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Failure to identify venereal disease in a lesbian population.

Venereal disease in the male homosexual population has been well studied, but little information is available about venereal disease in lesbians. A screening of 148 sexually active lesbians revealed no cases of syphilis, cervical gonorrhea, herpes simplex virus, or Chlamydia trachomatis infections. Cervical atypia, ranging from mild dysplasia to carcinoma in situ, was detected in four women (2.7%). This group of lesbians had a longer mean interval between routine Papanicolau smears (21 months) than did other women using the same clinic facility (eight months). Results indicate that routine screening for venereal disease may not be cost-effective in a lesbian population, but routine Papanicolau smears should be encouraged.

Adolescent↗

Venereal disease.

Equine venereal infections of concern in the United States include EHV-3, T. equigenitalis, P. aeruginosa, and K. pneumoniae. Stallions may also harbor EAV in the genital tract and transmit the virus to mares during coitus. With the exception of EHV-3, the stallion generally remains asymptomatic while transmitting infections to mares during breeding. Methods for diagnosis, treatment, and control of these infections are discussed.

Animals↗

[Prevention of sexually transmitted diseases or control of prostitutes and patients with venereal diseases? An exemplary, epicritical study in Bremen].

Data derived from laboratory and activity statistics of the Venereal Disease" department of the Public Health Office in Bremen were analysed between 1961 and 1991. The traditional concept to fight venereal diseases" aimed at controlling persons "at risk" for syphilis, gonorrhoea, chancroid or lymphogranuloma. This "high-risk" approach of STD prevention stressed the compulsory, at least twice monthly screening of female prostitutes and neglected other population groups like clients of prostitutes and young people, who might have an elevated risk in acquiring STD. The spread of STD like chlamydia, HPV, herpes and even HIV in considerable parts of the general population underlines the need for developing a more effective STD prevention, based on scientific diagnosis and treatment. Intervention programmes in STD control must be performed in full partnership with the targeted population; this can require great effort and time. But STD control certainly cannot be achieved under the threat of punishment or proscription.

Adolescent↗

Venereal disease education in West Virginia, USA.

A venereal disease educational programme entitled Venereal Disease Education in West Virginia was constructed. It consisted of a preliminary test to assess the level of general knowledge of venereal diseases, a value survey list, a lecture illustrated by colour slides, and a final test. The programme was presented to 3210 students in Northcentral West Virginia who ranged in age from 12 to 20 years (7th to 12th grade). The mean score in the preliminary test was 7.97 (53%) correct answers out of 15, and the mean score for the final test was 11.55 (77%) correct answers out of 15. The ability of students to retain the information given to them was measured by testing the same class of 53 students one year later. These students obtained a mean score of 11.41 (76%) correct answers out of 15 in the later test which demonstrates that the students had retained much of the information.

Adolescent↗

The "foul disease" and privacy: the effects of venereal disease and patient demand on the medical marketplace in early modern London.

This article examines medical advertisements for venereal disease treatment from late Stuart London. It explores how privacy issues influenced the services provided by early modern venereologists. It shows that practitioners who sought to get ahead in the competitive field of venereology began to offer private treatment at a time when other physicians seem not to have provided that service. Therefore, market forces such as patient demand had an innovatory effect on early modern medical ethics. The same dynamic that caused venereal patients to seek privacy also led them to demand a practitioner of their own sex. Infected women clearly wished to be treated by a female practitioner. Many male practitioners forged partnerships with women in order to attract female clientele. These partnerships were frequently based on familial connections, most often between husband and wife. The presence of widespread VD in London helped sustain a sizable number of female practitioners who specialized in venereology.

Advertising↗

Some aspects of venereal diseases in Greenland.

For many years venereal diseases have been a major problem in Greenland. Since the early 1950s gonorrhoea has been widely prevalent; in the middle of the 1960s the incidence increased rapidly. Since the early 1970s syphilis has become widespread in the population, and in 1977 an epidemic of chancroid occurred. The high figures for venereal diseases are basically due to the social change towards a modern industrial society. Improvements in the health services could be made by encouraging health education on venereal diseases, training Greenlander health personnel, and appointing a venereologist.

Adolescent↗

[Diagnosis and therapy of anorectal diseases (excluding constipation and venereal diseases)].

In the last couple of years, the anorectum has been of great interest to gastroenterologists. With new diagnostic tools and a refinement of technique, together with new therapeutic modalities, interesting research results have been obtained. These results may be beneficial to patients therapy. The patients history, inspection and palpation of the anorectum remain the basic, essential features of diagnosis. Based on the symptoms and possible differential diagnosis, further investigation is necessary: Anorectal physiology and anal endosonography are also regarded as essential investigative techniques in a colorectal laboratory. Great progress has been made in the medical treatment in proctology in two areas: Biofeedback techniques and botulinum toxin injection. In the following article, definitions, symptoms, diagnosis and therapeutic modalities of common anorectal disorders are described.

Anus Diseases↗