Print ISSN: 0027-1446

Online ISSN: 2309-6217

Main Subjects : Community Medicine

Online Team-Based Learning for Teaching Antenatal Care during COVID- 19 Pandemic

Omaima Abdulrazzaq zubair; Humam Ghanim I. Zubeer; Samar A. Ahmed; Mohamad H Shehata; Mohamad A Hassanein

Annals of the College of Medicine, Mosul, 2022, Volume 44, Issue 1, Pages 76-82
DOI: 10.33899/mmed.2021.131802.1117

Background : Covid 19 era bring learning to be more distant via internet. Many students' engagement methods applied in this context. The present study aims to enhance students' engagement in the learning process through application of online Team Based Learning in teaching antenatal care in fourth year medical students during COVID 19 period .
Methods : A pilot intervention study was used to test the online team based learning application for teaching antenatal care partition of Community medicine curriculum during COVID-19 period. Then, the   study was implemented on two sessions through two academic years for the large group fourth-year medical students of College of Medicine, University of Mosul, Iraq. Google classroom, Google form, Telegram and Zoom platform was the online platform that used for application of the study .
Results : A total of 389 students were voluntarily participated in the study from two different academic years. There was significant improvement in the students’ performance obtained from team readiness assurance test in compares to individual readiness assurance test at each session's application.  Students give high satisfaction for TBL as a better way of teaching comparing to traditional teaching methods .
Conclusion : Pear's study has positive impact on students' understanding and when used online make the teaching easier and enjoyable .

Complications after Covid-19 vaccination

Sameer Ibrahim Hasan; Imad A Thanoon; Abdul-rahman I. A-J Thanoon; Omar SI. Hasan; Rwqaya S. Dawood

Annals of the College of Medicine, Mosul, 2022, Volume 44, Issue 1, Pages 88-94
DOI: 10.33899/mmed.2022.134076.1151

Background : Coronavirus disease (COVID-19) is an infectious disease caused by the SARS-CoV-2 virus.
Most people who fall sick with COVID-19 will experience mild to moderate symptoms and recover without special treatment. However, some will become seriously ill and require medical attention.
Objective : The aims of this study is to explore the different side effects associated with the three most common vaccines against Covid-19 in Nineveh, Iraq. Such study will aid healthcare workers and policy makers in the betterment of medical care for concerned patients, therefore, improving their quality of life.
Patients and methods: The study is a prospective case series study, included 498 participants, 48.1% of them were between the ages 18 to 30 years, 54.0% are married, Only these two characteristics were significantly different among vaccine users (p-value = .041 and .001, respectively).
Results: Frequency of Adverse Reactions Based on the Vaccine
For the first dose, the most common symptoms were body/joint pain, headache, fatigue and fever.
The frequency of these symptoms in addition to respiratory symptoms were significantly more frequent within the AstraZeneca vaccine (all p <.001).
While the Pfizer-BioNTech vaccine had significantly higher frequency of no experienced symptoms (p <.001).
For the second dose, the trends of the adverse effects did not change. However, the symptoms of joint/body pains, headache, fatigue, and fever were significantly more pronounced in the Pfizer-BioNTech vaccine (all p <.001).
Conclusions and recommendations: In conclusion, we noticed that post vaccine side effects are common with all vaccines but are more pronounced in new technology vaccines.
The application of a governmental surveillance system adverse effect severity is highly recommended.

Impact of Conflict on Physical Activity among Teenagers in Mosul City

Mayyadah Y. Mahmmod; Jawad K. Al-Diwan

Annals of the College of Medicine, Mosul, 2022, Volume 44, Issue 1, Pages 83-87
DOI: 10.33899/mmed.2022.131880.1120

Background : Physical inactivity regarded as one of the leading risk factors for global mortality through its effect on multiple chronic non-communicable diseases (NCD), which in turn responsible for disability adjusted life years lost DALY and premature death in addition to mental disorder and a substantial economic burden worldwide.
Aim of study : To estimate the prevalence of physical activity/ inactivity among teenagers in Mosul city/ Iraq in post conflict period (2017-2019).
Patients & Methods : Cross sectional study was conducted upon 600 teenagers aged (12-17) years of both sexes attending secondary schools of Mosul city. Data collected between October and December 2019, using special form of questionnaire (Physical Activity Questionnaire for Adolescent PAQ-A), the data was obtained directly by interview with the students themselves to confirm a detailed questionnaire form. Using (SPSS 25) statistical package for social science program to calculate the prevalence of physical inactivity among teenagers [The student was physically inactive when he spends less than 60 minute daily of moderate to vigorous physical activity and physically active when he spends 6o minute or more daily of moderate to vigorous physical activity]. The data was presented as frequencies and percentages. A statistical test; chi-square test was used to test for the presence or absence of significant association between dependent and independent variables. A p-value less than 0.05 were considered significant.
Results : A total of 600 teenagers had been included in the study, 472 (78%) were physically inactive.
Conclusion : The current study showed the prevalence of physical inactivity is high among teenagers, especially females.
Recommendations : the study recommends the following to minimize the spread of physical inactivity among teenagers in the city:
1. Creation of active environment as provide safe places, public green spaces and ensure time for students to be active at school.
2. Encouraging teenagers, especially females to adopt physical activity routine as a part of their healthy life style.
3. Enhance regular population surveillance system of physical activity across all ages.

Assessment of Clinical Indications for Caesarean Section in Mosul City Hospitals: A Cross-Sectional Study

Noor Nazar Fadhl; Omaima Abdulrazzaq Zubair; Raida Muhammed Al-Wazzan

Annals of the College of Medicine, Mosul, 2021, Volume 43, Issue 1, Pages 48-54
DOI: 10.33899/mmed.2021.129023.1061

Background: Caesarean section is traditionally done when a vaginal delivery would put the mother or fetus's life at risk. Knowing the indications of the caesarean section will help to have an impression of this common type of the obstetric procedures. The aim of the current study was to examine the indications of caesarean sections which are undertaken in Mosul city hospitals.
Methods: A cross-sectional study was done at eight hospitals in Mosul city and a sample of 671 women who were delivered by caesarean section was included in this study. The necessary agreement was obtained from all the participants in the sample.
Study period: the study was done during the period from 15th November 2019 to 15th April 2020. The information was taken by direct interview with the women who were delivered by caesarean section and from their hospital case sheets.
Results: Primary caesarean section was reported in 45.2% of cases followed by previous two or more CS in 32.3% and those with previous one caesarean section with other causes 22.5% with a very highly statistically significant difference (P=0.001). Fetal distress was the indication for primary caesarean section in one-quarter of cases 25.4% with a very highly statistically significant difference (P=0.000) from other causes. Maternal request constituted 11.5% of indications among the participant women and it constituted one-quarter of causes among women with previous one caesarean section (P=0.000).
Conclusions and recommendations: Primary caesarean section constituted the highest number among caesarean section indications in the current study, followed by previous two or more caesarean section and then previous caesarean section with other causes. Fetal distress was the highest indication in primary caesarean section cases. The study recommends to improve health education to the mother about the risk of caesarean section and possibility of normal delivery after primary caesarean section.

Prevalence of Caesarean Sections in Mosul City Hospitals :A Cross – Sectional Study

Noor Nazar Al-Sanjary; Omaima Abdulrazzaq Zubair; Raida Muhammed Al-Wazzan

Annals of the College of Medicine, Mosul, 2020, Volume 42, Issue 2, Pages 126-132
DOI: 10.33899/mmed.2020.128879.1059

Background: Caesarean section rates had been increasing markedly in the world and the procedure as it become more safe than before (although it still a major surgical operation) and the objective of this study is to estimate the prevalence of caesarean section in Mosul city hospitals.
Methods: A cross-sectional study was conducted at eight hospitals in Mosul city from both river sides including five governmental hospitals and three private hospitals, (671) women who delivered by caesarean section in Mosul city hospitals during a period of data collection were included from beginning 15th of November 2019 and ending at 15th of April 2020.
Results: Women delivered by caesarean section aged between 20-35 years in (70.6%), (74.8%) of low educational level and (91.8%) were unemployed. The rate of caesarean section during the period of data collection in Mosul city hospitals was (28.8%) while the rate of caesarean section during the period of data collection showed that the highest rate of caesarean section were in private hospital and especially at Al-Zahrawi and Al-Rabee Private Hospitals (100%) while Al-Batool Hospital include (37.6%) from governmental hospitals in spite that the highest numbers of deliveries and caesarean section was in Al-Khansa Teaching Hospital.
Conclusions: Caesarean section rate was higher than WHO recommendation among Mosul hospitals. Further improvement and attention to primary health care should be applied.

Physicians' Perception at College of Medicine/ University of Mosul Regarding Relationship with Drug Industries

Nadia Saeed

Annals of the College of Medicine, Mosul, 2019, Volume 41, Issue 1, Pages 11-17
DOI: 10.33899/mmed.2019.161255

Context: Physicians experience a conflict of interest related to appropriate interaction to the current industries' practices of gifts provision as a marketing strategy.
Aim of the study: The study aims to explore physicians' insight about dealing with drug promotion activities of pharmaceutical industries.
Subjects and methods: A cross- sectional study design was conducted in the College of Medicine /University of Mosul during the academic year 2018-2019. Medical faculty staffs in the College of Medicine/ University of Mosul in the clinical departments including department of: (Medicine, Surgery, Pediatrics and Obstetrics and Gynecology). In addition to academic physicians in non-clinical departments who have privet clinic who agreed to participate were involved. A modified standardized questionnaire form was used.
Results: From 71 participant physicians 61 (85.92%) had no previous teaching regarding ethical principles of interaction with drug representatives. Forty percent of the participants had personal friendship with a medical representative; meanwhile 63.38% had previous dealing with pharmaceutical companies. Only 16.9% of participants trust the information that delivered from drug companies. More than one fifth of participants supposed that gift provision from drug companies will influence drug prescription manners. Physicians considered drug sample appropriate gift to be accepted followed by conference registration fees, textbooks and travel to conference.
Conclusion and recommendations: Considerable proportion of academic Physicians at College of Medicine /University of Mosul had interaction with pharmaceutical company representatives. Academic physicians' responses attempted to minimize gifts provision on their professional behavior. However, pharmaceutical promotional activities should be monitored and controlled through physicians' self- regulation and legislations.