Diagnosis and treatment considerations with comorbid developmentally disabled populations.

Differential diagnosis in client populations presenting with complexities of developmental disabilities has become a time honored psychodiagnostic practice. Standard practice has been to ignore comorbidity in client groups where mental disorders and retardation coexist. In persons with mental retardation, differential diagnosis prioritizes the many presenting symptoms, identifying a single causation. Attention deficit hyperactivity disorders, mood disorders, pervasive developmental disorders, stereotypic movement disorders, and mental disorders due to a general medical condition often coexist with mental retardation. As mentally retarded populations move from institutional to community residency, comorbidity appears more prevalent, often becoming a client management issue. Dual diagnosis is important in considering treatment plans, obtaining access and funding for services. interdisciplinary communication, and generating epidemiological data.

Sinusitis in status asthmaticus.

The relationship between sinusitis and status asthmaticus (SA) remains obscure. The purposes of this study were to determine the prevalence of abnormal sinus radiographs (SXRs) and investigate possible risk factors among unselected children admitted with SA. Eighty-eight patients over 2 years of age (range 2 to 16 years) consecutively admitted with SA were studied. The principal investigator, blinded to SXR findings, interviewed and examined the patients with respect to 10 physical parameters and 14 historical parameters. Two staff radiologists, blinded to the clinical findings, interpreted the SXRs. Relationship of historical and physical findings with positive SXRs was determined by statistical analysis. Twenty-seven percent of patients were found to have abnormal SXRs, manifesting two thirds or greater opacification of the sinuses. The mean age, sex, and race of patients with abnormal SXRs was not significantly different from those with normal films. A history of two or more admissions per year for SA, and, in children under 5 years of age, a history of chronic otitis media, and the physical finding of otitis media were significantly more frequent among patients with abnormal SXRs. Although not found to be statistically significant, a history of sinusitis and cough occurred more frequently in association with abnormal SXRs.

A comparison of English and Spanish (Nuñez) translation of the MMPI.

As more Hispanics seek help in mental health centers, the need arises for a reliable Spanish translation of the MMPI. This present research is a preliminary attempt to study the validity of the Nuñez translation of the MMPI, the translation most widely used in Latin America. This translation and the English MMPI were administered to a volunteer sample of 18 teenaged bilingual Hispanic women. A split-plot factorial ANOVA with one between-subjects factor(form of test) was used to analyze the K-corrected T scorns from each scale separately. On scales F, K, Hs, Pa,.and Sc, the Spanish means were significantly (p < .05) higher than the English means. Order of administration had no significant effect, and there was no significant interaction effect. These findings demonstrate that the Nuñez translation cannot be used interchangeably with the English form of the MMPI.