RESUMO
Child maltreatment, including all forms of mal¬treatment, remains a major public health problem in high-income countries. Healthcare professionals only contribute to a small proportion of reports. In French-speaking Belgium, almost 100 % of school-aged children are regularly submitted to periodical school health visits. The school health doctor is well placed to recognize neglected or abused children. Based on international good practice recommendations, this paper proposes means for the detection and management of child abuse in the context of school medicine.
La maltraitance infantile représente, dans les pays à haut niveau de revenus, un «problème de santé publique majeur¼, 5 à 10 % des enfants étant concernés, toutes formes de maltraitances confondues. Les professionnels de santé contribuent à une petite proportion seulement des signale¬ments. En Fédération Wallonie-Bruxelles, les bilans de santé scolaire périodiques couvrant près de 100 % des enfants sco¬larisés, le médecin scolaire est bien placé pour le repérage d'enfants exposés à une négligence de soins et/ou à de mauvais traitements. Se basant sur des recommandations de bonne pratique publiées, cet article propose des pistes d'action per¬mettant de contribuer à un meilleur repérage et à une prise en charge adaptée de la maltraitance infantile dans le cadre de la médecine scolaire.
Assuntos
Maus-Tratos Infantis , Papel do Médico , Guias de Prática Clínica como Assunto , Serviços de Saúde Escolar , Criança , Maus-Tratos Infantis/diagnóstico , Maus-Tratos Infantis/prevenção & controle , Maus-Tratos Infantis/terapia , Proteção da Criança/tendências , Pré-Escolar , Humanos , Serviços de Saúde Escolar/normas , Recursos HumanosRESUMO
The current health needs of children largely exceeds the biomedical model. The school doctor occupies a special position where he can take into account the social determinants of health and identify vulneirable children. After the detection by the school health service, the harmonious development of, the child requires that health professionals cooperate in a "preventive network".
Assuntos
Maus-Tratos Infantis/diagnóstico , Serviços de Saúde da Criança/normas , Serviços de Saúde Escolar , Populações Vulneráveis , Criança , Maus-Tratos Infantis/estatística & dados numéricos , Maus-Tratos Infantis/terapia , Serviços de Saúde da Criança/organização & administração , Acessibilidade aos Serviços de Saúde/organização & administração , Acessibilidade aos Serviços de Saúde/normas , Disparidades nos Níveis de Saúde , Humanos , Saúde Pública/normas , Serviços de Saúde Escolar/organização & administração , Serviços de Saúde Escolar/normasRESUMO
Asphyxial games have been played by children and adolescents for generations. What seems to be more recent is an increase in mortality linked to the increasing use of ligatures and "playing" the game alone, as reported by the media. This article summarizes the current epidemiological and clinical data on the subject.
Assuntos
Obstrução das Vias Respiratórias/epidemiologia , Asfixia/epidemiologia , Assunção de Riscos , Comportamento Autodestrutivo/epidemiologia , Adolescente , Criança , HumanosRESUMO
The objectives of this article are to: a) review literature about physical, mental health and behaviors of first generation immigrant adolescents and its evolution; b) compare first and second generations immigrant adolescents'health. Studies usually compare first generation and others adolescents groups: 1) first generation adolescents shows better physical health and behaviors than second generation; 2) first generation adolescents shows variable results for mental health compared to second generation and host adolescents according to the studies; 3) a degradation of physical health and behaviors is observed with the time passed in the host country. These results show necessity of a precocious evaluation of first generation adolescents' needs for a good planification of health promotion and prevention actions to preserve their health advantage at arrival.