Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: EC:2.7.10.2 (focal adhesion kinase)
44,029 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

During two years 3,312 pregnant women has been screened for C. trachomatis. In spite of an improvement of the way of life and program of information on STD the rate of C. trachomatis have increased and reach a percentage of 22%. C. trachomatis is mostly found in women younger than 21 years and give no clinical sign in more than 55%. The consequence of this high degree of infection on the new born is difficult to assess but one cause, stress that 30% of the conjunctivitis are linked to C. trachomatis. Prevention has to be done to protect the newborn and to prevent the tubal infertility in young women.
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PMID:[Impact of Chlamydia trachomatis on pregnant women in Gabon]. 181 13

In a study to evaluate the epidemiological status of Chlamydia trachomatis (C. trachomatis) infections in the OB/GYN field, we performed an indirect enzyme immune assay, measuring serum specific IgG and IgA. 1) Among 1,812 cases (0-68 years old), antibody positive rates for IgG and IgA were 29.7% and 11.2%, respectively. The first peak was observed in an age group under 1 year old, representing birth canal infections and the second one in a 20-24 age group showed a certain relation to STD. 2) The C. trachomatis IgG and IgA antibody positive rates in the antigen positive group (139 cases) were significantly higher (p less than 0.01) than in the antigen negative group (792 cases). 3) In the antigen positive group (139 cases), the positive IgG rate was high (78.8-90.9%) but it did not show any clear differences among the following groups: PID, cervicitis, pregnancy and infertility. However, the positive IgA rate in peritoneal antigen positive PID showed a significantly higher positive rate (100%) than other groups such as cervicitis (39.4%), pregnancy (37.8%) and infertility (45.5%). 4) Following oral administration of antibiotics, the C. trachomatis antigen became negative in almost all cases, while IgG decreased or became negative only in cases of initial infection. IgA decreased or became negative in the following cases: initial infection, low titer cases before treatment, cases treated many times and comparatively young patients with acute infections. Consequently, the immunoassay of C. trachomatis serum antibody appeared to be valuable for epidemiological surveys, for defermining the status of the infection and the effect of treatment.
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PMID:[Significance of the detection of serum specific IgA and IgG antibodies to Chlamydia trachomatis in the epidemiological survey, diagnosis and therapeutic effect on chlamydial infection in women]. 189 Mar 54

This study compares the risks of pregnancy, infertility, heart disease, cancer, and death associated with various contraceptive methods with the risks faced by women using no method. Estimated risks are derived from a decision-tree analysis program for a hypothetical cohort of 100,000 women. Method-specific estimates of the probability of various outcomes were obtained from published reports. Low estimates of typical use, first-year failure rates were used in the models. Tabulated data reveal that women who use no contraceptive method throughout their reproductive life (aged 15-44) and never have an abortion would have 18 births as compared to no more than five for women who use any contraceptive method. Data were also tabulated for the method-specific risks of developing upper genital tract infections, ectopic pregnancies, and tubal infertility (caused by the acquisition of a sexually transmitted disease [STD]) were calculated with method differences modeled for women at high and at low risk of acquiring a STD. The third table shows the estimated annual number of deaths per 100,000 ectopic pregnancies, live births, and induced abortions by five-year age groups. The annual pregnancy-related and method-related mortality rates per 100,000 women at risk of unintended pregnancy and at low risk of STDs was also calculated by contraceptive method. The fifth table illustrates the estimated annual incidence of and number of deaths from cardiovascular diseases per 100,000 women by smoking status, age group, and use of nonuse of oral contraceptives. OC use is also compared in a determination of the estimated annual number of ovarian, endometrial, and breast cancers diagnosed per 100,000 women by age at diagnosis. Finally, estimated deaths averted by each age group annually per 100,000 were calculated for current users of barrier and spermicide methods and of OCs and for ever-users before age 45. The conclusions drawn from these comparisons are that each contraceptive method presents different combinations of risks and benefits to women at different stages of their lives. Engaging in multiple sexual relationships, smoking, and irregular or incorrect method use are the three factors which most compromise a woman's ability to reach her reproductive and health goals.
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PMID:Comparing the health risks and benefits of contraceptive choices. 206 Jun 12

The incidence of Chlamydia infection and factors associated with it in 193 women consulting for infertility was analyzed in comparison with 210 matched controls. All study subjects received a clinical exam, history interview, Pap test, vaginal bacteriology, colposcopy, cervical virology for Chlamydia and enzyme-linked assay for Chlamydia, herpes, rubella and toxoplasma antibodies. Results were tabulated as percent distributions for Chlamydia-positive and -negative in index cases and controls, broken down by the descriptive factors, age at 1st intercourse, number of partners, socio economic class and numbers of induced abortions. 43.5% of the index cases had primary infertility, 21.7% had secondary infertility and 34.8% were sterile. 11.9% of the study group were positive for Chlamydia infection, compared to 5.7% of controls. The only significant difference in factors related to STD infection were: earlier age at 1st intercourse among controls; higher percentage with 3 sexual partners, higher socioeconomic class and more induced abortions in the study group of infertile women; but no difference in chlamydia infection rates with abortion history. This study is unusual in finding higher socioeconomic class in the infertile women than in controls.
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PMID:A possible role of Chlamydia trachomatis in unexplained infertility and sterility. 207 19

Chlamydia trachomatis infection, presumably sexually transmitted, has been implicated in the spread of tubal infertility and ectopic pregnancy. In searching evidence of Chlamydia trachomatis infection as a possible cause of tubal ectopic pregnancy, we enrolled 40 consecutive pathologically proven tubal ectopic women and 37 normal early intrauterine pregnant women from our OPD and ward from Jan. 1989 to July 1989. All cases underwent a structured interview giving particular attention to past reproductive history, contraception history and past history of STD. The levels of serum antibody IgG to Chlamydia trachomatis in all cases were determined. Seven ectopic women with wearing IUD in situ (group A) and 33 ectopic women with no identical factor (group B) were compared with 37 normal early intrauterine pregnant women (control group). The result showed group B more often had IgG antibody to Chlamydia trachomatis than control group (P = 0.001). Group A had higher antibody to Chlamydia trachomatis than control group but the difference was not statistically significant (P greater than 0.05). We concluded that the above findings add to the evidence that Chlamydia trachomatis infection is a major cause of tubal ectopic pregnancy.
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PMID:[Chlamydia trachomatis infection in women with ectopic pregnancy]. 217 55

364 women were studied for the possible role of chlamydia trachomatis infection as a factor related to infertility. C. trachomatis was isolated from the cervix in 20% of our high-risk STD patients and in a much lower proportion in patients with tubal (5%) or unexplained (4%) infertility. IgG-antibodies to C. trachomatis were found in 75% of patients with tubal infertility, in 44% of women without gynaecological diseases and in 87% of the high-risk STD patients. By contrast, the difference was significant in the IgA-antibody tests. 67% of the women with tubal infertility and only 25% of the women with nontubal infertility were positive. From these data it appears, that antecedent infections with C. trachomatis, as measured by antibody prevalence, are an important factor in infertility of tubal origin.
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PMID:[Cultural and serologic Chlamydia detection in diagnosis of sterility and increased risk of infection]. 219 66

Aspects of sexually transmitted diseases (STDS) peculiar to the developing countries in South America and sub-Saharan Africa are discussed. The most common STD infections are N. Gonorrhoeae, Chlamydia trachomatis, T. pallidum and T. vaginalis. Vertical transmission, particularly of syphilis among prostitutes, and of Chlamydia and gonorrhea after ophthalmia neonatorum, are common. Chlamydia is also a common respiratory tract infection in African neonates. Late complications of STDs, infertility and ectopic pregnancy, and particularly pelvic inflammatory disease, are responsible for a high proportion of hospitalizations. Antibiotic resistant gonorrhea strains are common, a result of poorly managed antibiotic treatment. Genital ulcer diseases (GUD), which predispose to HIV infections, are more common in Africa than in developed countries, not only herpes but chancroid, donovanosis and lymphogranuloma venereum. Chancroid, caused by Haemophilus ducreyi, causes 36-49% of ulcers in 2 reports. The L1-L3 strains of Chlamydia trachomatis cause lymphogranuloma venereum, the agent responsible for ulcers in 3.6-6.1% of 2 clinic populations. HIV infections have an equal sex ratio in Africa, with a younger age incidence in women and a high vertical transmission rate, while in Latin America, bisexual men, and increasingly, heterosexual transmission by intravenous drug users is reported. There is also an HIV-2 virus, whose virulence is in question, common in West Africa.
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PMID:The epidemiology of sexually transmitted diseases in Africa and Latin America. 220 6

Endocervical (120) and endourethral (104) swabs collected from patients attending the Gynaecological OPD and STD Clinic of a Hospital, in north India were subjected to the chlamydiazyme test to detect C. trachomatis antigen. This antigen was detected in 25 per cent (30 of 120) of cervical and 20.19 per cent (21 of 104) of urethral specimens. Of the 51 antigen positive cases, 30 (58.8%) presented with the clinical picture of cervicitis, 11 (21.5%) with urethritis, 6 (11.7%) were cases of primary infertility and 4 (7.8%) were healthy controls. The association of C. trachomatis and other sexually manifested microorganisms (Mycoplasma hominis, Ureaplasma urealyticum and Gardnerella vaginalis) was found more commonly in patients of cervicitis, especially those who were C. trachomatis antigen positive.
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PMID:Chlamydiazyme test for rapid detection of Chlamydia trachomatis. 266 22

We stand on the threshold of a new era for the STDs. The traditional STDs remain serious public health problems, particularly in the developing world, but they pale by comparison with AIDS. We can expect that the number of most STDs will decrease as the "baby boom" generation ages. We may also witness a change in sexual behavior caused in part by the fear of contracting AIDS, genital herpes, and perhaps other STDs. The challenge for the future is to improve control of chlamydial and gonococcal infections to prevent late sequellae such as infertility and ectopic pregnancy; to give greater attention to behavior modification to prevent transmission of AIDS, HSV, and HPV; to improve control of STDs in developing countries; to develop vaccines for the viral STDs, which are most difficult to cure; and to develop a better understanding of the mechanisms by which STD agents interact with each other and their host to cause cancer.
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PMID:Epidemiology of the sexually transmitted diseases. 387 48

During World Wars 1 and 2, the leading single cause of absence from duty in the armed services was VD (venereal diseases). The discovery of penicillin however, made it possible to cure VD in a short time, and many in the medical community believed that it was much cheaper to treat the disease than to prevent it. There was little interest then in the prevention of VD, including prophylaxis, even though the effectiveness of prophylaxis in managing VD was demonstrated during the 2 world wars when major reductions in risk of VD infections through the use of prophylaxis were achieved. As rates of penicillin-resistant gonorrhea, and other problems such as infection and infertility increase, however, the medical community will certainly be concerned with promoting types of self-protection behavior, such as the use of condom and vaginal contraceptives, and changed patterns of sexual behavior. Various clinical trials show that vaginal contraceptives have varying degrees of spermicidal and bactericidal effectiveness against the spectrum of organisms causing STD (sexually transmissible diseases). VD control programs experience various problems with respect to contraception, prophylaxis, and other elements of behavior required to maintain health. Patient motivation is critical because without it, effective methods are essentially worthless. Motivating youths to have responsible self-protective prophylactic behavior such as use of condom/vaginal contraceptives would reduce risk of unplanned pregnancy and STD transmission. The use of the contraceptive-prophylactic approach in a VD control and family planning program appears to offer great potential for the patient.
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PMID:Venereal disease prevention. 689 73


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