Helpful and challenging support encounters in the aftermath of HPV infection and diagnosis.

Infection and diagnosis with HPV create significant support needs, yet the support experiences and evaluations of women with HPV remain unexplored. This study identified supportive communication behavior perceived as helpful or problematic by women with HPV. Interviews with 25 participants revealed that women find it helpful when supportive others: (a) provide reassurance, information, and validation; (b) attend appointments; (c) facilitate reappraisals; and, (d) listen. Findings also highlighted support challenges, such as disclosure difficulties and problems locating and accessing support groups. The discussion focuses on explanations for and implications of variations in enacted support quality for women with HPV and others managing chronic illnesses.

Experienciando a gravidez com papillomavirus humano: um estudo de caso / Experiencing pregnancy with human papillomavirus: a case study

Trata-se de um estudo de caso, tendo como referencial teórico o Modelo Calgary de Avaliação de Famílias(MCAF). Os objetivos foram compreender a experiência de uma gestante com condilomatose vulvar ocasionadapelo Papillomavirus Humano (HPV) e conhecer as alterações na dinâmica familiar após a gestante ter diagnósticoclínico e laboratorial de HPV. O estudo foi realizado em uma instituição de referência em ginecologia em Fortaleza,Ceará. A coleta de dados se deu de outubro de 2003 a abril de 2004. Os dados foram analisados a partir do MCAF,sendo traçados seis eventos “desenvolvimentais”, evidenciando que a gestante passou por intenso sofrimentoemocional, ocasionado pela gravidez e a infecção pelo HPV, e físico, devido às várias cirurgias que realizou; fatosque alteraram a dinâmica familiar.

Cryotherapy for treatment of anogenital warts.

Human papillomavirus is a group of viruses that produce anogenital warts for which there is no cure. Untreated anogenital warts can spread and form large clusters that are bothersome, painful, and embarrassing to the patient as well as being a significant health risk. One of the infectious disease clinics of the authors' hospital sees an average of 200 HIV-positive individuals per month. Approximately 10% of these patients have anogenital warts. The attending physicians asked the clinical nursing staff if they would be willing to be trained to remove these warts using cryotherapy techniques, if patient efforts at other remedies failed. This request provoked a decision-making challenge for the staff. This article will describe the decision-making process and conclude with the procedure that was created as a result of the decision making.

Laryngeal papillomas in infants and children. Relationship to maternal venereal warts.

A variety of studies has been directed at establishing the association between human papillomavirus (HPV), as manifested in the adult as a sexually transmitted disease, and laryngeal papillomas found in infants and children. In spite of substantial evidence for the transmission of HPV from women to their infants during childbirth, this association remains unknown to most clinicians in the specialty areas of childbearing and pediatrics. Nurse-midwives find evidence of venereal warts in 1% to 35% (1) of their pregnant clients, depending upon the subpopulation under consideration. A potential sequela of this common gynecologic finding is the growth of papillomas in the larynx of infants who are born to these women. Such growths are not immediately apparent and may be quite difficult to diagnose when they usually become symptomatic, between the ages of two and five years. Clinical symptoms are similar to pediatric findings in croup, asthma, and common upper airway infections. Education of both clinicians and patients regarding potential risks to progeny of infected adults will serve to guide diagnostic attempts in the pediatric population.

Chlamydia and condylomata acuminata: an update for the nurse practitioner.

The number of cases of the sexually transmitted diseases chlamydia and condylomata acuminata continues to increase. An overview of the diagnosis, treatment, possible disease sequelae, and patient education is presented as an update for the nurse practitioner.