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Biomedical subjects

J C Weiss

Publications and source records attributed to J C Weiss.

24 records · Page 2Linked to original sources

Condyloma acuminata in children.

The problem of condyloma acuminata in prepubertal children seems to be more common today than in the past. Transmission of the etiology virus may occur during delivery, from close family contact, or from sexual encounters. Thirty cases of condyloma acuminata in young children have been reported, to which we add four new cases. This article reviews the 34 cases with regard to age and sex, the nature and location of the lesions, and the mode of transmission of the virus. Various modes of therapy are discussed. Because of the possibility that children with condyloma acuminata have been sexually abused, a thorough medical and social evaluation is essential.

Anal Canal↗

Parental perceptions of enuresis. A collaborative study.

Of 1,379 children 4 years of age and older who were patients in nine medical centers across the country, 346 (25.1%) were found to be enuretic. Their parents considered heavy sleeping and emotional problems as the main causes of enuresis in children; physical causes rarely were believed to be important. "Waking up the child" from sleep to urinate and "talking about the problem" were the main methods that parents used to treat enuresis. Very few used medication. Parents with a grade school level of education punish bed-wetting children at twice the rate of high school- and college-educated parents. Physicians need to be more aware that enuresis is an important problem for parents and that there are many widely held beliefs about cause and management.

Adolescent↗

Fever in children.

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Body Temperature Regulation↗

Enuresis: a contrast of attitudes of parents and physicians.

Questionnaires were used to survey 1,435 parents and 446 physicians in order to determine and compare attitudes and beliefs about enuresis. Although both groups thought that bed-wetting is a maturational problem, the parent group thought emotional causes were important and were less likely to accept small bladder size as an etiology. Parents thought that children should be dry at a much younger age than did the physicians (2.75 vs 5.13 years, respectively). Only 63% of parents thought that medical intervention is a good way to deal with a child's bed-wetting, yet 87% of the physicians suggested medical evaluation. A comparison of the various methods used to stop bed-wetting indicated that parents use waking the child, reassurance and talking with the child, restricting fluids, and punishment significantly more often than physicians. Although many physicians prescribe medication, only 6.6% of the parents thought that medicines are a "very good way" to treat enuresis. When developing a treatment plan for a child with enuresis, the physician should recognize the wide differences between parental and physician attitudes toward this common problem of childhood.

Attitude to Health↗