Journal of the American Venereal Disease Association最新文献

Ever since the first report in 1967 of the association of herpes simplex virus type 2 (HSV-2) with urogenital infections, we have noted the occasional isolation of HSV-1 from such sites. Our most recent results of the typing of HSV isolates from 527 individuals with urogenital infections show that 10.9% of such infections in females and 3.4% in males are caused by HSV-1. We describe here the acquisition of a primary oral HSV-1 infection in a male after orogenital contact with his wife who had a primary genital HSV-1 infection, probably as a result of sexual contact with another male partner. The various modes of acquisition and spread of genital HSV-1, including nonvenereal routes, are reviewed. It is suggested that the influence of the microenvironment of the female genital tract on the selection of variants of microorganism--viruses, bacteria, etc--requires concerted study.

Female contacts of males with gonococcal urethritis were screened for asymptomatic infection using self-inserted tampons. Results of cultures were compared with specimens collected with cervical swabs during a pelvic examination. The sequence of collection of specimens was randomized, and specimens were promptly incubated. Among 297 patients, 40.4% had positive cervical specimens and 35.4% had positive tampon specimens. A difference in rates of recovery by method of collection was 5.0% +/- 1.7%. A better correlation in results was noted among patients using oral contraceptives and among patients whose tampon specimen was collected after a pelvic examination. A relatively small difference in results by method of collection suggests that tampons may serve as an inexpensive screening device for sexually active women, especially in settings where pelvic examinations are not routinely performed, but where immediate processing of specimens is possible.

The purpose of this study was to develop a valid, reliable test to measure the knowledge of elementary school teachers about venereal disease. Recommended scientific test construction procedures were carefully followed. These included the development of a content outline and a table of specification; submitting potential test items to a review panel; revision of items and initial administration of the test; item analysis, revision, and a second administration; and the item analysis and revision which resulted in the Schmidt VD Knowlege Evaluator. This test consists of 45 multiple-choice items related primarily to syphilis and gonorrhea with some items related to the other venereal diseases. Test construction procedures assure face validity and the Kuder-Richardson formula estimates reliability to be 0.79. The instrument would be useful as a pre-test and/or post-test for inservice programs, workshops, and seminars for teachers, school nurses, or any similar group.

Organized gonorrhea control programs came into being in 1972-73 and have four major aspects: education, case finding through culture "screening," treatment of cases, and case investigation. Experience in Upstate New York indicates that case investigation and the provision of public diagnostic and treatment facilities are the most important of these. A relatively stable reported incidence of gonorrhea 1972-74 despite more aggressive detection of cases suggests that control efforts are beginning to interrupt the transmission of gonorrhea.

This study was designed to discover the knowledge, attitudes, and practices of a selected group of undergraduate college students relative to individual venereal disease protective/preventive measures. A population of 373 students were drawn from two large, state-supported universities in the midwest. The investigation was conducted to provide base line data for medical personnel and health educators to consider when educating young adults about the prevention of venereal disease infection. The findings revealed the existence of desirable, as well as undesirable knowledge, attitudes, and practices with implications for education.