The Egyptian Journal of Geriatrics and Gerontology最新文献

{"title":"Geriatric conditions and quality of life among older adults with diabetes","authors":"Rana M.Taha","doi":"10.21608/ejgg.2021.204173","DOIUrl":"https://doi.org/10.21608/ejgg.2021.204173","url":null,"abstract":"Geriatric conditions and quality of life among older adults with diabetes Rana M. Taha, Amal MI Goda, Nahla N Adly, Nesma G Elsheikh 1 Geriatrics and Gerontology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt. 2 Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt. 3 Department of Endocrinology, Internal Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt.","PeriodicalId":405276,"journal":{"name":"The Egyptian Journal of Geriatrics and Gerontology","volume":"196 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133444481","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":"Evaluation of the Fear of Falling and Related Risk Factors in Elderly People from Hamadan, Iran: a Cross Sectional Study","authors":"Mohamad Ali Seif Rabiei","doi":"10.21608/ejgg.2021.204174","DOIUrl":"https://doi.org/10.21608/ejgg.2021.204174","url":null,"abstract":"Background Falls increase in frequency with age and result in injuries like pelvic fracture which can lead to impaired performance, lifelong disability, hospitalization and even death. (1) Approximately one in three seniors over the age of 65 falls to the ground at least once a year. (2, 3) The high incidence of falls associated with physical injuries in the elderly is a public health problem. There are numerous diverse pathologies inherent to the process of ageing, which may lead to falls in the elderly. These pathologies can be categorized in 4 sections: neurological (e.g., dementia, stroke) musculoskeletal (e.g., osteoporosis, arthritis), cardiovascular (e.g., orthostatic hypotension, syncope) and other (e.g., diabetes, sleep disorders). (4) The main problems related to falls in the elderly include fear of falls, injuries and fractures, decreased mobility, depression, long-term care admission, reduced quality of life and death. (5, 6) Fear of falling can seriously affect the physical performance of the elderly and increase their risk of future falls. In Iran, domestic studies show an increase in the number of elderly people. According to statistics, the proportion of elderly people in the total population has increased from 7.22% in 2006 to 8.2% in 2011. (8) It is estimated that these figures will reach 10.5% in 2025 and 21.7% in 2050. (9) Older people are usually afraid of falling, which is the most common phobia in the elderly and can lead to low self-confidence in doing daily activities in such a way that it will not be possible to perform normal daily activities without the risk of falling. (10, 11) Therefore, fear of falling leads to reduced daily activities and increased physical dependency, nursing home admissions, depression and anxiety and generally reduces the quality of life. In urban India, quality of life in the elderly is affected by impairments and Abstract","PeriodicalId":405276,"journal":{"name":"The Egyptian Journal of Geriatrics and Gerontology","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127495999","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":"Caregivers’ burden and needed support for the care of dementia patients attending Ain Shams University hospitals","authors":"Nourhan Samy Atta","doi":"10.21608/ejgg.2021.204176","DOIUrl":"https://doi.org/10.21608/ejgg.2021.204176","url":null,"abstract":"Background The Diagnostic and statistical manual of mental disorders-5 (DSM-5) characterizes dementia as a substantial impairment in one or more cognitive domains (memory, communication, language, attention, reasoning, and visual perception). This impairment must be sufficient to interfere with independence in everyday activities, not exclusively during delirium or explained by another mental disorder. (Edition F. DSM-5, 2013) In Egypt, the prevalence of dementia among individuals aged ≥50 years was estimated to be 2.01%-5.07%. (Elshahidi et al., 2017). In USA, the number of aged 65 and older with Alzheimer's dementia (AD) by mid‐century may grow to 13.8 million. This represents a steep increase from the estimated 5.7 million Americans who have Alzheimer's dementia today. Abstract Background: Dementia in la te stages affects pat ients ’ l i fe l ike being dependent, malnourished, having psychological and sleep problems. Caregivers face physical , f inancial , medical , and psychological b urdens and are in need for support to complete caregiv ing responsibi l i t ies . Not al l caregivers have the suf f ic ient knowledge regarding how dementia af fects the pat ients.","PeriodicalId":405276,"journal":{"name":"The Egyptian Journal of Geriatrics and Gerontology","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130672210","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":"Assessment of Risk of Fracture among obese elderly women attending primary health clinic at geriatric hospital in Ain Shams University Hospitals","authors":"Manar M. Abdel Kader","doi":"10.21608/ejgg.2021.204177","DOIUrl":"https://doi.org/10.21608/ejgg.2021.204177","url":null,"abstract":"Elderly are more liable to develop fractures due to numerous risk factors such as decreased bone mineral density (osteoporosis) and many other independent clinical risk factors as frequent falls, visual impairment, sluggish gait, functional impairment, many medical comorbidities and drugs. 2 Bone fracture has major negative impacts on patient quality of life as it results in hospitalization in elderly patients. This is consequently a significant public health issue from the medical, social and economic perspectives. 3 Overall, obesity was supposed to be protective against osteoporosis; however, several studies have challenged this belief. Although the most of the studies find that obesity has a favorable effect on bone density, it is unclear what the effect of obesity is on skeletal microarchitecture. Also, the effects of obesity on skeletal strength might be site-dependent as Abstract Background: Elderly are more suscept ible to develop fractures due to many r isk fac tors such as osteo porosis and others r isk fac tors as f requent fal ls , v isual impairment, funct ional impairment and numerous comorbidi t ies . Women have about twice as high a r i sk of any fracture than men. Because women l ive longer than men and are exposed, hence, for extended periods to reduced bone densi ty and other r isk factors for osteoporos is and f ractures. Obesi ty is l inked to a higher r isk of some fragi l i ty f rac tures . A higher weight increases the r isk of fal l ing. On the other hand, the high values of body mass index (B MI), even though associated wi th good values of bone mineral densi ty (BMD), are at high f racture r isk based on an increased risk of fal l , so obesi ty might not protect against al l os teoporot ic fractures as i t was ini t ial ly considered al though BMD is the maj or element of the fracture r isk . Fractures have major negat ive impacts on pat ient qual i ty of l i fe; increased risk of hospi tal izat ion .This is consequently a s igni f icant publ ic heal th issue from the medical , social and economic perspect ives .","PeriodicalId":405276,"journal":{"name":"The Egyptian Journal of Geriatrics and Gerontology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130060982","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":"Risk factors of Pressure Ulcers in hospitalized elderly Egyptian people","authors":"Heba Mohamed Tawfik","doi":"10.21608/ejgg.2021.204171","DOIUrl":"https://doi.org/10.21608/ejgg.2021.204171","url":null,"abstract":"Background Pressure ulcers (PUs) are increasing with aging of the population around the world and represent a common and frustrating problem affecting geriatric patients. Age-related skin changes increase the vulnerability to ulceration. Aging not only increases the risk of PU occurrence, but also affects healing of such ulcers. Also, frailty, associated comorbidities, impaired mobility, and cognitive impairment predispose many elderly populations to the development of PUs (1, 2). The prevalence of PUs peaks in those between age 70 and 80 years. They occur in hospitals, nursing homes, and even in community settings. The highest incidence of new ulcers occurs in hospitals and may be as high as 50% in acute care geriatric units, increasing health care expenditure and mortality rate, whereas the highest prevalence occurs in long-term care facilities (3). Also, the incidence of ulcers differs by the stage of ulceration. Stage 1 and 2 occur more frequently than later stages (4). Despite the progress in technology and medical advances, the cost of management of hospital acquired PU is increasing. The cost of treating these mainly preventable ulcers in the United Kingdom (UK) accounts for about 4% of the total National Health Service (NHS) expenditure (5). Therefore, the identification of people at risk for PUs is an important component of preventive care for the elderly (6). The National Pressure Ulcer Advisory Panel (NPUAP) has agreed that not all PUs are preventable and there are clinical situations in which the development of PUs can be unavoidable such as end stage dementia, severe congestive heart failure and forced immobilization (7). To our knowledge only few studies were done in Egypt, approaching mainly nurses’ knowledge and educational programs about PU and no studies searched for risk factors for PU in Egyptian population (8, 9, 10).","PeriodicalId":405276,"journal":{"name":"The Egyptian Journal of Geriatrics and Gerontology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132897100","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":"Atypical Presentations of Acute Infections in Hospitalized Older Adults: The Prevalence, Predictors, and Outcomes","authors":"D. Rasheedy","doi":"10.21608/ejgg.2021.204172","DOIUrl":"https://doi.org/10.21608/ejgg.2021.204172","url":null,"abstract":"Background Older adults are at increased risk of infection, which is a leading cause of morbidity and mortality in this age group. [1] The increased infections related mortality in elderly is attributed to multiple factors, including: immunosenescence, medical comorbidities, undernutrition, functional decline, frailty, and increased adverse drug events [2] . Reaching a final disease-specific diagnosis, remains a clinical dilemma when managing older adults. According to Fried et al., less than half of the elderly patients fitted into the classical medical model where the presenting symptoms and signs can refer immediately to a certain disease. [3] In the aged, Infections often have atypical presentations which may complicate and delay diagnosis. The most frequently encountered atypical presentations of infections include delirium, anorexia, functional impairment, falls, fatigue, and new or worsening urinary incontinence. [4,5]","PeriodicalId":405276,"journal":{"name":"The Egyptian Journal of Geriatrics and Gerontology","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128750287","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":"ATYPICAL PRESENTATION OF ISCHEMIC HEART DISEASE IN EGYPTIAN ELDERLY","authors":"Noha Tarek Mohamed","doi":"10.21608/ejgg.2021.204175","DOIUrl":"https://doi.org/10.21608/ejgg.2021.204175","url":null,"abstract":"ATYPICAL PRESENTATION OF ISCHEMIC HEART DISEASE IN EGYPTIAN ELDERLY Noha Tarek Mohamed, Ahmed Ibrahim El Desouky Khalil2, Ghada Essam El Din Amin3, Samia Ahmed Abdul-Rahman 1Department of Family Medicine, Faculty of Medicine Ain Shams University. 2Department of Cardiology, Faculty of Medicine Ain Shams University. 3Department of Community, Environment and Occupational Medicine, Faculty of Medicine Ain Shams University Geriatrics and Gerontology Department, Faculty of Medicine Ain Shams University.","PeriodicalId":405276,"journal":{"name":"The Egyptian Journal of Geriatrics and Gerontology","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125014460","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":"Prevalence of frailty in elderly patients with renal diseases","authors":"E. Abdelhamid, S. Said, M. Khater, S. M. Ali","doi":"10.21608/EJGG.2021.171716","DOIUrl":"https://doi.org/10.21608/EJGG.2021.171716","url":null,"abstract":"All participants were subjected to verbal consent for acceptance to participate in the study and completed a comprehensive geriatric assessment in the form of; history taking (complete medical history), cognitive functional assessment (Mini-mental status examination) (El-Okl et al., 2002). and screening for depression by Geriatric Depression Scale (GDS-15) (Metwally, A. S., Abstract Background: Frai l ty, the s tate of increase vulnerabi l i ty to physical st ressors as a resul t of progressive and sustained degenerat ion in mul t iple physiological sys tems, is common in those wi t h chronic k idney disease wi th prevalence more than 60% in dialysis -dependent CKD pat ients.","PeriodicalId":405276,"journal":{"name":"The Egyptian Journal of Geriatrics and Gerontology","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124972574","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":"Potential side effects of directly Acting Antivirals (DAAs) after one and three months of treatment among EGYPTIAN elderly patients","authors":"A. Ali, R. M. S. Elbedewy, A. Sherief, Ossama Ashraf, Hager, Ahmed, S. Mousa","doi":"10.21608/ejgg.2020.139254","DOIUrl":"https://doi.org/10.21608/ejgg.2020.139254","url":null,"abstract":"Potential side effects of directly Acting Antivirals (DAAs) after one and three months of treatment among EGYPTIAN elderly patients Ahmed Abd Elrahim Ali, Reem M.S. Elbedewy, Ahmed Fouad Sherief, Ossama Ashraf,Hager Ahmed Shereen Moustafa Mousa 1-Geriatrics and Gerontology Department, Faculty of Medicine, Ain Shams University 2-Tropical Medicine Department, Faculty of Medicine, Ain Shams University 3-Internal Medicine Department, Faculty of Medicine, Ain Shams University","PeriodicalId":405276,"journal":{"name":"The Egyptian Journal of Geriatrics and Gerontology","volume":"301 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132617691","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":"Estimated Glomerular Filtration Rate and Serum Creatinine Level as Predictors of Global Cognition in Elderly with Chronic Kidney Disease and Normal Muscle Mass","authors":"Aya Sayed, M. E. Banouby, Manar Adel, H. Wahba, Mennatallah Al-Araby, A. Tawfik","doi":"10.21608/ejgg.2019.17044.1020","DOIUrl":"https://doi.org/10.21608/ejgg.2019.17044.1020","url":null,"abstract":"AbstractBackground: Chronic kidney disease (CKD) and cognitive impairment are important and prevalent public health problems that lead to increase the risk of morbidity and mortality. Both are considered a major social and financial burden.Cognitive impairment commonly occurs in individuals with CKD; therefore cognitive assessment is extremely important. Early diagnosis and intervention help to decrease the progression of cognitive impairment.Aim: To identify the relation between serum creatinine level and estimated glomerular filtration rate (e-GFR) and global cognitive function (Mini Mental State Examination (MMSE) score in Egyptian elderly with CKD stages 2-4 with normal muscle mass.Methods: Cross-sectional study was conducted at the Geriatrics in-patient wards and outpatient clinics at Ain Shams University Hospitals, Cairo, Egypt, over six months. Fourty five elderly patients who had CKD stages 2-4 with normal muscle mass index were included in the study. Muscle mass was assessed using Bio Electrical Impedance analysis (BIA). History was taken from all participants followed by assessment of the global cognitive function by MMSE, measurement of the serum creatinine level and e-GFR by 24 hours urinary creatinine clearance.Results: There was a significant negative correlation between serum creatinine level and MMSE score, and a significant positive correlation between e-GFR and MMSE score. By regression analysis of possible confounding factors, only e-GFR not serum creatinine level shows a significant correlation with MMSE. Conclusion: e-GFR not serum creatinine level is associated with a lower MMSE score in elderly despite having normal muscle mass.","PeriodicalId":405276,"journal":{"name":"The Egyptian Journal of Geriatrics and Gerontology","volume":"1899 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121035622","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}