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Article
ASYMPTOMATIC GALLSTONES IN DIABETIC PATIENTS

Author: Shukrya K Khalaf
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2015 Volume: 21 Issue: 1 Pages: 63-68
Publisher: Basrah University جامعة البصرة

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Abstract

Diabetes was reported to be frequently associated with inflammation of biliary tract and cholelithiasis. The definite cause of gallstones in diabetics is not well clarified. However, due to autonomic neuropathy, the contraction of gallbladder is poor resulting in hypomotility, impaired gallbladder emptying and biliary stasis resulting in increased gallbladder volume, which to predispose to gallstone formation. This study aimed to determine the prevalence of asymptomatic gallstones and its associated factors among diabetic patients in Basrah. This cross sectional study was carried out in diabetic Centre in Al-Fayhaa Hospital, Basrah, Iraq from November 2014 to February 2015. We recruited 210 patients with diabetes (type1 and 2), 89 males and 121 females, questionnaire used to include the sociodemographic features. BMI measurement and ultrasound examination to find gallstone was done. Blood samples were taken for HbA1C, FBS, Lipid profile and the association between duration of diabetes, lipid levels, FBS, with gallstone was evaluated. Gallstone was seen in 25.2% of diabetic patients. Gallstone was higher in patients with increased duration of diabetes, in patients with BMI more than 25kg/m, with increased cholesterol and triglycerides levels and with high level of HbA1C. In conclusion, the prevalence of asymptomatic gallstones in diabetic patients in Basrah increases with increased duration of DM, high level of HbA1C, BMI, cholesterol, and triglyceride levels and with hyperglycemia. No significant association was found with; age, parity, gender and type of diabetes.


Article
Prevalence and risk factors of post partum depression in a sample of women in Basrah
انتشار وعوامل اختطار اكتئاب ما بعد الولادة في عينة من النساء في البصرة

Author: Shukrya K. Khalaf
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2015 Volume: 19 Issue: 2 Pages: 991-997
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objective: Post partum depression is considered an important public health concern worldwide with its negative impact on mothers and children. The aim of this study was to determine the prevalence and risk factors of post partum depression among women in Basrah.Methods: Data were collected by interviewing women 8-12 weeks post partum using a questionnaire including information on socio-demographic and prenatal, natal and postnatal medical history. Postpartum depression was assessed using an Edinburgh Postnatal Depression Scale. Results: A total of 302 women were included in the study. The prevalence of postnatal depressive symptoms was 31.5%. The results showed no significant relationships between depression symptoms and education, occupation, monthly income and parity, while several obstetric and psychosocial variables were significantly associated with postnatal depression. On multiple regression analysis, history of depressive symptoms, anaemia during pregnancy, exposure to violence and relationship with mother or daughter in law remained significant factors (P <0.001)Conclusion: A substantial number of women in Basrah showed postpartum depression. Further research is required to affirm these determinations.


Article
Assessment of Patients' Knowledge and Awareness about their Rights and Duties
تقييم معارف ووعي المرضى لحقوقهم وواجباتهم

Authors: Husam Al-Shammary --- Sabah A. Shami --- Alaa H. Abed --- Jasim N. Al-Asadi --- et al.
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2014 Volume: 4 Issue: 3 Pages: 86-94
Publisher: University of Kufa جامعة الكوفة

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Abstract

Background: patient’s right is the one of the basic issues in health care. Implementation of patient's rights law is intended to secure good medical practice and can improve the doctor-patient relationship if both of them are aware of it.Objectives: To assess the level of knowledge and awareness of patients about their rights and duties.Subjects and methods: A cross-sectional survey was conducted for the period from 1st December 2013 to 28th February 2014 among patients of both sexes aged 17 years and more attending 16 primary health care centers in Basra city using a self-administered questionnaire. The study included 886 out of 1010 patients invited to participate in the study giving a response rate of 87.7%.Data analysis was done using SPSS version 19. Chi-square test was used to compare the proportions among the various groups and a P-value of <0.05 was considered to be statistically significant.Results: Eight hundred and eighty six (886) patients were included in the study aged 17-71 years with a mean age of 39.3 ± 13.8 years. Of them, 537 patients (60.6%) were females and 349 patients (39.4%) were males. Most patients (77.2%) didn't know about the existence of patients’ list of rights, even though they were aware about some of their rights, 72.4% of them disagreed to be prevented from access to information related to their health status, and 76.6% of them were aware about the privacy of such information. Most of the patients (73.5%) disagreed to withhold some information relevant to their health conditions, and 83.2% of them agreed to notify the PHC Center if they change their residential address.Conclusion: There was a lack of patients' knowledge regarding the patients' rights. Recommendation: Extensive education of patients about their rights through mass media and legislation of such rights are recommended.

خلفية البحث: ان حق المريض احد المفاهيم الاساسية في مجال الرعاية الصحية. يهدف تنفيذ قانون حقوق المريض الى تأمين ممارسة طبية جيدة ويمكن أن يحسن العلاقة بين الطبيب والمريض إذا كان كل منهما على علم بذلك.الهدف: تقييم معارف ووعي المرضى لحقوقهم وواجباتهمالمنهجية: اجريت هذه الدراسة المقطعية العرضية على مراجعي 16 مركزا من مراكز الرعاية الصحية الاولية في مركز مدينة البصرة باستخدام الاستبانةأجريت الدراسة للفنرة من 1 كانون الاول 2013 ولغاية 28 شباط 2014 وشملت 886 مراجعا من كلا الجنسين من مجموع 1010 مراجعا تمت دعوتهم للمشاركة في البحث, وبهذا تكون نسبة الاستجابة 87.7% . تم استخدام برنامج SPSS لاجراء التحليل الاحصائي للنتائج المستخلصة,. تم تحلیل البیانات من خلال التحلیل الاحصائي الوصفي (التكرار، النسبة المئویة) والاحصاء الاستدلالي (الوسط والانحراف المعیاري ومربع كاي للمقارنة)النتائج: تراوحت أعمارالمشاركين بين 17 الى 71 سنة ومتوسط العمر39.3 ± 13.8 سنة,537 مريضا(60.6%) كانوا من الاناث و349 مريضا(39.4%) من الذكور. معظم المرضى ( 77.2٪) ليس لديهم معارف بوجود لائحة بحقوق المرضى, ورغم ذلك لوحظ أن لديهم وعيا جيدا لبعض حقوقهم حيث وجد أن 72.4٪ منهم لا يوافقون على منعهم من الوصول الى المعلومات الخاصة بحالتهم الصحية و 76.6٪ منهم ليهم وعي بضرورة احترام خصوصية هذه المعلومات.اظهرت الدراسة ايضا أن غالبية المرضى (73.5%) لا يوافقون على حجب بعض المعلومات المتعلقة بحالتهم الصحية عن الاطباء و83.2% يوافقون على اخبار المركز الصحي عند تغيير محل سكنهم.الاستنتاج: أظهرت النتائج ضعفا واضحا في معرفة المرضى لحقوقهم التوصيات: توصي الدراسة باجراء برامج تثقيفية من خلال وسائل الاعلام المختلفة لتعريف المرضى بحقوقهم مع ضرورة تشريع قانون حقوق المرضى.


Article
Evolving an appointment system in PHC centers in Basrah: Opinion of physicians and patients
انشاء نظام مواعيد في المراكز الصحية الاولية في البصره

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Abstract

ABSTRACT:Background: Despite the increasing interest in implementation of appointment system in many countries, patients, and physicians' views about such system is not examined in Basrah.Objectives: To study the views of both patients and physicians about introducing appointment system in primary care centers in Basrah.Methods: Six hundreds and eighty (680) patients and 115 physicians in 20 PHC centers were included in the study. A structured questionnaire was used to collect data.Results: The majority of patients (79.6%) supported the idea of introducing the appointment system. Married women, employed, and highly educated patients and those who lived far from the PHC center were more in favour of introducing the appointment system. Likewise, the majority of physicians (95.7%) were also in favour of introducing the appointment system. The main disadvantages indicated by both patients and physicians was that it was not beneficial for patients with acute cases.Conclusions: Both patients and physicians showed positive attitude toward introducing appointment system in PHC centers in Basrah.

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