The impact of a quasi-market on sexually transmitted disease services in the UK

1999 ◽  
Vol 49 (10) ◽  
pp. 1287-1298
Author(s):  
David Evans
Author(s):  
Martin Rizzo

Abstract In Indigenous California, women often held important roles of political and spiritual leadership. Spanish Franciscan colonialism imposed a patriarchal framework through the California missions. Through a close look of the lives of two Indigenous women who lived at Mission Santa Cruz, this article examines how Native women maintained power and influence within the mission communities. The stories of these two women, Yaquenonsat and Yuñan, intersect with difficult issues of rape and sexual violence, infanticide, sterility, abortion, and the impact of sexually transmitted disease. And yet, the article focuses on resistance and expressions of power—the two women played key roles in organizing and planning the assassination of the abusive Padre Quintana in 1812. This article proposes new methodological approaches to the chancery archives to trace the lives of these women and suggests new ways of analyzing stories of individuals and families within the missions to find the subtle ways of resistance and rebellion by Indigenous men and women.


2001 ◽  
Vol 11 (3) ◽  
pp. 215-227 ◽  
Author(s):  
Dagmar Long ◽  
Graham Mulley

The diagnosis of neurosyphilis is important but remains difficult because of variable clinical features and an unpredictable course. Laboratory confirmation involves a combination of serological tests, none of which alone provides a reliable indication of current disease activity. Although in the UK the incidence of neurosyphilis has fallen steadily, its many manifestations require clinicians to remain alert to the diagnosis, particularly because incidental antibiotic therapy may modify the presenting features. As a sexually-transmitted disease, the diagnosis of syphilis carries great social stigma. The need for informed consent before routine testing, and the provision of psychological support for the patient and carers in the event of a positive diagnosis, must be considered.


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