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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
3D seismic reflection study for subsurface structural picture of Dujaila Oil Field, South of Iraq
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This research represents a 3D seismic structural study for 602.62 Km2 of Dujaila
Oil Field which is located 55 Km Northwest of Mysan province and 20 Km Southwest
of Ali-AlSharki region within unstable Mesopotamian basin.
Synthetic traces are prepared by using available data of two wells (Du-1, Du-2), in
order to define and pick the reflectors. Two reflectors are picked that represent the top
and bottom of Mishrif Formation, in addition to five units within this Formation are
picked, they named Units 1, 2, 3, 4, and 5.
Time maps for the top and bottom of Mishrif reflectors are drawn to get the
structural picture, these maps show general dip of layers toward NE, and thus, there
are two enclosure domes in the midd

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Publication Date
Wed Mar 27 2019
Journal Name
Iraqi Journal Of Science
Hydrochemical characteristics and evaluation of surface water of Shatt Al-Hilla, Babil Governorate, Central Iraq
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The current study aimed to assessing the water quality and discussing the hydrochemical characteristics and seasonal variation of surface water on the aspect of metals in Shatt-Al-Hilla, Babil Governorate, Central Iraq. Water samples were collected from eleven sampling sites of Shatt Al-Hila for wet season in March (18/3/2018), and a dry season in July (30/7/2018).

Surface water samples were analyzed for physiochemical parameters such as water temperature pH, EC, TDS, major ions (Ca2+, Mg2+, Na+, K+, SO42-, Cl-, and HCO3-), nutrients (NO3-, and PO43-) for both seasons and DO for one season

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Publication Date
Thu Nov 30 2023
Journal Name
Iraqi Journal Of Science
Effects of Land Uses on Soil Quality of Shwan Sub-basin, Kirkuk Governorate, Northern Iraq
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     Thirty-two soil samples were collected from the study area in October 2020 for geochemical and pollutants investigation of Shwan Sub-basin soil. All soil samples were analysed for different geochemical analyses. The analysis results revealed that the pH values in soil samples ranged from 7.12 to 7.56 with a mean of 7.327. According to the pH values detected in the soil samples, the soil is classified as neutral soil. The electrical conductivity ranged from 0.92 mmhos/cm to 7.8 mmhos/cm with a mean of 1.53 mmhos/cm. Thus, according to the detected electrical conductivity values, the soil was classified as non-saline to slightly saline. The organic matter ranged from 1.14% to 1.45% with a mean value of 1.326 %, while total organic

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Publication Date
Wed Jul 29 2020
Journal Name
Iraqi Journal Of Science
Determination of DynamicElastic Properties of Anah Formation, Near Rawa city / Western Iraq Using Ultrasonic Technique
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The aim of the current  study is to determine the elastic properties  of carbonate rocks using ultrasonic method.  Forty rock samples of  Anah formation  were collected at  different depths from  four wells drilled at the study area . The relationship between wave velocities and elastic properties of rocks was defined. Regression analyses to define these relations were applied. The results indicate that the elastic properties of the rocks show a linear relationship with both P- and S-wave velocities. The best relationship was obtained between both Young's modulus and Shear modulus with Vs in the determination of the coefficient ( R2  ), with values of 0.91 and 0.94,  respectively.&n

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Publication Date
Sun Jul 31 2022
Journal Name
Iraqi Journal Of Science
Petrology of the Lower Succession of Injana Formation, Shorr Shareen area, Wasit Governorate, - Eastern Iraq
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     This study deals with the petrology of the lower succession of the Injana Formation in the Shorr Shareen area, Wasit Governorate, Eastern Iraq. The study revealed that the sandstone is litharenite consists of 45.56% rock fragments, 22.13% quartz and 8.5% feldspars. The matrix is about 8.39%, consisting of silt and clay particles. The cement is variable (carbonates 8.42%, evaporites 1.78% and iron oxides 0.96%). The grain assemblage infers that the source of the rock fragments is nearby. The petrographic analyses indicate that the studied Injana sandstones are immature mineralogically because of their content of unstable constituents, such as lithic fragments and feldspars. In addition, the presence of such fresh feldspars indica

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Publication Date
Sat Mar 18 2017
Journal Name
Ibn Al-haitham Journal For Pure And Applied Sciences
External Morphological Study of Pieris rapae (Limmaeus, 1758), (Lepidoptera: Pieridae) Mid and North of Iraq.
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The work included study of external morphology of white cabbage butterfly Pieris rapae (Linnaeus, 1758). The study included the external morphological characters of different body regions in addition to the male and female genitalia. The studied morphological characters were supported by photos and illustrations. Specimens of the work were collected from north and middle of Iraq and dates and sites of collection were fixed. 

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Publication Date
Thu Dec 29 2016
Journal Name
Ibn Al-haitham Journal For Pure And Applied Sciences
A Studyof The Physicochemical Characteristics of Selected Wells of AL-Migdadiyah Town – Dyala/Iraq
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          Physicochemical characteristics of groundwater in AL-Miqdadiyah town were studied by taking random water samples from six differents wells from July to December 2010. The results were compared with the international standards for drinking-water of WHO and FAO and the iraqian limits . Fourteen parameters were analysed. It was found that most of studied wells waters in the allowed limits for drinking water . Except W1 & W2 which had the hight values of turbidity during summer  season only . The present study showed clear differents between winter & summer values in (turbidity , TDS , Cl- , NO2 and Na) . While the remaining characteristics showed exigu

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Publication Date
Wed Jul 17 2019
Journal Name
Iraqi Journal Of Science
Determination of the Remnant Environmental Impacts Resulting from the Chemical Bombing of Halabja, Kurdistan- Iraq
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16 March of every year marked the anniversary of the chemical gas attack on the City of Halabja, Kurdistan, Iraq, and its nearby villages. In the process, 5000 people reportedly died from the attack. Many more were wounded and the event left nearly 60 000 people displaced. A perceived consequence of the chemical bombing of Halabja City was the environmental pollution of the soil and water. A recent questionnaire completed by the population of Halabja City indicated that 35% believed that water pollution was still an issue, and 55% thought that soil pollution posed a high risk.
In 2016, were requested by the Halabja City governor to investigate the situation. And to lay to rest the perception and

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Publication Date
Tue Jul 01 2008
Journal Name
Bulletin Of The Iraq Natural History Museum (p-issn: 1017-8678 , E-issn: 2311-9799)
KEYS FOR IDENTIFICATION FOR GENERA AND SPECIES OF THRIPS (THYSANOPTERA : THRIPIDAE) FROM MIDDLE OF IRAQ
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Keys for 22 species representing ten genera Thripidae collection carried out during 1999-2001 in different localities in the middle of Iraq. Of them four species are described as new to science, Frankliniella megacephala sp. nov; Retithrips bagdadensis sp. nov; Chirothrips imperatus sp. nov; Taeniothrips tigridis sp. nov; Another thirteen species are recorded for the first time in Iraq; Thrips meridionalis (Pri.); Microcephalothrips abdominils (Crawford); Scolothrips pallidus (Beach); Scritothrips mangiferae Pri.; Frankliniella tritici Bagnall; Frankliniella schultzie Trybom; Frankliniella unicolor Morgan; Retithrips aegypticus Mar

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Publication Date
Sun Jan 27 2019
Journal Name
Journal Of The College Of Education For Women
The Inauguration of Faisal Bin Al -husain as Iraq King (A Study of British Documents)
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Husain as a king of Iraq.
This paper deals with the British communication with faisel . then Winston Churchill's speech in British common house .then fodlowed by arriving faisal to Iraq after that the referend um faisel .
The his claims of British maneuver lastly coronation on faisal & his inauguration as a king of Iraq.

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