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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
Sun Aug 13 2017
Journal Name
Ibn Al-haitham Journal For Pure And Applied Sciences
The Prevalence of Bacteriuria in Pregnant Women
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     This research was conducted in (Baghdad Teaching hospital) and (Al-Alwiya obstetrics hospital). The Samples were as follows : (150) (Pregnant women) in different times of pregnancy. (25) Married women (non pregnant) . (25) Un married women Capable of pregnancy . The range of their ages was (18-45) years. (10) Samples were taken from pregnant women with no evidence of infection as (Control) for the comparison of number and type of bacteria which exists naturally (in area surrounded external opening of urinary duct) (Urethral meatus) of the infected pregnant women . The result showed that Staphylococcus Saprophyticus is a common Cause in these infections .appearing in (19%) of the studied group, while klebsiella wa

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Publication Date
Sun Sep 30 2012
Journal Name
College Of Islamic Sciences
Verses of righteousness in the Holy Quran
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This research is based on the study of a group of Quranic verses that share a certain part, and these verses are verses of righteousness, and the word righteousness has been mentioned in the Holy Qur’an eight times, and the number of verses in this word was six verses, in four walls, all of which are from the civil fence which is the cow and was There are five words of righteousness contained in them, and the family of Imran is one word, and the table is one word, and the argument is one word. This study adopts the method of analytical interpretation of the Quranic text is a term that means statement and clarification in a way that the researcher produces to divide a Quranic text into its elements that are involved in its formation and

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Publication Date
Fri Jun 01 2007
Journal Name
Al-khwarizmi Engineering Journal
Application of Fuzzy Logic in Servo Motor
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 In this work the design and application of a fuzzy logic controller to DC-servomotor is investigated. The proposed strategy is intended to improve the performance of the original control system by use of a fuzzy logic controller (FLC) as the motor load changes. Computer simulation demonstrates that FLC is effective in position control of a DC-servomotor comparing with conventional one.

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Publication Date
Mon Feb 19 2018
Journal Name
Al-academy
Performance of the comedian in Moliere plays
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This research aims to study the performance of comedian in the plays of writer Moliere . The problem of research is to answer the following question:      How does comedian Moliere's techniques in a number of his plays and funny acts?   The    research aims at revealing the means used by the comedian in his performance of a comedic character in the number of Moliere plays.                                                 

   &

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Publication Date
Mon Oct 01 2012
Journal Name
Al–bahith Al–a'alami
Semiotics of “Name Calling” in Propaganda Discourse
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The process of name calling in the propaganda discourse is one of the most important methods of persuasive propaganda act, based on the ideology of working with the function, and the valuation of this function, creating a hermeneutic representation of the meaning falls within a specific format and responds to a specific function, which is the realization of the intent of the propaganda doer in persuasion and persuasion through negative and positive propaganda logic. The method of name calling has played a dangerous and horrific role in conflicts and ideological and military wars throughout history.

This study aims to find out the mechanisms of semiotics system behind discourse of propaganda far from substantive&n

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Publication Date
Tue Feb 05 2019
Journal Name
Journal Of The College Of Education For Women
Untold Story in the Language of Theatre
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The language of theatre is made by a number of physical tools and moral elements. So as the actors, costumes, lightings and accessories represent the physical aspects of the show, they also represent its moral aspect too. When they transform from plastic words in the space of the visual show to become signs carrying its indications that give the meaning through the link, overlap and arrangement of its movements so as to finally look like as wording in a sentence carries the meaning and represent the language of theatre speech.
The show usually sends the recipient continuous signs that go beyond the limits of expressions that are conveyed by these tools, and that cover the largest part of the meaning. So what is kept hidden or unannoun

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Publication Date
Wed Dec 07 2011
Journal Name
Journal Of Planner And Development
Change in the centers of historical cities
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The historical center cities were exposed to change, which included its social and economical structures, Which led to sweeping changes in land use, causing a change in the result, in urban fabric and the physical structure and therefore to see visual. We have attracted these centers as a result of pressure from urban development and contemporary reflection of the agents of change which have been hit during the late period a development residential newly not sympathize mostly with the content of the historical and at the expense of removing large parts of the urban fabric and replace it with patterns of structural and styles of architecture has not been connected with reality. Which led to the loss of some historical and architec

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Publication Date
Fri Jan 05 2024
Journal Name
Al-academy
Mechanisms of visual attraction in interior spaces
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The visual attraction of the fundamentals that require the availability in the design business, to achieve the needs of different social interactive and the need for recreation or entertainment as well as financial need and as such has considered the importance of a researcher studying the mechanics of visual attractions in the interior spaces have been identified according to the research problem the following question:
What are the mechanisms of visual attractions in the interior spaces and the current research aims to Recruitment mechanisms of visual attractions in the design of interior spaces as determined by three research limits are:
• Reduce the objective: the mechanics of visual attraction.
• Reducing the spatial: S

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Publication Date
Wed May 10 2017
Journal Name
Ibn Al-haitham Journal For Pure And Applied Sciences
Diversity of Heamatogenetic Markers in Kirkuk Population
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  Immuno-haematological genetic markers study was carried out to understand the genetic background variations among Kirkuk (Iraq) indigenous population. A cross-sectional study of 179 patients with thalassemia major was conducted in Kirkuk. A detailed review was undertaken to define the relationships between ethnic origins, phenotype and immuno-genetic markers uniformity in relation to genetic isolation and interethnic admixture. A total of 179 thalassemia major patients were subjected to analysis in the hereditary blood diseases centre, including (18(10.05 %)) of intermarriages between different ethnic groups origin, whereas the overall consanguinity marriage rate was estimated at (161 (89.9%)) including (63(35.1%)) for first cousi

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Publication Date
Thu May 25 2017
Journal Name
Ibn Al-haitham Journal For Pure And Applied Sciences
Some Types of Compactness in Bitopological Spaces
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  In this paper, we give the concept of N-open set in bitopological spaces, where N is the first letter of the name of one of the authors, then we used this concept to define a new kind of compactness, namely N-compactness and we define the N-continuous function in bitopological spaces.         We study some properties of N-compact spaces, and the relationships between this kind and two other known kinds which are S-compactness and pair-wise compactness.

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