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Practice & Opinion of Doctors in Hospitals toward Referral System in Iraq
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Background: Primary Health care (PHC) is unanimous to be the cornerstone of a person-centered health system. While the adoption of a well-function, two-way, and organized referral system is the mainstay in the development of an efficient healthcare delivery system.  

Objective: To Assess the practice & opinion of doctors in the hospitals toward the referral system.  to determine the doctors in the hospital's commitment to referral system instructions and guidelines.

Subjects and Methods: A cross-sectional study with analytic elements was conducted in nine Iraqi governorates. Eight doctors from each health directorate, resulting in a total of 72 doctors using a specially designed questionnaire. Statistical analysis was done by using SPSS, the P≤0.05 was considered statistically significant.

Results: of the total 72 physicians, 31(43.1%) aged 40-49years, 48(66.7%) were males, and 58(80.6%) were specialists., 58 doctors (80.6%) had no coordination with the PHC-doctors, the same percentage considered the current referral system is ineffective. PHC patients-crowded, doctors-shortage were the causes of inadequately filling PHC-part of the referral form. And PHC-hospital doctors-coordination had a significant association with their age, gender, and their thinking about adequate filling.

Conclusion: despite the importance of the referral system, half of the doctors disagreed about the current referral system’s effectiveness; & most of them had no coordination with the PHC-doctors. PHC crowded/doctors’ shortage the main causes of inadequate filling PHC part of referral-form.

 

 

 

الملخص:

الخلفية: تعتبر الرعاية الصحية الأولية بالإجماع حجر الزاوية في نظام صحي يركز على المريض. في حين أن اعتماد نظام إحالة جيد ثنائي الاتجاه ومنظم هو الدعامة الأساسية في تطوير نظام فعال لتقديم الرعاية الصحية.

الهدف: تقييم ممارسة ورأي الأطباء في المستشفيات تجاه نظام الإحالة. كذلك لتحديد مدى التزام الأطباء في المستشفى بتعليمات وإرشادات نظام الإحالة.

طريقة البحث: أجريت دراسة مقطعية مع عناصر تحليلية في تسع محافظات عراقية. ثمانية أطباء من كل مديرية صحية ، مما أدى إلى ااشتراك 72 طبيبًا في استبيان مصمم خصيصًا للبحث. تم إجراء التحليل الإحصائي باستخدام SPSS ، واعتبر P≤0.05 ذو دلالة إحصائية.

النتائج: من إجمالي 72 طبيبًا ، 31 (43.1٪) تتراوح أعمارهم بين 40-49 عامًا ، 48 (66.7٪) من الذكورو 58 (80.6٪) من المتخصصين. ، 58 (80.6٪) منهم ليس لديهم اي تنسيق مع أطباء الرعاية الصحية الأولية. و بنفس النسبة يعتبرون نظام الإحالة الحالي غير فعال. ازدحام المرضى في المراكز ونقص الأطباء هي اهم أسباب نقص ملأ نموذج الإحالة الخاص باطباءالمراكز الصحية بشكل مناسب. وكان لتنسيق أطباء مستشفى الرعاية الصحية الأولية علاقة كبيرة مع العمر والجنس وتفكيرهم في الملأ االنموذجي.

الخلاصة: بالرغم من أهمية نظام الإحالة ، اختلف نصف الأطباء حول فعالية نظام الإحالة الحالي. ومعظمهم ليس لديهم اي تنسيق مع أطباء المراكز الصحية. ازدحام الرعاية الصحية الأولية / نقص الأطباء اهم الأسباب الرئيسية لضعف ملأ نموذج الإحالة.

 

 

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Publication Date
Sat Sep 23 2023
Journal Name
Sciences Journal Of Physical Education
Individual analysis of kinetic response variables according to the measurement of the H7 system for the best jumping players in the national basketball team 2021
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The skill scale in most of sport activity monitoring a lot of dynamic behaviours conducted with playing situations that help the excerpt's in sport field to evaluate and put right solutions ,soccer one of games that studies in third stage in college and take skills ,dribbling , passing, shooting these skills helps to execute the plans in game ,the researchers notice that there is no test measure the skills of the game in the beginning of the first semester especially in the method of soccer in physical education college and the problem of the research were by answering the question that is there test connect between one or more that one of skill to measure the ability of students to execute the plans in soccer and the conclusion was the bui

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Publication Date
Thu Jan 16 2025
Journal Name
Sciences Journal Of Physical Education
Individual analysis of kinetic response variables according to the measurement of the H7 system for the best jumping players in the national basketball team 2021
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Publication Date
Fri Jul 21 2023
Journal Name
Journal Of Engineering
Development of an Integrated Construction Management System for Building Estimation
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Project management are still depending on manual exchange of information based on paper documents. Where design drawings drafting by computer-aided design (CAD), but the data needed by project management software can not be extracted directly from CAD, and must be manually entered by the user. The process of calculation and collection of information from drawings and enter in the project management software needs effort and time with the possibility of errors in the transfer and enter of information. This research presents an integrated computer system for building projects where the extraction and import quantities, through the interpretation of AutoCAD drawing with MS Access database of unit costs and productivities for the pricing and

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Publication Date
Tue May 30 2023
Journal Name
Iraqi Journal Of Science
Petrography, Mineralogy and Diagenetic history of the Sarmord Formation (Valanginian-Aptian) in selected areas, Northeastern Iraq
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     This research studies the petrography, mineralogy and diagenetic history of the Sarmord Formation at Sulaimani and Erbil Governorates in Northeastern Iraq. The Sarmord Formation consists mainly of alternated yellowish to bluish gray bedded marly limestone with yellowish gray soft marl beds. Petrographic investigations of the marly limestones were based on 270 thin sections and show that the skeletal grains include bioclasts, foraminiferas, radiolarians, calcispheres, echinoderms, ostracods and cephalopods. The groundmass is composed of micrite with light brown to gray colors, rich in organic materials and iron oxides. The X-ray diffraction analysis of the marls revealed that the abundant clay minerals in the Sarmord Formation ar

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Publication Date
Sun Feb 13 2022
Journal Name
Iraqi Journal Of Science
Assessment of the Lower Cretaceous source rock using PetroMod approach in West Qurna Oilfield- Southern Iraq
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The L. Cretaceous succession is the main reservoir rock in the south of Iraq. Although the upper Jurassic Sargelu Formation is the main source rock in this area; however, the organic-rich interval within the studied succession, is contribute in these huge accumulations of petroleum. The pyrolysis parameters of the succession; Sulaiy, yamama, Zubair, and Nahr Umr formations showed that the main kerogen type is type III and II with moderate to good HI, which they refer to gas and/or oil prone especially in Zubair, Nahr Umr, and Sulaiy formations. The quantity parameters indicate potential source intervals in respect to (TOC). The maturity parameters suggest the threshold and peak of petroleum generation, which Tmax values ranged around 430

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Publication Date
Mon Jan 30 2023
Journal Name
Iraqi Journal Of Science
Petrography and Geochemical Relationships of the Ultramafic Rocks in Galalah area within Erbil Governorate, NE Iraq
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The current research to study the petrography, mineralogy and geochemical relationships of the ultramafic rocks in the Galalah area within Erbil Governorate, at the Unstable Shelf in the Imbricate Zone, to determine the origin of the ultramafic rocks.

      Dunite and Harzburgite are the most abundant rock bodies in the study area, and they represent most of the outer surface exposure of the ultramafic rock aggregates. The dunite rocks are characterized by pale brown color on the altered surface that is broken into olive green and dark green lithic. Dunite represents a homogenous lithologic feature that mainly consists predominately of olivine with accessory spinel and traces of orthopyroxene. While the harzburgite appears as

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Publication Date
Sat Jul 31 2021
Journal Name
Iraqi Journal Of Science
Evaluation and Delineation of Sulfur Groundwater Leakages Using Electrical Resistivity Techniques in Hit Area, Western Iraq
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      Electrical resistivity methods are one of the powerful methods for the detection and evaluation of shallower geophysical properties. This method was carried out at Hit area, western Iraq, in two stages; the first stage involved the use of 1Dimensional Vertical Electrical Sounding (VES) technique in three stations using Schlumberger array with maximum current electrodes of 50m. The second stage included the employment of two dimension (2D) resistivity imaging technique using dipole-dipole array with a-spacing of 4m and n-factor of 6 in two stations. The 1D survey showed good results in delineating contaminated and clear zones that have high resistivity contrast. Near the main contaminated spring, the 2D resi

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Publication Date
Thu Jan 12 2023
Journal Name
Journal Of The Saudi Society Of Agricultural Sciences
Effect of planting density, foliar spraying and overlapping system on the growth and productivity using soilless culture system
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Scopus
Publication Date
Sat Jan 30 2021
Journal Name
Iraqi Journal Of Science
Intrusion Detection System Using Data Stream Classification
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Secure data communication across networks is always threatened with intrusion and abuse. Network Intrusion Detection System (IDS) is a valuable tool for in-depth defense of computer networks. Most research and applications in the field of intrusion detection systems was built based on analysing the several datasets that contain the attacks types using the classification of batch learning machine. The present study presents the intrusion detection system based on Data Stream Classification. Several data stream algorithms were applied on CICIDS2017 datasets which contain several new types of attacks. The results were evaluated to choose the best algorithm that satisfies high accuracy and low computation time.

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Publication Date
Sun May 26 2019
Journal Name
Iraqi Journal Of Science
Derivation Mathematical Equations for Future Calculation of Potential Evapotranspiration in Iraq, A Review of Application of Thornthwaite Evapotranspiration
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     In any natural area or water body, evapotranspiration is one of the important outcomes in the water balance equation. As a significant method and depending on monthly average temperature, estimating of potential Evapotranspiration depending on Thornthwaite method was adopted in this research review. Estimate and discuss evapotranspiration by using Thornthwaite method is the main objectives of this research review with considerable details as well as compute potential evapotranspiration based on climatologically data obtained in Iraq. Temperature - evapotranspiration relationship can be estimated between those two parameters to reduce cost and time and facilitate calculation of water balance in lakes, river, and h

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