Venereal diseases

心血管疾病
  • 文章类型: Journal Article
    在南里奥格兰德(RS),牛养殖是一项具有经济意义的主要畜牧业活动,巴西。然而,这项活动仍然被认为是中低技术水平,在这个地区,胎儿弯曲杆菌亚种的流行病学报告很少。性病(Cfv),牛生殖器弯曲杆菌病(BGC)的病原体。因此,我们设计了一项横断面研究,以评估RS中养牛场的患病率和Cfv相关因素,巴西。总的来说,随机抽取99个养殖场参与调查。从所选择的公牛收集两次(在15天间隔内)的包皮粘液样品并进行Cfv分子检测。当至少一个样品对Cfv呈阳性时,农场被认为是阳性的。我们的发现表明,RS的农场级Cfv患病率为67.67%。平均而言,与不使用自然服务的农场相比,使用自然服务的农场为Cfv阳性的机会增加了大约两倍。我们还确定Cfv常规测试将农场呈阳性的机会减少了92%。因此,Cfv检测测试和自然服务的减少都降低了农场对Cfv呈阳性的机会。最后,我们得出的结论是,Cfv在巴西南部的养牛场中广泛传播,迫切需要采取控制措施以减少目标人群中的Cfv患病率。
    Cattle farming is a major livestock activity with economic relevance in Rio Grande do Sul (RS), Brazil. However, this activity is still considered of intermediate to low technological level, and in this region, there are few epidemiologic reports of Campylobacter fetus subsp. venerealis (Cfv), the causative agent of bovine genital campylobacteriosis (BGC). Thus, we designed a cross-sectional study to assess the prevalence and Cfv-associated factors in cattle farms in RS, Brazil. In total, 99 farms were randomly selected to participate in the survey. Preputial mucus samples from selected bulls were collected twice (within a 15-day interval) and subjected to Cfv molecular detection. A farm was considered positive when at least one sample was positive for Cfv. Our findings indicate that the farm-level Cfv prevalence in RS is 67.67%. On average, the chance of a farm using natural service to be Cfv-positive increased approximately twice compared to farms that do not use natural service. We also determined that Cfv routine tests reduce the chance of a farm being positive by 92%. Therefore, both Cfv detection tests and the reduction of natural services decrease the chance of a farm being positive for Cfv. Finally, we conclude that Cfv is widely spread in Southern Brazil cattle farms and it is urgent the implementation of control measures to reduce Cfv prevalence in the target population.
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  • 文章类型: Journal Article
    繁殖对于成功的奶牛和奶牛生产至关重要,也是奶牛生产者最重要的经济性状。为了在牛群中有效繁殖,母牛或小母牛必须在繁殖季节早期受孕,保持怀孕,没有帮助或很少有帮助的小牛,及时返补,每年给小牛断奶。就奶牛而言,奶牛或小母牛预计会怀孕,保持怀孕,每12到15个月产奶。该过程的中断导致生产的延迟或全部损失。尽管繁殖需要肥沃的公牛,它们在繁殖过程中具有传播疾病的潜在风险。
    Reproduction is essential for successful cow-calf and dairy production and the most important economic trait for cow-calf producers. For efficient reproduction to occur in beef herds, cows or heifers must conceive early during the breeding season, maintain the pregnancy, calve unassisted or with very little assistance, rebred in a timely manner and wean a calf every year. In the case of dairy cattle, cows or heifers are expected to become pregnant, maintain the pregnancy, and calve every 12 to 15 months to produce milk. Interruption of that process leads to delay or total loss of production. Although fertile bulls are required to achieve reproduction, they come with potential risk of transmitting disease during breeding.
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  • 文章类型: Journal Article
    UNASSIGNED:外阴的皮肤和粘膜与人体其他部位不同,因为它来自所有三个胚胎层。它更容易发生皮肤病,传染性和非传染性。
    UNASSIGNED:我们的研究是一项前瞻性描述性研究,研究对象是在皮肤门诊部就诊的女性患者主诉外阴皮肤病。我们的目的是确定性病和非性病性皮肤病(传染性和非传染性)的患病率,以及这些疾病在我们地区的年龄分布。
    UNASSIGNED:2019年1月至2019年12月,所有外阴出现可见皮肤损伤的女性患者均纳入本研究。各种诊断测试,如革兰氏染色,Tzanck涂片,KOH安装座,单纯疱疹病毒血清学,必要时进行皮肤活检。
    UNASSIGNED:该研究包括520名患者,其中525个病灶被确定。这些疾病分为性病和非性病皮肤病。非性病性皮肤病在感染性和非感染性条件下进一步分组。最大的患者年龄在21-40岁(50.19%)。最常见的皮肤病是非性病感染,在220例(42.30%)患者中观察到,其次是非性病,177例(34.04%)患者出现非感染性皮肤病,而128例(24.61%)患者出现性病性皮肤病。
    未经评估:大多数患者处于生育年龄组,根据我们的研究,感染性性病和非性病的患病率远远高于非感染性疾病,影响外阴皮肤。
    UNASSIGNED: The skin and mucosa of the vulva are different from the rest of the human body, as it is derived from all three embryological layers. It is more prone to dermatological diseases, both infectious and noninfectious.
    UNASSIGNED: Our study was a prospective descriptive study on female patients attending the skin outpatient department with complaints of vulval dermatoses. Our aim was to determine the prevalence of venereal and nonvenereal dermatoses (infectious and non-infectious) along with age-wise distribution of these in our area.
    UNASSIGNED: All female patients presenting with visible skin lesions on the vulva from January 2019 to December 2019 were included in this study. Various diagnostic tests such as Gram staining, Tzanck smear, KOH mount, herpes simplex virus serology, and skin biopsy were performed wherever necessary.
    UNASSIGNED: The study included 520 patients in whom 525 lesions were identified. These were grouped under venereal and non-venereal dermatoses. Nonvenereal dermatoses were further grouped under infectious and non-infectious conditions. Maximum patients were in the age group of 21-40 years (50.19%). The most common dermatoses were non-venereal infections, seen in 220 (42.30%) patients followed by non-venereal, non-infectious dermatoses seen in 177 (34.04%) patients whereas venereal dermatoses were seen in 128 (24.61%) patients.
    UNASSIGNED: Most of the patients were in the reproductive age group, and the prevalence of infectious dermatoses both venereal and non-venereal was much more than that of non-infectious conditions affecting the vulval skin as per our study.
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  • 文章类型: Journal Article
    性传播感染(STIs)是全世界男女发病的主要原因。这项研究的主要目的是对波兰2010-2015年性传播病毒感染的发病率进行比较分析。考虑到全国各省的行政区划。这是一项回顾性研究。分析的数据来自卫生部卫生信息系统中心和国家公共卫生研究所-国家研究所,构成波兰流行病学监测系统的信息。我们收集了以下疾病发病率的数据:生殖器疱疹(HSV),生殖器疣,人类免疫缺陷病毒(HIV)感染和获得性免疫缺陷综合症(AIDS)。感染风险最高的关键人群是20至29岁的年轻人。波兰生殖器疱疹发病率的报告数据(n=3378;1.5/100,000)呈下降趋势,这与全球趋势不符。生殖器疣是波兰最常见的生殖器感染(n=7980;3.46/100,000),具有显著的区域差异。在分析期间,新发现的HIV感染情况似乎稳定(n=7144;3.1/100,000).这些感染的发生率似乎与城市化率高度相关,这在其他分析感染的情况下没有得到证实。性传播感染疫情日益恶化,当前监测系统效率低下,诊断和预防资金减少,加上法律解决方案不足,有必要采取新的法律和组织措施,以改善波兰在性传播感染方面的生殖健康。
    Sexually transmitted infections (STIs) represent a major cause of morbidity in women and men worldwide. The main aim of this study was to perform a comparative analysis of the incidence of sexually transmitted viral infections in 2010-2015 in Poland, taking into account the administrative division of the country into provinces. This was a retrospective study. The analysed data came from the Centre for Health Information Systems of the Ministry of Health and the National Institute of Public Health-National Research Institute and constituted information from the epidemiological surveillance system in Poland. We collected data on the incidence of the following diseases: genital herpes (HSV), genital warts, human immunodeficiency virus (HIV) infection and acquired immunodeficiency syndrome (AIDS). The key groups with the highest risk of infection were young people between 20 and 29 years of age. The reported data on the incidence of genital herpes in Poland (n = 3378; 1.5/100,000) showed a downward trend, which does not coincide with global trends. Genital warts were the most frequent genital infections in Poland (n = 7980; 3.46/100,000), with significant regional variation. Over the analysed period, the situation of newly detected HIV infections seemed to be stable (n = 7144; 3.1/100,000). The incidence of these infections appeared to be highly correlated with urbanisation rates, which was not confirmed in the case of other analysed infections. The worsening epidemic situation with respect to sexually transmitted infections, the inefficiency of the current surveillance system and the reduction in funding for diagnosis and prevention, combined with inadequate legal solutions, make it necessary to undertake new legal and organisational measures aimed at improving the reproductive health in Poland in terms of sexually transmitted infections.
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  • 文章类型: Journal Article
    性传播感染是常见的传染病。这项研究的主要目的是对波兰2010-2015年细菌性性传播感染的发病率进行比较分析。考虑到全国各省的行政区划。这是一项回顾性研究。分析的数据来自卫生部卫生信息系统中心,构成了波兰流行病学监测系统的信息。分析包括原发性和继发性梅毒发生率的数据,淋病和非淋菌性尿道炎和生殖器感染。总体发病率不成比例地低于欧洲和其他国家的研究。年轻人,年龄在20到29岁之间,是感染风险最高的关键群体。波兰的原发性和继发性梅毒发病率低于欧洲或美国,但有些地区,比如马佐维亚省和罗兹省,发现发病率高于其他欧洲发病率。波兰报告的淋病发病率也明显低于其他国家,男性感染人数明显高于女性,这也是欧盟国家中最高的比率之一。在学习期间,非淋球菌生殖器感染的数量系统地减少,而在欧洲地区的其他国家,发病率是所有性传播感染中最高的。
    Sexually transmitted infections are common infectious diseases. The main aim of this study was to perform a comparative analysis of the incidence of bacterial sexually transmitted infections in 2010-2015 in Poland, taking into account the administrative division of the country into provinces. This was a retrospective study. The analysed data came from the Centre for Health Information Systems of the Ministry of Health and constituted information being the epidemiological surveillance system in Poland. The analysis included data on the incidence of primary and secondary syphilis, gonorrhoea and non-gonococcal urethritis and genital infections. The overall incidence rates were disproportionately lower than European rates and those presented in studies from other countries. Young people, between 20 and 29 years of age, were the key groups at the highest risk of infection. The incidence rate of primary and secondary syphilis was lower in Poland than in Europe or America, but some regions, such as Mazovia and Lodz provinces, were found to have a higher incidence rate than other European rates. The reported incidence of gonorrhoea in Poland was also significantly lower compared with other countries, with a significantly higher number of infections in males than in females, and this was also one of the highest rates in EU countries. During the study period, the number of non-gonococcal genital infections systematically decreased, while in other countries of the European region, the incidence was among the highest of all sexually transmitted infections.
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  • 文章类型: Journal Article
    Recent scholarship on the social history of health and medicine in colonial India has moved beyond enclavist or hegemonic aspects of imperial medicine and has rather focused on the role of Indian intermediaries and the fractured nature of colonial hegemony. Drawing inspiration from this scholarship, the article highlights the significance of the Indian subordinates in the lock hospital system in the nineteenth century Madras Presidency. This study focuses on a class of Indian subordinates called the \"gomastah\", who were employed to detect clandestine prostitution in Madras to control the spread of venereal disease. It also underlines the role of other native and non-native subordinates such as Dhais, Chowdranies and Matrons, the ways in which they became indispensable for the smoother operation of the Contagious Diseases Act and the lock hospitals on a day-to-day basis. By emphasising how Indian subordinates were able to bring in caste biases within colonial governmentality, adding another layer to the colonial prejudices and xenophobia against the native population, it underlines the fact that there was not a one-way appropriation or facilitation of the coloniser\'s knowledge or biases by the colonised intermediaries. Rather, it argues for an interaction between them, and highlights the complexities of caste hierarchies and prejudice within the everyday colonial governmentality. Moreover, the article focuses on the consequent chaos and inherent power struggle between different factions of colonial staff.
    Die jüngere Forschung zur Sozialgeschichte der Gesundheit und Medizin im kolonialen Indien hat sich jenseits spezifischer hegemonialer Aspekte der imperialen Medizin mittlerweile verstärkt der Bedeutung ihrer indischen Vermittler und der gebrochenen Natur kolonialer Herrschaft zugewandt. Davon inspiriert beleuchtet der Beitrag die Rolle indischer Subalterner im System der Krankenhäuser für Geschlechtskrankheiten der Provinz Madras im 19. Jahrhundert. Er fokussiert auf die so genannten „Gomastah“, eine Klasse von indischen Untergebenen, die zur Aufdeckung der illegalen Prostitution in Madras eingesetzt wurden, um so die Ausbreitung von Geschlechtskrankheiten zu verhindern. Untersucht wird auch die Rolle anderer einheimischer und nicht einheimischer Untergebener wie der Dhais, Chowdranies und Matrons, die für die reibungslose Umsetzung des Contagious Diseases Act und das alltägliche Funktionieren dieser Krankenhäuser unverzichtbar waren. Indem herausgearbeitet wird, wie indisches Kastendenken in die koloniale Gouvernementalität einfließen konnte und so koloniale Vorurteile und Xenophobie stärkte, unterstreicht der Artikel die Tatsache, dass es keine einseitige Aneignung oder Vermittlung kolonialen Wissens und kolonialer Vorannahmen durch die kolonisierten Vermittler gab. Argumentiert wird vielmehr für deren Interaktion, betont wird die komplexe Bedeutung des Kastensystems und seiner Vorurteile für das alltägliche koloniale Regierungshandeln. Zudem befasst sich der Beitrag mit dem daraus resultierenden Chaos und den inhärenten Machtkämpfen zwischen verschiedenen Gruppierungen des kolonialen Personals.
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  • 文章类型: Journal Article
    Poor reproductive performance in beef cattle caused by infectious agents results in major financial losses as a result of reduced pregnancy rates and extended calving intervals. Bulls can be subclinical chronic carriers of bacterial and protozoal agents involved in cow infertility, such as Campylobacter fetus subsp. venerealis, Ureaplasma diversum, Mycoplasma bovigenitalium, Mycoplasma bovis, and Tritrichomonas foetus. Bulls harbor these microorganisms in their preputial crypts and transmit the agents to cows during natural mating. To obtain an overview of the etiologic agents in the preputial mucus of bulls, we aimed to identify, by PCR assay, C. fetus subsp. venerealis, M. bovis, U. diversum, M. bovigenitalium, and T. foetus in Brazilian bulls from farms with high infertility rates. We collected preputial mucus from 210 bulls on 18 beef cattle farms in Brazil between 2019 and 2020. We found at least one of the infectious agents that we were studying in bulls on 16 of the 18 beef cattle farms tested. We detected at least one infectious agent from 159 of 210 (76%) bulls tested, namely C. fetus subsp. venerealis, M. bovis, U. diversum, M. bovigenitalium, and T. foetus in 87 (55%), 84 (53%), 45 (28%), 28 (18%), and 1 (0.6%) animal, respectively. We found 95 bulls (60%) positive for only 1 etiologic agent (single infection) and 64 bulls (40%) carried multiple agents. Our results demonstrate the occurrence of bacterial and protozoal infectious agents that may be related to infertility in Brazilian beef cattle herds.
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  • 文章类型: Journal Article
    Leptospirosis is a zoonotic disease of importance to public health and in livestock productions. It causes significant economic losses in pig breeding farms worldwide. However, actual transmission cycles and disease epidemiology in the pig population remain largely unknown. Despite the fact that the potential risk of venereal transmission of pathogenic Leptospira serovars in pigs has been a topic of discussion since the 1970s, reliable data are still lacking compared to other livestock species. Consequently, antibiotics are added to semen extenders to reduce bacterial contamination including pathogens like Leptospira. In view of the global threat of antimicrobial resistances, the routine use of antibiotics in porcine semen extenders is now under debate. Information about the prevalence of Leptospira infections in boar used for artificial insemination is needed for the development of novel antimicrobial concepts in pig insemination.This short report provides a summary of the state of knowledge, together with negative results from real-time PCR analyses for the detection of pathogenic Leptospira DNA in boar semen. Molecular analyses were performed on 96 raw and extended samples obtained from normospermic ejaculates of 58 boar housed in six different studs in Germany. In the absence of reliable data, it is important to raise the awareness for a subject that can represent a challenge for pig productions in keeping reproductive health and food safety at high levels. The present molecular results indicate that Leptospira might not be a common threat in boar semen. Conclusive evidence would require results from a systematic serological surveillance of boar, combined with seasonal molecular analyses of semen to identify potential carriers, and assess actual seroprevalences, associated Leptospira serovars and transmission events.
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  • 文章类型: Journal Article
    淋病奈瑟菌(GC)的抗菌素耐药性使全球淋病的控制和治疗变得更加复杂。在格陵兰,淋病的发病率很高,需要持续监测抗菌药物敏感性.这项研究调查了2015年1月至2018年6月在格陵兰首都努克获得的淋球菌分离株。在收集之后,为了监测GC菌株之间的耐药模式,对分离株进行了环丙沙星和头孢曲松敏感性测试。在观察期间,在努克分离出150株GC菌株(男性139株,93%;女性11人,7%)。所有菌株均对头孢曲松完全敏感。49%的GC菌株对环丙沙星敏感。对环丙沙星耐药的GC菌株中头孢曲松的最小抑菌浓度(MIC)中位数高于对环丙沙星敏感的GC菌株。按收集年,未观察到环丙沙星对头孢曲松的敏感性和中位MIC的差异。总而言之,迄今为止,在努克尚未发现头孢曲松耐药性。建议在努克继续轻松获得诊断和治疗,并增加和更系统地监测抗生素敏感性。Further,建议调查在努克以外的格陵兰进行间歇性采样的可能性,如果可以绕过与向努克发送采样材料有关的障碍。
    Antimicrobial resistance in Neisseria gonorrhoeae (GC) has made gonorrhoea control and treatment more complex globally. In Greenland, the incidence of gonorrhoea is high and there is a need for continued surveillance of antimicrobial susceptibility.This study investigated gonococcal isolates obtained in Greenland\'s capital Nuuk between January 2015 and June 2018. Subsequent to collection, isolates were tested for ciprofloxacin and ceftriaxone susceptibility in order to monitor the resistance pattern among GC strains. 150 GC strains were isolated in Nuuk during the observation period (139 males, 93%; 11 females, 7%). All strains were fully susceptible to ceftriaxone. 49% of the GC strains were susceptible to ciprofloxacin. The median minimal inhibitory concentration (MIC) for ceftriaxone among GC strains resistant to ciprofloxacin was higher than among GC strains susceptible to ciprofloxacin. No differences in ciprofloxacin susceptibility and median MICs for ceftriaxone were observed by collection year. In conclusion no ceftriaxone resistance has been found in Nuuk to date. Continued easy access to diagnostics and treatment combined with increased and more systematic surveillance of antimicrobial susceptibility in Nuuk is recommended. Further, it is advisable to investigate the possibilities for intermittent sampling in Greenland outside of Nuuk, if obstacles in relation to sending sampling material to Nuuk can be bypassed.
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  • 文章类型: Historical Article
    In the late 17th and early 18th centuries, ancient humoral pathology was gradually complemented by new concepts of medical theory. Two important theories that emerged in this context were iatrochemistry and iatrophysics. The physician Johannes Franc (1649-1725) from Ulm and Friedrich Hoffmann (1660-1742), the first professor of the medical faculty of the Fridericiana in Halle (Saale), are representatives of these concepts. In their writings, they conveyed specific instructions for broader therapeutic treatment including various forms of medication. The iatrochemist Franc recorded his therapies in his medical diary. The treatment methods of the iatrophysicist Hoffmann are written down in his twelve-volume Medicina consultatoria. Using the examples of gonorrhea and syphilis, the goal of this paper is to analyze, on the basis of both records, how the two physicians applied the new medical theoretical concepts in the treatment of these diseases. Franc and Hoffmann held the view that these two venereal diseases represent two separate entities. Thus both physicians departed from the traditional theory that gonorrhea was a stage of syphilis. Accordingly, they used different medication therapies for these diseases. Franc and Hoffmann referred to humoral pathological ideas, the discrasia of the humors in expounding the causes of the diseases. The same applies to their basic therapeutic approaches: they implemented humoral pathological concepts in their therapeutic practice. Bloodletting, sweating cures, and water cures as well as strict diets were prescribed. Nevertheless, differences in their treatment methods are clear. Franc consistently supplemented humoral pathology with ideas of iatrochemistry, prescribing treatment of gonorrhea and syphilis with mercury. Hoffmann, on the other hand, explicitly warned against treating gonorrhea with mercury; however, he was not fundamentally opposed to the use of drugs for the treatment of syphilis.
    UNASSIGNED: Im ausgehenden 17. und beginnenden 18. Jahrhundert treten an die Seite der antiken Humoralpathologie schrittweise neue medizintheoretische Ansätze. Zwei bedeutende Konzepte sind die Iatrochemie und die Iatrophysik. Der Ulmer Arzt Johannes Franc (1649–1725) und der erste Professor der Medizinischen Fakultät der Fridericiana in Halle (Saale), Friedrich Hoffmann (1660–1742), sind Vertreter dieser Konzepte. Von beiden Ärzten sind Therapieanweisungen, nicht zuletzt mit Arzneimitteln, überliefert. Der Iatrochemiker Franc notierte seine Therapien in seinem medizinischen Tagebuch. Die Behandlungsmethoden des Iatrophysikers Hoffmann sind in seiner zwölfbändigen Medicina consultatoria überliefert. Wie die beiden Ärzte die neuen medizintheoretischen Konzepte anwandten, wird am Beispiel der Gonorrhoe und Syphilis analysiert. Franc und Hoffmann vertreten die Auffassung, dass beide venerischen Erkrankungen zwei getrennte Entitäten sind. Damit überwinden sie die tradierte Vorstellung, wonach die Gonorrhoe ein Stadium der Syphilis sei. Entsprechend setzen beide Ärzte unterschiedliche Arzneimitteltherapien ein. Bei den Krankheitsursachen beziehen sich Franc und Hoffmann auf humoralpathologische Vorstellungen der Dyskrasie. Gleiches gilt für ihre grundsätzlichen Therapieansätze: Sie setzen humoralpathologische Konzepte in ihrer therapeutischen Praxis um. Es werden ebenso Aderlässe, Schwitzkuren und Wasserkuren wie strenge Diäten verordnet. Dennoch sind Unterschiede bei den Behandlungsmethoden deutlich. Franc ergänzt die Humoralpathologie konsequent um Vorstellungen der Iatrochemie, wenn er die Gonorrhoe und Syphilis mit Quecksilber therapiert. Hoffmann hingegen warnt ausdrücklich vor einer Therapie der Gonorrhoe mit Quecksilber, ist aber bei der Therapie der Syphilis nicht grundsätzlich gegen den Einsatz von Arzneimitteln.
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