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儿童虐待临床护理、教学和研究的电子知识库

ELECTRICA: ELEctronic knowledge base for Clinical care, Teaching and Research In Child Abuse.

机构信息

Department of Radiology, Sheffield Children's Hospital NHS Foundation Trust, Western Bank, Sheffield, UK.

出版信息

Pediatr Radiol. 2011 Nov;41(11):1433-9. doi: 10.1007/s00247-011-2221-1. Epub 2011 Sep 13.

DOI:10.1007/s00247-011-2221-1
PMID:21912969
Abstract

Child abuse is a highly significant public health issue with 4-16% of children being physically abused. The diagnosis is sensitive and challenging, with many radiologists dissatisfied with current levels of training and support. The literature shows a lack of prospective scientific research in this complex field. An ELEctronic knowledge base for Clinical care, Teaching and Research In Child Abuse (ELECTRICA) should solve many current problems. ELECTRICA will be populated with clinical information, radiographs and radiographic findings in children younger than 3 years of age presenting with injury (accidental or suspected abuse), to form a unique resource. This web-based tool will unify the investigative protocol in suspected abuse and support training and allow multicentre national and international collaborative research and provide robust evidence to support the legal process.

摘要

儿童虐待是一个非常严重的公共卫生问题,有 4-16%的儿童受到身体虐待。诊断具有敏感性和挑战性,许多放射科医生对当前的培训和支持水平不满意。文献表明,在这个复杂领域缺乏前瞻性的科学研究。一个用于临床护理、教学和研究的儿童虐待电子知识库(ELECTRICA)应该可以解决许多当前的问题。ELECTRICA 将收录临床信息、3 岁以下因受伤(意外或疑似虐待)就诊的儿童的 X 光片和放射学发现,形成一个独特的资源。这个基于网络的工具将统一疑似虐待的调查方案,支持培训,并允许进行多中心的国家和国际合作研究,提供有力的证据支持法律程序。

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本文引用的文献

1
Teleradiology: a modern approach to diagnosis, training, and research in child abuse?远程放射学:儿童虐待诊断、培训及研究的现代方法?
Clin Radiol. 2011 Jun;66(6):546-50. doi: 10.1016/j.crad.2010.11.014. Epub 2011 Feb 9.
2
Are UK radiologists satisfied with the training and support received in suspected child abuse?英国放射科医生对在疑似虐待儿童案件中获得的培训和支持感到满意吗?
Clin Radiol. 2009 Jul;64(7):690-8. doi: 10.1016/j.crad.2009.02.012. Epub 2009 Apr 25.
3
Prospective parental consent for autopsy research following sudden unexpected childhood deaths: a successful model.
儿童意外猝死尸检研究的前瞻性家长同意:一种成功模式。
Arch Dis Child. 2009 May;94(5):354-8. doi: 10.1136/adc.2008.150904. Epub 2009 Mar 12.
4
Burden and consequences of child maltreatment in high-income countries.高收入国家儿童虐待的负担与后果
Lancet. 2009 Jan 3;373(9657):68-81. doi: 10.1016/S0140-6736(08)61706-7. Epub 2008 Dec 4.
5
Patterns of skeletal fractures in child abuse: systematic review.虐待儿童中骨骼骨折的模式:系统评价
BMJ. 2008 Oct 2;337:a1518. doi: 10.1136/bmj.a1518.
6
Diagnosing child abuse.诊断儿童虐待。
BMJ. 2008 Oct 2;337:a1398. doi: 10.1136/bmj.a1398.
7
An audit of skeletal surveys for suspected non-accidental injury following publication of the British Society of Paediatric Radiology guidelines.英国儿科放射学会指南发布后对疑似非意外性损伤骨骼检查的审核。
Clin Radiol. 2008 Jun;63(6):651-6. doi: 10.1016/j.crad.2007.11.010. Epub 2008 Feb 11.
8
Limb fractures and nonaccidental injury in children less than 24 months of age.24个月以下儿童的肢体骨折与非意外伤害
Eur J Emerg Med. 2008 Apr;15(2):63-6. doi: 10.1097/MEJ.0b013e3282f08d1c.
9
Radiology in suspected non-accidental injury: theory and practice in The Netherlands.疑似非意外性损伤中的放射学:荷兰的理论与实践
Eur J Radiol. 2009 Jul;71(1):147-51. doi: 10.1016/j.ejrad.2008.02.014. Epub 2008 Apr 8.
10
Use of computer databases to reduce radiograph reading errors.利用计算机数据库减少X光片阅片错误。
J Am Coll Radiol. 2007 Jan;4(1):65-8. doi: 10.1016/j.jacr.2006.08.016.