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PubMedDate not supplied

Talking about taboos.

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Attitude to Health↗
PubMed1982

Examination of genitalia in children: 'the remaining taboo'.

Trained student observers rated 123 physical examinations by pediatric house staff during health care maintenance visits to assess the frequency of examinations done on male and female genitalia compared with examination of ears, heart, and abdomen. Sixty-five observations were made of 21 male house staff and 58 observations of 18 female house staff. One to five examinations per physician were observed. Whereas physicians examined the ears, heart, and abdomen of pediatric patients greater than or equal to 97% of the time regardless of the sex or age of the child, female genitalia were examined 39% of the time and male genitalia 84% of the time. Female genitalia were examined approximately half as frequently as male genitalia at all ages with a trend to less frequent genital examinations on older children. Both male and female physicians examined female genitalia less frequently than male genitalia. It is concluded that increased emphasis is needed in house staff training programs on the examination of genitalia.

Child↗
PubMedDate not supplied

[Errors caused by taboos].

The treatment of varicose veins, indeed of all phlebopathies, is still the butt of quite singular superstitions, firmly entrenched in the mind of the practitioner. Few treatments in the twentieth century are so denigrated as those of varices and leg ulcers. This may well be due to negligence, but there are many who denounce either the surgical or the sclerotherapeutic treatment of varices and leg-ulcers in aged or obese patients, in women going through genital or menopausal phases, and in pregnant women. Of course there are certain contraindications, but one thing is certain: there should be better information available for the general practitioner, so that he can gain a better idea of the therapeutic approach to these illnesses.

Age Factors↗
PubMed1980

The taboo zone.

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Ethics, Professional↗
PubMedDate not supplied

[Exenteration: taboo of cholesteatomatous chronic otitis. Opinion based upon personal experience (author's transl)].

The authors recall that in cholesteatomatous chronic otitis exenteration should be performed only as a last resort. This accepted, to wish to present it as an opprobious operation responsible for all evils is excessive. In 288 cases of cholesteatomatous chronic otitis treated between 1971 and 1978 (out of 433 cases of progressive otitis) 241 were treated surgically by the technique involving destruction of the osseous meatus. Amongst these 241 exenterations, there were 106 (i. e. 40%) in which the indication was absolute since they involved ears which were either cophotic or had already undergone exenteration. Reviewing a recent study of the local appearance in 225 cases of exenteration including 198 for cholesteatoma, they find 84% of ears perfectly dried up and healing in the long term. With regard to the restoration of healing, this problem arose, later, in only 6% of cases.

Cholesteatoma↗