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b'Although it\\u2018s often difficult to detect, child abuse does leave signs \\u2013 odd bruises, sudden emotional changes \\u2013 and concerned adults have both a state hotline and local organizations that offer help, says pediatrician Although it\\u2018s often difficult to detect, child abuse does leave signs \\u2013 odd bruises, sudden emotional changes \\u2013 and concerned adults have both a state hotline and local organizations that offer help, says pediatrician Ann Botash, MD Ann Botash, MD \\xa0of the Upstate Golisano Children\'s Hospital. \\xa0of the Upstate Golisano Children\'s Hospital.'