Ohio protocol for sexual assault forensic and medical examination 2002: A five-year follow-up evaluation with recommendations for the future

2002 ◽  
Keyword(s):  
Sexual Assault ◽  
Medical Examination ◽  
The Future

Instruction Helps and Hinders Young Children’s Feature Learning

2018 ◽  
Author(s):  
Charles Kalish ◽  
Nigel Noll
Keyword(s):  
Young Children ◽  
Feature Learning ◽  
Irrelevant Information ◽  
Diagnostic Feature ◽  
Older Children ◽  
Prediction Task ◽  
Feature Correlation ◽  
The Future

Existing research suggests that adults and older children experience a tradeoff where instruction and feedback help them solve a problem efficiently, but lead them to ignore currently irrelevant information that might be useful in the future. It is unclear whether young children experience the same tradeoff. Eighty-seven children (ages five- to eight-years) and 42 adults participated in supervised feature prediction tasks either with or without an instructional hint. Follow-up tasks assessed learning of feature correlations and feature frequencies. Younger children tended to learn frequencies of both relevant and irrelevant features without instruction, but not the diagnostic feature correlation needed for the prediction task. With instruction, younger children did learn the diagnostic feature correlation, but then failed to learn the frequencies of irrelevant features. Instruction helped older children learn the correlation without limiting attention to frequencies. Adults learned the diagnostic correlation even without instruction, but with instruction no longer learned about irrelevant frequencies. These results indicate that young children do show some costs of learning with instruction characteristic of older children and adults. However, they also receive some of the benefits. The current study illustrates just what those tradeoffs might be, and how they might change over development.

scholarly journals 986. Improvement in Administration of HIV Post-Exposure Prophylaxis in the Emergency Department Following Sexual Assault

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S521-S522
Author(s):  
Jennifer R Silva-Nash ◽  
Stacie Bordelon ◽  
Ryan K Dare ◽  
Sherrie Searcy
Keyword(s):  
Emergency Department ◽  
Sexual Assault ◽  
Hiv Transmission ◽  
Post Exposure Prophylaxis ◽  
Intervention Period ◽  
Post Intervention ◽  
Post Exposure ◽  
Assault Victims ◽  
Exposure Prophylaxis

Abstract Background Nonoccupational post exposure prophylaxis (nPEP) following sexual assault can prevent HIV transmission. A standardized Emergency Department (ED) protocol for evaluation, treatment, and follow up for post assault victims was implemented to improve compliance with CDC nPEP guidelines. Methods A single-center observational study of post sexual assault patients before/after implementation of an ED nPEP protocol was conducted by comparing the appropriateness of prescriptions, labs, and necessary follow up. A standardized order-set based on CDC nPEP guidelines, with involvement of an HIV pharmacist and ID clinic, was implemented during the 2018-2019 academic year. Clinical data from pre-intervention period (07/2016-06/2017) was compared to post-intervention period (07/2018-08/2019) following a 1-year washout period. Results During the study, 147 post-sexual assault patients (59 Pre, 88 Post) were included. One hundred thirty-three (90.4%) were female, 68 (46.6%) were African American and 133 (90.4%) were candidates for nPEP. Median time to presentation following assault was 12.6 hours. nPEP was offered to 40 (67.8%) and 84 (95.5%) patients (P< 0.001) and ultimately prescribed to 29 (49.2%) and 71 (80.7%) patients (P< 0.001) in pre and post periods respectively. Renal function (37.3% vs 88.6%; P< 0.001), pregnancy (39.0% vs 79.6%; P< 0.001), syphilis (3.4% vs 89.8%; P< 0.001), hepatitis B (15.3% vs 95.5%; P< 0.001) and hepatitis C (27.1% vs 94.3%) screening occurred more frequently during the post period. Labratory, nPEP Prescription and Follow up Details for Patients Prescribed nPEP Conclusion The standardization of an nPEP ED protocol for sexual assault victims resulted in increased nPEP administration, appropriateness of prescription, screening for other sexually transmitted infectious and scheduling follow up care. While guideline compliance dramatically improved, further interventions are likely warranted in this vulnerable population. Disclosures Ryan K. Dare, MD, MS, Accelerate Diagnostics, Inc (Research Grant or Support)

New Perspectives on Risk Factors for Non-fatal Strangulation and Post-assault Imaging

2020 ◽  
pp. 088626052096667
Author(s):  
Grace B. McKee ◽  
Kathy Gill-Hopple ◽  
Daniel W. Oesterle ◽  
Leah E. Daigle ◽  
Amanda K. Gilmore
Keyword(s):  
Sexual Assault ◽  
Partner Violence ◽  
Intimate Partner ◽  
Chi Square ◽  
Factors Associated ◽  
Bodily Injury ◽  
Weapon Use ◽  
Chi Square Analysis ◽  
Assault Characteristics

Strangulation has long been associated with death in the context of sexual assault and intimate partner violence (IPV). Non-fatal strangulation (NFS) during sexual assault, which refers to strangulation or choking that does not result in death, is common and has been associated with IPV and with bodily injury; however, other factors associated with NFS are unknown. The current study examined demographic and sexual assault characteristics associated with NFS among women who received a sexual assault medical forensic exam (SAMFE). A second purpose of this study was to explore factors associated with receiving follow-up imaging orders after NFS was identified during a SAMFE. Participants ( N = 882) ranged in age from 18 to 81 ( M = 28.85), with the majority identifying as non-Hispanic White (70.4%) or Black/African American (23.4%). A total of 75 women (8.5%) experienced NFS during the sexual assault. Of these, only 13 (17.3%) received follow-up imaging orders for relevant scans. Results from a logistic regression analysis demonstrated that NFS was positively associated with report of anal penetration, intimate partner perpetration, non-genital injury, and weapon use during the assault. Results from chi-square analysis showed that among sexual assaults involving women who experienced NFS, those whose assaults involved weapon use were over four times more likely to receive imaging orders compared to assaults without weapon use. These findings have implications for criminal justice, and if incorporated into danger assessments, could potentially reduce fatalities linked to sexual assault and/or IPV. Additional work is needed to ensure that all assaults with NFS trigger a referral for imaging regardless of other assault characteristics.

Opening a Group Home

1988 ◽  
Vol 51 (5) ◽  
pp. 160-162 ◽  
Author(s):  
Penelope Voisey
Keyword(s):  
Support Group ◽  
Group Home ◽  
The Future ◽  
Selection Of

This article describes the setting up of a group home in Guildford to accommodate, in two flats, 13 medium-stay patients from Brookwood Hospital. The acquisition of the property, the selection of suitable patients, the initiation of a support group and the activities involved are discussed, as well as the moving arrangements, follow-up and support. Finally, some preliminary suggestions regarding possible improvements for a similar venture in the future are given.

Remembering the Past/Anticipating the Future: A Professor From the White Working Class Talks With a Survivor of the Holocaust About Our Troubled World

2017 ◽  
Vol 24 (5) ◽  
pp. 323-337 ◽  
Author(s):  
Carolyn Ellis ◽  
Jerry Rawicki
Keyword(s):  
Working Class ◽  
Collaborative Writing ◽  
Political Climate ◽  
Donald Trump ◽  
The Past ◽  
The Holocaust ◽  
The Future ◽  
White Working Class ◽  
Shed Light

This article extends the research of Jerry Rawicki and Carolyn Ellis who have collaborated for more than eight years on memories and consequences of the Holocaust. Focusing on Jerry’s memories of his experience during the Holocaust, they present dialogues that took place during five recorded interviews and follow-up conversations that reflect on the similarity of Hitler’s seizing of power in the 1930s to the meteoric rise of Donald Trump. Noting how issues of class and race were taking an increasingly prominent role in their conversations and collaborative writing, they also begin to examine discontent in the rural, White working class and Carolyn’s socialization within that community. These dialogues and reflections seek to shed light on the current political climate in America as Carolyn and Jerry struggle to cope with their fears and envision a hopeful path forward for their country.

Follow-up of sexual assault victims

1998 ◽  
Vol 179 (2) ◽  
pp. 336-342 ◽  
Author(s):  
Melisa M. Holmes ◽  
Heidi S. Resnick ◽  
Dale Frampton
Keyword(s):  
Sexual Assault ◽  
Assault Victims

Hormontherapie in der Peri- und Postmenopause

2018 ◽  
Vol 143 (22) ◽  
pp. 1636-1647
Author(s):  
Sophie Meyer ◽  
Vanadin Seifert-Klauss
Keyword(s):  
Hormone Therapy ◽  
Estrogen Therapy ◽  
New Findings ◽  
The Future ◽  
Life Threatening ◽  
Whi Study

AbstractThe recently published 18-year-follow-up of the WHI-study might resolve the long-standing dispute about hormone therapy, possibly reconciling the opposing parties attributing life-threatening risks to either the administration or the withholding of hormone therapy. 16 608 women without hysterectomy had taken either combined hormone therapy with estrogen and progestin or placebo for an average of 5.2 years, while 10 739 women after hysterectomy (and bilateral ovarectomy in 40 %) had taken either estrogen therapy alone or placebo for an average of 7 years. 7489 deaths were recorded until 2014. Over both studies, mortality was 27.1 % after hormone therapy and 27.6 % after placebo. New findings on perimenopause can help towards phase-adapted and complaint-targeted hormone therapy in the future.

Intimate Partner Violence and Completion of Post-Sexual Assault Medical Forensic Examination Follow-Up Screening

2018 ◽  
pp. 088626051881702 ◽  
Author(s):  
Amanda K. Gilmore ◽  
Anna E. Jaffe ◽  
Christine K. Hahn ◽  
Leigh E. Ridings ◽  
Kathy Gill-Hopple ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Sexual Assault ◽  
Partner Violence ◽  
Intimate Partner ◽  
Forensic Examination

Preliminary report of sexual assaults at Ekiti Sexual Assault Referral Centre, Ado-Ekiti, Southwest, Nigeria (Moremi Clinic)

2021 ◽  
pp. 004947552110646
Author(s):  
Temitope O Okunola ◽  
Babatunde A Olofinbiyi ◽  
Olusola P Aduloju ◽  
Tolulope Aduloju ◽  
Abiodun Obadeji ◽  
...  
Keyword(s):  
Sexual Assault ◽  
Sexual Assaults ◽  
Referral Centre ◽  
Early Presentation ◽  
Sexually Transmitted ◽  
Emergency Contraceptive Pills ◽  
Contraceptive Pills ◽  
Southwest Nigeria ◽  
Emergency Contraceptive

There has been a surge in the incidence and severity of sexual assaults globally with the insurgence of COVID-19 owing to lockdown restrictions. Ekiti Sexual Assault Referral Centre, Ado-Ekiti also known as Moremi Clinic was established in June 2020 as a multisectoral response centre to this surge. Seventy-four survivors accessed medical services from June 2020 to May 2021. Adolescents made up 54.1% while the median age was 14.5 years. Only seven survivors were seen within 24 h of the event and around a quarter had follow-up visits. A quarter of survivors reported repeat episodes of sexual assault. Complications documented were sexually transmitted infections (13.5%), depression (4.1%) and posttraumatic stress disorder (5.4%). There was a failure of contraception in 4.5% of survivors who had taken emergency contraceptive pills. For improvements in quality of care, strategies to ensure early presentation and encourage follow-up visits must be introduced.

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