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Article
Job Satisfaction among Primary Health Care Physicians in Al-Karkh district, Baghdad

Authors: Ahmed khairi mishari --- Suhair Aboud Essa --- Abdulghani Saadon Hamdan
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2014 Volume: 13 Issue: 1 Pages: 65-70
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Job satisfaction refers to how well a job provides fulfillment of a need or want or how well it serves as a source or means of enjoyment. It has a potential impact on productivity, absenteeism and turnover among health care employees, and as such it affects employees’ organizational commitment and the quality of health care services. Objective: this study aimed at assessing the level of job satisfaction among primary health care physicians in al-karkh district of baghdad governorate, and to explore the relationship of their personal and job characteristics with job satisfaction.Methods: A cross sectional study was conducted involving 270 primary health care physicians. Data collection had been done using a self-administered questionnaire which included questions about socio-demographic and professional characteristics of study people, and questions about job satisfaction which were selected from Warr-Cook-Wall job satisfaction scale. Results: The overall job satisfaction was 35.2%. results showed a significant more satisfaction among older doctors, and those who examine less patients. There was no significant association between job satisfaction and gender, marital status, specialty. physicians were significantly dissatisfied with working environment, rate of pay, management, and working hours. However, they were more satisfied with relationship with their colleagues and opportunity to use their abilities. Conclusion: the study showed that the overall job satisfaction was much lower than neighboring as well as developed countries. the finding of the study can serve as a road map for health system policymakers for planning and implementing effective policies in order to meet the physicians' needs and so improve quality of primary health care provided to thousands of people every day.


Article
Association Between Serum Uric Acid And Obesity

Authors: Suhair Aboud Essa --- Ahmed Khairi Mishari --- Qais Ismaeel Kadhom
Journal: Journal of University of Babylon مجلة جامعة بابل ISSN: 19920652 23128135 Year: 2015 Volume: 23 Issue: 2 Pages: 899-903
Publisher: Babylon University جامعة بابل

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Abstract

Background: Hyperuricemia is commonly associated with dyslipidaemia, diabetes mellitus, coronary artery diseases and hypertension. As these diseases are also commonly associated with obesity, so need arises to see whether there is any independent association between serum uric acid and obesity.Objective: This study aimed to estimate the association between serum uric acid and obesity.Methods: A cross-sectional study was performed included a convenient sample of 150 outpatients visiting Al-Kadhimia teaching hospital (77 males and 73 females) aged 20-70 years. Blood samples were collected from the subjects and serum uric acid was estimated. Body mass index was calculated and patients were categorized as normal weight, overweight and obese according to body mass index scale.Results: The results showed that serum uric acid was significantly higher in males than females (p=0.008). Serum uric acid levels had been increased significantly with advancing age (p<0.001). This study showed a highly significant positive linear correlation between subjects’ serum uric acid levels and their body mass index (r=0.798, p<0.001). Conclusion: It was concluded that there is a significant positive association between serum uric acid and obesity. Therefore it is important to establish preventive measures towards reducing obesity and overweight rather than treating health consequences, such as elevated serum uric acid

خلفية الدراسة: يرتبط فرط حامض اليوريك في الدم عادةً مع إضطراب دهون الدم، وداء السكري، وأمراض الشرايين التاجية, وإرتفاع ضغط الدم. كما ترتبط هذه الأمراض بدورها عادةً مع السمنة، لذلك دعت الحاجة لمعرفة ما إذا كان هناك أي إرتباط غير مهم بين حمض اليوريك في الدم والسمنة.هدف الدراسة: تهدف هذه الدراسة إلى تقييم العلاقة بين حمض اليوريك في الدم والسمنة.طريقة الدراسة: أجريت دراسة مقطعية شملت 150 شخصاً من مراجعي مستشفى الكاظمية التعليمي (77 ذكر و73 أنثى) تراوحت أعمارهم بين 20-70 سنة. وقد تم جمع عينات الدم من المشتركين في الدراسة وتم قياس مستوى حمض اليوريك في مصول الدم. وتم قياس الطول والوزن لهم أيضاً، ثم تم حساب مؤشر كتلة الجسم, ثم صُنِفَ المرضى الى ثلاثة مجاميع: مجموعة الوزن الطبيعي ومجموعة الوزن الزائد ومجموعة السمنة وفقاً لمقياس مؤشر كتلة الجسم لديهم.النتائج: أظهرت النتائج أن معدل حمض اليوريك في مصل الدم أعلى بنسبة معنوية إحصائية في الذكور عنه في الإناث (p=0.008). وكان مستوى حمض اليوريك في مصل الدم يزداد بنسبة ذات دلالة إحصائية مع إزدياد العمر (p<0.001). وأظهرت هذه الدراسة وجود علاقة خطية إيجابية بنسبة ذات دلالة إحصائية بين مستوى حمض اليوريك في مصل الدم ومؤشر كتلة الجسم (r=0.798, p<0.001).الإستنتاج: نستنتج من هذه الدراسة وجود علاقة إيجابية ذات دلالة إحصائية بين حمض اليوريك في الدم والسمنة؛ ولذلك فمن المهم وضع تدابير وقائية للحد من السمنة وزيادة الوزن بدلاً من معالجة العواقب الصحية؛ كإرتفاع حمض اليوريك في مصل الدم.

Keywords

Uric acid --- obesity --- body mass index


Article
Effect of Breastfeeding, Timing of Introduction of Complementary Foods, and Other Confounders on the Development of Childhood Atopic Dermatitis

Authors: Ahmed Khairi Mishari --- Suhair Aboud Essa --- Najla’aTurki
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2015 Volume: 28 Issue: 3 Pages: 108-112
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Atopic dermatitis is a chronic skin disease. Its incidence around the world has increased dramatically over the past several decades. A multifactorial etiology is postulated, with genetic, immunological and environmental factors all thought to be relevant to the pathogenesis. Objective: To assess the effect of breastfeeding, solid food introduction to the infant's diet,and other confounders on the development of atopic dermatitis.Methods:Two hundred and forty children between 2 to 6 years wereenrolled in this case control study in Baghdad, comprised of 60 children with atopic dermatitis and 180 children free from atopic dermatitis of the same age,sex and ethnicity as a control. Data collection had been done by an interview using a questionnaire form designed by the investigators. Diagnosisof atopic dermatitis was made according to the Haninfin and Rajka’s diagnostic criteria.Results:This study showed a significant difference between case and control groups regarding the presence of family history of atopy among child's parents. The frequency of children with positive history of animal contact differs significantly between patients and control groups.No significant associationwas detected between atopic dermatitis and positive breastfeeding history. However, the relation between atopic dermatitis and breastfeeding is duration dependent,the percentage of infants with short exclusive breastfeeding was higher among control group (85.3%) as compared to (58.1%) in the case group. While, with prolong breastfeeding more than 6 months the reverse was found. Early supplement feeding increased the rate of atopic dermatitis,there was more infants with atopic dermatitis when solid food introduced at the age of 4 months, this was statistically significant (P=0.023). Conclusion: Exclusive breastfeeding for 6 months is effective in reducing atopic dermatitis.On the other hand, prolonging exclusive breastfeeding and postponing the introduction of solid foods for over 6 months is not helpful in prevention of atopic dermatitis.


Article
Effect of Breastfeeding, Timing of Introduction of Complementary Foods, and other Confounders on the Development of Childhood Atopic Dermatitis
تاثي الرضاعه الطبيعيه وتاريخ ادخال الاطعمه المساعده لها على تطور داء الاتوبيا عند الاطفال

Authors: Najla’a Turki نجلاء تركي --- Ahmed Khairi Mishari احمد خيري مشاري --- Suhair Aboud Essa سهير عبود عيسى
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2017 Volume: 30 Issue: 1 Pages: 6-10
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Atopic dermatitis is a chronic skin disease. Its incidence around the world has increased dramatically over the past several decades. A multi-factorial etiology is postulated, with genetic, immunological and environmental factors all thought to be relevant to the pathogenesis. Objective: To assess the effect of breastfeeding, solid food introduction to the infant's diet, and other confounders on the development of atopic dermatitis.Methods: Two hundred and forty children between 2 to 6 years were enrolled in this case control study in Baghdad, comprised of 60 children with atopic dermatitis and 180 children free from atopic dermatitis of the same age, sex and ethnicity as a control. Data collection had been done by an interview using a questionnaire form designed by the investigators. Diagnosis of atopic dermatitis was made according to the Haninfin and Rajka’s diagnostic criteria.Results: This study showed a significant difference between case and control groups regarding the presence of family history of atopy among child's parents. The frequency of children with positive history of animal contact differs significantly between patients and control groups. No significant association was detected between atopic dermatitis and positive breastfeeding history. However, the relation between atopic dermatitis and breastfeeding is duration dependent, the percentage of infants with short exclusive breastfeeding was higher among control group (85.3%) as compared to (58.1%) in the case group. While, with prolong breastfeeding more than 6 months the reverse was found. Early supplement feeding increased the rate of atopic dermatitis, there was more infants with atopic dermatitis when solid food introduced at the age of 4 months, this was statistically significant (P=0.023). Conclusion: Exclusive breastfeeding for 6 months is effective in reducing atopic dermatitis. On the other hand, prolonging exclusive breastfeeding and postponing the introduction of solid foods for over 6 months is not helpful in prevention of atopic dermatitis

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