Ongoing Projects

Prevalence of normal anogenital examination in children identified in sexual abuse materials

Improve the drug confirmation testing rate at the hospitals(QI project)

Prior head circumference measurements in infants with older subdural hematomas: did we miss it?

Abuse & Neglect in Contacts of Maltreated Children

Interrater Reliability Study, Telehealth Institute for Child Maltreatment (Minnesota)

Child Abuse Trigger System

Evaluating secondary trauma among learners during their child abuse rotation (QI project)

Children and Families Affected by Parental Substance Use (Proposed AAP Clinical Report, co authors Vincent Smith, Celeste Wilson, Karen Farst, Nancy Kellogg)

Oral and Dental Aspects of Child Abuse and Neglect (Proposed AAP Clinical Report, co authors Anupama Rao Tate, Susan A. Fisher-Owens, Lora Spiller, Jillian Muhlbauer, James L. Lukefahr)

Sexual Behaviors in Children (Proposed AAP Clinical Report, co authors Norell Rosada, Annie Torres, Rebecca Girardet, Natalie Kissoon, Nancy Kellogg)



Kellogg ND, Farst KJ, Adams JA. Interpretation of Medical Findings in Suspected child Sexual Abuse: An Update for 2023 Child Abuse & Neglect Oct 2023

Spiller LR. Orofacial manifestations of child maltreatment: A review. Dent Traumatol. 2024 Mar;40 Suppl 2:10-17. doi: 10.1111/edt.12852. Epub 2023 May 25. PMID: 37226580.

Spiller, L., Zarka, A., Kellogg, N. Physical Abuse Series: Fractures. Evidentia Learning. 2022.

Bechtel, K., Tiyyagura, G., Iqbal, A., Spiller, L., Zarka, A., Kellogg, N. Physical Abuse Series: Abusive Head Trauma. Evidentia Learning. 2022.

Murray, L., MD, Dai, T., MD, Clingenpeel, R., MD, Livingston, J., APRN, CPNP-PC, B.C., Worthington, “., RNP, BSN, SANE-P, & Farst, K., MD, MPH (2022). Hair Drug Testing of Children: A Study of Utilization and Interpretation. The Arkansas Journal of Social Change and Public Service, 12(1), 65-75.

Ruiz-Maldonado TM, Johnson KL, Sabo JL, Sheets LK, Laskey A. Palm Bruising in Infants: A Recognizable Pattern of Abuse. J Emerg Med. 2021 Mar 29:S0736-4679(21)00153-0. doi: 10.1016/j.jemermed.2021.02.018. Epub ahead of print. PMID: 33795168.

Kellogg, ND. & Kissoon, NN. Physical Abuse Series: Core Frame work

Kellogg, ND, Adams, JA. & Greenbaum, J. Medical Evaluation of Child and Adolescent Sexual Abuse.

Narang SK, Fingarson A, Lukefahr JL, American Academy of Pediatrics Council on Child Abuse and Neglect. Abusive Head Trauma in Infants and Children Pediatrics 2020 Apr,145(4):74-79.

Esquivel A, Pastrana I, Marshall V, Lukefahr JL, and Mitchell I. The Implementation of a Pediatric Nonaccidental Trauma Evaluation Protocol: A Quality  Improvement Analysis Pediatric Emergency Care 2020 Feb;36(2):e61-e65.

Kellogg ND, Wouter Koek, Nienow, Shalon M. Factors that prevent, prompt, and delay disclosures in female victims of child sexual abuse Child Abuse and Neglect 2020 Jan

Spiller LR., Kellogg, N., Mercado-Deane, M.G., Zarka, A., Gelfond, J., Growth Recovery Lines: A Specific Indicator of Child Abuse and Neglect? 2020;50:207-215.

Kellogg, ND., Kissoon, Natalie N., Non – Emergent Medical Examination Procedures and Techniques In: Medical Response to Child Sexual Abuse. 2019. p. 127 – 138.

Kellogg ND, Kissoon NN. Adolescent Issues in Sexual Abuse and Assault In: Medical Response to Child Sexual Abuse. 2019.

Kellogg, N., Spiller.LR, Amaya, M. Sexually Transmitted Infections Medical Response to Child Sexual Abuse 2 ed 2019

Spiller LR, Lukefahr J., Kellogg, N., Dental Neglect Journal Child Adolescent Trauma 2019

Kellogg N.D., Melville, J.D., Lukefahr, J.L., Nienow, S.N., Russell E.L., Genital and Extragenital Gonorrhea and Chlamydia in Children and Adolescents Evaluated for Sexual Abuse Pediatric Emergency Care 2018 Nov;34(11):761-766.

Sege RD, Siegel BS, American Academy of Pediatrics Council on Child Abuse and Neglect (Lukefahr JL et al), American Academy of Pediatrics Council on Psychosocial Aspects of Child and Family Health. Effective Discipline to Raise Healthy Children Pediatrics 2018 Nov;142(6)

Kellogg ND, Northrop Sarah, Browning John. A Patterned Acute Skin Lesion on a Leg of a 17- month old Boy Pediatrics in Review 2018 Mar;39(145)

Girardet. Rebecca, Bolton, Kelly, Hashmi, Syed, Sedlock, Emily, Khatri, Rachna, Lahoti, Nina, Lukefahr JL. Child Protective Services Utilization of Child Abuse Pediatricians: A Mixed-Methods Study Child Abuse and Neglect 2018 Feb;76(2):381-387.

Kellogg ND. ‘Why Didn’t You Tell?” Helping Families and Children Weather the Process Following a Sexual Abuse Disclosure In: Parenting and Family Processes in Child Maltreatment and Intervention. Switzerland: Springer International Publishing AG; 2017. p. 35 -43.

Adams JA, Farst KJ, Kellogg ND. Interpretation of Medical Findings in Suspected child Sexual Abuse: An Update for 2018 Journal of Pediatric and Adolescent Gynecology 2017 Dec

Fisher-Owens SA, Lukefahr JL, Tate AR, AAP Section on Oral Health, Committee on Child Abuse and Neglect, AAPD Councils on Clinical Affairs and Scientific Affairs, and Ad Hoc Work Group on Child Abuse and Neglect. Oral and Dental Aspects of Child Abuse Pediatrics 2017 Aug;140(2)

Sege RD, Amaya-Jackson L, Lukefahr JL et al; AAP Committee on Child Abuse & Neglect; American Academy of Child and Adolescent Psychiatry Committee on Child Maltreatment and Violence; National Center for Child Traumatic Stress. Clinical Considerations Related to the Behavioral Manifestations of Child Maltreatment Pediatrics 2017 Apr;139(4):e1-e13.

Crawford-Jakubiak JE, Alderman EM, Leventhal JM, Lukefahr JL, et al; AAP Committee on Child Abuse & Neglect; MP Committee on Adolescence. Care of the Adolescent after an Acute Sexual Assault Pediatrics 2017 Mar;139(3):e1-e16.

Grant Activities

Forensic Assessment Center Network: October 2006 to Present
The Division of Child Abuse Pediatrics at UT Health San Antonio is one of six UT medical school programs designated as a center of excellence to establish a statewide system to provide medical consultation and support to Child Protective Services (CPS). Funding was established through Senate Bill 6 in 2006 and is ongoing.

Child Maltreatment in Bexar County, Grant submitted in community engagement small project grant
Dr. Monica Lawson, UTSA Pl