To Report or Not Report: A Physician's Dilemma

Shanley, Jenelle R.; Shropshire, Deborah; Bonner, Barbara L.

doi:10.1001/virtualmentor.2009.11.2.cprl1-0902

Cited by 3 publications

(1 citation statement)

References 3 publications

(6 reference statements)

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“…A study investigating pediatricians in an office-based study determined that 10% of all injuries were deemed to be suspicious, but only 6% were reported [ 175 , 176 ]. An article in the AMA Journal of Ethics highlighted the common themes from that study that influenced reporting; they included relationships to the family (familiarity and positive experiences made physicians less likely to report), case-specific elements, use of available resources (such as reviewing the case with a colleague), and past experiences with reporting [ 177 ].…”

Section: Reviewmentioning

confidence: 99%

A Multispecialty Approach to the Identification and Diagnosis of Nonaccidental Trauma in Children

Manan¹,

Rahman²,

Komer³

et al. 2022

Cureus

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Child abuse is a preventable phenomenon of considerable concern resulting in significant child mortality and morbidity. We analyze various abuse lesions such as radiological (visceral and skeletal lesions and those associated with head trauma) and cutaneous (burns, bruises, bites, etc.) to enhance streamlined identification of injuries in cases of physical child abuse. For effective results, it is essential to remain mindful of all background factors, such as the caregiver setting and the prevalence of child maltreatment in the concerned community while acknowledging the possibility of natural causes (genetic diseases such as osteogenesis imperfecta and hemophilia, or acquired abnormalities) that can mimic NAT and cause confusion in diagnosis and treatment. The margin of error in cases of abuse is negligible, therefore, making its diagnosis a momentous as well as challenging clinical task. An ineffective diagnosis can have detrimental emotional consequences for the family and may even expose the child to future potentially fatal episodes of abuse. Hence, there is a need to direct special focus on the importance of accurate history taking and immediate, responsible reporting to authorities, as well as to child protective services. Therefore, considering the multifactorial approach this subject requires, this review aims to delve into prevalence statistics, various risk factors, and their effect on psychological health to offer a near-complete regulation to ensure an effective understanding of NAT on part of doctors, social workers, and other relevant authorities.

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Section: Reviewmentioning

confidence: 99%

A Multispecialty Approach to the Identification and Diagnosis of Nonaccidental Trauma in Children

Manan¹,

Rahman²,

Komer³

et al. 2022

Cureus

View full text Add to dashboard Cite

show abstract

Child Abuse

American College of Legal Medicine,

American Board of Legal Medicine

2025

Legal Medicine

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Constitutional Logic of State Audit Power Positioning

张¹

2016

ASS

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State audit power is an important part of national political system as well as a fundamental arrangement of national governance system. Therefore, its independence should be strengthened so as to comprehensively improve the role of state audit power. From the perspective of constitutional logical thinking, it has been proved that state audit power aims to fulfill state obligations and protect civil rights and has adopted independence as its basic positioning. Through the analysis of the existing problem concerning state audit power, namely, non-independence among institutions, persons and properties, a "fourth power" mode has been discovered which is independent of the separation of legislative, judicial and executive powers.

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To Report or Not Report: A Physician's Dilemma

Cited by 3 publications

References 3 publications

A Multispecialty Approach to the Identification and Diagnosis of Nonaccidental Trauma in Children

A Multispecialty Approach to the Identification and Diagnosis of Nonaccidental Trauma in Children

Child Abuse

Constitutional Logic of State Audit Power Positioning

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