Instinctual Stimulation of Children. From Common Practice to Child Abuse, Vol. 1: Clinical Findings, Vol. 2: Clinical Cases.

1991 ◽  
Vol 36 (7) ◽  
pp. 642-642
Author(s):  
No authorship indicated
Keyword(s):  
Child Abuse ◽  
Clinical Findings ◽  
Stimulation Of ◽  
Clinical Cases

scholarly journals Child Abuse or Bleeding Disorder—An Interdisciplinary Approach

2019 ◽  
Vol 39 (01) ◽  
pp. 028-035
Author(s):  
Werner Streif ◽  
Irmina Watzer-Herberth ◽  
Gabriele Hahn ◽  
Uwe Schmidt ◽  
Ralf Knöfler
Keyword(s):  
Child Abuse ◽  
Child Protection ◽  
Bone Fractures ◽  
Critical Evaluation ◽  
Interdisciplinary Approach ◽  
Clinical Findings ◽  
Bleeding Disorder ◽  
Coagulation Disorder ◽  
Bleeding Tendency ◽  
Concomitant Injuries

AbstractChildren with an unexplained bleeding tendency are frequently referred to a haemostaseologist for further evaluation. Careful standardized history taking and clinical evaluation should allow for distinguishing bleeds after minor injury and trauma which are very common in all children. However, in two groups of children bleeding symptoms may be more significant than expected: those with an underlying coagulation disorder and those who have been subjected to physical child abuse. The coexistence of child abuse and a bleeding disorder must always be considered. An extended coagulation diagnostic is required if the morphology of bleedings is not clearly suspicious for child abuse and in the absence of typical concomitant injuries, e.g., bone fractures. An interdisciplinary approach involving a forensic pathologist and a paediatric haemostaseologist for assessment of bleeding symptoms, the explanation of the clinical findings, and the critical evaluation of laboratory results are essential in such cases. This review is focussed on symptoms in accidental and nonaccidental injuries in children assisting haemostaseologists in decision making in cases of child protection issues.

scholarly journals Erythema Dyschromicum Perstans: Identical to Ashy Dermatosis or Not

2015 ◽  
Vol 7 (2) ◽  
pp. 146-150 ◽  
Author(s):  
Takafumi Numata ◽  
Kazutoshi Harada ◽  
Ryoji Tsuboi ◽  
Yoshihiko Mitsuhashi
Keyword(s):  
African American ◽  
Recent Literature ◽  
Clinical Course ◽  
Skin Lesions ◽  
Clinical Findings ◽  
Typical Case ◽  
Unknown Etiology ◽  
Clinical Classification ◽  
Pigmentary Disorders ◽  
Clinical Cases

Erythema dyschromicum perstans (EDP) and ashy dermatosis (AD) are pigmentary disorders of unknown etiology. EDP is usually considered to be identical to AD; however, a new clinical classification for EDP was proposed in the recent literature. Herein, we report a typical case of EDP observed in an African-American man. Interestingly, the late skin lesions in this case fit the criteria of AD as well. While there appear to be a few clinical cases that can be diagnosed as both EDP and AD based on the clinical course, the preponderance of the evidence in the published reports of EDP and AD and the clinical findings reported here strongly suggest that they are two distinct entities in terms of the extent of the inflammation, albeit on the same spectrum of pigment disorders.

scholarly journals Acute and chronic nervous signs in cattle associated with Phalaris angusta poisoning in Argentina

2010 ◽  
Vol 30 (1) ◽  
pp. 63-66 ◽  
Author(s):  
Germán Cantón ◽  
Carlos Campero ◽  
Matías Villa ◽  
Ernesto Odriozola
Keyword(s):  
Axonal Degeneration ◽  
Buenos Aires ◽  
Clinical Findings ◽  
Buenos Aires Province ◽  
South American ◽  
First Report ◽  
Natural Grass ◽  
Pigment Deposition ◽  
Affected Calf ◽  
Clinical Cases

Phalaris angusta is a South American natural grass that produces poisoning in sheep and cattle in Argentina and Brazil. Phalaris spp. can produce unrelated forms of poisoning in ruminants, acute and chronic syndromes. The objective of this paper was to describe an outbreak of acute and chronic Phalaris nervous syndrome in 53 of 980 fattening steers and heifers in a farm of Buenos Aires province. On September of 2006 the animals developed nervous signs and died after 3-5 days. The herd was removed to a phalarisfree pasture. Three months later (on December) 15 new clinical cases developed in the herd. Necropsy performed in one affected calf showed neither grossly nor microscopic changes. Microscopically, there were no major alterations in tissues. Nervous signs had been described in some field cases where neither pigment deposition nor axonal degeneration could be detected. Clinical findings displayed by affected cattle after consumption of Phalaris angusta pastures resemble those observed by other authors in Phalaris staggers. This is the first report in Argentina where both syndromes were seen in the same herd.

scholarly journals Extracorporeal magnetic stimulation of the pelvic floor neuromuscular system in urological practice

2021 ◽  
Vol 18 (4) ◽  
pp. 264-276
Author(s):  
Dmitry Yu. Pushkar ◽  
Alexander G. Kulikov ◽  
Gevorg R. Kasyan ◽  
Yuriy A. Kupriyanov ◽  
Viktoriya V. Romikh ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Clinical Application ◽  
Magnetic Stimulation ◽  
Scientific Data ◽  
Neuromuscular System ◽  
Historical Aspects ◽  
Urological Diseases ◽  
Stimulation Of ◽  
Clinical Cases

This study aimed to systematize data on the possibility of using extracorporeal magnetic stimulation of the pelvic floor neuromuscular system in urological practice. Materials and methods. Based on the available scientific data and our own clinical cases, information regarding the use of extracorporeal magnetic stimulation in the treatment of urological diseases has been summarized. The historical aspects of the application of magnetic stimulation are presented, along with the physical and biological essence of the method, and indications and contraindications to the procedures. The principles of prescribing extracorporeal magnetic stimulation of the pelvic floor neuromuscular system have also been described in detail, and international and Russian data concerning the clinical application of this method in urological practice have been summarized.

scholarly journals A Review on Medical Child Abuse and Child Protection

2021 ◽  
Vol 63 (3) ◽  
Author(s):  
Mustafa Hussein Ajlan Al-Jarshawi ◽  
Ahmed Al-Imam
Keyword(s):  
Child Abuse ◽  
Child Protection ◽  
Clinical Findings ◽  
Clinical Presentations ◽  
Medical Child Abuse ◽  
Three Stages ◽  
The Mean ◽  
One Year ◽  
The Uk ◽  
High Index Of Suspicion

Background Medical child abuse describes a child receiving unnecessary, harmful, or potentially harmful medical care at the caretaker's instigation. Objectives To focus on medical child abuse as an entity and emphasize its epidemiology, clinical presentations, prevention, and management. Results In the UK, the annual incidence of medical child abuse in children below one year increased to 3:100,000, while its prevalence in Arabs, including Iraq, is ambiguous due to lack of evidence and improper clinician's awareness. The mean age at diagnosis is 14 months to 2.7 years. Female caregivers are the most common offenders. Clinically, medical child abuse could fit into three stages; falsification of illness story, falsification of illness story and physical signs' fabrication, or induction of illness in children. A successful diagnosis mandates a comprehensive review of medical records to identify discrepancies between caregivers' stories versus clinical findings or investigations. Management requires recognizing abuse, halting it, securing the child's safety, maintaining the family's integrity when possible, and aborting unnecessary lateral referrals within the healthcare system. Conclusion Reported cases of medical child abuse are increasing steadily, while less severe ones go unrecognized. No diagnostic tool can help other than the physician's high index of suspicion. The management follows the same principles applied for other forms of child abuse, while good medical practice ensures its prevention.

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