{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T16:37:30Z","timestamp":1791563850228,"version":"4.3.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,7,27]],"date-time":"2020-07-27T00:00:00Z","timestamp":1595808000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Med Leg J"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:p>In Nepal, following allegations of sexual assault, the survivor is taken by the police to a Government Hospital for medical examination and sample collection. To provide an integrated service to survivors of gender-based violence, a One\u2013Stop Crisis Management Centre (OCMC) is established in many Government Hospitals. However, paediatric survivors of sexual abuse frequently seek initial care at the emergency department, as most present with a medical complaint rather than for sexual abuse. It is therefore important to train emergency physicians with the skills required to identify the features and diagnose a case of sexual assault. We present a case where the diagnosis of sexual assault of a child was an incidental finding and discuss the challenges faced in dealing with such cases in non-OCMC Hospital.<\/jats:p>","DOI":"10.1177\/0025817220935878","type":"journal-article","created":{"date-parts":[[2020,7,27]],"date-time":"2020-07-27T09:39:03Z","timestamp":1595842743000},"page":"192-195","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["When sexual offence is an unexpected diagnosis \u2013 exploration of medical, legal and social aspects in Nepalese scenario"],"prefix":"10.1177","volume":"88","author":[{"given":"Alok","family":"Atreya","sequence":"first","affiliation":[{"name":"Department of Forensic Medicine, Lumbini Medical College, Palpa, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rijen","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine, Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Binu","family":"Nepal","sequence":"additional","affiliation":[{"name":"Lumbini Medical College, Palpa, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samata","family":"Nepal","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Lumbini Medical College, Palpa, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepak","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Lumbini Medical College, Palpa, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sweta","family":"Mahato","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Lumbini Medical College, Palpa, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,7,27]]},"reference":[{"key":"bibr1-0025817220935878","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2018-1811"},{"key":"bibr2-0025817220935878","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-7358(01)00091-5"},{"key":"bibr3-0025817220935878","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-3955(05)70590-3"},{"key":"bibr4-0025817220935878","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-3955(16)36946-2"},{"key":"bibr5-0025817220935878","unstructured":"Dolma E, Hirachan N, Nepal AC, et\u00a0al. Reference manual on forensic examination of sexual assault.\n                      National Health Training Centre, Ministry of Health and Population, Government of Nepal\n                      , http:\/\/meleson.org\/wp-content\/uploads\/2017\/08\/sexual-offenses-guidelines.pdf (2018, accessed 20 February 2020)."},{"key":"bibr6-0025817220935878","doi-asserted-by":"publisher","DOI":"10.1080\/10538712.2010.522493"},{"key":"bibr7-0025817220935878","unstructured":"World Health Organization.\n                      Guidelines for medico-\n                      legal care of victims of sexual violence\n                      . Geneva: World Health Organization, 2003."},{"key":"bibr8-0025817220935878","doi-asserted-by":"publisher","DOI":"10.1177\/0025817218789600"},{"key":"bibr9-0025817220935878","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2018.02422"},{"key":"bibr10-0025817220935878","doi-asserted-by":"publisher","DOI":"10.1023\/A:1016060424945"},{"key":"bibr11-0025817220935878","doi-asserted-by":"publisher","DOI":"10.1016\/j.forsciint.2015.04.031"},{"key":"bibr12-0025817220935878","unstructured":"Hospital Based One-stop Crisis Management Center (OCMC) Operational Manual 2067. Population Division, Ministry of Health and Population, Government of Nepal, www.nhssp.org.np\/NHSSP_Archives\/gesi\/OCMC_manual_2011.pdf (2011, accessed 23 February 2020)."}],"container-title":["Medico-Legal Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0025817220935878","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0025817220935878","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0025817220935878","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T08:26:40Z","timestamp":1777624000000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0025817220935878"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,27]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["10.1177\/0025817220935878"],"URL":"https:\/\/doi.org\/10.1177\/0025817220935878","relation":{},"ISSN":["0025-8172","2042-1834"],"issn-type":[{"value":"0025-8172","type":"print"},{"value":"2042-1834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,27]]}}}