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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/29682360/infant-oral-mutilation
#4
Emily A Pope, Michael W Roberts, E LaRee Johnson, Clark L Morris
Ebinyo refers to the practice of removing primary canine tooth follicles in infants without anesthetic by African traditional healers or elders using unsterilized instruments. This report describes a case of ebinyo or infant oral mutilation (IOM) and associated sequelae in a child adopted from a remote African tribe. The intraoral examination revealed that the patient was missing his primary maxillary and mandibular canines. The maxillary anterior periapical radiograph displayed a dysmorphic ectopic unerupted maxillary right primary canine positioned mesial to the maxillary right primary first molar...
2018: Case Reports in Dentistry
https://www.readbyqxmd.com/read/29681830/post-ocular-trauma-corneal-staphyloma-in-a-child-living-in-an-underdeveloped-region-of-eastern-indonesia
#5
Ratna Sitompul, Gladys Kusumowidagdo, Eiko B Matiur, Julie D Barliana, Rita S Sitorus, Saleha Sungkar
Ocular trauma occurring in children often leads to visual impairment or blindness when it is not properly managed. This often occurs in underdeveloped regions with difficult access to professional care at local health facilities. We report a case of post-trauma corneal staphyloma in an underdeveloped region of eastern Indonesia to illustrate the importance of proper management of ocular trauma in areas lacking such expertise and where patients have difficulty accessing even basic health care. During a community health outreach in Southwest Sumba, eastern Indonesia in May 2017, a 7-year-old boy presented with white protrusion of the left eye of 3 years' duration following an event of sharp trauma...
January 2018: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/29681700/penile-dislocation-with-inversion-a-rare-complication-of-blunt-pelvic-injury
#6
Ravindra Sahadev, Vinay Jadhav, Narendra Babu Munianjanappa, Gowri Shankar
Penile injuries in children are usually uncommon and are predominantly associated with pelvic trauma or as postcircumcision injuries. The authors present a rare case of penile dislocation with penile inversion in a 5-year-old child occurring due to blunt pelvic injury. The child presented 3 months after pelvic injury with a suprapubic catheter for urinary diversion and absent penis with only penile skin visible. The presence of dislocated penile body was detected on magnetic resonance imaging, which was subsequently confirmed intraoperatively...
April 2018: Journal of Indian Association of Pediatric Surgeons
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/29674290/the-impact-of-patterns-of-trauma-exposure-among-low-income-children-with-and-without-histories-of-child-maltreatment
#8
Abigail L Rosen, Elizabeth D Handley, Dante Cicchetti, Fred A Rogosch
Previous research has revealed a large prevalence of trauma experienced by children, creating high risk for the development of psychopathology. Research investigating the negative impacts of child maltreatment and other traumas has typically examined these experiences individually, controlling for co-occurring traumas, or has combined these experiences into a general variable of risk, thereby obscuring the complex relationships among environmental traumas and maltreatment. The current study expands on previous research by elucidating relationships between multiple contexts of overlapping traumas and maltreatment experienced by children, and by categorizing how these experiences join together to impact internalizing and externalizing symptomatology...
April 16, 2018: Child Abuse & Neglect
https://www.readbyqxmd.com/read/29671372/seating-position-and-patterns-of-severely-injured-body-parts-among-child-passengers-in-motor-vehicle-crashes-japan-as-a-distinct-case
#9
Hiroki Takahashi, Takashi Fujita, Shinji Nakahara, Tetsuya Sakamoto
This study describes injury patterns and outcomes related to the seating position of child passengers involved in motor vehicle crashes in Japan. Using data obtained from a national trauma registry database, we compared the occurrence of injuries by body parts, length of hospital stay and in-hospital deaths between front-seating and rear-seating among children. We analysed 166 children aged 0-5 years and 205 children aged 6-12 years. No significant differences were observed between front- and rear-seating for injured body parts, length of hospital stay or in-hospital deaths in the 0-5-year-old victims...
April 19, 2018: International Journal of Injury Control and Safety Promotion
https://www.readbyqxmd.com/read/29670802/isolated-right-sided-posttraumatic-diaphragmatic-hernia
#10
Ibrahim Amadou Magagi, Oumarou Habou, Harissou Adamou, Ousseini Adakal, Mahamoud Omid Ali Ada, Hellé Moustapha, Habibou Abarchi
Diaphragm is a compliant musculoaponeurotic barrier located between thoracic and abdominal cavities. Traumatic diaphragmatic rupture is a rare clinicopathological entity. We report a case of right-sided posttraumatic hernia in a child following blunt trauma to highlight diagnostic difficulties and therapeutic specific aspects. A 10-year-old boy was admitted to the emergency surgical department with thoracic trauma following pedestrian accident. At admission a haemothorax was suspected and treated by pleural drainage...
2018: Case Reports in Surgery
https://www.readbyqxmd.com/read/29669781/outcome-of-paediatric-cataract-surgery-in-northwest-ethiopia-a-retrospective-case-series
#11
Mulusew Asferaw, Sisay Yoseph Mekonen, Geoffrey Woodruff, Clare E Gilbert, Samson Tesfaye
AIM: To assess visual acuity outcomes, and factors associated with the outcome, of paediatric cataract surgery at the Child Eye Health Tertiary Facility, Gondar, Northwest Ethiopia. METHODS: The medical records of children aged below 16 years who underwent cataract surgery between September 2010 and August 2014 were reviewed for preoperative, surgical and postoperative data. RESULTS: One hundred and seventy-six eyes of 142 children (mean age 7...
April 18, 2018: British Journal of Ophthalmology
https://www.readbyqxmd.com/read/29661117/sexual-victimization-and-mental-illness-prevalence-rates-among-incarcerated-women-a-literature-review
#12
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/29660646/trajectories-of-posttraumatic-stress-disorders-among-adolescents-in-the-area-worst-hit-by-the-wenchuan-earthquake
#13
Xiao Zhou, Xinchun Wu, Rui Zhen, Wenchao Wang, Yuxin Tian
BACKGROUND: This study examined the trajectories of posttraumatic stress disorder (PTSD) among adolescents in the area worst-hit by the Wenchuan earthquake, and assessed the role of trauma exposure in differentiating distinct PTSD trajectories. METHODS: In total, 391 adolescents were selected from the Wenchuan and Maoxian counties in Sichuan province (the area worst-hit by the earthquake). Participants completed a trauma exposure questionnaire at 1 year, and the Child PTSD Symptom Scale at 1 year, 1...
April 6, 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29657096/mother-father-and-child-traumatic-stress-reactions-after-paediatric-burn-within-family-co-occurrence-and-parent-child-discrepancies-in-appraisals-of-child-stress
#14
Marthe R Egberts, Rens van de Schoot, Rinie Geenen, Nancy E E Van Loey
AIM: The current study examined occurrence and within-family associations of traumatic stress reactions after child burn injury, while in the same model addressing the role of parents' own symptoms in their reports of child symptoms. METHODS: One-hundred children (8-18 years old), and their mothers (n=90) and fathers (n=74) were assessed within the first month (T1) and three months (T2) after burn. Parents and children rated child traumatic stress reactions on the Children's Responses to Trauma Inventory (CRTI) and parents rated their own reactions on the Impact of Event Scale (IES)...
April 12, 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29656405/the-cellie-coping-kit-for-children-with-injury-initial-feasibility-acceptability-and-outcomes
#15
M L Marsac, D Weiss, K L Kohser, J Van Allen, P Seegan, S Ostrowski-Delahanty, A McGar, F K Winston, N Kassam-Adams
PURPOSE: Physical and psychological challenges can arise from paediatric injury, which can impact child health outcomes. Evidence-based resources to promote recovery are limited. The low cost, portable Cellie Coping Kit for Children with Injury provides evidence-based strategies to help children manage injury-related challenges. This study aimed to describe intervention feasibility and explore initial outcomes (learning, quality of life [QOL], and trauma symptoms). METHODS: Three independent pilot studies were conducted...
April 15, 2018: Child: Care, Health and Development
https://www.readbyqxmd.com/read/29651505/the-role-of-psychiatric-status-on-pediatric-extremity-fractures-a-prospective-analysis
#16
Altuğ Duramaz, Semra Yilmaz, Nezih Ziroğlu, Burcu Bursal Duramaz, Berhan Bayram, Tayfun Kara
PURPOSE: The aim of the study was to investigate the relationship between attention deficit and hyperactivity disorder (ADHD), anxiety, and depression with pediatric extremity fractures. METHODS: Between November 2014 and November 2016, consecutive 138 patients with pediatric extremity fractures were prospectively investigated in terms of the tendency to anxiety, depression, or ADHD in the study group. Consecutive 168 non-trauma patients who were admitted to general pediatrics outpatient clinic were included the control group...
April 12, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/29651301/caregiver-experiences-of-public-services-following-child-trauma-exposure-a-qualitative-study
#17
Victoria Williamson, Sarah L Halligan, Bronwyne Coetzee, Ian Butler, Mark Tomlinson, Sarah Skeen, Jackie Stewart
Background: Many children in low and middle income countries (LMIC) are exposed to trauma. Contact with public services are a potential influence on parent-child reactions and coping post-trauma. Little is known about how caregivers perceive these interactions. Methods: The aim of this study was to explore caregivers' experiences of accessing and interacting with public services post-trauma and perceptions of needed improvements to public services in a LMIC context...
2018: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/29649711/the-interaction-of-bdnf-val66met-ptsd-and-child-abuse-on-psychophysiological-reactivity-and-hpa-axis-function-in-a-sample-of-gulf-war-veterans
#18
Dmitri A Young, Thomas C Neylan, Aoife O'Donovan, Thomas Metzler, Anne Richards, Jessica A Ross, Sabra S Inslicht
INTRODUCTION: While the BDNF Val66Met polymorphism has been linked to various psychological disorders, limited focus has been on its relationship to posttraumatic stress disorder (PTSD) and early traumas such as child abuse. Therefore, we assessed whether Val66Met was associated with fear potentiated psychophysiological response and HPA axis dysfunction and whether PTSD status or child abuse history moderated these outcomes in a sample of Veterans. METHODS: 226 and 173 participants engaged in a fear potentiated acoustic startle paradigm and a dexamethasone suppression test (DST) respectively...
April 3, 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29649074/parental-bereavement-in-young-children-living-in-south-africa-and-malawi-understanding-mental-health
#19
A Macedo, L Sherr, M Tomlinson, S Skeen, K J Roberts
BACKGROUND: Parental loss is a major stressful event found to increase risk of mental health problems in childhood. Yet, some children show resilient adaptation in the face of adversity across time. SETTING: This study explores predictors of mental health resilience among parentally bereaved children in South Africa and Malawi, and their cumulative effect. The study also explores whether predictors of resilience differed between orphaned and non-orphaned children...
April 10, 2018: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/29644320/isolated-and-stable-gallbladder-perforation-in-a-5-year-old-child-after-blunt-abdominal-trauma
#20
I Issa, V Modica Alameddine, M C Fadous Khalife, M Al Ojaimi, Z Ghorayeb
Isolated gallbladder injury, secondary to a blunt abdominal trauma, is a rare finding in children. The presence of vague symptoms and the unknown dynamic of the trauma may increase the diagnostic challenge especially in pediatrics. A conservative management has been proposed in some particular cases in adults, but remains controversial in children. We report a case of a 5 year old boy who presented an isolated gallbladder lesion secondary to a blunt abdominal trauma. The surgical treatment was delayed for non-medical reasons, which gave us the possibility to try a conservative approach...
June 2017: Trauma Case Reports
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