Print ISSN: 0027-1446

Online ISSN: 2309-6217

Main Subjects : Family Medicine


Knowledge , Attitude and Practice Toward COVID – 19 in Mosul City

Firas Husam Ali; Nagham Khalil; Redhaa Ghanim Rashed

Annals of the College of Medicine, Mosul, 2021, Volume 43, Issue 2, Pages 132-138
DOI: 10.33899/mmed.2021.130314.1094

Backgroud: COVID-19 or the disease caused by the SARS – Cov2 – (sever acute respiratory syndrome caused by coronavirus 2 ). Coronavirus has caused a pandemic that has affected patients in more than 188 countries and territories around the world.
Prodigious restrictions and safety measures have been adopted by the governments to control the spread of wildfire coronavirus disease 2019 (COVID-19) pandemic. However, the effective implementation of these measures depends upon the knowledge, attitudes, and practices (KAP) of the people.
Materials and Methods: A cross-sectional survey was designed for the present study. The study was conducted from May 2020 to Septembet 2020 in Mosul city and include adults who are not working in the medical field and visit family medicine centers or hospitals for any reasons except having a disease
Results: this study revealed that about (190) 95% of the participant knows that the disease can be spread by droplet of patient and (136) 68 % of them believe that surfaces touched by patient could be one of the measures to transmit the disease and (156) 78% of them said that the disease may transmited from asymptomatic patient.
Regarding the knowledge of the participant about measures used to prevent spread of Covid 19 this research demonstrates that (198) 99% and (190) 95% of them convinced that proper hand wash and maintain appropriate distance between himself and other person specially with symptoms is an effective measure to prevent transmission of the disease . On the other hand , this study check the attitude of the participants toward Covid 19 which found that 76% and 72% of them have a good attitude toward covid 19 which was washing hands regularly and put facemask while only 59% believe that curfew during pandemic state are useful and 58% found that the preventive measures advised by health personnel were useful and 63% still considered that this disease designed as a biological weapon.
Conclusions: According to this study about 65% of the participant have good knowledge , 63.4 % of them have good attitude a toward Covid 19 which is very important to limit it's transmission through the population .

Hydatid Cyst Among Patients Attending Al-Jamhoory Teaching Hospital in Mosul, Epidemiology and Clinical Profile

Dhafar Omar; Zaid Yassen

Annals of the College of Medicine, Mosul, 2021, Volume 43, Issue 2, Pages 152-156
DOI: 10.33899/mmed.2021.130927.1104

Background: Hydatid disease is a zoonosis induced by Echinococcus tapeworms. Humans are infected by ingestion of Echinococcus eggs by eating contaminated food.
Objective: To Investigate the epidemiology of hydatid cyst first and final diagnosis in patients find out its clinical profile.
Method: The current study is a Case-series retrospective study for the patients attending Al-jamhoory Teaching Hospital between January 1, 2019, and July 1, 2021. The information was gathered from medical records. The data were analyzed using the frequency index, relative frequency and SPSS (Statistical Package for the Social Sciences).
Results: One-hundred eleven patients underwent during the study period. Sixty-three percent of them were males. unemployment state was 81.98%. The commonest ages of infection were 41-50 years as constitute 38.73%. About Fifty-nine percent of the patients were affected in the liver and about four percent of the patients were injured in the lungs. Villagers made up 57.65% of the patients. We found a total of (65.76%) patients had cats or dogs at home. The diagnosis of hydatid infection by Ultrasound of abdomen, Chest X-ray, and CT of the chest were (47.74%), (42.34%) and (9.9%) respectively. About Ninety percent of patients eat at restaurants on a regular basis. About Twenty-eight percent of patients have a hydatid cyst in their family.
Conclusion: The study indicate that diagnostic instruments are fundamental in diagnosis of hydatid as its diagnosis through clinical or preclinical are uncertain. Further education program is recommended to decrease its occurrence in Mosul city.

Patients satisfaction to quality of health services of family doctors in family medicine centers in left side of Mosul city

Mohammad Yousif Mohammad; firas husam ali; ammar hazim yahia

Annals of the College of Medicine, Mosul, 2020, Volume 42, Issue 1, Pages 76-81
DOI: 10.33899/mmed.2020.126482.1015

Abstract
Background:Patient satisfaction is related to clinical outcomes, patient retention, and medical malpractice claims. It affects the timely, efficient, and patient-centered delivery of quality health care. The aim of study was to assess the level of patients' satisfaction.to doctors in family medicine centers in Mosul city.
Patients and Methods: A cross sectional study was conducted in order to achieve the aim of the present study in which the data was taken from the attendants to family medicine centers in left side of Mosul city by direct interview using specially designed questionnaire (The Bulgarian EUROPEP questionnaire) after receiving health services during a period of 8 months started from 1st of May 2018 up to 30th of January 2019.
Results:The study includes 580 participants. More than half of them their ages were between 20 – 40 years from both sexes (male = 175, female = 135) and 38.8% of them were having university graduation. The overall satisfaction to medical services delivered by family doctors was 79.7%, Continuity and confidentiality constituted the higher satisfaction rate in 97%, 96.6%, while Informativeness satisfaction constitute 89.7%. Accessibility and Acceptability had the lowest satisfaction rate compared to other domains
Conclusions:this study revealed high patients’satisfaction rate to doctors delivering health care at the family health centers in left side of Mosul city while there was lower satisfaction rate regarding Accessibility and Acceptability. Further wide scale studies are needed in the future and provision of appropriate infrastructure.
Key words: patient satisfaction, family medicine, health care.

Implementation of Integrated Management of Childhood Illness Strategy's in Al Hadbaa Primary Health Care Center in Mosul City

Ashraf Abdulrahman; Ali M. Saleem

Annals of the College of Medicine, Mosul, 2019, Volume 41, Issue 1, Pages 75-80
DOI: 10.33899/mmed.2019.161297

Background: The World Health Organization (WHO) build up guidelines for the integrated management of childhood illnesses (IMCI) in the health facilities  to improve the recognition and the individual management of the common reasons of death among children under the age of five. The approach used in outpatient clinical settings with restricted diagnostic and therapeutic tools.
Aim of study: To assess the impact of implementation of IMCI strategy, in reducing an inappropriate prescription of antibiotics and raising vaccination coverage.     
Patients and methods: A cross-sectional study design was arranged, where 395 child with age from two months up to below 5 years old attending Al Hadbaa PHCC from 1st of January to 31st of March 2014 suffering from one or more of the following respiratory infection, diarrheal diseases, throat infections, ear infections and fever. The children assessed separately by two clinics, "A" non-adopting IMCI and "B" adopting IMCI guidelines, the Mc-Nemar test was applied and differences  were evaluated.
Results: The attendant children are 239 males and 156 females complaining from fever (39.1%), throat problems (21.4%), ear problems (12.6%), cough (11.6%), diarrhea (11.1%) and pneumonia (4.2%). The overall use of antibiotics is 66.1% in clinic "A" and 21.0% in clinic "B" with p-value 0.000. Regarding the immunization, the outcomes appear to have very high significant difference  54.1% in "A" and 75.7% in "B".
Conclusion: The classification-approach to the sick child using IMCI guidelines has clear effect on decreasing an inappropriate use of antibiotics and raising number of vaccinated children, which justifying the adaptation of this strategy.