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  • Goldman, Harold S.  (4)
  • 1980-1984  (4)
Type of Medium
Publisher
Person/Organisation
Language
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  • 1980-1984  (4)
Year
  • 1
    Online Resource
    Online Resource
    Excretory Urography for Evaluation of Enuresis
    American Academy of Pediatrics (AAP) ; 1980
    In:  Pediatrics Vol. 65, No. 1 ( 1980-01-01), p. A49-A50
    Details
    In: Pediatrics, American Academy of Pediatrics (AAP), Vol. 65, No. 1 ( 1980-01-01), p. A49-A50
    Abstract: Enuresis is the involuntary discharge of urine occurring beyond the age when control of the urinary bladder should have been acquired.1 Eighty percent of children with enuresis have problems staying dry at night, 5% in the day, and 15% both day and night.2 The age at which children can be expected to stay dry at night is not well established and is often cause for extreme concern for parents and children alike. Most children are still not dry at night by age 2 years. In a study of 315 children, Klackenberg reported 87% dry by 3 years and 96% dry by 6 years. Essen and Peckham,4 reviewing the records of 12,000 children, found enuresis more prevalent in older ages. More than 10% of their patients were enuretic between ages 5 and 7 years and almost 5% were still having problems at 11 years of age. The etiology of enuresis is also difficult to define, and many different theories have been advanced. Bindelglas5 grouped these into five major categories: (1) organo-urogenic, including urologic malformations; (2) psychogenic; (3) developmental; (4) genetic; (5) environmental. The first of these categories must be of primary concern to the physician when confronted with an enuretic child, ie, could the symptoms possibly reflect a surgically correctable urologic abnormality? Radiologic procedures such as excretory urography and mictunition cystourethrography are the studies usually relied on to exclude an underlying anatomic lesion. Because of the potential risk and expense of any radiologic procedure as well as the possible low yield in this condition, the Committee on Radiology examined the utility of these studies in the routine evaluation of enuresis.
    Type of Medium: Online Resource
    ISSN: 0031-4005 , 1098-4275
    URL: Article
    DOI: 10.1542/peds.65.1.A49
    Language: English
    Publisher: American Academy of Pediatrics (AAP)
    Publication Date: 1980
    detail.hit.zdb_id: 1477004-0
    Library Location Call Number Volume/Issue/Year Availability
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    Online Resource
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    Availability (electronic / print)
  • 2
    Online Resource
    Online Resource
    Comparison Radiographs of Extremities in Childhood: Recommended Usage
    American Academy of Pediatrics (AAP) ; 1980
    In:  Pediatrics Vol. 65, No. 1 ( 1980-01-01), p. A57-A58
    Details
    In: Pediatrics, American Academy of Pediatrics (AAP), Vol. 65, No. 1 ( 1980-01-01), p. A57-A58
    Abstract: Extremity injuries, a common problem in pediatric practice, are responsible for a significant number of radiographic examinations performed on children each year. Radiologic diagnosis in these injuries may be complicated by the variable appearance of the growing skeleton, especially around the epiphyses and the physeal plate. In the past, it has been a common and accepted practice for pediatricians, generalists, orthopedic surgeons, and radiologists to obtain routinely radiographs of the uninjured limb1-3 for comparison with those of the injured extremity to rule out subtle fractures or dislocations. Recently, increasing concern about potential dangers of ionizing radiation, coupled with agitation from insurance carriers and governmental agencies to reduce escalating medical costs, has resulted in mounting pressure to limit diagnostic radiographic examinations. At the same time, however, rising malpractice litigation has, in many instances, forced physicians to obtain additional radiographic studies to "protect" themselves, especially in trauma cases. Radiographs of traumatized extremities contribute significant numbers of medicolegally oriented radiologic examinations each year. Although comparison views are no doubt helpful in some instances, until recently there has not been any effort to document the extent of use or diagnostic value of comparison views, especially those routinely obtained. Within the past two years there have been two studies on this problem. In 1977, a survey4 of pediatric radiologists throughout the United States and Canada sought to determine individual application of comparison views, whether selective or routine; factors that influence this use; extent of comparison views, whether single or multiple; and cost of the additional radiographic studies.
    Type of Medium: Online Resource
    ISSN: 0031-4005 , 1098-4275
    URL: Article
    DOI: 10.1542/peds.65.1.A57
    Language: English
    Publisher: American Academy of Pediatrics (AAP)
    Publication Date: 1980
    detail.hit.zdb_id: 1477004-0
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Online Resource
    Open Access Request
    Availability (electronic / print)
  • 3
    Online Resource
    Online Resource
    Excretory Urography for Evaluation of Enuresis
    American Academy of Pediatrics (AAP) ; 1980
    In:  Pediatrics Vol. 65, No. 3 ( 1980-03-01), p. 644-645
    Details
    In: Pediatrics, American Academy of Pediatrics (AAP), Vol. 65, No. 3 ( 1980-03-01), p. 644-645
    Abstract: Enuresis is the involuntary discharge of urine occurring beyond the age when control of the urinary bladder should have been acquired.1 Eighty percent of children with enuresis have problems staying dry at night, 5% in the day, and 15% both day and night.2 The age at which children can be expected to stay dry at night is not well established and is often cause for extreme concern for parents and children alike. Most children are still not dry at night by age 2 years. In a study of 315 children, Klackenberg reported 87% dry by 3 years and 96% dry by 6 years. Essen and Peckham,4 reviewing the records of 12,000 children, found enuresis more prevalent in older ages. More than 10% of their patients were enuretic between ages 5 and 7 years and almost 5% were still having problems at 11 years of age. The etiology of enuresis is also difficult to define, and many different theories have been advanced. Bindelglas5 grouped these into five major categories: (1) organo-urogenic, including urologic malformations; (2) psychogenic; (3) developmental; (4) genetic; (5) environmental. The first of these categories must be of primary concern to the physician when confronted with an enuretic child, ie, could the symptoms possibly reflect a surgically correctable urologic abnormality? Radiologic procedures such as excretory urography and micturition cystourethrography are the studies usually relied on to exclude an underlying anatomic lesion. Because of the potential risk and expense of any radiologic procedure as well as the possible low yield in this condition, the Committee on Radiology examined the utility of these studies in the routine evaluation of enuresis.
    Type of Medium: Online Resource
    ISSN: 0031-4005 , 1098-4275
    URL: Article
    DOI: 10.1542/peds.65.3.644
    Language: English
    Publisher: American Academy of Pediatrics (AAP)
    Publication Date: 1980
    detail.hit.zdb_id: 1477004-0
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Online Resource
    Open Access Request
    Availability (electronic / print)
  • 4
    Online Resource
    Online Resource
    Comparison Radiographs of Extremities in Childhood: Recommended Usage
    American Academy of Pediatrics (AAP) ; 1980
    In:  Pediatrics Vol. 65, No. 3 ( 1980-03-01), p. 646-647
    Details
    In: Pediatrics, American Academy of Pediatrics (AAP), Vol. 65, No. 3 ( 1980-03-01), p. 646-647
    Abstract: Extremity injuries, a common problem in pediatric practice, are responsible for a significant number of radiographic examinations performed on children each year. Radiologic diagnosis in these injuries may be complicated by the variable appearance of the growing skeleton, especially around the epiphyses and the physeal plate. In the past, it has been a common and accepted practice for pediatricians, generalists, orthopedic surgeons, and radiologists to obtain routinely radiographs of the uninjured limb1-3 for comparison with those of the injured extremity to rule out subtle fractures or dislocations. Recently, increasing concern about potential dangers of ionizing radiation, coupled with agitation from insurance carriers and governmental agencies to reduce escalating medical costs, has resulted in mounting pressure to limit diagnostic radiographic examinations. At the same time, however, rising malpractice litigation has, in many instances, forced physicians to obtain additional radiographic studies to "protect" themselves, especially in trauma cases. Radiographs of traumatized extremities contribute significant numbers of medicolegally oriented radiologic examinations each year. Although comparison views are no doubt helpful in some instances, until recently there has not been any effort to document the extent of use or diagnostic value of comparison views, especially those routinely obtained. Within the past two years there have been two studies on this problem. In 1977, a survey4 of pediatric radiologists throughout the United States and Canada sought to determine individual application of comparison views, whether selective or routine; factors that influence this use; extent of comparison views, whether single or multiple; and cost of the additional radiographic studies.
    Type of Medium: Online Resource
    ISSN: 0031-4005 , 1098-4275
    URL: Article
    DOI: 10.1542/peds.65.3.646
    Language: English
    Publisher: American Academy of Pediatrics (AAP)
    Publication Date: 1980
    detail.hit.zdb_id: 1477004-0
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Online Resource
    Open Access Request
    Availability (electronic / print)
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