Publications by authors named "N D Kellogg"
Medical assessments for abuse and neglect in contacts of maltreated children.
J Paediatr Child Health
August 2024
Aim: Identifying abuse or neglect in one child (index) implicates risk to other children residing in the same home (contacts). While child protection investigators may interview and visually examine contacts, there is lack of consensus regarding when contacts should have a medical assessment. Our goal was to describe the prevalence, characteristics and predictors of abuse and neglect among contacts medically assessed by a child maltreatment evaluation centre over a 5-year period.
View Article and Find Full Text PDFInterpretation of medical findings in suspected child sexual abuse: An update for 2023.
Child Abuse Negl
November 2023
Health care professionals who examine children who may have been sexually abused need to be able to recognize, and photo-document any physical signs, and to have access to expert reviewers, particularly when signs concerning for sexual abuse are found. Although the general consensus among practitioners is that children will show few signs of sexual abuse on examination, there is considerable variability and rates of positive exam findings among practitioners of different professions, practice settings, and countries. This review will summarize new data and recommendations regarding the interpretation of medical findings and sexually transmitted infections (STIs); assessment and management of pediatric patients presenting with suspected sexual abuse or assault; and testing and treating patients for STIs.
View Article and Find Full Text PDFArticle Synopsis
- Several studies highlight the differences in disclosure of sexual abuse among children, but there's still a need to better understand how factors affecting disclosure vary between adolescents and younger children.
- The study aimed to identify reasons for delays and barriers in disclosure among pediatric patients who have experienced sexual abuse, focusing on differences between female adolescents and pre-adolescents.
- Findings revealed that younger age at the time of abuse and fear of repercussions were key factors delaying disclosure; however, specific predictors varied between age groups, indicating the importance of tailored strategies to encourage disclosure.
Background: Growth recovery lines are radiodense lines in long bones reported to be indicators of stress.
Objective: The purpose of this study was to understand the distribution, quantity and associations of growth recovery lines in children ages 0-24 months with high and low risk for child maltreatment.
Materials And Methods: We conducted a retrospective cohort study of children ages 0-24 months who had skeletal surveys and an assessment for maltreatment.