[Tasks of health departments in the social care of patients with venereal diseases].
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An original design of a laboratory disposed in a motor vehicle is described. The laboratory is equipped with everything necessary for a purposeful screening of large numbers of people and is thus contributing to sexually transmitted diseases control. The advantages of this laboratory are mobility and rapid diagnosis.
Students of vocational schools lack information on the prevention of sexually transmitted diseases. The efficacy of health-educating activities in this field grows when such activities are based on the results of special sociologic analysis of the students' knowledge of such problems, as well as of their need in such information and the most suitable sources of this information. Such a sociologic study was carried out at 8 vocational schools of the Leningrad region.
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The authors sum up the experience gained by the chair for skin and sexually transmitted diseases in training the students within the frames of a universal methodological system in accordance with their future specialization as therapists, pediatricians, dentists, or sanitary physicians. The purpose and motivation of training are defined, basic knowledge of the students are checked up, and the contents of students' self-training presented. Written control tests are described, intended to check up the knowledge and skills; these tests include questions in basic theory, treatment and diagnosis strategy, and prophylactic measures used in prevalent skin and sexually transmitted diseases. Such training organization promotes high-quality mastering the profession and adapts the students to physicians' daily routine.
Questionnaires distributed among 137 syphilis, gonorrhea, trichomoniasis patients under age evidence that one of the causes for contracting sexually transmitted diseases by young people is inadequate family up-bringing, no links between family upbringing and school education. Methodology of lessons in sexual education should be improved. Specialists in moral and labor education of young people should take part in activities on the control of sexually transmitted diseases.
Incidence of sexually transmitted diseases was compared to the number of newly diagnosed cases detected at all kinds of prophylactic medical examinations including protective measures in the infection focus. The analysis was made for 1968-1987 and covered the data on the whole of Soviet Union and its separate republics. There was correlation between the two parameters studied.
Analysis of the solar activity and incidence of sexually-transmitted diseases over the period of 1954 through 1987 has revealed that development of fading of an epidemic process in sexually-transmitted diseases does not depend on enhancement or weakening of solar activity. These values much differ in respect of many parameters in various years, there is no correlation as regards the length of the periods between the minimal and maximal values or over these periods in various years. The morbidity rates are in inverse correlation with the activity of therapeutic and prophylactic institutions in detecting the patients during all types of prophylactic check-ups.
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The authors emphasize the significance of independent work of physicians, trained at the Chair, for the improvement of their continuous education. The role of the teacher in this process is discussed, the methods of training are presented, and various forms of independent work of the physicians in hospitals and outside the classrooms are described.
The results of studies aimed at the formation of representative territories at republics, regions, and cities for the epidemiologic surveys are analyzed. The representative areas that were singled out in these studies are recommended to be used for research in dermatology and venereology, aimed at the population health fortification.
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Seventy-three male and 68 female teenagers attending a VD clinic sponsored by Chicago Department of Health were surveyed to identify their reasons for visiting the clinic, symptoms experienced, and sources of VD information and referrals. Sex, previous VD history, and presenting symptoms were factors examined in the data analysis. More t han 75% of subjects visited the clinic without a previous VD history. The most frequently cited reason for seeking care for males was a suspected symptom of VD; whereas females' reasons were diversified. Unusual discharge and burning urination were common symptoms reported for both sexes. The chief source of VD information for all teenagers was friends. Mass media was reported as an important source of information for males, while females frequently cited health care personnel. Verereal disease symptoms, location of clinics, and awareness of the importance of early treatment emerged as important elements of VD education. The study suggested that the dissemination of VD information was more effective when a personal approach was utilized for both males and females. For early casefinding and treatment of VD, a personal approach seemed to play a key role in motivating the teenagers to seek health care.
In 1985, a total of 1,140 patients (907 men and 503 women) were treated for gonorrhoea at the Copenhagen County Outpatients Clinic at Rudolph Berghs Hospital. Failure of the standard treatment regimen (pivampicillin plus probenecid; patients stating penicillin allergy received a Sulfotrim-regimen) occurred in 79 (5.6%). A significant association between the in vitro susceptibility to penicillin and the efficacy of the standard treatment regimen was found; among 1,139 patients with uncomplicated urogenital gonorrhoea caused by penicillin susceptible gonococci, the failure rate was low (0.4-1.9%); the failure rate was high in patients infected with penicillin resistant gonococci. Continued surveillance of the in vitro antimicrobial susceptibility of gonococci is recommended as a basis for the choice of standard treatment regimen.
Registered Prostitutes are seen weekly for medical examination in the STD-Clinic of the Public Health Office Vienna. 1987 no syphilis was seen in this special riskgroup. The incidence of both gonorrhoe and chlamydial infection was. Chlamydias were found 1.6 times more, as gonococcal infections. There was no evidence of HIV infection. Screening for cervical neoplasia was started in reduced. 1988 and yielded a tenfold incidence of abnormal findings, requiring conisation often than compared to preventive checkups amoung the general female population.