Articles: disease.
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Fifty consecutive unmarried women seeking termination of pregnancy in Toa Payoh Hospital were analysed to determine the prevalence of Chlamydia trachomatis infection as compared to gonococcal infection. Cases harbouring chlamydial infection were followed up to exclude postabortal pelvic infection. ⋯ Results from the data analysed showed that chlamydial infection was significantly more prevalent than gonorrhoea in our local women seeking therapeutic abortion. However, further research to define the exact size of the problem is indicated.
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S Afr J Commun Disord · Jan 1991
Attitudes of a group of South African speech and hearing therapists towards patients with acquired immunodeficiency syndrome (AIDS).
The present study investigated the attitudes, knowledge and fears of a group of 31 speech-language pathologists and audiologists working in 13 hospital settings, concerning patients with AIDS/HIV. Individuals completed an anonymous, self-administered questionnaire assessing self-perceived level of knowledge, actual knowledge of modes of transmission of the AIDS virus and protection procedures, and attitudes and fears associated with treatment of AIDS/HIV patients. Qualitative data concerning responses to this epidemic were also obtained and statistical analyses were completed to determine the relationship between the above mentioned variables. ⋯ No correlation was found between respondents' level of actual knowledge and their attitudes. Information needs were identified which have important implications for future education. In addition, proposed policy guidelines for speech-language pathologists and audiologists in contact with AIDS/HIV patients, based on the above results of the study are provided.
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Australas. J. Dermatol. · Jan 1991
Multicenter Study Comparative Study Clinical Trial Controlled Clinical TrialAn open study of Triphasil and Diane 50 in the treatment of acne.
Levonorgestrel, as used in oral contraceptives, has antiovulatory activity at doses far lower than those producing androgenic effects. Triphasil, containing levonorgestrel was compared with Diane, containing cyproterone acetate in a trial of acne treatment. Twenty closely matched patients were alternatively allocated to 6 months of Triphasil or Diane treatment. ⋯ Assays of total testosterone, androgen index, free testosterone, dehydroepiandrosterone sulphate and androstenedione showed significant reduction on treatment and sex hormone binding globulin was raised. All hormonal changes were more marked in the Diane group. Side effects caused only one withdrawal from the trial.
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This article describes Cuba's effort to develop a comprehensive program for control of its human immunodeficiency virus (HIV) epidemic. The program consists of multiple interventions, including blood donor screening, a ban on imported blood and blood products, widespread semicompulsory screening of defined and general populations, research and clinical trials on treatment and diagnostic methods, and health education in the press, radio, television, workplace, and schools. The most controversial of the program's measures has been the treatment of HIV antibody-positive persons (both asymptomatic and clinically ill) through what Cubans term a "sanatorial regimen," consisting of admission into an institutional setting where both preventive and curative treatment is offered, and where residents have limited contact with their families, neighborhoods, friends, and the rest of society. The Cuban HIV control program merits studying because of the comprehensiveness of the measures in a poor country; the special experience of screening large, mostly healthy populations; its potential contribution to understanding the natural history of the disease due to the early identification and follow-up of HIV antibody-positive individuals; and the cultural, political, and socioeconomic conditions that give rise to a different epidemiologic profile of the disease and to an apparent societal consensus on the controversial issue of institutional semiconfinement.