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Record W2605570564 · doi:10.23907/2014.068

An Investigative Tool for Detecting Elder Abuse

2014· article· en· W2605570564 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueAcademic Forensic Pathology · 2014
Typearticle
Languageen
FieldSocial Sciences
TopicElder Abuse and Neglect
Canadian institutionsOffice of the Chief Medical Examiner
Fundersnot available
KeywordsNeglectElder abuseMedicinePersonal hygienePopulationResidencePhysical abusePoison controlInjury preventionPsychiatryMedical emergencyChild abuseEnvironmental healthFamily medicineDemography

Abstract

fetched live from OpenAlex

Elder abuse is estimated to affect one in ten individuals 60 years of age and older and has been significantly associated with an increased risk of mortality. However, no clear data exist on the number of deaths that result from elder abuse or neglect. The potential contribution of abuse and neglect to the death of an elder is rarely investigated, as natural deaths are expected with advancing age. Elders are often reliant on others for care making them a vulnerable population. Although the deaths of other vulnerable populations, including children, are routinely investigated, no protocols for elder death investigation have been enacted. We propose the implementation of an investigative tool to assess the elder decedent and residence for indicators of abuse or neglect. Investigations may assist in differentiating self-neglect and caretaker neglect. Decedent observations include: evidence of injuries, personal hygiene, malnutrition and/or dehydration, decubitus ulcers, evidence of restraint, unexplained vaginal or anal bleeding, and previous reports with Adult Protective Services. To differentiate between self-neglect and caretaker neglect, an assessment of the level of dependence on others for activities of daily living and the level of involvement of the caretaker are determined. The decedent's living condition assessment includes evidence of forced isolation; lack of food, water or utilities; soiled clothing and/or bedding; filthy or unsafe living conditions; and inappropriate administration of medications. With proper training, medical examiners can easily implement these protocols. Such information is extremely valuable for determining whether further investigation and examination of the decedent is warranted.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.618
Threshold uncertainty score0.527

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.001
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.036
GPT teacher head0.334
Teacher spread0.298 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it