Dermatology research at the National Student Research Forum, 1960-1991.
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Biomedical subjects
Publications and source records attributed to K D Wagner.
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Five senior medical students enrolled in the 4 week clinical elective in dermatologic surgery and cutaneous oncology (DSCO); two of these students also enrolled in a 4 week research elective in DSCO. During the elective(s) the students made significant improvement in the six areas of clinical diagnosis, histopathologic diagnosis, clinical management, DSCO procedures, research skills, and general information about the subspecialty. Following their elective(s), these students submitted a total of six abstracts, one letter, and seven manuscripts for presentation or publication.
A survey of dermatologists was conducted to determine whether the perceptions of afterimages and Mach bands impacted on clinical dermatology practice. 26.5% (13/49) of respondents indicated that they perceived one or both of these optical illusions. No false-positive potassium hydroxide interpretations of skin scrapings for hyphae were reported due to perceived afterimages, and no skin biopsies were reportedly performed as a result of Mach bands.
Sixteen Texas elementary school students participated in a peer education sun awareness project. Upon completion of this program, student awareness about sun protection significantly improved. Peer education for elementary school students about skin cancer prevention may result in the primary prevention of future skin cancers.
BACKGROUND: Little is known about why some parents elect to use sunscreen on their children while others do not. A survey was distributed to beach-going childrens' parents who used (n = 42) or did not use (n = 40) sunscreen on their children to determine differences between these two groups. RESULTS: Parents who applied sunscreen to their children had children who previously had experienced significantly more painful sunburns (chi 2 = 6.40; df = 1; P less than .05). CONCLUSIONS: Sunscreen use by beach-going children is motivated by parental attempts to prevent acute painful sunburn. Parental attitudes and behaviors about their childrens' sun exposure need modification if sun protection strategies are to reduce the future epidemic of skin cancer successfully. Sun protection education during well-child visits by pediatricians and family physicians is recommended.
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In about 22% of children aged from 7 1/2 to 12 years we established heavy reaction of anxiety. To proof the influence of Diazepam to dental treatment we carried out clinical investigations in 40 patients. By means of premedication with Diazepam we got a positive effect for readiness of treatment.
Fear of acquired immune deficiency syndrome (AIDS) has been associated with a variety of psychiatric disorders in adults and in some adolescents. A case is reported of a child with an unrealistic fear of AIDS who developed an obsessive-compulsive disorder. This case illustrates the importance of providing adequate AIDS information to children.
The pulsed tunable dye laser has recently become available for the treatment of children with port-wine stains. Parental reactions and psychosocial implications of untreated port-wine stains in children are reviewed. It is recommended that children with port-wine stains be treated as early as possible to prevent adverse sequelae to their psychological development.
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The anamneses, course, general and specific findings in 99 cases of respiratory affective spasm in children between 1960 and 1983 were carefully studied. The clinical records, which sometimes lacked details, were augmented by a comprehensive questionnaire which also contained catamnestic questions. The author gives diagnostic and therapeutic recommendations and instructions for talks with the parents. Correctly diagnozed respiratory affective spasm is an absolutely harmless disease of limited duration with a good prognosis for the child's development.
Hitherto existing concepts on circumstances favouring pregnancies in adolescents have mainly focussed attention on physically precocious maturity, on social risks and on the type of personality of the pregnant adolescents. Based on our material this opinion seems to be in need of correction. Changing of the validity of these factors may be suggested due to psychosocial conditions in connection with both the acceleration of maturity and a new estimation of sexuality including heterosexual development at earlier stages of life. Children from 100 juvenile mothers were clinically and psychologically investigated at the age of 7 years. Neither serious social problems in the children nor considerable deviations of mean average of the physical, mental or social age specific standards could be observed.
Follow-up examination of 95 former patients who had been suffering from encephalitis in infancy were performed. The coincidence of disturbance of consciousness, pathological-EEG and neurological irritation- and deficiency symptoms proved to be an unfavourable prognosis. These patients are especially handicapped in their concentration and motorial performances. Only 50% of the group with a severe course of the disease achieved a complete vocational training.
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Health care professionals (medical students, practicing physician's assistants, and residents in the specialties of internal medicine, surgery, and dermatology) were evaluated for their ability to diagnose malignant and benign skin disease. It was found that dermatology residents did significantly better in the diagnosis of malignant and benign skin disease than all other groups, and there was no significant difference among medical students, physician's assistants, and residents in internal medicine or surgery. Findings suggest that the current ability of nondermatologists to correctly diagnose malignant and benign skin disease is not at a comparable level to that of dermatologists and that a 1-month training period in the specialty of clinical dermatology during the primary care residency training period may be inadequate for training nondermatologists to distinguish malignant from benign skin disease. In some specialty areas, such as dermatology, specialization may be preferable to a primary care approach for initially evaluating skin disease.