Some factors influenced both surgical intensive care unit and hospital mortality.

Introdução: A disponibilidade de ecrãs tem sido associada a efeitos negativos. Pretendemos caracterizar e comparar o “tempo de ecrã” em crianças e adolescentes da área de Vila Nova de Gaia, com e sem psicopatologia.  Material e Métodos: Estudo observacional, com amostra de conveniência e aplicação de questionários entre 1 de outubro de 2018 e 31 de junho de 2019 a crianças e adolescentes seguidos em Cuidados Saúdes Primários e em consulta de Psiquiatria da Infância e Adolescência.  Resultados: Amostra de 223 participantes, 184 com psicopatologia (82,5%) e 39 sem (17,5%). A maioria apresentava “tempo de ecrã” superior ao recomendado (71,4%), com superioridade naqueles com psicopatologia (p=0,006). Verificámos o mesmo relativamente à utilização de dispositivos ao adormecer ou background TV (p=0,024 e 0,008, respetivamente). A covisualização foi mais frequente nos participantes sem psicopatologia (p=0,045). O “tempo de ecrã” superior ao recomendado, background TV e covisualização mantiveram‑se significativos após regressão logística (p=0,029, p=0,024 e p=0,013, e OR = 3,741 [IC 1,148‑12,194]; OR=3,494 [IC 1,175‑10,392] e OR = 0,249 [IC 0,083‑0,750] respetivamente).  Discussão: Os resultados coadunam com o que éapontado na literatura sobre uma possível associação entre “tempo de ecrã” e psicopatologia. Será importante avaliar o efeito de causalidade desta associação.  Conclusão: O “tempo de ecrã” éexcessivo e mais frequente nos participantes com psicopatologia. A uniformização de recomendações e adaptação à realidade portuguesa são de relevância crescente na atualidade.

Introduction: In 1976, Erikson characterized adolescence as a special phase of development marked by the construction of identity, where a containing and understanding family environment is crucial, as well as the socio-cultural context, so immigration can act as a destabilizer. Through a case report, it is intended to address the role of culture in the development of emotional, behavioural and identity problems in immigrant adolescents, and also reflect on its impact on the therapeutic alliance and the need for an intercultural approach in the care of this population. Case Presentation: 16-year-old black skin Angolan teenager, who immigrated to Portugal at the age of 11, being displaced from her extended family. At the age of 14, she began to present self-injurious behaviours and developed depressive symptoms, having been referred to a Child and Adolescent Psychiatric consultation after voluntary drug intake when she was 16 years old. Throughout the observations, the intercultural conflict, the feeling of not belonging and incomprehension were noticeable. In one of the consultations, in the presence of an African doctor, she presented a relaxed attitude, spontaneously addressed sociocultural aspects that she believes are at the genesis of the current symptoms. Conclusion: Intrapersonal, interpersonal and cultural factors influence the identity construction process, and conflicts in these dimensions can lead to behavioural and emotional problems. Given that the therapeutic alliance is important for the treatment, investing in intercultural training of mental health professionals can be beneficial to address immigrants’ mental health problems.

Objectives: This study intends to characterize the habits of screen time exposure in a sample of infants, toddlers, and preschoolers and to assess if there’s a relationship between the proportion of early childhood excessive exposure to screen time and the presence of psychopathology and parental concerns. Methods: A cross-sectional cohort study of patients in a Child and Adolescent Psychiatric outpatient unit and children followed exclusively in Primary Health Care in the same geographic area was carried out. The information was collected from a self-report filled questionnaire by the caregiver, between October 1, 2018 and June 30, 2019. The exposure time was defined according to the American Academy of Pediatrics recommendations regarding the average daily exposure time. Results: The need for a Child and Adolescent Psychiatry follow-up consultation and behavior concerns during early childhood are significantly associated with screen time, with a greater proportion within the group with an average daily exposure time higher than recommended (p=0,006 and p=0,032 respectively). Conclusion: The study found an association between screen time exposure, parent behavior concerns and the need for follow-up in Child and Adolescence Psychiatry outpatient. Further studies are needed in order to better understand this subject.