21. GONORRHOEA INFECTION IN SYDNEY WOMEN

Sexual Health ◽  
2007 ◽  
Vol 4 (4) ◽  
pp. 292
Author(s):  
C. R. Emerson ◽  
P. McDonagh ◽  
A. McNulty ◽  
E. Freedman

Background: Gonorrhoea is associated with undesirable reproductive health outcomes in women including pelvic inflammatory disease and tubal factor infertility. However there is low prevalence in the general community and some authors have suggested that only those women with risk factors should be tested. But can we predict who will have a positive gonorrhoea result? Methods: A retrospective, case controlled, study was undertaken in an inner Sydney public Sexual Health clinic between January 2000 and December 2005. Cases were all women with culture proven cervical n.gonorrheoea infection in the time period. These were case matched with subsequent women with a negative gonorrhoea culture test. Variables examined included demographics, sex worker status, country of birth, injecting drug use (IDU) status, presence of symptoms and concurrent STIs. Results: There were 40 women who were n.gonorrhoea culture positive during the study period and 27 cases and 23 controls reported any genital symptoms. (what were the confidence intervals?) The relative risk of having gonorrhoea if discharge was described was 1.75 (p�<�0.05). The cases had a high rate of concurrent STI including chlamydia. Conclusions: The only significant predictor of gonorrhoea in this group was the symptom of vaginal discharge. Thus in our clinic population behaviour, demographic data or cannot be used to determine who gets tested for gonorrhoea.

2022 ◽  
Author(s):  
Muhammad Faiz Mohd Hisham ◽  
Noor Aliza Lodz ◽  
Eida Nurhadzira Muhammad ◽  
Hasmah Mohamed Haris ◽  
Mohd Ihsani Mahmood ◽  
...  

BACKGROUND Tuberculosis (TB) profile in Malaysia showed an average annual growth rate of 2.23%, with an estimated 92 cases per 100,000 people reported in 2018. CXR remains the best conventional method for the early detection of pulmonary TB infection. The intervention of AI in TB diagnosis could efficiently aid human interpreters and reduce health professionals' work burden. To date, no evaluation of AI studies has been carried out in Malaysia. OBJECTIVE This study aims to determine the diagnostic accuracy and evaluate the performance of Qure.ai and Putra Analytica AI software. METHODS We will conduct a retrospective case-control study in Respiratory Medicine Institute (IPR), Kuala Lumpur Health Clinic and Bandar Botanik Klang Health Clinic. Patients' medical reports on TB investigation will be retrieved by accessing electronic and hardcopy medical records and collecting demographic data. Prior to conducting the study, patients' PTB status will be obtained by identifying MTB culture (reference standard) results in order to create a case and a control group. A total of 2000 CXR images will be retrieved, of which 1000 images will be the case (abnormality). Normal and abnormal CXR will be categorized into film and digital CXR, which will be screened onto the said AI software (index tests). RESULTS Results obtained from the AI software will be compared with the reference standard, and significant statistical analysis will be computed CONCLUSIONS We hope that the findings of this evaluation study will provide sufficient information for stakeholders and to implement AI technology in the medical imaging field for better management of TB in hospital and clinic settings.


Sexual Health ◽  
2011 ◽  
Vol 8 (1) ◽  
pp. 65 ◽  
Author(s):  
Ruby N. N. Uddin ◽  
Nathan Ryder ◽  
Anna M. McNulty ◽  
Lynne Wray ◽  
Basil Donovan

Objectives: Trichomonas vaginalis has become rare in Australian cities but remains endemic in some remote regions. We describe the prevalence and associations of infection among women attending an urban Australian sexual health clinic. Methods: A retrospective case control study was conducted with women diagnosed with T. vaginalis at Sydney Sexual Health Centre between January 1992 and December 2006. Proforma medical records for all women were reviewed to extract demographic, behavioural and diagnostic variables using a predefined data collection instrument. Results: Over the 15-year period, 123 cases of T. vaginalis were diagnosed, with a prevalence of 0.40%. Factors independently associated with infection were older age, vaginitis symptoms (adjusted odds ratio (AOR) 6.47; 95% confidence interval (CI), 3.29–12.7), sex with a partner from outside Australia (AOR 2.33; 95% CI, 1.18–4.62), a concurrent (AOR 3.65; 95% CI, 1.23–10.8) or past (AOR 2.67; 95% CI, 1.28–5.57) sexually transmissible infection, injecting drugs (AOR 7.27; 95% CI, 1.43–36.8), and never having had a Papanicolaou smear (AOR 7.22; 95% CI, 2.81–18.9). Conclusions: T. vaginalis infection was rare in women attending our urban clinic. Rarity, combined with an association with sex outside Australia, points to imported infections accounting for a large proportion of T. vaginalis infections in an urban population. The association with never having had cervical cancer screening, along with injecting drug use, likely reflects an increased prevalence in those with reduced access to health services or poor health seeking behaviours.


2017 ◽  
Vol 8 (1) ◽  
pp. 33
Author(s):  
Rajni Suri ◽  
Anshu Suri ◽  
Neelam Kumari ◽  
Amool R. Singh ◽  
Manisha Kiran

The role of women is very crucial in our society. She cares for her parents, partner, children and other relatives. She performs all types of duties in family and also in the society without any expectations. Because of playing many roles, women often face many challenges in their life including both physical and mental. Mental health problems affect women and men equally, but some problems are more common among women including both physical and mental health problems. Aim of the study - The present study is aimed to describe and compare the clinical and socio-demographic correlates of female mentally ill patients. Methods and Materials: The study includes 180 female mentally ill patients based on cross sectional design and the sample for the study was drawn purposively. A semi structured socio-demographic data sheet was prepared to collect relevant information as per the need of the study. Result: The present study reveals that the socio-demographic factors contribute a vital role in mental illness. Findings also showed that majority of patients had mental problems in the age range of 20-30 have high rate. Illiterate and primary level of education and daily wage working women as well as low and middle socio-economic status women are more prone to have mental illness. Other factors like marital status, type of family and religion etc also important factors for mental illness. Keywords: Socio demographic profile, female, psychiatric patient


2021 ◽  
pp. 1-6
Author(s):  
Suresh Kumar Vallapureddy ◽  
Gajanan Fultambkar ◽  
V. Rajeswar Rao ◽  
Vinay Kukreja ◽  
Rammohan Gurram ◽  
...  

<b><i>Background:</i></b> The supraclavicular approach to brachial plexus block is a commonly employed regional anesthesia technique for providing surgical anesthesia and postoperative analgesia for patients undergoing upper limb fractures. With ultrasound (US) guidance, the success rate of the block is increased, and complications like pneumothorax and vascular puncture are minimized. The block can be performed using single injection at the corner pocket or double injection, that is, half of the drug at the corner pocket and the remaining half at the cluster of brachial plexus divisions. <b><i>Methods:</i></b> After institutional ethics committee approval, we randomized 40 patients scheduled with fractures for elective upper extremity surgery under US-guided supraclavicular brachial plexus block. Twenty patients received 30 mL of local anesthetic at the corner pocket (group SI), and 20 patients received 30 mL of local anesthetic using the dual-injection technique in divided doses (group DI). Demographic data, time to block performance, time to sensory and motor block, total anesthesia-related time (TART), block success, and failure were compared between both groups. <b><i>Results:</i></b> The demographic data were comparable between both groups. The DI group had a significantly faster onset than the SI group (<i>p</i> = 0.0172). There was a statistically significant lesser performance time in group SI than in group DI (<i>p</i> &#x3c; 0.034). The sensory and motor block achieved was comparable between both groups. <b><i>Conclusion:</i></b> The success rates in both the SI and DI techniques are comparable. The DI technique results in a faster onset and hence a shorter TART; however, it may not be clinically relevant.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Virginie Kreutzinger ◽  
Torsten Diekhoff ◽  
Lutz Liefeldt ◽  
Denis Poddubnyy ◽  
Kay Geert A. Hermann ◽  
...  

AbstractSecondary hyperparathyroidism (sHPT) as a result of chronic kidney disease (CKD) is a common health problem and has been reported to manifest at the sacroiliac joints (SIJ). The aim of this investigation was to systematically assess sacroiliac joint changes in asymptomatic sHPT as detected by high-resolution CT. Included in this IRB-approved retrospective case–control study were 56 patients with asymptomatic sHPT as well as 259 matched controls without SIJ disease. Demographic data were retrieved from electronic patient records. High-resolution computed tomography datasets of all patients were subjected to a structured scoring, including erosions, sclerosis, osteophytes, joint space alterations and intraarticular calcifications. Chi2 tests were used to compare frequencies of lesions. Erosions were significantly more prevalent in patients with sHPT, and were found mainly in the ventral (28.6% vs. 13.9%; p = 0.016) and middle (17.9% vs. 7.7%; p = 0.040) iliac portions of the SIJ. Partial ankylosis was rare in both cohorts (3.6% vs. 5.0%; p > 0.999); complete ankylosis was not observed. Neither extent not prevalence of sclerosis or calcifications differed significantly between groups. Joint lesions reminiscent of sacroiliitis can be found in a substantial portion of asymptomatic patients with secondary hyperparathyroidism. Further investigations into the clinical significance of these findings are warranted.


2018 ◽  
Vol 27 (11) ◽  
pp. 2953-2964 ◽  
Author(s):  
Rachel P. Riendeau ◽  
Jennifer L. Sullivan ◽  
Mark Meterko ◽  
Kelly Stolzmann ◽  
Alicia K. Williamson ◽  
...  

2012 ◽  
Vol 30 (1) ◽  
pp. 28-34
Author(s):  
Frank P. Henning ◽  
Timothy J. Smalley ◽  
Orville M. Lindstrom ◽  
John M. Ruter

We investigated the influences of fall fertilization and light intensity on photosynthesis and freeze resistance of Rhododendron ×kurume ‘Pink Pearl’, an evergreen azalea cultivar, grown outdoors in containers under nursery conditions. The study included two main-plot fall fertilization treatments: 1) 0.5 liter solution containing 75 mg·liter−1 N applied for 60 days from August 1 through September 29 and 2) 0.5 liter solution containing 125 mg·liter−1 N applied for 120 days from August 1 through November 28, and four subplot light intensity treatments 1) 100% ambient photon flux density (PPFD) from May 1, 2004, through May 1, 2005, 2) shade fabric rated to reduce PPFD by 50% from May 1 through September 30, 2004, followed by 100% PPFD from October 1, 2004, through May 1, 2005, 3) 100% PPFD from May 1 through September 30, 2004, followed by 50% PPFD from October 1, 2004, through May 1, 2005, and 4) 50% PPFD from May 1, 2004, through May 1, 2005. Fertilizer application and shade treatments did not interact in their effects on stem freeze resistance or the timing of anthesis. The high rate of extended fertigation (125 mg·liter−1 N applied August 1 through September 28) reduced freeze resistance of azalea stems and advanced anthesis by 4.9 days compared to plants that received moderate fertigation (75 mg·liter−1 N from August 1 through September 29). The high rate of extended fall fertigation failed to increase leaf or stem dry weight compared to plants that received the moderate rate of fertigation. Plants grown in 50% PPFD from May 1 through September 30 produced 163% more above ground dry weight compared to plants grown in 100% light during the same time period. The addition or removal of shade cloth beginning October 1 failed to enhance azalea stem freeze resistance compared to plants that were only exposed to 100 or 50% PPFD respectively. Shade treatments affected the chlorophyll fluorescence ratio (Fv · Fm−1) of leaves, but leaf fluorescence was unrelated to stem freeze resistance. Shade treatments affected azalea growth and photosynthetic stress, but shade neither interacted with fall fertilization to increase stem freeze resistance, nor had a biologically significant effect on stem freeze resistance.


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