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Articles of Note Child Abuse DV/IPV Elder Abuse/Neglect Sexual Assault

Articles of Note: July Edition

Time once again for a run down of some of the new and noteworthy articles in the current literature. Most of these are from the June/July/August issues. As always, please keep in mind this in no way a comprehensive list; simply items that have caught my attention from a selection of peer-reviewed journals. Most links lead to PubMed abstracts (except for one, which goes to Ingenta); from there you can choose what’s worth a.) paying for; b.) a pilgrimage to your nearest medical library;  or c.) downloading via the full-text access you possibly have at your disposal.

Just a warning: it’s a lengthy list this month. There’s all kinds of good stuff being published right now…

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My New Gig

So about that announcement of mine…

I have been teaching and consulting for prosecutors for many years now. It’s really one of the parts of my professional life I enjoy most. So I am beyond grateful to be able to announce that today is the 1st day of my new job, as medical advisor for a brand new prosecution institute: Aequitas, the Prosecutor’s Resource on Violence Against Women. Our new website is just about ready to launch (we’re only about a month old, now); for a few more days you may still get the “under construction” notice. I will continue to oversee the National SANE Sustainability Technical Assistance project, as well–essentially splitting my time between those two gigs. You can check the updated About for all the details.

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Sexual Assault

Weekly Wrap-Up @ the Sustainability Blog

I’m back from the desert and looking forward to a long weekend. I’m going to take part of the day off, so just an abbreviated warp-up (wow, now that’s a typo!) wrap-up today. Because I was gone all week, only a couple things on the sustainability site:

  • A fascinating article about the current freefall of the Memphis SANE program–heartbreaking when you run a national sustainability project
  • A beginner’s guide to online marketing and fundraising webinar announcement

Have a safe and happy 4th for all of my American readers (and for my Canadian readers, a belated happy Canada Day!). I’ll be back Monday with new content, the July edition of Articles of Note, and a big announcement!

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Workplace Violence: The Nurse Victim

ANA has a recently updated CE offering on nurse victims of workplace violence. It’s your standard article-posttest format. Cost is $20 ($15 for ANA members) for 1.52 CEUs. The focus of this course is a bit different than what you might initially think–there’s more of a secondary trauma bent following victimization (rather than a lateral violence focus, as is often the case with a lot of these offerings).

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STD Clinical Intensive

Because the topic is so popular on this site, another online STD clinical course, this one from Boston University’s School of Medicine. It’s free of charge, but requires registration to participate. CMEs available (natch), but the course info specifies nurses as part of the target audience, as well. For those of you running sexual assault programs, this might be a good one to have your team members complete as a part of annual competency efforts–just have them print off the certificate of completion at the end (or whatever they provide for CMEs), and you can add it to their personnel files.

I haven’t done this one yet, so I’ll be interested in feedback…

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Suicide in the Elderly

Medscape has a short CME offering on suicide in the geriatric population: Sedatives & Hypnotics May Increase Risk for Suicide in Elderly Patients. 0.25 AMA PRA Category 1 Credit(s)™ available (Family Physicians – maximum of 0.25 AAFP Prescribed credit(s)). This is a standard article-posttest format, based on a study published this month in BMC Geriatrics.

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Child Abuse

Pediatric Burns

Children’s Healthcare of Atlanta has a streaming Grand Rounds webcast available: Burns in Pediatrics–Abuse, Accident or Outlier? It’s available free of charge, but requires registration with the site. Unfortunately, this one is also CMEs only, but is certainly relevant for clinicians across the board. (I’m working on finding some new relevant nursing CEs, but there are a lot less of those, sorry.)

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Caring for Pediatric/Adolescent LGBT Patients

The Children’s Hospital of Denver has an archived grand rounds presentation on caring for LGBT patients and their families in pediatric and adolescent medicine that was initially presented last November. It’s a 40 minute video with Powerpoint slides, and I particularly like that it’s focused on peds, since that subset of this specialized patient population is even less well represented in the online continuing education offerings.

Sadly, they don’t provide CEs for video archives, so no love there.

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Disaster Mental Health

I have had what could be benignly called a very long travel day (involving groundstops, flying through thunderstorms, airport power outages, and the like). It’s far later than I planned to be posting for today (actually yesterday now), so this is a short and simple one for those of you interested in traumatic stress and emotional trauma: from David Baldwin’s Trauma Information Pages, his comprehensive listing of online disaster mental health resources. I don’t normally just highlight a page of links as the sole content for a post, but this one is so exhaustive, I figured it’s a great resource to add to the arsenal.

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Weekly Wrap-Up @ the Sustainability Blog

Next week I will be traveling to the surface of the sun Bakersfield, CA and will be gone most of the week, so posts may be a bit lighter, depending on how my time ends up being use while I’m there. But that’s next week. This week, over at the sustainability site:

Have a great weekend, everyone!

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Child Abuse Sexual Assault

Clinical Guide: Toluidine Blue Dye

Research

There’s been very little written about TB dye in the peer reviewed literature over the past 30 years, so I have included all of it (that I could find) here. Some discuss the utility of TB dye in greater depth than others. As with any research, it is imperative that you read these articles (particularly the older ones) with a critical eye toward the methodology used and the relevance of their findings in light of advances in the science. All links go to PubMed abstracts.

Factors that influence the variability in findings of anogenital injury in adolescent/adult sexual assault victims: a review of the forensic literature. (Laitinen, et al., 2013)

Reliability of female genital injury detection after sexual assault. (Sachs, et al., 2011)

Comparison of methods for identifying ano-genital injury after consensual intercourse. (Zink, et al., 2009)

Validation set correlates of anogenital injury after sexual assault. (Drocton, et al. 2008)

Significance of toluidine blue positive findings after speculum examination for sexual assault. (Jones, et al., 2004)

Signs of genital trauma in adolescent rape victims examined acutely. (Adams, et al., 2000)

Effects of toluidine blue and destaining reagents used in sexual assault examinations on the ability to obtain DNA profiles from postcoital vaginal swabs. (Hochmeister, et al., 1997)

Medical assessment of children who have been recently raped. (Kaufhold, 1993. No abstract available; full citation: Journal of Child Sexual Abuse, Volume 2, Issue 1, 1993, Pages 105 – 112)

Toluidine blue in the detection at autopsy of perineal and perianal victims of sexual abuse. (Bays & Lewman, 1992)

Toluidine blue in the detection of perineal lacerations in pediatric and adolescent sexual abuse victims. (McCauley, et al., 1986)

Use of toluidine blue for documentation of traumatic intercourse. (Lauber & Souma, 1982)

(See also: NIJ’s Sexual Assault Medical Forensic Examination Research Forum: Examination Technology for current research questions about TB Dye)

Books

Some of the textbooks make mention of TB dye and its application. I’ve included links to them via Google Books. Just like with the research articles, read with a critical eye–I’m not endorsing any particular textbook, just giving you the particulars of where to find the information.

Atlas of Sexual Violence (Henry, pp. 100-101)

Forensic Emergency Medicine (2nd Ed.). (Olshaker, et al. pp. 99-101)

Obstetric & Gynecologic Emergencies. (Pearlman, et al., p. 478)

Forensic Nursing. (Pyrek, p. 164)

Clinical Forensic Medicine. (Stark, pp. 92-93).

Manual of Forensic & Emergency Medicine. (Riviello, pp. 115-116)

Color Atlas of Sexual Assault (Girardin, et al., pp. 102, 120-121)

Sexual Assault Across the Lifespan (Girardin, et al. starting on p. 661)

Sexual Assault (Crowley, pp. 85-86: no page views in Google Books)

 

National Protocol for Sexual Assault Medical Forensic Examinations*

Search toluidine blue dye to find the various areas where TB dye is mentioned

*many state and local protocols address TB dye use, but those are too numerous to include here

To Purchase:

Single dose applicators (25 or 50/box): National Forensic Nursing Institute

{and some general commentary here…}

 

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Sexual Assault

Sexual Assault on College Campuses

The Ash Institute at Harvard’s Kennedy School has an amazing series of “expert chats” with topics near and dear to my heart. One of the archived chats is Sexual Assault on College Campuses, and it features some incredibly knowledgeable speakers, including Dr. David Lisak and Marnie Shiels from the Office on Violence Against Women. You must register with the site to access the archived materials, which is free.

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Funding Alert

A new funding alert is available from VAWNet for those of you interested in the money-end of things. You can read it in full here (PDF):

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DV/IPV

Risk Analysis and Lethality Assessment in DV Cases

The Asian and Pacific Islander American Health Forum is sponsoring a webinar on June 30th from 12-1pm Pacific. Enhancing  Safety Planning for Survivors of Domestic Violence Using Risk Analysis and Lethality Assessment “will offer a practical and effective approach to understanding and managing the complexity of safety-planning for victims and survivors of domestic violence. It will focus on risk analysis and assessing for lethality of situation as critical steps in developing a safety plan. The webinar will also include special considerations for safety-planning for Asian battered women, such as the presence of multiple perpetrators in the home.” Participation is free, but space is limited, so register in advance if you plan to attend.

UPDATE: You can view the presentation slides here.

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Hate Crime Violence in the Workplace

Peace@Work is offering a webinar (actually a repeat, since it was originally offered June 19th) on “Hate Crime as Workplace Violence & Prevention” June 25th at 4pm EDT. Cost is $20. You can check out a full description of the webinar and other upcoming webinars here. As the name implies, Peace@Work provides training on workplace violence and prevention, so their educational offerings are all in that vein.

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Bioterrorism & Emerging Disease Preparedness

Rutgers College of Nursing has 8 online courses on bioterrorism and emerging disease preparedness. They all carry contact hours and range from $10-$70 depending on the number of hours you earn (looks like it’s roughly $10 per CE, give or take a few bucks).

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Weekly Wrap-Up @ the Sustainability Blog

Thunderstorms here in the CLE and nothing but rain in this weekend’s forecast. Perfect weather for staying inside and putting together a new clinical guide for this site (hopefully to be released early next week). In the meantime, check out some of the previous ones here and here (this one remains the site’s most visited page). And head over to the Sustainability site for a couple goodies, as well:

Enjoy your weekend, everyone!

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Critical Incident Response in the Workplace

Crisis Care Network has an online training, Best Practices in Critical Incident Response in the Workplace. The course provides attendees with a video-enhanced overview of best practices in critical incident response services. This program summarizes the latest findings in evidence based behavioral medicine as it relates to psychological first aid, addresses the unique aspects of the provider’s role with the employer client and provides an overview of how to deliver critical incident response services in the workplace. This program covers:

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DV/IPV Sexual Assault

Working with LGBTIQ Survivors of Violence

OVC is hosting a web forum June 24th at 2pm on best practices for assisting lesbian, gay, bisexual, transgender, intersexed, and queer (LGBTIQ) survivors of violence. As with other OVC web forums, questions are submitted in advance and then discussed live during the foum. For information on how to participate click here. You can view previous web forum discussions here.

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Cyberbullying

In April, the Maternal and Child Health Bureau (HRSA) held a webcast on cyberbullying. You can download the slides (PDF) from the webcast on their site, but unfortunately there’s no audio accompanying it. Still the slides have some good info and both prevention and intervention are addressed. There’s definitely an educator bent to the talk, but I think healthcare providers, particularly those dealings with kids/teens, will find a lot of the information helpful.