Download or read book Abuse of Minors in Clinical Studies written by Klaus Rose and published by Ethics International Press. This book was released on 2023-11-25 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: With the emergence of effective drugs and observed drug toxicities in babies, two mantras emerged: that children are therapeutic orphans, and that children are not small adults. US and EU laws demand pediatric studies as a condition for the approval of new drugs in adults. This is called “Pediatric Drug Development” (PDD). Although apparently reasonable, there are catches. Children are vulnerable at birth, but they grow and become bodily mature with puberty, well before coming of age. Minors are not another species. The 18th birthday, an administrative/ legal limit, does not correspond to a physiological change. Drugs treat the body, not the legal status. PDD results in pointless studies in bodily mature adolescents, and in exaggerated studies in younger minors. An originally well-intentioned concept results in thousands of questionable studies worldwide. This book draws attention to conflicts of interest and ethical dilemmas of PDD and questions its applicability for adolescents and minors that are no longer babies.
Download or read book Ethical Conduct of Clinical Research Involving Children written by Institute of Medicine and published by National Academies Press. This book was released on 2004-07-09 with total page 445 pages. Available in PDF, EPUB and Kindle. Book excerpt: In recent decades, advances in biomedical research have helped save or lengthen the lives of children around the world. With improved therapies, child and adolescent mortality rates have decreased significantly in the last half century. Despite these advances, pediatricians and others argue that children have not shared equally with adults in biomedical advances. Even though we want children to benefit from the dramatic and accelerating rate of progress in medical care that has been fueled by scientific research, we do not want to place children at risk of being harmed by participating in clinical studies. Ethical Conduct of Clinical Research Involving Children considers the necessities and challenges of this type of research and reviews the ethical and legal standards for conducting it. It also considers problems with the interpretation and application of these standards and conduct, concluding that while children should not be excluded from potentially beneficial clinical studies, some research that is ethically permissible for adults is not acceptable for children, who usually do not have the legal capacity or maturity to make informed decisions about research participation. The book looks at the need for appropriate pediatric expertise at all stages of the design, review, and conduct of a research project to effectively implement policies to protect children. It argues persuasively that a robust system for protecting human research participants in general is a necessary foundation for protecting child research participants in particular.
Download or read book Medical Response to Child Sexual Abuse written by Randell Alexander and published by STM Learning. This book was released on 2019-04 with total page 439 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of Medical Response to Child Sexual Abuse is revised and updatedto reflect contemporary best practices for the pediatric approach to childhood sexualabuse. This text is specifically developed to equip physicians, nurses, and othermedical professionals with the necessary tools to identify cases of child sexual abuseand to effectively treat and examine sexually abused patients. Professionals who work with sexually abused children face a great challenge innot only treating the immediate outcomes of sexual abuse but also safeguardingtheir patients' long-term recovery. To meet their needs and the needs of those intheir care, Medical Response to Child Sexual Abuse, Second Edition offers a wealthof evidence-based research and practical guidelines to the evaluation of childhoodsexual abuse.
Download or read book Handbook of Child Abuse Research and Treatment written by John R. Lutzker and published by Springer Science & Business Media. This book was released on 1998 with total page 624 pages. Available in PDF, EPUB and Kindle. Book excerpt: The causes of child abuse and neglect have been major topics of study since the 1960s, but treatment strategies, research, and legal issues have only received concentrated attention since the '80s. The leading figures in these efforts have contributed to this handbook, a state-of-the-art compilation of their findings that also includes writings on associated cultural issues , youth violence, sexual abuse, and child development. Both a text and a reference, the volume is uniquely founded on empirical research.
Download or read book New Directions in Child Abuse and Neglect Research written by National Research Council and published by National Academies Press. This book was released on 2014-03-25 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt: Each year, child protective services receive reports of child abuse and neglect involving six million children, and many more go unreported. The long-term human and fiscal consequences of child abuse and neglect are not relegated to the victims themselves-they also impact their families, future relationships, and society. In 1993, the National Research Council (NRC) issued the report, Under-standing Child Abuse and Neglect, which provided an overview of the research on child abuse and neglect. New Directions in Child Abuse and Neglect Research updates the 1993 report and provides new recommendations to respond to this public health challenge. According to this report, while there has been great progress in child abuse and neglect research, a coordinated, national research infrastructure with high-level federal support needs to be established and implemented immediately. New Directions in Child Abuse and Neglect Research recommends an actionable framework to guide and support future child abuse and neglect research. This report calls for a comprehensive, multidisciplinary approach to child abuse and neglect research that examines factors related to both children and adults across physical, mental, and behavioral health domains-including those in child welfare, economic support, criminal justice, education, and health care systems-and assesses the needs of a variety of subpopulations. It should also clarify the causal pathways related to child abuse and neglect and, more importantly, assess efforts to interrupt these pathways. New Directions in Child Abuse and Neglect Research identifies four areas to look to in developing a coordinated research enterprise: a national strategic plan, a national surveillance system, a new generation of researchers, and changes in the federal and state programmatic and policy response.
Download or read book Medical Child Abuse written by Thomas A. Roesler and published by . This book was released on 2009 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Thomas A. Roesler, MD, FAAP and Carole Jenny, MD, MBA, FAAP make the case that the term Munchausen syndrome by proxy should be retired permanently and replaced with a commonsense appreciation that children can be abused by their parents in the medical environment. Physicians who find themselves providing unnecessary and harmful medical care can see the abuse for what it is, another way parents can harm children. the book offers the first detailed and comprehensive description of treatment for this form of child maltreatment.
Download or read book Ethical Issues in Mental Health Research With Children and Adolescents written by Kimberly Hoagwood and published by Routledge. This book was released on 2014-06-03 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: Studies involving children with mental, emotional, or behavioral problems--or their families--have to meet certain standards of research ethics. This book contains chapters on the kinds of ethical dilemmas that typically occur in different types of studies of children, and then presents 65 real-world cases from experts who study children's mental health. These experts offer practical suggestions for how to handle these dilemmas. Chapters on the perspectives of parents, regulators, and bioethicists provide additional points of view on these issues. Written in down-to-earth language, this book will be useful for professionals who study children, for those who train students in research methods, and for parents who are thinking about participating in research studies. In attempting to bridge the apparent gap between ethics and science, the editors close this volume on a note commonly sounded by researchers: more research is needed. Yet in this area, a new kind of research is required. The science of scientific ethics must be developed and expanded, and better understanding of the determinants and circumstances under which children can comprehend and evaluate risks and benefits is needed. Likewise, fuller knowledge of the contextual factors affecting children's and families' consent to participate in research is essential. In particular, development of scales to assess children's ability to comprehend risk-benefit issues, studies of families' reactions to research procedures, and empirical data on the impact of various forms of participant reimbursement will advance both science and ethics. This volume should spur further research, serving as a guide for current investigators, participating families, institutional review boards, and policymakers who shape the research enterprise.
Download or read book The Ethical Conduct of Clinical Research Involving Children written by Marilyn J. Field and published by . This book was released on 2004-07-09 with total page 456 pages. Available in PDF, EPUB and Kindle. Book excerpt: In recent decades, advances in biomedical research have helped save or lengthen the lives of children around the world. Despite these advances, pediatricians and others argue that children have not shared equally with adults in biomedical advances. Even though we want children to benefit from the dramatic rate of progress in medical care, we do not want to place children at risk of being harmed by participating in clinical studies. This book consideres the necessities and challenges of this type of research and reviews the ethical and legal standards for conducting it. It also looks at the need for appropriate pediatric expertise al all stages of the design, review, and conduct of a research project to effecively implement policies to protect children.
Download or read book Childhood Sexual Abuse written by Paul E. Mullen and published by SAGE Publications. This book was released on 1999-02-02 with total page 147 pages. Available in PDF, EPUB and Kindle. Book excerpt: Childhood Sexual Abuse critically reviews research into and provides a concise and clear guide to our current knowledge on the topic. The issues covered include: the prevalence of child sexual abuse; who molests children; the effects of such abuse, both immediate and long-term; the risk factors for abuse; and the influences and interventions that may amplify or ameliorate the impact of child sexual abuse on the victim. Areas of debate, such as the false memory syndrome, are approached in terms of the research data relevant to their resolution. This volume sets out to inform rather than advocate, discusses the methodologies of research as well as their results, highlights the limitations and the extent of current information, and points out how we can learn more about child sexual abuse.
Download or read book Ethical Issues in Child Abuse Research written by Katherine Guttmann and published by Springer. This book was released on 2018-10-26 with total page 123 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book serves as a comprehensive resource for researchers and regulatory bodies working to establish sound evidence bases through research for the care of children and families affected by abuse. Issues such as consent, anonymous research, and how to interface with the legal system in terms of disclosure and sharing of results are discussed in depth. Ethical Issues in Child Abuse Research also provides insights into questions of ethics in animal research, perpetrator and retrospective research, and balances the necessity of collecting this valuable information while protecting vulnerable populations, and respecting their privacy while interacting in a complex legal system. With input from many leaders in child abuse research, this book fills a critical need, providing readers with a pathway to apply these principles of ethics to their own research in this challenging field.
Download or read book Combined Parent Child Cognitive Behavioral Therapy written by Melissa K. Runyon and published by Oxford University Press. This book was released on 2013-11 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: Combined Parent-Child Cognitive Behavioral Therapy is an evidence-based intervention and prevention model for child physical abuse aimed at empowering families to develop optimistic outlooks on parenting and strengthen parent-child relationships.
Download or read book Responding to Children and Adolescents who Have Been Sexually Abused written by World Health Organization and published by . This book was released on 2017 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sexual abuse of children and adolescents is a gross violation of their rights and a global public health problem. It adversely affects the health of children and adolescents. Health care providers are in a unique position to provide an empathetic response to children and adolescents who have been sexually abused. Such a response can go a long way in helping survivors recover from the trauma of sexual abuse. WHO has published new clinical guidelines Responding to Children and Adolescents Who Have Been Sexually Abused aimed at helping front-line health workers, primarily from low resource settings, in providing evidence-based, quality, trauma-informed care to survivors. The guidelines emphasize the importance of promoting safety, offering choices and respecting the wishes and autonomy of children and adolescents. They cover recommendations for post-rape care and mental health; and approaches to minimizing distress in the process of taking medical history, conducting examination and documenting findings.
Download or read book Safe and Effective Medicines for Children written by Institute of Medicine and published by National Academies Press. This book was released on 2012-10-13 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Best Pharmaceuticals for Children Act (BPCA) and the Pediatric Research Equity Act (PREA) were designed to encourage more pediatric studies of drugs used for children. The FDA asked the IOM to review aspects of pediatric studies and changes in product labeling that resulted from BPCA and PREA and their predecessor policies, as well as assess the incentives for pediatric studies of biologics and the extent to which biologics have been studied in children. The IOM committee concludes that these policies have helped provide clinicians who care for children with better information about the efficacy, safety, and appropriate prescribing of drugs. The IOM suggests that more can be done to increase knowledge about drugs used by children and thereby improve the clinical care, health, and well-being of the nation's children.
Download or read book The Sexual Abuse of Children written by William T. O'Donohue and published by Routledge. This book was released on 2013-12-16 with total page 572 pages. Available in PDF, EPUB and Kindle. Book excerpt: The sexual abuse of children is now seen as an enormous problem; first, because there is an increasing awareness that it is more prevalent than previously thought, and second, because it gives rise to so many complex questions. How is sexual abuse to be defined? What are the effects of abuse? How can the victim be helped? How can abuse be prevented? These two comprehensive volumes cover a wide spectrum of basic and applied issues. Expert contributors -- including physicians, attorneys, psychologists, philosophers, social workers, and engineers -- address such relevant topics as epidemiology, animal models, legal reforms, feminist scholarship, child pornography, medical assessment, and diverse models of psychotherapeutic intention.
Download or read book The Sexual Abuse of Children written by William T. O'Donohue and published by Routledge. This book was released on 2013-11-12 with total page 556 pages. Available in PDF, EPUB and Kindle. Book excerpt: The sexual abuse of children is now seen as an enormous problem; first, because there is an increasing awareness that it is more prevalent than previously thought, and second, because it gives rise to so many complex questions. How is sexual abuse to be defined? What are the effects of abuse? How can the victim be helped? How can abuse be prevented? These two comprehensive volumes cover a wide spectrum of basic and applied issues. Expert contributors -- including physicians, attorneys, psychologists, philosophers, social workers, and engineers -- address such relevant topics as epidemiology, animal models, legal reforms, feminist scholarship, child pornography, medical assessment, and diverse models of psychotherapeutic intention.
Download or read book Protecting Data Privacy in Health Services Research written by Institute of Medicine and published by National Academies Press. This book was released on 2001-01-13 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: The need for quality improvement and for cost saving are driving both individual choices and health system dynamics. The health services research that we need to support informed choices depends on access to data, but at the same time, individual privacy and patient-health care provider confidentiality must be protected.
Download or read book Children at Risk written by Robert T. Ammerman and published by Springer Science & Business Media. This book was released on 2013-03-09 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: During the past decade, a dramatic increase in research and clinical interest has risen in child abuse and neglect. This recent growth in awareness isdue at leastpartly to thealarmingstatisticsdocumentingthe incidence of child maltreatment. Almost one million children are re ported to be abused and neglected each year, and many experts believe that this figure underestimates the true incidence. Indeed, recentsurveys suggest that almost 1. 5 million children are the targets of domestic vio lence every year. A significantproportion of these children die as a func tion of this maltreatment, whereas theremaindersuffera variety ofshort and long-term deleterious medicaland psychosocial consequences. Child maltreatment is a universal problem that has precipitated a mobilization of effort from a variety of disciplines, including psychology, medicine, psychiatry, social work, sociology, and criminology. Particular attention has been directed toward the prevention and treatment of childabuse and neglect. Such endeavors require the screen ing of large groups in order to identify families that are at high-risk for engaging in such behavior. Delineating those characteristics that differ entiate high- from low-risk families and children is one of the obvious priorities for researchers and clinicians in the future. This book, there fore, carefully considers the status of research on risk factors of abuse and neglect in children. Adduced data undoubtedly will have practical value for subsequent intervention efforts.
