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Article
Evidence- based medicine among family physicians in Mosul city: knowledge and attitudes
الطب المبني على الدليل بين أطباء الأسرة في مدينة الموصل: المعارف والمواقف

Author: Anmar B. Al-Dewachi انمار برهان الديوجي
Journal: Annals of the College of Medicine Mosul مجلة طب الموصل ISSN: 00271446 23096217 Year: 2013 Volume: 39 Issue: 1 Pages: 38-44
Publisher: Mosul University جامعة الموصل

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Abstract

ABSTRACTObjectives: The aim of this study is to assess knowledge and attitudes of family physicians in Mosul city toward evidence-based medicine and to describe the major barriers to practicing evidence based medicine.Method: A cross sectional questionnaire based survey has been adopted for this study. For the period between the 1st of June and 31st of August 2012; a self-administered questionnaire had been distributed to all 71 family physicians registered in Nineveh Health Directorate and practicing in primary health centers in Mosul city. The main outcome measures were: participants’ attitudes toward evidence –based medicine (EBM), their knowledge about the important technical terms used in EBM and their perception of barriers to EBM practice.Results: Sixty one family physicians participated in this study, 24 (39.3%) were males and 37 (60.7%) were females. The response rate was 85.9%. The mean age of the participants was 36.15 years. Most of the respondents had positive attitudes toward EBM: 54.1% showed welcoming attitudes towards EBM; 44.3% showed strongly welcoming attitudes towards EBM; 65.6% believed that most of their clinical practice was evidence based; 90% agreed with the concept of practicing EBM improves patients care. The participants showed deficient knowledge regarding the technical terms commonly used in EBM. Patients overload and lack of personal time were the major perceived barriers to practicing EBM (78.7% and 65.6%) respectively.Conclusion: Although this research revealed high support among family physicians in Mosul for the practice of EBM, they showed a deficiency in knowledge about EBM. Keywords: EBM, family physicians, family medicine, knowledge, attitudes.

الخلاصةأهداف الدراسة: تقييم معارف ومواقف أطباء الأسرة في مدينة الموصل من الطب المبني على الدليل، وكذلك لوصف المعوقات الرئيسة لممارسة الطب المبني على الدليل. طرق العمل: هذه دراسة مقطعية بإستخدام إستبيان خلال الفترة الممتدة من الأول من حزيران إلى الحادي والثلاثين من آب 2012. تم توزيع إستبيان على جميع أطباء الأسرة المسجلين في دائرة صحة نينوى والعاملين في مراكز الرعاية الصحية الأولية في مدينة الموصل، والبالغ عددهم 71 طبيب أسرة. وإعتمدت مقاييس الحصيلة على النحو التالي: مواقف المشاركين من الطب المبني على الدليل, معارف المشاركين فيما يخص المصطلحات الفنية المستخدمة في الطب المبني على الدليل والعوائق التي تحول دون ممارستهم للطب المبني على الدليل.النتائج: شارك في الدراسة 61 طبيب أسرة, 24 (39,3%) من الذكور و37 (60,7%) من الإناث. وكان معدل الاستجابة 85,9%. وكان معدل أعمار المشاركين 36,15 سنة. أظهرت الدراسة أن معظم المشاركين لديهم مواقف إيجابية من الطب المبني على الدليل، وكانت على النحو التالي: أظهر 54,1% موقفا مرحبا من الطب المبني على الدليل، كما أظهر 44,3% موقفا مرحبا بشدة من الطب المبني على الدليل وأن 65,6% من المشاركين يعتقدون أن معظم ممارساتهم السريرية مبنية على الطب المبني على الدليل وأن 90% من المشاركين متفقون مع المفهوم القائل أن الطب المبني على الدليل يحسن مستوى الرعاية الصحية المقدمة للمرضى. وأظهرت الدراسة كذلك قلة معرفة المشاركين بالمصطلحات الفنية المستخدمة في الطب المبني على الدليل. كما أظهرت أيضا أن العدد الكبير للمرضى إضافة إلى نقص أوقات الفراغ الشخصي كانت من أهم العوائق في وجه ممارسة الطب المبني على الدليل (78,7% و 65,6%) على التوالي. الاستنتاج: على الرغم من أن هذا البحث أظهر تأييدا عاليا من قبل أطباء الأسرة في مدينة الموصل لممارسة الطب المبني على الدليل إللا أنه أظهر نقصا في معارف هؤلاء الأطباء بتفاصيل الطب المبني على الدليل.


Article
Objectives of family planning in a sample of women attending Al-Sheikh Omar health center
دراسة اهداف تنظيم الأسرة لدى عينة من مراجعات مراجعات مركز الشيخ عمر الصحي في بغداد

Authors: Bakir Kareem Abid --- Miral Fateh-Allah Thabit --- Sulaf Ahmed Hussain
Journal: AL-TAQANI مجلة التقني ISSN: 1818653X Year: 2010 Volume: 23 Issue: 3 Pages: 16-20
Publisher: Foundation of technical education هيئة التعليم التقني

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Abstract

This study was carried out to find out the characteristics of the attendants to the family planning clinics in regard to their reasons for attendance, their family size, and the type of contraception they preferred. Design of the study was cross section, conducted in Al-Sheikh Omar health center in Baghdad City. A sample size of 539 was selected by simple random sampling from attendants of the family planning clinic in the health center. Results of the study revealed a mean of age of 27 years, and 33.02% had been married for 8 years and has 2-4 live births. The last child of 30.28% of women was more than 3 years old. Attendance was for contraception in 99.25% of women, and 65.3% of them preferred oral contraceptive pills. The reason for refusing pregnancy was economic difficulty in 56.2% of women, and anemia was the most frequent medical reason for using contraception.

اجريت هذه الدراسة لغرض ايجاد خصائص مراجعات عيادة تنظيم الأسرة فيما يخص سبب المرجعة, حجم الأسرة, و النوع المضل لمانع الحمل. كان نوع الدراسة مقطعيا واجري في مركز الشيخ عمر الصحي ببغداد. كان حجم العينة 539 امراة منن تم اختيارهن بالطريقة العشوائية البسيطة. اظهرت نتائج الدراسة ان متوسط عمر المراجعات هو 27 سنة. و 33.02% منهن متزوجة منذ 8 سنوات ولديها 2-4 طفل على قيد الحياة. كان عمر آخر طفل اكثر من 3 سنوات لدى 30.28% من المراجعات وسبب المراجعة هو لغرض منع الحمل لدى 99.25% منهن ونوع مضاد الحمل المفضل لديهن هو الحبوب (66.3%) وسبب الأمتناع عن الحمل هو ظروف اقنصادية لدى 56.2% من المراجعات وكان فقر الدم السببب الطبي الأكثر شيوعا للامتناع عن الحمل.

Keywords

family planning --- attendants --- cli


Article
PREVALENCE OF ENURESIS IN SAMPLE OF IRAQI CHILDREN

Author: Abdul-Kareem M Ali عبد الكريم محمد علي
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2012 Volume: 10 Issue: 1 Pages: 36-41
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

BackgroundEnuresis, which is frequently diagnosed amongst school age children, is an important psychosocial problem for both parents and children.ObjectiveIn the present study we aimed to determine the prevalence and associated risk factors of enuresis in sample of Iraqi children and to identify common methods for its management.MethodsAcross sectional epidemiological study was performed among primary school age children living in Tikrit and Beji cities during the period from the October 2008 to the June 2009. A self-administered questionnaire was prepared for this study and distributed to the parents of 1.150 school age children whom aged 6-12 years.ResultsOf the 1.150 questionnaires distributed, 1000 (87%) were completed. The overall prevalence of nocturnal and diurnal enuresis were 22% (n = 220) and 1.9% (n =25) respectively. Although male gender, low age, history of enuresis among parents, low educational level of the parents, deep sleep, increased number of siblings, increased numbers of people sleeping in the child's room, history of enuresis among siblings, poor school performance and history of recurrent urinary tract infections (UTI) were significantly associated with enuresis, but not with the severe enuresis. The percentage of children with enuresis seen by physician for treatment was 17.2%. The most preferred treatment option for enuresis was medications (59.5%), whereas alarm treatment was the least preferred (2.4%).ConclusionThe results with enuresis prevalence and associated risk factors were comparable to other epidemiological studies from various countries, but it is higher in our country. Furthermore we demonstrated that families in the Tikrit do not pay sufficient attention to enuresis and most of enuretic children do not receive professional treatment.Key WordsEnuresis, family characteristics, prevalence


Article
Family Functioning Among Caregivers of Patients with Schizophrenia in Baghdad city

Authors: Ali K. Khudhiar --- Hassan A. Hussein
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2012 Volume: 5 no 1 Issue: 11 Pages: 1204-1210
Publisher: Kerbala University جامعة كربلاء

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Abstract

objective: To determine the family functioning among caregivers of patients with schizophrenia and its association with patient’s and caregiver’s socio-demographic characteristics.Methodology: Sixty caregivers of patients with schizophrenia were recruited during their relatives' in-patient psychiatric hospitals: Baghdad Teaching Hospital, 10th floor, and Ibn-Rushd Psychiatric Hospital. Caregivers were interviewed and the data were collected by a self-reported questionnaire through using the Family Functioning Scale. Then, data were analyzed by using descriptive statistical measures and inferential statistical measures "Linear Regression".Results: All the dimensions of the family functioning are healthy. There was significant association between patients’ clinical characteristics and caregivers’ socio-demographic characteristics with family functioning.Recommendations: The researchers recommend conducting a longitudinal studies on family caregivers, using psychiatric and family assessment / intervention for those caregivers with family dysfunction


Article
Impact Of Family Expressed Emotion Upon Schizophrenic Patients

Authors: Ali Kareem Al-Juboori --- .Kareem Rashk Sachit
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2013 Volume: 3 Issue: 2 Pages: 65-72
Publisher: University of Kufa جامعة الكوفة

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Abstract

Objectives: To describe the demographic characteristics of the patients. Describe the samples demographicprofile by gender. Estimate the relationship between patient’s socio-demographic (age, gender, education,marital status, kinship, income, employment, and the families expressed emotions.Methodology: The study carried out on a purposive “non probability” sample of (100) schizophrenic patientwere selected from Psychiatric Hospital in Baghdad City. A questionnaire is constructed for the purpose ofthe present study, which is distributed across 4 main parts. Part one is a covering letter to obtain theagreement of patients and their family members to participate in the present study, part tow included thedemographic characteristics of the sample, and part three included the demographic characteristics of thesample concerned family members who provide care and for schizophrenic patients, part four the level ofexpressed emotion scale. The overall items, which were included in the questionnaire, are 42 items. Validityand reliability of the questionnaire were determined through the review of a panel of experts and the pilotstudy. Data were collected through the period from September 11th 2011 to October 11th 2011. It wasanalyzed through the descriptive statistics (frequency, percentage, and mean of score) and inferentialstatistics.Results: the results shows that The findings of the present study show that (46%) of the subjects are in theage group of 30-39, years. (62.8%) of the women reported that their income was inadequate compared to33.3% of the men.Conclusion: The results revealed that were a significant relationship was found in family expressed emotionwith schizophrenic patient regarding to their Compliance with medication, family size, and patient income.Recommendation: Collaboration between family members and mental health professional in the treatment ofschizophrenic patient. Family Educational programs about how to deal with schizophrenic patient's behaviorshould be implemented to increase their knowledge about schizophrenia and accepting to schizophrenicpatients._________________________________________________

الأھداف: وصف الخصائص الدیموغرافیة للمریض ، وصف الخصائص الدیموغرافیة للعینة حسب الجنس، وتقدیر العلاقة بین المریضوالمواصفات الاجتماعیة والدیموغرافیة مثل ( العمر، الجنس، المستوى التعلیمي، العلاقة الزوجیة، درجة القرابة، الدخل الشھري، المھنة)وكذلك العلاقة مع إظھار العاطفة الأسریةالمنھجیة: اجریت الدراسة على عینة مستھدفة ( غیر احتمالیة) مكونة من ( 100 ) من المرضى المصابین بالشیزوفرینیا في مدینة بغداد.صممت الاستبانة لتحقیق ھدف الدراسة من اربعة اجزاء: الجزء الاول یتضمن رسالة تغطیة للحصول على موافقة المرضى وأسرھم، الجزءالثاني المواصفات الدیموغرافیة للعینة والجزء الثالث المواصفات الدیموغرافیة لاسرة المریض، الجزء الرابع یتضمن مقیاس مستوى التعبیرعن المشاعر العاطفیة من قبل اسرة المریض. بلغ عدد فقرات الاستبانة 42 . حدد صدق وثبات الاستبانة عن طریق مجموعة الخبراء والدراسةالاستطلاعیة. جمعت المعلومات خلال المدة من 11 ایلول 2011 الى 11 تشرین الاول 2011 . حللت المعلومات عن طریق الاحصاء الوصفيكالتكرارات والنسب المئویة والوسط الحسابي والاحصاء الاستنتاجي.39 ، سنة. وان ( 62.8 ٪) من - النتائج: تظھر من النتائج التي توصلت إلیھا الدراسة الحالیة أن ( 46 ٪) من المبحوثین في الفئة العمریة من 30النساء دخلھم غیر كاف مقارنة مع( 33.3 ٪) من الرجال.الاستنتاج: اظھرت النتائج ان ھناك علاقة قویة بین اظھار المشاعر الاسریة ومرضى الشیزوفرینیا بخصوص الدخل الاسري وعدد افرادالاسرة ومتابعة المریض للعلاج .التوصیات:1. التعاون بین أفراد أسرة المریض والعاملین في مجال الصحة العقلیة بخصوص علاج المریض.2 . اعداد برامج تعلیمیة للأسر في كیفیة التعامل مع سلوك المریض بالفصام لزیادة معارفھم حول مرض انفصام الشخصیة، وقبولھم لمرضىالفصام.


Article
The importance of the family history on the development of hypertension.

Author: Taghred H. Abdul wahab تغريد عبد الوهاب
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2011 Volume: 53 Issue: 1 Pages: 98-100
Publisher: Baghdad University جامعة بغداد

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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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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
The relationship between the family and the school and the prospects of cooperation in the upbringing of children
العلاقة بين الاسرة والمدرسة وافـاق التعاون في تنشئة الاطفال

Author: Antisar Maani Ali AL-Saedi انتصار معاني علي الساعدي
Journal: Al-Adab Journal مجلة الآداب ISSN: 1994473X Year: 2019 Issue: 130 Pages: 223-244
Publisher: Baghdad University جامعة بغداد

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Abstract

The family plays an essential role in the behavior of individuals in a way that is both normal and abnormal. The behavioral models provided to their children are the first social institution that nurtures, protects and satisfies the child's biological and psychological needs, which help him to move from his biological state to his social status, so that he can rely on himself in his affairs. Private and public and able to conform to the demands and values of society. The family is an essential necessity for the survival of the human race and the continuation of social existence. The family has been and remains the most powerful social institution that affects all material and moral gains of man. The school is a social institution which is no less important than the family. The goals are one and the roles are complementary. Which each institution seeks to form and normalize in a way that creates a good citizen. Both the school and the family have a complementary role. The relationship between the family and the school must be based on the principles of cooperation, communication, mutual interaction and effective partnership. And the means and means to activate this relationship at the level of application and practice, and remains the school is to take the first step towards this openness and must work hard to make the family join and share the concerns of work, and must be open to the rest of the components of the ocean by activating all Legislative and legal measures that enable it to achieve this openness.

تؤدي الأسرة دورا أساسيا في سلوك الأفراد بطريقة سوية أو غير سوية من النماذج السلوكية التي تقدمها لأبنائها يعدها المؤسسة الاجتماعية الاولى التي ترعى الطفل وتحميه وتشبع حاجاته البيولوجية والنفسية، وهي التي تساعده على الانتقال من حالته البيولوجية إلى حالته الاجتماعية ليصبح قادرا على الاعتماد على نفسه في شؤونه الخاصة والعامة وقادرا على التوافق مع مطالب المجتمع وقيمه. كما ان الاسرة هي ضرورة حتمية لبقاء الجنس البشري واستمرار الوجود الاجتماعي، فالأسرة كانت ولا تزال أقوى مؤسسة اجتماعية تؤثر في كل مكتسبات الإنسان المادية والمعنوية، اما المدرسة فهي مؤسسة اجتماعية التي لا تقل أهمية عن الأسرة، فالأهداف واحدة والأدوار متكاملة، والخامة الأولية لكليهما هي الطفل الذي تسعى كل مؤسسة منهما إلى تشكيله وتطبيعه بالصورة التي يخلق منه مواطنا صالحا، ولكل من المدرسة والاسرة دوراً مكملاً الى الاخر، إذ ان العلاقة بين الاسرة والمدرسة يجب أن ترتكز على مبادئ التعاون والتواصل والتفاعل المتبادل والشراكة الفعالة، مع تسخير كل الإمكانيات والوسائل والسبل الكفيلة لتفعيل هذه العلاقة على مستوى التطبيق والممارسة، وتبقى المدرسة هي التي يجب عليها أن تخطو الخطوة الأولى نحو هذا الانفتاح وعليها أن تعمل جاهدة على جعل الأسرة تلتحق بها وتشاركها هموم عملها، كما يجب عليها أن تنفتح على باقي مكونات المحيط وذلك بتفعيل جميع الإجراءات التشريعية والقانونية التي تمكنها من تحقيق هذا الانفتاح.


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: 00419419 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
The Family Size in the Urban Regions of Wasit Governorate
حجم الأسرة في حضر محافظة واسط(دراسة في جغرافية السكان)

Author: Nagie Seham Risen الدكتور ناجي سهم رسن
Journal: Adab Al-Kufa مجلة اداب الكوفة ISSN: 19948999 Year: 2008 Volume: 1 Issue: 2 Pages: 109-132
Publisher: University of Kufa جامعة الكوفة

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Abstract

ABSTRACT

The Family is the core of the society upon which every thing depends. Its size has been the subject of interest for a long time. Large size families have often been considered a '' legitimate'' ambition because adding a new baby to the family means more income in an agrarian society, and it also means more man power which signifies mastery, control and prestige added to large size families in rural societies The present paper aims at studying family size in the urban area of Wassit Governorate (specifically the suburban towns). The questionnaire forms were distributed randomly and on the basis of the percentage of family in every town. The sample consisted of 281 families.
The paper dealt with family size on the basis of the geographical distribution and other influent geographic, economic and social factors, so as to form a picture of the future of the family size in Wassit .
The study concludes that the social factors are the west influential one of the variation of family size at present and that they will continue to be so in the future. It also predicts that family size will tend to be smaller in future. It also found out that males show a tendency for marrying younger few ales with the following , age averages : 26.1, 20.5 years for males and females respectively, and that there is a continual tendency for female marriages below the age of 15 years

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