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Ferrara P, Cammisa I, Zona M, Corsello G, Giardino I, Vural M, Pastore M, Bali D, Pettoello-Mantovani M. The Global Issue of Violence toward Children in the Context of War. J Pediatr 2024:114007. [PMID: 38458606 DOI: 10.1016/j.jpeds.2024.114007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2024] [Accepted: 03/01/2024] [Indexed: 03/10/2024]
Affiliation(s)
- Pietro Ferrara
- European Pediatric Association, Union of National European Pediatric Societies and Associations. Berlin, Germany; Department of Medicine and Surgery & Operative Research Unit of Pediatrics, Campus Bio-Medico University, Rome, Italy; Italian Academy of Pediatrics, Milan, Italy
| | | | | | - Giovanni Corsello
- European Pediatric Association, Union of National European Pediatric Societies and Associations. Berlin, Germany; Italian Academy of Pediatrics, Milan, Italy
| | - Ida Giardino
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - Mehmet Vural
- European Pediatric Association, Union of National European Pediatric Societies and Associations. Berlin, Germany; Department of Pediatrics. Cerrahpaşa University, Istanbul, Turkey
| | - Maria Pastore
- European Pediatric Association, Union of National European Pediatric Societies and Associations. Berlin, Germany; Chair of Pediatrics, Institute for Scientific research "Casa Sollievo",University of Foggia, Foggia, Italy
| | - Donjeta Bali
- European Pediatric Association, Union of National European Pediatric Societies and Associations. Berlin, Germany; Albanian Society of Pediatrics, Tirana, Albania
| | - Massimo Pettoello-Mantovani
- European Pediatric Association, Union of National European Pediatric Societies and Associations. Berlin, Germany; Italian Academy of Pediatrics, Milan, Italy; Chair of Pediatrics, Institute for Scientific research "Casa Sollievo",University of Foggia, Foggia, Italy.
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2
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Pettoello-Mantovani M, Vural M. Ten Years of Partnership Between the European Pediatric Association, Union of National European Pediatric Societies, and Associations and The Journal of Pediatrics. J Pediatr 2023; 262:113668. [PMID: 37582459 DOI: 10.1016/j.jpeds.2023.113668] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/07/2023] [Accepted: 08/09/2023] [Indexed: 08/17/2023]
Affiliation(s)
- Massimo Pettoello-Mantovani
- European Pediatric Association, Union of National European Pediatric Societies and Associations, Berlin, Germany.
| | - Mehmet Vural
- European Pediatric Association, Union of National European Pediatric Societies and Associations, Berlin, Germany
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3
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Murasawa H, Soumiya H, Kobayashi H, Imai J, Nagase T, Fukumitsu H. Neonatal bilateral whisker trimming in male mice age-dependently alters brain neurotransmitter levels and causes adolescent onsets of social behavior abnormalities. Biomed Res 2023; 44:147-160. [PMID: 37544736 DOI: 10.2220/biomedres.44.147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/08/2023]
Abstract
Tactile perception via whiskers is important in rodent behavior. Whisker trimming during the neonatal period affects mouse behaviors related to both whisker-based tactile cognition and social performance. However, the molecular basis of these phenomena is not completely understood. To solve this issue, we investigated developmental changes in transmitters and metabolites in various brain regions of male mice subjected to bilateral whisker trimming during the neonatal period (10 days after birth [BWT10 mice]). We discovered significantly lower levels of 3-methoxy-4-hydroxyphenyl glycol (MHPG), the major noradrenaline metabolite, in various brain regions of male BWT10 mice at both early/late adolescent stages (at P4W and P8W). However, reduced levels of dopamine (DA) and their metabolites were more significantly identified at P8W in the nuclear origins of monoamine (midbrain and medulla oblongata) and the limbic system (frontal cortex, amygdala, and hippocampus) than at P4W. Furthermore, the onset of social behavior deficits (P6W) was observed later to the impairment of whisker-based tactile cognitive behaviors (P4W). Taken together, these findings suggest that whisker-mediated tactile cognition may contribute toprogressive abnormalities in social behaviors in BWT10 mice accompanied by impaired development of dopaminergic systems.
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Affiliation(s)
- Hiroyasu Murasawa
- Laboratory of Molecular Biology, Department of Biofunctional Analysis, Gifu Pharmaceutical University
- Hashima Laboratory, Nihon Bioresearch Inc
| | - Hitomi Soumiya
- Laboratory of Molecular Biology, Department of Biofunctional Analysis, Gifu Pharmaceutical University
| | - Hiroyuki Kobayashi
- Laboratory of Molecular Biology, Department of Biofunctional Analysis, Gifu Pharmaceutical University
- Hashima Laboratory, Nihon Bioresearch Inc
| | - Jun Imai
- Hashima Laboratory, Nihon Bioresearch Inc
| | | | - Hidefumi Fukumitsu
- Laboratory of Molecular Biology, Department of Biofunctional Analysis, Gifu Pharmaceutical University
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Fekih-Romdhane F, Dabbous M, Hallit R, Malaeb D, Sawma T, Obeid S, Hallit S. Development and validation of a shortened version of the Child Abuse Self Report Scale (CASRS-12) in the Arabic language. Child Adolesc Psychiatry Ment Health 2022; 16:100. [PMID: 36494699 PMCID: PMC9737702 DOI: 10.1186/s13034-022-00533-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Accepted: 11/19/2022] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND All available scales to screen for child abuse may be challenging to administer due to their length. Indeed, a higher number of items is associated with more administration time and less motivation to engage in responding. We aimed through this study to examine the psychometric properties of a brief Arabic version of the Child Abuse Self Report Scale (CASRS-12) in terms of factorial structure, internal consistency, divergent validity, and correlations with measures of bullying victimization, eating attitudes and perceived social support. METHODS We performed a cross-sectional, web-based study among Community Lebanese adolescents; where two samples have been used (Sample 1: N = 852, aged 15.34 ± 1.18 years, 54.8% females; Sample 2: N = 404, aged 16.60 ± 1.51 years, 57.2% females). The construct validity was tested using both exploratory and confirmatory factor analyses. RESULTS Results revealed that both EFA and CFA yielded a four-factor structure for the CASRS-12 that mirrors the original four factors captured by the original CASRS. The scale also showed a good internal consistency as evidenced through McDonald's ω values ranging from 0.87 to 0.93 for the four subscales; and configural, metric, and scalar invariance across gender. Finally, we found that all CASRS-12 dimensions were significantly and positively correlated with more inappropriate eating attitudes and lower social support; and that psychological, physical, and sexual abuse correlated with higher bullying victimization CONCLUSION: In light of these findings, we potentially encourage clinicians and researchers to use this scale as a valid and reliable measure of child abuse among Arabic-speaking populations.
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Affiliation(s)
- Feten Fekih-Romdhane
- The Tunisian Center of Early Intervention in Psychosis, Department of Psychiatry “Ibn Omrane”, Razi Hospital, 2010 Manouba, Tunisia ,grid.12574.350000000122959819Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia
| | - Mariam Dabbous
- grid.444421.30000 0004 0417 6142School of Pharmacy, Lebanese International University, Beirut, Lebanon
| | - Rabih Hallit
- grid.444434.70000 0001 2106 3658School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon ,Department of Infectious Disease, Bellevue Medical Center, Mansourieh, Lebanon ,Department of Infectious Disease, Notre Dame des Secours University Hospital, Byblos, Postal Code 3 Lebanon
| | - Diana Malaeb
- grid.444421.30000 0004 0417 6142School of Pharmacy, Lebanese International University, Beirut, Lebanon ,grid.411884.00000 0004 1762 9788College of Pharmacy, Gulf Medical University, Ajman, United Arab Emirates
| | - Toni Sawma
- grid.411323.60000 0001 2324 5973School of Arts and Sciences, Social and Education Sciences Department, Lebanese American University, Jbeil, Lebanon
| | - Sahar Obeid
- grid.411323.60000 0001 2324 5973School of Arts and Sciences, Social and Education Sciences Department, Lebanese American University, Jbeil, Lebanon
| | - Souheil Hallit
- School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon. .,Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon. .,Applied Science Research Center, Applied Science Private University, Amman, Jordan. .,Psychology Department, College of Humanities, Effat University, Jeddah, 21478, Saudi Arabia.
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5
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Ferrara P, Ruiz R, Corsello G, Giardino I, Carrasco-Sanz A, Vural M, Namazova-Baranova L, Indrio F, Pop TL, Pettoello-Mantovani M. Adequate Training and Multidisciplinary Support May Assist Pediatricians in Properly Handling and Managing Gender Incongruence and Dysphoria. J Pediatr 2022; 249:121-123.e2. [PMID: 35853484 DOI: 10.1016/j.jpeds.2022.07.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Accepted: 07/13/2022] [Indexed: 10/17/2022]
Affiliation(s)
- Pietro Ferrara
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Department of Pediatrics, Campus BioMedico University, Rome, Italy
| | - Roberta Ruiz
- Department of Pediatrics, Catholic University of Sacred Hearth, Rome, Italy
| | - Giovanni Corsello
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Department of Pediatrics, University of Palermo, Palermo, Italy; Italian Academy of Pediatrics, Milan, Italy
| | - Ida Giardino
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - Angel Carrasco-Sanz
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; European Confederation of Primary Care Pediatrics, Lyon, France
| | - Mehmet Vural
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Turkish Pediatric Association, Istanbul, Turkey
| | - Leyla Namazova-Baranova
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany
| | - Flavia Indrio
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy
| | - Tudor Lucian Pop
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Association for the Scientific Research Activities, Neuchâtel, Switzerland
| | - Massimo Pettoello-Mantovani
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Italian Academy of Pediatrics, Milan, Italy; Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy; Association for the Scientific Research Activities, Neuchâtel, Switzerland.
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6
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Cevik Durmaz Y, Tuncer Coban P, Eseroglu Soylemez T, Aktas H. Effectiveness of the training provided to healthcare professionals in Turkey to recognise the symptoms and risks of child abuse and neglect. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:e1898-e1906. [PMID: 34725883 DOI: 10.1111/hsc.13620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Revised: 09/01/2021] [Accepted: 10/09/2021] [Indexed: 06/13/2023]
Abstract
Healthcare professionals have a significant role to play in the early diagnosis of child abuse and neglect (CAN), which is important in terms of protecting children's health. The study aimed to measure the change in the participants' level of diagnosing the risks and symptoms of CAN before and after the training by providing a training program to healthcare professionals including the signs of CAN, symptoms and procedures to be followed in this case. All healthcare professionals working in a State Hospital and Family Health Centers in Tunceli, Turkey, and who volunteered to participate in the study were included in the study (n = 125). The data were collected before and after the training by using the Personal Information Form and The Diagnosis Scale of the Risks and Symptoms of Child Abuse and Neglect (DSRSCAN). 39 participants (31.2%) reported that they had previously suspected CAN, and 35 (28%) stated that they had encountered CAN before. The mean DSRSCAN score of the healthcare professionals included in the study before the training was 3.38 (lowest =2.37, highest =3.55), while after the training, it went up to 3.60 (lowest =2.76, highest =5.00), and the difference between the pre-training and post-training DSRSCAN scores was determined to be statistically significant (p < 0.001). It was determined that when healthcare professionals were trained on CAN, their awareness could be further strengthened. Hence, training programs for healthcare professionals on diagnosing and reporting CAN should be updated and increased.
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Affiliation(s)
| | | | | | - Hakki Aktas
- Department of Health Services, Tunceli Provincial Health Directorate, Tunceli, Turkey
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7
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Cinquetti M, Dargenio V, Giardino I, Pettoello-Mantovani M, Indrio F. Social Media and Functional Gastrointestinal Disorders in Children. J Pediatr 2022; 247:182-183.e3. [PMID: 35533744 DOI: 10.1016/j.jpeds.2022.05.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/03/2022] [Accepted: 05/03/2022] [Indexed: 02/07/2023]
Affiliation(s)
- Mauro Cinquetti
- Dipartimento Materno Infantile, AULSS 9 Scaligera, Verona, Italy
| | - Vanessa Dargenio
- European Pediatric Association, Union of National European Pediatric Societies and Associations, Berlin, Germany; Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy
| | - Ida Giardino
- European Pediatric Association, Union of National European Pediatric Societies and Associations, Berlin, Germany; Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy; Section of Social Pediatrics, Association for Scientific and Research Activities (ARS), Neuchâtel, Switzerland
| | - Massimo Pettoello-Mantovani
- European Pediatric Association, Union of National European Pediatric Societies and Associations, Berlin, Germany; Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy; Section of Social Pediatrics, Association for Scientific and Research Activities (ARS), Neuchâtel, Switzerland.
| | - Flavia Indrio
- European Pediatric Association, Union of National European Pediatric Societies and Associations, Berlin, Germany; Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy
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8
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Pettoello-Mantovani M, Namazova-Baranova L, Carrasco-Sanz A, Lucian Pop T, Vural M, Hoey H, Somekh E. Advocating for Children Trapped in the Midst of Armed Conflicts. J Pediatr 2022; 246:290-291.e2. [PMID: 35413296 DOI: 10.1016/j.jpeds.2022.04.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Accepted: 04/06/2022] [Indexed: 10/18/2022]
Affiliation(s)
- Massimo Pettoello-Mantovani
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany.
| | - Leyla Namazova-Baranova
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany
| | - Angel Carrasco-Sanz
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany
| | - Tudor Lucian Pop
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany
| | - Mehmet Vural
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany
| | - Hilary Hoey
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany
| | - Eli Somekh
- European Pediatric Association/Union of National European Pediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany
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9
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Indrio F, Dargenio VN, Marchese F, Giardino I, Vural M, Carrasco-Sanz A, Pietrobelli A, Pettoello-Mantovani M. The Importance of Strengthening Mother and Child Health Services during the First 1000 Days of Life: The Foundation of Optimum Health, Growth and Development. J Pediatr 2022; 245:254-256.e0. [PMID: 35259398 DOI: 10.1016/j.jpeds.2022.03.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Accepted: 03/01/2022] [Indexed: 10/18/2022]
Affiliation(s)
- Flavia Indrio
- Department of Medicine and Surgery, University of Foggia, Foggia, Italy
| | | | - Flavia Marchese
- Department of Medicine and Surgery, University of Foggia, Foggia, Italy
| | - Ida Giardino
- Department of Clinical and Experimental Sciences, University of Foggia, Foggia, Italy
| | - Mehmet Vural
- European Pediatric Association, Union of National European Pediatric Societies and Associations, Berlin, Germany; Association for Scientific Research, Nouchatel, Switzerland, Nouchatel, Switzerland; Turkish Pediatric Association, Istanbul, Turkey
| | - Angel Carrasco-Sanz
- European Pediatric Association, Union of National European Pediatric Societies and Associations, Berlin, Germany; Association for Scientific Research, Nouchatel, Switzerland, Nouchatel, Switzerland; European Confederation of Primary Care Pediatricians, Lyon, France
| | - Angelo Pietrobelli
- Women's and Children's Hospital, Section 1000 days of Life, University of Verona, Verona, Italy; Pennington Biomedical Research Center, Baton Rouge, LA
| | - Massimo Pettoello-Mantovani
- European Pediatric Association, Union of National European Pediatric Societies and Associations, Berlin, Germany; Association for Scientific Research, Nouchatel, Switzerland, Nouchatel, Switzerland; Italian Academy of Pediatrics, Milan, Italy.
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10
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Ahn YD, Jang S, Shin J, Kim JW. Psychological Aspects of Child Maltreatment. J Korean Neurosurg Soc 2022; 65:408-414. [PMID: 35508958 PMCID: PMC9082119 DOI: 10.3340/jkns.2021.0300] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2021] [Accepted: 01/28/2022] [Indexed: 11/27/2022] Open
Abstract
In this review, we provide information about the etiology, risk factors, and clinical presentations of maltreatment to help clinicians better understand child abuse and neglect. Child maltreatment is a major global health challenge that can result in severe consequences. Abused and neglected children are likely to develop psychiatric disorders, such as major depressive disorder, anxiety disorder, and posttraumatic stress disorder. Understanding child maltreatment is expected to prevent and reduce victimization in children, adolescents, and their families.
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11
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Child Malnutrition during the Coronavirus Disease 2019 Pandemic. J Pediatr 2022; 244:257-258.e2. [PMID: 35151682 PMCID: PMC8830140 DOI: 10.1016/j.jpeds.2022.02.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/08/2022] [Accepted: 02/08/2022] [Indexed: 11/22/2022]
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12
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Thacker N, Hasanoglu E, Dipesalema J, Namazova-Baranova L, Pulungan A, Alden E, Abu-Libdeh A, Díaz JJ, Hoey H, Kyne L, Vural M, Riestra S, Camcıoğlu Y, Mujkic A, Carrasco-Sanz A, Pettoello-Mantovani M. Global Emergencies in Child Health: Challenges and Solutions-Viewpoint and Recommendations from the European Paediatric Association and the International Pediatric Association. J Pediatr 2022; 241:266-266.e3. [PMID: 34756940 PMCID: PMC9749795 DOI: 10.1016/j.jpeds.2021.10.052] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Accepted: 10/26/2021] [Indexed: 11/30/2022]
Affiliation(s)
- Naveen Thacker
- International Pediatric Association, Marengo, IL,Indian Academy of Pediatrics, Mumbai, India,Asia Pacific Pediatric Association, Kuala Lumpur, Malaysia
| | - Enver Hasanoglu
- International Pediatric Association, Marengo, IL,Turkish National Pediatric Society, Ankara, Turkey
| | - Joel Dipesalema
- International Pediatric Association, Marengo, IL,Union of National African Pediatric Societies and Associations, Nairobi, Kenya,Diabetes Association of Botswana, Gaborone, Botswana
| | - Leyla Namazova-Baranova
- International Pediatric Association, Marengo, IL,European Paediatric Association, Union of National European Paediatric Societies and Associations, Berlin, Germany,Association for Scientific Activity and Research, Nouchatel, Switzerland,Russian Academy of Pediatrics, Moscow, Russia
| | - Aman Pulungan
- International Pediatric Association, Marengo, IL,Asia Pacific Pediatric Association, Kuala Lumpur, Malaysia,Indonesian Pediatric Society, Jakarta, Indonesia
| | - Errol Alden
- International Pediatric Association, Marengo, IL,American Academy of Pediatrics, Itasca, IL
| | - Abdulsalam Abu-Libdeh
- International Pediatric Association, Marengo, IL,Pediatric Society Palestine, Al-Quds University, Palestine
| | - Juan José Díaz
- International Pediatric Association, Marengo, IL,Spanish Association of Pediatrics, Madrid, Spain
| | - Hilary Hoey
- International Pediatric Association, Marengo, IL,European Paediatric Association, Union of National European Paediatric Societies and Associations, Berlin, Germany,Association for Scientific Activity and Research, Nouchatel, Switzerland,Faculty of Pediatrics of the Royal College of Physicians of Ireland, Dublin, Ireland
| | - Louise Kyne
- International Pediatric Association, Marengo, IL,European Paediatric Association, Union of National European Paediatric Societies and Associations, Berlin, Germany,Faculty of Pediatrics of the Royal College of Physicians of Ireland, Dublin, Ireland
| | - Mehmet Vural
- International Pediatric Association, Marengo, IL,European Paediatric Association, Union of National European Paediatric Societies and Associations, Berlin, Germany,Association for Scientific Activity and Research, Nouchatel, Switzerland,Turkish Pediatric Association, Istanbul, Turkey
| | - Sergio Riestra
- International Pediatric Association, Marengo, IL,National Pediatric Confederation of Mexico, Mexico City, Mexico
| | - Yıldız Camcıoğlu
- International Pediatric Association, Marengo, IL,Turkish National Pediatric Society, Ankara, Turkey
| | - Aida Mujkic
- International Pediatric Association, Marengo, IL,European Paediatric Association, Union of National European Paediatric Societies and Associations, Berlin, Germany,Association for Scientific Activity and Research, Nouchatel, Switzerland,Croatia Pediatric Society, Zagreb, Croatia
| | - Angel Carrasco-Sanz
- European Paediatric Association, Union of National European Paediatric Societies and Associations, Berlin, Germany,Association for Scientific Activity and Research, Nouchatel, Switzerland,Spanish Association of Pediatrics, Madrid, Spain,European Confederation of Primary Care Pediatricians, Lyon, France
| | - Massimo Pettoello-Mantovani
- International Pediatric Association, Marengo, IL; European Paediatric Association, Union of National European Paediatric Societies and Associations, Berlin, Germany; Association for Scientific Activity and Research, Nouchatel, Switzerland; Italian Academy of Pediatrics, Milan, Italy.
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13
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Pettoello-Mantovani M, Carrasco-Sanz A, Huss G, Mestrovic J, Vural M, Pop TL, Ferrara P, Somekh E, Mujkic A, Hoey H, Namazova-Baranova L. Viewpoint of the European Pediatric Societies over Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Vaccination in Children Younger Than Age 12 Years Amid Return to School and the Surging Virus Variants. J Pediatr 2021; 239:250-251.e2. [PMID: 34536493 PMCID: PMC8442301 DOI: 10.1016/j.jpeds.2021.09.013] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/09/2021] [Accepted: 09/09/2021] [Indexed: 02/05/2023]
Affiliation(s)
- Massimo Pettoello-Mantovani
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany.
| | - Angel Carrasco-Sanz
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; European Confederation of Primary Care Paediatrics, Lyon, France
| | - Gottfried Huss
- European Confederation of Primary Care Paediatrics, Lyon, France
| | - Julije Mestrovic
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Paediatric Association of the Balkans, Istanbul, Turkey; Croatian Society of Paediatrics, Zagreb, Croatia
| | - Mehmet Vural
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Turkish Paediatric Association, Istanbul, Turkey
| | - Tudor Lucian Pop
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Paediatric Association of the Balkans, Istanbul, Turkey; Romanian Society of Social Paediatrics, Cluj-Napoca, Romania
| | - Pietro Ferrara
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Italian Society of Paediatrics, Rome, Italy
| | - Eli Somekh
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Israel Paediatric Association, Tel Aviv, Israel
| | - Aida Mujkic
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Paediatric Association of the Balkans, Istanbul, Turkey; Croatian Society of Paediatrics, Zagreb, Croatia
| | - Hilary Hoey
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Faculty of Paediatrics, Royal College of Physicians of Ireland, Dublin, Ireland
| | - Leyla Namazova-Baranova
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Russian Academy of Paediatrics, Moscow, Russia
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14
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Climate Change and Environmental Pollution Induced Risks on Children's Health: Are Pediatricians Prepared to Meet the Challenge? J Pediatr 2021; 238:346-347.e2. [PMID: 34384794 DOI: 10.1016/j.jpeds.2021.08.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/03/2021] [Accepted: 08/03/2021] [Indexed: 11/23/2022]
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15
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Ferrara P, Franceschini G, Corsello G, Mestrovic J, Giardino I, Vural M, Pop TL, Namazova-Baranova L, Somekh E, Indrio F, Pettoello-Mantovani M. Effects of Coronavirus Disease 2019 (COVID-19) on Family Functioning. J Pediatr 2021; 237:322-323.e2. [PMID: 34224744 PMCID: PMC8253665 DOI: 10.1016/j.jpeds.2021.06.082] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Accepted: 06/30/2021] [Indexed: 02/05/2023]
Affiliation(s)
- Pietro Ferrara
- European Paediatric Association/Union of National European Paediatric Societies and Associations, Berlin, Germany; Italian Society of Pediatrics, Rome, Italy; Division of Pediatrics, University Campus BioMedico, Rome, Italy
| | | | - Giovanni Corsello
- European Paediatric Association/Union of National European Paediatric Societies and Associations, Berlin, Germany; Italian Society of Pediatrics, Rome, Italy
| | - Julije Mestrovic
- European Paediatric Association/Union of National European Paediatric Societies and Associations, Berlin, Germany; Division of Pediatrics, Medical School of Split, University Hospital of Split, Split, Croatia
| | - Ida Giardino
- Department of Biomedical Sciences, University of Foggia, Foggia, Italy
| | - Mehmet Vural
- European Paediatric Association/Union of National European Paediatric Societies and Associations, Berlin, Germany; Division of Pediatrics, Medical Faculty, University of Istanbul, Istanbul University Cerrahpaşa, Istanbul, Turkey
| | - Tudor Lucian Pop
- European Paediatric Association/Union of National European Paediatric Societies and Associations, Berlin, Germany; Division of Pediatrics, University of Medicine and Pharmacy Iuliu Haţieganu, Cluj-Napoca, Romania
| | - Leyla Namazova-Baranova
- European Paediatric Association/Union of National European Paediatric Societies and Associations, Berlin, Germany; Russian Academy of Pediatrics, Moscow, Russia
| | - Eli Somekh
- European Paediatric Association/Union of National European Paediatric Societies and Associations, Berlin, Germany; Department of Pediatrics, Mayanei Hayeshuah Medical Center, Bnei Brak, Israel
| | - Flavia Indrio
- European Paediatric Association/Union of National European Paediatric Societies and Associations, Berlin, Germany; Department of Pediatrics, Scientific Institute "Casa Sollievo della Sofferenza", Foggia, Italy
| | - Massimo Pettoello-Mantovani
- European Paediatric Association/Union of National European Paediatric Societies and Associations, Berlin, Germany; Department of Pediatrics, Scientific Institute "Casa Sollievo della Sofferenza", Foggia, Italy.
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Ferrara P, Franceschini G, Corsello G, Mestrovic J, Giardino I, Vural M, Pop TL, Namazova-Baranova L, Indrio F, Pettoello-Mantovani M. Increased Exposure to Violence and Risk of Neurodevelopmental Disorders in Children. J Pediatr 2021; 236:335-336.e2. [PMID: 34102213 DOI: 10.1016/j.jpeds.2021.06.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/02/2021] [Accepted: 06/02/2021] [Indexed: 02/06/2023]
Affiliation(s)
- Pietro Ferrara
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Italian Society of Pediatrics, Rome, Italy; University Campus BioMedico, Rome, Italy
| | | | - Giovanni Corsello
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Italian Society of Pediatrics, Rome, Italy
| | - Julije Mestrovic
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Medical School of Split, University Hospital of Split, Split, Croatia
| | - Ida Giardino
- Department of Biomedical Sciences, University of Foggia, Foggia, Italy
| | - Mehmet Vural
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Faculty of Medicine, Istanbul University Cerrahpaşa, Istanbul, Turkey
| | - Tudor Lucian Pop
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; University of Medicine and Pharmacy Iuliu Haţieganu, Cluj-Napoca, Romania
| | - Leyla Namazova-Baranova
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Russian Academy of Pediatrics, Moscow, Russia
| | - Flavia Indrio
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Department of Pediatrics, Scientific Institute "Casa Sollievo della Sofferenza", Foggia, Italy
| | - Massimo Pettoello-Mantovani
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Department of Pediatrics, Scientific Institute "Casa Sollievo della Sofferenza", Foggia, Italy.
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Kagawa RMC, Riley ED. Gun violence against unhoused and unstably housed women: A cross-sectional study that highlights links to childhood violence. Inj Epidemiol 2021; 8:52. [PMID: 34412710 PMCID: PMC8375069 DOI: 10.1186/s40621-021-00348-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2021] [Accepted: 08/07/2021] [Indexed: 11/16/2022] Open
Abstract
Background Unstably housed women experience high levels of violence. While previous studies have investigated psychological, physical, and sexual violence, weapon and gun violence are rarely delineated. We examined factors associated with experiencing violence as an adult among unhoused and unstably housed women, with a focus on gun violence. Methods We recruited women with a history of housing instability from San Francisco homeless shelters, street encampments, free meal programs, low-income hotels, and health clinics. Participants completed interviews including questions regarding both childhood and adult violence. We used multivariable logistic regression to examine associations of specific types of childhood violence (i.e., physical, sexual, gun, other weapon-involved violence), age, race, ethnicity, educational attainment, and sexual orientation, with risk of experiencing specific types of violence as an adult (i.e., gun, other weapon-involved, physical violence). Because the violence outcomes were not rare, odds ratios were transformed to approximate risk ratios. Results Nearly half of women (n = 110, 45%) had been attacked with a gun as an adult. Violent victimization in adulthood was common, with 33% having experienced all three forms of violence. The probability of being attacked with a gun as an adult was almost 70% higher among women who had been hit or kicked hard enough to cause injury as a child (RR = 1.68; 95% CI = 1.24, 2.11), and this association was present for all three violence outcomes. No other risk factors explored, including other types of violence experienced as a child, met the statistical threshold to be considered significant. Conclusions The high prevalence of gun violence reported here is consistent with prior studies of violence conducted in similar populations. Considered in combination with prior research, findings suggest multi-generational violence prevention interventions for low-income women and girls are needed. They also emphasize the need to more actively include people who experience unstable housing in statewide and national violence surveys to better understand the extent of the problem and address on a broader scale the high rates of violence experienced by unstably housed populations, which have been consistently documented in local research.
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Affiliation(s)
- Rose M C Kagawa
- Violence Prevention Research Program, Department of Emergency Medicine, School of Medicine, University of California at Davis, 2315 Stockton Blvd., Sacramento, CA, 95817, USA.
| | - Elise D Riley
- Division of HIV, Infectious Disease and Global Medicine, Department of Medicine, University of California, San Francisco, 1001 Potrero Ave, San Francisco, CA, 94110, USA
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Children Witnessing Domestic and Family Violence: A Widespread Occurrence during the Coronavirus Disease 2019 (COVID-19) Pandemic. J Pediatr 2021; 235:305-306.e2. [PMID: 33964263 PMCID: PMC8491993 DOI: 10.1016/j.jpeds.2021.04.071] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Accepted: 04/30/2021] [Indexed: 02/08/2023]
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Haugland SH, Dovran A, Albaek AU, Sivertsen B. Adverse Childhood Experiences Among 28,047 Norwegian Adults From a General Population. Front Public Health 2021; 9:711344. [PMID: 34381754 PMCID: PMC8350119 DOI: 10.3389/fpubh.2021.711344] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2021] [Accepted: 06/29/2021] [Indexed: 11/13/2022] Open
Abstract
Aim: The purpose of this study was to estimate the prevalence of adverse childhood experiences (ACEs) among Norwegian adults from a general population and to identify potential associations with demographic and socioeconomic characteristics. Methods: A randomly drawn sample (N = 61,611) from the public registry of inhabitants was invited to participate in the Norwegian Counties Public Health Survey. The present study was based on online responses from 28,047 adults ≥18 years (mean age: 46.9 years, SD = 16.03). Log-link binomial regression analyses were performed to examine associations between four measures of ACEs (family conflict, lack of adult support, bad memories, and difficult childhood) and demographic (age, gender, civil status, parental divorce) and socioeconomic characteristics (education level, perceived financial situation, and welfare benefits). Results: Single individuals and those with parents that divorced during childhood were at elevated risk of all four ACEs. The risk varied to some degree between the sexes. The prevalence of ACEs declined with increasing age. We found a consistent social gradient that corresponded to the frequency of ACEs for all three socioeconomic characteristics investigated. The risks were highest for those in the lowest socioeconomic levels (RR: 1.53, 95% CI: 1.32-1.78 to RR: 4.95, CI: 4.27-5.74). Conclusions: Public health strategies should direct more attention to the interplay between ACEs and socioeconomic factors. Welfare services should be sensitive to ACEs among their service recipients.
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Affiliation(s)
- Siri H. Haugland
- Department of Psychosocial Health, University of Agder, Grimstad, Norway
| | - Anders Dovran
- Department of Psychosocial Health, University of Agder, Grimstad, Norway
- Stine Sofies Foundation and Stine Sofie Centre, Grimstad, Norway
| | - Ane U. Albaek
- Department of Psychosocial Health, University of Agder, Grimstad, Norway
| | - Børge Sivertsen
- Department of Health Promotion, Norwegian Institute of Public Health, Bergen, Norway
- Department of Research and Innovation, Helse Fonna HF, Haugesund, Norway
- Department of Mental Health, Norwegian University of Science and Technology, Trondheim, Norway
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#patientstoo - Professional sexual misconduct by healthcare professionals towards patients: a representative study. Epidemiol Psychiatr Sci 2021; 30:e50. [PMID: 34402421 PMCID: PMC8220485 DOI: 10.1017/s2045796021000378] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
AIMS Sexual border violations are a severe problem in the healthcare system. Studies using non-probability samples indicate a high prevalence of professional sexual misconduct (PSM) towards patients. However, valid prevalence rates are lacking. METHODS We did a cross-sectional, observational study in Germany from February to April 2020. By different sampling steps, a probability sample of the German population above the age of 14 was generated. The final sample consisted 2503 persons (50.2% female, mean age: 49.5 years). Participants were asked about sexual contacts with and sexual harassment by healthcare professionals. Using descriptive statistics, prevalence rates of PSM were estimated. RESULTS PSM was reported by 56 (4.5%) female and 17 (1.4%) male participants. In detail, 28 (2.2%) female and 10 (0.8%) male participants reported sexual contacts with healthcare professionals. One third of these sexual contacts took place before the age of 18 and one third against the will of the patients. 40 (3.2%) female and 8 (0.6%) male participants reported unnecessary physical examinations, 31 (2.5%) female and 7 (0.6%) male participants reported sexual harassment. The majority of perpetrators were male. CONCLUSIONS Our data provide an important first insight into the prevalence of PSM by healthcare professionals towards patients in a representative sample. Results suggest a high prevalence of PSM in the general population of Germany. Preventive measures to increase awareness of PSM and concepts for protection of patients are needed.
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Perruci LG, Diehl A, da Silveira BV, Teixeira JA, Souza J, Miasso AI, Dos Santos PL, Dos Santos MA, de Souza RM, Pillon SC, Wagstaff C. The emotional and psychiatric problems of adolescents on parole whose parents are substance users: A Brazilian cross-sectional study. J Child Health Care 2021; 25:253-267. [PMID: 32394746 DOI: 10.1177/1367493520925661] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The aim of this study is to evaluate the associations between having parents with substance use problems, and having suffered neglect within the family, and behavioral problems (psychological and drug use) among adolescents. All the participants were enrolled on the socio-educational parole scheme, 'Assisted Freedom'. In this cross-sectional study, 150 adolescents were interviewed using the Drug Abuse Screening Test, Teen Addiction Severity Index, and Childhood Trauma Questionnaire. Ninety-five percent of the participants were male (n = 143), aged 13-17. Thirty percent of adolescents had a parent who used substances and had experienced neglect from their families. Those adolescents who were living with both parents (odds ratio adjusted (ORA) = 2.7, 95% confidence interval (CI) = 1.13-6.37), from a low-income family (ORA = 6.7, 95% CI = 1.85-24.22), experienced hallucinations (ORA = 2.8, 95% CI = 1.25-6.14), had problems controlling violent behavior (ORA = 2.6, 95% CI = 1.12-5.87), and were physically neglected (ORA = 3.0, 95% CI = 1.24-7.49) were more likely to have parents who used substances and to have experienced parental neglect. This article concludes that adolescents, who are on parole, come from families with high level of psychosocial vulnerabilities, including substance use, experience neglect by their families leading to adverse emotional and psychological states.
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Affiliation(s)
- Ludmila Gonçalves Perruci
- PAHO/WHO Collaborating Centre for Nursing Research Development, Department of Psychiatric Nursing and Human Science, Faculty of Nursing at Ribeirão Preto (EERP), University of São Paulo (USP), São Paulo, Brazil
| | - Alessandra Diehl
- Department of Psychiatry, Federal University of São Paulo (UNIFESP), São Paulo, Brazil
| | - Belisa Vieira da Silveira
- PAHO/WHO Collaborating Centre for Nursing Research Development, Department of Psychiatric Nursing and Human Science, Faculty of Nursing at Ribeirão Preto (EERP), University of São Paulo (USP), São Paulo, Brazil
| | - Jessica Adrielle Teixeira
- PAHO/WHO Collaborating Centre for Nursing Research Development, Department of Psychiatric Nursing and Human Science, Faculty of Nursing at Ribeirão Preto (EERP), University of São Paulo (USP), São Paulo, Brazil
| | - Jacqueline Souza
- PAHO/WHO Collaborating Centre for Nursing Research Development, Department of Psychiatric Nursing and Human Science, Faculty of Nursing at Ribeirão Preto (EERP), University of São Paulo (USP), São Paulo, Brazil
| | - Adriana Inocenti Miasso
- PAHO/WHO Collaborating Centre for Nursing Research Development, Department of Psychiatric Nursing and Human Science, Faculty of Nursing at Ribeirão Preto (EERP), University of São Paulo (USP), São Paulo, Brazil
| | - Patricia Leila Dos Santos
- Faculty of Philosophy, Sciences and Letters of Ribeirão Preto, University of São Paulo (USP), São Paulo, Brazil
| | - Manoel Antônio Dos Santos
- Faculty of Philosophy, Sciences and Letters of Ribeirão Preto, University of São Paulo (USP), São Paulo, Brazil
| | - Roberto Molina de Souza
- Academic Department of Mathematics (DAMAT), Federal Technological University of Paraná, Paraná, Brazil
| | - Sandra Cristina Pillon
- PAHO/WHO Collaborating Centre for Nursing Research Development, Department of Psychiatric Nursing and Human Science, Faculty of Nursing at Ribeirão Preto (EERP), University of São Paulo (USP), São Paulo, Brazil
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22
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Nigri P, Corsello G, Nigri L, Bali D, Kuli-Lito G, Plesca D, Pop TL, Carrasco-Sanz A, Namazova-Baranova L, Mestrovic J, Vural M, Giardino I, Losonczi L, Somekh E, Balducci MT, Pettoello-Mantovani M, Ferrara P. Prevention and contrast of child abuse and neglect in the practice of European paediatricians: a multi-national pilot study. Ital J Pediatr 2021; 47:105. [PMID: 33941234 PMCID: PMC8094489 DOI: 10.1186/s13052-021-01055-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Accepted: 04/26/2021] [Indexed: 02/08/2023] Open
Abstract
Background Child abuse and neglect, or maltreatment, is a serious public health problem, which may cause long-term effects on children’s health and wellbeing and expose them to further adulthood vulnerabilities. Studies on child maltreatment performed in Europe are scarce, and the number of participants enrolled relatively small. The aim of this multi-national European pilot study, was to evaluate the level of understanding and perception of the concepts of child abuse and neglect by European paediatricians working in different medical settings, and the attitude toward these forms of maltreatment in their practice. Methods The study was performed by a cross-sectional, descriptive, online survey, made available online to European paediatricians members of 50 national paediatric, who belonged to four different medical settings: hospital, family care, university centres and private practice. The questionnaire, designed as a multiple choice questions survey, with a single answer option consisted of 22 questions/statements. Frequency analyses were applied. Most of the data were described using univariate analysis and Chi-squared tests were used to compare the respondents and answers and a significance level of p ≤ 0.05 applied. Results Findings show that European paediatricians consider the training on child maltreatment currently provided by medical school curricula and paediatric residency courses to be largely insufficient and continuing education courses were considered of great importance to cover educational gaps. Physical violence was recognized by paediatricians mostly during occasional visits with a significant correlation between detecting abuse during an occasional visit and being a primary care paediatrician. Results also showed a reluctance by paediatricians to report cases of maltreatment to the competent judicial authorities. Conclusions Data of this study may provide useful contribution to the current limited knowledge about the familiarity of European paediatricians with child maltreatment and their skills to recognize, manage and contrast abusive childhood experiences in their practice. Finally, they could provide local legislators and health authorities with information useful to further improve public health approaches and rules able to effectively address shared risk and protective factors, which could prevent child abuse and neglect from ever occurring.
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Affiliation(s)
- Paola Nigri
- Campus Bio-Medico University Medical School, Rome, Italy
| | - Giovanni Corsello
- Italian Society of Pediatrics, Rome, Italy.,Institute of Pediatrics, University of Palermo, Palermo, Italy
| | - Luigi Nigri
- Italian Federation of Pediatricians, Rome, Italy
| | | | | | - Doina Plesca
- Romanian Society of Paediatrics, Bucharest, Romania
| | | | | | | | | | | | - Ida Giardino
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - Laszlo Losonczi
- Association of Hungarian Primary Care Paediatrician, Budapest, Hungary
| | - Eli Somekh
- Department of Pediatrics, Mayanei Hayeshuah Medical Center, Bnei Brak, Israel
| | | | - Massimo Pettoello-Mantovani
- European Paediatric Association, Union of National European Pediatric Societies and Associations, Berlin, Germany.
| | - Pietro Ferrara
- Campus Bio-Medico University Medical School, Rome, Italy.,Italian Society of Pediatrics, Rome, Italy
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Cui L, Sun Q, Yu F, Xu J, Wang H. Exploring emotional dynamic within-person concordance across laboratory tasks: Moderation of between-person SES and sexual orientation. Biol Psychol 2021; 161:108055. [PMID: 33610627 DOI: 10.1016/j.biopsycho.2021.108055] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2020] [Revised: 02/16/2021] [Accepted: 02/16/2021] [Indexed: 12/27/2022]
Abstract
Current understandings of emotional concordance are still limited though it has been conceptualized and examined in various ways. We argue that emotional concordance could be better understood within individuals across real time in specific measurement contexts. The current study examined emotional dynamic within-person concordance within physiological subsystems and between physiological and expressive subsystems. We also explored the moderating roles of between-person factors on the within-person concordance and discordance. We found strong concordance within sympathetic indicators (PEP and CO), and between sympathetic and parasympathetic indicators (PEP and RSA), almost across all laboratory tasks. Evidence for concordance was generally weak between physiology and facial expression and have mostly been found between sympathetic indicator (PEP) and facial expressions. Participant socioeconomic status (SES) and sexual orientation seemed to moderate the emotional concordance. We discussed our findings across the various laboratory tasks in the current study.
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Affiliation(s)
- Lixian Cui
- Division of Arts and Sciences, NYU Shanghai, China.
| | - Qian Sun
- Division of Arts and Sciences, NYU Shanghai, China
| | - Fanyi Yu
- School of Psychology and Cognitive Science, East China Normal University, China
| | - Jingwei Xu
- School of Psychology and Cognitive Science, East China Normal University, China
| | - Hang Wang
- Faculty of Teacher Education, Baoding University, China
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Vederhus JK, Timko C, Haugland SH. Adverse childhood experiences and impact on quality of life in adulthood: development and validation of a short difficult childhood questionnaire in a large population-based health survey. Qual Life Res 2021; 30:1769-1778. [PMID: 33534031 PMCID: PMC8178145 DOI: 10.1007/s11136-021-02761-0] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/08/2021] [Indexed: 01/14/2023]
Abstract
Purpose A short adverse childhood experiences (ACEs) measure is needed with non-intrusive items that include subjective evaluations of childhood. We validated a short Difficult Childhood Questionnaire (DCQ) that assesses ACEs using personal perceptions of events. Methods The study relied on 2019 data from a representative survey (N = 28,047) in Norway. We examined the DCQ’s factor structure, internal consistency, and discriminant validity in a multi-group confirmatory factor analysis. As a group variable, we used whether the respondent had the ACE of parental alcohol use disorder (adult children of alcoholics; ACOA). To assess the DCQ’s convergent validity, we used latent regression analysis with adulthood quality of life (QoL) as the outcome and mental distress and loneliness as potential mediators. Results The DCQ’s latent mean was 0.86 (95% CI 0.82–0.90, p < 0.001) higher in the ACOA versus the non-ACOA group. The effect size suggested a large magnitude of this difference. The DCQ score was negatively associated with QoL and positively associated with mental distress and loneliness. For the score’s QoL effect [− 0.84 (95% CI − 0.87 to − 0.80, p < 0.001)], − 0.80 was indirect, and − 0.04 was direct. Thus, most of the association of DCQ with QoL occurred via mediators. Conclusions The results confirmed the DCQ’s discriminant and convergent validity and highlight this tool as an empirically supported approach to assess ACEs. Because of its brevity and psychometric strengths, the DCQ is useful for research and likely suited to mental health treatment settings.
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Affiliation(s)
- John-Kåre Vederhus
- Addiction Unit, Sørlandet Hospital, P.b. 416, 4604 Kristiansand, Norway
- Department of Psychosocial Health, University of Agder, Grimstad, Norway
| | - Christine Timko
- Center for Innovation to Implementation, Veterans Affairs Health Care System and Stanford University School of Medicine, Palo Alto, CA USA
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Bourgou S, Meddouri SL, Ben Hamouda A, Ben Mustapha H, Charfi F, Hamza M, Belhadj A. [Profile of the victims of sexual violence in child psychiatry consultation]. Encephale 2020; 47:221-226. [PMID: 33190821 DOI: 10.1016/j.encep.2020.06.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2020] [Revised: 06/04/2020] [Accepted: 06/19/2020] [Indexed: 11/17/2022]
Abstract
INTRODUCTION Child sexual abuse is a major health problem that remains under-declared and under-reported worldwide. In this paper we have taken an interest in establishing the profile of the victims in a clinical population of children consulting for sexual abuse. METHOD We conducted a descriptive retrospective study in the child and teenager psychiatry department of the Mongi-Slim hospital (Tunis, Tunisia). We included all patients referred for treatment or medical expertise during the period from January 2013 to June 2019 and recorded sociodemographic data and clinical characteristics on pre-established charts from patient files. RESULTS The total number of consultants was 150 patients with 61,33 % of female subjects (n=92). The average age was 9,9 years old with extremes ranging from 2 to 18 years old. The assault was unique in 62,7 % and happened in a place known by the victim in 47,33 %. Sexual abuse with non-penetrating contact was the most frequent (48 %). The average age at which the first sexual abuse happened was 9 years old. In the vast majority of cases, the abuser was a male. Concerning the identity of the abuser, he was someone of the family in 37,3 % of the cases and in half of these cases, he was the father. In the other cases where the abuser wasn't a family member, the identity was known by the child and/or his family in 48,66 %. A psychiatric diagnosis was made in 58 % of the cases with a percentage of 52,1 % among girls and 60,3 % among boys. Main diagnoses were acute stress disorder in 10,6 %, post trauma stress disorder in 19,3 %, adjustment disorder in14,6 % and a major depressive disorder in 8 %. CONCLUSION Knowing the profile of victims of child sexual abuse and taking into consideration the social and psychiatric impact can help in adapting the means to intervene properly in order to take care of the victims and prevent such abuse.
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Affiliation(s)
- S Bourgou
- Faculté de médecine de Tunis, service de pédopsychiatrie, hôpital Mongi-Slim, université de Tunis-El-Manar, 1007, La Marsa, 2046 Tunis, Tunisie.
| | - S L Meddouri
- Faculté de médecine de Tunis, service de pédopsychiatrie, hôpital Mongi-Slim, université de Tunis-El-Manar, 1007, La Marsa, 2046 Tunis, Tunisie
| | - A Ben Hamouda
- Faculté de médecine de Tunis, service de pédopsychiatrie, hôpital Mongi-Slim, université de Tunis-El-Manar, 1007, La Marsa, 2046 Tunis, Tunisie
| | - H Ben Mustapha
- Faculté de médecine de Tunis, service de pédopsychiatrie, hôpital Mongi-Slim, université de Tunis-El-Manar, 1007, La Marsa, 2046 Tunis, Tunisie
| | - F Charfi
- Faculté de médecine de Tunis, service de pédopsychiatrie, hôpital Mongi-Slim, université de Tunis-El-Manar, 1007, La Marsa, 2046 Tunis, Tunisie
| | - M Hamza
- Faculté de médecine de Tunis, service de pédopsychiatrie, hôpital Mongi-Slim, université de Tunis-El-Manar, 1007, La Marsa, 2046 Tunis, Tunisie
| | - A Belhadj
- Faculté de médecine de Tunis, service de pédopsychiatrie, hôpital Mongi-Slim, université de Tunis-El-Manar, 1007, La Marsa, 2046 Tunis, Tunisie
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Looking at the Future, Learning from the Past: Current Activities and Upcoming Goals of the European Paediatric Association, the Union of National European Paediatric Societies and Associations. J Pediatr 2020; 220:272-274.e1. [PMID: 32151391 DOI: 10.1016/j.jpeds.2020.02.034] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2020] [Accepted: 02/13/2020] [Indexed: 11/24/2022]
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Santillanes G, Onigu-Otite E, Tucci V, Moukaddam N. “Medical Clearance” of Psychiatric Patients in the Emergency Department. ADOLESCENT PSYCHIATRY 2020. [DOI: 10.2174/2210676609666191015123100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Background & goals:
The past few years have seen an increase in the number of
children and adolescents presenting to emergency departments with mental health complaints,
including, but not limited to, depression, suicidality, and substance use-related conditions.
This places many demands on the emergency physicians ranging from evaluating
medical stability (also known as medical clearance) to arranging for psychiatric are, be it inpatient
or outpatient. The goals of this article are to describe the current landscape of emergency
care for the pediatric patient presenting with mental health issues and to highlight gaps
in the current system.
Methods:
We review the literature on the epidemiology of mental health emergency visits
and guidelines for the medical clearance of pediatric and adolescent patients.
Results:
The needs of young patients with mental health difficulties exceed the resources
available in emergency care. Linkage to outpatient care is often inadequate and may be reinforcing
and perpetuating the current mental health crisis witnessed country-wide in the US.
Guidelines are lacking to standardize care in the ED, but there is a consensus that extensive
routine laboratory testing is unnecessary.
Conclusions:
Evaluation of physical stability, known as medical clearance, is a process best
customized to every patient’s individual needs. However, requirements of admitting psychiatric
inpatient facilities may conflict with recommendations of ancillary testing.
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28
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Ferrara P, Franceschini G, Namazova-Baranova L, Vural M, Mestrovic J, Nigri L, Giardino I, Pop TL, Sacco M, Pettoello-Mantovani M. Lifelong Negative Influence of School Violence on Children. J Pediatr 2019; 215:287-288.e2. [PMID: 31761142 DOI: 10.1016/j.jpeds.2019.09.075] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/25/2019] [Accepted: 09/25/2019] [Indexed: 02/08/2023]
Affiliation(s)
- Pietro Ferrara
- Institute of Pediatrics, Catholic University Medical School, Rome, Italy; Service of Pediatrics, Campus Bio-Medico University, Rome, Italy
| | | | - Leyla Namazova-Baranova
- European Pediatric Association/Union of National European Pediatric Societies and Associations, Berlin, Germany; Russian Medical Research and Scientific Medical University of Moscow, Russian Federation, Moscow, Russia
| | - Mehmet Vural
- European Pediatric Association/Union of National European Pediatric Societies and Associations, Berlin, Germany; University of Istanbul, Istanbul University Cerrahpaşa, Medical Faculty, Istanbul, Turkey
| | - Julije Mestrovic
- European Pediatric Association/Union of National European Pediatric Societies and Associations, Berlin, Germany; Medical School of Split, University Hospital of Split, Split, Croatia
| | - Luigi Nigri
- European Pediatric Association/Union of National European Pediatric Societies and Associations, Berlin, Germany; Italian Federation of Pediatricians, Rome, Italy
| | - Ida Giardino
- Department of Biomedical Sciences, University of Foggia, Foggia, Italy
| | - Tudor Lucian Pop
- European Pediatric Association/Union of National European Pediatric Societies and Associations, Berlin, Germany; 2nd Pediatric Clinic, University of Medicine and Pharmacy Iuliu Hatieganu Cluj-Napoca, Romania
| | - Michele Sacco
- Department of Pediatrics, Scientific Institute "Casa Sollievo della Sofferenza", University of Foggia, Foggia, Italy
| | - Massimo Pettoello-Mantovani
- European Pediatric Association/Union of National European Pediatric Societies and Associations, Berlin, Germany; Department of Pediatrics, Scientific Institute "Casa Sollievo della Sofferenza", University of Foggia, Foggia, Italy.
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29
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Hsin YC, Chang YC, Lee EP, Chiu CH, Chou I.J, Hsia SH, Lin KL, Lee J, Huang JL, Wang CJ, Wu HP. Risk factors for child maltreatment by the utilization of medical service and socioeconomic environment in Taiwan. Medicine (Baltimore) 2018; 97:e13728. [PMID: 30593145 PMCID: PMC6314714 DOI: 10.1097/md.0000000000013728] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/22/2023] Open
Abstract
Child maltreatment is complicated by cultural, welfare, and socioeconomic factors. However, the relationship between child maltreatment and socioeconomic factors has not been completely understood. We investigated risk factors for child abuse and neglect in Taiwan.The data in our study was obtained from Taiwan National Statistics at county level from 2004 to 2015. We included 4 areas (eastern, western, southern, northern) involving 20 cities and counties. The trends of child maltreatment rate based on different years and different areas were surveyed. In addition, panel data analysis was used to analyze the links between child maltreatment rate and socioeconomic factors.An increasing trend of child maltreatment rate in Taiwan was observed. During the past decade, child maltreatment rate increased from 14.5 in 2004 to 23.4 cases per 10000 children in 2014. The peak, which was 43 cases per 10000 children, occurred in 2012. Significant geographical differences were observed, and the highest child maltreatment rate was seen in eastern Taiwan. Panel data analysis revealed a lag effect of the unemployment rate on child maltreatment rate at the county level: the child maltreatment rate increased by 7 percent, while the prior unemployment rate increased by one percent. In addition, the medical personnel density was related to the child maltreatment rate within the county.Previous unemployment rate had a lag impact on child maltreatment occurrence. Unemployment rate has not only a direct impact on the economy but also sequential effects on child maltreatment.
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Affiliation(s)
- Yi-Chen Hsin
- Division of Pediatric General Medicine, Department of Pediatrics, Chang Gung Memorial Hospital at Linko, Kweishan
- College of Medicine, Chang Gung University
- Division of Pediatric Allery, Asthma, and Rheumatology, Department of Pediatrics
| | - Yu-Ching Chang
- Division of Pediatric General Medicine, Department of Pediatrics, Chang Gung Memorial Hospital at Linko, Kweishan
- College of Medicine, Chang Gung University
| | - En-Pei Lee
- Division of Pediatric General Medicine, Department of Pediatrics, Chang Gung Memorial Hospital at Linko, Kweishan
- College of Medicine, Chang Gung University
- Division of Pediatric Critical Care Medicine
| | - Cheng-Hsun Chiu
- College of Medicine, Chang Gung University
- Division of Pediatric Infectious Diseases
| | - I.-.Jun Chou
- College of Medicine, Chang Gung University
- Division of Pediatric Neurology
| | - Shao-Hsuan Hsia
- College of Medicine, Chang Gung University
- Division of Pediatric Critical Care Medicine
| | - Kuang-Lin Lin
- College of Medicine, Chang Gung University
- Division of Pediatric Neurology
| | - Jung Lee
- Division of Pediatric General Medicine, Department of Pediatrics, Chang Gung Memorial Hospital at Linko, Kweishan
- College of Medicine, Chang Gung University
| | - Jing-Long Huang
- College of Medicine, Chang Gung University
- Division of Pediatric Allery, Asthma, and Rheumatology, Department of Pediatrics
| | - Chao-Jan Wang
- College of Medicine, Chang Gung University
- Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital at Linko, Kweishan, Taoyuan
| | - Han-Ping Wu
- Department of Pediatric Emergency Medicine
- Department of Medical Research, Children's Hospital
- Department of Medicine, College of Medicine, China Medical University, Taichung
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