Cross-Cultural Adaptation and Validation for Portuguese (Brazilian) of the Pictorial Representation of Illness and Self Measure Instrument in Orofacial Pain Patients.

Cross-cultural adaptation and validation for portuguese (brazilian) of the pictorial representation of illness and self measure instrument in orofacial pain patients.

J Orofac Pain. 2013; 27(3): 271-5
Lima-Verde AC, Pozza DH, Rodrigues LL, Velly AM, Guimarães AS

Aims: To translate the Pictorial Representation of Illness and Self Measure (PRISM) instrument from German to Portuguese (Brazilian) and adapt it to the Brazilian cultural context, and then assess its reliability and validity in orofacial pain patients. Methods: The PRISM was translated to Portuguese then back-translated to German. The translated PRISM was evaluated by a multidisciplinary committee and administered as a pre-test to 30 Portuguese-speaking orofacial pain patients. Psychometric properties were obtained after testing 116 orofacial pain patients. Validity was obtained through correlation analyses of scores obtained from PRISM and other psychometric tests, including the Numerical Pain Scale (NPS), Insomnia Severity Index (ISI), and Hospital Anxiety and Depression Scale (HAD). Results: The adapted instrument showed high levels of reliability, proven by means of the test-retest procedure, and calculation of the Intraclass Correlation Coefficient (ICC = 0.991). Significant correlations were found between PRISM and the other tests. Correlation with NPS was moderate (-0.42), whereas correlations with ISI (-0.24), HAD-anxiety (-0.25), and HAD-depression (-0.22) were weak. Conclusion: The cross-cultural adaptation process of PRISM was successful and the adapted version offers reliable and valid psychometric properties in the Brazilian context. HubMed – depression

The utility of the initial electrocardiogram in predicting acute coronary events in current cocaine users with chest pain in the emergency department.

J Community Hosp Intern Med Perspect. 2011; 1(1):
Quianzon CC, Quade L, Shawon I, Ferguson R

Chest pain suggestive of myocardial ischemia or infarction is a common emergency department complaint and a subset of these is associated with cocaine use. It can be difficult to triage patients with chest pain while using cocaine.To assess the reliability of the initial electrocardiogram (ECG) done in the emergency department in current cocaine users suspected of acute coronary syndrome (ACS) in predicting a true event.A total of 218 charts of current cocaine users who presented with chest pain judged as possibly cardiac in nature with an initial ECG from September 2003 to August 2007 were reviewed. Initial ECG was classified into: (1) Category A (inverted T waves in two or more contiguous leads and/or characteristic ST segment elevation or depression indicative of an ischemic event possibly acute); (2) Category B (other ischemic changes but without any ST or T abnormalities such as Q wave, or bundle branch block); or (3) Category C (normal tracing, non-specific ST segment or T wave alterations).Eighteen of 218 (8.3%) were confirmed to have ACS. Ten of 18 confirmed ACS patients were among the 70 cases with ECG classified as Category A. One hundred and one of 218 were Category C ECGs: five of these had ACS (three of the five had significant cardiac history) and 96 did not, consistent with 95% negative predictive value. Patients with Category A ECG characteristics were three times at risk to have ACS compared with a Category C ECG.The initial ECG with a good clinical history can be used effectively to triage patients presenting with chest pain and current use of cocaine in the emergency department. HubMed – depression

The depressive situation.

Front Psychol. 2013; 4: 429
A Jacobs K

From a naturalistic perspective on mental illness, depression is often described in terms of biological dysfunctions, while a normative perspective emphasizes the lived experience of depression as a harmful condition. The paper relates a conceptual analysis of “depressive situation” to an analysis of the lived experience of depression. As such, it predominantly aims to specify depression as a harmful condition in lights of normative perspective on mental disorder, but partially refers to empirical research, i.e., naturalistic perspective on depression, to exemplarily stress on the methodological merits and limits of relating phenomenological considerations closer to empirical research. The depressive situation is further specified with an examination of the evaluative dynamics by which individuals meaningfully relate to themselves, others and the world. These evaluative dynamics emerge out of the interplay of pre-reflective and reflective processes, which are significantly altered in depression. Such alterations of the evaluative structure are inextricably intertwined with significant distortions of practical sense in depression. From a phenomenological perspective, these distortions of practical sense show in characteristic experiences of evaluative incoherence and impairments of agency. Finally, this paper focuses on an examination of “evaluative incapacity,” which has the integrative potential to capture a range of typical changes of meaningful relatedness that determine the depressive situation. HubMed – depression

Depression Treatment Using TMS Fox 19
Lindner Center of HOPE using depression treatment TMS (Transcranial magnetic stimulation) Places to find Lindner Center of HOPE: Website — http://lindnercen…