Investigation into the multiple recent sinkholes in Pokhara, Nepal

Since November 2013, numerous sinkholes have been forming in the Armala area of Pokhara Valley, Central Nepal, posing serious threat to local residents. In order to provide countermeasures for reducing sinkhole risk, detailed investigations into the cause and the formation mechanism of the sinkholes are crucial. Preliminary surveys were conducted in June 2014 and November 2014. Comparison of photos, taken in the two surveys, clearly indicates not only the formation of new sinkholes, but also the re-activation of filled sinkholes. By means of dynamic cone penetration tests and surface wave investigations, qualitative characterization of the soil profile was attained, and shallow weak soil layers which are believed to be the location for future sinkholes could be identified. On the basis of the preliminary field investigation, possible sinkhole formation mechanisms are considered. A risk of sinkhole does not seem to disappear as white turbid water continuously springs. It indicates that the internal erosion of white clayey silt layer is still in progress. In August 2015, a boring was carried out beside one of the largest sinkholes. The overall structure of ground layers was first revealed and a 2.5m high cavity at 7.5-10m deep from the ground surface was found within a thick white clayey silt layer. Further ground investigations including surface wave exploration were conducted in December 2015 and the results are reported

Validation of the Japanese version of the Dementia Screening Questionnaire for Individuals with Intellectual Disabilities

Background, Dementia in people with intellectual disabilities (IDs) is difficult to detect because of preexisting cognitive deficits. An effective screening method is required. The Dementia Screening Questionnaire for Individuals with Intellectual Disabilities (DSQIID) was developed as an observer rating tool to screen dementia in people with ID. The aim of this study was to verify the screening accuracy of the DSQIID for Japanese people with ID. Methods Four‐hundred ninety‐three subjects with ID participated in this study. Caregivers who had observed the participants for more than 2 years scored the Japanese version of the DSQIID (DSQIID‐J) of the participants. Three doctors examined participants directly and diagnosed dementia using the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition criteria. To identify the key screening items that predict dementia, the specificities of a single and pairs of items with 100% sensitivity were evaluated relative to the dementia diagnosis. Results Of 493 participants, 34 were people with Down syndrome (DS), and 459 were people without DS. Seventeen participants were diagnosed with dementia. The suitable cut‐off score of the DSQIID‐J was 10/11 (sensitivity 100% and specificity 96.8%) for screening dementia. The inter‐rater reliability, test–retest reliability and internal consistency of the DSQIID‐J were excellent. Regarding key items, there was no single item with 100% sensitivity, and the best two‐item combination was the pair of ‘Cannot dress without help’ and ‘Walks slower’ (sensitivity 100% and specificity 93.5%). Conclusions We identified several important question items of the DSQIID‐J related to the diagnosis of dementia in people with ID. The DSQIID‐J is a useful screening tool for dementia in adults with ID