[Drug consumption and prisons].
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Humans↗
Biomedical subjects
R García Martín
Publications and source records attributed to R García Martín.
[A hydatid cyst with an atypical location].
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Adult↗
[Identification of the actual experiencing of pain. Methodological basis for an evaluation].
FUNDAMENTALS: The doctors don't have reliable instruments in order to detect the painful experience in a patient with intention of deceiving. The objective of this investigation is the development of an instrument that helps the doctors on that task. METHOD: The investigation is based on that the pain is not possible to evoke. A patient that doesn't feel pain, really, will introduce the modifications characteristic of all memory when requests you that he/she describe the pain that says feel. The will of deceit will also distort their description. A discriminant analysis will detect the difference between the description of a pain that is not present and another that yes it are, and between the sincere descriptions of the deceiving one. RESULTS: The descriptions of the pain carried out by two different samples of nursing students have been studied with a list of pair of antonym adjectives (Osgood's semantic differential). A subgroup of the first sample described a pain that they suffered in the same moment of description, and the other subgroup described a suffering pain some days before. In the other sample, a subgroup made a sincere description of their pain and other subgroup described the pain with will of deceiving the interviewer. The investigation has provided two discriminant models. A discriminant model differentiates between a present and another remembered pain (sensibility: 0.75; specificity: 0.85; kappa reliability: 0.60; p < 0.000000001; probability of success p: 89%). The other discriminant model differentiates between a description of a pain with will of deceiving and another pain described sincerely (sensibility: 0.94; specificity: 0.95; kappa reliability: 0.89; p < 0.000000001; probability of success p: 97%). CONCLUSIONS: The results of this investigation seem to demonstrate that it is possible to discriminate between the descriptions of real pains and the suspicious pains of not being real, and that also one is able to discriminate between pains described with will of deceit and pains described sincerely. These discriminant models allows to classify the description of the subjects in four groups: "liars", "sincere", "magnifiers", and "psychogenic". However, it is necessary still carry out more effort of investigation so that these results could be replied in patients that suffer pain.
Adult↗
[Outpatient diagnosis and treatment of patients with anxiety disorder].
The factors found in the approach taken towards the disturbances caused by anxiety on the part of the doctors working outside the hospital environment are analyzed. After studying a sample of 45 patients seen consecutively in the outpatient clinica of a general hospital and evaluating their clinical, evolutive, social-demographical characteristics and the type of medical care received previously, we found an important tendency towards diagnostic error which does not seem to be related to the degree of specialization by the medical practitioner who treated the patient. A profile of a patient having a higher risk of receiving and incorrect diagnosis is elaborated.
Adult↗
[Endogenous and neurotic depression again III: support for a sequence hypothesis].
The sequential hypothesis about depression tells: "neurotic" and "endogenous" depression are not different diseases, but two different moments in the evolution of a unique disorder (initial and terminal, respectively). The authors use Kiloh and Garside's (1963) and Carney et al's (1965) data to support this hypothesis. The bibliographic data are analyzed in that way to show that biological correlates of endogeneity are the final pathway of an ontogenic evolution of biological modifications in depression less obvious in initial episodes ("neurotiforms") and more evident in subsequent episodes ("endogeniforms").
Depressive Disorder↗
[Endogenous and neurotic depression again. I. The distinctive quality as a unifying element for nuclear depressive symptomatology].
The authors analyse the Kiloh and Garside's (1963) and Carney's et al. (1965) data. They studied the influence of item distinct quality on core depressive symptoms. Deleting influence of this item the depressive syndrome lose its original cohesion. It suggests that the distinct quality could be the agglutinative component of the core depressive symptomatology.
Adolescent↗
[Endogenous and neurotic depression again, II: is the separation of the two a methodologic artifact?].
The authors study the Kiloh and Garside's (1963) and Carney's et al. (1965) data. They apply a Factorial Analysis without and with Varimax rotation. Only account a bipolar factor (endogenous/neurotic) the unrotated solutions, but not in rotated solutions. They discuss the validity of the classification endogenous/neurotic depression supported by a erroneus application of the Factorial Analysis method.
Depressive Disorder↗