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Vol. 24, No. 2, 2010 SUBSCRIPTION RATES Annual Subscription Editor US $ 50.00 (Postage Extra) K.L Indian Journal of Indian Journal of Gerontology (A quarterly journal devoted to research on ageing) Gerontology ISSN : 0971-4189 a quarterly journal devoted to research on ageing Vol. 24, No. 2, 2010 SUBSCRIPTION RATES Annual Subscription Editor US $ 50.00 (Postage Extra) K.L. Sharma UK £ 30.00 (Postage Extra) Rs. 400.00 Libraries in India Free for Members EDITORIAL BOARD Biological Sciences Clinical Medicine Social Sciences Financial Assistance Received from : B.K. Patnaik S.D. Gupta Uday Jain ICSSR, New Delhi P.K. Dev Shiv Gautam N.K. Chadha S.P. Sharma P.C. Ranka Ishwar Modi CONSULTING EDITORS A.V. Everitt (Australia), Harold R. Massie (New York), P.N. Srivastava (New Delhi), R.S. Sohal (Dallas, Texas), Printed in India at : A. Venkoba Rao (Madurai), Sally Newman (U.S.A.) Udai Pareek (Jaipur), L.K. Kothari (Jaipur) Aalekh Publishers S.K. Dutta (Kolkata), Vinod Kumar (New Delhi) M.I. Road, Jaipur V.S. Natarajan (Chennai), B.N. Puhan (Bhubaneswar), Gireshwar Mishra (New Delhi), H.S. Asthana (Lucknow), Arun. P. Bali (Delhi), R.S. Bhatnagar (Jaipur), H.L. Dhar (Mumbai), Arup K. Benerjee (U.K.), Indira J. Prakash (Bangalore), Yogesh Atal (Gurgaon), V.S. Baldwa (Jaipur), P. Uma Devi (Kerala) Typeset by : MANAGING EDITORS Sharma Computers, Jaipur A.K. Gautham & Vivek Sharma Phone : 2621612 Create PDF files without this message by purchasing novaPDF printer (http://www.novapdf.com) CONTENTS YOU ARE INVITED TO JOIN US We are Working to Protect the Rights and Social Welfare of the Elderly S.No. Page No. Indian Gerontological Association (Registration No 212/ 1968) is an independent 1. Status of Nutrition Iron, Serum Iron, TIBC, Lipid grassroot non-profit organization based in Jaipur (Rajasthan). Our efforts empower Peroxidation and -tocopherol levels in Autoimmune and support the underprivileged elderly in rural and urban communities. Disease Rheumatoid Arthritis (ACD) of Middle Age 129-138 We strive to ensure social justice and welfare for people over 60, focusing on Asutosh K. Srivastava, Tandra Majhi and Geeta Jaiswal those elders who are the most disadvantaged such as elderly women. We protect 2. Characteristics of Older Patients Admitted to a the civil liberties of elderly citizens as a part of the struggle for individual rights Tertiary Care General Medical Unit in Sri Lanka 139-149 and social progress in India. Chaturaka Rodrigo, Yashasvi Sanja Perera, Currently, the elderly community comprises approximately 10% of the total population Madura Adhikari, Anoja Rajapakse and of India. This number will increase to nearly 16% within the next twenty years. Senaka Rajapakse Neglected and abandoned by society and sometimes their own families, elders are increasingly subject to conditions of disease and poverty. They 3. Quality of Life of Elderly Outpatients Served by Traditional lack access to health care, and often face serious discrimination as well as physical Oriental Medicine 150-156 and emotional abuse. Helena A. Figueira, Olivia A. Figueira, Alan A. Figueira, Joana A. Figueira, Ronaldo Varejao, As a public interest group, we work for and with the elderly to protect their Tania S. Giani, Estsélio H.M. Dantas rights and access to a better quality of life. We seek to both empower and serve by working directly with rural communities. By facilitating the growth of 4. Sociodemographic and Clinical Correlates of Patients citizen’s groups, raising public awareness on aging, promoting public action and with Dementia Attending Private Hospital 157-169 participation, and advocating public policy changes, Indian Gerontological Association P.V. Bhandary and K.S. Latha hopes to alter the current trends in elder relations for the better. 5. Delirium in the Elderly - A Review 170-177 Our work includes : Preeti Parakh and Mona Srivastava Community Centers for the Elderly that Offer Communal Support and 6. Validity of WHO-Five Well-Being Index for Screening Interaction of Depression in an Elderly Indian Population 178-186 Training on Legal Rights by Offering the Elderly Practical Knowledge on Their Ankur Barua, Nilamadhab Kar, Das Acharya, Rights K. Nagaraj, H. Vinod Bhat and N. Sreekumaran Nair Public Helpline for the Elderly that Offers Legal Referrals and Assistance 7. Nutritional Status, Dietary Adequacy and Health Problems (Helpline : 0141-2624848). of Institutionalized Elderly 187-193 Public Accessibility for the Elderly Advocating More Available Access to the Neelam Wason and Karuna Jain Public Sphere 8. Health Status of the Elderly 194-209 Use of various forms of media to Raise Public Awareness on Elder Rights Sithara Balan, V. and V. Girija Devi Counselling and Helping elderly to Relieve Psychological Stress and Depression 9. Psychosocial and Clinical Profile of Patients Diagnosed Elder Women’s Cooperatives that Provide Grants and Assistance to Elderly with Dementia in a Tertiary Care Centre 210-224 Women K.S. Latha, K.M. Sahu and J. Roopalekha Public Awareness Raising to Promote Public Action for Helping Disadvantaged 10. Socio-economic Condition of the Rural Aged in Bangladesh: Elderly A Logistic Regression Analysis 225-236 Field Study of Rural Areas to Analyze Challenges Faced by Aging Rural Md. Rafiqul Islam, Md. Mahfuzar Rahman and Population Md. Rakibul Islam Our plan of action includes:- 11. Active Ageing : A Study of Factors for Reemployment Campaign for Elder Rights of Elderly 237-248 R.D. Sampath Kumar, J. Ravi, P. Subba Rao and Campaign Against Elder Abuse especially toward Elderly Women G. Giri Babu Training of Social Workers and Caregivers For Our Readers 249 Capacity Building of Civil Servants or organizations Working on Aging Instruction to Authors 250-252 Research & Publication. Create PDF files without this message by purchasing novaPDF printer (http://www.novapdf.com) 130 Indian Journal of Gerontology Indian Journal of Gerontology therapy is to control inflammation in order to prevent long term joint 2010, Vol. 24, No. 2, pp. 129-138 damage (Pincus, 1994; Emery and Salman 1995; Weindatt, 1996; Pincus et al., 1999). The variables that best identify and predict severe Status of Nutrition Iron, Serum Iron, TIBC, outcomes, include work disability, high-functional status, co-morbidities, old age and low socioeconomic status, and to a lesser degree, high Lipid Peroxidation and -tocopherol radiographic scores and rheumatoid factor titer (Pincus & Sokka, 2001). levels in Autoimmune Disease Rheumatoid Anaemia of Chronic Disease (ACD), usually distinguished from Iron Arthritis (ACD) of Middle Age Deficiency Anaemia by the evaluation of body iron stores, was found in the majority of patients. However, as the diagnosis Iron Deficiency Asutosh K. Srivastava, Tandra Majhi1 and Geeta Jaiswal2 Anaemia (IDA) can only be confirmed by the results of supplementation Department of Zoology, C.M.P.College, Allahabad Central University, with iron (Cook, 1982; Hansen & Hansen, 1986; Urengdenhil et al., Allahabad 1Department of Psychiatry, C.S.M. Medical University, Lucknow 1989), it is not clear to what extent, anaemia of chronic disease (ACD) 2Department of Biochemistry, M.L.N. Medical College, Allahabad and iron deficiency can simultaneously have a role in the development of the anaemia (Smith et al., 1977). ABSTRACT The aim of our study was to investigate the status of nutrition, serum iron, TIBC, oxidant and antioxidant levels in this auto immune The purpose of this paper was to study the status of nutritional disease in middle age. intake, serum iron, TIBC, lipid peroxidation and a-tocopherol levels in autoimmune disease rheumatoid arthritis with ACD in Materials and Methods middle aged patients. Forty individuals between 35-55 years were The study was conducted in the Department of Biochemistry, Moti categorized into two groups i.e. control group and patients group. Lal Nehru Medical College, Allahabad, Uttar Pradesh, India. Forty Results showed significantly decreased nutritional status of iron, clinically diagnosed patients from OPD, who had not undergone any serum iron, Hb%, total iron binding capaicity and a-tocopherol previous treatment for their arthritis, were chosen for the study. An levels in patients group as compared to the control group. While equal number of age and sex matched healthy subjects with similar increased MDA levels were observed in the patients group with socio-economic status were also investigated. The complete clinical, rheumatoid arthritis. In conclusion it was found that oxidative personal history and nutritional intake of the subjects was recorded. stress may be involved in loss of Hb%, lower serum iron, TIBC and The subjects were ranging in age 35-55 years. All the patients in the nutritional intake of iron in rheumatoid arthritic patients. study were clinically diagnosed as patients with rheumatoid arthritis. Keywords: Autoimmune diseases, Oxidant-antioxidant balance, Serum The lipid peroxidation (MDA) levels and a-tocopherol (Vitamin E) Iron, Nutritional status of iron, TIBC, MDA, Vitamin E, determined by the method of Utley et al. (1967) and Emmerie (1966) Middle age respectively while serum iron and Total Iron Binding Capacity (TIBC) were estimated by using standard methods. Rheumatoid Arthritis is a chronic inflammatory disease that affects an estimated 2.1 million people in the world (NIH, 2002). The goal of Statistical analysis between control group and patient group was Create PDF files without this message by purchasing novaPDF printer (http://www.novapdf.com) Rheumatoid Arthritis (ACD) of Middle Age 131 132 Indian Journal of Gerontology performed by the student ’t’ test. The data were expressed as Mean ± SD. p <0.001 was considered as highly significant while p<0.02 and p >0.001 were considered as significant. Results The Mean ± SD of MDA, Vitamin E, Hb%, serum iron, TIBC and nutritional status are described in the table 1. There was a statistically significant increase in erythrocyte MDA levels in patients with RA compared to controls. The levels of plasma vitamin E, serum iron, Hb%, TIBC and nutritional status were significantly decreased in patients with rheumatoid arthritis compared to the controls group. Levels of MDA, vit. E, status of nutritional iron, Hb%, serum iron and serum TIBC levels in control and rheumatoid arthritis patients are given in Figs.
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