Genetic disorders among Palestinian Arabs. 4: Genetic clinics in the community

Genetic disorders among Palestinian Arabs. 4: Genetic clinics in the community
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DOI:
10.1002/ajmg.a.31342
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发表时间:
2006-08-01
影响因子:
2
通讯作者:
Shalev, Stavit A.
Shalev, Stavit A.
中科院分区:
生物学3区
文献类型:
--
作者:
Zlotogora, Joel;Barges, Saleh;Shalev, Stavit A.

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以色列的阿拉伯人口中,遗传病很常见,主要是因为他们偏爱近亲结婚。许多遗传性疾病只在有限的地区或一个村庄发生。因此,在每个那些村庄中发现不同的遗传病分布并不奇怪;因此,详细了解每个村庄中存在的遗传病对于遗传咨询至关重要。作为这些观察的直接结果,开设了两个社区遗传学诊所,作为一个试点项目,研究它们对所服务人口的影响。计算机数据库的使用使遗传咨询更容易和更准确。自提供服务以来的4年期间,有近1 500次访问。这些年来,每个诊所的平均就诊次数有所增加,转诊类型也发生了变化。有越来越多的诊所是在遗传咨询允许一级预防的时候建立的。在村诊所中有一名遗传咨询师,这使他们能够与家庭医生进行更好和更密切的接触。(c)2006 Wiley-Liss,Inc.
Genetic disorders are frequent in the Arab population of Israel, mainly because of the preference for consanguineous marriages. Many of the inherited diseases are present with a high frequency only in a limited region or a single village. it is therefore not surprising that, in each of the villages, a different distribution of genetic diseases is found; thus, a detailed knowledge of the genetic disorders present in each village is of utmost importance for genetic counseling. As a direct consequence of these observations two community genetics clinics were opened as a pilot project to study their impact on the population to be served. The use of a computer database allowed for easier and more accurate genetic counseling. There were almost 1,500 visits in the 4-year period since the introduction of the services. During the years an increase in the mean number of consultations per clinic as well as a change in the type of referrals was observed. There was an increasing proportion of clinics that were made at a time in which genetic counseling allow for primary prevention. The presence of a genetic counselor in the village clinic allows for better and closer contacts with the family physician. (c) 2006 Wiley-Liss, Inc.