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Child abuse in Georgia: a method to evaluate risk factors and reporting bias

Abstract

From July 1975 through December 1979, the Georgia Department of Protective Services Central Registry recorded population-based data on confirmed, non-confirmable, and ruled-out child abuse reports. We propose that reporting biases are reflected in the differential characteristics of confirmed and ruled-out reports of child abuse.… Read more

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Sexual child abuse

Abstract

The Centers for Disease Control are currently formulating recommendations for treatment of children suspected of being sexually abused. Until this process is completed, we suggest that recommendations for adults be followed for sexually abused children.

Gonorrhea prophylaxis should be given only if the abuser is known to have a gonococcal infection. … Read more

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Sexually Abused Children and Sexually Transmitted Diseases

Abstract

Sexual  abuse  of  children  is  a  complex  problem that has had, until recently, received only limited recognition and discussion in the pediatric literature. The reasons for this are twofold. First, the magnitude of the problem is unrecognized. Sexual child abuse is grossly underreported, with a true incidence perhaps 10-fold higher than the reported incidence.… Read more

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Detection of a novel binding site for T cell derived antigen binding proteins on thymic epithelial cell surfaces

Abstract

The presence of helper T cells that do not recognize major histocompatibility complex encoded antigenic determinants but rather are specific for self idiotypic determinants led us to search for a mechanism by which such cells might be influenced by idiotype expressed on the surfaces of thymic epithelial cells.… Read more

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Recommended precautions for patients with Legionnaires’ Disease

Abstract

As diagnostic techniques for the identification of Legionella species have become readily available, recognition of the pneumonic form of Legionellosis has increased. In particular, cases of hospital-acquired Legionella pneumophila are being identified and this has led to concern over possible person-to-person transmission.… Read more

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Epidemiologic differences between sexual and physical child abuse

Abstract

Sexual and physical child abuse are assumed to differ; however, these differences have not been well characterized epidemiologically. Furthermore, despite assumed differences, these types of abuse are often analyzed as one entity. This can have significant effects on assessment of risk and recommendations for intervention.… Read more

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Precautions for Creutzfeldt-Jakob disease

Abstract

Creutzfeldt-Jakob disease (CJD) is a rapidly progressive, fatal disease of the central nervous system. Premortem diagnosis may or may not be conclusive. Because the etiologic agent is virulent, definition of necessary precautions for medical staff associated with such patients is needed.… Read more

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Transient antibody deficiency and abnormal t-suppressor cells induced by phenytoin

Abstract

The lack of normal  B-cell  differentiation in patients with acquired or congenital antibody  deficiency may reflect abnormalities inherent in cells of B-lymphoid  lineage or may  involve abnormalities of regulatory (suppressor) cells. Circulating suppressor T cells,  which interfere with IgM secretion in a plaque-forming-cell assay, have been found in 60 per cent of these patients,  but their role in the pathogenesis of the disease is unclear. … Read more

Illustration(s) pertain to the topic addressed in this publication, not the specific research or data presented in the publication

Objective birth data and the prediction of child abuse

Abstract

Data from the USA suggest that many cases of abuse are not reported to child abuse agencies.  It is highly likely that the population characteristics associated with risk of abuse may actually represent risk of abuse coming to the attention of the authorities.… Read more