Documente Academic
Documente Profesional
Documente Cultură
SEXUALA
According to
Freud, along with
aggression, sex
is what drives
every action.
Humanity, like
every other
being on the
planet has an
ever present
urge to
reproduce.
SEX
IUBIRE
INSTINCT
COMITTMENT
UMAN VERSUS ANIMAL
MALADII??
INFECTII??
FIZIC??
PSIHIC??
COMPORTAMENTAL??
FIZIOLOGIC
PATOLOGIC
CONDITIONAT/NECOND
ITIONAT
DOVADA IUBIRII
MAXIME ESTE
CAPACITATEA DE A
RENUNTA LA
PERSOANA IUBITA
SEXUL SI RELIGIILE
Intr-o lume in
care
sexualitatea
tinde
sa
devina
unul
dintre cele mai
importante
sisteme
de
referinta,
devine
aproape
un
stereotip
sa
analizezi acest
concept
din
punct
de
vedere moral.
Baptism
Catolicism
Sex intre/cu minori Aspru
condamnat
Sex premarital Aspru condamnat
Sex extraconjungal Aspru
condamnat
Divort Aspru condamnat
Masturbare Inacceptabil din
punct de vedere moral
Avort Aspru condamnat
Contraceptie Aspru condamnat
Orientare homosexuala Pozitie
neclara sau neutra
Sex homosexual Aspru
condamnat
Metodism
Sex intre/cu minori Inacceptabil din punct de vedere
moral
Sex premarital Inacceptabil din punct de vedere moral
Sex extraconjungal Inacceptabil din punct de vedere
moral
Divort Acceptabil din punct de vedere moral
Masturbare Pozitie neclara sau neutra
Avort Pozitie neclara sau neutra
Contraceptie da
Orientare homosexuala Acceptabil din punct de vedere
moral
Sex homosexual Aspru condamnat
Ortodoxie
Islamism
Iudaism
CE CONSIDERAM
BOALA/INFECTIE/AFECTIUNE SEXUAL
TRANSMISA?
FIZIC
PSIHIC
EMOTIONAL
COMPORTAMENTAL
MINTEA/IMAGINATIA UMANA SA FIE DE
VINA?
History
Sexually transmitted diseases (STDs)
have been known since antiquity:
gonorrhoea was certainly described by
the ancient Egyptians, and was
recognized by Greek and Roman
medical writers.
The prevalence and spread of these
diseases was exacerbated by war or
other travel, and the rise of city
dwelling, with the concomitant
increase of people living in close
proximity to each other.
By the Middle Ages both gonorrhoea
and syphilis were widespread.
One view, by no means unchallenged,
was that syphilis was brought to
Europe by Christopher Columbus'
sailors on their return from the New
World.
The main orthodox treatment for syphilis from the Middle Ages until the early years of the
twentieth century consisted of the application of a mercury ointment, a favourite treatment
for skin lesions.
But sufferers from the disease were particularly susceptible to the blandishments of quacks
and charlatans, and many successful businesses profited during the seventeenth through
to the twentieth centuries from selling useless remedies.
In the middle of the nineteenth century a French physician, Philippe Ricord (1799-1889),
convincingly demonstrated the differentiation of the two main STDs and determined the
three stages primary, secondary, and tertiary of syphilis.
Shortly afterwards Rudolph Virchow (1821-1902) established that syphilis was spread
through the body by the blood, explaining the known cardiovascular, muscular, and
psychiatric complications.
At the turn of the twentieth century up to a third of inmates in mental asylums were
reckoned to be suffering form tertiary syphilis.
Known risks
Possible
Herpes
HPV[7]
Throat gonorrhea[6]
Throat chlamydia [6]
Chlamydia
Gonorrhea[6]
Herpes
Syphilis[6] (1%)[8]
HPV
Herpes
HPV
Bacterial Vaginosis[6]
Gonorrhea[6]
Vaginal sexman
Chlamydia (3050%)[9]
Crabs
Scabies
Gonorrhea (22%)[11]
Hepatitis B
Herpes (0.07% for HSV-2)[12]
HIV (0.05%)[10][12]
HPV (high: around 40-50%)[13]
Syphilis
Trichomoniasis
Hepatitis C
Vaginal sexwoman
Chlamydia (3050%)[9]
Crabs
Scabies
Gonorrhea (47%)[14]
Hepatitis B (5070%)
Herpes
HIV (0.1%)[10]
HPV (high;[9] around 40-50%)[13]
Syphilis
Trichomoniasis
Hepatitis C
Anal sexinsertive
Anal sexreceptive
Anilingus
Chlamydia
Crabs
Scabies (40%)
Gonorrhea
Hepatitis B
Herpes
HIV (0.62%)[16]
HPV
Syphilis (14%)[8]
Chlamydia
Crabs
Scabies
Gonorrhea
Hepatitis B
Herpes
HIV (1.7%)[16]
HPV
Syphilis (1.4%)[8]
Amebiasis
Cryptosporidiosis (1%)
Giardiasis
Hepatitis A (1%)
Shigellosis (1%)
Hepatitis C
Hepatitis C
HPV (1%)
Bacterial
Chancroid (Haemophilus ducreyi)
Chlamydia (Chlamydia trachomatis)
Gonorrhea (Neisseria gonorrhoeae), colloquially known as "the
clap"
Granuloma inguinale or (Klebsiella granulomatis)
Syphilis (Treponema pallidum)
Fungal
Candidiasis (yeast infection)
Viral
Micrograph showing the viral cytopathic effect of herpes (ground
glass nuclear inclusions, multi-nucleation). Pap test. Pap stain.
Viral hepatitis (Hepatitis B virus)saliva, venereal fluids.
(Note: Hepatitis A and Hepatitis E are transmitted via the
fecal-oral route; Hepatitis C is rarely sexually transmittable, and the
route of transmission of Hepatitis D (only if infected with B) is
uncertain, but may include sexual transmission
Herpes simplex (Herpes simplex virus 1, 2) skin and mucosal,
transmissible with or without visible blisters
HIV (Human Immunodeficiency Virus)venereal fluids, semen,
breast milk, blood
HPV (Human Papillomavirus)skin and mucosal contact. 'High risk'
types of HPV cause almost all cervical cancers, as well as some
anal, penile, and vulvar cancer. Some other types of HPV cause
genital warts.
Molluscum contagiosum (molluscum contagiosum virus MCV)
close contact
Parasites
Crab louse, colloquially known as "crabs" or "pubic lice" (Pthirus
pubis)
Scabies (Sarcoptes scabiei)
Protozoal
Trichomoniasis (Trichomonas vaginalis), colloquially known as
"trich"
BE PREPARED FOR
EVERYTHING
YOU MAY ENCOUNTER:
NUNS, PRIESTS, SEXUAL
WORKERS, ACTORS,
POLITICIANS, BANKERS
ETC
PAY ATTENTION TO YOUR
MIMIC/VERBAL/NONVERBA
L COMMUNICATION
CONFIDENTIALITY: FAMILY,
PRESS, COLLEAGUES,
FRIENDS, ENEMIES ETC.
ANAMNESIS
THOROUGHFULL
DETAILLED
UNPERSONAL
APPROACH: LIFE
PARTNER
PROTECTED/UNPROTE
CTED SEXUAL
INTERCOURSE
PAY ATTENTION TO
DIFFERENT MEANING
OF TIME: LONG TIME
VERSUS SHORT TIME
ANAMNESIS
ANAMNESIS IN ITS
MEANS ASKING
ABOUT ALL
INVOLVED
PERSONS
YOU CANT TAKE
AN ITS THROUGH
THE TOILET LID
MORE THEN 2
PHYSICAL EXAINATION
SEPARETELY FOR
ALL INVOLVED
PARTIES
HUSBAND/
WIFE/LOVERS/CON
CUBIN(E)
ALL NATURAL
CAVITIES
CUTANEOUS AREAS
SCALP
CUTANEOUS
GENERAL:
EXANTHEMATOUS RASH
MACULO-PAPULAR LESIONS
LYMPHADENOPATHY
SYMPTOMS:
ASYMPTOMATIC
VAGINAL/URETRAL
PAIN, PRURITUS,
SENSATION OF
BURNING
DISCHARGE
FEVER
MALAISE
In the 1980s, first genital herpes and then AIDS emerged into the public
consciousness as sexually transmitted diseases that could not be cured by
modern medicine.
AIDS in particular has a long asymptomatic periodduring which time HIV
(the human immunodeficiency virus, which causes AIDS) can replicate and
the disease can be transmitted to othersfollowed by a symptomatic
period, which leads rapidly to death unless treated. HIV/AIDS entered the
United States in about 1969 likely through a single infected immigrant from
Haiti.
Recognition that AIDS threatened a global pandemic led to public
information campaigns and the development of treatments that allow AIDS
to be managed by suppressing the replication of HIV for as long as possible.
Contact tracing continues to be an important measure, even when diseases
are incurable, as it helps to contain infection.
STRENGTS IN ITS
MANAGEMENT
KNOWN (IDENTIFIED)
DISEASES
KNOWN TREATMENT
HIGH VALUE
EPIDEMIOLOGICAL DATA
HIGH LEVEL OF
AWARENESS
GOOD EDUCATIONAL
CAMPAIGN
GOOD PREVENTIVE
MEASURES
VACCINATION?
WEAKNESS IN ITS
MANAGEMENT
ECONOMICAL CRISIS: LACK OF
OPPORTUNITIES IN ITS
MANAGEMENT
RISING AWARENESS
EDUCATIONAL
CAMPAIGNS: ITS CAN BE
TRANSMITTED BY ORAL
CONTACT
DEVELOPING NEW
ANTIBIOTICS
MONEY FUNDING
STRATEGIES
PUBLIC HEALTH POLICIES
FOR UNDERDEVELOPED
COUNTRIES
THREADS IN ITS
MANAGEMENT
THE POWER OF LOVE
AND THE WEAKNESS OF
THE HUMAN MIND: THE
NEW RESTLESS AGE
(SEVERAL PARTNERS,
CONCUBIN/E, THE WEAK
MODEL OF THE CLASICAL
FAMILY, THE WEAK
CHURCH)
DEVELOPING RESISTANCE
TO ANTIBIOTICS
THE AGING CONCEPT
In February 2013, CDC published two analyses that provide an in-depth look at
the severe human and economic burden of sexually transmitted infections (STIs)
in the United States.
CDCs new estimates show that there are about 20 million new infections in the
United States each year, costing the American healthcare system nearly $16
billion in direct medical costs alone.
Americas youth shoulder a substantial burden of these infections. CDC estimates
that half of all new STIs in the country occur among young men and women.
In addition, CDC published an overall estimate of the number of prevalent STIs in
the nation. Prevalence is the total number of new and existing infections at a
given time.
CDCs new data suggest that there are more than 110 million total STIs among
men and women across the nation. CDCs analyses included eight common STIs:
chlamydia, gonorrhea, hepatitis B virus (HBV), herpes simplex virus type 2 (HSV2), human immunodeficiency virus (HIV), human papillomavirus (HPV), syphilis,
and trichomoniasis.