Journal of Ideas in Health最新文献

{"title":"Female doctors are more emotionally exhausted than their male counterparts in Iraq","authors":"Ilker Dastan, Mustafa Ali Mustafa Al-samarraie, Saad Ahmed Ali Jadoo","doi":"10.47108/JIDHEALTH.VOL2.ISS1.18","DOIUrl":"https://doi.org/10.47108/JIDHEALTH.VOL2.ISS1.18","url":null,"abstract":"Background: The increasing number of women graduating from medical schools doubles the level of responsibility and increases competition with males. Therefore, the assessment of the emotional exhaustion impact on women has become necessary to avoid over-stress at work. This study aims to assess and discuss the gender differences in nine-item emotional exhaustion (EE) subscale of the validated Maslach Burnout Inventory (MBI) among a sample of Iraqi physicians.  \u0000Methods: A descriptive cross-sectional study conducted over the first half of 2014. Data was collected from 576 doctors using a self-administered questionnaire with a multistage sampling technique. An independent sample t-test used to compare the means. \u0000Results: More than half of respondents (310, 53.8%) were females with a mean age (±SD) of 40.43 years (±8.59). Female doctors are less affected than males in term of emotional draining from work (p=0.008) and strained by people (p=0.009) respectively. Male doctors are less affected than females in being used up at the end of the week (p<0.001), stressed by working with people (p<0.001), burned out from work (p<0.001) and frustrated by job (p<0.001). However, both male and female doctors are equal in feeling fatigue in the morning (p=0.286), feeling of working too hard (0.284) and of being unable to stand (0.358). \u0000Conclusion: This study supports the results of previous studies that female doctors show more empathy when dealing with patients, however, they appeared more prone to burnout and stress.","PeriodicalId":365684,"journal":{"name":"Journal of Ideas in Health","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114558488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Workplace violence against medical students- A Turkish perspective","authors":"A. Ince, P. Torun, Saad Ahmed Ali Jadoo","doi":"10.47108/JIDHEALTH.VOL2.ISS1.12","DOIUrl":"https://doi.org/10.47108/JIDHEALTH.VOL2.ISS1.12","url":null,"abstract":"Background: Workplace violence against healthcare providers including the medical students being an important issue all over the world. The aim of this study is to survey the medical students about exposure to workplace violence (WPV) while they are doing their medical training in private tertiary hospitals. \u0000Methods: This was a cross-sectional study carried out among all medical students (4th, 5th, and 6th class) attending a teaching hospital at Bezmialem Vakif University (BVU), Istanbul, Turkey. A total of 150 students in the 2017-2018 academic year were recruited in this study. Data were collected using a modified questionnaire through a face to face interview. Data were analyzed using SPSS 16. \u0000Results: About one-third of the surveyed students (54, 36.0%) exposed to violence and 71.3% of them witnessed incidents of violence against healthcare providers at the workplace. The prevalence of physical violence and verbal abuse among medical students was reported at 5.5% and 92.6% respectively. About 81.5% were females compared to 18.5% of their counterparts. Patients (38.9%) and their relatives (61.1%) were the main sources of the violence respectively. More than half (57.0%) of students exposed to violence at outpatient services and 25.9% at the emergency room and 16.7% at inpatient wards. Few of them (22, 14.7%) thought that they will get support if they make a complaint. \u0000Conclusion: Being a medical student and has direct contact with patients and their relative is not always safe practice. Our results suggested a high prevalence of verbal and physical abuse against medical students. Health sector authorities should adopt a restrictive and clear strategy to protect medical students and other healthcare providers.","PeriodicalId":365684,"journal":{"name":"Journal of Ideas in Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129450887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of malnutrition among the internally - displaced old age people in the Tikrit City, Iraq","authors":"N. M. Ibrahim, N. Khalil, R. S. Tawfeeq","doi":"10.47108/JIDHEALTH.VOL2.ISS1.15","DOIUrl":"https://doi.org/10.47108/JIDHEALTH.VOL2.ISS1.15","url":null,"abstract":"Background: With the steady increase in the number of old age people, the prevalence of chronic diseases, and the health expenditures, the importance of preventing malnutrition is becoming more critical than ever. This study aimed to assess malnutrition among the internally- displaced old age people in Iraq. \u0000Methods: A descriptive cross-sectional study conducted between November 2016 and March 2017 at the Dream city camp for the internally - displaced persons in Tikrit city, Iraq. Data was collected using the valid (Arabic) version of the mini - nutritional assessment (MNA) questionnaire. The internally displaced persons (IDPs) interviewed, and the nutritional status assessed via the MNA, body mass index (BMI), mid-arm circumferences (MAC) and calf circumferences (CC) measures. \u0000Results: A total of 142 eligible old age persons, of which 40.2% were malnourished, and 35.2% were at risk of malnutrition. Among those with malnutrition, 40% were males, and 60% were females. Concerning comorbidity, 80% with positive malnutrition, had chronic diseases. DM reported a higher prevalence (46.5%) compared to other chronic diseases. \u0000Conclusion: The prevalence of malnutrition was high among the old age people resident at the displacement camp in Iraq. Both the deteriorating security situation and the lack of proper services have combined to exacerbate the nutritional status of older persons in displacement camps.","PeriodicalId":365684,"journal":{"name":"Journal of Ideas in Health","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122672964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictive factors of successful extracorporeal shockwave lithotripsy (ESWL) for renal stones: evidence of retrospective study","authors":"S. M. Yaseen, Saad Ahmed Ali Jadoo, A. Abdullah, Anmar Shukur Mahmood, Wassan Nasrat Abd Al-wahaab","doi":"10.47108/JIDHEALTH.VOL2.ISS1.11","DOIUrl":"https://doi.org/10.47108/JIDHEALTH.VOL2.ISS1.11","url":null,"abstract":"Background: \u0000Extracorporeal shockwave lithotripsy (ESWL) has proved to be effective in treating ureterolithiasis. This study aimed to investigate the predictive factors related to success ESWL among patient presented with renal stone. \u0000Methods: \u0000A retrospective study was conducted among 40 patients who underwent ESWL at the urology department, Baquba Teaching Hospital, Diyala University, Iraq. Data was collected between1st October 2018 and 31st January 2019 for renal stones diagnosed by non-enhanced spiral computed tomography (NCCT). The success rate defined as no stone or the remnant stones < 4 mm. We analyzed predictive factors by using multiple linear regression. \u0000Results: \u0000The success rates ranged from 50-90%. In the univariate analysis, body mass index (BMI), skin-to-stone distance (SSD)and the renal stone-attenuation value (in Hounsfield units, HU) were found to be significantly correlated with the outcome of ESWL (p<0.05). However, in the multiple linear regression, only the HU (B = -0.619, P < 0.0001; 95% confidence interval [CI]:0.03 to 0.07) was theindependent predictive factor. \u0000Conclusion: \u0000Hounsfield Unit is an independent predictive factor influencing the success of ESWL for treating renal stones.","PeriodicalId":365684,"journal":{"name":"Journal of Ideas in Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131250597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of displacement on the social, economic and health situation on a sample of internally displaced families in Anbar Province, Iraq","authors":"Saad Ahmed Ali Jadoo, Y. T. Sarhan, M. Al-Samarrai, M. Al-Taha, B. N. A. Any, A. Soofi, B. Yahyaa, Ru’ya Abdulhadi Al-Rawi","doi":"10.47108/jidhealth.vol2.iss1.16","DOIUrl":"https://doi.org/10.47108/jidhealth.vol2.iss1.16","url":null,"abstract":"Background: \u0000Internally displaced people in Iraq are still suffering because the solutions were not radical. This study aims to assess the impact of displacement on the socio-economic, well-being and mental health status of internally displaced families in Anbar province, Iraq. \u0000Methods: \u0000A descriptive cross-sectional study was conducted from 3rd to 17th April 2017. Data was collected using a universal sampling technique. A total of 355 households interviewed with a modified questionnaire consisting of 26 close-ended questions related to the socio-economic, demographic, wellbeing and the mental health characteristics. \u0000Results: \u0000At the time of the study, about 55.5% of the surveyed displaced families have not returned home yet. Big families of more than seven members (59.4%) and residency in renting houses (82.8%) are two variables that may contribute to an economic burden. Mental health disorders such as depression and anxiety spread among 62.3% of surveyed families. Significant rise in chronic diseases from 64 (18.0%) cases before displacement to 102 cases (28.7%) after displacement. Few of them (21.6%) were able to access public health services. People who experienced violence are verbally abused at 52.1%. Lack of the services (50.3%), the inability to repair the destroyed houses (26.4%) and the loss of house due to complete destruction (23.3%) were the significant factors inhibited families to return home back. \u0000Conclusion: \u0000Our findings indicate the need for urgent and strategic plans to improve the quality of logistics, health and infrastructure services to motivate the displaced families to return back to their homes.","PeriodicalId":365684,"journal":{"name":"Journal of Ideas in Health","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123640353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical students carry more virulent microorganisms at their throat than that of patients' accompaniers","authors":"Hanan Raheem Hassooni, A. A. Farhan, Hameed M. Jasim, A. Alhusseiny","doi":"10.47108/JIDHEALTH.VOL1.ISS2.8","DOIUrl":"https://doi.org/10.47108/JIDHEALTH.VOL1.ISS2.8","url":null,"abstract":"Background: Transition of medical students from a non-clinical to a clinical situation carries a considerable risk that needs further investigation. This study aims to detect and compare the throat bacterial colonization between medical students and patients' accompaniers in a tertiary hospital. \u0000Methods: Across-sectional descriptive study was conducted at the outpatient clinics of the Baquba Teaching Hospital at the Faculty of Medicine, Diyala University, Iraq.  A total of 120 throat swabs collected from a sample of 70 medical students (fifth stage) and 50 volunteers as a control group who were selected conveniently during their outpatient visits over September 2018. Aerobic and anaerobic culture methods were recruited to investigate the samples following the standard microbiological procedures. \u0000Results: Finding of this study indicate a high rate of bacterial throat colonization among medical students compared to the control group. Male gender showed high susceptibility for infection than females. The most common bacteria isolated among medical students were Staphylococcus aureus, and Escherichia coli 26 (37.1%), followed by Streptococcus pneumonia appeared in 23 samples (32.8%), Viridians streptococci 19 (27.1%), Acinetobacter spp.14 (20%), Enterobacter spp. 4 (5.7%), Candida spp. 3 (4.2%), Pseudomonas aeruginosa 2 (2.8%) respectively. \u0000Conclusion: Our findings suggest that medical students may contribute significantly to the transmission and dissemination of nosocomial pathogens among patients and vice versa.","PeriodicalId":365684,"journal":{"name":"Journal of Ideas in Health","volume":"89 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130499889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of emotional exhaustion among physicians from Iraq - a descriptive cross-sectional multicentre study","authors":"Saad Ahmed Ali Jadoo, Ilker Dastan, M. Al-Samarrai, S. M. Yaseen, P. Torun","doi":"10.47108/JIDHEALTH.VOL1.ISS2.6","DOIUrl":"https://doi.org/10.47108/JIDHEALTH.VOL1.ISS2.6","url":null,"abstract":"Background: Doctors and paramedics in countries suffering from long-acting conflicts, including Iraq, are working in severe and exceptional conditions, putting them under severe physical and psychological pressure, therefore examining burnout is important when dealing with the quality of care and working conditions. This study aimed to assess the point prevalence and to explore factors associated with emotional exhaustion (EE) among medical doctors in Iraq. \u0000Methods: Descriptive and a cross-sectional study was conducted (January to June 2014) among a randomly selected sample of medical doctors (n=576, 87.3% response rate) working in twenty large general hospitals and medical centers. In addition to EE, the self-administered questionnaire used was consisting of questions on sociodemographic, work-related characteristics, conflict-related variables, and job satisfaction. EE was measured using the emotional exhaustion subscale of the Maslach Burnout Inventory (MBI). \u0000Results: The prevalence of EE reported by 60.0% of the respondents. In multiple linear regression analysis, the emotional burnout was higher among doctors who were married, female, bearing children, being threatened, displaced internally, non-specialist doctors, working more than 40 hours per week, experienced unsafe medical practice, disagreed with the way manager handle the staff and those who reported that the doctor-patient relationship as not excellent. \u0000 Conclusion: Our findings suggest that job dissatisfaction, conflict, and violence-related factors were significantly associated with a high level of emotional exhaustion among Iraqi physicians.","PeriodicalId":365684,"journal":{"name":"Journal of Ideas in Health","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128277785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simultaneous versus two stage surgical treatment of developmental dislocation of the hip with excessive femoral anteversion in children under the age of three years","authors":"A. Mansoor, Baqer Kraidi, L. Al-Naser","doi":"10.47108/jidhealth.vol1.iss2.9","DOIUrl":"https://doi.org/10.47108/jidhealth.vol1.iss2.9","url":null,"abstract":"Background: Delayed diagnosis and improper treated cases of developmental dysplasia of the hip (DDH) in the presence of excessive anteversion of femoral head may lead to undesirable consequences, including more extensive interventions with severe complications and functional disability. This study aimed to compare the clinical, radiological, and complication outcomes of simultaneously versus two-stage surgical procedures (open reduction and proximal femoral derotation osteotomy) in the treatment of DDH with excessive femoral anteversion among a sample of Iraqi children aged less than three years old.  \u0000Methods: A total of 26 DDH cases were treated in two groups (GI, GII) at Al-Wasity Teaching Hospital (Baghdad, Iraq) from January 2014 to March 2015. GI (15 hips) in 13 patients subjected to simultaneous open reduction (with/without salter osteotomy) and proximal femoral derotation osteotomy. GII (18 hips) in 13 patients operated in two stages procedure; open reduction (with/without salter osteotomy) followed by proximal femoral derotation osteotomy six weeks later.  \u0000Results: At the time of operation, the average age was 21.79±3.51months (range: 18-30). The mean follow-up period was 10.36 ±1.45 months (range, 8 -12). Statistically, the postoperative clinical, radiological, and complication findings were not significantly different between the two groups. However, in post-operative clinical assessment (McKay's criteria), the satisfying results (excellent and good) were 93% in GI and 88% in GII, respectively. Moreover, in radiological assessment (Severins classification), the satisfying results (excellent and good) were 94% in GI and 83% in GII, respectively. Two cases of re-dislocation and avascular necrosis (AVN) were reported in GII. \u0000Conclusion: When the clinical and radiological findings of one and two-stage open reduction and proximal femoral derotation osteotomy procedures are similar, the one-stage is more likely to overcome the two-stage in terms of minimizing the cost, length of stay and the risk of AVN of the femoral head.","PeriodicalId":365684,"journal":{"name":"Journal of Ideas in Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114519389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Upper respiratory tract infection and otitis media are clinically and microbiologically associated","authors":"Hanan Raheem Hassooni, Samih Faiq Fadhil, R. Hameed, A. Alhusseiny, Saad Ahmed Ali Jadoo","doi":"10.47108/JIDHEALTH.VOL1.ISS1.7","DOIUrl":"https://doi.org/10.47108/JIDHEALTH.VOL1.ISS1.7","url":null,"abstract":"Background: Although significant improvement has been achieved in terms of antibiotic care, otitis media (OM) continues to be a worldwide health problem that may develop serious complications. This study aimed to detect the growth of organisms and to find out the most susceptible factors related to OM among the Iraqi population. \u0000Methods: A prospective cross-sectional study was conducted at the out-patient department (OPD) of Ear, Nose, and Throat (ENT) at the Baquba teaching hospital at the Faculty of medicine, Diyala University from November 2017 to March 2018. A total of 300 ear samples collected from 87 (29.0%) patients of acute otitis media (AOM), 104 (34.7%) patients of otitis media with effusion (OME), and 109 (36.3%) patients of chronic otitis media (COM). Standard microbiological procedures were recruited to investigate the samples using aerobic and anaerobic culture methods. \u0000Results: The highest incidence of OM 218 (72.7%) was observed among the age group of fewer than ten years old. The most common bacteria isolated were Pseudomonas aeruginosa (35.0%), Staphylococcus aureus (25.0%), Proteus spp. (24.0%), Escherichia coli (7.0%), Streptococcus pneumonia (6.0%), Klebsiella pneumonia (2.0%) and Streptococcus pyogenes (1.0%). It was found that upper respiratory infection (URTI), adenoid inflammation with (URTI), adenoid inflammation, the practices of complementary and alternative medicine (CAM), and the accident or trauma are the main factors related to OM in about (42.0%), (31.0%), (11.0%), (10.0%) and (6.0%) of cases respectively. \u0000Conclusion: Our findings suggest that OM was effectively related to URTI and adenoid inflammation with (URTI) in about 73.0% of cases. More attention should be given to early diagnosis and treatment of URTI before progressing to undesirable OM.","PeriodicalId":365684,"journal":{"name":"Journal of Ideas in Health","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122701126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Iraqi medical students are still planning to leave after graduation","authors":"M. Al-Samarrai, Saad Ahmed Ali Jadoo","doi":"10.47108/jidhealth.vol1.iss1.5","DOIUrl":"https://doi.org/10.47108/jidhealth.vol1.iss1.5","url":null,"abstract":"Background: Medical students constitute the backbone of the future human resource for health, and therefore, as much as attention should be given to secure a high level of education, it should also be given to understand their wishes to leave or to stay at home country. This study aimed to find out the prominent factors associated with Iraqi medical students' planning to leave their country after graduation. \u0000Methods: A descriptive cross-sectional study was conducted among clinical medical students (fourth, fifth, and sixth classes) of two medical colleges (the University of Anbar and University of Fallujah) in Anbar Governorate from 1st to 14th March 2018. A total of 183 students (Response Rate: 72,6%.) completed a self-administered questionnaire consisting of 15 close-ended questions related to the socio-demographic factors, economic characteristics, and some other factors inspired from Iraq's situation. Moreover, one open-ended question was designed to explore the main reasons for migration from the student's point of view. \u0000Results: Although 109 students (60%) felt that serving their citizens and country is a priority, however, the vast majority of 133 (73%) of the surveyed students had a plan to leave Iraq. About two thirds (69 %) of students intended to migrate as soon as they manage to: obtain their graduation certificate (49%); have enough money (34%), and the remaining 18% when they get parents’ permission. \u0000Conclusion: Our results suggest that living environments and work-related variables are significantly associated with medical students' intention of migration; however, social reasons and inspiring academic achievement were the main factors triggering students to leave Iraq.","PeriodicalId":365684,"journal":{"name":"Journal of Ideas in Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132121008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}