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NILES Journal for Geriatric and Gerontology
Number of Followers: 10  Open Access journalISSN (Print) 2636-3224 - ISSN (Online) 2636-3232 Published by Beni-Suef University  [3 journals]
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- Elderly residents and family caregiver’s satisfaction with the services
provided by geriatric homes in Beni-Suef city: A comparative study
Abstract: The aim was to compare the satisfaction with the services provided by geriatric homes in Beni Suef city as perceived by of residents and their families. Method: The study carried out in two geriatric homes in Beni-Suef city using an analytic cross-sectional design. It included a group of 87 elderly people residing in these settings, and an equal group of their family caregivers. Two interview questionnaires including a satisfaction scale and the Healthqual tool forms were used to collect data, one for the elderly and another for the family caregiver. Data collection: from November to March 2023. Results: Elderly median age was 66 years, with 54% males. Family caregivers’ age ranged between 22 and 69 years, with 54% males. Satisfaction and expectations scores were almost equal between elderly and their caregivers. Only satisfaction with the recreation services was significantly higher among caregivers (1.2±0.6) in comparison with the elderly(1.0±0.7), p=0.049. Their expectations scores had a significant strong positive correlations (r=0.835). The scores of satisfaction and expectation varied between the two homes and according to elderly and caregivers’ characteristics. Conclusion: Elderly residents and caregivers have generally high satisfaction with the services provided, whereas their expectations are slightly lower, with no significant differences. Their scores are positively correlated. Recommendations: periodic assessment of elderly residents and family caregivers’ expectations and satisfaction with the services. Community health nurses should be trained in conducting such surveys. Further research is proposed for improvement based on the identified needs of residents and family caregivers’ satisfaction.
- Efficacy of the traditional use of Olive Leaves decoction as Anti-diabetic
Agent in Geriatrics.
Abstract: Background: Several studies focused the light on the antidiabetic effect of Olive Leaves extract especially on the geriatrics. Aim : The current study was conducted to evaluate the anti-diabetic effect of olive leaves decoction on elder patients. Methods: The elderly subjects were randomized into 4 groups: Group I: Normal control group , Group II (gp2): hypertensive group, Group III: diabetic group & Group IV : diabetic hypertensive group. Each group included 20 subjects who was taken a specific dose of Olive leaves tea for 8 weeks treatment twice daily with a meal. Blood glucose level was measured at baseline screening and after each week until the end of the study. Results: During the study period, blood sugar and glycosylated hemoglobin changed significantly. The mean fasting blood glucose (F. BL. G.) difference reached up to 11.35 mg/dL for group I ,up to 10.55 mg/dL for Gp. II, up to 96.70 mg/dL for the Gp. III and up to 78.50 mg/dL for Gp.IV . After 8 weeks of treatment, the mean blood sugar had significantly decreased in group II and group IV ( p < 0.001; n = 20). Conclusion: the results of this study suggest that olive leaves extract is beneficial to the diabetic patients to control plasma glucose level.
- Effect of Interval Mode versus Continuous Mode of Aerobic Exercise on
Cholesterol level Profile in Essential Hypertensive Patients
Abstract: Background: It has been proposed that regular physical activity can alleviate hypertension and lead to improvements in lipid profiles. Aim of the study: This study was conducted to assess the impact of interval versus continuous mode of moderate aerobic exercise on Cholesterol level in essential hypertensive patients. Subjects and methods: A total of 60 males suffering from high blood pressure, their ages ranging between 55 to 65 years old, were randomly selected for this research from the internal medicine department at the third district medical center in Badr city. They were randomly assigned into two equal groups, and each group consisted of 30 patients. Group (A) consisted of 30 males, who exercised interval mode of moderate aerobic training two times/week for three months, each session lasting for 42 min, Group (B) consisted of 30 males, who exercised continuous mode of aerobic training two times/week for three months, each session lasted for 40 min. Total Cholesterol, body mass index (BMI), Borg rating of perceived exertion (BRPE), systole, and diastole blood pressure were assessed pre-and post-treatment for both groups. Results: The results demonstrated a significant improvement in both groups. Therefore, it could be concluded that both the interval mode of moderate aerobic training and the continuous mode of moderate aerobic training were effective in improving Cholesterol, BMI, BRPE, systole, and diastole blood pressure levels in hypertensive patients. However, the decrease in total cholesterol (TC) was more in Group (A) than in Group (B). Conclusion: It is possible to deduce that both interval and continuous modes of moderate aerobic exercise have an effect on cholesterol of essential hypertensive patients.
- Psychosocial impact of sports events on Qatar population
Abstract: Background: Mass gatherings, like sporting events and festivals, provide the perfect environment for stressors to affect the population's quality of life. The World Cup was held in Qatar in the months of November and December of the year 2022, and it had an impact on various aspects of life in Qatar, including the health sector. Aim: This research was conducted to assess the psychological impact of sports events along with the social impact of sports events on the Qatar population. Data were analyzed using SPSS software. Methodology: This cross-sectional study uses A paper-based questionnaire delivered to 1000 residents in Qatar, 3 months before the commencement of the FIFA football world cup. Results: The study substantiates that a positive impact was perceived by the Qatari and non-Qatari residents who participated in this study when the 2022 Qatar FIFA World cup championship was hosted, despite the controversial media reports about the lack of logistics .
- Geriatric vulnerability during COVID-19 pandemic
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 variousgovernorates 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. Incomparison 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 its16 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.
- Effect of Virtual Reality on Neural Recovery in Patients with Stroke: A
Systematic Review
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.
- Effect of Left Internal Mammary Harvesting with Open Versus Closed Pleura
on Early Postoperative Morbidity and Mortality
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.
- Oral Health-Related Quality of Life in Middle Eastern Patients with
Implant-Supported Fixed and Removable Dental Prostheses: A Systematic
Review& Case Studies.
Abstract: This systematic review study aims to explore the concept of quality of life and its multidimensional aspects. Quality of life encompasses an individual's overall well-being and satisfaction with various facets of their life, including physical health, mental health, social relationships, and environment. This subjective measure is influenced by diverse factors such as personal values, cultural background, socioeconomic status, and life experiences. The review examines common indicators of quality of life, including physical health and functional abilities, emotional well-being and mental health, social relationships, and support networks, financial security and stability, access to education, healthcare, and other resources, as well as environmental factors like safety, cleanliness, and access to natural spaces. The study highlights the significance of quality of life in healthcare and public health, emphasizing its role in evaluating the effectiveness of interventions and treatments, as well as identifying areas for improvement to enhance overall well-being and satisfaction. By synthesizing existing research and evidence, this systematic review contributes to a comprehensive understanding of the quality of life and its implications for individuals and communities.
- Clinical and Dermoscopic Evaluation of the Efficacy Melasma Treatment with
Oral Tranexamic Acid
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.
