NILES journal for Geriatric and Gerontology最新文献_第3页

Effect of Left Internal Mammary Harvesting with Open Versus Closed Pleura on Early Postoperative Morbidity and Mortality 开放胸膜与封闭胸膜左内乳切除术对术后早期发病率和死亡率的影响

NILES journal for Geriatric and Gerontology Pub Date : 2023-06-01 DOI: 10.21608/niles.2023.309984

A. Shafeek, S. Elsayed, M. Elsharawy, Mohamed Al anwar

{"title":"Effect of Left Internal Mammary Harvesting with Open Versus Closed Pleura on Early Postoperative Morbidity and Mortality","authors":"A. Shafeek, S. Elsayed, M. Elsharawy, Mohamed Al anwar","doi":"10.21608/niles.2023.309984","DOIUrl":"https://doi.org/10.21608/niles.2023.309984","url":null,"abstract":"Background : the left internal mammary artery (lima) is commonly utilized as a conduit in coronary artery bypass grafting (CABG). The optimal approach for LIMA harvesting remains debated . In this study, we aimed to assess and compare the early morbidity and mortality in patients undergoing LIMA harvesting for CABG with or without pleurotomy. Methods: A prospective cohort investigation was conducted on 96 patients with ischemic heart disease who underwent elective CABG surgery at a single unit of the cardiothoracic surgery Department, Zagazig University, from January 2018 to December 2022. Patients were split evenly (n=48) between the CP and OP groups. Demographic characteristics, post-operative ventilation time, hospital and ICU stays, post-operative complications, and pulmonary function test results were evaluated and analyzed across two groups. Results: The CP group had significantly shorter ventilation time, ICU, and hospital stays than OP group (5.1±0.68 vs. 7.6±1.64 hours, 2.1±0.28 vs. 3.3±0.66 days, 5.1±0.27 vs. 8.5±0.74 days; p=0.0001 respectively). CP group also had a lower post-operative complication, including pleural effusion and lung atelectasis. Pulmonary function test results showed a significant difference in post-operative forced expiratory volume in one second (FEV1) and forced vital capacity (FVC) among two groups, with better outcomes observed among CP group. Conclusion: This study implies that closed pleura LIMA harvesting may have superior early post-operative outcomes than open pleura harvesting. The CP group experienced shorter ventilation time, ICU, and hospital stays, as well as a lower post-operative complication. These findings support the consideration of closed pleura LIMA harvesting as a preferred technique for CABG surgery.","PeriodicalId":294863,"journal":{"name":"NILES journal for Geriatric and Gerontology","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115076793","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}

引用次数: 0

Geriatric vulnerability during COVID-19 pandemic COVID-19大流行期间老年人的脆弱性

NILES journal for Geriatric and Gerontology Pub Date : 2023-06-01 DOI: 10.21608/niles.2023.207049.1074

O. Madkor, K. Elsorady, Dina H. Abdelhady, Passant AbdulJawad, D. Khalifa

{"title":"Geriatric vulnerability during COVID-19 pandemic","authors":"O. Madkor, K. Elsorady, Dina H. Abdelhady, Passant AbdulJawad, D. Khalifa","doi":"10.21608/niles.2023.207049.1074","DOIUrl":"https://doi.org/10.21608/niles.2023.207049.1074","url":null,"abstract":"Background: geriatric persons are more likely to be frail and have less resilience to psychological stressors. Objectives: to determine elders vulnerability during COVID-19 pandemic. Methods: Predefined questionnaires were fulfilled by 500 participants from various governorates in Egypt. The survey consists of four tools including: COVID-19 anxiety scale, COVID-19 Coping inventory (C-19C), The State-Trait Anxiety Inventory, State version (STAIS – Anxiety scale) and Coping Responses inventory (CRI). One way ANOVA test was conducted to compare the effects of age on different aspects of anxiety and coping related to COVID-19 pandemic followed by a Tukey post hoc test to make pair wise comparisons between group means. Results: The elders group (aged ≥ 60 years) consisted of 24 males and 46 females. In comparison to younger age groups, older females had the highest scores in the COVID-19 anxiety scale (M= 61.565, p-value < 0.001) and the lowest scores in different subscales of both coping scales. This was shown in the coping responses inventory (M= 99.369, p <0.01) with seven out of its subscales and COVID-19 coping Inventory with three of its subscales. While, older males had the lowest scores in coping strategies inventory (M= 103.75, p-value <0.05) with all of its 16 subscales except for the emotional discharge subscale and in the COVID-19 coping Inventory (M= 8.10870, p-value .005) with 2 of its subscales. However, they didn't have statistically significant increase in COVID-19 anxiety pandemic. Conclusion: COVID-19 pandemic has a major psychological impact on the society with the greatest burden among elders females.","PeriodicalId":294863,"journal":{"name":"NILES journal for Geriatric and Gerontology","volume":"90 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133106485","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}

引用次数: 0

Efficacy of the traditional use of Olive Leaves decoction as Anti-diabetic Agent in Geriatrics. 传统橄榄叶煎剂对老年糖尿病患者的疗效观察。

NILES journal for Geriatric and Gerontology Pub Date : 2023-06-01 DOI: 10.21608/niles.2023.296455

A. Basuny, Lamiaa Abdelaaty, Catherine Zakhari, R. Hussein, Mohamed Mohamed, S. Ali

引用次数: 0

Clinical and Dermoscopic Evaluation of the Efficacy Melasma Treatment with Oral Tranexamic Acid 口服氨甲环酸治疗黄褐斑疗效的临床及皮肤镜评价

NILES journal for Geriatric and Gerontology Pub Date : 2023-06-01 DOI: 10.21608/niles.2023.309907

Sohaila AbdElrahman, Mahmoud Mohamed, Maha Farag, Ayat G. Ali, E. Abdallah, Hanan Moussa, A. Mohamed

{"title":"Clinical and Dermoscopic Evaluation of the Efficacy Melasma Treatment with Oral Tranexamic Acid","authors":"Sohaila AbdElrahman, Mahmoud Mohamed, Maha Farag, Ayat G. Ali, E. Abdallah, Hanan Moussa, A. Mohamed","doi":"10.21608/niles.2023.309907","DOIUrl":"https://doi.org/10.21608/niles.2023.309907","url":null,"abstract":"Background: Melasma is an acquired pigmentary disorder classically manifested as hyperpigmented macules and patches distributed symmetrically on the face, neck, and rarely the upper limbs. The exact etio-pathogenesis of melasma is complex and not completely understood. Treatment of melasma includes; topical, oral, procedural or combination treatments. Tranexamic acid is a plasmin inhibitor. Objective: To evaluate the efficacy and safety of oral tranexamic acid for treatment of melasma. Patients and methods: The study involved 40 female patients with oral intake of tranexamic acid 250 mg, twice daily, for three months. All patients were evaluated clinically, dermoscopically and by MASI scoring before and after treatment. Results: Results of the study revealed statistically significant improvement of melasma according to MASI score after 3 months of treatment in all patients, indicating that oral TA may be considered as a very effective treatment for melasma. As regard the response of treatment, 19 (47.5%) patients had excellent response, 12 (30%) patients had very good response, and 9 (22.5%) patients had good response. Dermoscopic features after treatment showed that, there were improvement of pigmentation and elimination of erythema as 27 patients (67.5%) showed fainting of colour and elimination of erythema, and 13 patients (32.5) patients showed light brown pigmentation and elimination of erythema. Conclusion : Oral intake of TA is a safe and effective method for treatment of melasma, with no risk of PIH, thrombotic or bleeding tendency.","PeriodicalId":294863,"journal":{"name":"NILES journal for Geriatric and Gerontology","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125136735","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}

引用次数: 0

Effect of Virtual Reality on Neural Recovery in Patients with Stroke: A Systematic Review 虚拟现实对脑卒中患者神经恢复的影响:一项系统综述

NILES journal for Geriatric and Gerontology Pub Date : 2023-06-01 DOI: 10.21608/niles.2023.212022.1076

Ahmed S. Hefny, Gehan M. Ahmed, W. Mansour, A. Ibrahim, A. Elsherif

{"title":"Effect of Virtual Reality on Neural Recovery in Patients with Stroke: A Systematic Review","authors":"Ahmed S. Hefny, Gehan M. Ahmed, W. Mansour, A. Ibrahim, A. Elsherif","doi":"10.21608/niles.2023.212022.1076","DOIUrl":"https://doi.org/10.21608/niles.2023.212022.1076","url":null,"abstract":"Background : Stroke is a vascular injury of the brain that leads to neurological deficits and significant disabilities. Mirroring interventions such as virtual reality (VR) have proven to be effective in several studies. However, no study has systematically reviewed their effects on neural recovery in stroke patients. Objectives: To systematically review research on the effects of virtual reality (VR) on neural recovery in post-stroke patients to find the best evidence. Methods: Four electronic databases; Web of Science, PubMed, Scopus, and PEDro; were searched for articles published between 2011 and 2022. This trial included English randomized controlled trials that compared VR with other comparators in patients with stroke. The PEDro scale was used to assess the quality of the eligible studies. Results: Eight studies with 220 participants were included. All the studies were good to excellent on the PEDro scale. Virtual reality had strong evidence for improving neural recovery in patients with stroke. Conclusion : Virtual reality should be added to the traditional rehabilitation program for patients with stroke to improve neural recovery in patients with stroke. Improved neural recovery may be a mechanism beyond improved motor recovery after rehabilitation with VR.","PeriodicalId":294863,"journal":{"name":"NILES journal for Geriatric and Gerontology","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130809923","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}

引用次数: 0

NILES journal for Geriatric and Gerontology Pub Date : 2023-06-01 DOI: 10.21608/niles.2023.304846

Moza Al Ishaq, Islam Elagami, M. Hassan, S. Aly

引用次数: 0

Psychosocial impact of sports events on Qatar population 体育赛事对卡塔尔人口的心理社会影响

NILES journal for Geriatric and Gerontology Pub Date : 2023-06-01 DOI: 10.21608/niles.2023.299244

Moza A Abdulla, Mohammed Hassan, Hessa Almanai, Sameera Bihi, A. A. Al Halabi, H. Ghazouani, A. Assar, Ehsane Gad

引用次数: 0

Effect of Interval Mode versus Continuous Mode of Aerobic Exercise on Cholesterol level Profile in Essential Hypertensive Patients 间歇模式与连续模式有氧运动对原发性高血压患者胆固醇水平的影响

NILES journal for Geriatric and Gerontology Pub Date : 2023-06-01 DOI: 10.21608/niles.2023.296740

Taha Shokrof, Zahra M. H. Serry, Osama Abdel Maguid, Asmaa Sharabash

引用次数: 0

Caregivers’ Perspectives Towards Goals of Care and End of Life Issues in Egyptian Elderly Attending Geriatric Hospital 护理人员的观点对护理目标和生命结束的问题在埃及老年人参加老年医院

NILES journal for Geriatric and Gerontology Pub Date : 2023-06-01 DOI: 10.21608/niles.2023.207404.1075

Marwa Abdel Gawad, Nourhan Ata, S. Hakim, S. Mousa, Heba Y Kamel

{"title":"Caregivers’ Perspectives Towards Goals of Care and End of Life Issues in Egyptian Elderly Attending Geriatric Hospital","authors":"Marwa Abdel Gawad, Nourhan Ata, S. Hakim, S. Mousa, Heba Y Kamel","doi":"10.21608/niles.2023.207404.1075","DOIUrl":"https://doi.org/10.21608/niles.2023.207404.1075","url":null,"abstract":"Background Pre-discussion of goals of care specially at end of life in dementia is not a common practice in Egypt Aim . The aim of the current study is to determine caregivers’ perspectives towards goals of care and end of life issues in moderate to severe and severe dementia patients. Methods A questionnaire was applied on 101 caregivers about perspectives of caregivers of moderate to severe and severe dementia patients toward goals of care and end of life issues Results No one of caregivers had previous training for dementia care or discussed dementia care goals or end of life issues with healthcare providers. Perspectives towards goals of care was 60.4% preferred decreasing patient suffering, 39.6% preferred preserving patient function. No one chose life prolongation as a goal of care . Regarding end of life care, 98% of caregivers accepted mechanical ventilation, 90.1% accepted using pain killers, 74.3% accepted using feeding tube and 97% accepted CPR at late stage. There was significant relation between duration since dementia was diagnosed (>1 year) and choosing nursing home for sleep problems, feeding problems and special patient. Conclusions Egyptians caregivers’ perspectives towards goals of care and end of life issues chosed to decrease suffering of patients and improve their quality of life rather than prolonging their life span in late stages of dementia. Educational level and caregivers’ relation with the patients didn’t influence caregivers’ perspectives towards end of life issues yet it slightly affected goals of care .","PeriodicalId":294863,"journal":{"name":"NILES journal for Geriatric and Gerontology","volume":"1944 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129261824","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}

引用次数: 0

Innovative Business Development in Healthcare: Using Matrix Organizational Techniques. 医疗保健领域的创新业务发展:使用矩阵组织技术。

NILES journal for Geriatric and Gerontology Pub Date : 2023-01-01 DOI: 10.21608/niles.2023.265466

Sulaiman Al Swaidi

引用次数: 0