This study attempted to validate a Japanese version of the Hospital Anxiety and Depression Scale (HAD) at universities and working places.One hundred and six female students and 62 working women in ...Osaka and Kyoto were surveyed during 1993. Item-remainder correlation and internal consistency were examined to determine reliability. Concurrent validity was examined using the state-trait anxiety inventory (STAI) and Zung's self rating depression scale (SDS).The prevealence of emotional disorder ranged from 19% to 26% in both populations. The Cronbach' alpha coefficients were 0.8 for the anxiety subscale and more than 0.5 for the depression subscale. Spearman's correlations of the anxiety subscale scores and the STAI were 0.65 for students, adn 0.63 for workers. The correlations of depression subscale scores and SDS were 0.46 for students, and 0.50 for workers.From these results, a Japanese version of the HAD is considered to be reliable and validable as a screening method for emotional disorders in females.
We report and old male case of subdural hematoma associated with temporal arteritis. The case is a 75-year-old man who had a sudden on set of headache. The diagnosis of subdural hematoma was made by ...a neurosurgeon. He had been suffered from pyrexia. On physical examination, stiff neck was noted. His erythrocyte sedimentation rate was 72mm/hr, C-reative protein (CRP) was positive in a high titer, and rheumatoid factor elevated. A biopsy specimen taken from bilateral temporal artery showed necrotic arteritis. Steroid therapy with prednisolone (30mg/day) was stared. After the therapy, headache and pyrexia were improved with laboratory improvment. Several reports have stated CNS involvement from PN, such as cerebral hemorrhage, subarchroid hemorrhage, and cerebral thrombosis. He is thought to be a rare case of temporal arteritis with subdural hematoma.
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