Abstract:
INTRODUCTION:Child and Adolescent Forensic Psychiatry involves a multidisciplinary assessment at the courts' requested to assist them in the process of justice delivery. MATERIAL AND METHODS:Retrospective study which included 233 forensic requests to two child and adolescent psychiatrists from Coimbra's HP-CHUC Child and Adolescent Psychiatry Department between 1998 and 2012. RESULTS:Biographic, psychopathology, social and family aspects were analyzed. The response time throughout the process, the origin and nature of the request's and the type of process which originated the request were also assessed. The authors identified the involved professionals and whether they needed to go to court. When there were questions, they evaluated the capacity to answer them, the forensic difficulties and solutions found, and the presence of recommendations. DISCUSSION:The obtained results met the clinical experience and literature regarding demography and psychopathology. As for the difficulties, there were a number of aspects which could be improved by both parts, aiming to ameliorate the articulation between Health and Justice. CONCLUSION:With this study it was possible to reflect on the authors forensic practice, in order to develop a closer partnership with the courts to promote the real 'best interests' of children/adolescents and their families. :Introdução: A atividade médico-legal, no âmbito da Pedopsiquiatria, consiste numa avaliação por solicitação dos Tribunais, para os assessorar no exercício da Justiça da família / da criança. Material e Métodos: Estudo retrospetivo, que englobou 233 pedidos de exames periciais e informações clínicas de dois pedopsiquiatras do Serviço de Pedopsiquiatria do Hospital Pediátrico do Centro Hospitalar e Universitário de Coimbra, entre 1998 - 2012. Resultados: Foram analisados aspetos biográficos, psicopatologia subjacente e contexto sociofamiliar. Foram avaliados também os tempos de resposta nos diferentes momentos do processo, a proveniência e a natureza dos pedidos, bem como o tipo de processo que lhes deu origem. Os autores identificaram, para cada caso, os profissionais envolvidos no processo e a eventual necessidade de comparência em Tribunal. Perante a existência de quesitos, avaliaram a capacidade de resposta aos mesmos, as dificuldades periciais e respetivas soluções encontradas, bem como a existência ou não de recomendações. Discussão: Os resultados obtidos foram ao encontro da literatura e experiência clínica relativamente aos dados demográficos e psicopatologia. Quanto às principais dificuldades sentidas, identificaram-se diversos aspetos passíveis de aperfeiçoamento, por ambas as partes, com vista a uma melhor articulação entre a Saúde e a Justiça. Conclusão: Com este trabalho foi possível refletir acerca da atividade forense dos autores, visando facilitar a articulação da Pedopsiquiatria com os Tribunais, em prol do verdadeiro superior interesse das crianças/adolescentes e suas famílias.
journal_name
Acta Med Portjournal_title
Acta medica portuguesaauthors
Ferreira Leite V,Araújo C,Cartaxo T,Veiga L,Loureiro MJdoi
10.20344/amp.8579subject
Has Abstractpub_date
2017-10-31 00:00:00pages
675-682issue
10eissn
0870-399Xissn
1646-0758journal_volume
30pub_type
杂志文章abstract:OBJECTIVES:This study was undertaken to assess the value of Cockroft-Gault Formula (FCG) in the patients of an Internal Medicine ward. METHODS:FCG was compared with creatinine clearance (DC) adjusted for corporal area. Serum creatinine was measured after 24 h urine collection and 8 h fast. By the subtraction of FCG fr...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1998-08-01 00:00:00
abstract::Despite the recent advances in the development of complementary diagnostic exams and modern targeted therapies, colorectal cancer remains a major cause of morbidity and mortality worldwide. In this context, a lot of research has been conducted in the last years to find new markers of poor prognosis. The existence of a...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:10.20344/amp.5398
更新日期:2015-05-01 00:00:00
abstract::Before the age of 8 in females and 9 in males, the presence of pubic hair can be the first sign of a gonadal or adrenal disease. In order to identify the late onset type of congenital adrenal hyperplasia in premature pubescence, we did the adrenal short stimulation test with Synacthen, on 30 children. Five girls and o...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1991-07-01 00:00:00
abstract:INTRODUCTION:Deep brain stimulation (DBS) is effective in advanced Parkinson's disease (PD), improving motor symptoms, fluctuations and quality of life. However, adverse psychiatric outcomes have been reported, albeit variably and in an unstandardized fashion. We aimed to summarize the published evidence on the outcome...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,meta分析,评审
doi:10.20344/amp.4928
更新日期:2014-05-01 00:00:00
abstract::Neuropsychiatric symptoms are commonly associated with chronic hepatitis C virus infection (HCV). The aim of this review of the literature was to evaluate the prevalence of depression in patients with hepatitis C, as well as the proposed etiopathogenic models. A review of the literature was undertaken using the comple...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2006-01-01 00:00:00
abstract::Over the years a number of high quality studies has established the effectiveness of external measures (tape, brace) and neuromuscular training for the prevention of ankle sprains. The general conclusion derived from these studies is that recurrent ankle sprains can be effectively prevented using any of these measures...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2013-03-01 00:00:00
abstract::The diagnosis of cerebral cardioembolism requires, apart from evidence of an embolic cardiopathy, a cause-effect relation to be established between the potential cardioembolic source and the occurrence of ischemic stroke. There are several arguments in favour of this reaction, namely the neurologic aspects put forward...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:1997-08-01 00:00:00
abstract::Twelve cases of extreme umbilical blood flow impairement (8 cases with loss of end-diastolic blood flow and 4 cases with reversed flow) found among 658 pregnancies studied by continuous Doppler between April 1st 1989 and March 31st 1990, are reported. The findings were associated to intra-uterine growth retardation (9...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1991-05-01 00:00:00
abstract:BACKGROUND:In experimental ageing models an inverse relationship between age and alkaline phosphatase activity has been observed. OBJECTIVE:To characterize serum levels of alkaline phosphatase activity in humans according to age and gender. METHODS:Serum alkaline phosphatase was determined in a random sample of 203 c...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2003-11-01 00:00:00
abstract:INTRODUCTION:Amyotrophic lateral sclerosis is a rare neurodegenerative disease affecting motor neurons. Patients present with progressive physical impairment, respiratory failure being the main cause of death. A significant portion of patients presents neurobehavioral problems as well. As severe impairment occurs, pati...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:10.20344/amp.6590
更新日期:2016-01-01 00:00:00
abstract::Chorioangioma is the most frequent nontrophoblastic tumour of the placenta, with a reported incidence ranging from 0.01% to 1.3%. The authors describe three cases of placental chorioangiomas, two of these diagnosed prenatally by ultrasound, and the clinical implications for both mother and fetus. Premature delivery an...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1997-10-01 00:00:00
abstract::The authors report a case of 32-week-old newborn, admitted to the Intensive Care Unit for Newborns. Mechanical ventilation was needed from the first day of life. The patient was treated with indomethacin on the second day of life due to patent ductus arteriosus. On the seventh day pneumoperitoneum was diagnosed, emerg...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:1998-12-01 00:00:00
abstract::Manic and hypomanic states associated with antidepressant treatments are relatively common; however, when specifically considering mirtazapine, those side effects are infrequent. The authors report a clinical case regarding a manic episode with dysphoric features in a patient with no personal or family previous psychi...
journal_title:Acta medica portuguesa
pub_type:
doi:10.20344/amp.9916
更新日期:2019-10-01 00:00:00
abstract::In recent years, the time for motherhood has been postponed, which is related to social aspects and can lead to health problems for the pregnant women and the child. An appropriate follow-up of the pregnancy is essential for identification and early treatment of possible complications. The purpose of this study was to...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2011-11-01 00:00:00
abstract:INTRODUCTION:Vaccines prevent more cases of diseases than any other medical treatment. However, information on new vaccines introduced in the market and not included in the National Vaccination Program (NVP) is often sparse, and their knowledge limited. OBJECTIVES:Evaluate general and specific knowledge of healthy chi...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2011-12-01 00:00:00
abstract:INTRODUCTION:Scabies outbreaks in healthcare institutions are an emerging problem. To determine the best management strategy is a topical matter. We analyzed two hospital scabies outbreaks and reviewed the management strategy of institutional scabies outbreaks. MATERIAL AND METHODS:We performed an observational retros...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.12840
更新日期:2020-12-02 00:00:00
abstract:INTRODUCTION:The percentage of citizens who were not registered with a family physician in Portugal reached 16.6% in 2011. In 2012 the Ministry of Health implemented several measures aiming at improving access to family physicians. One clear objective was that all individuals would be registered with a family physician...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.9873
更新日期:2018-12-28 00:00:00
abstract::The case of a 31 man with acute disautonomia envolving the parasympathetic and sympathetic systems but sparing sympathetic cholinergic division is presented. A Hodgkin lymphoma was diagnosed allowing the diagnosis of a paraneoplastic syndrome. ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2002-03-01 00:00:00
abstract:INTRODUCTION:The growing concern surrounding health safety issues makes it essential that everyone, in particular the elderly due to their commonly prescribed multiple drugs, has a complete and up to date list of prescriptions. We planned to assess the quality of the electronic records of prolonged medication. MATERIA...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,多中心研究
doi:
更新日期:2014-09-01 00:00:00
abstract:INTRODUCTION:The consumption of potentially inappropriate medicines is high among institutionalized elderly, predisposing to potential drug interactions, adverse drug events, risk of iatrogenic cascade, increased morbidity and mortality and health costs. Medication review is a promising strategy for therapeutic optimiz...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.13030
更新日期:2020-07-30 00:00:00
abstract::On page 761, in the first sentence of the Introduction, where it reads: "Cardiovascular Botulinum toxin A (BoNT-A) has beenapproved for spasticity management."It should read: "Botulinum toxin A (BoNT-A) has been approved for spasticity management."Article published with errors: https://www.actamedicaportuguesa.com/rev...
journal_title:Acta medica portuguesa
pub_type: 已发布勘误
doi:10.20344/amp.15226
更新日期:2020-12-02 00:00:00
abstract::The Bartter syndrome is a rare hereditary salt-wasting tubulopathy, characterized by metabolic alkalosis, hypokalemia, hyperreninemia and hyperaldosteronemia of varying severity. Indomethacin and high doses of oral potassium have been until now the therapeutic strategies used, with high risk of gastrointestinal injury...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2011-12-01 00:00:00
abstract::The authors analyse the appropriateness admissions to the Internal Medicine ward of the Hospital de Santa Luzia (Elvas). A retrospective study was performed during 6 months of 2001, using the Appropriateness Evaluation Protocol (AEP). Non-appropriateness admissions were found in 19% (CI95%: 16-22), and this group of p...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2004-03-01 00:00:00
abstract:INTRODUCTION:Postpartum haemorrhage is still the main cause of maternal morbidity and mortality. Many treatments are available, but they may threaten fertility potential. As a uterine sparing procedure, we aimed to review uterine compression sutures in order to better understand when they should represent an appropriat...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.11987
更新日期:2019-10-07 00:00:00
abstract::After defining U.I. as a symptom, sign and condition, the author claims, through epidemiological studies, that this reflects a major medical, social and economic problem. On the other hand the physiopathology of U.I. can be explained in a context of balance between the retention and emptying forces during the filling ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1999-01-01 00:00:00
abstract::Embalming is a chemical process that aims the preservation and sanitization of the human body indefinitely. The technique of embalming is an important tool in teaching and research in anatomy enabling the preservation of cadaveric material in good conditions (lessening any significant structural changes and maintainin...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2013-05-01 00:00:00
abstract:INTRODUCTION:Approximately 20% - 30% of histological lymph node-negative patients with colorectal cancer relapse at five years after surgical treatment. This recurrence is likely due to occult nodal disease undetected by standard histopathological practice which has implications in terms of the clinical management of p...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,多中心研究
doi:10.20344/amp.9696
更新日期:2018-11-30 00:00:00
abstract:INTRODUCTION:Portugal is experiencing the effects of the COVID-19 pandemic since March 2020. All-causes mortality in Portugal increased during March and April 2020 compared to previous years, but this increase is not explained by COVID-19 reported deaths. The aim of this study was to analyze and consider other criteria...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.13928
更新日期:2020-06-01 00:00:00
abstract::After the discovery of insulin and during almost an half of a century, physicians and researchers apply their efforts in a better knowledge to reduce the perinatal mortality of the offspring of the diabetic mother. The optimisation of glucose control--the main key of the management of diabetic pregnancy--and the new m...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2002-05-01 00:00:00
abstract::A new case of nephrotoxic effect of Maneb is related. The patient used this product as fungicide and developed a progressive illness with acute renal failure. The study by light and electron microscopy revealed severe tubular lesions that disappeared some months later with tubular cell regeneration. However, in spite ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1989-08-01 00:00:00