...Case Study One Common Cause Rebecca is having a vaginal discharge for 3 days without other symptoms and significant clinical findings. According to previous study, approximately 75% women have vulvovaginal candidiasis at least once in their live, while 40-50% of them develop 2 or more than two episodes (1). Another common cause of abnormal vaginal discharge, bacterial vaginosis (BV), also have a considerably high prevalence (1). Since Rebecca was having unprotected vaginal sex with her male partner for 9-months, an un-safe sex preference must be considered in this situation. Which means, Rebecca is likely to have unprotected sex with her casual male partners (e.g. no condoms), and STIs must be considered. Trichomonas vaginalis is a common bacterial cause of abnormal vaginal discharge (1), also the commonest non-viral STI across the world (2), it should be considered in this case. Thus, three most likely conditions of Rebecca may be, * Bacterial vaginosis (BV) * Vulvovaginal candidiasis * Trichomoniasis Testing According to the Australian STI Management Guidelines and the STI Treatment Guideline (2010) provided by US CDC, the tests of each listed possible causes can be performed as, 1. BV a) Point of care tests Generally, BV can be diagnosed using gram stain microscopy and Amstel’s criteria (3,4,5). Direct observation of vaginal discharge (using speculum), vaginal pH test (using pH paper) and whiff test (using 10% KOH) need to be performed (3,4...
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...SEXUALLY TRANSMITTED DISEASES HCS/245 INTRODUCTION TO HEALTH AND DISEASE The article I have chosen to write about is sexually transmitted diseases. There are many types of sexually transmitted diseases in the world of today a couple of good examples that I will be writing about are bacterial vaginitis, chlamydia/gonorrhea, genital herpes, syphilis and the one that all this diseases can lead up to aids or Hiv. These sexually transmitted diseases are also known as Stds. Stds are infections that are transferred from one person to another through sexual contact. Stds can be transmitted during vaginal anal or oral sex. They can also be transmitted from an infected mother to her baby during pregnancy or childbirth. In the reading of the article I have discovered that there are more than thirty different sexually transmissible bacteria, viruses and parasites. If patients are diagnosed with a certain type of STD the physician is required to report the certain STD to the state health departments. Many states that discover or find an STD report the newly diagnosed cases so that the public can be aware of the problem. I dint know this but STD are a major public health challenging the United States. The major health center like the (CDC) center for disease control and prevention estimates that there are approximately nineteen million STD infections each year. This infections alone can cost the health care about sixteen point four billion dollars per year that just a lot, with all...
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...Marie Quinones BSC2085 Unit 5 Report Professor Hilbelink 4-22-15 Unit 5 Report In this scenario Maria utilizes the rhythm method as her preferred method of birth control. Some pros of the rhythm method is there is no prescription so it is something that couples always have access to. Another pro is it is natural, therefore a person doesn’t have to take hormones. A con is that the lifespan of sperm may make it nearly impossible to exactly know when it’s safe to have sex. Another con is that a woman’s menstrual cycle is different and may change so it would be rather difficult to know when a woman is fertile. Last is the risk of STD’S, the rhythm method does not provide any protection. Maria should be twelve weeks into her pregnancy because she has missed two consecutive periods. On average, woman get their period every four weeks, so eight weeks later without her period plus you cannot find out you are pregnant until four weeks after. To put in perspective, conception does not even occur until two weeks after pregnancy, therefore Maria is twelve weeks into her pregnancy and she conceived about ten weeks ago. In order to prevent this incident from occurring the couple could have used protection, the woman could have...
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...she had sex recently (with multiple partners or received oral intercourse)? 3. How many sexual partners has she had? 4. How many packs of cigarettes does she smoke a week? How long has she smoked? 5. Does she use street drugs or alcohol? 6. What is her diet like? 7. Does she exercise? 8. What color is the discharge? When did it start? Is she experiencing any vaginal itching or burning? 9. When did her last menstrual period start? What is her usual menstrual cycle like? What is her normal amount of menstrual discharge? 10. Does she do regular breast self-exams? What is the likely cause of the discharge? • Foul-smelling vaginal discharge is a sign of infection, such as bacterial vaginosis, which is caused by an overgrowth of bacteria and produces a white, gray, or milky discharge. It could also be trichomoniasis, a sexually transmitted infection (STI), which produces a foul smelling, frothy, yellow-green discharge. Which tests do you anticipate? • A specular exam and Pap smear to obtain a sample of vaginal secretions and check for overgrowth of anaerobic bacteria. The doctor may examine the vaginal secretions under a microscope to determine the responsible...
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...S C I E N T I F I C S T A T U S S U M M A R Y Probiotics This Scientific Status Summary addresses the scientific basis of the hypothesis that consumption of probiotics can positively influence human health. Product and regulatory issues are also briefly addressed. A PUBLICATION OF THE INSTITUTE OF FOOD TECHNOLOGISTS’ EXPERT PANEL ON FOOD SAFETY AND NUTRITION P robiotics are defined as live microbial food ingredients that have a beneficial effect on human health (Salminen et al., 1998). The concept of probiotics evolved at the turn of the 20th century from a hypothesis first proposed These include Bengmark (1998), Elmer et al. (1999), Fonden et al. (1999), Holzapfel et al. (1998), Lee et al. (1999), Naidu et al. (1999), Salminen et al. (1996), Sanders (1998a), Sanders and Huis in’t Veld (1999), and Tannock (1999a). by Nobel Prize winning Russian scientist Elie Metchnikoff (Bibel, 1988), who suggested that the long, healthy life of Bulgarian peasants resulted from their consumption of fermented milk products. He believed that when consumed, the fermenting bacillus (Lactobacillus) positively influenced the microflora of the colon, decreasing toxic microbial activities. The historical association of probiotics with fermented dairy products, still true today, stems from these early observations. Investigations in the probiotic field during the past several decades, however, have expanded beyond bacteria isolated from fermented dairy products to those of intestinal...
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...Running Head: ADOLESCENTS AND SEXUALLY TRANSMITTED DISEASES Adolescents Risky Sexually Behaviors and Sexually Transmitted Diseases Shemeka Y. Coleman Limestone College Abstract In today’s society many adolescents are engaging in risky sexually behavior that is leading to a widespread of sexually transmitted diseases (STD’s). Adolescents are at a high risk of sexually transmitted disease because of the lack of sexually education and knowledge about sex in general and the effects and consequences of engaging in risky sexually behavior without the proper education or knowledge of the activities in which they choose to engage. Over a third of all high school students report being sexually active and of those students, ¼ will contract a sexually transmitted disease before they even graduate from high school. This results in over a million teenagers a year who will get some type of sexually transmitted disease. (Krowchuck, 1998). Most adolescents do not have knowledge of exactly what a sexually transmitted disease is, let alone the different types of sexually transmitted diseases. With proper education of the different types of sexually transmitted diseases, symptoms, and prevention methods, adolescents will be better equipped and prepare for the consequences of the action of engaging in sexually behavior will occur. Adolescents Risky Sexually Behaviors and Sexually Transmitted Diseases On high school campuses around...
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...NINTH EDITION Burton’s MICROBIOLOGY FOR THE HEALTH SCIENCES Paul G. Engelkirk, PhD, MT(ASCP), SM(AAM) Biomedical Educational Services (Biomed Ed) Belton, Texas Adjunct Faculty, Biology Department Temple College, Temple, TX Janet Duben-Engelkirk, EdD, MT(ASCP) Biomedical Educational Services (Biomed Ed) Belton, Texas Adjunct Faculty, Biotechnology Department Temple College, Temple, TX Acquisitions Editor: David B. Troy Product Manager: John Larkin Managing Editor: Laura S. Horowitz, Hearthside Publishing Services Marketing Manager: Allison Powell Designer: Steve Druding Compositor: Maryland Composition/Absolute Service Inc. Ninth Edition Copyright © 2011 Lippincott Williams & Wilkins, a Wolters Kluwer business © 2007 Lippincott Williams & Wilkins, © 2004 Lippincott Williams & Wilkins, © 2000 Lippincott Williams & Wilkins, © 1996 Lippincott-Raven, © 1992, 1988, 1983, 1979 JB Lippincott Co. 351 West Camden Street Baltimore, MD 21201 Printed in the People’s Republic of China All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees...
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...Clinical guidelines Diagnosis and treatment manual for curative programmes in hospitals and dispensaries guidance for prescribing 2010 EDITION © Médecins Sans Frontières – January 2010 All rights reserved for all countries. No reproduction, translation and adaptation may be done without the prior permission of the Copyright owner. ISBN 2-906498-81-5 Clinical guidelines Diagnosis and treatment manual Editorial Committee: I. Broek (MD), N. Harris (MD), M. Henkens (MD), H. Mekaoui (MD), P.P. Palma (MD), E. Szumilin (MD) and V. Grouzard (N, general editor) Contributors: P. Albajar (MD), S. Balkan (MD), P. Barel (MD), E. Baron (MD), M. Biot (MD), F. Boillot (S), L. Bonte (L), M.C. Bottineau (MD), M.E. Burny (N), M. Cereceda (MD), F. Charles (MD), M.J de Chazelles (MD), D. Chédorge (N), A.S. Coutin (MD), C. Danet (MD), B. Dehaye (S), K. Dilworth (MD), F. Fermon (N), B. Graz (MD), B. Guyard-Boileau (MD), G. Hanquet (MD), G. Harczi (N), M. van Herp (MD), C. Hook (MD), K. de Jong (P), S. Lagrange (MD), X. Lassalle (AA), D. Laureillard (MD), M. Lekkerkerker (MD), J. Maritoux (Ph), J. Menschik (MD), D. Mesia (MD), A. Minetti (MD), R. Murphy (MD), J. Pinel (Ph), J. Rigal (MD), M. de Smet (MD), S. Seyfert (MD), F. Varaine (MD), B. Vasset (MD) (S) Surgeon, (L) Laboratory technician, (MD) Medical Doctor, (N) Nurse, (AA) Anaesthetist-assistant, (Ph) Pharmacist, (P) Psychologist We would like to thank the following doctors for their invaluable help:...
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...ACUTE GLOMERULONEPHRITIS DISCLOSED _________________________ A Case Study Presented to The Clinical Instructors AUP College of Nursing Adventist University of the Philippines __________________________ In Partial Fulfillment of the Requirements for the Course NMCN 244, Care of Mother, Child, Family and Population at Risk ___________________________ TABLE OF CONTENTS I. Introduction Significance of the Study II. Patient DataBase A. Demographic Data B. Nursing History 1. Developmental Tasks 2. Health History 3. Medical Diagnosis & Chief Complaints III. The Disease Entity A. Review of Normal Physiology B. Theoretical Background C. Statistical Report D. Risk/Aggravating Factors E. Pathophysiology Narrative w/ Documentation F. Pathophysiology Diagram G. Prognosis of Disease IV. Assessment A. Gordon’s or Head to Toe Assessment B. Book Picture vs Patient’s Manifestations V. The Management A. Diagnostic Test Result and Significant B. Therapeutic/Medical Interventions 1. Surgeries/Treatment 2. Drugs C. Nursing Initiated Interventions 1. Nursing Care Plan 2. Discharge Plan VI. General Evaluation of the Study A. Summary B. Recommendation VII. Bibliography I. Introduction Acute glomerulonephritis is a disease that affects glomerular capillaries. Etiologic factors are many and varied; they include immunologic reactions, vascular injury, metabolic...
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...mnemonics and cartoons in this book do not intend disrespect for any particular patient population or racial or ethnic group but are solely presented as memory devices to assist in the learning of a complex and important medical subject. We welcome suggestions for future editions. 1) Write in a conversational style for rapid assimilation. 2) Include numerous figures serving as "visual memory tools" and summary charts at the end of each chapter. These can be used for "cram sessions" after the concepts have been studied in the text. 3) Concentrate more on clinical and infectious disease issues that are both interesting and vital to the actual practice of medicine. MARK GLADWIN, MD BILL TRATTLER, MD D CONTENTS Preface v PART 1 1 2 3 BACTERIAL TAXONOMY CELL STRUCTURES, VIRULENCE FACTORS, and TOXINS...
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...* Getting Ready Signs of Labor: happens 2-3 weeks prior to true labor ~ lightening (engagement): baby drops down and presses on bladder ~nesting: mom has sudden burst of energy ~Braxton Hicks contractions ~cervical ripening (softening and dilating) ~bloody show * Effacement: the thinning of the cervix; measured from 0-100% * Dilatation: the opening of the cervix; measured from 0-10 cm * Stages of Labor: ~1st Stage -Early/Latent: -0-3 cm dilatation -contractions 5-30 min apart -lasting 30-45 seconds -mild to moderate intensity -lasting 6-8 hours -Active: -4-7 cm dilatation -contractions 3-5 min apart -lasting 40-70 seconds -mild to strong intensity -lasting 3-6 hours -inwardly directed, focused, serious -Transition: -8-10 cm dilatation -contractions 2-3 min apart -strong intensity -lasting 45-90 seconds -lasting about 20-30 min -severe pain, N/V, irritable ~2nd Stage: Pushing -from complete dilatation until the birth of the baby -Early/Latent: -contractions are weak; no urge to push yet -Active: -strong contractions resume; urge to push comes (Ferguson reflex) ~3rd Stage: Placenta -from the delivery of the baby to the delivery of the placenta -usually occurs within 10 min -uterus changes shape; globular right before it detaches; sudden gush of blood; cord lengthens ~4th Stage: Post partum Recovery -1st hour after birth -Post partum...
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...What is Sexually Transmitted Disease? What are the Common Sexually transmitted diseases? What are the Cause of Each Sexually Transmitted Diseases? What are the signs/symptoms and Diagnosis? What is the complications? What is the Effect of sexually transmitted disease? \ S exually transmitted infection is a broader term than sexually transmitted disease. An infection is a colonization by a parasitic species, which may not cause any adverse effects. In a disease, the infection leads to impaired or abnormal function. In either case, the condition may not exhibit signs or symptoms. Increased understanding of infections like HPV, which infects most sexually active individuals but cause disease in only a few has led to increased use of the term STI. Public health officials originally introduced the term sexually transmitted infection, which clinicians are increasingly using alongside the term sexually transmitted disease in order to distinguish it from the former. STD may refer only to infections that are causing diseases, or it may be used more loosely as a synonym for STI. Most of the time, people do not know that they are infected with an STI until they are tested or start showing symptoms of disease. Moreover, the term sexually transmissible disease is sometimes used since it is less restrictive in consideration of other factors or means of transmission. For instance, meningitis is transmissible by means of sexual contact but is not labeled as an STI...
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...FEMALE GENITAL MUTILATION IN THE UNITED STATES Protecting Girls and Women in the U.S. from FGM and Vacation Cutting ACKNOWLEDGMENTS Sanctuary for Families would like to recognize and thank the many women whose stories and voices inspired and informed this report. Their identities have been withheld for their safety and privacy. The primary authors of this report are Archana Pyati and Claudia De Palma. Mariama Diallo, Laura-Lee Atkinson-Hope, and Sayoni Maitra contributed significant research, writing, and editing, and Kaitlin Juleus designed the report. The law firm Cleary Gottlieb Steen & Hamilton LLP contributed considerable legal research and analysis. ABOUT SANCTUARY FOR FAMILIES Sanctuary for Families is dedicated to the safety, healing and self-determination of victims of domestic violence and related forms of gender violence. Through comprehensive services for our clients and their children, and through outreach, education and advocacy, we strive to create a world in which freedom from gender violence is a basic human right. Based in New York City, Sanctuary offers clinical, legal, shelter and economic empowerment services to more than 10,500 adults and children each year. We also seek to address the systemic barriers that perpetuate the cycle of violence by engaging in public outreach and education, and advocating for legislative and policy change. Sanctuary’s Center for Battered Women’s Legal Services is the largest provider in the United States of legal services...
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