An integrative review of factors that influence reproductive decisions in women with sickle cell disease

Contraceptive use and sexual quality of life of patients with thalassemia in Northern Cyprus: a descriptive cross-sectional study

Objective

Although contraception methods are an important factor affecting sexual life, no literature has been recorded about the contraceptive methods used and the sexual life of thalassemia patients. The aim of this study is to document the effects of and preferences of contraception methods used in the sexual lives of patients with thalassemia.

Methods

The descriptive and cross-sectional study took place in Northern Cyprus at a Thalassemia Center in a State Hospital. The study sample consisted of 100 thalassemia major or intermedia patients. The data includes descriptive characteristics, the preference of contraception methods used by men and women and Sexual Quality of Life Questionnaires.

Results

Participants learned about contraception methods mostly from social media/internet, and 58.3% of the women and 46.2% of the men did not use any contraception method within the last year. Women's sexual quality of life score was 70.3±19.9 and men's Sexual Quality of Life score was 78.9±20.6. Women having knowledge of contraception methods had higher scores than man (p<0.05). Male patients not having physical exercise had sexual quality of life scores significantly lower than those who followed exercise programs (p<0.05).

Conclusions

Results indicate a significant need to include family planning and sexual health subjects that specifically address thalassemia patients.

The role of ethicists in pediatric hematology/oncology: Current status and future needs

As pediatric hematology/oncology (PHO) becomes more complex and sub-subspecialized, dedicated PHO ethicists have emerged as sub-subspecialists focused on addressing ethical issues encountered in clinical and research practices. PHO physicians and other clinicians with advanced training in bioethics contribute to the field through ethics research, education, and ethics consultation services. Furthermore, there exists a newer generation of PHO trainees interested in bioethics. This review details the experiences of current PHO ethicists, providing a blueprint for future educational, research and service activities to strengthen the trajectory of the burgeoning sub-subspecialty of PHO ethics. Creating an American Society of Pediatric Hematology/Oncology (ASPHO) ethics Special Interest Group, enhancing clinical ethics education for pediatric hematologists/oncologists (PHOs), developing multi-institutional research collaborations, and increasing attention to ethical issues germane to nonmalignant hematology will serve the interests of the entire field of PHO, enhancing the care of PHO patients and careers of PHOs.

Screening on prenatal infections in the South and Southwest macro-regions in the State of Bahia, Brazil: detected on paper filter

Abstract Objectives: to estimate the detection rate on prenatal screening pathologies on paper filter in the South and Southwest in the State of Bahia, as well as to delineate the epidemiological profile of these pregnant women, calculate and estimate the rate of adherence and the coverage of the Program. Methods: a descriptive study was carried out from August 2013 to August 2015, and the data were obtained from the Labimuno/ICS/UFBA. Results: 64,743 pregnant women were included; the mean ages were 25 years for the Southwest macro-region and 23 for the South. The results on the screening tests showed positivity of 0.13% and 0.29% for HBsAg, 0.17% and 0.22% for cytomegalovirus, 0.07% and 0.09% for HCV, 0.13% and 0.38% for HTLV, 0.04% and 0.19% for HIV, 1.2% and 2.84% for syphilis, and 0.54% and 0.73% for toxoplasmosis in the Southwest and South macro-regions, respectively. The estimates on coverage were considered satisfactory. Sickle cell anemia showed positivity of 0.02% and of 0.04% and 5% and 6.3% presented sickle cell trait in the Southwest and South macro-regions, respectively. Conclusions: the frequencies of infections in maternal-fetal health were considered low, highlighting on syphilis and the presence for sickle cell trait.