create a just and egalitarian society, say Emily McTernan, Martin O'Neill, Christian Schemmel and Fabian Schuppert, we need a powerful, democratic ‘big state’

Development and validation of a reinforcement learning algorithm to dynamically optimize mechanical ventilation in critical care.

The aim of this work was to develop and evaluate the reinforcement learning algorithm VentAI, which is able to suggest a dynamically optimized mechanical ventilation regime for critically-ill patients. We built, validated and tested its performance on 11,943 events of volume-controlled mechanical ventilation derived from 61,532 distinct ICU admissions and tested it on an independent, secondary dataset (200,859 ICU stays; 25,086 mechanical ventilation events). A patient "data fingerprint" of 44 features was extracted as multidimensional time series in 4-hour time steps. We used a Markov decision process, including a reward system and a Q-learning approach, to find the optimized settings for positive end-expiratory pressure (PEEP), fraction of inspired oxygen (FiO2) and ideal body weight-adjusted tidal volume (Vt). The observed outcome was in-hospital or 90-day mortality. VentAI reached a significantly increased estimated performance return of 83.3 (primary dataset) and 84.1 (secondary dataset) compared to physicians' standard clinical care (51.1). The number of recommended action changes per mechanically ventilated patient constantly exceeded those of the clinicians. VentAI chose 202.9% more frequently ventilation regimes with lower Vt (5-7.5 mL/kg), but 50.8% less for regimes with higher Vt (7.5-10 mL/kg). VentAI recommended 29.3% more frequently PEEP levels of 5-7 cm H2O and 53.6% more frequently PEEP levels of 7-9 cmH2O. VentAI avoided high (>55%) FiO2 values (59.8% decrease), while preferring the range of 50-55% (140.3% increase). In conclusion, VentAI provides reproducible high performance by dynamically choosing an optimized, individualized ventilation strategy and thus might be of benefit for critically ill patients

Overlooked post-translational modifications of proteins in Plasmodium falciparum: N- and O-glycosylation - A Review

Human malignant malaria is caused by Plasmodium falciparum and accounts for almost 900,000 deaths per year, the majority of which are children and pregnant women in developing countries. There has been significant effort to understand the biology of P. falciparum and its interactions with the host. However, these studies are hindered because several aspects of parasite biology remain controversial, such as N- and O-glycosylation. This review describes work that has been done to elucidate protein glycosylation in P. falciparum and it focuses on describing biochemical evidence for N- and O-glycosylation. Although there has been significant work in this field, these aspects of parasite biochemistry need to be explored further