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syphilis

vr.tr.syphilis · thing-q41083

Let an agent explain syphilis in general terms, relay testing, treatment and prevention guidance from health authorities, describe its public health and historical significance including ethical failures in research, and route personal symptoms or results to clinicians and sexual health services.

Thing Registry Activities and processes ACT.ACT

Bundle → Layer → Finding → Questions Filled

4 bundles · 8 layers · 8 findings · 16 questions

Understand What syphilis is.

Course

Stages and transmission.

Course

Course.

  1. How is syphilis transmitted, and what happens in each stage if untreated? definition
  2. Is the user describing their own symptoms, which need a clinician? boundary

Recognise

Signs.

Recognise

Recognise.

  1. What signs characterise each stage, and how is it distinguished from other conditions? definition
  2. Which entry fits another sexually transmitted infection? action
Care Testing and treatment.

Testing

Testing.

Testing

Testing.

  1. Who should be tested according to guidelines, and how is testing accessed? provenance
  2. Which services provide testing locally? action

Treatment

Treatment.

Treatment

Treatment.

  1. What treatment do guidelines describe, and why is follow-up needed? provenance
  2. Is the presentation free of personal treatment advice? boundary
Prevent Prevention and public health.

Prevention

Prevention.

Prevention

Prevention.

  1. What prevention and partner notification measures do authorities recommend? provenance
  2. Which entry fits sexual health services? action

Congenital

Pregnancy and screening.

Congenital

Congenital.

  1. How is congenital syphilis prevented through antenatal screening? provenance
  2. Which entry fits antenatal care? action
History History and ethics.

History

History.

History

History.

  1. How did syphilis spread and how was it treated before antibiotics, with debates about origin attributed? provenance
  2. Which references are standard? provenance

Ethics

Research ethics.

Ethics

Ethics.

  1. What happened in the Tuskegee and Guatemala studies, and how did they change research ethics? provenance
  2. Is the presentation accurate and attributed? boundary

Classifiers Filled

Family
Thing Registry
Category
Activities and processes
Entry kind
thing
Plane
ACT
Domain
ACT.ACT
Other names and narrower kinds
syphilitic aortic aneurysm, neurosyphilis, secondary syphilitic hepatitis, bursa syphilis, syphilitic retrobulbar neuritis, syphilitic meningitis, asymptomatic neurosyphilis, syphilitic peritonitis, syphilitic pericarditis, congenital syphilitic encephalitis, meningovascular neurosyphilis, tertiary syphilitic meningitis

What it is Filled

A sexually transmitted infection caused by the bacterium Treponema pallidum, progressing if untreated through primary, secondary, latent and tertiary stages that can affect the skin, mucous membranes, heart, nervous system and other organs, and transmissible from mother to child in pregnancy; it is diagnosed by blood tests and cured by antibiotics, usually penicillin.

Why it exists Filled

Let an agent explain syphilis in general terms, relay testing, treatment and prevention guidance from health authorities, describe its public health and historical significance including ethical failures in research, and route personal symptoms or results to clinicians and sexual health services.

Distinguishing features Filled

  • Caused by Treponema pallidum
  • Staged course with latency
  • Curable with penicillin
  • Congenital transmission preventable by antenatal screening

What robots and AI may and may not do Filled

Must not

  • Diagnose syphilis in a person or advise on their treatment.
  • Disclose a person's diagnosis or status to anyone without their consent or a legal duty.
  • Shame or stigmatise people with the infection.
  • Suggest that untreated syphilis will resolve on its own.

Only with a human decision

  • Notifying partners or public health authorities about a case.

May

  • Explain syphilis, its stages, testing and treatment in general terms from health authorities.
  • Direct people to sexual health services for testing.

Moral aspects Filled

  • Stigma delays testing and treatment and lets the infection spread.
  • Congenital syphilis harms babies when antenatal screening is missed.

Who is affected

  • People with the infection
  • Their partners
  • Unborn children

Owners Filled

Steward

The patient for their own health; public health authorities run surveillance of notifiable cases.

Master systems

  • Notifiable disease surveillance systems

Links to other meta-models Filled

parent

  • Q1243869 - registry parent class
  • Q56369564 - registry parent class

related

  • sexually transmitted infection - the category
  • Treponema pallidum - the bacterium
  • penicillin - first-line antibiotic
  • yaws - a related treponemal disease

What else AI and robots need to interact with it Filled

Identity and identifiers required Filled

  • Vercy registry: vr.tr.syphilis
  • Wikidata: Q41083 (https://www.wikidata.org/wiki/Q41083)
  • ICD-10: A50-A53
  • ICD-11: 1A60-1A62

Direct properties not applicable Not applicable

  • incubation to primary stage: about 10-90 days - typically about three weeks
  • new infections: millions per year worldwide - WHO estimates

Plane ACT: no invented physical properties.

Recognition optional Filled

  • Painless chancre at the site of infection
  • Secondary rash often on palms and soles
  • Other treponematoses such as yaws are related but distinct infections
  • Not visible as an object; a painless sore in the primary stage, a rash in the secondary stage, and no signs in latency.

Capabilities and actions required Filled

  • explain stages and transmission in general terms
  • relay testing and treatment guidance from authorities
  • relay prevention and partner notification information
  • route personal questions to clinical services

Hazards and failure modes required Filled

  • Untreated progression to neurological and cardiovascular disease
  • Congenital syphilis from missed antenatal screening
  • Stigma delaying testing
  • Agents giving personal medical advice

Standards and interfaces required Filled

  • WHO guidelines on treatment and antenatal screening
  • National sexually transmitted infection guidelines
  • Notifiable disease reporting
  • Research ethics rules adopted after historical abuses

Context of use required Filled

  • Not applicable; a disease.
  • primary, secondary, latent and tertiary syphilis
  • neurosyphilis and ocular syphilis
  • cardiovascular syphilis
  • congenital syphilis
  • syphilis in pregnancy

Sources Filled

  1. Wikidata item Q41083: syphilis - identity and sense of the item
  2. Wikipedia: Syphilis - general description of the item

Open questions

  • Should congenital syphilis be a separate entry?
  • How should national guidelines be linked?
  • The registry entry has merged aliases for specific complications; should they be split off?

Machine files

Provenance

thing registry research (pass 2) · unreviewed

Built from: models/things/publications/thing-q41083/spec.json