{"title":"Protocol management of male genitourinary infections.","authors":"A Rhodes, J McCue, A L Komaroff, T M Pass","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As part of a demonstration study, 567 male patients presenting to a \"walk-in\" clinic with common genitourinary complaints were interviewed by health assistants guided by a protocol. Independent examination of 19 patients by a health assistant and a physician formally demonstrated that the health assistants could collect the clinical data accurately. Forty-four patients were then randomly chosen to be examined, diagnosed and treated either by a health assistant guided by the protocol and supported by an available physician, or only by a physician. Using medical records and a follow-up interview, we assessed the thoroughness of the medical record, adequacy of diagnosis and treatment, symptom relief, patient satisfaction and patient education: the health assistant-protocol system proved as safe and effective as the MD-only system, and the health assistants were able to manage 68% of patients without involving the physician. The study suggests that briefly-trained health assistants may help save physician and nurse time, and that the development of protocols can help set standards for the medical management of defined problems while providing a mechanism for rapidly creating a complete medical record which can be easily audited for conformance with standards.</p>","PeriodicalId":76030,"journal":{"name":"Journal of the American Venereal Disease Association","volume":"2 4","pages":"23-30"},"PeriodicalIF":0.0,"publicationDate":"1976-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11232594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Letter: Section reports of the International Traveling Seminar in the United States. Commentaries by American reviewers. Section 3. Legislation and finance.","authors":"A R Hinman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76030,"journal":{"name":"Journal of the American Venereal Disease Association","volume":"2 4","pages":"39-41"},"PeriodicalIF":0.0,"publicationDate":"1976-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12169365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Minocycline in the treatment of lymphogranuloma venereum.","authors":"C N Sowmini, K N Gopalan, G C Rao","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In a study of 80 cases of lymphogranuloma venereum (LGV), minocycline hydrochloride (Minocin) was found to be an effective drug in the treatment of all stages of LGV, including complicated ones. In late cases adjuvant treatment was used in addition to the antibiotic. Healing time in uncomplicated cases was less than 10 days. In complicated cases, both early and late, healing took about 2 to 3 weeks. Reactions to the drug were not significant.</p>","PeriodicalId":76030,"journal":{"name":"Journal of the American Venereal Disease Association","volume":"2 4","pages":"19-22"},"PeriodicalIF":0.0,"publicationDate":"1976-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12137168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D D Dexter, V G Cave, Y C Faur, M H Weisburd, M E Wilson
{"title":"Asymptomatic urethral gonorrhea among men in public New York City Social Hygiene Clinics.","authors":"D D Dexter, V G Cave, Y C Faur, M H Weisburd, M E Wilson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cultures were made from the urethra of 2,370 male Social Hygiene Clinic patients who were not directly associated with gonorrhea by signs, symptoms or epidemiology were cultured for N. gonorrhoeae. Of these asymptomatic individuals, 37 or 1.6% were found to be urethrally infected. Gram stain smear examinations of urethral specimens from these men were positive in about one-half of the cases.</p>","PeriodicalId":76030,"journal":{"name":"Journal of the American Venereal Disease Association","volume":"2 4","pages":"7-11"},"PeriodicalIF":0.0,"publicationDate":"1976-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11353319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G M Arsenault, C F Kalman, K W Sorensen, J D Craig
{"title":"The Papanicolaou smear as a technique for gonorrhea detection: A feasibility study.","authors":"G M Arsenault, C F Kalman, K W Sorensen, J D Craig","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76030,"journal":{"name":"Journal of the American Venereal Disease Association","volume":"2 4","pages":"35-8"},"PeriodicalIF":0.0,"publicationDate":"1976-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12008465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Gonorrhea in obstetric patients.","authors":"D E Jones, R G Brame, C P Jones","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76030,"journal":{"name":"Journal of the American Venereal Disease Association","volume":"2 3","pages":"30-2"},"PeriodicalIF":0.0,"publicationDate":"1976-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12429563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Antibody response to initial infection with Neisseria gonorrhoeae in young males.","authors":"J D Dyckman, W C Duncan, R D Wende, R P Williams","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76030,"journal":{"name":"Journal of the American Venereal Disease Association","volume":"2 3","pages":"25-9"},"PeriodicalIF":0.0,"publicationDate":"1976-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12429562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H H Handsfield, E R Alexander, S Pin Wang, A H Pedersen, K K Holmes
{"title":"Differences in the therapeutic response of chlamydia-positive and chlamydia-negative forms of nongonococcal urethritis.","authors":"H H Handsfield, E R Alexander, S Pin Wang, A H Pedersen, K K Holmes","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76030,"journal":{"name":"Journal of the American Venereal Disease Association","volume":"2 3","pages":"5-9"},"PeriodicalIF":0.0,"publicationDate":"1976-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11965210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sexually transmitted cancers? The case for genital herpes.","authors":"L Aurelian","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76030,"journal":{"name":"Journal of the American Venereal Disease Association","volume":"2 3","pages":"10-20"},"PeriodicalIF":0.0,"publicationDate":"1976-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11394074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Diagnosis of gonorrhea in women--Influence of the contraceptive pill.","authors":"M N Bhattacharyya, A E Jephcott","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76030,"journal":{"name":"Journal of the American Venereal Disease Association","volume":"2 3","pages":"21-4"},"PeriodicalIF":0.0,"publicationDate":"1976-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12429561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}