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      Sickle Cell Anaemia among Tharu Population Visiting the Outpatient Department of General Medicine of a Secondary Care Centre: A Descriptive Cross-sectional Study

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          ABSTRACT

          Introduction:

          Sickle cell anaemia is a global health issue in which a mutation of the 3-globin gene changes normal haemoglobin in sickle-shaped red blood cells. The objective of this study was to find out the prevalence of sickle cell anaemia among the Tharu population visiting the outpatient Department of General Medicine in a secondary care centre.

          Methods:

          A descriptive cross-sectional study was conducted among the Tharu population in the Department of General Medicine of a secondary care centre from 10 January 2020 to 10 June 2022. Ethical approval was taken from the Institutional Review Committee of the same institute (Reference number: 590/2076-077). A convenience sampling technique was used. Point estimate and 95% Confidence Interval were calculated.

          Results:

          Out of 409 patients, 60 (14.67%) (11.24-18.10, 95% Confidence Interval) had sickle cell anaemia. Among them, 45 (75%) patients had sickle cell trait and 15 (25%) patients had sickle cell disease.

          Conclusions:

          The prevalence of sickle cell anaemia was higher when compared to other studies conducted in similar settings. The government needs to emphasise more effort in diagnosing cases as well as increasing the testing centre.

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          Most cited references10

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          Screening for the sickle cell gene in Chhattisgarh state, India: an approach to a major public health problem.

          The aim of this study is to determine the feasibility of large-scale population screening for the sickle cell gene in high risk areas with limited resources. A programme designed to detect the sickle cell trait and sickle cell disease has screened 359,823 subjects among 2,087 (99.7%) of the villages in Raipur District, Chhattisgarh State, India between October 2007 and June 2010. Children aged 3-15 years were initially screened in the villages by solubility tests on fingerprick samples. Venipuncture was performed on subjects with positive solubility tests, and the samples were transferred to Raipur Medical College for alkaline haemoglobin electrophoresis. The sickle cell trait occurred in 33,467 (9.30%) and an SS phenotype in 747 (0.21%). The gene frequencies were not in Hardy-Weinberg equilibrium most likely due to a deficiency of the SS phenotype failing to enter the sampled population from either sickness or early death. Subjects with abnormal haemoglobin genotypes may factor this information into decisions regarding marriage and avoid the risks of having children with sickle cell disease. The techniques described may be a model for other developing societies with limited resources.
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            Sickle cell disease: A primary care update.

            Sickle cell disease (SCD) is the most common hemoglobinopathy in the United States and causes significant disease-related morbidity including multiorgan damage, chronic anemia, and debilitating pain crises. Primary care physicians play a key role in the medical home model of care for adults with SCD. This review focuses on current recommendations for health maintenance and provides a brief summary of disease complications and current updates.
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              • Record: found
              • Abstract: not found
              • Article: not found

              Trends in sickle cell trait and disease screening in the Republic of Uganda, 2014–2019

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                Author and article information

                Journal
                JNMA J Nepal Med Assoc
                JNMA J Nepal Med Assoc
                J Nepal Med Assoc
                JNMA
                JNMA: Journal of the Nepal Medical Association
                Journal of the Nepal Medical Association
                0028-2715
                1815-672X
                September 2022
                30 September 2022
                : 60
                : 253
                : 774-776
                Affiliations
                [1 ]Department of General Medicine, Bardiya Hospital , Gulariya, Bardiya, Nepal
                [2 ]Department of General Medicine, Kaushalya Memorial Hospital , Kohalpur, Banke, Nepal
                Author notes
                Correspondence: Dr Subhash Pandey, Department of General Medicine, Bardiya Hospital, Gulariya, Bardiya, Nepal. Email: subhash6084@ 123456gmail.com , Phone: +977-9841356891
                Article
                10.31729/jnma.7651
                9794936
                39d5f62b-65a5-4696-ad9a-72270585c833
                © The Author(s) 2018.

                This is an Open-Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Original Article

                epidemiology,sickle cell disease,sickle cell trait
                epidemiology, sickle cell disease, sickle cell trait

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