The Assessment of Sexual Maturity Stages in Girls section was developed as a part of a larger project conducted by the Pediatric Research in Office Settings (PROS) network. PROS, a primary care research network, is a program of the American Academy of Pediatrics (AAP) Department of Research. The project, a prevalence study of secondary sexual characteristics of young girls seen in office practice, was originally funded by Genentech, Inc, the US Maternal and Child Health Bureau, and the AAP. Acknowledgments The development of the manual was also assisted by Duke University Medical Center Department of Pediatrics and the Audiovisual Education Department, the San Juan City Hospital, and the University of Puerto Rico School of Medicine Division of Educational Technology. The assistance of James M. Tanner, MD, PhD Ana M. Lugo, RN, San Juan City Hospital the staff of the Audiovisual Education Department of Duke University Medical Center and the children who participated is gratefully acknowledged. The Assessment of Sexual Maturity Stages in Boys section was developed as part of a larger project conducted by the PROS network called Secondary Sexual Characteristics in Boys. The project, a preva- lence study of secondary sexual characteristics of young boys seen in office practice, was funded by the Genentech Center for Clinical Research in Endocrinology the Georgia Health Foundation the AAP the Health Resources and Services Ad- ministration, Maternal and Child Health Bureau and Pfizer. The principal investigators are Marcia E. Herman-Giddens, PA, DrPH, and Edward O. Reiter, MD, FAAP. We are grateful to Marsha L. Davenport, MD, professor of pediatrics, Division of Pediatric Endocrinology, Department of Pediatrics, University of North Carolina School of Medicine, Chapel Hill, who provided photographs for the use of the orchidometer John S. Fuqua, MD, associate professor of clinical pediatrics, Section of Pediatric Endocrinology and Diabetology, Department of Pediatrics, Indiana University School of Medicine and Riley Hospital for Children, Indianapolis, who provided photographs demon- strating certain aspects of Tanner Staging of boys and Medical Illustrations, University of North Carolina School of Medicine, Chapel Hill, for its photography work. We are also grateful to Stanley Coffman from the Duke University School of Medicine Department of Educational Media Services in Durham, NC, for providing the draw- ings and to John Fuqua, MD, for providing addi- tional photographs, reviewing the manual, and providing expert suggestions. In addition, we would like to acknowledge Paul Kaplowitz, MD, Children’s National Medical Center, Washington, DC Reuben Rohn, MD, Children’s Hospital of the King’s Daughters, Norfolk, VA and Susan Rose, MD, Cincinnati Children’s Hospital Medical Center, for reviewing the manual and providing expert suggestions. We wish to acknowledge the following AAP staff for their excellence in project management and editing expertise: Kathy Thoma, MA Alison Bocian, MS Jennifer Steffes, MSW Donna Harris, MA and Eric Slora, PhD. viii
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