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Background: Relatively little information is available regarding the use of psychiatric services by individuals with intellectual disability (ID) in Arab countries. The current study aimed to identify (1) the reasons for referral; (2) demographic characteristics of individuals referred; (3) previous contact with child psychiatric services; (4) psychiatric diagnoses; (5) level of ID; (6) nature of interventions; and (7) patterns of medication usage in individuals attending a specialist psychiatric service for individuals with an ID in the Kingdom of Bahrain. Method: Case file analysis was used. Files that recorded attendance at the specialist service within a specific calendar year were selected. A total of 537 files were available for review and 79 contained records indicating the individual had been seen within the year. Results: The primary referral reason to adult psychiatric services was the presence of behavioural disturbance. Pharmacological intervention was the dominant treatment choice and no individual was recommended for psychological/behavioural intervention. Psychiatric diagnosis was not recorded in over 90% of cases. Conclusion: Services in the Kingdom of Bahrain for individuals with ID rely exclusively on pharmacological approaches for the treatment of behavioural disorders. Implications for best practice guidelines are discussed.

Person Focused Training is introduced as a model of service delivery for people with severe challenging behaviours. It is defined as training and supporting staff to conduct functional assessments and to design and implement positive behavioural support for specific individuals with challenging behaviours. Longitudinal outcome data are presented from 138 behaviour support plans developed by staff over a seven year period were analysed to determine reductions in frequency of challenging behaviours. Degree of behaviour change was determined across topography of behaviour, gender, age, level of disability, location of residence and role of course participant. Results indicate that the implementation by staff of behaviour support plans are associated with significant improvement in 77% of cases at an average follow-up of 22 months after implementation of support plans. Only location of residence was identified as related to reduction in challenging behaviours with large residential centres being associated with lower rates of behavioural improvement. It is argued that Person Focused training may represent an alternative to existing models of supporting individuals with challenging behaviours. The implications of front-line staff designing and implementing behaviour support plans for the organisation of services and the role of the clinical psychologist are considered.

Ante el incremento del impacto de los desastres por fenómenos naturales a nivel mundial, la educación, formación y especialización de profesionales en el área de la gestión de riesgos de desastres constituye una estrategia importante para la reducción de riesgos de desastres y el fortalecimiento de la resiliencia en los territorios. El presente trabajo analiza la oferta académica vigente en Ecuador en la formación de nivel técnico-tecnológico superior, tercer nivel – grado y posgrado en el área de la gestión de riesgos que pertenecen al campo amplio de conocimientos de Servicios y la formación en riesgos de desastres al campo de Ciencias Naturales, Matemáticas y Estadística; para ello, se aplicó la bibliometría, la nube de palabras y la estadística descriptiva, para la gestión de información, describir y comparar la oferta académica vigente en el Ecuador y en el contexto internacional; los resultados muestran que en Ecuador, en su mayor parte los programas de formación de nivel tecnológico y de grado son ofertadas por instituciones de educación superior privadas, mientras que, en los programas de posgrado, prevalecen las instituciones públicas; en su mayoría los programas son autofinanciados, solo uno es gratuito; la mayor oferta se concentra en la ciudad de Quito, seguida de Loja, Guaranda, Portoviejo, Guayaquil, Cuenca y Milagro; en el contexto internacional, prevalece la oferta en programas de posgrado.

Abstract Introduction Throughout the world tuberculosis (TB) is the second leading cause of death due to an infectious agent. The World Health Organization promotes Isoniazid Preventive Therapy (IPT) in children under 5 years who are contacts of persons diagnosed with smear-positive pulmonary TB (SPPTB). In 2019, 33% of children identified as contacts received IPT globally, while in the Americas 11 countries reached coverages ≥ 75%, only 35% did so in the Dominican Republic (DR). The aim of this study was to identify barriers and facilitators for IPT administration in children under 5 in the Area IV Directorate of Health of the DR’s National District. Methods Descriptive study, using mixed methods and sequential explanatory approach. We characterized children under 5 years who were contacts of a person with SPPTB. Later, semi-structured interviews and content analysis allowed identification of barriers and facilitators for IPT administration in children who were contacts of a person diagnosed with SPPTB, as perceived by relatives and health system personnel. Results A total of 238 children were identified as contacts of 174 persons with SPPTB: 36% of these received IPT while no data on IPT administration was found for 11% of them. The proportion of children who had a tuberculin skin test (TST) done was

Tvrdyite, Fe2+Fe3+2Al3(PO4)4(OH)5(OH2)4 2H2O, is a new phosphate mineral from the abandoned Huber open pit, in the Krásno ore district near Horní Slavkov, western Bohemia, Czechia. It was found along with Al-rich beraunite, fluorapatite and pharmacosiderite in a cavity of quartz gangue. Tvrdýite forms acicular to fibrous crystals with diameters in the range 0.5-5 pm and lengths up to 300 pm, partly grouped in radiating aggregates up to 3 mm in size. It has a silvery to olive, greyish green colour with pearly lustre, greyish-white streak and is very brittle with an uneven fracture; individual fibres are somewhat flexible. Cleavage on {100} is good; the Mohs hardness is ~3-4. The calculated density is 2.834 g cm-3. Tvrdýite is optically biaxial (-), with α = 1.650(2), β = 1.671(1) and γ = 1.677(1) (white light); 2V = 56(1)°; dispersion: r > v, strong; optical orientation: Z = b, X ≈ a, Y ≈ c; pleochroism: X= greenish blue, Y= yellowish orange, Z= yellowish orange (X >> Y > Z). Tvrdýite is monoclinic, space group C2/c, a = 20.564(4), b = 5.101(1), c = 18.883(4) Å, β = 93.68(3)° and V = 1976.7(7) Å3, Z = 4, a:b:c = 4.031:1:3.702. The strongest eight lines in the powder X-ray diffraction (XRD) pattern [d in Å (I)(hkl)] are 10.227 (100) (200), 9.400 (6)(002), 7.156 (14) (202̅), 5.120 (7) (400), 3.416 (11) (600), 3.278 (6) (602̅), 2.562 (5) (800) and 2.0511 (3) (1̅0̅,0,0). Chemical analyses by electron microprobe yielded MnO 0.01, ZnO 5.08, FeO 4.31, Fe2O3 21.16, Al2O3 16.71, P2O5 32.64, As2O5 2.56, F 0.53, H2O (calc.) 17.84, O = F -0.22, total 100.62 wt.%. The resulting empirical formula, calculated on the base of 27 anions, obtained from the crystal structure, is Zn0.52Fe2+0.50Fe3+2.21Al2.75(PO4)3.86(AsO4)0.19OH4.60F0.23(OH2)4·2H2O. The ideal formula, Fe2+Fe3+2Al3(PO4)4(OH)5(OH2)4·2H2O, requires FeO 8.75, Fe2O3 19.44, Al2O3 18.62, P2O5 34.56, H2O 18.64, total 100.00 wt.%. The crystal structure of tvrdýite was solved from single-crystal data (synchrotron beamline) and refined to R1 = 0.038 for 2276 reflections with I > 2σ(I). Tvrdýite is isostructural with beraunite, but contains dominant Al in two of the four independent M sites, which are all occupied by Fe in beraunite. [ABSTRACT FROM AUTHOR]

Wilhelmgümbelite, ideally [ZnFe2+Fe3+3(PO4)3(OH)4(H2O)5]·2H2O, is a new secondary phosphate mineral related closely to schoonerite, [ZnMnFe2+2 Fe3+(PO4)3(OH)2(H2O)7]·2H2O, from oxidized zones of the Hagendorf-Süd pegmatite, Hagendorf, Oberpfalz, Bavaria, Germany. Wilhelmgümbelite occurs as radiating sprays of needle-like rectangular laths, up to 0.2 mm long and with colour varying from light yellow brown to orange red. Cleavage is perfect parallel to {010}. The mineral is associated closely with an oxidized pseudomorph of phosphophyllite, recently named steinmetzite. Other associated minerals are albite, apatite, chalcophanite, jahnsite, mitridatite, muscovite and quartz. The calculated density of wilhelmgümbelite is 2.82 g cm-3. It is optically biaxial (+) with α = 1.560(2), β = 1.669(2), γ = 1.718(2), 2V(meas) = 63(1)° and 2V(calc.) = 65°. Dispersion is weak with r > v, orientation X = b, Y = c, Z = a. Pleochroism is weak, with colours Z = orange brown, Y = yellow brown, X = light yellow brown, Z ≫ Y > X. Electron microprobe analyses (average of seven analyses, seven crystals) with H2O and FeO/Fe2O3 calculated on structural grounds, gave FeO 5.8, Fe2O3 25.0, MnO 2.6, ZnO 16.4, P2O5 28.7, H2O 23.4, total 101.9 wt.%. The empirical formula, scaled to 3 P and OH- adjusted for charge balance is Zn1.50Mn2+0.27Fe2+0.60Fe3+2.33(PO4)3·(OH)2.73(H2O)8.27. The structural formula is [Zn(Mn0.27Fe3+0.73)∑1.0 (Zn0.25Fe2+0.15Fe3+0.60)Σ1.0(Zn0.25Fe2+0.45)Σ0.7Fe3+(PO4)3(OH,H2O)9]·2H2O. Wilhelmgümbelite has orthorhombic symmetry, Pmab, Z = 4, with the unit-cell parameters of a = 10.987(7) Å, b = 25.378(13) Å, c = 6.387(6) Å and V = 1781(2) Å3. The strongest lines in the powder X-ray diffraction pattern are [dobs in Å(Iobs) (hkl)] 12.65 (100) (020); 8.339 (5) (120); 6.421 (14) (001); 6.228 (8) (011); 4.223 (30) (120) and 2.111 (7) (0 12 0). Wilhelmgümbelite is an oxidized form of schoonerite,with the Mn2+ replaced principally by Fe3+. Its structure differs from that of schoonerite in having the Zn partitioned between two different sites, one five-coordinated as in schoonerite and the other tetrahedrally coordinated. Wilhelmgümbelite also differs structurally from schoonerite in having partial occupation of one of the Fe sites, which appears to be correlated with the Zn partitioning. [ABSTRACT FROM AUTHOR]

Steinmetzite, ideally Zn2Fe3+(PO4)2(OH)·3H2O, is a new mineral from the Hagendorf-Süd pegmatite, Hagendorf, Oberpfalz, Bavaria, Germany. Steinmetzite was found in a highly oxidized zone of the Cornelia mine at Hagendorf-Süd. It has formed by alteration of phosphophyllite, involving oxidation of the iron and some replacement of Zn by Fe. Steinmetzite lamellae co-exist with an amorphous Fe-rich phosphate in pseudomorphed phosphophyllite crystals. The lamellae are only a few μm thick and with maximum dimension ~50 μm. The phosphophyllite pseudomorphs have a milky opaque appearance, often with a glazed yellow to orange weathering rind and with lengths ranging from sub-mm to 1 cm. Associated minerals are albite, apatite, chalcophanite, jahnsite, mitridatite, muscovite, quartz and wilhelmgümbelite. Goethite and cryptomelane are also abundant in the oxidized zone. The calculated density is 2.96 g cm-3. Steinmetzite is biaxial (-) with measured refractive indices α = 1.642(2), β = 1.659 (calc.), γ = 1.660(2) (white light). 2V(meas) = 27(1)°; orientation is Y ≈ b, X ^c ≈ 27°, with crystals flattened on {010} and elongated on [001]. Pleochroism shows shades of pale brown; Y > X ≈ Z. Electron microprobe analyses (average of seven crystals) with Fe reported as Fe2O3 and with H2O calculated from the structure gave ZnO 31.1, MnO 1.7, CaO 0.5, Fe2O3 21.9, Al2O3 0.3, P2O5 32.9, H2O 14.1 wt.%, total 102.5%. The empirical formula based on 2 P and 12 O, with all iron as ferric and OH- adjusted for charge balance is Zn1.65Fe3+1.19 Mn2+0.11 Ca0.03Al3+0.02(PO4)2(OH)1.21·2.79H2O. The simplified formula is Zn2Fe3+(PO4)2(OH)·3H2O. Steinmetzite is triclinic, P1̄, with unit-cell parameters: a = 10.438(2), b = 5.102(1), c = 10.546(2) Å, α = 91.37(2), β = 115.93(2) and γ = 94.20(2)°. V = 502.7(3) Å3, Z = 2. The strongest lines in the powder X-ray diffraction pattern are [dobs in Å (I) (hkl)] 9.313(65) (100), 5.077(38) (010), 4.726(47) (002), 4.657(100) (200), 3.365 (55) (3̅02), 3.071(54) (11̄2) and 2.735(48) (3̅1̄2). The structure is related to that of phosphophyllite. [ABSTRACT FROM AUTHOR]

Kummerite, ideally Mn2+Fe3+Al(PO4)2(OH)2 · 8H2O, is a new secondary phosphate mineral belonging to the laueite group, from the Hagendorf-Süd pegmatite, Hagendorf, Oberpfalz, Bavaria, Germany. Kummerite occurs as sprays or rounded aggregates of very thin, typically deformed, amber yellow laths. Cleavage is good parallel to {010}. The mineral is associated closely with green Zn- and Al-bearing beraunite needles. Other associated minerals are jahnsite-(CaMnMn) and Al-bearing frondelite. The calculated density of kummerite is 2.34 g cm-3. It is optically biaxial (-), α = 1.565(5), β = 1.600(5) and γ = 1.630(5), with weak dispersion. Pleochroism is weak, with amber yellow tones. Electron microprobe analyses (average of 13 grains) with H2O and FeO/Fe2O3 calculated on structural grounds and normalized to 100%, gave Fe2O3 17.2, FeO 4.8, MnO 5.4, MgO 2.2, ZnO 0.5, Al2O3 9.8, P2O5 27.6, H2O 32.5, total 100 wt.%. The empirical formula, based on 3 metal apfu is (Mn2+0.37Mg0.27Zn0.03Fe2+0.33)∑1.00(Fe3+1.06 Al0.94)∑2.00PO4)1.91(OH)2.27(H2O)7.73. Kummerite is triclinic, P1̅ with the unit-cell parameters of a = 5.316(1) Å, b = 10.620(3) Å, c = 7.118(1) Å, α = 107.33(3)°, β = 111.22(3)°, γ = 72.22(2)° and V = 348.4(2) Å3. The strongest lines in the powder X-ray diffraction pattern are [dobs in Å(I) (hkl)] 9.885 (100) (010); 6.476 (20) (001); 4.942 (30) (020); 3.988 (9) (1̅10); 3.116 (18) (12̅0); 2.873 (11) (1̅21). Kummerite is isostructural with laueite, but differs in having Al and Fe3+ ordered into alternate octahedral sites in the 7.1 Å trans-connected octahedral chains. [ABSTRACT FROM AUTHOR]

Penberthycroftite, ideally [Al6(AsO4)3(OH)9(H2O)5] · 8Η2O, is a new secondary aluminium arsenate mineral from the Penberthy Croft mine, St. Hilary, Cornwall, England, UK. It occurs as tufts of white, ultrathin (sub-micrometre) rectangular laths, with lateral dimensions generally < 20 μm. The laths are flattened on {010} and elongated on [100]. The mineral is associated with arsenopyrite, bettertonite, bulachite, cassiterite, chalcopyrite, chamosite, goethite, liskeardite, pharmacoalumite-pharmacosiderite and quartz. Penberthycroftite is translucent with a white streak and a vitreous to pearly lustre. The calculated density is 2.18 g/cm3. Optically, only the lower and upper refractive indices could be measured, 1.520(1) and 1.532(1) respectively. No pleochroism was observed. Electron microprobe analyses (average of 14) with H2O obtained from thermogravimetric analysis and analyses normalized to 100% gave Al2O3 = 31.3, Fe2O3 = 0.35, As2O5 = 34.1, SO3 = 2.15 and H2O = 32.1. The empirical formula, based on nine metal atoms and 26 framework anions is [Al5.96Fe0.04(As0.97Al0.03O4)3(SO4)0.26(OH)8.30(H2O)5.44(H2O)7.8, corresponding to the ideal formula [Al6(AsO4)3(OH)9(H2O)5] · 8H2O. Penberthycroftite is monoclinic, space group P21/c with unit-cell dimensions (100 K): a = 7.753(2) Å, b = 24.679(5) Å, c = 15.679(3) Å and β = 94.19(3)°. The strongest lines in the powder X-ray diffraction pattern are [dobs in Å(I) (hkl)] 13.264(46) (011); 12.402(16)(020); 9.732(100)(021); 7.420(28)(110); 5.6708)(130); 5.423(6)(1̄31). The structure of penberthycroftite was solved using synchrotron single-crystal diffraction data and refined to wRobs = 0.059 for 1639 observed (I > 3σ(I)) reflections. Penberthycroftite has a heteropolyhedral layer structure, with the layers parallel to {010}. The layers are strongly undulating and their stacking produces large channels along [100] that are filled with water molecules. The layers are identical to those in bettertonite, but they are displaced relative to one another along [001] and [010] such that the interlayer volume is decreased markedly (by ~10%) relative to that in bettertonite, with a corresponding reduction in the interlayer water content from 11 H2O per formula unit (pfu) in bettertonite to 8 H2O pfu in penberthycroftite. [ABSTRACT FROM AUTHOR]