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

Articles of Note, March 2019 Edition

Since we’re in a research frame of mind, I figured I might as well go ahead with this month’s Articles of Note, and there’s a lot to work through. I don’t want to completely nerd out on everyone, but man, there is some good reading to be done. As always, links generally take you to PubMed abstracts except where indicated.

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Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

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DV/IPV Testimony

Radiologic Findings in Intimate Partner Violence (and also, a few words about research)

Folks, I am happy to share a new study recently published in the journal, Radiology. But before I go there, let me remind readers of a couple things–the research I share is to help inform clinical practice and the opinions that we may or may not give on the stand. To give us a better understanding of what is knowable in our field, and what is still yet to be figured out. It is going to be a very rare occurrence indeed when any one article I post can be taken wholesale and generalized to a broad audience. In our discipline, we just don’t see a lot of studies like that. You’ll know this (apart from reading the Limitations section of the article, which will probably say so in black and white) because of the small sample size of the study, for instance, or the fact that all of the subjects in the sample represent a relatively homogenous population.

What I mean is that if you have an article that states that in a study of 100 people in my community, 50% of them hate dogs (what?!), you can’t take that study and say that means that half of all people hate dogs. No, half of the weird people in that particular study from that particular community hate dogs. But that’s all you can say. Especially if there are no other studies that have reproduced those results with other populations. Or larger populations. Or if there are studies that have found contrary results. Etc. Forgive me, because this is an oversimplification of a more complex issue, but it gets to the point, which is–read studies for what they are, but also for *what they are not*.

Why am I telling you this? Because this inappropriate generalizing of data happens a lot in our profession. Because I get emails and texts and frantic phone calls about it. Because FHO aims to help make people the best clinicians and the best expert witnesses they can be (regardless of which side they’re working for) and I would be remiss if I didn’t mention what seems to be an obvious problem with the way testimony may be going down in certain circumstances. This is not a nurse-specific phenomenon, BTW–many healthcare and healthcare-adjacent disciplines are taking the data in this area and using it in ways it shouldn’t be used at trial. Drawing conclusions you cannot draw. Anyway, you get the picture. [Rant complete.]

So with that, I bring you this very intriguing study by our colleagues out of Boston, Radiologic Findings in Intimate Partner Violence. Read it for what it tells us, and for what it doesn’t. It’s available free full text, at least right now, so before the nice people at Radiology change their mind, go ahead and download it and add it to your read pile. It’s worth your time.

(Add: based on a phone call I received, not 4 hours after posting this, let me also say, the whole generalizability conversation includes thinking long and hard about whether you can apply results in specific circumstances and apply them equally in similar, but not the same, circumstances. The answer is probably, no. Just because something is found to be likely in an intimate partner violence case, for instance, doesn’t mean it will also be likely in a human trafficking case or a child abuse case. One article, one study isn’t going to give you that.)

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DV/IPV Sexual Assault

Drugs and the Forensic Patient

The Tribal Forensic Healthcare project has an upcoming webinar, Drugs and the Forensic Patient. The session will be held March 28th at 1pm ET. Like all of their sessions, free CEs are available for physicians and nurses. And yes, it will be archived. From the announcement:

This presentation will include discussions on how to recognize effects of drug exposure on patients seeking forensic care, considerations for forensic exam administration, such as consent and sample collection, as well as a review of additional best practices related to drug-facilitated sexual assault. At the conclusion of this webinar, participants will have increased knowledge of expected effects of various drugs and specific intervention that will assist with adjusting their approach to a forensic exam.

Register for the webinar here.

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Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

Categories
DV/IPV Sexual Assault

Relationship Dynamics And Teen Dating Violence

A newly published research brief from NIJ: Relationship Dynamics And Teen Dating Violence (PDF). It addresses the following research questions:

  1. Which relationship dynamics increase the risk for TDV or protect against abuse?
  2. How does the experience of TDV in one relationship influence the dynamics in subsequent relationships?
  3. How does the association between relationship dynamics and TDV change during the transition from early teen years into young adulthood?

As is often the case, this is a pretty superficial overview of the issue, so let this give you a sense of where you want to explore further. And of course, the Endnotes are valuable in and of themselves. Worth a download.

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Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

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Child Abuse DV/IPV Sexual Assault

Inquiry and Response to Recent and Past Trauma in Adult Health Care

A newly published article (hooray for Open Access) that’s worth your attention (do mind, it’s currently in press)–From Treatment to Healing: Inquiry and Response to Recent and Past Trauma in Adult Health Care. With as much conversation as we have about trauma-informed care, it’s often difficult to nail down what it is we mean. If you’re looking for the next article to discuss amongst your team, this might be a good one.

Bonus: here’s the article they reference at the beginning about the trauma-informed framework in primary care (PDF).

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Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

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

Articles of Note: February 2019 Edition

It’s time once again for Articles of Note, our monthly waltz through the newly published peer-reviewed literature. I have to tell you, it’s a pretty glorious selection this month. Links lead to PubMed abstracts except where indicated.

Thinking about having a journal club for your team (or just looking for the next article to assign)? Here are some suggestions based on this month’s review:

For adult/adolescent SANE programs: Ectopic pregnancy following oral levonorgestrel emergency contraception use. or Vulnerabilities Relevant for Commercial Sexual Exploitation of Children/Domestic Minor Sex Trafficking: A Systematic Review of Risk Factors.

For CAC/peds programs: Barriers and facilitators affecting self-disclosure among male survivors of child sexual abuse: The service providers’ perspective. or Estimating the probability of abusive head trauma after abuse evaluation.

For expanded programs: Acquired Brain Injury in the Context of Family Violence: A Systematic Scoping Review of Incidence, Prevalence, and Contributing Factors. or Childhood maltreatment and intimate partner violence victimization: A meta-analysis.

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Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

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

Articles of Notes: January 2019 Edition

(Have you entered our giveaway yet for IAFN conference registration?)

It’s time once again for Articles of Note, our monthly romp through the newly published peer-reviewed literature. I hope you’ve made room on your nightstands and your e-readers, my friends, because there’s plenty to keep your brain occupied for a good long while. Links take you to PubMed abstracts except where indicated. Be a dear and cite back to FHO if you use our compilation 🙂

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Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

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DV/IPV Sexual Assault

What Domestic Violence and Sexual Assault Organizations Can Do to Address Human Trafficking

(Have you entered our giveaway yet for IAFN conference registration?)

Futures Without Violence has a webinar coming up at the end of the month, What Domestic Violence and Sexual Assault Organizations Can Do to Address Human Trafficking. The session will be held on January 31st at 2pm ET. From the website:

Webinar Description:

Many victims/survivors of human trafficking have also been sexually assaulted or battered by an intimate partner. Domestic violence and sexual assault service providers provide assistance to survivors of human trafficking as well, sometimes unknowingly and without adequate training to address the unique needs of human trafficking survivors. Presenters will highlight ten things that domestic violence and sexual assault service organizations can do to better support survivors of human trafficking, and will share tools and resources to assist OVW grantees in enhancing their assistance to human trafficking survivors.

After the webinar, participants will be better able to:

-Describe the intersections of human trafficking with domestic violence and sexual assault, and the unique needs of survivors of human trafficking.

-Identify strategies to address human trafficking within domestic and sexual assault organizations, and in collaboration with others in your community.

-Utilize tools and resources available to support service providers in enhancing services through the OVW-sponsored  Building Collaborative Responses to Human Trafficking Project.

Register for the session here. (Futures archives their webinars so if you can’t attend live check their site for all past webinar offerings.)

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Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

Categories
DV/IPV Sexual Assault

Gender-Related Killing of Women and Girls

(Have you entered our giveaway yet for IAFN conference registration?)

Late last year the United Nations Office on Drugs and Crime published the Global Study on Violence: Gender-Related Killing of Women and Girls (PDF). It’s taken me a bit to work my way through it, so I am only now getting around to posting it here. If you haven’t checked it out yet, it’s definitely worth your time for the 10,000 foot view of gender-based violence, particularly as it relates to intimate partner violence and homicides.

(Image p. 8)

I particularly love these reports for the wealth of citations–I got sidetracked in a significant way going down those rabbit holes. The report takes a relatively nuanced view of violence, examining both lethal and non-lethal forms of GBV, even though it specifically centers on homicides, so plenty to be gleaned for forensic practitioners who work solely with living patients.

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Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

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

Articles of Note: December 2018 Edition

It’s time once again for Articles of Note, our monthly romp through the peer-reviewed science. There’s a lot to work through here, but that’s a good thing, right? I have a ridiculously long reading list myself. So in the spirit of the holidays, here’s to chewy stats, lit reviews that make your pulse race (no? just me?) and topics that hit that sweet spot between I just saw this in clinic last week and holy crap there’s a subpoena waiting for me on my desk. Cheers everyone!

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Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

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DV/IPV Sexual Assault

Rape-Related Pregnancy and Reproductive Coercion

One of the featured articles in this month’s Articles of Note will be from the current issue of the American Journal of Preventive Medicine, Rape-Related Pregnancy and Association With Reproductive Coercion in the U.S. (PDF). It’s currently available free online, so I wanted to take this opportunity to point you in its direction.  I’m highlighting it here because it looks not just at pregnancy following sexual assault, but pregnancy from different types of sexual violence, including reproductive coercion.

This is not a topic we see widely covered in the literature and it emphasizes the importance of screening for broadly defined sexual violence (to include reproductive coercion, such as birth control sabotage) in our intimate partner violence patient population. But it also makes clear the importance of emergency contraception availability to patients outside the traditional acute sexual assault population. We haven’t typically discussed EC inclusion more widely, and while we mention it in IAFN’s IPV Education Guidelines, it’s under Dynamics of IPV and not under Nursing Management

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Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

Categories
DV/IPV

myPlan App for IPV Safety Planning and Webinar

I’m curious if any FHO readers have used the myPlan app with patients as part of the safety planning process. I confess I had not heard about it (and I’m pretty surprised I hadn’t), but Futures Without Violence has a webinar coming up next week that looks at how it can be used in rethinking harm reduction and trauma-informed care, and I am intrigued. I have registered for the session, which will be held Monday, December 10th at 3pm ET. CMEs are available (but not CEUs–come on, Futures, this is a webinar that is specifically discussing a nursing-led intervention, and no nursing continuing education units?). From the website:

How can we move beyond simply domestic violence screening and referral to create health care responses to violence that offer critical strategies to promote prevention, healing, and health promotion. Further, how do we ensure that we are thinking holistically about patients and clients rather than focusing on their trauma alone? We know from anti-violence advocacy, that the most potent and sustained change with survivors is strength based and comes from building on what is already going well. Join us for a webinar discussion with luminaries in our field to explore universal education and healing centered engagement as a starting point for achieving the health outcomes that survivors desire. We will consider this approach conceptually and through the use of health interventions and myPlan (www.myPlanApp.org), a tool for patients and providers alike to help survivors weigh their options and make decisions that will help them meet their health and safety goals.

Learning outcomes:

Participants in the webinar will be able to:

  • Describe the idea of universal education and healing centered engagement and how it differs from a checklist approach to IPV
  • Describe patient-centered strategies to respond to health issues, healing and safety in the context of abusive relationships
  • Describe the myPlan app and how to use it to support survivors in health and other settings.

Speakers:

  • Dr. Elizabeth Miller, Director, Adolescent and Young Adult Medicine, UPMC Children’s Hospital of Pittsburgh
  • Dr. Nancy Glass, Professor, Johns Hopkins School of Nursing

This webinar was made possible by support from the Administration for Children and Families.

Register here.

And if you’d like to read more about the myPlan app, check out the dedicated website. Curious about the supporting science? (I was.) Here’s a list of published articles about its use (courtesy of):

Glass, N., Perrin, N., Hanson, G., Bloom, T., Messing, J., Clough, A., Campbell, J., Gielen, A., Case, J., & Eden, K. (2017) “The Longitudinal Impact of an Internet Safety Decision Aid for Abused Women.” Am Journal of Preventive Medicine. 52(5), 606-615.

Eden, K., Perrin, N., Hanson, G., Messing, J., Bloom, T., Campbell, J., Gielen, A., Clough, A., Barnes-Hoyt, J.,  & Glass, N. (2014). “Use of online safety decision aid by abused women: Effect on decisional conflict in a randomized controlled trial.” American Journal of Preventive Medicine, 48(4), 372-383.

Glass, N., Clough, A., Case, J., Hanson, G., Waterbury, A., Barnes-Hoyt, J., Alhusen, J., Ehrensaft, M., Grace, K.T., & Perrin, N. (2015). “A safety app to respond to dating violence for college women and their friends: The MyPlan Study randomized controlled trial protocol.” BMC Public Health, 15: 871.

Alhusen, J., Bloom, T., Clough, A., & Glass, N. (2015). “Development of the MyPlan safety decision app with friends of college women in abusive dating relationships.” Journal of Technology in Human Services, 33:3, 263-282.

Lindsay, M., Messing, J., Thaller, T., Baldwin, A., Clough, A., Bloom, T., Eden, K., & Glass, N. (2013). “Survivor feedback on a safety decision aid smartphone application for college-age women in abusive relationships.” Journal of Technology in Human Services, 31(4), 368-388.

Glass, N., Perrin, N., Bloom, T., & Hanson, G. (2010). “Computerized aid improves safety decision process for survivors of intimate partner violence.” Journal of Interpersonal Violence, 25(11), 1947-1964.

 

Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

Categories
Child Abuse DV/IPV Sexual Assault

Preventing Adverse Childhood Experiences

New from VetoViolence, a project of the Centers for Disease Control and Prevention: online training modules on preventing adverse childhood experiences (ACEs). The initial introductory modules are now available–module 1 is an overview of ACEs; module 2 focuses on public health approaches to preventing ACEs. Next up will be profession-specific modules on ACEs, so check back on the site for those.  You can also access their ACEs resource center for links to current literature, media, and relevant projects on the topic.

 

Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

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

Articles of Note: October/November 2018 Edition

It’s time once again for Articles of Note, our mostly-monthly romp through the newly published peer-reviewed literature. This edition is a whopper. Almost six pages of science for you to peruse, and it’s worth going through the whole list because there’s so. much. good. stuff. there. Seriously. Links take you to PubMed abstracts except where noted otherwise. Happy reading!

 

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Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

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DV/IPV Elder Abuse/Neglect

Screening for Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults

Greetings from San Diego, where I am teaching for the Army this week. I hope everyone had a good conference! This year’s was incredibly successful from my vantage point, although I had to leave a day early–I know my sessions were packed, and we had terrific conversation in all three of them. Great getting to talk with so many of you in Reno. If you didn’t get to attend, hopefully, you’ll be able to join us next year in New Orleans. It’s always a good use of your time and resources.

Just in time to close out Domestic Violence Awareness Month, JAMA published the new recommendations from the US Preventive Services Task Force on Screening for Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults. For my money, the accuracy of screening tools is probably one of the most important aspects of the statement, but the entire thing is worth the read.

Canadian’s, I looked for your equivalent statement, and it appears that the Canadian Task Force on Preventive Health Care released their document in 2013; I don’t see anything more recent. The US and Canadian Task Forces do not come to the same conclusions, but there is a 5-year difference in their authorship, so any comparison isn’t a fair one. If a more recent document exists, please let me know and I will get it posted. Happy to publicize any other countries’ recommendations, as well, so send them my way or post a link in the comments below.

 

Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

 

 

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DV/IPV

Quality Improvement Center on Domestic Violence in Child Welfare (QIC-DVCW)

Futures Without Violence has launched a new project, the Quality Improvement Center on Domestic Violence in Child Welfare (QIC-DVCW). The aim of the center is to “test an approach to improve how child welfare agencies and their partners work collaboratively to help families experiencing domestic violence. The safety and well-being of child survivors of domestic violence and child maltreatment are closely connected to the safety and well-being of the adult survivor of domestic violence.  For this reason, the QIC-DVCW is testing an Adult & Child Survivor-Centered Approach to addressing the needs of both the parent and child, which includes effectively engaging and working with the person causing them harm.” The site has a resource section that is worth exploring and they will be offering webinars in the future. I look forward to seeing the coming session topics.

 

Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

Categories
DV/IPV

Substance Use, Trauma and Domestic Violence: Critical Issues, Promising Approaches

The National Center on Domestic Violence, Trauma, and Mental Health has a webinar coming up, Substance Use, Trauma and Domestic Violence: Critical Issues, Promising Approaches. The session will be held October 23rd at 2pm CT. This is part of their Trauma, Opioid and Domestic Violence series. They archive their sessions, so if you miss the live event, you can listen to the recording. From the website:

Substance use is a challenging issue facing domestic violence survivors and the programs that serve them. The national opioid epidemic has intensified the problem. But progress is being made. We are identifying promising approaches and building community capacity to address the complex needs of survivors. Recognition of the impact of trauma on survivors’ use of substances as well as the role of substance use-related coercion by perpetrators has led to more integrated approaches. 

This webinar will highlight strategies for addressing the multiple factors that contribute to substance use in the context of domestic violence; promising approaches to the opioid epidemic by rural domestic violence programs; and an evidence-based intervention to increase safety for people dealing with substance use and trauma.

Register for the webinar here.

 

Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

Categories
DV/IPV

Evolution of the Danger Assessment

Over at the Tribal Forensic Healthcare project they are offering a great webinar in time for Domestic Violence Awareness Month: Evolution of the Danger Assessment. Kim Nash will be leading the session, offered on October 18th at 11am ET. From the announcement:

This webinar will provide education in utilizing the Danger Assessment (a tool originally developed by Dr. Jacquelyn Campbell) as part of medical forensic care for the patient who has experienced Intimate Partner Violence. The discussion will include the prevalence of IPV and associated lethality, identify appropriate components of a medical forensic exam for the IPV patient and help the learner understand the Danger Assessment and how to use it effectively in the healthcare setting.

As with all of their sessions, it will be archived, and CEs are available for nurses and physicians. Register for the webinar here.

 

Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

Categories
Child Abuse DV/IPV Sexual Assault

Childhood Trauma And Its Lifelong Health Effects More Prevalent Among Minorities

As I was waiting for my flight Monday I happened to catch this story about the fact that (not a surprise) childhood trauma and its health effects were more prevalent among minorities. And I received the research alert in my email from JAMA, upon which this NPR story was based (FULL-TEXT). And also this excellent blog post on the topic from PreventConnect. So suffice it to say, I present all three here for you, because it’s important, and these are our patients, now, and in the future. And because yes, we’ve pretty much suspected all of this, but here is the data.

A healthcare response to violence has to be more than just a medical-forensic response on our end. It has to be partnering with, and participating in prevention programs early on, and following up after the fact, and integrating into other community services that speak to the wide range of needs and experiences of the people for whom we care. But it also has to be the integration of our services into the greater healthcare communities in which we are situated, so it is not a handful of clinicians who understand the connection between the work we do and the health and well being of our patients over a lifetime. There should be a flow of patients between our programs and the clinics and departments of the healthcare agencies with which we are affiliated. And as much as people bristle at the idea, we should be talking about how we can bill for the healthcare services we provide–where plausible and where patient safety isn’t compromised by doing so. It’s the only way we can realistically expand and integrate our services fully, like the consultative healthcare service that we are. Without a steady funding source for the totality of the care we provide, our future is not a sustainable one.

 

Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

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

Articles of Note: September 2018 Edition

I had planned to post this yesterday, but I seem to have a gremlin in my Adobe Pro software right now, so apologies for the delay. I’m finally back in DC for a couple days before I head cross country to Fort Huachuca, and I desperately wanted to get this up, if for no other reason than it replenishes my reading stocks for these long flights and days that can often entail lots of sitting and waiting. As always, it’s not an exhaustive list, just what’s caught my attention in the new crop of peer-reviewed research. Several free full-text articles indicated on the list this month, so look out for those. Otherwise, all links lead to PubMed abstracts. Happy reading–lots of good stuff to occupy your time.

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Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.