Schizophrenia-spectrum psychoses in people with and without intellectual disability.

BACKGROUND: Although there is an increased risk of schizophrenia-spectrum psychoses (SSP) in people with intellectual disability (ID), there is a paucity of research evidence into clinical presentation of the disorder in comparison with research into SSP in people without ID. AIMS: The aims of the study were to compare clinical, functional, and social factors in patients with mild ID (ICD-10: F70) and SSP (ICD-10: F20-9) attending a specialist mental health service for people with ID, with a control group of patients without ID but with SSP attending a generic adult mental health (GAMH) outpatient clinic. METHOD: A total of 106 patients with SSP (53 with ID and 53 from GAMH) were assessed on psychopathological symptoms, functioning scales and quality of life. They were compared using chi-squared and regression analysis where appropriate. RESULTS: People with ID and SSP appear to be more debilitated by the co-occurring disorder than those with the same disorder but without ID. Increases in observable psychopathology and "negative" schizophrenic symptoms, and decreased functional abilities were observed in the group with ID when compared to the GAMH group. The clinical implications of these findings are discussed.

Rapid cycling bipolar affective disorder in people with intellectual disability: a systematic review.

Rapid cycling bipolar affective disorder has attracted renewed interest in the general adult psychiatric literature, particularly as the response to lithium prophylaxis is poor in this subgroup of patients. The present paper describes a systematic Medline/Psyclit review of case studies and small series of patients with rapid cycling bipolar affective disorder in people with intellectual disability (ID). Rapid cycling bipolar affective disorder in people with ID may differ from its occurrence in the non-ID population in terms of a relative preponderance of males, an increased likelihood of rapid cycling onset in those with an early (prepubertal) onset of affective disorder and a different response to prophylactic drugs. The efficacy of treatment and prophylaxis of rapid cycling illnesses needs further investigation in the population with ID.

Child and adolescent mental health services: purchasers' knowledge and plans.

All purchasers in the North East Thames Regional Health Authority were contacted by telephone and questioned systematically about their purchasing plans for child and adolescent mental health. Purchasers' knowledge of the services they were purchasing was very limited. They had made little or no attempt to set quality standards or to monitor them. It is concluded that information about these services is so limited that purchasers would be unable to make informed decisions concerning changes in service patterns.

[Dust control in Belgian coal mines. Status at the beginning of 1983]. / De stofbestrijding in de Belgische kolenmijnen. Toestand in het begin van het jaar 1983.

The present communication gives a general view of the methods of dust control in the Belgian coal mines at the beginning of 1983. The statistical data received from the mines are presented in tabular form. The length and the output of coal treated by the classical methods of wet cutting and water infusion are given separately. The number of stone drivages in which different methods of dust control are used, is also given.

[Dust control in the Belgian coal mines. Status at the start of the year 1980]. / La lutte contre les poussières dans les charbonnages belges. Situation au début de l'année 1980.

The present communication gives a general view of the methods of dust control in the Belgian coal mines at the beginning of 1980. The statistical data received from the mines are presented in tabular form. The length and the output of coal faces treated by the classical methods of pre-spraying of the wall, wet cutting and water infusion are given separately; in some cases two or more of these technics are used together on the same coal face. The number of stone drivages in which different methods of dust control are used, is also given.

[Dust control in Belgian coal mines. Conditions at the beginning of 1979]. / La lutte contre les poussières dans les charbonnages belges. Situation au début de l'année 1979.

The present communication gives a general view of the methods of dust control in the Belgian coal mines at the beginning of 1979. The statistical data received from the mines are presented in tabular form. The length and the output of coal faces treated by the classical methods of pre-spraying of the wall, wet cutting and water infusion are given separately; in some cases two or more of these technics are used together on the same coal face. The number of stone drivages in which different methods of dust control are used, is also given.

[Dust control in Belgian coal mines. Status at the beginning of 1978]. / La lutte contre les poussières dans les charbonnages belges. Situation au début de l'année 1978.

The present communication gives a general view of the methods of dust control in the Belgian coal mines at the beginning of 1978. The statistical data received from the mines are presented in tabular form. The length and the output of coal faces treated by the classical methods of pre-spraying of the wall, wet cutting, water infusion and wet pneumatic picks, are given separately; in some cases two or more of these technics are used together on the same coal face. The number of stone drivages in which different methods of dust control are used, is also given.

[Dust control in Belgian coal mines. Status at the beginning of the year 1977]. / La lutte contre les poussières dans les charbonnages belges. Situation au début de l'année 1977.

The present communication gives a general view of the methods of dust control in the Belgian coal mines at the beginning of 1977. The statistical data received from the mines are presented in tabular form. The length and the output of coal faces treated by the classical methods of pre-spraying of the wall, wet cutting, water infusion and wet pneumatic picks, are given separately; in some cases two or more of these technics are used together on the same coal face. The number of hard headings in which different methods of dust suppression are used, is also given.

[The struggle against dust in the Belgian coal mines. Situation at the beginning of 1976]. / La lutte contre les poussières dans les charbonnages belges. Situation au début de l'année 1976.

The present communication gives a general view of the methods of dust control in the Belgian coal mines at the beginning of 1976. The statistical data received from the mines are presented in tabular form. The length and the output of coal faces treated by the classical methods of pre-spraying of the wall, wet cutting, water infusion and wet pneumatic picks, are given separately; in some cases two or more of these technics are used together on the same coal face. The number of stone drivages in which different methods of dust control are used, is also given.

[Dust prevention in Belgian coal mines. Situation at the beginning of 1974].

The present communication gives a general view of the methods of dust control in the Belgian coal mines at the beginning of 1974. The statistical data received from the mines are presented in tabular form. The length and the output of coal faces treated by the classical methods of pre-spraying of the wall, wet cutting, water infusion and wet pneumatic picks, are given separately; in some cases two or more of these techniques are used together on the same coal face. The number of stone drivages in which different methods of dust control are used, are also given.