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Non-Accidental Head Injury in Young Children

Non-Accidental Head Injury in Young Children

Cathy Cobley | Tom Sanders


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Book Details


... this book has a much greater value in approaching the particularly difficult field of non-accidental head injuries (NAHI) in children than many sophisticated articles in high-ranked medical journals... This book will affect considerably the approach of the reader to suspected NAHI cases. The book is well worth the couple of hours needed to read it.'

- Forensic Science, Medicine and Pathology

'The book provides a logical and thorough overview of a complex and often emotive subject from a professional and objective stance without any obvious bias... In summary, this excellent book provides an insight into the controversial area of non-accidental head injury in babies and infants and will be of interest to paediatricians, social workers, the legal profession and a small number of paediatric nurses, some of whom may come into contact with these families.'

- British Journal of Neuroscience Nursing

'For readers in a variety of disciplines, Cobley (Cardiff Law School, Wales) and Sanders (Medical Sociology, U. of Manchester) explore challenges of responding to head injury in small children that are not due to accident. The research project underlying the study investigated the quantity and quality of evidence recorded when a subdural haemorrhage is detected, and evaluated the use made of such evidence in making decisions that determine the social and legal consequence for the victims and their families. The methodology and raw results of the research are appended.'


This academic research volume explores non-accidental head injury in babies and young children, covering medical, social, and legal aspects of this phenomenon, as well as the responsibilities of professionals, child protection agencies and the media in this area.

Non-accidental head injury is often referred to as being synonymous with 'shaken baby syndrome' (SBS) - a term which has attracted a great deal of controversy in recent years due to both disagreement about its cause and the reliability of eyewitness testimony. The authors investigate the existing evidence surrounding SBS and its recognition and construction, including medical versus social explanations and the difficulties involved in proving abuse. The reliability of eyewitness and expert testimony are discussed in the context of the concept of proof, as is the social backlash against high profile media cases such as those of Sally Clarke, Trupti Patel and Angela Cannings.

The authors argue for an examination of non-accidental head injury rather than SBS, as this term encompasses other forms of abuse as well as shaking, and caution against a blind acceptance of medical testimony, arguing that this may impede child protection agencies' ability to assess cases objectively and accurately. They also consider the effectiveness of prevention strategies in reducing the incidence of child abuse cases.

This insightful book is essential reading for social workers, lawyers, health professionals, and those working with child protection agencies.

I throughly enjoyed this book. I recommend it to any professional who works with children. Despite the fact that the book covered events and legal aspects of NAHI in England, the issues described can apply to any country.
Journal of the Canadian Academy of Child and Adolescent Psychiatry
This little book discusses a problem rarely discussed and of great actuality, namely that of the "shaken baby syndrome". It is written by a former police officer and a medical sociologist, and discusses the medical, social and legal aspects of non-accidental head injuries in babies and young children. Of interest to pediatricians, social workers and those involved with law and child protection.
Pediatric Endocrinology Reviews
Cathy Cobley is a former police officer, and is now a Senior Lecturer at Cardiff Law School. She has research interests in criminal law and justice and child abuse and has published widely in these areas. Tom Sanders is a medical sociologist with research and teaching interests in the sociology of the professions and non-accidental injury in young children. He has published on a broad range of topics in the areas of medical sociology and health services research. He is currently a lecturer in medical sociology at the Division of Primary Care, University of Manchester.
This book provides an excellent insight into current thinking, research, and courtroom practice with regard to non-accidental head injury in young children. The research is linked to theory throughout the book and this provides a rounded perspective with regard to the subject matter. Accepting that the subject matter is one which is inherently tragic and disturbing this book is an informative and sightful read.
Journal of Social Welfare & Family Law
The authors provide a valuable insight into the complexities surrounding the interface between medical and legal decision - making in the field of non-accidental head injury. It is accessible and would be of interest to the range of professionals working in the field of child abuse.
British Journal of Social Work

Table of Contents

Section Title Page Action Price
Foreword iii
List of illustrations
1.1 The Objective of this Book 1
1.2 Water Current Turbine (WCT) Technology 2
1.3 Alternative Water-lifting Methods 2
1.4 Background 5
1-5 The S..$;ructure of this Book 5
River Currents as an Energy Source 6
Site Selection 12
Measurement of River Current Speed 14
Water Pumping Turbine System Design 14
Turbine Rotor 17
2.5.1 Choice of Turbine Rotor 17
2.5.2 Rotor Construction Materials 25
2.5.3 Rotor Bearings 25
Transmission 2 6
Choice of Pump 30
2.7.1 Pump Types Available 30
2.7.2 Pump Selection for 'Mark I' Machine 35
2-7.3 Pump Selection for 'LOW Cost' Machine 38
Delivery System 38
2.8.1 Pump to River Bank Pipe 40
2.8.2 River Bank to Plants 40
Floats 42
Mooring System 45
Rotor Supporting Frame 45
Rotor Lifting Bechanism 46
Storage Tank Design 46
Installation 48
Operation 5 1
Maintenance 5 2
Conclusions 53
2.17.1 Key Design Features 5 3
2.17.2 Main Technical Features which will
Affect Users 53
2.1 7.3 Further Work
3.1 Introduction 5 5
3.2 Assessment of the Cost-Effectiveness of Water
Pumping for Irrigation 55
3.2.1 Sensitivity Analysis 6 0
3.2.2 Conclusion GO
3-3 Social Factors 6 1
393.1 Introduction 6 1
3-3.2 Size of Pumping System Relative to 6 2
Size of Landholdings
303.3 Restrictions on Water Output 64
3 . 3 .'4 Social Implications of the Differing
Cost Structures of the Alternative
Pumping Systems 67
3-3.5 The Effects of Constraints on Pump
Siting on Land Values 70
3.3-6 Potential for Local Manufacture 7 1
303.7 Evidence for Potential IJse 7 1
3.308 Comparison with Alternative
Technologies 7 1
3 4 The Relative Cost-Effectiveness of Water
Current Turbines for Irrigation Compared to
Alternative Pumping Methods 72
704.1 Introduction 72
3.4.2 Evidence on Comparative Irrigation
Costs 74
3.5 Conclusion 77
Checklist of Key Social, Economic and Technical 8 1
APPENDIX 1 : More Detailed Technical Information 85
1.1 Rotor Performance Comparisons 85
1.2 Rotor Bearing Loadings 88
1.3 Calculation of Transmission Ratio 89
1.4 Estimation of System Efficiency 102
1.5 Maintenance Schedule 107
APPENDIX 2 : Case Study of the Economics of Using
Water Current Turbines for Irrigating
Vegetable Gardens in Juba 105