Legal proof of child sexual abuse in the absence of physical evidence.

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

Pediatrics

journal_title

Pediatrics

authors

De Jong AR,Rose M

subject

Has Abstract

pub_date

1991-09-01 00:00:00

pages

506-11

issue

3

eissn

0031-4005

issn

1098-4275

journal_volume

88

pub_type

杂志文章
  • Time for a new paradigm in pediatric medical education: teaching neonatal resuscitation in a simulated delivery room environment.

    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

    authors: Halamek LP,Kaegi DM,Gaba DM,Sowb YA,Smith BC,Smith BE,Howard SK

    更新日期:2000-10-01 00:00:00

  • Physical fitness and activity in schools. American Academy of Pediatrics.

    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

    authors:

    更新日期:2000-05-01 00:00:00

  • Arterial oxygen desaturation during sleep in children with asthma and its relation to airway obstruction and ventilatory drive.

    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:

    authors: Smith TF,Hudgel DW

    更新日期:1980-11-01 00:00:00

  • From concept to application: the impact of a community-wide intervention to improve the delivery of preventive services to children.

    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

    authors: Margolis PA,Stevens R,Bordley WC,Stuart J,Harlan C,Keyes-Elstein L,Wisseh S

    更新日期:2001-09-01 00:00:00

  • Evaluation of a type 2 diabetes screening protocol in an urban pediatric clinic.

    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

    authors: Drobac S,Brickman W,Smith T,Binns HJ

    更新日期:2004-07-01 00:00:00

  • Usher syndrome in four hard-of-hearing siblings.

    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:

    authors: Davenport SL,O'Nuallain S,Omenn GS,Wilkus RJ

    更新日期:1978-10-01 00:00:00

  • Randomized trial of a hearing conservation intervention for rural students: long-term outcomes.

    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

    authors: Marlenga B,Linneman JG,Pickett W,Wood DJ,Kirkhorn SR,Broste SK,Knobloch MJ,Berg RL

    更新日期:2011-11-01 00:00:00

  • Tracking of BMI z Scores for Severe Obesity.

    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

    authors: Freedman DS,Berenson GS

    更新日期:2017-09-01 00:00:00

  • Assessment of musculoskeletal toxicity 5 years after therapy with levofloxacin.

    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

    authors: Bradley JS,Kauffman RE,Balis DA,Duffy CM,Gerbino PG,Maldonado SD,Noel GJ

    更新日期:2014-07-01 00:00:00

  • The associations of suicide attempts in adolescents.

    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

    authors: Woods ER,Lin YG,Middleman A,Beckford P,Chase L,DuRant RH

    更新日期:1997-06-01 00:00:00

  • Cultivating Research Skills During Clinical Training to Promote Pediatric-Scientist Development.

    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

    authors: Hurst JH,Barrett KJ,Kelly MS,Staples BB,McGann KA,Cunningham CK,Reed AM,Gbadegesin RA,Permar SR

    更新日期:2019-08-01 00:00:00

  • Computer-facilitated substance use screening and brief advice for teens in primary care: an international trial.

    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

    authors: Harris SK,Csémy L,Sherritt L,Starostova O,Van Hook S,Johnson J,Boulter S,Brooks T,Carey P,Kossack R,Kulig JW,Van Vranken N,Knight JR

    更新日期:2012-06-01 00:00:00

  • Spontaneous Closure of Patent Ductus Arteriosus in Infants ≤1500 g.

    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

    authors: Semberova J,Sirc J,Miletin J,Kucera J,Berka I,Sebkova S,O'Sullivan S,Franklin O,Stranak Z

    更新日期:2017-08-01 00:00:00

  • Bilirubin photoisomerization in premature neonates under low- and high-dose phototherapy.

    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:

    authors: Costarino AT,Ennever JF,Baumgart S,Speck WT,Paul M,Polin RA

    更新日期:1985-03-01 00:00:00

  • Smoking patterns among adolescents with asthma attending upper secondary schools: a community-based study.

    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

    authors: Precht DH,Keiding L,Madsen M

    更新日期:2003-05-01 00:00:00

  • Congenital myotonic dystrophy requiring prolonged endotracheal and noninvasive assisted ventilation: not a uniformly fatal condition.

    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

    authors: Keller C,Reynolds A,Lee B,Garcia-Prats J

    更新日期:1998-04-01 00:00:00

  • High-deductible health plans: are vulnerable families enrolled?

    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

    authors: Galbraith AA,Ross-Degnan D,Soumerai SB,Miroshnik I,Wharam JF,Kleinman K,Lieu TA

    更新日期:2009-04-01 00:00:00

  • Influenza virus infection and the risk of serious bacterial infections in young febrile infants.

    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

    authors: Krief WI,Levine DA,Platt SL,Macias CG,Dayan PS,Zorc JJ,Feffermann N,Kuppermann N,Multicenter RSV-SBI Study Group of the Pediatric Emergency Medicine Collaborative Research Committee of the American Academy of Pediatrics.

    更新日期:2009-07-01 00:00:00

  • Maternal microchimerism in underlying pathogenesis of biliary atresia: quantification and phenotypes of maternal cells in the liver.

    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

    authors: Muraji T,Hosaka N,Irie N,Yoshida M,Imai Y,Tanaka K,Takada Y,Sakamoto S,Haga H,Ikehara S

    更新日期:2008-03-01 00:00:00

  • Echocardiographic characteristics of premature infants with patient ductus arteriosus.

    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:

    authors: Johnson GL,Breart GL,Gewitz MH,Brenner JI,Lang P,Dooley KJ,Ellison RC

    更新日期:1983-12-01 00:00:00

  • The pediatric autoimmune neuropsychiatric disorders associated with streptococcal infection (PANDAS) etiology for tics and obsessive-compulsive symptoms: hypothesis or entity? Practical considerations for the clinician.

    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

    authors: Kurlan R,Kaplan EL

    更新日期:2004-04-01 00:00:00

  • Low-income parents' views on the redesign of well-child care.

    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

    authors: Coker TR,Chung PJ,Cowgill BO,Chen L,Rodriguez MA

    更新日期:2009-07-01 00:00:00

  • Brain and ventricles in very low birth weight infants at term: a comparison among head circumference, ultrasound, and magnetic resonance imaging.

    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

    authors: Maunu J,Parkkola R,Rikalainen H,Lehtonen L,Haataja L,Lapinleimu H,PIPARI Group.

    更新日期:2009-02-01 00:00:00

  • Defining successful performance among pediatric residents.

    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:

    authors: Altmaier EM,McGuinness G,Wood P,Ross RR,Bartley J,Smith W

    更新日期:1990-02-01 00:00:00

  • Multiculturalism, chronic illness, and disability.

    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:

    authors: Groce NE,Zola IK

    更新日期:1993-05-01 00:00:00

  • Longitudinal study of exposure to entertainment media and alcohol use among german adolescents.

    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

    authors: Hanewinkel R,Sargent JD

    更新日期:2009-03-01 00:00:00

  • Twenty-year trends in fatal injuries to very young children: the persistence of racial disparities.

    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

    authors: Pressley JC,Barlow B,Kendig T,Paneth-Pollak R

    更新日期:2007-04-01 00:00:00

  • Allergy to beta-lactam antibiotics in children.

    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

    authors: Ponvert C,Le Clainche L,de Blic J,Le Bourgeois M,Scheinmann P,Paupe J

    更新日期:1999-10-01 00:00:00

  • Association between bullying and psychosomatic problems: a meta-analysis.

    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

    authors: Gini G,Pozzoli T

    更新日期:2009-03-01 00:00:00

  • Relationship between bed sharing and breastfeeding: longitudinal, population-based analysis.

    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

    authors: Blair PS,Heron J,Fleming PJ

    更新日期:2010-11-01 00:00:00