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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 Apr 15 2023
Journal Name
Iraqi Journal Of Science
Paleoenvironments and Sequence Development of the Miocene succession , Western and Southern Iraq
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The Miocene succession of western and southern Iraq is represented by the
Euphrates, Ghar, Jeribe, Nfayil, Fatha, and Injana formations. The Euphrates
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the Ghar Formation (Early- Early Middle Miocene) is represented by continental
clastic facies. The Jeribe Formation (Early Middle Miocene) represents shallow
marine environment. The Nfayil Formation (Middle Miocene) also of shallow marine
environment, it`s equivalent the Fatha Formation is represented mainly by supratidal
marine environment. The Injana Formation (Late Miocene) represents the clastic
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Publication Date
Mon Jan 01 2024
Journal Name
Aip Conference Proceedings
Performance evaluation of sewage treatment plant for Abu Ghraib Dairy Factory, Iraq
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The objective of this study is to verify the overall performance and evaluate the wastewater quality of the wastewater treatment plant at the Abu Ghraib Dairy Factory and compare the results with the Iraqi Quality Standards (IQS) for effluent disposal and with the national determinants of treated water use. Agricultural irrigation wastewater, which included daily assessment records of the main parameters affecting wastewater [five-day biochemical oxygen demand (BOD5), chemical oxygen demand (COD), total dissolved solids (T.D.S), total suspended solids (TSS), phosphate (PO4), nitrate (NO3), hydrogen ion concentration (pH)] obtained from the quality control department of Abu Ghraib dairy plant registered from January 2017 to December 2020. Th

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Hydrochemical Assessment of water resources at Baquba City, Diyala Governorate, Eastern Iraq
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     For hydrochemical assessment of water resources at Baquba City, Diyala Governorate, four surface water samples were collected from the Diyala River and eight groundwater samples inside the city of Baquba. The samples were collected in the two periods, the dry period in October 2018 and the wet period in February 2019. The pH, EC, TH, turbidity, the major ions and trace elements (Fe, Cu, Co, Cd, Pb, Zn and Ni) were investigated. The results showed that the surface and groundwater are turbid, very hard and slightly brackish to moderately saltine in the groundwater, while it is hard to very hard and fresh in surface water. Heavy element analyzes revealed contamination of surface water samples and groundwater with the elements Cadmi

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Publication Date
Fri Jan 21 2022
Journal Name
Iraqi Journal Of Science
Crude oil characterization and hydrocarbon affinity of Amarah Oil Field, South Iraq
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Five oil sample of Mashrif and Nahr Umr Formation for Amarah oil field,
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Sun Jul 01 2001
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Bulletin Of The Iraq Natural History Museum (p-issn: 1017-8678 , E-issn: 2311-9799)
A new species of Wohlfahrtia Brauer and Bergenstam (Dipetera: Sarcophagidae) from Iraq
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Publication Date
Wed Aug 30 2023
Journal Name
Iraqi Journal Of Science
Assessment of Outer Space Events on Troposphere and Climate Change over Iraq
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The Study of Chromosomal Structure in Mystus pelusius (Solander in Russell,1794) Fish
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  The present study was done to identify the karyotype of Mystus pelusius fish , which is the only representative of the family Bagridae in Iraq, they have been caught from Tigris river in AL-Kraat area of Baghdad city, the results show that the diploid chromosome number was 2n=32 and the males chromosomal types included 2n=(6m+13sm+7st+6t)and fundamental number FN=51, in females chromosomal types included 2n=(6m+12sm+8st+6t)with FN=50,also it observed that the first submetacentric pair was the largest within the biarmed chromosomes .The results revealed that the male heterogamety and the female homogamety , accordingly it follows the sex determination system (XX / XY) , as the (X) chromosome represented by medium sized submetacentr

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Publication Date
Thu Aug 08 2024
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Journal Of Inorganic And Organometallic Polymers And Materials
Schiff-Base System of Glutaraldehyde Crosslinked Chitosan-Algae-Montmorillonite Clay K10 Biocomposite: Adsorption Mechanism and Optimized Removal for Methyl Violet 2B Dye
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Heterogeneous catalytic degradation of dye by Fenton-like oxidation over a continuous system based on Box–Behnken design and traditional batch experiments
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    The environmental contamination by the polycyclic aromatic hydrocarbons (PAHs) and heavy metals (Pb, Cu, Ni, Cr, and Cd) concentrations in the leaves of plant Eucalyptus camaldulensis were determined at the city of Kirkuk in 15 selected locations using GPS. The pickings up of samples were carried out in two periods October 2010 and March 2011. Compared with results of other studies, the concentration levels of determined heavy metals show values within these studies results. The average total concentration of polycyclic aromatic hydrocarbons (PAHs) in the leaves of Plant Eucalyptus camaldulensis indicated 37.1 ppb in October, while in March 165.2 ppb.

 

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