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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
Sun Jan 30 2022
Journal Name
Iraqi Journal Of Science
Structural interpretation of 2D seismic reflection data of the Khabour Formation in the Upper West Euphrates, western Iraq
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     The seismic reflection method has a primary role in petroleum exploration. This research is a structural interpretation study of the 2D seismic reflection survey carried out in the Upper West Euphrates (Khan Al-Baghdadi area), which is located in the western part of Iraq, Al-Anbar governorate. The two objectives of this research are to interpret Base Akkas/Top Khabour reflector and to define potential hydrocarbon traps in the surveyed area. Based on the synthetic seismogram of Akk_3 well near the study area, the Akkas/Top Khabour reflector was identified on the seismic section. Also, the Silurian Akkas Hot_shale reflector was identified and followed up, which represents the source and seal rocks of the Paleozoic

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Publication Date
Sun May 30 2021
Journal Name
Iraqi Journal Of Science
An Emerging Fault Related Fold (Mahad Anticline) and its Morphotectonic Interpretations in Northern Iraq
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In this study, morphotectonic analyses were prepared for an anticline existing to the north of Maqloub Anticline and extends toward north - south approximately, which is unfamiliar in relation to the major extension of the anticlines in the region. The study involves a structural interpretation of the anticline's origin and its relation with the faulting in the foreland zone in this area, specifically in foothill zone, because of the major fracture that is found adjacent and parallel to the axis of this anticline.

The visual interpretation is the major tool used to determine the features of this anticline. Moreover, some facilitating remote sensing technologies, such as digital processing of satellite images and Digital Elevation

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Publication Date
Sat Dec 01 2018
Journal Name
Journal Of Accounting And Financial Studies ( Jafs )
Evaluating the supervision tools of the Central Bank of Iraq to verify the continuity of private banks: An applied research in the Central Bank of Iraq
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The aim of the research to highlight the calendar of the most important tools used by the Central Bank of Iraq, in the implementation of the function of supervisory oversight, to verify the stability of the banking system, and protect the funds of shareholders, and depositors in general and the absence of any raises the risks of default and financial failure in particular, for commercial banks. The most important flaws and weaknesses in these tools, in the early detection of the risks of continuity in a timely manner, The study concluded a set of conclusions, including the weakness of the tools used in the performance of the function of supervisory oversight in detecting cases of default and financial failure in the early time as well as

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Publication Date
Fri Jan 31 2020
Journal Name
Iraqi Geological Journal
Manufacturing Perforated and Ordinary Bricks Using Injana Claystone Exposed in The Middle of Iraq
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This study aims to use claystone beds exposed in the Injana Formation (Late Miocene) at Karbala-Najaf plateau, middle of Iraq for the manufacturing of perforated and ordinary bricks. The claystone samples were assessed as an alternative material of the recent sediments, which are preferred to remain as agricultural land. The claystones are sandy mud composing of 29.1 - 39.1% clay, 37.2 - 54.8% silt and 14.1-26.8% sand. They consist of kaolinite, illite, chlorite, palygorskite, and montmorillonite with a lot of quartz, calcite, dolomite, gypsum and feldspar. Claystone samples were characterized by linear shrinkage 0.01 - 0.1%, volume shrinkage 0.1 - 0.9%, bulk density 1.2 - 2.11gm/cm3 (1.68 g / cm3 average), and the efflorescence is

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Publication Date
Tue Feb 28 2023
Journal Name
Iraqi Geological Journal
Salt Crystallization and Mineralogy of Sabkhas in Abu Ghraib, Western Baghdad, Abu Graib, Iraq
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The research aims to study Sabkha mineralogy to determine the mineral types, the nature of the precipitation, and the patterns of salt crystallization. Two Sabkhas in Abu Ghraib, west of Baghdad, were studied. It was found that the Sabkhas were formed in flat ponds from saturated solutions in a semi-arid to arid climate. Halite predominates, followed by anhydrite and gypsum as evaporite minerals. As for the minerals of the Sabkha soil, it consisted of feldspar, calcite, quartz, and dolomite, in addition to the clay minerals represented by kaolinite, illite, and chlorite. Needle forms, hopper shapes, dendritic crystals, and polygon shapes are the main crystallization patterns dominantly found in the Sabkhas. All these types of crysta

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Publication Date
Fri Jun 30 2023
Journal Name
Iraqi Journal Of Science
Spatio-Temporal Mixture Model for Identifying Risk Levels of COVID-19 Pandemic in Iraq
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     This paper focuses on choosing a spatial mixture model with implicitly includes the time to represent the relative risks of COVID-19 pandemic using an appropriate model selection criterion. For this purpose, a more recent criterion so-called the widely Akaike information criterion (WAIC) is used which we believe that its use so limitedly in the context of relative risk modelling. In addition, a graphical method is adopted that is based on a spatial-temporal predictive posterior distribution to select the best model yielding the best predictive accuracy. By applying this model selection criterion, we seek to identify the levels of relative risk, which implicitly represents the determination of the number of the model components o

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Publication Date
Sat Sep 30 2023
Journal Name
Iraqi Journal Of Science
Reservoir Characteristics for Khasib Formation in selected wells of East Baghdad Oil field, Iraq
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     Four subsurface sections and electrical, porosity logs, and gamma-ray logs of the Khasib Formation (age Late Turonian-Lower Coniacian) were studied to identify reservoir characteristics and to evaluate the reservoir properties of the Khasib reservoir units in the East Baghdad oilfield. The lithology of the formation is limestone throughout the whole sequence in all studied wells EB-83, EB-87, EB-92, and EB94. It is bounded conformably from the top by Tanuma Formation and has a conformable lower contact with Kifl Formation. The lower and upper boundaries of the formation were determined using well log analysis, and the formation was divided into three main rock units (Kh1, Kh2, and Kh3), depending on the porosity logs. The porosi

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Publication Date
Fri Dec 01 2023
Journal Name
International Society For The Study Of Vernacular Settlements
Evaluation of Sustainability Using LEED Rating Scales: The Bismayah New City in Baghdad, Iraq
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Publication Date
Wed Feb 08 2023
Journal Name
Iraqi Journal Of Science
Simulation Model of Groundwater within Umm-Er Radhuma Formation in Anbar Province / Western Iraq
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The study area is located in the south-eastern part of AL- Anbar province, between latitudes (31˚02ˉ00˭ -33˚03ˉ00˭) north and longitudes (40˚02ˉ00˭ -43˚04ˉ00˭) to the east. The research studied predictive mathematical Model of groundwater within Umm-Er Radhuma Formation and by (44) wells distributed randomly within the boundaries of the study area, all of them fall within the unconfined aquifer. Through the operating of wells on the time of (30) day and taking the operating results of each (5) days, results showed that the drawdown in groundwater levels values ranged from (13) cm after running the model for a period of 5 days and (120) cm after running Model for thirty days. And the drawdown values are concentrated near wells

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Publication Date
Thu Mar 17 2016
Journal Name
International Journal Of Computer Applications
Analysis of Wind Speed Data and Annual Energy Potential at Three locations in Iraq
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