Parents' knowledge of the purposes and content of preparticipation physical examinations

Article Abstract:

Parents may abandon regular comprehensive check-ups for their adolescent children when the children begin having preparticipation physical examinations (PPEs). PPEs are group exams intended only to ascertain the child's fitness for participation in school sports. A group of 381 parents of children having a PPE returned a questionnaire surveying how parental attitudes toward check-ups would be affected by their child having a PPE. Eighty-five percent had taken their child for a comprehensive check-up within the previous year and 96% within the prior two years. However, 33% indicated they would replace regular check-ups with the PPE. Seventy-five percent of parents whose insurance paid for check-ups planned to continue them compared with 60% of parents whose insurance did not. Relying on the PPE could prove problematic because it is not designed to address medical and social issues such as health screening, nutrition, substance abuse, sexuality, or immunization.

Medical examination, Teenagers, Youth

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Clinician agreement on physical findings in child sexual abuse cases

Article Abstract:

Doctors specializing in assessing child sexual abuse may not agree when interpreting gynecologic photographs. Researchers asked seven doctors experienced in reviewing gynecologic photographs for sexual abuse to determine whether sexual abuse had occurred in photographs of 139 girls. Doctors interpreted half of the photographs as providing little to no evidence of abuse. Doctors working in pairs agreed on findings for 34.5% of photographs. Doctors were more likely to agree if they did not know the patient's symptoms. Training in detection of sexual abuse should standardize physical findings to prevent overdiagnosis of child sexual abuse.

Diagnosis, Physicians, Medical professions, Beliefs, opinions and attitudes, Child sexual abuse

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Psychosocial outcome of children evaluated for short stature

Article Abstract:

Being short as a child does not seem likely to produce a psychologically maladjusted adult. This contradicts a belief that was a major basis for treating short children with human growth hormone. From 1975 to 1980, 181 children referred for concerns about shortness were found not to be deficient in growth hormone. Thirty-five were followed up in 1992 and 1993. Although many had experienced negative incidents, they were not psychosocially dysfunctional. However, shortness as an adult was found to be a producer of stress.

Psychological aspects, Stature, Short, Short stature

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