Abstract:
:Posterior rib fractures are highly indicative of non-accidental trauma (NAT) in infants. Since 2000, the "two-thumbs" technique for cardiopulmonary resuscitation (CPR) of newborns and infants has been recommended by the American Heart Association (AHA). This technique is similar to the grip on an infant's thorax while shaking. Is it possible that posterior rib fractures in newborns and infants could be caused by the "two-thumbs" technique? Using computerized databases from three German children's hospitals, we identified all infants less than 12 months old who underwent professional CPR within a 10-year period. We included all infants with anterior-posterior chest radiographs taken after CPR. Exclusion criteria were sternotomy, osteopenia, various other bone diseases and NAT. The radiographs were independently reviewed by the Chief of Pediatric Radiology (MB) and a Senior Pediatrician, Head of the local Child Protection Team (IF). Eighty infants with 546 chest radiographs were identified, and 50 of those infants underwent CPR immediately after birth. Data concerning the length of CPR was available for 41 infants. The mean length of CPR was 11min (range: 1-180min, median: 3min). On average, there were seven radiographs per infant. A total of 39 infants had a follow-up radiograph after at least 10 days. No rib fracture was visible on any chest X-ray. The results of this study suggest rib fracture after the use of the "two-thumbs" CPR technique is uncommon. Thus, there should be careful consideration of abuse when these fractures are identified, regardless of whether CPR was performed and what technique used. The discovery of rib fractures in an infant who has undergone CPR without underlying bone disease or major trauma warrants a full child protection investigation.
journal_name
Child Abuse Negljournal_title
Child abuse & neglectauthors
Franke I,Pingen A,Schiffmann H,Vogel M,Vlajnic D,Ganschow R,Born M,for Arbeitsgemeinschaft Kinderschutz in der Medizin.doi
10.1016/j.chiabu.2014.01.021subject
Has Abstractpub_date
2014-07-01 00:00:00pages
1267-74issue
7eissn
0145-2134issn
1873-7757pii
S0145-2134(14)00041-6journal_volume
38pub_type
杂志文章,多中心研究abstract:OBJECTIVE:To examine trends by year in reports of victims of child maltreatment in the US Army Central Registry (ACR) during the period 1975-97. We report the rates/1,000 children of Army families of initial substantiated cases from 1988-97 and the number of cases of maltreatment as a percentage of total victims for ea...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/s0145-2134(99)00060-5
更新日期:1999-09-01 00:00:00
abstract::The prevalence of child maltreatment in Suriname has never been subjected to a reliable assessment. The only data available include rough estimates of a range of internationally comparable indicators extrapolated from child protection and police corps statistics for offenses against children. This study aimed to provi...
journal_title:Child abuse & neglect
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journal_title:Child abuse & neglect
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doi:10.1016/0145-2134(85)90091-2
更新日期:1985-01-01 00:00:00
abstract::This paper describes child protection teams in rural Newfoundland and Labrador, Canada. The teams have developed an innovative model that encourages a community-based response to child abuse. Child protection teams usually follow the case consultation model, which is a group of professionals dealing with specific case...
journal_title:Child abuse & neglect
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doi:10.1016/s0145-2134(95)00142-5
更新日期:1996-03-01 00:00:00
abstract::Evaluation of developmentally disabled persons for physical signs of sexual abuse presents many challenges to the practitioner. This group is especially vulnerable to all types of abuse. A group of 35 mentally retarded females from a residential treatment facility was examined by the child abuse medical team at Harbor...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(90)90098-e
更新日期:1990-01-01 00:00:00
abstract::Treatment of childhood sexual abuse survivors may be enhanced by a technique designed to generate a therapeutic constituency for the survivor around the disclosure of childhood abuse experiences. The need for validating relationships is hypothesized as a condition for successful treatment. The videotaped disclosure pr...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(92)90073-z
更新日期:1992-07-01 00:00:00
abstract:PURPOSE:This paper examines individual, family, and neighborhood level predictors of resilience in adolescence and young adulthood and describes changes in resilience over time from adolescence to young adulthood in abused and neglected children grown up. METHOD:We use documented cases of childhood physical and sexual...
journal_title:Child abuse & neglect
pub_type: 杂志文章
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更新日期:2007-03-01 00:00:00
abstract::This study examines how changes in the social and economic structure of neighborhoods relate to changes in child maltreatment report rates over an extended period. The panel study design allows us to partition the changes in child maltreatment report rates into a portion associated with how the levels of socio-economi...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2018.07.025
更新日期:2018-10-01 00:00:00
abstract::Mothers with a substance use disorder (SUD) are at risk for maladaptive parenting practices, and have heightened likelihood of having experienced childhood adversity themselves. In addition, parental reflective functioning (PRF), a capacity underlying sensitive caregiving, is often low in mothers with SUD. This study ...
journal_title:Child abuse & neglect
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更新日期:2018-07-01 00:00:00
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journal_title:Child abuse & neglect
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更新日期:2017-03-01 00:00:00
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更新日期:2019-11-01 00:00:00
abstract::Recent revelations about the scope and severity of past child sexual abuse in German institutions set off a broad public debate on this issue, and led to the establishment of a politically appointed Round Table committee and an Independent Commissioner whose mandates were to reappraise the issue and develop recommenda...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2013.05.007
更新日期:2013-09-01 00:00:00
abstract::For preventive purposes it is important to be able to identify families with a high risk of child maltreatment at an early stage. Therefore we developed an actuarial instrument for screening families with a newborn baby, the Instrument for identification of Parents At Risk for child Abuse and Neglect (IPARAN). The aim...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2017.05.016
更新日期:2017-08-01 00:00:00
abstract:OBJECTIVE:Identifying factors associated with school functioning of abused children is important in prevention of long-term negative outcomes associated with school failure. The purpose of this study was to examine the degree to which parent emotional expressiveness and children's self-regulation predicted early school...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2011.11.008
更新日期:2012-04-01 00:00:00
abstract:OBJECTIVE:In light of public concern about the dangers to young people from maintaining online journals or "blogs," this exploratory paper examines whether bloggers are at increased risk for online sexual solicitation or harassment. METHOD:A national telephone survey of 1,500 youth Internet users, ages 10-17, conducte...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2007.04.015
更新日期:2008-02-01 00:00:00
abstract:OBJECTIVE:This exploratory study examined the discriminant validity of 10 human-figure features commonly used by many proponents of the draw-a-person (DAP) projective technique as evidence of childhood sexual abuse. Two exploratory features were also examined. METHOD:Rather than drawing human figures, 64 children (M =...
journal_title:Child abuse & neglect
pub_type: 杂志文章
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更新日期:2005-06-01 00:00:00
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journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2008.11.003
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND:Disparities in decision-making are a recognized concern within child protection systems and imply that marginalized groups are being treated unequally compared to majoritized groups. Previous studies reported that both ethnicity and the gender of the parent that maltreated the child seem associated with an i...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2020.104479
更新日期:2020-06-01 00:00:00
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journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2014.03.021
更新日期:2014-07-01 00:00:00
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journal_title:Child abuse & neglect
pub_type: 杂志文章
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更新日期:2020-10-30 00:00:00
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pub_type: 杂志文章
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更新日期:2017-01-01 00:00:00
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journal_title:Child abuse & neglect
pub_type: 杂志文章,多中心研究
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更新日期:2018-10-01 00:00:00
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journal_title:Child abuse & neglect
pub_type: 杂志文章
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更新日期:1992-07-01 00:00:00
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journal_title:Child abuse & neglect
pub_type: 杂志文章
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更新日期:2000-04-01 00:00:00
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journal_title:Child abuse & neglect
pub_type: 杂志文章
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更新日期:1999-08-01 00:00:00
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journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2014.11.019
更新日期:2015-03-01 00:00:00
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journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2003.05.001
更新日期:2003-11-01 00:00:00
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journal_title:Child abuse & neglect
pub_type: 杂志文章
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更新日期:1983-01-01 00:00:00
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journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(82)90012-6
更新日期:1982-01-01 00:00:00
abstract:BACKGROUND:Few studies have examined the associations between childhood sexual abuse (CSA), co-occurrence with other types of maltreatment and adult mental health outcomes, specifically among males. The objectives of this study were to: 1) determine the prevalence of males who have experienced a) childhood maltreatment...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2017.01.018
更新日期:2017-04-01 00:00:00