eLetters

73 e-Letters

published between 2006 and 2009

  • Timing of chlamydia tests
    Carolyn E Rigg

    Dear Editor,

    In the editorial Focus on chlamydia(1), screening of asymptomatic individuals to prevent transmission and adverse consequences of chlamydia was discussed. We wish to raise the issue of uncertainty around the appropriate timing of chlamydia tests in relation to exposure.

    The National Chlamydia Screening Programme (NCSP) Core Requirements (3rd Edition) states ‘There is no data on the use of nucle...

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  • Assessing anal intercourse and blood exposures as routes of HIV transmission in Mombasa, Kenya
    John J Potterat

    Dear Editor,

    The report by Grijsen and colleagues documenting the high frequency of unprotected receptive anal intercourse (RAI) in young Kenyans at high risk for HIV infection (1) is a welcome contribution to the small but growing number of studies investigating RAI as a specific risk for HIV in sub-Saharan Africa (2-7). Their study, however, presents us with yet another anomaly unlikely to be resolved by the assessme...

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  • Don't tell, don't ask?
    Elizabeth Pisani

    Dear Editor,

    I was pleased that the authors suggested that missed opportunities for early diagnosis could be reduced by tackling the problem from both the patient and the provider side. They note:

    "From a patient perspective, the likelihood of future diagnosis could be improved by encouraging at-risk groups (for example, MSM) to access health care when they experience symptoms of seroconversion or followi...
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  • The KC60 and the future
    John G Evans-Jones

    Dear Editor,

    What will become of the KC60? In the October 2007 edition of this journal. Hughes et al (1) reported on the KC60 returns from genitourinary medicine (GUM) clinics for 2006. They comment in their conclusion that diagnoses made outside GUM are not included, which is clearly a major deficiency if we are using the KC60 as an epidemiological surveillance tool.

    Some community data does find a way in....

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  • Missed opportunities for diagnosing primary HIV infection - A response
    Surinder Singh

    Dear Editor,

    We agree with the authors of this paper (1) that improved awareness of Primary HIV Infection is of great importance in all areas of medical practice. Nevertheless we feel that there are some observations we wish to make.

    In a relatively small study such as this recall bias is likely to influence the findings. Although this point is discussed this bias means that the interpretation of results re...

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  • Re: Are serological chlamydia specific markers useful to detect asymptomatic cases of LGV proctitis?
    Eric M. van der Snoek

    Dear Editor,

    Recently we concluded that an elevated IgA antibody response and the age of the infected individual (a total sum score of seven times IgA titre plus individual's age greater than or equal to 50.0) appeared to be of diagnostic value for (early) detection of LGV proctitis.1 Statistical analyses showed that the use of this total sum score had high diagnostic accuracy. As published previously, over 85% of th...

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  • The difference may be due to DHEA levels...
    James M. Howard

    Dear Editor,

    In 1985, I first suggested that vulnerability to AIDS and homosexuality may result from low DHEA. The first reports of low DHEA in AIDS appeared in 1989.

    On average, DHEA is lower in male homosexuals than heterosexual men. I suggest that the continual loss of DHEA of AIDS actually produces the symptoms of AIDS.

    Since there is overlap in DHEA levels, there should be some vulnerability...

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  • Screening for syphilis during pregnancy in Nigeria: a practice that must continue
    Abayomi A. Opaneye

    Dear Editor,

    Screening for syphilis during pregnancy in Nigeria: a practice that must continue We read with interest the report from Osogbo in Nigeria (1). In our opinion and experience, we agree that this practice should not only continue but be improved upon. In a similar study on pregnant women done in Lagos, Nigeria (2), the incidence of positive syphilis test was about 3%. Serology for other possible sexually trans...

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  • Are serological chlamydia specific markers useful to detect asymptomatic cases of LGV proctitis?
    Henry J de Vries

    Dear Editor,

    Recent reports on lymphogranuloma venereum (LGV) proctitis in men who have sex with men (MSM) have highlighted that affordable diagnostics for both symptomatic as well as asymptomatic LGV infections are urgently needed. 1,2 LGV responds well to extensive antibiotic treatment but when untreated LGV can cause chronic or irreversible complications because of severe inflammation and invasive infection.3...

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  • The role of inequality and culture
    Rizaldy Pinzon

    Dear Editor,

    Violence against women is a global problem, and rates in Southeast Asia is high enough.Patriarchy culture take a part for this condition. The culture is also contribute to the situation. Gender inequality is especially visible in developing countries. Women and girls often have less information and access to services, especially in rural areas. Girls make their sexual debut early, either through early ma...

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