Time filter

Source Type

Hospital de Órbigo, Spain

Perez-Costillas L.,Hospital Regional Universitario | Perez-Costillas L.,University of Malaga | Blasco-Fontecilla H.,Hospital Universitario Puerta Of Hierro | Blasco-Fontecilla H.,Research Center Biomedica En Red Of Salud Mental Cibersam | And 13 more authors.
Revista de Psiquiatria y Salud Mental

Introduction Approximately 3,500 people commit suicide every year in Spain. The main aim of this study is to explore if a spatial and temporal clustering of suicide exists in the region of Antequera (Málaga, España). Methods Sample and procedure: All suicides from January 1, 2004 to December 31, 2008 were identified using data from the Forensic Pathology Department of the Institute of Legal Medicine, Málaga (España). Geolocalisation. Google Earth was used to calculate the coordinates for each suicide decedent's address. Statistical analysis. A spatiotemporal permutation scan statistic and the Ripley's K function were used to explore spatiotemporal clustering. Pearson's chi-squared was used to determine whether there were differences between suicides inside and outside the spatiotemporal clusters. Results A total of 120 individuals committed suicide within the region of Antequera, of which 96 (80%) were included in our analyses. Statistically significant evidence for 7 spatiotemporal suicide clusters emerged within critical limits for the 0-2.5 km distance and for the first and second semanas (P <.05 in both cases) after suicide. There was not a single subject diagnosed with a current psychotic disorder, among suicides within clusters, whereas outside clusters, 20% had this diagnosis (X2 = 4.13; df = 1; P <.05). Conclusions There are spatiotemporal suicide clusters in the area surrounding Antequera. Patients diagnosed with current psychotic disorder are less likely to be influenced by the factors explaining suicide clustering. © 2013 SEP y SEPB. Source

Campos E.C.C.,Hospital Comarcal de Antequera | Arcas P.M.,Hospital Comarcal de Antequera | Alcaraz D.H.,Hospital Comarcal de Antequera | Leon A.C.,Hospital Comarcal de Antequera
Archivos Espanoles de Urologia

OBJECTIVES: We describe a case of hyaline vascular type Castleman's disease with unifocal presentation as retroperitoneal mass. We describe the pathological and radiological findings and present a bibliographic review. METHODS: Castleman's disease is a rare benign disease of unknown etiology characterized by a lymphoproliferative disorder. Two clinical types have been described: localized and multicentric. Isolated retroperitoneal involvement is uncommon. RESULTS: 39-year-old female who complained of back pain. Abdominal CT scan identified a 5 cm retroperitoneal interaortocaval mass. Complete laparoscopic excision was performed. Pathological study showed localized angiofollicular hyperplasia (hyaline vascular type Castleman's disease). CONCLUSIONS: The presentation of Castleman's disease as isolated retroperitonealmass is quite rare and should be distinguished from other retroperitoneal lesions of malignant character. The treatment of choice is surgery, providing a definitive and curative diagnosis. Operative biopsy may be useful. Source

Martinez-Pajares J.D.,Hospital Comarcal de Antequera | Diaz-Morales O.,Hospital Comarcal de Antequera | Ramos-Diaz J.C.,Hospital Comarcal de Antequera | Gomez-Fernandez E.,Hospital Comarcal de Antequera
Journal of Pediatric Endocrinology and Metabolism

Sexual development in children due to exogenous androgen exposure is rare and sparsely reported. In this paper, we present a new case of peripheral precocious puberty of exogenous origin in an 18-month-old boy due to inadvertent exposure to a testosterone gel used by his father as hormonal replacement therapy. We also review other cases in the literature. Most of these cases are due to a secondary exposure to androgen topical preparations, such as gels or creams. We highlight the value of the knowledge of the existence of these preparations to the paediatrician, given the increasingly widespread use and production of adverse effects from inadvertent contact, especially in children. © 2012 by Walter de Gruyter • Berlin • Boston. Source

Discover hidden collaborations