The Relationship between Knowledge and Child and Caregiver Distress during the Medical Examination for Child Sexual Abuse

When child sexual abuse is suspected, a child sexual abuse–related medical examination is recommended to ensure the child's well-being. While the extant research has sought to identify factors influencing child distress during this examination, only recently have studies began examining variables that may be directly associated with the child or with the medical setting. Knowledge of the child sexual abuse–related medical examination is one medical-related variable that has been implicated in child and caregiver distress during the examination. The current study contributes to the existing literature by investigating associations among examination knowledge in relation to caregiver and child anxiety at the time of a child sexual abuse–related medical examination, taking into account ethnicity, past child abuse, injury to child as result of abuse, and caregiver response to disclosure. Sixty-eight children and their nonoffending caregiver were assessed. Results indicated that understanding of the examination and caregiver response to disclosure were significantly associated with caregiver and child anxiety.     

Hidden Epidemic

Abstract

Rates of HIV infection among the seriously and persistently mentally ill contradict the widely held belief that this population is not at high risk for HIV exposure. The literature suggests that, in part, due to pervasive misconceptions around issues of sexuality and illicit drug use, HI V-positive, mentally ill individuals are not receiving appropriate care. This article focuses on the interplay of mental illness, HIV infection, and service provision through a review of the literature and the presentation of a case study. Available services are detailed and barriers to their success discussed. The importance of comprehensive community-based services specifically designed to address the multifaceted needs of this population is highlighted.     

医学生医德教育浅论

医德是医学生必须具备的基本素质,亦是社会和医疗卫生事业发展的需要。医德的培养需要构建全方位的、立体的、联动的机制,贯穿于医学生在校的全过程。重视发挥专业教师的育人作用,在班级建设、党群职能部门及图书馆的工作中都应重视医德教育。     

地方医科院校通识教育课程实施的现状与对策——以长治医学院为例

通过对长治医学院大二、大三、大四共290名学生进行问卷调查,发现在通识教育课程实施中存在内容设置不合理,课时不足、评价单一等问题.为此应从通识课程内容、课时、课程体系、课程评价等方面入手改革通识课程教育现状,以便更有针对性地对医学生进行人文素质教育.     

精神病人强制医疗程序法律制度评析

长期以来,对肇事肇祸精神病人的强制收治,一般由公安机关以行政手段决定.《刑事诉讼法》的修订,将强制医疗程序纳入司法轨道,但缀加了“依法不负刑事责任”的限定条件.《精神卫生法》则立足于行政手段对精神障碍患者的收治管理进行了规定.虽然两部法律的规定更多是宏观上的制度构建,但有理由肯定其划时代的巨大意义,并有必要对相关内容进行解构和研究.     

论《社会保险法》对城镇职工医疗保险的影响——以合肥市城镇职工基本医疗保险为例

《社会保险法》构建了我国医疗保险制度的基本框架,明确了用人单位和参保者的责任和权利,强化了社保基金的征缴与管理,规范了社保经办机构的权利和义务,保障了参保者的合法权益.它的实施对我国医疗保障体系、医疗保险政策、定点医疗机构以及参保患者都产生了深远影响.     

自主学习的医学英语语境建设

以自主学习和语境理论为基础,结合笔者的教学实践,提出医学英语课堂内外应该进行自主学习的医学英语语境建设.通过语境输入、自主学习、师生互动、自主总结四环节展示了教师引导学生在医学英语语境下运用自主学习能力,培养和提高医学英语交际能力的教学模式.     

新时期医学院校研究生辅导员角色定位探析

研究生辅导员是开展研究生思想政治教育的骨干力量,明确研究生辅导员的角色定位,是确保研究生思想政治教育工作落到实处的有效保证.笔者结合工作实际,对医学院校研究生辅导员的角色定位进行了初步探析.     

图书馆对医学生人文素质教育的影响

论述医学院校图书馆对医学生进行人文素质教育的必要性,以及如何从建筑、馆藏、文献检索课、各种活动和馆员素质等方面去实现这一目的.     

医疗保险制度应完善对突发事件的应急机制

针对我国医疗保险制度的现状,分析其存在的主要问题,提出扩大城镇医疗保险覆盖面、建立新型的农村合作医疗制度、设立专项风险准备金、改变医疗保险制度的筹资模式、建立多层次的医疗保险制度等针对SARS类公共卫生突发事件应急机制的对策。