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  1. Article ; Online: Tendencia divergente en las tasas de mortalidad por suicidio de Navarra y España durante el período 2000-2015.

    Delfrade, Josu / Sayón-Orea, Carmen / Teijeira-Álvarez, Rafael / Floristán-Floristán, Yugo / Moreno-Iribas, Conchi

    Revista espanola de salud publica

    2017  Volume 91

    Abstract: Background: The aim of this study was to know the suicide mortality rates in Navarra and Spain and to compare their time trends during the period 2000-2015.: Methods: Suicide data were obtained from the Instituto Nacional de Estadística [INE], Spain’ ...

    Title translation Divergent Trends in Suicide Mortality in Navarra and Spain: 2000-2015.
    Abstract Background: The aim of this study was to know the suicide mortality rates in Navarra and Spain and to compare their time trends during the period 2000-2015.
    Methods: Suicide data were obtained from the Instituto Nacional de Estadística [INE], Spain’s National Statistics Institute. During all the period, the coding of cause of death in Navarra was carried out using data from forensic autopsies, while in some Spanish regions this process started after 2010. A Joinpoint time series regression model was used to assess the time trend and estimate the annual percent change [APC] of the rates by sex and 4 age groups.
    Results: Suicide mortality in Spain showed a significant downward trend in the overall rate between 2000-2011 [APC of -1.93% in males and -2.19% in females] followed by a significant increase in 2012-2015 [APC: 3.65% in men and 7.60% in women]. No inflection points were observed in men aged 25-44 [APC:1.26%], 45-64 [APC: 1.63%], and women over 65 years [APC:-2.18%]. In Navarra, global rates in men showed a non significant decrease [APC:-1.56%] and a significant decrease in the group of men between 25-44 years [APC:-3.19%]. Among women we observed a non significant increase [APC: 0.74%].
    Conclusions: The rise in overall suicide rates observed in Spain since 2011, that was not observed in Navarre, could be influenced by the improvements in coding methods in several Spanish regions. However, this could not explain the decrease observed during the all period in men aged 25-44, that was even larger in Navarra.
    Language Spanish
    Publishing date 2017--03
    Publishing country Spain
    Document type English Abstract ; Journal Article
    ZDB-ID 1288657-9
    ISSN 2173-9110 ; 0034-8899 ; 1135-5727
    ISSN (online) 2173-9110
    ISSN 0034-8899 ; 1135-5727
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: TENDENCIA DIVERGENTE DE LA MORTALIDAD POR SUICIDIO EN NAVARRA Y ESPAÑA DURANTE EL PERIODO 2000-2015

    Josu Delfrade / Carmen Sayón-Orea / Rafael Teijeira-Álvarez / Yugo Floristán-Floristán / Conchi Moreno-Iribas

    Revista Española de Salud Pública, Vol 91, Pp 1-

    2017  Volume 10

    Abstract: Fundamentos: El suicidio es un importante problema de salud pública. El objetivo del estudio fue caracterizar el suicidio en Navarra y comparar la tendencia de las tasas en Navarra y España en el periodo 2000-2015. Métodos: Los datos procedieron de los ... ...

    Abstract Fundamentos: El suicidio es un importante problema de salud pública. El objetivo del estudio fue caracterizar el suicidio en Navarra y comparar la tendencia de las tasas en Navarra y España en el periodo 2000-2015. Métodos: Los datos procedieron de los ficheros de defunciones del Instituto Nacional de Estadística. En todo el periodo la codificación de la causa de muerte en Navarra se realizó con información de las autopsias judiciales mientras que en algunas comunidades autónomas este procedimiento se inició después de 2010. Se utilizó un modelo de regresión joinpoint de series temporales para evaluar los puntos de inflexión y el porcentaje anual de cambio (PAC) de las tasas globales por sexo y cuatro grupos de edad. Resultados: En España las tasas globales de suicidio presentaron una tendencia descendente significativa entre los años 2000 y 2011 (PAC:-1,93% en hombres y -2,19% en mujeres) que se siguió de un aumento significativo en 2012-2015 (PAC:3,65% en hombres y 7,60% en mujeres). No se observaron puntos de inflexión en los hombres de 25 a 44 (PAC:-1,26%) y de 45 a 64 (PAC:1,63%) ni en las mujeres mayores de 65 años (PAC:-2,18%). En Navarra las tasas globales en hombres presentaron un descenso no estadísticamente significativo anual de -1,56% y disminuyeron significativamente en los hombres de 25 a 44 años a un ritmo de -3,19%. Entre las mujeres se observó un aumento no significativo anual de 0,74%. Conclusiones. El incremento de las tasas globales de suicidio observado a partir de 2011 en España, que no se observó en Navarra, podría deberse a los procesos de mejora de la codificación iniciados. No así el descenso observado entre los hombres de 25-44 años que con una magnitud todavía mayor, también se observó en Navarra.
    Keywords Medicine ; R ; Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2017-01-01T00:00:00Z
    Publisher Ministerio de Sanidad y Consumo
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Death certification in COVID-19 cases in Spain

    Teijeira-Alvarez, Rafael / León-Sanz, María Pilar / Castro-Herranz, Sonsoles / Floristán-Floristán, Yugo / Salazar-Lozano, María Ines / Moreno-Iribas, Maria Concepción

    Spanish Journal of Legal Medicine

    2020  Volume 46, Issue 3, Page(s) 101–108

    Keywords covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ISSN 2445-4249
    DOI 10.1016/j.remle.2020.05.006
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: La certificación de la defunción de casos de COVID-19 en España

    Teijeira-Alvarez, Rafael / León-Sanz, María Pilar / Castro-Herranz, Sonsoles / Floristán-Floristán, Yugo / Salazar-Lozano, María Ines / Moreno-Iribas, Maria Concepción

    Revista Española de Medicina Legal

    2020  Volume 46, Issue 3, Page(s) 101–108

    Keywords Pathology and Forensic Medicine ; covid19
    Language Spanish
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 645144-5
    ISSN 2173-917X ; 0377-4732
    ISSN (online) 2173-917X
    ISSN 0377-4732
    DOI 10.1016/j.reml.2020.05.006
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article: Death certification in COVID-19 cases in Spain/ La certificación de la defunción de casos de COVID-19 en España

    Teijeira-Alvarez, Rafael / León-Sanz, María Pilar / Castro-Herranz, Sonsoles / Floristán-Floristán, Yugo / Salazar-Lozano, María Ines / Moreno-Iribas, Maria Concepción

    Rev. Esp. Med. Leg.

    Abstract: Death certification requires the same effort and dedication as all reports by doctors during their patients’ lifetimes. Physicians must follow the basic instructions to complete a death certificate correctly, taking special care to fill in the sequence ... ...

    Abstract Death certification requires the same effort and dedication as all reports by doctors during their patients’ lifetimes. Physicians must follow the basic instructions to complete a death certificate correctly, taking special care to fill in the sequence of causes of death. In the case of a pandemic, completion of the death certificate falls to the primary care physician and therefore administration must publish instructions based on international recommendations. It should be established as soon as possible the report of certificates to report deaths telematically. Meanwhile this is not possible, in a pandemic procedures should be put in place to enable the immediate reporting of deaths to the health authorities.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #260231
    Database COVID19

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  6. Article ; Online: A quite rare case of bruising abrasion-like as gun entry wound.

    Chérrez Bermejo, Carlos / Teijeira Álvarez, Rafael

    Forensic science international

    2018  Volume 288, Page(s) e1–e4

    Abstract: An interesting case of a suicide by a home made gun is described. A review of the literature is added. The entry wound is exceptional. The case shows that the forensic assessment of a home made gun case may be very difficult and implies to evaluate all ... ...

    Abstract An interesting case of a suicide by a home made gun is described. A review of the literature is added. The entry wound is exceptional. The case shows that the forensic assessment of a home made gun case may be very difficult and implies to evaluate all the circumstances related to it. Specific forensic signs of home made gun injuries are suggested.
    MeSH term(s) Adult ; Contusions/pathology ; Equipment Design ; Firearms ; Humans ; Male ; Suicide ; Thoracic Injuries/pathology ; Wounds, Gunshot/pathology
    Language English
    Publishing date 2018-07
    Publishing country Ireland
    Document type Case Reports ; Journal Article
    ZDB-ID 424042-x
    ISSN 1872-6283 ; 0379-0738
    ISSN (online) 1872-6283
    ISSN 0379-0738
    DOI 10.1016/j.forsciint.2018.05.013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: A quite rare case of bruising abrasion-like as gun entry wound

    Chérrez Bermejo, Carlos / Teijeira Álvarez, Rafael

    Forensic science international. 2018 July, v. 288

    2018  

    Abstract: An interesting case of a suicide by a home made gun is described. A review of the literature is added. The entry wound is exceptional. The case shows that the forensic assessment of a home made gun case may be very difficult and implies to evaluate all ... ...

    Abstract An interesting case of a suicide by a home made gun is described. A review of the literature is added. The entry wound is exceptional. The case shows that the forensic assessment of a home made gun case may be very difficult and implies to evaluate all the circumstances related to it. Specific forensic signs of home made gun injuries are suggested.
    Keywords animal injuries ; forensic sciences ; humans ; suicide
    Language English
    Dates of publication 2018-07
    Size p. e1-e4.
    Publishing place Elsevier B.V.
    Document type Article
    ZDB-ID 424042-x
    ISSN 1872-6283 ; 0379-0738
    ISSN (online) 1872-6283
    ISSN 0379-0738
    DOI 10.1016/j.forsciint.2018.05.013
    Database NAL-Catalogue (AGRICOLA)

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  8. Article ; Online: Introducción.

    Teijeira Alvarez, Rafael / González Fernández, Jorge / Martí Amengual, Gabriel / Huguet Ramia, Emili

    Medicina clinica

    2014  Volume 142 Suppl 2, Page(s) 2–4

    Title translation Introduction.
    MeSH term(s) Forensic Medicine/trends ; Spain
    Language Spanish
    Publishing date 2014-03
    Publishing country Spain
    Document type Introductory Journal Article
    ZDB-ID 411607-0
    ISSN 1578-8989 ; 0025-7753
    ISSN (online) 1578-8989
    ISSN 0025-7753
    DOI 10.1016/S0025-7753(14)70064-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: La importancia de incluir las muertes prehospitalarias en los registros de traumatismo grave y su relación con la letalidad y la capacidad de predicción de la supervivencia.

    Fortún Moral, Mariano / Ali Ali, Bismil / Montes Fernández, Luisa M / Rey Pecharroman, José Miguel / Teijeira Álvarez, Rafael / Belzunegui Otano, Tomás

    Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias

    2016  Volume 28, Issue 3, Page(s) 173–178

    Abstract: Objectives: To compare the frequency and characteristics of prehospital and hospital deaths and assess whether injury severity and age can predict mortality when prehospital deaths are included or excluded from total mortality.: Material and methods: ...

    Title translation Inclusion of prehospital mortality statistics in severe trauma registries: a study of the influence of inclusion on trauma lethality rates and survival prediction.
    Abstract Objectives: To compare the frequency and characteristics of prehospital and hospital deaths and assess whether injury severity and age can predict mortality when prehospital deaths are included or excluded from total mortality.
    Material and methods: Descriptive analysis of a retrospective cohort of 918 patients with multiple injuries attended by emergency medical services in Navarre, Spain, in 2010-2013. We analyzed prehospital and hospital deaths by cause of injuries and developed and compared the precision of logistic regression models to predict mortality.
    Results: Most deaths occurred before arrival at a hospital. Three quarters of prehospital deaths occurred in patients under the age of 65 years. When prehospital deaths were included in the analysis, the lethality rate after traffic accidents rose from 16% to 42%; lethality from firearm injuries rose from 13% to 70%. When the model using the new injury severity score and age as independent variables was asked to predict survival with and without data for deaths at the scene or during transfer to a hospital, the model's performance differed only slightly.
    Conclusion: Most deaths from injuries occur before patients reach a hospital. The main characteristics of prehospital and hospital deaths differ. Including data for prehospital deaths in regression models does not change survival prediction based on injury severity and age.
    Language Spanish
    Publishing date 2016-06
    Publishing country Spain
    Document type English Abstract ; Journal Article
    ZDB-ID 2127173-2
    ISSN 2386-5857 ; 1137-6821
    ISSN (online) 2386-5857
    ISSN 1137-6821
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: La certificacion de la defuncion de casos de covid-19 en españa

    Alvarez, Rafael Teijeira / Sanz, María Pilar León / Herranz, Sonsoles Castro / Floristán, Yugo Floristán / Lozano, María Ines Salazar / Iribas, Maria Concepción Moreno

    Rev. Esp. Med. Leg.

    Abstract: Abstract La certificación de la defunción es un acto médico en el que el profesional debe poner el mismo esfuerzo y dedicación que en el resto de los informes elaborados en vida del paciente. Para su correcta cumplimentación el facultativo debe seguir ... ...

    Abstract Abstract La certificación de la defunción es un acto médico en el que el profesional debe poner el mismo esfuerzo y dedicación que en el resto de los informes elaborados en vida del paciente. Para su correcta cumplimentación el facultativo debe seguir las instrucciones básicas, poniendo especial cuidado en rellenar adecuadamente la secuencia de causas de muerte. En casos de pandemia, la cumplimentación del certificado de defunción corresponde a la medicina asistencial y para poder hacerlo, los organismos oficiales deben publicar instrucciones basadas en recomendaciones internacionales. Debe establecerse, cuanto antes, la posibilidad de comunicación telemática de las defunciones. Mientras eso no sea posible tienen que establecerse procedimientos que permitan en situación de pandemia, comunicar de forma inmediata la mortalidad a las autoridades sanitarias. Abstract Death certification requires the same effort and dedication as all reports by doctors during their patients’ lifetimes. The physician must follow the basic instructions to complete a death certificate correctly, taking special care to fill in the sequence of causes of death. In the case of a pandemic, completion of the death certificate falls to the primary care physician and therefore the official bodies must publish instructions based on international recommendations. It should be established as soon as possible whether it is possible to report deaths telematically. While this is not possible, in a pandemic procedures should be put in place to enable the immediate reporting of deaths to the health authorities.
    Keywords covid19
    Publisher Elsevier; PMC; WHO
    Document type Article ; Online
    Note WHO #Covidence: #260231
    DOI 10.1016/j.reml.2020.05.006
    Database COVID19

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