eng
Ain Shams University, Faculty of Medicine, Geriatrics and Gerontology Department
The Egyptian Journal of Geriatrics and Gerontology
2356-8712
2536-9792
2018-03-01
5
1
1
5
10.21608/ejgg.2018.30872
30872
Original Article
Thyroid disorders in elderly people: challenges, pearls and updates
Tawfik M
1
Geriatric Medicine & Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
AbstractHypothyroidism is common in elderly people and a part of hyperthyroid people are elderly. Thyroid disorders are associated with many of geriatric giants like dementia, osteoporosis and frailty, so screening is recommended especially in elderly females. Diagnosis may be challenging, and requiring physicians’ attention. This review gives highlights on epidemiology, age related changes, presentation, challenges with diagnosis and treatment, complications, relation to Alzheimer’s disease myths and reality, what is new in thyroid and role of resveratrol
https://ejgg.journals.ekb.eg/article_30872_be58da373719a196eff66a29b63496ae.pdf
Hypothyroidism- Hyperthyroidism- Elderly
eng
Ain Shams University, Faculty of Medicine, Geriatrics and Gerontology Department
The Egyptian Journal of Geriatrics and Gerontology
2356-8712
2536-9792
2018-03-01
5
1
1
5
10.21608/ejgg.2018.30879
30879
Original Article
Comorbidities Accumulation and Subjective Ageing
Mortagy K
1
Fahim H
2
Farid M
3
Abdul-Rahman E
4
Abdellah F
5
1Geriatrics & Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Community Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Geriatrics & Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Geriatrics & Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Geriatrics & Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
AbstractBackground: Ageing is multidimensional (biological, psychological, and social). Each dimension affects the other two and predicts the elderly response to the ageing process.Aim: to evaluate the self-perception of community dwelling elderly towards aging and determine how can chronic diseases affect the perception of ageing process.Methods: A cross sectional study was conducted using two questionnaires: Satisfaction with Life Scale (SWLS) and Lawton’s Philadelphia Geriatric Center (PGCMS) Morale Scale.Results: The study population consisted of Four Hundred of community dwelling elderly. Participants were predominantly married (67.1%), not working (74.3%), and males (61%), with a mean age of 65.9 years +/-5.1. half of the participants (54%) were satisfied with their lives. Males had a higher morale than females. Young age and married group had a higher mean morale score and mean total life satisfaction. Participants who described their health status (fair to very good) had a higher morale and life satisfaction. Participants who had higher than 2 chronic diseases have a lower morale and life satisfaction. Morale and life satisfaction scores were not affected by the type of comorbid condition.Conclusions: the comorbidities accumulation rather than type of comorbid disease affects self-perception of ageing.
https://ejgg.journals.ekb.eg/article_30879_45cf5e2b18bf3bbd3aba1808bab227d4.pdf
subjective ageing
self-perception
Egyptian Elderly
comorbidities and ageing perception
morale and life satisfaction in elderly
eng
Ain Shams University, Faculty of Medicine, Geriatrics and Gerontology Department
The Egyptian Journal of Geriatrics and Gerontology
2356-8712
2536-9792
2018-03-01
5
1
1
4
10.21608/ejgg.2018.30880
30880
Original Article
Risk of Falls among Obese Elderly Females
Hamza A
1
Elokl A
2
Shaltoot M
3
Abohashim S
4
Geriatrics & Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.+
Geriatrics & Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.+
Geriatrics & Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Geriatrics & Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
AbstractBackground: It has been suggested that obesity increases fall risk, based on diminished static balance and increased fall-related injury risk.Aim: To determine whether overweight and obese individuals have higher fall risk than individuals of average weight.Methods: A case control study conducted on140 elderly females participants aged 60 years and above. They were divided into 2 groups (Obese and Non obese) according to their Body Mass Index (BMI). A comprehensive geriatric assessment was done and risk of falls was assessed by Fall Risk Assessment Tool and timed up and go test.Results: Risk of falls assessed by both tools was higher among obese female elderly female compared to non-obese. Using timed up and go test 50% of obese subjects have positive risk of fall while only 20%of non-obese group at risk of fall.Conclusions: It was concluded that obese elderly females are at higher risk of falling than non-obese.
https://ejgg.journals.ekb.eg/article_30880_8e707d8504d21fad55398ea80de06834.pdf
Obesity and risk of falls
Elderly females
Obesity in elderly
eng
Ain Shams University, Faculty of Medicine, Geriatrics and Gerontology Department
The Egyptian Journal of Geriatrics and Gerontology
2356-8712
2536-9792
2018-03-01
5
1
1
8
10.21608/ejgg.2018.30881
30881
Original Article
Prediction of Early Outcome in Ischemic Stroke in Elderly
Fouad M
1
Saad Aldin A
2
Amin F
3
Alloush T
4
Abd Elkader M
5
Department of Neurology. Faculty of Medicine, Ain Shams University, Cairo, Egypt.+
Department of Neurology. Faculty of Medicine, Ain Shams University, Cairo, Egypt.+
Department of Neurology. Faculty of Medicine, Ain Shams University, Cairo, Egypt.+
Geriatrics & Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.+
Geriatrics & Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.+
AbstractBackground: Determining the early functional outcome of ischemic stroke is important for physicians and patients Aim: To identify the predictors of early outcome after one week from onset of ischemic strokeMethods: A total of 85 patients with first ever ischemic stroke were divided into 2 groups, favorable and unfavorable outcome, according to the 1-week modified Rankin scale (mRS). Favorable outcome was assumed if the score was zero to two, and unfavorable outcome if the score ranged from 3 to 6Results: The variables associated with unfavorable outcome were high National Institute of Health Stroke Scale score on admission (P <0.001), high mRS score on admission (P <0.001), large volume of infarction (P <0.001), presence of intracranial stenosis (P=0.034), large artery atherosclerosis stroke, cardioembolic stroke and stroke of undetermined etiology (P = 0.003), high random blood sugar on admission (P = 0.008), and the occurrence of adverse events during admission period such as increase size of infarction, chest infection, symptomatic hemorrhagic transformationConclusions: The early outcome of ischemic stroke can be predicted by combining clinical and radiological data.
https://ejgg.journals.ekb.eg/article_30881_182d679958eb3948b8408c807e84fd57.pdf
Ischemic stroke
early outcome of ischemic stroke
eng
Ain Shams University, Faculty of Medicine, Geriatrics and Gerontology Department
The Egyptian Journal of Geriatrics and Gerontology
2356-8712
2536-9792
2018-03-01
5
1
1
6
10.21608/ejgg.2018.30882
30882
Original Article
Hysteroscopic Findings in Postmenopausal Bleeding and its Correlation with Histopathology: Does Clinical Experience Matter?
Radwa Rasheedy
1
Ahmed Abbas
2
MD., Obstetrics and Gynecology Department; Faculty of Medicine, Ain shams university, Cairo, Egypt.
MD., Obstetrics and Gynecology Department; Faculty of Medicine, Ain shams university, Cairo, Egypt.
AbstractBackground: women with PMB have a 10–15% chance of having endometrial carcinoma. Therefore, prompt and accurate evaluation to exclude malignant or premalignant lesions of the endometrium is necessaryAim: To evaluate different hysteroscopic findings in women with PMB and its correlation with histopathological finding in early and late postmenopausal women.Methods: This retrospective observational study was carried out in early cancer detection unit (ECDU) in Ain Shams University Maternity Hospital between June 2017 and December 2017 involving medical records of 83 women presented with PMB who underwent hysteroscopy and endometrial sampling. We identified hysteroscopic appearance of the endometrium and any focal lesion then the findings were later correlated with the final histopathological diagnosis.Results: the commonest hysteroscopic appearance of the endometrium was thick hypertrophic endometrium (59.6% in early postmenopausal years group A and 61.5% in late postmenopausal years group B). Benign pathology was observed in 50 women (87.7%) in group A and in14 women (53.8%) in group B, malignant and premalignant lesions were found in 7% and 30.8% respectively. Inadequate samples occurred in 5.3% and 15.4% of women in group A and B respectively. Hysteroscopic sensitivity in detecting malignant lesions was 83.3%, while its Specificity was 96.87%Conclusions: Hysteroscopy is an accurate and reliable method for diagnosing endometrial cancers, and offers a good immediate therapeutic option for women with obvious benign lesions as endometrial polyp. There is no difference in hysteroscopic accuracy in detecting malignancy with different operators’ clinical experiences.
https://ejgg.journals.ekb.eg/article_30882_c42a9ac041a81a8f8326fb5e086e9e7b.pdf
postmenopausal bleeding – Hysteroscopy- operators’ clinical experiences
eng
Ain Shams University, Faculty of Medicine, Geriatrics and Gerontology Department
The Egyptian Journal of Geriatrics and Gerontology
2356-8712
2536-9792
2018-03-01
5
1
1
2
10.21608/ejgg.2018.30883
30883
Original Article
Telegeriatrics: a possibility and a challenge
Wahaba F
1
Geriatric Medicine & Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
https://ejgg.journals.ekb.eg/article_30883_68c5e1677722335392d98290d4a6145a.pdf