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1.
Med Leg J ; 88(1): 24-29, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31750779

RESUMO

Bipolar disorder is a chronic, relapsing illness characterised by recurrent episodes of manic or depressive symptoms, with intervening periods that are relatively (but not fully) symptom-free. Studies have found higher rates of psychiatric disorders in homicide offenders than in the general population. The insanity defence is a legal construct that, under some circumstances, excuses defendants with mental illness from legal responsibility for criminal behaviour. Here we report two cases of family murder by the mother of the family caused by bipolar disease. The role of the forensic psychiatrist in diagnosing insanity during the commission of a crime is very important as these patients should be diagnosed, treated as soon as possible, and monitored. Public education through social media should be considered to reduce crimes in societies. Diagnosing insanity during the commission of a crime is very important and requires high precision forensic psychiatry. Public education through social media should be considered to reduce crimes in societies.


Assuntos
Transtorno Bipolar , Homicídio/legislação & jurisprudência , Homicídio/psicologia , Defesa por Insanidade , Adulto , Feminino , Humanos , Irã (Geográfico) , Pessoa de Meia-Idade
2.
Med Leg J ; 87(1): 36-38, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30465627

RESUMO

Head trauma may occur during delivery and can lead to a number of conditions. When an infant is injured during birth, the cause of injury is generally due to mechanical forces, such as compression, excessive or abnormal traction during delivery, and the use of forceps. A 39-year-old woman who was a primagravida (first pregnancy) with a gestational age of 26 weeks premature pregnancy was referred to a hospital in Tehran due to premature rupture of membranes (PROM) and fever. She arrived 2 h after rupture (noting that the rupture lasted for one week and then the baby was delivered). Antibiotics were given early on. After weak labour pain, vaginal examination revealed that the cervix was fully dilated and one of the feet of the foetus had come out of the cervix and was seen in the vagina. The foetus had died. The delivery staff used traction with force. Due to the age of the foetus, the head was relatively big and could not be delivered; the neck was thin and broken and the head separated from the body. The mother underwent a caesarean section to deliver the head of the foetus a week after PROM. The father of the dead newborn foetus sued the hospital and the staff responsible for the delivery. When medical professionals damage the trust between patients and their families and babies are injured children, they should be held accountable.


Assuntos
Parto Obstétrico/normas , Imperícia , Ferimentos e Lesões/complicações , Adulto , Parto Obstétrico/legislação & jurisprudência , Feminino , Ruptura Prematura de Membranas Fetais/mortalidade , Ruptura Prematura de Membranas Fetais/fisiopatologia , Humanos , Recém-Nascido , Irã (Geográfico) , Gravidez , Ferimentos e Lesões/psicologia
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