Background: Anemia is a common problem with serious consequences in older person but is often overlooked despite considerable evidence that low hemoglobin levels indicate physiologic decline in these patients. Multiple studies demonstrate that anemia is an independent risk factor for increased morbidity and mortality, and decreased quality of life in community-dwelling older persons. Increasing functional deterioration is associated with decreasing hemoglobin concentration in an inverse and linear manner. Aim: to assess the prevalence of anemia in free-living elderly subjects living in an urban community of Meet Abbad-Nabaroh, Dakahlia. Egypt and its impact on their functional level. Methodology: A cross-sectional study was done including 93 elderly ≥ 60 ys old, both males and females recruited from Meet Abbad-Nabaroh, Dakahlia, Egypt. All subjects underwent a complete medical history taking, clinical evaluation then blood hemoglobin level was measured, and anemia was defined according to the World Health Organization definition of anemia (hemoglobin level less than 13 g per dL [130 g per L] in men and less than 12 g per dL [120 g per L] in women). Results: The study revealed that the prevalence of anemia is 15.05% among the studied participants (14.5% among the male group and 16.1% among females), 14% had mild anemia and 1% had moderate anemia, with significant increase with age as there was significant difference (p = 0.042) between the different age groups of the studied participants, also history of blood loss and anemia showed positive significant correlation (p-value = 0.001), and highly significant correlations between intake of non steroidal anti inflammatory drugs (NSAID) and anemia (p-value = 0.000). The impact of anemia on functional status and risk of fall respectively showed significant difference between anemic and non anemic as regards instrumental activity of daily living (IADL) (p = 0.007), and timed up and go test (p-value = 0.01), also there is significant corre-* Corresponding author. M. A. Kamel et al. 169 lation between anemia and mini mental state examination (MMSE) (p-value 0.046) with worse performance among the anemic ones. Conclusion & Recommendation: anemia represents a health problem of significance among the community dwelling elderly with bad drawback on their functional level; their need for health & community services has a financial impact so this problem needs more assessment for better prevention and treatment.

Background: The average age and life expectancy of the population are increasing and so a growing number of elderly patients are being admitted to the intensive care unit Aim: To detect the accuracy of the physician view of endpoint on ICU admission and actual discha rge outcome Methods: A prospective cohort study conducted on140 elderly patients (60 years and above) admitted to medical ICU with acute illness, each patient was subjected to complete medical history, physical examination and assessment of medical comorbi dities, ICU mortality scores: (APACHE II, SAPS II, MPM II 0, MPM24) and calculation of the predicted mortality, establishment of intensivist point of view regarding the predicted outcome and establishment of end point of each patient (either discharge o r death). Conclusions: There is a highly significant association between physician view of end point of the patient on ICU admission and actual discharge of the patients in ICU

Background: Most persons with dementia in Egypt live at home, supported mainly by family caregivers, who often develop psychological problems due to this burden affecting their quality of life. The aim of the study is to assess the effect of a caregiver training program on relieving psychological problems of Egyptian caregivers of elderly patients with dementia. A prospective interventional study was conducted on one hundred caregivers of elderly demented patients recruited from the outpatient clinic at Abbasia Psychiatric Health Hospital. The sample was divided into two groups, a control group and a treatment group subjected to a 5 steps training program. Results:The training program was associated with a significant reduction in caregiver burden (P<0.001). Severity of depression decreased from 30% to 20% in the treatment group after education. Similarly, anxiety, assessed by the Spielberger State-Trait Anxiety Inventory (STAI) was observed to decrease from 80% to 70%. Conclusion:Training of family caregivers of persons with dementia can reduce family caregivers' burden, stress, and improve their quality of life. Therefore, it is highly recommended.

No abstract