Abstract:
:Child sexual abuse criminal court cases from a 12-month period were reviewed to determine the frequency and significance of physical evidence in legally "proven" felony cases with penetration. One hundred fifteen consecutive cases were reviewed, and 87 (76%) had resulted in conviction of the perpetrator on felony charges. Charges of vaginal rape were made in 88 cases, and oral and/or anal sodomy in 67 cases. Physical evidence was present in only 23% of all cases that resulted in felony convictions. Felony convictions were obtained in 67 (79%) of 85 cases without physical evidence and in only 20 (67%) of 30 cases with physical evidence. Eight of the 10 cases without physical evidence that did not result in conviction involved victims younger than 7 years of age. Cases involving the youngest victims had a significantly lower conviction rate (12 of 23), despite a very high frequency (13 of 23) of physical evidence (P less than .0005). Physical evidence was neither predictive nor essential for conviction. Successful prosecution, particularly in cases involving the youngest victims, depended on the quality of the verbal evidence and the effectiveness of the child victim's testimony.
journal_name
Pediatricsjournal_title
Pediatricsauthors
De Jong AR,Rose Msubject
Has Abstractpub_date
1991-09-01 00:00:00pages
506-11issue
3eissn
0031-4005issn
1098-4275journal_volume
88pub_type
杂志文章相关文献
PEDIATRICS文献大全abstract:OBJECTIVES:Acquisition and maintenance of the skills necessary for successful resuscitation of the neonate are typically accomplished by a combination of completion of standardized training courses using textbooks, videotape, and manikins together with active participation in the resuscitation of human neonates in the ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.106.4.e45
更新日期:2000-10-01 00:00:00
abstract::Schools are in a uniquely favorable position to increase physical activity and fitness among their students. This policy statement reaffirms the American Academy of Pediatrics' support for the efforts of schools to include increased physical activity in the curriculum, suggests ways in which schools can meet their goa...
journal_title:Pediatrics
pub_type: 指南,杂志文章,实务指引
doi:10.1542/peds.105.5.1156
更新日期:2000-05-01 00:00:00
abstract::The possibility that arterial oxygen saturation (SaO2) decreases during sleep in children with chronic bronchial asthma was investigated. The relationship between decreases in sleep SaO2 and airflow obstruction and ventilatory drives, as characterized by ventilatory and inspiratory muscle activity responses to hypoxia...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1980-11-01 00:00:00
abstract:OBJECTIVE:To improve health outcomes of children, the US Maternal and Child Health Bureau has recommended more effective organization of preventive services within primary care practices and more coordination between practices and community-based agencies. However, applying these recommendations in communities is chall...
journal_title:Pediatrics
pub_type: 临床试验,杂志文章
doi:10.1542/peds.108.3.e42
更新日期:2001-09-01 00:00:00
abstract:BACKGROUND:In 2000, the American Diabetes Association issued recommendations for type 2 diabetes mellitus screening among children. They recommended testing children > or =10 years of age who have a body mass index (BMI) of >85th percentile for age and at least 2 other risk factors (family history of type 2 diabetes, h...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.114.1.141
更新日期:2004-07-01 00:00:00
abstract::Retinitis pigmentosa (RP) and congenital deafness comprise the autosomal recessive Usher syndrome. The four affected siblings discussed here have audiometric curves characteristic of the 10% of patients with the syndrome who are not profoundly deaf. The oldest already has RP. Even though the younger three siblings hav...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1978-10-01 00:00:00
abstract:OBJECTIVES:We had the rare opportunity to conduct a cluster-randomized controlled trial to observe the long-term (16-year) effects of a well-designed hearing conservation intervention for rural high school students. This trial assessed whether the intervention resulted in (1) reduced prevalence of noise-induced hearing...
journal_title:Pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1542/peds.2011-0770
更新日期:2011-11-01 00:00:00
abstract:BACKGROUND:Although the Centers for Disease Control (CDC) growth charts are widely used in studies of childhood obesity, BMI z scores are known to be inaccurate at values greater than the 97th percentile. METHODS:We used longitudinal data from 6994 children in the Bogalusa Heart Study who were examined multiple times ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2017-1072
更新日期:2017-09-01 00:00:00
abstract:BACKGROUND:Safety concerns for fluoroquinolones exist from animal studies demonstrating cartilage injury in weight-bearing joints, dependent on dose and duration of therapy. For children treated with levofloxacin or comparator in randomized, prospective, comparative studies for acute otitis media and community-acquired...
journal_title:Pediatrics
pub_type: 临床试验,杂志文章
doi:10.1542/peds.2013-3636
更新日期:2014-07-01 00:00:00
abstract:OBJECTIVE:Suicide completion has increased in the United States among 15- to 24-year-olds from 4.5 per 100 000 (1950) to 13.2 per 100 000 (1990). Suicide attempts have been found to be associated with depression, substance use, overall number of life stressors, gender, and impulsive behaviors. We hypothesized that suic...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.99.6.791
更新日期:1997-06-01 00:00:00
abstract::Physician-scientists represent a critical component of the biomedical and health research workforce. However, the proportion of physicians who spend a significant amount of effort on scientific research has declined over the past 40 years. This trend has been particularly noticeable in pediatrics despite recent scient...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2019-0745
更新日期:2019-08-01 00:00:00
abstract:OBJECTIVE:Primary care providers need effective strategies for substance use screening and brief counseling of adolescents. We examined the effects of a new computer-facilitated screening and provider brief advice (cSBA) system. METHODS:We used a quasi-experimental, asynchronous study design in which each site served ...
journal_title:Pediatrics
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1542/peds.2011-1624
更新日期:2012-06-01 00:00:00
abstract:OBJECTIVES:Patent ductus arteriosus (PDA) remains a challenging issue in very low birth weight (VLBW) infants, and its management varies widely. Our aim in this study was to document the natural course of ductus arteriosus in a cohort of VLBW infants who underwent conservative PDA management with no medical or surgical...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2016-4258
更新日期:2017-08-01 00:00:00
abstract::Photoisomerization of native bilirubin to more polar configurational isomers (Z,E-bilirubin) and structural isomers (lumirubin) was studied in 20 premature infants with physiologic jaundice to determine the effect of low-dose (6 microW/cm2/nm) v high-dose (12 microW/cm2/nm) phototherapy. Patients were assigned prospec...
journal_title:Pediatrics
pub_type: 临床试验,杂志文章
doi:
更新日期:1985-03-01 00:00:00
abstract:OBJECTIVE:Smoking among people who have asthma may be a serious health problem. We studied the prevalence of smoking and the relations between smoking and asthma, symptoms, medicine, and gender differences among adolescents with asthma. METHODS:A national cross-sectional study on health and lifestyles was performed in...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.111.5.e562
更新日期:2003-05-01 00:00:00
abstract::In this report we present two infants with congenital myotonic dystrophy (CMD) who were successfully weaned from prolonged ventilatory support using nasal continuous positive airway pressure (N-CPAP). The first infant received 127 days of endotracheal mechanical ventilation as part of 141 days of total ventilatory sup...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.101.4.704
更新日期:1998-04-01 00:00:00
abstract:OBJECTIVE:There is concern that high-deductible health plans may have negative effects on vulnerable groups. The objective of this study was to compare the characteristics of families who have children and switch to high-deductible health plans with those who stay in traditional plans. METHODS:This double-cohort study...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2008-1738
更新日期:2009-04-01 00:00:00
abstract:OBJECTIVE:We aimed to determine the risk of SBIs in febrile infants with influenza virus infections and compare this risk with that of febrile infants without influenza infections. PATIENTS AND METHODS:We conducted a multicenter, prospective, cross-sectional study during 3 consecutive influenza seasons. All febrile in...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1542/peds.2008-2915
更新日期:2009-07-01 00:00:00
abstract:OBJECTIVE:The goal was to examine whether microchimerism plays a crucial role in the pathogenesis of biliary atresia; we analyzed the localization of maternal microchimeric cells and their phenotypes. METHODS:Liver biopsy specimens from 8 male infants with biliary atresia and 6 control subjects with other liver diseas...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2007-0568
更新日期:2008-03-01 00:00:00
abstract::As part of a multicenter collaborative study, M-mode echocardiograms were obtained shortly after birth on 3,559 premature infants with birth weight less than or equal to 1,750 g. Of these infants, 1,496 did not develop a cardiac murmur or other signs of a "hemodynamically significant" patent ductus arteriosus (PDA). E...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1983-12-01 00:00:00
abstract::Clinicians have been faced with much publicity and contradictory scientific evidence regarding a recently described condition termed pediatric autoimmune neuropsychiatric disorders associated with streptococcal infection (PANDAS). It has been proposed that children with PANDAS experience tics, obsessive-compulsive beh...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.113.4.883
更新日期:2004-04-01 00:00:00
abstract:OBJECTIVE:To examine the perspectives of low-income parents on redesigning well-child care (WCC) for children aged 0 to 3 years, focusing on possible changes in 3 major domains: providers, locations, and formats. METHODS:Eight focus groups (4 English and 4 Spanish) were conducted with 56 parents of children aged 6 mon...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2008-2608
更新日期:2009-07-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to assess the relationship among the size of the lateral ventricles, head-circumference measure, and brain volumes. In addition, the association between ventricular dilatation and various brain lesions was defined. PATIENTS AND METHODS:A total of 257 preterm very low birth weight (...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2007-3264
更新日期:2009-02-01 00:00:00
abstract::The pediatric literature has documented a growing attention to defining the nature and quality of residency training. The critical incident technique, a method widely accepted in industrial settings, was used in this study to determine attitudes and behaviors deemed critical for successful performance of residents in ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1990-02-01 00:00:00
abstract::To gain at least an initial understanding of the underlying beliefs and attitudes in a cross-cultural situation, we believe that the three key points discussed in this paper should prove a significant point of departure: 1. Traditional beliefs about the cause of chronic illness or disability will play a significant ro...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1993-05-01 00:00:00
abstract:BACKGROUND:Entertainment media exposure may predict teenager alcohol use, but few longitudinal studies have been reported. METHODS:A longitudinal study was conducted of 2708 German adolescents aged 10 to 16 years who had never drunk alcohol. Each adolescent was surveyed at school about daily television use, whether th...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2008-1465
更新日期:2009-03-01 00:00:00
abstract:OBJECTIVE:Mortality trends across modifiable injury mechanisms may reflect how well effective injury prevention efforts are penetrating high-risk populations. This study examined all-cause, unintentional, and intentional injury-related mortality in children who were aged 0 to 4 years for evidence of and to quantify rac...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2006-2412
更新日期:2007-04-01 00:00:00
abstract:BACKGROUND:Skin tests with soluble beta-lactams can be used to diagnose immediate and delayed hypersensitivity (HS) reactions to beta-lactam antibiotics. Very few studies have been performed with children with suspected beta-lactam allergy. In these studies, immediate HS to beta-lactams was diagnosed by skin tests in 4...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.104.4.e45
更新日期:1999-10-01 00:00:00
abstract:CONTEXT:In the last few years, there has been an increasing amount of research showing the concurrent and long-term consequences of bullying and being bullied by peers. OBJECTIVE. We performed a meta-analysis to quantify the association between involvement in bullying and psychosomatic complaints in the school-aged pop...
journal_title:Pediatrics
pub_type: 杂志文章,meta分析
doi:10.1542/peds.2008-1215
更新日期:2009-03-01 00:00:00
abstract:OBJECTIVES:This is an investigation into the longitudinal patterns of bed sharing, the characteristics associated with those patterns, and the relationship with breastfeeding. METHODS:The study used prospective, population-based data from the United Kingdom to investigate nocturnal bed sharing at 5 time points from bi...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2010-1277
更新日期:2010-11-01 00:00:00