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Article
Assessment Of Patients Stressors At Intensive Care Units
تقییم الضغوط التي یتعرض لھا المرضى في و حدات العنایة المركزة

Authors: wafa M. A. AL Attar --- Nuha Adel AL Wondowi
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2013 Volume: 3 Issue: 2 Pages: 162-168
Publisher: University of Kufa جامعة الكوفة

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Abstract

Objective: To assess of patient stressor in Intensive care unit (ICU) and find out relationship between patientsstressor and some demographic data age and gander.Methodology: selected sample of occasional (non-probability) for 50 patients in intensive care units andconducted them open-heart surgery in three hospitals for heart surgery in the city of Baghdad in the period from1st December 2005 to 1st April 2006. And to achieve the objectives of the research conducted Different AspectsRelated to form consisted of two parts of demographic information and Intensive Care Unit Environment StressorScale (ICU ESS) which includes 37 items.Result: The results of the study; that 38% of the sample aged between (40-49) years and 56% of males and 28%of college graduates. The highest level of rates of mean score of the items are feeling weary bored (2.76) and pain(2.7) and the discomfort of needles (2.68) and the presence of the pipe in the mouth and nose (2.62). Moreover,there were a relationship between the level of patient’s stressors in ICU and genderConclusions: Most of the respondents suffer from physical pressure in the intensive care units of more than itemspsychological and social pressures.Recommendations: the study recommends to work on the training of personnel in the intensive care units onpatient education and the means to overcome and adapt to the physical and psychological pressures of social andnatural and intensive care units.

الھدف: تقییم الضغوط التي یتعرض لھا المرضى في و حدات العنایة المركزة و ایجاد العلاقة ما بین ضغوط المرضى و بعض الصفات الدیموغرافیةمثل العمر و الجنسالمنھجیة :اختیرت عینة عرضیة ( غیر احتمالیة ) ل 50 مریض في وحدات العنایة المركزة و التي اجریت لھم عملیة القلب المفتوح في ثلاثةمستشفیات لجراحة القلب في مدینة بغداد وللفترة من الاول من شھر كانون الاول 2005 ولغایة الاول من شھر نیسان 2006 و لتحقیق اھداف البحثاجریت استمارة استبیانیة تكونت من جزئین المعلومات الدیموغرافیة و مقیاس الضغوط المحیطة بالمریض في وحدات العنایة المركزة و الذي یتضمن37 ) فقرة )49 ) سنة و 56 % من الذكور و 28 % من خریجي الكلیات - النتائج : و قد أشارت نتائج الدراسة ؛ بأن 38 من عینة الدراسة اعمارھم تتراوح بین ( 40وان اعلى مستوى لمعدلات الوسط الحسابي كانت للفقرات ھي الشعور بالضجر بالملل ( 2.76 )و الشعور بالالم ( 2.7 ) و الانزعاج من وخز( الابر ( 2.68 ) و وجود الانابیب في الفم و الانف ( 2.62وكذلك وجدت علاقة ما بین مستوى ضغوط المرضى الراقدین في وحدات العنایة المركزة مع جنس المریضالاستنتاج : معظم العینة یعانون من الضغوط الجسمیة في وحدات العنایة المركزة اكثر من فقرات الضغوط النفسیة والاجتماعیھ .التوصیات: توصي الدراسة الى العمل على تدریب العاملین في وحدات العنایة المركزة حول تعلیم المریض على وسائل التغلب والتكییف مع الضغوطالجسمیة والنفسیة الاجتماعیة والطبیعیة في وحدات العنایة المركزة

Keywords

Stressor --- Patient perception --- ICU.


Article
Perception of OSCE Examination in Iraqi Undergraduate Medical Students

Authors: Riyadh Muhi Abbood Al-Saegh1 --- Albert J. J. A. Scherpbier --- Hameed A.Alhibaly --- Abdulhamza Rajooj Hmood --- et al.
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2015 Volume: 8 Issue: 1 Pages: 2056-2069
Publisher: Kerbala University جامعة كربلاء

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Abstract

background: The objective structured clinical examination (OSCE) is an approach to student assessment in which aspects of clinical competence are evaluated in a comprehensive, consistent and structured manner, with close attention to the objectivity of the process.Aims: This study aims to evaluate students‟ perception about the fairness, objectivity, comprehensiveness and overall organization and administration of OSCE in the 4th year medical students.Methods: 24-item questionnaire was used to gather data regarding perception of students about the quality of OSCE, its fairness and its organization. A 5-point Likert scale, with responses ranging from “strongly agree” to “strongly disagree” was used. Students were asked post exam questions related to positive and negative aspects of the OSCE and to do suggestions for improvement.Results: Out of 71 eligible medical students, 66 (92.9%) completed the survey questionnaire. A sizable proportion of 59.1% of the respondents agreed that OSCE was well administered. 51.5% of the students agreed that the objectives of clinical courses were covered. Significant percent of students 61.8% agreed to the facilitators‟ behavior.36, 4% of the respondents stated that the time allocated for each station was not adequate. 79.4% of the respondents felt that OSCE allowed them to compensate in some areas of their weakness. Great majority of students 81.9% regarded OSCE as a practical and useful assessment tool in early years of medical education.Discussion: It is assumed that overloading the students by trying to assess too many skill subsets of performance at a single station, and inadequate practice at being examined in the OSCE format might have contributed to the dissatisfaction with the time allocation.Conclusion and recommendations: OSCE exam covers most of the objectives of the students, clinical rotation. However, at some stations the students felt that instructions were ambiguous and time allocation was inadequate for the assigned tasks. The overall feedback was very useful and facilitated a critical review of the process. Our recommendations are; increasing the duration of stations especially for history taking and cardiac auscultation, modifying the administration of the OSCE aiming at reducing the waiting time especially for the students in the last batch, ensuring clear instructions, having real patients for the expected tasks, and finally more training with the OSCE.Keywords: OSCE, perception, medical students.

Keywords

OSCE --- perception --- medical students


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
Perception of Specialist and Junior Doctors toward the Concept of Family Medicine
ادراك الاطباء تجاه مفهوم طب الاسرة

Authors: Riyadh K Lafta د. رياض لفته --- Noora Abd Al-Hussein Dawood د. نورا عبد الحسين
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2011 Volume: 24 Issue: 2 Pages: 88-93
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Family medicine has been particularly proactive in conceptualizing new, improved ways of health care delivery, despite its early promise; family medicine has struggled to realize its full potential as an exciting conceptual model for the practice of medicine in primary care settings.Objective: To explore the attitude of specialists and junior doctors working in teaching hospitals and Family medicine centers/ Al-Karkh health directorate towards the concept of Family medicine.Methods: This cross sectional study was carried out at three Family Centers (Al-Tobchii, Al-Mansour and Al-Salam) and two teaching hospitals (Al-Kadhmya and Al- Yarmouk ), over the period from May 2009 to July 2010. The study population included all specialists in the major clinical departments and junior doctors working in the teaching hospitals, in addition to the physicians working in the mentioned Family Centers. Data was obtained by using an already prepared self administered questionnaire.Results: A sample of 170 specialists and junior doctors participated in the study, 75% of them expressed positive attitude to the concept of family medicine. The most frequent services and skill perceived by the respondents to be effective in the development of the branch were Conference attendance (94%) and training in managing minor operations (93%). Surprisingly; 94% of the responded clinicians agreed that family health system limits the unnecessary referral from primary to secondary health care levels. The majority of the responded specialists (94%) expressed a positive attitude to the necessity of establishing updated national guidelines and regarded it as the main barrier towards the development of the branch. Most of the junior doctors (64%) do not have a will to adopt Family Medicine specialty as a medical career. Conclusion: Academic settings contributed substantially to the low appeal of being a primary care physician at a time when the primary care sector is widely recognized as the cornerstone of any health care system and when health authorities are struggling to initiate extensive primary care reforms, in addition the national guidelines perceived to be of great importance in organizing the interface between the primary and secondary levels. Keywords: Perception, Specialists, Juniors, Family Medicine

الخلفية : يعتبر طب الاسرة فرعا حيويا في ادراك الطرق الجديدة والمتطورة في الرعاية لصحية بالرغم من حداثته. لقد جاهد طب الاسرة لتحقيق اهدافه كنموذج ادراكي مثير للاهتمام لممارسة الطب في مجال الرعاية الصحية .الهدف : استكشاف مواقف الاطباء الاختصاص والجدد الذين يعملون في المستشفيات التعليمية ومراكز طب الاسرة في دائرة صحة الكرخ تجاه مفهوم طب الاسرة .طرائق العمل : اجريت هذه الدراسة المقطعية في ثلاث مراكز لطب الاسرة ( الطوبجيي، المنصور، السلام ) ومستشفيان تعليميان ( الكاظمية واليرموك ) خلال الفترة ( ايار 2009 –تموز 2010)، تضمنت عينة الدراسة جميع الاطباء الاختصاص في الاقسام السريرية الكبرى والاطباء الجدد العاملين في المستشفيات التعليمية اضافة الى الأطباء الممارسين العاملين في مراكز طب الأسرة المذكورة. تم جمع المعلومات عن طريق استفتاء مهيأ يملأ ذاتيا . النتائج : شارك في الدراسة 170 طبيب اختصاص وغير اختصاص 75% منهم أعطوا موقفا ايجابيا تجاه مفهوم طب الاسرة . أكثر الخدمات والمهارات التي حددت من قبل المشاركين لتكون مؤثرة في هذا الفرع كانت : حضور الموتمرات (94%) التدريب في تدبير العمليات الصغرى (93%)، ومن الجدير بالذكر ان 94؟% من الاطباء السريرين وافقوا ان نظام طب الاسرة يقلل من الاحالات غير الضرورية من مراكز الرعاية الصحية الاولية الى المستشفيات . معظم الاختصاصيين المستجيبين (94%) ابدوا موقفا ايجابيا تجاه ضرورة الشروع في تحديث الدلائل الوطنية واعتبارها كحاجز رئيس بأتجاه نمو هذا الفرع . معظم الاطباء الجدد (64% ) ليس لديهم رغبة في تبني اختصاص طب الاسرة كمهنة طبية مستقبلية .


Article
Perception of Menarcheamong Secondary Schools Students in Baghdad City
ادراك بدء الطمث بين طالبات المدارس المتوسطه في مدينة بغداد

Author: Suhad H. Khairi
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2014 Volume: 4 Issue: 3 Pages: 71-76
Publisher: University of Kufa جامعة الكوفة

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Objectives:The aim of this study is to assess menarche impression and perception among secondary schools studentsMethodology: Cross-sectional studywas conductedtoselect a sample purposely offifty-fivestudentsinthe first class of intermediate school inBaghdad city,andinformation was collectedthrough aquestionnaire formfilledduring the month ofDecember 2012, descriptive statisticalmethodswere usedto analyze thedata.Results: The results showed thatthe highest percentage(37%) ofthe study sampletheir menarche were at age (13) year and(66%) of the adolescentshad previously information about menstruation and used of sanitary napkin from their mothers. Regarding impressionaboutmenstruationthehighest percentage(47%)ofthe study sample, theirimpressionwasfear andmorethan a third ofthe study samplewasfear andcryingwhen they saw the blood atthe first time.Recommendations: The results of this study indicated a need for accurate education program of the adolescent female, parents and grandparents on menstruation because some misconceptions exist in the adolescent population about menstruation through mass media, and adding a sex education curriculum in schools to provide detailed information about growth and development of puberty, with appropriate and menstrual health hygiene as well as management of the menstrual cycle and menarche.Conclusion: The study concluded that adolescent female their impression about menarche were fear and more than third of study sample their perception when they saw blood first time were crying and fear. The results of this study indicate a need for accurate education program of the adolescent female, parents and grandparents on menstruation because some misconceptions exist in the adolescent population about menstruation through mass media, and adding a sex education curriculum in schools to provide detailed information about growth and development of puberty, with appropriate and menstrual health hygiene as well as management of the menstrual cycle and menarche

الهدف:تهدف الدراسه الى تقييمانطباع وإدراك بدء الطمثبين طالبات المدارس المتوسطه في مدينة بغدادالمنهجيه:اجريتدراسه مقطعيه لاختيار عينة عمدية من خمسة وخمسين طالبة في الصف الاول المتوسط في المدارس المتوسطه في مدينة بغداد و تم جمع المعلومات من خلال ملئ الاستمارة الاستبيانية، فترة اجراء البحث من (1- 31)كانون الاول2012، أستخدمت الوسائل الاحصائية الوصفيه في تحليل البيانات . النتائج: أظهرت النتائج أن اعلى نسبة (37٪) من افراد عينة الدراسة كان بداالحيضفي سن(13) سنة. وان (66٪) منالمراهقات سبق وان حصلن على معلومات حولالحيض واستعمال الفوطهالصحية من امهاتهم ،اما بشأن انطباعهنعنالحيض فكانت أعلى نسبة (47٪) منعينةالدراسة فان انطباعهم كان الخوف وأكثر من ثلثعينةالدراسةكان الخوف والبكاء هو اول ما ادركوهعندما رأوا الدمأولمرة.الاستنتاجات :خلصت الدراسة إلى أنالإناثالمراهقاتكان انطباعهم حولالحيضالخوف ، وأكثر من ثلثعينةالدراسة كان ادركاهم البكاء والخوف عندما رأواالدم أولمرة.اشارت الدراسه إلى الحاجه لبرنامج تعليم دقيق حول الحيض للفتاة المراهقة والآباء والجدات وذلك بسبب بعض المفاهيم الخاطئة الموجودة بين الناس من خلال وسائل الإعلام، وإضافة منهاج التربية الجنسية في المدارس لتقديم معلومات مفصلة عن النمو وسن البلوغ، من خلال النظافة الصحية المناسبة.التوصيات:نتائج هذه الدراسة تشير إلى وجود حاجة لبرنامج تعليم دقيق حول الحيض للفتاة المراهقة والآباء والجدات وذلك بسبب بعض المفاهيم الخاطئة الموجودة بين الناس من خلال وسائل الإعلام، وإضافة منهاج التربية الجنسية في المدارس لتقديم معلومات مفصلة عن النمو وسن البلوغ، من خلال النظافة الصحية المناسبة.


Article
Energy drinks consumption in Erbil city: A population based study
استهلاك مشروبات الطاقة في مدينة أربيل: دراسة على أساس السكان

Author: Yassin A. Asaad
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2017 Volume: 21 Issue: 2 Pages: 1680-1687
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Background and objective: Energy drinks have become increasingly prevalent among young adults and adolescents in recent years, particularly young students and athletes who see the consumption of energy drinks as an easy and quick way to boost academic and athletic performance. This study was conducted to determine the prevalence of consumption of energy drinks in a sample of adolescent and adults in Erbil city as well as perceived benefits and its health hazards.Methods: A convenience sample of 600 individuals from different sectors and social groups of Erbil city was selected. Data was obtained through direct interview. The data was managed through SPSS program version 18, using appropriate statistical tests.Results: The prevalence of energy drinks consumption among the study population was 42.7%, especially adolescents and young adults (those ≤ 25 years) and was more common among males than females (55.7% and 29.8%, respectively). The main reasons for its consumption were related to getting energy and improving the mood and performance (66.0% and 30.4%, respectively). 62.7% of participants think that it is harmful and could have adverse effects such as heartbeat irregularity and blood pressure swinging, addiction, and osteoporosis (46.2%, 33.7% and 13.2%, respectively). Televisions were the major source of advertisement (71.45). A significant statistical association had been found between the age, gender and educational status of the participants and consuming energy drinks (P = 0.001, 0.001 and 0.002, respectively).Conclusion: Energy drinks consumption found to be highly prevalent in adolescents and young adults in Erbil city, which calls for review and regulating the sale of these drinks including adolescents' education, raising community’s awareness, banning selling it in public places and increasing taxes.

Keywords

Energy drinks --- Adolescents --- Perception --- Erbil


Article
THE PERCEPTION OF GRADUATES OF DUHOK COLLEGE OF MEDICINE ABOUT FAMILY MEDICINE
نظرة خريجي كلية الطب/ دهوك نحو طب الأسرة

Authors: DELDAR MORAD ABDULAH دلدار مراد عبدالله --- RAJAB H. SANAAN, MBChB رجب سنعان --- SAEID KHEZER AHMED سعيد خزر احمد
Journal: Duhok Medical Journal مجلة دهوك الطبية ISSN: ISSN: 20717334 (online)/ ISSN: 20717326 (Print) Year: 2017 Volume: 11 Issue: 1 Pages: 79-92
Publisher: University of Dohuk جامعة دهوك

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Background: There is the shortage in the number of family doctors in this region and across the world. The perception of medicine graduates toward family medicine as a career may provide information on the future supply of family doctors in Kurdistan region of Iraq. The perception and specialty preferences of graduates of Duhok College of Medicine toward family medicine were examined in the current study.Subject and Methods: A cross-sectional study involving 131 medical graduates aged 24-29 years old of last three years from University of Duhok, College of Medicine working in Duhok governorate hospitals and its primary health centers was applied. Data were collected by the use of an anonymous self-administered questionnaire in English. Descriptive and analytic statistical methods were performed to find out the various aspects of the medical graduates’ preferences toward family medicine.Results: The number of participants was 131 medical graduates included 59.5% males and 40.5% females. The study revealed that the mean age of the sample population was 26.31±1.36 years. The preferred medical specialties were radiology (40.5%), pediatrics (40.5%), internal medicine (33.6%), and general surgery (32.8%) by both genders. The lowest interest was shown toward the family medicine (10.0%) compared with other medical specialties. Working time (72.5%), prestige (66.9%), and patient interaction (65.6%) have been the most important aspects of their specialty selection in both genders. The majority of them stated that family medicine is poorly valued by our society (79.4%), family doctors have limited career possibilities (43.5%). The family medicine was poorly valued in our society because it does not able to increase the private job opportunities (p=0.003), is not very attractive (p=0.015), have limited career possibilities (p=0.006). Moreover, the graduates did not show their interest towards family medicine because it does not provide the salary as high as other medical fields in our society (p=0.018).Conclusions: The medical graduates have currently a positive perception of family medicine as an essential clinical specialty in the region; however, they showed low interest in its selection as a future career. Numerous essential steps recommended to be done to reach the sufficient number of family doctor that would fulfill the need of our community.

الخلفية والهدف: نظرا لنقص عدد أطباء الأسرة في هذه المنطقة وفي جميع أنحاء العالم.نظرة الطبيب المتخرج نحو طب الأسرة على النحو الوظيفي، قد توفر معلومات عن العرض المستقبلي لأطباء الأسرة في إقليم كردستان العراق. وقد تم دراسة نظرة والتفضيلات التخصصية لخريجي كلية الطب في دهوك تجاه طب الأسرة في الدراسة الحالية.طرق البحث: تم تطبيق دراسة مستعرضة تشمل 131 من خريجي كلية الطب جامعة دهوك الذين تتراوح أعمارهم بين 24-29 سنة خلال السنوات الثلاث الماضية الذين يعملون في مستشفيات محافظة دهوك ومراكز الرعاية الصحية الأولية, تم جمع البيانات عن طريق استخدام استبيان يتم ملاها ذاتيا باللغة الإنجليزية. تم استخدام الأساليب الإحصائية الوصفية والتحليلية لمعرفة الجوانب المختلفة لرغبات خريجي الطب تجاه طب الأسرة.النتائج: بلغ عدد المشاركين (131) متخرج من كلية الطب منهم 59.5٪ من الذكور و 40.5٪ من الإناث. وكشفت الدراسة أن متوسط عمر أفراد العينة هو 26.31 ± 1.36 سنة. وكانت التخصصات الطبية الأكثر تفضيلا الأشعة (40.5٪)، طب الأطفال (40.5٪)، الطب الباطني (33.6٪)، والجراحة العامة (32.8٪) من كلا الجنسين. وقد أظهرت اهتماما أقل نحو طب الأسرة (10.0٪) مقارنة مع التخصصات الطبية الأخرى. وقت العمل (72.5٪)، تاثير (66.9٪)، وتفاعل المريض (65.6٪) كانت أهم جوانب اختيارهم التخصص في كلا الجنسين. وغالبيتهم ذكروا أن طب الأسرة لا يقدره مجتمعنا بشكل كاف (79.4٪)، و ذلك لأن أطباء الأسرة لديهم امكانيات مهنية محدودة (43.5٪). وطبيب الأسرة في مجتمعنا لا يستطيع زيادة فرص العمل الخاصة (p = 0.003)، ليس مرغوبا بشكل كافي (p = 0.015)، لديه إمكانيات مهنية محدودة (p = 0.006). وعلاوة على ذلك، لم يظهر الخريجون اهتمامهم بطب الأسرة لأنه لا يوفر رواتب عالية مثل المجالات الطبية الأخرى في مجتمعنا (p = 0.018).الاستنتاجات: إن خريجي كلية الطب لديهم حاليا تصور إيجابي نحو طب الأسرة باعتباره التخصص السريري الأساسي في المنطقة؛ ومع ذلك، فإنهم أظهروا رغبة قليلة في اختيارها كمهنة المستقبل. خطوات أساسية عديدة أوصى أن يتم الوصول إلى عدد كاف من أطباء العائلة التي من شأنها تلبية الحاجة في مجتمعنا.

Keywords

Family Medicine --- Perception --- Iraq --- Duhok.


Article
الإدراك لضعف أدلة تحريم التنباك للإمام محمد بن إسماعيل الصنعاني المتوفي (1182هـ) دراسة وتحقيق

Authors: مجاهد محمود إسماعيل --- فراس مجيد عبدالله
Journal: Anbar University Journal of Islamic Sciences مجلة جامعة الأنبار للعلوم الإسلامية ISSN: 20716028 Year: 2012 Volume: 4 Issue: 13 Pages: 2952-2986
Publisher: University of Anbar جامعة الانبار

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Abstract

الإدراك لضعف أدلة تحريم التنباك للإمام محمد بن إسماعيل الصنعاني المتوفي (1182هـ) دراسة وتحقيق


Article
Occlusal features, perception of occlusion and orthodontic treatment need and demand among 13 years aged Baghdadi students Part II: (Cross sectional epidemiological study)

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Abstract

Background: The present study aimed to assess the distribution, prevalence, severity of malocclusion in Baghdadgovernorate in relation to gender and residencyMaterials and Methods: A multi-stage stratified sampling technique was used in this investigation to make the samplea representative of target population. The sample consisted of 2700 (1349 males and 1351 females) intermediateschool students aged 13 years representing 3% of the total target population. A questionnaire was used to determinethe perception of occlusion and orthodontic treatment demand of the students and the assessment procedures forocclusal features by direct intraoral measurement using veriner and an instrument to measure the rotated anddisplaced teeth.Results and conclusions: The presence of malaligned teeth was reported by 39% of the sample. The most prevalentreported types of malaligned teeth were spaced teeth (26.6%); Of the students who stated that they havemalaligned teeth, 70.3% thought that it affected their appearance, 17.8% affected chewing, and 7.8% affectedspeech; The most common reasons for not seeking orthodontic treatment were the thought that treatment is notimportant or not possible (25.8%) and fear of pain (48.8%).One or more missing teeth due to extraction or traumawere found in 4.9% of the sample,the most common extracted tooth was the mandibular first molar. Crowding wasmore concentrated in the lower anterior segment while the spacing cases were higher and more concentrated inthe upper anterior segment. A maxillary central diastema was found in 18.1 % of the sample with a mean of 0.306mm. Anterior irregularities were found in (18.36 %maxillary and 26.84% mandibular),mean overjet 3.310 mm, meanoverbite was 2.99 mm, Class I Angle class was found in 78.29%, class II in 19.5% and class III in 2.3%. Posterior crossbitefound in 5.6%, anterior openbite (1.7%) and midline shift (54.34 %).Normal lip form was found in 86.6%, soft tissueimpingement in 3.3%.The treatment need according to DAI show that 72.3% of the sample were found to have no orslight treatment need, 15.9% with treatment elective, 7.3% with treatment highly desirable, and 4.5% with treatmentmandatory.Also increase the need and decrease demand for orthodontic treatment among adolescents in theBaghdad commune. This data will be useful for public oral health service and emphasize the need for orthodontictreatment among Baghdadi adolescents


Article
Patients’ and Clinicians’ Perception of Facial Esthetic Improvement as Determinant of Successful Orthosurgical Treatment

Authors: Wisam Wahab Al-Hamadi --- Fayez Saleh
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2017 Volume: 14 Issue: 1 Pages: 1-7
Publisher: Babylon University جامعة بابل

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Abstract

The purpose of this study was to compare patients’ and clinicians’ perception of facial esthetic improvement after orthognathic surgery. 22 adult females who underwent orthosurgical correction of certain dentofacial deformity were randomly selected with an average age of 24 years. Pretreatment and post-treatment set of good quality and standardized colored photographs (7 photographs for each patient) were collected and displayed in separate folders for evaluation. Structured open-ended questions were answered by evaluators and rated their perception on a percentage scale. Linear multiple regression analysis showed significant differences between patients’ and clinicians’ satisfaction with the orthosurgical outcome. There was a lower correlation between the patients’ self-ratings and that of the same patients by the orthodontist and the maxillofacial surgeon. The results indicated that the patients were not significantly impressed despite the esthetic improvement and due to relatively high cost of the orthosurgical procedures. Overall patients’ satisfaction rating was significantly lower than orthodontists (r = -0.07, p = 0.77) and maxillofacial surgeon (r = 0.07, p = 0.76). On the other hand, both orthodontist and maxillofacial surgeon had moderate significant association (r = 0.54, p = 0.009). Maxillofacial surgeons rated significantly higher than the orthodontist on the scale and much higher than the patients’ ratings.

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