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Статті в журналах з теми "Child traumatism"

Автор: Grafiati

Опубліковано: 30 травня 2022

Оновлено: 31 травня 2022

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1

Rasskazova, Valentina N., Pavel F. Kiku, Valeria D. Bogdanova, Maria V. Volkova, Lyudmila M. Palladova, and Anna V. Sukhova. "Actual problems of child traumatism and its prevention." HEALTH CARE OF THE RUSSIAN FEDERATION 66, no. 2 (May 4, 2022): 138–44. http://dx.doi.org/10.47470/0044-197x-2022-66-2-138-144.

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Introduction. The problem of child traumatism injury and its prevention remains relevant both on the territory of the Russian Federation and throughout the world. The purpose of the study - to conduct an analysis of injuries among the children’s population of Primorsky Krai. Material and methods. There were used materials of the Primorsky Regional Medical Information and Analytical Center: “Injuries, poisoning and other consequences of exposure to external causes”, “Information about a medical and preventive institution”, “Information about hospital activities” for 2016-2018. Results. In the Primorsky Territory, the injury rate in children aged 0-17 years was found to be 185.4 per 1000 population of the corresponding age, which is 62.9% higher than the level of the Russian Federation, and 42.6% higher than the level of the Far Eastern Federal District. At the same time, in Primorsky Krai, there was a gain in the level of injuries among the child population for the period 2016-2018 by 2.4%. The indicators of injuries of the child population for external reasons and transport injuries amounted to 134.8 and 48.9 cases per 1000 children, respectively. In the structure of injuries by the nature of injuries, 71.8% were injuries attributed to the “other” section, i.e. not deciphered by official statistics. Fractures of various localization took the second place: fractures of the upper extremities accounted for 14.3%, lower extremities - 6.38%, intracranial injuries - 3.96%. Limitations of the study. The study was conducted on the available data of the official statistical accounting of injury rates of the children’s population of the Primorsky Krai. Conclusion. The problem of child injuries has a high socio-economic significance and is one of the leading problems in the medicine of the Primorsky region, which, in turn, requires the adoption of effective preventive measures aimed at specific risk factors for the development of child injuries, which should be implemented as a result of the interaction of health authorities, regional and municipal authorities.

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2

Мельникова, О., and O. Melnikova. "OPTIMIZED SET OF PRODUCTS FOR PEDODONTIC PROFESSIONAL PROPHYLAXIS." Actual problems in dentistry 9, no. 4 (August 25, 2013): 73–75. http://dx.doi.org/10.18481/2077-7566-2013-0-4-32-37.

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<p>Professional hygiene and prevention for children is considered to be one of the most simple procedures from the point of view of patient’s comfort and one of the most challenging from the point of view of parents motivation. In this article the author views methods and means for quality improvement of prevention procedure, time-saving, traumatism reduction, and psychological aspects from the point of view of a child and parents.</p>

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Guzeva, V. I., V. V. Guzeva, O. V. Guzeva, V. R. Kasumov, I. V. Okhrim, and V. V. Orel. "Clinical manifestations and diagnosis of consequences of traumatic brain injury in children." Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics) 67, no. 1 (April 8, 2022): 89–93. http://dx.doi.org/10.21508/1027-4065-2022-67-1-89-93.

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In Russia, about 140–160 thousand children are hospitalized annually with a diagnosis of childhood traumatism. Half of the surviving children with severe traumatic brain injury become disabled. Purpose. To perform a comparative analysis of clinical and anamnestic data and neurological disorders in children with traumatic brain injury (TBI). Characteristics of children and research methods. The study involved 81 children with TBI of varying severity. Statistical processing of data was carried out using Student’s test and Fisher’s exact method. Results. The study showed that the duration of the period from the moment of TBI to the hospitalization of children due to post-traumatic complications decreases linearly with increasing age at the time of traumatic brain injury. Mild traumatic brain injury was diagnosed in 47 (58.02%) children, moderate-to-severe — in 16 (19.75%) children, severe traumatic brain injury — in 18 (22.22%) children. The EEG study showed the presence of epileptiform and paroxysmal activity in children not only with moderate and severe, but also mild traumatic brain injury. Post-traumatic epilepsy was diagnosed in 28 (46.67%) children, the risk group for developing post-traumatic epilepsy was 19 (31.67%) children. MRI examination of the brain revealed organic changes in 62.07% of children. Conclusion. A special feature in children is the presence of post-traumatic consequences even after a mild traumatic brain injury. The duration of the period before hospitalization due to post-traumatic consequences in children decreases with increasing age at the time of traumatic brain injury. Focal symptoms in children with severe traumatic brain injury were detected significantly more often than in children with mild and moderate traumatic brain injury.

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Myl’nikova, T. A., L. S. Shalygina, M. V. Gusev, O. I. Ivaninskiy, and I. A. Tsytsorina. "Methodic Approaches to Evaluation of Requirements in Traumatologic and Orthopaedic Care to Child Population in Novosibirsk Region." N.N. Priorov Journal of Traumatology and Orthopedics 21, no. 3 (September 15, 2014): 10–14. http://dx.doi.org/10.17816/vto20140310-14.

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High social significance of traumatism in child population (2 nd place by the level of primary morbidity and 8 th one by the causes of disability) determines the priority of traumatologic and orthopaedic service development. Great importance is given to the prognosis of justified requirement in this type of medical care for the short term prospective. Study was performed basing on the analysis of official statistic data on Novosibirsk region for 2005-2012 as well as on the results of expert evaluation of traumatologic and orthopaedic service condition, problems and prospective of development. It is stated that provision of traumatologic and orthopaedic care availability to child population in Novosibirsk region requires 19 additional beds (5 traumatologic and 14 orthopaedic). Requirement in outpatient trauma and orthopaedic surgeons makes up 32 specialists. Complex analysis of traumatologic and orthopaedic service personnel showed the presence of internal potentials for its perfection. Realization of measures on raising the qualification of trauma and orthopaedic surgeons, general surgeons and child surgeons working in the field of pediatric traumatology and orthopaedics will not require additional personnel.

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5

Baindurashvili, Alexei Georgievich, Karina Surenovna Solovyova, and Anna Vladimirovna Zaletina. "TRAUMA AND ORTHOPEDIC MORBIDITY OF CHILDREN IN RUSSIA IN 2013. ORGANIZATION OF SPECIALIZED CARE FOR CHILDREN." Pediatric Traumatology, Orthopaedics and Reconstructive Surgery 2, no. 4 (December 15, 2014): 3–7. http://dx.doi.org/10.17816/ptors243-7.

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The article is a summary of the materials presented at the X Jubilee Congress of Orthopedic and Trauma Surgeons of Russia on September 16, 2014, in Moscow by the director of the FSBI «Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner», corr.-member of RAS Alexey Georgievich Baindurashvili. Statistical data on traumatism and morbidity of the musculoskeletal system of the child population, information on the organization of trauma and orthopedic care for children are based on data from the state statistical reports of the Russian Ministry of Health. These data may be useful to public health officials, and orthopedic and trauma surgeons in subjects of the Russian Federation.

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Strelkov, N. S., V. K. Gasnikov, I. A. Shevyakova, and K. V. Gasnikov. "Dynamics of child traumatism in the Udmurt Republic and the Russian Federation during years of social and economic reforms." Medical almanac, no. 5 (2016): 12–14. http://dx.doi.org/10.21145/2499-9954-2016-12-14.

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7

Pavlova, Natalia. "Use of demonstration means (anatomic dolls) during interrogation of a minor." Naukovyy Visnyk Dnipropetrovs'kogo Derzhavnogo Universytetu Vnutrishnikh Sprav 1, no. 1 (March 30, 2020): 215–20. http://dx.doi.org/10.31733/2078-3566-2020-1-215-220.

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The article deals with the use of demonstration means during the interrogation of minors who are victims of violent crimes, including those committed on sexual grounds. It is noted that in practice it is very difficult to communicate with children affected by violence. First, the child locks himself in and does not want to tell the stranger what happened to her. Secondly, at a young age, a child may not be able to correctly describe an event because of a lack of terminology, especially that of anatomical parts of the body. It is possible to obtain the necessary testimonies from a child without stress and psychological trauma through the use of anatomical dolls, since the child associates himself with the doll and can even show how it has been harmed. That is, by asking a "third party" question, it is better to establish contact between the psychologist or the investigator and the child. Not only children, but also people with certain mental health problems, impaired language and sensory sensations, etc., can better express what has happened to them through demonstration tools. The characteristics of such demonstration means as "anatomical dolls" are highlighted, the principles of their use are outlined, attention is paid to their importance for pre-trial proceedings. A variety of demonstration options are offered, depending on the situation at the interrogation. It is substantiated that it is necessary to conduct the interrogation without unnecessary psychological traumatism in a child-friendly environment in which it will feel safe. The best option is to interview in a "crisis room" that is specifically tailored to handle this category of people, including video conferencing. Tactical and procedural peculiarities of engaging in the interrogation of juvenile victims of violent and sexual crimes, a psychologist, a legal representative and other obligatory participants are explored. Knowing the peculiarities of psychological development at a certain stage of the child's development, it is the psychologist who will help the investigator to give a correct assessment of the testimony of a minor and to formulate questions in terms of pedagogy and psychology.

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8

Becker, J., G. A. Da Silva, and A. Dal Sasso. "Speechless soma: The trauma's language in the psychosomatic." European Psychiatry 33, S1 (March 2016): S388. http://dx.doi.org/10.1016/j.eurpsy.2016.01.1395.

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The study begins by approaching the psychological traumatism concept, recognizing it as an important precipitating of psychosomatic disorders. Based on studies of anthropologists, psychiatrists and psychoanalysts, we present trauma as a consequence of an unexpected event from where is originated intense fear, an abruption, which disorganizes and incapacitates the victim. The Institut Psychosomatique de Paris (IPSO) works with the theory that trauma is an excessive disorganization in the mental apparatus and the psychosomatic disease is the alternative that the body finds to discharge excitation, is an attempt to resolve a conflict. The psychosomatic patient is characterized by difficulty to qualify his affections, it is observed in his super adapted speech and his linear thought, which, together, differ him from neurotic and psychotic patients. Considerations about the child development and the affects qualification are made to introduce the importance of this primitive period, but we pretend to demonstrate that they are not determinants to produce psychosomatic symptoms. When the psychological pain is intense and constant, it provokes a split between mind (psyche) and body (soma) and, in the place of the elaboration and representation about the experience, explodes psychosomatic disorders.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Cronje, Johan Herman, and Makhosonke Julias Vilakazi. "Secondary traumatic stress in police detective officers dealing with complainants of sexual crimes." South African Journal of Psychology 50, no. 4 (May 29, 2020): 520–29. http://dx.doi.org/10.1177/0081246320923819.

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The present study aimed to investigate the relationship between exposure to traumatised complainants and secondary traumatic stress. It also established the occurrence of secondary traumatic stress and the degree to which police detective officers reported secondary traumatic stress symptoms. Data were obtained on 51 police detective officers working in the Family Violence, Child Protection and Sexual Offences unit of the South African Police Service. A quantitative, correlational research design was employed to achieve the aim of the study. The sample was obtained using a combination of convenience and purposive sampling techniques. The majority of police detective officers reported some degree of secondary traumatic stress symptoms as they are frequently exposed to traumatised complainants. No significant statistical relationship was found between exposure to traumatised complainants and secondary traumatic stress. Nonetheless, there was a statistically significant relationship between the type of crime and secondary traumatic stress among the police detective officers in the Family Violence, Child Protection and Sexual Offences unit of the South African Police Service unit. Future research should investigate other pivotal risks and protective factors, such as environmental factors and personal factors that may have an impact on the development of secondary traumatic stress in the police detective officers.

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Maatallah, K., M. Yasmine, H. Ferjani, W. Triki, D. Ben Ncib, D. Kaffel, and W. Hamdi. "AB0744 HOW JUVENILE IDIOPATHIC ARTHRITIS PATIENTS PERCEIVE THEIR ILLNESS?" Annals of the Rheumatic Diseases 80, Suppl 1 (May 19, 2021): 1400.3–1401. http://dx.doi.org/10.1136/annrheumdis-2021-eular.3616.

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Background:Juvenile idiopathic arthritis (JIA) represents the most common inflammatory rheumatism of childhood. Because of a prolonged course of active disease, many patients experience physical and psychosocial limitations. Illness perceptions involve the personal beliefs that patients have about their illness and may influence health behaviors considerably.Objectives:The present study aimed to investigate the illness perception of patients with JIA.Methods:We conducted a cross-sectional study including children with JIA (according to the International League of Associations for Rheumatology (ILAR)). We recorded sociodemographic data and the subtype of the JIA. To assess a child’s perception of how arthritis affects their life, the Brief Illness Perception Questionnaire (IPQ) was completed by the parent (child age ≤10 years) or by the child (age ≥11 years). The Brief IPQ is a nine-item questionnaire rated using a 0-to10 response scale that assesses cognitive illness representations: consequences (Item 1), timeline (Item 2), personal control (Item 3), treatment control (Item 4), and identity (Item 5). Two of the items assess emotional representations: concern (Item 6) and emotions (Item 8). One item assesses illness comprehensibility (Item 7).Results:The study included 22 patients. The mean age was 15 ± 7 years [4-35], and the mean age at diagnosis was 9 ±3 years [3-14]. There was a female predominance (sex ratio= 2.1). The frequency of each JIA subset was at follows: polyarticular with rheumatoid factor (n= 1), polyarticular without rheumatoid factor (n=3), systemic (n= 2), enthesitis-related arthritis (n=9), oligoarthritis (n= 7), undifferentiated (n=1). Non-steroidal anti-inflammatory drugs were prescribed in 72% of cases, and Cs-DMARDs in 59% of patients. The most-reported causal factor in their illness was a history of traumatism (22%). Perceiving symptoms (identity) were significantly related to being affected by the disease (emotional response) (p= 0.01). Conversely, patients who had personal and treatment control expressed less emotional response (r = −0.7, r=-0.2 respectively). Moreover, those who were concerned about the disease perceived more the consequences of their illness (p=0.09) and understood it more (p=0.029). We also noted significant correlations between personal control and treatment control (p = 0.033). A positive correlation was found between identity as well as consequences and timeline (p=0.011, p=0.024), showing that the perception of chronicity was associated with pain and the burden of the disease.Conclusion:Our study highlighted the importance of assessing illness perception in JIA patients. Patient education programs should be implemented since diagnosis for better disease management.Disclosure of Interests:None declared

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11

Thabet, Abdel Aziz, and Panos Vostanis. "Visit to the Gaza Community Mental Health Programme: training in child mental health." Psychiatric Bulletin 23, no. 5 (May 1999): 300–302. http://dx.doi.org/10.1192/pb.23.5.300.

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The high prevalence of post-traumatic and other psychiatric disorders in children and adults who have experienced violence and war-related traumas are well documented by research (Thabet & Vostanis, 1998, 1999). So far, there has been less systematic evaluation of treatment interventions or training programmes for staff working with traumatised individuals in war zones. Training initiatives have recently been described in countries such as Rwanda (Brandon, 1998). This paper describes the work of a community mental health programme in the Gaza strip, particularly through a visit by P. V. to work with the child mental health care staff.

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Deniz Bayrak, Gokcen. "Traumatic avulsion and delayed replantation of maxillary incisors in an eleven-year-old child." Edorium Journal of Dentistry 5, no. 1 (June 30, 2018): 1–7. http://dx.doi.org/10.5348/100032d01gb2018cr.

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Introduction: Management of dental trauma in pediatric patients requires not only immediate intervention but also long-term follow-up regimen. Especially, avulsion of permanent teeth is the most serious injuries of the tooth, and replantation of teeth must be carried out immediately for good prognosis. Case Report: This article describes the treatment of four anterior maxillary permanent incisors of an 11-year-old boy with history of traumatic avulsion and delayed replantation. The avulsed teeth were kept in unclean and dry conditions for 5 h. The root canal treatment was carried out with mineral trioxide aggregate (MTA). After treatment, the patient was referred to the orthodontic department and two of replanted teeth were extracted orthodontically. The remained replanted teeth were stable and functional position during the four-year follow-up. However, one of teeth showed an excessive root resorption on the last radiographic examination.Conclusion: Although the risk of progressive root resorption and ankloysis is high, delayed replantation of avulsed teeth can be a best choice to avoid early tooth loss. To prevent the complications of delayed replantation, MTA might be used for root canal treatment. Thus, the level of alveolar bone can be preserved till the growth is completed.

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Ruffolo, Mary Carmel, Shih-Ya Chang, and Claudia Reyes-Quilodrán. "Un estudio piloto sobre la fatiga por compasión y los peligros entre los profesionales en los sistemas públicos de bienestar infantil y justicia juvenil en Chile y los Estados Unidos." Revista de Trabajo Social, no. 95 (2021): 79–90. http://dx.doi.org/10.7764/rts.95.79-90.

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The pilot study measures compassion fatigue experienced by social workers in the United States and Chile who work in public child welfare and juvenile justice systems. While public child welfare systems differ in legislative and organizational structures in these two countries, the study uncovers what types of compassion fatigue participants experienced and what they saw as supports and organizational practices that increase or decrease levels of compassion fatigue. Qualtrics survey tools were used to deliver an online survey to potential participants in both countries with two instruments: the Professional Quality of Life Scale V version and the Mindful Attention Awareness Scale. The survey also asked open-ended questions for participants to identify supports received from their work sites that address compassion fatigue and challenges in their work environments. Workers in both countries have similar challenges and needs related to addressing compassion fatigue and hazards. The overall compassion fatigue reported by participants in both countries was relatively high and not directly linked to the perceived level of organizational supports in their work settings. One area of difference is that participants in the U.S. experienced significantly more compassion satisfaction than did the participants from Chile. There also was a significant difference in the responses from participants in Chile related to experiencing more secondary traumatic stress than U.S. participants. This study is the first step in working to determine best practices when addressing compassion fatigue and the hazards of working in high demand public child-serving systems. Further research is necessary to further study compassion fatigue among social workers in child welfare systems in both countries.

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Struik, Arianne. "Treating Chronically Traumatised Children with the Sleeping Dogs Method: Don't Let Sleeping Dogs Lie!" Children Australia 42, no. 2 (June 2017): 93–103. http://dx.doi.org/10.1017/cha.2017.13.

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Many traumatised children in Australia do not receive the type of trauma-focused treatment endorsed by international guidelines and, as such, they suffer from the consequences of intergenerational trauma. Even when trauma-focused treatment is available, there is a group of children who are difficult to engage in treatment and do not want to talk about their traumatic memories. Clinicians are often reluctant to address the trauma, for fear of ‘waking up sleeping dogs’. All children deserve a chance to heal from trauma and I believe we, as a society, have a responsibility to provide children with appropriate services and treatment methods to help them achieve this. This article describes the Sleeping Dogs method, a three-phased trauma-focused treatment method, based on a collaborative use of interventions by therapists, child-protection workers, residential staff, school and the child's network. A Six Test Form is used to analyse the possible reasons why the child is unable to talk about his or her traumatic memories, for which interventions are planned. Case examples with children who can be difficult to engage in trauma-focused treatment are used to illustrate interventions. Clinical experiences show the Sleeping Dogs method has been successfully used internationally, as well as remote communities in Australia.

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15

Stanislavchuk, O., O. Gornostaj, N. Slobodianyk, and V. Tokars'ka. "DANGERS MONITORING IN SECONDARY EDUCATION INSTITUTIONS." Bulletin of Lviv State University of Life Safety 20 (January 23, 2020): 64–73. http://dx.doi.org/10.32447/20784643.20.2019.09.

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Creating a safe environment in schools is an extremely important task that requires a lot of attention. Peculiarity of such educational institution is: - availability of premises for various purposes (classrooms, classrooms for such subjects as chemistry and physics, workshops for labor training with tools, materials, sewing machines, sports and assembly hall, dining room, kitchen). - group stay in one building of different children age groups at the same time. - institutions become the venue for various events – fairs, concerts, meetings, sports competitions. The legislation of Ukraine states that all institution employees, as well as students, should be taught the safe be-havior rules. It has been researched that child traumatism makes up about 26% of the total, including 12-16% at school. It is found that not all educational staff have an idea of the potential dangers real number that could endanger both their lives and their health and their students as well. The main causes of school traumatism are: the lack of teacher control over students' behavior during lessons and breaks and poorly organized educational work. Studies of existing risks at the educational process were carried out in several ways: legislation on the education-al process organizing analysis, sociological (questionary of students, their parents, teachers, teachers of inclusive educa-tion, employees of supervisory bodies), statistical (emergencies analysis that occurred in educational countries for the last two years) and other methods. The study compiled a list of the most common dangers that pose or may pose a threat to educational process participants in modern schools. The most common are: - unknown gas, which is distributed at school events or at school premises, so it is necessary to plan evacuation drills in case of unknown gas spraying in premises, or detection of explosive or unknown objects in premises or on school area, as well as in case of danger; - the dangers encountered in the school's courtyards - enhanced protection and access restriction to the educational institutions territory of persons who do not directly participate in the educational process and to develop and dis-seminate to students, pedagogical staff the rules leaflet on dealing with suspicious objects; - fires in school buildings - fire safety inspections before the school year start show that a significant percentage of schools do not meet the requirements. The main violations found while fire safety school detecting are: missing or faulty fire systems; improperly connected hydrants; faulty fire extinguishers; missing or faulty external water supply; arrangement of fire-hazardous stretch ceilings; no lightning rod; combustible bases under concealed wires, sockets and switches,; evacuation routes are not illuminated; no fire protection, no fire safety instructions; lattices are fixed on the windows; the door does not open in the exit direction. All educational process participants should know the procedure and sequence of actions in case of fire: 1. The fire department must be notified by telephone (101), to switch on the notification system, to inform the facility manager or the assistant. 2. Evacuate students and pupils from the building on the alarm signal. Evacuation should be performed accord-ing to the developed evacuation scenario in different cases (the event happened during the lesson, during a break, while staying with children in the cafeteria, during events in the assembly hall, at night - for institutions with round-the-clock stay of children, etc.). 3. All puipils evacuated from the building are checked according to the available in groups or classes list (log-book) by name. 4. In the daytime, pupils, groups (classes) are accommodated in the building (on the specified address). At night, they are evacuated to the building (note address). Therefore, knowing the simplest security rules will help to reduce the level of danger at an institution. The need is to create a risk management system that will allow: successfully deal with the risks of different origins and their consequences; take into account the specifics of each situation; ensure adequate powers and responsibilities allocation; respond promptly to changing conditions; optimally apply the necessary resources to reduce risk; eliminate the negative effects of adverse situations and events with minimal resources and in the shortest possible time.

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Kaya, Ural, Huriye Akay, Engin Deniz Arslan, Meral Günaydn, Fatih Büyükcam, and Mesut Tez. "Traumatic Pneumorrhachis in a Child." Pediatric Emergency Care 26, no. 11 (November 2010): 852–53. http://dx.doi.org/10.1097/pec.0b013e3181fb0e8f.

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17

Fairbank, John A., and Doreen W. Fairbank. "Epidemiology of child traumatic stress." Current Psychiatry Reports 11, no. 4 (July 21, 2009): 289–95. http://dx.doi.org/10.1007/s11920-009-0042-9.

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Jaye Capretto, Jessica. "Developmental Timing of Childhood Physical and Sexual Maltreatment Predicts Adult Depression and Post-Traumatic Stress Symptoms." Journal of Interpersonal Violence 35, no. 13-14 (April 20, 2017): 2558–82. http://dx.doi.org/10.1177/0886260517704963.

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Child physical and sexual maltreatment have emerged as documented risk factors for a wide range of health problems in adulthood, including depression and post-traumatic stress symptoms. Prior research focuses on generalized childhood adversities without accounting for how different critical details about the maltreatment may affect outcomes in adulthood. The present study examines the impact of two critical details, timing and type of child maltreatment, on depression and post-traumatic stress symptoms in adulthood. Participants ( N = 104) completed the Maltreatment and Abuse Chronology of Exposure scale (MACE) and the Inventory of Depression and Anxiety Scale–Second Version (IDAS-II). Hierarchical multiple regressions compared three different models of child maltreatment predictors and their differential utility for predicting depression and post-traumatic stress symptoms in adulthood: (a) number of child maltreatment experiences, (b) severity of child maltreatment, and (c) timing of child maltreatment. Results indicate that severity of child maltreatment and timing of child maltreatment are greater predictors for adult depression and post-traumatic stress symptoms than number of child maltreatment experiences. Compared with other developmental periods, early childhood sexual maltreatment experiences (5 years of age and below) and late childhood physical maltreatment experiences (13 years of age and above) were stronger predictors of adult depression and post-traumatic stress symptoms. Children maltreated during these age groups may be prioritized for prevention and intervention efforts, particularly when there are limited resources. Clinical interviews with maltreated children should also be expanded to include information about developmental timing and severity of maltreatment, which have ramifications for later health problems. Implications for assessment of maltreated children, prevention of adult depression and post-traumatic stress symptoms, and future research directions are discussed.

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Kataoka, Mayumi, and Daisuke Nishi. "Association between Work-Related Trauma Exposure and Posttraumatic Stress Symptoms among Child Welfare Workers in Japan: A Cross-Sectional Study." International Journal of Environmental Research and Public Health 18, no. 7 (March 29, 2021): 3541. http://dx.doi.org/10.3390/ijerph18073541.

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Child welfare workers often experience work-related traumatic events and may be at risk of post-traumatic stress disorder (PTSD), which can hinder early interventions for child abuse. This study examined the association between each single work-related traumatic event experienced by child welfare workers and the cumulative number of traumatic event types with PTSD symptoms. A checklist of traumatic events was used to investigate work-related traumatic events. The PTSD checklist for DSM-5 (PCL-5) was used to screen for PTSD symptoms. Two multivariate analyses were performed. A total of 140 workers were included in the analyses. In the first multivariate analysis, the event, “Witnessed a parent violently beating, hitting, kicking, or otherwise injuring a child or the other parent during work” (β = 11.96; 95% CI, 2.11–21.80; p < 0.05) and resilience (β = −0.60; 95% CI, −0.84 to −0.36; p < 0.01) were significantly associated with PTSD symptoms, as was resilience in the second multivariate analysis (β = −0.60; 95% CI, −0.84 to −0.36; p < 0.01). The association between the cumulative number of event types and PTSD symptoms was not significant, but it was stronger when the cumulative number was four or more. The findings suggest the importance of reducing child welfare worker exposure to traumatic events.

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Sanabe, Mariane Emi, Lícia Bezerra Cavalcante, Cármen Regina Coldebella, and Fabio Cesar B. de Abreu-e-Lima. "Urgências em traumatismos dentários: classificação, características e procedimentos." Revista Paulista de Pediatria 27, no. 4 (December 2009): 447–51. http://dx.doi.org/10.1590/s0103-05822009000400015.

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OBJETIVO: Discutir os aspectos das urgências odontológicas relacionadas aos traumatismos dentários, disponibilizando mais informações para médicos pediatras ou plantonistas de serviços de atendimento de urgências e emergências. FONTES DE DADOS: O levantamento dos dados foi realizado na base de dados Pubmed e Bireme, selecionando os artigos dos últimos 13 anos. As palavras-chave utilizadas foram: traumatismo dentário, dente decíduo e dente permanente. Os critérios de inclusão utilizados foram: artigos em inglês e português sobre incidência, prevalência e etiologia, guias de procedimentos e casos clínicos apenas de traumatismo dentário, sendo excluídos artigos de clareamento de dentes traumatizados, traumas faciais ósseos e casos clínicos de acompanhamento reduzido. SÍNTESE DOS DADOS: Os dados foram descritos de forma concisa para se tornar um guia de fácil leitura e rápido acesso em relação à conduta, necessidade de atendimento imediato e correta escolha de soluções para armazenagem dos dentes e fragmentos. CONCLUSÕES: O conhecimento sobre o assunto, a agilidade no tratamento de urgência e o correto encaminhamento do paciente proporcionam melhor prognóstico.

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Ng’umbi, Yunusy Castory. "Betwixt and Between: Negotiating Parental Abandonment and Family Life in Sade Adeniran’s Imagine this." Utafiti 13, no. 2 (March 18, 2018): 154–72. http://dx.doi.org/10.1163/26836408-01302009.

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Using African feminist and post-colonial theories, this paper examines the representation of the institution of family in Sade Adeniran’s Imagine This, in order to explore the character’s creation of a third space – one that is ambivalent and traumatic – in her context of divorce and family abandonment. As depicted in the narrative, a major reason behind such family tragedies is an overlap between patriarchy and the postcolonial state. Thus, through the protagonist’s troubled identity and traumatic experience due to her family’s dynamics, the narrative questions the role of a child in reconnecting fragmented family bonds. This heroine’s traumatised hatred of her culture and of the institution of motherhood raises questions about the future of African feminism. If this ideology marginalises culture and renders motherhood as an institution no longer centrally important to contemporary African women, then it requires critical engagement. I explore how the literary genre inspired by African feminism enters established socio-cultural spaces critically and interrogates family dynamics ruthlessly. And I query whether it offers any solutions to the dilemmas of women that are uncovered and illuminated thereby. I will argue that the child protagonist in this narrative is presented not merely as a victim of circumstance – existing as she does betwixt and between family identities that are simultaneously familiar and strange – she is also depicted as attempting valiantly to reconnect the fragmented family bonds.

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Vambe, Maurice Taonezvi. "WITNESS AND ARCHIVE: TRAUMATIC EXPERIENCES OF A CHILD SOLDIER IN WARCHILD: A CHILD SOLDIERâ€™S STORY." Commonwealth Youth and Development 12, no. 1 (September 26, 2016): 101–21. http://dx.doi.org/10.25159/1727-7140/1611.

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The memoir, WARCHILD: A child soldierâ€™s story (Jal 2009), though written several years after the author-narratorâ€™s experience, claims its authority from the child soldierâ€™s forced participation in a war of persecution that is narratively reworked in the childâ€™s imagination as a war of the liberation of South Sudan. This article aims to explore what happens to historical fact when the narrative shifts from the testimony of a child witness to the narrative archived in the form of memoir. Agamben (1999) seeks to explain this lacuna and his idea of the aporia at the core of narrative of testimony in memoir is useful in revealing how in a written account of the self, â€˜reality exceeds its factual elementsâ€™. Young (1988, 23) amplifies the paradox of â€˜factual testimonyâ€™, such as memoir, and indicates that this genre cannot achieve the â€˜convincing factual authorityâ€™ that it wishes to establish because of the ever present â€˜anxieties of displacement of events by their own textsâ€™. Thus, the trauma experienced by the child soldier is a result of â€˜double dyingâ€™ (Rosenfeld 1980) as he witnesses the actual physical dying and death of fellow child soldiers, as much as the death of an authentic account of self in war, produced when fictional metaphors threaten to obliterate raw experience. The article argues that metaphorâ€™s propensity to usurp historical fact is the basis upon which the narrative of the child soldierâ€™s trauma becomes the condition of possibility of remembering and recording both historical facts and the meaning of desecration and liberation.

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23

Roberts, Celia. "Psychology, Evolution and the Traumatised Child." Australian Feminist Studies 30, no. 86 (October 2, 2015): 377–85. http://dx.doi.org/10.1080/08164649.2016.1148098.

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24

Angerpointner, Thomas A. "Post-traumatic duodenopancreatectomy in a child." Journal of Pediatric Surgery 40, no. 3 (March 2005): 602–3. http://dx.doi.org/10.1016/j.jpedsurg.2004.11.055.

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25

McGoff, John P., and Edward A. Ramoska. "Traumatic hip dislocation in a child." Annals of Emergency Medicine 16, no. 1 (January 1987): 108–10. http://dx.doi.org/10.1016/s0196-0644(87)80298-6.

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26

WANG, Jun, Xiao-Juan SHI, Dan-dan LUO, and Bing-pei SHI. "Alacrimia after child traumatic brain injury." World Journal of Acupuncture - Moxibustion 28, no. 4 (December 2018): 306–8. http://dx.doi.org/10.1016/j.wjam.2019.01.002.

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27

NISHIYAMA, Shin-ichi, Terutoshi NAKAO, Nobuki MATSUNAMI, and Masanori KITAOKA. "TRAUMATIC DUODENOJEJUNAL INJURY IN A CHILD." Journal of the Japanese Practical Surgeon Society 53, no. 8 (1992): 1891–96. http://dx.doi.org/10.3919/ringe1963.53.1891.

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28

RAMOS, RUTH TRAMONTANI, THIAGO MOREIRA PESSOA, T. TEIXEIRA SOUZA, MARÍLIA HEFFER CANTISANO, BRUNA LAVINAS SAYED PICCIANI, FÁBIO RAMOA PIRES, and GERALDO OLIVEIRA SILVA JÚNIOR. "Oral Traumatic Neuroma in a Child." Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology 120, no. 2 (August 2015): e51. http://dx.doi.org/10.1016/j.oooo.2015.02.209.

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29

Salman, F. T., A. Emre, L. Abbasoğlu, and Ş. Carıllı. "Post-Traumatic Duodenopancreatectomy in a Child." European Journal of Pediatric Surgery 14, no. 4 (August 2004): 287–89. http://dx.doi.org/10.1055/s-2004-815877.

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30

Fritz, Gregory K. "The National Child Traumatic Stress Network." Brown University Child and Adolescent Behavior Letter 33, no. 9 (August 22, 2017): 8. http://dx.doi.org/10.1002/cbl.30241.

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31

Valusek, Patricia A., Kuojen Tsao, and Daniel J. Ostlie. "Traumatic Lumbar Hernia in a Child." Journal of Trauma: Injury, Infection, and Critical Care 67, no. 4 (October 2009): E102—E103. http://dx.doi.org/10.1097/ta.0b013e31803428e6.

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32

Nadour, K., B. Hemmaoui, I. En-Nafaa, and B. Bouaity. "Traumatic tracheal injury in a child." European Annals of Otorhinolaryngology, Head and Neck Diseases 133, no. 3 (June 2016): 223–24. http://dx.doi.org/10.1016/j.anorl.2015.08.029.

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33

Reda, E. F., and R. L. Lebowitz. "Traumatic ureteropelvic disruption in the child." Pediatric Radiology 16, no. 2 (February 1986): 164–66. http://dx.doi.org/10.1007/bf02386647.

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34

Nishiyama, Tomoki, and Kazuo Hanaoka. "A traumatic asphyxia in a child." Canadian Journal of Anesthesia/Journal canadien d'anesthésie 47, no. 11 (November 2000): 1099–102. http://dx.doi.org/10.1007/bf03027962.

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35

Thamri, Fatma, Senda Houidi, Arije Zouaoui, Bochra Aziza, Yasmine Houas, Yosra Kerkeni, Sondes Sahli, and Riadh Jouini. "Traumatic Spigelian hernia in a child." Journal of Pediatric Surgery Case Reports 75 (December 2021): 102099. http://dx.doi.org/10.1016/j.epsc.2021.102099.

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36

Harding, Alison Mathews, and Joe H. Camp. "TRAUMATIC INJURIES IN THE PRESCHOOL CHILD." Dental Clinics of North America 39, no. 4 (October 1995): 817–35. http://dx.doi.org/10.1016/s0011-8532(22)00624-3.

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37

Cheung, N. K., A. James, and R. Kumar. "Large Traumatic Pneumatocele in a 2-Year-Old Child." Case Reports in Pediatrics 2013 (2013): 1–3. http://dx.doi.org/10.1155/2013/940189.

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Traumatic pneumatoceles are a rare complication of blunt chest trauma in children. Although they characteristically present as small, regular shaped lesions which can be safely treated nonoperatively, larger traumatic pneumatoceles pose diagnostic and management difficulties for clinicians. This case study reports one of the largest traumatic pneumatoceles reported to date in the paediatric population, which resulted in aggressive surgical intervention for both diagnostic and treatment reasons. This case adds further evidence to the current literature that significantly large traumatic pneumatoceles with failure of initial conservative management warrant surgical exploration and management to optimise recovery and prevent complications.

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38

Miragoli, Sarah, Paola Di Blasio, and Rossella Procaccia. "Un'analisi del contenuto della testimonianza infantile." MALTRATTAMENTO E ABUSO ALL'INFANZIA, no. 3 (September 2009): 83–97. http://dx.doi.org/10.3280/mal2009-003008.

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- The purpose of the present study was to examine the effects of children's age and the level of stress of sexual abuse experience (relied with seriousness of abusive action, duration of abuse, number of perpetrators, PTSD) on the quality of depositions. Trascripts of 80 depositions of victims of sexual abuse (aged 4-17 years) was analyzed by specifically constructed codification of content. Results of multiple regression analyses indicate that children's age and level of stress predict differently some aspects of content of testimony. Age predicts gustatory perceptions, sense of estrangement and self-reflective abilities; level of stress predicts the aspects relied with temporal markers and actions. Key words: testimony, traumatic narrative, child sexual abuse, age differences.Parole chiave: testimonianza, narrazione traumatica, abuso sessuale, differenze di etŕ.Parole chiave: violenza all'infanzia, attaccamento, comportamenti di internalizzazione ed esternalizzazione, mediatori.

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39

Oates, Fiona. "You are not allowed to tell: organisational culture as a barrier for child protection workers seeking assistance for traumatic stress symptomology." Children Australia 44, no. 02 (May 2, 2019): 84–90. http://dx.doi.org/10.1017/cha.2019.12.

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AbstractChild protection work is one of the most difficult and complex areas of human services practice. Working within a trauma-laden environment often means that practitioner susceptibility to trauma-related mental health issues is an occupational hazard. However, many practitioners are reluctant to seek support when they start to experience symptoms of traumatic stress. This paper considers current literature relating to child protection workers’ exposure to work-related traumatic material, resulting traumatic stress symptomology and organisational responses to practitioner distress. Results from a recent doctoral study that explores the experiences of child protection practitioners based in Queensland will be presented. Findings from the study were derived from qualitative in-depth, semi-structured interviews. The study findings indicate that the organisational culture within statutory child protection agencies creates an environment where practitioners are labelled as incompetent or not suitable for child protection work when they disclose experiencing symptoms of traumatic stress. The experience of bullying and retribution by supervisors and colleagues and the fear of rejection by the workgroup were also found to be significant barriers for workers seeking support.

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40

Lazic, Ljubinka. "Domestic violence as a risk factor for the occurrence and development of behavioural disorders in children." Temida 24, no. 2 (2021): 201–16. http://dx.doi.org/10.2298/tem2102201l.

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Exposure to a traumatic event such as domestic violence has many negative consequences. The subject of this paper is the behaviour disorder of children as a consequence of domestic violence as a risk factor. The paper is based on a case study of the centre for social work. The case of domestic violence, identified consequences and actions undertaken by the center has been analysed. Along with a brief overview of the etiological explanation, the paper gives an overview of the connection between victimization of a child by domestic violence and the manifested behavioural disorder of a chuld. This is done on a concrete example of a family in which violence is present, which is witnessed by the child who shows behavioural disorder. The nalysis indicates violence as a risk factor for juvenile behaviour disorder and delinquency. Therefore, importance of a comprehensive approach within social protection and education systems to children with behavioural disorders is pointed out.

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41

Özkaçmaz, Sercan. "Imaging quiz: A child with multiple trauma." Hong Kong Journal of Emergency Medicine 26, no. 1 (September 7, 2018): 67–69. http://dx.doi.org/10.1177/1024907918799952.

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Splenic and renal infarctions are embolic conditions which usually occur secondary to cardiac problems, thromboembolic systemic diseases, and infectious conditions such as sepsis. Trauma is a relatively rare cause of visceral infarctions. Traumatic segmental renal infarction associated with total splenic infarction is extremely rare. For detecting these visceral infarctions, contrast-enhanced computed tomography is essential, and a very careful examination is required for detecting very small infarctions and excluding total visceral infarctions. In isolated splenic or renal infarctions secondary to trauma, the common contrast-enhanced computed tomography findings are wedge-shaped or segmental hypodense areas in kidneys or spleen and rarely total visceral infarctions. Usually, intraperitoneal or retroperitoneal fluid collection which corresponds to bleeding from kidney or spleen is not seen in such cases. Also, the lack of evidence of active extravasation from renal/splenic arteries and pseudoaneurysm or dissection is an important finding of isolated traumatic splenic or renal infarctions. Because total infarctions can be misinterpreted in some cases, differences in density between intra-abdominal organs allowed by computed tomography must be carefully examined. Intestinal infarctions, the other abdominal injuries, pulmonary injuries, and pelvic or thoracic bone fractures usually accompany traumatic renal or splenic infarctions. In this report, we present contrast-enhanced computed tomography findings of a multitrauma pediatric case of traumatic total splenic and bilateral segmental renal infarction by reviewing the literature.

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42

Litvinenko, Irina, and Svitlana Makusheva. "Some questions about the child`s experience of loss crisis (death of the parents – the mother) of primary school age." Scientific Visnyk V.O. Sukhomlynskyi Mykolaiv National University. Psychological Sciences, no. 1(20) (2020): 22–28. http://dx.doi.org/10.33310/2078-2128-2020-20-1-22-28.

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The article is related to the theoretical analysis of a child of primary school age who is experiencing a crisis of loss, namely the death of a loved one (one of the parents - the mother). The concepts of «grief», «loss crisis», «psychotrauma» and «post-traumatic stress disorder» were also analyzed. We also touched upon the issue of the type of loss crisis during the analysis. Primary school children have a specific emotional sphere for their development - we have considered this issue in more detail in a scientific article. The main reactions of the child to the loss of a loved one are also described. The death of a loved one has a certain individual imprint on the life of any person or child. Therefore, the impact of the death of a loved one on the present and future of the child was considered. Too often, relatives or guardians living with a child misbehave with a younger student, which also affects the child’s emotional state and has a significant impact on his or her personal development. In our work, this problem was also considered as the main cause of the development of a child of primary school age not only depression but also post-traumatic stress disorder, which is a serious intervention for the already vulnerable psyche of the child. Post-traumatic stress disorder (PTSD) in children of primary school age who survived the death of one of the parents – the mother – is considered. The article emphasizes that the emotional sphere in children and adolescents is particularly reactive, so mental trauma (loss crisis) affects them more than adults. However, it is necessary to take into account the smaller depth of feelings, the rapid change of mood in children, due to which psychogenic reactions in them are shorter. We also considered in the article the reasons for the development of post-traumatic stress disorder in children of primary school age. The scientific article considered post-traumatic stress disorder at the emotional, cognitive and behavioral levels in a child of primary school age who has lost a loved one. The article examines children of primary school age with post-traumatic stress disorder who have lost a loved one – the mother, the presence of a negative emotional state (malaise, low activity and poor depressed mood) and the results were confirmed by statistical processing.

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43

Overbeek, Mathilde, Nina Koren-Karie, Adi Ben-Haim, J. de Schipper, Patricia Dreier Gligoor, and Carlo Schuengel. "Trauma Exposure in Relation to the Content of Mother-Child Emotional Conversations and Quality of Interaction." International Journal of Environmental Research and Public Health 16, no. 5 (March 5, 2019): 805. http://dx.doi.org/10.3390/ijerph16050805.

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Parent-child conversations contribute to understanding and regulating children’s emotions. Similarities and differences in discussed topics, quality of interaction and coherence/elaboration in mother-child conversations about emotional experiences of the child were studied in dyads who had been exposed to interpersonal trauma (N = 213) and non-trauma-exposed dyads (N = 86). Results showed that in conversations about negative emotions, trauma-exposed children more often discussed trauma topics and focused less on relationship topics than non-trauma-exposed children. Trauma-exposed dyads found it more difficult to come up with a story. The most common topics chosen by dyads to discuss for each emotion were mostly similar between trauma-exposed dyads and non-trauma-exposed dyads. Dyads exposed to interpersonal traumatic events showed lower quality of interaction and less coherence/elaboration than dyads who had not experienced traumatic events. Discussion of traumatic topics was associated with lower quality of mother-child interaction and less coherent dialogues. In conclusion, the effect of the trauma is seen at several levels in mother-child interaction: topics, behavior and coherence. A focus on support in developing a secure relationship after trauma may be important for intervention.

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44

Baita, Sandra. "Environmental Safety: The Starting Point in the Treatment of Children with Dissociation." Frontiers in the Psychotherapy of Trauma and Dissociation 4, no. 1 (2020): 93–104. http://dx.doi.org/10.46716/ftpd.2020.0036.

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Lack of safety in the world surrounding the child is a major roadblock for the treatment of complex post-traumatic sequelae and dissociative manifestations. Unfortunately, this is a common situation in cases involving a parent being abusive towards the child—either sexually or physically— when the alleged offending parent is allowed and even encouraged to have contact with the child. Through the case of Ann, readers will follow the many pitfalls faced in the treatment of the traumatic consequences of the sexual abuse she suffered, until environmental safety was achieved. The role of the Justice system will also be discussed.

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45

Stuber, Margaret L., Stephanie Schneider, Nancy Kassam-Adams, Anne E. Kazak, and Glenn Saxe. "The Medical Traumatic Stress Toolkit." CNS Spectrums 11, no. 2 (February 2006): 137–42. http://dx.doi.org/10.1017/s1092852900010671.

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AbstractChildren and their parents who are exposed to medical life-threat due to illness or injury are at risk for developing symptoms of posttraumatic stress. However, the prevention, detection, and treatment needed are often not available in the acute care settings of the hospital. The National Child Traumatic Stress Network and the Substance Abuse and Mental Health Services Administration have created a set of materials for use by hospital health providers and families that is available for download free from the National Child Traumatic Stress Network website, www.nctsn.org.

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46

Sinclair, Barbara B., and Steven R. Gold. "The Psychological Impact of Withholding Disclosure of Child Sexual Abuse." Violence and Victims 12, no. 2 (January 1997): 137–45. http://dx.doi.org/10.1891/0886-6708.12.2.137.

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Researchers have found equivocal results with respect to whether the disclosure of child sexual abuse is helpful or not. The threat of harm as well as the possibility of being humiliated, not believed, or blamed, render the disclosure of child sexual abuse difficult for some victims. Suppressing of traumatic events has been linked to negative health effects. The current study investigated the relationship between the inability to fully disclose the abuse and subsequent traumatic symptomatology. Questionnaires including the Trauma Symptom Checklist 40, the Child Sexual Experiences Questionnaire, and the Parental Support Scale were completed by 204 victims of child sexual abuse. Multiple regression analyses were performed using traumatic symptomatology as the dependent variable. The extent to which a victim wanted to tell about the abuse but held back from doing so and the severity of the abuse were related to adult symptomatology. Findings suggest that victims enduring more severe abuse are more likely to hold back from fully disclosing the abuse which is associated with more trauma-related symptoms.

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47

Kishore, Arvind, Kanika Sharma, Piyush Kalakoti, Puneet Jaiswal, and Sanjeev Gambhir. "Traumatic posterior hip dislocation in a child." International Journal of Students� Research 4, no. 2 (2014): 52. http://dx.doi.org/10.4103/2230-7095.149779.

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48

Agrawal, Amit, Amit Mittal, GB Kohali, Sunil Sampley, and Satendra Singh. "Extensive traumatic thalamic contusions in a child." Asian Journal of Neurosurgery 12, no. 1 (2017): 151. http://dx.doi.org/10.4103/1793-5482.145107.

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49

Morrison, R. "Child abuse and post traumatic stress disorder." British Homoeopathic journal 83, no. 3 (July 1994): 175–76. http://dx.doi.org/10.1016/s0007-0785(05)80871-3.

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50

KWON, Taek-Hyun, Hoon JOY, Youn-Kwan PARK, and Hung-Seob CHUNG. "Traumatic Retroclival Epidural Hematoma in a Child." Neurologia medico-chirurgica 48, no. 8 (2008): 347–50. http://dx.doi.org/10.2176/nmc.48.347.

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