5,102 results match your criteria Pediatrics Child Abuse


Acute Stress in Parents of Patients Admitted to the Pediatric Intensive Care Unit: A Two-Center Cross-Sectional Observational Study.

J Intensive Care Med 2022 May 20:8850666221100482. Epub 2022 May 20.

Department of Pediatrics, Division of Pediatric Critical Care, 25044Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.

Objective: To examine medical and psychosocial risk factors associated with the development of acute stress in parents of patients unexpectedly admitted to the PICU.

Design: Cross-sectional observational study.

Setting: Two tertiary care children's hospitals with mixed medical/surgical/cardiac PICU. Read More

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Statutory Threshold Wording is Associated with Child Maltreatment Reporting.

Child Maltreat 2022 May 19:10775595221092961. Epub 2022 May 19.

Department of Psychology and Human Development, 5718Vanderbilt University, Nashville, TN, USA.

The purpose of this study was to determine whether statutory wording of child maltreatment mandated reporting legislation was associated with reporting patterns and substantiation of abuse across U.S. states and territories. Read More

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Risk and Protective Factors Associated with Adverse Childhood Experiences in Vulnerable Families: Results of a Randomized Clinical Trial of SafeCare®.

Child Maltreat 2022 May 16:10775595221100723. Epub 2022 May 16.

Pediatrics, OUHSC, Oklahoma City, OK, USA.

Early adversity predicts increased risk for mental and physical health problems. As such, intervention efforts, such as home-based parenting programs, have been initiated with vulnerable families to reduce adversity exposure and promote child well-being. The present randomized clinical trial had a parallel design and 1:1 allocation ratio of SafeCare augmented for an urban high-risk population (SC+) compared to standard home-based mental health services (SAU) to examine risk and protective factors proximal to child maltreatment. Read More

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Child maltreatment during COVID-19: Deviations from forecasted projections of criminal filings in Oklahoma in 2020.

Child Abuse Rev 2022 Mar 1:e2754. Epub 2022 Mar 1.

Department of Pediatrics University of Oklahoma School of Community Medicine Tulsa OK United States.

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An analysis of physicians' diagnostic reasoning regarding pediatric abusive head trauma.

Child Abuse Negl 2022 May 11;129:105666. Epub 2022 May 11.

Department of Public Health Sciences, Penn State College of Medicine, 700 HMC Crescent Road, Hershey, PA 17033, USA. Electronic address:

Background: Physician diagnoses of abusive head trauma (AHT) have been criticized for circular reasoning and over-reliance on a "triad" of findings. Absent a gold standard, analyses that apply restrictive reference standards for AHT and non-AHT could serve to confirm or refute these criticisms.

Objectives: To compare clinical presentations and injuries in patients with witnessed/admitted AHT vs. Read More

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Impact of COVID-19 on maternal health and child care behavior: Evidence from a quasi-experimental study of vulnerable communities in Boa Vista, Brazil.

Child Abuse Negl 2022 May 8;129:105667. Epub 2022 May 8.

Department of Pediatrics, University of São Paulo Medical School, Av. Dr. Emeas de Carvalho Aguiar, 467 São Paulo, Brazil.

Background: COVID-19 related distress has been shown to have negative associations with family well-being.

Objectives: To determine the immediate impact of acute COVID-19 infection on maternal well-being and parenting practices among Brazilian families.

Participants And Setting: We studied 2'579 mothers (29'913 observations) of young children from vulnerable neighborhoods in Boa Vista, Brazil over 12 months. Read More

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'There Were Moments We Wished She Could Just Die': The Highly Gendered Burden of Nodding Syndrome in Northern Uganda.

Qual Health Res 2022 May 13:10497323221085941. Epub 2022 May 13.

Department of Public Health, 37463Institute of Tropical Medicine, Antwerp, Belgium.

Nodding Syndrome (NS) occurs within a wide spectrum of epilepsies seen in onchocerciasis endemic areas of sub-Saharan Africa. It has debilitating consequences on affected individuals and increases the socio-economic, physical and psychological burden on care-givers and their households, diminishing their standing within the community. Social science research on the disproportionate burden of the disease on females is limited. Read More

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Breaking the Cycle of Family Violence: A Critique of Family Violence Interventions.

Trauma Violence Abuse 2022 May 10:15248380221098049. Epub 2022 May 10.

Department of Preventive Medicine, Keck School of Medicine, 8564University of Southern California, Los Angeles, CA, USA.

As the intergenerational transmission of family violence is associated with numerous negative outcomes, interventions are needed to interrupt this cycle. Our aim is to review the family violence intervention literature and to assess whether and how interventions interrupt the intergenerational transmission of family violence. Papers about interventions were identified through database searches (PubMed, JSTOR, CINAHL, PsycINFO), supplemented by review of references and relevant review papers. Read More

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Prevalence of inflicted and neglectful femur shaft fractures in young children in national level I trauma centers.

Pediatr Radiol 2022 May 7. Epub 2022 May 7.

Department of Forensic Medicine, Section of Forensic Paediatrics, Netherlands Forensic Institute, The Hague, The Netherlands.

Background: The prevalence of inflicted femur fractures in young children varies (1.5-35.2%), but these data are based on small retrospective studies with high heterogeneity. Read More

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Identification of Initial and Subsequent Injury in Young Infants: Opportunities for Quality Improvement in the Evaluation of Child Abuse.

Pediatr Emerg Care 2022 May 4. Epub 2022 May 4.

Mayerson Center for Safe and Healthy Children, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.

Methods: Six children's hospitals identified infants with an initial injury and recurrent injury over a 1-year period using 2 methods: (1) diagnostic code method - infants 6 months or younger presenting with at least 1 diagnostic code for injury were tracked for 12 months to determine the frequency of recurrent injury, and (2) consult method - all available medical records of children 18 months or younger seen for an inpatient consultation for suspected child abuse were reviewed to identify history of a first injury at 6 months or younger.

Results: Using the diagnostic code method, 682 unique infants were identified with initial injuries, most commonly fractures (37.0%), bruising/ecchymosis (35. Read More

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Interventions Promoting Child Sexual and Reproductive Health and Rights in LMICs: A Systematic Review.

Pediatrics 2022 05;149(Suppl 5)

School of International Development and Global Studies, University of Ottawa, Ottawa, Ontario, Canada.

Objective: Middle childhood is a critical period for physical, social, behavioral, and cognitive changes. A positive and healthy sexual and reproductive health and rights (SRHR) foundation can minimize SRHR risks, leading to better outcomes. Our objective is to identify effective educational interventions promoting or supporting the SRHR of school-age children in low and middle-income countries. Read More

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Mental Health and Positive Development Prevention Interventions: Overview of Systematic Reviews.

Pediatrics 2022 05;149(Suppl 5)

Centre for Global Child Health, The Hospital for Sick Children (SickKids), Toronto, Ontario, Canada.

Context: Previous reviews of mental health interventions have focused on adolescents (10-19 years), with a paucity of comprehensive evidence syntheses on preventive interventions for school-aged children (5-10 years).

Objective: To summarize and synthesize the available evidence from systematic reviews of mental health and positive development interventions for children aged 5-14.9 years in both high-income (HIC) and low- and middle-income countries (LMIC), with a focus on preventive and promotive strategies. Read More

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Global population attributable fraction of potentially modifiable risk factors for mental disorders: a meta-umbrella systematic review.

Mol Psychiatry 2022 Apr 28. Epub 2022 Apr 28.

Early Psychosis: Interventions and Clinical-detection (EPIC) Lab, Department of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.

Numerous risk factors for mental disorders have been identified. However, we do not know how many disorders we could prevent and to what extent by modifying these risk factors. This study quantifies the Population Attributable Fraction (PAF) of potentially modifiable risk factors for mental disorders. Read More

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Applying a diagnostic excellence framework to assess opportunities to improve recognition of child physical abuse.

Diagnosis (Berl) 2022 Apr 27. Epub 2022 Apr 27.

Division of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Objectives: Diagnostic excellence is an important domain of healthcare quality. Delays in diagnosis have been described in 20-30% of children with abusive injuries. Despite the well characterized epidemiology, improvement strategies remain elusive. Read More

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Association of Exposure to Abuse, Nurture, and Household Organization in Childhood With 4 Cardiovascular Disease Risks Factors Among Participants in the CARDIA Study.

J Am Heart Assoc 2022 May 27;11(9):e023244. Epub 2022 Apr 27.

Department of Preventive Medicine Northwestern University Feinberg School of Medicine Chicago IL.

Background We investigated associations of childhood abuse with 4 cardiovascular disease risk factors in adulthood, and whether exposure to nurturing and household organization in childhood mitigated these associations. Methods and Results The CARDIA (Coronary Artery Risk Development in Young Adults) study (baseline examination, 1985-1986) was used to examine associations of childhood exposures (measured retrospectively at the year 15 examination) with incident obesity, type 2 diabetes, hypertension, and hyperlipidemia (assessed from baseline to year 30). Race- and sex-stratified Cox proportional hazards models were used to examine associations of exposure to childhood abuse with incident cardiovascular disease risk factors. Read More

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Child Abuse as an Example of Coexistence of Emotional and Physical Trauma Among Children: An Academic Overview With Altmetric Perspective.

Cureus 2022 Mar 21;14(3):e23347. Epub 2022 Mar 21.

Biostatistics and Medical İnformation, School of Medicine, University of Hatay Mustafa Kemal, Hatay, TUR.

Introduction: Child abuse combines emotional, physical, sexual, and neglect aspects of violence, thus diversifying the trauma for a child. Publications about child abuse had been discussed in academia for long years and evaluated by bibliometric analysis, frequently. This study aims to evaluate the most discussed/disseminated scientific publications about child abuse in electronic media such as social media accounts, blogs, podcasts, and media news sites using a new analysis method called altmetric analysis. Read More

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Parental discretion.

Authors:
Richard D W Hain

Arch Dis Child 2022 Apr 25. Epub 2022 Apr 25.

Department of Paediatrics, Cardiff and Vale University LHB, Cardiff, UK

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Therapeutic Dance for the Healing of Sexual Trauma: A Systematic Review.

Trauma Violence Abuse 2022 Apr 25:15248380221086898. Epub 2022 Apr 25.

Department of Pediatrics, David Geffen School of Medicine, 12222University of California Los Angeles, Los Angeles, CA, USA.

Therapeutic dance has been increasingly used as a treatment modality for sexual trauma, yet its evidence-based efficacy has not yet been catalogued. We therefore conducted a systematic review to summarize the existing evidence for therapeutic dance as an intervention for healing after sexual trauma. We searched 5 major databases to identify intervention studies on the use of therapeutic dance for individuals with histories of sexual trauma. Read More

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Systematic review of health and disease in Ukrainian children highlights poor child health and challenges for those treating refugees.

Acta Paediatr 2022 Apr 24. Epub 2022 Apr 24.

Department of Paediatrics, Academic and Research Medical Institute, Sumy State University, Sumy, Ukraine.

Aim: Millions of Ukrainian children have been internally displaced or fled to other countries because of the Russian war. This systematic review focused on their health needs and future challenges for clinicians.

Methods: A systematic literature search of the Medline, Embase and MedRxiv databases from 1 January 2010 to 31 March 2022 identified 1628 papers on the health of Ukrainian children and 112 were relevant to this review. Read More

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The Impact of Maternal Prenatal Stress Related to the COVID-19 Pandemic during the First 1000 Days: A Historical Perspective.

Int J Environ Res Public Health 2022 04 13;19(8). Epub 2022 Apr 13.

Department of Obstetrics and Gynaecology, Division of Obstetrics and Fetal Medicine, Erasmus MC, University Medical Center Rotterdam, 3015 GD Rotterdam, The Netherlands.

The COVID-19 pandemic has a major impact on society, particularly affecting its vulnerable members, including pregnant women and their unborn children. Pregnant mothers reported fear of infection, fear of vertical transmission, fear of poor birth and child outcomes, social isolation, uncertainty about their partner's presence during medical appointments and delivery, increased domestic abuse, and other collateral damage, including vaccine hesitancy. Accordingly, pregnant women's known vulnerability for mental health problems has become a concern during the COVID-19 pandemic, also because of the known effects of prenatal stress for the unborn child. Read More

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Surgical Antimicrobial Prophylaxis in Pediatric Patients Undergoing Plastic Surgery: A RAND/UCLA Appropriateness Method Consensus Study.

Antibiotics (Basel) 2022 Apr 11;11(4). Epub 2022 Apr 11.

Università degli Studi di Milano, 20122 Milan, Italy.

For many years, it was clearly shown that surgical procedures might be associated with surgical site infection (SSI). Many scientific institutions prepared guidelines to use in surgery to reduce abuse and misuse of antibiotics. However, in the general guidelines for surgical antibiotic prophylaxis, plastic surgical procedures are not addressed or are only marginally discussed, and children were almost systematically excluded. Read More

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Is Household Unemployment Associated With Increased Verbal and Physical Child Abuse During the COVID Pandemic?

Child Maltreat 2022 Apr 21:10775595221088217. Epub 2022 Apr 21.

Department of Community and Behavioral Health, 144805Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.

Purpose: The economic downturn due to the Coronavirus Disease 2019 (COVID-19) pandemic initially led to a large increase in the US unemployment rate. Being laid-off or losing a job could cause financial stress and have an impact on the relationship between parents or other adults in the home and children. We aimed to assess the effect of household unemployment on child physical and emotional abuse during the early part of the COVID-19 pandemic, with an older population of children. Read More

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Practice Variation in Use of Neuroimaging Among Infants With Concern for Abuse Treated in Children's Hospitals.

JAMA Netw Open 2022 Apr 1;5(4):e225005. Epub 2022 Apr 1.

Safe Place: Center for Child Protection and Health, Division of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Importance: Infants who appear neurologically well and have fractures concerning for abuse are at increased risk for clinically occult head injuries. Evidence of excess variation in neuroimaging practices when abuse is suspected may indicate opportunity for quality and safety improvement.

Objective: To quantify neuroimaging practice variation across children's hospitals among infants with fractures evaluated for abuse, with the hypothesis that hospitals would vary substantially in neuroimaging practices. Read More

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Interprofessional Collaboration to Optimize Trauma-Informed Care in Pediatric Forensics.

J Forensic Nurs 2022 Apr 19. Epub 2022 Apr 19.

Center of Hope Forensics, Peyton Manning Children's Hospital at Ascension St. Vincent Hospital.

Abstract: There are many challenges in providing trauma-informed healthcare to pediatric victims of sexual abuse and their families. We address this through collaborative interprofessional efforts within our hospital facility, located in a Midwestern adult Level 1 and pediatric trauma center. Our sexual assault nurse examiner team is composed of eight nurses and provides 24/7 coverage. Read More

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Prevalence of childhood exposure to intimate partner violence in low-income and lower-middle-income countries: a systematic review.

BMJ Open 2022 Apr 15;12(4):e051140. Epub 2022 Apr 15.

Division of Clinical Epidemiology, Geneva University Hospitals, and Faculty of Medicine, University of Geneva, Geneva, Switzerland.

Objective: To determine the proportion of children in low-income and lower-middle-income countries exposed to intimate partner violence (IPV).

Design: Systematic review.

Data Sources: PubMed, CINAHL, ERIC, PsycINFO, Web of Science, WHO Global Index Medicus, and Violence and Abuse Abstracts, hand searching of specialised journals from inception until 19 May 2019. Read More

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Understanding Bilateral Skull Fractures in Infancy: A Retrospective Multicenter Case Review.

Pediatr Emerg Care 2022 Apr 13. Epub 2022 Apr 13.

Department of Pediatrics, Children's Hospital at Dartmouth, Lebanon, NH.

Background: Bilateral skull fractures in infancy often raise suspicion for abuse. Nevertheless, literature suggests that they may occur accidentally. However, empiric data are lacking. Read More

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Nonaccidental Trauma in Pediatric Elbow Fractures: When You Should Be Worried.

J Pediatr Orthop 2022 Apr 12. Epub 2022 Apr 12.

Department of Pharmacology, Vanderbilt University.

Background: Nonaccidental trauma (NAT) is a rising source of morbidity and mortality in the pediatric population. Fractures are often the first cause for presentation to health care providers in the case of NAT but can be misidentified as accidental. Given that elbow fractures are the most common accidental injuries among pediatric patients, they are not traditionally associated with NAT. Read More

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An In-Depth Analysis of Brain and Spine Neuroimaging in Children with Abusive Head Trauma: Beyond the Classic Imaging Findings.

AJNR Am J Neuroradiol 2022 May 7;43(5):764-768. Epub 2022 Apr 7.

From the Edward B. Singleton Department of Radiology (G.O., S.F.K., N.K.D., T.A.G.M.H.).

Background And Purpose: Abusive head trauma is the leading cause of morbidity and mortality in young children. Radiology provides valuable information for this challenging diagnosis, but no single neuroimaging finding is independently diagnostic of abusive head trauma. Our purposes were to describe the prevalence of brain and spine neuroimaging findings and to analyze the association of neuroimaging findings with clinical factors to determine which neuroimaging findings may be used as prognostic indicators. Read More

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The burden of mental disorders, substance use disorders and self-harm among young people in Europe, 1990-2019: Findings from the Global Burden of Disease Study 2019.

Lancet Reg Health Eur 2022 May 1;16:100341. Epub 2022 Apr 1.

Research Center on Public Health, University of Milan Bicocca, Monza, Italy.

Background: Mental health is a public health issue for European young people, with great heterogeneity in resource allocation. Representative population-based studies are needed. The Global Burden of Disease (GBD) Study 2019 provides internationally comparable information on trends in the health status of populations and changes in the leading causes of disease burden over time. Read More

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