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Article
2-MEDICAL ERRORS AND RESPONSIBILITY OF THE PHYSICIAN

Author: Thamer A Hamdan
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2009 Volume: 15 Issue: 2 Pages: 3-9
Publisher: Basrah University جامعة البصرة

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Abstract

LEADING ARTICLE The physician is an active member ofthe society. He interacts with it,influences and takes care of it. His dutyis not only to cure patients, but also totake the necessary procedures to reduceerrors and to lessen the harm resultingfrom these errors on the health of thepatient. Such faults and errors may seemtravail, but they are serious however tinythey are because they are related to thedivine and precious life of the humanbeing.

Keywords

MEDICAL --- ERRORS --- RESPONSIBILITY --- PHYSICIAN


Article
Physicians’ Shortage in Iraq: Impact and Proposed Solutions

Author: Salih Al Hasnawi صالح الحسناوي
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2013 Volume: 26 Issue: 3 Pages: 214-218
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Abstract:Background: Physicians shortage is considered a major issue affecting the quality of health services, considerable attention has been focused lately on the apparent shortage of physicians in Iraq and this issue brings a lot of political and social concern.Objective: To determine the current number of Physicians and future projection, its impacts, and the possible solutions.Method: Data collected from Ministry of Health Ministry of Higher Education and Scientific Research, Ministry of Planning. The data was coded, analyzed, presented by tables, graphs and compared with the global and regional rates.Results: In 2011, the rate physicians is 7.5 per 10000 population i.e. one physician per 1333 citizens and the expected rate in 2018 is (8.7 / 10000) i.e. one physician per 1149 citizens with unequal distribution over governorates. This rate is much lower than global (14/10000) and regional (16/10000). Conclusion: Iraq is facing shortage of physicians during this decade. Health system reform and establishment of health education commission are essential solutions for shortage of physicians in Iraq. Key words: Physician, shortage, Iraq

Keywords

Physician --- shortage --- Iraq


Article
Clients Perception of Family Physician Working in a Family Medicine Centre in Baghdad

Author: Huda A. Habib
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: PISSN: 00419419 / EISSN: 24108057 Year: 2010 Volume: 52 Issue: 3 Pages: 275-279
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Patient evaluation of the healthcare provided by his/her family doctor is a multidimensional concept, its main component being the doctor-patient interaction. Materials and Methods: a total of 200 client chosen by systematic random sampling were successfully interviewed immediately after having the contact with the family physician in the family medicine center. Results: The present study showed that the majority of the clients were young age, most of them were female, completed secondary education and the majorities were unemployed. This study determined the client general satisfaction the services provided by the physician the overall satisfaction was high (98%), the most significant statistical association was found between general satisfaction and the client age, gender and education. The evaluation of the physician interaction to the client was mostly positive regarding the doctor courtesy and humaneness, skills and continuity of care, comprehensiveness of care, in formativeness and doctor advice. Regarding client preferences most of the clients prefers female doctor, family physician specialty, and prefers being checked by the same doctor in each visit. Conclusion the client generally was satisfied with the services provided by the physician, a strong statistical association was found between satisfaction and some client sociodemographic characteristics like age, gender and the level education.


Article
Knowledge, Attitude and Practice Regarding Obesity Management among Family and Non Family Physicians Working in Primary Health Care Centers in Baghdad

Author: Huda Adnan Habib
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2012 Volume: 11 Issue: 1 Pages: 6-12
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:The rising level of obesity has been called the most urgent challenge to public health for the 21stcentury. While many social institutions should be involved in addressing this problem, familyphysicians have an important role in identifying and managing obesity.OBJECTIVE:To assess and compare the knowledge , attitudes and practice regarding obesity management amongfamily and non family physicians working in primary health care centers.Methodology :A cross-sectional survey has recruited a randomly selected sample of primary health care physiciansworking in primary health care centers in Baghdad in 2010. A structured self-administeredquestionnaire was used to collect data from 232 physicians. These include family medicine boardcertified and other non-family medicine certified physicians. The questionnaire had four main parts:personal data, knowledge, attitude and practice.RESULTS:The majority of the respondents depend on the waist circumference to diagnose obesity with 100%among the family physicians and (74.2%) among non-family physicians. The majority of therespondents think that obesity is a major health problem in Iraq with 49 (96.08%) among the familyphysicians and132 (72.93%) among non family physicians. About (84.3%, 72.5% and 41.2%) offamily physicians agreed to prescribe Weight reduction medication when BMI >30, Patient not ondiet and on patient request respectively. Almost all family physicians (92.1%) agreed that is it betterto have a training course in obesity management compared to 49.46% among non- familyphysicians.CONCLUSION:Both the family and nonfamily physicians working in the primary health centers need to improvetheir knowledge and skills regarding obesity management


Article
Medical Mistakes Amongst the Negligence of Both Physician’s Diagnosis and the pharmacist’s Prescription Comparative study in Jurisprudence and Iraqi law
الأخطاء الطبية بين إهمال الطبيب في التشخيص والصيدلي في صرف الدواء دراسة مقارنة في الفقه والقانون العراقي

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Abstract

The research discusses the problem of medical mistakes amongst the negligence of the physician’s diagnosis and pharmacist’s prescription. As it follows up closely the responsibility arisen from such mistakes in terms of law and jurisprudence and detects the responsible person by means of determining the cases of mistakes’ incidence and the causes such as negligence. Consequently, there will be a liability of compensation upon the person who is in charge. In addition to indicate the aspects of responsibility such as the eligibility of the pharmacist or the physician including a study that involves the discussion over various opinions according to law and jurisprudence. Research Key:Medical mistake is a mistake that occurs throughout the practice of medical professions due to the lack of experience or efficiency of the physician or of his co-workers as a result of exercising modern methods of treatment, an emergency which requires speed at the expense of accuracy or due to the nature of a complex treatment.

إن البحث يناقش المشكلة الأخطاء الطبية بين إهمال الطبيب في التشخيص والصيدلي في صرف الدواء ليتابع بدقة ومن ناحية قانونية وفقهية المسؤولية المترتبة عن الأخطاء الطبية ومن المسؤول عنها من خلال تشخيص حالات حدوث الخطأ وأسباب حدوثه كالإهمال الذي قد يقع فتترتب على اثره مسؤولية توجب التعويض وبيان حالات التي توجب المسؤولية والمتعلقة بالقائم بالفعل كالأهلية للصيدلي أو الطبيب بدراسة تشمل طرح ومناقشة الآراء الفقه قانوناً وفقهاً.مفتاح البحث :الخطأ الطبي هو خطأ يحدث في مجال ممارسة المهن الطبية نتيجة لانعدام الخبرة والكفاءة من قبل الطبيب الممارس أو الفئات المساعدة أو نتيجة ممارسة عملية أو طرق حديثة وتجريبه في العلاج أو نتيجة لحالة طارئة تتطلب السرعة على حساب الدقة أو نتيجة لطبيعة العلاج المعقد.


Article
The objective scope of physician commitment to patient insight
النطاق الموضوعي لالتزام الطبيب بتبصير المريض.

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Abstract

Is the scope of the physician's commitment to provide the patient with information about his health on the merits of the issues that differed upon jurists among those who believe that the scope of the doctor's commitment to provide the patient with information limited to inform him of the danger expected Nascent for medical work, meaning they are taking the narrow direction of commitment, and those who see The doctor is obliged to inform the patient with all the risks of medical intervention and means and the consequent effects, i.e. they were going to give him a broad concept.

ملخص البحثيعد نطاق التزام الطبيب بتبصير المريض من حيث الموضوع من المسائل التي اثارت خلافا في الوسط القانوني بين من يقصر نطاق التزام الطبيب بالتبصير على الخطر المتوقع وحسب ليضيق من نطاق التزام الطبيب بالتبصير ، وبين من يذهب الى ابعد من ذلك ليشمل كل مخاطر التدخل الطبي فضلا عن بدائله وما يترتب عليه من آثار .


Article
Assessment of Family Medicine Residents’ Perception about their Specialty and Residency Program in Iraq

Authors: Mais Ahmed Abd Ali --- Ali Abdulridha Abutiheen --- Hasan Alwan Ba’aie
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2019 Volume: 12 Issue: 1 Pages: 4132-4142
Publisher: Kerbala University جامعة كربلاء

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Abstract

background: Family Medicine (FM) specialists are the frontline of medical services. Where they require a wide range of knowledge, practice and experience. A periodic evaluation of family medicine residency training and the exploration of residents’ perception toward their specialty and training are important.Objective: To assess factors affecting clinical training of family medicine residents in training centers and evaluates their satisfaction about their training program.Subjects and methods: A cross sectional study. Several training centers in Iraq were covered for the period of February 1 to July 31, 2018. A special self-administered questionnaire based on 5 points Likert scale prepared for this purpose and been tested by a pilot study. The response rate for the questionnaire was 75.6%.Results: The accomplished sample was 187; female represents 93% of them. Nearly 55% indicate that they if time is back they will choose FM again and similar percentage indicate that they will recommend FM to others. Nearly 75% of participants have positive feeling towards their future as family physicians. While 63.6% were dissatisfied with their residency training program. Lack of commitment of teaching hospitals to training curriculum, and poor understanding and acceptance to them and FM specialty from physicians of other clinical branches was the main weak areas highlighted by them. Conclusion: Family medicine residents still in favorite of their specialty, but they have many critiques concerning their residency training curricula and the application clinical training in the hospitals. These points are vital and need to be considered by their supervisors and higher committees concerned.


Article
Two Samaritan Interpretations of Genesis 6: 3
تفسيران سامريان لسفر التكوين ٦: ٣

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Abstract

“And Shehmaa said, My Spirit shall not strive with man forever, whether he is bone or flesh, And his days shall be one hundred and twenty years’’, is recited today by the Samaritans as: wyǡ˒ūmƏr šēmå lǡ yēdon ruwwi bǡdåm lūlåm afšågåm ū bǡšår wǡyyu yǡmo mǡ: wišrƏm šēna. Various interpretations of this verse have been suggested, particularly regarding the expression “lǡ yēdon ruwwi”. Different renderings have also been given the verse in Samaritan Aramaic (Targum) and in Samaritan Arabic translations of the Torah, as well as in modern Christian Arabic translations. Each of the Samaritan Aramaic translation (Targum) of the Torah, as well as the Arabic translation has an old version and a newer version. In Aramaic both versions are anonymous, but in Arabic the old version is ascribed to the prominent Samaritan scholar, Isḥāq (Abū Ibrahīm) b. Marḥīv (Farağ) b. Mārūṯ, known as Abū al-Ḥasan al-Ṣūrī (Av Ḥisda the Tyrian), between the end of the eleventh century and the beginning of the twelfth century in Damascus.

خلاصة:يتمحور هذا المقال حول تفسيرين سامريين مخطوطين لهذه الآية: سفر التكوين ٦: ٣، التي شغلت بال العديد من المفسّرين. التفسير الأوّل بقلم صدقة بن أبي فرج منجّا بن صدقة بن غروب الدمشقي السامري، المعروف بصدقة الحكيم، المتوفّى عام ١٢٢٣؛ والتفسير الثاني لفنحاس (خضر) بن إسحاق بن سلامة بن غزال الكاهن اللاوي ١٨٤٠-١٨٩٨. يعتبر تفسير صدقة الحكيم على التوراة، أقدم تفسير سامري وصلنا، وهو متوفّر في مخطوطين على الأقلّ: مخطوط R. Huntington 301 المحفوظ في مكتبة بودليانا في أكسفورد، والمخطوط الآخر هو Cam III 14 في المكتبة الوطنية الروسية في مدينة سانت بطرسبورغ. أمّا تفسير فنحاس فموجود في مقالة قصيرة، ضمّها كتاب مخطوط باسم ’’سبيل اللهفان لمعرفة الإيمان‘‘ لجامعه ومؤلِّفه الكاهن الأكبر المرحوم، عبد المعين صدقة (١٩٢٧-٢٠١٠، شحادة، ٢٠١٠ ). أتيتُ بنصّي التفسيرين مع الإيضاحات والإحالات الببليوغرافية اللازمة في الهامش، ثم ترجمتهما إلى العبرية وأتيت بخلاصة موجزة بالعبرية وأخرى أكثر تفصيلًا بالإنجليزية.


Article
Measuring The Contribution Of The Computerized Health Information Enhancing Health Service Quality An Exploratory Study In A Number Of Hospitals In The City Of Mosul
قياس مدى إسهام نظام المعلومات الصحي المحوسب في تعزيز جودة الخدمة الصحية دراسة استطلاعية في عدد من مستشفيات مدينة الموصل Measuring The Contribution Of The Computerized Health Information Enhancing Health Service Quality An Exploratory Study In A Number Of Hospitals In The City Of Mosul

Author: Mohammad M. H. AL-Mulla Hasan(PhD) الدكتور محمد محمود حامد الملاحسن
Journal: TANMIAT AL-RAFIDAIN تنمية الرافدين ISSN: PISSN: 1609591X / EISSN: 2664276X Year: 2018 Volume: 37 Issue: 119 Pages: 247-266
Publisher: Mosul University جامعة الموصل

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Abstract

The current research aims to investigate the extant of computerized healthy information system sharing in the reinforcement of healthy service quality in a group of hospitals in Mosul City. The Computerized healthy information system regarded as an important factor in hospitals work because it helps the decision makers (the doctor) to diagnose the case and support the presentation of a high quality healthy service which consequently leads to a person satisfaction. In order to achieve the goal of the research, a questionnaire form was distributed to a sample of (4) hospitals in Mosul City. Statistical analysis (SPSS- Vr.19) was used to test the hypothesis. The researchers conclude the following findings: 1.There is a compatible relationship between of Computerized healthy information system and healthy service quality.2.The computerized healthy information system has a participation in supporting healthy service quality in the surveyed hospitals.According to these findings, a number of suggestions were presented the most important one:1.The top management in hospitals must continuation of scientific research to develop computerized healthy information system which adapted the technological and scientific developments in presenting an advanced health services.2.The surveyed hospitals must be support the positive aspect in using computerized hospitals information system to reinforce healthy service quality and to decreasing the negative cases.

يهدف البحث الحالي إلى بيان قياس مدى مساهمة نظام المعلومات الصحي المحوسب في تعزيز جودة الخدمة الصحية لمجموعة من المستشفيات العاملة في مدينة الموصل، إذ يمثل نظام المعلومات الصحي المحوسب أهمية كبيرة في عمل تلك المستشفيات، لما يقدمه من المعلومات التي تساعد متخذ القرار (الطبيب) في تشخيص الحالة المرضية للمريض، وبما يدعم خدمة صحية تؤدي إلى رضا المريض عن تلك المستشفى، ولتحقيق أهداف هذا البحث فقد تم تطوير استبانة وتوزيعها على عينة من المستشفيات في مدينة الموصل و المكونة من 4 مستشفيات، وتم التحقق من الفرضيات التي وضعها الباحث باستخدام مجموعة من الأدوات الاحصائية التي يوفرها البرنامج الإحصائي (SPSS Vr.19)، وقد توصل البحث إلى عدد من الاستنتاجات أهمها:1.وجود علاقة توافقية بين بعد نظام المعلومات الصحية المحوسب وجودة الخدمة الصحية.2.إنَّ نظام المعلومات الصحي المحوسب يسهم في دعم جودة الخدمة الصحية في المستشفيات المبحوثة.وبناءً على الاستنتاجات التي تم التوصل إليها تم وضع مجموعة من المقترحات أهمها1.يتطلب من إدارات المستشفى مواصلة البحث العلمي في تطوير نظام المعلومات الصحي المحوسب وبما يتلاءم مع التطورات العلمية والتقنية في تقديم أفضل الخدمات الصحية للمرضى.2.على المستشفيات المبحوثة تدعيم الجانب الايجابي في استخدام نظام المعلومات الصحية المحوسب في تعزيز جودة الخدمة الصحية وتقليل الحالات السلبية له.


Article
The Penalty of Civil Responsibility for Using Compensatory Medical Equipment
جزاء المسؤولية المدنية عن استخدام الأجهزة الطبية التعويضية

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Abstract

Medicine has witnessed a tremendous progress because many previous irremediable diseases have been treated. Surgeons have been making open-heart surgeries, difficult brain operations, and transplantation of heart, kidney and other organs. Medicine like other branches of science is progressing. If there is a disagreement between law and religion about human organ transplantation for it involves the use of organs of a living or dead person by another who is sick. There is also risk of the life of the donator so the scientific progress has found alternatives for the living organs which are artificial alternatives such as artificial heart and kidney. There is no risk now in sacrificing or harming a life to save another because keeping one healthy, non-defective person in the society is better than making two persons suffer certain defects such as kidney transplantation in which the function of one kidney is lesser than that of the two kidneys in the human body. The subject of the thesis is concerned with two responsibilities; the responsibility of the producer of the artificial alternatives who is not an ordinary producer because his job requires high technology and preciseness for it is connected with a man's life. Losing a person's life because of a defect in a compensative device cannot be compensated; opposite to any other product the defect of which can be repaired. The responsibility may be extended to the physician who lays the compensative device. The surgeon here may do another operation besides the organ transplantation so mistakes may be committed whether common or technical; grand or slight; and deliberately or carelessly. Thus, the physician holds the civil responsibility whether contractually or delinquently according to the circumstances. The device processor may not be a physician so craftsmanship is mixed here with selling like selling other things such as medical classes or earphones.

يتمثل موضوع التعويض عن استخدام الأجهزة الطبية التعويضية من الموضوعات التي تتعلق بالمسؤولية المدنية ومسؤولية الطبيب ومنتج الجهاز الطبي التعويضي وهذه الأجهزة قد خلقها التطور التقني الطبي لتكون بديلاً للأعضاء البشرية بسبب نقص هذا العضو كالأطراف الصناعية أو به خلل أو عيب يمنعه من أداء دوره الوظيفي في الجسم كالقلب والكلى فقد يحدث ضرر لمستعمل الجهاز الطبي التعويضي بسبب عيب في إنتاجه وهنا تتحقق المسؤولية المدنية للمنتج أو عيب في تركيب الجهاز الطبي التعوضي بسبب أخطاء الطبيب في إجراء العملية الجراحية بعدم اتباع الأصول العلمية الطبية من فحص وأشعة وتحاليل طبية وتشخيص سليم للمرض، وقد يحدث بسبب عدم خبرة الطبيب أو عدم توفر الوسائل التقنية لتركيب الجهاز الطبي التعويضي كالقلب الصناعي والكلى الصناعية فتتحقق المسؤولية المدنية للطبيب المركب للجهاز الطبي التعويضي.وقد يكون المركب للجهاز الطبي التعويضي ليس طبيباً كما في النظارات الطبية وسماعة الأذن الطبية فيكون له دور في صناعة وبيع الجهاز الطبي التعويضي فتحدث أخطاء في الصناعة أو في الفحص الدقيق كما في درجة النظارة الطبية أو درجة سماعة الأذن فيسأل مدنياً عن الأضرار التي تسبب بها لمستعمل الجهاز الطبي التعويضي.

Keywords

The issue of compensation for the use of prosthetic medical devices of topics related to civil liability and the responsibility of the physician and product medical device compensatory and these devices may create technical development Medical as an alternative to human organs because of the lack of this User industrial bodies as the extremities or malfunctioning or defect prevented him from performing functional role in the body such as the heart and kidney damage for the user of the medical device compensatory might occur because of a defect in the production and here realized civil liability of the product or defect in the installation of a medical device cOMPENSATORY doctor because of errors in the operation not to follow the scientific and medical assets --- يتمثل موضوع التعويض عن استخدام الأجهزة الطبية التعويضية من الموضوعات التي تتعلق بالمسؤولية المدنية ومسؤولية الطبيب ومنتج الجهاز الطبي التعويضي وهذه الأجهزة قد خلقها التطور التقني الطبي لتكون بديلاً للأعضاء البشرية بسبب نقص هذا العضو كالأطراف الصناعية أو به خلل أو عيب يمنعه من أداء دوره الوظيفي في الجسم كالقلب والكلى فقد يحدث ضرر لمستعمل الجهاز الطبي التعويضي بسبب عيب في إنتاجه وهنا تتحقق المسؤولية المدنية للمنتج أو عيب في تركيب الجهاز الطبي التعوضي بسبب أخطاء الطبيب في إجراء العملية الجراحية بعدم اتباع الأصول العلمية الطبية

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