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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
Tue Jun 20 2023
Journal Name
Baghdad Science Journal
Linear and Nonlinear Optical Properties of Anthocyanin Dye from Red Cabbage in Different pH Solutions
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This article studied some linear and nonlinear optical characteristics of different pH solutions from anthocyanin dye extract at 180 oC from red cabbage. First, the linear spectral characteristics, including absorption and transmittance in the range 400-800 nm for anthocyanin solution 5% v/v with different pHs, were achieved utilizing a UV/VIS spectrophotometer. The experimental results reveal a shift in the absorption toward the longer wavelength direction as pH values increment. Then, the nonlinear features were measured using the Z-scan technique with a CW 532 nm laser to measure the nonlinear absorption coefficient through an open aperture. A close aperture (diameter 2 mm) calculates the nonlinear refractive index. The open Z-scan sh

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Publication Date
Thu Jun 01 2017
Journal Name
Journal Of The American Medical Directors Association
Comprehensive Literature Review of Factors Influencing Medication Safety in Nursing Homes: Using a Systems Model
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Publication Date
Sun Dec 01 2024
Journal Name
Journal Of Education And Health Promotion
Knowledge-related iron deficiency anemia among undergraduate nursing female students in the University of Baghdad
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BACKGROUND:

Globally, iron deficiency anemia is a problematic nutritional deficiency health-related issue that impacts early-adulthood people such as university students. The aim was to asses female nursing students’ knowledge concerning iron deficiency anemia in the College of Nursing, University of Baghdad.

MATERIALS AND METHODS:

A cross-sectional survey was carried out from the period of June 18, 2023 to December 20, 2023. Nonprobability (purposive) samples of 100 female nursing students were selected from the second, third, and fourth stages in the College of N

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Publication Date
Thu Jun 01 2023
Journal Name
Australian Dental Journal
Debonding of LDSVs utilising Er,Cr:YSGG laser irradiation with fractional technique: an in vitro study
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Publication Date
Mon Jan 01 2018
Journal Name
Ndt & E International
Porosity evaluation of in-service thermal barrier coated turbine blades using a microwave nondestructive technique
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Publication Date
Mon Dec 24 2018
Journal Name
Bulletin Of The Iraq Natural History Museum (p-issn: 1017-8678 , E-issn: 2311-9799)
MOLECULAR IDENTIFICATION AND PHYLOGENETIC-TREE ANALYSIS OF MONIEZIA SPECIES FROM SHEEP IN AL-DIWANIYAH CITY
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    The present study was performed to detect the molecular and the phylogenetic identification of species that belonging to the genus of Moniezia Blanchard, 1891 which affected intestines of sheep in Al-Diwaniyah city, Iraq; fifty intestine samples were sought for the infestation of Moniezia spp. from the city slaughterhouse from 1 October to 30 November 2017, this tapeworm was found to infest the intestines of 13 sheep.

 

    For morphological identify the genus of this tapeworm, eggs from one gravid proglottid of the thirteen worms were examined, polymerase chain reaction (PCR) and the PCR-product-based sequencing were applied on 4 Moniezia tapeworms targeti

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Publication Date
Sun Dec 09 2018
Journal Name
Baghdad Science Journal
An Epidemiological, Diagnostic, and Therapeutic Study of the Leishmania tropica Parasite in Iraq’s Anbar Province
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This paper involved the registration of 1,936 cases of infection of the Leishmania tropica parasite observed at hospitals and health centers in Ramadi, Fallujah, Baghdadi, and Hit during 2017. The results revealed that the highest rates of infection were found in Ramadi and Fallujah. The 1-10 years age group recorded the highest rate at 35.5%. There was no significant difference (p ≥ 0.05) between the sexes. December and January saw the highest rate of infection, where the rate in rural townships was found to be 65.5%, higher than in urban regions which saw a rate of 34.4%. Facial lesions were the most prominent area of infection, recorded at a rate of 41.3%. The study also included an examination of 180 rodents (94 mice and 86 black r

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Publication Date
Wed Apr 11 2018
Journal Name
Acta Neuropathologica Communications
Zidovudine ameliorates pathology in the mouse model of Duchenne muscular dystrophy via P2RX7 purinoceptor antagonism
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Publication Date
Mon Apr 01 2019
Journal Name
Journal Of Educational And Psychological Researches
Moral Awareness and Its Relation to Authoritarian Parenting Style of Secondary School Students in Baghdad
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This research aims at identifying the level of Moral Awareness and the level of Authoritarian Parenting Style of Secondary School Students in Baghdad. Additionally, the study seeks to identify the significant difference between these two variables in term of gender (male-female), as well as the correlation between Moral Awareness and Authoritarian Parenting Style. To do this, the researchers have adopted the scale of moral awareness prepared by the (Assl 2014), which the number of its items was finalized of (28) items. As for the Authoritarian Parenting Style scale, the researcher designed a questionnaire of (22) items as the number of its finalized form. The two instruments were applied on a sample of (140) male and female Students who

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Publication Date
Sun Nov 01 2020
Journal Name
Journal Of Green Engineering
Eco-Friendly Enhancement of Fire Tube Boiler Control in Oil Factory Using Functional Block Diagram
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This research is a continued efforts for a project on the fire tube boiler control for Al Rasheed edible oil factory. The aim is to enhance the control system with new integral control one. A functional blocks diagram (FBD) was built and simulated. With Schneider smart relays, FBD differs than ladder logic programming in which the PID option is active. An extensive work was done to understand the operation sequence, emergency shutdown, and faults causing the trips. A control program was designed to control logical sequence of operation. Furthermore temperature is controlled via cascade control with fuel and air controllers. The temperature controller output is send as remote set point to the fuel controller in a serial cascade manner. The f

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