Atjaunināt sīkdatņu piekrišanu

E-grāmata: Sexual Assault Quick Reference 2e: For Health Care, Social Service, and Law Enforcement Professionals

  • Formāts: 558 pages
  • Sērija : Quick References
  • Izdošanas datums: 30-Jan-2016
  • Izdevniecība: STM Learning
  • ISBN-13: 9781936590452
  • Formāts - EPUB+DRM
  • Cena: 84,53 €*
  • * ši ir gala cena, t.i., netiek piemērotas nekādas papildus atlaides
  • Ielikt grozā
  • Pievienot vēlmju sarakstam
  • Šī e-grāmata paredzēta tikai personīgai lietošanai. E-grāmatas nav iespējams atgriezt un nauda par iegādātajām e-grāmatām netiek atmaksāta.
  • Formāts: 558 pages
  • Sērija : Quick References
  • Izdošanas datums: 30-Jan-2016
  • Izdevniecība: STM Learning
  • ISBN-13: 9781936590452

DRM restrictions

  • Kopēšana (kopēt/ievietot):

    nav atļauts

  • Drukāšana:

    nav atļauts

  • Lietošana:

    Digitālo tiesību pārvaldība (Digital Rights Management (DRM))
    Izdevējs ir piegādājis šo grāmatu šifrētā veidā, kas nozīmē, ka jums ir jāinstalē bezmaksas programmatūra, lai to atbloķētu un lasītu. Lai lasītu šo e-grāmatu, jums ir jāizveido Adobe ID. Vairāk informācijas šeit. E-grāmatu var lasīt un lejupielādēt līdz 6 ierīcēm (vienam lietotājam ar vienu un to pašu Adobe ID).

    Nepieciešamā programmatūra
    Lai lasītu šo e-grāmatu mobilajā ierīcē (tālrunī vai planšetdatorā), jums būs jāinstalē šī bezmaksas lietotne: PocketBook Reader (iOS / Android)

    Lai lejupielādētu un lasītu šo e-grāmatu datorā vai Mac datorā, jums ir nepieciešamid Adobe Digital Editions (šī ir bezmaksas lietotne, kas īpaši izstrādāta e-grāmatām. Tā nav tas pats, kas Adobe Reader, kas, iespējams, jau ir jūsu datorā.)

    Jūs nevarat lasīt šo e-grāmatu, izmantojot Amazon Kindle.

People of every age, ethnicity, and gender survive sexual assault, and their continued well-being depends upon an informed and responsive network of medical, legal, and social service practitioners. Best practices, accurate diagnoses, and up-to-date treatments administered by these dedicated professionals protect sexual assault patients and hold perpetrators accountable for their crimes. For the safety of survivors and in support of their professional caretakers, Sexual Assault Quick Reference offers comprehensive, accessible guidelines for responding to sexual assault, wherever it occurs.

The revised second edition of Sexual Assault Quick Reference provides updated information on a variety of subjects, all in the same convenient format, including chapters on the physical and forensic evaluation of patients across the life span, identifying and treating STIs (based on the CDCs 2015 Treatment Guidelines), mental health care for survivors and vicariously traumatized practitioners, and the investigation and prosecution of sexual violence.

To address contemporary issues in a rapidly evolving field of practice, the second edition also offers 4 all-new chapters covering:



Disclosure processes, medical and mental health care, and legal proceedings for sexual assault in the military The nature of human trafficking, common characteristics and identification of trafficked persons, and physical and mental health issues for survivors Assessment, documentation, and treatment of injuries sustained via strangulation Understanding and responding to online sexual exploitation, including self-exploitation and sexting, online sexual solicitation, and exposure to sexually explicit materials
Chapter 1 Principles Of Sexual Assault At Any Age 1(28)
Child Sexual Abuse
1(11)
Scope
3(1)
Victims
3(1)
Offenders
4(2)
Indicators of Sexual Abuse
6(2)
Support Systems
8(1)
Outcomes
9(1)
Coping Mechanisms
10(1)
Avoidant Coping
10(1)
Internalized Coping
10(1)
Angry Coping
11(1)
Active/Social Coping
11(1)
Interventions
11(1)
Adolescent and Adult Sexual Abuse
12(8)
Scope
12(2)
Why Victims Don't Report (and Remain "Silent Victims")
13(1)
Victim-Assailant Relationships
13(1)
Public Health Implications
14(1)
Populations at Risk
14(2)
Immediate Reactions to Sexual Trauma
15(1)
Delayed Effects on the Survivor
16(1)
Components of an Effective Response
17(2)
Rape Crisis Centers
17(1)
Prehospital Personnel
17(1)
Emergency Department Personnel
18(1)
Specially Trained Personnel
18(1)
Prevention
19(11)
Primary Prevention Programs
19(1)
Secondary Prevention Programs
19(1)
Tertiary Prevention Programs
19(1)
References
20(9)
Chapter 2 Anogenital Anatomy 29(30)
Medical Embryology of the External Genitalia
29(1)
Development of External Genitalia in Boys
30(1)
Anatomic Variations in Boys
30(1)
Development of External Genitalia in Girls
31(2)
Anatomic Variations in Girls
31(2)
Female Genital Structures
33(11)
The Hymen
35(7)
Inspection of the Hymen
40(2)
Female Reproductive Parts
42(2)
Male Genital Anatomy
44(3)
Male Reproductive Parts
46(1)
Female Puberty
47(1)
Sexual Maturity Rating
48(1)
Male Puberty and Variations in Male Sexual Development
49(1)
Female and Male Anal Anatomy
50(2)
Normal Perineum and Anorectum
51(1)
Anatomic Variations
52(1)
Healing After Anogenital Injury
52(2)
References
54(5)
Chapter 3 Physical Evaluation Of Children 59(22)
History
59(8)
The Physical Examination
67(6)
Purposes
67(1)
Procedure
67(6)
Findings of Concern in Sexual Abuse Evaluations
73(1)
Forensic Evidence
73(2)
Definitive Care
75(1)
References
76(5)
Chapter 4 Forensic Evaluation Of Children 81(14)
Principles of Evidence Collection
82(1)
Determination of Team Composition
82(1)
Contamination Control
82(1)
Documentation
82(1)
Prioritization of Evidence Collection
82(1)
Collection and Preservation of Evidence
83(1)
Limitations of the Forensic Evaluation
83(1)
When to Collect Evidence
83(1)
Process of Collection
84(1)
Process of Forensic Evaluations
85(3)
More Than 72-120 Hours After Incident or in Chronic Abuse Based on Your Community Standard
85(3)
Chronic Abuse With the Most Recent Acute Occurrence Within 72-120 Hours
88(1)
Interview Process
88(1)
Physical Examination
88(1)
Special Evidence Collection Techniques in the Evaluation of Sexual Abuse
88(5)
References
93(2)
Chapter 5 Differential Diagnosis 95(16)
Variations of Normal Anatomy
95(1)
Genitalia
95(1)
Anus
96(1)
Nonabusive Trauma
96(4)
Dermatologic Disorders
100(2)
Infectious Disorders
102(2)
Inflammatory Disorders
104(1)
Miscellaneous Disorders
105(2)
References
107(4)
Chapter 6 Evaluations In Special Situations 111(30)
Sexually Transmitted Infections
111(12)
Chlamydia trachomatis
116(1)
Neisseria gonorrhoeae
117(1)
Human Immunodeficiency Virus (HIV)
118(1)
Syphilis
118(1)
Herpes Simplex Viruses (HSVs)
119(1)
Trichomonas Infection
120(1)
Human Papillomavirus (HPV) Infection
120(1)
Bacterial Vaginosis
121(1)
Hepatitis B (HBV) Infection
122(1)
Sexual Abuse in Boys and Male Adolescents
123(5)
Disability and Sexual Violence
128(7)
Why Abuse of the Disabled Occurs
128(1)
Nursing Home and Group Home Residents
129(1)
Evaluation of the Child or Adult With a Disability
129(2)
Interview Techniques
131(1)
Physical Examination
132(1)
DNA Testing
133(1)
Sexual Assault and Homicide
133(1)
Multidisciplinary Considerations
133(2)
References
135(6)
Chapter 7 Multidisciplinary Teamwork Issues 141(16)
Reporting Sexual Assault and Abuse
143(1)
Collaborative Investigation and Intervention
144(4)
CPS
144(2)
Law Enforcement Agencies
146(1)
Sexual Violence Advocates
146(2)
Mental Health Professionals
148(1)
Court and Judicial Proceedings
148(3)
Juvenile Courts
149(1)
Criminal Court
150(1)
Impact on the Victim
151(1)
References
152(5)
Chapter 8 Documentation And Reporting 157(14)
Children
157(10)
Principles for Documenting the Forensic Interview
158(1)
The Medical Record
158(5)
Purpose of the Medical Examination
158(1)
Establishing the Diagnosing and Treating Physician Relationship
158(1)
Medical History Documentation
159(1)
Components of the Medical Record
160(1)
Review of the Genitourinary System
160(1)
Review of the Gastrointestinal System
161(1)
Medical History Provided by the Child
161(1)
Recording Physical Examination Findings
162(1)
Formulating a Diagnosis
163(1)
Networks
163(3)
Telemedicine
164(1)
Technologies
165(1)
The Electronic Record
166(1)
Adolescents and Adults
167(2)
The Medical Record
168(3)
History
168(1)
The Medical Examination
168(1)
Nonforensic Examination Aspects
169(1)
References
169(2)
Chapter 9 Physical Evaluation Of Adolescents And Adults 171(16)
Obtaining the History of a Sexual Assault
171(2)
Role of the Health Care Provider
171(2)
History of the Adult Victim
173(1)
The Physical Examination
173(8)
Laboratory Tests
181(1)
Interpreting Injuries
182(1)
Follow-up Care
183(1)
References
183(4)
Chapter 10 Forensic Evaluation Of Adolescents And Adults 187(22)
Forensic Medical History
187(2)
Health History
188(1)
Assault History
188(1)
Acute Care of the Sexual Assault Victim
189(3)
Chain of Evidence
192(4)
Pharmacologic Needs
196(1)
Prevention of Sexually Transmitted Infections (STIs)
196(1)
Forensic Evidence Collection
196(1)
DNA Evidence Collection in Sexual Assault
196(9)
Importance of DNA Evidence
196(1)
Forensic DNA Testing
197(3)
Serologic Tests
197(1)
DNA Testing
198(1)
Restriction Fragment Length Polymorphism Analysis
199(1)
Polymerase Chain Reaction (PCR) Analysis
199(1)
Convicted Offender Databases
200(1)
Combined DNA Index System (CODIS)
200(1)
Important Biological Evidence in Sexual Assaults
201(2)
Collection Procedures: Follow Your Community Standards for Evidence Collection
203(6)
Unknown Specimens
203(2)
Known Reference Specimens
205(1)
Summary
205(1)
Reference
205(4)
Chapter 11 Sexually Transmitted Infections 209(20)
Sexually Transmitted Infections
209(18)
Recognition and Treatment of Common Sexually Transmitted Diseases and Associated Syndromes
210(9)
Chancroid
212(1)
Mucopurulent Cervicitis
213(1)
Pelvic Inflammatory Diseases (PID)
213(2)
Proctitis and Proctocolitis
215(1)
Pediculus Pubis (Pubic Lice)
216(1)
Scabies
217(1)
Viral Hepatitis
217(2)
History and Physical Examination
219(3)
Diagnostic Evaluation
220(2)
Treatment and Prophylaxis of STIs
222(7)
HIV Postexposure Prophylaxis
224(2)
Emergency Oral Contraception
226(1)
References
227(2)
Chapter 12 Pregnancy 229(12)
Sexual Assault and Pregnancy
229(8)
Domestic Violence During Pregnancy
229(2)
Pregnancy as a Window of Opportunity for Intervention
230(1)
Domestic Violence and Child Abuse
231(1)
Sexual Assault and Abuse of Pregnant Women
231(3)
Clinician Response to Abuse During Pregnancy
233(1)
Role of Pediatricians in Preventing Both Child Abuse and Domestic Violence
234(1)
Abuse and Assault in Adolescent Pregnancy
235(1)
Sexual Assault Resulting in Pregnancy
236(1)
Prophylaxis and Treatment of STIs in Pregnancy
236(1)
References
237(4)
Chapter 13 Acquaintance And Intimate Partner Rape 241(22)
Acquaintance Rape and Date Rape
241(4)
Epidemiology
241(1)
Risk Factors
242(1)
Role of Alcohol and Other Drugs in Acquaintance Rape
242(1)
Victims' Response to Dating Violence and Acquaintance Rape
243(1)
Psychologic Consequences
243(1)
Effective Clinician Responses
244(1)
Preventing Dating Violence and Acquaintance Rape
244(1)
Domestic Violence and Partner Rape
245(4)
Domestic Violence Overview
245(3)
Sexual Abuse
247(1)
Role of Coercion
247(1)
Clinical Presentation and Sequelae
248(1)
Physical Injuries and Symptoms
248(1)
Psychologic Effects
249(1)
Intersection With HIV
249(1)
Identification of Abuse
249(2)
The Clinician's Response to Domestic Violence
251(1)
Documentation
251(1)
Intervention
252(1)
Societal Reaction to Marital Rape
253(1)
Special Populations
254(1)
Immigrants
254(1)
Women With Disabilities
254(1)
Lesbian, Gay, Bisexual, Transgender, and Questioning (LGBTQ) Relationships
255(1)
References
255(8)
Chapter 14 Special Settings 263(20)
Rape and Sexual Abuse in Older Adults
263(11)
Incidence of Sexual Abuse Among Older Adults
263(1)
Defining Rape and Sexual Assault of Older Adults
263(1)
Exposure to Sexual Abuse
264(1)
Sexual Abuse of Older Adults Who Reside in Institutional Settings
264(4)
Perpetrators in Nursing Homes
266(1)
Reporting and Investigating Suspected Abuse
267(1)
Sexual Assault of Older Adults Residing in Noninstitutional Settings
268(1)
Immediate and Long-term Responses of Older Sexual Assault Victims
268(1)
Framework for Working With Older Sexual Assault Victims
269(1)
Effective Clinical Response to Elder Sexual Abuse
270(4)
Screening
270(1)
Interview
271(1)
Examination
272(2)
Provision of Care and Resources
274(1)
Reporting Requirements
274(1)
Sexual Assault in Correction Settings
274(5)
Overview of the Problem
274(2)
Scope of the Problem
276(1)
Consequences of Attacks
277(1)
Role of Medical Professionals
277(2)
Role of Social Services Professionals and Prison Staff
279(1)
Sexual Predators and Moving From Victim to Predator
279(1)
References
279(4)
Chapter 15 Psychological And Social Supports 283(30)
Revised Trauma Theory: Understanding the Traumatic Nature of Sexual Assault
283(14)
Trauma Theory
283(8)
Heredity's Legacy: The Autonomic Nervous System
284(2)
Fight-or-Flight Response
286(1)
Learned Helplessness
286(1)
Thinking Under Stress-Action, Not Though
287(1)
Remembering Under Stress
287(2)
Emotions and Trauma-Dissociation
289(1)
Endorphins and Stress-Addiction to Trauma
289(1)
Trauma Bonding
290(1)
Traumatic Reenactment
290(1)
The Consequences of Traumatic Experience
290(1)
Sexual Assault and Neurobiologic Changes
291(1)
Health Consequences of Trauma
292(5)
Stress, Moods, and Immunity
292(1)
Chronic Violence and Health
292(1)
Sexual Assault and Revictimization
293(1)
Sexual Assault and Parenting
294(1)
Responding to Sexual Assault: Creating Sanctuary
295(2)
Social Supports
297(6)
Nature of Social Supports
297(5)
Social Services
297(1)
Health Care System
298(4)
Program Development
302(1)
Moving Beyond a Don't Ask-Don't Tell Approach to Abuse and Assault
303(3)
Don't Ask
303(1)
Acknowledged Barriers
303(1)
Unacknowledged Barriers
304(1)
Don't Tell: Barriers to Disclosure by the Victim
304(1)
Treating Victims Without Feeling Hopeless
304(9)
Stages of Behavior Change
304(2)
References
306(7)
Chapter 16 Caregiver Issues 313(24)
Caring for the Caregiver: Avoiding and Treating Vicarious Traumatization
313(10)
Definitions
313(2)
Symptoms Specific to Vicarious Traumatization
314(1)
Who Is Affected
315(1)
Causes
316(4)
Biologic Causality: Emotional Contagion
316(1)
Psychologic Causality: Loss of Positive Illusions
317(1)
Social Causality: Inability to Use Normal Social Obstacles
317(1)
Organization Causality: Sick Systems
318(1)
Moral, Spiritual, and Philosophical Causality: Theoretical Conflicts
319(1)
Solutions
320(3)
SANE-SART History and Role Development
323(5)
Need for SANE Programs
323(1)
History of SANE Program Development
323(1)
Definitions
324(1)
SANE Scope of Practice
324(1)
Operation of a SANE Program
324(1)
Entry Into Hospital-based Programs
324(1)
Entry Into Community-based Programs
325(1)
SANE Responsibilities
325(1)
SANE Training
326(1)
Sexual Assault Response Team (SART)
326(2)
Types of SARTs
327(1)
Advantages of SANE Programs
328(1)
Role of EMS Prehospital Care Providers
328(4)
Psychology of Victims
328(1)
Forensic Evidence
329(2)
Transporting Victims to Hospitals
331(1)
References
332(5)
Chapter 17 Legal Issues, Investigations, And Prosecution 337(52)
Law Enforcement Issues
337(19)
Processing the Scene and Collecting Evidence
338(4)
The Interview Process
342(3)
Search Warrants
345(1)
Corroborating Evidence
346(1)
Bite Marks
347(1)
Computer-Facilitated Sexual Exploitation of Adult Victims
348(6)
Preparing for the Interview
348(2)
Forensic Evaluation
350(4)
Other Considerations
354(2)
The Role of Police as First Responders
356(5)
Preparation for First Responders
356(1)
Victim Contact
357(2)
Medical Examinations
359(1)
Investigative Interviews
359(1)
Criminal Prosecution
360(1)
Victim Reactions
360(1)
Ongoing Contact and Victim Support
361(1)
Legal Issues From a Prosecutor's Perspective
361(23)
Crimes of Sexual Assault
361(1)
Statute of Limitations
362(1)
The Criminal Justice Process
363(1)
Preliminary Arraignment
364(1)
Appointment of Counsel
365(1)
The Preliminary Hearing
365(1)
Corroboration
366(15)
DNA Evidence
379(2)
The Trial
381(2)
Jury Selection
381(1)
Admissibility of Evidence
382(1)
Defenses
383(1)
Outcomes
383(1)
References
384(5)
Chapter 18 Sexual Assault Response In The United States Military 389(10)
Overview of the United States Military
389(1)
Branches of the DoD
389(1)
US Army
389(1)
US Navy
390(1)
US Air Force
390(1)
Legal System
390(2)
Courts-Martial and Other Military Discipline
391(1)
General Court-Martial
391(1)
Special Court-Martial
391(1)
Summary Court-Martial
392(1)
Other Military Discipline
392(1)
Definitions of Rape and Sexual Assault in the Military
392(2)
Offenses Chargeable Under Article 120
392(1)
Definitions of Rape and Sexual Assault
393(1)
Sexual Assault Prevention and Response
394(2)
Sexual Assault Response Coordinator (SARC)
394(1)
Restricted and Unrestricted Reporting
395(1)
References
396(3)
Chapter 19 Human Trafficking 399(22)
Overview of Human Trafficking
399(1)
Characteristics of Traffickers and Trafficked Persons
399(1)
Trafficker-Victim Dynamics
400(1)
Methods of Control: Coercion and Fear
400(1)
Identifying Trafficked Persons
401(3)
Obstacles
401(1)
Practitioner Assessment and Response
402(2)
Mental Health Impacts of Trafficking
404(4)
Gender Differences and Trauma Reaction
408(1)
Physical Health Impacts of Trafficking
408(3)
Physical Injuries
408(2)
Sexual Health
410(1)
Health Consequences of Trafficking
411(1)
Trauma-Informed Practice
411(7)
Cultural Competency
417(1)
Self-Care
418(1)
References
418(3)
Chapter 20 Strangulation In Living Patients 421(12)
Introduction
421(1)
Assessment
421(8)
Assessment Tools
428(1)
Photography
428(1)
Diagnostic Testing
429(1)
Disposition
429(2)
References
431(2)
Chapter 21 Risks To Children And Adolescents On The Internet 433(12)
Understanding New Media
433(1)
Risks of New Media
433(2)
Social Media: Prevalence and Risk
433(1)
Self-Exploitation Behaviors and Sexting
434(1)
Online Sexual Solicitation and Exploitation
434(1)
Exposure to Inappropriate Material
435(1)
Prevention Efforts
435(2)
Safety Guidelines and Supervision
435(2)
Filtering and Blocking
437(1)
The Role of Health Care Providers in the Digital Age
437(3)
Awareness and Risk Assessment
437(2)
Handling the Disclosure of Online and Offline Victimization
439(1)
Appendix 21-1
440(3)
References
443(2)
Photographic Appendix 445(52)
Infant Sexual Abuse: 0-3 Years Old
445(7)
History of Sexual Abuse
445(2)
Normal and Nonspecific Findings
445(1)
Special Cases
446(1)
Males
446(1)
Disabled
447(1)
Nonassault Variants
447(3)
Labial Adhesions
447(1)
Infection
448(1)
Bacterial
448(1)
Fungal
449(1)
Balanitis
449(1)
Normal Findings
450(2)
Annular Hymen
450(1)
Crescentic Hymen
450(1)
Septate Hymen
451(1)
Young Child Sexual Abuse: 4-8 Years Old
452(7)
History of Sexual Abuse
452(4)
Acute Findings
452(1)
Digital Penetration of the Vagina
452(1)
Normal and Nonspecific Findings
453(1)
Penile Penetration of the Vagina
453(1)
Special Cases
454(2)
Males
454(1)
Incest
455(1)
Nonassault Variants
456(3)
Infections
456(1)
Viral
456(1)
Parasitic
457(1)
Friable Fourchette
457(1)
Anal Findings
458(1)
Normal Findings
458(1)
Annular Hymen
458(1)
Preadolescent Sexual Abuse: 9-12 Years Old
459(3)
History of Sexual Abuse
459(1)
Friend of the Family Perpetrator
459(1)
Adolescent Perpetrator
459(1)
Nonassault Variants
460(1)
Infection
460(1)
Spirochetal
460(1)
Normal Findings
460(2)
Varied Examiner Technique
460(1)
Hymen
461(1)
Failure to Fuse
461(1)
Adolescent Sexual Abuse and Assault: 13-17 Years Old
462(11)
History of Sexual Abuse or Assault
462(7)
Penile-Vaginal Penetration
462(4)
Characteristics of the Injury-Acute Findings
462(1)
Characteristics of the Injury-Healing Injury
463(1)
Characteristics of the Victim-Not Previously Sexually Active
464(1)
Characteristics of the Victim-Pregnant
465(1)
Digital-Vaginal Penetration
466(1)
Sodomy
467(1)
General Injuries
468(1)
Nonassault Variants
469(1)
Skin-Related
469(1)
Lichen Sclerosis
469(1)
Normal Findings
470(3)
Hymen
470(1)
Never Sexually Active
470(1)
Asymmetrical Labia
471(1)
Cervix
471(1)
Anal/Rectal
472(1)
Adult Sexual Assault: 18-39 Years Old
473(8)
History of Sexual Assault
473(4)
Disabled Victims
475(1)
Oral Injury
476(1)
Nonassault Variants
477(1)
Skin-Related Findings
477(1)
Irritation of the Medial Thighs
477(1)
Folliculitis
477(1)
Labial and Vaginal Findings
478(1)
Lichenification
478(1)
Vulvectomy
478(1)
Episiotomy
479(1)
Perineum and Perianal Findings
479(1)
Skin Irritation
479(1)
Techniques
480(1)
Genital Examination
480(1)
Normal Findings
481(4)
Vestibule
481(1)
Vestibular Papillations
481(1)
Open Bartholin Duct
481(1)
Periurethral Perihymenal Bands
482(1)
Hymens Related to Sexual Experience, Pregnancy, and Number of Vaginal Deliveries
482(1)
Never Been Pregnant
482(1)
One Vaginal Delivery
483(1)
Vaginal Wall
483(1)
Cervix
484(1)
Normal Findings
484(1)
Intrauterine Device String
484(1)
Middle-Aged Adult Sexual Assault: 40-64 Years Old
485(4)
History of Sexual Assault
485(2)
Characteristics of the Perpetrator
485(2)
Nonassault Variants
487(2)
Nabothian Cyst
487(1)
Breasts
487(1)
Genital
488(1)
Elderly Sexual Assault: 65 and Older
489(8)
History of Sexual Assault
489(6)
Nonassault Variants
495(1)
Friable Fourchette
495(1)
Rectal Polyp
495(1)
Normal Findings
496(1)
Perianal Laxity
496(1)
Index 497
Diana Faugno earned her nursing degree at the University of North Dakota, USA in 1973. She currently serves on the board of directors for End Violence Against Women International, the International Association of Forensic Nurses (IAFN), and the California American Professional Society on the Abuse of Children. Diana demonstrates her passion for and commitment to helping patients through her work as a sexual assault nurse examiner at the the Eisenhower Medical Center in Rancho Mirage, California, USA. She also is a fellow of the American Academy of Forensic Science and a distinguished fellow of IAFN. In addition, Diana co-authors books, writes numerous journal and magazine articles, and trains teams across the country on various topics related to sexual assault.

Patricia Speck is an internationally recognized family nurse practitioner who specializes in public health and forensic nursing. She graduated from the University of Tennessee, USA Health Science Center, College of Nursing and later completed her doctoral dissertation on sexual assault program evaluation. As a board certified family nurse practitioner, Patricias clinical practice focuses on the health aftermath of violence and her research centers on forensic nursing practice topics. She is a consultant, author, and lecturer on forensic nursing and has earned more than 20 local, national, and international awards and professional honors for her work. Patricia chairs the American Public Health Associations Family Violence Forum and is a former president of the International Association of Forensic Nurses.

Mary Spencer is medical director of the Child Abuse Program and the Sexual Abuse Response Team at Palomar-Pomerado Health in North San Diego County, USA. She received her BA from the University of Colorado, USA and MD from the University of California-Los Angeles, USA. After medical school, Dr. Spencer completed a residency in pediatrics and a fellowship in pediatric infectious diseases at UCLA and worked as an assistant professor at the school until 1982. Currently, she is a clinical professor of pediatrics at the University of California-San Diego, USA and has a private practice in pediatric and infectious disease medicine in Escondido.

Angelo Giardino is the medical director of Texas Children's Health Plan, a clinical associate professor of pediatrics at Baylor College of Medicine, and an attending physician for the Texas Children's Hospital's forensic pediatrics service at the Children's Assessment Center in Houston, Texas, USA. Dr. Giardino completed his residency and fellowship training in pediatrics at the Children's Hospital of Philadelphia, USA. Immediately after his fellowship training, Dr. Giardino became the assistant, and then the associate, medical director at Health Partners of Philadelphia, where he had primary responsibility for utilization management, intensive case management, and health care data analysis. He also shared responsibility for the plan's quality improvement program. Additionally, Dr. Giardino began the Child Abuse and Neglect Team for Children with Special Health Care Needs, which was funded by a three-year grant from a local philanthropy. In 1998, he was appointed associate chair of clinical operations in the Department of Pediatrics at the Children's Hospital of Philadelphia, USA (CHOP), and in June of 1999 he was asked to chair the CHOP Quality Committee. These accomplishments are only a few of his career.