[Psychosis in a patient with Prader-Willi syndrome]. / Psychose bij een patiënt met het syndroom van Prader-Willi.

Prader-Willi syndrome (pws) is a genetic disorder characterised by specific physical and behavioural abnormalities. Recent studies indicate that patients suffering from this syndrome have an increased risk of psychiatric disorders, including psychosis. We describe the development and the psychiatric condition of a 31-year-old patient with pws who had a first psychotic episode at age 14 and subsequently experienced a highly variable course of recovery and relapse.

[Risk factors and development course of conduct disorder in girls; a review]. / Gedragsstoornissen bij meisjes: een overzicht van risicofactoren en ontwikkelingsverloop.

BACKGROUND: So far there have been relatively few studies of conduct disorder in girls. It is very important that professionals engaged in preventing and treating this disorder have a sound knowledge of the risk factors involved and of the developmental course of the disorder. AIM: To provide an overview of what is known about the risk factors and about the way in which conduct disorder develops in girls. METHOD: We searched the Eric, PubMed and Medline databases for articles on conduct disorder in girls. We reviewed 41 studies and we summarised the results. RESULTS: Several risk factors contribute to the development of conduct disorder in girls. Just like boys, girls too can display the life-course-persistent pathway of antisocial behavior. Such girls are often associated with serious risk factors. Those with serious forms of antisocial behaviour have an increased risk of experiencing adjustment problems in later life. CONCLUSION: Future research in this area will have to concentrate on the creation of adequate prevention and treatment programs.

Disclosure pattern and follow-up after the molecular diagnosis of BRCA/CHEK2 mutations.

Five to 10% of all breast cancer cases are due to mutations of high penetrance susceptibility genes, especially BRCA1 and BRCA2. In families with known BRCA mutations, disclosure of genetic test results could induce relatives to undergo genetic testing themselves and adopt cancer risk management strategies, if necessary. This study examines disclosure patterns of individuals tested for mutations in the BRCA1, BRCA2 and CHEK2 genes to first-degree relatives with emphasis on a possible gender difference. It also assesses which management strategy is preferred by mutation-positive women in Belgium and the influence of psychological characteristics on communication and choice of management strategy. Ninety-nine adults from BRCA/CHEK2 families, selected from the Centre of Medical Genetics of Antwerp, were included in the study. They were provided with medical and psychological questionnaires, the latter being the Self-Assessment Questionnaire, which is the Dutch version of the Spielberger State-Trait Anxiety Inventory and the Dutch version of the Coping Inventory for Stressful Situations (CISS-NL). The survey focused on disclosure, coping and management strategies with special attention on possible gender differences. The influence of socio-demographic and medical data on disclosure and cancer risk management as well as the influence of psychological features were examined by means of various statistical analyses. Ninety-nine patients were included, of whom 25 (25 %) were male. Eighty-seven percent of the participants informed all of their adult first-degree relatives about their mutation status without any gender discrimination. Seventy-eight percent of highly-educated participants informed all of their adult first-degree relatives, compared to 98 % of less formally-educated participants (p = 0.006). The majority of mutation-positive women preferred prophylactic surgery to surveillance. Psychological differences appeared to have little influence on disclosure patterns and management strategies. The gender difference seems to be less pronounced than previously assumed. A striking observation, however, is the fact that significantly more participants who were less formally-educated informed all of their adult first-degree relatives, compared to participants who were highly-educated. In our study population, most female mutation carriers opted for prophylactic surgery. Since the study population is small, further studies are needed to enhance the generalizability of these results.

Management factors resulting in a severe reduction in feed intake-induced spiking mortality syndrome in young broiler chicks.

This study aimed to induce spiking mortality syndrome (SMS) in 10-day-old broiler chicks by changing feed particle size (crumble feed to pellet feed) and/or feed source location (from a small feeder at the pen's center to a large feeder at the front of the pen), followed by full day feed deprivation of all broiler chicks on day 11. In total, 396-day-old male Ross 308 broiler chicks were randomly assigned to 4 treatments (Con: without change in feed particle size and feed source location; Par: changing crumble feed to pellet feed on day 10; Loc: changing feed source location on day 10; LocPar: changing both feed particle size and feed source location on day 10). Each treatment consisted of 9 replicate pens with 11 chicks each. Each treatment was applied at 09:00 on days 10 and 11. On both days, chicks with SMS were identified based on clinical symptoms (down in sternal or lateral recumbency, hyperventilation). Plasma glucose, 3, 3', 5-triiodothyronine (T3), thyroxine (T4) concentrations, insulin, and liver glycogen concentrations of chicks without (normal) and with SMS were measured. Proportional organ and digestive tract including content weights were recorded. Broiler behavior was assessed hourly from 08:30 to 17:30 on day 10. On day 10, the Par, Loc, and LocPar groups spent significantly less time feeding and more time lying down compared with the Con group. On days 10 and 11, SMS clinical signs were observed around 2.5 to 3.5 h after the initiation of treatments, and the Loc group had the most SMS morbidity level. Spiking mortality syndrome chicks had significantly less digestive tract contents compared with Normal chicks on day 10. Spiking mortality syndrome was induced successfully with the treatments, according to their significantly reduced plasma glucose, insulin, T3 and T4 concentrations as well as liver glycogen content. A significant correlation between plasma glucose and liver glycogen was observed in SMS chicks. In conclusion, management factors inducing the reduction or absence of feed intake on day 10 or day 11 can trigger the occurrence of SMS in young broiler chicks.