Advances in Medical Education

 

Editorial

Editor: Abdulrazak Abyad

This is the fifth year of the Middle East Journal of Age and Aging. The journal has grown gradually and increased in the frequency of issues and improved in the quality of papers since its start. Currently we have six issues per year and we look forward to increase the frequency with the help of the readers and concerned researchers in the field of aging in the region.

In this issue CHOW C.K.W and MATEAR D.W. presented a small series of cases on Treating Oral Candidiasis with Antifungal Agents in Tissue Conditioners. The authors stressed that topical antifungal treatments are difficult to implement in some institutionalized geriatric patients with oral candidiasis due to physical or cognitive problems. They assessed clinical and microbiological effects of placement of antifungal-tissue conditioner combinations for patients with oral candidiasis (n=14). This pilot study is promising and a large scale study which compares this treatment modality with conventional and systemic antifungal agents is warranted to derive a protocol for patients with poor compliance.

A paper from Pakistan looked at the Opinion and Practices regarding End of life issues among Family practice patients. A questionnaire based cross-sectional survey was conducted at the Family Practice Center, Aga Khan University Hospital, Karachi, Pakistan, in July and August, 2005. (66.6%) cases desired to die at home. (84%) respondents would want to know the seriousness of illness if faced with a near dying situation. The authors concluded that a clear need exists to conduct further research about End of life issues in Pakistan society.

A paper from Libya examined the Population and Health in the Eastern Mediterranean. Demographically, this region has a sex ratio favoring males, and age structure showing an early stage of demographic transition, having a higher proportion of children and adults and an initial phase of ageing. Iqbal A et Hoque A discussed the newly developed robust forecasting technique for fertility projection using age specific fertility rates from 1974-2002 in Bangladesh.


A prospective study from Jordan attempted to estimate the prevalence of diabetic retinopathy in patients diagnosed as having diabetes after the age of 60 and to study its relationship with certain risk factors including type and duration of diabetes, HbA1c levels, cholesterol and creatinine levels. The authors found that the prevalence of diabetic retinopathy in elderly patients is lower compared to overall prevalence in other age groups.

A paper from Iraq discussed spirituality, religion and the new role of the physician. In a way doctors are the new priests, because so many people do not belong to an organized religion or have a spiritual leader that they go to on a regular basis.