Abstract:
:Computed tomography (CT) scans obtained at the time of clinical presentation have occasionally been reported to be normal in children with history and findings of significant abusive head injury. We have retrospectively observed abnormalities in "normal" scans of some similar children. We have also seen abnormalities develop on serial scanning. To determine how frequently these situations occur, we reviewed charts of 34 children with a final diagnosis of child abuse who also had cranial CT scans performed. Their CT scans were retrospectively reviewed by a pediatric radiologist. Eleven (11/34) CT scans had initially been interpreted as normal. Four (4/11) of these had been reinterpreted during the hospitalization as abnormal, affecting medical (1) and legal (3) outcome. Repeat scanning in three of the remaining seven resulted in surgical drainage of a subdural effusion (1) and affected legal outcome (2). Four of the seven initial scans felt normal throughout the hospitalizations were judged abnormal on retrospective review. This evaluation was confirmed in the two rescanned. Initial CT interpretation most often failed to appreciate changes in parenchymal density and small amounts of falcine or cortical subdural blood. Subsequent scans also showed evolving effusions and infarcts. Changes were noted in 1 1/2 to 5 days. The CT scan frequently shows subtle changes in the immediate posttrauma period. If the child does not recover promptly, subsequent scans frequently result in significant changes in clinical and legal management.
journal_name
Child Abuse Negljournal_title
Child abuse & neglectauthors
Feldman KW,Brewer DK,Shaw DWdoi
10.1016/s0145-2134(94)00130-8subject
Has Abstractpub_date
1995-03-01 00:00:00pages
307-14issue
3eissn
0145-2134issn
1873-7757pii
S0145-2134(94)00130-8journal_volume
19pub_type
杂志文章abstract::Cases of child maltreatment are being increasingly reported in Taiwan. However, the trend or changes of child maltreatment in Taiwan are fragmentary and lack empirical evidence. This study analyzed the epidemiological characteristics of substantiated child maltreatment cases from the previous decade, using mortality a...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2015.10.029
更新日期:2016-02-01 00:00:00
abstract:OBJECTIVE:To examine the relationship between the use of preventive software on the home computer and unwanted exposure to sexual material online. METHODS:The Youth Internet Safety Survey-2 was a national, RDD telephone survey conducted in March-June 2005. Eight hundred households (one caregiver and one child between ...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2008.09.015
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVES:At 6 sites serving 21 communities, Alaska implemented Healthy Families Alaska, a home visitation program using paraprofessionals designed to decrease child abuse and neglect. The primary study objective was to compare changes over time in Child Protective Services outcomes by Healthy Families Alaska enrollme...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2007.08.004
更新日期:2008-03-01 00:00:00
abstract::This study examined the roles of posttraumatic stress (PTS) symptoms and dissociation in the relationship between childhood trauma and two different types of psychosis-like experience, including persecutory ideation and aberrant experience, in non-psychotic psychiatric patients. From August 2015 to August 2016, among ...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2017.08.023
更新日期:2017-10-01 00:00:00
abstract::Official reports of maltreatment involving adolescent victims were compared to those involving younger children in a representative sample of protective services' reports drawn from New York State in 1985. Specific case characteristics, including age, gender, ethnicity of the victim, and source of report, are describe...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(88)90027-0
更新日期:1988-01-01 00:00:00
abstract::Prior research has repeatedly documented higher placement stability for children who enter kinship care rather than non-relative foster care. However, little is known about why, and under what circumstances, kinship care is more stable. This study uses longitudinal state administrative data to explore possible explana...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2015.01.003
更新日期:2015-04-01 00:00:00
abstract::Maltreated youth have higher rates of school dropout than their non-maltreated peers. School connectedness is a modifiable predictor of school success. We hypothesized maltreated youth's school connectedness (supportive relationships with adults at school and participation in school clubs) would be positively associat...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2017.04.023
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Safe harbor laws have been implemented to change the way systems of care respond to juveniles exploited in commercial sex in the U.S., yet there is little research on the way these laws have impacted the identification and rehabilitation of juveniles. OBJECTIVE:Using administrative data, this study investig...
journal_title:Child abuse & neglect
pub_type: 杂志文章,评审
doi:10.1016/j.chiabu.2019.104320
更新日期:2020-03-01 00:00:00
abstract::Increased religiosity is associated with a variety of improved outcomes, especially for youth in disadvantaged contexts. Although youth involved in child welfare may experience protective effects of religious participation or values, little is known about the impact of maltreatment on religious development. Using the ...
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
abstract::How have contemporary social changes affected the problem of child sexual abuse? The rapid rise of this problem to public attention in the United States is in part due to the mobilization around the problem by the women's movement and the child welfare movement there. But factors shown by research to be associated wit...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(82)90055-2
更新日期:1982-01-01 00:00:00
abstract::The clinical description of a chronically acting out boy, now 14 years old, physically abused by parents and especially by mother, has been the starting point for presenting some concepts on the nature and prevention of child abuse. This patient's life history included repeated hospital admissions, beginning the secon...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(84)90048-6
更新日期:1984-01-01 00:00:00
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...
journal_title:Child abuse & neglect
pub_type: 杂志文章,多中心研究
doi:10.1016/j.chiabu.2014.01.021
更新日期:2014-07-01 00:00:00
abstract:BACKGROUND:In fabricated or induced illness (FII), a child is harmed due to caregiver(s) behaviour and actions, carried out to convince mainly doctors that the child's physical and/or psychological health is more impaired than in reality. Harm is caused directly by the caregivers(s) and also often inadvertently by doct...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2020.104649
更新日期:2020-10-01 00:00:00
abstract:BACKGROUND:Longitudinal data on health costs associated with physical and mental conditions are not available for children reported to child protection services. OBJECTIVE:To estimate the costs of hospitalization for physical and mental health conditions by child protection status, including out-of-home-care (OOHC) pl...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2019.104280
更新日期:2020-01-01 00:00:00
abstract::The goal of this study was to examine the influence of animal-assisted psychotherapy (AAP) on the psychosocial adaptation of a group of adolescents in residential care who had suffered traumatic childhood experiences and who presented with mental health problems. This study recruited 63 youths (mean age=15.27, SD=1.63...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2015.09.004
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:The intergenerational transmission of ineffective parenting practices and the cycle of crime are well documented. Despite this, insufficient research has examined parenting support services for parents who are involved in the Criminal Justice System (CJS), particularly community corrections. Research suggest...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2019.104226
更新日期:2020-01-01 00:00:00
abstract::Adolescent psychiatric inpatients suffer high rates of childhood sexual abuse, trauma-related distress, and suicidality. This study evaluated the hypothesis that three domains of resiliency (i.e., Sense of Mastery, Sense of Relatedness, and Emotional Reactivity) would mediate the effect of trauma-related distress upon...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2019.01.012
更新日期:2019-03-01 00:00:00
abstract:BACKGROUND:Childhood maltreatment is associated with early childhood developmental vulnerabilities. However, the extent to which higher levels of child protection responses confer benefit to developmental competencies, and the impact of earlier timing of first reports in relation to early childhood vulnerability remain...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2019.04.007
更新日期:2019-07-01 00:00:00
abstract::For successful prosecution, investigative interviews with child sexual abuse victims need to establish the nature of the alleged offence by determining the body parts that were involved. To date, however, there has been a paucity of research on the extent to which children clearly identify sexual body parts in intervi...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2017.02.001
更新日期:2017-03-01 00:00:00
abstract::Accumulating research suggests that rates of child sexual abuse are comparatively low in China. This commentary is an effort to evaluate whether it reflects a true lower prevalence or alternatively the effect of inhibited disclosure by victims. We conclude that while some estimates have almost certainly been affected ...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2013.07.006
更新日期:2013-10-01 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
abstract::Siblings share the same environment and thus potentially a substantial number of risk factors for child maltreatment. Furthermore, the number of siblings and the sibling constellation itself might pose a risk for child maltreatment. Little is known about the likelihood that more than one child in a family is maltreate...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2017.11.009
更新日期:2018-02-01 00:00:00
abstract:BACKGROUND:Parents with childhood trauma histories are more likely to experience difficulties with child-rearing. The literature often pathologizes the parenting behaviours of parents with abuse histories, meaning strengths sometimes are neglected OBJECTIVE: This article presents a meta-synthesis of qualitative studies...
journal_title:Child abuse & neglect
pub_type: 杂志文章,meta分析
doi:10.1016/j.chiabu.2019.104186
更新日期:2019-12-01 00:00:00
abstract::In Haiti, as in several developing countries, the phenomenon of street children has become a major public health issue. These children are often victims of traumas and adverse life events. This article aimed to investigate traumas experienced by street children and their coping and resilience strategies used to deal w...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2018.01.024
更新日期:2018-05-01 00:00:00
abstract:OBJECTIVE:Not every adolescent exposed to child maltreatment develops symptoms of post-traumatic stress disorder (PTSD), emphasizing the need to identify variables that explain how some maltreated children come to develop these symptoms. This study tested whether a set of variables, respiratory sinus arrhythmia (RSA) a...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2011.09.012
更新日期:2012-02-01 00:00:00
abstract::This study evaluated a school-based child sexual abuse prevention program which consisted of separate 2-hour workshops for children, parents, and teachers. Questionnaires concerning the children's knowledge about sexual abuse prevention and level of emotional distress were developed and administered to 88 children, ag...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(87)90075-5
更新日期:1987-01-01 00:00:00
abstract::Every day, in the United States, children are removed from their homes and placed into state supervised out-of-home care because of concerns around their safety. These children enter care as a result of child abuse, child neglect, abandonment or some other reasons. Lost in most discussions of out-of-home care is the r...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2015.01.002
更新日期:2015-04-01 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::Infants have the highest rates of maltreatment reporting and entries to foster care. Prenatal substance exposure is thought to contribute to early involvement with child protective services (CPS), yet there have been limited data with which to examine this relationship or variations by substance type. Using linked bir...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2017.10.002
更新日期:2018-02-01 00:00:00
abstract::This study represents the first comprehensive assessment of the school performance of children placed in the care of a relative, an arrangement termed kinship care. The educational programs, academic achievement, and cognitive and language skills of the children were assessed with a teacher questionnaire and standardi...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(94)90085-x
更新日期:1994-07-01 00:00:00