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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
Mon Jan 28 2019
Journal Name
Iraqi Journal Of Science
Investigation of Sand Dunes Sedimentary Structures – Najaf Governorate – IRAQ
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This research concerns with the study of the sand dunes sedimentary structures in two areas from dunes field of Najaf governorate these are; 1)Al-Rahimiya and 2)Ain Mazlun areas, where the first area consists from barchans, barchanoid, and nabkha dunes types, while the second area has the dome, longitudinal, nabkha, and sand sheet dunes types.

The affected prevailing wind direction is obvious on the study area, where has the NW-SE bearing and the sedimentary structures were influenced by prevailing and local wind directions in studied areas.

Many types of sedimentary structures recognized in the studied areas these are; cross stratification, ripple marks, slump (grain flow), adhesion structures, and bioturbation structure

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Publication Date
Thu Mar 30 2023
Journal Name
Iraqi Journal Of Science
Environmental Assessment of Al-Hammar Marsh Sediments, Southern Iraq
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Concentrations and distribution of major, minor, and trace elements were
studied in thirteen sediment samples from Al-Hammar Marsh.
Multivariate statistical techniques such as Principal Component Analysis (PCA)
and Agglomerative Hierarchal Cluster Analysis (AHCA) as well as pollution
analysis such as Enrichment Factor (EF) were used to process the data and identify
the possible sources of elemental constituents in sediment samples.Results of
chemical analysis revealed that Major element mean concentrations were in the
order of Ca> Si> K> Mg> and minor elements were in the order of Al> Fe>S>Cl>
Ti> P>Mn> Sr> N and trace elements were in the order of Cr> Ni> Zr>V>Zn&gt

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Publication Date
Mon May 17 2021
Journal Name
Surgical Neurology International
PubMed-indexed neurosurgical research productivity of Iraq-based neurosurgeons
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Background:

Research is a central component of neurosurgical training and practice and is increasingly viewed as a quintessential indicator of academic productivity. In this study, we focus on identifying the current status and challenges of neurosurgical research in Iraq.

Methods:

An online PubMed Medline database search was conducted to identify all articles published by Iraq-based neurosurgeons between 2003 and 2020. Information was extracted in relation to the following parameters: authors, year of publication, author’s affiliation, author’s specialty, article type, article citation, journal name, journal

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Publication Date
Fri Nov 24 2023
Journal Name
Iraqi Journal Of Science
Analysis of Burial History for Mesopotamian basin, southern Iraq
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In this study, different oil fields in Mesopotamian basin, southern Iraq (Siba, Zubair, Nahr - Umr, Majnoon, Halfaya, Kumait, and Amara) were selected for studying burial history. PetroMod software 1D was used for basin constructing and to evaluate burial history of the basin. Results showed that in the upper Jurassic to the Recent, Mesopotamian Basin exhibited a complex subsidence history over a period of about 152 Ma.There are different periods of subsidence: high, moderate, and slow. High subsidence occurred at upper Jurassic- mid Cretaceous and at Miocene due to Tectonic subsidence. Slow subsidence occurred at upper Cretaceous and moderate subsidence at Paleogene. In the upper Jurassic, rapid subsidence is driven under the effect of

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Publication Date
Sat Jul 31 2021
Journal Name
Iraqi Journal Of Science
Surface Basins Evaluation of the Southern Desert, West Iraq
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 The results of the present study show that the highest elevation point is (912) meters (a.s.l.) inside Wadi Al-Khur basin while the lowest elevation point is (6) meters (a.s.l.) inside Wadi Abu-Talha basin. The biggest catchment area is represented by Wadi Al-Khur (48840 km²) whereas the smallest catchment area is Wadi Taqtaq (1748 km²). The stream direction of all streams trends from South-West towards North-East. The soil available water capacity (AWC) (Moisture Deficit) in the studied area was15 mm. The average annual rainfall was133.11 mm, the average annual temperature was 25.65 Co, the total depth amount of E Apanwas 3691.85 mm/year, the relative humidity was 40 %, the average annual sunshine is 7.9 hrs., and the

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Publication Date
Wed Nov 16 2022
Journal Name
Res Militaris
The contents of the publications of the campaign (Together to defeat Corona) for the United Nations Development Program in Iraq to prevent infection with the Covid 19 virus
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The study deals with an analysis of the contents of the publications of the campaign (Together to defeat Corona), which was established by the United Nations Development Program in Iraq in the face of the Covid 19 virus.The research problem raises a main question:What are the implications of the campaign (Together to defeat Corona) of the United Nations Development Program (Iraq office) in addressing the Covid-19 virus in Iraq?From this main question, several sub-questions emerged, which were answered by this study in its chapters and investigations, including regarding the contents of advertisements, photos and videos for the publications of the (Together to Defeat Corona) campaign for the United Nations Iraq Office on their Facebook pageA

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Scopus
Publication Date
Sun Mar 01 2020
Journal Name
Journal Of Accounting And Financial Studies ( Jafs )
Impact of supervisory control requirements on the financial performance of Islamic banks in Iraq: Case Study: Islamic Cooperation Bank for Investment and Development for the years (2015-2018)
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Given the importance that the Iraqi banking system in general and Islamic banks in particular, there must be effective supervisory oversight of these banks, as supervisory oversight has an essential and effective role in the development and evaluation of the performance of banks, through the application of legal controls and rules. Banking aimed at making sure that its financial centers are safe, protecting depositors' funds, and achieving both monetary and economic stability. This research studied and evaluates the mechanisms and tools used by the Central Bank of Iraq in the supervision and supervision of these banks. Therefore, the research aimed to measure the type and direction of the relationship between the requirements of supervis

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Publication Date
Fri Sep 30 2022
Journal Name
Iraqi Journal Of Science
Using remote sensing techniques and analytical hierarchy process to select rainwater harvesting optimum sites: a case study in Ali Al-Garbi city, Iraq
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     The assignment of suitable sites for water harvesting techniques is a promoted strategy to be introduced to the community, for handling the water scarcity and risk due to floods. In the eastern part of Missan, water is always hampered due to the limited availability during the drought, while floods frequently and intensely occur in the wet season. This study aimed to choose the potential and suitable sites for applied water harvesting system using remote sensing techniques and analytic hierarchy process (AHP). Ali Al-Garbi city is divided into three watersheds (site1, site2, and site3), which have been characterized by flash floods that produce high quantities of runoff. The six parameters: slope, lineament density, drainage den

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Publication Date
Fri Jun 30 2023
Journal Name
Iraqi Journal Of Science
Lower Permian Fluvial Sediments, Ga’ara Depression, Western Iraq: Depositional Environment and Hydrocarbon Potential
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     Synthesis of sedimentologic, paleocurrent, and organic geochemistry data of the Lower Permian Ga’ara Formation from the Western Desert, western Iraq, shows good hydrocarbon potentiality and deposition by high sinuosity and mixed-load channels, likely by a meandering river system. The Ga’ara Formation includes kaolinitic mudstone beds of various colors and channelized quartzitic sandstone beds. Based on the lithofacies identification, five lithofacies associations have been recognized: channel-floor, point-bar, abandoned channel plug, crevasse splay, and interchannel flood basin. In addition, the paleocurrent analysis and sandstone percentage map indicate a variation of the paleoflow spatially and temporally with a general di

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Publication Date
Tue Feb 04 2025
Journal Name
Sciences Journal Of Physical Education
Perceived organizational support and its relationship to the cognitive competence of the Iraqi National Olympic Committee from the point of view of members of the Olympic sports federations in Iraq
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