Development of composite symptom variables for quantitative analysis of genitourinary symptomatology in women

2005 ◽  
Vol 16 (2) ◽  
pp. 128-132 ◽  
Author(s):  
Jeanna M Piper ◽  
Jeffrey E Korte ◽  
Alan E C Holden ◽  
Rochelle N Shain ◽  
Sondra Perdue ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Quantitative Analysis ◽  
Sexually Transmitted Disease ◽  
Transmitted Disease ◽  
Vaginal Symptoms ◽  
Syndromic Management ◽  
Sexually Transmitted ◽  
Associated Symptoms

Gonorrhoea and chlamydia infections in women are often regarded as asymptomatic. Syndromic management of sexually transmitted disease (STDs), however, is partially based on vaginal symptoms. We sought to better identify STD-associated symptoms in women by development of composite genitourinary symptom constructs. Standard symptoms were stratified, based on their descriptors (amount, frequency, severity, etc.), into pathological (likely to be STD-associated) and intermediate (unlikely to be STD-related). Simple symptoms and composite symptom constructs were significantly more common in women with STD infections (chlamydia, gonorrhoea and/or trichomonas) than those without infection (six months later). Logistic regression confirmed the association of each pathological symptom construct individually with gonorrhoea, chlamydia and trichomonas. Composite symptom constructs improve the specificity for detecting STD infections in women.

Confound it: latent lessons from the Mwanza trial of STD treatment to reduce HIV transmission

2003 ◽  
Vol 14 (3) ◽  
pp. 179-184 ◽  
Author(s):  
David Gisselquist ◽  
John J Potterat
Keyword(s):  
Sexually Transmitted Disease ◽  
Hiv Transmission ◽  
Additional Data ◽  
Transmitted Disease ◽  
Published Data ◽  
Hiv Incidence ◽  
Syndromic Management ◽  
Sexually Transmitted ◽  
Safe Injection ◽  
Injection Safety

In 1995, an international team reported that improved syndromic management of sexually transmitted disease (STD) in Mwanza, Tanzania, had reduced HIV incidence by 38% in intervention compared to control communities. However, the team has not addressed confound: project interventions might have reduced HIV transmission during health care through provision of syringes and benzathine (replacing short acting) penicillin and through interactions with a coeval safe injection initiative. Mwanza's success in lowering HIV incidence is a puzzle, since it was achieved with only minor reductions in observed STD prevalence. Despite incomplete analyses, reports from Mwanza have encouraged expansion of STD treatment. However, should success be attributed to injection safety rather than to decreased STD prevalence — an hypothesis that fits published data — expanded STD treatment without attention to injection safety could, ironically, increase rather than decrease HIV incidence. To control for confound, additional data and analyses from the Mwanza study are warranted.

Changing Patterns in Sexually Transmitted Disease Syndromes in Kenya After the Introduction of a Syndromic Management Program

2004 ◽  
Vol 31 (9) ◽  
pp. 522-525 ◽  
Author(s):  
Boaz Cheluget ◽  
M Riduan Joesoef ◽  
Lawrence H. Marum ◽  
Cecilia Wandera ◽  
Caroline A. Ryan ◽  
...  
Keyword(s):  
Sexually Transmitted Disease ◽  
Transmitted Disease ◽  
Management Program ◽  
Syndromic Management ◽  
Sexually Transmitted ◽  
Changing Patterns

Syphilis

2018 ◽  
Author(s):  
Samuel K. Cohn, Jr.
Keyword(s):  
Sixteenth Century ◽  
Sexually Transmitted Disease ◽  
Transmitted Disease ◽  
New Disease ◽  
Medical Texts ◽  
Sexually Transmitted ◽  
New Name ◽  
The Poor ◽  
Wide Range ◽  
Tit For Tat

By exploring the wide range of names given to the ‘new’ sexually transmitted disease—the Great Pox—this chapter dispels notions held for two centuries or more. Instead, no tit-for-tat-naming war among nations accused of carrying the disease ensued. The ‘French disease’ alone became standard in medical texts, but not among commoners and not after the late sixteenth century for physicians. The chapter challenges a second truism of the historiography: that naming meant blaming. Although the disease was named after the French, no laws or pogroms ensued against them or any other ‘other’. However, physicians increasingly identified humans as the essential carriers of this new disease and became concerned with tracking human contacts. By the end of the sixteenth century, medical texts had renamed it the territorially neutral lues venerea. Coincidently, with the rise of this new name, blame placed on women, the poor, and victims of the disease increased.

MCQs in Travel Medicine

2012 ◽  
Author(s):  
Dom Colbert
Keyword(s):  
International Society ◽  
Sexually Transmitted Disease ◽  
Transmitted Disease ◽  
Travel Medicine ◽  
Multiple Choice ◽  
Multiple Choice Questions ◽  
Sexually Transmitted ◽  
Adventure Travel ◽  
Self Test

Specifically written for those preparing for examinations and practitioners in travel medicine, MCQs in Travel Medicine contains over 600 multiple choice questions with detailed explanations which both teach and challenge the reader. Questions are group by topic which is ideal for revision, enabling you to focus on specific areas including adventure travel, travellers' diarrhoea, malaria, sexually transmitted disease, and drugs used in travel medicine. The style and format of the questions mirror the format of the exam questions, and the book includes a self-test to aid revision. This easy-to-read comprehensive book is ideally suited for those in busy day-to-day practices and those preparing for examinations in travel medicine including the Certificate Exam of the International Society of Travel Medicine.

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