Jim Peinkofer - Silenced angels: the medical, legal, and social aspects of shaken baby syndrome

Cover

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Silenced Angels

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THE MEDICAL, LEGAL, AND SOCIAL ASPECTS OF SHAKEN BABY SYNDROME

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James R.Peinkofer

Foreword by Randell Alexander, MD, PhD

AUBURN HOUSE Westport, Connecticut London

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Library of Congress Cataloging-in-Publication Data
Peinkofer, J. (Jim)

Silenced angels: the medical, legal, and social aspects of shaken baby syndrome/
James R.Peinkofer; foreword by Randell Alexander.
p.; cm.

Includes bibliographical references and index.
ISBN 0-86569-313-7 (alk. paper)
1. Battered child syndrome. 2. Battered child syndromeSocial aspects. 3. Battered
child syndromeLaw and legislation. 4. Child abuseSocial aspects. 5. Child
abuseLaw and legislation. I. Title.

[DNLM: 1. Battered Child SyndromeInfant. 2. Craniocerebral Trauma
diagnosisInfant. 3. Eye InjuriesdiagnosisInfant. 4. Forensic Medicine
methods. 5. FracturesdiagnosisInfant. WA 320 P377s 2001]
RJ375 .P45 2002
618.92858223dc21 2001045105

British Library Cataloguing in Publication Data is available.

Copyright 2002 by James R.Peinkofer

All rights reserved. No portion of this book may be
reproduced, by any process or technique, without
the express written consent of the publisher.

Library of Congress Catalog Card Number: 2001045105

ISBN: 0-86569-313-7

First published in 2002
Auburn House, 88 Post Road West, Westport, CT 06881

An imprint of Greenwood Publishing Group, Inc.
www.greenwood.com

Printed in the United States of America

The paper used in this book complies with the
Permanent Paper Standard issued by the National
Information Standards Organization (Z39.481984).
10 9 8 7 6 5 4 3 2

Copyright Acknowledgments

The author and publisher gratefully acknowledge permission to use the following material:

Gael J.Lonergan, MD, for the metaphyseal fracture X-ray and intracranial CT images
(figures 4.1, 6.1, and 6.5);

J.Keith Smith, MD, for the intracranial CT images (figures 6.2 and 6.3);

Mark S.Dias, MD, FAAP, for the intracranial CT image (figure 6.4);

Alex V.Levin, MD, FRCSC, for the ophthalmologic images (figures 8.1, 8.2, and 8.3);

Kevin M.Knight and Linda D.Knight for Christians Shaken Baby Syndrome Poster
(figure 22.1).

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Dedicated to the memory of

GEORGE F.GOODWIN, JR.
a great man, husband, and friend, who would have been a great father,

and

TO SHAKEN BABIES PAST AND PRESENT
your silence is heard

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Ralph felt as if someone had pulled a high-voltage switch inside his brain, one that turned on whole banks of blazing stadium lights. In their raw, momentary glow, he saw a terrible image: hands clad in a violent brownish-purple aura reaching into a crib and snatching up the baby they had just seen. He was shaken back and forth, head snapping and rolling on the thin stalk of neck like the head of a Raggedy Andy dolland thrown.

Stephen King

Insomnia

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