共查询到20条相似文献,搜索用时 0 毫秒
1.
SUZANNE I. ROBERTSON 《Journal of paediatrics and child health》1983,19(3):147-151
ABSTRACT. The incidence of sexual abuse in childhood, and its short and long term effects dictate that paediatricians increase their awareness of the needs of the sexually abused child. Case examples are given from experience at one children's hospital illustrating a range of situations which vary with the relationship of the abuser to the child. Factors thought to influence outcome are described. The needs demonstrated are correlated with management recommendations, including those made in a recent Australian report. 相似文献
2.
HELEN M. CONNELL MB BSc DCH FRANZCP MRC Psych. 《Journal of paediatrics and child health》1980,16(1):49-52
Sexual abuse is an aspect of cruelty to children which merits greater scientific attention. It has potential for damaging the mental health of the victim and intergenerational cycles of this behaviour pattern may develop. The paediatrician is in a position to detect children at risk and may be able to intervene. Three types of sexual abuse are described (i) single sexual attacks which may be accompanied by physical violence: (ii) sexual exploitation of children for financial gain, and (iii) longstanding sexual relationships, generally between girls and father figures; these are far the most common. Although it is hard to separate the effects of premature sexual experience from other adverse environmental influences. the child victim of longstanding sexual abuse emerges immature, with considerable confusion as to her role in the family, and with constricted personality development. Her primary motivation is attention seeking, and she adopts sexual activity with an adult as a means of survival in often deplorable conditions. The sensitivity of management following the assault being made public is an important factor in determining eventual adjustment. 相似文献
3.
Results of a 16-year forensic study of 162 cases are presented. A forensic examination protocol is delineated, laboratory specimens/evidence collection methods given, and an anatomical chart of the prepubescent female genitalia with a pictorial atlas of female abuse trauma provided. The number of child victims per 100,000 at-risk population was static v the population increase and increased v victim's age. More than 80% of all cases and 82.1% of positive cases involved girls. Of all victims, approximately 40% were positive based on history, physical evidence, laboratory evidence, and/or eyewitness deposition. Alleged incestual perpetrators accounted for 21.97% of female and 3.3% of male cases reported and 20% of female and 0% of positive for findings of sexual abuse. 相似文献
4.
5.
6.
7.
8.
Muza GM 《Jornal de pediatria》1994,70(1):56-60
The study of mistreatment of the child and adolescent, with its historical, social and cultural roots, grow amidst conceptual and methodological difficulties which oppose a more realistic understanding of the problem. The physical and emotional consequences, long-term and immediate, are to a great extent, known. However, an attempt to understanding minimize such phenomenon faces great obstacles. At present, the interdisciplinary practice is a possible solution. 相似文献
9.
10.
Purtscher retinopathy is a hemorrhagic angiopathy that occurs after sudden compression of the thorax. Virtually all reported cases have been in adults who have decreased visual acuity, retinal hemorrhages and exudates, and no other neurological signs. By contrast, in infants, hemorrhagic retinopathy is rarely benign, and generally is considered to indicate intracranial hemorrhage, usually an acute subdural hematoma. Two battered infants had seizures and associated chest injury. There were retinal hemorrhages and exudates, unaccompanied by clinically important intracranial hemorrhage. At follow-up, the hemorrhagic retinopathy had resolved without sequelae; development was normal, and seizures had not recurred. Purtscher retinopathy thus should be added both to the differential diagnosis of hemorrhagic retinopathy in infancy and to the list of physical signs suggesting child abuse. 相似文献
11.
Anogenital trauma in sexually abused children 总被引:3,自引:0,他引:3
M A Finkel 《Pediatrics》1989,84(2):317-322
Physical findings, when identified, lend powerful support to the validation and prosecution in child sexual abuse cases. Because of the frequent delay between the alleged molestation, disclosure, and examination, there is a need for a systematic method of identifying and interpreting the residual of anal and genital trauma after the acute signs have disappeared. The case findings of seven children who experienced acute genital and anal trauma and were observed until their injuries healed are reported. 相似文献
12.
13.
14.
15.
B E Boysen 《American journal of diseases of children (1960)》1975,129(11):1338-1339
A child had chylous ascites and other findings suggestive of child abuse. He had a spontaneous remission, with conservative therapy. A lymphangiogram showed the area of leakage into the peritoneal cavity. The discussion includes a brief review, a literature on chylous ascites. 相似文献
16.
Trichomonas vaginalis infestation in sexually abused girls 总被引:1,自引:0,他引:1
We report infection with Trichomonas vaginalis in four sexually abused girls; two of these patients are unique in that they were premenarchal. We discuss the clinical features in premenarchal and postmenarchal children and relate infection to the likelihood of prior sexual abuse. 相似文献
17.
Urinary tract infection in sexually abused children 总被引:1,自引:0,他引:1
M A Reinhart 《Clinical pediatrics》1987,26(9):470-472
Because urinary tract infections have been considered to be related to sexual abuse and proposed as an indicator of sexual abuse, a group of children reported as suspected victims of sexual abuse was studied. Clean-catch urine specimens were obtained at the time of their initial medical evaluations for sexual abuse. Results indicated that urinary tract infections were not present in this group of sexually abused children at rates substantially higher than the general population. The findings do not support routine screening of sexually abused children for urinary tract infection, and suggest that further study is indicated if urinary tract infection is to be considered an indicator of abuse. 相似文献
18.
Sexually transmitted diseases in sexually abused children 总被引:7,自引:0,他引:7
Over a 4-year period, 409 cases of suspected sexual abuse of children were reviewed to study sexually transmitted disease (STD). Sexually transmitted disease was identified in 54 (13%) of the 409 children: 46 cases of gonorrhea, six cases of syphilis, four cases of trichomoniasis, and three cases of condyloma acuminata. Nine of the 46 children with cultures positive for gonorrhea did not have a history of discharge. Four of the six children with syphilis also had a gonococcal infection. One child with syphilis had condyloma. Only one child had clinical features of syphilis. Sexually transmitted disease was more likely to be transmitted by an extended family member or a nonfamily member than by a father/stepfather (P less than .001). Laboratory tests that identify sexually transmitted disease may aid in the diagnosis of sexual abuse. 相似文献
19.
OBJECTIVE: To establish the prevalence of sexually transmitted organisms and other genital organisms in potentially sexually abused children. DESIGN: Prospective study of children attending an inner London department of community paediatrics for evaluation of possible sexual abuse. SUBJECTS: Children under 16 referred for evaluation of possible sexual abuse. OUTCOME MEASURES: Prevalence of sexually transmitted organisms in relation to age, symptoms, and type of abuse. RESULTS: Swabs were taken from 159 of 242 girls evaluated. The overall prevalence of sexually transmitted organisms was 3.7%: three girls were infected with gonorrhoea, four with Trichomonas vaginalis, and two with Chlamydia trachomatis. One girl had all three infections plus mycoplasmas. Mycoplasmas were identified in 22% of girls swabbed. Of 30 boys swabbed, none yielded a sexually transmitted organism. CONCLUSIONS: There is a low prevalence of definitely sexually transmitted organisms in children who might have been abused. Other organisms possibly associated with sexual activity can be identified in this population. Screening for infection should be mandatory in presumed sexually abused girls with vaginal discharge and ideally should be undertaken in all children attending for evaluation of sexual abuse. 相似文献
20.