| LDR | | 00000nmm u2200205 4500 |
| 001 | | 000000330195 |
| 005 | | 20241025143503 |
| 008 | | 181129s2018 ||| | | | eng d |
| 020 | |
▼a 9780438132498 |
| 035 | |
▼a (MiAaPQ)AAI10749089 |
| 035 | |
▼a (MiAaPQ)medicine.yale:10681 |
| 040 | |
▼a MiAaPQ
▼c MiAaPQ
▼d 248032 |
| 049 | 1 |
▼f DP |
| 082 | 0 |
▼a 610 |
| 100 | 1 |
▼a Buesser, Katherine Elizabeth. |
| 245 | 10 |
▼a Inter-rater Reliability of Physical Abuse Determinations and Abusive Fracture Incidence at a Level 1 Pediatric Trauma Center. |
| 260 | |
▼a [S.l.] :
▼b Yale University.,
▼c 2018 |
| 260 | 1 |
▼a Ann Arbor :
▼b ProQuest Dissertations & Theses,
▼c 2018 |
| 300 | |
▼a 53 p. |
| 500 | |
▼a Source: Dissertation Abstracts International, Volume: 79-11(E), Section: B. |
| 500 | |
▼a Advisers: Melinda S. Sharkey |
| 502 | 1 |
▼a Thesis (M.D.)--Yale University, 2018. |
| 520 | |
▼a As there is no "gold standard" in determining whether a fracture is caused by accident or abuse, agreement among medical providers is paramount. Using abstracted medical record data from children <36 months of age presenting to a level 1 pediatr |
| 520 | |
▼a Each physician independently rated each case using a 7-point ordinal scale designed to distinguish accidental from abusive injuries. For any discrepancy in independent ratings, the two specialists discussed the case and came to a joint rating. W |
| 520 | |
▼a From 2007 to 2010, 551 children presented to the Yale New Haven Children's Hospital Pediatric ED with 572 fractures. Twenty-eight cases (5.1%) were determined to have fractures with a consensus rating indicating abuse. The skull was the most com |
| 520 | |
▼a Orthopaedists (kappa=.78) and CAPs (kappa=.67) had substantial within-specialty agreement, while radiologists (kappa=.53) had moderate agreement. Orthopaedists and CAPs had almost perfect between-specialty agreement (kappa=.81), while agreement |
| 590 | |
▼a School code: 0265. |
| 650 | 4 |
▼a Medicine. |
| 690 | |
▼a 0564 |
| 710 | 20 |
▼a Yale University.
▼b Yale School of Medicine. |
| 773 | 0 |
▼t Dissertation Abstracts International
▼g 79-11B(E). |
| 773 | |
▼t Dissertation Abstract International |
| 790 | |
▼a 0265 |
| 791 | |
▼a M.D. |
| 792 | |
▼a 2018 |
| 793 | |
▼a English |
| 856 | 40 |
▼u http://www.riss.kr/pdu/ddodLink.do?id=T14997024
▼n KERIS |
| 980 | |
▼a 201812
▼f 2019 |
| 990 | |
▼a 관리자
▼b 관리자 |