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Article
Prevention Of The Obesity Among Primary School Children In Baghdad City
الوقایة من السمنة بین اطفال المدارس الابتدائیة في مدینة بغداد

Authors: Mahdi AbedAL-Musawi --- Kahtan Hadi Hussein
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2013 Volume: 3 Issue: 2 Pages: 207-213
Publisher: University of Kufa جامعة الكوفة

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Abstract

Objective: The aim of study was to assess the obesity in primary school age children in Baghdad City, andfind out the relationship between the variables like (age, gender, and economic status, level of education ofparent) with obesityMethodology: A descriptive study conducted in Baghdad City among primary school students of both sexes,in the period from 2nd October 2011 to 26th February 2012. Selected sample of 520 students from 12 schoolsin Baghdad. Sample data collected through the use of questionnaire especially designed for that purpose, andheight and weight measurements, which consists of two parts, the partI includes demographic characteristicsof the child and the parents part II includes dietary habits to questionnaire reliability was identified through apilot study and competence. Data analyzed through the use of descriptive statistics (Frequency andpercentage).Results: The results of the study indicated that (31.5%) of children with obesity and the results of the studyshowed that there is a significant relationship between obesity and child demographic characteristics (age,sex, class, arranged for the child in the family, and children living with one or both, parent function, themonthly income of the household and residence) dietary habits and physical activities. Furthermore, noassociation aged between childhood obesity and (the number of children in the family and the level ofeducation of parents).Conclusion: This study reported high prevalence of obesity among school age students in Baghdad city.Recommendations: application of assessment of children obesity and the preventions particularly at the ageof children and to increase community awareness about the risks of epidemic of obesity among primaryschool children by conducting seminars and educational programmers.

الھدف : تھدف ھذه الدراسةالى التعرف على ظاھرة السمنة بین أطفال المدارس الابتدائیة في مدینة بغداد ومعرفة العلاقة بین بعض المتغیراتمع السمنةالمنھجیة: أجریت دراسة وصفیة في بعض المناطق من مدینة بغداد بین طلاب المدارس الابتدائیة لكلا الجنسین الفترة في 2 تشرینالاول/ 2011 الى 26 /شباط/ 2012 . اختیرت عینھ من 520 طالب وطالبھ من 12 مدرسة في مدینة بغداد وجمعت بیانات العینھ من خلالاستعمال استبانھ مصممة خصیصا لھذا الغرض والتي تتألف من جزأین، الجزء الأول یشمل الخصائص الدیموغرافیة للطفل والابوین ویشملالجزء الثاني العادات الغذائیھ والنشاطات الجسمیة ومستوى السمنة بین أطفال المدارس الابتدائیة.وملئت فقرات الاستبانھ بطریقة المقابلةواجراء قیاس الوزن والطول حدد ثبات الاستبانة من خلال الدراسة الاستطلاعیة وتحدید مصداقیتھا من خلال الخبراء وتم تحلیل البیانات منخلال تطبیق التحلیل إلاحصاء الوصفي (التكرارات والنسبة المئویة)النتائج : وأشارت نتائج الدراسة إلى أن ( 31.5 %) من الأطفال مصابین بالسمنة واظھرت نتائج الدراسة أن ھناك علاقة كبیرة بین السمنةوالصفات الدیموغرافیة للطفل (عمر الطفل، جنس الطفل، الصف، ترتیبھ في الأسرة، وعیش الطفل مع العائلھ ووظیفة أولیاء الأمورالاقتصادیة والاجتماعیة، الدخل الشھري للأسرة والإقامة) والعادات الغذائیة والنشاط البدني.وعلاوة على ذلك، لا یوجد أي اقتران كبیربین بدانةالأطفال وعدد الأطفال في الأسرة، ومستوى تعلیم الوالدین.الاستنتاج استنتجت الدراسة وجود انتشار عالي للسمنة بین أطفال المدارس الابتدائیةالتوصیات: تطبیق تقییم السمنة لدى الأطفال و الوقایة منھا خاصة في سن الأطفال وزیادة وعي المجتمع حول مخاطر السمنة بین أطفالالمدارس الابتدائیة.عن طریق إجراء الندوات والبرامج التثقیفیة.

Keywords

Obesity --- Prevention --- Children.


Article
CRISIS INTERVENTION PROGRAM FOR CHILDREN AND ADOLESCENTS (CIPCA) TO PREVENT POSTTRAUMATIC PSYCHOPATHOLOGY, PRELIMINARY REPORT
برامج تداخل الازمات الاطفال و الشباب , تقرير اولى

Author: ABDULBAGHI AHMAD عبدالباقي احمد
Journal: Duhok Medical Journal مجلة دهوك الطبية ISSN: ISSN: 20717334 (online)/ ISSN: 20717326 (Print) Year: 2014 Volume: 8 Issue: 2 Pages: 1-11
Publisher: University of Dohuk جامعة دهوك

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Abstract

ABSTRACTBackground and objectives Despite devastating psychopathology after childhood trauma, no evidence-based prevention has been identified. After the Islamic State (IS) war in Iraq and Syria, a group intervention program is provided to the internally displaced and refugee children, in attempt to prevent posttraumatic psychopathology, and to identify children whoneed special care.Methods A Crisis Intervention Program for Children and Adolescents is developed by the author. Three instruments (Crisis Expression Guidelines, Crisis Screening Instrument, and Modified Family Map) are delivered through Training of Trainers (ToT) to help the displaced and refugee children (6-11 and 12-18 years) within a one-hour group session (10-30 children) express thoughts and emotions related to the war crises, and to screen for further care.Results In a pilot project, 37 professionals working with children applied to the ToT course and 300 IDP teachers completed training to provide CIPCA to the Internally Displaced People (IDP) and refugee children in the temporary camps in the region. In a pilot project, 315 children received the CIPCA, and a further 67500 school children are waiting for the intervention when the schools start in the IDP camps. Screening revealed 15.2% of theparticipating children need individual assessment.Conclusion CIPCA is applicable as a cost and time effective crisis intervention to IDP and refugee children of IS war. Further expansion of the program is planned. Follow-up will evaluate the preventive effect of CIPCA.

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Article
Episiotomy preventing approaches among midwives in Kurdistan region
اساليب منع بضع العجان القابلات فى اقليم كردستان

Author: Hamdia M Ahmed حمديه احمد
Journal: nursing national Iraqi specility المجلة العراقية الوطنية للعلوم التمريضية ISSN: 18122388 Year: 2015 Volume: 28 Issue: 2 Pages: 93-99
Publisher: Baghdad University جامعة بغداد

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Abstract

Objectives: This study aimed to findout approaches which used by midwives for avoiding episiotomy and assess their knowledge regarding complications of episiotomy in three main cities of Kurdistan region. Methodology: A cross-sectional study was conducted between 1st January and 15th April 2014 in the three biggest maternity teaching hospitals. The study population included all the midwives (n=53) working in delivery rooms. Data were collected through interview with midwives. Results: The Midwives stated the followings as complications of episiotomy: tear into the rectum muscle or rectum itself (52.8%), bleeding (60.3%), infection and/or swelling of episiotomy area (62.2%), defect in wound closer (35.8%), local pain (32%). There was significant difference between knowledge of midwives in three cities regarding complications of episiotomy. Midwives used Good position, good vaginal support (35.8%), using Castor oil (32%), performing episiotomy only in indicated case (13.2%), no pushing without contraction (18.8%), giving enough time to mother (26.4%), using gel (15%), as episiotomy avoiding approaches. There was highly significant difference between three cities regarding episiotomy preventing approaches.Recommendations: training courses, developing guideline and establish clear and unified policy regarding episiotomy preventing approaches are necessary to decrease rate of episiotomy.

الأهداف: تهدف هذه الدراسة هو لأيجاد الوسائل المستعملة من قبل القابلات لمنع اجراء عملية بضع العجان و تقييم معلوماتهن حول مضاعفات تلك العملية فى ثلاث مدن من اقليم كردستان.المنهجيه: أجريت دراسة مقطعيه بين 1 كانون الثانى و 15 نيسان 2014 فى أكبر المستشفيات النسائيه التعليميه الثلاثة فى المدن الرئيسيه فى أقليم كردستان. و شملت عينه الدراسة جميع القابلات العاملات فى غرف التوليد و عددهن 53 قابلة. و تم جمع البيانات من خلال مقابله مع القابلات.النتائج: ذكرت القابلات أن مضاعفات بضع العجان هى: تمزق فى عضلة المستقيم او المستقيم نفسه (52.8%)، والنزف (60.3%)، والخمج و لتورم (62.2%)، خلل فى التئام الجرح (35.8%)، الم فى منطقة بضع العجان (32%). كان هناك فرق كبير بين معرفة القابلات فى المدن الثلاث حول مضاعفات بضع العجان. أما طرق تجنب بضع العجان حسب لأى القابلات هي: استخدام القابلات الوضعية الجيدة فى الولادة، و دعم منطقة العجان (35.8%)، و ذلك باستخدام زيت الخروع (32%), و اجراء بضع العجان فقط فى حال الحاجة (13.2%)، عدم الدفع بدون تقلصات رحمية (18.8%)، و اعطاء الوقت الكافى للماخض ( 26.4%)، و ذلك باستخدام الجلى (15%). كان هناك فرق كبير جدا بين ثلاث مدن فى طرق تجنب بضع العجان.التوصيات: لتخفض معدلات بضع العجان فمن الضروري اقامة الدورات التدريبية، و تطوير الادلة و وضع سياسة واضحة و موحدة بشأن منع بضع العجان الا في الحالات الضرورية لخفض معدل بضع العجان.


Article
The effectiveness of vancomycin injection in disc space during lumbar discectomy in prevention of postoperative discitis

Author: Hayder Qatran Raheem
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2012 Volume: 11 Issue: 2 Pages: 11-14
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Post discectomy disc space infection is relativelyuncommon 4 %; nevertheless it is the most disabling causes of failed backsurgery.Aims: To assess the effectiveness of intra-discal vancomycin indiscectomy operation, we evaluated operative time, blood loss,postoperative complications (discitis) by measuring CRP, ESR andtemperature in the preoperative and postoperative period. Blood culturewas done in complicated case postoperatively. Social habit (smoking &drinking alcohol) and past medical history (Diabetes Mellitus) had beentaking in consideration.Patients and Methods: This is a prospective study on 150 patientsoperated upon by lumber discectomy, 75 cases have been treated byinjection of 4 ml of (2 mg/ml) vancomycin in the disc space that removedwhile in the other 75, 4 ml of normal saline was injected in the disc space(placebo).Results: There were 6 cases of postoperative discitis, all in the placebogroup. There were 4 men and 2 women, ranging in age between 26 and63 years. 3 were diabetics. All cases were in L4-5 disc space. Thefrequency of discitis was (4 %).In vancomycin group the frequency was0% and in placebo group 6/75 (8 %).Conclusions: We concluded that the intra-operative prophylaxis withvancomycin intra-discaly is effective in prevention of postoperativediscitis.


Article
PREVALENCE OF HAEMOGLOBINOPATHIES IN SULAIMANI – IRAQ
درجة انتشار اضطرابات الهيموغلوبين في السليمانية / العراق

Authors: NAJMALDIN H. AHMED نجم الدين احمد --- AZAD H. FARAJ زيد فرج --- NASIR A. AL-ALLAWI نصير علاوي --- SANA D. JALAL
Journal: Duhok Medical Journal مجلة دهوك الطبية ISSN: ISSN: 20717334 (online)/ ISSN: 20717326 (Print) Year: 2008 Volume: 2 Issue: 1 Pages: 71-79
Publisher: University of Dohuk جامعة دهوك

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Background Thalassaemia major is an important health problem in Sulaimani, a large province at Northeastern Iraq, and the need to initiate a preventive program for this potentially fatal disorder is paramount. As a prerequisite to such program this study was initiated to map the province for hemoglobinopathies. Material and Methods A total of 1472 subjects (736 couples) attending Sulaimani premarital Health centre were screened using red cell indices and sickling test. For those who had MCV<80 fl and/or MCH < 27 pg or had a positive sickling test, this was followed by Hemoglobin HPLC and iron studies Results Based on above investigations, 61 individuals (4.14%) were found to have ß- thalassaemia minor, 4 (0.27%) sickle cell trait, 2 (0.14%) Hb C trait, and 2 (0.14%) δßthalassaemia minor, and one (0.07%) had Hereditary Hemoglobin F Persistence (HPFH) homozygous state. Moreover, 49 individuals (3.3%) had α- thalassaemia, including one with Hb H disease (0.07 %). The study also revealed a consanguinity rate of 24.3% among the screened couples. Conclusions The high prevalence rate of ß- thalassaemia carrier state and consanguinity, among premarital couples should further strengthen the need for initiating a preventive program for hemoglobinopathies in this region.

خلفية البحث: يعد مرض فقر دم البحر الابيض المتوسط مشكلة صحية مهمة في محافظة السليمانية التي هي احدى المحافظات الكردية شمال شرق العراق .الهدف من الدراسة :للحاجة الشديدة لبدأ برنامج وقاية من هذا المرض الخطر اجريت هذه الدراسة لمسح الاقليم للوقوف عند مدى انتشار هذه الاضطرابات في الهيموكلوبين .مواد وطرق البحث: شملت هذه الدراسه فحص 1472 شخص (736رجل و أمرأة) من المراجعين لمركز فحوصات ماقبل الزواج في السليمانية اعتمادا على اسس كريات الدم الحمراء (معدل حجم الكرية الحمراء، معدل الهيموكلوبين في الكرية الحمراء ) مع فحص الكشف عن فقر الدم المنجلي متبوعة بترحيل الدم بجهازHPLC وقياس نسبة الحديد في الجسم للازواج الذين كانت قرائات معدل حجم الكرية الحمراء اقل من 80 فيمولتر مع او بدون انخفاض معدل الهيموكلوبين في الكدرية الحمراء اقل من 27 بيكوكرام او اذا كان فحض الكشف عن فقر الدم المنجلي ايجابيالنتائج: اعتمادا على الفحوصات اعلاه ، وجد ان 61 شخصا (4,14% ) هم حاملين لصفة فقر دم البحر الابيض المتوسط (النوعβ) 4 اشخاص (27% ) حاملين لصفة فقر الدم المنجلي ، شخصان (14%) حاملين لصفة هيموكلوبين C، شخصان لصفة فقر الدم البحر الابيض المتوسط (نوعδβ) مع وجود شخص حامل لمرض الاستمرار الوراثي لوجود الهيموكلوبين الجنيني (0.07%) بالاضافة الى 49 شخص (3.3%) حاملين لصفة فقر دم البحر الابيض المتوسط نوع (α ) متضمنا حالة واحدة لمرض هيموكلوبين H (0.07%) . هذه الدراسة بينت ايضا ان نسبة زواج الاقارب كانت (24,3%) الاستنتاجات: ان الانتشار العالي لحاملي صفة فقر دم البحر الابيض المتوسط (نوعβ) مع انتشار زواج الاقارب اكد ضرورة انشاء برنامج وقائي للحد من انتشار اظطرابات الهيموكلوبين في المنطقة.


Article
Low Dose Inhaled Corticosteroid in Asthma & Prevention of Acute Coronary Syndrome

Author: Abdul Hameed Al-Qaseer
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2010 Volume: 9 Issue: 1 Pages: 57-62
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Background Asthma is associated with higher risk of adverse cardiovascular outcomes. Hypoxemia and inflammation had been suggested to play a role and the use of inhaled corticosteroids is possibly associated with a major effect on reduction this higher risk with amelioration of the suggested mechanisms. Objective This study had been designed to assess the effect of the use of low dose inhaled corticosteroids on the frequency of myocardial infarction in asthmatic patients, compared to the effect of other anti-asthmatic medications. Methods This study is a prospective study that included 92 asthmatic patients who had unstable angina at the time of inclusion. The sample were randomly selected from those who had been admitted to the coronary care unit of Al-Yarmouk Teaching Hospital during the period between February 2008 to February 2009, with the mean period of follow up of 8.3± 2.1 months (6 months-1 year). Detailed medical history had been taken and thorough physical examination was made for all patients. The patients had been sub-classified according to the type of the used therapy for asthma. Results Twenty three male and 69 female patients had been enrolled in this study. The mean age was 52.48 ± 9.86 and 50.36 ± 6.8 year-old for male and female patients, respectively. After 1 year of follow up 17 patients (18.5% of the sample) had myocardial infarction during the period of follow up, the rest of the sample (75 patients, 81.5% of the sample) completed their period of follow up without any evidence of having myocardial infarction. Sixty patients had been treated with inhaled corticosteroid therapy (65.2%), while 20 patients (21.7%) and 12 patients (13%) had been treated with inhaled B2 agonist therapy alone and inhaled B2 therapy in addition to leukotrien receptor antagonist therapy, respectively. Nine out of the 17 patients (52.9% of those with MI) were 40-49 year-old. Only 5 out of the 60 patients who had been treated with inhaled corticosteroid therapy (29.4% of those having MI, 8.3% of those treated with inhaled corticosteroid therapy) had myocardial infarction during their follow up. This study revealed that 5 out of 17 patients with evidence of acquiring myocardial infarction during the period of follow up (29.4%) had at least one marker of asthma severity. Only 2 out of 18 patients with any marker of asthma severity had used low dose inhaled corticosteroid (11.1%), while the rest of them (16 patients, 88.9% of those with any marker of severity) were using other anti-asthmatic medications. Conclusion The use Low dose inhaled corticosteroid was associated with decreased frequency of acute myocardial infarction in asthmatic patients initially diagnosed to have unstable angina in comparison to the frequency of MI among patients treated with other anti-asthmatic medications. MI was more frequent among younger asthmatic patients. Having any marker of asthma severity is associated with higher risk of having myocardial infarction. Having any marker of asthma severity is associated with higher risk of having myocardial infarction. Use of low dose inhaled corticosteroid is associated with less severe asthma and lower frequency of developing acute myocardial infarction.


Article
The Impact of Thalassemia Major on Dental Integrity and Development

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Thalassemia major is no longer a disease of childhood. Life expectancy of these patients has increased as a result of the dramatic change in medical management of thalassemia major in the past two decades. As patients with thalassemia major become older, their needs also are changed. Patients now face new issues, such as having families, obtaining higher education, and securing employment, which need more care and attention for their appearance in general and dental health in special.The aim of this study was to compare the dental maturity and integrity of a group of patients with β thalassaemia major with age and sex matched healthy controls in Baghdad.For this cross sectional study, a convenient sample of 100 (72 males and 28 females) thalassemic patients who were attending the thalassemia centers in AL-Karama and Ebin-AL Balady hospital was involved. The age of the patients ranged from 6 to15 years. A similar number, of healthy individuals matching with age and gender, was selected as control.Plaque, calculus, and gingival indices as well as decayed, missed and filled surfaces indicator are significantly different in thalaessaemic patients in comparison to control group. The thalaessaemic patients also demonstrated a delay in the development of their dentition.The thalassemic patients demonstrated a delay in the development of their dentition. The mean difference between chronologic and dental age was found to be statistically significant


Article
The knowledge and practices of oral hygiene methods in a sample of college students; Baghdad

Authors: Dr.Mohammed A. Hamid. B.D.S., M.Sc. ** د.محمد حامد --- Dr.Yousif A. Al-Rahim. MBCHB, FICM /CM * د.يوسف الرحيم
Journal: MUSTANSIRIA DENTAL JOURNAL مجلة المستنصرية لطب الاسنان ISSN: 18138500 Year: 2008 Volume: 5 Issue: 1 Pages: 88-92
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Back ground: Poor oral health can have a profound effect on general health and the quality of life, the experience of pain, endurance of dental abscesses, problems with eating, chewing, and missing, discolored or damaged teeth, has a major impact on people’s daily lives and wellbeing. All these problems can be prevented by good personal oral hygiene practices.Objectives: The aim of this study was to find out the knowledge and practices of oral hygiene methods and assess any association between these methods with the prevalence of dental caries among the students in different colleges in BaghdadMethods:-Study design: Cross sectional-Study period: The study was conducted from September, 1st to December, 31st 2005-Settings: Different colleges in Baghdad-Participants: A convenience sample of Four hundred and seventy students, male 236 (50.2%) and female 234 (48.8%).-Data collection: The data were collected by using a specially prepared questionnaire and oral examination.Results: 73.6% shows a poor and intermediate knowledge and practices methods of oral hygiene, the prevalence of dental caries reaches 66.4%. The proportion of dental carries among students with excellent score for the knowledge and practice methods of oral hygiene was 15.4 % (4 out of 26) only, while those with poor score showed 97.4% (76 out of 78).Conclusions: There is a need to enhance the knowledge of oral health and disease among our students, early detection and treatment of dental and oral diseases.


Article
Knowledge of Undergraduate Medical and Non-Medical Students about HIV/AIDS Prevention and Control (II)
معارف طلبة الكليات الطبية وغير الطبية تجاه طرق الوقاية والسيطرة على متلازمة العوز المناعي المكتسب (الأيدز)

Authors: Shamil Faisal Farhan د.شامل فيصل فرحان --- Abdul Muniem Y. Al-Dabbagh د.عبد المنعم يونس الدباغ
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2008 Volume: 21 Issue: 1 Pages: 6-12
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background & Objectives: To assess the knowledge of undergraduate medical and non-medical `students about the prevention and control of HIV/AIDS and to determine the effect of the curriculum applied in the colleges of medicine regarding HIV/AIDS on the level of knowledge of medical students compared with that of non-medical.Methods: Questionnaire survey using structured, self-administered questionnaire consisted of 29 closed-ended questions, concerning the knowledge of prevention and control of HIV/AIDS was distributed to 400 undergraduate students from Colleges of Medicine, Science and Arts in Al-Mustansirya University during the period from the 1st of October 2004 through May 2005.Results: The study showed that 95.5% of medical and 83.5% of non-medical students had good and 3% of medical and 15.5% of non-medical students had fair knowledge scores regarding HIV prevention .While 87.5% of medical and 56% of non-medical students had good and 10.5% of medical and 36.5% of non-medical students had fair knowledge scores regarding HIV/AIDS control.Conclusion :Generally, students showed good knowledge about the prevention and control of HIV/AID, and the level of medical students' knowledge was higher than that of non-medical, however some gaps in their knowledge still exist and ignorance of some basic facts related to HIV prevention were reported.Keywords: Knowledge, students, HIV/AIDS prevention and control.

أهداف الدراسة :تقييم معارف طلبة الكليات الطبية وغير الطبية تجاه الوقاية والسيطرة على متلازمة العوز المناعي المكتسب (الأيدز) وبيان مدى تأثير المعلومات المعطاة حول المرض ضمن المناهج المطبقة في الكليات الطبية على مستوى معارف طلبة الكليات الطبية بالمقارنة مع مستوى أقرانهم في الكليات غير الطبية .طريقة البحث:تم إجراء البحث باعتماد نموذج استبيان يملأ من قبل الطلبة مكون من( 39 ) سؤالا مغلقا تتعلق بعوامل الإختطار وطرق انتقال العدوى بالأيدز تم توزيعه( 400 ) طالب من كليات الطب والعلوم والآداب في الجامعة المستنصرية للفترة من الأول من تشرين الأول 2004 ولغاية نهاية آيا ر 2005.نتائج البحث : أظهرت الدراسة ان5,95% من طلاب الكليات الطبية و 5, 83% من طلبة الكليات غير الطبية قد حصلوا على مستوى نقاط جيد و 3 % من طلبة الكليات الطبية و 5 , 15 % من طلبة الكليات غير الطبية قد حصلوا على مستوى نقاط مقبول فيما يخص المعارف عن طرق الوقاية و 5 , 87% من طلبة الكليات الطبية و 56 % من طلبة الكليات غير الطبية قد حصلوا على مستوى نقاط جيد و 5 , 10% من طلبة الكليات الطبية و5 , 36 % من طلبة الكليات غير الطبية قد حصلوا على مستوى نقاط مقبول فيما يخص المعارف عن كيفية السيطرة على مرض الأيدز.الاستنتاجات: بصورة عامة أبدى طلبة الكليات الطبية وغير الطبية مستوى معارف جيد حول عوامل الإختطار وطرق انتقال العدوى بمرض الأيدز وان مستوى معارف طلبة الكليات الطبية كان أعلى من مستوى معارف أقرانهم من الكليات غير الطبية ،مع ذلك مازال هناك بعض الثغرات في معارفهم وعدم إلمام ببعض الحقائق الأساسية المتعلقة بطرق الوقاية من المرض.


Article
Assessment of licensed indigenous midwives’ knowledge concerning prevention and management of postpartum hemorrhage in Baghdad city

Authors: Eman A. Jaber --- Iqbal M. Abbas
Journal: nursing national Iraqi specility المجلة العراقية الوطنية للعلوم التمريضية ISSN: 18122388 Year: 2011 Volume: 24 Issue: 2 Pages: 1-12
Publisher: Baghdad University جامعة بغداد

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Abstract

Objective(s): The aim of this study is to assess licensed indigenous midwives’ knowledge concerning prevention and management of postpartum hemorrhage in Baghdad City. Methodology: A descriptive analytic study is conducted on a purposive "non-probability" sample of one hundred licensed indigenous midwives who were selected what represents 26% of the target population, during period from March, 5th to May, 10th, 2008. The study is conducted at the two settings of Ministry of Health (Baghdad health directorate in Al-Karhk and Al-Risafa) sector during their annual renewed license for midwifery practice. The questionnaire form is consisted of three parts which included demographic data, knowledge concerning prevention and management of primary postpartum hemorrhage. Content validity and reliability of the questionnaire is determined through a pilot study, descriptive and inferential statistical are used to analyze the data.Results: The study results showed that the highest percentage (40%) of study sample is of the age group (50-59 years) and more than half of the study sample is primary school graduate and less. More than the half of the study sample is assigned to primary postpartum hemorrhage during their practices in midwifery. There were statistically significant relationships between knowledge of licensed Indigenous Midwives regarding prevention and management of primary postpartum hemorrhage and their ages and level of education.Recommendations: The study recommends that licensed indigenous midwife should be provided with information on safe delivery practices and the importance of healthy referral system. Committing licensed indigenous midwife to apply Ministry of Health instructions, do not allowing delivering risky pregnant cases. Establish midwifery department for medical technical institutes and higher diploma degree in midwifery for college nurse graduates

الهدف : تهدف الدراسة إلى تقييم معارف القابلات الأهليات المجازات حول منع وتدبر النزف بعد الولادة في مدينة بغداد.المنهجية : دراسة وصفية تحليلية, تمّ اختيار عيّنة غير احتمالية (عمدية) لمائة قابلة أهلية والتي مثلت (26%) من المجتمع المستهدف للدراسة خلال المُدّة من5 آذار ولغاية 10 آيار، 2008. تمّ إجراء الدراسة في وزارة الصحة (دائرة صحة بغداد الكرخ والرصافة) خلال تجديد الإجازة السنوية لممارسة القبالة. تكونت الإستمارة الاستبيانية من (3) أجزاء تشمل الخصائص الديموغرافية ومعارف القابلات الأهليات المجازات في منع وتدبير النزف الأولي بعد الولادة, وتمّ تحديد صدق المحتوى وثبات الاستمارة الاستبيانية من خلال دراسة إستطلاعية وإستعمال التحليل الإحصاء الوصفي والإستنتاجي في تحليل البيانات.النتائـج: تشير نتائج الدراسة إن أعلى نسبة (40%) من أفراد عيّنة الدراسة تتراوح أعمارهن بين (50-59 سنة) وأكثر من نصف عيّنة الدراسة هُنّ من خريجات الدراسة الإبتدائية وأقل، وإنّ أكثر من نصف عيّنة الدراسةِ تعرّضنّ لحالات من النزف الأولي أثناء ممارستهن التوليد وأنّ هناك علاقة ذات دلالة إحصائية بين معارف القابلات الأهليات المجازات في منع (تدبر) النزف الأولي بعد الولادة وعمرهن ومستواهن التعليمي. التوصيـات: توصي الدراسة بتزويد القابلة الأهلية المجازة بالمعلومات عن ممارسات الولادة الآمنة وأهمية نظام الإحالة الصحيّ وإالزام القابلة الأهلية المجازة في تطبيق تعليمات وزارة الصحة بعدم السماح لها في توليد حالات الحمل المعرّضة للخطورة وإنشاء فرع للقبالة في معاهد الطبي التقني ودبلومِ عالي في القبالة لخريجات كلية التمريض

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