A study to assess the degree of depression among parents of mentally challenged children

Background: Raising a mentally challenged child is a challenging and exhausting task. Families can easily become overwhelmed by the process of finding and funding appropriate services. They are faced with the stress of continually witnessing their loved one's struggles to complete everyday tasks, social interactions and education. They must live with the knowledge that there is no end to these struggles.Methods: The study was descriptive study to assess the degree of depression. 200 parents of mentally challenged children in different special educational institutions of Jammu and Kashmir were chosen by convenient sampling method and data was collected with the help of questionnaire (modified becks depression inventory II).Results: Findings of the study revealed that majority 9 (4.5%) were normal ,63(31.5%) had mild depression, 92 (46%) parents had moderate depression and 36 (18%) of parents had severe depression. Significant association was found between relationship with child (p<0.005), religion (p<0.001), education (p<0.001), occupation (p<0.00), monthly family income (p<0.000) and the degree of depression among parents of mentally challenged children.Conclusions: This study revealed that majority of the parents of mentally challenged children were having moderate depression

Courses beyond borders: A case study of MOOC platform Coursera

Purpose: The study assesses the participation of different institutions in online learning environment of Coursera. Collaborative efforts, involvement of instructors and the mode of course instruction were also looked at. Design/Methodology: Data were harvested from the official website of Coursera. Through its various features, information pertaining to courses being offered, subject categorization, institutions and instructors involved was collected, tabulated and analyzed. Findings: As of February 2016, 138 institutions from 28 countries offered 1765 coursers through Coursera with the aid of 1903 instructors. Institutions were mainly from high economic zone countries. Nearly 59 percent courses were from USA based institutions and at institutional level University of Pennsylvania (USA) offered a maximum of 84 courses. Collaboration at institutional level was observed in 32 courses with instructors from different institutions, within & outside the same country. 25 percent courses were related to Business and 33 percent courses provided flexibility (on-demand) to people to learn and enrich their skills at their own pace. Implications: Further research needs to be done to evaluate the efficacy of such platforms and explore best practices to reframe the position of traditional universities. Originality/Value: The study is first of its kind to assess online learning environment with respect to participation of institutions to offer various courses and involvement of instructors from all over the globe to make such a courseware a success

Ecological niche model comparison under different climate scenarios: a case study of Olea spp. in Asia

Ecological niche modeling (and the related species distribution modeling) has been used as a tool with which to assess potential impacts of climate change processes on geographic distributions of species. However, the factors introducing variation into niche modeling outcomes are not well understood: To this end, we used seven algorithms to develop models (Maxent, GARP, BIOCLIM, artificial neural networks, support‐vector machines, climate envelope, and environmental distance) to estimate the potential geographic distribution of olives (Olea europaea sensu lato, including Olea ferruginea) under two climatic data sets (current 2000 and future 2050). Five general circulation models and two representative concentration pathway scenarios were used as predictor variables in future projections of the geographic potential of this species; models were fit at global extents (10′ spatial resolution) but transferred and interpreted for a region of particular interest in Central Asia, which largely avoids problems with truncation of niche estimates. We found marked differences among approaches in predicted distributions and model performance, as well as in the future distributional pattern reconstructed, from one algorithm to another. These general approaches, when model‐to‐model variation is managed appropriately, appear promising in predicting the potential geographic distribution of O. europaea sensu lato and thus can be an effective tool in restoration and conservation planning for wild populations, as well as possible commercial plantations of this species

Impacts of climate change on Capparis spinosa L. based on ecological niche modeling

Recent changes in climate are transforming the situation of life on Earth, including impacting the conservation status of many plant and animal species. This study aims to evaluate potential impacts of climate change on a medicinal plant that is known to be heat-tolerant, Capparis spinosa L. We used ecological niche modeling to estimate current and future potential distributions for the species, considering two emissions scenarios and five climate models for two time periods (2050 and 2070). The results in terms of areal coverage at different suitability levels in the future were closely similar to its present-day distribution; indeed, only minor differences existed in highly suitable area, with increases of only 0.2–0.3% in suitable area for 2050 and 2070 under representative concentration pathway 4.5. Given that climate-mediated range shifts in the species are expected to be minor, conservation attention to this species can focus on minimizing local effects of anthropogenic activity

Cushing syndrome in children: Pathophysiology, clinical features, diagnostic and therapeutic strategies

A rare condition called Cushing disease causes increased morbidity or mortality. Therapeutic methods such as anti-cortisol medications, bilateral adrenalectomy, or radiation procedures may therefore be required to prevent long-term dangers of hypercortisolism, such as hirsutism, moon face, facial plethora, and obesity. Endogenous hypercortisolism increases the risk of cardiovascular metabolic symptoms, osteoporosis, respiratory diseases, psychological difficulties, and infections while also having a high rate of morbidity or mortality. Significant fetal and mental complications during pregnancy are linked to Cushing syndrome. Early detection and treatment are essential. Except in the late trimester, surgery is the preferred method of treatment for Cushing syndrome during pregnancy, with medication therapy as a backup. Cushing syndrome is an endocrine illness that presents differently from other endocrine disorders, making it difficult for doctors to control

Effects of occurrence data density on conservation prioritization strategies

Place-prioritization analyses are a means by which researchers can translate information on the geographic distributions of species into quantitative prioritizations of areas for biodiversity conservation action. Although several robust algorithms are now available to support this sort of analysis, their vulnerability to biases deriving from incomplete and imbalanced distributional information is not well understood. In this contribution, we took a well-sampled group (i.e., Icteridae or New World blackbirds) in an intensively sampled region (the contiguous continental United States), and developed a set of pseudo-experimental manipulations of occurrence data density—in effect, we created situations in which data density was reduced 10- or 100-fold, and situations in which data density varied 100-fold from region to region. The effects were marked: priority areas for conservation shifted, appeared, and disappeared as a function of our manipulations. That is, differences in density of data can affect the position and complexity of areas of high conservation priority that are identified using distributional areas of species derived from ecological niche modeling. The effects of data density on prioritizations become more diffuse when considerations of existing protected areas and costs related to human intervention are taken into account, but changes are still manifested. Appropriate considerations of sampling density when constructing ecological niche models to identify distributional areas of species are key to preventing artifactual biases from entering into and affecting results of analyses of conservation priority

Geographic potential of the world’s largest hornet, Vespa mandarinia Smith (Hymenoptera: Vespidae), worldwide and particularly in North America

The Asian giant hornet (AGH, Vespa mandarinia) is the world’s largest hornet, occurring naturally in the Indomalayan region, where it is a voracious predator of pollinating insects including honey bees. In September 2019, a nest of Asian giant hornets was detected outside of Vancouver, British Columbia; multiple individuals were detected in British Columbia and Washington state in 2020; and another nest was found and eradicated in Washington state in November 2020, indicating that the AGH may have successfully wintered in North America. Because hornets tend to spread rapidly and become pests, reliable estimates of the potential invasive range of V. mandarinia in North America are needed to assess likely human and economic impacts, and to guide future eradication attempts. Here, we assess climatic suitability for AGH in North America, and suggest that, without control, this species could establish populations across the Pacific Northwest and much of eastern North America. Predicted suitable areas for AGH in North America overlap broadly with areas where honey production is highest, as well as with species-rich areas for native bumble bees and stingless bees of the genus Melipona in Mexico, highlighting the economic and environmental necessity of controlling this nascent invasion

Effects of antiplatelet therapy on stroke risk by brain imaging features of intracerebral haemorrhage and cerebral small vessel diseases: subgroup analyses of the RESTART randomised, open-label trial

Background Findings from the RESTART trial suggest that starting antiplatelet therapy might reduce the risk of recurrent symptomatic intracerebral haemorrhage compared with avoiding antiplatelet therapy. Brain imaging features of intracerebral haemorrhage and cerebral small vessel diseases (such as cerebral microbleeds) are associated with greater risks of recurrent intracerebral haemorrhage. We did subgroup analyses of the RESTART trial to explore whether these brain imaging features modify the effects of antiplatelet therapy

Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage (WOMAN): an international, randomised, double-blind, placebo-controlled trial

Background Post-partum haemorrhage is the leading cause of maternal death worldwide. Early administration of tranexamic acid reduces deaths due to bleeding in trauma patients. We aimed to assess the effects of early administration of tranexamic acid on death, hysterectomy, and other relevant outcomes in women with post-partum haemorrhage. Methods In this randomised, double-blind, placebo-controlled trial, we recruited women aged 16 years and older with a clinical diagnosis of post-partum haemorrhage after a vaginal birth or caesarean section from 193 hospitals in 21 countries. We randomly assigned women to receive either 1 g intravenous tranexamic acid or matching placebo in addition to usual care. If bleeding continued after 30 min, or stopped and restarted within 24 h of the first dose, a second dose of 1 g of tranexamic acid or placebo could be given. Patients were assigned by selection of a numbered treatment pack from a box containing eight numbered packs that were identical apart from the pack number. Participants, care givers, and those assessing outcomes were masked to allocation. We originally planned to enrol 15 000 women with a composite primary endpoint of death from all-causes or hysterectomy within 42 days of giving birth. However, during the trial it became apparent that the decision to conduct a hysterectomy was often made at the same time as randomisation. Although tranexamic acid could influence the risk of death in these cases, it could not affect the risk of hysterectomy. We therefore increased the sample size from 15 000 to 20 000 women in order to estimate the effect of tranexamic acid on the risk of death from post-partum haemorrhage. All analyses were done on an intention-to-treat basis. This trial is registered with ISRCTN76912190 (Dec 8, 2008); ClinicalTrials.gov, number NCT00872469; and PACTR201007000192283. Findings Between March, 2010, and April, 2016, 20 060 women were enrolled and randomly assigned to receive tranexamic acid (n=10 051) or placebo (n=10 009), of whom 10 036 and 9985, respectively, were included in the analysis. Death due to bleeding was significantly reduced in women given tranexamic acid (155 [1·5%] of 10 036 patients vs 191 [1·9%] of 9985 in the placebo group, risk ratio [RR] 0·81, 95% CI 0·65–1·00; p=0·045), especially in women given treatment within 3 h of giving birth (89 [1·2%] in the tranexamic acid group vs 127 [1·7%] in the placebo group, RR 0·69, 95% CI 0·52–0·91; p=0·008). All other causes of death did not differ significantly by group. Hysterectomy was not reduced with tranexamic acid (358 [3·6%] patients in the tranexamic acid group vs 351 [3·5%] in the placebo group, RR 1·02, 95% CI 0·88–1·07; p=0·84). The composite primary endpoint of death from all causes or hysterectomy was not reduced with tranexamic acid (534 [5·3%] deaths or hysterectomies in the tranexamic acid group vs 546 [5·5%] in the placebo group, RR 0·97, 95% CI 0·87-1·09; p=0·65). Adverse events (including thromboembolic events) did not differ significantly in the tranexamic acid versus placebo group. Interpretation Tranexamic acid reduces death due to bleeding in women with post-partum haemorrhage with no adverse effects. When used as a treatment for postpartum haemorrhage, tranexamic acid should be given as soon as possible after bleeding onset. Funding London School of Hygiene & Tropical Medicine, Pfizer, UK Department of Health, Wellcome Trust, and Bill & Melinda Gates Foundation