A5057949888- Child Abuse and Related Trauma
- Child Abuse and Trauma
- Child and Adolescent Health
- Homicide, Infanticide, and Child Abuse
- Restraint-Related Deaths
- Prenatal Substance Exposure Effects
- Injury Epidemiology and Prevention
- Breastfeeding Practices and Influences
- Intimate Partner and Family Violence
- Infant Development and Preterm Care
- Gun Ownership and Violence Research
- Child and Adolescent Psychosocial and Emotional Development
- Childhood Cancer Survivors' Quality of Life
- Emergency and Acute Care Studies
- Adolescent and Pediatric Healthcare
- Family and Disability Support Research
- Maternal Mental Health During Pregnancy and Postpartum
- Child Nutrition and Feeding Issues
- Homelessness and Social Issues
- Pharmacovigilance and Adverse Drug Reactions
- Neuroscience of respiration and sleep
- Infant Health and Development
- Pediatric health and respiratory diseases
- Ethics and Legal Issues in Pediatric Healthcare
- Autism Spectrum Disorder Research
Yale University
2015-2024
Bechtel (United States)
2011
Prevent Child Abuse America
2010
University of Utah
2010
Yale New Haven Hospital
1976-2008
Harvard University
1971-2006
Boston Children's Hospital
2006
University of Tennessee Health Science Center
1999
University of Massachusetts Chan Medical School
1993
Johns Hopkins University
1993
It is not yet known how many children and adolescents die each year from opioid poisonings mortality rates have changed over time.To examine national trends in pediatric deaths prescription illicit opioids.Cross-sectional which serial data the Centers for Disease Control Prevention were analyzed. The population included 8986 (age, <20 years) who died all US settings between 1999 2016. Data collected analyzed June 1 October 31, 2018.All opioids.Age-specific per 100 000 estimated with...
<h3>Importance</h3> National data show a parallel relationship between recent trends in opioid prescribing practices and hospitalizations for poisonings adults. No similar estimates exist describing children adolescents. <h3>Objective</h3> To describe the incidence characteristics of attributed to <h3>Design, Setting, Participants</h3> Retrospective analysis serial cross-sectional from nationally representative sample US pediatric hospital discharge records collected every 3 years January 1,...
<h3>Importance</h3> Bruising caused by physical abuse is the most common antecedent injury to be overlooked or misdiagnosed as nonabusive before an abuse-related fatality near-fatality in a young child. occurs from both nonabuse and abuse, but differences identified clinical decision rule may allow improved earlier recognition of abused <h3>Objective</h3> To refine validate previously derived bruising (BCDR), TEN-4 (bruising torso, ear, neck any on infant <4.99 months age), for...
The need for a widely applicable definition of chronic conditions research, policy, and program development has led to an extensive review the such definitions, considerations involved in their use, some recommendations new approach. This paper examines methodologic conceptual issues related defining classifying describes consequences resulting from decisions made about these issues. While most examples are taken child health applications, basic concepts apply all age groups. dominant method...
To determine features of fractures in young children that would be helpful distinguishing child abuse from unintentional injuries.Case series.Pediatric Services Yale-New Haven (Conn) Hospital (a tertiary care center).Consecutive who were less than 3 years age and examined for a fracture January 1979 through December 1983 identified the daily logs emergency department or hospital's registry.Each case was rated, by means predefined criteria consensus two clinicians pediatric radiologists, on...
Objective. To describe the clinical features that distinguish accidental from abusive head injury in hospitalized children &lt;24 months of age. Methods. Prospective study age for between August 1, 2000, and October 31, 2002. During hospitalization, had computed tomographic scans brain, serial neurologic examinations, dilated ophthalmoscopic eye evaluation by a social worker, and, some cases, child abuse specialist. Outcome Measures. The main outcome measure was proportion each group...
Objective. To determine the prevalence and correlates of early discontinuation breastfeeding by mothers eligible for Women, Infants, Children Program (WIC). Methodology. A longitudinal observational study in which we enrolled English-speaking who initiated after delivering healthy-term infants at Yale-New Haven Hospital planned to bring their hospital's primary care center. Data on mother's baseline knowledge, attitudes, beliefs, problems regarding were collected semistructured interviews...
The importance of psychological and social issues for children's well-being has long been recognized their in the practice pediatrics is well documented. However, many studies looking at this issue have emphasized psychiatric problems rather than commonly referred to as new morbidity. goal research was refocus interest on This study examined rates predictors 19 23 randomly chosen pediatric practices greater New Haven area. Families all 4- 8-year-old children were invited participate complete...
While testifying in child abuse cases, physicians have been frustrated by the lawyer who asks, "Doctor, how did this injury happen?" The medical records and radiographs of 215 children younger than age 3 with fractures evaluated a pediatric service during 5-year period were retrospectively reviewed an attempt to elucidate mechanism childhood fractures. Based on these reviews, two clinicians radiologists rated likelihood that fracture was either accidental or due abuse. Long-bone strongly...
Hospitalization rates for childhood asthma are three times as high in Boston, Massachusetts, Rochester, New York; Haven, Connecticut, intermediate. We undertook this study to determine how care children admitted varies across these communities.We performed a community-wide retrospective chart review. reviewed random sample of all hospitalizations, from 1988 1990, 2 12 years old living communities (n = 614). Abstracted data included demographics, illness severity, and treatment before...
OBJECTIVE. The goal was to assess the proportion of children with fractures attributable abuse and incidence caused by among &lt;36 months age who were hospitalized in United States. METHODS. We used Kids' Inpatient Database, which has discharge data on 80% acute pediatric hospitalizations States, for 3 time periods (1997, 2000, 2003). Fractures identified both an International Classification Diseases, Ninth Revision, Clinical Modification code fracture a diagnosis...
To affect asthma-related knowledge, behavior, and morbidity, researchers tested a new educational intervention for children with asthma: an asthma-specific computer game called Asthma Command, which was specifically designed this study. Sixty-five moderately severe asthma were randomly assigned to one of two groups, 54 completed the Both groups seen approximately six times during 1 year Control subjects (n = 29) played routine games. Experimental 25) Command. Compared in control group,...
To develop criteria for a more efficient approach to the ordering of chest roentgenograms, patients with fever or respiratory symptoms who were being evaluated this diagnostic test prospectively monitored. During six-month period, residents working in pediatric emergency room collected data on 136 children, 3 months 15 years age. Pneumonia, defined by appropriate abnormal roentgenographic findings, occurred 19 per cent. Of 29 single signs examined, variable which was best predictor pneumonia...
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...
BACKGROUND There are limited data on the epidemiology of serious injuries due to physical abuse children. METHODS: We used 2006 Kids’ Inpatient Database estimate incidence hospitalizations among children &lt;18 years age. Abuse was defined by using International Classification Diseases, Ninth Revision, Clinical Modification codes for (800–959) and (995.50, 995.54, 995.55, or 995.59), selected assault (E960-966, 968), child battering (E967). examined demographic characteristics, mean...
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....
Previous case-control or cross-sectional studies have provided conflicting results about whether children of teenage mothers are at increased risk maltreatment compared with older mothers. This study is the first to examine this question using a longitudinal, cohort design and address important methodologic issues such as detection bias. Subjects were 219 consecutive index born inner-city women who 18 years younger sociodemographically similar comparison 19 older. Data collected by reviewing...
Thirty-four studies of marital adjustment were selected from the literature on family to chronic childhood illness. Studies reviewed determine whether divorce rates elevated or was poorer compared with that families healthy children. Of 23 reporting rates, only six used a group without chronically ill child for comparison. These showed no significant differences in between groups. adjustment, 83% investigated distress. Four seven comparison groups distress increased parents Other areas such...
OBJECTIVE. Inflicted traumatic brain injury (iTBI) is the leading cause of death from TBI in infants. Misdiagnosis iTBI common and results increased morbidity mortality. Biomarkers may be able to assist screening infants who are at high risk for whose might otherwise missed. We investigated whether serum and/or cerebrospinal fluid (CSF) concentrations neuron-specific enolase (NSE), S100B, myelin-basic protein (MBP) sensitive specific high-risk METHODS. A prospective case-control study was...
Prior studies investigating the relationship between infant feeding and infectious illnesses in developed countries have provided conflicting data about whether breast-feeding protects against common early life. These conflicts may part be due to failure consider following methodologic issues: (1) collecting prospectively at frequent intervals for active surveillance of detection infections practices, (2) specifying what is meant by breast-feeding, (3) controlling confounding variables such...