Fundamento. Los suicidios en España representan un nú-mero de muertes mayor que otras muertes traumáticas. Los comportamientos suicidas no mortales se producen en una proporción mayor que los que tienen fin mortal. Las causas de esta conducta son múltiples y es importante conocerlas para poder prevenirlas. El objetivo del presente trabajo es describir las características del comportamiento suicida no mortal en la provincia de Granada.Método. Estudio descriptivo retrospectivo de las características del comportamiento suicida no mortal en Granada durante los años 2008 y 2009, según la base de datos del Servicio Provincial 061 de Granada. La muestra ha sido todas las demandas realizadas a este servicio en las que en el motivo literal de la alerta figuraron los términos suicidio, autolesión o amenaza suicida. El análisis estadístico se ha realizado con el programa SPSS 15.0. Se analizó la variable conducta suicida no mortal respecto de las variables independientes: sexo, edad, mes, día de la semana, franja horaria, distrito sanitario, resolución de la demanda (prioridad asignada) y reintentos.resultados. Se analizaron en total 535 demandas tipificadas como lesión autoinflingida intencionalmente por medios no especificados. Se han encontrado diferencias estadística-mente significativas al comparar los datos de los dos años respecto del mes elegido, y en la relación entre rango de edad y franja horaria de los intentos de suicidio.conclusiones. La caracterización de los intentos de suicidio en nuestra provincia ofrece información relevante, a pesar de sus limitaciones, y ayuda a determinar alguno de los parámetros en los que habrá que sustentar un futuro programa de intervención psicosocial para la prevención de estas conductas ajustado a los perfiles específicos de nuestra población. Background. Suicides account for a number of deaths that is higher than other traumatic deaths in Spain. Non-fatal suicidal behaviour occurs in a greater proportion than such behaviour with a deadly outcome. There are many causes for this behaviour and it is important to become familiar with them if it is to be prevented. The aim of this article is to describe the characteristics of non-mortal suicidal behaviour in the province of Granada. Method.A retrospective descriptive study of the characteristics of non-mortal suicidal behaviour in Granada during the years 2008 and 2009, according to the database of the Provincial 061 Service in Granada. The sample includes the demands made to this service in which the literal reason for the alert included the terms: suicide, self-harm or the threat of suicide. The statistical analysis was done with the SPSS 15.0 program. We analyzed the variable non-mortal suicidal behaviour with respect to the independent variables: sex, age, month, day of the week, time slot, health district, resolution of the demand (assigned priority) and further attempts.results. In total we analyzed 535 demands typified as intentional self-injury by unspecified means. Statistically significant differences were found when com...
Both maternal Fe deficiency (ID) and being overweight or obese (Ow/Ob, BMI≥25 kg/m2) may negatively affect offspring brain development. However, the two risk factors correlate and their independent effects on infant neurodevelopment are unclear. PREOBE is a prospective observational study that included 331 pregnant Spanish women, of whom 166 had pre-gestational Ow/Ob. Fe status was analysed at 34 weeks and at delivery, and babies were assessed using Bayley III scales of neurodevelopment at 18 months. In confounder-adjusted analyses, maternal ID at 34 weeks was associated with lower composite motor scores at 18 months (mean 113·3 (sd 9·9) v. 117·1 (sd 9·2), P=0·039). Further, the offspring of mothers with ID at delivery had lower cognitive scores (114·0 (sd 9·7) v. 121·5 (sd 10·9), P=0·039) and lower receptive, expressive and composite (99·5 (sd 8·6) v. 107·6 (sd 8·3), P=0·004) language scores. The negative associations between maternal ID at delivery and Bayley scores remained even when adjusting for maternal Ow/Ob and gestational diabetes. Similarly, maternal Ow/Ob correlated with lower gross motor scores in the offspring (12·3 (sd 2·0) v. 13·0 (sd 2·1), P=0·037), a correlation that remained when adjusting for maternal ID. In conclusion, maternal ID and pre-gestational Ow/Ob are both negatively associated with Bayley scores at 18 months, but independently and on different subscales. These results should be taken into account when considering Fe supplementation for pregnant women.
The evaluation of everyday memory (EM) was reviewed and reconceptualized. EM has established new objectives of study and the development of new methods to reach these objectives. At the basic level, this approach has already produced important discoveries and the development of new principles about memory and functioning. At the clinical level, this new area of investigation has resulted in evaluating deficits of EM, which is defined as what daily life functions remain impaired after a deficit pathology has occurred. A type of evaluation has evolved that is oriented toward treatment and extremely useful in designing rehabilitation programs for individuals with alterations in memory.
Objective: To estimate the prevalence of adult attention deficit/hyperactivity disorder (ADHD) in a sample of cocaine-dependent patients, and to examine the discriminant validity of the Barkley’s executive dysfunction scale in differentiating cocaine-dependent patients with and without ADHD. Methods: A cross-sectional design was used. A total of 166 cocaine-dependent subjects were assessed. The assessment instruments included: Conners’ Adult ADHD Diagnostic Interview for DSM-IV (CAADID), Psychiatric Research Interview for Substance and Mental Disorders (PRISM-IV) and 9 items from Current Behavior Scale Self-Report by Russell A. Barkley. Results: 14.5% (CI95%: 9.2–19.8%) prevalence of ADHD was observed in our sample. The Barkley’s executive dysfunction items showed statistically significant differences between cocaine-dependent patients with ADHD and those patients without ADHD diagnosis. Conclusions: The study data support Barkley’s model – which posits the relevance of executive dysfunction among ADHD patients within a sample of cocaine dependents, and provides evidence of the discriminant validity of the Current Behavior Scale Self-Report for identifying ADHD symptoms in cocaine users.
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