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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 Jun 20 2021
Journal Name
Baghdad Science Journal
Performance Evaluation of Intrusion Detection System using Selected Features and Machine Learning Classifiers
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Some of the main challenges in developing an effective network-based intrusion detection system (IDS) include analyzing large network traffic volumes and realizing the decision boundaries between normal and abnormal behaviors. Deploying feature selection together with efficient classifiers in the detection system can overcome these problems.  Feature selection finds the most relevant features, thus reduces the dimensionality and complexity to analyze the network traffic.  Moreover, using the most relevant features to build the predictive model, reduces the complexity of the developed model, thus reducing the building classifier model time and consequently improves the detection performance.  In this study, two different sets of select

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Wed Aug 14 2019
Journal Name
Heat Transfer-asian Research
Characteristics of heat transfer of impingement system with swap swirl generator
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Publication Date
Sat Mar 01 2008
Journal Name
Iraqi Journal Of Physics
Effect of Pressure on the Properties of HgBa2Ca2Cu3O8+δ HTSC System
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High temperature superconductors with a nominal composition HgBa2Ca2Cu3O8+δ
for different values of pressure (0.2,0.3, 0.5, 0.6, 0.9, 1.0 & 1.1)GPa were prepared by
a solid state reaction method. It has been found that the samples were semiconductor
P=0.2GPa.while the behavior of the other samples are superconductor in the rang
(80-300) K. Also the transition temperature Tc=143K is the maximum at P is equal to
0.5GPa. X-ray diffraction showed a tetragonal structure with the decreasing of the
lattice constant c with the increasing of the pressure. Also we found an increasing of
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Publication Date
Tue Jun 15 2021
Journal Name
Iraqi Journal Of Pharmaceutical Sciences ( P-issn 1683 - 3597 E-issn 2521 - 3512)
Formulation and Characterization of Self-Microemulsifying Drug Delivery System of Tacrolimus
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The present investigation aimed to formulate a liquid self-microemulsifying drug delivery system (SMEDDS) of tacrolimus to enhance its oral bioavailability by improving its dispersibility and dissolution rate. Four liquid SMEDDS were prepared using maisine CC as oil phase, labrasol ALF as surfactant and transcutol HP as co-surfactant based on the solubility studies of tacrolimus in these components. The phase behavior of the components and the area of microemulsion were evaluated using pseudoternary phase diagrams. The formulations were also assessed for thermodynamic stability, robustness to dilution, self-emulsification time, drug content, globule size and polydispersity index. The prepared SMEDDS formulations exhibi

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Publication Date
Thu Jun 27 2019
Journal Name
Bulletin Of The Iraq Natural History Museum (p-issn: 1017-8678 , E-issn: 2311-9799)
A SURVEY OF WEEVILS (COLEOPTERA, CURCULIONOIDEA) FROM SOME LOCALITES OF KURDISTAN REGION- IRAQ, WITH NEW RECORDS TO THE ENTOMOFAUNA OF IRAQ
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This work is the first study of the Curculionoidea fauna from Kurdistan region of Iraq, based on the intensive survey in different localities of Kurdistan from March 2016 to November 2017. In total, 41 species belonging to 28 genera, 21 tribes and 3 families were collected and identified, including 25 species newly recorded for the Iraqi fauna.

 

General distribution, collecting localities and methods, with plant association data for each species are given.

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Publication Date
Sat Oct 01 2011
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The Electric Energy Generation Approach of the Energy Saving House Using Photovoltaic System
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This paper describes a research effort that aims of developing solar models for housing suitable for the Arabian region since the Arabian Peninsula is excelled with very high levels of solar radiation.
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Publication Date
Tue Nov 09 2021
Journal Name
Open Access Macedonian Journal Of Medical Sciences
COVID-19 Vaccine Hesitancy and Acceptance among Medical Students: An Online Cross-sectional Study in Iraq
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BACKGROUND: Vaccine hesitancy and reluctant had an important obstacle in achieving protection and population immunity against coronavirus disease 19 (COVID-19). It is essential to achieve high COVID-19 vaccination acceptance rates among medical students and health care workers to provide recommendations and counseling vaccine hesitant population. AIM: This study aims to identify level of COVID-19 hesitancy, attitude, knowledge, and factors that affect vaccination decision. MATERIALS AND METHODS: A cross-sectional study was done among medical students in Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq. Data collection was done through an online Google Forms questionnaire during 2021 from 810 medical students.

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Publication Date
Mon Feb 04 2019
Journal Name
Journal Of The College Of Education For Women
North and north-eastern wind and its impact on the racial temperature and humidity in Iraq
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The study area is witnessing divergence where I am North wind North East wind as we find that the north wind is getting replicated as we move from the south, The reason can be attributed to the nature of the surface of the region, with at least repeat this wind the northern region to the presence of mountain ranges, while we find that energizes the surface in the center and south helped to increase repeat this wind gusts, It also finds that the North wind East prevail in the northern region and least replicated as we move from the north to the south and to the fact that North stations are within blowing this wind sites for the circles near the display of high pressure located centers to the north-east, north and distancing itself from pa

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Publication Date
Wed May 01 2024
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Determining the bacterial and viral meningitis trend in Iraq from 2007 till 2023 using joinpoint regression
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Publication Date
Mon Jul 01 1996
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Bulletin Of The Iraq Natural History Museum (p-issn: 1017-8678 , E-issn: 2311-9799)
HAEMOPROTEUS BURHINUSA NEW SPECIES FROM THE STONE CURLEW, BU RHINUS OEDICN EMUS SAHARAE (REICHENOW) IN IRAQ
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Haemoproteus burhinus is described from the stone curlew, Burhinus oedicnemus saharae (Reichenow) from Al-Attariya, 45 km SE Baghdad city middle of Iraq. It is related to but differs from H. peireci in that it hypertrophied the erythrocyte and the erythrocyte nucleus is always laterally displaced in microgametocytes.

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