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In this issue
of the journal a number of papers discuss population
issues in addition to rare cases. A paper from India
looked at Prevalence of Chronic Non - Communicable Diseases
in Urban Population of Nagaland. This study examines
the effect of various socio-economic, demographic and
cultural factors on the prevalence of chronic diseases
among a representative sample population from Kohima
and Dimapur towns of Nagaland. The data source used
is a primary one collected through a household survey.
In all, 4640 respondents were interviewed during data
collection, out of which 2328 respondents were selected
for the logistic regression analysis. The result indicates
that characteristics like age, gender, marital status,
occupation, family income, physical exercise, chew tobacco,
smoking, consumption of alcohol and body mass index
have significant effect on prevalence of chronic diseases.
The study recommended that there is a need to strengthen
the health care services of Nagaland in the field of
preventive medicine.
A paper from Iran explored the
mutual relationship between youth through ageing and
their financial status in Tehran City. The youth, or
so to say, age groups 18-29 are socio-economically very
vulnerable due to the imbalance being faced by them
as their expenditures are moving ahead of their income.
Many young men and women while ageing, and in their
20s, are financially dependent on their parents' income.
Such a scenario contributes to youth vulnerabilities
in various ways. The article investigates how creating
a balance between income and expenditure will result
in improved and healthy ageing of the youth not only
in Iran, but in other developing countries too. Iran,
with a young population structure of about 33% at age
groups 15-29, needs to do more to create secure and
sustainable openings for its youth to bridge the income-expenditure
gap. Among other problems contributing to youth unemployment
or underemployment, is marriage delay for both genders.
In conducting the research, some 555 youth samples were
examined through questionnaires in different districts
of Tehran City. The research is based on the main hypothesis
that: "reasonable permanent income determines the
propensity to consume". Similarly, in the theoretical
section of the research, relevant theories were consulted.
A paper from Pakistan looked
at Guilt and its Impact among Care Givers:
The Care Giver aspect remains unexplored in Pakistan.
This study looks at Care Giver guilt and its impact
on their life and ways to overcome it. A cross sectional
study was conducted between July and September, 2015.
A total of 400 Care Givers were of interviewed. The
demographic variables recorded include age, hometown,
occupation and education status. Variables included
duration of care giving, current Care Giver or Care
Giver in previous five years, family member who received
care, whether guilt occurred due to care giving. 400
Care Givers (215 men and 185 women) were interviewed.
Majority (228) belonged to younger age group (18-30
years). They were mostly single, majority students giving/
had given care to their parents or grandparents. Most
of them had or were giving care to their mothers (157)
followed by father (105). The majority (256) were current
Caregivers while the rest provided care within previous
five years. A significant 186 respondents reported "Guilty"
feelings due to deficiencies in Caregiving and 50% felt
it negatively affected their life. 108 respondents were
bothered by negative thoughts arising from "Guilty"
feelings and 102 shared with someone, Mother (52) being
most common. 170 respondents felt "Guilty"
feeling among Caregivers, arising out of deficiencies
in Caregiving is inevitable. 255 respondents felt that
Health Care Providers should provide support to Caregivers.
167 respondents felt that Patients realize negative
impact of "Guilty "feelings among Caregivers
and try to mitigate. Current Caregiver responses are
compared with those who provided Caregiving over previous
five years. The authors concluded that significant guilt
arises among Caregivers due to deficiencies in Caregiving.
It is important for Health Care Providers to explore,
identify and manage such "Guilty" feelings
among Caregivers. Further research in this area is recommended.
A case report on general
paresis is presented. The manifestations of central
nervous system syphilis are unfamiliar to differential
of patients with dementia to many physicians today as
a result of the relative rarity of this condition. This
is a report a patient with syphilis and dementia in
an 88 year old Hispanic female. General Paresis is a
progressive disease of brain leading to mental and physical
deterioration. The clinical manifestations usually appear
about 15-20 years after primary infection. It is important
to keep tertiary syphilis in the differential diagnosis
of dementia.
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