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Andrade JRD, Platt VB, Honicky M. Reports of Maltreatment in a Children's Hospital: Evaluation of the Epidemiological Profile and Its Relationship with the Outcome in Fractures. Rev Bras Ortop 2024; 59:e269-e277. [PMID: 38606138 PMCID: PMC11006522 DOI: 10.1055/s-0044-1785466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2023] [Accepted: 09/19/2023] [Indexed: 04/13/2024] Open
Abstract
Objective To describe suspected/confirmed cases of child maltreatment related to fractures in a pediatric hospital in southern Brazil. Method Study of the Information System of Notifiable Diseases notifications and the victims' medical records between January/2016 and December/2020. Variables related to the victim, the perpetrator, the type of abuse, the presence of fractures, and their anatomical location and death were evaluated. Logistic regression was performed to identify fracture-related variables, adjusted for sex and age. The results were expressed in odds ratios and their respective 95% confidence intervals. It was considered significant p < 0.05. Results There were 276 cases, 73 infants (26.4%), male predominance (151, 54.7%), with authorship of the mistreatment by relatives (245, 96,0%), 85 (31,5%), they presented fractures, with five deaths (1.9%). Factors related to the presence of fracture: age of the victim (less than two years old; n = 82; or 2.48; 95% CI: 1.45 - 4.25), having more than two aggressors involved ( n = 144; or 2.09; 95% CI: 1.16-3.75), the medium being traffic/automobile accident, ( n = 52; or 2.65; 95% CI: 1.04-6.75), consult an orthopedist ( n = 91; or 6.77 / 95% CI: 3.66-12.51), and the need for surgical intervention ( n = 15; OR 36.72; 95% CI: 8.22-164.03). Conclusions The importance of suspicion, early identification of aggression, and the correct completion of notifications for activating the system of guaranteeing rights and removal of the aggressor was emphasized.
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Werner JGB, Platt VB. Acute exogenous intoxications in childhood: factors related to hospitalization. Rev Paul Pediatr 2023; 42:e2023028. [PMID: 38088677 PMCID: PMC10712941 DOI: 10.1590/1984-0462/2024/42/2023028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Accepted: 08/06/2023] [Indexed: 12/17/2023]
Abstract
OBJECTIVE To describe the profile of children assisted in the Emergency Room of a Children reference Hospital in the South of Brazil, victims of acute poisoning between 2016 and 2021, to characterize the toxic agents and to present the factors related to hospitalization. METHODS Retrospective, descriptive and observational study with data collection from medical records at a children's hospital from July 2016 to June 2021 based on the compulsory notification forms. The characteristics of victims, of the incident, the type and class of the substance involved, the procedures demanded and the need for the Intensive Care Unit were evaluated. The outcome considered was hospitalization. Absolute and relative frequencies were calculated for the categorical variables and measures of central tendency and dispersion for the numerical ones. Binary logistic regression was performed to identify variables related to hospitalization. RESULTS There were 411 consultations, with the mean age of 7.2±5.5 years, and predominance of females (59.9%). Most of the poisoning occurred at home (82.1%) and orally (93.7%). Chemicals or cleaning products were the main agents in children up to 1 year of age, whereas in the other age groups accidents occurred most frequently with medicines. Hospital admission occurred in 38.7% of the cases, with related variables being: number of agents, type of substance involved, medication that acts on the Central Nervous System, recurrence, motivation (accidental/intentional), and performance of simple exams. CONCLUSIONS More preventive actions are needed, such as legislation, as well as greater guidance to parents on how to store products in the domestic environment, in order to reduce the number of exogenous intoxications in the pediatric population.
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Platt VB, Coelho ESB, Bolsoni C, Honicky M, Bordin GP, Camargo MAVD. Sexual violence against children in the state of Santa Catarina, Brazil: characteristics and factors related to repetitive violence. Rev Paul Pediatr 2023; 41:e2022069. [PMID: 37042944 PMCID: PMC10088467 DOI: 10.1590/1984-0462/2023/41/2022069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/14/2022] [Accepted: 12/07/2022] [Indexed: 04/13/2023]
Abstract
OBJECTIVE The aim of this study was to characterize child sexual abuse and investigate the factors related to its repetition in the state of Santa Catarina, Brazil. METHODS This is a descriptive and analytical study, with data from 2009-2019 SINAN. Sociodemographic variables related to the circumstances of violence were analyzed. Multivariate logistic regression was used to test factors related to repetitive violence. RESULTS A total of 3489 cases of child sexual abuse were reported: 73.3% were girls, the most prevalent age ranged from 6 to 10 years, and 51% reported repetitive violence. The majority was perpetrated by one (85.6%) person, and in cases in which two or more perpetrators were involved, the proportion of occurrence was higher for boys (17%) versus girls (13%). Among the risk factors for the repetition of sexual violence are the place of occurrence being the residence, the perpetrator (the stepfather, the brother, and the father) being under the influence of alcohol, and the age of the child between 6 and 10 years. CONCLUSION The profile and factors that help in the identification of repetitive child sexual abuse were presented, such as the authorship being related to stepfathers, parents, and siblings, the perpetrator being under the influence of alcohol, and the victim's age between 6 and 10 years.
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Platt VB, Coelho EBS, Bolsoni C, Höfelmann DA. Completeness, consistency and non-duplicity of records of child sexual abuse on the Notifiable Health Conditions Information System in the state of Santa Catarina, Brazil, 2009-2019. Epidemiol Serv Saude 2022; 31:e2021441. [PMID: 35830167 PMCID: PMC9887974 DOI: 10.1590/s2237-96222022000100012] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2021] [Accepted: 04/30/2022] [Indexed: 06/01/2023] Open
Abstract
OBJECTIVE To evaluate the completeness, consistency and duplicity of records of child sexual abuse on the Notifiable Health Conditions Information System (SINAN) in Santa Catarina, Brazil, between 2009 and 2019. METHODS This was a descriptive and analytical cross-sectional study aimed to assess the quality of SINAN data regarding completeness, consistency and non-duplicity. RESULTS 3,489 cases of violence were reported, with a 662.5% increase in the number of notifications in the period studied, with the increase in the number of referral centers for the care of people in situations of sexual violence in the state, explaining 46.7% of the variation in the number of cases, between the years studied. Consistency was excellent in 90.0% of the records; and completeness ranged between excellent and good in 92.3% of them. There was an increased trend in completeness for 14 variables in the period. There were no duplicate records. CONCLUSION Data from the sexual violence against children surveillance system were considered adequate regarding the questions that were assessed in the study.
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Affiliation(s)
- Vanessa Borges Platt
- Universidade Federal de Santa Catarina, Programa de Pós-Graduação em
Saúde Coletiva, Florianópolis, SC, Brazil
| | - Elza Berger Salema Coelho
- Universidade Federal de Santa Catarina, Programa de Pós-Graduação em
Saúde Coletiva, Florianópolis, SC, Brazil
| | - Carolina Bolsoni
- Universidade Federal de Santa Catarina, Programa de Pós-Graduação em
Saúde Coletiva, Florianópolis, SC, Brazil
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Platt VB, Guedert JM, Coelho EBS. VIOLENCE AGAINST CHILDREN AND ADOLESCENTS: NOTIFICATION AND ALERT IN TIMES OF PANDEMIC. Rev Paul Pediatr 2020; 39:e2020267. [PMID: 33146295 PMCID: PMC7594504 DOI: 10.1590/1984-0462/2021/39/2020267] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/21/2020] [Accepted: 08/16/2020] [Indexed: 11/29/2022]
Abstract
Objective: Social isolation is currently identified as the best way to prevent the
infection by the new coronavirus. However, for some social groups, such as
children and adolescents, this measure carries a contradiction: the home,
which should be the safest place for them, is also a frequent environment of
a sad aggravation: domestic violence. This study aims to evaluate the
notifications of interpersonal/self-inflicted violence available in the
Information System for Notifiable Diseases in the State of Santa Catarina
(southern Brazil), for the juvenile age group, before and during the new
coronavirus pandemics. Methods: Cross-sectional, descriptive study of violence against children and
adolescents (from 0 to 19 years) notified by health professionals by
completing and entering the occurrence in the Information System for
Notifiable Diseases of the State of Santa Catarina in 11 weeks in which the
social isolation measure was instituted as mandatory, comparing with the
same period before this measure. Results: During the study period, 136 municipalities in Santa Catarina made 1,851
notifications. There was a decrease of 55.3% of them in the isolation
period, and the difficulties encountered in seeking protection and
assistance institutions were listed. Conclusions: The society needs to be aware of possible cases of violence in the children
and adolescent population. It is important to provide accessible, effective,
and safe ways for complaints and notifications, as well as a quick response
to the cases, aiming at protecting victims and minimizing damages to prevent
the perpetuation of the violence.
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Platt VB, Back IDC, Hauschild DB, Guedert JM. Sexual violence against children: authors, victims and consequences. Cien Saude Colet 2018; 23:1019-1031. [PMID: 29694574 DOI: 10.1590/1413-81232018234.11362016] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2016] [Accepted: 06/23/2016] [Indexed: 11/22/2022] Open
Abstract
The scope of this study was to identify the characteristics of sexual abuse against children including the profiles of the victims and the perpetrators, and associated factors notified in a health service of reference with the database of the Brazilian Case Registry Database, in a city in the south of Brazil. Categorical variables are presented in prevalence with 95% confidence intervals. There were 489 notifications from 2008 to 2014 of confirmed or suspected child sexual abuse. The majority was related to female victims, but the repeated abuse was reported mainly with male victims. In most cases, the abuse took place at the victims' or perpetrators' homes and the main perpetrators of abuse were male and acquainted with the victims. Twelve victims have contracted sexually transmitted infections; pregnancies were six, five of them legally terminated. This study highlights that the child sexual abuse profiles were similar in almost all of Brazilian regions, showing that it is possible to have a coordinated national action to prevent this offence.
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Affiliation(s)
- Vanessa Borges Platt
- Programa de Pós-Graduação em Saúde Coletiva, Departamento de Saúde Coletiva, Centro de Ciências da Saúde, Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil,
| | - Isabela de Carlos Back
- Programa de Pós-Graduação em Saúde Coletiva, Departamento de Saúde Coletiva, Centro de Ciências da Saúde, Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil,
| | - Daniela Barbieri Hauschild
- Programa de Pós-Graduação em Nutrição, Departamento de Nutrição, Centro de Ciências da Saúde, UFSC, Brasil
| | - Jucélia Maria Guedert
- Hospital Infantil Joana de Gusmão, Hospital Universitário, UFSC, Florianópolis, SC, Brasil
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Hauschild DB, Barbosa E, Moreira EAM, Ludwig Neto N, Platt VB, Piacentini Filho E, Wazlawik E, Moreno YMF. Nutrition Status Parameters and Hydration Status by Bioelectrical Impedance Vector Analysis Were Associated With Lung Function Impairment in Children and Adolescents With Cystic Fibrosis. Nutr Clin Pract 2016; 31:378-86. [DOI: 10.1177/0884533615627157] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Open
Affiliation(s)
- Daniela Barbieri Hauschild
- Department of Nutrition and Postgraduate Program in Nutrition, Federal University of Santa Catarina, Florianópolis, Brazil
| | - Eliana Barbosa
- Joana de Gusmão Children’s Hospital, Florianópolis, Brazil
| | - Emilia Addison Machado Moreira
- Department of Nutrition and Postgraduate Program in Nutrition, Federal University of Santa Catarina, Florianópolis, Brazil
| | | | | | | | - Elisabeth Wazlawik
- Department of Nutrition and Postgraduate Program in Nutrition, Federal University of Santa Catarina, Florianópolis, Brazil
| | - Yara Maria Franco Moreno
- Department of Nutrition and Postgraduate Program in Nutrition, Federal University of Santa Catarina, Florianópolis, Brazil
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