A5021742439- Child Abuse and Related Trauma
- Restraint-Related Deaths
- Child Abuse and Trauma
- Traumatic Ocular and Foreign Body Injuries
- Child and Adolescent Health
- Traumatic Brain Injury and Neurovascular Disturbances
- Palliative Care and End-of-Life Issues
- Homicide, Infanticide, and Child Abuse
- Neurosurgical Procedures and Complications
- Childhood Cancer Survivors' Quality of Life
- Child Nutrition and Water Access
- Venous Thromboembolism Diagnosis and Management
- Plant-based Medicinal Research
- Trauma Management and Diagnosis
- Body Image and Dysmorphia Studies
- Connective tissue disorders research
- Emergency and Acute Care Studies
- Intramuscular injections and effects
- Rabies epidemiology and control
- Burn Injury Management and Outcomes
- Healthcare professionals’ stress and burnout
- Heparin-Induced Thrombocytopenia and Thrombosis
- Esophageal and GI Pathology
- Vector-borne infectious diseases
- Cancer survivorship and care
Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit
2025
Robert Koch Institute
2025
European Centre for Disease Prevention and Control
2025
University of Vermont
2007-2023
Seattle Children's Hospital
2014-2022
University of Washington
2014-2022
University of Vermont Children’s Hospital
2019-2022
University of Michigan
2022
South African Institute for Medical Research
1969-2007
Objective To determine the frequency of occult trauma in children with oral injury evaluated for physical abuse. Design This was a retrospectively planned secondary analysis prospective, observational study. Setting Emergency departments supported by 20 US child abuse teams Examining Siblings to Recognize Abuse (ExSTRA) network. Patients Children <120 months old Interventions Analysis index on initial examination. Main outcome measures Rates physician-recognised injury, as well and...
Background: Legislation on physician-assisted suicide (PAS) is being considered in a number of states since the passage Oregon Death With Dignity Act 1994. Opinion assessment surveys have historically assessed particular subsets physicians. Objective: To determine variables predictive physicians’ opinions PAS rural state, Vermont, USA. Design: Cross-sectional mailing survey. Participants: 1052 (48% response rate) physicians licensed by state Vermont. Results: Of respondents, 38.2% believed...
Abstract Incorrect diagnoses during child abuse evaluations are serious. Because skin lesions common in abuse, it is important to consider cutaneous mimics of physical abuse. The current study prospectively identified a cohort children evaluated for possible This secondary analysis data from the Examining Siblings To Recognize Abuse research network's prospective, observational, cross‐sectional involving 20 U.S. teams. Subjects were younger than 10 years old and by physicians ( CAP s)...
The objective of this study was to describe the outcomes implementing a high-risk bruise screening pathway in pediatric emergency department (ED).A retrospective observational performed children aged 0 <48 months who presented ED between December 1, 2016, and April 2019, had bruising that is for physical abuse on nurse examination. A defined as any if <6 or torso, ears, neck 6 months. Records with provider-confirmed were reviewed.Of 49 726 age-eligible presenting ED, 43 771 (88%) screened...
Function and anatomy of the visual system were evaluated in children with abusive head trauma (AHT). The relationships between retinal hemorrhages at presentation examined outcome measures.Retrospective review data AHT for 1) acuity last follow-up, 2) evoked potentials (VEP) after recovery, 3) diffusion metrics white matter tracts grey within occipital lobe on tensor imaging (DTI), 4) patterns presentation. Visual was converted into logarithm minimum angle resolution (logMAR) correction age....
<h3>Objective</h3> To determine the frequency of non-cutaneous mimics identified in a large, multicentre cohort children evaluated for physical abuse. <h3>Methods</h3> Prospectively planned, secondary analysis 2890 abuse consultations from Examining Siblings Recognize Abuse (ExSTRA) research network. Data each enrolled subject were entered at child physician9s diagnostic disposition. Physicians prospectively documented whether or not 'mimic' was and perceived likelihood Mimics divided into 3...
Child abuse, also known as nonaccidental trauma (NAT), is an important cause of pediatric morbidity and mortality. The presentation NAT often confounded by unclear histories victims who are unable to provide information. Medical students trainees may fail consider a diagnosis or be unfamiliar with the evaluation process.This curriculum uses simulation, small-group discussion, didactics help medical gain understanding NAT. Using case 2-month-old boy presenting altered mental status seizure,...
Bilateral skull fractures in infancy often raise suspicion for abuse. Nevertheless, literature suggests that they may occur accidentally. However, empiric data are lacking.This multicenter retrospective review aimed to characterize bilateral a large sample.Medical records infants younger than 24 months with involving hospital consultation child abuse pediatrician (CAP) were reviewed from 2005 2020 at 13 nationally represented institutions.Standardized collection across institutions included...
The aim of this study was to determine how reliable scalp bruising and soft tissue swelling/cephalohematomas (STS) are for underlying young child skull fractures.This a retrospective clinical imaging review from 2011 2012 children younger than 4 years with fractures 2 tertiary care hospitals. Imaging reread by 3 pediatric radiologists. Descriptive statistics were utilized. had institutional board approval.We identified 218 subjects review: 210 unintentional 8 abusive. One hundred forty-three...
Abstract Victims of medical child abuse (MCA) often have gastrointestinal (GI) complaints and nutritional difficulties, leading to non‐oral feeding methods. We documented the frequency GI complaints, methods, them difficulties experienced. They were compared with children evaluated preoperatively by a G‐tube protocol. Children possible MCA at Children's Hospital, 2011–2015, retrospectively reviewed. 5 per cent random sample protocol children, 2013–2015. Sixty‐five 143 (45.5%) for determined...
Infant and toddler subdural haemorrhages (SDH) are often considered indicative of abuse or major trauma. However, accidental impact events, such as falls, cause contact extra-axial (EAHs). The current study sought to determine frequency clinical behaviour EAHs with infant abusive skull fractures.Children aged <4 years fractures identified by CT at two paediatric tertiary care centres. Clinical data were abstracted child paediatricians images reviewed radiologists. Data analysed using...
Traumatic cardiac ventricular ruptures in children are rare. Only a single case of left rupture due to child abuse has been reported. We report who sustained fatal apical rupture. It appeared have resulted from hydrostatic forces resulting abusive blunt thoracic injury. That he was being abused previously missed when presented the emergency department with facial pyoderma. not noted that also had lip and oral mucosal injury, sites affected by staph toxins. As result, his underlying,...
OPEN ACCESSMay 29, 2020Pediatric Boot Camp Series: Longitudinal Care for a Child With Asthma—From the Emergency Department to Outpatient Clinic James Metz, MD, Rebekah Burns, MD Assistant Professor, of Pediatrics, Robert Larner, M.D., College Medicine at University Vermont Google Scholar More articles by this author , Associate Washington School E-mail Address: [email protected] https://doi.org/10.15766/mep_2374-8265.10906 SectionsAboutPDF ToolsDownload Citations ShareFacebookTwitterEmail...
Abstract Aim We sought to determine the frequency and patterns of delayed medical care seeking for young children with skull fractures. Methods identified accidental fractures <4 years old, 2011–2012. Child abuse paediatricians abstracted retrospective data paediatric radiologists re‐reviewed images. ‘Delays’ were defined as presentation at ≥6 h. ‘Minor accidents’ included falls feet low force trauma, while ‘major higher height major events. studied duration delays, signs or symptoms...
Objective The aim of the study was to determine whether complex skull fractures are more indicative child abuse or major trauma than simple fractures. Design This is a retrospective chart and imaging review children diagnosed with fracture. Subjects were from 2 pediatric tertiary care centers. Children younger 4 years who underwent head computed tomography 3-dimensional rendering included. We reviewed medical records for type fracture, findings, reported mechanism injury. A fracture defined...
Abstract Initial examination and exploration of childhood injuries may not lead to an obvious explanation abuse. Although abusive oronasal have been described, ones including nasal destruction are rare. We describe 4 children abused using implements that ultimately were thought caused significant tissue destruction. In 2 the cases, a forced pacifier placement was implicated in causing pressure injuries. other gags part children's All had findings abuse neglect.
Pinna bruising can be associated with abuse, but also due to accidental injury. We present 3 cases of pinna bruises and discuss features nonaccidental Attention the history, pattern bruising, any other findings identified on a careful, thorough examination will help differentiate two.