Print ISSN: 2790-0207

Online ISSN: 2790-0215

Author : Mohammed Ali, Waleed

Study the Relation of Drug –Non Adherence with Some SocioEconomic Factors among Diabetic Patients in Kirkuk City

Zahraa Gh. Abdullah; Ali Akram Ismaeel; Waleed Mohammed Ali

Kirkuk Journal of Medical Sciences, 2018, Volume 6, Issue 1, Pages 103-110
DOI: 10.32894/kjms.2021.169418

Background: Poor & non-adherence to medications are serious issues in the management of chronic diseases such as diabetes mellitus. Amounting body of evidence indicates that decreased medication adherence is associated with increased rate of hospitalization and total costs of care. Objective: For studying the prevalence of drug non-adherence & poor/ partial adherence among adults and its associated risk factors totaling with causes. Patients and Methods: Prospective descriptive cross sectional study was carried out in Azadi Teaching Hospital at Kirkuk Governorate of Iraq. Based on the inclusion and exclusion criteria 500 patients were enrolled into study, which had Diabetes Mellitus. Results: Five hundred adult patients participated in this study. Estimated mean prevalence rate of drug non-adherence were: (1) self-perceived adverse effect of medicines (16.67); (2) complicated medicine regimens (7.07); (3) inadequate knowledge about medicines and diseases(1.01);(4) frightening from dependency and addiction (3.54); (5) the stigmatization (4.54); (6) drugs not present in health centers (16.67); (7) considering disease is transient and not lifelong (8.58); (8) considering the drug is not effective (18.18); (9) the cost of medications (21.71); (10) the forgetfulness (2.02). Conclusion: The drug non-adherence is an important concern or problem in a patient management. Medication regimens should be simplified as more as possible, in particular to avoiding cutting pills or using of different dosages at a different timing. Patients should be encouraged to voice out their perceived drug adverse effects. Further worksare needed to determine the prevalence and causes of patients, non-adherence to medication in Kirkuk Governorate.

Prevalence of Hepatitis B and C Viruses Infection in Premarital Screening Test in General Public Health Laboratory/ Kirkuk City

Waleed Mohammed Ali; Pinar Faiq Rafeeq

Kirkuk Journal of Medical Sciences, 2018, Volume 6, Issue 1, Pages 82-88
DOI: 10.32894/kjms.2021.169416

Viral hepatitis is responsible for more premature deaths worldwide. The virus killed 1.34 million people in 2016; it is one of the top ten killers in the world. Transmission of hepatitis virus B and C results from exposure to infectious blood or body fluids containing the virus. Since most people with hepatitis B and C virus are asymptomatic, timely diagnosis is important for prevention of complication and transmission. This study has evaluated the prevalence of HBs Ag and HCV Ab seromarkers beside liver function test in pre marriage candidates. Objectives: To find out the prevalence of the HBs Ag and HCV Ab in premarriage candidates in Kirkuk city along with estimation of liver function test and prothrombine time. And so as to increase the awareness and augment preventive measures against this viral hepatitis related morbidity. Methods: A total of 22000 apparently healthy young adults were screened from January 2017 to December 2017 at the premarital consultation clinic in general public health laboratory/ Kirkuk city for hepatitis B surface antigen (HBsAg), hepatitis C virus antibody (HCV Ab). Along with alanine aminotransferase (ALT), aspertate aminotransferase (AST), alkalin phosphatase (ALK P) levels, total bilirubine, and prothrombine time were estimated and statistical analysis was done by mini tab version 11. Results: Out of the 22000 subjects screened, 52(0.24%) were positive for HBsAg and 9(0.04%) for HCV Ab, there was no statistical significant difference according to age and sex, but the infection rates peaked at age (21-30) years for both types. Mean ALT and AST levels were significantly elevated of positive HBsAg and HCV Ab cases (29 I U/L, 23, I U/L and 56.3 I U/L, 33.5 IU/L) respectively. In addition two fold elevation of ALT level estimated in (19%) of HBsAg positive and (66%) of HCV Ab positive cases. However all positive subjects were having normal ALK P level normal prothrombine time with slight elevation of total billirubin. Conclusion: The prevalence of HBsAg and HCV Ab among premarital subjects in Kirkuk city is lower than that previously reported. A positive relationship between asymptomatic positive cases with aminotrans- ferase level was reported.