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10.1136/bmjopen-2020-042867 http://scihub22266oqcxt.onion/10.1136/bmjopen-2020-042867 32994262!7526028!32994262     free     free     free Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       BMJ+Open 2020 ; 10 (9): e042867 Nephropedia Template TP {{tp|p=32994262|t=2020. Effect of COVID-19 lockdown on child protection medical assessments: a retrospective observational study in Birmingham, UK |pdf=|usr=}}{{32994262}} gab.com Text Effect of COVID-19 lockdown on child protection medical assessments: a retrospective observational study in Birmingham, UK JO: BMJ Open http://www.kidney.de/pget.php?&tw=1&pmid=32994262 #FOAvip OBJECTIVES: To determine any change in referral patterns and outcomes in children (0-18) referred for child protection medical examination (CPME) during the COVID-19 pandemic compared with previous years. DESIGN: Retrospective observational study, analysing routinely collected clinical data from CPME reports in a rapid response to the pandemic lockdown. SETTING: Birmingham Community Healthcare NHS Trust, which provides all routine CPME for Birmingham, England, population 1.1 million including 288 000 children. PARTICIPANTS: Children aged under 18 years attending CPME during an 18-week period from late February to late June during the years 2018-2020. MAIN OUTCOME MEASURES: Numbers of referrals, source of disclosure and outcomes from CPME. RESULTS: There were 78 CPME referrals in 2018, 75 in 2019 and 47 in 2020, this was a 39.7% (95% CI 12.4% to 59.0%) reduction in referrals from 2018 to 2020, and a 37.3% (95% CI 8.6% to 57.4%) reduction from 2019 to 2020. There were fewer CPME referrals initiated by school staff in 2020, 12 (26%) compared with 36 (47%) and 38 (52%) in 2018 and 2019, respectively. In all years 75.9% of children were known to social care prior to CPME, and 94% of CPME concluded that there were significant safeguarding concerns. CONCLUSIONS: School closure due to COVID-19 may have harmed children as child abuse has remained hidden. There needs to be either mandatory attendance at schools in future or viable alternatives found. There may be a significant increase in safeguarding referrals when schools fully reopen as children disclose the abuse they have experienced at home. Twit Text FOAVip Effect of COVID-19 lockdown on child protection medical assessments: a retrospective observational study in Birmingham, UK ????BMJ Open http://www.kidney.de/pget.php?&tw=1&pmid=32994262 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32994262 #FOAvip English Wikipedia <ref>{{Cite pmid|32994262}}</ref> Effect of COVID-19 lockdown on child protection medical assessments: a retrospective observational study in Birmingham, UK #MMPMID32994262 Garstang J; Debelle G; Anand I; Armstrong J; Botcher E; Chaplin H; Hallett N; Morgans C; Price M; Tan EEH; Tudor E; Taylor J BMJ Open 2020[Sep]; 10 (9): e042867 PMID32994262show ga OBJECTIVES: To determine any change in referral patterns and outcomes in children (0-18) referred for child protection medical examination (CPME) during the COVID-19 pandemic compared with previous years. DESIGN: Retrospective observational study, analysing routinely collected clinical data from CPME reports in a rapid response to the pandemic lockdown. SETTING: Birmingham Community Healthcare NHS Trust, which provides all routine CPME for Birmingham, England, population 1.1 million including 288 000 children. PARTICIPANTS: Children aged under 18 years attending CPME during an 18-week period from late February to late June during the years 2018-2020. MAIN OUTCOME MEASURES: Numbers of referrals, source of disclosure and outcomes from CPME. RESULTS: There were 78 CPME referrals in 2018, 75 in 2019 and 47 in 2020, this was a 39.7% (95% CI 12.4% to 59.0%) reduction in referrals from 2018 to 2020, and a 37.3% (95% CI 8.6% to 57.4%) reduction from 2019 to 2020. There were fewer CPME referrals initiated by school staff in 2020, 12 (26%) compared with 36 (47%) and 38 (52%) in 2018 and 2019, respectively. In all years 75.9% of children were known to social care prior to CPME, and 94% of CPME concluded that there were significant safeguarding concerns. CONCLUSIONS: School closure due to COVID-19 may have harmed children as child abuse has remained hidden. There needs to be either mandatory attendance at schools in future or viable alternatives found. There may be a significant increase in safeguarding referrals when schools fully reopen as children disclose the abuse they have experienced at home. |*Child Abuse/prevention & control/psychology/statistics & numerical data[MESH] |*Child Protective Services/methods/statistics & numerical data[MESH] |*Child Welfare/statistics & numerical data/trends[MESH] |*Communicable Disease Control/methods/statistics & numerical data[MESH] |*Coronavirus Infections/epidemiology/prevention & control/psychology[MESH] |*Pandemics/prevention & control[MESH] |*Pneumonia, Viral/epidemiology/prevention & control/psychology[MESH] |Betacoronavirus[MESH] |COVID-19[MESH] |Child[MESH] |Female[MESH] |Humans[MESH] |Male[MESH] |Population[MESH] |SARS-CoV-2[MESH] |School Health Services/*statistics & numerical data[MESH] |Social Isolation[MESH] |Social Work/methods/statistics & numerical data[MESH]Effect of COVID-19 lockdown on child protection medical assessments: a(epmc).pdf DeepDyve Pubget Overpricing