I received a request from a reader looking for information about the medical care of children pulled out of meth labs (also known as drug endangered children). I know several of you out there are doing this kind of work, so please chime in with recommended resources you like and use.
Time once again for a run down of some of the new and noteworthy articles in the current literature. All of these are from the August/September 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. All links lead to PubMed abstracts; 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. The list is alphabetical by journal.
On September 9th, the Technical Assistance Partnership for Child and Family Mental Health is hosting a webinar from 4-5:30 ET: Promoting Resilience in Children & Youth Who Experience Childhood Abuse. Participation is free of charge.
This Webinar will examine the phenomenon of resilience as it applies to survivors of childhood trauma – specifically child abuse and neglect. Pat Stanislaski (former Administrator, Office of Early Childhood Services, New Jersey) will offer participants the opportunity to discuss why resilience is so important, how it is influenced by factors inside and outside the home, and what factors nurture resilience in children…
I had a colleague ask me for some resources for training healthcare providers on child sexual abuse, and while this wasn’t a resource specific to her needs, it made me realize I’ve never posted it before. The American Academy of Pediatrics published a web-based sexual violence prevention program last year. There’s quite a bit of information contained in it, so it’s probably worth trolling through the different sections. They break it up into age groups, too, so you can review based on interest (e.g. if you only see adolescents and adults in your practice, there are tabs for younger and older adolescents).
The National Child Protection Training Center is offering a free webinar: When the Victim is Very Young: Investigation and Litigation of Child Sexual Abuse Cases. It will be held September 17th at 3pm Central and Victor Vieth will be the faculty for the session. Please note: advanced registration is required and closes September 10th. Click here to register.
I know it’s not the most clinically-focused offering I’ve put up, but I also know there are a lot of Victor Vieth fans among you. Plus it’s great info to take back to your MDTs or SARTs.
I don’t know how many of you read the Sunday NY Times, but this past weekend the Magazine ran a special series: Saving the World’s Women. There were a few articles that were particularly interesting, including The Women’s Crusade and an interview with Secretary of State Hillary Clinton. Not surprisingly, trafficking and gender-based violence were discussed repeatedly.
Medscape has a new slideshow available: Recognizing Child Abuse. It’s free to access (registration is required, also free) and would make another fantastic continuing education presentation for your team. The slideshow includes multiple annotated injury photos, films and recent stats, but it’s still brief enough to review during a staff meeting or inservice (there are 25 slides total). Child sexual abuse is also addressed, albeit briefly.
It’s certainly not the most comprehensive presentation on the topic, but it’s a nice overview. I’ll look forward to hearing your opinions…
Time once again for a run down of some of the new and noteworthy articles in the current literature. All of these are from the July/August/September 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. All links lead to PubMed abstracts; 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.
The Federal Interagency Workgroup on Child Abuse and Neglect has an archived webinar from August 2008 available for review: Is It Injury or Neglect? Improving Our Knowledge to Better Protect Children. The session discusses “efforts to better define neglect in the context of accidental injury and described models of child death case reviews that will lead to improved understanding, reporting, and prevention strategies.” The presenters represent public health, advocacy and fatality review organizations. A complete transcript of the webinar is also available.
Two new online courses have been announced at IAFN: SANE Dialogues: Focus Group on the Use of nPEP in SANE Programs and Patterns of Injury in Non-Accidental Childhood Fatalities. They’re free for members; non-members pay $10 each. It would appear that there are CEUs attached, but I could not find any specifics related to how many for either course. If you’re a Firefox user, be forewarned: you may not be able to complete the posttest to get credit for the course, so Internet Explorer is really the only way to access this content (which frankly sucks for Mac users like me).
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…
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.)
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…}
The International Society for the Prevention of Child Abuse and Neglect is hosting a Virtual Issues Discussion (VID), beginning June 15th through the 22nd. The discussion will specifically be on Approaches to Children Exposed to Domestic Violence. Advanced registration is required. You can see a list of presenters and access supplemental materials here.
The California Clinical Forensic Medical Training Center has recently posted 7 lectures with slides from the 23rd Annual San Diego International Conference on Child and Family Maltreatment, held this past January. If you weren’t able to get out to the conference, or you just didn’t get a chance to see everything you wanted to while you were there, here’s your chance. Lectures are $1 a piece to access (yup, one dollar–not a typo).
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 issues; I have included a couple articles electronically available now in anticipation of print publication, as well (all from the last 4 weeks). 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. All links lead to PubMed abstracts (unless there isn’t one for that article); 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.
If you have not yet perused this site, Child Abuse Evaluation & Treatment for Medical Providers is a virtual one-stop for all things on this subject. It’s essentially an e-book, with chapters that are well-organized and easy to read. The site is pretty accessible and plentiful links allow you to delve more deeply into subject matter as warranted. And if you’re helping to train police and prosecutors, some of the charts and outlines would be pretty useful for them, as well. My biggest complaint so far (because I’m still working my way through the site, and admittedly, it’s not my area of specialty) is that some of the resources are out of date (read: IAFN, which according to this link still has us in NJ), or just missing (like NSVRC).
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 May/June issues; I have included a couple articles electronically available now in anticipation of print publication, as well (all from the last 4 weeks). 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 abstracts (unless otherwise indicated); 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.
The Child Trauma Academy has a free web-based course on bonding and attachment in maltreated children. It’s broken down into a series of 4 sections, each with a lesson and an assignment. The interface is pretty bare-bones, but it’s easy enough to use. Please note: CEUs are no longer available for this course.
Stop It Now is hosting a webinar about their new Online Help Center. The Center is described as “an interactive tool where adults can get private, 24/7 access to customized information and resources for preventing child sexual abuse”. The sessions (there are 2 dates) are scheduled to last an hour and are free of charge.