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  1. Article ; Online: Maltreatment of Children With Disabilities.

    Legano, Lori A / Desch, Larry W / Messner, Stephen A / Idzerda, Sheila / Flaherty, Emalee G

    Pediatrics

    2021  Volume 147, Issue 5

    Abstract: Over the past decade, there have been widespread efforts to raise awareness about maltreatment of children. Pediatric providers have received education about factors that make a child more vulnerable to being abused and neglected. The purpose of this ... ...

    Abstract Over the past decade, there have been widespread efforts to raise awareness about maltreatment of children. Pediatric providers have received education about factors that make a child more vulnerable to being abused and neglected. The purpose of this clinical report is to ensure that children with disabilities are recognized as a population at increased risk for maltreatment. This report updates the 2007 American Academy of Pediatrics clinical report "Maltreatment of Children With Disabilities." Since 2007, new information has expanded our understanding of the incidence of abuse in this vulnerable population. There is now information about which children with disabilities are at greatest risk for maltreatment because not all disabling conditions confer the same risks of abuse or neglect. This updated report will serve as a resource for pediatricians and others who care for children with disabilities and offers guidance on risks for subpopulations of children with disabilities who are at particularly high risk of abuse and neglect. The report will also discuss ways in which the medical home can aid in early identification and intervene when abuse and neglect are suspected. It will also describe community resources and preventive strategies that may reduce the risk of abuse and neglect.
    MeSH term(s) Child ; Child Abuse/prevention & control ; Child Abuse/statistics & numerical data ; Disabled Children ; Humans ; Pediatrics ; Physician's Role ; Risk Factors
    Language English
    Publishing date 2021-04-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 207677-9
    ISSN 1098-4275 ; 0031-4005
    ISSN (online) 1098-4275
    ISSN 0031-4005
    DOI 10.1542/peds.2021-050920
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Evaluation for Bleeding Disorders in Suspected Child Abuse.

    Anderst, James / Carpenter, Shannon L / Abshire, Thomas C / Killough, Emily / Mendonca, Eneida A / Downs, Stephen M / Wetmore, Cynthia / Allen, Carl / Dickens, David / Harper, James / Rogers, Zora R / Jain, Juhi / Warwick, Anne / Yates, Amber / Hord, Jeffrey / Lipton, Jeffrey / Wilson, Hope / Kirkwood, Suzanne / Haney, Suzanne B /
    Asnes, Andrea Gottsegen / Gavril, Amy R / Girardet, Rebecca Greenlee / Heavilin, Nancy / Gilmartin, Amanda Bird Hoffert / Laskey, Antoinette / Messner, Stephen A / Mohr, Bethany Anne / Nienow, Shalon Marie / Rosado, Norell / Idzerda, Sheila M / Legano, Lori A / Raj, Anish / Sirotnak, Andrew P / Forkey, Heather C / Keeshin, Brooks / Matjasko, Jennifer / Edward, Heather / Chavdar, Müge / Di Paola, Jorge / Leavey, Patrick / Graham, Doug / Hastings, Caroline / Hijiya, Nobuko / Matthews, Dana / Pace, Betty / Velez, Maria C / Wechsler, Dan / Billett, Amy / Stork, Linda / Hooker, Ryan

    Pediatrics

    2022  Volume 150, Issue 4

    Abstract: Bruising or bleeding in a child can raise the concern for child abuse. Assessing whether the findings are the result of trauma and/or whether the child has a bleeding disorder is critical. Many bleeding disorders are rare, and not every child with ... ...

    Abstract Bruising or bleeding in a child can raise the concern for child abuse. Assessing whether the findings are the result of trauma and/or whether the child has a bleeding disorder is critical. Many bleeding disorders are rare, and not every child with bruising/bleeding that may raise a concern for abuse requires an evaluation for bleeding disorders. However, in some instances, bleeding disorders can present in a manner similar to child abuse. Bleeding disorders cannot be ruled out solely on the basis of patient and family history, no matter how extensive. The history and clinical evaluation can be used to determine the necessity of an evaluation for a possible bleeding disorder, and prevalence and known clinical presentations of individual bleeding disorders can be used to guide the extent of laboratory testing. This clinical report provides guidance to pediatricians and other clinicians regarding the evaluation for bleeding disorders when child abuse is suspected.
    MeSH term(s) Blood Coagulation Disorders ; Child ; Child Abuse/diagnosis ; Contusions/diagnosis ; Contusions/etiology ; Hemorrhage/diagnosis ; Hemorrhage/etiology ; Humans ; Prevalence
    Language English
    Publishing date 2022-09-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 207677-9
    ISSN 1098-4275 ; 0031-4005
    ISSN (online) 1098-4275
    ISSN 0031-4005
    DOI 10.1542/peds.2022-059276
    Database MEDical Literature Analysis and Retrieval System OnLINE

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