العلم العراقي
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الاصابات المنزلية المميحة للنساء في العراق 2010 - 2015 Fatal Domestic Injuries among Females, Iraq, 2010 - 2015

اسم المؤلف: ختام محسن علي
اسم المشرف: بتول علي غالب ياسين
الموضوع العام: الطب
السنة: 2017
الموضوع الدقيق: الوبائيات التطبيقية
الدرجة: دبلوم عالي
الجامعة: جامعة بغداد - كلية الطب
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:
المستخلص: Background : Injuries and violence are among the most prominent public health problems in the world, as well as being a leading cause of mortality.Globally, each year more than 11,000 people are estimated to die within homes from preventable unintentional injuries. The majority (73%) of family victims were females.Objectives : This study is conducted to describe the epidemiological characteristics, estimate incidence and identify mechanism of fatal female domestic injuries (FFDI) in Iraq for the period of 2010 - 2015.Methods : A cross sectional study was conducted on all female home fatalities reported from all the coroner offices in Iraq for the period of 2010 - 2015 as part of Iraqi Injury Surveillance System (IISS). The injury surveillance form included detailed data on the demographics, injury circumstances and injury mechanisms. Populations' data of the country and the provinces were obtained from Ministry of Health (MOH) and Ministry of Planning.Results : The total number of FFDI during this period was 9,181with an average annual incidence of 11.9/100,000 female population (FP). FFDI represented 13.1% of total Fatal Injuries of IISS and 53.3% of domestic fatal injuries of IISS.Page II The incidence of FFDI decreased from 12.4/100,000FP in 2010 to 11/100,000FP in 2015. Mean age group was 47years, 55% occurred at the age group 10 - 29 years. The highest incidence 21.4/100,000FP was recorded at the age group 20 - 29 years. About 72% of FFDI were unintentional with average annual incidence 8.4 /100,000FP and 72% occurred during 6am - 5pm. The main causes of FFDI were : Burn (62%), electric injury (11.5%), and gun fire (7%) with average annual incidence 7.4, 1.3, and 0.7/100,000FP, respectively. The highest average incidence was reported in Erbil (22.3/100,000FP), Misan (20.2/100,000FP), and Sulaimaniya governorates (16.8/100,000FP) Conclusions : There is a need for implementing of effective community based preventive programs by regulatory measures, environmental changes, and education which may play a crucial role in the prevention of injuries in female home environments.

تقييم كفاءات مسؤولي الرصد الوبائي علي مستوى القطاعات، العراق 2017 Assessment of Competencies of Surveillance Officers at District Level, Iraq 2017

اسم المؤلف: رفل علياء مكي الصافي
اسم المشرف: علياء مكي حسن الصافي
الموضوع العام: الطب
السنة: 2017
الموضوع الدقيق: الوبائيات التطبيقية
الدرجة: دبلوم عالي
الجامعة: جامعة بغداد - كلية الطب
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:
المستخلص: Background : Assessment of communicable diseases surveillance officers is regarded as one of important aspects for the detection of obstacles that prevent the development of surveillance system which would certainly affect the control programs of these diseases.Objective : To assess the background characteristics communicable diseases' surveillance officers at all district levels of all Iraqi provinces .Method : A cross sectional study from the 15th March to 30th September,2017 in which all the communicable diseases' surveillance officers (136) that are employed by MOH all over Iraq were included. A structured questionnaire developed by the researcher and explained during coordination meeting for the surveillance unit in DOH/ MOH. It was then sent by e mail to the surveillance focal persons in DOHs at the provinces level. The questionnaire form gathered demographic data, service characteristics and status of their competencies including : basic epidemiology, biostatistics, surveillance, outbreak investigation, rapid response to health incidence, laboratory models, developing scientific reports and the basic computers skills.Results : The response rate was 85.3%, about half of surveillance officers was responsible for less than 10 PHCC, while only 13.8% were responsible for 20 - 29 centres. More than half of surveillance officers (55.3%) were responsible for 1 - 2 hospitals, while only 9.6% were responsible for 3 - 4 hospitals. The age of study participants ranged between 21 and 62 years and the males constituted more than three quarters (78.4%) of the study sample, Diploma was the highest educational certificate. Those who did not attend any training activity constituted 15.6% of the study sample. Cholera was the most frequently reported incident investigated in an outbreak activity (53.8%). Food poisoning was the most frequently reported incident for a rapid response activity (43.8%).Microsoft word was the most frequently reported skill that reached the required level of proficiency (48.3%).Conclusions and recommendations : The health surveillance system in Iraq at district level was operated mainly by low qualified and under - trained health personnel. There is inequity in distribution of work load (regarding PHCCs and hospitals) and training sessions between surveillance officers in health offices, therefore redistribution is recommended which is the responsibility of health policy makers during the planning and implementing health programs.Supporting continuous training programs on epidemiology, biostatistics, outbreak investigation, computer skills and writing scientific research with increase incentives. Availability of computer and internet facilities must be financed.

الوضع الوبائي لمرض الهيموفيليا في بغداد - العراق 2016 Epidemiological Profile of Hemophilia in Baghdad - Iraq, 2016

اسم المؤلف: كمال عبد الرزاق كاظم
اسم المشرف: فارس حسن اللامي
الموضوع العام: الطب
السنة: 2017
الموضوع الدقيق: الوبائيات التطبيقية
الدرجة: دبلوم عالي
الجامعة: جامعة بغداد - كلية الطب
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:
المستخلص: Background : Hemophilia is an X - linked bleeding disorder that affects males mainly. Globally, there are about 400,000 people with hemophilia and only 25%of them receive adequate treatment. There is insufficient epidemiological data on hemophilia in Iraq, so this study was conducted to estimate the prevalence, incidence and other epidemiological characteristics of hemophilia patients in Baghdad, 2016.Methods : A cross sectional study was conducted by reviewing all records of hemophilia patients for 2016 that retrieved through visiting all hemophilia centers in Baghdad. Corresponding population data of Baghdad was obtained from the Ministry of Planning.Results : The total number of the registered hemophilia patients in Baghdad centers who are residents of Baghdad was 654. The current prevalence of hemophilia was 7.7/100,000 population and it was 3.6/100,000 population in 2007. The current incidence of hemophilia was 16.3/100,000 livebirths and it was 8.4/100,000 livebirths in 2007. Severe hemophilia represented 63.4% from all types and the male patients represented 97.1%. The prevalence of HCV was 22.9%, for HBV was 0.9% and 0.2% for HIV. Inhibitors werepositive in 11.6% of hemophilia patients. Target joints found among 45.1% of patients. About 27% of patients were on prophylactic therapy. Only one death was recorded among hemophilia patients in Baghdad, 2016.Conclusions : The prevalence and incidence of hemophilia in Baghdad was doubled in 10 years' period. We recommended establishing an electronic national registry to have a perfect database for hemophilia and enhancing the prophylactic treatment.

الصفات الوبائية لمرض الاسهال الحاد في الاطفال دون سن الخامسة في العراق 2016 Epidemiological Characteristics of Acute Diarrhea in Children under Five Years in Iraq, 2016

اسم المؤلف: عمار عبد الله حمد
اسم المشرف: ايمان عدنان القصير
الموضوع العام: الطب
السنة: 2017
الموضوع الدقيق: الوبائيات التطبيقية
الدرجة: دبلوم عالي
الجامعة: جامعة بغداد - كلية الطب
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:
المستخلص: Background : Diarrhea is one of the principle causes of morbidity and mortality among children in developing countries. It was the second leading cause of death in children under five years, accounting for 9 % of all deaths among children under age 5 worldwide in 2015. Despite the availability of simple effective treatment, about 1,400 young children die each day which is equivalent to 526,000 children a year. According to Multiple Indicator Cluster Survey (MICS - 4), the incidence of diarrhea in Iraq was 15% .Theobjective of this study was to identify the incidence and deaths of acute diarrhea in children under five year in Iraq, 2016. Methods : A descriptive cross - sectional study by reviewing all reported data from the directorate of health all over Iraq to the surveillance section in the Communicable Diseases Control Center in Baghdad. Incidence and case fatality rate (CFR) for <5 years population were calculated.Results : The total number of acute diarrheal cases was 251,388. A total of outpatient was 211,665(84%) and 39723(16%) was admitted cases. Male to female ratio was 1.1 : 1. Incidence of acute diarrhea was 47/1,000, the highest incidence was in Diwaniya (119.2 / 1,000), Erbil (89.8 /1,000), and Thiqar (77/1,000). The total death due to acute diarrhea was 154, male : female ratio was 1.2 : 1 and most deaths occur in children <1year (60.4%). CFR was 0. 77/1,000, the highest case fatality rate was in : Baghdad - Karkh (3.70/1,000), Diyala (2.49/1,000), and Diwaniya (1.14/1,000).Proportional mortality rate (PMR) was 7.7/1,000; the highest PMR was in Diwaniya (24.8/1,000), Salah aldin (18.9/1,000), and Diyala (17.5/1,000). Percentage of ORS used was 85%.The completeness of reported site for all provinces was 88%.Conclusion Diarrhea is still a major cause of morbidity and mortality in children under five years, which need to pay more attention for PHC intersectoral cooperation and community participation, and encouragement of Breast feeding.

تقييم ممارسات الجلسة التلقيحية في مراكز الرعاية الصحية الاولية - محافظة واسط, العراق 2017 Assessment of Immunization Session Practices in Primary Healthcare Centers - Wasit Province, Iraq, 2017

اسم المؤلف: علي صادق جعفر
اسم المشرف: فارس حسن اللامي
الموضوع العام: الطب
السنة: 2017
الموضوع الدقيق: الوبائيات التطبيقية
الدرجة: دبلوم عالي
الجامعة: جامعة بغداد - كلية الطب
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:
المستخلص: Vaccination is a great public health achievement in human history. Annually, vaccines prevent more than 2.5 million child deaths globally. In 2016, about 19.5 million infants worldwide were not covered by DTP3, 60% of them live in 10 countries including Iraq. According to WHO and UNICEF, one third of below one year infants did not complete their immunization schedule. Wasit is among the governorates with a large number of underimmunized children. High quality immunization session practices (ISPs) can ensure safer, more effective vaccination and higher coverage rates. Objectives : To assess ISPs in Primary Healthcare Centers (PHCs) in Wasit, and if ISPs are correlated to some PHCs’ characteristics.Methods : A cross sectional study was conducted on 14 PHCs. One fourth of PHCs in each district were selected using simple random sampling. Each PHC was visited once to assess ISPs, using a modified WHO immunization session checklists. Information on vaccinators and PHC’s were collected using two, self - designed questionnaires.Results : PHCs were scoring variably in ISPs, ranging from 0.52 to 0.78 with a mean of 0.68 ± 0.07. ISPs were grouped into seven domains (mean) : vaccine management (0.51), cold chain management (0.40), session equipment (0.88), communication (0.27), vaccine preparation and administration (0.72), registration (0.83) and waste management (0.84). Three of PHCs’ characteristics : population size, below one - year monthly target and average number of daily vaccinees showed statistically significant, negative correlation with ISPs which was of intermediate strength.Conclusion : None of the PHCs was practicing near standard ISPs. ISPs showed statistically significant, negative correlation, of intermediate strength with population size, below one - year monthly target and average number of daily vaccinees for each PHC

الاضطرابات النفسية لدى كبار السن بين مراجعي عيادة كبار السن في مدينة الطب بغداد/ العراق 2017 Mental Disorders among the Elderly People Attending Geriatric Clinic of Baghdad Medical City, Baghdad/ Iraq, 2017

اسم المؤلف: احمد عبد الامير ابراهيم
اسم المشرف: جواد كاظم الديوان
الموضوع العام: الطب
السنة: 2017
الموضوع الدقيق: الوبائيات التطبيقية
الدرجة: دبلوم عالي
الجامعة: جامعة بغداد - كلية الطب
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:
المستخلص: Background : The aging population is currently one of the main issues facing international health care systems. Between 2015 and 2050, the proportion of the world’s population 60 years and over will increase from 12% to 22%. Iraqi population was exposed to wars and conflicts, which are in turn, affect their mental health. We conducted this study to measure the prevalence and identify types and potential associated factors of MDs among elderly people attending Geriatric Clinic of Baghdad Medical City. Methodology : A cross - sectional study conducted and a systematic random sampling technique was used to select 320 elderly people attending Geriatric Clinic of Baghdad Medical City for non - psychiatric complaints. We collected data on basic demographics and associated risk factors using a questionnaire filled through self - reported questionnaire.Mental disorders (MDs) were defined based on Kessler Psychological Distress Scale (K10) with a cutoff score of 20+. Accredited tools used by WHO were used to identify the types of MDs.Results : The prevalence of MDs in the study sample was 24.4%. The prevalence of MDs types were : Depression 16.6%, anxiety 12.8%, dementia 5.3%, substance abuse 2.5%, suicide thoughts 5.6%, and suicide attempts 2.5%. Logistic regression analysis was used to examine the determinant factors of elderly MDs revealed the following significant factors : Aging, smokers, living depends on others, loneliness and social isolation, visual impairment, economic state deterioration, neglect and mishandling, and chronic diseases are the determinant factors of elderly MDs.Conclusions : Mental disorders are wide spread among elderly people and enhanced elderly mental health care services should be provided

دراسة وبائية لحالات مرض النكاف في مدينة بغداد العراق للسنوات 2013 - 2016 Epidemiological characteristic of Mumps in Baghdad, Iraq, 2013 - 2016

اسم المؤلف: عبد الحميد سالم براك
اسم المشرف: جواد كاظم الديوان
الموضوع العام: الطب
السنة: 2017
الموضوع الدقيق: الوبائيات التطبيقية
الدرجة: دبلوم عالي
الجامعة: جامعة بغداد - كلية الطب
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:
المستخلص: Background : Mump is an acute communicable disease of viral belongs to the family of paramyxoviruses. It has a single - strand, non - segmented, negative - sense RNA genome and is spread by the respiratory route. Following a 12 - 25 - day incubation period, self - limiting, painfully swollen parotid salivary glands (parotitis). Some complications of infection include hearing loss, orchitis, oophoritis, mastitis, and pancreatitis. EPI in Iraq was implemented Mumps in 1985 with 6 target diseases, T.B, polio, measles, diphtheria, pertussis and tetanus that kill or disable children. Vaccination is the best way to prevent mumps, the first dose at 12 - 15 months of age and the second dose at 4 - 6 years of age (school entry). Outbreaks of mumps was reported in Baghdad Iraq capital of tow side AL - Ressafa and ALKarkh 2013 - 2016.Objective To estimate incidence and complication of mumps in Baghdad, Iraq, 2013 - 2016 : Methods : A review of Data reported from Al - Ressafa, Al - karkh directorate of health and surveillance center of diseases control and prevention from 2013 - 2016, and through the seventeenth Health Districts 186 PHCCs and 24 Hospitals. A Microsoft Excel Epi info 7 and QGIS software were be used for data entry and analysis.Result : Two Peaks incidence were reported in 2015 and 2016. A total admission cases to hospital was 1019 with M/F ratio 1.34 : 1. Peak level in 5 - 14y and high incidence in 1 - 4 years age group, so high monthly distribution from Jan to April in 2016.Highest number in15 - 45y age group. Fever and Testicular Swelling 56.1 %, Joint pain 31.1%, Convulsion 59.8%, among 0 - 9 years age group Parotid swelling 76.1, encephalitis 10.6%, meningitis 39.2% and Orchitis 42.7%. Conclusions : There are great concerns about mumps outbreaks and the associated risk it remains an important clinical condition. Complete infertility is extremely rare. Treatment remains conservative immunization is the best policy to avoid mumps - related complications.