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https://www.readbyqxmd.com/read/29688229/the-medical-assessment-of-fractures-in-suspected-child-maltreatment-infants-and-young-children-with-skeletal-injury
#1
Laurel Chauvin-Kimoff, Claire Allard-Dansereau, Margaret Colbourne
Fractures are common injuries in childhood. While most fractures are caused by accidental trauma, inflicted trauma (maltreatment) is a serious and potentially unrecognized cause of fractures, particularly in infants and young children. This practice point identifies the clinical features that prompt concern for inflicted skeletal injury and outlines a management approach based on current literature and published guidelines, including the clinician's duty to report suspicion of child abuse to child welfare authorities...
April 2018: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29686496/child-and-youth-advocacy-centres-a-change-in-practice-that-can-change-a-lifetime
#2
Christina L Shaffer, Tanya D Smith, Amy E Ornstein
While often a silent and invisible issue, childhood trauma is pervasive, and has profound individual, societal and economic impacts. Many forms of childhood trauma exist, including child physical and sexual abuse. Given the prevalence, impact and availability of prevention and intervention approaches, child abuse deserves the same level of awareness, policy priority and investment as is directed to other issues of significant public health importance. The complex issue of child abuse requires a coordinated multifaceted response, which minimizes system trauma and revictimization for the child and family...
April 2018: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29685201/classical-metaphyseal-lesions-thought-to-be-pathognomonic-of-child-abuse-are-often-artifacts-or-indicative-of-metabolic-bone-disease
#3
Marvin Miller, L David Mirkin
OBJECTIVE: The objective of the present study was to review the histopathology in the original articles by authors Kleinman and Marks that described the specificity of the classical metaphyseal lesion for child abuse and to determine if there were any oversights in the authors' analysis. METHODS: We reviewed the histopathology of the original studies that equated the classical metaphyseal lesion with child abuse. We compared this with the histopathology of metaphyseal fractures caused by known accidental, severe trauma in children and reviewed the histopathology of artifacts that can sometimes be produced in bone histology preparations...
June 2018: Medical Hypotheses
https://www.readbyqxmd.com/read/29684826/ongoing-child-welfare-services-understanding-the-relationship-of-worker-and-organizational-characteristics-to-service-provision
#4
Kristen Lwin, John Fluke, Nico Trocmé, Barbara Fallon, Faye Mishna
Ongoing child welfare services are put in place after completion of the initial maltreatment investigation when there is a perceived need to mitigate the risk of future harm. The knowledge of how clinical, worker, and organizational characteristics interact with this decision to provide ongoing child welfare services is not well integrated in the research literature. Using secondary data from the Canadian Incidence Study of Reported Child Abuse and Neglect-2008, this study's primary objective is to understand the relationship of clinical, worker, and organizational characteristics to the decision to transfer a case to ongoing child welfare services and their relative contribution to the transfer decision in Canada...
April 20, 2018: Child Abuse & Neglect
https://www.readbyqxmd.com/read/29683701/exploring-evidence-of-a-dissociative-subtype-in-ptsd-baseline-symptom-structure-etiology-and-treatment-efficacy-for-those-who-dissociate
#5
Mark S Burton, Norah C Feeny, Arin M Connell, Lori A Zoellner
OBJECTIVE: With the inclusion of a dissociative subtype, recent changes to the DSM-5 diagnosis of posttraumatic stress disorder (PTSD) have emphasized the role of dissociation in the experience and treatment of the disorder. However, there is a lack of research exploring the clinical impact for highly dissociative groups receiving treatment for PTSD. The current study examined the presence and clinical impact of a dissociative subtype in a sample of individuals receiving treatment for chronic PTSD...
May 2018: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/29682976/disentangling-the-cycle-potential-mediators-and-moderators-in-the-intergenerational-transmission-of-parent-child-aggression
#6
Christina M Rodriguez, Paul J Silvia, Samantha Gonzalez, Maria-Ernestina Christl
Although a cycle of harsh and abusive parenting has been recognized for decades, this cycle is not inevitable. Indeed, the mechanisms underlying such patterns, and the resources parents may access to disrupt this cycle, require further study. Research investigating those processes has either relied on cross-sectional designs or largely assessed mediators or moderators at one time point. The current investigation of parent-child aggression (PCA) risk utilized a longitudinal design to consider possible mediators and moderators across three time points...
January 1, 2018: Child Maltreatment
https://www.readbyqxmd.com/read/29681251/behavior-problems-in-sexually-abused-preschoolers-over-a-1-year-period-the-mediating-role-of-attachment-representations
#7
Florence Charest, Martine Hébert, Annie Bernier, Rachel Langevin, Raphaële Miljkovitch
According to the developmental psychopathology framework, adverse childhood experiences, including child sexual abuse (CSA), may alter the course of normal development in children. Attachment security has been identified as a protective factor against psychopathology and may thus play a critical role in predicting victims' adaptation. The main objective of the present study was to investigate the mediating effect of attachment representations in the relation between CSA and behavior problems over a 1-year period...
April 23, 2018: Development and Psychopathology
https://www.readbyqxmd.com/read/29680494/femur-loading-in-feet-first-fall-experiments-using-an-anthropomorphic-test-device
#8
Angela Thompson, Gina Bertocci, Craig Smalley
BACKGROUND: Femur fractures are a common orthopedic injury in young children. Falls account for a large portion of accidental femur fractures in young children, but there is also a high prevalence of femur fractures in child abuse, with falls often provided as false histories. Objective information regarding fracture potential in short distance fall scenarios may aid in assessing whether a child's injuries are the result of abuse or an accidental fall. Knowledge of femur loading is the first step towards understanding likelihood of fracture in a fall...
March 31, 2018: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/29678130/cumulative-risk-effect-of-household-dysfunction-for-child-maltreatment-after-intensive-intervention-of-the-child-protection-system-in-japan-a-longitudinal-analysis
#9
Hirotsuna Ohashi, Ichiro Wada, Yui Yamaoka, Ryoko Nakajima-Yamaguchi, Yasukazu Ogai, Nobuaki Morita
BACKGROUND: Building an effective casework system for child maltreatment is a global issue. We estimated the effect of household dysfunction (i.e., interparental violence, caregiver mental health problems, and caregiver substance abuse) on child maltreatment to understand how to advance the current framework of child welfare. METHODS: The sample comprised 759 children (1- to 17-year-old; mean age was 10.6; 404 boys and 355 girls) placed in temporary custody units (one of the strongest intervention of the Japanese child protection system)...
April 20, 2018: Environmental Health and Preventive Medicine
https://www.readbyqxmd.com/read/29677412/gunderkids-design-of-a-clinical-care-management-program-for-parents-with-substance-abuse-and-their-newborn-children-with-a-focus-on-preventing-child-abuse
#10
Ann E Budzak-Garza, Allison L Allmon Dixson, Renee A Holzer, Kaitlin E Lillard-Pierce, Carolynn J Devine
BACKGROUND: In response to an increased need to care for babies born to mothers with substance abuse issues, we developed GunderKids, a care management program that provides integrated medical care beyond standard-of-care, well-child appointments for these socially complex families. METHODS: The program incorporates frequent visits to the pediatrician and the care team, which includes pediatric nurses, a pediatric social worker, and a child psychologist. Enrollment is voluntary...
March 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29675071/pediatric-head-injury-a-study-of-403-cases-in-a-tertiary-care-hospital-in-a-developing-country
#11
Abrar Ahad Wani, Arif Hussain Sarmast, Muzaffar Ahangar, Nayil Khursheed Malik, Sarabjit Singh Chhibber, Sajad Hussain Arif, Altaf Umar Ramzan, Bashir Ahmed Dar, Zulfiqar Ali
Introduction: Traumatic brain injury (TBI) in children is a significant cause of morbidity and mortality worldwide. Falls are the most common type of injury, followed by motor vehicle-related accidents and child abuse. Aims and Objectives: The aim and objective of this study was to elucidate the various modes of injury, prognostic factors, complications, incidence of various modes of injury, and outcome in TBI in pediatric population. Materials and Methods: Patients with TBI, 18 years or less in age, managed in our Department of Neurosurgery, over a period of 2 years, were studied prospectively...
October 2017: Journal of Pediatric Neurosciences
https://www.readbyqxmd.com/read/29662527/stimulant-withdrawal-in-a-child-with-autism-spectrum-disorder-and-adhd-a-case-report
#12
Aneta Krakowski, Abel Ickowicz
Objective: To consider whether the concepts of tolerance and withdrawal to stimulant medications apply to a preadolescent female, affected by autism spectrum disorder (ASD) and treated for associated attention-deficit/hyperactivity disorder (ADHD). Methods: We describe the case history and review scientific English language literature pertaining to acute withdrawal effects associated with methylphenidate and amphetamine derivatives in children. Results: An 11-year-old female with ASD and ADHD referred to our clinic experienced vomiting, headaches, and light sensitivity following abrupt discontinuation of methylphenidate; she subsequently presented with migraines and marked malaise immediately after a dose reduction in lisdexamfetamine...
April 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29661117/sexual-victimization-and-mental-illness-prevalence-rates-among-incarcerated-women-a-literature-review
#13
Marie E Karlsson, Melissa J Zielinski
Incarcerated women evidence high rates of both interpersonal trauma and mental illness. In particular, the rates of sexual violence victimization are so high that some researchers have suggested that sexual abuse may be a pathway to prison for women, likely through the development of mental illness, including substance abuse. This review article summarizes the literature on sexual victimization ( n = 32 articles; 28 independent studies) and mental illness ( n = 11 articles; 8 independent studies) prevalence among samples of incarcerated women ( Ns ≥ 100) in context of methodological choices within included articles...
January 1, 2018: Trauma, Violence & Abuse
https://www.readbyqxmd.com/read/29659856/integration-of-physical-abuse-clinical-decision-support-into-the-electronic-health-record-at-a-tertiary-care-children-s-hospital
#14
Srinivasan Suresh, Richard A Saladino, Janet Fromkin, Emily Heineman, Tom McGinn, Rudolph Richichi, Rachel P Berger
Objective: To evaluate the effect of a previously validated electronic health record-based child abuse trigger system on physician compliance with clinical guidelines for evaluation of physical abuse. Methods: A randomized controlled trial (RCT) with comparison to a preintervention group was performed. RCT-experimental subjects' providers received alerts with a direct link to a physical abuse-specific order set. RCT-control subjects' providers had no alerts, but could manually search for the order set...
April 12, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29659376/when-a-child-dies-unexpectedly-no-truth-be-told
#15
Deborah L Callanan, William D McClain
Sudden death of a child beyond infancy is a rare event. We report a child who presented to the emergency care system with asystole and the caregiver's report of an asthma attack as the preceding event. After unsuccessful attempts at resuscitation, an autopsy was performed by the medical examiner. Despite only scattered bruises with no clear-cut signs of abuse, aortic rupture and spinal fractures were found. This case highlights the crucial role of the medical examiner in evaluating sudden childhood death, even in the setting of underlying illness...
April 13, 2018: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/29658819/child-and-family-factors-associated-with-child-maltreatment-in-vietnam
#16
Nhu K Tran, Sheila R van Berkel, Marinus H van IJzendoorn, Lenneke R A Alink
This study aims to explore possible risk factors for child maltreatment in Vietnam by investigating the association of child and family factors with different types of child maltreatment (i.e., sexual abuse, physical abuse, emotional abuse, witnessing parental conflict, and neglect) and the occurrence of multiple types of child maltreatment. Cross-sectional data of 1,851 secondary and high school students aged 12 to 17 years (47.3% boys) in four provinces of Northern Vietnam were obtained using self-report questionnaires...
April 1, 2018: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29658499/-the-impact-of-abuse-and-neglect-in-childhood-on-the-development-of-substance-use-disorders
#17
E A Katan
The review of literature over the last decade addresses the impact of childhood abuse and neglect on the further development of addictions and mental disorders. The results of the studies have been analyzed in the aspect of abuse, age and gender characteristics in childhood and variants of consequences: from neurodevelopment to behavioral disorders. Childhood abuse and neglect is associated with the higher risk of posttraumatic stress disorder, suicidal behavior and some psychiatric diseases. Attention is focused on the fact that adults with substance use disorders (SUDs) report higher rates of child abuse than adults without SUDs...
2018: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
https://www.readbyqxmd.com/read/29656217/religiosity-and-interpersonal-problems-explain-individual-differences-in-self-esteem-among-young-adults-with-child-maltreatment-experiences
#18
Jonathan C Waldron, Angela Scarpa, Jungmeen Kim-Spoon
Child maltreatment can have a lasting impact, which is why it is important to understand factors that may exacerbate or mitigate self-esteem difficulties in adulthood. Although there is tremendous benefit that can come from religion and spirituality, few studies examine religious views after child maltreatment. Subsequent interpersonal difficulties may also affect self-esteem in maltreatment survivors. This study sought to examine interpersonal problems and religiosity as mediators in the link between childhood maltreatment and self-esteem in adulthood...
April 12, 2018: Child Abuse & Neglect
https://www.readbyqxmd.com/read/29656040/-child-sexual-abuse-description-of-a-french-population-having-consulted-in-a-forensic-medical-service-between-2011-and-2015
#19
M Hauet-Wiedemann, A Wiedemann, A Gatin, E Renaud, L Lapp, A Franchi, L Martrille, A Borsa-Dorion
BACKGROUND: When child sexual abuse (CSA) is suspected, the detection of anogenital anomalies is rare. In France, since 2011, most clinical examinations of children for whom CSA is suspected take place in the forensic medical service (FMS). OBJECTIVES: To describe a population of children examined for suspected CSA in the FMS of the Nancy Regional University Hospital Center. PATIENTS AND METHODS: Children under the age of 18 who consulted for suspected CSA in the Nancy FMS between 2011 and 2015 were included...
April 11, 2018: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/29652872/medical-management-of-transgender-children-and-adolescents
#20
María Fernanda Castilla-Peón
Transgender or gender nonconforming (GN) persons identify themselves with a gender which is different from that correspondent to their birth sex. The demand for health services by families with transgender children or adolescents tends to increase. The prevalence of GN in children is unknown; however, it has been estimated to be > 1% in adolescents. Transgender persons are at increased risk of depression, suicide, illicit drug abuse, human immunodeficiency virus infection, and non-accidental injury. The most accepted model for the care of transgender persons assumes that these adverse outcomes are the consequence of social margination rather than the GI condition itself...
2018: Boletín Médico del Hospital Infantil de México
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