Internet

With the spread of sportsbook gambling, be aware that the incidence of gambling addiction and its consequences are likely increase. James W. Mold, MD, MPH

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Importance: The US Supreme Court decision Murphy v National Collegiate Athletic Association allowed states beyond Nevada to legalize sports betting, including online wagers. How sports betting has evolved and its association with gambling harms has not been studied.

Objective: To describe how US sports betting evolved after Murphy v National Collegiate Athletic Association and offer insights into the potential health effects of sportsbooks, which are platforms for wagering on sporting events.

Exposure: Enactment of (1) Murphy v National Collegiate Athletic Association nationally and (2) the opening of retail or online sportsbooks in states.

Design, setting, and participants: In this longitudinal study, aggregate US internet search trends for gambling addiction and wagers on sports were described before and after the emergence of legalized sportsbooks.

Main outcomes and measures: Internet searches per 10 million queries that mentioned gambling and addiction, addict, anonymous, or hotline (such as gambling addiction hotline) made to Google from January 1, 2016, through June 30, 2024.

Results: The number of states with operational sportsbooks increased from 1 during 2017 to 38 during 2024. Total sports wagers increased from $4.9 billion during 2017 to $121.1 billion during 2023, with 94% of wagers during 2023 being placed online. There were 23% (95% CI, 15%-30%) more searches nationally for gambling addiction help-seeking after Murphy v National Collegiate Athletic Association. Massachusetts (47%; 95% CI, 21%-79%), New Jersey (34%; 95% CI, 21%-45%), New York (37%; 95% CI, 26%-50%), and Pennsylvania (50%; 95% CI, 35%-66%) each had more searches than expected after the opening of any sportsbooks in their state. Additional analyses suggest the opening of online, vs retail, sportsbooks corresponded with a larger increase in searches.

Conclusions and relevance: The results of this time series study suggest that access to sportsbooks, sports wagers, and potential help-seeking for gambling addiction increased substantially and highlight the need to address the health implications of sportsbooks, including recognition and treatment of gambling problems and their broader societal implications.

Author/s:

Atharva Yeola, Matthew R Allen, Nimit Desai, Adam Poliak, Kevin H Yang, Davey M Smith, John W Ayers

A Practical Guide To Conducting A Child Sexual Abuse Examination

Brian Desmarais — Mon, 23 Sep 2019 13:42:35 +0000

Date Added:

September 23, 2019

Journal/Publication:

Pediatrics and Child Health

Publication Date:

September 1, 2019

Issue:

Volume:

Pages:

448–454

URL:

A Practical Guide To Conducting A Child Sexual Abuse Examination

Type:

Meta-analyses, Reviews, and Guidelines

Format:

Article

DOI (1):

https://doi.org/10.1016/j.paed.2019.07.006

Keywords

child abuse

Sexual abuse

Examination

MeSH

referral and consultation

A review of how physicians should approach the evaluation of a child who may have been sexually abused. Unfortunately only the abstract is available for free, but the information it contains is useful, and those who need or want to know more can purchase the article. James W. Mold, MD, MPH

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If you work with children, then you are seeing children who have been sexually abused. Many presentations in a health setting go unrecognised.

It is a field of paediatric practice that has changed rapidly over the last fifteen years. The evidence base is now set out by the RCPCH, giving a much clearer steer on the interpretation of physical signs. There has been a shift from examinations being provided within a child protection rota, to being carried out by specialists in a Sexual Assault Referral Centre (SARC). In many places, this has meant regionalisation of the service, and in some places, provision outside the NHS. There has been a seismic cultural change in recognition of, and response to, sexual abuse in society as a whole.

Alongside this, the internet has created new ways of grooming and exploitation, and linked together those who seek to normalise CSA offending. The challenge to paediatrics (and to safeguarding and criminal justice systems), is to meet the need that these developments have exposed.

Author/s:

Gifford, J.

A Practical Guide To Conducting A Child Sexual Abuse Examination

Brian Desmarais — Mon, 23 Sep 2019 13:42:18 +0000

Date Added:

September 23, 2019

Journal/Publication:

Pediatrics and Child Health

Publication Date:

September 1, 2019

Issue:

Volume:

Pages:

448–454

URL:

A Practical Guide To Conducting A Child Sexual Abuse Examination

Type:

Community-Based Research Results

Format:

Article

DOI (1):

https://doi.org/10.1016/j.paed.2019.07.006

Keywords

child abuse

Sexual abuse

Examination

MeSH

referral and consultation

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If you work with children, then you are seeing children who have been sexually abused. Many presentations in a health setting go unrecognised.

Author/s:

Gifford, J.

The Growing Cyber Threat To Physician Practices

Brian Desmarais — Sat, 18 May 2019 05:00:00 +0000

Date Added:

May 18, 2019

Journal/Publication:

Medical Economics Network

Publisher:

Medical Economics

Publication Date:

May 15, 2019

URL:

https://www.medicaleconomics.com/news/growing-cyber-threat-physician-practices

Type:

Practice Management Reviews and Guidelines

Format:

Web Page

Keywords

MeSH

Blue Cross Blue Shield Insurance Plans

Advice about ways to reduce cyberthreats to your practice computer systems. Training staff to recognize hazards is key. James W. Mold, MD, MPH

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Right now, medical practices are being attacked by cybercriminals. Emails are being sent in the hope a practice employee will click on a link that will install ransomware, hackers are exploiting security flaws in medical equipment with internet connections, and information is being gathered from social media to trick staffers into revealing patient or financial records.

Author/s:

Shryock, Todd