Gotowe bibliografie tematyczne / Sexual recidivism

Gotowa bibliografia na temat „Sexual recidivism”

Autor: Grafiati
Data publikacji: 4 czerwca 2021
Data aktualizacji: 20 lutego 2023

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Artykuły w czasopismach na temat "Sexual recidivism"

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Bader, Shannon M., Robert Welsh i Mario J. Scalora. "Recidivism Among Female Child Molesters". Violence and Victims 25, nr 3 (czerwiec 2010): 349–62. http://dx.doi.org/10.1891/0886-6708.25.3.349.

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During recent years, research about female sexual offender recidivism rates using official criminal justice records has increased. Although informative, rearrest or conviction rates may be insufficient for this population. This study examines two potential outcome measures for accurately studying recidivism among 57 female sexual offenders; a criminal recidivism measure based on formal legal charges and a reported recidivism measure based on child welfare reports. Based on the criminal recidivism outcome measure, 10 (17.5%) women were charged for a subsequent sexual crime. The broader reported recidivism measure identified six additional women with subsequent contact with police or child welfare agencies for sexually inappropriate behaviors. There were no significant differences found between the 41 nonrecidivists and the 16 recidivists. The implications of these findings are discussed.
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Ozkan, Turgut, Stephen J. Clipper, Alex R. Piquero, Michael Baglivio i Kevin Wolff. "Predicting Sexual Recidivism". Sexual Abuse 32, nr 4 (6.06.2019): 375–99. http://dx.doi.org/10.1177/1079063219852944.

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The current study focuses on adolescents with sex offense histories and examines sexual reoffending patterns within 2 years of a prior sex offense. We employed inductive statistical models using archival official records maintained by the Florida Department of Juvenile Justice (FDJJ), which provides social, offense, placement, and risk assessment history data for all youth referred for delinquent behavior. The predictive accuracy of the random forest models is tested using receiver operator characteristic (ROC) curves, the area under the curve (AUC), and precision/recall plots. The strongest predictor of sexual recidivism was the number of prior felony and misdemeanor sex offenses. The AUC values range between 0.71 and 0.65, suggesting modest predictive accuracy of the models presented. These results parallel the existing literature on sexual recidivism and highlight the challenges associated with predicting sex offense recidivism. Furthermore, results inform risk assessment literature by testing various factors recorded by an official institution.
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Cale, Jesse, i Patrick Lussier. "Merging Developmental and Criminal Career Perspectives". Sexual Abuse 24, nr 2 (25.07.2011): 107–32. http://dx.doi.org/10.1177/1079063211403503.

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Currently, a majority of actuarial risk-assessment tools for sexual recidivism contain static risk factors that measure various aspects of the offender’s prior criminal history in adulthood. The goal of the current study was to assess the utility of extending static risk factors, by using developmental and criminal career parameters of offending, in the actuarial assessment of risk of violent/sexual recidivism. The current study was based on a sample of 204 convicted sexual aggressors of women incarcerated in the province of Quebec, Canada between April 1994 and June 2000. Semistructured interviews were used to gather information on the offender’s antisocial history prior to adulthood, and police records were used to collect data on the criminal career of these offenders in adulthood. For an average follow-up period of approximately 4 years, the violent/sexual recidivism rate for the sample was 23.7%. The results provided support for the inclusion of both developmental and criminal career indicators for the prediction of violent/sexual recidivism. More specifically, recidivists were characterized by an early onset antisocial trajectory and a pattern of escalation of antisocial behavior between childhood and adolescence. The findings suggest that risk assessors should look beyond broad adult criminal history data to include aspects of antisocial development to improve predictive accuracy.
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Sung, Hyeyeon. "Analysis on Research Trend of Recidivism of Sex Crimes using Keyword Network Analysis". Correction Welfare Society of Korea 79 (31.08.2022): 59–89. http://dx.doi.org/10.35422/cwsk.2022.79.59.

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The purpose of this study is to suggest the direction of future studies on the prevention of sexual recidivism by analyzing the trend in research related to the recidivism of sexual crime for the last 20 years. To achieve this purpose, this study analyzed publication trends in research related to the recidivism of sexual crime by utilizing 139 studies published between 2000 and 2021 and conducted a keyword network analysis by using keywords extracted from these studies. The main results are as follows. First, results of publication trend by research area show that research related to the recidivism of sexual crimes was conducted in 11 areas order of 43.9% in law, 23.0% in public administration, and 17.9% in psychological science. Second, results of frequency analysis in keywords appeared in 139 studies show that the frequency was high in the following order; ‘sexual crime’, ‘prevention of recidivism’, ‘electronic monitoring system’, ‘risk of recidivism’, ‘child sex crime’, ‘medication treatment for sexual impulse’, and ‘personal information disclosure of sexual offender’. Third, results of degree centrality analysis using keywords show that the degree centrality was high in the following order; ‘sexual crime’, ‘prevention of recidivism’, ‘electronic monitoring system’, ‘recidivism of sexual crime’, ‘medication treatment for sexual impulse’, ‘risk of recidivism’, and ‘child sex crime’. Fourth, results of CONCOR cluster analysis with keywords show that research related to the recidivism of sexual crime was classified into nine clusters, and a major cluster was ‘study of electronic monitoring system’. Based on these results, this study suggests the directions of future studies on the prevention of recidivism from sexual crime.
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Hanson, R. Karl. "Will They Do It Again?" Current Directions in Psychological Science 9, nr 3 (czerwiec 2000): 106–9. http://dx.doi.org/10.1111/1467-8721.00071.

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This article reviews the empirical research on the prediction of reoffending among sexual offenders. The major predictors of sexual-offense recidivism are factors related to sexual deviance (e.g., deviant sexual preferences, previous sex crimes) and, to a lesser extent, criminal lifestyle (e.g., antisocial personality disorder, total number of prior offenses). The factors that predict general recidivism among sex offenders are the same as the factors that predict general recidivism among nonsexual criminals (e.g., juvenile delinquency, prior violent offenses). Given that there are special predictors of sexual recidivism, evaluators should consider separately the risk for sexual and non-sexual recidivism.
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HANSON, R. KARL, KELLY E. MORTON i ANDREW J. R. HARRIS. "Sexual Offender Recidivism Risk". Annals of the New York Academy of Sciences 989, nr 1 (24.01.2006): 154–66. http://dx.doi.org/10.1111/j.1749-6632.2003.tb07303.x.

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Palermo, George B. "Recidivism in Sexual Offenders". International Journal of Offender Therapy and Comparative Criminology 59, nr 6 (7.05.2015): 563–64. http://dx.doi.org/10.1177/0306624x15584984.

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Ralston, Christopher A., Amar Sarkar, Grace T. Philipp i Douglas L. Epperson. "The Impact of Using Documented but Uncharged Offense Data on JSORRAT-II Predictive Validity". Sexual Abuse 29, nr 2 (2.08.2016): 186–202. http://dx.doi.org/10.1177/1079063215582011.

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Following the implementation of sexual offender notification laws, researchers have found a drop in the rate of prosecutions and an increase in plea bargains for sexual offenses committed by male juveniles. This type of prosecutorial hesitation has implications for the predictive validity of sexual recidivism risk assessments, such as the Juvenile Sexual Offender Recidivism Risk Assessment Tool–II (JSORRAT-II), that require data from officially adjudicated offenses in the scoring of several items. The present study sought to test the impact of including data from documented but uncharged (DBU) sexual offenses in the scoring of the JSORRAT-II on its predictive validity using an exhaustive sample of 1,095 juveniles who offended sexually from the states of Iowa and Utah. Although sexual recidivists had significantly more DBU data, the inclusion of those data did not improve the predictive validity of the tool. The authors discuss additional reasons why changes in prosecutorial practice might remain confound in risk assessment studies and suggest future research to investigate those hypotheses.
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Olver, Mark E., i Lindsay A. Sewall. "Cross-Validation of the Discrimination and Calibration Properties of the VRAG-R in a Treated Sexual Offender Sample". Criminal Justice and Behavior 45, nr 6 (14.03.2018): 741–61. http://dx.doi.org/10.1177/0093854818762483.

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The present study featured an examination of the predictive properties of the Violence Risk Appraisal Guide–Revised (VRAG-R) in a treated sample of sexual offenders, using modern risk metrics. The Sex Offender Risk Appraisal Guide (SORAG) and the original Violence Risk Appraisal Guide (VRAG) were examined for comparison purposes. The three measures were rated archivally on 296 treated sexual offenders followed up 17.6 years. VRAG-R scores demonstrated good discrimination of recidivists from nonrecidivists for sexual (area under the curve [AUC] = .60-.67) and violent (AUC = .70-.78) recidivism, and were incremental in the prediction of violent, but not sexual, recidivism after controlling for baseline sexual violence risk and treatment change. The VRAG-R bin structure demonstrated good calibration, although the present sample generated lower 5-year estimates of general violence compared with the normative sample. Application of the VRAG-R in the assessment and management of violence risk, via integration with dynamic risk assessment information, is discussed.
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van den Berg, Jan Willem, Wineke Smid, Jolanda J. Kossakowski, Daan van Beek, Denny Borsboom, Erick Janssen i Luk Gijs. "The Application of Network Analysis to Dynamic Risk Factors in Adult Male Sex Offenders". Clinical Psychological Science 8, nr 3 (maj 2020): 539–54. http://dx.doi.org/10.1177/2167702620901720.

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Although dynamic risk factors are considered important in the assessment and treatment of adult male sex offenders, little is known about their interrelationships. We apply network analysis to assess their associations and to provide an analysis of their shortest pathways to sexual and violent (including sexual contact) recidivism. Analyses revealed a central position for general rejection/loneliness (in all networks), poor cognitive problem solving (in networks containing sexual or violent—including sexual contact—recidivism), and impulsive acts (only in the network including sexual recidivism). These variables represented links between clusters of dynamic risk factors composed of factors relating to sexual self-regulation, emotionally intimate relationships, antisocial traits, and self-management. Impulsive acts showed the strongest independent association with sexual and violent (including sexual contact) recidivism.
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Rozprawy doktorskie na temat "Sexual recidivism"

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O'Hare, Geraldine. "Sexual offending & predictors of general & sexual recidivism". Thesis, University of Roehampton, 2016. https://pure.roehampton.ac.uk/portal/en/studentthesis/sexual-offending--predictors-of-general--sexual-recidivism(b55173ef-9b8b-4c73-98e1-391947310bdc).html.

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Supervision of sexual offenders can only work to reduce risk when it monitors and addresses factors related to both general and sexual recidivism. It is well known that many sexual offenders commit other types of offences, such as violent and general offending, but other types of offenders rarely commit sexual offences (Hanson & Bussiere, 1998). It is therefore necessary to distinguish sexual offenders from other offenders when we study the different recidivism types, and the key risk factors for the prediction of any reoffending. This study assessed the predictive utility of several commonly used psychometrics in Northern Ireland, namely the Stable and Acute 2007, Risk Matrix 2000, and the STEP battery. Risk assessments were collected from a sample of 325 participants each of whom had been convicted of a sexual offence in Northern Ireland. The data is archival, sourced from risk assessments and psychometrics conducted on offenders subject to supervision under the Public Protection Arrangements for Northern Ireland (PPANI) between 2008 and 2010. Overall levels of risk and individual risk factors as measured by these instruments were compared to rates of reoffending. A number of salient individual factors were identified from the sample, such as capacity for relationship stability, sexual deviancy, rejection of supervision and victim access, which links to distinguishing typologies of offending in sexual offenders supervised within the Public Protection Arrangements for N. Ireland (PPANI). While it was not possible to statistically link individual factors 9 to re-offending rates, results indicated that overall risk levels obtained by all three assessment tools have predictive utility in relation to non-sexual offending and breaches of probation conditions or licensing. Statistical analysis of sexual re-offending was not possible due to the small number of such offences within this sample. Findings from this study have both strategic and practical implications for the management of sexual offenders in N. Ireland. The main findings were that all three instruments predicted offending behaviour, breaches of probation, or breaches of licence. Recommendations and directions to inform future policy and practice are outlined in the Discussion Section.
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Zanatta, Robert G. "Risk of violent and sexual recidivism: A comparison of dangerous offenders and repetitive sexual offenders /". Burnaby B.C. : Simon Fraser University, 2005. http://ir.lib.sfu.ca/handle/1892/2027.

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Sjöstedt, Gabrielle. "Violent recidivism among sexual offenders : risk factors and assessment procedures /". Stockholm : [Karolinska institutets bibl.], 2002. http://diss.kib.ki.se/2002/91-7349-328-7/.

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Kelm, Charles. "Exploring the effects of specialized sexual behavior treatment on recidivism /". View online, 2005. http://ecommons.txstate.edu/arp/30/.

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Randall, Sarina A. "Predictors of recidivism among a sample of federally sentenced sexual offenders". Thesis, University of Ottawa (Canada), 1992. http://hdl.handle.net/10393/7886.

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The purpose of this research is to determine the factors predicting recidivism among a sample of 222 federally sentenced sex offenders. Based on social and criminal data, a number of predictor variables were significantly correlated with recidivism. These variables were regressed into models of recidivism which resulted in low levels of predictability. There were, however, three prominent factors found in each model for non-sexual offence recidivism, including age, extent of criminal history and number of geographical locations where previously convicted. The results also indicated a number of trends based on correlational data. In particular, a distinction was found between sexual and non-sexual offence recidivism. General non-sexual offence recidivism was found to be associated with extent of prior criminal history and age, while sexual offence recidivism was found to be associated with extent of sexual offence history and not influenced by age.
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Beggs, Sarah Marie. "Treatment Outcome, Risk Assessment, and Recidivism among Sexual Offenders against Children". Thesis, University of Canterbury. Psychology, 2008. http://hdl.handle.net/10092/1824.

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The sexual abuse of children is an issue that society must address with urgency and commitment, given the profoundly damaging effects and widespread occurrence of this kind of crime. Providing psychological treatment to identified offenders is an important endeavour of the criminal justice system, with the aim of reducing recidivism and thereby preventing future victims. This dissertation explores a number of areas relevant to the treatment of sexual offenders on a sample of 223 adult males who completed a prison-based programme for child sexual offenders in New Zealand. Specifically, the assessment of treatment outcome and its relationship with recidivism, risk assessment, and the influence of specific offender factors on estimates of treatment outcome and risk were investigated. Study 1 (N = 218) is an independent validation of the validity of the Violence Risk Scale: Sexual Offender Version (VRS:SO; Olver, Wong, Nicholaichuk, & Gordon, 2007), a recently developed risk assessment instrument for sexual offenders that incorporates both static and dynamic risk factors and contains protocols for the assessment of change as a result of treatment. Results indicate support for the inter-rater reliability, concurrent validity, and predictive validity of the VRS:SO with regard to sexual recidivism, with pre-treatment and post-treatment scores showing superior predictive validity relative to a widely used measure of static risk (Static-99; Hanson & Thornton, 1999) and a measure of "Deviance" based on a 4-factor battery of relevant psychometric tests (Allan, Grace, Rutherford, & Hudson, 2007). In Study 2 (N = 218), three separate methods of assessing proximal treatment outcome (representative of three categories of treatment outcome measures that have previously been applied in the literature) are applied and compared in terms of their predictive validity with regard to sexual recidivism, and the relative advantages and disadvantages of their use. These measures are: change on a battery of relevant psychometric tests administered prior to and following treatment; change across treatment on the VRS:SO; and post-treatment ratings of the attainment of treatment goals as measured by a modified version of Hogue’s (1994) Standard Goal Attainment Scaling for Sexual Offenders (SGAS). Results indicate that positive treatment outcomes as measured by all of these methods are associated with reduced sexual recidivism. SGAS scores are identified as being relatively simple and efficient to obtain, however the VRS:SO and the psychometric battery are both able to provide useful pre-treatment clinical information regarding potential treatment targets for a particular offender. Study 3 (N = 223) and Study 4 (N = 216) are explorations of the influence of particular offender characteristics on response to treatment and risk of recidivism. Of particular interest was the personality construct of psychopathy (measured using the Psychopathy Checklist-Revised, PCL-R; Hare, 1991), and both studies are attempted replications and extensions of previously reported interaction effects involving this construct (Heilbrun, 1979; Seto & Barbaree, 1999). The results of Study 3 indicate that there is no interaction effect between PCL-R scores and treatment outcome (as measured by the SGAS) on sexual recidivism, in contrast to an influential study by Seto and Barbaree (1999). Study 4 reports an interaction effect between PCL-R scores and intelligence on recidivism, such that higher than average IQ scores appear to moderate the well-known association between psychopathy and risk. Overall, the findings reported in this dissertation suggest the importance of considering dynamic factors as well as static factors in sex offender risk assessments, and support the premise that dynamic factors are changeable, with change being associated with changes in recidivism. The potential for certain offender characteristics to influence treatment response and risk of recidivism is highlighted, and several areas for further exploration are identified.
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Ralston, Christopher Allen. "Validation of the Juvenile Sexual Offense Recidivism Risk Assessment Tool--II". [Ames, Iowa : Iowa State University], 2008.

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Rowlands, Michael T. "Dangerous sex offenders: Recidivism and risk factors associated with serious sexual offending". Thesis, Queensland University of Technology, 2018. https://eprints.qut.edu.au/116343/2/Michael_Rowlands_Thesis.pdf.

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There is limited research on dangerous sex offenders in Australia. The current PhD study examined reoffending rates of offenders classified as dangerous in Queensland Supreme Courts. A review of the literature noted that sex offenders generally have low recidivism rates. Offenders considered high-risk are more likely to re-offend with general offences, but the overall level of sexual and nonsexual violent recidivism was low. Further, early onset of offending, diverse criminal careers, diverse victimologies, ecological change, and substance misuse were factors for recidivism. Last, the project identified that conceptualising dangerousness is complex and fraught with ethical and legal concerns.
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Zeidler, Cameron Fitzpatrick. "Psychoneuroimmunology: Enhancing Treatment Efficacy and Reducing Sexual Offender Recidivism In Court-Mandated Treatment". Antioch University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=antioch147609874194315.

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Gantana, Hedren Juliana. "An exploration of the factors that contribute to recidivism in incarcerated sexual offenders". Thesis, University of the Western Cape, 2014. http://hdl.handle.net/11394/3942.

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Magister Artium (Social Work) - MA(SW)
The aim of this study was to explore and describe the factors that contribute to recidivism with incarcerated sexual offenders. A qualitative research approach was used and ten incarcerated recidivist sexual offenders in the prisons were selected through purposive sampling. The researcher used semi-structured interview guides and a voice recorder to conduct as data collection tools during the interviews with the participants. The information gathered was transcribed, translated and analyzed using interpretive analysis.
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Książki na temat "Sexual recidivism"

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Hanson, R. Karl. Dynamic predictors of sexual recidivism. Ottawa: Solicitor General Canada, 1998.

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Hanson, R. Karl. Predictors of sexual offender recidivism: A meta-analysis. [Ottawa]: Solicitor General Canada, Ministry Secretariat, 1996.

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Hanson, R. Karl. Predictors of sexual recidivism: An updated meta-analysis. [Ottawa]: Public Works and Government Services Canada, 2004.

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General, Canada Dept of the Solicitor. The development of a brief actuarial risk scale for sexual offense recidivism. Ottawa: Department of the Solicitor General, 1997.

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Hanson, R. Karl. Age and sexual recidivism: A comparison of rapists and child molesters. [Ottawa]: Solicitor General Canada, 2001.

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Hanson, R. Karl. The accuracy of recidivism risk assessments for sexual offenders: A meta-analysis. [Ottawa]: Public Safety and Emergency Preparedness Canada, 2007.

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Hanson, R. Karl. The development of a brief actuarial risk scale for sexual offense recidivism. [Ottawa]: Solicitor General Canada, 1997.

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Elz, Jutta. Legalbewährung und kriminelle Karrieren von Sexualstraftätern: Sexuelle Missbrauchsdelikte. Wiesbaden: Kriminologische Zentralstelle, 2001.

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Hanson, R. Karl. The validity of Static-99 with older sexual offenders. [Ottawa]: Public Safety and Emergency Preparedness Canada, 2005.

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Hanson, R. Karl. Assessing the risk of sexual offenders on community supervision: The dynamic supervision project. [Ottawa]: Public Safety Canada, 2007.

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Części książek na temat "Sexual recidivism"

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Francis, Brian, i Keith Soothill. "Sexual Recidivism". W Encyclopedia of Criminology and Criminal Justice, 4798–809. New York, NY: Springer New York, 2014. http://dx.doi.org/10.1007/978-1-4614-5690-2_102.

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Sreenivasan, Shoba, i Linda E. Weinberger. "Surgical Castration and Sexual Recidivism Risk". W Sexual Offending, 769–77. New York, NY: Springer New York, 2016. http://dx.doi.org/10.1007/978-1-4939-2416-5_33.

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Cortoni, Franca. "Factors Associated with Sexual Recidivism". W Assessment and Treatment of Sex Offenders, 38–52. Chichester, West Sussex, UK: John Wiley & Sons, Ltd., 2012. http://dx.doi.org/10.1002/9780470714362.ch3.

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Blasko, Brandy L. "Overview of Sexual Offender Typologies, Recidivism, and Treatment". W Sexual Violence, 11–29. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-44504-5_2.

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Arnold, Dale, i Marianne Davis. "Risk Factors and Risk Assessments for Sexual Offense Recidivism". W Sexual Offending, 417–35. New York, NY: Springer New York, 2016. http://dx.doi.org/10.1007/978-1-4939-2416-5_18.

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Helmus, L. Maaike, R. Karl Hanson i Kelly M. Babchishin. "Base Rates of Sexual Recidivism After Controlling for Static-99/R". W Sexual Offending, 457–70. New York, NY: Springer New York, 2016. http://dx.doi.org/10.1007/978-1-4939-2416-5_20.

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Lindsay, William R., i John L. Taylor. "Assessing Recidivism Risk in Sex Offenders with Intellectual Disabilities". W Assessment and Treatment of Sexual Offenders with Intellectual Disabilities, 137–51. Chichester, UK: John Wiley & Sons, Ltd, 2010. http://dx.doi.org/10.1002/9780470665510.ch8.

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Olver, Mark E., i Emily K. Riemer. "Interrelations of Psychopathy, Sexual Violence, and Protective Factors to Recidivism". W Handbook of Anger, Aggression, and Violence, 1–20. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-030-98711-4_29-1.

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Prentky, Robert A., Ann Pimental, Deborah J. Cavanaugh i Sue Righthand. "Predicting Risk of Sexual Recidivism in Juveniles: Predictive Validity of the J-SOAP-II". W Assessment and Treatment of Sex Offenders, 265–90. Chichester, West Sussex, UK: John Wiley & Sons, Ltd., 2012. http://dx.doi.org/10.1002/9780470714362.ch15.

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Winters, Georgia, Cynthia Calkins, Elizabeth Jeglic i Jennifer Schneider. "Recidivism and the Sexually Violent Predator Population". W Sexually Violent Predators: A Clinical Science Handbook, 277–91. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-04696-5_18.

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Streszczenia konferencji na temat "Sexual recidivism"

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Souza, Danielle Farias De, Rafael Boito De Oliveira, Sabrina Favaretto, Lucas Do Prado i Dra Maiara Conzatti. "A IMPORTÂNCIA DA INVESTIGAÇÃO DIAGNÓSTICA FRENTE À SUSPEITA DE LINFOMA: RELATO DE CASO". W II Congresso Brasileiro de Hematologia Clínico-laboratorial On-line. Revista Multidisciplinar em Saúde, 2022. http://dx.doi.org/10.51161/hematoclil/107.

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Introdução: Os linfomas são caracterizados por mais de 90 subtipos de neoplasias linfóides malignas, divididas basicamente entre Linfomas Não Hodgkin e Linfomas de Hodgkin. Cada tipo de linfoma apresenta suas particularidades referentes às manifestações clínicas, resposta terapêutica e prognóstico. Enquanto o Linfoma de Hodgkin apresenta as células Reed-Sternberg, o Linfoma não Hodgkin é originado de mutações em células B, T ou Natural Killers. Dentre os Linfomas não Hodgkin podemos citar o linfoma folicular – de crescimento lento, recidivas frequentes, inicialmente indolente e dificilmente curável, embora a expectativa de vida média dos pacientes se mostre longa. Objetivos: Demonstrar a importância da investigação diagnóstica frente à suspeita de linfoma para garantir o seguimento adequado. Material e métodos: leitura do prontuário virtual do paciente associada à pesquisa bibliográfica nas plataformas “Scielo”, “Pubmed” e “Google Scholar”. Resultados - Relato de caso: paciente masculino, 57 anos, hipertenso e ex-tabagista, vem à consulta com queixa de lesão na virilha há 1 ano, com eventual crescimento. Nega perda de peso, febre, cansaço, fadiga, queixas urinárias e intestinais ou problemas na relação sexual. Refere que pai faleceu com diversas neoplasias, não soube relatar sítio primário. Ao exame físico, identificou-se em região inguinal esquerda nódulo móvel, indolor, de consistência pétrea, não aderido, medindo aproximadamente 4x3 cm. Inicialmente, foram solicitados testes rápidos, exames laboratoriais e ecografia da região com urgência. Em consulta de retorno, o paciente traz testes rápidos não reagentes e resultado de hemograma, plaquetas, creatinina e provas de função hepática normais. A ultrassonografia identificou alterações em linfonodos sugerindo infiltração neoplásica, dessa forma foram solicitadas tomografias de abdomen tórax contrastadas, biopsia de linfonodo inguinal, além de antígeno específico da próstata e desidrogenase láctica. Os exames de imagem demonstraram linfonodomegalias generalizadas, enquanto que os exames de sangue não demonstraram alterações. Paciente foi encaminhado ao oncologista que com auxílio da biópsia identificou um Linfoma Folicular de Baixo Grau. Devido à baixa gravidade foi mantida conduta expectante do caso por ora. Conclusão: a compreensão das possíveis apresentações do Linfoma não Hodgkin, como a relatada no estudo, é fundamental para o melhor manejo possível e orientações adequadas ao paciente e à família.
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da Silva, Priscilla Veiga Pereira, Vera Lúcia Mota da Fonseca, Roberto de Azevedo Antunes i Afranio Coelho-Oliveira. "Tumor ovariano das células da granulosa tipo adulto: relato de caso". W 44° Congresso da SGORJ - XXIII Trocando Ideias. Zeppelini Editorial e Comunicação, 2020. http://dx.doi.org/10.5327/jbg-0368-1416-2020130209.

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Introdução: Os tumores de células da granulosa (TCG) são neoplasias ovarianas malignas raras, porém são as mais frequentes entre as neoplasias estromais do cordão sexual. São responsáveis por 3 a 5% de todas as neoplasias ovarianas. O TCG tipo adulto (TCGA) apresenta maior prevalência no climatério (média de 50 anos). Em razão do hiperestrogenismo causado pelo tumor, os sintomas variam de acordo com a faixa etária. O tratamento e o estadiamento são cirúrgicos. A imuno-histoquímica auxilia na elucidação diagnóstica. Em razão da grande probabilidade de recidiva, é necessário um seguimento a longo prazo. Objetivo: Relatar o caso de uma paciente com TCG acompanhada em hospital público do Rio de Janeiro. Materiais e Métodos: Análise de prontuário e revisão bibliográfica por meio do PubMed. Resultado: Mulher, 59 anos, portadora de HAS, DM tipo 2 e obesidade. Menopausa aos 48 anos, sem terapia de reposição hormonal, GX PIX. Sem histórico familiar de neoplasia. Deu entrada no ambulatório de Ginecologia apresentando sangramento pós-menopausa com duração de até 20 dias, iniciado há 3 anos, em uso de Depoprovera. Exame físico: abdômen globoso, com tumoração irregular, algo móvel, em hipogástrio. Exame especular: discreto sangramento oriundo do orifício externo do colo do útero. Ao toque: útero aumentado, de difícil delimitação e tumor de consistência endurecida ocupando todo o hipogástrio até 4 cm acima da cicatriz umbilical. Realizada curetagem uterina com histopatológico de restos deciduais com necrose. Vídeo-histeroscopia: endométrio hipertrófico de aspecto polipoide não compatível com medicações em uso. Biópsia endometrial: compatível com ciclo anovulatório. Ressonância magnética: volumosa lesão expansiva de contorno lobulado, sólido-cística em topografia anexial bilateral. CA 125: 915. Realizada histerectomia total abdominal, anexectomia bilateral e omentectomia. Visualizada grande quantidade de líquido ascítico e tumor volumoso, irregular, de aspecto maligno em região anexial esquerda. Congelação peroperatória: TCG x Small Cell carcinoma. Histopatológico definitivo: TCGA, com lesão tumoral de 28 cm no maior eixo. Imuno-histoquímica: Ki-67 positivo de 20‒30%, calretinina e inibina positivos. Conclusão: TCGA ovariano. CA 125: 20 no pós-operatório. Após avaliação no serviço de Oncologia, foi orientada a manter seguimento pela Ginecologia. Conclusão: O TCG é um tumor raro. A referida paciente apresentou quadro clássico, com hiperplasia endometrial e sangramento uterino anormal. A imuno-histoquímica foi indispensável para o diagnóstico. Em um hospital público no Rio de Janeiro, no período de 1º de janeiro de 2000 a 28 de novembro de 2018, foram encontrados 2 casos de TCG entre 337 pacientes submetidas à ooforectomia (0,6%). Após uma revisão bibliográfica que mostra a falta de consenso para o seguimento e tratamento de recidivas, é observada a importância de conduta individualizada. Ainda são necessários estudos clínicos randomizados para elaboração de protocolos, o que é dificultado pelo pequeno número de pacientes portadoras dessa enfermidade.
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