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                |  | Chief editor
 Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE
 Editorial office:Abyad Medical Centre & Middle East Longevity Institute
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 Lesley Pocock
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                      | November 
                        2017 , Volume 14 - Issue 3 |  
                     
                      | Editorial 
 Editor: A. Abyad |  
 
 
                     
                      | This is the 
                          last issue this year of the journal that handle important 
                          issues in Geriatrics. A paper from turkey attempted 
                          to evaluate the level of sarcopenia of home-dwelling 
                          elderly and the attitudes to frailty by asking their 
                          relatives, who applied as patients to a family practice 
                          in Antalya, Turkey. The study was a cross-sectional 
                          study with 1016 patients were asked if they had a frail 
                          elderly person at home. Participants, who gave positive 
                          answer were further asked questions on frailty level 
                          (SARC-F) of their elderly and attitudes concerning frailty 
                          at home. Descriptive statistics, Chi-square, and Spearman's 
                          rho correlation were used. Sarc-F Total Score was found 
                          5.2 (median=5; SD=1.1; min-max=3-8; n=125). Participants 
                          were in agreement with statement "I feel competent 
                          in caring for my frail elder", "I would follow 
                          the treatment recommendations of my frail patient", 
                          "I would seek appropriate supprt for my frail elder", 
                          "Immobile, frail elder need home health services", 
                          "The family plays an important role in the early 
                          diagnosis of frailty", "Mobile technologies 
                          play an important role in the care of frail elders", 
                          and "Family members play an important role in the 
                          care of frail elders". The determination of self-perceived 
                          health is an acceptable method for assessment of the 
                          person, which might be also useful in caregivers of 
                          frail elders. This could certainly help to evaluate 
                          unmet health needs of frail elders, who are not able 
                          to visit the family physician.
 A paper from Kurdistan looked at depression of older 
                          people in Kurdistan
 Depression in the older people: 
                          A perspective from Kurdistan . Elderly population are 
                          increasing world-wide. In the next few decades such 
                          increase will be more prominent in developing world 
                          including Middle Eastern countries. Rate of morbidity 
                          is very much age related including depression. Impact 
                          of depression on health service is enormous world-wide. 
                          The aim of the study to determine the prevalence of 
                          depression among elderly people in Kurdistan and identify 
                          any relation between depression in that population and 
                          gender, age, education level, Economical status, marital 
                          status, housing, alcohol use, functional status and 
                          history of chronic medical illnesses. The Geriatric 
                          Depression Scale -15(GDS-15) was translated to Kurdish 
                          and used for assessment of elderly patients, those above 
                          the age of 65. The researchers collected data via direct 
                          face to face interviews with the patient. 650 elderly 
                          subjects were questioned between January and June 2014. 
                          64.2% of the study population scored at least 5 as per 
                          geriatric depression scale which is very significant. 
                          22.8% had a score indicating they suffered moderate 
                          to severe depression. These finding had not been found 
                          in other similar studies in other countries. It was 
                          found to be statistically significantly that incidence 
                          of depression was higher in those who were older, female, 
                          had a higher level of education, from low socioeconomic 
                          status, unmarried and with chronic illness. A finding 
                          which found in other studies  A review paper from Lebanon 
                          and Tunis looked at the fear of falling syndrome as 
                          an emerging problem. The authors stressed that over 
                          the last two decades a surge of interest in the phenomenon 
                          of fear of falling. This paper summarizes current data 
                          pertaining to the concept, epidemiology, assessment 
                          and management of fear of falling. In addition it elaborate 
                          on the relationship of fear of falling to other factors. 
                          Fear of falling is a conceivable cause of excess disability 
                          and evolving public health problem. Fear of falling 
                          has been reported in a high percentage of community-dwelling 
                          elderly who both do and don't have a history of falling. 
                          The aims of this review are to: (a) elucidate the definition 
                          of fear of falling; (b) clarify measurements of fear 
                          of falling based on its definition; and (c) describe 
                          the risk factors for fear of falling.
 
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