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Professionals in child health, primary care, mental health, schools, social services, and law-enforcement services all contribute to the recognition of and response to child maltreatment. In all sectors, children suspected of being maltreated are under-reported to child-protection agencies. Lack of awareness of the signs of child maltreatment and processes(More)
OBJECTIVES To systematically review published studies to identify the characteristics that distinguish fractures in children resulting from abuse and those not resulting from abuse, and to calculate a probability of abuse for individual fracture types. DESIGN Systematic review. DATA SOURCES All language literature search of Medline, Medline in Process,(More)
BACKGROUND The safety of playgrounds is important to protect children from injury, but studies are mostly done mainly under laboratory conditions without epidemiological data. We investigated the safety of different playground surfaces, and types and heights of equipment in public playgrounds in the City of Cardiff, UK. METHODS We did a correlational(More)
OBJECTIVES To describe common patterns of bath water scald injuries in children, to examine differences between accidental and non-accidental bath water scalds in children, and to examine potential for prevention. DESIGN A two year six month retrospective analysis of admissions to a specialist burns unit. SETTING The Burns Unit, St Lawrence Hospital,(More)
AIMS To investigate whether it is possible to determine the age of a bruise in a child in clinical practice by means of a systematic review. METHODS An all language literature search up to 2004. Included studies assessed the age of bruises in live children less than 18 years old. Excluded: review articles, expert opinion, and single case reports.(More)
  • Alison M Kemp
  • 2011
Abusive head trauma (AHT) affects one in 4000-5000 infants every year and is one of the most serious forms of physical child abuse that has a high associated mortality and morbidity. Differentiating this form of abuse from another potential cause of brain injury is of utmost importance to the welfare of the child concerned and it is essential that the(More)
IMPORTANCE Early intervention for neglect or emotional abuse in preschoolers may mitigate lifelong consequences, yet practitioners lack confidence in recognizing these children. OBJECTIVE To define the emotional, behavioral, and developmental features of neglect or emotional abuse in preschoolers. EVIDENCE REVIEW A literature search of 18 databases, 6(More)
CONTEXT AND OBJECTIVE To determine which combinations of clinical features assist in distinguishing abusive head trauma (AHT) from nonabusive head trauma. METHODS Individual patient data from 6 comparative studies of children younger than 3 years with intracranial injury were analyzed to determine the association between AHT and combinations of apnea;(More)
AIMS (1) To identify whether infants and young children admitted to hospital with subdural haematomas (SDH) secondary to non-accidental head injury (NAHI), suffer from apnoea leading to radiological evidence of hypoxic ischaemic brain damage, and whether this is related to a poor prognosis; and (2) to determine what degree of trauma is associated with NAHI.(More)
PRACTICE For the full versions of these articles see bmj.com themselves be alerting features. The guidance should not be used as a definitive diagnostic tool to prove or disprove maltreatment. This article summarises key points in the NICE guidance. Key points NICE recommendations are based on systematic reviews of best available evidence. When minimal(More)