Contact tracing for gonorrhoea in homosexual and heterosexual men.

We aimed to determine whether the success of partner notification for gonorrhoea in men was affected by sexual orientation. Analysis of standard clinic and health adviser records of all male patients found to be infected with gonorrhoea between October 1992 and September 1993 were carried out. Of the 278 cases of gonorrhoea in men, 9% (25) were acquired through homosexual intercourse and 91% (253) by heterosexual contact.

Workforce dilemmas: a comparison of staffing in a generalist and a specialist intensive care unit.

Intensive care units are arguably one of the most costly resources a hospital has to maintain in terms of nursing staff, skills and technology. Given that the Government's agenda on quality remains one of obtaining cost-effective healthcare, it is imperative that nursing managers consider the implications of the new policy shift for how they currently provide services. The purpose in this paper is to compare the different staffing levels adopted by managers in generalized and neurosurgical intensive care in an acute hospital trust.

Long-term follow-up of juvenile-onset cutaneous polyarteritis nodosa associated with streptococcal infection.

Polyarteritis nodosa (PAN) is a multisystem inflammatory disease associated with necrotizing vasculitis of small and medium arteries. Although predominantly an adult disease, PAN is well described in children. It can occur in a systemic form with manifestations in skin, joints, heart, nervous system, gastrointestinal tract, lungs and kidneys, and a limited form in which disease is confined to the skin, muscles, joints and peripheral nerves.

Neurofibromatosis masquerading as monoarticular juvenile arthritis.

A 3-yr-old boy presented with a monoarthritis. Persistence of the condition and some unusual features led to re-evaluation of the original investigations, when a diagnosis of extensive plexiform neurofibroma involving his right leg was made. This previously unreported presentation of neurofibromatosis is discussed.

Angiotropic lymphoma: report of a case with histiocytic features.

Angiotropic lymphoma, also known as intravascular lymphomatosis, is characterised by widespread intravascular proliferation of malignant lymphoid cells, usually without evidence of focal disease. A case of a 52 year old man referred for investigation of a two year history of pyrexia of unknown origin, skin rash and multiple organ failure is described. Angiotropic lymphoma was seen in gastric, colonic and skin biopsy specimens, and review of an earlier skin biopsy specimen showed similar morphological features.

Limiting the spread of genital herpes.

In many western countries, successful control of bacterial sexually transmitted diseases (STDs) has contrasted with an increase in the prevalence of viral STDs. The continued increase in clinical and subclinical genital herpes infections is of particular concern because of the implications for the risk of coincident spread of human immunodeficiency virus infection. Advances in knowledge of the epidemiology and natural history of genital herpes must be the basis of renewed educational efforts targeted at the general public, healthcare professionals, as well as infected persons.