Simona Damian

Shaken Baby Syndrome. Case Report

Abstract Recognition of abuse and the treatment of child victims are recent concepts in the history of mankind. Increasing the awareness of the need to treat and prevent such abuse is a characteristic of modern society. The beaten child syndrome was described by Ambroise Tardieu in 1860, and Shaken Baby Syndrome (SBS) was clearly illustrated in medical literature a century later by Caffey in 1972. The definition of SBS is based on the association of major intracranial lesions with minimal external lesions and the diagnosis is still difficult to establish. The authors describe a reduced number of 7 cases of pediatric patients addressed for forensic expertise and where suspicion of SBS has arisen. The lesion mechanisms involved in the production of this syndrome are still controversial and are sources of frequent debates in legal medicine. These uncertainties can make legal punishment inoperable. The therapeutic management of these children in neurosurgery is not subject to international consensus, and discrepancies between different clinics impede a comparative cohort assessment. However, SBS is a major public health problem due to severe neurological injuries caused to child victims during brain development.

The Role of Educational Measures for Juvenile Offenders in Forensic Psychiatry

The New Penal Code (NPC) of Romania gave up on punishing minor offenders, in favor of educational measures. Thus, the minor following a final conviction, will not be subjected to the prohibitions, detentions or incapacity attributable to the penalties applicable to major offenders. Thus, the emphasis is moved from punishment, to prevention, re-education and social reinsertion. The New Penal Code delimits from the previous one, the institution of the educational measures depriving of liberty from that of non-custodial educational measures. Psychiatric forensic expertise of the minor plays a key role in the court decision, through its conclusions regarding the existence of discernment at the time of committing the act. In the case of determining the presence of discernment at the time of committing the act, the psychiatric forensic board will also make recommendations on the educational measure that should be instituted. In the recommendations made, the board considers both personality deficiencies and social etiology, dissociating the meaning of behavior from the social situation in which the subject of law is. Thus, the recommendations made by the board of psychiatric forensic expertise are the result of a thorough analysis of the minors psychic state, the nature of the committed act, corroborated with the concrete circumstances of committing it, with the opportunity to appreciate critically the act because of the education received and with the influences of the environment. In addition, in recommending educational measures, the board also takes into consideration the family support that the minor benefits or not, essential support in his social reintegration.

Bioethics In Intervention In The Deficit Attention Hyperkinetic Disorder (Adhd)

Attention Deficit Hyperkinetic Disorder (ADHD) is one of the most common psychiatric disorders that occurs during childhood and adolescence. Attention Deficit Hyperkinetic Disorder (ADHD) is a chronic neuro-biological disorder that begins in childhood and which is characterized by a level of inattention, hyperactivity and impulsivity that are inappropriate with the development, and which may manifest in various combinations at school, at home and in social contexts . How to cite: Damian, S.I., Rohozneanu, A., Glodeanu, A., & Tabian, D. (2017). Bioethics in Intervention in the Deficit Attention Hyperkinetic Disorder (ADHD). Eastern- European Journal of Medical Humanities and Bioethics , 1(1), 36-44. https://doi.org/10.18662/eejmhb/02