Print ISSN: 2790-0207

Online ISSN: 2790-0215

Keywords : Diabetes Mellitus


Factors associated with poor glycemic control in diabetic patients in Kirkuk

waleed mohammed Ali

Kirkuk Journal of Medical Sciences, 2022, Volume 10, Issue 1, Pages 87-97
DOI: 10.32894/kjms.2022.174187

Abstract
 
Background
 
Iraq's health-care system has faced tremendous obstacles in its recovery from the Islamic State's conflict. There is no public insurance system in place. Iraq has set targets to prevent and control noncommunicable diseases (NCDs) such as diabetes, but safety confrontation  and governmental insecurity have made these objectives difficult to achieve. Better glycemic control is critical in allowing patients to perform at their best in terms of diabetes management and preventing long-term complications.
 
The goal is to identify the roadblocks to better glycemic management.
 
The participants in this cross-sectional study were recruited from a diabetes out-patient clinic at Baba Gurgur diabetic facility. From April to December 2019, K1 hospital – North oil company in Kirkuk city. A validated questionnaire was used to interview those with an uncontrolled glycemic index (AIC7%). Patients were asked to name the primary causes of inadequate  glucose  control and to select more than one response based on their opinion.
 
The mean A1C was 8.3 2.1 percent, with 256 (22.5 percent) patients having an A1C less than 7% and 880 (77.5 percent) having an A1C equal to or greater than 7. Poor glycemic control is caused by a lack of medication and/or a lack of drug supply from PHC in 51.1 percent of cases. Diet and medication non-compliance, as well as illiteracy, account for 35.1 percent and 19.8 percent of the population, respectively. Glycemic regulation is greatly influenced by one's financial situation. However, security issues and political instability play a significant impact.
 
Conclusion: Diabetic patients confirmed poor glycemic control, with the majority of cases being linked to Iraq's current health situation.

ASSOCIATION OF RIGHT VENTRICULAR INFARCTION WITH INFERIOR WALL MYOCARDIAL INFARCTION

Arjan Hikmat Aziz

Kirkuk Journal of Medical Sciences, 2021, Volume 9, Issue 1, Pages 101-157
DOI: 10.32894/kjms.2021.170173

Background: The right ventricular infarction occurs frequently in association with inferior myocardial infarction and occurs separately in rare patterns. It is related to higher morbidity and mortality rates.
Aim of study: To measure the prevalence of right ventricular infarction among patients with inferior wall myocardial infarction and identifying the characteristics related to right ventricular infarction.
Patients and methods: A cross sectional study carried out in Coronary Care Unit of Azadi Teaching hospital in Kirkuk through the period from 1st of January to31st of October, 2017 on convenient sample of 150 inferior wall myocardial infarction patients. The data were collected by publisher through direct interview and filling of a prepared questionnaire.
Results: Right ventricular infarction was present among 39.3% of patients with inferior wall myocardial infarction. There was a highly significant association between older age of self-employed patients with inferior wall myocardial infarction and right ventricular infarction (p

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.