N. Rehab, Sahar Emira, Marwa Badr, Wael Shendy, Rania Tawfik
{"title":"EFFECT OF TRANSCRANIAL DIRECT CURRENT STIMULATION ON SLEEP DISORDERS IN PATIENTS WITH MULTIPLE SCLEROSIS","authors":"N. Rehab, Sahar Emira, Marwa Badr, Wael Shendy, Rania Tawfik","doi":"10.21608/niles.2024.275712.1082","DOIUrl":"https://doi.org/10.21608/niles.2024.275712.1082","url":null,"abstract":"Background : Sleep disorders are common in multiple sclerosis (MS) patients. These disturbances detrimentally impact both their physical and mental well-being, leading to increased difficulties in executing everyday tasks. To date, there is a lack of comprehensive research regarding the influence of transcranial direct current stimulation (TDCS) on sleep in MS patients. Purpose: This randomized controlled trial was conducted to assess the TDCS effect on sleep subjectively and objectively in MS patients. Setting: Outpatient Clinics of Center for Psychiatry, Neurology, and Neurosurgery, Tanta University. Methods: Thirty-eight female MS patients with remission and relapse course aging from 25 to 40 years were randomly assigned into two equal groups (study and control group). The study group received active TDCS plus selected physiotherapy program (diaphragmatic breathing exercise and relaxation technique) and the control group received sham TDCS plus the same selected physiotherapy program. The assessment of daytime sleepiness was conducted through the Epworth Daytime Sleepiness Scale (ESS), while the Pittsburgh Sleep Quality Index (PSQI) was employed to evaluate quality of sleep. Sleep was assessed objectively using Polysomnography (PSD) device. The following parameters were assessed objectively (sleep latency, arousal index, sleep efficiency and total time sleep). Evaluation of all variables took place pretreatment and posttreatment. Results: There were no statistically significant differences between both groups in pretreatment mean values of all measured variables. There were a statistically significant improvement in all measured variables in both groups after treatment. There were significant differences in all measured variables between both groups, favoring the study group. Conclusion: Transcranial direct current stimulation could be an excellent supplement to selected physiotherapy program in improving daytime sleepiness and quality of sleep in MS patients.","PeriodicalId":294863,"journal":{"name":"NILES journal for Geriatric and Gerontology","volume":" 58","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140391953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"MYOSTATIN AS A POTENTIAL DIAGNOSTIC BIOMARKER IN ELDERLY PATIENTS WITH SARCOPENIA","authors":"marwa saad, Sekina Ahmed, Mahmoud Abdelmajeed, Reham Aboelwafa, Rana Emara","doi":"10.21608/niles.2024.275569.1081","DOIUrl":"https://doi.org/10.21608/niles.2024.275569.1081","url":null,"abstract":": Background: Sarcopenia is a condition characterized by loss of muscle mass, strength, and function in elders. Myostatin is a myokine, and a potent negative regulator of muscle growth. The purpose of this research is to assess the accuracy of serum myostatin as a predictor of Sarcopenia in elders and the effect on their daily life activities. The study involved 64 elderly patients aged 65 years and older; Group (I):32 sarcopenic patients, and Group (II):32 healthy controls of comparable age and gender. Participants with chronic renal, hepatic, or cardiac decompensation, DM, women on hormonal replacement therapy were excluded. Full history was taken from all participants along with thorough examination, anthropometric measurements, routine investigations, serum myostatin using ELISA, and SF-36 to assess quality of life. Sarcopenia was diagnosed using EWGSOP-2 criteria. Results: Sarcopenic patients had significantly lower ASMI, hand grip strength, and physical performance values (p<0.001). Serum Myostatin was significantly higher in sarcopenic patients compared to controls (32.73 ± 5.0 vs. 26.49 ± 6.44 IU/dl) (p<0.001). SF-36 scores were significantly lower in patients with Sarcopenia compared to controls (74.19 ± 5.04 vs 84.84 ± 3.33). Serum myostatin and SF-36 scores were negatively correlated in both studied groups (r= -0.345; p<0.001).Serum myostatin level more than 29 (IU/dl) has sensitivity of (87.5%) and specificity of (75%) in discriminating sarcopenic patients from healthy elders. Conclusion: serum myostatin is a possible blood-based biomarker for Sarcopenia prediction as well as quality of life assessment in such population. Further researches with more sample sizes are required to confirm our outcomes.","PeriodicalId":294863,"journal":{"name":"NILES journal for Geriatric and Gerontology","volume":" 27","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140392416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Elderly Patient Satisfaction toward Nursing Care Quality in Najran Hospitals at Najran City, KSA","authors":"Mugahed Al-khadher","doi":"10.21608/niles.2024.345745","DOIUrl":"https://doi.org/10.21608/niles.2024.345745","url":null,"abstract":"Background: Perceived patient satisfaction is one indicator to measure quality of the nursing care. Purpose : The present study aimed to assess patient’s satisfaction towards nursing care quality in Najran Hospitals at Najran city southern of Saudi Arabia. Methods : A descriptive cross sectional study design was conducted between Octobers to December 2019. The sample of the study consisted of 333 patients who admitted to the different hospital departments and voluntarily agree to partake in the study. Data were collected using a standardized questionnaire (Patient Satisfaction with Nursing Care Quality Questionnaire (PSNCQQ). It is rated on a 5-point Likert scale. The collected data were analyzed by statistical Package for social sciences (SPSS) version 23. Results: Of 333 participants in the present study. The main finding revealed that the proportion of overall satisfaction toward quality of nursing care was 250(75.08%) of participant were satisfied and 83 (24.92%) of participants were dissatisfied. Male patient 165(66.5%) more satisfied with nursing care than female 83(33.5). Married","PeriodicalId":294863,"journal":{"name":"NILES journal for Geriatric and Gerontology","volume":" 74","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140392127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Therapeutic Penetrating Keratoplasty For Treatment Of Active Resistant Corneal Infection","authors":"Rasha Mousa","doi":"10.21608/niles.2024.336866","DOIUrl":"https://doi.org/10.21608/niles.2024.336866","url":null,"abstract":"Purpose : To evaluate the surgical outcome of therapeutic penetrating keratoplasty (TPK) done for resistant corneal infection not responding to medical treatment. Setting","PeriodicalId":294863,"journal":{"name":"NILES journal for Geriatric and Gerontology","volume":"91 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140521913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Boughdady, Hossam Ghazi, Doaa Abd Elmawla, S. Ali
{"title":"Effect of Illness Perception and Medication Adherence on Self-Care Ability of Elderly Patients with Hypothyroidism","authors":"A. Boughdady, Hossam Ghazi, Doaa Abd Elmawla, S. Ali","doi":"10.21608/niles.2024.320452","DOIUrl":"https://doi.org/10.21608/niles.2024.320452","url":null,"abstract":"Background: Hypothyroidism is a prevalent endocrine disorder among elderly individuals. Attaining an optimal level of self-care ability is a vital component of integral nursing management. Aim: Determine the effect of illness perception and medication adherence on self-care ability of elderly patients with hypothyroidism. Method: A descriptive correlational research design was used. This study was carried out in geriatric and endocrinology outpatient clinics at Specialized Medical Hospital, Mansoura University. A purposive sample of 239 elderly patients with hypothyroidism were enrolled in the study. Data was collected using; the mini-mental state examination scale, demographic and health-related data structured interview sheet, the brief illness perception questionnaire, the 8-item Morisky medication adherence scale, and the self-care ability scale for the elderly. Results: 88.3% of the studied elderly with hypothyroidism had low self-care ability (53.67± 6.57) while 53.6% had moderate illness perception (42.77±4.05), and 65.20% had low medication adherence level. Conclusion: Illness perception and medication adherence were significant predictors for self-care ability in elderly patients with hypothyroidism. Recommendation: Develop self-care programs aimed at improving the self-care practice of elderly patients with hypothyroidism taking into consideration the study associated factors.","PeriodicalId":294863,"journal":{"name":"NILES journal for Geriatric and Gerontology","volume":"57 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139125460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Corneal endothelial cell loss following Deep Anterior Lamellar Keratoplasty","authors":"Rasha Mousa, Khaled Aboulenin, Nehal Elgendy, Mahmoud Elsayed","doi":"10.21608/niles.2024.339449","DOIUrl":"https://doi.org/10.21608/niles.2024.339449","url":null,"abstract":"","PeriodicalId":294863,"journal":{"name":"NILES journal for Geriatric and Gerontology","volume":"16 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140523934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of Supportive Nursing Intervention on Feeling of Stigmatization and Quality of Life among Older Adults with Psoriasis","authors":"Sally Ibrahim, Ghada Elhgry, Moustafa Saad","doi":"10.21608/niles.2024.339622","DOIUrl":"https://doi.org/10.21608/niles.2024.339622","url":null,"abstract":"","PeriodicalId":294863,"journal":{"name":"NILES journal for Geriatric and Gerontology","volume":"5 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140519479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mayada Samy El Soffar, Gehad Ali AbdElhaseeb, Ahmed Salama Soliman Nomier, Hany Ezzat Obayaa
{"title":"Effect of Pilates Versus Aerobic Exercises on Depression and Functional Capacity in Women with Hypothyroidism","authors":"Mayada Samy El Soffar, Gehad Ali AbdElhaseeb, Ahmed Salama Soliman Nomier, Hany Ezzat Obayaa","doi":"10.21608/niles.2023.247082.1079","DOIUrl":"https://doi.org/10.21608/niles.2023.247082.1079","url":null,"abstract":".","PeriodicalId":294863,"journal":{"name":"NILES journal for Geriatric and Gerontology","volume":"21 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139395892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aziza M. Abozied, Amal Yousef Abdelwahed, Hend Reda, Ali El-kest, Naglaa Abdelhakem Hassaneen, Abdelhamied Ibrahim Mohamed
{"title":"Factors influencing constipation in community dwelling older adults in Beni-Suef: a cross-sectional study","authors":"Aziza M. Abozied, Amal Yousef Abdelwahed, Hend Reda, Ali El-kest, Naglaa Abdelhakem Hassaneen, Abdelhamied Ibrahim Mohamed","doi":"10.21608/niles.2023.246031.1078","DOIUrl":"https://doi.org/10.21608/niles.2023.246031.1078","url":null,"abstract":": Constipation is a highly prevalent functional gastrointestinal problem among older adults, as a major needsproblems developed with ageing changes and should aimed by geriatric nurse . Aim of study : The aim was to identify the factors influencing chronic constipation among community dwelling older adults. Subjects and methods : A cross-sectional analytic study was conducted in outpatient clinic beni-suef university hospitals & two Geriatric Social Clubs in Beni-Suef city on 100 older adults suffering from constipation in the setting. A structured interview questionnaire sheet, developed by the researcher, was used to collect data. It comprised the three parts. Part I : Socio-demographic data, Part II : Medical history : chronic diseases, regular medications, teeth condition, sleep, practice of exercise, dietary habits, and intake of fluids Part III : Details of the constipation problem: chronicity, defecation regularity, frequency, duration, pain, and associated changes. Results : The sample had equal gender distribution.Statistically significant relations between older adults’ chronic constipation problem and their bowel habits. It shows that the problem is significantly more prevalent among those having no regular bowel habits (p<0.001), hard/loose stools (p<0.001), painful defecation (p<0.001), and it increases with the frequency (p=0.02) and duration of defecation (p<0.001). Conclusion : chronic constipation problem was more prevalent among those having bad teeth, no good sleep, no regular exercise, and non-healthy cooking. Recommendations : Studying factors influencing constipation and modifying their lifestyle using educational interventions by geriatric nurse in various community and healthcare settings. Further research is proposed by community nurses to replicate this study using a stronger longitudinal design for more evidence.","PeriodicalId":294863,"journal":{"name":"NILES journal for Geriatric and Gerontology","volume":"23 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139456758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohamed Mohamed Elrashidy, Usama Arafa, Nayel Zaki, Fatma Ahmed
{"title":"Triglycerides/High Density Lipoprotein-Cholesterol Ratio as a Novel Marker of Atherosclerosis in Patients with Acute Coronary Syndrome.","authors":"Mohamed Mohamed Elrashidy, Usama Arafa, Nayel Zaki, Fatma Ahmed","doi":"10.21608/niles.2023.247949.1080","DOIUrl":"https://doi.org/10.21608/niles.2023.247949.1080","url":null,"abstract":"Background: A high Triglycerides/High Density Lipoprotein-Cholesterol (TG/HDL-C) ratio was considered a cardiovascular disease and mortality risk factor. Aim : to assess the use TG/HDL-C ratio as potential new measure of atherosclerosis in ACS. Methods : This cross-sectional study included 200 ACS patients subjected to clinical &laboratory assessment, (CK-MB), high-sensitive troponin, lipogram, (eGFR), (ECG) & Echocardiography. TGs /HDL-C ratio will be calculated. Results : This study included 200 patients separated into 3 groups: (Group A: n= 24 patients with unstable angina; Group B: n=124 patients with STEMI and Group C: n= 52 patients with NSTEMI). Regarding the mean TG/HDL-C ratio, was 4.44± 3.26. Most cases (85.5%) had high ratio. There is non-significant differences between 3 groups regarding TG /HDL-c ratio (p>0.05). Conclusion: There was a strong correlation between high TG /HDL-c ratio & the pattern of ACS. Therefore, TG to HDL-C ratio may be used as a biomarker of atherosclerosis in ACS patients.","PeriodicalId":294863,"journal":{"name":"NILES journal for Geriatric and Gerontology","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139127466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}