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Article
Relationship between Epistaxis and Hypertension

Authors: Ahmed Abdullah Alwan --- Anwar Sadiq Al-Dahan --- Ahmed Mohammed Hassoon
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2016 Volume: 9 Issue: 1 Pages: 2403-2407
Publisher: Kerbala University جامعة كربلاء

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Abstract

background: Epistaxis is a common symptom of diverse conditions which may present as mild recurrent bleeds or severe life threatening rhinological emergency. Children and adolescent are more often afflicted with minor episodes of anterior epistaxis, whereas the incidence of severe posterior epistaxis is greater in those who are more than 50 years old. Hypertension has been considered to be a major cause of spontaneous epistaxis for a long time. However, particularly in the recent medical literatures, the relationship between hypertension and epistaxis appears to be more controversial. Objectives: To evaluate the relationship between hypertension and epistaxis and to compare the prevalence of the epistaxis in hypertensive patients with normotensive patients.Methods: A prospective study was carried out on 101 hypertensive patients (group A) and 152 normotensive patients (group B) who served as a control group at Department of Medicine and ENT, Al-Hussian Teaching Hospital, Karbala during the period January to July 2015. Data from epistaxis patients for both groups were collected. Results: Out of total 101 hypertensive patients, 61 (60%) were males and 40 (40%) were females (M: F=1.5:1). The age range was 33 to 86 years with a mean age of 58 years. Twenty-seven out of 101 hypertensive patients were found to have epistaxis. The control group (group B) were 152 normotensive patients; 104 male and 48 female (M: F=2.2:1), and only 28 participants have a history of epistaxis. The prevalence of epistaxis was not significantly higher among patients with hypertension compared to those without hypertension. Conclusions: We demonstrated that epistaxis was unlikely associated with hypertension, and that epistaxis was not initiated by high BP. However, epistaxis was more difficult to control in hypertensive patients.

Keywords

Hypertension --- Epistaxis --- Emergency


Article
Indications of IV Fluids in Medical City

Authors: Bassam Hameed Al-Jarrah --- Zeena Muthafer Al-Nema
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2009 Volume: 8 Issue: 4 Pages: 380-383
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Intravenous (IV) fluids are the most commonly used drugs in the inpatient wards and the emergency units. They are not usually dealt with as a medication, and are frequently prescribed even by junior doctors and even the nursing staff. Serious side effects and complication may arise from this practice.OBJECTIVES:To evaluate the indications of IV fluid prescription in the Medical City.METHODS:A cross-sectional study of the use of IV fluids in surgical wards and emergency units in the Medical city in Baghdad during a period of ten weeks. Two hundreds and ninety three patients were collected. Studying the indication for prescription, monitoring of the patients, combinations and role of pharmacists.RESULTS:Most common IV fluid used was glucose water (28.3%). The most common indication in the emergency unit was vomiting and diarrhea (19.1%). While in the inpatient wards, routine postoperative hydration was the commonest indication for IV fluid (13.6%). Unnecessary or wrong uses were recorded in number of cases (36.8). Deficient monitoring of patients on IV fluids was noticed in most cases (95%). No apparent role for the clinical pharmacist in this respect was reported.CONCLUSION:There was a quiet high ratio of unnecessary or wrong use of IV fluids and also a high ratio of low or deficient monitoring of patients that necessitate more attention by the specialists and more supervision to the practice of IV fluid prescription.


Article
Gynecological Emergencies in the General Surgical Unit

Authors: Firas M. Kattof --- Najeeb S. Jabbo
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2006 Volume: 6 Issue: 2 Pages: 56-64
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Objectives: To evaluate the gynecological cases presented to our surgical unit as acute abdomen in respect to their clinical features, diagnosis and treatment. Methods: A prospective study of 60 female patients admitted to the surgical unit at AL-Yarmouk Teaching Hospital presenting with gynecological causes of acute abdomen excluding trauma emergencies.Results: The causes were; ruptured ovarian cyst in 36 patients (60%), pelvic inflammatory diseases in 15(25%) and ectopic pregnancy in 9 patients (15%). The clinical features were mainly abdominal pain, fever, nausea, vomiting and vaginal bleeding or shock state. Abdominal examination in all cases revealed abdominal tenderness. In ail patients the diagnosis was mainly confirmed at exploration and intervention depended mainly on clinical grounds. The most common differential diagnosis in these cases was acute appendicitis. Gynecological examination and U/S were not conclusive, and laparoscopy was not used in our study. Postoperative complications occur in 5 patients (8.33%) and there was no mortality. Conclusion: We conclude from this study; better experience in LJ/S examination is needed, and the importance of the use of laparoscopy in the diagnosis and treatment of such conditions.


Article
Evaluation Of Early Complications Of Open Surgical Tracheostomy
تقييم المضاعفات المبكرة لعملية تفوية القصبة الهوائية الجراحية التقليدية المفتوحة

Authors: Ammar Hadi Khammas عمارهادي خماس --- Mohammed Radef Dawood محمد رديف داود --- Abbas Khudhair Hamad عباس خضير حمد
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2017 Volume: 16 Issue: 2 Pages: 36-42
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Background: Tracheostomy is a surgical technique that could be performed for either as an emergency or an elective indicated considerations, and it might associated with a number of complications, however the frequencies and severity of these complications will depend upon the intermingle of various contributing factors.Objective: The aim of the study was to evaluate and analyze the frequency of various elements of early complications associated with open surgical tracheostomy component in our set up.Patients and methods: A series of 112 consecutive open surgical tracheostomy procedures conducted at Al-Yarmouk Teaching Hospital from February 2016 to February 2017. The data collection were included the following parameters; emergency or elective tracheostomy procedures, and according to their particular indications, as well as were performed under general or local anaesthesia, all the fore mentioned data were evaluated and analyzed in correlation with the frequency and the severity of various elements of early complications.Results: There were (63.4%) males and (36.6%) females, with mean age of 46.851 years, about (56.25%) were emergency tracheostomies, and (43.75%) were elective type, in (54.46%) of them the indication was to relief upper air way obstruction. The overall frequency of an early complications in emergency tracheostomy was (30.35%), and was (8.92%) in elective modality. The commonest early complications was bleeding (11.6 %), followed by tubal obstruction (8.03%). Conclusion: The frequency of the overall early complications of open surgical tracheostomy was detected at higher rate in emergency than in elective procedures, also the most common element of the early tracheostomy complication encountered was bleeding and being primarily revealed in an emergency indicated tracheostomy, followed tubal obstruction with more existing frequency in elective tracheostomy cases

الخلفية عملية تفوية القصبة الهوائية من التقنيات الجراحية التي تجرى اما في الحالات الطارئة او في الحالات الاختيارية وذلك لاعتبارات محددة وأنها قد ترتبط مع عدد من المضاعفات الجراحية المختلفة وأن نسبة حدوث وشدة المضاعفات الجراحية مرتبطة بتتداخل عدة عوامل مختلفة.الهدف تحليل نسبة حدوث العناصرالمختلفة من المضاعفات الجراحية المبكرة المرتبطة بعملية تفوية القصبة الهوائية الجراحية التقليدية المفتوحة.المرضى والطرقشملت الدراسة 112 عملية تفوية القصبة الهوائية الجراحية التقليدية المفتوحة في مستشفى اليرموك التعليمي من شباط 2016 إلى شباط 2017. وقد تم جمع بيانات المعلمات التالية. إجراءات القصبة الهوائية عاجلة أو الاختيارية، وفقا لاستطبابات الخاصة، وايضا إما انها أجريت تحت التخدير العام أو الموضعي، وتم تقييم جميع البيانات المذكورة أعلاه وتحليل علاقتها مع نسبة حدوث وشدة العناصر المختلفة من المضاعفات الجراحية المبكرة. النتائج (63.4%) ذكور و (36.6%) الإناث، ومتوسط العمر46.851 سنة، وحوالي (56.25%) من عمليات تفوية القصبة الهوائية التقليدية الجراحية المفتوحة كانت طارئة و (43.75%) كانت من نوع المجراة في الحالات الاختيارية ، بينما (54.46%) إجريت بسبب انسداد المجاري التنفسية العليا. وكان أجمالي نسبة المضاعفات المبكرة لعملية تفوية القصبة الهوائية التقليدية المفتوحة في حالات الطوارئ هو (30.35%)، في حين كانت (8.92%) مجراة في الحالات الاختيارية وقد كان النزيف الدموي هو عنصر المضاعفات الاكثرنسبة 11.6% ويليه انسداد تفوية القصبة الهوائية (انبوب التركستومي) 8.03%. الاستنتاجاتاجمالي معدل المضاعفات الجراحية المبكرة لعملية تفوية القصبة الهوائية الجراحية التقليدية المفتوحة أعلى في حالات الطوارئ من حدوثه فيالحالات الاختيارية وان النزيف الدموي كان هو العنصر الأكثر شيوعا من المضاعفات الجراحية المبكرة بصورة عامة وكانت نسبته أعلى حدوثا في حالات الطارئة ويليه انسداد تفوية القصبة الهوائية (انبوب التركستومي) وانه وجد اكثر حدوثا في حالات تفوية القصبة الهوائية المجراة في الحالات الاختيارية


Article
Assessment of wound dressing practices among nurses at the emergency hospitals in Erbil city
تقييم ممارسات تضميد الجرح بين الممرضات في مستشفيات الطوارئ في مدينة أربيل

Authors: Ronak Nhmatala Hussein --- Hindreen Younis Najm
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2018 Volume: 22 Issue: 1 Pages: 96-103
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Background and objective: Wound dressing is one of the major nursing responsibilities. Aseptic technique is mandatory to minimize complications. Effective wound dressing promotes wound healing and leads to early discharge and saving costs. This study aimed to assess wound dressing practices among nurses in Erbil emergency hospitals and determine the relationship between the practices and the sociodemographic characteristics.Methods: A descriptive study was conducted at three Emergency Hospitals in Erbil city. This study was carried out from November 17th, 2014 to November 17th, 2015 on a non-probability purposive sample of 64 nurses who worked at emergency reception department of three emergency hospitals. The questionnaire was constructed for data collection which consisted of two parts; part I of the questionnaire included demographical characteristics of nurses and part II contained an observational checklist that consists of 24 items of nurses' wound dressing practice. Data were collected through the direct observant approach and analyzed through the application of descriptive analysis measures (frequencies and percentages) and inferential statistical analysis (chi-square and Fisher's exact test).Results: Majority (65.6%) of nurses’ wound dressing practices were at the medium level of practice and minority (34.4%) were at high level. The highest steps practiced was with irrigation and dressing items (1.61), and lowest with the discard wound dressing supplies items (0.79). There was no significant association between the wound dressing practice and nurses’ chararacteristics of age, gender, educational level, years of experience and training participation (P = 0.51, 0.609, 0.54, 0.21 and 0.78, respectively).Conclusion: The overall nurses’ wound dressing practice was suboptimal and not impressive and the worse practice with items related to wound dressing infection control practice.


Article
Assessment of First Aid for Emergency Accidents in Primary Schools in Kirkuk City
تقييم إسعافات الإصابات الطارئة لتلاميذ المدارس الابتدائية لمدينة كركوك

Author: Salah M S. Hassan
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2015 Volume: 5 Issue: 1 Pages: 83-91
Publisher: University of Kufa جامعة الكوفة

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Objective: The main objective of the study is to assess the emergency accident among primary school pupils, and type of managements. Methodology: A descriptive study, was conducted in 10 primary school to identify the emergency accident among primary school pupils of Kirkuk city from1st September 2009 to the 1st April 2010.The sample for the study comprised of 156 primary school pupils selected by purposive sampling technique. The data was collected between 1st October 2009 to 30th April ,2010. Structured questionnaires were used for the data collection. The data of present study was analyzed through the application of descriptive and inferential statistical approaches. Results were determined as significant at (P<0.05) and high significant at (P<0.01). Results : The study finding revealed that the most accident among the pupils at age 8 and 9 years old with 32(20.5%) ,34(21.8%) percentage respectively, Majority of the sample ware males 99(63.46%), most incidence among 2nd ,3rd ,4th Class with 32(20.52%), 30(19.23%), 34(21.79%) percentage respectively, the study shows that there is high percentage of wounds and bleeding 73(46.79%) denoted among pupils as a type of incidence most of them denoted in the arm 27(17.31%) due to of running and fill to ground 27(17.29%), high parentages of first aid given to study sample as Wound washing 28(17.95%)most of them send to home 82(52.56%). Conclusions: Most accident are among the pupils within age 8 and 9 years old, at 2nd ,3rd ,4th Class, majority of them as wounds and bleeding due to of running and fill to ground and Collision between pupils ,most of them send to home without any first aid. Recommendation The findings of this study indicated the need for educating about first aid practices, both pupils and teachers must be motivated to adopt special training, safety measures and practice to promote first aid.

الهدف: تهدف الدراسة إلى التعرف على أنواع الإصابات وتقييم الإسعافات المقدمة لتلاميذ المدارس الابتدائية لمدينة كركوك .المنهجية: دراسة وصفية أجريت في 10 مدارس ابتدائية للتعرف على الإصابات الطارئة وتقييم الإسعافات الأولية المقدمة لتلاميذ المدارس الابتدائية في مدينة كركوك للفترة من 1/ايلول/2009 لغاية 30 /نيسان/2010 .عينة غرضية تكونت من 156تلميذ وتلميذة من المدارس الابتدائية,تم جمع العينة للفترة من 1/تشرين الاول/2009 لغاية 30/نيسان/2010 باستخدام استمارة الاستبيان أعدت لهذا الغرض,وتم تحليل البيانات باستخدام الطرق الإحصائية (الوصفية , والتحليلية). النتائج: أظهرت النتائج أن غالبية الإصابات بين التلاميذ كانت في العمر 8 و9 بنسبة 32 (20.5%) ,34(21.8%) بالتعاقب .ومعظم الإصابات كانت بين الذكور بنسبة 99(63.46%) وان اغلب الإصابات كانت بين تلاميذ الصف الثاني والصف الثالث والرابع وبنسبة 32(20.52%) ,30 (19.23%) ,34(21.79%) على التوالي .أن أكثر أنواع الإصابات كانت الجروح بأنواعها مع النزف الدموي 73(46.79%) وان أكثر الإصابات كانت في الأطراف العلوية بنسبة 27(17.31%) اغلب الأسباب كانت الهرولة والسقوط أرضا" 27(17.29%) . إن نسبة 28(17.95%) من الإصابات تم غسل جروحهم وان نسبة 82(52.56%)من الإصابات تم إرسالهم إلى البيت.الاستنتاج: اغلب الإصابات كانت في العمر الثامن والتاسع معظمهم في الصف الثاني والصف الثالث والرابع .نسبة الإصابات هي الجروح الناتجة بسبب الهرولة والسقوط وان غالبيتهم أرسلوا إلى البيت دون تلقي الاسعافات المناسبة. التوصيات : الحاجة الضرورية لتعلم الإسعافات الاولية النظرية والتطبيقية لكل من التلميذ والمعلم وتحفيزهم للمشاركة في الدورات التدريبية من اجل تقديم افضل الاسعافات الاولية اللازمة .


Article
The effect of emergency surgeon-performed sonography on diagnostic accuracy of appendicitis

Author: Mohammed Hassan Jaafar
Journal: Misan Journal of Acodemic Studies مجلة ميسان للدراسات الاكاديمية ISSN: 1994697X Year: 2016 Volume: 15 Issue: 29 Pages: 16-24
Publisher: Misan University جامعة ميسان

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The diagnosis of acute appendicitis, which is highly prevalent surgical emergency, remained mainly a clinical diagnosis with high false negative and false positive rates. Emergency surgeon can play important role in using some modern diagnostic facilities like ultrasonography (US) to improve the diagnosisAims: To evaluate the role of ultrasonography performed by emergency surgeon in improving the diagnosis of acute appendicitis.Patients and methods: A prospective study over two years on 290 patients with acute appendicitis. We allocated the patients into two group depending on the way of their diagnosis whether US used or not in their diagnosis and the operative state of the appendix and the histopathological results were recorded.Results: The negative appendectomy rate in group 2 patients (US was used in their diagnosis) was lower than in-group 1(US was not used in their diagnosis) 7.2% vs 25%. In group2, the diagnostic accuracy was 79.3%, the sensitivity rate 75.5%, the specificity rate 89.3%, Positive predictive value 95% and the Negative predictive value 57.5%. The results in our study were near or within the results of studies performed by professional sonographerConclusions: There are important roles for US as diagnostic tool in patients with clinical diagnosis of acute appendicitis; as it improves the diagnostic accuracy of appendicitis and reduces the negative appendectomy, but non-appendicitis US result is not enough to exclude acute appendicitis. The emergency surgeon with proper US training can perform US examination successfully since the results are similar to that performed by professional sonographers.


Article
EMERGENCY MANAGEMENT INFORMATION SYSTEM A SURVEY STUDY ON A SAMPLE OF OPINIONS MANAGERS IN IRAQI GOVERNMENTAL INDUSTRIAL CORPORATION
نظام معلومات ادارة الطـوارئ دراسة استطلاعية لاراء عينة من المديرين في المنظمات الصناعية الحكومية العراقية

Authors: Zaynab Salah Wahab زينب صلاح وهاب --- Jamal Abd Al -Rasool جمال عبد الرسول الدباغ
Journal: AL-TAQANI مجلة التقني ISSN: 1818653X Year: 2013 Volume: 26 Issue: 7 Pages: A191-A203
Publisher: Foundation of technical education هيئة التعليم التقني

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Abstract:Management emergency considers one of the modern cognitive branches Abstract:Management emergency considers one of the modern cognitive branches in the science of management , therefore this study interested with two main variables , they are, Emergency Management Information System (EMIS) and Emergency Management (EM) and the study aims at testing the effect of emergency management information system in management the emergency and this is a symbol of companies from Ministry of Minerals and Industry , (79) forms have been distributed for showing opinions symbol of the general directors and their assistants and head departments in eight corporations which are ( The General Company for Leather Industries, The General Company for Mining and Geological Survey, The General Company for Hand Carpet, The General Company for Cotton Industries, The General Company for Wool Industries, The General Company for Tobacco &Cigarettes , The General Company for Batteries Industries , The General Company for the Electrical Industries ). The date was then analyzed by using the weighted calculating median and standard inclination and the hundred rates for the rating importance. (agreement rate) such as described statistical methods , classes Spearman correlation coefficient for testing the correlation and regression simple linear for testing the effect, (Kruskal – Wallis Test ) for differences among three symbols and more such as analytical statistical methods by adopting both programs (SPSS) & (Minitab) and the study reached to group of results, most important are : There is positive effect with moral indication between emergency management information systems and its three phases ( Preparedness , Response , and Recovery) in management the emergency and its three phases (Preparedness , Response , and Recovery) in the Iraqi governmental industrial corporations the symbol of study, According to the results, the study reached to recommendations, most important are: It must establish new department of management emergency inside the Iraqi governmental industrial corporations because there is no existence for emergency management department and emergency director Key word: Emergency, Emergency Management, Emergency Management phases (Preparedness, Response, and Recovery, Emergency Management Information System. in the science of management , therefore this study interested with two main variables , they are, Emergency Management Information System (EMIS) and Emergency Management (EM) and the study aims at testing the effect of emergency management information system in management the emergency and this is a symbol of companies from Ministry of Minerals and Industry , (79) forms have been distributed for showing opinions symbol of the general directors and their assistants and head departments in eight corporations which are ( The General Company for Leather Industries, The General Company for Mining and Geological Survey, The General Company for Hand Carpet, The General Company for Cotton Industries, The General Company for Wool Industries, The General Company for Tobacco &Cigarettes , The General Company for Batteries Industries , The General Company for the Electrical Industries ). The date was then analyzed by using the weighted calculating median and standard inclination and the hundred rates for the rating importance. (agreement rate) such as described statistical methods , classes Spearman correlation coefficient for testing the correlation and regression simple linear for testing the effect, (Kruskal – Wallis Test ) for differences among three symbols and more such as analytical statistical methods by adopting both programs (SPSS) & (Minitab) and the study reached to group of results, most important are : There is positive effect with moral indication between emergency management information systems and its three phases ( Preparedness , Response , and Recovery) in management the emergency and its three phases (Preparedness , Response , and Recovery) in the Iraqi governmental industrial corporations the symbol of study, According to the results, the study reached to recommendations, most important are: It must establish new department of management emergency inside the Iraqi governmental industrial corporations because there is no existence for emergency management department and emergency director

تُعد إدارة الطوارئ من الفروع المعرفية الحديثة في علم الإدارة، لذا فقد اهتمت هذه الدراسة بمتغيرين رئيسين هما نظام معلومات إدارة الطوارئ (EMIS)، وإدارة الطوارئ (EM)، وتهدف الدراسة إلى اختبار اثر نظام معلومات إدارة الطوارئ في إدارة الطوارئ في عينة من شـركات وزارة الصناعة والمعادن وقد تم توزيع (79) استمارة لغرض استطلاع آراء عينة من المديرين العامين ومعاونيهم ورؤساء الأقسام في ثمان منظمات وهي: (الشركة العامة للصناعات الجلدية، والشركة العامة للمسح الجيولوجي والتعدين، والشـركة العامة للسجاد اليدوي، والشركة العامة للصناعات القطنية، والشركة العامة للصناعات الصوفية، والشـركة العامة للتبوغ والسكاير، والشـركة العامة لصناعة البطاريات، والشركة العامة للصناعات الكهـربائية)، وقد تم معالجة البيانات باستخدام الوسط الحسابي الموزون والانحراف المعياري والنسب المئوية للأهمية النسبية (نسبة الاتفاق) كأساليب إحصائية وصفية، ومعامل ارتباط الرتب (Spearman) لاختبار علاقة الارتباط، ومعامل الانحدار الخطي البسيط (Simple Linear Regression) لاختبار التأثير، واختبار (Wallis- Kruskal) للفروق بين ثلاث عينات فأكثر، كأساليب إحصائية تحليلية، وباعتماد برنامَجيْ (SPSS) و(Minitab)، وقد توصلت الدراسة إلى جملة من الاستنتاجات أهمها: هنالك تأثير طردي ذو دلالة معنوية بين نظم معلومات إدارة الطوارئ ومراحلها الثلاث (الاستعداد، والمواجهة، واستعادة النشاط) في إدارة الطوارئ ومراحلها الثلاث (الاستعداد، والمواجهة، واستعادة النشاط) في المنظمات الصناعية الحكومية العراقية عينة الدارسة، وفي ضوء الاستنتاجات توصلت الدراسة إلى توصيات أهمها: لابد من استحداث قسم إدارة الطوارئ داخل المنظمات الصناعية الحكومية العراقية حيث لوحظ عدم وجود قسم إدارة طوارئ ومدير طوارئ.


Article
THE ROLE OF SHORT INTENSIVE TASK BASED TRAINING COURSE IN IMPROVING EMERGENCY MEDICINE PERFORMANCE AMONG INTERNS IN DUHOK, KURDISTAN REGION, IRAQ
الخلاصة دور الدورات التدريبية المكثفة , القصيرة الامد و المعتمدة على المهام في تطوير اداء المقيمين الدوريين في طب الطوارئ في دهوك

Authors: SAMIM A. AL-DABBAGH صميم احمد الدباغ --- ABDULLAH J. RAJAB عبدالله جاسم ريكاني
Journal: Duhok Medical Journal مجلة دهوك الطبية ISSN: ISSN: 20717334 (online)/ ISSN: 20717326 (Print) Year: 2011 Volume: 5 Issue: 1 Pages: 1-14
Publisher: University of Dohuk جامعة دهوك

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Abstract

Background and objectives Medical education has witnessed a dramatic change in the way information is delivered to equip students with essential knowledge and skills. In Iraq, emergency medicine has been recognized as a discipline that needs improvement. Task based learning has been shown to be associated with improved competency of health care professionals in performing tasks they face in real life. The aim of the study is to evaluate the role of task based training module program in improving emergency medicine relatedprocedural skills of newly graduated interns.Methods A quasi-experimental study design was utilized. The study was conducted in June and July 2010. A sample of newly graduated intern from Duhok College of Medicine in the academic year 2008/09 was taken and was divided into 2 groups: intervention and control.Inclusion criterion for being in the intervention group was that interns who had never worked in emergency units/departments in any hospital. Nine essential emergency medicine procedures were selected to be included in the training module. Pre and post assessment ofinterns in regards to practical skill performance using Objective Structured Clinical Examination tool was done. Mannequins were used for both training and assessment.Results Low rates of practical skill performance were detected among both control and intervention groups prior to the implementation of the training module (43.3% vs 33.3). After implementation the reverse was noticed. Relevant rates were 43.3% verus 88.6% (p<0.001).Both gender and final graduation mark were not found to have a significant effect on practical skill performance. Overall, participants had a good satisfaction towards the adoptionof task based training module approach in learning emergency medicine procedural skills.Conclusion Task based training as a learning method is found to be effective in teaching emergency medicine procedural skills that are needed to have competent interns in performing their tasks. Such an approach can be adopted both for training undergraduate students and postgraduate doctors to improve their practical skills.

خلفية واهداف البحث: لقد شهد التعليم الطبي تغيي ا رت د ا رماتيكية في كيفية ايصال المعلومة اللازمة لتاهيل الطلبة بالمها ا رت المعرفية والادائية. في الع ا رق تم اعتبار طب الطوارئ من المواضيع التي تحتاج الى تطوير. لقد تم التيقن من ان التدريب الطبي المعتمد على المهام مرتبط بتحسن اداء الكوادر الصحية و الطبية في انجاز المهام التي تواجهم في حياتهم الوظيفية. ان الهدف من هذه الد ا رسة هو تقييم دور الب ا رمج التدريبية و التعليمية المعتمدة على المهام في تطوير اداء المتخرجين الجدد من كليات الطب في مجال تنفيذ الاج ا رءات الطبية العاجلة في مجال طب الطوارئ.طرق البحث: لقد اعتمدت طريقة البحث شبه التجريبي في تصميم هذه الد ا رسة التي نفذت خلال شهري حزي ا رن و تموز 2010 من كلية طب دهوك و - من العام 2010 في دهوك. البحث اعتمد على عينة من الطلبة المتخرجين سنة 2009 الذين بدورهم قسموا الى مجموعتين: مجموعة التدخل و المجموعة الضابطة. العوامل التي حددت مجموعة التدخل هو ان لا يكون الطبيب المقيم الدوري قد اكمل تدريبه في مستشفى الطوارئ او اي من الوحدات او الاقسام الخاصة باستقبال الحالات الطارئة في مستشفيات دهوك الاخرى. لقد تم اختيار تسعة من الاج ا رءات المستخدمة في طب الطوارئ بكثافة لتكون المادة التدريبية النظرية و العملية للكتيب التدريبي التي استخدم لاحقاً كمنهج تدريبي للاطباء المقيمين المشمولين بالبحث. كذلك فقد تم اختيار الفحص السريري الهادف و المنظم في اختبار المها ا رت المعرفية و الادائية للعينة موضوع البحث قبل و بعد البدء بالبرنامج التدريبي.النتائج: لقد سجلت مستويات متدنية في اداء كلا المجموعتين التدخلية و الضابطة في تنفيذ المها ا رت الادائية للاج ا رءات الطبية العاجلة في مجال طب الطوارئ قبل البدء بالبرنامج التدريبي. ( 34.3 % مقابل 33.3 %)، ولكن النتائج ظهرت معكوسة تماماً بعد تطيبق البرنامج التدريبي للاطباء العينة ( 88.6 % مقابل 33.3 %). كما تبين ان كلاً من الجندر ومعدل التخرج النهائي من الكلية لا تاثر لهما على اداء اطباء العينة في البرنامج التدريبي. كما تلقى البرنامج التدريبي قبولاً جيداً من الاطباء العينة في اعتماد الاسلوب التدريبي المعتمد على المهام في التدريب على اداء الاج ا رءات العاجلة في طب الطوارئ.الاستنتاج: ثبت ان الاسلوب التعليمي المعتمد على المهام فعال في تدريب و رفع الكفاءات الأدائية للاج ا رءات الطبية العاجلة في مجال طب الطوارئ لدى الاطباء المقيمين الدوريين. و يمكن الاعتماد و التوثق من فعالية هذا الاسلوب أيضاً في تدريب طلبة الكليات الطبية و كذلك طلبة الد ا رسات العليا على الاج ا رءات العاجلة الخاصة بطب الطوارئ.


Article
Response of Supraventricular Tachycardia Patients to Modified Valsalva Maneuver in Rozhalat Emergency Hospital/Erbil City – Kurdistan Region of Iraq

Author: Dara Farhad Abdulqadir, Halgurd Fathullah Ahmed1, Shakawan Muhamad Ismaeel2
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2019 Volume: 16 Issue: 3 Pages: 261-264
Publisher: Babylon University جامعة بابل

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Abstract

Background: Supraventricular tachycardia (SVT) is one of the common presentations in accident and emergency department.Objective: The aim of the study was to measure out the number of the SVT patients that will respond to modified Valsalva maneuver (MVM).Materials and Methods: A cross‑sectional study among done for 60 patients presented with SVT to Rozhalat Emergency Hospital in Erbilbetween June 15, 2018, and January 15, 2019, a questionnaire form designed to collect data and use MVM properly as the first line of treatmentwith care to keep the information private. Results: The study results revealed that majority of our sample are middle‑aged (40–65 years) andfemale by 50% and 65%, respectively. Male gender patients were a better responder to modified Valsalva comparing to female gender 53.3%and 46.7%, respectively (though it is statistically not significant). As early patient presented with onset of symptoms, is better responded tomodified Valsalva, those patients are divided into patients who come within 1st h (53.3%), within 1–3 h (46.7%), and after 3 h (0%). This wasstatistically significant. In general, modified Valsalva technique was successful to invert 25% of patients to sinus rhythm nonpharmacologically,and 8.33% of total patients that responded to modified Valsalva needed more than one trial. Conclusions: We can conclude from the study thatmales are better responders to modified Valsalva than females, As long as patients come early to the emergency room, the better they respondto modified Valsalva. We can also conclude that modified Valsalva was a very good technique for treating SVT patients.

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