CognitiveLoadTheory：认知负荷理论

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1、PREMARITALCOUNSELING&TESTSDr.SyedIrfankarimAssistantProf.&ConsultantFamilyPhysicianDeptofFamily&Com.MedicineKingSaudUniversityWhatispremaritalcounseling.WhoareCarrier’sandtheirfates.HowtointerprettheTESTS.Whatisasuccessfulcounseling.OutlineofpresentationPremarital

2、counselingisatypeofadvicethathelpscouplesprepareformarriage.Premaritalcounselingcanhelpensurethatbothspouseswouldhaveastrong,healthyrelationship—givingthemabetterchanceforastableandsatisfyingmarriage.WhatispremaritalcounselingBackground:Geneticdisordersparticularl

3、yHemoglobinopathieslikeThalasemia&SicklecellanaemiaarefairlycommoninSaudiArabia,particularlyineasternandsouthernregion.AhighprevalenceofCarrierstatuswasreportedpredominantlyintheeasternandsouthwesternregionsofSaudiArabia.WhatisthepremaritalscreeningprogramIn2004th

4、eSaudiMinistryofHealthimplementedamandatorypremaritalscreeningprogramtodecreasetheincidenceofthesegeneticdisordersinfuturegenerations.In2008thistestwasupdatedtoincludemandatoryscreeningforHBV,HCVandHIV.Thisnewprogramwasnamed“programofhealthymarriage”.premaritalscr

5、eeningprogramCompleteBloodCount.Sicklecelltest.Hemoglobinelectrophoresis.HBsAg.Anti-HCV.HBVscreeningbyELISA..HCVscreeningbyELISA.Anti-HIV.HIV-ConfirmationbyWesternblotMethod.WhataretheTESTSPerformedAnysuccussesfulscreeningprogrammustcomplywith:prevailingcultureeth

6、nicvalues.Economicvalues.Societalvalues.Pre-requisiteofascreeningprogramTheseareautosomalrecessiveinheritablehaemoglobinopathies.CommoninsomeregionsofSaudiArabia.Theseareincurabledisordersandcausessignificantmorbidityandmortality.Thisimposesaheavyfinancialburdenon

7、thesociety.WhytoincludehemoglobinopathiesinpremaritalScreeningProgramAsimplebloodtestcandetectCARRIERSofthesedisorders.ThefuturecouplescouldbeinformedabouttheirchancesofproducingaffectedchildrenHowScreeningtestscanhelpThesediseasesarenowprevalentinepidemicproporti

8、on.Theycanbeeasilytransmittedtosexualpartnersandtonewborns.Theyarenotcurable.Themortalityandmorbidityratesarehigh.WhytoincludeHIV/HBV/HCVinpremaritalSc