Sickle Cell Disease As A Public Health Problem In Brazil [a Anemia Falciforme Como Problema De Saúde Pública No Brasil.]

Sickle cell anemia is the most prevalent hereditary disease in Brazil. However, the Brazilian literature registers no investigations into the public health aspects of the disease. This present study investigates the way of life of 80 adult patients (49 women and 31 men) with a diagnosis of sickle cell anemia, at a blood center in Brazil. The late diagnosis of the disease was one of the most significant aspects observed in this group of patients. It was also observed that the dominant problem faced by adult patients with sickle cell anemia is of an economic nature, mainly due to lack of professional opportunities. However, patients can well undertake economic activities under adequate medical supervision, according to their own limitations and potentialities. The psychotherapeutic orientation was well accepted by patients regardless of sex. It is concluded that there exists need for the establishment of community programs for early diagnosis and medical, social and psychological orientation for sickle cell anemia patients in Brazil.271545

Family characteristics of Indian parasuicide patients : a controlled study

In this article a controlled study of the family structure of a South African Indian parasuicide population is described. Twenty subjects from a local general hospital were scored on the Suicidal Intent Scale (SIS) and the Family Assessment Device (FAD). Twenty matched medical patients without a history of parasuicide were selected from the same hospital as a control group. They were matched for age, sex, educational standard, ethnic group and socio-economic status. All subjects were scored on the Family Assessment Device (FAD). Subjects from both groups were re-tested between six to eight weeks after the initial assessment. Analyses of variance indicated significant differences between the two groups on indicators of family interactional pathology. This seems to be compounded by family stresses emanating from socio-cultural transition. The results of the study support the view that family therapy should be implemented in the treatment of parasuicide. The unique population under study provides cross-cultural data relevant to parasuicide research and invites possibilities for further investigationPeer reviewe