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Serotonin Syndrome (SS) is a potentially fatal iatrogenic condition that occurs as a result of an over-stimulation of the serotonergic receptors. Its typical presentation consists of the triad altered mental status, autonomic hyperactivity and neuromuscular alterations, although the clinical condition is highly variable. Despite being potentially treatable, many cases per year are underdiagnosed, a fact that has been mainly attributed to the lack of knowledge of this condition by the physicians. SS treatment relies on four pillars: removal of the precipitating agent and supportive therapy, antagonism of 5-HT2A receptors, and control of agitation, autonomic instability and hyperthermia. It is expected that its incidence will accompany the growth of the prescription of antidepressants, andincreasing physician’s awareness about its occurr...
The Psychiatric Department of the Hospital Fernando Fonseca (HFF) was the first service in Portugal based on the general hospital to develop an integrated model of mental health care in the community, oriented towards the needs of the population and supported by multidisciplinary teams. This model is based on continuity of care by the same team, assertive follow-up of patients in the community, in conjunction with primary health care and a wide range of interventions. The activity of the Service occurs at both hospital and community levels, maintaining a close articulation between the different units that constitute it, to ensure the necessary continuity of care. The Community Teams of Amadora, Brandoa, Damaia and Queluz constitute the Functional Community Intervention Unit and are based in the Health Centers of the area where they ope...
The human experience of time has been the object of study since antiquity, ranging from philosophers to contemporary neuroscience researchers. Some experiences may disturb the relation than Man has with Time, be they general and mundane situations – like a child playing with his toy (Thomas Fuchs) – to diseases, such as depressive or manic experiences or the schizophrenic way-of-being-in-theworld. We outline some concepts regarding temporality and shortly after we head on to the disturbance of temporality in the manic experience, both in the world-time (chronometric, explicit) and lived time (implicit) dimensions, with contributions from several authors, such as Eugène Minkowski, Leston Havens, Ludwig Binswanger, Medard Boss and Thomas Fuchs.
Introdução: A prevalência de sintomas obsessivo-compulsivos e de perturbação obsessivo-compulsiva em pacientes com esquizofrenia primariamente diagnosticada tem aumentado significativamente  nos últimos  anos,  sendo cada vez maior o número de publicações centradas no tema.Objectivos: A  presente  revisão  visa  analisar os  conceitos  de esquizofrenia,  perturbação obsessivo-compulsiva e a comorbilidade entre ambas as patologias, bem como algumas das características clínicas  que  permitem  distingui-las.Métodos: Foi realizada uma revisão bibliográfica  no  PubMed  entre  2009-2014,  utilizando as expressões: “Comorbidity between Obsessive-Compulsive  Disorder  and  Schizophrenia” e “Schizo-Obsessive Disorder”.Resultados  e  Conclusões: A  literatura  disponível incide essencialmente na proposta de teorias explicativas para as elevada...
The authors seek to reflect upon their experience in community psychiatry field, in the context and time simultaneously challenging but also capable of inducing "ways of doing" in the encounter between the mental health worker and the patient. We seek, through an interdisciplinaty intention, to integrate a body of knowledge that confers a meaning temporarily and spacially located. We live in singular spaces designed by an architecture where the human figure is still identified and the program allows the reading of intersubjectivity.
The concept of caring in nursing has changed throughout the years. Nursing has developed to meet the needs of the population and to adapt at the same time to scientific knowledge, which has taken another dimension, and technical demand. Every field in nursing gains new formas as it evolves, namely the mental health and psychiatric fields. We start by describing the dominant beliefs of society in the past regarding mental health. We will then talk about mental patients in Portugal from the 16th Century on (1539-1850) and how they were cared for, underlining the first psychiatric institution - Rilhafoles Hospital. We will elaborate on the more common treatments in psychiatry, the purposes they served and how the nursing staff intervened in their application. Finally, we will put the evolution of nursing care to the mental patients into p...
In the second part of this paper, the author initially stresses the literary context of "King Richard II", which allowed that we can it it like an historical drama rather than a tragedy; in the following section, the author analyses, from a phenomenological point of view, Richard II character and its parallelism with the opinion of authors, such as Minkowsky and Binswanger about time experience in depressive patients. In the conclusions, he stresses the genius of Shakespeare, in his search of human condition which allowed the revelationb of madness as belonging to it.
The author considers that the main problem in the comprehension of psychosis is the difficulty to reach the split unconscious. In the analytical treatment of psychotic patients he emphasizes the recommencement of suspended development in the new relatioship promoted by the dynamic process. The author also refers the breakdown of the feeling of power and the prevalence of "imagoico-imagetic" identification in this pathology, An extract of a patient's analysis with psychic encalves documents the exposed theory.
Kraepelin's methodology and clinical descriptions are still influential in the XXIst century psychiatry. Concerning schizophrenia, the author questions the internal cohesion and predicitve validity of the actual "phenotypes", returning to Kraepelin's concepts regarding the psychopathology and evolution of the disease. The author suggests that the validation of such concepts could influence research and clinical practice.
Biblioteca centralPalácio Ceia
Rua da Escola Politécnica, nº 141 - 147
1269-001 Lisboa, Portugal

Telefones: (+351) 300 002 922
(+351) 300 002 925 | (+351) 300 002 930
(+351) 300 002 931 | (+351) 300 002 932
Correio eletrónico: cdoc@uab.pt

Horário de atendimento:
Segunda a sexta, das 9h às 18h
Delegação de CoimbraRua Alexandre Herculano, nº 52
3000-019 Coimbra, Portugal

Telefone: (+351) 300 001 590
Correio eletrónico: cdocoimbra@uab.pt

Horário de atendimento:
Segunda a sexta, das 9h às 12h30 e das 14h às 18h
Delegação do PortoRua de Amial, nº 752
4200-055 Porto, Portugal

Telefone: (+351) 300 001 700
Correio eletrónico: cdocporto@uab.pt

Horário de atendimento:
Segunda a sexta, das 9h às 17h30