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Article
Detection of Hypertension among Cardiac Diseases Inpatients at Kirkuk City Hospitals
الكشف عن ارتفاع ضغط الدم لدى مرضي القلب الراقدين في مستشفيات مدينة كركوك

Author: Salah MS. Hassan صلاح حسن
Journal: nursing national Iraqi specility المجلة العراقية الوطنية للعلوم التمريضية ISSN: 18122388 Year: 2015 Volume: 28 Issue: 1 Pages: 46-54
Publisher: Baghdad University جامعة بغداد

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Abstract

Objectives of the study: The main objective of the study is to assess the prevalence of hypertension among cardiac diseases patients and to fiend out relation ship between hypertension and cardiovascular diseases.Methodology: A descriptive study, using interviewer and questionnaire technique was conducted on cardiac diseases inpatients of clinic unite at Kirkuk and Azady hospitals from 17th ,June ,2012 to 1st, March , 2013. Non – probability (purposive) sample of (148) adult patients, (81) females and (67) males with heart disease are selected from inpatients of clinic unite at Kirkuk and Azady hospitals at kirkuk city. Questionnaire was developed to assess the items which are related to heart disease patient's (Disease, Signs and Symptoms , Antihypertensive Drugs , Blood Pressure , and Dietary Patterns). A calibrated mercury sphygmomanometer was used to measure BP while the individual was seated and resting five minutes with the arm held at heart level. The first reading were taken in both arms; unless there was a significant difference, the right arm was used for subsequent reading. The mean of two consecutive measurements taken at two-minute intervals was recorded. Weight was measured using a calibrated scale . The study instruments consist of total (44) items, which are distributed though the following : Demographic data form consist of (10) items and questionnaire was concerned with data to evaluate the criteria of cardiac diseases patients form consist of (34) items.Results: The results of this study revealed that the mean age and standard division of study sample is (63.1 11.3), the highest percentage 52(35.1%) of age factor for heart disease patients are reported at (70-79yrs.) group .The majority of study sample are females 81( 54.7%), whereas, males are 67( 45.3%). High percent 46(31%)of participants are suffering from angina and 44(29.7%) had myocardial infarction. 40(27%) of the patients had Prehypertension (120-139/60-100) while 29(19.6%) of patients had first stage of hypertension.Recommendations : Educational programs should be designed to increase people knowledge and awareness about the life style of hypertensive heart disease patients. Booklet should be prepared and presented to the patients to advise them to leave high amount salt intake, give up exercise which is considered one of the contributing factors for hypertension.


Article
Assessment of the documentation completeness level of the medical records in Basrah General Hospital
دراسة لتقييم مستوى التوثيق في السجلات الطبية للمرضى الراقدين في مستشفى البصرة العام

Author: Riyadh A. Hussein, Rajaa A. Mahmoud, Nihad Q. Al-Hamadi, Atared A. Majeed, Shabeeb A. Saihoud
Journal: The Medical Journal of Basrah University المجلة الطبية لجامعة البصرة ISSN: 02530759 Year: 2018 Volume: 36 Issue: 2 Pages: 50-59
Publisher: Basrah University جامعة البصرة

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Abstract

Background: Medical records documentation is an important legal and professional requirement for all health professionals. They include information which describes all aspects of patient's care. But, despite the importance of medical records to support better quality service provided at the health facilities, incomplete documentation is very common all over the world.Objective of the study: to assess the documentation completeness level of the medical records in the different inpatient wards of Basrah General Hospital. Methodology: The study was a descriptive cross-sectional one. Medical records of 268 inpatients from Basrah General Hospital during June 2016 were included from four departments of the hospital (medicine, surgery, pediatrics and obstetrics and gynecology). A standard Iraqi Ministry of Health inpatient medical record with a two-level scoring system for assessing the level of documentation completeness were used in the study. Results: the overall documentation level for the medical records included in the study was generally poor in 78% of the records. Surgical department was found to be the worse in documenting patient's notes related to medical history, while Gynecology and Obstetrics department was found to be the worst in documenting the medical examination assessment and the physician's notes related to the patient's state and details of any improvement / deterioration of his/her condition.Conclusions and recommendations: The present study confirmed obvious incompleteness of documenting medical data for inpatient records in Basrah General Hospital especially in the general surgery, internal medicine and Gynecology and Obstetrics words. This is specifically found for the Physician notes (patient’s state and details of any improvement/deterioration of the condition) and the Clinical pharmaceutical sheet. A hospital based quality improvement project to improve the medical record documentation completion is highly recommended to be implemented by the Quality Assurance Unit of Basrah Directorate of Health.

المقدمة: عملية توثيق السجلات الطبية احتياج قانوني ومهني مهم لجميع المهنيين الصحيين. وهي عملية تتضمن معلومات تصف جميع جوانب رعاية المريض. لكن وعلى الرغم من أهمية السجلات الطبية لدعم جودة الخدمة المقدمة في المرافق الصحية، فإن التوثيق الغير المكتمل هي مشكلة شائعة جداً في جميع أنحاء العالم. الهدف: تقييم مستوى اكتمال التوثيق في السجلات الطبية للمرضى الراقدين في مستشفى البصرة العام. المنهجية: الدراسة وصفية مقطعية شملت السجلات الطبية لـ 268 مريضا راقدا في مستشفى البصرة العام خلال حزيران 2016 من أربعة أقسام في المستشفى (الطب والجراحة وطب الأطفال والأمراض النسائية والتوليد). واستخدمت الدراسة "السجل الطبي القياسي" لوزارة الصحة العراقية مع نظام تقييم ثنائي لتقييم مستوى اكتمال الوثائق. النتائج: تبين أن مستوى اكتمال الوثائق الكلي للسجلات الطبية المدرجة في الدراسة كان موثقاً بصورة فقيرة في 78٪ من السجلات. وقد وجد أن القسم الجراحي هو الأسوأ في توثيق ملاحظات المريض المتعلقة بتاريخه الطبي، في حين وجد أن قسم الأمراض النسائية والتوليد هو الأسوأ في توثيق تقييم الفحص الطبي وملاحظات الطبيب المتعلقة بحالة المريض وتفاصيل أي تحسن أو تدهور في حالته. الاستنتاجات والتوصيات: أظهرت الدراسة الحالية نقصا واضحا في توثيق البيانات الطبية لسجلات المرضى الراقدين في مستشفى البصرة العام وخاصة في ردهات الجراحة العامة والطب الباطني والأمراض النسائية والتوليد. تحديدا،ً وجد هذا في نماذج المتابعة وملاحظات الطبيب والمعلومات المتعلقة بالأدوية المعطاة. توصي الدراسة بمشروع لتحسين الجودة في المستشفى من خلال تحسين التوثيق الطبي يتم تنفيذه من قبل شعبة ادارة الجودة في دائرة صحة البصرة.


Article
Epidemiology of Poisoning In Hospitalized Children

Author: Ahmed S Al-Naaimi
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2007 Volume: 49 Issue: 4 Pages: 400-406
Publisher: Baghdad University جامعة بغداد

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Abstract

Background and Objectives: Poisoning is an important cause of childhood and adolescence hospital emergency presentations and admissions and a major health problem in this population sector. The present study was designed to describe the epidemiology and pattern of poisoning in addition to its case fatality rate. Methods: A total of 1450 pediatric cases with poisoning admitted to the Central Teaching Hospital of Pediatrics, Baghdad, during the 10 years study period extending from the 1st of January 1993 to 31st of December 2002, were analyzed. Results: The peak age for poisoning cases in the present study was 1-4 years, constituting about three quarters of total pediatric admissions with poisoning. Males were more frequent than females in the present work, and this gender bias was more evident in younger ages and less evident in teenagers. Non-medicinal substances were responsible for the major part (three-quarters) of poisoning cases, especially petroleum products and pesticides. The overall case-fatality rate was 2.6%. The risk of death was higher in the more vulnerable age groups (infants and neonates). It was also higher in males and in cases with poisoning by other noxious substances eaten as food, followed by metals (mainly lead), systemic antibiotics and pesticides. However out of a total of 37 deaths attributed to poisoning that occurred during the present study period of 10 years, non-medicinal substances (especially petroleum products, pesticides and metals) were responsible for three-quarters of these deaths. Conclusion: Children under 5 years of age are the most-vulnerable group for poisoning incidents. In addition Petroleum products, insecticides and lead metal were responsible for the highest proportion of poisoning admission and fatality necessitating special steps directed towards the prevention of these problems.


Article
Patterns of Documenting Patients' Medical Records and Antibiotic Use for Cases with Acute Respiratory Infection in Basrah hospitals
نمط التوثيق الطبي واستخدام المضادات الحيوية لمرضى التهاب الرئوي الحاد في مستشفيات البصرة

Author: Riyadh AA Hussein د. رياض عبدالامير حسين الحلفي
Journal: Thi-Qar Medical Journal مجلة ذي قار الطبية ISSN: 19929218 Year: 2018 Volume: 15 Issue: 1 Pages: 1-11
Publisher: Thi-Qar University جامعة ذي قار

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Abstract

The present study was carried out to evaluate the process of documenting patients' medical records in addition to the pattern of antibiotic use in Basrah general hospitals. A retrospective type of study was conducted for antibiotic prescription in 562 inpatients' medical records of those who were admitted to paediatric wards in five hospitals in Basrah governorate because of acute respiratory infections. The study shows that 86% of the patients stayed for less than 5 days at the hospital with 13% of them stayed between 5-10 days. All of the 562 patients' records were reviewed for documentation of the investigations taken during hospitalization, use of antibiotics and follow up while in hospital. Around two thirds (65.5%) of the records were found to have no documentation for any investigation during hospitalization. In addition, antibiotic therapy was found to be used in 83.3% of the cases. By comparing the WHO indications for using antibiotic therapy in acute respiratory infections cases, it was found that antibiotics were prescribed without justifiable indications in 44.7% of patients.The study recommended re-enforcing the adoption of updated drugs use protocols and guidelines especially on the use of antibiotics in hospitals and specifically in inpatient pediatric age groups. Furthermore, assigning clinical pharmacists in the clinical inpatients setting is one of the study recommendations in order to monitor the clinical use of these medications.


Article
THE ROLE OF ELECTROCONVULSIVE THERAPY IN GENERAL HOSPITAL PSYCHIATRIC INPATIENTS TREATMENT IN BAGHDAD.
دور العلاج بالرجات الاختلاجية الكهربائية لدى المرضى النفسيين الراقدين في مستشفى عام في بغداد

Authors: Uday A.J. Khalid عدي خالدعبد الجبار --- Muhammad A.H.S. Al-Samarrai محمد عبد الحميد السامرائي
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2010 Volume: 8 Issue: 2 Pages: 38-44
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background: Despite the controversy about the role of electroconvulsive therapy (ECT) it is still widely used in the treatment of some psychiatric disorders.Objectives: The aim of the study is to identify characteristics of the psychiatric inpatients and the role of ECT in the treatment of their disorders.Methods: Medical records of all inpatients admitted to Al Kadhymia teaching hospital; psychiatric unit were studied carefully. A special form was designed to collect the data. Diagnosis was made according to the International Classification of Diseases, the Tenth Revision (ICD-10).All the patients were examined physically.Results: The 145 inpatients included were 76(52.4%) males and 69(47.8%) females with age distribution of 17-75 years. Males were younger than females and 64.7% of the total sample was under the age of 40 years. Average duration of admission was 4.6 weeks.Schizophrenia made the most frequent diagnosis (41.4%) followed by depression (25.5%) and Mania (7.6%). All patients received psychosocial and psychotropic treatment. Only 13 classical medicines were used.ECT was received by 42% of the sample. There was higher numbers of males who received ECT than females and the difference was significant. There was no association between ECT and age. Only 5 patients aged between 60 and 66 years and 4 of them aged 17 years had ECT.The primary usage was for Schizophrenia which represented 69% of ECT recipients followed by depression (23%). It was significant that males received ECT more than females.Conclusion: The findings suggest that majority of the inpatients can be treated with medications alone but still there is high rate of using ECT for many different disorders including schizophrenia. Key words: ECT, Psychiatry, inpatients

خلفية الدراسة: على الرغم من الجدل الدائر حول دور العلاج بالرجات العلاجية الكهربائية في علاج الاضطرابات النفسية فان هذه الطريقة في العلاج لا زالت تستعمل بصورة واسعة في علاج هذه الاضطراباتهدف الدراسة: تهدف الدراسة الى تحديد دور العلاج بالرجات الاختلاجية الكهربائية في علاج الاضطرابات النفسية لمجموعة من المرضى النفسيين الراقدين مع تحديد مواصفات هؤلاء المرضىطريقة العمل: تمت المراجعة بعناية للسجلات الطبية لكافة المرضى الراقدين في ردهة الطب النفسي في مستشفى الكاظمية التعليمي في بغداد لمدة ثلاثة اشهر. تم استعمال نموذج خاص لجمع المعلومات وتم التشخيص تبعا للمراجعة العاشرة للتصنيف الدولي للامراض. تمت متابعة الحالة الصحية العامة للمرضى بصورة دقيقةالنتائج:تضمنت الدراسة 145 مريضا راقدا كان منهم76 (62,4%) من الذكور و 69(47,8%) من الاناث و كان توزيع الاعمار بين 17- 75 سنة. الذكور كانوا اقل عمرا من الاناث و74,6% من المرضى كانوا تحت سن 40 سنة. معدل فترة الرقود كان 4.6 اسابيعكان الفصام الاضطراب الاكثر تكرارا حيث شكل 41,4% من العينة تلاه الاكتئاب(25,5%) ثم الهوس(7,6%).تضمن علاج المرضى استخدام الطرق النفسية الاجتماعية والادوية ذات التاثير النفسي حيث تم استخدام 13 نوعا من الادوية التقليديةتم استعمال العلاج بالرجات الاختلاجية الكهربائية لـ 42% من العينة وكان الذكور اكثر من الاناث من حيث استعمال هذه الطريقة في علاجهم و بصورة مهمة. لم تكن هناك علاقة ذات اهمية بين العمر واستعمال هذه الطريقة العلاجية. كان هناك 5 مرضى فقط بعمر يتراوح بين 60-66 واربعة بعمر 17 سنة تم استعمال هذه الطريقة في علاجهم.الاستطباب الرئيسي للعلاج الاختلاجي الكهربائي كان الفصام حيث كان 69% بين المرضى الذين تضمن علاجهم هذه الطريقة يعانون من هذا الاضطراب تلاه الاكتئاب بنسبة(23%).الاستنتاج: تشير هذه الدراسة الى ان هناك نسبة عالية من المرضى يتضمن علاجهم الرجات الاختلاجية الكهربائية على الرغم من ان معظم المرضى تم علاجهم بالادوية فقط. مفتاح الكلمات: الرجات الاختلاجية,الكهربائية,المرضى الراقدين .


Article
PREVALENCE OF DELIRIUM AMONG MEDICAL INPATIENTS IN TEACHING HOSPITAL IN BAGHDAD
نسبة حدوث حالات الهذيان بين المرضى الراقدين في ردهات الطب الباطني في مستشفى تعليمي في بغداد

Author: Uday A.J. Khalid عدي خالد عبد الجبار
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2010 Volume: 8 Issue: 4 Pages: 41-46
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background: Delirium is a syndrome characterized by the rapid onset of variable and fluctuating changes in attention resulting in disturbed behavior, illusions, hallucinations & changing level of consciousness caused by physiological consequences of a medical disorder, its prevalence is estimated to be bout 15-20% of general medical wards.Objectives: The aim of this study is to measure the prevalence of delirium in patients admitted to medical wards and to study signs and symptoms of delirium.Methods: A cross sectional study of all patients who were admitted to the medical wards of Al-Kadhimiya Teaching Hospital in Baghdad during the study period which is from 21 March 2008 to 21 April 2008, the total admissions were 510 patients, with excluding criteria: a pre-existing psychiatric disorder and age less than 18 year.- Approval to the questionnaire was taken from the relatives.- All patients with delirium were referred by residents during the study period - Delirium cases were diagnosed according to DSM IV criteria; prevalence was estimated and symptoms studied Results: The prevalence of delirium was about 3% among the medical inpatients.Conclusion: The prevalence of delirium reported in this study is low in comparison to other studies. This is explained in terms of difference of methodology used in this study in comparison with other studies. Key words: delirium, inpatients, medicine

خلفية الدراسة: الهذيان هو متلازمة تمتاز بتطور سريع لتغيرات متباينة ومتحولة في وظيفة الانتباه مما يؤدي الىتشوش مستوى الوعي وحالات من الاوهام البصرية عادة وتحصل بالنتيجة اضطرابات سلوكية ويكون السبب في كل هذه الاضطرابات هو تغيرات فسلجية في الدماغ ناجمة عن حالة مرضية داخلية. تقدر نسبة حصول الهذيان ب 15-20% بين مرضى ردهات الطب الباطني في الدراسات السابقة.هدف الدراسة: تهدف الدراسة الى قياس نسبة حدوث حالات الهذيان بين المرضى الراقدين في ردهات الطب الباطني في مستشفى تعليمي في بغداد ومن ثم دراسة علامات واعراض الهذيان لدى هؤلاء المرضى.طرق الدراسة: تمت دراسة مقطعية لكافة المرضى الراقدين في ردهات الطب الباطني في مستشفى الكاظمية التعليمي في بغداد للفترة من 21 مارس 2008 الى 21 نيسان 2008وتم استثناء المرضى الذين يعانون من مرض نفسي مسبقا واؤلئك من هم دون عمر 18 سنة.تم اعتماد المراجعة الرابعة للكراس التشخيصي الاحصائي في تشخيص حالات الهذيان بعد احالتهم من قبل الطبيب المقيم المسؤول عن المرضى وتم استحصال موافقة ذوي المريض على اجراء المقابلة التشخيصية. النتائج: عدد المرضى الراقدين خلال فترة الدراسة كان 510 مريضا وكانت نسبة حدوث الهذيان بينهم حوالي 3%.الاستنتاج: تعتبرنسبة خدوث الهذيان في هذه الدراسة واطئة وهذا ناتج عن طبيعة الطرق المستحدمة والعينة المدروسة مقارنة بالدراسات الاخرى.

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