A5021015575- Child Abuse and Related Trauma
- Child Abuse and Trauma
- Restraint-Related Deaths
- Homicide, Infanticide, and Child Abuse
- Child and Adolescent Health
- Traumatic Ocular and Foreign Body Injuries
- Traumatic Brain Injury and Neurovascular Disturbances
- Injury Epidemiology and Prevention
- Traumatic Brain Injury Research
- Ethics and Legal Issues in Pediatric Healthcare
- Neuroscience of respiration and sleep
- Trauma and Emergency Care Studies
- Child Welfare and Adoption
- Migration, Health and Trauma
- Intimate Partner and Family Violence
- Neonatal Respiratory Health Research
- Reproductive tract infections research
- Sexual Assault and Victimization Studies
- Gun Ownership and Violence Research
- Homelessness and Social Issues
- Emergency and Acute Care Studies
- Genital Health and Disease
- Neurosurgical Procedures and Complications
- Healthcare Decision-Making and Restraints
- Trauma, Hemostasis, Coagulopathy, Resuscitation
Children's Hospital of Philadelphia
2016-2025
University of Pennsylvania
2016-2025
Philadelphia University
1995-2025
University of California, San Francisco
2024
Tarumanagara University
2023
The Independent Institute of Education
2022
Drexel University
2004-2020
Pediatrics and Genetics
1996-2013
Rutgers, The State University of New Jersey
2011
Northwestern University
2009
Child physical abuse is an important cause of pediatric morbidity and mortality associated with major mental health problems that can extend into adulthood. Pediatricians are in a unique position to identify prevent child abuse, this clinical report provides guidance the practitioner regarding indicators evaluation suspected children. The role physician may include identifying abused children suspicious injuries who present for care, reporting protection agency investigation, supporting...
Shaken baby syndrome is a term often used by physicians and the public to describe abusive head trauma inflicted on infants young children. Although well known has been for number of decades, advances in understanding mechanisms clinical spectrum injury associated with compel us modify our terminology keep pace pathologic mechanisms. shaking an infant potential cause neurologic injury, blunt impact or combination as well. Spinal cord secondary hypoxic ischemic can contribute poor outcomes...
Mild traumatic brain injury (mTBI), or concussion, in children is a rapidly growing public health concern because epidemiologic data indicate marked increase the number of emergency department visits for mTBI over past decade. However, no evidence-based clinical guidelines have been developed to date diagnosing and managing pediatric United States.To provide guideline based on previous systematic review literature obtain assess evidence toward developing recommendations care professionals...
ContextChild maltreatment is a significant problem within US society, and minority children have higher rates of substantiated than do white children. However, it unclear whether are abused more frequently whites or their cases likely to be reported.ObjectivesTo determine there racial differences in the evaluation Child Protective Services (CPS) reporting young hospitalized for fractures.Design, Setting, PatientsRetrospective chart review conducted at an urban academic children's hospital...
Objective. Head injury is the leading cause of death in abused children under 2 years age. Evidence for establishing guidelines regarding screening occult head a neurologically asymptomatic child with other evidence abuse lacking. This particularly important given that many acute inflicted have old when they are diagnosed. The primary aim this study was to estimate prevalence high-risk sample normal neurologic examinations. secondary describe characteristics population. Methods. Children age...
Nonaccidental injury accounts for nearly one quarter of all hospital admissions head in infancy, and is associated with significant morbidity mortality. Long-term outcome survivors, however, has been incompletely studied. In this series, 84 infants 2 years age younger the shaking-impact syndrome consecutively admitted to a single between 1978 1988 were identified. A questionnaire detailing current medical, developmental, behavioral status was developed, attempts made locate 62 children...
The American Academy of Pediatrics recommends forensic evidence collection when sexual abuse has occurred within 72 hours, or there is bleeding acute injury. It not known whether these recommendations are appropriate for prepubertal children, because few data exist regarding the utility in cases child assault. This study describes epidemiology findings victims assault.The medical records 273 children <10 years old who were evaluated hospital emergency departments Philadelphia, Pennsylvania,...
Psychological or emotional maltreatment of children may be the most challenging and prevalent form child abuse neglect. Caregiver behaviors include acts omission (ignoring need for social interactions) commission (spurning, terrorizing); verbal nonverbal, active passive, with without intent to harm; negatively affect child’s cognitive, social, emotional, and/or physical development. has been linked disorders attachment, developmental educational problems, socialization disruptive behavior,...
Child abuse is a serious threat to the physical and psychosocial well-being of pediatric population. Musculoskeletal injuries are common manifestations child abuse. There have been multiple studies that attempted identify factors associated with, specific injury patterns seen with musculoskeletal trauma from abuse, yet there no large used prospectively collected data controlled comparisons. The purpose our study was describe orthopaedic for cases detected in urban area institution serves,...
Pediatric health care is practiced with the goal of promoting best interests child. Treatment generally rendered under a presumption in favor sustaining life. However, some circumstances, balance benefits and burdens to child leads an assessment that forgoing life-sustaining medical treatment (LSMT) ethically supportable or advisable. Parents are given wide latitude decision-making concerning end-of-life for their children most situations. Collaborative around LSMT improved by thorough...
We evaluated the relationship between clinical features and hypoxic-ischemic injury (HII) shown by diffusion-weighted MRI (DWI) in young children with head trauma, comparing inflicted trauma (IT) to accidental (AT). This single-center consecutive cohort study included age birth 36 months admitted for July 2001 December 2004 brain magnetic resonance imaging (MRI) obtained ≤1 week, identified from prospectively maintained registries of trauma. Clinical radiological data during hospital stay...
Caregiver-fabricated illness in a child is form of maltreatment caused by caregiver who falsifies and/or induces child's illness, leading to unnecessary and potentially harmful medical investigations treatment. This condition can result significant morbidity mortality. Although caregiver-fabricated has been widely known as Munchausen syndrome proxy, there ongoing discussion about alternative names, including pediatric falsification, factitious disorder (illness) abuse the setting, abuse....
Injury remains the leading cause of pediatric mortality and requires public health approaches to reduce preventable deaths. Child fatality review teams, first established suspicious child deaths involving abuse or neglect, have expanded toward a model prevention through systematic from birth adolescence. Approximately half all states report reviewing causes, process has identified effective local state strategies for reducing This approach can be powerful tool in understanding epidemiology...
The goal was to describe the utility of skeletal surveys and factors associated with both survey use referral child protective services for infants skull fractures in absence significant intracranial injury.A retrospective chart review performed who were evaluated at a tertiary children's hospital because an isolated, non-motor vehicle-related, fracture between 1997 2006. Logistic regression analyses used test associations demographic factors, clinical findings that raised suspicion abuse...
To examine vitamin D levels in children with (1) suspected abusive and accidental fractures, (2) single multiple (3) fracture types highly associated inflicted trauma.A study of younger than 2 years age fractures admitted to a large children's hospital was performed. Bivariate analysis test for trend were performed the association status biochemical markers bone health primary outcomes etiology, number, type.Of 118 subjects study, 8% had deficient (<20 ng/mL; <50 nmol/L), 31% insufficient...
Objectives: To compare the presentation of young children with abdominal trauma caused by high-velocity accidental (HVA), low-velocity (LVA), and inflicted injury, to test hypothesis that a delay in care is highly predictive an injury. Methods: We performed retrospective chart review at urban Level I pediatric center between 1991 2001 younger than 6 years who were admitted injuries Abbreviated Injury Scale (AIS) score ≥ 2. Charts abstracted for demographic information, history presentation,...