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Article
Socio-economic and Medical Predictors for Obesity among Women Aged 50 Years and More: Case-Control Study
المقاييس الاجتماعية الاقتصادية للنساء البدينات اللائي اعمارهن 50 سنة واكثر

Author: Dhafer B. Al-Youzbaki
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2009 Volume: 22 Issue: 2 Pages: 80-87
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Obesity is now reaching epidemic proportions and is increasingly recognized as an important public health problem. Epidemiological studies have consistently shown it to be associated with increased risks of morbidity, disability and mortality. Aim: To examine the impact of different socio-economic and medical characteristics on the development of obesity in women more than 50 years. Study design: Case-control study, where 125 obese women proved by standard anthropometric measures were allocated as cases. Another 125 women proved to be not obese also by standard anthropometric measures were considered as controls. Study period: 1st. February 2007 to 1st. October 2007.Data collection tools: Including, assessment of socio-economic features such as personal characteristics, life events and social context. In addition, previous history of surgical operation, parity, abortion and the presence of one or more of chronic non-communicable diseases were also gained. Social class identification according to occupational social classification then was obtained. Results: Regarding Personal Characteristics; positive family history was found to be significantly associated with the development of obesity (P=0.000), the same thing was applied to sedentary life styles (P=0.000). Furthermore, unhealthy dietary behavior was again significantly associated with the occurrence of obesity (P=0.000). Personality type B, also found to be associated with development of obesity (P=0.000). According to Life Events; only social discontinuities in this work appears to be significantly associated with the development of obesity (P= 0.008). According to Other Variables, the presence of one or more of chronic non-communicable diseases is found to be associated with the occurrence of obesity (P=0.000), and high parity shows significant association in the development of obesity (P=0.004). A significant association between social class III and obesity was also found (P= 0.022), while social class V plays a significant protection against the development of obesity (P= 0.004). Conclusion: Women with positive family history, sedentary life, unhealthy dietary behavior, personality type B, social discontinuities, chronic diseases, high parity and being in social class III, are at risk for development of obesity. Key words: Socio-economic, obese, women.

الخلفية:السمنة الان وصلت الى مرحلة وبائية و بكثير من الاهمية بدأت تصير مشكلة صحية مهمة. الكثير من الدراسات الوبائية كشفت ان السمنة مرتبطة بزيادة خطر الامراضات و العوق و حتى الوفيات.تصميم الدراسة:دراسة العينة و الشاهد.وقت الدراسة:من الاول من شباط 2007 الى الاول من تشرين الثاني 2007.النتائج:تاريخ العائلة الايجابي, الحياة الكسولة, الغذاء غير الصحي, نوع ب من الشخصية, عدم التواصل الاجتماعي, الامراض المزمنة غير الانتقالية, الولادات العلية, و المستوى الاجتماعي الثالث , كلها بدت من هذه الدراسة انها عوامل خطورة لحدوث السمنة عند النساء فوق الخمسين سنة.

Keywords

Socio-economic --- obese --- women.


Article
Socio-demographic and clinical characteristics of psoriatic patients attended dermatology clinics in Mosul city

Authors: Bassam Abd Al-Mobdi Al-Neema بسام عبد المبدي النعمة --- Salah Ali Al-Ashow صلاح علي العشو
Journal: Annals of the College of Medicine Mosul مجلة طب الموصل ISSN: 00271446 23096217 Year: 2012 Volume: 38 Issue: 2 Pages: 23-27
Publisher: Mosul University جامعة الموصل

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Abstract

ABSTRACTBackground: Psoriasis affects 0.5-0.7% of Iraqi people making it one of the significant dermatological problems. Despite the extent of this problem, little information regarding its epidemiology is available in this country. Objectives: To define the socio-demographic and clinical characteristics of psoriatic patients attended dermatology clinics in the four major governmental hospitals in Mosul city.Patients and methods:Study setting: Dermatology clinics in the 4 major governmental hospitals (Al- Jamhouri, Ibn Sina, Al-Salam, and Al- Mosul) in Mosul.Study design: Cross-sectional study.Study period: 1st October 2101 to 25th of February 2011.Participants: Patients with psoriasis of both sexes, and all ages, who attended the dermatological clinics. Each patient was subjected to detailed history and clinical examination. Data collection form included various demographic and clinical characteristics.Results: The sample of the study included 154 patients with psoriasis, comprising 50.6% males ranging in age from 3-62 years. The mean age±SD at presentation was 30.2±15.1 years; the mean age±SD at onset was 22.8±12.0 years. The mean duration of the illness was 7.4 years. A unimodal distribution curve of age at onset was noticed with a peak at the third decade. Early onset of psoriasis before 30 years was significantly associated with family history. Severity of psoriasis was mild in 74 (48.1%) of cases and it was more severe in elderly with longstanding disease. Itching and disfigurement were the main complaints especially the young and female patients. Plaque type (64.9%) was the most common variant, arms (52.6%) were the most commonly affected body site, and the scalp (27.9%) was the most common initial site affected by psoriasis. Nail involvement was seen in 30 (19.5%) patients especially fingernails. Conclusions and recommendation: The study revealed that psoriasis is a heterogeneous disease affecting all ages, genders and socio-economic strata. Further researches to study the relationship and the impact of these characteristics on the life of sufferers is recommended.

الخلاصةالخلفية: يصيب داء الصداف 0.5-0.7% من السكان في العراق مما يجعل هذا المرض من المشاكل الجلدية الرئيسية. وبالرغم من ذلك يتوفر القليل من البيانات الخاصة بوبائية هذا المرض في هذا البلد.الأهداف: تحديد الصفات الاجتماعية والديموغرافية والسريرية لمرضى داء الصداف المراجعين لمستشفيات الموصل الأربعة الكبرى.طرق البحث:موقع الدراسة: عيادات الأمراض الجلدية في المستشفيات الأربعة الرئيسية (الجمهوري، ابن سينا، السلام والموصل) في مدينة الموصل.مدة الدراسة: للفترة من1-10-2010 ولغاية 25-2-2011.تصميم الدراسة: طريقة الدراسة المقطعية.المشاركون في الدراسة: ضم البحث مرضى داء الصداف الذين راجعوا عيادات الأمراض الجلدية من كلا الجنسين وبكل الأعمار. أجري البحث بطريقة المقابلة المباشرة والفحص السريري تم من خلالها جمع المعلومات الاجتماعية والديموغرافية والفحص ألسريري للمريض.النتائج: أجري البحث على 154 مريضا مصابا بداء الصداف شكل الذكور نسبة 50.6% وقد تراوحت أعمارهم بين 3-62 عاما وبمتوسط عمر قدره 30.2±15.1 سنة. وكان متوسط عمر بداية ظهور داء الصداف هو 22.8±12 سنة ومتوسط مدة المرض هي 7.4 عاما. أظهرت النتائج أن توزيع عمر بداية ظهور داء الصداف هو أحادي القمة عند العقد الثالث من العمر. وقد ارتبط العمر المبكر للمرض بالتاريخ العائلي للمرض خصوصا. وكانت شدة داء الصداف خفيفة لدى 74 (48.1%) مريضا. ولوحظ زيادة في شدة المرض مع زيادة عمر المريض أو مدة المرض. وكان الحك والتشوه الجلدي المعاناة الأكثر شيوعا بين المرضى خصوصا الشباب والنساء. وكان النوع ألصفيحي أكثر أنواع داء الصداف شيوعا (64.9%) والأطراف العليا الأكثر إصابة (52.6%) وفروة ألرأس أول المناطق إصابة عند بداية ظهور المرض (27.9%) وقد عانى 30 (19.5%) مريضا من حالة صداف الأظافر متزامنا مع داء الصداف الجلدي خصوصا أظافر أصابع الكفين.الاستنتاج والتوصيات: أظهرت الدراسة شدة تباين مرض داء الصداف وان كلا الجنسين وكافة الفئات العمرية والاجتماعية معرضة للإصابة بهذا المرض ويوصى بأجراء المزيد من البحوث لدراسة العلاقة بين هذه الصفات وتأثيرها على حياة المصابين.


Article
Socio-demographic Background of Pregnant Women with Newborns' Adverse Pregnancy Outcomes: Case – Control Study
البیانات الاجتماعیة للحوامل اللائي ولدن اطفال: عینة مقارنة بین الاسویاء وغیرھم

Author: Rasha A. Azooz رشا عزوز
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2012 Volume: 25 Issue: 1 Pages: 9-14
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract:Background: Adverse pregnancy outcomes regarding newborns, such as preterm birth, post-term birth, low birth weight, macrosomia, still birth and congenital anomalies are found to be associated with several socio-demographic factors such as certain level of education, household crowding and some social class. In this study, all adverse pregnancy outcomes regarding infants were analyzed with the most scientific social etiology of diseases and others.Objectives: To examine the association of different socio-demographic factors among women with abnormal perinatal outcomes & to compare the results with that of women delivering healthy newborns as a control group.Patients & Methods: A Retrospective Case-control study, where 100 pregnant women with newborns having adverse pregnancy outcomes were selected as cases. Another 100 women without adverse outcome among newborns were selected as control group.Data collection tools include assessment of socio-demographic features in relation to personal characteristics, life events and social context. In addition, age, parity and education. Social class identification according to occupational social classification then was obtained.Results: Regarding socio-demographic factors, low educational level of mothers appeared to be significantly associated with the development of adverse pregnancy outcomes (P=0.05). Concerning social context, household overcrowding was significantly associated with the occurrence of such outcomes (P=0.007). About social class, class III appeared to have a protective effect (P=0.02) whereas class V have a significant risk with the development of these adverse outcomes (P=0.01).Conclusion: Women with low educational level, household overcrowding and Social class V have significant association with the development of adverse pregnancy outcome of newborns.


Article
The clinical and socio - cultural evaluation of the effects of oral contraceptives on periodontal condition

Author: Dr. Maha Abdul Aziz B.D.S., M.Sc. * د.مها عبد العزيز
Journal: MUSTANSIRIA DENTAL JOURNAL مجلة المستنصرية لطب الاسنان ISSN: 18138500 Year: 2009 Volume: 6 Issue: 3 Pages: 277-285
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Human gingival tissues serve as a target for progesterone and estrogen, causing an increase in gingival inflammation.Therefore, the use of oral contraceptives (OC) might be considered as a predisposing factor for periodontal disease. The objective of the present study is to evaluate the effects of oral contraceptives on the periodontium and to investigate the relation between socio-cultural status and periodontal condition.Twenty non users women (group 1), 20 OC users for less than 2 years (group 2) and 20 for 2-4 years (group 3) with generally good oral hygiene standards were selected for this study. Plaque index (PLI), gingival index (GI), probing pocket depth (PPD), bleeding on probing (BOP) and teeth loss were measured. Socio cultural data including: age, educational level, professional level, number of children, frequencies of dental visits, tooth brushing and previous periodontal treatment were collected by a questionnaire form.The results of this study showed that the percentages of PPD of score (≥4) mm were significantly increased when group 1 was compared with group 2 and group 3. Similar results were detected by comparing group 1 with group 3 in respect to percentages of BOP. Also a relationship was observed between percentages of extracted teeth of mothers and number of children at each group. On the other hand neither of the socio-cultural variables was found to have a statistically significant effect among the 3 groups nor means of PLI and GI.It's concluded that women on contraceptive pills require regular periodontal care programs may help to maintain healthy gingiva and avoid development of sever periodontal problems.


Article
Socio-Economic Factors Affecting Household Nutrition in Some Parts of Rivers State, Nigeria

Authors: Hart, A. D. --- Adikema, N. A.
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2014 Volume: 11 Issue: 2 Pages: 266-273
Publisher: Babylon University جامعة بابل

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Factors affecting household nutrition in Rivers State Nigeria were studied using structured questionnaires. Two hundred and seventy households were randomly selected in four local government areas (LGAs) of Rivers State namely: Ahoada East, Khana, Asari Tolu, and Port Harcourt City. The LGAs were selected to represent the geographical nature of Rivers State which has both upland and coastal areas. Response was obtained from the household heads with regard to socio-economic factors which included house hold population, monthly food expenditure, monthly income, drinking water source , toilet waste disposal methods, domestic waste disposal methods, and educational level of household heads Results showed that at the most, 27% of households spent between N11, 000 to N18, 000 monthly on foods, 38.5% of households earned N20, 000 monthly ,39% of households disposed toilet wastes in nearby bushes, 64% of households disposed domestic waste in bushes and 37% of households obtained water from dug out wells and rain falls. Inadequate socio-economic and sanitary conditions of the population studied are indicated. The findings point to need for the improvement of the underlying socio-economic and environmental factors which contribute to malnutrition at the household level.


Article
Assessment of Psychological Problems for Patients with Acute Myelogenous Leukemia
تقييم المشاكل النفسية لمرضى ابيضاض الدم النقوي الحاد

Author: Kareem R. Sachitt
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2015 Volume: 5 Issue: 2 Pages: 164-172
Publisher: University of Kufa جامعة الكوفة

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Objective: To assess the psychological problems in patients with acute myelogenous leukemia, and to find out the relationship between socio-demographic characteristics such as (age, sex, marital status, educational level, and occupation) and psychological problems for those patients.Methodology: A descriptive study used the assessment approach from 20th September 2014 to 30th November 2014 in order to study the psychological problems in acute myelogenous leukemia patients with the psychological problems. Non probability (purposive) sample is selected for the study which includes (50) patients diagnosed with acute myelogenous leukemia were treated at Baghdad teaching hospital and City Imams Kazimain Teaching Hospital or the patients who visited the outpatient clinic in the same hospital for medical follow–up and further treatment. Data were gathered through the patients` interviewed. Assessment questionnaire consist of two parts contains demographic characteristic, the other part concerning about assessment the psychological problems for patients with acute myelogenous leukemia. Reliability and validity of this tool is determined through application of a pilot study and panel of experts. Data were analyzed through the application of descriptive statistical (frequencies and percentages), inferential statistical (chi square).Results: The Overall results revealed that the psychological problems in acute myelogenous leukemia patients with psychological problems was unacceptable, and there is significant correlation between the psychological problems related for these patients and was region (residency) of patients.Conclusions: The study concluded that the majority of the items related to psychological problems for patients with acute myeloid leukemia were low or out of the comparison, reflecting the ferocity of those problems.Recommendations: The study recommended to increase awareness and psychological education for patients with acute myelogenous leukemia.

الهدف : تقييم المشاكل النفسية لمرضى ابيضاض الدم النقوي الحاد ومعرفة العلاقة بين بعض المتغيرات الديموغرافية مثل (الجنس، العمر، الحالة الزوجية، المستوى التعليمي) والمشاكل النفسية لهؤلاء المرضى. المنهجية : دراسة وصفية استعمل فيها أسلوب التقييم للفترة من 20 أيلول 2014 إلى 30 تشربن الثاني 2014 لدراسة المشاكل النفسية لمرضى ابيضاض الدم النقوي الحاد. عينة غرضية (غير احتمالية) اختيرت في الدراسة وقد تكونت من(50) مريض في مستشفى بغداد التعليمي ومستشفى مدينة الامامين الكاظمين التعليمي. تم جمع بيانات الدراسة عن طريق مقابلة المرضى الراقدين والمراجعين في المستشفيات المذكورة أعلاه. تكونت استمارة التقييم من جزأين شملت المعلومات الديموغرافية والسريرية المرضى والجزء الأخر تعلق بتقييم المشاكل النفسية لمرضى ابيضاض الدم النقوي الحاد. تم إجراء الثبات لأداة التقييم من خلال الدراسة الاستطلاعية وتم التحقق من مصداقية الأداة من خلال عرضها على مجموعة من الخبراء. تم تحليل البيانات من خلال أسلوب الإحصاء الوصفي (التكرار والنسب المئوية) والإحصاء ألاستنتاجي (المتوسط الحسابي) والانحدار المنطقي. النتائج : كشفت النتائج ان مرضى ابيضاض الدم النقوي الحاد الذين يعانون من المشاكل النفسية كانت غير مقبولة، و هناك علاقة معنوية بين المشاكل النفسية لهؤلاء المرضى و مكان الاقامة للمرضى.الاستنتاج : نستنتج من الدراسة بأن غالبية الفقرات ذات العلاقة بالمشاكل النفسية لمرضى ابيضاض الدم النقوي الحاد كانت واطئة او خارج المقارنة مما يعكس ضراوة تلك المشاكل . التوصيات : أوصت الدراسة بزيادة الوعي والتثقيف الصحي والنفسي للمرضى المصابين بابيضاض الدم النقوي الحاد.


Article
Assessment of Psychological Problems for Patients with Acute Myelogenous Leukemia
تقييم المشاكل النفسية لمرضى ابيضاض الدم النقوي الحاد

Author: Kareem R. Sachitt
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2015 Volume: 5 Issue: 3 Pages: 201-207
Publisher: University of Kufa جامعة الكوفة

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Abstract

Objective: To assess the psychological problems in patients with acute myelogenous leukemia, and to find out the relationship between socio-demographic characteristics such as (age, sex, marital status, educational level, and occupation) and psychological problems for those patients.Methodology: A descriptive study used the assessment approach from 20th September 2014 to 30th November 2014 in order to study the psychological problems in acute myelogenous leukemia patients with the psychological problems. Non probability (purposive) sample is selected for the study which includes (50) patients diagnosed with acute myelogenous leukemia were treated at Baghdad teaching hospital and City Imams Kazimain Teaching Hospital or the patients who visited the outpatient clinic in the same hospital for medical follow–up and further treatment. Data were gathered through the patients` interviewed. Assessment questionnaire consist of two parts contains demographic characteristic, the other part concerning about assessment the psychological problems for patients with acute myelogenous leukemia. Reliability and validity of this tool is determined through application of a pilot study and panel of experts. Data were analyzed through the application of descriptive statistical (frequencies and percentages), inferential statistical (chi square).Results: The Overall results revealed that the psychological problems in acute myelogenous leukemia patients with psychological problems was unacceptable, and there is significant correlation between the psychological problems related for these patients and was region (residency) of patients.Conclusions: The study concluded that the majority of the items related to psychological problems for patients with acute myeloid leukemia were low or out of the comparison, reflecting the ferocity of those problems.Recommendations: The study recommended to increase awareness and psychological education for patients with acute myelogenous leukemia.

الهدف: تقييم المشاكل النفسية لمرضى ابيضاض الدم النقوي الحاد ومعرفة العلاقة بين بعض المتغيرات الديموغرافية مثل (الجنس، العمر، الحالة الزوجية، المستوى التعليمي) والمشاكل النفسية لهؤلاء المرضى. المنهجية: دراسة وصفية استعمل فيها أسلوب التقييم للفترة من 20 أيلول 2014 إلى 30 تشرين الثاني 2014 لدراسة المشاكل النفسية لمرضى ابيضاض الدم النقوي الحاد. عينة غرضية (غير احتمالية) اختيرت في الدراسة وقد تكونت من(50) مريض في مستشفى بغداد التعليمي ومستشفى مدينة الامامين الكاظمين التعليمي. تم جمع بيانات الدراسة عن طريق مقابلة المرضى الراقدين والمراجعين في المستشفيات المذكورة أعلاه. تكونت استمارة التقييم من جزأين شملت المعلومات الديموغرافية والسريرية المرضى والجزء الأخر تعلق بتقييم المشاكل النفسية لمرضى ابيضاض الدم النقوي الحاد. تم إجراء الثبات لأداة التقييم من خلال الدراسة الاستطلاعية وتم التحقق من مصداقية الأداة من خلال عرضها على مجموعة من الخبراء. تم تحليل البيانات من خلال أسلوب الإحصاء الوصفي (التكرار والنسب المئوية) والإحصاء ألاستنتاجي (المتوسط الحسابي) والانحدار المنطقي. النتائج: كشفت النتائج ان مرضى ابيضاض الدم النقوي الحاد الذين يعانون من المشاكل النفسية كانت غير مقبولة، و هناك علاقة معنوية بين المشاكل النفسية لهؤلاء المرضى و مكان الاقامة للمرضى.الاستنتاج: نستنتج من الدراسة بأن غالبية الفقرات ذات العلاقة بالمشاكل النفسية لمرضى ابيضاض الدم النقوي الحاد كانت واطئة او خارج المقارنة مما يعكس ضراوة تلك المشاكل . التوصيات: أوصت الدراسة بزيادة الوعي والتثقيف الصحي والنفسي للمرضى المصابين بابيضاض الدم النقوي الحاد.


Article
PRETERM BIRTHS AMONG WOMEN WITH SHORT BIRTH INTERVAL IN TWO HOSPITALS IN BAGHDAD /AL-KARKH

Authors: Nibras A. Hussain نبراس علاء حسين --- Atheer J. Al-Saffar اثير جواد عبد الامير الصفار
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2016 Volume: 14 Issue: 3 Pages: 200-205
Publisher: Al-Nahrain University جامعة النهرين

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Background:The World Health Organization had recommended that individuals and couples should wait for at least (2-3) years between births in order to reduce the risk of adverse maternal and child health outcomes.Objective:The current study was an attempt to measure the rate of preterm births among women with interbirth intervals of less than three years. It also attempted to describe some socio-demographic characteristics of these women with short intervals.Methods:A cross-sectional study was conducted in two hospitals at Baghdad / Al-Karkh district with a total 360 women were interviewed at the delivery room using a questionnaire specially prepared for this purpose during the period from the 1st of April to the 31st of May 2009.Results:The mean interbirth interval for the sample was 20.4±6.43 months gave a rate of preterm births of 17.8% with a significant association between short intervals and high occurrence of preterm births. It was found that women with short interbirth intervals were mostly of younger age, housewives, low educated, not using contraceptives, had a female baby in the last delivery before the current one and their monthly income was 500000 Iraqi dinars or less ( about 385 USD).Conclusions:The rate of preterm births in women with short birth intervals less than three years was relatively high and significantly associated with short birth intervals.Key words:Preterm births, Short birth interval, Socio-demographic characteristics


Article
Perceptions of medical students undergoing cadaveric training
تصورات طلاب الطب الذين يخضعون لتدريب على الجثث

Author: Maaroof Tahseen Hassan
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2016 Volume: 20 Issue: 1 Pages: 1160-1166
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Background and objective: Anatomy education is a principal subject within international medical and scientific curricula. Evidence based literature suggests that cadaver dissection is highly effective in establishing and retaining anatomy concepts. This study aimed to examine the perceptions of medical students about socio-cognitive aspects of dissection of human body in the Department of Anatomy at the College of Medicine, Hawler Medical University, Erbil. More specifically, the study tried to find out perceptions and level of satisfaction of medical students with engagement factors that improve positive satisfaction in learning. Methods: This is a descriptive cross-sectional study that included 169 first year medical students in the College of Medicine, Hawler Medical University. A self-administered questionnaire was distributed to the medical students during their practical anatomy sessions in the Department of Anatomy. Results: More than half of the students (55%) felt normal on their first exposure to dissection. Almost around half of the students (48.6%) had increased value for fellow humans following cadaveric training. More than 95% of them thought that improvement is needed in the cadaveric training. About 40% of the respondents had a good adaptation to cadaveric training. Conclusion: The traditional dissection laboratory must remain the center for teaching and learning anatomy. It is necessary to examine the curriculum and the mode of teaching. Factors that improve positive perceptions and in learning, like helpful environment and adequate dissection instructors should be thoroughly engaged in the training of our future doctors.


Article
Socio-demographic characteristics of maternal deaths in Basrah or the period (2013-2017)
دراسة الخصائص الاجتماعية والديموغرافية لوفيات الأمهات في البصرة للفترة (2013-2017)

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Abstract

Introduction and Background: In Iraq, and due to the decades of wars and sunctions that affected people’s accessibility to the health care services, maternal death was among the main health problems over the years. Thus, studying the factors influencing this important problem is a mandatory step for a better evidence based intervention in controlling the problem. Objective: To analyze the socio-demographic factors that influence maternal deaths in Basrah during the period 2013-2017.Methodology design: The study is an observational retrospective one included information collected from the medical records, death certificate and forensic medicine reports in addition to interviewing the family as needed. A total of 201 deaths were included in the study. Results: The study shows that maternal death rate in Basrah increased sharply during 2016 compared to that of 2013 with a highest rate in Shat Al-Arab and Al-Mudiana districts. Then, a sharp decrease was noticed in 2017 compared to 2016. Maternal mortality rates were found to be increasing with increasing women’s age with the highest rate among women above 40 years old. But no big difference between maternal death rates in urban and rural areas. (88.1%) of the study women died in hospital while 11.9% of them died outside the hospital Conclusions and recommendations: Maternal death is still a problem in Basrah in spite of the decline that occurred between (2016-2017) compared to the rates in 2013. Strengthening of maternal mortality monitoring system across all districts of Basrah governorate in addition to improving the quality of registering all pregnancy related information are the main recommendations of the study.

المقدمة: في العراق، ونتيجة لعقود من الحروب والعقوبات التي أثرت على حصول الناس على خدمات الرعاية الصحية، كانت وفيات الأمهات من بين المشاكل الصحية الرئيسية على مر السنين. لذا، فإن دراسة العوامل المؤثرة على هذه المشكلة هي خطوة مهمة لتقديم أفضل الطرق للمساهمة في السيطرة على المشكلة.الهدف: تحليل العوامل الاجتماعية والديموغرافية المؤثرة على وفيات الأمهات في البصرة خلال الفترة 2013-2017.المنهجية: تضمنت الدراسة معلومات تم جمعها من السجلات الطبية وشهادات الوفاة وتقارير الطب الشرعي بالإضافة إلى إجراء مقابلات مع العائلة حسب الحاجة. شملت الدراسة 201 حالة وفاة.النتائج: أظهرت الدراسة أن معدل وفيات الأمهات في البصرة قد ارتفع بشكل حاد خلال عام 2016 مقارنة بتلك المسجلة لعام 2013 مع أعلى معدلات في منطقتي شط العرب والمدينة. ثم لوحظ انخفاض حاد في معدل وفيات الأمهات خلال عام 2017 مقارنة بعام 2016. كما وجدت الدراسة أن معدلات الوفيات تتزايد مع زيادة عمر المرأة مع تسجيل أعلى معدل بين النساء فوق سن الأربعين ولم يظهر فرق كبير بين معدلات وفيات الأمهات في المناطق الحضرية والريفية. الاستنتاجات والتوصيات: لا تزال وفيات الأمهات مشكلة في البصرة على الرغم من انخفاض معدلاتها بين عامي 2016 و 2017 مقارنة بالمعدلات في عام 2013. وقد أوصت الدراسة بتقوية و تعزيز نظام مراقبة وفيات الأمهات في جميع قطاعات محافظات البصرة بالإضافة إلى تحسين جودة توثيق كافة المعلومات المتعلقة بالحمل و الولادة و ما بعدها.

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