Observational study of HPV genitalia and oral infection in an unvaccinated population of men who have sex with men infected with HIV in Northwest Spain

Background: Human papillomavirus (HPV) infection is the most common sexual transmitted disease (STD) and a risk factor for penile, oral and anal cancer. Human immunodeficiency virus (HIV) coinfection increases the risk of cancer. While HPV anal infection is well studied in men-who-have-sex-with-men (MSM), HPV genitalia and oral infection is less known. Methods: This prevalence study of HPV infection in genitalia and oral cavity in HIV-MSM patients included 107 HPV non-vaccinated subjects. HPV-DNA was detected with Anyplex II HPV28 method. Participants completed a questionnaire on lifestyle and sexual behavior. Results: Median age was 43 years (range 35-54 years); 97 patients were on antiretroviral treatment (ART); 81 (75.7%) had undetectable HIV-RNA; median CD4-lymphocyte count was 746 cell/mm3; 70 (65.4%) participants had a previous STD. HPV was detected in genitalia in 37 (34.6%) subjects; 26 (24.3%) in oral cavity and 12 (11.2%) in both locations. High-risk HPV genotypes were detected in 24 (22.4%) patients in genitalia and 15 (14%) in oral cavity. Conclusions: HPV infection is common in unvaccinated HIV-MSM patients. Detectable HIV-RNA was associated with higher HPV prevalence in genitalia. High oncogenic risk HPV genotypes were more common in genitalia than in mouth.

Sexual Behavior Problems in Adolescents with Intellectual Disabilities: A Systematic Review

BACKGROUND: Several studies conducted on adolescents with intellectual disabilities (ID) have reported various problems of sexual behavior that occurs in the group, including HIV-related risky sexual behavior and other health-related concerns. AIM: This review aims to synthesize studies on the problems regarding sexual behavior in adolescents with ID to obtain data on the types of risky sexual behavior problems. MATERIALS AND METHODS: Synthesis was conducted on nine studies of children aged 10–20 years old with intellectual disabilities as subjects who have no other psychiatric comorbidities and met the appraisal criteria based on the checklist for analytical cross-sectional studies of the Joanna Briggs Institute (JBI). RESULTS: Several behaviors were found in the group of adolescents with ID. Masturbation is the type of solitary behavior that appears the most, besides other behaviors like touching genitals and getting naked in public places. Sexual intercourse is the most widely reported in the type of “involving other persons.” Sexual intercourse with more than 1 person without using contraception to protect against sexual transmitted disease (STD) is at risk for HIV infection or other infectious diseases. CONCLUSIONS: The results of this review have indicated that adolescents with ID have sexual needs and experience sexual behavior problems similar to ordinary adolescents in general. They actually have a higher risk for having risky sexual behavior because they lack understanding of sexuality. These findings emphasize the need for sex education so that young people with disabilities can have healthy sexual behavior and a safe life.

Infectadas. Una lectura sobre los cuerpos de las mujeres que viven con el Virus del Papiloma Humano en Quito = Female Patients. A close look of the female patients infected with the Human Papillomavirus in the city of Quito

<p><strong>Resumen</strong></p><p>El Virus del Papiloma Humano (HPV) tipificado como una Infección de Transmisión Sexual, es considerado como un problema de salud pública en Ecuador. El virus ha incidido en las mujeres tanto en su salud, como en sus comportamientos y en las percepciones de su cuerpo. Este artículo analiza cómo se construyen sus cuerpos, sexualidad y relaciones sentimentales después de contraer el HPV. Se realizaron entrevistas semi estructuradas y observación participante a 20 mujeres que acuden a un hospital de Quito. Los resultados muestran que sus cuerpos son construidos a través del estigma y la regulación de los comportamientos y su sexualidad.</p><p><strong>Abstract</strong></p><p>Human Papilloma Virus (HPV) is codified as a sexual transmitted disease (STD) in Ecuador: therefore, it has been considered and handled as a public health issue within the country. The virus has affected the heath of patients as in their behaviors and in the perceptions of their body. The aim of this article is to analyze how a group of patients deals with their bodies, sexuality and personal relations after being infected. For this analysis, twenty Hospital patients in Quito were observed. They actively participated in the process that included clinical diagnoses and structured interviews. The results showed that their bodies and sexuality have been approached with stigma and regulation.</p>

Knowledge and Attitude towards Sexually Transmitted Disease and HIV/AIDS among Secondary Level School Students

Adolescent sexuality leads to adolescent pregnancy, unsafe abortion, reproductive tract infections, sexually transmitted infections and HIV/AIDS.The study objective is to assess the knowledge and attitude towards sexually transmitted disease and HIV/AIDs among secondary level school students of Kathmandu metropolitan city. Descriptive cross-sectional study was conducted by using self-administered questionnaires. The study population was school adolescent students. They were selected by using random sampling method. After data collection, descriptive statistics were used to analyse the collected data. Knowledge and attitude towards sexual transmitted disease is significantly varied with student’s background characteristics. Around 95% of study population had heard about sexually transmitted disease and almost 99% heard about HIV/AIDS. Majority 85.6% of students reported that they “agreed” that HIV/AIDS is a major problem in Nepal however 14.4% students were not agreed on it. 73% respondents reported that teachers are the main source of knowledge regarding sexual transmitted disease and HIV/AIDS.It is clear that students need a specific package of education about sexual and reproductive health in school curriculum so that they could gain more information about sexually transmitted disease and HIV/AIDS.

A rare case report: Acquired vulva lymphangioma in a young female post tubercular lymphadenitis

Lymphangioma are rare benign proliferations of the lymphatic system. Acquired lymphangioma circumscriptum of the vulva is a superficial lymphatic malformation, presenting as lymph-filled micro-to macroscopic vesicles. We describe a rare case of acquired vulva lymphangioma resulting from tubercular lymphadenitis. A 20-year-old female came to Dermatology and Venereology Outpatient Clinic of Dr. Soetomo General Hospital with chief complain there were multiple clusters vesicles on her genitalia since three months ago. The vesicles followed with discomfort and slightly itchy. There was a lymphedema on both of her inguinal since 5 years ago. She was diagnosed with tubercular lymphadenitis in 13 years old of age. No history of sexual transmitted disease. She had 5 times of cryotherapy and it nearly got remission.

Pemberdayaan Siswa Madrasah Aliyah Negeri (MAN) 2 Banyumas dalam Upaya Peningkatan Kesehatan Reproduksi dan Pencegahan Penyakit Menular Seksual

THE EMPOWERMENT OF MADRASAH ALIYAH NEGERI 2 BANYUMAS STUDENTS TO IMPROVE THE REPRODUCTIVE HEALTH AND PREVENTION OF SEXUAL TRANSMITTED DISEASE. The incidence of pregnancy without marriage in students tens to increase. About 62.7% of teenagers in Indonesia have free sex and 21% who are pregnant have an abortion. About 30% of HIV-AIDS patients are teenagers. Knowledge of the importance of reproductive health, especially related to the way of transmission of sexually transmitted disease can help adolescents in making decisions of their health. Mandrasah Aliyah Negeri (MAN) 2 Banyumas is one of senior high school in center of city which were their students can access the information from either internet or mass media easely, so the tendency to access negative things that can affect theit actions is very possible. This empowerment was carried out with transfer knowledge, providing modules, leaflet, watch the video, and role play. The subject were 392 students of MAN 2 Banyumas. Pre-test and post-test score analyzed with wilcoxon sign-rank test. There were significant differences in students’ knowledge before and after the activity. In conclusion, this program can improve the knowledge of reproductive health and prevent the transmission of sexual transmitted disease in students of MAN 2 Banyumas.

Pemetaan dan Analisis Tren Penyakit Infeksi Menular Seksual di Kota Surabaya

Sexual Transmitted Disease (STD) was the entrance disease to the HIV/AIDS. The incidence of sexual transmitted disease that can not be known definitely makes this important. This study used mapping and trends to analyze the incidene of sexual transmitted disease that occur in Surabaya city and every sub-districts. This research was an observational research with analytic method. The data that used in this study was secondary data taken from district of health of Surabaya city in 2012–2016. Data were analyzed using linear regression. The results of linear regression showed that overall trend occured in Surabaya city and every sub-district was decreased. This study concludes that the trends of incedence of sexual transmitted disease during 2012–2016 mostly has negative results so it shows decreased incidence rate in every years.

Knowledge and attitude of menstruation hygiene, contraception and sexual transmitted disease among school girls of Lunawada, Mahisagar, Gujarat, India

Background: Around ¾th of adolescent girls have experiencing menstrual dysfunction and it disturbs the routine daily workout4. UNICEF reported that total number of adolescent girls in India is 243 million which cover almost 20% of the Indian population. The objectives of the current study were to observe the knowledge and attitude regarding menstruation, contraception and sexually transmitted diseases among secondary and higher secondary school girls.Methods: A cross-sectional study was conducted in the city of Vadodara during August 2016 to September 2016. The study included girls high school of standard 8th to 12th of Vadodara city. Around 310 adolescent students of standard 8th, 9th, 10th, 11th, and 12th. From each standard, 62 girls were selected by simple random technique with the help of their attendance register. Results: Around 71.4% participants believed that menstruation is natural process and 22.7% believed as abnormal process. Around 62.6% of participants believed for reason of menstruation is “Female becomes capable of child bearing”. Almost 9.0% participants did not know about organ of reproduction and 18.4% did not know about the physical changes during puberty. only 14.5% participants believed that coitus is the culprit of STD transmission. Teacher and mother were the main source of information for participants regarding STD. Almost 55.4% participants were aware about condom as contraceptive method followed by oral pills and permanent sterilization.Conclusions: Menstrual hygiene and prevention of STD diseases should be considered important issue at all the levels of health care system, where number of factor influence in the awareness and practice in rural area. Education regarding reproductive health should be included in the curriculum in all schools.

The Great Pretender: Rectal Syphilis Mimic a Cancer

Rectal syphilis is a rare expression of the widely recognised sexual transmitted disease, also known as the great imitator for its peculiarity of being confused with mild anorectal diseases because of its vague symptoms or believed rectal malignancy, with the concrete risk of overtreatment. We present the case of a male patient with primary rectal syphilis, firstly diagnosed as rectal cancer; the medical, radiological, and endoscopic features are discussed below.