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Biomedical subjects

L M Osborn

Publications and source records attributed to L M Osborn.

41 records · Page 3Linked to original sources

Hygienic care in uncircumcised infants.

A written questionnaire was used to determine the advice pediatricians give concerning hygienic care of uncircumcised infants. A telephone survey was conducted in which new mothers were asked what they had been told about genital hygiene and how they were caring for their infants. Pediatricians' advice concerning hygiene in uncircumcised infants varied greatly. Most counseled mothers to retract the foreskin and clean the child, but few (22%) knew when this could be readily accomplished. None of the mothers of uncircumcised children had been told when the foreskin could be expected to retract, and only half had been given any advice concerning hygiene. Mothers of infants whose foreskins had been manipulated by physicians felt this practice was traumatic. Both this and the stress of caring for their infants without adequate instruction caused 40% of the mothers to state they would choose to have the next child circumcised. Recommendations for hygienic care of uncircumcised infants are given.

Adolescent↗

Use of groups in well child care.

A controlled study was conducted to examine the use of groups for well child care in the office setting. Group visits were compared to traditional visits by assessing the efficiency, efficacy, content, and process of visits as well as patient satisfaction. The group method was efficient and required no more provider time per pair than individual visits. The group method effectively changed the process and content of the well child visits and was acceptable to the sample population. Few changes in health care utilization were found, but mothers in the experimental group completed more well child visits and sought less advice between visits than mothers in the control group. The group method offers an alternative method of care that is worthy of further investigation and implementation.

Child Health Services↗

Implications of pregnancy for residents and their training programs.

This study investigated the implications of pregnancy on residents and their training programs and how programs have planned for pregnancy disruptions compared to other employers. We received questionnaires from 236 male and female residents and their families who had experienced at least one pregnancy during their training. Results for female residents were compared with working spouses of male residents. Approximately half of the female residents reported that their programs had formal leave policies compared to 70% of the working spouses. The average amount of leave taken by residents was considerably less than that taken by the spouse group. For both groups, 35% of all pregnancies were unplanned; 19% of these without benefit of birth control. Approximately 30% of both groups said they should have timed their pregnancies differently. Female residents were more likely to perceive their pregnancies as a stressful time. Despite this greater stress, female residents were equally as unlikely as spouses of male residents to miss work for pregnancy-related causes. This study supports the need for better planning for pregnancy during residency training.

Adult↗