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Population and dynamics
of aging is attracting the attention of regional researchers.
In this issue two papers from Bangladesh discussed
this issue. The first paper attempts to estimate some
mortality measures such as age specific death rates
(ASDRs), infant mortality rate (IMR) and crude death
rate (CDR) in Bangladesh in 2006. The author used
two abridged life tables for males and for females
and they have been constructed using the corresponding
secondary data on life expectancy at birth of Bangladesh
in 2006 taken from UN (2006). He built a mathematical
model fitted to the number of persons surviving at
an exact age x (lx) for males and for females. In
the second paper the author stressed the rapid increase
in the elderly population in Bangladesh. It is essential
for society and the government to realize that the
aged population needs not to be regarded as 'demographic
refuse' and given a congenial atmosphere, they can
still contribute to the family and community combining
old values and new expectations.
A paper from Jordan discussed
the causes of impaired vision in south of Jordan.
The author included 900 Jordanian patients with a
mean age of 64 years. Visual impairment was determined
using presenting and best-corrected visual acuity.
The causes of visual impairment were cataract (43.0%),
macular degeneration (18.0%), and amblyopia (10.0%).
The author concluded that most causes of blindness
in Jordan can be controlled by various educational
and medical programmes. A prospective study from Iran
looked at the hip bone mineral density of 100 patients
(50 men, 50 women) and 100 control individuals (50
men, 50 women) between 50-90 years old measured by
Dual-energy X-ray absorptiometry. This study showed
that bone mineral density in the patients group was
0.6333 gr/cm2 versus 0.7589 gr/cm2 in the control
group. The authors concluded that every person whose
bone density is below 0.6333 gr/cm2 is prone to hip
fracture.
Aydin S et Gemalmaz
A looked at the knowledge of residents about patients'
rights, informed consent, and euthanasia. The authors
followed a cross-sectional study, an anonymous, volunteer-based,
structured questionnaire consisting of 31 open- and
closed-ended questions about socio-demographic features,
thoughts and knowledge level of residents on patients'
rights, informed consent, and euthanasia which was
applied to the residents of a university hospital.
The mean knowledge score was 7.2±1.9, and obtaining
9 points or more was considered to be "sufficient".
Of the total, only 23.9% was determined as having
sufficient knowledge about patients' rights, informed
consent, and euthanasia and 52.3% declared that they
needed education about these subjects. The authors
stressed that the knowledge level and awareness of
residents about patient rights, euthanasia, and informed
consent was insufficient. These issues should be included
in the undergraduate and postgraduate medical education
curriculum.
Pourreza A, examines
health care expenditure trends for developed countries
and the impact of changing demographics on health
expenditure. The influential factors on the growth
of ageing, policies and policymakers' responsibilities
in this respect, is analyzed. An attempt was made
to discuss and analyze ageing and escalating costs
of long-term care of elderly in the context of social
problems. The author stressed that there is a need
to reassess our views towards ageing, elderly's health,
and their roles and functions in family and community.
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