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简介：Sillsarecormnon;communityscreeningstudiesintheUKhaveshownprevalencesofabout10%forChlamydiaand12%forgenitalherpes.Inwomen,themorepotentiallyseriousinfectionssuchasgonorrhoeaandChlamydiaareoftenasymptorrkatic,whereasthepresenceofsymptormsuchasvaginaldisclmrgegenerallyindicatesalesspathogenic(bu!stillpotentiallydebilitating)infectionsuchasCandida.SHsareoftenmultiple,andthefindingofoneinfectionshouldpromptconsiderationoftestingforothers.

简介：Symptotm:thefollowingsymptoms,volunteeredbythepatientorelicitedthroughspecificenquiry,mayindicatethepresenceofanSTI.

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简介：AbstractObjective:To examine referral pattern, the timing of diagnostic/staging processes, and treatment initiation for new head and neck cancer patients in a community setting.Methods:Patients with a newly diagnosed previously untreated diagnosis of head neck cancer managed at Asplundh Cancer Pavilion/Abington Memorial Hospital from October 2018 to March 2020. Source of referral and preceding workup were examined as well as intervals between initial head and neck consult and various timepoints of treatment initiation.Results:One hundred and five patients were included in the study. The primary referral sources were external general otolaryngology (56.3%). Oral surgery and dermatology obtained tissue biopsy approximately 80% of the time before referral. The average time from the ordering of initial staging positron emission tomography/computed tomography to finalized results was 14 days (range: 10-25 days). Patients referred from dermatology and oral surgery were more likely to require single modality care, namely definitive surgical management. Time to treatment initiation average was 37 days (range: 29-41 days). Patients with longer treatment times noted significantly higher times to both radiation and medical oncology consults (48.42 vs. 18.13 days; P < 0.001).Conclusions:No notable differences in treatment initiation times were identified based on referral source or extent of workup performed before head/neck surgery consult. It appears the largest opportunities for improvement in terms of reducing overall treatment length exist in the optimization of radiation initiation time.

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简介：AbstractThe SARS-CoV-2 infection has brought a great challenge in prevention and control of the national epidemic of coronavirus disease 2019 (COVID-19) in China. During the COVID-19 epidemic, properly carrying out pre-examination and triage for patients with skin lesions and fever has become a practical problem encountered in hospitals for skin diseases and dermatology clinics in general hospitals. Some of the carriers of the SARS-CoV-2 and patients with COVID-19 in the early stage may not present with any symptoms of COVID-19, while certain other skin diseases can also cause fever. Therefore, to properly deal with the patients presenting at dermatology clinics, the Chinese Society of Dermatology organized experts to formulate principles and procedures for the pre-examination and triage of patients at dermatology clinics during the COVID-19 epidemic.

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简介：摘要：目的：探讨经肛门指诊下治疗女童阴道球形异物的取出效果。方法：回顾性分析于2010年9月至2018年10月期间在我院泌尿外科门诊就诊9例阴道球形异物女童，经肛门指诊辅助下取出异物，评估该治疗手段的治疗效果及安全性。结果：9例患儿有3例治疗前行镇静，其余6例在清醒状态下尝试肛门指诊取出异物，9例患儿均顺利取出异物且无阴道出血、裂口等情况。结论：经肛门指诊下治疗女童阴道球形异物是一种有效、安全的非创伤性治疗方案。

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