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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 Feb 03 2019
Journal Name
Journal Of Accounting And Financial Studies ( Jafs )
The Effect of Orgnizational Learning in gnizational Effectifness: An Applied Study
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The purpose of this study is testing the effect of orgnizational learning in orgnizational Effectivness an applied study in Al-hiqma Jordinan Medecine Company . study sosiety 88 manegers sleect 80 of them .study used SPSS to test the hypothesis.study reachs to significant conculctions

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Publication Date
Sun Nov 01 2015
Journal Name
Al-qadisiyah Medical Journal
A survey of dermatophytes isolated from Iraqi patients in Baghdad City
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SJ Mohammed, AA Noaimi, KE Sharquie, JM Karhoot, MS Jebur, JR Abood, A Al-Hamadani, Al-Qadisiyah Medical Journal, 2015 - Cited by 20

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Publication Date
Fri Jun 29 2018
Journal Name
Journal Of The College Of Education For Women
Stream of Consciousness Technique: Psychological Perspectives and Use in Modern Novel
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Stream of Consciousness technique has a great impact on writing literary texts in the modern age. This technique was broadly used in the late of nineteen century as a result of thedecay of plot, especially in novel writing. Novelists began to use stream of consciousness technique as a new phenomenon, because it goes deeper into the human mind and soul through involving it in writing. Modern novel has changed after Victorian age from the traditional novel that considers themes of religion, culture, social matters, etc.  to be a group of irregular events and thoughts interrogate or reveal the inner feeling of  readers.

This study simplifies stream of consciousness technique through clarifying the three levels of conscious

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Publication Date
Mon Mar 15 2021
Journal Name
Al-academy
Structural Features of Psychopathic Personality in Cinematographic Discourse: مها فيصل احمد
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The dramatic personality represents the most important nerve in the cinematographic discourse due to what it represents of a permanent presence in various types of TV and cinematic stories. That is what makes the cinematographic discourse always seek to introduce the human personality in multiple methods. The psychopathic personality is a type of the personalities that got distinguished presence in the TV and cinematic productions. This is what drew the researcher's attention for the topic of the research for which she used title: structural features of the psychopathic personality in the cinematographic discourse.
The theoretical framework included the research problem which is determined by the following question: what are the stru

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Publication Date
Tue Mar 31 2015
Journal Name
Iraqi Journal Of Chemical And Petroleum Engineering
Corrosion of Electrical Submersible Pumps (ESP) In South Rumaila Oil Field
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   Rotating cylinder electrode (RCE) is used . in weight loss technique , the salinity is 200000 p.p.m, temperatures are (30,5060,7080Co) . the velocity of (RCE) are (500,1500,3000 r.p.m). the water cut (30% , 50%). The corrosion rate of carbon steel increase with increasing rotating cylinder velocity. In single phase flow, an increase im rotational velocity from 500 to 1500 r.p.m, the corrosion rate increase from 6.88258 mm/y to 10.11563 mm/y respectively.

   In multiphase flow, an increase in (RCE) from 500 to 1500 r.p.m leads to increase in corrosion rate from 0.786153 to 0.910327 mm/y respectively. Increasing brine concentration leads to increase in corrosion rate at water cut 30%.

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Publication Date
Mon Sep 03 2018
Journal Name
Al-academy
INNOVATIVE THINKING & FORMAL SYNTHESIS IN THE DESIGN OF MODERN WOMEN'S FABRICS
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A study worthy of study and objective analysis of the relationship of formal synthesis and innovative effectiveness in the design of modern women's fabrics, which deals with the first chapter the problem of research based on the following questions: (What role of innovative thinking in the formal synthesis of women's clothing designs Modern)

   The research objectives included the following:

1 - defines the concept of innovative thinking and its effectiveness in design

2 - Reveal the role of innovative thinking in the formal synthesis of the designs of modern women's fabrics

   The theoretical framework which included the following parts:.

1 - Innovative thinkin

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Publication Date
Sun Dec 01 2024
Journal Name
Toxicology Reports
The impact of methamphetamine on liver injury in Iraqi male addicts
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Publication Date
Sat Dec 31 2016
Journal Name
Iraqi Journal Of Chemical And Petroleum Engineering
Corrosion Inhibition of Carbon Steel in Hydrochloric Acid under Dynamic Conditions
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In this work, studying the effect of ethylenediamine as a corrosion inhibitor was investigated for carbon steel in aerated HCl solution in range of 0.1-1N under dynamic conditions, i.e., rotational velocity of 400–1200 rpm in the temperature range 35 – 65 ºC.  Weight loss method was employed in absence and presence of the inhibitor as an adsorption type in concentration range 1000 – 5000 ppm using rotating cylinder specimens. The experimental results showed that corrosion rate in absence and presence of inhibitor is increased with increasing temperature, rotational velocity and concentration of acid. It is decreased with increasing inhibitor concentration for the whole range of temperature, rotational velocity and concentrati

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Publication Date
Thu Mar 30 2017
Journal Name
Iraqi Journal Of Pharmaceutical Sciences ( P-issn 1683 - 3597 E-issn 2521 - 3512)
The Effect of Atenolol on CK-MB Levels in Hypertensive Patients
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Atenolol is one of beta-adrenergic receptor blocking agent. It is widely used for the treatment of hypertension as a selective antihypertensive drug. But long term usage of atenolol may cause one of the cardiovascular diseases like myocardial infarction. To prove the relationship between atenolol and cardiovascular disease, measurement of creatinekinase-MB as a diagnostic indicator in early and long term usage of this drug by hypertensive patients is recommended.  A comparative study was conducted in Al-Yarmouk Teaching Hospital–Emergency Department- on 30 hypertensive patients using atenolol. They were divided into (2) groups A and B according to the duration of the drug usage. Group A- (15) patients with a mean age (56

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Publication Date
Tue May 01 2012
Journal Name
Iraqi Journal Of Physics
Detection of line shape parameters in normal and abnormal biological tissues
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Doppler broadening technique is suggested to monitor the development of tumours. It depends on the sensitivity of positronium (Ps) annihilation parameters to the sub- microstructural changes in biological tissues. This technique uses high resolution HpGe detector to measure the lineshape parameters (S and W) in normal mice's mammary tissues and adenocarcinoma mammary tissues as a function of tumour growth. The results demonstrate that the central parameter (S) decreases and the wing parameter (W) increases as the tumour grow. It is found that the S parameter changes considerably with the distribution of voids which are affected by the tumour development. Therefore the present technique can successfully be employed to monitor the developm

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