Working Women Are they getting enough Julie Ledger

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Working Women: Are they getting enough? Julie Ledger Health Adviser Withington Hospital. Manchester

Working Women: Are they getting enough? Julie Ledger Health Adviser Withington Hospital. Manchester

Background • Increased incidence of gonorrhoea & chlamydia in the north west of England

Background • Increased incidence of gonorrhoea & chlamydia in the north west of England • Sex workers could be a major source of this infection • Sex workers were poor attenders to the health care services

Aims & objectives • Raise awareness of STI’s among sex workers. • Provide a

Aims & objectives • Raise awareness of STI’s among sex workers. • Provide a client focused service. • Hepatitis B vaccination • Contraceptive info/advice • Fast tracking into local GU clinics • Venereal Diseases Act applicable

Practitioner • • Minimum 5 years experience Able to undertake an appropriate history Provide

Practitioner • • Minimum 5 years experience Able to undertake an appropriate history Provide a triage assessment of need Contact tracing/partner notification where appropriate • Vaccination training

Recruitment • ‘Health club’ section of local Manchester paper • VERY DIFFICULT! • Initial

Recruitment • ‘Health club’ section of local Manchester paper • VERY DIFFICULT! • Initial visit with owner/person in charge • Owner awareness • Private room availability • No disclosure

Methodology • Eight massage parlours in the south of Manchester • Regular visits between

Methodology • Eight massage parlours in the south of Manchester • Regular visits between Jan 2001 & June 2001 by experienced nurse practitioner. • Screening for STI offered to all women. • Hepatitis B vaccination and sexual health advice. • Evaluation of service via questionnaire

Testing • Buccal swab for • Other tests Syphilis & HIV undertaken at practitioners

Testing • Buccal swab for • Other tests Syphilis & HIV undertaken at practitioners • Pharyngeal swab discretion for GC & chlamydia • Urine for chlamydia testing • Self inserted HVS for GC & other non STI’s

Results • • • All women aged between 19 -55 years 94 women screened

Results • • • All women aged between 19 -55 years 94 women screened (138) 10 HIV tests under taken. 3 referred for termination of pregnancy 7 ‘fast tracked’ into clinic for Dr review 67. 5% returned their questionnaires

Discussion • Despite the incidence of STI’s amongst these women being lower than previously

Discussion • Despite the incidence of STI’s amongst these women being lower than previously assumed, screening & treatment of this group is essential. • Alcohol and drugs were necessary for women to work. • Sexual health care was combined with primary care advice for this group.

Conclusion • Sexual health advice should be provided together with primary care advice where

Conclusion • Sexual health advice should be provided together with primary care advice where appropriate • Screening and early treatment of this group will help control/prevent the spread of STI’s • 52 women wished this service to continue

Everything you ever wanted to know about a sauna but were afraid to ask!!

Everything you ever wanted to know about a sauna but were afraid to ask!! • 11 am - 9 pm (last service 8. 30 pm) • Most relevant person = Receptionist • £ 40 per 1/2 hour - 1 st £ 40 to sauna - every other client = £ 25 to sauna (£ 15 to woman) • 1 hour session £ 70 - £ 20 to sauna (£ 50 to woman

Specific services!! • £ 85 ‘Lesbian love scene’ - £ 35 to each woman

Specific services!! • £ 85 ‘Lesbian love scene’ - £ 35 to each woman - £ 15 to sauna • Anal sex - negotiable with woman (£ 25+) • Water sports/reverse water sports negotiable with woman (£ 25 +) • Domination/submission - negotiable • Other activities!!? - negotiable

To obtain a copy of the report • bridgethughes 123@hotmail. com

To obtain a copy of the report • bridgethughes 123@hotmail. com

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Chapter 4 THE SIMPLE LEDGER 1 LEDGER ACCOUNTSChapter 4 THE SIMPLE LEDGER 1 LEDGER ACCOUNTS
HYPERLEDGER Fabric Ledger v 1 Data Architecture LedgerHYPERLEDGER Fabric Ledger v 1 Data Architecture Ledger
Chapter 5 1 Expanded Ledger The Expanded ledgerChapter 5 1 Expanded Ledger The Expanded ledger
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General Ledger GL Account 1GENERAL LEDGER 2FINANCIAL STATEMENTGeneral Ledger GL Account 1GENERAL LEDGER 2FINANCIAL STATEMENT
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