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1、CatherineC.Ayoub,EdDofchildprotectiveservices,fostercare,lawenforcement,DepartmentofPsychiatryandotherprofessionals.HarvardMedicalSchoolDeterminingwhetherthemedicalcaregivenwasBoston,MA02215harmfulorpotentiallyharmfulis,ultimately,amedicaldecisionandrequiresthejudgmentofamedicalprofes-sional.Thislea
2、dstoourrecommendationthatapedia-JudithA.Libow,PhDtricianwithexperienceandexpertiseinchildabusecon-DepartmentofPsychiatrysultonthecase.Children’sHospitalOaklandChildabusepediatriciansworkcollaborativelywithOakland,CA94609professionalsfromotherdisciplinesandwillcontinuetodoso.Weareconcernedthatinterve
3、ntionmayfocusonthecaregiverspathology,ratherthantheharmoccur-MaryJ.Sanders,PhDringtothechild,andemphasizethatifachildisbeingDepartmentofPsychiatryandBehavioralSciencemedicallyabused,theabusemustfirstbestopped.StanfordSchoolofMedicineWhetherthecaretakeristreatablewillvaryfromcasetoPaloAlto,CA94301case
4、.BeatriceC.Yorker,JD,RN,MS,FAANJohnStirling,MD,FAAPCollegeofHealthandHumanServicesCaroleJenny,MD,MBA,FAAPCaliforniaStateUniversityFortheAmericanAcademyofPediatricsCommitteeonChildAbuseandNeglectLosAngeles,CA90032doi:10.1542/peds.2007-3519REFERENCES1.StirlingJJr;AmericanAcademyofPediatrics,Committeeo
5、nChildAbuseandNeglect.BeyondMunchausensyndromebyHumanMetapneumovirusandproxy:identificationandtreatmentofchildabuseinamedicalHumanCoronavirusNL63setting.Pediatrics.2007;119(5):102610302.ReadingR.BeyondMunchausensyndromebyproxy:identifi-TotheEditor.—cationandtreatmentofchildabuseinamedicalsetting.Child
6、CareHealthDev.2007;33(5):650WereadwithgreatinterestthearticlebyLambertetal3.AyoubCC,AlexanderR,BeckD,etal.Positionpaper:definitionalthatstudiedtheroleof2newrespiratoryviruses(hu-issuesinMunchausenbyproxy[publishedcorrectionappearsinmanmetapneumovirus[hMPV]andhumancoronavirusChildMaltreat.2004;9(3):33
7、7].ChildMaltreat.2002;7(2):105111NL63[hCoV-NL63])inhealthypreschool-agedchildrendoi:10.1542/peds.2007-3068usingparent-collectedspecimenswithmoleculartech-niques.1Thestudyshowedthatthesevirusescirculat
