NILES journal for Geriatric and Gerontology niles jgg (original) (raw)

Papers by NILES journal for Geriatric and Gerontology niles jgg

NILES journal for Geriatric and Gerontology, 2025

Background: Frailty is an age-related decline in function and reserve in one or more physiologica... more Background: Frailty is an age-related decline in function and reserve in one or more physiological systems, which increases the risk of poor health outcomes, hospitalization, and death. Although frailty has been well studied in developed countries, little is known about the state of frailty research in Arabic-speaking countries (ASCs). Thus, to understand the depth of information and address this gap in the literature about frailty, we conducted a scoping review to map and synthesize the literature on "frailty research" conducted in ASCs. Method: The Joanna Briggs Institute methodology was used to identify relevant publications. In brief, six databases were searched for key words frailty, frail, vulnerable, older adults, frailty measurement, and Arab countries. Results: Arabic journals did not yield any relevant articles. Only 27 articles from non-Arabic sources met inclusion criteria, suggesting that frailty research is limited in ASCs. The review showed that the prevalence of frailty varied across different settings (e.g. community, long-term care, and hospitals), with the highest prevalence observed among older adults in hospital settings. Frailty was associated with older age and female sex. Furthermore, it was associated with several chronic medical conditions and contributing lifestyle factors. Based on the articles reviewed, there was no consensus on specific tool used to assess frailty or specific interventions. Conclusion: Overall, this review indicates that frailty is a significant issue in ASCs, and more research needs to be done to investigate both how to best identify frailty and how to manage those individuals who are frail.

NILES Journal forGeriatric and Gerontology/NILES Journal for Geriatric and Gerontology, Jul 1, 2024

Introduction: Egypt lacks awareness regarding the positive influence of reflexology along with ae... more Introduction: Egypt lacks awareness regarding the positive influence of reflexology along with aerobic training (AT) on the quality of life (QoL) of patients with hypertension (HTN). Objective: We aim to determine reflexology and AT effects on the insomnia severity index (ISI) and QoL of HTN patients. Methods: This study enrolled 40 HTN female patients aged 35-45 years who were equally divided into groups A and B. Groups A and B participants were provided with medications and peddling training, while Group B participants also received reflexology. The treatment protocol consisted of an eight-week program with three sessions per week. After the fourweek treatment protocol, a post-evaluation (post-1) was conducted and was repeated after another four-week treatment (post-2). The participants underwent assessment for systolic and diastolic blood pressure, ISI, and a 36-item short-form survey (SF-36), a general QoL measure, pre-and post-treatment. Results: The results revealed significant discrepancies in the assessed variable between both groups pre-and post-treatment (post-1/2). When comparing the post-treatment values (post-1/2) of the evaluated variable between groups A and B, incorporating reflexology and AT, such as peddling training, into the physical treatment program is recommended. Conclusion: The study highlights the positive impact of reflexology and AT on the QoL and ISI of female HTN patients, recommending their incorporation into treatment programs.

NILES Journal forGeriatric and Gerontology/NILES Journal for Geriatric and Gerontology, Jul 1, 2024

This article explores the potential benefits of electromagnetic and heating therapies for promoti... more This article explores the potential benefits of electromagnetic and heating therapies for promoting longevity and overall well-being. It reviews the scientific evidence supporting the efficacy of these therapies and discusses their potential mechanisms of action. The article also highlights the importance of integrating these therapies into a holistic approach to health and wellness. It has been taken into account that aging begins immediately after birth, and before that, it is in the developmental stage without aging

NILES Journal forGeriatric and Gerontology/NILES Journal for Geriatric and Gerontology, Jul 1, 2024

Background: One of the most essential needs of all people is providing, enhancing the health leve... more Background: One of the most essential needs of all people is providing, enhancing the health level, and adopting a lifestyle that promotes health. It is the most significant and practical way to keep older persons' wellbeing and promote healthy aging. Aim: To investigate the effects of health promotion program on healthy aging, wellbeing and health promoting behaviour among community dwelling older adults. Methods: Four randomly selected health centers out of a total of 38 were used for the study, which was carried out in the Mansoura District within the Dakahlia governorate. Based on inclusion and exclusion criteria, a purposive sample of 94 older adults from 110 older persons enrolled in the above-mentioned setting was selected, 75 older adults were included in the final analysis. Tools: Four tools were used; Structured Interview Questionnaire, Healthy Aging Instrument (HAI), Modified Wellbeing Assessment Tool, and Health Promoting Lifestyle Profile-II Questionnaire (HPLP-II). Results: All healthy aging factors, wellbeing domains, and health promoting behaviour dimensions of the study group showed significant improvement after the program implementation (p <0.0001). This improvement appears in young old married female, with university education, who still working, had enough income, living with family, and with good health status. Also, highly statistically significant positive correlations (p<0.001) were found between wellbeing, healthy aging, and health promoting behaviour in the study group. Conclusion: Health promotion program has a positive effect on older adults' healthy aging, wellbeing, and health promoting behaviour. Recommendations: To promote older adults' health and decrease the prevalence of chronic illnesses and multiple complications due to lack of healthy lifestyle, it is recommended to implement health promotion lifestyle programs.

NILES Journal forGeriatric and Gerontology/NILES Journal for Geriatric and Gerontology, Jul 1, 2024

Background: The aging population is the most significant demographic phenomena that the world has... more Background: The aging population is the most significant demographic phenomena that the world has seen in recent decades, which in turn resulted in a sharp rise in the number of older people. Consequently, these data anticipate a reduction in expected years of active and healthy life and a rise in age associated with gradual deterioration of physical and mental health. Cognitive frailty is recognized as a precursor to major health conditions. Early identification and cognitive intervention programs can potentially preventing or reversing this decline in cognitive function. Aim: This study aimed to evaluate the effectiveness of cognitive stimulation therapy versus reminiscence therapy on cognitive and psychological outcomes in older adults with mild cognitive impairment. Design: A Quasi-experimental study was followed to conduct this study. Setting: The study was conducted in two elderly clubs namely El-Saada and El-Amal elderly club in Mansoura city. Subjects: A total of 60 older adults with mild cognitive impairment were included in the study and randomly assigned to three equal groups; cognitive stimulation therapy group, reminiscence therapy group and control group. Tools: The data were collected through demographic and health-related characteristics interview sheet, montreal cognitive assessment, psychological wellbeing scale-18, the satisfaction with life scale and one question to assess participants' satisfaction with the program. Results: A significant increase in cognitive function and psychological outcomes were evident among the cognitive stimulation group and reminiscence group after implementation of the intervention when compared to pre intervention and the control group (p<0.05). Conclusion: The application of either cognitive stimulation therapy or reminiscence therapy is effective strategy in improving cognitive and psychological outcomes of older adults with mild cognitive impairment. Recommendation: The health care providers should be encouraged to incorporate such programs as non-pharmacological interventions in routine care of older adults residing either in the community or institutions to preserve their cognitive and psychological health.

NILES Journal forGeriatric and Gerontology/NILES Journal for Geriatric and Gerontology, Jul 1, 2024

Background: Cryolipolysis is a non-invasive procedure designed to target subcutaneous adipose tis... more Background: Cryolipolysis is a non-invasive procedure designed to target subcutaneous adipose tissue in obese patients that has emerged as a potential therapeutic approach for modifying insulin resistance(IR) in T2DM individuals. Aim: to evaluate the efficacy of cryolipolysis in reducing IR among patients diagnosed with T2DM patients exhibiting abdominal obesity. Research design: Randomized, two-group pre-post-test, controlled design. Patients and Methods: sixty females with T2DM exhibiting abdominal obesity were enrolled. The participants were randomly and equally divided either in Group A (cryolipolysis in combination with aerobic exercise), or in Group B (aerobic exercise therapy alone) for three months. All variables measured Pre-and post-study, including (HbA1c, FBG, fasting insulin level, HOMA testing). Results: there was statistically significant decrease in all measured parameters of groups A and B post-treatment compared with pre-treatment with a significant increase in water content, muscle mass, and a significant decrease in fat content and visceral fat of groups A and B post-treatment compared with pre treatment. Following the intervention, Group A significantly reduced fat content and visceral fat compared to Group B. However, there were no significant differences in waist-hip ratio, water content, and muscle mass between the two groups post-treatment. Significant improvements in metabolic parameters were observed in Group A compared to Group B. Group A showed a significant decrease in FBG, insulin levels, HbA1c, and HOMA-IR. Conclusions: Cryoliopolysis is one of the effective strategies for addressing localized fat deposits that enhance glucose absorption and favorable changes in HbA1c and HOMA-IR, that improve insulin sensitivity.

NILES Journal forGeriatric and Gerontology/NILES Journal for Geriatric and Gerontology, Jul 1, 2024

Most amputations are caused by foot ulcers among diabetic older adults, so it is essential to ide... more Most amputations are caused by foot ulcers among diabetic older adults, so it is essential to identify people who are at risk as early as possible. Aim: To detect the risk of foot ulceration and its relation to foot self-care among diabetic elders. Design: A descriptive research design was conducted on 300 elderly patients with a type II of diabetes from the outpatient clinic and medical

NILES Journal forGeriatric and Gerontology/NILES Journal for Geriatric and Gerontology, May 7, 2024

Background: Schizophrenia is a chronic psychiatric disorder that affects mainly cognition and run... more Background: Schizophrenia is a chronic psychiatric disorder that affects mainly cognition and runs in chronic deteriorating course. Objective: The study aimed to assess the cognitive function of schizophrenic patients compared to healthy control and verify the effect of atypical anti-psychotics on cognition in schizophrenia. Patients & Methods: This case-control study included 3 groups, group 1: 20 newly diagnosed patients with schizophrenia, group 2: 20 schizophrenic patients receiving atypical antipsychotics and group 3: 20 control healthy persons. The participants of the three groups were subjected to clinical assessment, that included detailed psychiatric interview, neurological and general examination. Cognitive evaluation of both schizophrenic and control groups by, Wechsler Adult Intelligence Scale (WAIS), Wisconsin Card Sorting Test (WCST), stroop test (computerized version), the Trail Making test, continuous performance test and Wechsler Memory scale (WMS). Results: The schizophrenic patients had worse results than healthy control group in all neuropsychological tests: The Wechsler Adult Intelligence Scale (WAIS), The Wisconsin Card Sorting Test (WCST), Stroop Test, The Trail Making Test (TM,) Continuous performance test (CPT) and The Wechsler memory scale (WMS).The impairment was more in the newly diagnosed patients without treatment. Conclusions and clinical implications: Patients with schizophrenia suffered from cognitive impairment which mostly involved the different cognitive domains in different combinations, manifested least way in patients who received atypical antipsychotics.

NILES Journal forGeriatric and Gerontology/NILES Journal for Geriatric and Gerontology, Apr 19, 2024

Background: Balance training plays a crucial role in improving strength and mobility, as well as ... more Background: Balance training plays a crucial role in improving strength and mobility, as well as reducing the risk of falls, for elderly individuals who experience balance issues. This is achieved by strengthening the muscles in the lower limbs and enhancing functional ability. Aim: We aim to compare the effect of the Otago exercise program (OEP) and Tai Chi exercise (TCE) on lower limb strength (LLS) in elderly individuals. Design: A randomized controlled trial (RCT) with single-blinding. Setting: Alsafa Nursing Home, Cario, Egypt. Subjects: Seventy-five older individuals were randomly assigned into three equal groups (n = 25). Group A received OEPs plus conventional balance training (CBT), Group B received TCEs along with CBTs, and Group C served as the control group, receiving only CBT. Tools: Pre-and post-testing involved the assessment of LLS using a Handheld dynamometer. Results: The scores on the dynamometer for the calf muscle showed a significant improvement in all three groups, with no statistical variation between them (p <0.05). Conclusion: Our findings highlight the importance of utilizing different types of exercises, such as OEPs, TCEs, and CBTs, to enhance LLS and reduce fall risk and injuries in the elderly population. Recommendations: Based on comparing the effects of Otago and TC exercises on LLS in elderly individuals, it is recommended to incorporate a combination of OEPs, TCEs, and CBTs into the routine of elderly individuals experiencing balance issues. This combination can help improve LLS, mobility, and functional ability, ultimately reducing the risk of falls and injuries in this population.

NILES Journal forGeriatric and Gerontology/NILES Journal for Geriatric and Gerontology, Mar 14, 2024

Background: Sarcopenia is a condition characterized by loss of muscle mass, strength, and functio... more 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.

NILES Journal forGeriatric and Gerontology/NILES Journal for Geriatric and Gerontology, Mar 23, 2024

Background: Many older persons do not make specific plans regarding their future care, or very fe... more Background: Many older persons do not make specific plans regarding their future care, or very few do, despite the possibility of health care demands. This is often because they do not see the need for it or choose not to consider the possibility of being dependent on others in their later years. Aim: assess attitudes and preparedness of older adults for future health care needs. Method: A descriptive cross sectional design was used on 243 older adults diagnosed with at least one chronic disease from geriatric outpatient clinics at Mansoura University Main hospital and Specialized Medical Hospital affiliated to Mansoura University. Data were collected using; demographic and health related data structured interview schedule, Preparation for Future Care Needs Attitude Scale and Preparation for Future Care Needs. Results: The mean scores of low usefulness of planning, expectations for care needs and expectations for no care needs that related to the older adults' preparation for future care needs attitudes were (23.74 ± 9.15, 19.23 ± 4.53, and 15.95 ± 4.10) respectively. Also, the total score of preparation for future care needs was (45.75±10.66) and the mean of overall awareness of future care needs and avoidance of care planning were (11.53 ± 3.26 and 5.35± 2.05) respectively. Conclusion: Older adults had moderate positive attitudes about planning future care needs and their awareness of future care needs tends to be high. Avoidance of planning was positively related to both low usefulness of planning and expectation of no care, while, it was negatively related to expectation of care need. Recommendation: To support the notion of care preparation and future care requirements, additional behaviorally based outcome measures must be investigated in future studies.

NILES Journal forGeriatric and Gerontology/NILES Journal for Geriatric and Gerontology, Mar 14, 2024

Background: Perceived patient satisfaction is one indicator to measure quality of the nursing car... more 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 patient more satisfied 173(69.2%) than single 41(16.4%).Patient with digestive disorders and fractures and patients in surgical ward showed more satisfaction approximately (75%). Also patients admitted one time 100(40%) are more satisfaction than patient who admitted two times 80(32%) , three times 39(15.65) and four times or more 30(12%). Conclusion: Three quarter of patients were satisfied with nursing care they received in Najran hospitals and there is a higher significant association between satisfaction of patient and marital status, number of admission to hospital and ward they admitted in and diagnosis, recommendations: Implement quality improvement initiatives based on the identified areas of patient dissatisfaction, further studies in large population are recommended to ensure continuity of care and generalization of findings.

NILES Journal forGeriatric and Gerontology/NILES Journal for Geriatric and Gerontology, Mar 22, 2024

Background: The prevalence of vitamin D deficiency and its consequences is expected to increase w... more Background: The prevalence of vitamin D deficiency and its consequences is expected to increase with ageing. Consequently, this study aimed to explore the prevalence of the hidden danger posed by vitamin D deficiency among the elderly, awareness and its impact on psychological well-being. A cross-sectional study design was employed in Najran City, using a convenient sample of 100 elderly. Data collection included socio-demographic information, serum 25 (OH) D analyses, knowledge questionnaires, and the Depression, Anxiety, and Stress Scale (DASS 21). Results revealed that 9% of the sample had deficient vitamin D levels (<20 ng/mL), 33% were insufficient (20-29 ng/mL), and 58% were sufficient (≥30 ng/mL). Knowledge about vitamin D was satisfactory only in 23%. Negative emotional states were mild in 40%, moderate in 31%, and severe in 29% of the sample. Correlation analysis showed a significant positive relationship between knowledge/lifestyle scores and vitamin D (p<0.0001). Moreover, a highly significant association was found between vitamin D sufficiency levels and negative psychological states (p=0.0002). Conclusion: The findings of this study highlighted the prevalence of vitamin D deficiency among elderly individuals where about the third had vitamin D deficiency, a significant proportion of participants exhibited unsatisfactory knowledge about vitamin D (47%). The study also revealed the significant association between varying degrees of negative emotional states among the elderly and their sufficiency levels of vitamin D. Recommendations: perform routine screening for vitamin D levels among elderly individuals especially those at risk of deficiency due to limited sun exposure or dietary factors and raising awareness about the importance of vitamin D, sources of supplementation, and the role of adequate levels in overall health.

NILES Journal forGeriatric and Gerontology/NILES Journal for Geriatric and Gerontology, 2024

Purpose: evaluating the alterations in endothelial cell density and gauge the visual results afte... more Purpose: evaluating the alterations in endothelial cell density and gauge the visual results after performing deep anterior lamellar keratoplasty. Setting: Memorial institute for ophthalmic research and KasrAlainy Faculty of Medicine, Cairo University Methods: A prospective interventional study where 30 eyes from 30 patients were enrolled to undergo deep anterior lamellar keratoplasty (DALK).The technique employed either the big bubble technique or lamellar dissection. The main goal was to evaluate the variations in endothelial cell density by utilizing a non-contact specular microscope before surgery, after 6 weeks and after 6 months. Furthermore, the study also aimed to evaluate the visual outcomes measured before the surgery, at 6 weeks postoperatively, and at 6 months postoperatively. Results: Significant decrease in endothelial cell density was observed during the entire follow-up duration of the study. The preoperative cell density decreases significantly from 2905.5±119.5 to 2374.8±113.5after 6 weeks (p=0.000). Subsequently there was significant decline to 1894±113.2 at 6 months (p=0.000). Regarding visual outcome ,it showed significant improvement. Conclusion: DALK is associated with significant decrease in the endothelial cell density at 6 weeks and 6 months postoperatively and visual outcomes show significant improvement.

NILES Journal forGeriatric and Gerontology/NILES Journal for Geriatric and Gerontology, 2024

Background: Psoriasis is an inflammatory, chronic, recurrent immune skin disease that severely af... more Background: Psoriasis is an inflammatory, chronic, recurrent immune skin disease that severely affects the quality of life of older adults and contributes to increased disability and feelings of stigma. Therefore, effective and appropriate nursing interventions are essential to improve older adults' knowledge and self-care practices regarding the disease and reduce its harmful effects. Aim: This study aimed to evaluate the effect of supportive nursing Intervention on feeling of stigmatization and the quality of life among older adults with psoriasis. Method: A quasi-experimental design (one group pre/post design) was used in this study. A purposive sample of 40 elderly patients attended dermatological outpatient clinic at Mansoura University Hospital and psoriasis outpatient clinic at Dermatology, Venereal, and Leprosy Hospital in Mansoura City. Tools: demographic and clinical data, the Psoriasis knowledge questionnaire, the self-care practice questionnaire, the 33-item feelings of stigmatization questionnaire, and the Psoriasis Disability Index. Results: Mean age The elderly participants were 64.53 ± 4.69. There was a significant improvement in the older adults' total mean scores of psoriasis knowledge, practices, and quality of life, as well as a statistically significant reduction in disability levels and stigmatization related to psoriasis one month and three months post implementation of the nursing intervention (P = 0.000**). Conclusion: Supportive nursing intervention significantly improves older adults' knowledge of psoriasis, self-care practices, and quality of life and reduce stigmatization feelings and disability levels. Recommendations: Dissemination of the developed illustrated supportive nursing intervention program booklet about psoriasis to all older adults with psoriasis attending Mansoura University Hospital should be done.

Mağallaẗ Al-Nīl Li ʿulūm Al-Musinīn (Print), Dec 31, 2023

Background: A high Triglycerides/High Density Lipoprotein-Cholesterol (TG/HDL-C) ratio was consid... more 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 &amp;laboratory assessment, (CK-MB), high-sensitive troponin, lipogram, (eGFR), (ECG) &amp; 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 nonsignificant differences between 3 groups regarding TG /HDL-c ratio (p&gt;0.05). Conclusion: There was a strong correlation between high TG /HDL-c ratio &amp; the pattern of ACS. Therefore, TG to HDL-C ratio may be used as a biomarker of atherosclerosis in ACS patients.

Mağallaẗ Al-Nīl Li ʿulūm Al-Musinīn (Print), Dec 31, 2023

Background: Hypothyroidism is a prevalent endocrine disorder among elderly individuals. Attaining... more 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.

Background: Compliance with hemodialysis (HD) precautions is essential in preventing the transmis... more Background: Compliance with hemodialysis (HD) precautions is essential in preventing the transmission of viral hepatitis C Virus (HCV) and hepatitis B (HBV) in hemodialysis units. Aim of study: the study aimed to assess knowledge and practice of nurses toward Preventive measures of elderly patients with viral hepatitis B and C in the dialysis unit in Beni-Suef governorate. Research design: A descriptive design was used to achieve the aim of the current study. Setting, Beni-Suef university hospital and Elwasta general hospital Sample: A convenient sample of all hemodialysis nurses (76 nurses) in two hemodialysis units at Benisuef and Elwasta general hospital, Egypt; include 42 nurses, form Beni-Suef university hospitaland 34 nurses, fromElwasta general hospital .Tools: one tool were designed to collect date pertinent to the study: Self-administered questionnaire to assess the subjects' level of knowledge, and observational checklist, used to assess subjects' level of practice. Results: More than half of nurses have fair level of total knowledge. Less than three quarters of nurses were incompetent regarding general preventive practices related to dialysis unit. Conclusion: Less than half of nurses have satisfactory of total knowledge about preventive measures of elderly patients with viral hepatitis B&C in dialysis unit. More than half of nurses have unsatisfactory regarding practices toward patient care.Recommendations: Conducting standards educational program that emphasize on improving knowledge level regarding prevention of viral hepatitis B&C transmission in dialysis units in order to raise awareness and correct misconceptions.

NILES journal for Geriatric and Gerontology

Background: Diabetic nephropathy remains the most common cause of end stage renal disease. Connec... more Background: Diabetic nephropathy remains the most common cause of end stage renal disease. Connective tissue growth factor is an extracellular protein involved in the development of diabetic nephropathy. Objective: To evaluate serum connective tissue growth factor level in elderly patients with type 2 diabetes and to assess the correlation with markers of diabetic nephropathy. Subjects and methods: Fifty elderly type 2 diabetic patients with diabetic nephropathy and fifty age and sex-matched control were enrolled. All subjects underwent detailed history taking, clinical examination and anthropometric measurements assessment. Laboratory investigations included serum connective tissue growth factor, fasting blood glucose, post prandial blood glucose, glycated haemoglobin, lipid profile, C-reactive protein, serum creatinine, blood urea, urine analysis, urinary albumin to creatinine ratio and estimated glomerular filtration rate. Results: The 50 patients were 35(70 %) females and 15 (30%) males with a mean age of 67.76± 3.04 years and disease duration were 11.3 ± 4.7 years. The mean serum CTGF in patients was 53.72 ± 21.22 ng/dl and in control was 22.28 ± 1.96 ng/dl (p < 0.001). Serum connective tissue growth factor significantly correlated with glycated haemoglobin, serum creatinine, urinary albumin to creatinine ratio and estimated glomerular filtration rate. Conclusion: Connective tissue growth factor expression in the serum of patients with diabetic nephropathy was significantly higher than controls and was significantly correlated with markers of diabetic nephropathy.

NILES journal for Geriatric and Gerontology

Background: Aging is a gradual process that causes organ system function to deteriorate and physi... more Background: Aging is a gradual process that causes organ system function to deteriorate and physiological reserve to dwindle. Damage theories describe cellular or molecular damage caused by environmental disturbances or metabolic by-products. The 'shortening of telomere hypothesis' is a pre-programmed ageing theory. This study outlines the Nurses' awarness and Practice for Reducing Falls among Older Adult Women at Beni-Suef University Hospital. Aim of Study: The aim of the study is to assess the nurse's knowledge and practice for reducing fall among old adult women at Beni-Suef University Hospital. Research design A descriptive exploratory design was used to conduct this study. Setting: The study was conducted at inpatient unit. Sample: A purposive sampling composed from 100 nurses (male and female) who were providing care for patients connected to direct patient care at Beni-Suef hospital. Tools: Four tools were used in this study and classified as the following: Personal characteristics of nurses such as age, gender, level of education, years of experience, and training, Knowledge assessment sheet, Nurses' practices checklist, using more tools based on this score will start fall prevention measures Results: The study found that almost half of 100 nurses range in age from 30 to 45, are females, have less than half a diploma in nursing, and have 5-10 years of experience. Nearly two thirds of nurses (62.0%) have good knowledge about fall prevention, while less than one fifth (17.0%) have poor level. Less than two thirds (61.0%) are Competent in fall prevention total practices, while almost two fifths (39.0%) are Incompetent. There is a significant correlation between total knowledge and age, Educational qualification, Years of experience and Training, as well as Age and Gender. Conclusion: The study found that nearly two thirds of nurses had good knowledge about fall prevention among elderly women during hospitalization, while more than one fifth had average level. Less than two thirds were Competent, but almost two fifths were Incompetent. Recommendation: Implementation of evidencebased fall prevention programs can improve gait and balance, reduce falls, and improve nurses' knowledge and practice. The maintenance and restoration of older women's function should be incorporated into the care processes developed by clinical leaders and nursing teams. Further study should be conducted to understand the combination of factors that produce successful unit-level fall prevention strategies.

NILES journal for Geriatric and Gerontology, 2025

Background: Frailty is an age-related decline in function and reserve in one or more physiologica... more Background: Frailty is an age-related decline in function and reserve in one or more physiological systems, which increases the risk of poor health outcomes, hospitalization, and death. Although frailty has been well studied in developed countries, little is known about the state of frailty research in Arabic-speaking countries (ASCs). Thus, to understand the depth of information and address this gap in the literature about frailty, we conducted a scoping review to map and synthesize the literature on "frailty research" conducted in ASCs. Method: The Joanna Briggs Institute methodology was used to identify relevant publications. In brief, six databases were searched for key words frailty, frail, vulnerable, older adults, frailty measurement, and Arab countries. Results: Arabic journals did not yield any relevant articles. Only 27 articles from non-Arabic sources met inclusion criteria, suggesting that frailty research is limited in ASCs. The review showed that the prevalence of frailty varied across different settings (e.g. community, long-term care, and hospitals), with the highest prevalence observed among older adults in hospital settings. Frailty was associated with older age and female sex. Furthermore, it was associated with several chronic medical conditions and contributing lifestyle factors. Based on the articles reviewed, there was no consensus on specific tool used to assess frailty or specific interventions. Conclusion: Overall, this review indicates that frailty is a significant issue in ASCs, and more research needs to be done to investigate both how to best identify frailty and how to manage those individuals who are frail.

NILES Journal forGeriatric and Gerontology/NILES Journal for Geriatric and Gerontology, Jul 1, 2024

Introduction: Egypt lacks awareness regarding the positive influence of reflexology along with ae... more Introduction: Egypt lacks awareness regarding the positive influence of reflexology along with aerobic training (AT) on the quality of life (QoL) of patients with hypertension (HTN). Objective: We aim to determine reflexology and AT effects on the insomnia severity index (ISI) and QoL of HTN patients. Methods: This study enrolled 40 HTN female patients aged 35-45 years who were equally divided into groups A and B. Groups A and B participants were provided with medications and peddling training, while Group B participants also received reflexology. The treatment protocol consisted of an eight-week program with three sessions per week. After the fourweek treatment protocol, a post-evaluation (post-1) was conducted and was repeated after another four-week treatment (post-2). The participants underwent assessment for systolic and diastolic blood pressure, ISI, and a 36-item short-form survey (SF-36), a general QoL measure, pre-and post-treatment. Results: The results revealed significant discrepancies in the assessed variable between both groups pre-and post-treatment (post-1/2). When comparing the post-treatment values (post-1/2) of the evaluated variable between groups A and B, incorporating reflexology and AT, such as peddling training, into the physical treatment program is recommended. Conclusion: The study highlights the positive impact of reflexology and AT on the QoL and ISI of female HTN patients, recommending their incorporation into treatment programs.

NILES Journal forGeriatric and Gerontology/NILES Journal for Geriatric and Gerontology, Jul 1, 2024

This article explores the potential benefits of electromagnetic and heating therapies for promoti... more This article explores the potential benefits of electromagnetic and heating therapies for promoting longevity and overall well-being. It reviews the scientific evidence supporting the efficacy of these therapies and discusses their potential mechanisms of action. The article also highlights the importance of integrating these therapies into a holistic approach to health and wellness. It has been taken into account that aging begins immediately after birth, and before that, it is in the developmental stage without aging

NILES Journal forGeriatric and Gerontology/NILES Journal for Geriatric and Gerontology, Jul 1, 2024

Background: One of the most essential needs of all people is providing, enhancing the health leve... more Background: One of the most essential needs of all people is providing, enhancing the health level, and adopting a lifestyle that promotes health. It is the most significant and practical way to keep older persons' wellbeing and promote healthy aging. Aim: To investigate the effects of health promotion program on healthy aging, wellbeing and health promoting behaviour among community dwelling older adults. Methods: Four randomly selected health centers out of a total of 38 were used for the study, which was carried out in the Mansoura District within the Dakahlia governorate. Based on inclusion and exclusion criteria, a purposive sample of 94 older adults from 110 older persons enrolled in the above-mentioned setting was selected, 75 older adults were included in the final analysis. Tools: Four tools were used; Structured Interview Questionnaire, Healthy Aging Instrument (HAI), Modified Wellbeing Assessment Tool, and Health Promoting Lifestyle Profile-II Questionnaire (HPLP-II). Results: All healthy aging factors, wellbeing domains, and health promoting behaviour dimensions of the study group showed significant improvement after the program implementation (p <0.0001). This improvement appears in young old married female, with university education, who still working, had enough income, living with family, and with good health status. Also, highly statistically significant positive correlations (p<0.001) were found between wellbeing, healthy aging, and health promoting behaviour in the study group. Conclusion: Health promotion program has a positive effect on older adults' healthy aging, wellbeing, and health promoting behaviour. Recommendations: To promote older adults' health and decrease the prevalence of chronic illnesses and multiple complications due to lack of healthy lifestyle, it is recommended to implement health promotion lifestyle programs.

NILES Journal forGeriatric and Gerontology/NILES Journal for Geriatric and Gerontology, Jul 1, 2024

Background: The aging population is the most significant demographic phenomena that the world has... more Background: The aging population is the most significant demographic phenomena that the world has seen in recent decades, which in turn resulted in a sharp rise in the number of older people. Consequently, these data anticipate a reduction in expected years of active and healthy life and a rise in age associated with gradual deterioration of physical and mental health. Cognitive frailty is recognized as a precursor to major health conditions. Early identification and cognitive intervention programs can potentially preventing or reversing this decline in cognitive function. Aim: This study aimed to evaluate the effectiveness of cognitive stimulation therapy versus reminiscence therapy on cognitive and psychological outcomes in older adults with mild cognitive impairment. Design: A Quasi-experimental study was followed to conduct this study. Setting: The study was conducted in two elderly clubs namely El-Saada and El-Amal elderly club in Mansoura city. Subjects: A total of 60 older adults with mild cognitive impairment were included in the study and randomly assigned to three equal groups; cognitive stimulation therapy group, reminiscence therapy group and control group. Tools: The data were collected through demographic and health-related characteristics interview sheet, montreal cognitive assessment, psychological wellbeing scale-18, the satisfaction with life scale and one question to assess participants' satisfaction with the program. Results: A significant increase in cognitive function and psychological outcomes were evident among the cognitive stimulation group and reminiscence group after implementation of the intervention when compared to pre intervention and the control group (p<0.05). Conclusion: The application of either cognitive stimulation therapy or reminiscence therapy is effective strategy in improving cognitive and psychological outcomes of older adults with mild cognitive impairment. Recommendation: The health care providers should be encouraged to incorporate such programs as non-pharmacological interventions in routine care of older adults residing either in the community or institutions to preserve their cognitive and psychological health.

NILES Journal forGeriatric and Gerontology/NILES Journal for Geriatric and Gerontology, Jul 1, 2024

Background: Cryolipolysis is a non-invasive procedure designed to target subcutaneous adipose tis... more Background: Cryolipolysis is a non-invasive procedure designed to target subcutaneous adipose tissue in obese patients that has emerged as a potential therapeutic approach for modifying insulin resistance(IR) in T2DM individuals. Aim: to evaluate the efficacy of cryolipolysis in reducing IR among patients diagnosed with T2DM patients exhibiting abdominal obesity. Research design: Randomized, two-group pre-post-test, controlled design. Patients and Methods: sixty females with T2DM exhibiting abdominal obesity were enrolled. The participants were randomly and equally divided either in Group A (cryolipolysis in combination with aerobic exercise), or in Group B (aerobic exercise therapy alone) for three months. All variables measured Pre-and post-study, including (HbA1c, FBG, fasting insulin level, HOMA testing). Results: there was statistically significant decrease in all measured parameters of groups A and B post-treatment compared with pre-treatment with a significant increase in water content, muscle mass, and a significant decrease in fat content and visceral fat of groups A and B post-treatment compared with pre treatment. Following the intervention, Group A significantly reduced fat content and visceral fat compared to Group B. However, there were no significant differences in waist-hip ratio, water content, and muscle mass between the two groups post-treatment. Significant improvements in metabolic parameters were observed in Group A compared to Group B. Group A showed a significant decrease in FBG, insulin levels, HbA1c, and HOMA-IR. Conclusions: Cryoliopolysis is one of the effective strategies for addressing localized fat deposits that enhance glucose absorption and favorable changes in HbA1c and HOMA-IR, that improve insulin sensitivity.

NILES Journal forGeriatric and Gerontology/NILES Journal for Geriatric and Gerontology, Jul 1, 2024

Most amputations are caused by foot ulcers among diabetic older adults, so it is essential to ide... more Most amputations are caused by foot ulcers among diabetic older adults, so it is essential to identify people who are at risk as early as possible. Aim: To detect the risk of foot ulceration and its relation to foot self-care among diabetic elders. Design: A descriptive research design was conducted on 300 elderly patients with a type II of diabetes from the outpatient clinic and medical

NILES Journal forGeriatric and Gerontology/NILES Journal for Geriatric and Gerontology, May 7, 2024

Background: Schizophrenia is a chronic psychiatric disorder that affects mainly cognition and run... more Background: Schizophrenia is a chronic psychiatric disorder that affects mainly cognition and runs in chronic deteriorating course. Objective: The study aimed to assess the cognitive function of schizophrenic patients compared to healthy control and verify the effect of atypical anti-psychotics on cognition in schizophrenia. Patients & Methods: This case-control study included 3 groups, group 1: 20 newly diagnosed patients with schizophrenia, group 2: 20 schizophrenic patients receiving atypical antipsychotics and group 3: 20 control healthy persons. The participants of the three groups were subjected to clinical assessment, that included detailed psychiatric interview, neurological and general examination. Cognitive evaluation of both schizophrenic and control groups by, Wechsler Adult Intelligence Scale (WAIS), Wisconsin Card Sorting Test (WCST), stroop test (computerized version), the Trail Making test, continuous performance test and Wechsler Memory scale (WMS). Results: The schizophrenic patients had worse results than healthy control group in all neuropsychological tests: The Wechsler Adult Intelligence Scale (WAIS), The Wisconsin Card Sorting Test (WCST), Stroop Test, The Trail Making Test (TM,) Continuous performance test (CPT) and The Wechsler memory scale (WMS).The impairment was more in the newly diagnosed patients without treatment. Conclusions and clinical implications: Patients with schizophrenia suffered from cognitive impairment which mostly involved the different cognitive domains in different combinations, manifested least way in patients who received atypical antipsychotics.

NILES Journal forGeriatric and Gerontology/NILES Journal for Geriatric and Gerontology, Apr 19, 2024

Background: Balance training plays a crucial role in improving strength and mobility, as well as ... more Background: Balance training plays a crucial role in improving strength and mobility, as well as reducing the risk of falls, for elderly individuals who experience balance issues. This is achieved by strengthening the muscles in the lower limbs and enhancing functional ability. Aim: We aim to compare the effect of the Otago exercise program (OEP) and Tai Chi exercise (TCE) on lower limb strength (LLS) in elderly individuals. Design: A randomized controlled trial (RCT) with single-blinding. Setting: Alsafa Nursing Home, Cario, Egypt. Subjects: Seventy-five older individuals were randomly assigned into three equal groups (n = 25). Group A received OEPs plus conventional balance training (CBT), Group B received TCEs along with CBTs, and Group C served as the control group, receiving only CBT. Tools: Pre-and post-testing involved the assessment of LLS using a Handheld dynamometer. Results: The scores on the dynamometer for the calf muscle showed a significant improvement in all three groups, with no statistical variation between them (p <0.05). Conclusion: Our findings highlight the importance of utilizing different types of exercises, such as OEPs, TCEs, and CBTs, to enhance LLS and reduce fall risk and injuries in the elderly population. Recommendations: Based on comparing the effects of Otago and TC exercises on LLS in elderly individuals, it is recommended to incorporate a combination of OEPs, TCEs, and CBTs into the routine of elderly individuals experiencing balance issues. This combination can help improve LLS, mobility, and functional ability, ultimately reducing the risk of falls and injuries in this population.

NILES Journal forGeriatric and Gerontology/NILES Journal for Geriatric and Gerontology, Mar 14, 2024

Background: Sarcopenia is a condition characterized by loss of muscle mass, strength, and functio... more 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.

NILES Journal forGeriatric and Gerontology/NILES Journal for Geriatric and Gerontology, Mar 23, 2024

Background: Many older persons do not make specific plans regarding their future care, or very fe... more Background: Many older persons do not make specific plans regarding their future care, or very few do, despite the possibility of health care demands. This is often because they do not see the need for it or choose not to consider the possibility of being dependent on others in their later years. Aim: assess attitudes and preparedness of older adults for future health care needs. Method: A descriptive cross sectional design was used on 243 older adults diagnosed with at least one chronic disease from geriatric outpatient clinics at Mansoura University Main hospital and Specialized Medical Hospital affiliated to Mansoura University. Data were collected using; demographic and health related data structured interview schedule, Preparation for Future Care Needs Attitude Scale and Preparation for Future Care Needs. Results: The mean scores of low usefulness of planning, expectations for care needs and expectations for no care needs that related to the older adults' preparation for future care needs attitudes were (23.74 ± 9.15, 19.23 ± 4.53, and 15.95 ± 4.10) respectively. Also, the total score of preparation for future care needs was (45.75±10.66) and the mean of overall awareness of future care needs and avoidance of care planning were (11.53 ± 3.26 and 5.35± 2.05) respectively. Conclusion: Older adults had moderate positive attitudes about planning future care needs and their awareness of future care needs tends to be high. Avoidance of planning was positively related to both low usefulness of planning and expectation of no care, while, it was negatively related to expectation of care need. Recommendation: To support the notion of care preparation and future care requirements, additional behaviorally based outcome measures must be investigated in future studies.

NILES Journal forGeriatric and Gerontology/NILES Journal for Geriatric and Gerontology, Mar 14, 2024

Background: Perceived patient satisfaction is one indicator to measure quality of the nursing car... more 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 patient more satisfied 173(69.2%) than single 41(16.4%).Patient with digestive disorders and fractures and patients in surgical ward showed more satisfaction approximately (75%). Also patients admitted one time 100(40%) are more satisfaction than patient who admitted two times 80(32%) , three times 39(15.65) and four times or more 30(12%). Conclusion: Three quarter of patients were satisfied with nursing care they received in Najran hospitals and there is a higher significant association between satisfaction of patient and marital status, number of admission to hospital and ward they admitted in and diagnosis, recommendations: Implement quality improvement initiatives based on the identified areas of patient dissatisfaction, further studies in large population are recommended to ensure continuity of care and generalization of findings.

NILES Journal forGeriatric and Gerontology/NILES Journal for Geriatric and Gerontology, Mar 22, 2024

Background: The prevalence of vitamin D deficiency and its consequences is expected to increase w... more Background: The prevalence of vitamin D deficiency and its consequences is expected to increase with ageing. Consequently, this study aimed to explore the prevalence of the hidden danger posed by vitamin D deficiency among the elderly, awareness and its impact on psychological well-being. A cross-sectional study design was employed in Najran City, using a convenient sample of 100 elderly. Data collection included socio-demographic information, serum 25 (OH) D analyses, knowledge questionnaires, and the Depression, Anxiety, and Stress Scale (DASS 21). Results revealed that 9% of the sample had deficient vitamin D levels (<20 ng/mL), 33% were insufficient (20-29 ng/mL), and 58% were sufficient (≥30 ng/mL). Knowledge about vitamin D was satisfactory only in 23%. Negative emotional states were mild in 40%, moderate in 31%, and severe in 29% of the sample. Correlation analysis showed a significant positive relationship between knowledge/lifestyle scores and vitamin D (p<0.0001). Moreover, a highly significant association was found between vitamin D sufficiency levels and negative psychological states (p=0.0002). Conclusion: The findings of this study highlighted the prevalence of vitamin D deficiency among elderly individuals where about the third had vitamin D deficiency, a significant proportion of participants exhibited unsatisfactory knowledge about vitamin D (47%). The study also revealed the significant association between varying degrees of negative emotional states among the elderly and their sufficiency levels of vitamin D. Recommendations: perform routine screening for vitamin D levels among elderly individuals especially those at risk of deficiency due to limited sun exposure or dietary factors and raising awareness about the importance of vitamin D, sources of supplementation, and the role of adequate levels in overall health.

NILES Journal forGeriatric and Gerontology/NILES Journal for Geriatric and Gerontology, 2024

Purpose: evaluating the alterations in endothelial cell density and gauge the visual results afte... more Purpose: evaluating the alterations in endothelial cell density and gauge the visual results after performing deep anterior lamellar keratoplasty. Setting: Memorial institute for ophthalmic research and KasrAlainy Faculty of Medicine, Cairo University Methods: A prospective interventional study where 30 eyes from 30 patients were enrolled to undergo deep anterior lamellar keratoplasty (DALK).The technique employed either the big bubble technique or lamellar dissection. The main goal was to evaluate the variations in endothelial cell density by utilizing a non-contact specular microscope before surgery, after 6 weeks and after 6 months. Furthermore, the study also aimed to evaluate the visual outcomes measured before the surgery, at 6 weeks postoperatively, and at 6 months postoperatively. Results: Significant decrease in endothelial cell density was observed during the entire follow-up duration of the study. The preoperative cell density decreases significantly from 2905.5±119.5 to 2374.8±113.5after 6 weeks (p=0.000). Subsequently there was significant decline to 1894±113.2 at 6 months (p=0.000). Regarding visual outcome ,it showed significant improvement. Conclusion: DALK is associated with significant decrease in the endothelial cell density at 6 weeks and 6 months postoperatively and visual outcomes show significant improvement.

NILES Journal forGeriatric and Gerontology/NILES Journal for Geriatric and Gerontology, 2024

Background: Psoriasis is an inflammatory, chronic, recurrent immune skin disease that severely af... more Background: Psoriasis is an inflammatory, chronic, recurrent immune skin disease that severely affects the quality of life of older adults and contributes to increased disability and feelings of stigma. Therefore, effective and appropriate nursing interventions are essential to improve older adults' knowledge and self-care practices regarding the disease and reduce its harmful effects. Aim: This study aimed to evaluate the effect of supportive nursing Intervention on feeling of stigmatization and the quality of life among older adults with psoriasis. Method: A quasi-experimental design (one group pre/post design) was used in this study. A purposive sample of 40 elderly patients attended dermatological outpatient clinic at Mansoura University Hospital and psoriasis outpatient clinic at Dermatology, Venereal, and Leprosy Hospital in Mansoura City. Tools: demographic and clinical data, the Psoriasis knowledge questionnaire, the self-care practice questionnaire, the 33-item feelings of stigmatization questionnaire, and the Psoriasis Disability Index. Results: Mean age The elderly participants were 64.53 ± 4.69. There was a significant improvement in the older adults' total mean scores of psoriasis knowledge, practices, and quality of life, as well as a statistically significant reduction in disability levels and stigmatization related to psoriasis one month and three months post implementation of the nursing intervention (P = 0.000**). Conclusion: Supportive nursing intervention significantly improves older adults' knowledge of psoriasis, self-care practices, and quality of life and reduce stigmatization feelings and disability levels. Recommendations: Dissemination of the developed illustrated supportive nursing intervention program booklet about psoriasis to all older adults with psoriasis attending Mansoura University Hospital should be done.

Mağallaẗ Al-Nīl Li ʿulūm Al-Musinīn (Print), Dec 31, 2023

Background: A high Triglycerides/High Density Lipoprotein-Cholesterol (TG/HDL-C) ratio was consid... more 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 &amp;laboratory assessment, (CK-MB), high-sensitive troponin, lipogram, (eGFR), (ECG) &amp; 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 nonsignificant differences between 3 groups regarding TG /HDL-c ratio (p&gt;0.05). Conclusion: There was a strong correlation between high TG /HDL-c ratio &amp; the pattern of ACS. Therefore, TG to HDL-C ratio may be used as a biomarker of atherosclerosis in ACS patients.

Mağallaẗ Al-Nīl Li ʿulūm Al-Musinīn (Print), Dec 31, 2023

Background: Hypothyroidism is a prevalent endocrine disorder among elderly individuals. Attaining... more 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.

Background: Compliance with hemodialysis (HD) precautions is essential in preventing the transmis... more Background: Compliance with hemodialysis (HD) precautions is essential in preventing the transmission of viral hepatitis C Virus (HCV) and hepatitis B (HBV) in hemodialysis units. Aim of study: the study aimed to assess knowledge and practice of nurses toward Preventive measures of elderly patients with viral hepatitis B and C in the dialysis unit in Beni-Suef governorate. Research design: A descriptive design was used to achieve the aim of the current study. Setting, Beni-Suef university hospital and Elwasta general hospital Sample: A convenient sample of all hemodialysis nurses (76 nurses) in two hemodialysis units at Benisuef and Elwasta general hospital, Egypt; include 42 nurses, form Beni-Suef university hospitaland 34 nurses, fromElwasta general hospital .Tools: one tool were designed to collect date pertinent to the study: Self-administered questionnaire to assess the subjects' level of knowledge, and observational checklist, used to assess subjects' level of practice. Results: More than half of nurses have fair level of total knowledge. Less than three quarters of nurses were incompetent regarding general preventive practices related to dialysis unit. Conclusion: Less than half of nurses have satisfactory of total knowledge about preventive measures of elderly patients with viral hepatitis B&C in dialysis unit. More than half of nurses have unsatisfactory regarding practices toward patient care.Recommendations: Conducting standards educational program that emphasize on improving knowledge level regarding prevention of viral hepatitis B&C transmission in dialysis units in order to raise awareness and correct misconceptions.

NILES journal for Geriatric and Gerontology

Background: Diabetic nephropathy remains the most common cause of end stage renal disease. Connec... more Background: Diabetic nephropathy remains the most common cause of end stage renal disease. Connective tissue growth factor is an extracellular protein involved in the development of diabetic nephropathy. Objective: To evaluate serum connective tissue growth factor level in elderly patients with type 2 diabetes and to assess the correlation with markers of diabetic nephropathy. Subjects and methods: Fifty elderly type 2 diabetic patients with diabetic nephropathy and fifty age and sex-matched control were enrolled. All subjects underwent detailed history taking, clinical examination and anthropometric measurements assessment. Laboratory investigations included serum connective tissue growth factor, fasting blood glucose, post prandial blood glucose, glycated haemoglobin, lipid profile, C-reactive protein, serum creatinine, blood urea, urine analysis, urinary albumin to creatinine ratio and estimated glomerular filtration rate. Results: The 50 patients were 35(70 %) females and 15 (30%) males with a mean age of 67.76± 3.04 years and disease duration were 11.3 ± 4.7 years. The mean serum CTGF in patients was 53.72 ± 21.22 ng/dl and in control was 22.28 ± 1.96 ng/dl (p < 0.001). Serum connective tissue growth factor significantly correlated with glycated haemoglobin, serum creatinine, urinary albumin to creatinine ratio and estimated glomerular filtration rate. Conclusion: Connective tissue growth factor expression in the serum of patients with diabetic nephropathy was significantly higher than controls and was significantly correlated with markers of diabetic nephropathy.

NILES journal for Geriatric and Gerontology

Background: Aging is a gradual process that causes organ system function to deteriorate and physi... more Background: Aging is a gradual process that causes organ system function to deteriorate and physiological reserve to dwindle. Damage theories describe cellular or molecular damage caused by environmental disturbances or metabolic by-products. The 'shortening of telomere hypothesis' is a pre-programmed ageing theory. This study outlines the Nurses' awarness and Practice for Reducing Falls among Older Adult Women at Beni-Suef University Hospital. Aim of Study: The aim of the study is to assess the nurse's knowledge and practice for reducing fall among old adult women at Beni-Suef University Hospital. Research design A descriptive exploratory design was used to conduct this study. Setting: The study was conducted at inpatient unit. Sample: A purposive sampling composed from 100 nurses (male and female) who were providing care for patients connected to direct patient care at Beni-Suef hospital. Tools: Four tools were used in this study and classified as the following: Personal characteristics of nurses such as age, gender, level of education, years of experience, and training, Knowledge assessment sheet, Nurses' practices checklist, using more tools based on this score will start fall prevention measures Results: The study found that almost half of 100 nurses range in age from 30 to 45, are females, have less than half a diploma in nursing, and have 5-10 years of experience. Nearly two thirds of nurses (62.0%) have good knowledge about fall prevention, while less than one fifth (17.0%) have poor level. Less than two thirds (61.0%) are Competent in fall prevention total practices, while almost two fifths (39.0%) are Incompetent. There is a significant correlation between total knowledge and age, Educational qualification, Years of experience and Training, as well as Age and Gender. Conclusion: The study found that nearly two thirds of nurses had good knowledge about fall prevention among elderly women during hospitalization, while more than one fifth had average level. Less than two thirds were Competent, but almost two fifths were Incompetent. Recommendation: Implementation of evidencebased fall prevention programs can improve gait and balance, reduce falls, and improve nurses' knowledge and practice. The maintenance and restoration of older women's function should be incorporated into the care processes developed by clinical leaders and nursing teams. Further study should be conducted to understand the combination of factors that produce successful unit-level fall prevention strategies.