Suchergebnisse

By enhancing the survival of certain patients with inheritable disorders, advances in medical therapy have pro duced an apparent conflict between medical ethics and the natural laws governing the viability of humans. There has arisen considerable concern that the quality of the human gene pool will deteriorate if medicine succeeds in significantly alter ing the survival and reproductive fitness of individuals with deleterious genetic disorders which were heretofore selected against by nature. A review of the successful treatment cur rently used for phenylketonuria (PKU) is given as an example of therapy for a genetic disorder which will not significantly increase the gene frequency in the population. However, the disastrous and unexpected results of reproduction by phenyl ketonuric women dramatically illustrate the unforeseen prob lems that may arise from new therapeutic approaches. Ther apy that confers normal reproductive fitness on a previously incapacitating disorder inherited in a dominant manner will increase the future frequency of the disorder. Medicine is now in the early stages of implementing methods of efficient genetic counseling and prenatal diagnosis which will not only benefit the affected family but will hopefully lessen the impact of deleterious genetic diseases on future generations.

One hundred and ninety four elderly subjects were studied, 133 of whom were living away from their families, in the only old people's home and in the only psychiatric hospital in Kuwait. They were compared to 61 consecutive elderly subjects atten ding a psychiatric out-patient clinic. Psychiatric, social and clinical characteristics of subjects admitted and those living with their families were analysed and related to recent socioeconomic changes and conditions prevailing in Kuwait.Higher admission rates were significantly related to female sex, the widowed and single status and Kuwaiti and Bedouin nationalities. Low income or housing problems, poor relationships to their families and/or relatives, absence of an interested family member, a small number of own children, referral by family members on account of disabilities, organic brain syndromes or chronic psychiatric disorder was also associated with higher admission rates.Sixty four percent of the residents of the old people's home had psychiatric illnesses in spite of the official policy of excluding the mentally ill from admission.Some of the above mentioned characteristics were similar to findings in other coun tries, but others e.g. the role of nationality and location of residence in admission to institutions were different. Planning social and medical services in Kuwait should take these findings into account.

This is an exploratory study to examine the social and cultural determinants of the teaching of HIV/AIDS sex education among secondary school teachers in Eastern Nigeria. The research analyses how teachers perceive passing their knowledge of HIV/AIDS prevention measures to their students in the context of their cultural and social norms, which restrict open discussion of sex. This is a qualitative study based on in-depth interviews with 60 teachers drawn from secondary school teachers in Eastern Nigeria, supplemented with five focus group discussions, and content analysis of teachers' lesson preparatory notes. The findings show a high level knowledge of HIV/AIDS preventive measures among teachers. However, teachers are not passing on this knowledge because of cultural and social inhibitions. In addition, teachers have not been receiving adequate training and motivation on information, education and communication for HIV/AIDS sex education. The situation calls for serious policy intervention.