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تأثير الصراع بين الإدارة والأطباء في قرارات المستشفى ( دراسة تطبيقية )
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منذ بداية نشوء المستشفيات كمنظمات تعنى بصحة الناس، عُرف الصراع (Conflict) بين جماعتي الإدارة والأطباء. وقد تركز محوره في معظم الأحيان حول سلطة أي منهما هي الأقوى في اتخاذ قرارات المستشفى.. هذا إذا ما علمنا أن كل من الطرفين المتعارضين يستمد قوته ويعزز مكانته من خلال سلطته في اتخاذ القرارات. إن جهود كلا الجماعتين الطبية والإدارية تصب في منهل واحد ألا وهو خدمة المريض والارتقاء بالمستوى الصحي للمجتمع قاطبة. لذا أصبح لزاماً على مدراء المنظمات الصحية أن يركزوا جهودهم على زيادة التقارب بين الطرفين عن طريق زرع الثقة بينهما، وبشكل يعكس نتائج إيجابية على عملية اتخاذ القرارات في المستشفى.

تشكل عملية اتخاذ القرارات تحدياً حقيقياً في مجال إدارة المستشفيات، وذلك لارتباط هذه العملية بحياة الأفراد، وهذا ما يزيد من حساسية الموقف، ويضع على عاتق المدراء مسؤولية جسيمة يجب أن يكونوا على استعداد كامل لتحملها.

من هذا المنطلق اختير موضوع البحث تأثير الصراع بين الإدارة والأطباء في قرارات المستشفى . ولغرض إعطاء الدراسة شمولية أكثر، فقد أجريت الدراسة الاستطلاعية للتأكد من وجود الصراع في اثنتين من مستشفيات جانب الرصافة، هي مستشفى بغداد التعليمي والشهيد عدنان خير الله التابعتين إلى دائرة مدينة الطب. وأما الدراسة التطبيقية فقد تمت في مستشفيات دائرة صحة بغداد/ الكرخ خلال المدة من 1/8 – 30/10/2002 كون الباحثة الثانية إحدى منتسبات تلك الدائرة، وقد لمست وجود مثل هذا الصراع أثناء خدمتها الوظيفيـة واحتكاكها المباشر بواقع تلك المستشفيات.

إن إفرازات التطور التنظيمي والتعقيد البيئي جعلت المستشفيات تواجه العديد من التحديات الداخلية والخارجية، وتتعرض للكثير من الخلافات والصراعات. ويعني ذلك أنه من الضروري بمكان إثارة الانتباه حول مشكلة الصراع التنظيمي، والسعي لمعرفة أسبابه وعواملـه وآثاره على قرارات المستشفى خاصة، وما يكمن ورائه من البحث عن الوسائل المجدية لمعالجتها والتوجه نحو تحسينها.

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Publication Date
Wed Jan 30 2019
Journal Name
Journal Of The College Of Education For Women
Effect of some air pollutants (sticking minutes and lead) on human health
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Air pollution is one of the complex problems plaguing the environment at the present time
as a result of many liberation of gases, vapors and fumes of fuels and chemicals resulting
from industrial activities . It should be noted that there are some elements of the heavy
(Heavy Metals), including toxic in the air, with different concentrations in the air depending
on the nature of the area, for example be in rural areas is lower than in cities or industrial
areas as measured parts million (ppm ) or parts per billion (ppb). Some of these important
elements in the physiological processes and enzymatic organisms but become toxic and
Qatlhand-increase Tercisahaan the permissible limits Bhave nature ,The air contaminant

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Publication Date
Mon Dec 18 2017
Journal Name
Al-khwarizmi Engineering Journal
Effect of Magnesium Addition on Corrosion Resistance of Aluminum -17%Silicon Alloy
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The electrochemical behavior of Al-17%Si alloy is investigated in 3.5wt% NaCl solution. Many alloys with addition of the different wt% magnesium metal of  1wt%, 2%, 3wt% ,4.5wt% ,and 9wt% were prepared by gravity die casting . The microstructures of prepared alloys were examined by optical and SEM microscopes. Corrosion behavior was investigated by using potentiostat instrument under static potentials test and corrosion current was recorded to determine corrosion resistance of all prepared samples. It was found that the addition of Mg metal improves the corrosion resistance of Al-17%Si alloy in 3.5%NaCl solution. The alloy containing 1%Mg shows less corrosion rate than the others while the alloys containing 4.5%Mg, 9%Mg content have

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Publication Date
Wed Dec 13 2017
Journal Name
Al-khwarizmi Engineering Journal
Shot Peening Time Effect on Corrosion Behaviors of Al Alloy 2024-T3
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In this study many specimen s were prepared from 2024-T3 Aluminum alloy for corrosion test by the dimensions of (15*15*3) mm according to ASTM G71-31 and then subjected to shot peening process at different time (15, 30, 45) minutes using steel ball having a diameter of 2.75 mm and Rockwell Hardness of 55RC to induce compressive residual stress which were measured using X-Ray diffraction method, surface roughness and   hardness were tested before and after peening. Electrochemical corrosion test by Tafel extrapolation method was carried out in an environment of 3 .5% NaCl solutions (sea water) where Corrosion rate calculated using Tafle equation.

The obtained results show a favorable influence of SP treatment

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Publication Date
Tue Jun 30 2015
Journal Name
Al-khwarizmi Engineering Journal
Influences of the Twisted Strips Insertion on the Performance of Flat Plate Water Solar Collector
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Abstract

    In order to enhance the efficiency of flat plate solar water collectors without changing in its original shape and with low additional cost, twisted strips are inserted inside its riser pipes. Three flat plate collectors are used for test. Family of twisted strips are inserted inside each collector risers with different twisted ratios (TR=3,4,5). The collectors are connected in parallel mode (Z-Configuration) and are exposed to the same conditions (solar radiation and ambient temperature) .The experimental results show that, the highest heat transfer rate occurs at twisted ratio (3) .Consequently, for the same twisted ratio the daily efficiencies for the solar collector at d

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Publication Date
Tue Jun 01 2010
Journal Name
Al-khwarizmi Engineering Journal
'Influence of Draft Tube Diameter on Operation Behavior of Air Lift Loop Reactors
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The ratio of draft tube to reactor diameters is of decisive importance for the operation behavior of air lift loop reactors. The influence of draft tube geometry was investigated with respect to oxygen mass transfer and mixing time. The diameter ratio was varied between 0.33 and 0.80. The measurements were performed in two loop reactors with liquid capacities of 11.775 and 26.49 liters using aqueous with solutions of different coalescence behavior. The results show that there is no single diameter ratio which would produce most favorable conditions for the two process parameters. With respect to the more important requirements of aerobic cultures, i.e high oxygen mass transfer and efficient mixing, a diameter ratio between 0.5 and 0.6 is

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Publication Date
Sun Feb 10 2019
Journal Name
Journal Of The College Of Education For Women
Effect of some air pollutants (sticking minutes and lead) on human health
...Show More Authors

Air pollution is one of the complex problems plaguing the environment at the present time
as a result of many liberation of gases, vapors and fumes of fuels and chemicals resulting
from industrial activities . It should be noted that there are some elements of the heavy (Heavy
Metals), including toxic in the air, with different concentrations in the air depending on the
nature of the area, for example be in rural areas is lower than in cities or industrial areas as
measured parts million (ppm ) or parts per billion (ppb). Some of these important elements in
the physiological processes and enzymatic organisms but become toxic and Qatlhand-increase
Tercisahaan the permissible limits Bhave nature ,The air contaminant co

... Show More
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Publication Date
Sun Jun 30 2013
Journal Name
Al-khwarizmi Engineering Journal
Effects of Different Types of Fillers on Dry Wear Characteristics of Carbon-Epoxy Composite
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Experimental investigations had been done in this research to demonstrate the effect of carbon fiber and Ceramic fillers contents on the tribological behaviour of (15% volume fraction) carbon-epoxy composite system under varying volume fraction, load, time and sliding distance. The wear resistance were investigated according to ASTM G99-05standard using pin on disc machine to present the composite tribological behaviour. The influence of three ceramic fillers, granite, perlite and calcium carbonate (CaCO3), on the wear of the carbon fabric reinforced epoxy composites under dry sliding conditions has been investigated. The effect of variants in volume fraction, applied load, time and sliding distance on the wear behaviour of po

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Publication Date
Wed Sep 01 2010
Journal Name
Al-khwarizmi Engineering Journal
The Effect of Surface Roughness on Thermohydrodynamic Performance in Misaligned Journal Bearings
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     In this work an approach has been developed to investigate the influence of surface roughness on thermohydrodynamic performance in aligned and misaligned journal bearings by considering an average flow model and deriving the shear flow factor for various roughness configurations, similar to the pressure flow factor. An average Reynolds equation for rough surfaces is defined in term of pressure and shear flow factors, which can be obtained by numerical flow simulation, though the use of measured or numerically generated rough surfaces. Reynolds, heat conduction and energy equations are solved simultaneously by using a suitable numerical technique (Finite Difference Method) to obtain the pressure and temperature di

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Publication Date
Fri Dec 01 2023
Journal Name
Baghdad Science Journal
Effect of Celery (Apium graveolens L.) Microgreens on Drosophila melanogaster
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Celery (Apium graveolens L. ; family : Apiaceae) was often used as a spice in daily food. However, this plant contains many antioxidant compounds useful for attenuating neurodegenerative disorders including Parkinson's disease. Planting celery in the form of microgreens harvested 15 days was expected to increase the content of bioactive compounds. In the current study, we intended to evaluate the neuromodulatory potential of methanol extract of celery microgreens on fruit flies (Drosophila melanogaster Meigen : family Drosophilidae ; ordo : Diptera) which were exposed to paraquat. Neuroprotective capacity was assessed by survival rate, locomotor performance, lipid peroxidation and dopamine content after being treated wi

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Publication Date
Mon Dec 05 2022
Journal Name
Baghdad Science Journal
Influence of Optical Fiber Diameters on the Performance of Surface Plasmon Resonance Sensor
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In this research, a sensor for chemical solutions was designed and formed using optical fiber-based on a surface Plasmon resonance technology. A single-mode optical fiber with three different diameters (25, 45 and 65) µm was used, respectively.  The second layer of the low refractive fiber was replaced by gold, which was electrically deposited at 40 µm thickness. For each of the three types of optical fiber, different saline concentrations (different index of refraction) were used to evaluate the performance of the refractive index sensor (chemical sensor) by measuring its sensitivity and resolutions. The highest values we could get for these two parameters were 240mm/RIU, and 6*10-5 RIU respectively, when the diameter of a

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