Síndrome do Shaken Baby: realidade ou ficção em Portugal?
Notice bibliographique
Résumé
Shaken Baby Syndrome (SBS) is an unquestionable and current worldwide problem, as it is considered one of the most severe forms of child abuse, with significant morbidity and mortality among children under one year of age. In Portugal the actual incidence of SBS is still unknown and probably undervalued and underdiagnosed, but international literature reports incidences between 14 and 40.5 per 100.000 children a year in several different countries. It is classically considered SBS to consist of shaking a child repeatedly and violently, inducing a cervical whiplash like movement. Due to the child's development stage, this external force of acceleration/deceleration acting on the head and cervical musculature may cause several lesions, specially subdural, subarachnoid and retinal hemorrhage, and sometimes even bone fractures. However, there is no unanimity concerning this trauma mechanism, especially on the requirement of direct trauma to the head leading to intracranial lesions, since a satisfactory biomechanical model to test it is still lacking. Its diagnosis is controversial, difficult and has important legal and family implications, always adding an emotional element to it, susceptible of withholding the necessary objectivity. In order to substantiate a strong suspicion it is thus mandatory to correlate the clinical history, the physical examination and all the diagnostic auxiliary exams. Consequences may range from mild to fatal, encompassing the child's psychological, cognitive, physical and sensory-motor development, on a short or long term basis. Nevertheless, from a global perspective, its prognosis is almost always poor. So, education and prevention assume primary importance in order to reduce incidence, morbidity and mortality of the SBS. Countries like the U.S.A, Scotland, France, Germany, Switzerland, Canada, Estonia and Japan have long been interested in studying this syndrome's trauma mechanism and incidence, as well as in the development of prevention campaigns and other forms of intervention, particularly through education. However, SBS is still greatly undisclosed in Portugal, since there are neither epidemiological studies nor educational campaigns (or other forms of intervention) on this subject. Thus, the aim of this study is to promote reflection and debate on the issue, displaying the relevance of studying it and investing in information and training in Portugal, in order to prevent and properly diagnose such cases in a timely fashion.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,002 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,041 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».