3,982 results match your criteria Pediatrics Child Abuse


Adverse Childhood Experiences in Mothers with Chronic Pain and Intergenerational Impact on Children.

J Pain 2019 Apr 18. Epub 2019 Apr 18.

Department of Pediatrics, Institute on Development and Disability, Oregon Health & Science University.

Adverse childhood experiences (ACEs; e.g., parental divorce, physical or sexual abuse) are more prevalent in individuals with chronic pain compared to the general population. Read More

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http://dx.doi.org/10.1016/j.jpain.2019.04.004DOI Listing

Child sexual abuse, disclosure and PTSD: A systematic and critical review.

Child Abuse Negl 2019 Apr 15;92:196-208. Epub 2019 Apr 15.

Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada.

Background: Child sexual abuse (CSA) is a prevalent exposure with potentially serious, negative health consequences, including post-traumatic stress disorder (PTSD) and its symptomatology.

Objective: To conduct a systematic and critical review in order to investigate the relationship between CSA disclosure patterns and PTSD.

Participants And Setting: Studies included clinical, college and community-based samples of adults' and children's experiences of CSA. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01452134193013
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http://dx.doi.org/10.1016/j.chiabu.2019.04.006DOI Listing
April 2019
1 Read

Radiation doses in diagnostic imaging for suspected physical abuse.

Arch Dis Child 2019 Apr 17. Epub 2019 Apr 17.

Te Puaruruhau (Child Protection Team), Starship Children's Health, Auckland, New Zealand.

Objective: To measure the actual radiation dose delivered by imaging techniques commonly used in the radiography of suspected physical abuse and to make this information available to health professionals and families.

Methods: Data were collected retrospectively on children under 3 years referred for skeletal surveys for suspected physical abuse, non-contrast CT head scan or radionuclide imaging of the bones in Starship Children's Hospital, Auckland, New Zealand from January to December 2015. Patient size-specific conversion coefficients were derived from International Commission on Radiologic Protection tissue weighting factors and used to calculate effective dose. Read More

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http://adc.bmj.com/lookup/doi/10.1136/archdischild-2018-3162
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http://dx.doi.org/10.1136/archdischild-2018-316286DOI Listing
April 2019
1 Read

Low risk of neurodevelopmental impairment among perinatally acquired HIV-infected preschool children who received early antiretroviral treatment in Thailand.

J Int AIDS Soc 2019 Apr;22(4):e25278

Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Introduction: Antiretroviral therapy (ART) is recommended in perinatally HIV-infected (PHIV) infants immediately upon diagnosis. We aimed to compare neurodevelopmental outcomes between PHIV children who initiated ART within 12 months of life and perinatally HIV-exposed uninfected (PHEU) children and to assess neurodevelopmental outcomes by timing of ART.

Methods: This prospective cohort study included Thai children aged 12 to 56 months who were assessed with the Mullen Scales of Early Learning (MSEL) at enrolment and at 48 weeks. Read More

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http://dx.doi.org/10.1002/jia2.25278DOI Listing

Viral suppression among children and their caregivers living with HIV in western Kenya.

J Int AIDS Soc 2019 Apr;22(4):e25272

Department of Medicine, Indiana University, Indianapolis, IN, USA.

Introduction: Despite the central role of caregivers in managing HIV treatment for children living with HIV, viral suppression within caregiver-child dyads in which both members are living with HIV is not well described.

Methods: We conducted a retrospective analysis of children living with HIV <15 years of age and their caregivers living with HIV attending HIV clinics affiliated with the Academic Model Providing Access to Healthcare (AMPATH) in Kenya between 2015 and 2017. To be included in the analysis, children and caregivers must have had ≥1 viral load (VL) during the study period while receiving antiretroviral therapy (ART) for ≥6 months, and the date of the caregiver's VL must have occurred ±90 days from the date of the child's VL. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/jia2.25272
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http://dx.doi.org/10.1002/jia2.25272DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462809PMC
April 2019
1 Read

Classic Metaphyseal Lesions among Victims of Abuse.

J Pediatr 2019 Apr 5. Epub 2019 Apr 5.

Pediatrics and Forensic Unit, Hôtel Dieu Hospital, AP-HP Paris, France.

Objective: To use legal statements by perpetrators to gain new insights into the causative mechanism of classic metaphyseal lesion (CML). The CML, so called "corner fracture," is considered a highly specific marker for abuse in infants. However, the precise correlation between CMLs and abusive head trauma is still unknown. Read More

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http://dx.doi.org/10.1016/j.jpeds.2019.02.013DOI Listing
April 2019
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Trends in investigations of abuse or neglect referred by hospital personnel in Ontario.

BMJ Paediatr Open 2019 4;3(1):e000386. Epub 2019 Feb 4.

Division of Haematology/Oncology, Department of Paediatrics, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.

Background: There is a dearth of literature surrounding mandated reporters to child welfare services in the Canadian context. This paper examines 20 years of reporting patterns from hospitals, which represent 5% of all referrals to child welfare services in Ontario.

Methods: The Ontario Incidence Study of Reported Child Abuse and Neglect (OIS) is a representative study that has taken place every 5 years since 1993. Read More

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http://dx.doi.org/10.1136/bmjpo-2018-000386DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422247PMC
February 2019
1 Read

Burden of adverse childhood experiences in children attending paediatric clinics in South Western Sydney, Australia: a retrospective audit.

BMJ Paediatr Open 2019 8;3(1):e000330. Epub 2019 Mar 8.

Department of Community Paediatrics, South Western Sydney Local Health District, Liverpool, New South Wales, Australia.

Objectives: Adverse childhood experiences (ACE) are associated with poor short, medium and long-term health outcomes. South Western Sydney (SWS) has a large culturally diverse population, including many disadvantaged population groups. Our aims were to determine the burden of ACE in children attending community paediatric (CP) clinics using a purposefully developed ACE checklist, and explore any association with developmental health of children. Read More

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http://dx.doi.org/10.1136/bmjpo-2018-000330DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422242PMC

Child Life Specialists' Experiences Addressing Social Determinants of Health: A Web-Based Survey.

Clin Pediatr (Phila) 2019 Apr 2:9922819839233. Epub 2019 Apr 2.

5 Department of Child Life Services, Boston Children's Hospital, Boston, MA, USA.

We used Google Forms to survey 110 child life specialists on their experiences addressing family psychosocial issues. Most respondents were female (99%) and white (95%), with mean age 34 ± 10 years. Ninety-five percent reported addressing family psychosocial issues during the previous 3 months, including parental separation/divorce (71%), poverty/financial needs (64%), parental mental illness (59%), substance abuse at home (54%), homelessness/housing problems (54%), bullying (49%), physical neglect (46%), physical abuse (46%), unemployment (46%), emotional neglect (45%), and hunger/food insecurity (42%). Read More

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http://dx.doi.org/10.1177/0009922819839233DOI Listing

Prevalence of Child Maltreatment and Its Association with Parenting Style: A Population Study in Hong Kong.

Int J Environ Res Public Health 2019 Mar 29;16(7). Epub 2019 Mar 29.

Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong.

Previous studies point to a link between parenting style and child maltreatment, but evidence from a Chinese context is lacking. We investigated the association between parenting style and child maltreatment in Hong Kong, and examined whether family socio-economic status and child gender moderate this relationship. Using stratified random sampling, 7585 children in Grade 1 to Grade 3 of 51 schools in Hong Kong were recruited and their parents were invited to complete the questionnaire. Read More

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http://dx.doi.org/10.3390/ijerph16071130DOI Listing
March 2019
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Ultrasound findings in classic metaphyseal lesions: emphasis on the metaphyseal bone collar and zone of provisional calcification.

Pediatr Radiol 2019 Mar 28. Epub 2019 Mar 28.

Department of Radiology and Imaging Sciences, Riley Hospital for Children, Indiana University School of Medicine, 705 Riley Hospital Drive, Room 1053, Indianapolis, IN, 46202, USA.

Background: The classic metaphyseal lesion (CML) is highly specific for non-accidental trauma in infants. While the radiographic findings are well documented, there is little literature on the ultrasound (US) appearance.

Objective: To evaluate US findings in CMLs identified on radiographs. Read More

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http://dx.doi.org/10.1007/s00247-019-04373-wDOI Listing

Medical Child Abuse: An Unusual "Source" of Vaginal Bleeding.

J Pediatr Adolesc Gynecol 2019 Mar 25. Epub 2019 Mar 25.

Section of Adolescent Medicine, Department of Pediatrics, University of Oklahoma Health Sciences Center, 1200 Children's Avenue, Suite 12204 Oklahoma City, OK 73014. Electronic address:

Background: Medical child abuse (MCA) is challenging to diagnose. While young children are often affected, adolescents can be victims through caregiver coercion. Presentation is highly variable. Read More

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http://dx.doi.org/10.1016/j.jpag.2019.03.003DOI Listing
March 2019
1 Read

PICU Early Mobilization and Impact on Parent Stress.

Hosp Pediatr 2019 Apr;9(4):265-272

Oregon Health and Science University, Portland, Oregon.

Background And Objectives: Early mobilization of critically ill children may improve outcomes, but parent refusal of mobilization therapies is an identified barrier. We aimed to evaluate parent stress related to mobilization therapy in the PICU.

Methods: We conducted a cross-sectional survey to measure parent stress and a retrospective chart review of child characteristics. Read More

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http://dx.doi.org/10.1542/hpeds.2018-0155DOI Listing

Evaluation of a Temporal Association between Vaccination and Subdural Hematoma in Infants.

J Pediatr 2019 Mar 23. Epub 2019 Mar 23.

Pediatric and Emergency Department, University Hospital of Nantes, Nantes, France; Inserm, UMR1153 Epidemiology and Biostatistics Sorbonne Paris Cité Center (CRESS), Obstetrical, Perinatal, and Pediatric Epidemiology Research Team (EPOPé), Paris Descartes University, Paris, France; Epidémiologie Clinique, Centre d'Investigation Clinique (CIC004), University Hospital of Nantes, Nantes, France. Electronic address:

Objective: To investigate a temporal association between vaccination and subdural hematoma, the main feature of abusive head trauma.

Study Design: From a prospective population-based survey carried out in 1 administrative district in France between January 2015 and April 2017, including all infants between 11 and 52 weeks old who underwent a first cerebral imaging (computerized tomography scan or magnetic resonance imaging), we conducted a nested case-control study. Vaccine exposure was compared between cases (infants with subdural hematoma) and 2-3 paired controls, without subdural hematoma or any other imaging findings compatible with abusive head trauma. Read More

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http://dx.doi.org/10.1016/j.jpeds.2019.01.044DOI Listing
March 2019
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A Systematic Review of Trials to Improve Child Outcomes Associated With Adverse Childhood Experiences.

Am J Prev Med 2019 May 21;56(5):756-764. Epub 2019 Mar 21.

Claremont Graduate University,School of Community and Global Health, Claremont, California.

Context: The purpose of this systematic literature review was to summarize current evidence from RCTs for the efficacy of interventions involving pediatric health care to prevent poor outcomes associated with adverse childhood experiences measured in childhood (C-ACEs).

Evidence Acquisition: On January 18, 2018, investigators searched PubMed, PsycInfo, SocIndex, Web of Science, Cochrane, and reference lists for English language RCTs involving pediatric health care and published between January 1, 1990, and December 31, 2017. Studies were included if they were (1) an RCT, (2) on a pediatric population, and (3) recruited or screened based on exposure to C-ACEs. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07493797193003
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http://dx.doi.org/10.1016/j.amepre.2018.11.030DOI Listing
May 2019
7 Reads

Awareness of Social Infrastructures for Victims of Child Abuse Among Primary Health Workers in Ogun State, Nigeria.

Int Q Community Health Educ 2019 Mar 21:272684X19835359. Epub 2019 Mar 21.

1 Department of Medicine, Olabisi Onabanjo University, Ago-Iwoye, Nigeria.

There is a significant dearth of information on available social infrastructures for helping victims of child abuse among all cadres of primary health-care workers. The aim of this study was to assess the level of awareness of social and legal structures among primary health-care workers, which can help in reducing incidences and taking action. The survey was a cross-sectional survey of 20 primary health-care centers and 86 health workers in Ogun State, Southwest Nigeria. Read More

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http://dx.doi.org/10.1177/0272684X19835359DOI Listing

Clinical Characteristics and Predictors of Poor Hospital Discharge Outcome for Young Children with Abusive Head Trauma.

J Clin Med 2019 Mar 20;8(3). Epub 2019 Mar 20.

Study Group for Prevention and Protection Against Child Abuse and Neglect, Chang Gung Memorial Hospital, 5 Fuhsing St., Taoyuan 333, Taiwan.

Children with abusive head trauma tend to have worse outcomes than children with accidental head trauma. However, current predictors of poor outcomes for children with abusive head trauma are still limited. We aim to use clinical data to identify early predictors of poor outcome at discharge in children with abusive head trauma. Read More

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http://dx.doi.org/10.3390/jcm8030390DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6463187PMC

Ongoing Pediatric Health Care for the Child Who Has Been Maltreated.

Pediatrics 2019 Apr 18;143(4). Epub 2019 Mar 18.

Pediatricians provide continuous medical care and anticipatory guidance for children who have been reported to state child protection agencies, including tribal child protection agencies, because of suspected child maltreatment. Because families may continue their relationships with their pediatricians after these reports, these primary care providers are in a unique position to recognize and manage the physical, developmental, academic, and emotional consequences of maltreatment and exposure to childhood adversity. Substantial information is available to optimize follow-up medical care of maltreated children. Read More

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http://dx.doi.org/10.1542/peds.2019-0284DOI Listing

Rating early child development outcome measurement tools for routine health programme use.

Arch Dis Child 2019 Apr;104(Suppl 1):S22-S33

Maternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene and Tropical Medicine, London, UK.

Background: Identification of children at risk of developmental delay and/or impairment requires valid measurement of early child development (ECD). We systematically assess ECD measurement tools for accuracy and feasibility for use in routine services in low-income and middle-income countries (LMIC).

Methods: Building on World Bank and peer-reviewed literature reviews, we identified available ECD measurement tools for children aged 0-3 years used in ≥1 LMIC and matrixed these according to (child age) and (ECD domains) they measure at population or individual level. Read More

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http://adc.bmj.com/lookup/doi/10.1136/archdischild-2018-3154
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http://dx.doi.org/10.1136/archdischild-2018-315431DOI Listing
April 2019
5 Reads

Counting outcomes, coverage and quality for early child development programmes.

Arch Dis Child 2019 Apr;104(Suppl 1):S13-S21

Maternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene & Tropical Medicine, London, UK.

Improved measurement in early child development (ECD) is a strategic focus of the WHO, UNICEF and World Bank Nurturing Care Framework. However, evidence-based approaches to monitoring and evaluation (M&E) of ECD projects in low-income and middle-income countries (LMIC) are lacking. The Grand Challenges Canada®-funded Saving Brains® ECD portfolio provides a unique opportunity to explore approaches to M&E of ECD programmes across diverse settings. Read More

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http://dx.doi.org/10.1136/archdischild-2018-315430DOI Listing
April 2019
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2.899 Impact Factor

Contextual design choices and partnerships for scaling early child development programmes.

Arch Dis Child 2019 Apr;104(Suppl 1):S3-S12

Maternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene and Tropical Medicine, London, UK.

Translating the Nurturing Care Framework and unprecedented global policy support for early child development (ECD) into action requires evidence-informed guidance about to implement ECD programmes at national and regional scale. We completed a literature review and participatory mixed-method evaluation of projects in Saving Brains®, Grand Challenges Canada® funded ECD portfolio across 23 low- and middle-income countries (LMIC). Using an adapted programme cycle, findings from evaluation related to partnerships and leadership, situational analyses, and design for scaling ECD were considered. Read More

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http://dx.doi.org/10.1136/archdischild-2018-315433DOI Listing
April 2019
3 Reads
2.899 Impact Factor

Impact of child abuse clinical pathways on skeletal survey performance in high risk infants.

Acad Pediatr 2019 Mar 14. Epub 2019 Mar 14.

Division of General Pediatrics, The Children's Hospital of Philadelphia, 34(th) Street and Civic Center Boulevard, Philadelphia, PA 19104, USA; Center for Pediatric Clinical Effectiveness and PolicyLab, The Children's Hospital of Philadelphia, 2716 South Street, Philadelphia, PA 19146, USA; Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, 34(th) Street and Civic Center Boulevard, Philadelphia, PA 19104.

Objectives: 1) To examine the association between the presence of a child abuse pathway and the odds of skeletal survey performance in infants with injuries associated with high risk of abuse, 2) to determine if pathway presence decreased disparities in skeletal survey performance.

Methods: In this retrospective study of children <1 year diagnosed with injuries associated with high risk of abuse at hospitals in the Pediatric Hospital Information System, information regarding the presence of a child abuse pathway was collected via survey. We examined whether the presence of a child abuse pathway was associated with the odds of obtaining a skeletal survey adjusting for patient level factors. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18762859183069
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http://dx.doi.org/10.1016/j.acap.2019.02.012DOI Listing
March 2019
8 Reads

Early Involvement of the Child Protection Team in the Care of Injured Infants in a Pediatric Emergency Department.

J Emerg Med 2019 Mar 14. Epub 2019 Mar 14.

Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut.

Background: Physical abuse is a significant cause of infant morbidity and mortality. Early detection in the emergency department (ED) is crucial.

Objective: We describe the impact of a clinical pathway focused on early involvement of the child protection team (CPT) and social work (SW) team for infants presenting to a pediatric emergency department with an injury concerning for abuse. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07364679193003
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http://dx.doi.org/10.1016/j.jemermed.2019.01.030DOI Listing
March 2019
3 Reads

Alcohol and parenthood: An integrative analysis of the effects of transition to parenthood in three Australasian cohorts.

Drug Alcohol Depend 2019 Apr 13;197:326-334. Epub 2019 Feb 13.

Centre for Adolescent Health, Murdoch Children's Research Institute, Melbourne, VIC, Australia; Department of Paediatrics, University of Melbourne, Melbourne, VIC, Australia.

Aims: To determine the extent to which the transition to parenthood protects against heavy and problematic alcohol consumption in young men and women.

Design: Integrated participant-level data analysis from three population-based prospective Australasian cohort studies.

Setting: General community; participants from the Australian Temperament Study, the Christchurch Health and Development Study, and the Victorian Adolescent Health Cohort Study. Read More

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http://dx.doi.org/10.1016/j.drugalcdep.2019.02.004DOI Listing

Prenatal drug exposure from infancy through emerging adulthood: Results from neuroimaging.

Drug Alcohol Depend 2019 May 28;198:39-53. Epub 2019 Feb 28.

Department of Psychiatry, Yale University School of Medicine, New Haven, CT, 06510, USA; Child Study Center, Yale University School of Medicine, New Haven, CT, 06510, USA; Department of Neuroscience, Yale University School of Medicine, New Haven, CT, 06510, USA; Connecticut Mental Health Center, New Haven, CT, 06519, USA; Connecticut Council on Problem Gambling, Wethersfield, CT, 06109, USA.

Prenatal drug exposure may have important repercussions across the lifespan for cognition and behavior. While alcohol is a recognized teratogen, the influences of other substances may also be substantial. The neural underpinnings of the influences of prenatal drug exposure have been examined using longitudinal approaches and multiple imaging techniques. Read More

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http://dx.doi.org/10.1016/j.drugalcdep.2019.01.032DOI Listing

Correction to: A consensus response on the complete picture: reply to Lynøe and Eriksson.

Pediatr Radiol 2019 May;49(5):692-693

Paediatric Musculoskeletal Imaging, Academic Unit of Child Health, Sheffield, UK.

The original version on this paper contained an error. The COI statement is incorrectly presented. Read More

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http://dx.doi.org/10.1007/s00247-019-04380-xDOI Listing
May 2019
1.651 Impact Factor

Three-dimensional printed models of the rib cage in children with non-accidental injury as an effective visual-aid tool.

Pediatr Radiol 2019 Mar 15. Epub 2019 Mar 15.

Department of Radiology, The Children's Hospital of Philadelphia, 3401 Civic Center Blvd., Philadelphia, PA, 19104, USA.

Three-dimensional (3-D) printing is gaining terrain in medical education, presurgical evaluation and recently as forensic evidence in court. Physicians, including radiologists, often provide expert testimony in court cases involving children with rib fractures and other injuries concerning for child physical abuse. Effectively communicating the complexities of fractures and other skeletal findings to nonmedical personnel using standard radiology studies can be challenging, especially during medical courtroom testimony. Read More

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http://dx.doi.org/10.1007/s00247-019-04368-7DOI Listing

Child maltreatment and persistent smoking from adolescence into adulthood: a birth cohort study.

Nicotine Tob Res 2019 Mar 15. Epub 2019 Mar 15.

School of Public Health, The University of Queensland, Public Health Building, Herston, Queensland, Australia.

Objective: A prospective record-linkage analysis to examine whether notified and/or substantiated child maltreatment is associated with the prevalence and persistence of smoking in early adulthood.

Methods: The sample consisted of 3758 participants enrolled in a population-based birth cohort study in Brisbane, Australia who were followed up at both 14 and 21 years of age. Suspected experience of child maltreatment was measured by linkage with state child protection agency data. Read More

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http://dx.doi.org/10.1093/ntr/ntz039DOI Listing
March 2019
1 Read
3.296 Impact Factor

How does societal reaction to children's health issues contribute to health policy in Europe? Results of a survey.

Child Care Health Dev 2019 May;45(3):364-370

Section of Paediatrics, Imperial College London, London, UK.

Background: In the European context the awareness of societal responsibility for children's health has increased with greater attention to children's rights and child empowerment processes. Child health issues are considered particularly sensitive; thus, they often provoke strong societal reactions, which, as a consequence, influence national health policies across Europe. Effectiveness of societal influences increases with the involvement of various actors in the context. Read More

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http://dx.doi.org/10.1111/cch.12657DOI Listing
May 2019
3 Reads

Long term consequences of child sexual abuse in Saudi Arabia: A report from national study.

Authors:
Maha Almuneef

Child Abuse Negl 2019 Mar 11. Epub 2019 Mar 11.

King Abdulaziz Medical City, Ministry of National Guard- Health Affairs, Saudi Arabia; Department of Pediatrics, King Abdullah Specialized Children Hospital, Saudi Arabia; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences (KSAU-HS), Saudi Arabia. Electronic address:

Child Sexual Abuse (CSA) is a global public health problem that has been found to be linked to negative health outcomes. The aim of this study is to examine the prevalence of different forms of CSA and its impact on chronic diseases, mental health disorders, and health-risk behaviors among adults in Saudi Arabia (SA). A cross-sectional, national survey utilizing Adverse Childhood Experiences International Questionnaire (ACE-IQ) was conducted in SA. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01452134193008
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http://dx.doi.org/10.1016/j.chiabu.2019.03.003DOI Listing
March 2019
13 Reads

Characteristics of accidental versus abusive pediatric burn injuries in an urban burn center over a 14 year period.

J Burn Care Res 2019 Mar 14. Epub 2019 Mar 14.

Department of Bioinformatics and Biostatistics, University of Louisville, Louisville, KY.

The aim of this study was to determine the demographic and associated characteristics of abusive burn injuries in children. Understanding the characteristics of burn injuries may help clinicians differentiate and recognize abusive injuries. We conducted a retrospective study of patients less than 5 years old admitted to an urban burn center from March 1999 to July 2013. Read More

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http://dx.doi.org/10.1093/jbcr/irz032DOI Listing

Compliance With Skeletal Surveys for Child Abuse in General Hospitals: A Statewide Quality Improvement Process.

AJR Am J Roentgenol 2019 Mar 12:1-6. Epub 2019 Mar 12.

1 Department of Radiology and Imaging Sciences, Indiana University School of Medicine, Riley Hospital for Children, 705 Riley Hospital Dr, Rm 1053, Indianapolis, IN 46202.

Objective: The purpose of this study is to perform a statewide quality improvement process to improve compliance with the American College of Radiology (ACR) guidelines in performing skeletal surveys for suspected child abuse.

Subjects And Methods: We prospectively identified all outside hospital skeletal surveys for suspected child abuse in children younger than 3 years referred to our tertiary children's hospital in 2016-2017. We included a 3-month baseline and 21-month intervention period. Read More

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http://dx.doi.org/10.2214/AJR.18.20701DOI Listing
March 2019
1 Read

Child health care coverage and reductions in child physical abuse.

Authors:
Neil McCray

Heliyon 2018 Nov 21;4(11):e00945. Epub 2018 Nov 21.

George Mason University, United States.

Children in the United States suffered almost 118,000 cases of physical abuse in 2015. One factor that might help decrease child physical abuse is health care coverage. This paper presents a justification for a link between health care coverage and reductions in child physical abuse and, though it does not assess specific causal mechanisms, examines evidence for such a connection. Read More

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http://dx.doi.org/10.1016/j.heliyon.2018.e00945DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6251011PMC
November 2018

Association between maternal pre-delivery body mass index and offspring overweight/obesity at 1 and 2 years of age among residents of a suburb in Taiwan.

PeerJ 2019 25;7:e6473. Epub 2019 Feb 25.

Department of Pediatrics, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan.

Background: Overweight and obesity among children can cause metabolic syndrome in adulthood and are a significant public health issue. Some studies suggest that maternal pre-pregnancy body mass index (BMI) and excessive gestational weight gain during pregnancy are associated with overweight and obesity in offspring. However, it is difficult to collect information on accurate pre-pregnancy BMI and pregnancy weight gain for women living in areas where medical resources are scarce. Read More

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http://dx.doi.org/10.7717/peerj.6473DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394342PMC
February 2019

Do data from child protective services and the police enhance modelling of perinatal risk for paediatric abusive head trauma? A retrospective case-control study.

BMJ Open 2019 Mar 1;9(3):e024199. Epub 2019 Mar 1.

Paediatrics, University of Auckland, Auckland, New Zealand.

Objectives: First, to investigate whether there is a relationship between a family being known to child protective services or police at the time of birth and the risk of abusive head trauma (AHT, formerly known as shaken baby syndrome). Second, to investigate whether data from child protective services or police improve a predictive risk model derived from health records.

Design: Retrospective case control study of child protective service and police records. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-024199DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6429859PMC

Depression in Latina mothers: Examining the roles of acculturation, enculturation, social support, and family resources.

Cultur Divers Ethnic Minor Psychol 2019 Feb 28. Epub 2019 Feb 28.

Department of Pediatrics.

Objectives: Previous findings on the relationship between acculturation and depression have been mixed, such that acculturation has been demonstrated as a protective factor, risk factor, and neutral factor for depressive symptomology. The current study sought to clarify this association by examining the roles of acculturation and enculturation (retention of traditional values and practices) on depression while incorporating contextual variables such as social support and resource adequacy.

Method: This study utilized archived data from 308 Latina mothers who participated in a randomized clinical trial evaluating the effectiveness of a home-based child maltreatment prevention model that was culturally adapted for a midwestern Latino/a community. Read More

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http://dx.doi.org/10.1037/cdp0000259DOI Listing
February 2019

Associations Between Rejection Sensitivity, Aggression, and Victimization: A Meta-Analytic Review.

Trauma Violence Abuse 2019 Feb 27:1524838019833005. Epub 2019 Feb 27.

5 Department of Paediatrics and Adolescent Medicine, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong.

Background:: Rejection sensitivity (RS) is a personality disposition characterized by oversensitivity to social rejection; individuals who are sensitive to social rejection tend to anxiously or angrily expect, readily perceive, and overreact to it. The associations between (a) RS and aggression and (b) RS and victimization have been studied in recent years. However, the strength of these associations varied considerably between studies. Read More

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http://dx.doi.org/10.1177/1524838019833005DOI Listing
February 2019
5 Reads

Child maltreatment prevention strategies: Saudi youth perspectives.

Int J Pediatr Adolesc Med 2018 Sep 13;5(3):92-98. Epub 2018 Sep 13.

King Abdullah International Medical Research Center / King Saud Bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, Riyadh, Saudi Arabia.

Background And Objectives: Child maltreatment (CM) is a global problem that has long-term negative outcomes. The objective of this study is to explore the knowledge and perceptions of youth regarding CM prevention.

Methods: The study was conducted in Saudi Arabia using International Child Abuse Screening Tool (ICAST). Read More

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http://dx.doi.org/10.1016/j.ijpam.2018.06.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6364574PMC
September 2018

Childhood experiences of parenting and age at menarche, age at menopause and duration of reproductive lifespan: Evidence from the English Longitudinal Study of Ageing.

Maturitas 2019 Apr 23;122:66-72. Epub 2019 Jan 23.

School of Public Health, The University of Queensland, Brisbane, Australia.

Objectives: The parent-child relationship is critical for human development, yet little is known about its association with offsprings' reproductive health outside the context of abuse and neglect. We investigated whether childhood experiences of poor-quality parenting (characterized as decreased parental care and increased parental overprotection) are associated with women's reproductive timing and lifespan.

Study Design: Observational study of 2383 women aged 55-89 years in 2007 from the English Longitudinal Study of Ageing (ELSA). Read More

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http://dx.doi.org/10.1016/j.maturitas.2019.01.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6446039PMC

Pediatric Sexual Abuse: An Interprofessional Approach to Optimizing Emergency Care.

J Forensic Nurs 2019 Jan/Mar;15(1):18-25

Emergency Services, Novant Health Presbyterian Medical Center.

Introduction: Pediatric sexual abuse can lead to devastating lifelong consequences for the child, their caregivers, and society at large. To achieve the goal of optimizing patient outcomes, strategies to enhance teamwork, education, and mentorship are essential. The ultimate goal of child safety and protection through an evidence-based approach will only be attained when interprofessional alignment of expertise and resources is implemented. Read More

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http://dx.doi.org/10.1097/JFN.0000000000000232DOI Listing

Knowledge and attitudes of healthcare professionals on child abuse in Greece.

Child Care Health Dev 2019 Mar;45(2):310-311

Department of Pediatrics, University General Hospital of Patras, Patras, Greece.

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http://dx.doi.org/10.1111/cch.12644DOI Listing

Parents' PTSD symptoms and child abuse potential during the perinatal period: Direct associations and mediation via relationship conflict.

Child Abuse Negl 2019 Apr 10;90:66-75. Epub 2019 Feb 10.

Department of Pediatrics, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH, 45229, United States; University of Cincinnati College of Medicine, United States. Electronic address:

Background: Posttraumatic stress disorder (PTSD) symptoms are associated with parental aggression towards children, but little is known about the relation between parents' PTSD symptoms and their risk for perpetrating child physical abuse during the early parenting years, when the potential for prevention of abuse may be highest.

Objective: To examine direct associations between mothers' and fathers' PTSD symptoms and child abuse potential, as well as indirect effects through couple relationship adjustment (i.e. Read More

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http://dx.doi.org/10.1016/j.chiabu.2019.01.024DOI Listing
April 2019
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A new role for imaging in the diagnosis of physical elder abuse: results of a qualitative study with radiologists and frontline providers.

J Elder Abuse Negl 2019 Mar-May;31(2):163-180. Epub 2019 Feb 10.

d Department of Radiology , Massachusetts General Hospital , Boston , MA , USA.

Pediatric radiologists play a key role in the detection of child abuse through the identification of characteristic injury patterns. Emergency radiologists have the potential to play an equally important role in the detection of elder physical abuse; however, they currently play little to no part in this effort. We examine the reasons behind this limited role, and potential strategies to expand it, by interviewing attending faculty from Emergency Radiology, Geriatrics, Emergency Medicine, Pediatric Radiology, and Pediatrics. Read More

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http://dx.doi.org/10.1080/08946566.2019.1573160DOI Listing
February 2019

Identifying and responding to child maltreatment when delivering family-based treatment-A qualitative study.

Int J Eat Disord 2019 Mar 6;52(3):292-298. Epub 2019 Feb 6.

Offord Center for Child Studies, Department of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Ontario, Canada.

Introduction: This study describes practitioner strategies, perceptions, experiences with identifying and responding to child emotional abuse (CEA) and child exposure to intimate partner violence (CEIPV) when providing Family-Based Treatment (FBT) to children and adolescents with eating disorders.

Method: Using qualitative interpretive description, this study recruited a purposeful sample of practitioners (N = 30, 90% female) implementing FBT for adolescent eating disorders. Semi-structured interviews focused on eliciting their perspectives regarding identifying and responding to CEA and CEIPV in practice. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/eat.23036
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http://dx.doi.org/10.1002/eat.23036DOI Listing
March 2019
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A Qualitative Study Examining Stakeholder Perspectives of a Local Child Abuse Program in Community Emergency Departments.

Acad Pediatr 2019 Jan 29. Epub 2019 Jan 29.

Department of Pediatrics, Yale University School of Medicine, New Haven, Conn.

Objective: Emergency department (ED) providers may fail to recognize or report child abuse and/or neglect (CAN). To improve recognition and reporting, we designed the Community ED CAN Program, in which teams of local clinicians (nurses, physicians, physician assistants) received training in CAN and 1) disseminated evidence-based education; 2) provided consultation, case follow-up, and access to specialists; and 3) facilitated multidisciplinary case review. The aims of this study were to understand the Program's strengths andchallenges and to explore factors that influenced implementation. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18762859193001
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http://dx.doi.org/10.1016/j.acap.2019.01.006DOI Listing
January 2019
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A case of broken bones and systems: The threat of irresponsible testimony.

Authors:
Natasha Shur

Am J Med Genet A 2019 Mar 29;179(3):429-434. Epub 2019 Jan 29.

Division of Genetics, Children's National Medical Center, Washington, District of Columbia.

A 2-month-old healthy baby presented to the emergency room with an arm that was not moving and was found to have multiple and extensive fractures of her long bones. An extensive medical work-up was done, and the hospital's multidisciplinary child abuse team was consulted, including child protection, genetics, radiology, and general pediatrics. It was determined that the history, clinical findings, radiographic findings, and laboratory findings were consistent with child abuse. Read More

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http://doi.wiley.com/10.1002/ajmg.a.61043
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http://dx.doi.org/10.1002/ajmg.a.61043DOI Listing
March 2019
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Characterizing adverse prenatal and postnatal experiences in children.

Birth Defects Res 2019 Jan 28. Epub 2019 Jan 28.

Alberta Children's Hospital Research Institute, University of Calgary, Calgary, Alberta, Canada.

Background: Prenatal and postnatal adversities, including prenatal alcohol exposure (PAE), prenatal exposure to other substances, toxic stress, lack of adequate resources, and postnatal abuse or neglect, often co-occur. These exposures can have cumulative effects, or interact with each other, leading to worse outcomes than single exposures. However, given their complexity and heterogeneity, exposures can be difficult to characterize. Read More

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http://dx.doi.org/10.1002/bdr2.1464DOI Listing
January 2019

A Descriptive Mixed-Methods Analysis of Sexual Behavior and Knowledge in Very Young Children Assessed for Sexual Abuse: The ASAC Study.

Front Psychol 2018 9;9:2716. Epub 2019 Jan 9.

Department of Child and Adolescent Psychiatry, Academic Medical Center, Amsterdam, Netherlands.

Child sexual abuse (CSA) is a worldwide problem with serious consequences. We hypothesized that worrisome sexual behavior and knowledge would frequently be reported in children assessed after CSA. We therefore investigated (A) what types of sexual behaviors and knowledge were reported by parents of young children assessed for CSA; (B) in what cases such behaviors and knowledge were worrisome; and (C) how such children responded verbally and non-verbally during child interviews. Read More

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http://dx.doi.org/10.3389/fpsyg.2018.02716DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333700PMC
January 2019