Keywords : knowledge


Assessment of Knowledge of Pediatric Resident Doctors About Neonatal Pain

Numan Nafie Hameed; Bassam H. Sweedan

Iraqi Postgraduate Medical Journal, 2012, Volume 11, Issue 4, Pages 443-452

ABSTRACT:
BACKGROUND:
Infants including newborn babies, experience pain similarly and probably more intensely than older children and adult. They are also at risk of adverse long term effects on behavior and development, through inadequate attention towards pain relief in early life. However, the issue of analgesia in young babies has been largely neglected in most clinical setting, despite subjecting them to painful diagnostic and therapeutic procedures.
OBJECTIVE:
To assess the knowledge of resident doctors regarding neonatal pain and to compare this with best evidence-based medicine.
SUBJECTS & METHODS:
A survey study questionnaires was distributed to pediatric resident doctors (PRD) in three training hospital centers in Baghdad (A- Al-Kademia teaching Hospital, B- Child central teaching hospital, and C- Children Welfare teaching hospital/ medical city) during the period from first of February to first of May, 2010. The questions were about the doctors` knowledge in treatment of pain in neonates, specifically regarding the perception and the effects of pain, pain assessment tools, and the safety and efficacy of treatments for both procedural and long-term pain.
RESULTS:
This study included 101 PRD, 29 were females and 72 were males. Doctors generally knew about efficacy of skin to skin contact and massage , breast feeding and oral sucrose during short term procedures, benefit and risk of use of morphine and midazolam, but less agreed that sedation does not necessarily provide adequate pain relief into neonates. Doctors were supporting use of topical anesthetic agents but not supporting the benefit of treating long term pain with opioid analgesic outweigh the risk of neonates. About half of PRD knew the difference in long term effect between neonates and older children. Pain assessment tools were not perceived to be reliable ,valid or routinely used.
CONCLUSION:
The knowledge of resident doctors regarding neonatal pain was inadequate when compared with developed countries studies and evidence based medicine, so we recommend to increased the educational programs and training on neonatal pain management

Knowledge, Attitude and Practice Regarding Obesity Management among Family and Non Family Physicians Working in Primary Health Care Centers in Baghdad

Huda Adnan Habib

Iraqi Postgraduate Medical Journal, 2012, Volume 11, Issue 1, Pages 6-12

ABSTRACT:
BACKGROUND:
The rising level of obesity has been called the most urgent challenge to public health for the 21st
century. While many social institutions should be involved in addressing this problem, family
physicians have an important role in identifying and managing obesity.
OBJECTIVE:
To assess and compare the knowledge , attitudes and practice regarding obesity management among
family and non family physicians working in primary health care centers.
Methodology :
A cross-sectional survey has recruited a randomly selected sample of primary health care physicians
working in primary health care centers in Baghdad in 2010. A structured self-administered
questionnaire was used to collect data from 232 physicians. These include family medicine board
certified and other non-family medicine certified physicians. The questionnaire had four main parts:
personal data, knowledge, attitude and practice.
RESULTS:
The majority of the respondents depend on the waist circumference to diagnose obesity with 100%
among the family physicians and (74.2%) among non-family physicians. The majority of the
respondents think that obesity is a major health problem in Iraq with 49 (96.08%) among the family
physicians and132 (72.93%) among non family physicians. About (84.3%, 72.5% and 41.2%) of
family physicians agreed to prescribe Weight reduction medication when BMI >30, Patient not on
diet and on patient request respectively. Almost all family physicians (92.1%) agreed that is it better
to have a training course in obesity management compared to 49.46% among non- family
physicians.
CONCLUSION:
Both the family and nonfamily physicians working in the primary health centers need to improve
their knowledge and skills regarding obesity management

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Layla Hassan Mohmed; Haitham Issa Al; Banna

Iraqi Postgraduate Medical Journal, 2010, Volume 9, Issue 2, Pages 145-150

ABSTRACT: BACKGROUND: Medical non-compliance has been identified as a major public health problem in the treatment of Hypertension. OBJECTIVE: To identify factors related to non-Compliance with the treatment of patients with Hypertension.
PATIENTS AND METHODS: A total number of (400) hypertensive patient was enrolled to assess compliance rate at Shorsh General Hospital from July 21/2006 to July 21/2007, using a structured questionnaire. RESULT: The study revealed a low compliance rate among hypertensive patients, Males were less compliant (65.6%) than females (46%). Smokers (61.7%) more than non-smokers (50.6%),non-regular follow-up (76.7%) more than regular, primary and secondary education (68.5%) more than illiterate and high education, more than one medication (66.9%)than single medication. Poverty was the main cause of non-compliance (38.1) while absence of drugs and medical staff are the least to cause non-compliance (2.7%). CONCLUSION: Compliance rate in general is low in our study. Compliance rate is more in female, no family history, single drug medication, non-smokers, no other chronic diseases, more than 10 years of hypertension. Patient’s knowledge about their disease is insufficient because there are no health educational programs