3,926 results match your criteria Pediatrics Child Abuse


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

Child Abuse Negl 2019 Feb 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
February 2019
2 Reads

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 Feb 10:1-18. 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 Feb 6. 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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http://dx.doi.org/10.1002/eat.23036DOI Listing
February 2019

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.

Yale University School of Medicine, Department of Pediatrics, New Haven, CT, USA. Electronic address:

Objectives: 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 multi-disciplinary case review. The aims of this study were to understand the Program's strengths and challenges 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
3 Reads

Characteristics of Neighborhoods Where Emergency Medical Services Encounter Children at Risk for Maltreatment.

Prehosp Emerg Care 2019 Jan 31:1-14. Epub 2019 Jan 31.

b Nationwide Children's Hospital Section of Emergency Medicine.

Objective: The objective of this study was to determine if neighborhood rates of pediatric Emergency Medical Services (EMS) encounters correlate with rates of child maltreatment reporting and if there are neighborhood-level risk factors for EMS encountering children with maltreatment reports.

Methods: We conducted a retrospective cohort study using the electronic medical records of children ages <18 years who had Columbus Division of Fire EMS encounters between 2011-2015. We used Nationwide Children's Hospital electronic medical records to identify child maltreatment reports. Read More

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http://dx.doi.org/10.1080/10903127.2019.1573940DOI Listing
January 2019
1 Read

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
3 Reads

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

Psychological Responses among Humidifier Disinfectant Disaster Victims and Their Families.

J Korean Med Sci 2019 Jan 16;34(4):e29. Epub 2019 Jan 16.

Department of Pediatrics, Childhood Asthma Atopy Center, Environmental Health Center, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

To substantiate psychological symptoms following humidifier disinfectant (HD) disasters, counseling records of 26 victims and 92 family members of victims (45 were bereaved) were analyzed retrospectively. Among the victims, 34.6% had Clinical Global Impression-Severity scores of over 4, which meant they were moderately ill. Read More

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http://dx.doi.org/10.3346/jkms.2019.34.e29DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6345639PMC
January 2019
1 Read

Newborn Risk Factors for Subsequent Physical Abuse Hospitalizations.

Pediatrics 2019 Jan 25. Epub 2019 Jan 25.

Divisions of Hospital Medicine and.

Objectives: To describe the prevalence of risk factors for abuse and newborns' risks for physical abuse hospitalizations during early infancy.

Methods: We created a nationally representative US birth cohort using the 2013 and 2014 Nationwide Readmissions Databases. Newborns were characterized by demographics, prematurity or low birth weight (LBW), intrauterine drug exposure, and medical complexity (including birth defects). Read More

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http://pediatrics.aappublications.org/lookup/doi/10.1542/ped
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http://dx.doi.org/10.1542/peds.2018-2108DOI Listing
January 2019
5 Reads

Child Abuse or Bleeding Disorder-An Interdisciplinary Approach.

Hamostaseologie 2019 Feb 25;39(1):28-35. Epub 2019 Jan 25.

Institute of Forensic Medicine, Medical Faculty Carl Gustav Carus, Technical University Dresden, Dresden, Sachsen, Germany.

Children with an unexplained bleeding tendency are frequently referred to a haemostaseologist for further evaluation. Careful standardized history taking and clinical evaluation should allow for distinguishing bleeds after minor injury and trauma which are very common in all children. However, in two groups of children bleeding symptoms may be more significant than expected: those with an underlying coagulation disorder and those who have been subjected to physical child abuse. Read More

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http://dx.doi.org/10.1055/s-0039-1677714DOI Listing
February 2019

Letter to the Editor regarding "Multiple unexplained fractures in infants and child physical abuse".

J Steroid Biochem Mol Biol 2019 Feb;186:226-227

Sections of Public Health Pediatrics, Baylor College of Medicine, Houston, TX, USA.

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http://dx.doi.org/10.1016/j.jsbmb.2018.08.003DOI Listing
February 2019
1 Read

Research priorities to inform "Treat All" policy implementation for people living with HIV in sub-Saharan Africa: a consensus statement from the International epidemiology Databases to Evaluate AIDS (IeDEA).

J Int AIDS Soc 2019 Jan;22(1):e25218

Institute for Implementation Science in Population Health, City University of New York, New York, NY, USA.

Introduction: "Treat All" - the treatment of all people with HIV, irrespective of disease stage or CD4 cell count - represents a paradigm shift in HIV care that has the potential to end AIDS as a public health threat. With accelerating implementation of Treat All in sub-Saharan Africa (SSA), there is a need for a focused agenda and research to identify and inform strategies for promoting timely uptake of HIV treatment, retention in care, and sustained viral suppression and addressing bottlenecks impeding implementation.

Methods: The Delphi approach was used to develop consensus around research priorities for Treat All implementation in SSA. Read More

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http://dx.doi.org/10.1002/jia2.25218DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6338103PMC
January 2019
3 Reads
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Oral injuries in children less than 24 months of age in a pediatric emergency department.

Child Abuse Negl 2019 Mar;89:70-77

Department of Pediatrics, Section of Emergency Medicine, Yale University School of Medicine, 100 York Street, Suite 1F, New Haven, Connecticut, 06511, USA. Electronic address:

Background: Oral injuries in young children may indicate physical abuse. The prevalence of oral injuries in young children presenting to the emergency department is unknown. These data would assist providers in making decisions about the need for further abuse evaluation. Read More

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http://dx.doi.org/10.1016/j.chiabu.2019.01.006DOI Listing
March 2019
5 Reads

A Multimodal Study of Childhood Trauma and Distress Tolerance in Young Adulthood.

J Aggress Maltreat Trauma 2018 9;27(7):795-810. Epub 2017 Nov 9.

Department of Psychology, Virginia Commonwealth University, Richmond, Virginia, USA.

Individuals with a history of childhood trauma experience deficits in emotion regulation. However, few studies have investigated childhood trauma and both perceived (i.e. Read More

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https://www.tandfonline.com/doi/full/10.1080/10926771.2017.1
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http://dx.doi.org/10.1080/10926771.2017.1382636DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329603PMC
November 2017
7 Reads

Multicentre study of physical abuse and limb fractures in young children in the East Anglia Region, UK.

Arch Dis Child 2019 Jan 12. Epub 2019 Jan 12.

Department of Orthopaedics, West Suffolk Hospital, Suffolk, UK.

Objective: To determine if the detection of physical abuse in young children with fractures is of uniform high standard in the East Anglia Region of the UK, and whether we can identify areas for improvement in our detection of high-risk groups.

Design: Multicentre retrospective 4-year study.

Setting: 7 hospitals across the East Anglia Region of Britain (East Anglia Paediatric Physical Abuse and Fractures study). Read More

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http://adc.bmj.com/lookup/doi/10.1136/archdischild-2018-3150
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http://dx.doi.org/10.1136/archdischild-2018-315035DOI Listing
January 2019
3 Reads

The infant with bilateral skull fractures: diagnostic considerations in consultation with a child abuse pediatrician.

Authors:
Mandy A O'Hara

J Inj Violence Res 2018 Jan 12;11(1). Epub 2018 Jan 12.

Department of Pediatrics, New York Presbyterian Hospital, Columbia University Medical Center, New York, USA. Email:

Bilateral skull fractures in infancy may result from accidental or abusive injury. Consultation with a child abuse pediatrician may assist with determining the likelihood of accident or abuse. Diagnostic considerations for the infant with bilateral skull fractures are reviewed, including single impact, double impact, and compression mechanisms of injury, as well as the possibility of accessory sutures as skull fracture mimics. Read More

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http://dx.doi.org/10.5249/jivr.v11i1.938DOI Listing
January 2018
1 Read

Retinal Findings in Young Children With Increased Intracranial Pressure From Nontraumatic Causes.

Pediatrics 2019 Jan 10. Epub 2019 Jan 10.

Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania;

Objectives: Increased intracranial pressure (ICP) has been suggested in legal settings as an alternative cause of retinal hemorrhages (RHs) in young children who may have sustained abusive head trauma. We assessed the prevalence and characteristics of RHs in children with increased ICP.

Methods: We conducted a prospective, multicenter study of children <4 years old with newly diagnosed increased ICP as determined by using direct measurement and/or clinical criteria. Read More

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http://pediatrics.aappublications.org/lookup/doi/10.1542/ped
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http://dx.doi.org/10.1542/peds.2018-1182DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6361344PMC
January 2019
12 Reads

Impact of adversity on early childhood growth & development in rural India: Findings from the early life stress sub-study of the SPRING cluster randomised controlled trial (SPRING-ELS).

PLoS One 2019 9;14(1):e0209122. Epub 2019 Jan 9.

Maternal & Child Health Intervention Research Group, Department of Population Health, Faculty of Epidemiology & Population Health, London School of Hygiene & Tropical Medicine, London, United Kingdom.

Introduction: Early childhood development is key to achieving the Sustainable Development Goals and can be negatively influenced by many different adversities including violence in the home, neglect, abuse and parental ill-health. We set out to quantify the extent to which multiple adversities are associated with impaired early childhood growth & development.

Methods: This was a substudy of the SPRING cluster randomised controlled trial covering the whole population of 120 villages of rural India. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0209122PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326522PMC
January 2019

Measuring socioeconomic adversity in early life.

Acta Paediatr 2019 Jan 7. Epub 2019 Jan 7.

Department of Psychology, Stanford University School of Humanities& Sciences, San Francisco, CA, USA.

Aim: Early life adversity leads to enduring effects on physical and mental health, school performance and other outcomes. We sought to identify potentially modifiable factors associated with socioeconomic adversity in early life.

Methods: We enrolled 1503 pregnant women aged 16-40 years, without pregnancy complications or pre-existing conditions from Shelby County, Tennessee. Read More

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http://doi.wiley.com/10.1111/apa.14715
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http://dx.doi.org/10.1111/apa.14715DOI Listing
January 2019
13 Reads

A rare cause of scalp swelling in infancy: delayed subaponeurotic fluid collections in five cases.

Childs Nerv Syst 2019 Jan 7. Epub 2019 Jan 7.

Division of Pediatric Infectious Diseases, Department of Pediatrics, Ankara University School of Medicine, Cebeci Hospital, 06590, Ankara, Turkey.

Subaponeurotic (subgaleal) fluid collection (DSFC) is a rare clinical entity of unknown etiology. We aimed to present our series of infants who were diagnosed with DSCF at Ankara University Children's Hospital. We retrospectively reviewed clinical findings, imaging studies, laboratory tests, management, and clinical courses of infants diagnosed with DSCF between June 2014 and June 2018. Read More

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http://link.springer.com/10.1007/s00381-018-04040-9
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http://dx.doi.org/10.1007/s00381-018-04040-9DOI Listing
January 2019
16 Reads

Recreational nitrous oxide abuse related subacute combined degeneration of the spinal cord in adolescents - A case series and literature review.

Brain Dev 2019 Jan 2. Epub 2019 Jan 2.

Study Group for Prevention and Protection Against Child Abuse and Neglect (PCHAN), Taiwan.

Background: Nitrous oxide (NO) is a commonly used inhaled anesthetic in outpatient dental procedures. However, the increasing recreational use of NO may result in vitamin B deficiency-related neurologic and psychiatric symptoms. The aim of this study was to demonstrate the clinical features of chronic NO abuse in pediatric patients. Read More

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http://dx.doi.org/10.1016/j.braindev.2018.12.003DOI Listing
January 2019
1 Read

Classic metaphyseal lesion acquired during physical therapy.

Clin Imaging 2018 Nov 20;54:100-102. Epub 2018 Nov 20.

Department of Radiology and Imaging Sciences, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN, USA.

A classic metaphyseal lesion (CML) is highly specific for nonaccidental trauma. Missing CMLs can be devastating to the child as the child can continue to be exposed to inflicted trauma. Yet, there are rare case reports on CMLs that occur due to birth trauma, IV line placement, and treatment for clubfoot. Read More

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http://dx.doi.org/10.1016/j.clinimag.2018.11.007DOI Listing
November 2018
2 Reads

Epilepsy in Children: From Diagnosis to Treatment with Focus on Emergency.

J Clin Med 2019 Jan 2;8(1). Epub 2019 Jan 2.

Department of Anesthesiology, AOU Policlinico-Vittorio Emanuele, University of Catania Via S. Sofia, 78, 95123 Catania, Italy.

Seizures are defined as a transient occurrence of signs and symptoms due to the abnormal, excessive, or synchronous neuronal activity in the brain characterized by abrupt and involuntary skeletal muscle activity. An early diagnosis, treatment, and specific medical support must be performed to prevent Status Epilepticus (SE). Seizure onset, especially in the child population, is related to specific risk factors like positive family history, fever, infections, neurological comorbidity, premature birth, mother's alcohol abuse, and smoking in pregnancy. Read More

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http://www.mdpi.com/2077-0383/8/1/39
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http://dx.doi.org/10.3390/jcm8010039DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352402PMC
January 2019
6 Reads

The adverse childhood experiences checklist: Can it serve as a clinical and quality indicator?

J Paediatr Child Health 2019 Jan 2. Epub 2019 Jan 2.

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

Aim: There is strong evidence that adverse childhood experiences (ACE) are associated with poor short-, medium- and long-term health outcomes. In South Western Sydney, we trialled a modified ACE checklist in community paediatric clinics. Our aim was to design the best version of the ACE checklist for routine clinical use to serve as both a clinical and quality indicator. Read More

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http://dx.doi.org/10.1111/jpc.14368DOI Listing
January 2019

Abuse as a Cause of Childhood Fractures.

Dtsch Arztebl Int 2018 11;115(46):769-775

DRK Kliniken Berlin | Westend, Department of Pediatrics, Child Protection Outpatient Clinic; DRK Kliniken Berlin | Westend, Department of Diagnostic and Interventional Radiology; DRK Kliniken Berlin | Westend, Department of Trauma Surgery and Orthopedics; Department of Child and Adolescent Psychiatry/Psychotherapy.

Background: It is well known that physical abuse of children all too often escapes detection. Fractures are among the potential consequences of physical abuse but are also com- mon in childhood because of accidents. A question frequently addressed to the Medical Child Protection Hotline (Medizini- sche Kinderschutzhotline) is how fractures due to abuse can be distinguished from accidental fractures. Read More

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http://dx.doi.org/10.3238/arztebl.2018.0769DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329369PMC
November 2018

Risk factors for child maltreatment by the utilization of medical service and socioeconomic environment in Taiwan.

Medicine (Baltimore) 2018 Dec;97(52):e13728

Department of Pediatric Emergency Medicine.

Child maltreatment is complicated by cultural, welfare, and socioeconomic factors. However, the relationship between child maltreatment and socioeconomic factors has not been completely understood. We investigated risk factors for child abuse and neglect in Taiwan. Read More

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http://dx.doi.org/10.1097/MD.0000000000013728DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6314714PMC
December 2018

A machine learning approach to investigate potential risk factors for gastroschisis in California.

Birth Defects Res 2018 Dec 26. Epub 2018 Dec 26.

Department of Pediatrics, Division of Neonatology, Stanford University School of Medicine, Stanford, California.

Background: To generate new leads about risk factors for gastroschisis, a birth defect that has been increasing in prevalence over time, we performed an untargeted data mining statistical approach.

Methods: Using data exclusively from the California Center of the National Birth Defects Prevention Study, we compared 286 cases of gastroschisis and 1,263 non-malformed, live-born controls. All infants had delivery dates between October 1997 and December 2011 and were stratified by maternal age at birth (<20 and ≥ 20 years). Read More

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http://doi.wiley.com/10.1002/bdr2.1441
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http://dx.doi.org/10.1002/bdr2.1441DOI Listing
December 2018
6 Reads

Quality Improvement Initiative to Improve Abuse Screening Among Infants With Extremity Fractures.

Pediatr Emerg Care 2018 Dec 21. Epub 2018 Dec 21.

Reading Hospital, Reading.

Objectives: The aim of this study was to evaluate the effectiveness of clinical pathway implementation and quality improvement (QI) interventions to increase the percentage of infants with extremity fractures undergoing evaluation for suspected physical abuse, including skeletal survey (SS), and consultation with social work, and/or Child Protection Team.

Methods: Charts were retrospectively reviewed to establish percentage of infants less than 12 months old with extremity fractures undergoing an SS and consultation during the prepathway (January 1, 2012 to December 31, 2013) and postpathway (January 1, 2014 to June 30, 2015) periods. Using an Ishikawa framework, key process drivers were identified and additional QI interventions (clinical decision support and provider education) were developed and implemented. Read More

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http://dx.doi.org/10.1097/PEC.0000000000001671DOI Listing
December 2018
5 Reads

Screening in the Prenatal Period for Intimate Partner Violence and History of Abuse: A Survey of Edmonton Obstetrician/Gynaecologists.

J Obstet Gynaecol Can 2019 Jan 26;41(1):38-45. Epub 2018 Oct 26.

Department of Obstetrics and Gynecology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB; Department of Pediatrics, University of Alberta, Edmonton, AB; Department of Physiology, University of Alberta, Edmonton, AB.

Objective: This study sought to understand how obstetrician gynaecologists (OB/GYNs) in Edmonton, Alberta screen prenatal patients for intimate partner violence (IPV). It also aimed to explore attitudes, beliefs, and perceptions regarding IPV and identify barriers to screening for IPV. Institutional protocols, resources, and support available to clinicians and patients were also reviewed. Read More

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http://dx.doi.org/10.1016/j.jogc.2018.05.003DOI Listing
January 2019

The Role of Emotional Abuse in Youth Smoking.

Am J Prev Med 2019 Jan;56(1):93-99

Department of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland.

Introduction: The purpose of this prospective study is to examine the role of emotional abuse in predicting youth smoking.

Methods: Data were drawn from the Longitudinal Studies of Child Abuse and Neglect. The sample was restricted to those who had an interview at age 12 years and at least one interview at ages 14, 16, or 18 years (n=775). Read More

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http://dx.doi.org/10.1016/j.amepre.2018.08.020DOI Listing
January 2019
1 Read

Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice.

Pediatrics 2019 Jan;143(1)

Perinatal depression (PND) is the most common obstetric complication in the United States. Even when screening results are positive, mothers often do not receive further evaluation, and even when PND is diagnosed, mothers do not receive evidence-based treatments. Studies reveal that postpartum depression (PPD), a subset of PND, leads to increased costs of medical care, inappropriate medical treatment of the infant, discontinuation of breastfeeding, family dysfunction, and an increased risk of abuse and neglect. Read More

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http://dx.doi.org/10.1542/peds.2018-3259DOI Listing
January 2019

Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice.

Pediatrics 2019 Jan;143(1)

Perinatal depression is the most common obstetric complication in the United States, with prevalence rates of 15% to 20% among new mothers. Untreated, it can adversly affect the well-being of children and families throught increasing the risk for costly complications during birth and lead to deterioration of core supports, including partner relationships and social networks. Perinatal depression contributes to long-lasting, and even permanent, consequences for the physical and mental health of parents and children, including poor family functioning, increased risk of child abuse and neglect, delayed infant development, perinatal obstetric complications, challenges with breastfeeding, and costly increases in health care use. Read More

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http://pediatrics.aappublications.org/lookup/doi/10.1542/ped
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http://dx.doi.org/10.1542/peds.2018-3260DOI Listing
January 2019
14 Reads

Improving Health Outcomes for Immigrant Families Through IPV Screening: Resources and Recommendations for Pediatric Health Care Providers.

Curr Probl Pediatr Adolesc Health Care 2019 Jan 14;49(1):7-15. Epub 2018 Dec 14.

Charles E. Schmidt College of Medicine, Florida Atlantic University, United States.

Intimate partner violence (IPV) is a significant yet preventable public health problem affecting 1 in 15 children annually. Children exposed to IPV exhibit lifelong consequences including increased risks of social, emotional, psychological and behavioral problems (mood and anxiety disorders, post-traumatic stress disorders, substance abuse, and school-related problems). Limited research exists in identifying and assessing gaps in IPV screening and surveillance techniques for vulnerable populations such as immigrants, refugees, or in families where English is not spoken in the home. Read More

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http://dx.doi.org/10.1016/j.cppeds.2018.11.007DOI Listing
January 2019
1 Read

Association of Friday School Report Card Release With Saturday Incidence Rates of Agency-Verified Physical Child Abuse.

JAMA Pediatr 2018 Dec 17. Epub 2018 Dec 17.

Division of Child Protection and Forensic Pediatrics, Department of Pediatrics, University of Florida, Jacksonville.

Importance: Corporal punishment is a leading risk factor for physical abuse. Strong anecdotal evidence from physicians and other professionals working in child protection suggest that punishment-initiated physical abuse for school-aged children increases after release of report cards. However, no empirical examination of this association has occurred. Read More

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http://dx.doi.org/10.1001/jamapediatrics.2018.4346DOI Listing
December 2018
1 Read

Estimating the probability of abusive head trauma after abuse evaluation.

Child Abuse Negl 2019 Feb 11;88:266-274. Epub 2018 Dec 11.

Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, United States.

Background: Evidence-based, patient-specific estimates of abusive head trauma probability can inform physicians' decisions to evaluate, confirm, exclude, and/or report suspected child abuse.

Objective: To derive a clinical prediction rule for pediatric abusive head trauma that incorporates the (positive or negative) predictive contributions of patients' completed skeletal surveys and retinal exams.

Participants And Setting: 500 acutely head-injured children under three years of age hospitalized for intensive care at one of 18 sites between 2010 and 2013. Read More

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http://dx.doi.org/10.1016/j.chiabu.2018.11.015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333504PMC
February 2019
7 Reads

Acute Marijuana Intoxication in Children.

Authors:
M Denise Dowd

Pediatr Ann 2018 Dec;47(12):e474-e476

As the number of states legalizing marijuana for medical and/or recreational use continues to grow, there are an increasing number of children exposed to marijuana-containing products in homes and communities. Increased exposure leads to a greater probability of accidental ingestion and toxicity. Because marijuana ingestion can cause a dangerous and potentially life-threatening toxicity for children, pediatric health care providers need an increased awareness of the danger. Read More

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https://www.healio.com/doiresolver?doi=10.3928/19382359-2018
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http://dx.doi.org/10.3928/19382359-20181119-02DOI Listing
December 2018
7 Reads

Differential Response and Children Re-Reported to Child Protective Services: County Data From the National Child Abuse and Neglect Data System (NCANDS).

Child Maltreat 2018 Dec 6:1077559518816381. Epub 2018 Dec 6.

4 Adam Darnell Consulting, Seattle, WA, USA.

Child protection systems that implement differential response (DR) systems screen to route referrals to an investigation response (IR) or alternative response (AR). AR responses emphasize family engagement, assessment of family needs, and service linkage. Usually, AR state-level policy does not require child welfare staff to make a maltreatment determination. Read More

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http://dx.doi.org/10.1177/1077559518816381DOI Listing
December 2018

Abuse disclosures of youth with problem sexualized behaviors and trauma symptomology.

Child Abuse Negl 2019 Feb 8;88:201-211. Epub 2018 Dec 8.

Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, United States; The Ohio State University College of Medicine, Department of Pediatrics, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, United States. Electronic address:

Background: The majority of youth with problem sexualized behaviors (PSB) have substantiated experiences of abuse or exposures to violence (Silovsky & Niec, 2002). Little is known about specific abuse experiences that may differentiate youth with PSB from those without. Few studies have examined the types of abuse associated with post-traumatic stress symptomology. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01452134183044
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http://dx.doi.org/10.1016/j.chiabu.2018.11.019DOI Listing
February 2019
14 Reads

Safeguarding the Child and Adolescent Athlete.

Curr Sports Med Rep 2018 Dec;17(12):419-424

Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN.

Youth athletics can provide numerous benefits to children. Until recently, athletics have been relatively free from scrutiny over the ways they put participants at risk. While it was often disregarded in early childhood research, athletics emerged as an avenue of child abuse in the 1980s. Read More

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http://dx.doi.org/10.1249/JSR.0000000000000538DOI Listing
December 2018
4 Reads

Understanding Commercially Sexually Exploited Youths' Facilitators and Barriers toward Contraceptive Use: I Didn't Really Have a Choice.

J Pediatr Adolesc Gynecol 2018 Dec 7. Epub 2018 Dec 7.

Department of Pediatrics, David Geffen School of Medicine at UCLA and Mattel Children's Hospital, Los Angeles, California.

Study Objective: Because of the high reproductive health risks that commercially sexually exploited youth (CSEY) face, we sought to understand facilitators and barriers related to their use of condoms and hormonal contraception. DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: We conducted semistructured interviews with 21 female CSEY. Interviews were audio-recorded, transcribed, and coded for emergent themes. Read More

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http://dx.doi.org/10.1016/j.jpag.2018.11.011DOI Listing
December 2018
4 Reads

Fatal atlantoaxial dislocation due to an odontoid synchondrosis fracture in a child with chromosome 9 abnormality: A case report.

J Forensic Leg Med 2019 Feb 29;61:92-96. Epub 2018 Nov 29.

Department of Legal Medicine, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba city, Chiba Prefecture, 260-8670, Japan; Department of Forensic Medicine, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.

A 5-year-old boy with a chromosome-9 abnormality and multiple external and visceral malformations was found in cardiopulmonary arrest during a regular visit to the hospital; he did not respond to cardiopulmonary resuscitation and died. An odontoid process fracture and calcification and fibrosis of the muscles around the superior cervical vertebra were observed during the autopsy. Postmortem computed tomography revealed an anterior dislocation of the atlas; odontoid synchondrosis fracture; and delayed, incomplete bony fusion of the odontoid process relative to his age. Read More

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http://dx.doi.org/10.1016/j.jflm.2018.11.011DOI Listing
February 2019
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Rhode Island Domestic Violence Shelter Policies, Practices, and Experiences Pertaining to Survivors With Opioid Use Disorder: Results of a Qualitative Study.

Subst Abuse 2018 27;12:1178221818812895. Epub 2018 Nov 27.

Departments of Medicine and Pediatrics, School of Medicine, Boston University, Boston, MA, USA.

The purpose of this study was to fill a gap in the existing research by exploring policies and practices of domestic violence shelters in one US state pertaining to clients with opioid use disorders (OUDs), as well as documenting some of their experiences providing services to those clients. We used semi-structured key informant interviews to gather information about Rhode Island shelter practices and policies pertaining to OUD-relevant topics and make meaning of shelter workers' experiences with clients with OUDs. One researcher conducted all 30-min, telephone interviews. Read More

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http://dx.doi.org/10.1177/1178221818812895DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6259060PMC
November 2018
5 Reads

[Investigation on the rational use of antibacterial agents by Chinese pediatricians in 2016].

Authors:

Zhonghua Er Ke Za Zhi 2018 Dec;56(12):897-906

To obtain baseline data of pediatricians' clinical use of antibacterial agents in children in China, and provide evidence for the follow-up of guidelines for the diagnosis and treatment of children's clinical medications and the development of rational drug management measures and norms. A multi-center cross-sectional study was designed to conduct a network electronic questionnaire survey of doctors with child prescription rights in hospitals of all provinces, municipalities and autonomous regions across the country through cluster sampling to understand the current status of antibacterial drugs use in 2016. The survey information of 3 494 pediatricians in tertiary hospitals was finally included. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0578-1310.2018.12.004DOI Listing
December 2018
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The Intergenerational Effects of Intimate Partner Violence in Pregnancy: Mediating Pathways and Implications for Prevention.

Trauma Violence Abuse 2018 Dec 4:1524838018813563. Epub 2018 Dec 4.

1 Institute of Criminology, University of Cambridge, Cambridge, United Kingdom.

Prenatal intimate partner violence (P-IPV) can have significant adverse impacts on both mother and fetus. Existing P-IPV interventions focus on the safety of the mother and on reducing revictimization; yet expanding these to address the adverse impact on the fetus has considerable potential for preventing long-term negative developmental outcomes. In this review, we draw together evidence on major pathways linking exposure to P-IPV and child outcomes, arguing that these pathways represent potential targets to improve P-IPV intervention efforts. Read More

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http://journals.sagepub.com/doi/10.1177/1524838018813563
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http://dx.doi.org/10.1177/1524838018813563DOI Listing
December 2018
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Adult student nurses' experiences of encountering perceived child abuse or neglect during their community placement: Implications for nurse education.

Nurse Educ Today 2019 Feb 14;73:60-64. Epub 2018 Nov 14.

Northumbria University, Department of Nursing, Midwifery and Health, Coach Lane Benton, Newcastle upon Tyne NE7 7, XA, United Kingdom.

Introduction: While child nursing students may expect to encounter child abuse and neglect and assume a safeguarding role when they qualify, those undertaking adult nursing courses may not expect to come into contact with children and may be even less likely to expect to encounter child abuse or neglect. This paper presents the findings of an interpretative phenomenological analysis (IPA) study. Students learn through experience and reflection and Mezirow's Transformational Learning Theory (TLT) was used to explain the various ways in which nine adult nursing students attempted to make sense of and learn from their experiences of encountering perceived child abuse and neglect during their community placement. Read More

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http://dx.doi.org/10.1016/j.nedt.2018.11.002DOI Listing
February 2019
3 Reads

MOCA-Peds: Development of a New Assessment of Medical Knowledge for Continuing Certification.

Pediatrics 2018 Dec;142(6)

The American Board of Pediatrics, Chapel Hill, North Carolina.

The American Board of Pediatrics (ABP) certifies that general and subspecialty pediatricians meet standards of excellence established by their peers. Certification helps demonstrate that a general pediatrician or pediatric subspecialist has successfully completed accredited training and fulfills continuous certification requirements (Maintenance of Certification [MOC]). One current component of the MOC program is a closed-book examination administered at a secure testing center (ie, the MOC Part 3 examination). Read More

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http://pediatrics.aappublications.org/lookup/doi/10.1542/ped
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http://dx.doi.org/10.1542/peds.2018-1428DOI Listing
December 2018
6 Reads

E cigarettes: Tar Wars: The (Tobacco) Empire Strikes Back.

Arch Dis Child 2018 Nov 29. Epub 2018 Nov 29.

Academic Division of Paediatrics, Centre for Child Health, Blizard Institute, Queen Mary University of London, London, UK.

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http://dx.doi.org/10.1136/archdischild-2018-315820DOI Listing
November 2018