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  1. Article: Caregiver-fabricated illness in a child prescribed long-term opioids and benzodiazepines.

    Kattail, Deepa / Niec, Anne

    Journal of opioid management

    2020  Volume 16, Issue 2, Page(s) 155–159

    Abstract: Caregiver-fabricated illness in a child (CFIC) can result in unnecessary, potentially harmful medical investigations and treatment. As pediatric pain has historically been undertreated, the movement for more compassionate treatment has led to an increase ...

    Abstract Caregiver-fabricated illness in a child (CFIC) can result in unnecessary, potentially harmful medical investigations and treatment. As pediatric pain has historically been undertreated, the movement for more compassionate treatment has led to an increase in analgesic prescribing in children and adolescents. Overall, this has been a positive change but this may also lead to unintentional harm, partic-ularly if CFIC is not considered as a possibility in the presentation. We present a case in which CFIC was associated with long-term prescribing of opioids, benzodiazepines, and other central nervous system depressants.
    MeSH term(s) Adolescent ; Analgesics, Opioid/therapeutic use ; Benzodiazepines/therapeutic use ; Caregivers ; Central Nervous System Depressants ; Child ; Humans ; Munchausen Syndrome by Proxy/drug therapy
    Chemical Substances Analgesics, Opioid ; Central Nervous System Depressants ; Benzodiazepines (12794-10-4)
    Language English
    Publishing date 2020-04-24
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2397614-7
    ISSN 1551-7489
    ISSN 1551-7489
    DOI 10.5055/jom.2020.0562
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Case conceptualization in child welfare: an underused resource to improve child, family, and provider outcomes.

    McTavish, Jill R / McHolm, Angela / Niec, Anne / Pietrantonio, Anna Marie / McKee, Christine / MacMillan, Harriet L

    Frontiers in psychiatry

    2024  Volume 14, Page(s) 1292690

    Abstract: Case conceptualization, formally known as case formulation, is one tool that assists in determining the best course of action for children and families experiencing family violence that has been under-utilized in child welfare. In this article we present ...

    Abstract Case conceptualization, formally known as case formulation, is one tool that assists in determining the best course of action for children and families experiencing family violence that has been under-utilized in child welfare. In this article we present a step-by-step case conceptualization process that considers the child welfare context. We then present a hypothetical case example of a 10-year-old child referred by a child welfare worker to evidence-based treatment for mental health and behavioural concerns. Mental health services are not helpful for the child and further consultation is enlisted. To more effectively guide intervention and treatment planning and ultimately improve outcomes for the child, we present case conceptualization as a process that incorporates relevant aspects of the child and family's history and circumstance. We conclude with a succinct case conceptualization and treatment plan to show how the prognosis of the child can be improved when case conceptualization is employed.
    Language English
    Publishing date 2024-01-11
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2564218-2
    ISSN 1664-0640
    ISSN 1664-0640
    DOI 10.3389/fpsyt.2023.1292690
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Understanding the Conceptualization and Operationalization of Trauma-Informed Care Within and Across Systems: A Critical Interpretive Synthesis.

    Bargeman, Maria / Abelson, Julia / Mulvale, Gillian / Niec, Anne / Theuer, Ania / Moll, Sandra

    The Milbank quarterly

    2022  Volume 100, Issue 3, Page(s) 785–853

    Abstract: Policy Points In order to achieve successful operationalization of trauma-informed care (TIC), TIC policies must include conceptual clarity regarding the definition of both trauma and TIC. Furthermore, TIC requires clear and cohesive policies that ... ...

    Abstract Policy Points In order to achieve successful operationalization of trauma-informed care (TIC), TIC policies must include conceptual clarity regarding the definition of both trauma and TIC. Furthermore, TIC requires clear and cohesive policies that address operational factors such as clearly delineated roles of service providers, protocol for positive trauma screens, necessary financial infrastructure, and mechanisms of intersectoral collaboration. Additionally, policy procedures need to be considered for how TIC is provided at the program and service level as well as what TIC means at the organizational, system, and intersectoral level.
    Context: Increased recognition of the epidemiology of trauma and its impact on individuals within and across human service delivery systems has contributed to the development of trauma-informed care (TIC). How TIC can be conceptualized and implemented, however, remains unclear. This study seeks to review and analyze the TIC literature from within and across systems of care and to generate a conceptual framework regarding TIC.
    Methods: Our study followed a critical interpretive synthesis methodology. We searched multiple databases (Campbell Collaboration, Econlit, Health Systems Evidence, Embase, ERIC, HealthSTAR, IPSA, JSTOR, Medline, PsychINFO, Social Sciences Abstracts, Sociological Abstracts and Web of Science),as well as relevant gray literature and information-rich websites. We used a coding tool, adapted to the TIC literature, for data extraction.
    Findings: Electronic database searches yielded 2,439 results and after inclusion/exclusion criteria were applied, a purposive sample of 98 information-rich articles was generated. Conceptual clarity and definitional understanding of TIC is lacking in the literature, which has led to poor operationalization of TIC. Additionally, infrastructural and ideological barriers, such as insufficient funding and service provider "buy-in," have hindered TIC implementation. The resulting conceptual framework defines trauma and depicts critical elements of vertical TIC, including the bidirectional relationship between the trauma-affected individual and the system, and horizontal TIC, which requires intersectoral collaboration, an established referral network, and standardized TIC language.
    Conclusions: Successful operationalization of TIC requires policies that address current gaps in systems arrangements, such as the lack of funding structures for TIC, and political factors, such as the role of policy legacies. The emergent conceptual framework acknowledges critical factors affecting operationalization.
    MeSH term(s) Humans ; Concept Formation ; Referral and Consultation ; Research Design ; Surveys and Questionnaires
    Language English
    Publishing date 2022-09-26
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 632829-5
    ISSN 1468-0009 ; 0887-378X
    ISSN (online) 1468-0009
    ISSN 0887-378X
    DOI 10.1111/1468-0009.12579
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Forensic issues in the assessment of sexually assaulted adolescents.

    Niec, Anne

    Paediatrics & child health

    2009  Volume 7, Issue 3, Page(s) 153–159

    Abstract: This article provides a general overview of the principles of conducting a forensic evaluation of adolescents who have been exposed to sexual abuse. This problem is common and is associated with a large burden of suffering. There is a strong likelihood ... ...

    Abstract This article provides a general overview of the principles of conducting a forensic evaluation of adolescents who have been exposed to sexual abuse. This problem is common and is associated with a large burden of suffering. There is a strong likelihood that most paediatricians will be called on to perform such evaluations at some point in time. This overview includes a description of the forensic examination, focuses on such issues as consent and contact with child protection services, and provides specific guidelines about interviewing the adolescent. Familiarity with how to conduct a forensic evaluation will hopefully improve the availability of this service for adolescents. Contact with the legal profession can be stressful. At the same time, paediatricians are in a unique position to advocate on behalf of their adolescent patients.
    Language English
    Publishing date 2009-12-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 2106767-3
    ISSN 1918-1485 ; 1205-7088
    ISSN (online) 1918-1485
    ISSN 1205-7088
    DOI 10.1093/pch/7.3.153
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Sexual and reproductive health and rights of "last mile" adolescents: a scoping review.

    Nowshin, Nahela / Kapiriri, Lydia / Davison, Colleen M / Harms, Sheila / Kwagala, Betty / Mutabazi, Miriam G / Niec, Anne

    Sexual and reproductive health matters

    2022  Volume 30, Issue 1, Page(s) 2077283

    Abstract: Globally, significant progress has been made in the realm of adolescent sexual and reproductive health. We conceptualised "last mile" adolescents as having two or more of the following factors of identity: refugee, Indigenous, 2SLGBTQIA+, out of school, ... ...

    Abstract Globally, significant progress has been made in the realm of adolescent sexual and reproductive health. We conceptualised "last mile" adolescents as having two or more of the following factors of identity: refugee, Indigenous, 2SLGBTQIA+, out of school, rurally or remotely located, slum dwelling, incarcerated or previously incarcerated, HIV/AIDS infected, and living with a disability. We conducted a scoping review with an aim to synthesise evidence and identify research gaps in the literature pertaining to the sexual and reproductive health and rights (SRHR) of last mile adolescents. We conducted searches in three databases (Embase, Global Health, and Medline). Fifty-four publications met our inclusion criteria. Our results revealed that the state of evidence on the SRHR of last mile adolescents is poor. Very few studies used qualitative and mixed-method inquiry. The number of studies carried out in North America, Europe, and Oceania were limited. We found insufficient disaggregated data with respect to SRHR-related knowledge, behaviour, and access to services. Adopting an intersectional lens is critical to uncover the multiplicative effects of last mile adolescents' factors of identity on their SRHR. National data systems should be strengthened to enable the collection of quality disaggregated data which can play a vital role in identifying SRHR inequities affecting last mile adolescents. Research priorities should be realigned to generate data globally on the SRHR of last mile adolescents whose lives are marked by intersecting vulnerabilities.
    MeSH term(s) Adolescent ; Humans ; Reproductive Health ; Reproductive Health Services ; Reproductive Rights ; Sexual Behavior ; Sexual Health
    Language English
    Publishing date 2022-06-06
    Publishing country England
    Document type Journal Article ; Review
    ISSN 2641-0397
    ISSN (online) 2641-0397
    DOI 10.1080/26410397.2022.2077283
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: The Hidden Curriculum: A Good Thing?

    Mackin, Robin / Baptiste, Sue / Niec, Anne / Kam, April J

    Cureus

    2019  Volume 11, Issue 12, Page(s) e6305

    Abstract: Introduction The hidden curriculum is defined as a set of influences that function at the level of the organizational structure and culture to impact learning. Literature supports the significant impact of the hidden curriculum on all levels of learners ... ...

    Abstract Introduction The hidden curriculum is defined as a set of influences that function at the level of the organizational structure and culture to impact learning. Literature supports the significant impact of the hidden curriculum on all levels of learners in medical education. Our project aims to capture the messages being delivered to healthcare providers at our local facility. Methods Multiple one-time educational sessions on the hidden curriculum were provided over a five-year period to healthcare professionals. Participants were asked to share personal examples of their lived experiences with the hidden curriculum. A thematic analysis of the responses was completed and coded by two independent reviewers.  Results Participants consisted of medical students, residents, faculty physicians, and allied health professionals. Their experience of the hidden curriculum emerged in six main themes: Vulnerability, Hierarchy, Privilege, Navigation & Negotiation, Positivity, and Dehumanizing. Conclusion A minority of responses demonstrated the positive impact that the hidden curriculum can have on professional development. This project highlights the importance of formally addressing the hidden curriculum to capitalize on its impact on medical trainees. The results have inspired a project focusing on residents as the population of interest in their unique role as learners and preceptors.
    Language English
    Publishing date 2019-12-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.6305
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Vitamin C content in orange juices obtained by different methods

    Maria Kujawińska / Izabela Kawulok / Anna Szczyrba / Martina Grot / Agnieszka Bielaszka / Joanna Nieć-Leśniak / Mateusz Grajek

    Journal of Education, Health and Sport, Vol 12, Iss

    2022  Volume 6

    Abstract: Introduction Proper nutrition has the task of providing the right amount of energy and nutrients. A balanced diet should include vegetables and fruit at every meal. These products are rich in vitamin C, which is involved in many metabolic pathways in the ...

    Abstract Introduction Proper nutrition has the task of providing the right amount of energy and nutrients. A balanced diet should include vegetables and fruit at every meal. These products are rich in vitamin C, which is involved in many metabolic pathways in the body. A well-balanced diet will generally provide you with enough ascorbic acid. The content of vitamins in products depends on many factors, including the place of origin of the product, season, species, processing methods, or the conditions and time of storage. Vitamin C is easily destroyed by contact with oxygen, light radiation or metal ions. Aim of the study The aim of the study is to assess the content of vitamin C in juices squeezed from different types of oranges using various processing methods. Material and methods Three species of oranges were used for the study: Valencia, Saluciana and Novelina. Each type of orange was squeezed with 3 processing methods, using: a juicer, a slow-speed squeezer and a manual squeezer. The determination of vitamin C content in the obtained juices was performed by the Tillmans titration method with the use of standard, blue, 2,6-dichlorophenolindophenol dye. The vitamin C content in juices was determined: immediately after squeezing the juice, one hour after squeezing and 24 hours after squeezing. The juices were stored in the refrigerator between determinations. A pH meter was used to measure the pH, and a portable digital sucrose refractometer was used for the% sucrose measurement. Results The highest content of vitamin C immediately after pressing was observed in the juice of hand-squeezed oranges from the Salustiana variety. The decrease in vitamin C after 24 hours averaged 37.8%. Statistically significant differences were found between the method of squeezing and the time after squeezing the juice. Valencia variety was characterized by the highest pH, Navelina - the lowest. Significant differences were found in the mean level of the pH indicator and the type of orange.
    Keywords vitamin C ; orange ; juice ; processing methods ; Education ; L ; Sports ; GV557-1198.995 ; Medicine ; R
    Subject code 630
    Language English
    Publishing date 2022-06-01T00:00:00Z
    Publisher Kazimierz Wielki University
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article: Burn injury from car seat in an 11-month-old infant.

    Moharir, Madhavi / Niec, Anne / Wekerle, Christine

    Paediatrics & child health

    2013  Volume 17, Issue 9, Page(s) 495–497

    Abstract: Burns in young infants have long been recognized as a potential cause of nonaccidental injury. Accidental exposure to hot car seat parts resulting in significant burn injury is an unusual mimicker of child abuse. A case involving an 11-month-old child ... ...

    Abstract Burns in young infants have long been recognized as a potential cause of nonaccidental injury. Accidental exposure to hot car seat parts resulting in significant burn injury is an unusual mimicker of child abuse. A case involving an 11-month-old child who presented with a significant contact burn injury related to the noncovered, heated, plastic part of a car seat, is described. The present case encourages physicians to maintain an unbiased approach to each referred case and to explore the differential diagnosis by detailed history and physical examination. It also serves as a reminder in caregiver education about the precautions to be taken during long-distance travel with young children and infants.
    Language English
    Publishing date 2013-10-09
    Publishing country England
    Document type Case Reports
    ZDB-ID 2106767-3
    ISSN 1918-1485 ; 1205-7088
    ISSN (online) 1918-1485
    ISSN 1205-7088
    DOI 10.1093/pch/17.9.495
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: COLLOIDS IN SEPTIC TANK EFFLUENT AND THEIR INFLUENCE ON FILTER PERMEABILITY

    Marcin Spychała / Jakub Nieć / Natalia Walczak / Anna Marciniak

    Journal of Ecological Engineering, Vol 16, Iss 4, Pp 74-

    2015  Volume 80

    Abstract: The aim of the study was to evaluate the content of colloids in septic tank effluent and their impact on textile filter permeability. Measurements were performed on septic tank effluent without suspended solids but containing colloids and without ... ...

    Abstract The aim of the study was to evaluate the content of colloids in septic tank effluent and their impact on textile filter permeability. Measurements were performed on septic tank effluent without suspended solids but containing colloids and without colloids - including only dissolved substances (filtered by micro-filters and centrifuged). The study was conducted on unclogged and clogged textile filter coupons. During the study the following measurements were determined: turbidity, chemical oxygen demand and hydraulic conductivity of textile filter coupons. The colloid size range was assumed to be less than 1.2 microns according to the literature. Despite the relatively low content in the septic tank effluent the colloids played an important role in the clogging process. Both the filtering media, filled with low (unclogged) and high content of biomass (clogged) were sensitive to the clogging process of colloid acceleration due to the possibility of small diameter pore closure and oxygen access termination. Moreover, small size pores were probably sensitive to closing or bridging by small size colloidal particles.
    Keywords colloids ; clogging ; hydraulic conductivity ; non-woven textile ; turbidity ; Environmental technology. Sanitary engineering ; TD1-1066 ; Environmental sciences ; GE1-350
    Subject code 660
    Language English
    Publishing date 2015-09-01T00:00:00Z
    Publisher Polish Society of Ecological Engineering (PTIE)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article: The medical assessment of bruising in suspected child maltreatment cases: A clinical perspective.

    Ward, Michelle Gk / Ornstein, Amy / Niec, Anne / Murray, C Louise

    Paediatrics & child health

    2013  Volume 18, Issue 8, Page(s) 433–442

    Abstract: Bruises commonly occur in children and are most often the result of a minor accidental injury. However, bruises can also signal an underlying medical illness or an inflicted injury (maltreatment). Although bruising is the most common manifestation of ... ...

    Abstract Bruises commonly occur in children and are most often the result of a minor accidental injury. However, bruises can also signal an underlying medical illness or an inflicted injury (maltreatment). Although bruising is the most common manifestation of child physical maltreatment, knowing when to be concerned about maltreatment and how to assess bruises in this context can be challenging for clinicians. Based on current literature and published recommendations, this practice point will help clinicians to distinguish between accidental and inflicted bruises, to evaluate and manage bruising in the context of suspected child maltreatment, and to evaluate for an underlying medical predisposition to bruising.
    Language French
    Publishing date 2013-07-03
    Publishing country England
    Document type Journal Article
    ZDB-ID 2106767-3
    ISSN 1918-1485 ; 1205-7088
    ISSN (online) 1918-1485
    ISSN 1205-7088
    Database MEDical Literature Analysis and Retrieval System OnLINE

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