[How to take care of a victim of sexual assault in the doctor's office ?].

How to take care Of a victim of sexual Assault in the doctor's Office ? The care of a victim of sexual assault is a legal And medical emergency. Before 48 hours, an Initial medical certificate will describe any lesions. A prescription for antiretroviral therapy and emergency Contraception will be made before a possible Complaint is lodged and examination at the Medico-forensic unit (umj).

The attack on November 13, 2015: organisation of the medico-judicial unit of the Hôtel-Dieu Hospital in Paris.

The main aims of a medico-judicial unit are to ensure the examination of assault victims or persons in custody and to perform sampling necessary for investigations. Forensic examination is essential to describe the wounds and to evaluate the consequences of an assault by determining days of total incapacity for work (ITT). After the Paris attack on November 13, 2015, 121 victims were examined at the medico-judicial units of Paris.

Abusive Head Trauma in Day Care Centers.

Background: Abusive head trauma (AHT) warrants particular attention in terms of prevention. One of the key questions asked is how often AHT occurs in infant day care centers compared with private parental or nonparental homes. To investigate this, we studied the caretaking arrangement and child's location at the time of injury in a cohort of cases involving AHT from the courts.

[Population of people placed in police custody, hidden barometer of diverted medicines].

Purpose Of The Study: The population of people in police custody is a sentinel niche that is poorly represented in the "usual panels" of public health studies. The aim is to make an overview of their diversion of drugs.

Patients And Methods: A retrospective study based on cases of misuse in a sample of people in custody examined between 2015 and 2016 at the forensic medicine unit of the hospital Hôtel-Dieu-Paris.

[Practical approach to a suspicion of child sexual abuse].

Child sexual abuse is very common. Whether it is a spontaneous revelation, a sign or an evocative symptom, the suspicion of sexual assault on a child requires the doctor to act, regardless of his specialty or mode of exercise. After the interview, the doctor carries out a general somatic examination and writes an initial descriptive medical certificate.

Classic Metaphyseal Lesions among Victims of Abuse.

Objective: To use legal statements by perpetrators to gain new insights into the causative mechanism of classic metaphyseal lesion (CML). The CML, so called "corner fracture," is considered a highly specific marker for abuse in infants. However, the precise correlation between CMLs and abusive head trauma is still unknown.

Evaluation of a Temporal Association between Vaccination and Subdural Hematoma in Infants.

Objective: To investigate a temporal association between vaccination and subdural hematoma, the main feature of abusive head trauma.

Study Design: From a prospective population-based survey carried out in 1 administrative district in France between January 2015 and April 2017, including all infants between 11 and 52 weeks old who underwent a first cerebral imaging (computerized tomography scan or magnetic resonance imaging), we conducted a nested case-control study. Vaccine exposure was compared between cases (infants with subdural hematoma) and 2-3 paired controls, without subdural hematoma or any other imaging findings compatible with abusive head trauma.

Dating the abusive head trauma episode and perpetrator statements: key points for imaging.

Shaken baby syndrome/abusive head trauma is a leading cause of morbidity and mortality in infants. The presence of a diffuse subdural hematoma without evidence of accident is a key diagnostic clue. The hematoma is typically attributed to rupture of the cerebral bridging veins due to violent shaking, with or without impact.

Detection of residual packets in cocaine body packers: low accuracy of abdominal radiography-a prospective study.

Objective: To evaluate the accuracy of abdominal radiography (AXR) for the detection of residual cocaine packets by comparison with computed tomography (CT).

Methods: Over a 1-year period unenhanced CT was systematically performed in addition to AXR for pre-discharge evaluation of cocaine body packers. AXR and CT were interpreted independently by two radiologists blinded to clinical outcome.

[Examination and care of sexual assault victims].

Any general practitioner might have to examine and care for a sexual assault victim in their professional practice. Taking time to listen to the victim's story is essential to direct the examination and sample collection. The general physical examination screens for physical injuries.

[Evaluating the functional impairment of assault survivors in a judicial context: frequency of aggravating factors according to the French Penal Code and evidence for heterogeneous medical practice].

Objectives: In cases of assault and battery, the French Penal Code considers some aggravating factors. No data are available on the frequency of aggravating factors. Our main objective was to determine this frequency.

Abusive head trauma: judicial admissions highlight violent and repetitive shaking.

Objective: Confessions are uncommon in abusive head trauma (AHT) cases, and there is debate over whether shaking alone can cause the injuries characteristic of AHT. The objective of this article is to correlate legal statements by perpetrators with medical documentation to offer insights into the mechanism of injury.

Methods: In this retrospective observational study we examined forensic evidence from 112 cases referred for AHT over a 7-year period.

How to explore and report children with suspected non-accidental trauma.

Child abuse is a controversial problem of special concern. Recent reports have focused on the broad variability of reporting to child protection services. Radiologists play a key role in the early diagnosis and imaging of suspected inflicted injury.