Salient feature of the Aged Population of Bangladesh
Sumaiya Abedin
 

 

Chief editor
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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Abyad Medical Centre & Middle East Longevity Institute
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August 2008, Volume 5 - Issue 4

Editorial

Editor: Abdulrazak Abyad



This is the fourth issue this year which is rich with papers from the region. A paper from Iran looked at Naming Performance in Farsi-speaking demented patients. Naming is a mental process requiring representations of semantic, phonologic and morphosyntactic information of our mental lexicon. The author studied 20 patients with DAT compared with 17 patients with aphasia using a reference group of healthy elderly people. All the participants were examined using A Farsi Aphasia Naming Test developed by Nilipour (2004). He concluded that naming difficulties in DAT patients are mostly arising from semantic memory deficits, whereas in aphasic patients the problem has A lexical-phonological origin.

A retrospective study of causes and prognosis of Jaundice in the elderly, from the UK, looked at the causes and prognosis of jaundice in patients over 65 years of age presenting to a district general hospital. Ninety-three patients were studied (mean age 75 years, range 65-96). The authors concluded that mortality was highest among patients with high bilirubin and low albumin at presentation.

A paper from Bangladesh looked at Potential Gain of Life Expectancies for Elimination of Leading Causes of Death. The authors stressed that communicable diseases, which include diarrhoeal and infectious diseases are the major causes of low life expectancy in our population. If we are able to eliminate diarrhoeal diseases from our community, expectation of life will be sharply increased about 1.43 years at birth. In order to compute the inherent peculiarities of deaths due to diarrhoeal and infectious diseases and their combined effect in presence of all other cause of death, single decrement life tables were constructed.

A retrospective study from Malaysia looked at Organic psychiatric disorders in older persons. The sample was collected over 3 months and consisted of 10 patients above 60 years of age with features fitting those conditions, conventionally labeled at the time as Organic Brain Syndromes (OBS). We found that OBS in hospitalized older people was common (29.41%) and the detection of these syndromes was poor, taking almost 5 days for a psychiatric referral to be made. Clinical presentations heterogeneously varied and the majority of cases were in a delirium (60%) due to various causes. Only low dosages of treatment were required to treat the symptoms, except in those who had a premorbid psychiatric disorder.

A paper from Pakistan looked at the prevention of cardiovascular disease. The author stressed that coronary artery disease is a major and growing contributor to morbidity, mortality and disability in the South Asian countries including Pakistan. Cardiovascular disease profile in Pakistan shows the presence of emerging and advancing diseases such as coronary artery diseases (CAD) and cerebrovascular accidents (CVA) and of established and receding diseases such as hypertension and diabetes, which are also risk factors for CAD and CVA. The author added that the majority of people have modifiable risk factors for cardiovascular disease that are easily preventable. Prevention efforts are required early in life, using strategies for behavioral modification and health promotion.

In the population aging feature, a paper from Bangladesh discussed the salient feature of the Aged Population. The present study revealed that 65 percent of elderly are illiterate and about 78.5 percent of elderly women are illiterate. About 25.4 percent of older persons are non-working. This study also showed that 77.85 percent of the older persons of Bangladesh are suffering from various chronic diseases.