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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 Dec 06 2021
Journal Name
Iraqi Journal Of Science
Detecting and Monitoring the Vegetal Cover of Karbala Province (Iraq) Using Change Detection Methods
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Karbala province was one of the most important areas in Iraq and considered an
economic resource of vegetation such as trees of fruits, sieve and other vegetation.
This research aimed to utilize change detection for investigating the current
vegetation cover at last three decay. The main objectives of this research are collect
a group of studied area (Karbala province) satellite images in sequence time for
the same area, these image captured by Landsat (TM 1995, ETM+ 2005 and
Landsat 8 OLI (Operational Land Imager) 2015. Preprocessing such as atmosphere
correction and rectification has been done. Mosaic model between the parts of
studied area was performing. Gap filling consider being very important step has
be

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Publication Date
Mon Dec 06 2021
Journal Name
Iraqi Journal Of Science
Petrophysical Properties and Reservoir Modeling of Mishrif Formation at Amara Oil Field, Southeast Iraq
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Petrophysical properties of Mishrif Formation at Amara oil field is determined
from interpretation of open log data of (Am-1, 2 ,3 ,4 ,5 ,6 ,7 ,8 ,9 ,10 ,11 ,12
and13) wells. These properties include the total, the effected and the secondary
porosity, as well as the moveable and the residual oil saturation in the invaded and
uninvaded zones. According to petrophysical properties it is possible to divided
Mishrif Formation which has thickness of a proximately 400 m, into seven main
reservoir units (MA, MB11, MB12, MB13, MB21, MC1, MC2) . MA is divided into
four secondary reservoir units , MB11 is divided into five secondary reservoir units ,
MB12 is divided into two secondary reservoir units , MB13 is divided into

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Publication Date
Fri Jan 26 2024
Journal Name
Iraqi Journal Of Science
Analysis of Precipitation and Precipitable Water Vapor over Iraq for the Period 1948-2011
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The water vapor is one of the constituent elements of the rain and the superiority
of its importance in the study of climate because it is the basis on which depends all
the different aspects of condensation. The purpose of research is to analyze the time
series of the Baghdad station andan analyze these series to see whether there is a
relationship between these two variables. Obtained the data used in this research
from the National Center for Environmental Prediction for the period from 1948 to
2011. The use of statistical criteria included linear regression and Mann Kandal test
to find the link. The results of time series monthly presence decrease in rainfall and
all months except October, either the results o

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Publication Date
Sun May 26 2019
Journal Name
Iraqi Journal Of Science
Hydraulic Characteristics of the Aquifer up Al-Khassa Dam Sub-Basin Kirkuk/NE Iraq
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The aim of this study is to the evaluation of the general hydrogeology condition of the Al-Khassa sub-basin area. Pumping test has been done for five wells in the area. The hydrogeological characteristics (transmissivity, hydraulic conductivity and storage coefficient) were determined in the area by input data which obtained from the pumping test process into the (AquiferWin32, Version 5) software program. The data were analyzed using Copper-Jacob, Theis and Hantuosh methods for pumping, the values of hydraulic characteristics range from: transmissivity (0.98 to 19.57) m²/day in (W7-W9-W10-W12) sites and 416 m²/day in W1, hydraulic conductivity (0.051 to 0.305) m/day in (W7-W9-W10-W12) sites and 5.012 m/day in W1, storage coefficie

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Publication Date
Thu May 28 2020
Journal Name
Iraqi Journal Of Science
Palynofacies and Source Rocks Evaluation for Selected Samples of Subba Oil Field, Southern Iraq
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This study includes a palynological and organic geochemical evaluation of Nahr Umr, Zubair, and Yamama Formations in the Subba field, Southern Iraq, represented by three wells (Su-14, Su-9 and Su-8). The determination of quantity organic matter showed that the rocks of Nahr Umr Formation had a total organic carbon of 4.76%, indicating very good production of hydrocarbons where type (II) kerogen was dominant, but the rocks were thermally immature. Zubair Formation had a total organic carbon of 1.91% to 2.26%, indicating good to very good production of hydrocarbons where kerogen of types (I) and (II/III) were dominant, with low thermal maturity. Yamama Formation showed a total organic carbon of 1.68%, revealing good production of hydrocarb

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Publication Date
Wed Jun 07 2023
Journal Name
Journal Of Educational And Psychological Researches
The Application of the Alternative Evaluation Strategy in Social Studies In General Education in KSA
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The study aims to reveal the degree of application of the alternative evaluation strategy in social studies in public education in the Kingdom of Saudi Arabia. It also aims to identify the opinions of experts on how to implement this. The study adopted the mixed methodology, which represented in the descriptive-analytical method, and qualitative methods through the grounded theory. The study used two tools namely: a questionnaire for assessments of social studies teachers and semi-structured interview questions. The results of the study showed a medium degree of appreciation for the application of alternative evaluation strategies by social studies teachers in general education with an average of (2.28). The results also showed that ther

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Publication Date
Sun Mar 26 2017
Journal Name
Iraqi Journal Of Pharmaceutical Sciences ( P-issn 1683 - 3597 E-issn 2521 - 3512)
Trend of Antibiotics Usage in the Intensive Care Unit in the Medical City in Baghdad
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High frequencies of multidrug resistant organisms were observed worldwide in intensive care units which is a warning as to use the only few effective antimicrobials wisely to reduce selective pressure on sensitive strains.

The aim of the current study is to asses the compliance of the currently followed antibiotic prescribing pattern in the intensive care unit in an Iraqi hospital with the international guidelines.A cross-sectional study was done in the intensive care unit (ICU) of the Surgical Specialties Hospital, Medical City in Bagdad from the 30th of November 2011 to the 5th of May 2012.Patients were followed until they were discharged or died to see any change in condition, response to drugs, devices u

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Publication Date
Wed Jul 20 2022
Journal Name
Ibn Al-haitham Journal For Pure And Applied Sciences
Measuring the Concentration of Radon Gas in Book Stores in Primary Schools in Diyala Governorate
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  In this research, the concentration of radon gas was calculated in the book store rooms of schools in Diyala Governorate, it was calculated by Solid State Nuclear Track Detectors (SSNTDS) when the detector (CR-39) was used, the detector was placed and suspended at a distance of 160 cm from the surface of the earth, and the detector was exposed for 30 days to record alpha tracks. The results of radon concentration showed that the highest concentration percentage was found in (Eishtar) school, which was equal to (84.896) Bq/m3, while the lowest value was recorded in (Habhib) school, which was equal to (11.242) Bq/m3, where the concentration rate was equal to (28.158) Bq/m3. When we compared our results w

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Publication Date
Sun Dec 30 2012
Journal Name
Al-kindy College Medical Journal
Acute abdomen during pregnancy in Baghdad
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BackgroundThe diagnosis and important aspects in treating acute abdomen during pregnancy tend to be delayed due to the peculiar physiological features of pregnancy and the restrictions imposed on imaging diagnostic techniques such as x-ray and CT.Aim of the studyTo identify the most common causes of acute abdomen during pregnancy and identifying the approaches for early diagnosis and to take a correct decision for surgery and assigning the complications that may occur during and/or after surgery for the mother and the fetus.Patients and Methods This is a prospective study that involves data obtained from 91 pregnant patients admitted in the surgical wards in Baghdad teaching hospital during the period from January 2008 to December 2009 .

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Publication Date
Thu Aug 31 2023
Journal Name
Journal Of Legal Sciences
The Terrorist Project in Terms of the Agreement
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Terrorist crime is considered a serious act that outweighs all other crimes in terms of impact and result, because it has a wide range on societies, and it also contains a great thing of danger represented in its purpose, and here describing terrorism as a crime is a description that does not give the full right to this behavior or that it It abbreviates it and does not show its actual reality, given that terrorism contains several different crimes and the roles of its contributors, and these roles are necessary to reach the result or the end. In which each episode is complementary to the other, it is not a single act, but rather several joint and complex actions that in turn all lead to the result, and the agreement in the terrorist pro

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