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Evidence of overprescribing of psychotropic medicines to manage challenging behaviour in people with intellectual disabilities has led to national programmes within the UK to promote deprescribing, such as stopping the overprescribing of medication in people (with learning disabilities, autism or both). To successfully implement deprescribing initiatives, we need to understand how to engage stakeholders in the process.

In a published systematic review, we reported evidence about the process of deprescribing psychotropic medicines for people of all ages with intellectual disabilities and challenging behaviour. As a part of the original review, we searched for evidence about stakeholders’ experiences of the psychotropic deprescribing process, which was synthesised and reported within the current study.

Six studies were identified. Involving carers and people with intellectual disabilities, providing ongoing support and improving access to non-pharmacological interventions, including positive behaviour support, may contribute to successful outcomes, including reducing or stopping psychotropic medicines and improving quality of life. Implementing psychotropic deprescribing requires a multidisciplinary collaborative care approach and education for stakeholders.

There have been no previous reviews of stakeholder experiences of deprescribing psychotropic medications for people with intellectual disabilities and challenging behaviour. The existing literature is scant, and further research is needed.

Not many weeks back, according to newspaper reports, three members of the library staff of the School of Slavonic and East European Studies in London were dismissed. All had refused to carry out issue desk duty. All, according to the newspaper account, were members of ASTMS. None, according to the Library Association yearbook, was a member of the appropriate professional organisation for librarians in Great Britain.

We must first stop and think whether there will be a future for the book world. The book has been in use for hundreds of years, as a medium for communicating information, but it is now meeting fiercer and fiercer competition. When television first became widely used, there were prophecies that the sales of books would diminish. Now we have colour television and video‐tape recording. Perhaps we shall soon be able to borrow a video‐tape of Ivanhoe or even the latest novel from the public library. The use of audio‐visual aids is growing fast, particularly in schools. Language laboratories, and teaching machines sometimes coupled with computers, are on the increase. Computer installations are increasing in number and scope even faster than the experts predict. We hear of plans for data bases for vast on‐line data banks. I am told that the main reason that Leasco took over Pergamon was to obtain Pergamon's journals for a data base.

The aim of this paper is to present the literature which identifies the characteristics of small enterprises and outlines the opportunities to utilise them in working with small businesses to prevent and reduce exposures to hazardous substances.

A search of a variety of data sources, including Medline, PubMed, Web of Science, Google Scholar, was conducted which combined the keyword search terms “small business”, “small enterprise”, “management”, “health and safety management”, “hazardous substances”, “hazardous chemicals”, “management of hazardous substances”. High quality studies were selected and combined with studies known to the authors.

A strong body of evidence exists which shows that the management of OSH in small enterprises has been extensively reviewed and the most recurring theme is the identification of problems and challenges. A growing body of literature also confirms that models for chemical risk management and social responsibility issues can play a key role in managing hazardous chemical exposures in small enterprises. Furthermore, studies have shown that there are certain characteristics of small business that potentially provide positive opportunities for the implementation of preventive interventions.

The paper identifies these characteristics and features and suggests these can be effectively utilised in the design and development of interventions to prevent and reduce exposures to hazardous substances in small enterprises. Few interventions, however, have been developed utilising these positive characteristics.

IT is always something of an embarrassment for a West German librarian to address his British colleagues on the problems of public libraries. What is there of interest in a system which in almost every respect is years behind the development of the English libraries? When I begin to think along these lines of the considerable and, indeed, natural role which the library plays in British society (almost a traumatic experience for a German librarian), then the inequalities of the situation become particularly clear. Even though there are many historical and political causes for this state of affairs, it is still impossible for any correspondent to free himself of a certain psychological handicap.

IT IS EASY to make glib generalisations about the student situation in this country, and its associated problems, but a recondite analysis of student mores is much more difficult. Commentators tend to be extreme, varying from those who declaim ‘All for youth and the world well lost’ to those crying ‘Stop their grants, make them do a day's work’, and more in similar vein. An understanding of student attitudes to work and society is one thing, the cause and effect of their attitudes is quite another. What is certain is that there has been a radical change, and the full effects of this change are yet to be felt. Behind each new generation rise those ever ready to decry the follies of youth, but today there is a widespread and differing view held that youth is king, and can do no wrong. Both of these points of view are extreme, and both, in totality, are unjustified.

THE changes in London local government which came into operation on 1st April, 1965, cut across the existing regional library bureaux organisation.

In our media‐orientated, image‐conscious contemporary society the librarian may very well seem particularly unfortunate, reflected in the imagination of the general public as a fussy old woman of either sex, myopic and repressed, brandishing or perhaps cowering behind a date‐stamp and surrounded by an array of notices which forbid virtually every human activity. The media, for whom the librarian is frustration personified, have reinforced this stereotype, hitherto transmitted solely by superstition and hearsay; its greatest impact has no doubt fallen on the two‐thirds of the population who never use the library. One of its effects will be to ensure that they never do so in the future. As Frank Hatt has pointed out: “The controllers of the new media of communication … have shown a tendency to limit choices by using the considerable power of the media to limit their audience's established attitudes, simply because such limitation is good business.” The popular BBC television series, The last of the summer wine, portrayed a librarian whose vicarious sex‐life through the pages of D. H. Lawrence led to inevitably frustrated attempts to act out his fantasies in occasional under‐the‐counter forays with his similarly repressed female assistant. A Daily mail leader on an appeal against unfair dismissal made by a London Deputy Borough Librarian reiterates this concept:

The tensions of the Cold War focussed attention on the role that universities might play through their science and technology expertise and research. At the same time the United States needed to secure its allies as the threat of a new European war, and the actuality of the Korean War, developed in the late 1940s and 1950s. These pressures contributed to the Carnegie Corporation’s assessment that the time was ripe to send a ‘key man’ to Australia and New Zealand.