The impact of an educational program on recognition, treatment and report of child abuse

Ferrara, Pietro; Gatto, Antonio; Manganelli, Nunzia Pia; Ianniello, Francesca; Amodeo, Maria Elisa; Amato, Maria Pia; Giardino, Ida; Chiaretti, Antonio

doi:10.1186/s13052-017-0389-1

Cited by 12 publications

(12 citation statements)

References 21 publications

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“…20,21 Education on sexuality using an appropriate methodology is even important for young children, and the combined work of parents, teachers, and health professionals can help to prevent sexual assault and domestic violence. 22 A notable finding of the present study is that $ 10% of the teenagers reported sexual initiation when < 13 years old. This suggests vulnerability to sexual violence, because children at this age cannot distinguish sexual abuse from deliberate and consensual sexual relations.…”

Section: Discussionsupporting

confidence: 47%

Sexual Practices During Adolescence

Arruda

Brito

Prandini

et al. 2020

Rev Bras Ginecol Obstet

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Adolescence is characterized by significant biological and psychological changes. During this time, the increased production of androgens leads to increased sexual behavior, and this may contribute to early initiation of sexual activity. The objectives of the present cross-sectional study of adolescents enrolled in state schools in the city of Ribeirão Preto, state of São Paulo, Brazil, were to determine the average age at the first sexual intercourse (sexarche), the average number of sexual partners, and the frequency of contraceptive and condom use. Information on the age at sexarche, number of sexual partners, use of different contraceptive methods, and use of condoms were obtained using a semistructured questionnaire. Quantitative variables are expressed as means and standard deviations (SDs), and qualitative variables as absolute and relative frequencies. The chi-squared test was used for comparisons of qualitative variables, and the Student t-test for comparisons of continuous variables. All statistical analyses were performed using SAS (version 9.4, North Carolina State University, USA). We evaluated 202 students who answered the questionnaire, 69 males (36.36%) and 133 females (63.64%). The age at sexarche for men ranged from 7 to 18 years old, and for women from 7 to 17 years old. Forty-eight girls (36.01%) and 21 boys (30.43%) were in the first year of high school, 66.94% of adolescents reported sexual intercourse, and 56.25% used a condom during the first sexual intercourse. A total of 36.72% of students said they had safe sex most of the time, and 83.59% said that the first sexual intercourse happened because they “had a crush on” the other person.

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Section: Discussionsupporting

confidence: 47%

Sexual Practices During Adolescence

Arruda

Brito

Prandini

et al. 2020

Rev Bras Ginecol Obstet

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“…Finally, in the absence of a pediatric Observation Unit, the patient would be hospitalized in ordinary wards to perform "clinical observation". This leads to considerably higher costs and bed occupancy, which could be used for cases with higher indications of hospitalization [18][19][20][21].…”

Section: Discussionmentioning

confidence: 99%

Utility of a pediatric observation unit for the management of children admitted to the emergency department

et al. 2021

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Background Observation Units (OU), as part of emergency department (ED), are areas reserved for short-term treatment or observation of patients with selected diagnoses to determine the need for hospitalization or home referral. Methods In this retrospective cohort study, we analyzed similarities and differences of children admitted to the pediatric ED of the Fondazione Policlinico Universitario A. Gemelli IRCCS hospital in the first 2 years of OU activity, analyzing general patient characteristics, access modalities, diagnosis, triage, laboratory and instrumental examinations, specialist visits, outcome of OU admission and average time spent in OU. Furthermore, we compared total numbers and type of hospitalization of the first 2 years of OU activity with those of previous 2 years. Results The most frequent diagnoses were abdominal pain, minor head injury without loss of consciousness, vomiting, epilepsy and acute bronchiolitis. The most performed laboratory examinations were blood count. The most commonly performed instrumental examination was abdominal ultrasound. Neurological counseling was the most commonly requested. Average time spent in OU was 13 h in 2016 and 14.1 h in 2017. Most OU admissions did not last longer than 24 h (90.5% in 2016 and 89.5% in 2017). In the years 2014–2015, 13.4% of pediatric patients accessing the ED were hospitalized, versus 9.9% the years 2016–2017 reducing pediatric hospital admissions by 3.6% (p < 0.001). Conclusions This study demonstrate that OU is a valid alternative to ordinary wards for specific pathologies. In accordance with the literature, our study showed that, in the first 2 years of the OU activity, admissions to hospital ward decreased compared with the previous 2 years with an increase of complex patients.

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“…Current child protection laws require medical providers among other professionals to report any case of suspected abuse to CYPS. Despite the pivotal role of physicians in accurately identifying and reporting cases with suspected abuse, some physicians receive minimal training to identify and report cases of abuse [ 4 , 18 – 21 ]. Levi and Brown reported a significant variability among pediatricians' level of interpreting and understanding of reasonable suspicion for abuse [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

“…Ferrara et al discussed the impact of a pilot training program for physicians in Italy to help them identify and report cases of child maltreatment. The authors found that training pediatricians on the use of objective signs to supplement their clinical judgment helped to accurately identify more cases of abuse [ 18 ]. Orthopaedic surgeons are at the forefront of evaluating and documenting evidence for suspected child abuse because about 28% of confirmed child abuse cases involve one or more fractures [ 2 , 3 ].…”

Section: Discussionmentioning

confidence: 99%

Lyme Disease Misinterpreted as Child Abuse

Pan

Nasreddine

Trivellas

et al. 2021

Case Reports in Orthopedics

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Child abuse is one of the most common causes for child fatality in the United States. Inaccurate reporting of child abuse combined with scarcity of resources for child abuse evaluations can lead to unintended consequences for children and their families. The differential diagnosis of child abuse is varied. To our knowledge, there are no reports in the literature on Lyme disease mimicking child abuse. The current study presents the case of a child from an endemic area for Lyme disease presenting with skin bruising, fracture, and swollen knee. The child was reported for child abuse by the pediatrician and then referred to the orthopaedic surgeon for fracture care.

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The impact of an educational program on recognition, treatment and report of child abuse

Cited by 12 publications

References 21 publications

Sexual Practices During Adolescence

Sexual Practices During Adolescence

Utility of a pediatric observation unit for the management of children admitted to the emergency department

Lyme Disease Misinterpreted as Child Abuse

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