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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 Apr 30 2012
Journal Name
Journal Of Planner And Development
RAPID LAND TENURE ASSESSMENT OF BAGHDAD CITY IN IRAQ 2010
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The purpose of this study is to describe the extent and nature of informal tenure practices in urban areas in Iraq, through undertaking a rapid assessment in Baghdad city. The UN-HABITAT 2008 publication Secure Land Rights for All discusses the importance of access and rights to land throughout the developing world. Secure land rights are critical to development and poverty reduction, and the greatest challenge in providing secure land rights are in urban areas, where overcrowding can lead to a number of informal tenure practices ranging from individually unregistered or unauthorised housing, to large informal settlements. Access to land is a fundamental basis for human shelter, food production, and other economic activity. Secur

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Publication Date
Fri Jun 30 2023
Journal Name
Iraqi Journal Of Science
Seepage Simulation of the Proposed Makhool Dam in North Iraq
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     This study aims to simulate water seepage and identify areas of weakness in the foundations through the right and left sides of the proposed Makhool dam in northern Iraq, using the finite element method by advanced computer software (SEEP/ W, 2012). The earth fill dam is 3670 m long on the Tigris River. Many attempts were made to ascertain the program results on the supposed earth dam and compare the results with those of other analytical methods to verify the program. The results are comparable, showing that the program is suitable for use in the seepage analysis at the proposed Makhool dam. According to the seepage analysis, the quantity of seepage through the left side of Makhool is acceptable within permissible limits; howev

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Publication Date
Tue Mar 15 2016
Journal Name
Asian Journal Of Applied Sciences
A Review: Training Requirement of Agriculture Extension Officers in Iraq
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Publication Date
Wed May 01 2019
Journal Name
Iraqi Journal Of Science
Study of desertification using remote sensing imagery in South Iraq
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Recently The problem of desertification and vegetation cover degradation become an environmental global challenge. This problem could be summarized as as the land cover changes. In this paper, the area of Al- Muthana in the south of Iraq will be consider as one of Semi-arid lands. For this purpose, the Ladsat-8 images can be used with 15 m in spatial resolution. In order to over Achieve the work, many important ground truth data must be collected such as, rain precipitation, temperature distribution over the seasons, the DEM of the region, and the soil texture characteristics. The extracted data from this project are tables, 2-D figures, and GIS maps represent the distributions of vegetation areas, evaporation / precipitation, river levels

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Publication Date
Mon Oct 02 2023
Journal Name
Journal Of Engineering
Main Delay Factors of Implementation EPC Construction Projects in Iraq
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This essay aims to highlight the most important issues and difficulties facing implementing large projects that follow the turn-key method, considered one of the types of contractual methods in Iraq, especially for large and complex projects requiring speedy completion. The projects implemented in this way face delays and delays in completion, which led to the lack of benefit from the projects for which they were implemented, especially those affecting the lives of citizens within the health sector. The case study dealt with the construction of hospitals with multi-bed capacities within multiple governorates in Iraq, With large financial allocations within the federal budget of the Government of Iraq over several years.

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Publication Date
Thu Aug 30 2018
Journal Name
Iraqi Journal Of Science
Seismic Data Processing of Subba Oil Field in South Iraq
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Evaluation study was conducted for seismic interpretation using two-dimensional seismic data for Subba oil field, which is located in the southern Iraq. The Subba oil field was discovered in 1973 through the results of the seismic surveys and the digging of the first exploratory well SU-1 in 1975 to the south of the Subba oil field. The entire length of the field is 35 km and its width is about 10 km. The Subba oil field contains 15 wells most of them distributed in the central of the field.

     This study is dealing with the field data and how to process it for the purpose of interpretation; the processes included conversion of field data format, compensation of lost data and noise disposal, as well as the a

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Publication Date
Thu Jul 01 1999
Journal Name
Bulletin Of The Iraq Natural History Museum (p-issn: 1017-8678 , E-issn: 2311-9799)
Insects associated with inflorescence rot disease of date in Iraq
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Four species of insects, Carpophillus obsoletus Er., Carpophilus sp., Bitoma lycnformis Wall and Scatopse sp., were found in association with infected spathes of date palm with Mauginella scaettae Cav. The later fungus was the dominant species isolated in pure cultures both from diseased spathes and from contaminated insects. Bitoma lycriformis is the first record for Iraq.

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Publication Date
Sun Jan 01 2023
Journal Name
Plant Protection
Molecular Characterization of Cucumber Mosaic Virus Subgroup IB in Iraq
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Publication Date
Mon Nov 29 2021
Journal Name
Iraqi Journal Of Science
Microfacies Evaluation of Mauddud Formation in Ratawi Field, South Iraq
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This paper includes studying the microfacies evalution of Mauddud Formaion in
four wells(Rt-2, Rt-5, Rt17 and Rt-19). Seventy-seven(77) sampels were collected
of above mentioned wells. Based on fossil content of the samples under study, four
main microfacies were identified: packstone , wakestone , grainstone and lime
mudstone microfacies ,which deposited in shallow open marine and restricted
marine environments. Petrographic examination of thin section indicated that
diagenesis vary in intensity from one site to another, such as dissolution,
cementation, compaction, dolomitization and micritization, which led to the
improvement and deterioration of porosity. The dominant pore types are vuggy,
interparticle and

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Publication Date
Sun May 30 2021
Journal Name
Iraqi Journal Of Science
Biostratigraphy of Yamama Formation in Faihaa Oil Field, Southern Iraq
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The Yamama Formation was studied in three wells (Fh-1, Fh-2, and Fh-3) within Faihaa oil field, south Iraq. Thin sections were studied by using the polarizing microscope examination in order to determine microfossils and biozone. Thirty-five species of benthic foraminifera were recognized, including four index species. In addition,  twelve species of calcareous green algae were recognized, including  two index species. Other fossils that were recognized in Yamama Formation include Gastropoda, Bryozoa, Coral, Rudist, and Pelecypoda.

Six biozones were observed, which are Charentia cuvillieri sp. (Range Zone of Berriasian age), Psudochryalidina infracretacea

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