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44,029
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To start an active sexual activity at an earlier age and with a larger number of partners, has arousen the frequency of sexually transmitted diseases (STS). The teenagers are a group particularly affected. The objective of this article is to report the etiology of
STD
in a group of teenagers, out-patients at the Instituto Nacional de Perinatologia (INPer). The study includes 1360 patients at the clinic of
STD
at the INPer, 8.5 percent were less than 20 years old; 18.9 percent of them had previously a
STD
. The most frequent pathology was cervicovaginitis and the most frequently isolated pathogens were Candida sp, Gardnerella vaginalis and Ureaplasma urealyticum. There were no cases of
gonorrhea
. Three patients had Immunodeficiency Syndrome.
...
PMID:[Sexually transmitted diseases (STDs) in a group of adolescents attending a perinatal care institute]. 806 80
This article presents an overview of the use of mathematical models to study the demographic impact of STDs. Written for the nonmathematician, the article introduces the basic concepts of mathematical epidemiology for infectious diseases, such as the mass-action principle, the threshold density concept, and the basic reproductive rate. Described are the main features that characterize the epidemiology of STDs and those features that differentiate them from other directly transmitted diseases, such as measles, rubella, and others. Also presented are major findings concerning the importance of sexual behavior on the dynamics of
STD
transmission, and the numerical analysis of the demographic impact on
gonococcal
and HIV infections using a mathematical model. The epidemiology of these two STDs is explored, as well as how the growth rate of the population can influence the epidemiology of these STDs. Finally, the authors demonstrate how, under some circumstances, early treatment of
gonorrhea
can reduce the demographic impact of HIV in regions most affected by both diseases.
...
PMID:The impact of HIV and other STDs on human populations. Are predictions possible? 810 29
Qualitative research was conducted with traditional healers in Manica Province, Mozambique to develop an empirical, culturally-appropriate strategy for communication between government and traditional healers related to the prevention of STDs including AIDS. Most Manica healers regard AIDS as a new disease for which they lack medicines. However, when questioned on other sexually transmitted diseases, as defined by healers themselves, relatively complex disease taxonomies based on fine distinctions between symptoms emerged. Manica healers recognize two broad categories of STDs: siki and nyoka-related. The former seems to correspond with the more serious common STDs of Western biomedicine--syphilis,
gonorrhea
, chlamydia and chancroid--and is believed to be caused by a common invisible, microscopic agent, khoma. Nyoka-related illnesses are understood in terms of traditional ideas of pollution, and denote less serious, self-limiting genito-urinary conditions. Healers express great faith in the efficacy of traditional medicines. Based on the ethnomedical research findings, a culturally-sensitive and -specific AIDS/
STD
health education strategy for Manica indigenous healers was developed and began operating in a week-long workshop held in Chimoio, Mozambique in November 1991.
...
PMID:Sexually-transmitted diseases, AIDS and traditional healers in Mozambique. 811 22
By 1982, American sexual practices brought AIDS to the United States. Little has been done to control the spread of the disease short of using condoms. Military men have continued to consider the Far East as a sexual playground. As the HIV rate among the prostitutes peaked at 90% in Mombasa, Kenya, the port city was removed from the list approved for carriers for liberty calls. At Pattaya, the Philippines, the flourishing sex industry continues. Prostitution is tolerated in Thailand, where the availability of cheap sex invites many sex tours from Europe. This has led to a tremendous spread in HIV. Prostitutes who are affiliated with bars have a 20% HIV rate, while those who work "free lance" have a 70% rate. This leads the fleet to a much higher rate of exposure than in the United States. Public health departments use
gonorrhea
as a measure of the sexually transmitted disease prevalence in these countries. In Thailand some of the prostitutes suppress sexually transmitted diseases with prophylactic antibiotics, which lowers the incidence of venereal diseases. This indicator of
STD
incidence then falsely lowers the estimate of potential HIV carriers, giving a false sense of security. In recent years, the Navy has instituted a program based on family values, morals, and ethics. There are hours of Value-Based Training as well as Return and Reunion classes for the crew of battle group ships. Yet the fleet continues to go to ports like Pattaya and Phuket. Medicine is no longer able to cure any sexually acquired disease a crew member may contract that will kill their families. The Medical Corps must alert military personnel to the tremendous risk in highly endemic areas of contracting AIDS.
...
PMID:WESTPAC, AIDS, and the Navy. 820 52
Between 1986 and 1992, 15% of all cases of penicillinase-producing Neisseria gonorrhoeae (PPNG) notified in the UK were seen at our central London clinic. During this time the geographical provenance of PPNG has changed. Africa and SE Asia have been supplanted by the Caribbean as the predominant source, with 21.4% of all cases being directly imported from there in 1992. If all
gonococcal
infections acquired outside the UK had been assumed to be PPNG, together with those occurring in patients with family origins in Africa or SE Asia, some 60% of cases of PPNG could have been predicted before laboratory confirmation of resistance. There is little evidence that PPNG has become endemic in the United Kingdom.
Int J
STD
AIDS
PMID:PPNG at St Thomas' Hospital--a changing provenance. 830 73
In three randomised, multicentre studies, azithromycin treatment (1g) as a single dose was administered to patients with uncomplicated
gonococcal
and non-gonococcal urethritis attending
STD
Research Laboratories in Lagos, Jos and Ibadan; between January 1989 and December, 1990. One hundred and eighty three patients, comprising 106 males and 77 females who had infections were evaluable at the end of the treatment. Of these 71% of the N. gonorrhoeae isolates were penicillinase producers (PPNG), while 39% were non-PPNG. One hundred and fourteen (95%) of 120 patients with gonococcal urethritis including 104 cases due to penicillinase producing Neiserria gonorrhoeae (PPNG) were clinically and bacteriologically cured with a single 1g dose of azithromycin. Fifty-four (90%) out of 60 patients with non-gonococcal urethritis were cured whilst administered the same dose of azithromycin. The side effects reported for azithromycin were mainly mild and moderate gastro-intestinal complaints and there were no major abnormalities in laboratory parameters. It is concluded that azithromycin was efficacious and safe for the treatment of uncomplicated
gonococcal
and non-
gonococcal
infections and may improve patient compliance.
...
PMID:Single oral dose of azithromycin for therapy of susceptible sexually transmitted diseases: a multicenter open evaluation. 831 8
This article summarizes surveillance data of STDs at 16 urban monitoring centers in 1987-1990. During the four year period, 125 493
STD
cases were reported. The average annual incidence was 77.80/100,000. Because the rate of increase in females (65.85% per year) was greater than that in males (36.81% per year), the male-to-female ratio fell from 2.39:1 (1987) to 1.34:1 (1990). The number of
STD
cases reported from all centers tended to increase and the overall rate of increase was 46.61% per year. The major disease was
gonorrhea
, with a constituent ratio of 59.22% (1990). However, condyloma acuminatum and nongonococcal urethritis had greater rates of increase (105.03% and 85.14% per year, respectively). The 20-39 year age group accounted for 82.10% of total cases, for
STD
patients were mostly in the sexually active population. The
STD
incidence among self-employed businessmen (1,206.06/100,000, in 1990) was the highest among professional populations. According to analysis of different regions,
STD
incidence was the highest in the southern cities (203.00/100,000, in 1989). The greatest rate of increase of STDs was in Yangtse valley cities, where the average annual rate of increase was 71.41%.
...
PMID:[STD epidemiologic analysis in 16 cities during the period 1987-1990. National STD Surveillance Cooperative Group]. 832 40
Travel to tropical countries is an important factor in the spread of sexually transmitted diseases. In spite of intensive anti-AIDS campaigns, some 30% of Swiss tourists have casual sexual contacts abroad. The prevalence of sexually transmitted diseases is higher in tropical countries than in western industrialized countries. More than 25% of cases of
gonorrhea
treated in Switzerland from 1989-1991 were imported from abroad. The penicillin producing Neisseria gonorrhoeae strains (PPNG) isolated in Switzerland from 1989-1991 are mainly imported from abroad (60%). The typical "imported sexually transmitted diseases" in Switzerland are chancroid, lymphogranuloma venereum and donovanosis. The clinical manifestations, laboratory and special examinations, and treatment of these diseases are described. The most frequent sexually transmitted disease from the so-called "imported tropical
STD
's" is chancroid. Chancroid is also a major risk factor for HIV infection.
...
PMID:[Sexually transmissible diseases following travel in tropical countries]. 832 73
Cervical cancer is the most prevalent cancer of women in Ethiopia and sexually transmitted diseases are highly prevalent in the country. In order to establish a possible cause and effect relationship between sexually transmitted diseases and cervical cancer, likely etiological socio-economic factors for these two conditions have been analysed. While residence, income, age at first coitus, age, number of sexual partners, marital status/profession and duration of sexual life affect both conditions, there is a significant difference between the most important factors in the etiology of the separate conditions. Serological testing shows a high prevalence of
gonorrhea
, which was used as a marker of
STD
. Women with
gonococcal
antibodies had evidence of increased exposure to other
STD
; there was no such correlation for cervical cancer. Our results indicate that
STD
per se is unlikely to be a primary cause of CC in Ethiopia. It appears probable that the etiology of CC in Ethiopia is multifactorial. Early exposure of the immature cervical epithelium to
STD
, the trauma of repeated childbirth, and multiple sexual partners in women whose defence factors are impaired by chronic malnutrition, add up to a major medico-socio-economic factor. The evidence presented here suggests that CC in Ethiopia is not so much the result of a sexually transmitted disease, but a sociosexual disease.
...
PMID:Is cervical cancer in Ethiopian women the result of a sexually transmitted disease? 835 10
The antibiotic susceptibility, serovars and auxotypes were investigated in
gonococcal
strains isolated from all patients with gonorrhoea during one year in Stockholm, Sweden. The results were correlated to geographical origin of the infection. A total of 394
gonococcal
strains were isolated from 392 patients, 135 (34%) women and 257 (66%) men. Beta-lactamase-producing
gonococcal
strains (PPNG) were isolated from 5% of the women and 16% of the men. Men had acquired their infection abroad more often than women (54% vs 33%) (P < 0.001). The majority (81%) of the PPNG infections were imported. Some serovars and auxotypes were more common among imported strains than among indigenous ones. All strains were sensitive to spectinomycin and 2 strains had decreased susceptibility to norfloxacin and ciprofloxacin. Decreased susceptibility to benzylpenicillin, ampicillin, doxycycline and cefuroxime was related to the geographical origin of the strains with strains imported from regions other than Europe being the most resistant.
Int J
STD
AIDS
PMID:Antibiotic susceptibility, serovars and auxotypes of gonococcal isolates in Stockholm. Relation to geographical origin of the infection. 842
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