Screening for Chlamydia trachomatis

Abstract

Subjecting infants to low oxygen concentrations seems unethical Editor-The ethics of Parkins et al's study depend partly on whether there is any potential benefit to the infants from the experiment. 1 If parents subject their infant to low oxygen concentrations in an aeroplane they take a risk which is balanced against the benefit of air travel. Unless there is some real prospect of identifying infants at risk and offering useful protection against the sudden infant death syndrome, it seems to me to be unethical to subject those infants to the risk of exposure to low oxygen concentration. The fact that some of the families had previously experinced the loss of a child may have increased the likelihood of compliance. This makes me even more worried about the ethics of the study.

The New Hite Report: Shere Hite. pound12.99; Pp 667. London: Hamlyn, 2000. ISBN 0-600-60116-1.

“…Vulval basal cell carcinoma presenting as culture negative genital herpes has been reported. 4 In our case the carcinoma was culture positive for HSV; this may have been due to new infection or to reactivation of pre-existing HSV in the presence of malignancy. This case highlights the need for biopsy of herpetic lesions which fail to respond to standard therapy.…”

“…[1][2][3][4] Clinically, it may present as superficial ulcers of the penis or tuberculous cavernositis. 2 Papulonecrotic tuberculide, a form of cutaneous tuberculosis, represents an allergic reaction to bursts of antigens reaching highly immune skin following haematogenous spread from an internal focus.…”

“…Under these circumstances, it needs to be diVerentiated from atypical soft sore, syphilis, recurrent herpes simplex, and malignant ulcer. 4 The diagnosis of such cases rests on biopsy, tuberculin testing and, in doubtful cases, a therapeutic test is usually decisive. [1][2][3][4] The possibility of tuberculosis as a cause of chronic ulcer on the penis has to be kept in mind especially in countries like India, where tuberculosis is still prevalent.…”

“…4 The diagnosis of such cases rests on biopsy, tuberculin testing and, in doubtful cases, a therapeutic test is usually decisive. [1][2][3][4] The possibility of tuberculosis as a cause of chronic ulcer on the penis has to be kept in mind especially in countries like India, where tuberculosis is still prevalent. Attitudes to lesbians and homosexual men: medical students care EDITOR,-We read with interest the article by Fethers and colleagues on STIs and risk behaviours in women who have sex with women (WSW) and the accompanying editorial by Marrazzo.…”

“…Homophobia is recognised as a barrier to accessing health care. 4 We wish to report encouraging attitudes among the majority of medical students but forewarn colleagues of the potential for diYculties with attitudes in a minority of medical students. Over the past 3 years we have administered the "Attitudes to lesbians and gay men" questionnaire 5 to final year medical students at St Bartholomew's and the London Medical School as part of core teaching on "sexuality and sexual health," in order to promote discussion.…”