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Article
Compliance of Diabetic patients

Author: Riyadh K Lafta
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2009 Volume: 8 Issue: 1 Pages: 17-22
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background Diabetes is likely to be the fifth leading cause of death. Global excess mortality attributable to diabetes is estimated at 2.9 million deaths which is equivalent to 5.2% of world all-cause mortality. Compliance with medical advice is essential for controlling the disease; it is affected by many factors related to the patient, the disease, the physician and the family. Objective To assess the level of diabetic patients’ compliance with diet, drugs and visits, and to assess its effect on the disease control through certain indicators. Methods A total of 300 diabetic patients from different age categories, both males and females, were included in this study. The patients are usually either self-referral or referred from other hospitals, primary health care centers, governmental general practice clinics or private clinics. A questionnaire form was constructed to collect data about the demographic characteristics of the patients, about diet and medications. Files of the patients were reviewed to have an idea about their compliance. Results Compliance with diet was medium in half of the patients, while with drugs; it was good in 60.3%, and 38.7% had good compliance to visits. The best compliance with diet (38.2%) was seen in the age group 40-49 year while the least (19.2%) was in the age group (30-39)[ (χ²=2.65, P>0.05), 37.4% of the patients who are using oral hypoglycaemic agents, and 36.7% of those using insulin had good compliance with diet (χ²=7.10, P<0.05). Conclusion We can conclude from this study that the diabetic patients (represented by the study sample) have poor compliance with diet and visits, the duration of the disease was the most common variable found to predict compliance.

Keywords

Diabetic --- compliance --- Iraq


Article
Utilization of health services in a sample of PHC centers in Baghdad
استخدام المواطنين للخدمات الصحية في عينة من المراكز الصحية في بغداد

Author: Riyadh K Lafta د. رياض خضير لفته
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2007 Volume: 20 Issue: 1 Pages: 1-8
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Background: As primary health care is a sub-system of the national health system; its evaluation would reveal the function state and condition of the system as a whole, and addresses the civilization state of the country as well. Objective: to Figure out the degree of utilization for the beneficiary health users, with overall and detailed clients’ satisfaction with primary health care services provided.Methods: This cross-sectional survey is a client utilization and satisfaction assessment targeting two types of clients; Females from outpatient families visiting health centers (HC), and clients outside HCs (teachers from nearby primary schools). The 17 HCs were selected by a simple random technique from all the health sectors in Baghdad. Two primary schools near each HC were chosen to study the opinion of teachers as a beneficiary group.Results: Seventy nine percent of the clients were satisfied and 21% were unsatisfied. Although the overall satisfaction indicator was high (79%); all other satisfaction indicators have poor scores (<70%): drug use instructions (64%), patient-Dr relations (50%), consultation time and clinical exam competency (45%), waiting time (42%), and only 36% were satisfied with health education and disease explanation offered by health providers. Fifty three percent of the inquired school-teachers use to consult the private clinics as a first choice, 16% go to a HC, 15% go to the afternoon people’s clinic, and 12% prefer the governmental hospital outpatient clinic. A minority (4%) run for by-hand treatment from the private pharmacies without a medical prescription. Conclusion: In spite of lack of health education, incompetent medical exam, long waiting time, poor Dr-patient relations, and unclear drug instructions, health clients show an adequate overall satisfaction with health services.Keywords: Utilization, PHC

الخلفية: بما أن نظام الرعاية الصحية الأولية هو جزء من النظام الصحي , فان تقويمه ممكن ان يبين حالة النظام بشكل شامل, ويحدد المستوى الحضاري للبلد بشكل عام0الهدف: تحديد مدى استخدام المواطنين للخدمات الصحية المقدمة عن طريق مراكز الرعاية الصحية الأولية مع معرفة القناعة العامة للمستفيدين من الخدمات المقدمة0الطرق: هذه الدراسة المقطعية هي عبارة عن قياس درجة استخدام والاستفادة من الخدمات الصحية المقدمة عن طريق دراسة نوعين من المراجعين: الإناث من العوائل الذين يراجعون العيادة الخارجية للمراكز الصحية ومعلمات المدارس الابتدائية القريبة اللواتي يستخدمن المراكز الصحية ايضا0تم اختيار العينة (17 مركز صحي) بالطريقة العشوائية البسيطة من مجموع المراكز الصحية في بغداد0 وتم اختيار مدرستين قريبتين من كل مركز صحي لمعرفة رأي المعلمات لجهة مستفيدة0النتائج: تبين أن 79% من المراجعين كانوا راضين عن الخدمات المقدمة و 21% لم يكونوا راضين0ومع أن هذه النتيجة العامة عالية ألا أن المؤشرات التفصيلية مثل تعليمات واستخدام الأدوية (64%), علاقة المريض بالطبيب (50%), الوقت المخصص للاستشارة والفحص السريري (45%), وقت الانتظار (42%), وفقط (36%) كانوا راضين بمستوى التثقيف الصحي المقدم من العاملين الصحيين0الاستنتاج:- بالرغم من النقص في مستوى التثقيف الصحي, الفحص السريري, وقت الانتظار الطويل,ضعف علاقة الطبيب بالمريض وعدم وضوح تعليمات استخدام الأدوية, فان المراجعين ابدوا قناعة شاملة بالخدمات الصحية المقدمة

Keywords

Utilization --- PHC


Article
Is age -really- a risk factor in pregnancy?

Authors: Riyadh K. Lafta --- Sahar A ISSA
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2007 Volume: 20 Issue: 2 Pages: 325-330
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract: Background: The risk approach fails signally to identify many of women who will need care for complications in childbirth. On the other hand, many women identified as “high risk” go on to have perfectly normal, uneventful births. Objectives: to see if there is a real risk of maternal age in the course and outcome of gestation for both mother and fetus. Methods: This is a cross sectional study conducted in Baghdad during the period from March through October 2004, a sample of 200 women (with 642 pregnancies) was randomly chosen from women attending four primary health care centers, Outpatient and antenatal care clinics. Their ages ranged between 13–50 years. The cases were stratified according to age to 3 main groups: below 18 years, above 35 years and (18-35 years); the last was considered as a control group. Results: The young age group was found to have less infection rate, hospital admission, abortion, puerperal complications and neonatal complications compared to the controls and the old age group (that were almost equal in these aspects). Women of primary education level had less complication in all age groups. Women from the young age group were attending antenatal care more adequately than the controls. Conclusion: Young age pregnancies are at lower risk compared to other age groups.Key words: age, risk, pregnancy.

Keywords

age --- risk --- pregnancy.


Article
The Financial Aspect of the Health System in Iraq

Author: Riyadh K.Lafta د. رياض خضير لفته
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2005 Volume: 18 Issue: 2 Pages: 124-127
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Keywords


Article
Trend of Cholera in Iraq in the Time of Unrest

Authors: Ashraf M. A. Hussain --- Riyadh K. Lafta
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2019 Volume: 18 Issue: 1 Pages: 1-4
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Background: Countries that are facing war disasters are prone to develop outbreak emergencies especially when this is associated with massive displacement of populations or refugees to overcrowded settings, and when the provision of safe water supply and sanitation is a challenge.Objective: To portray the trend of cholera in Iraq for the last 18 years. Methods: Records of cholera cases registered for the last 18 years were reviewed from the Department of Health Statistics of the Iraqi Ministry of Health and categorized according to the 18 Iraqi governorates; the total of each governorate was computed for the whole studied years and then summed to get the total for Iraq. Data were categorized by gender and age. Rates of occurrence were plotted against time (for the period from 2000 to 2017) to define the trend of the disease. Results: The trend of cholera in Iraq showed four peaks, in 2003, 2007, 2012, and 2015, females showed slightly more cases than males, with a higher incidence among adult age group, and more in the southern provinces. Conclusion: The epidemics of cholera in Iraq are getting progressively more frequent, with higher number of cases forming a real burden on the health system and a serious threat to the community. Efficient preventive health plans are needed to overcome this growing problem that may compromise the life of people.

Keywords

Cholera --- Iraq --- trend --- unrest


Article
Compliance of Diabetic patients

Authors: Riyadh K Lafta --- Ula Faiq --- Abdul-Hameed Al-Kaseer
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2008 Volume: 7 Issue: 2 Pages: 17-22
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Diabetes is likely to be the fifth leading cause of death. Global excess mortality attributable to diabetes is estimated at 2.9 million deaths which is equivalent to 5.2% of world all-cause mortality. Compliance with medical advice is essential for controlling the disease; it is affected by many factors related to the patient, the disease, the physician and the family.Objective: To assess the level of diabetic patients’ compliance with diet, drugs and visits, and to assess its effect on the disease control through certain indicators.Methods: A total of 300 diabetic patients from different age categories, both males and females, were included in this study. The patients are usually either self-referral or referred from other hospitals, primary health care centers, governmental general practice clinics or private clinics. A questionnaire form was constructed to collect data about the demographic characteristics of the patients, about diet and medications. Files of the patients were reviewed to have an idea about their compliance.Results: Compliance with diet was medium in half of the patients, while with drugs; it was good in 60.3%, and 38.7% had good compliance to visits. The best compliance with diet (38.2%) was seen in the age group 40-49 year while the least (19.2%) was in the age group (30-39)[ (χ²=2.65, P>0.05), 37.4% of the patients who are using oral hypoglycaemic agents, and 36.7% of those using insulin had good compliance with diet (χ²=7.10, P<0.05). Conclusion: We can conclude from this study that the diabetic patients (represented by the study sample) have poor compliance with diet and visits, the duration of the disease was the most common variable found to predict compliance.

Keywords

Diabetic --- compliance --- Iraq


Article
Knowledge and Attitude towards Insulin Therapy among Type 2 Diabetics
معارف ومواقف تجاه العلاج بالانسولين لدى مرضى السكري النوع الثاني

Author: Riyadh K. Lafta أ.د رياض خضير لفتة
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2011 Volume: 24 Issue: 3 Pages: 196-199
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Background: Many patients with diabetes mellitus are reported to be reluctant to insulin therapy for reasons ranging from perception of pain and inconvenience to the social embarrassment of using syringes in public. Patients’ fear of the side effects of insulin therapy and its perceived intrusiveness into their lifestyle may contribute to such reluctance, resulting in both physiological and psychological stress.Objective: To uncover the knowledge and attitude (about insulin therapy) of type 2 diabetics’ patients whose treatment has recently been shifted to insulin.Patient and method: A cross sectional study was conducted on a sample of type 2 diabetes patients attending the Iraqi National Diabetics’ Center in Baghdad. The sample was pooled from all patients who fulfilled the inclusion criteria consented to the study. Results: The study involved 133 patients with type 2 diabetes mellitus; out of these, 58 (43.6%) were males. more than 78% were between 41-60 years. The patient's knowledge about insulin, it was found that 2 patients only (1.5%) have poor knowledge, 57 patients (42.8%) have medium knowledge, while 74 patients (55.6%) have good knowledge.Conclusion: The knowledge of the diabetics in our sample is relatively good Holding continuing education programs about diabetes mellitus is essential to upgrade their knowledge.Key words: diabetes mellitus, type 2, insulin, attitude, knowledge.

الخلفية: العديد من مرضى السكري يسجلون ممانعتهم للعلاج بالانسولين لأسباب تتراوح ما بين الإحساس بالالم وعدم القناعة الى الشعور بالحرج من استخدام الابر امام العامة.ان خوف المريض من الاعراض الجانبية للعلاج بالانسولين وإحساسه بتدخل هذا العلاج بطريقة حياته قد يسهم لهكذا ممانعة, مما ينتج عنه الشد النفسي والفسلجي.الأهداف: للكشف عن معارف ومواقف مرضى السكري النوع الثاني والذين تم تحويلهم حديثا للعلاج بالأنسولين.الطريقة: دراسة مقطعية تم إجراؤها على عينة من مرضى السكري النوع الثاني الذين راجعوا المركز العراقي لأمراض السكري في بغداد.تم جمع العينة من جميع المرضى الذين تنطبق عليهم الخصائص الضمية للدراسة.النتائج: ضمت الدراسة 133 مريض السكري النوع الثاني,منهم 58(43.6%) كانوا ذكورا.وأكثر من 79% كانت أعمارهم تتراوح بين 41-60 سنة.فيما يتعلق بمعارف المرضى تجاه الأنسولين فقد وجد إن 1.5% فقط كانت معارفهم قليلة ,بينما 42.8% كانت معارفهم متوسطة و 55.6 كانت معارفهم جيدة.الاستنتاج: المعارف تجاه العلاج بالأنسولين كانت نسبيا جيدة مع التأكيد على إن استمرار برامج التثقيف على داء السكري مهم للارتقاء بمعارف المرضى.


Article
Perception of Specialist and Junior Doctors toward the Concept of Family Medicine
ادراك الاطباء تجاه مفهوم طب الاسرة

Authors: Riyadh K Lafta د. رياض لفته --- Noora Abd Al-Hussein Dawood د. نورا عبد الحسين
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2011 Volume: 24 Issue: 2 Pages: 88-93
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Background: Family medicine has been particularly proactive in conceptualizing new, improved ways of health care delivery, despite its early promise; family medicine has struggled to realize its full potential as an exciting conceptual model for the practice of medicine in primary care settings.Objective: To explore the attitude of specialists and junior doctors working in teaching hospitals and Family medicine centers/ Al-Karkh health directorate towards the concept of Family medicine.Methods: This cross sectional study was carried out at three Family Centers (Al-Tobchii, Al-Mansour and Al-Salam) and two teaching hospitals (Al-Kadhmya and Al- Yarmouk ), over the period from May 2009 to July 2010. The study population included all specialists in the major clinical departments and junior doctors working in the teaching hospitals, in addition to the physicians working in the mentioned Family Centers. Data was obtained by using an already prepared self administered questionnaire.Results: A sample of 170 specialists and junior doctors participated in the study, 75% of them expressed positive attitude to the concept of family medicine. The most frequent services and skill perceived by the respondents to be effective in the development of the branch were Conference attendance (94%) and training in managing minor operations (93%). Surprisingly; 94% of the responded clinicians agreed that family health system limits the unnecessary referral from primary to secondary health care levels. The majority of the responded specialists (94%) expressed a positive attitude to the necessity of establishing updated national guidelines and regarded it as the main barrier towards the development of the branch. Most of the junior doctors (64%) do not have a will to adopt Family Medicine specialty as a medical career. Conclusion: Academic settings contributed substantially to the low appeal of being a primary care physician at a time when the primary care sector is widely recognized as the cornerstone of any health care system and when health authorities are struggling to initiate extensive primary care reforms, in addition the national guidelines perceived to be of great importance in organizing the interface between the primary and secondary levels. Keywords: Perception, Specialists, Juniors, Family Medicine

الخلفية : يعتبر طب الاسرة فرعا حيويا في ادراك الطرق الجديدة والمتطورة في الرعاية لصحية بالرغم من حداثته. لقد جاهد طب الاسرة لتحقيق اهدافه كنموذج ادراكي مثير للاهتمام لممارسة الطب في مجال الرعاية الصحية .الهدف : استكشاف مواقف الاطباء الاختصاص والجدد الذين يعملون في المستشفيات التعليمية ومراكز طب الاسرة في دائرة صحة الكرخ تجاه مفهوم طب الاسرة .طرائق العمل : اجريت هذه الدراسة المقطعية في ثلاث مراكز لطب الاسرة ( الطوبجيي، المنصور، السلام ) ومستشفيان تعليميان ( الكاظمية واليرموك ) خلال الفترة ( ايار 2009 –تموز 2010)، تضمنت عينة الدراسة جميع الاطباء الاختصاص في الاقسام السريرية الكبرى والاطباء الجدد العاملين في المستشفيات التعليمية اضافة الى الأطباء الممارسين العاملين في مراكز طب الأسرة المذكورة. تم جمع المعلومات عن طريق استفتاء مهيأ يملأ ذاتيا . النتائج : شارك في الدراسة 170 طبيب اختصاص وغير اختصاص 75% منهم أعطوا موقفا ايجابيا تجاه مفهوم طب الاسرة . أكثر الخدمات والمهارات التي حددت من قبل المشاركين لتكون مؤثرة في هذا الفرع كانت : حضور الموتمرات (94%) التدريب في تدبير العمليات الصغرى (93%)، ومن الجدير بالذكر ان 94؟% من الاطباء السريرين وافقوا ان نظام طب الاسرة يقلل من الاحالات غير الضرورية من مراكز الرعاية الصحية الاولية الى المستشفيات . معظم الاختصاصيين المستجيبين (94%) ابدوا موقفا ايجابيا تجاه ضرورة الشروع في تحديث الدلائل الوطنية واعتبارها كحاجز رئيس بأتجاه نمو هذا الفرع . معظم الاطباء الجدد (64% ) ليس لديهم رغبة في تبني اختصاص طب الاسرة كمهنة طبية مستقبلية .


Article
People Knowledge Regarding Blood Donation (A sample from Baghdad)
معلومات الناس حول التبرع بالدم (عينة من بغداد)

Authors: Riyadh K Lafta أ.د رياض خضير لفتة --- Maha Majeed. د. مهى مخبد
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2008 Volume: 21 Issue: 3 Pages: 176-182
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Background:. The transfusion of blood, its components & its products is a widely used form of supportive therapy, which has expanded greatly due to the development of more sophisticated medical procedures requiring the transfusion of blood.Objective: To assess the general knowledge of people regarding the process of blood donation through a sample of donors and non-donors from Baghdad city.Methods: A total of 500 individuals were interviewed, 292 blood donors that were attending the national blood transfusion center, and 208 non-donors who were taken as a control group for comparison. A questionnaire form was constructed to check for the overall knowledge of the respondents about the practice of blood donation. The level of knowledge was assessed using a special scoring system by assigning a score of 2 for the right answer, 1 for the incomplete answer and score of zero for the wrong answer.Results: Only 7 (2.4%) of donors, but none of non-donors, had good scores (>70%). Most of the donors and non donors got medium scores (56.8%) and (53.4%) respectively, while 119 (40.8%) of the donors and 97 (46.6%) non-donors got poor scores (<50%). The mean scores of the donors and non-donors were 27.72 and 27.07 respectively. The median was 27 for both donors and non-donors.The highest score was seen in the age group 31-40 years; the score of males was higher than that of females. It was also higher for university students and people with higher education and among the governmental employees. Significant association was found between the score of knowledge and age/occupation, but not with any other variable.Conclusion: The overall knowledge is very poor, may be because the subject of blood donation is not included in the teaching curricula of the primary and secondary schools and is not focused upon through the mass media or in the health education process. Key wards: Blood Donation

الخلفية: نقل الدم ومكوناته من العلاجات الساندة شائعة الاستعمال , والتي توسعت بشكل كبير.نتيجة النمو والتطور الحاصل في الطرق الطبية لنقل الدم.الهدف: قياس المعرفة العامة للناس فيما يخص عملية التبرع بالدم من خلال عينة من المتبرعين وغير المتبرعين من مدينة بغداد.طرق البحث: تم دراسة عينة مكونة من 500 شخص عن طريق المقابلة المباشرة ، 292 متبرع بالدم من مراجعي المركز الوطني لنقل الدم ، 208 من غير المتبرعين اخدوا كعينة قياسية للمقارنة.تم تشكيل نمودج استفتاء خاص لقياس المعرفة باستخدام جدول درجات خاص بمنح درجتين للجواب الصحيح ،درجة واحدة للجواب غير الكامل وصفر للجواب الخاطئ.النتائج: فقط 7 (2.4%) من المتبرعين ولا احد من غير المتبرعين حصلوا على علامة جيدة (اكثر من 70%). معظم المتبرعين وغير المتبرعين حصلوا على تقدير متوسط (56.8%)،(53.4%) على التوالي بينما 119 (40.8%) من المتبرعين و97 (46.6%) حصلوا على تقدير ضعيف (اقل من 50%). الوسط الحسابي للدرجات للمتبرعين وغير المتبرعين كان 27.72 و27.07 على التوالي.الوسيط كان 27 للمتبرعين وغير المتبرعين .الدرجة الاعلى شوهدت بالفئة 31-40 سنة ودرجات الدكور كانت اعلى من درجات الاناث.كدلك كانت الدرجات اعلى لطلاب الجامعة وحملة الشهادات العليا والموظفين الحكوميين .لوحظت علاقة احصائية مهمة بين درجات المعرفة والعمر والمهنة، بينما لم تلاحظ مع المتغيرات الاخرى.الاستنتاج: المعرفة العامة كانت ضعيفة ربما بسبب ان موضوع التبرع بالدم غير مدرج ضمن المناهج الدراسية للمدارس الابتدائية والثانوية ولا يسلط عليها الضوء من خلال وسائل الاعلام وعملية التثقيف الصحي.

Keywords

Blood Donation


Article
Anabolic Supplements Abuse among Athletes in Baghdad Gyms
إساءة استخدام الأدوية البنائية من قبل الرياضيين في قاعات بغداد الرياضية

Authors: Riyadh K. Lafta د. رياض خضير لفتة --- Ghassan A. Mohammad د. غسان اكرم محمد
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2012 Volume: 25 Issue: 4 Pages: 268-273
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Abstract:Background: Anabolic androgenic steroid abuse has become a public health problem in many countries. Over the last few years the use of anabolic steroids has become increasingly common amongst amateur athletes and for aesthetic purposes. As a result, the adverse events related to their use are being seen more frequently. Recent studies suggest that 3 to 12% of male adolescents and about 1 to 2% female adolescents use at some time during their lives.Objective: to uncover the extent of use of anabolic supplements among gymnasium attendants and their attitude towards it.Methods: This cross-sectional study was conducted among male athletes attending gyms during the period from February through September 2011 in many gyms distributed in both sides of Baghdad city. The sampling method was a convenient non-random one, carried out in a sample of athletes trained in fifteen of Baghdad gyms during the study period. An anonymous self-administered questionnaire form had been developed which includes demographic and other factors that show the situation and attitude of the athletes towards anabolic supplements. Results: The mean age of respondents was (25.4±6.1) ranging from 16-52 year. The sample was classified according to the usage of anabolic supplements into: users (73.8%) and non-users (26.2%), the route of use is either orally (43.4%), intramuscularly (21.7%), or both (34.9%). The side effects that are experienced by the study sample accounted for 32.3% of the users (134 respondents). These side effects are as follows: skin diseases (20.1%), renal (6.7%), behavioral side effects (6.7%), cardiovascular problems (5.2%), uro-genital disorders (6.7%), liver problems (0.7%).Conclusion: It can be concluded from this study that most of gyms’ members belong to 15-24, and 25-34 years and three quarters of them use anabolic supplements. They believe that these supplements are highly risky but don’t have the ability to stop them. It is recommended to start community based health education programs to increase the knowledge about the use of these drugs by cooperated efforts between Ministry of health and Ministry of youth and sport. Also strengthen the legislations to regulate the importation, quality control, and supervision of these drugs generally and of anabolic steroid and hormones specifically.

الملخص:الخلفية: أصبح سوء استخدام الستيرويدات البنائية مشكلة شعبية في العديد من الدول. في خلال السنين الأخيرة غدا هذا الأستخدام شائعا بشكل متزايد ضمن شريحة الرياضيين اليافعين, وعليه فقد أضحت تأثيراته الجانبية أكثر حدوثا. الدراسات الأخيرة بينت أن 3-12% من الذكور اليافعين و1-2% من الأناث اليافعات يستخدمون هذه الأدوية.الهدف: لأستكشاف مدى استخدام هذه الماد البنائية ضمن شريحة الشباب الذين يرتادون القاعات الرياضية.طرائق العمل: هذه الدراسة المقطعية أجريت على رياضيين ذكور يرتادون قاعات التدريب خلال الفترة من شباط مرورا بأيلول 2011 في قاعات منتشرة على جانبي مدينة بغداد. الخدمات التي تقدم في هذه القاعات تشمل: الأجهزة الرياضية, البرامج التدريبية وكذلك بيع الأدوية البنائية. العينة أخذت بطريقة العينة المناسبة لمجموعة من الرياضيين يتدربون في 15 قاعة رياضية في بغداد.تم تهيئة استبيان لايذكر فيه الأسم ويملأ ذاتيا ويتضمن معلومات سكانية ومعلومات عن الحالة العامة والمواقف لهؤلاء الرياضيين تجاه الأدوية البنائية.النتائج: معدل العمر للمستحيبين كان (25,4+6,1) ويتراوح بين 16-25. تم تقسيم العينة بحسب استخدام الأدوية البنائية الى: مستخدمين (73,8%) وغير مستخدمين (26,2%), طريقة الأستخدام اما بالفم (43,4%), بالعضلة (21,7%) أو بكليهما (34,9%). التأثيرات الجانبية ذكرت من قبل 32,3% من المستخدمين. هذه التأثيرات كانت كما يأتي: أمراض جلدية (20,1%), كلوية (6,7%), تأثيرات تصرفية (6,7%), مشاكل القلب والأوعية (5,2%), الجهاز البولي (6,7%), ومشاكل الكبد (0,7%).الأستنتاج: يمكن الأستنتاج من هذه الدراسة أن معظم المتدربين هم من عمر 15-34 سنة وثلاثة أرباعهم يستخدمون الأدوية البنائية. مع أنهم يؤمنون أنها خطرة الا أنهم لايستطيعون التوقف عنها. يوصى ببدأ برنامج تثقيفي على مستوى المجتمع لرفع المعارف حول استخدام هذه الأدوية عن طريق التعاون بين وزارة الصحة ووزارة الشباب. كذلك تقوية التشريعات التي من شأنها تنظيم الأستيراد, السيطرة النوعية والأشراف على هذه الأدوية.

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