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Chief editor
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE
Editorial office:
Abyad Medical Centre & Middle East Longevity Institute
Azmi Street, Abdo Centre
PO Box 618
Tripoli, Lebanon
Tel: 961 6 443 684
Fax: 961 6 443 685
aabyad@cyberia.net.lb
Publisher
Lesley Pocock
medi+WORLD International
11 Colston Avenue
Sherbrooke, 3789, VIC
Australia
Tel: +61 3 9005 9847
Fax: +61 3 9012 5857
Lesleypocock@mediworld.com.au
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January/February
2017 , Volume 14 - Issue 1 |
Editorial
Editor: A. Abyad
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This is the
first issue this year and we are continuing our series
of papers on ageing in different countries.
We are starting this year with
a paper on ageing and security in Tehran. The paper
investigates life security in the course of ageing in
Tehran City which is generalizable to other parts of
the country. The present survey studies various dimensions
of the lives of the elderly people ___ their material
quality of life, their wellbeing, their abuse etc. The
author tries to reflect the quality of human rights
and the dignity of the ageing people in the present
paper. Though the number of the elderly people is increasing
in Iran, yet institutions enough haven not been built
to meet their increasing needs. The method of research
used, is mainly empirical, yet it is preceded by theoretical
and literature review. While five hundred elderly people
have randomly been selected for the study, the main
hypothesis of the study is: "increasing security
of the elderly positively enhances their quality of
life". The paper concludes that the new generation
of the elderly with new needs and expectations are quite
different from those of the previous generations and
age cohorts.
A paper from Qatar in fulfillment
of a thesis degree looked at Antibiotic Prophylaxis
to prevent Urinary Tract Infection Following Urinary
Catheterization in Geriatrics.
The author stressed that Urinary Catheterization is
common procedure in elderly population. Literatures
showed that up to 40% of the nosocomial infections are
caused by urinary tract infection related to urinary
catheterization. Some studies suggest using prophylaxis
antibiotics prior to insertion of urinary catheter in
elderly to minimize the chances of urinary tract infection
related to the procedure. This study was performed to
evaluate the risk of urinary tract infection related
to catheter insertion and the benefit of using prophylaxis
antibiotics prior to catheter insertion. A retrospective
study for 100 elderly patients from skilled Nursing
facility and home care was done. The study reviewed
the files and medical records of the patients between
May 2011 to May 2012. The study examined incidence of
UTI after catheterization and whether the use of prophylaxis
antibiotic necessary before insertion of urinary catheter.
The study revealed 72 patients out of the 100 patients
enrolled in the study (72%) were free of UTI after insertion
of urinary catheter. 28 patients out of 100 (28%) have
suffered from UTI after the insertion of urinary catheter.
25 patient out of 28 patients who had UTI had the urinary
catheter for more than 2 weeks. 25 out of 28 UTI patients
have not received prophylaxis antibiotics, 3 out of
the 28 patients have received antibiotic prophylaxis
and suffered UTI. The authors concluded that Urinary
catheters are commonly used among elderly patients.
There are several reasons for the use of urinary catheter.
The Most common is urinary incontinence, bedsore protection,
urinary retention, and output monitoring. There is no
need for using prophylactic ABX before or after the
insertion of urinary catheter for the elderly patient.
Insertion of urinary catheter under aseptic condition
is important to prevent procedure induced urinary tract
infection.
A review paper looked
at inherited Ataxia's. The hereditary ataxias are a
heterogeneous group of diseases. Most attempts at classification
have been based on pathologic findings and are not always
useful for the clinicians. Many of these disorders are
multisystem degeneration in which the underlying biochemical
or other defect is usually unknown. The pathophysiology
is correspondingly poorly understood. Hereditary ataxia
can be divided into the hereditary congenital ataxia,
the ataxia linked with metabolic disorder, and early
onset ataxia of unknown etiology (Table 1). Primary
care physicians should be aware of the differential
diagnosis of the hereditary ataxia when faced with ataxia
of unknown etiology.
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