Perianal findings in prepubertal children selected for nonabuse: a descriptive study

The results of the perianal portion of a project designed to collect normative data of the anogenital anatomy from a representative sample of prepubertal children is presented. A total of 318 children were examined by three physicians from a child sexual abuse evaluation program. After screening for the onset of puberty and the possibility of undetected abuse, 267 subjects remained. The sample included 161 girls and 106 boys ranging in age from 2 months to 11 years. The perianal findings that were encountered with the greatest frequency included erythema (41%), increased pigmentation (30%), and venous engorgement (52%) after two minutes in the knee-chest position. Wedge-shaped smooth areas in the midline, with or without depressions, were found both anterior and posterior to the anus in 26% of the children. Anal skin tags/folds were discovered anterior to the anus in 11%. In 49% of the children there was some dilatation of the anus which opened and closed intermittently in 62%. Flattening of the anal verge and rugae occurred during dilatation by the midpoint of the examination in 44% and 34%, respectively. Perianal findings that were found infrequently in all subgroups included skin tags/folds (0%) and scars (1%) outside the midline, anal dilatation greater than 20 mm without the presence of stool in the rectal ampulla (1.2%), irregularity of the anal orifice after complete dilatation (3%), and prominence of the anal verge (3%). No abrasions, hematomas, fissures, or hemorrhoids were encountered. Less commonly detected findings within specific subgroups included perianal erythema in girls (32%) as compared to boys (57%), pigmentation in the lighter skinned white children (22%) when compared to black (53%) and Hispanic (58%) children, and venous congestion at the beginning of the examination (7%) when compared to the same findings after four minutes in the knee-chest position (73%). There were no perianal skin tags/folds found in the boys. The relatively high incidence of perianal soft tissue changes that were found in this study, when compared to the frequency of similar observations in children suspected of having been sexually abused, reemphasizes the caution medical examiners must exercise in rendering an opinion as to the significance of medical findings.     

Identification of Alcohol by Smell among Preschoolers: Evidence for Early Socialization about Drugs Occurring in the Home

This study tested preschoolers' ability to provide accurate verbal associations to alcoholic beverage odors and whether this ability was related to parental drinking patterns and motivations. Older preschoolers performed better than younger preschoolers; photographic cues improved performance; children who correctly identified a substance by smell had socially appropriate knowledge of the culturally appropriate users of the substance; children reported liking substances that are used mainly by children and adults, and generally reported disliking substances whose use is legally limited to adults only; children were better at identifying substances they commonly use, but success at recognition of alcoholic beverages was related to heavier parental drinking and use of alcohol for escape reasons. Findings have implications for theories of socialization to drug use and for models of prevention.     

The Experience and Expression of Homesickness in Preadolescent and Adolescent Boys

This study is the first prospective longitudinal and clinical investigation of homesickness in children. The moods of 329 boys ages 8–16 were assessed on a daily basis during either a 2- or 4-week period of separation from primary caregivers. Results supported 4 hypotheses: (1) homesickness was prevalent and varied in intensity. 83% of the boys reported some homesickness on at least 1 day during their stay, and 5.8% experienced severe depression and anxiety; (2) homesickness was experienced as a combination of depression and anxiety, particularly the former; (3) younger boys were at greater risk for homesickness than older boys; and (4) homesickness presented most often as internalizing behavior and was sometimes detectable to observers who knew the boys. 63% of the boys who self-reported moderate or high levels of homesickness were judged by observers to be homesick. Inconsistent with popular notions, the most homesick boys became progressively more homesick over the course of their separation, experiencing a significant drop in homesickness just before reuniting with parents. The phenomenology of homesickness is discussed, as are issues of simultaneous depression and anxiety in children.     

“Montrose” child life protection unit: A treatment and assessment model in child abuse intervention

In New South Wales, Australia, the Department of Youth and Community Services is empowered by statute to deal with cases of child abuse and neglect. Its child protection services include the Montrose Child Life Protection Unit which is designed to support and complement the work of both the Intake Service, Field Service and most importantly the work of child protective facilities in the community. The service has intake crisis counselling and call out resources; maintains a central register; provides a facility for crisis residential care for children and families, diagnostic assessment, and a day programme. The emphasis in service delivery in New South Wales in the area of child protection is on multidisciplinary intervention. The Department of Youth and Community Services is involved in promoting interagency cooperation and co-ordination. Over and above a philosophy that underlies service delivery is the Montrose Unit's involvement in sensitising the community to the difficult and often demanding role of parenting. Montrose represents an attempt to create an environment where parenting myths can be examined from a reality base and strategies implemented for reeducation.     

Relationship between R&D expenditures and publication output for U.S. colleges and universities

Two large independent sources of data, NSF's University Science Statistics Program Integrated Data Base and CHI Research's bibliometric data base, are brought together in a comprehensive study of the relationships among research resources, as measured by R&D expenditures, and research output, as measured by the quantity and visibility of scientific journal articles. The study is based on approximately 500 U.S. colleges and universities. For each of 11 fields of science, there is strong indication of a linear relationship between R&D expenditures and number of papers. The evidence also indicates a positive relationship between number of cites received per paper and number of papers published, but only for papers published in the basic research journals of the fields of chemistry, physics, and biology.     

Examining Intermediate Omitted Levels in Hierarchical Designs via Latent Variable Modeling

This article outlines an interval estimation procedure that can be used in a 3-level setting to evaluate the proportion of outcome variance attributable to the second level of clustering. The method is useful for examining the necessity of including a possibly omitted intermediate level of nesting in analyses of data from a multilevel study, and represents an informative addendum to current statistical tests of second-level variance. The approach is developed within the framework of latent variable modeling and can be used as an aid in the process of choosing between 2-level and 3-level models in a hierarchical design. The discussed procedure is illustrated with an empirical example.     

Disentangling the Role of Domain-Specific Knowledge in Student Modeling

Research in Science Education - This study explores the role of domain-specific knowledge in students’ modeling practice and how this knowledge interacts with two domain-general modeling...