Geriatric medicine in Egypt

Last updated

Geriatric medicine, as a speciality, was introduced in Egypt in 1982, and in 1984 a geriatrics and gerontology unit in Ain Shams University Faculty of Medicine was established. [1]

Contents

Egyptian history

Many ancient physicians were interested in the field of geriatrics and some of them wrote separate books on this subject. Abu Ali Ibn-Sina Avicenna's The Canon of Medicine [2] (1025) was the first book to offer instruction for the care of the aged. In a chapter entitled "Regimen of Old Age", Avicenna was concerned with how "old folk need plenty of sleep", how their bodies should be anointed with oil, and recommended exercises such as walking or horse-riding. Thesis III of the Canon discussed the diet suitable for old people, and dedicated several sections to elderly patients who become constipated. [3] [4] [5]

Also the famous Physician Ibn Al-Jazzar (Algizar) Al-Qayrawani (circa 898–980) wrote a special book on the medicine and health of elderly (Kitab Tibb Al Machayikh) [6] or (Teb Al-Mashaikh wa hefz sehatahom). [7] Also a book on sleep disorders and another one on forgetfulness and how to strengthen memory (Kitab Al Nissian wa Toroq Taqwiati Adhakira) [8] [9] and a Treatise on causes of mortality (Rissala Fi Asbab Al Wafah). [6] Another Arabic physician in the 9th century, Ishaq ibn Hunayn (died in 910) wrote a Treatise on Drugs for Forgetfulness (Risalah al-Shafiyah fi adwiyat al-nisyan) [10]

Current situation

Active agers of the Egyptian Hockey veterans association. ndy rwd lhwky lmSry1.JPG
Active agers of the Egyptian Hockey veterans association.

Covering the cost of healthcare is a major challenge for seniors (defined as 60 years or older in Egypt [11] ). Currently, 62 percent of elderly men have health insurance compared to 35 percent of elderly women. However, medical care for the elderly, in the absence of a comprehensive health insurance plan, is extremely expensive. Few hospitals have wings just for the elderly, two percent of whom have a permanent disability (i.e., 81,000 people). There are only 52 physical therapy centers in Egypt serving 1,258 of those over 60. [12]

Geriatric teaching programs were available in Egypt. [13]

Geriatrics governmental services

Egyptian Universities

Beni-Suef University

National Institute for Longevity Elderly Sciences NILES
    • established in 2016 by approval from the Higher Council of Education in Egypt
    • Scientific departments of the institute:
      • 1. Department of Geriatric Medicine
      • 2. Department of Geriatric Nursing
      • 3. Department of Geriatric Physical Therapy
      • 4. Department of Geriatric Occupational Therapy
      • 5. Department of Geriatric Nutrition
      • 6. Department of Geriatric Psychology
      • 7. Department of Elderly Engineering and Environmental Studies
      • 8. Department of Elderly Social Studies
      • 9. Department of Elderly sporting and recreation
      • 10. Department of Elderly Arts
      • 11. Department of Geriatric Dentistry
      • 12. Department of Elderly Tourism
      • 13. Department of Geriatric Rehabilitation Nursing
      • 14. Department of Geriatric Economy
      • 15. Department of Geriatric Oestopathy
      • 16. Department of ELderly Laws and Legalizations
      • 17. Department of Geriatric Ophthalmology
      • 18. Department of Geriatric Optometry
      • 19. Department of Elderly Media and communications
      • http://www.bsu.edu.eg/Sector_Home.aspx?cat_id=42
    • NILES journal for Geriatric and Gerontology **
      • is a scientific journal that publishes original manuscripts in the different disciplines of the geriatrics and gerontology. The journal vision is to enrich scientific knowledge related to elderly life.
      • https://niles.journals.ekb.eg/

Ain Shams University Geriatric medicine department

Prof. Abdel-Moniem Ashour in 2010 Prof Abdel-Moniem Ashour -2010.JPG
Prof. Abdel-Moniem Ashour in 2010
    • The first modern Egyptian book on Geriatric Medicine was by Professor Dr Mohammed Sabbour in 1979 [14] Professor of Internal Medicine, Ain Shams Faculty of Medicine, who was the first head the Egyptian Geriatrics & Gerontology society in 1982.
    • It started as an outpatient clinic in 25/6/1984 [15] by Dr. Abdelmoneim Ashour (1934–2015) the professor of Geriatric psychiatry, then became a Clinical Unit in 1990 [16] then became an academic department in 1996 [16] [17] [18] having its own inpatient department(23 beds)(Coordinates: 30°4'26"N 31°16'33"E), outpatient clinic, follow-up clinic and residents and issuing academic degrees (M.Sc., M.D)in geriatric medicine.
    • During the period from 1992 to 1997 there was a US-Egyptian Partnership Between the University of Minnesota and Ain Shams University Bilateral Research on Training in Geriatrics Funded by the Fulbright Commission. Named as the Fulbright Bi-National Commission Partnership Project with Ain Shams University, Minneapolis, MN and Cairo, Egypt [19]
    • During the 1990s the department had visiting professorships
      • Kenneth Hepburn January, 1995 & February, 1998 [19]
      • Richerd Reed
      • James Pacala
      • Peter Millard
      • Laura Efinger Occupational Therapist 2010
    • In 2002 the department established a 12 beds Geriatric Intensive care unit (GICU).
    • The department has partnership with United Nation's International Institute of Aging (INIA) in Malta [20] to carry out short-term training programmes in Cairo specifically designed for personnel from the Arab World working in the field of Ageing. The two organisations have also agreed to collaborate in identifying, setting up and implementing projects in the field of Ageing both in the Mediterranean region and in the Arab World. [20]
    • The clinical unit has around 20–25 acute assessment beds, usually for Comprehensive Geriatric Assessment (CGA). The unit has interdisciplinary team which works in the assessment stage as well as in the implementing the care plan. The unit has the availability of free medications as well as free medical investigation. The unit is one of 2 clinical units in Egypt in which the clinical service is run by qualified geriatricians. [16]
    • In 2002 the Geriatrics Intensive care unit or high dependency unit was opened in the clinical unit. This unit has 8 beds and is offering a clinical service for the seriously ill elderly patients. This unit offers subsidized service as regard medications and investigation. However, poor patient could get a free service through the ministry of health paying a contribution for treatment. This service is run by qualified geriatricians. [16]
    • Also the department the Osteoporosis Unit This unit offers a diagnostic and a therapeutic service for older patient with generalized bone ache or a suspected diagnosis of the condition. [16]
    • In 2009 a Diploma in Geriatric Medicine, was approved beside the Master of Science degree and Doctoral Degree in Geriatric Medicine. [21]
    • In 2009 the name of the department was changed to Geriatrics & Gerontology department. [21]
    • The department staff provide Academic services & teaching in Ain Shams Faculty of Medicine, Ain Shams High Institute of Nursing & Other University program in Egypt The British University in Egypt (BTE), Misr University of Science & Technology University and 6th bof October University.
    • In 2008 the Geriatrics & Gerontology department started cooperation with the Pharmacology Department in establishing the Clinical Pharmacology Unit and starting a weekly clinical pharmacology round. [22]

Alexandria University

    • Faculty of medicine contain a Geriatrics Unit since the 1970s
    • A biweekly geriatrics Outpatient clinic is also available
    • The department have a cooperation with the Geriatric Nursing department of the Faculty of Nursing. [23] [24]
    • Elder health section of the family health department of the High Institute of Public Health of Alexandria University.
    • Postgraduate Program in Geriatric Nursing in the Faculty of Nursing. [25]

Mansoura University

    • Has established its own Geriatrics Unit
    • Inpatient department consists of 2 beds affiliated to the Endocrinology Unit.
    • Geriatric Medicine Residency Program has started since 2006 in Mansura University in Cooperation with the Ain Shams Geriatrics & Gerontology department. Three residents has joined the program until 2009.
    • The department has started a weekly geriatrics outpatient clinic. [26] [27]

Helwan University Center for Elderly Social & Health Care

  • The Center of Elderly Social & Health Care (CEC) was established in 1996. [28]
  • The center is a self-financed unit under the umbrella of the center for community development in Helwan University.
  • The main objective of the center is to provide both the clinical service for older Egyptians as well as trying to develop a geriatric care model which could be transferred to other institutions and organizations involved in older people care in Egypt. [16]
  • The Center Provide Long Term Care service.

Cairo University

  • Geriatric Medicine is a subspeciality of Internal Medicine Department, teaching geriatrics as a part of undergraduate and postgraduate Internal Medicine curriculum. Geriatric Medicine Unit provides outpatient clinic service as well as inpatient consultation for the university hospitals.
  • Faculty of Medicine has the geriatrics speciality included in the public health department, but geriatrics is not a separate entity. It is included in the family medicine curriculum & Family medicine M.Sc.
  • Psychogeriatrics Unit is being established in the psychiatry department.

Assuit University

  • Faculty of Medicine is currently establishing a Geriatric Medicine department.

Tanta University

  • A Psychogeriatrics Unit was established in 2008.
  • The Tanta Faculty of Medicine has organised a conference on Geriatric Medicine in 2009.
  • The Faculty of Nursing has a Post-Graduate Program for Geriatric Nursing. [29]

Suez Canal University

  • Faculty of Medicine has a family medicine department that teaches geriatric medicine course in the undergraduate curse of the first year.
  • Also the Geriatrics module is taught in the postgraduate course of the master's degree and the doctorate degree in family medicine.

Sohag University

  • Has a Geriatric Health Curriculum taught in the Faculty of Nursing, in the Program of Geriatric Nursing. [30] [31]

Geriatric Medicine department at The International Medical center

  • The International Medical center at Cairo-Ismaïlia road.
  • It was established by the Ain Shams Geriatrics & Gerontology department in cooperation with the Physical Medicine department.
  • Inpatient ward consists of 12 bed (Inpatient admission and Day-care service), Geriatrics outpatient clinic, Geriatric Medical Check up Program in collaboration with Physical Medicine department since October 2008.

Police Hospital of Alexandria

  • Geriatric Medicine department was established with the help of Alexandria University Geriatric Unit.

Egyptian Ministry of Health and Population

Ministry of Health and Population

  • In 2002, The number of hospital beds in Egypt was around 141,000, of which about 93,000 beds (66%) were affiliated to the Ministry of Health and Population. The total number of beds for elder people was 3856. The health services were distributed all over the country. In each governorate (province), there are the three levels of health care, primary, secondary and tertiary; but the geriatric specialty is presented mostly in Cairo, and a few big cities. The ministry of health and population started from 2001 to develop health programs targeting older people within its structure. [16]
    • In 2002, The number of specialized physicians was about 38,001 including just only 70 specialists in geriatric medicine. The number of consultants in geriatric medicine was around 12 and are mainly based in the capital of Egypt. As regarding health insurance there are 352 units which are mainly clinics (202), beneficiaries are 7.5 million in which pensioners and widows 1.8 million. Despite such high percentage of older people there is no geriatric specialist or consultant with the health insurance agency. [16]
  • In 2007 the Egyptian Ministry of Health & Population (MOHP) announced its plan to recruit 89 doctors in 2008 to work as geriatricians.
  • Al-Matariyyah teaching hospital [32] and Elsahel teaching hospital [33] are establishing its departments.
  • Boulaq Al-Dakror Hospital [34] opened a new department in 2007.
  • Elderly rehabilitation & treatment center in Helwan (26 beds) [35] one of the single speciality centers of ministry of health and population.
  • The national institute of neuromotor disabilities also contain a geriatrics outpatient clinic. [36]
  • Egyptian fellowship of family medicine [37] & Egyptian fellowship of Internal medicine [38] curricula includes a training module on Geriatric medicine as a part of the Egyptian fellowship programs provided by the Ministry of health and Population.
  • Government Medical Insurance healthcare: Covering the cost of healthcare is another major challenge for seniors. Currently, 62 percent of elderly men have health insurance compared to 35 percent of elderly women. However, medical care for the elderly, in the absence of a comprehensive health insurance plan, is extremely expensive. Few hospitals have wings just for the elderly, two percent of whom have a permanent disability (that's 81,000 people). There are only 52 physical therapy centers in Egypt serving 1,258 of those over 60. [12] In May 2009 Medical insurance needs plan, the Medical Insurance sector dedicated zero beds to Geriatrics Care and needed zero doctors. [39]
  • Egyptian Medical Syndicate has more than 40 registered Geriatricians (with Postgraduate studies in Ain Shams University or from Abroad) [40]

Geriatric medicine education in Egypt

Geriatric care physicians

Geriatrics societies

The Egyptian Veterans Association, Mohandesin, Cairo Egyptian Vetrans Association, Mohandesin, Cairo.JPG
The Egyptian Veterans Association, Mohandesin, Cairo

Conferences and workshops

Many geriatric medicine conferences have been held in Egypt.

Private based geriatrics services

Psychogeriatrics

Many psychogeriatrics governmental (Most of Psychiatry departments in Egyptian Universities have or are establishing its psychogeriatrics section) and also other non-governmental private services exist.

See also

Related Research Articles

<span class="mw-page-title-main">Geriatrics</span> Specialty that focuses on health care of elderly people

Geriatrics, or geriatric medicine, is a medical specialty focused on providing care for the unique health needs of the elderly. The term geriatrics originates from the Greek γέρων geron meaning "old man", and ιατρός iatros meaning "healer". It aims to promote health by preventing, diagnosing and treating disease in older adults. There is no defined age at which patients may be under the care of a geriatrician, or geriatric physician, a physician who specializes in the care of older people. Rather, this decision is guided by individual patient need and the caregiving structures available to them. This care may benefit those who are managing multiple chronic conditions or experiencing significant age-related complications that threaten quality of daily life. Geriatric care may be indicated if caregiving responsibilities become increasingly stressful or medically complex for family and caregivers to manage independently.

<span class="mw-page-title-main">Institute of Mental Health (Singapore)</span> Hospital in Singapore

The Institute of Mental Health (IMH), formerly known as Woodbridge Hospital, is a psychiatric hospital in Hougang, Singapore.

<span class="mw-page-title-main">Caritas Medical Centre</span> Hospital in Kowloon, Hong Kong

Caritas Medical Centre is a Roman Catholic founded district general hospital in So Uk, Cheung Sha Wan, New Kowloon, Hong Kong. It is the largest hospital in Sham Shui Po District and co-managed by the Hospital Authority and Caritas Hong Kong.

<span class="mw-page-title-main">Uppsala University Hospital</span> Hospital in Uppsala, Sweden

Uppsala University Hospital in Uppsala, Sweden, is a teaching hospital for the Uppsala University Faculty of Medicine and the Nursing School. Uppsala University Hospital is owned and operated by the Uppsala County Council in cooperation with the university and serves, together with Enköping hospital in Enköping, as the primary hospitals for Uppsala County. It also fills the function of a tertiary referral hospital for the Uppsala/Örebro health care region and, for certain specialities, a tertiary referral hospital for the entire country of Sweden.

<span class="mw-page-title-main">Gerontological nursing</span> Specialty of nursing pertaining to older adults

Gerontological nursing is the specialty of nursing pertaining to older adults. Gerontological nurses work in collaboration with older adults, their families, and communities to support healthy aging, maximum functioning, and quality of life. The term gerontological nursing, which replaced the term geriatric nursing in the 1970s, is seen as being more consistent with the specialty's broader focus on health and wellness, in addition to illness.

The American Geriatrics Society (AGS) is a non-profit professional society founded on June 11, 1942, for health care professionals practicing geriatric medicine. Among the founding physicians were Dr. Ignatz Leo Nascher, who coined the term "geriatrics", Dr. Malford W. Thewlis, who was named the first executive secretary of the Society, and Dr. Lucien Stark who was appointed the first AGS president.

<span class="mw-page-title-main">Shatin Hospital</span> Hospital in New Territories, Hong Kong

Shatin Hospital, formerly known as Shatin Infirmary and Convalescent Hospital, commenced operation on 2 December 1991 and has been in full function since 1 February 1994. Shatin Hospital comprises 591 beds, 144 psychiatric day places, 398 geriatric day places and 49 hospice and palliative day places. It offers services which supplement the nearby Prince of Wales Hospital, the main hospital serving the region.

<span class="mw-page-title-main">University of Virginia Health System</span> Hospital in Virginia, United States

The University of Virginia (UVA) Health System is an academic health care center associated with the University of Virginia in Charlottesville. The health system includes a medical center, school of medicine, school of nursing, and health sciences library. The health system provides inpatient and outpatient care and patient education and conducts medical research and education.

<span class="mw-page-title-main">Faculty of Medicine, Ain Shams University</span> Public Egyptian graduate school

Ain Shams University, Faculty of Medicine or School of Medicine, is a public Egyptian graduate school and one of the faculties of Ain Shams University. Now, it is one of the largest educational medical institutions in Africa and the Middle East. It was founded in 1947, making it the third oldest medical school in Egypt. It has promoted numerous programs of medical care to serve society, in addition to environmental development and continuous scientific research for local and international health.

It became part of Ain Shams University in 1950, when it was established after adding several faculty members. Each year, the faculty's different departments hold conferences dedicated to the recent advances in medical science.

Geriatric rheumatology is the branch of medicine that studies rheumatologic disorders in elderly. Sometimes it is called Gerontorheumatology.

<span class="mw-page-title-main">VA Palo Alto Health Care System</span> United States Department of Veterans Affairs healthcare group located in California

The VA Palo Alto Health Care System (VAPAHCS) is a United States Department of Veterans Affairs healthcare group located in California that consists of three inpatient facilities, plus seven outpatient clinics in San Jose, Capitola, Monterey, Stockton, Modesto, Sonora, and Fremont.

<span class="mw-page-title-main">Herzog Hospital</span> Hospital in West Jerusalem

Herzog Hospital is a geriatric-psychiatric hospital in West Jerusalem. It is the third largest hospital in the city. Herzog Hospital specializes in nursing care for the elderly. The director-general of the hospital is Jacob Haviv.

The John A. Hartford Foundation is a private United States-based philanthropy whose current mission is to improve the care of older adults. For many years, it made grants for research and education in geriatric medicine, nursing and social work. It now focuses on three priority areas: creating age-friendly health systems, supporting family caregivers and improving serious illness, and end-of-life care.

The Geneva University Hospitals is one of the five university hospitals of Switzerland and the largest one in the country. It is one of the largest hospitals in Europe.

<span class="mw-page-title-main">Marie Bernard</span> American doctor

Marie A. Bernard, M.D. is the Chief Officer for Scientific Workforce Diversity at the National Institutes of Health (NIH). Prior to this, she was the deputy director of the National Institute on Aging at the NIH, where she oversaw approximately $3.1 billion in research focused on aging and Alzheimer's disease. Bernard serves as a cochair of the Advisory Committee to the NIH Director Working Group on Diversity, the NIH Steering Committee Working Group on DEIA, and the NIH UNITE initiative launched in 2021 to identify and address any structural racism that may exist within NIH and throughout the biomedical and behavioral workforce. She also co-led the development of the Fiscal Years 2023 – 2027 NIH-wide Strategic Plan for Diversity, Equity, Inclusion, and Accessibility (DEIA) and is working on its implementation.

<span class="mw-page-title-main">Ahmed Samy Khalifa</span> Egyptian pediatric hematologist and oncologist (1933–2015)

Ahmed Samy Khalifa was an Egyptian pediatric hematologist and oncologist. He established the specialty of Pediatric Hematology/Oncology at Ain Shams University. He treated thousands of children with thalassemia, leukemia and other hematologic and ontological diseases all over Egypt.

<span class="mw-page-title-main">Marjory Warren</span>

Marjory Winsome Warren is one of the first geriatricians and considered the mother of modern geriatric medicine.

Jiska Cohen-Mansfield is the Igor Orenstein Chair for the Study of Geriatrics at Tel Aviv University Medical School and a professor at the Department of Health Promotion at the School of Public Health in the Sackler Medical Faculty at Tel Aviv University. She is the director of the Minerva Center for Interdisciplinary Study of End of Life at Tel-Aviv University.

Comprehensive geriatric assessment (CGA) is a process used by healthcare practitioners to assess the status of people who are frail and older in order to optimize their subsequent management. These people often have complex, multiple and interdependent problems (multimorbidity) which make their care more challenging than in younger people, or those with just one medical problem. CGA is the core work of specialists in the care of older people, although many other health care practitioners either have not heard of it, or are not aware of what it actually is. It is also called "multidimensional geriatric assessment."

References

  1. ↑ "The Age of reason". ahram.org.eg. Retrieved 9 July 2017.
  2. ↑ "Ibn Sina / Avicenna - Saab Medical Library - AUB". ddc.aub.edu.lb. Retrieved 9 July 2017.
  3. ↑ Howell, Trevor H. (1987), "Avicenna and His Regimen of Old Age", Age and Ageing, 16 (1): 58–59, doi:10.1093/ageing/16.1.58, PMID   3551552
  4. ↑ Avicenna and the care of the aged by TH Howell Gerontologist 1972 12: 424-426.
  5. ↑ Gerontology and geriatrics in the works of Abu Ali Ibn Sina in Sovetskoe zdravookhranenie
  6. 1 2 Al Jazzar Archived July 6, 2008, at the Wayback Machine
  7. ↑ "Vesalius Official journal of the International Society for the History of Medicine" (PDF). univ-paris5.fr. Retrieved 9 July 2017.
  8. ↑ "Algizar a web page in french". medarus.org. Archived from the original on 7 April 2016. Retrieved 9 July 2017.
  9. ↑ Geritt Bos, Ibn al-Jazzar, Risala fi l-isyan (Treatise on forgetfulness), London, 1995
  10. ↑ "Islamic Culture and the Medical Arts: Specialized Literature". www.nlm.nih.gov. Retrieved 9 July 2017.
  11. ↑ Paul Kowal & Karen Peachey (2001): Indicators for the Minimum Data Set Project on Ageing: A Critical Review in sub-Saharan Africa. World Health Organization report on 2001 Dar es Salaam MDS Meeting WHO/EIP/GPE/01.1 http://www.who.int/healthinfo/survey/ageing_mds_report_en_daressalaam.pdf
  12. 1 2 "EgyptToday". EgyptToday. Retrieved 9 July 2017.
  13. ↑ "Global Survey on Geriatrics in the Medical Curriculum" (PDF). who.int. Retrieved 9 July 2017.
  14. ↑ Prof Mohamme Sabbour Article about Geriatric Health on his website
  15. ↑ "Ain Shams Geriatrics Unit". shams.edu.eg. Archived from the original on 23 July 2011. Retrieved 9 July 2017.
  16. 1 2 3 4 5 6 7 8 9 10 11 12 "Draft Country Profile on Ageing : Egyptian Case Study" (PDF). un.org. Retrieved 9 July 2017.
  17. ↑ Ain Shams Geriatric medicine department Archived 2008-06-24 at the Wayback Machine
  18. ↑ Ain Shams University Geriatric medicine Archived 2008-06-24 at the Wayback Machine
  19. 1 2 "Ken Hepburn" (PDF). emory.edu. Retrieved 9 July 2017.
  20. 1 2 "International institute of aging, United nations, Malta". inia.org.mt. Archived from the original on 14 May 2008. Retrieved 9 July 2017.
  21. 1 2 "Diploma of Geriatric Medicine". humankinetics.com. Archived from the original on 13 October 2012. Retrieved 9 July 2017.
  22. ↑ "Clinical Pharmacology rounds". cprasu.org. Archived from the original on 23 March 2010. Retrieved 9 July 2017.
  23. ↑ "Alexandria University Hospital". hiph.edu.eg. Archived from the original on 10 January 2008. Retrieved 9 July 2017.
  24. ↑ "High Institute for health". hiph-egypt.net. Archived from the original on 27 December 2011. Retrieved 9 July 2017.
  25. ↑ "Geriatric Nursing-Alexandria University". alexnursing.edu.eg. Retrieved 9 July 2017.[ permanent dead link ]
  26. ↑ Mansoura University hospital Archived 2008-06-04 at the Wayback Machine
  27. ↑ "Geriatric department, Mansura University". mans.eun.eg. Retrieved 9 July 2017.
  28. ↑ "Global aging center for Elderly care, Helwan University". globalaging.org. Archived from the original on 17 May 2008. Retrieved 9 July 2017.{{cite web}}: CS1 maint: unfit URL (link)
  29. ↑ "Tanta University Geriatric Nursing Program". tanta.edu.eg. Archived from the original on 2 March 2010. Retrieved 9 July 2017.
  30. ↑ "Geriatric Nursing in Sohag University". Archived from the original on 2010-02-16. Retrieved 2010-03-16.
  31. ↑ "Geriatric Nursing Tutor at Sohag University". Archived from the original on 2016-03-04. Retrieved 2019-12-27.
  32. ↑ "Al Matareya Teaching Hospital - GOTHI". Archived from the original on 2008-11-19. Retrieved 2008-06-17.
  33. ↑ "As-Sahel Teaching Hospital - GOTHI". Archived from the original on 2007-06-27. Retrieved 2008-06-17.
  34. ↑ وزارة الصحة و السكان
  35. ↑ وزارة الصحة و السكان Archived 2007-11-08 at the Wayback Machine
  36. ↑ [ permanent dead link ]
  37. ↑ EFFM [ permanent dead link ]
  38. ↑ EFIM Archived 2010-02-14 at the Wayback Machine
  39. ↑ Doctors count Archived 2009-05-20 at the Wayback Machine
  40. ↑ "Egyptian Medical Syndicate website". ems.org.eg. Archived from the original on 6 March 2010. Retrieved 9 July 2017.
  41. ↑ Egypt's Ministry of health list of medical associations Archived 2008-06-24 at the Wayback Machine
  42. ↑ "::: بحـثنا نيابة عنك :::". www.tabebak.com. Retrieved 9 July 2017.
  43. ↑ "Az Newsletter" (PDF). alz.co.uk. Retrieved 9 July 2017.
  44. ↑ "MSS-Egypt". mss.gov.eg. Archived from the original on 25 March 2010. Retrieved 9 July 2017.
  45. ↑ "index". geriatrics2014.org. Retrieved 9 July 2017.
  46. ↑ "Middle East and North Africa Conference of Alzheimer's Disease International - Science and Care in Alzheimer's Disease: A Cultural Perspective". www.adicairo2012.org. Archived from the original on 3 March 2016. Retrieved 9 July 2017.
  47. ↑ "美容 – Just another WordPress site". www.adidubai2013.org. Archived from the original on 10 June 2017. Retrieved 9 July 2017.
  48. ↑ "SEDICO Pharmaceutical Co.& The Geriatric Conference At Alexandria". www.sedico.net. Retrieved 9 July 2017.
  49. ↑ "جامعة بنى سويف" . Retrieved 9 May 2020.
  50. ↑ "جامعة بنى سويف" . Retrieved 9 May 2020.
  51. ↑ "Geriatric Medical Care Center". yellowpages.com.eg. Archived from the original on 20 July 2011. Retrieved 9 July 2017.
  52. ↑ "HUBERT DEPARTMENT OF GLOBAL HEALTH (GH)". emory.edu. Retrieved 9 July 2017.
  53. ↑ "HANDS - Hands Along The Nile - Programs in Egypt - Health Care - Medical Center - Hospital". handsalongthenile.org. Archived from the original on 12 May 2008. Retrieved 9 July 2017.
  54. ↑ "Home". italianhospital.com. 29 December 2014. Retrieved 9 July 2017.
  55. ↑ "Arab Contractors Medical Center". ac-medicalcenter.com. Archived from the original on 9 January 2010. Retrieved 9 July 2017.
  56. ↑ "El-Gouna Hosp". elgounahospital.com.eg. Retrieved 9 July 2017.
  57. ↑ "Geriatric psychiatric unit at Ain Shams University". ambassadorprograms.org. Archived from the original on 20 July 2008. Retrieved 9 July 2017.
  58. ↑ "Behman Hospital". ambassadorprograms.org. Archived from the original on 20 July 2008. Retrieved 9 July 2017.
  59. ↑ "Gamal Mady Aboul Azayem Psy Hosp". abouelazyem.net. Retrieved 9 July 2017.

Further reading

This page is based on this Wikipedia article
Text is available under the CC BY-SA 4.0 license; additional terms may apply.
Images, videos and audio are available under their respective licenses.