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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 Feb 26 2022
Journal Name
Iraqi Journal Of Science
Field Description and Lithostratigraphic Study of Sargelu Formation in Rania and Sargelu sections, Northern Iraq: Lithostratigraphic Study of Sargelu Formation
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     The Sargule Formation was deposited during the Middle Jurassic, representing one of the most important source rocks in Iraq and surrounding areas.

Jurassic successions are commonly exposed as an isolated patch at some eroded anticline’s cores and limbs in the High Folded Zone, Imbricate Zone, and Thrust Zones of northern Iraq. The Sargelu section is located in Sargelu village at Surdash anticline, while the Rania section is located in Rania city near Hanjira village at Shaweri anticline.  Fieldwork in Rania and Sargelu Sections allow to divide Sargelu Formation lithostratigraphically into many subdivisions as follow:

The Sargelu Formation in the Rania section is about 40 m and can be divide

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Publication Date
Wed Mar 30 2022
Journal Name
Iraqi Journal Of Science
Evaluation of Petrophysical Characteristics of Mishrif and Yamama Reservoirs, in Garraf Oil Field, Southern Iraq, Based on Well-Logging Interpretation
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     The Mishrif and Yamama Formation are the main reservoirs in the Garraf oilfield, Nasiriyah city, of the Euphrates Subzone, Mesopotamian Basin, Southern Iraq. The Garraf oilfield structural pattern corresponds with the similar anticline forming the oilfields of Rafidain and Dujaila and is parallel to the main trend of Zagros, indicating simple coaxial deformation.

The petrophysical properties are evaluated using the Interactive Petrophysics V3.5 software. This comprises determining the lithology, mineralogy, and matrix for the investigated reservoirs, as estimating clay volume, total, effective, and secondary porosity, water saturation, permeability, and determining the net pay and gross thickness.

The findings of t

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Publication Date
Tue Jul 01 2014
Journal Name
International Journal Of Artificial Intelligence And Mechatronics
Building a Three-Axis CNC Milling Machine Control System
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CNC machines are widely used in production fields since they produce similar parts in a minimum time, at higher speed and with possibly minimum error. A control system is designed, implemented and tested to control the operation of a laboratory CNC milling machine having three axes that are moved by using a stepper motor attached to each axis. The control system includes two parts, hardware part and software part, the hardware part used a PC (works as controller) connected to the CNC machine through its parallel port by using designed interface circuit. The software part includes the algorithms needed to control the CNC. The sample needs to be machined is drawn by using one of the drawing software like AUTOCAD or 3D MAX and is saved in a we

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Publication Date
Thu Dec 28 2017
Journal Name
Ibn Al-haitham Journal For Pure And Applied Sciences
Evaluating the Relationship Between GPS Output and Planimetry System
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. This       rtsearch      involveda     a  study  of     the     relationship

between GPS coordinates and  planimetry coordinates.     It         was found that  there is  a relation  between   GPS output coordinates and

the  coordinates of a distance point from the positi on of the GPS point

. In order to pricist the direction of distance a reference point had been

used which is

( Greenwich  Mean  observatory) GMO.

The   angles   between   the  studying

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Publication Date
Thu Mar 30 2023
Journal Name
Iraqi Journal Of Science
Constructing a Digital Certificate Authentication System for Classified Documents
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             In this paper, we introduce a new digital authentication certification system to keep the classified documents' information safe. The proposed system is a steganography system divided into two subsystems, the first subsystem is responsible for embedding the information about the person, and it works in the main foundation that issues the documents, while the second subsystem is found in the beneficiary directorates to extract the true information of the person.

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Publication Date
Fri Feb 08 2019
Journal Name
Iraqi Journal Of Laser
Nano Fluid Detection for HPHE System Using Different Lasers
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Among the different passive techniques heat pipe heat exchanger (HPHE) seems to be the most effective one for energy saving in heating ventilation and air conditioning system (HVAC). The applications for nanofluids with high conductivity are favorable to increase the thermal performance in HPHE. Even though the nanofluid has the higher heat conduction coefficient that dispels more heat theoretically but the higher concentration will make clustering .Clustering is a problem that must be solved before nanofluids can be considered for long-term practical uses. Results showed that the maximum value of relative power is 0.13 mW at nanofluid compared with other concentrations due to the low density of nanofluid at this concentration. For highe

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Publication Date
Thu Jan 14 2021
Journal Name
Iraqi Journal Of Science
Fuzzy PID Gain Scheduling Controller for Networked Control System
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The use of a communication network in the closed loop control systems has many advantages such as remotely controlling equipment, low cost, easy to maintenance, efficient information transmission, etc. However, the Networked Control System (NCS) has many drawbacks, such as network-induce end-to-end time delay and packet loss, which lead to significant degradation in controller performance and may result in instability. Aiming at solving performance degradation in NCS, this paper propose to take the advantages and strength of the conventional Proportional-Integral-Derivative (PID), Fuzzy Logic (FL), and Gain Scheduling (GS) fundamentals to design a Fuzzy-PID like-Gain Scheduling (F-PID-GS) control technique, which has been proved to be ef

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Publication Date
Mon Jan 28 2019
Journal Name
Iraqi Journal Of Science
Location Aspect Based Sentiment Analyzer for Hotel Recommender System
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Recently personal recommender system has spread fast, because of its role in helping users to make their decision. Location-based recommender systems are one of these systems. These systems are working by sensing the location of the person and suggest the best services to him in his area. Unfortunately, these systems that depend on explicit user rating suffering from cold start and sparsity problems. The proposed system depends on the current user position to recommend a hotel to him, and on reviews analysis. The hybrid sentiment analyzer consists of supervised sentiment analyzer and the second stage is lexicon sentiment analyzer. This system has a contribute over the sentiment analyzer by extracting the aspects that users have been ment

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Publication Date
Tue Nov 01 2022
Journal Name
Indonesian Journal Of Electrical Engineering And Computer Science
Photovoltaic system DC series arc fault: a case study
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<p>Photovoltaic (PV) systems are becoming increasingly popular; however, arc faults on the direct current (DC) side are becoming more widespread as a result of the effects of aging as well as the trend toward higher DC voltage levels, posing severe risk to human safety and system stability. The parallel arc faults present higher level of current as compared with the series arc faults, making it more difficult to spot the series arc. In this paper and for the aim of condition monitoring, the features of a DC series arc fault are analyzed by analysing the arc features, performing model’s simulation in PSCAD, and carrying out experimental studies. Various arc models are simulated and investigated; for low current arcs, the heur

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Publication Date
Fri Sep 30 2022
Journal Name
Iraqi Journal Of Science
Intelligent System for Multi-Layer Lip Reading Based Microlearning
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     Intelligent systems can be used to build systems that simulate human behavior. One such system is lip reading. Hence, lip reading is considered one of the hardest problems in image analysis, and thus machine learning is used to solve this problem, which achieves remarkable results, especially when using a deep neural network, in which it dives deeply into the texture of any input. Microlearning is the new trend in E-learning. It is based on small pieces of information to make the learning process easier and more productive. In this paper, a proposed system for multi-layer lip reading is presented. The proposed system is based on micro content (letters) to achieve the lip reading process using deep learning and auto-correction mo

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