scholarly journals Guidelines for skeletal surveys in suspected child abuse

2014 ◽  
Vol 1 (1) ◽  
pp. 7
Author(s):  
Bo Redder Mussmann ◽  
Mette Ramsdal Paulsen
Keyword(s):  
Child Abuse ◽  
Best Practice ◽  
Evaluation Criteria ◽  
Quality Criteria ◽  
Legal Aspects ◽  
Second Opinion ◽  
Radiologic Evaluation ◽  
The Family

Introduction Child abuse imaging differs from general musculoskeletal imaging in that there is exceptional necessity for high quality images. The images are directly involved in legal processes and the child and the family faces major consequences if imaging is sub-optimal. The consequences of misdiagnosis are serious. Should head trauma or fractures be overlooked, or if the radiological diagnosis is uncertain, abused children may be sent home with violent parents or caregivers. Conversely, where no abuse has taken place, but the certainty of the diagnosis is questionable, the unnecessary hospitalization of an innocent family may result. In Southern Denmark approximately 15-20 children per year are examined. The examinations are performed in four different radiology departments throughout the region. Until the autumn of 2012, a variety of imaging protocols and techniques were used in pediatric skeletal surveys. This led to difficulties, because some cases are subject to second opinion report. In many cases, supplemental images or a complete reexamination of the child was required in order to facilitate a second opinion, resulting in unnecessary exposure. Methods An initial consensus meeting with 20 participants was arranged in 2012. Pediatric radiologists, managers and radiographers with special competencies in pediatric radiology attended. Research evidence, cases and clinical experience was discussed. A follow-up meeting was arranged in 2013 with similar participants. This second meeting focused mainly on follow-up skeletal surveys in children <2 years of age Results The first meeting resulted in the agreement on which projections to acquire, image quality criteria, how to cooperate with the parents, radiologic evaluation criteria and the role of the radiographer in imaging the abused child. The second meeting resulted in consensus on the necessary projections required for follow-up skeletal surveys. Conclusion Common protocols for child abuse imaging have been established and fully implemented in the Region of Southern Denmark. Annual meetings have also been established where legal aspects, best practice and best evidence in imaging and cooperation with pediatric departments is discussed.

Family involvement in first-episode psychosis

2019 ◽  
pp. 117-130
Author(s):  
Greeshma Mohan ◽  
R. Padmavati ◽  
R. Thara
Keyword(s):  
Treatment Adherence ◽  
Family Involvement ◽  
First Episode Psychosis ◽  
First Episode ◽  
Rapid Urbanization ◽  
Episode Psychosis ◽  
The Family ◽  
Expanding Population

In the Indian secular, pluralistic, and collectivist society, the family is the oldest and the most important institution that has survived through the ages. With rapid urbanization and an ever-expanding population, there is a scarcity of financial and human resources in the area of mental health. Though progressively decreasing in size, families continue to provide a valuable support system, which can be helpful in the management of various stressful situations. Yet, very often this resource is not adequately and appropriately utilized. This chapter describes the role of family involvement in first-episode psychosis, drawing from various research projects carried out by the Schizophrenia Research Foundation (SCARF) and from other Indian centres. It deals with the identification of prodromes, access to care, treatment adherence and follow-up, and stigma.

scholarly journals PERAN YAYASAN “SAMIN” DALAM PENCEGAHAN DAN PENANGANAN KEKERASAN ANAK DALAM KELUARGA (Kasus Peran Yayasan “SAMIN” dalam Pencegahan dan Penanganan Kekerasan Anak dalam Keluarga di Kabupaten Sleman, D.I.Y)

2020 ◽  
Vol 3 (1) ◽  
pp. 3
Author(s):  
Nadya Tamara Dewaanjani ◽  
Sudarsana Sudarsana
Keyword(s):  
Child Abuse ◽  
Social Institutions ◽  
Violence Against Children ◽  
The Social ◽  
The Family ◽  
Child Violence ◽  
Victims Of Violence ◽  
And Function ◽  
Role And Function

<p>Family is one of the social institutions in the community. Family is also a place for children to acquire mental coaching and personality formation. The family has a considerable role and function on the development and future of the child. However, in fact the violence of children in the family often occurs, such as violence involving fathers, mothers and other siblings. Lack of knowledge and insight related to parenting, growth and development of children is one factor in the occurrence of violence against children. From various cases of child violence, one of NGO named Yayasan SAMIN that cares about child issues to make efforts to prevent and treat child violence in the family. This research aims to know 1) how the role of Yayasan SAMIN in the prevention and handling of child violence in the family, 2) How to form the prevention and handling conducted by the Yayasan SAMIN against Child abuse cases in Family. The results of this study show that 1) Yayasan SAMIN has been explaining its role in the prevention of child violence against parents and the treatment of child abuse victims in families, 2) The prevention of child violence by parents is socialization, campaigning, and KIE (communication, information, education). The form of treatment of victims of violence is with mentoring.</p>

Supporting family as a form of family support

2020 ◽  
Vol 35 (6) ◽  
pp. 35-44
Author(s):  
Dominika Niesyty
Keyword(s):  
Statistical Data ◽  
Social Roles ◽  
Legal Aspect ◽  
Legal Aspects ◽  
Foster Care System ◽  
Natural Family ◽  
The Family ◽  
Adult Model ◽  
And Function

The aim of the article is to analyse the functioning of supporting families. They play an important role in the process of supporting the natural family experiencing difficulties in caring for and bringing up children. In their work with the family, they carry out tasks related to the care and education of children, running a household, shaping and fulfilling social roles. Supporting families are appointed and function on behalf of the commune pursuant to the Act of 9 June 2011 on supporting the family and the foster care system. The article presents legal aspects and figures on the performance of supporting families. The legal aspect includes the performance rules, the recruitment scheme, taking into account a number of requirements and the scope of tasks performed by supporting families. The statistical data presents an analysis of the trends of changes regarding the number of functioning families, the time spent by children in the care of supporting families and the number of supported families. Supporting families become each time more popular form of support for a natural family experiencing caring and upbringing difficulties. By embracing a family with support, members of the supporting family play the role of the authority of behaviour for parents and the role of a “positive adult” model for children. The supporting family is a model of parenting, an authority in fulfilling social roles, a guide for the change made and a teacher of everyday family life. By implementing the entrusted tasks resulting from the Act and the contract concluded with the head of the commune, the supporting family supervises the overall development of the family as a system and its individual members.

scholarly journals What Gets Measured Gets Done: Calculating the Value of Professional Service

2019 ◽  
Vol 40 (03) ◽  
pp. 214-219
Author(s):  
Dave Fabry
Keyword(s):  
Best Practice ◽  
Hearing Aid ◽  
Third Party ◽  
Professional Service ◽  
Pricing Models ◽  
Direct To Consumer ◽  
Straightforward Method ◽  
New Strategies

AbstractIn many practices, the role of professional service in the hearing aid delivery process has been obfuscated by the use of bundled pricing models. Emerging direct-to-consumer and third-party administrator hearing aid distribution channels will further challenge practitioners to examine how, and if, they choose to participate with new strategies to increase hearing aid adoption rates. This article focuses on providing a straightforward method for calculating revenue per clinical hour required to maintain quality, professionally driven, and profitable care in the hearing aid diagnostic, selection, fitting, and follow-up process. Furthermore, by measuring the value of clinical service, it uncouples the professional from the technology, and provides a tool for assessing how they can improve clinical efficiencies without compromising best practice or clinical outcomes.

A best practice position statement on the role of the nephrologist in the prevention and follow-up of preeclampsia: the Italian study group on kidney and pregnancy

2017 ◽  
Vol 30 (3) ◽  
pp. 307-317 ◽  
Author(s):  
Giorgina Barbara Piccoli ◽  
◽  
Gianfranca Cabiddu ◽  
Santina Castellino ◽  
Giuseppe Gernone ◽  
...  
Keyword(s):  
Best Practice ◽  
Position Statement ◽  
Study Group ◽  
Italian Study

Evaluation of Indeterminate Thyroid Cytology by Second-Opinion Diagnosis or Repeat Fine-Needle Aspiration: Which Is the Best Approach?

2015 ◽  
Vol 59 (1) ◽  
pp. 43-50 ◽  
Author(s):  
Rene Gerhard ◽  
Scott L. Boerner
Keyword(s):  
Fine Needle Aspiration ◽  
Needle Aspiration ◽  
Definitive Diagnosis ◽  
Second Opinion ◽  
Fine Needle ◽  
Thyroid Cytology ◽  
Needle Aspiration Cytology ◽  
Thyroid Cytopathology

Objective: This study investigated a published series evaluating the role of second-opinion diagnosis (SOD) or repeat fine-needle aspiration cytology (RFNA) for indeterminate thyroid aspirates. Study Design: Twenty-three studies were selected and the following parameters were analyzed: disagreement between SOD or RFNA and the original diagnosis (OD), reclassification of OD according to the Bethesda system for reporting thyroid cytopathology, the rate of definitive diagnosis and the diagnostic performance of SOD and RFNA. Results: 7,154 thyroid FNAs were retrieved from 9 studies that investigated the role of SOD, including 1,048 (14.6%) cases originally reported as indeterminate. The 14 studies that analyzed the role of thyroid RFNA comprised 67,581 FNAs and included 7,246 (10.7%) indeterminate cases. A definitive diagnosis was achieved by SOD in 450 cases (42.9%) and RFNA in 1,645 cases (57.2%, p = 0.0001). Based on cases with histological follow-up, SOD demonstrated significantly higher rates of positive predictive value and accuracy than RFNA (55.8 vs. 37.7%, p = 0.0001; 67.4 vs. 56.0%, p = 0.0034, respectively). Conclusions: Both SOD and RFNA demonstrated an improvement in the diagnosis of initially indeterminate thyroid FNAs. RFNA achieved a definitive diagnosis for the majority of indeterminate cases. Regarding histological follow-up, SOD was shown to be more accurate than RFNA.

scholarly journals Conceptual ideas and experience of researching the problem of safe socialization of children (example of family dysfunction)

2020 ◽  
pp. 89-95
Author(s):  
Tatiana Maslova ◽  
Maria Smagina
Keyword(s):  
Child Abuse ◽  
Empirical Research ◽  
Social Relations ◽  
Family Dysfunction ◽  
Security Risks ◽  
The Family ◽  
Individual Family ◽  
The Individual

The article reveals the concept of safe socialization, reflects the dependence of the results of the integration of the individual into society on the opportunities of mobilization of resources aimed at harmonious inclusion of the individual in social relations; ideas about the role of objective and subjective factors that stimulate and inhibit the process of safe socialization. The results of empirical research argue the role of the family in the socialization of the individual. Family dysfunction and child abuse are seen as indicators of the security risks of this process.

Palliative Care Work, Between Death and Discharge

2005 ◽  
Vol 21 (2) ◽  
pp. 97-102 ◽  
Author(s):  
Margaret O'Connor ◽  
Louise Peters ◽  
Susan Lee ◽  
Cecilia Webster
Keyword(s):  
Palliative Care ◽  
Turnover Time ◽  
Her Family ◽  
Care Services ◽  
The Family ◽  
Palliative Care Services ◽  
Time Required ◽  
Death Care

This paper discusses a small study that was undertaken in a palliative care unit (PCU) to demonstrate reasons for the lengthy patient turnover time after the death of a patient. The study arose from a managerial challenge about the PCU's efficiency in comparison to other settings of care. While Palliative care services in Australia are loosely funded on a per diem rate, casemix funding models for inpatient services in other settings reward efficiency in terms of length of stay (1). The aim of the study was to undertake a post-death survey, from the nursing perspective, of activities and the time required to deliver follow-up care, as required, to the deceased patient and his/her family. Details of the post-death episode for all patients who died in the PCU over two time periods were collected using a newly designed tool. This paper does not argue for the incorporation of post-death nursing work as a measure of efficiency or quality; rather, it is a demonstration of the type of work and the time involved in carrying out post-death work. This nursing work is an essential but hidden and generally unacknowledged element of palliative care and, not surprisingly, there is a dearth of literature describing the role of the nurse in providing care of the family and others after the patient has died. This project has provided important information about the factors that Protract after-death care, and gives some insight into the role of the nurse after a death occurs in a PCU.

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