Kenneth Wayne Feldman

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Rib fractures have occasionally been described in children receiving cardiopulmonary resuscitation (CPR). Because child abuse is sometimes suspected in these cases, it is both medically and legally important to establish whether the rib fractures are secondary to abuse or CPR. One hundred thirteen children, including 41 victims of child abuse, 50 patients(More)
Rickets affects young infants and toddlers. However, there is a paucity of literature regarding the types of fractures that occur in rachitic patients. To evaluate the age of patients at which radiographically evident rickets occurs, and to characterize the age incidence and fractures that are observed in infants and toddlers with radiographically evident(More)
OBJECTIVE To determine the frequency of child abuse and unintentional injury as a cause of infant and toddler subdural hemorrhage (SDH). METHODS A prospective case series of a level I regional trauma center, regional children's hospital, and county medical examiner's office assessed consecutive children who were </=36 months old and had SDH. Children who(More)
OBJECTIVES To determine the frequency and location of bruises in normal infants and toddlers, and to determine the relationship of age and developmental stage to bruising. DESIGN Cross-sectional survey. SETTING Community primary care pediatric offices. SUBJECTS Children younger than 36 months attending well-child care visits. METHODS Prospective(More)
Sir, I am concerned that the clinical and radiologic details reported by Drs. Kathy Keller and Patrick Barnes [1] in their discussion of “congenital rickets” ignore important clinical and radiologic findings of the cases, while reporting radiologic findings that none of the radiologists I have consulted can see. I have personal knowledge of three of the(More)
One hundred fifty-six children younger than 13 years of age with blunt abdominal injuries were reviewed, and those injured in accidents (89%) were compared with those injured by child abuse (11%). Abused children were younger (mean age, 2 1/2 years) and all presented late to medical attention with a history that was inconsistent with their physical(More)
No appreciable difference in size of the fetal clitoris versus the fetal penis was noted until 14 weeks' gestation, which is after the period of masculine differentiation of the external genitals. However, significant differences in the rate of penile and clitoral growth were evident in second trimester fetuses. The majority of the prenatal growth of the(More)
Computed tomography (CT) scans obtained at the time of clinical presentation have occasionally been reported to be normal in children with history and findings of significant abusive head injury. We have retrospectively observed abnormalities in "normal" scans of some similar children. We have also seen abnormalities develop on serial scanning. To determine(More)
OBJECTIVE To evaluate the rate of abusive head trauma (AHT) in 3 regions of the United States before and during an economic recession and assess whether there is a relationship between the rate of AHT and county-level unemployment rates. METHODS Clinical data were collected for AHT cases diagnosed in children younger than 5 years from January 1, 2004(More)
Five years after a 1983 Washington State law required new water heaters to be preset at 49 degrees C (120 degrees F), 77% of homes (84% of homes with postlaw and 70% of homes with prelaw water heaters) had tap water temperatures of less than 54 degrees C. In 1977, 80% of homes had tap water temperatures greater than 54 degrees C. Mean temperature in 1988(More)