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Formulating a methodology for assessing and improving the positioning of health care activities in Lattakia Governorate

صياغة منهجية لتقييم و تحسين تموضع فعاليات الرعاية الصحية في محافظة اللاذقية

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 Publication date 2018
and research's language is العربية
 Created by Shamra Editor




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The aim of this study is to assess the spatial distribution of health centers in rural Lattakia governorate and to develop a scientific methodology to guide the growth of the health sector by identifying the needs and adequacy of the primary health care centers according to the spatial distribution of the population within these rural areas using spatial statistical techniques in GIS. In order to achieve this objective, a spatial database was created, including the population centers, the primary health care centers (health centers) with the population served by them, as well as a group of fields on the specifications of these centers in terms of ownership, floor space and human cadres. A number of quantitative and spatial tests were conducted in order to measure the fairness of the distribution of health centers according to the population distribution and determine the need, while attempting to find an initial guidance on the locations of the supporting centers according to quantitative and spatial analysis And then measure the degree of improvement according to the study indicators. The result of this research was to describe the current status of the distribution of health centers in the northern Latakia countryside, identify areas of weakness and inadequacy, propose supporting centers and develop an effective guideline for assessing and improving the placement of primary health care activities in rural areas.

References used
KISTEMANN,THOMAS.DANGENDORF,FRIEDERIKE.SCHWEIKART, JURGEN،New perspectives on the use of geographical information systems (GIS)in environmental health sciences. Institute for Hygiene and puplic health, .International Journal of hygiene and environmental health ,2001
SCHAETER . SANDI , SCOTTN. DR.LAUREN , Understanding Spatial Statistics in ArcGIS 9 ,ESRI,2006
ISMAILA. ABDURRAHMAN BELEL, USUL. NURÜNNISA, A GIS-based Spatial Analysis of Health care Facilities in Yola, Nigeria, The Fifth International Conference on Advanced Geographic Information Systems, Applications, and Services,2013
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The last century has witnessed a great development in all areas, Health care services are constantly evolving including health education which is considered as a cornerstone in the prevention of diseases. Health education should start from primary health care centers which are responsible for ensuring the provision of health education not only for patients and their families but also to society as a whole. In order to achieve the desired objectives of health education in health centers, it must be desired supported by using the appropriate materials of health education, which effectively contribute to raising the educational process level and increase its efficiency. The optimal use of educational materials by competent person will help him to do his job efficiently with high quality. Educational materials helps in providing health information in interesting manner and create an ambiance of interaction and teamwork between the provider and beneficiary. Despite the importance of using health education materials in the process of providing health information , there are few foreign and Arabic studies and there are no studies in Syria that deal with this important side of health education process ( i.e : the use of educational materials). This study aimed to evaluate the use of health educational materials in primary healthcare centers in the city of Lattakia by all members of the nursing staff working in those centers, since each nursing health care provider plays a role as a health educator during the delivery of health services. The study was conducted in primary health care centers in the city of Lattakia , The sample consisted of 220 nursing and health care providers in 12 health center. The most important results were that health care providers use the educational materials available to them at the center, and there is a remarkable shortage in the availability of audio visual and sensual educational materials. Health care providers acknowledge the importance of using educational materials in the process of providing health information to the beneficiary. However, There are many difficulties facing them.
Sustainability and health care building are two important issues, which contain many of topics are very in composition, Sustainability is a thought aimed at achieving compatibility between human needs and the data of surrounding environment and w ell-employed, taking into account the constants, geographic, climatic , economic and technological development, while we find that under the technological age and globalization the Common design for hospital has focused on the functional aspect, which deals entirely with the hospital as a place to treat only, which creating problem of the discrepancy between the functional treatment design which requires strictly control in the internal environment in many of hospital spaces such as operating rooms. etc. while patient rooms need environmental conditions more humane and interaction with the external environment ,from this mix came the idea of green hospitals , which aims to Integrate the idea of therapy and healing at the same time within the new hospital installation .
The demand for health services is of great importance as it is linked to the social aspect, which is the health status of citizens in a country, and it is from this importance that our current study focusing on a very important problem related to the ability to estimate the total social demand for health services was chosen. The study was the reality of social demand On health services in the public sector in Lattakia Governorate is one of the most important objectives of the study, in addition to studying the reality of social demand for health services in the private sector in Lattakia Governorate, and working on proposing a model for estimating social demand for health services in the public and private sectors.An analytical descriptive approach has been used, and at the end of the study the study reached an important set of results related to the port of the model and the estimation of social demand for health services in pharmacies, clinics and laboratories based on a questionnaire distributed to families in Latakia, in addition to the opinion of specialists from doctors, pharmacists, laboratory owners, and specialists At the Doctors Syndicate, the Dental Association, and the Pharmacists Syndicate. The health insurance system applied to workers in the country also contributed to increasing the demand for medical treatment in private sector clinics, as well as increasing social demand for health services provided in public hospitals during the study period, and the current crisis and the war on Syria have increased the demand for health services in general in Lattakia Governorate.
The wireless sensors network applications are widely used in health monitoring systems. In fact, they contribute to the qualitative development of these networks so as to ensure the tireless clock surveillance, and improve and regulate the quality of monitoring. Associated with improving the performance of wireless medical sensor networks WMSN is improving data transfer mechanism which is one of the most important areas of interest to research and study in recent times. Hence the importance of this research lies in the study of the structures of wireless sensor networks that can be used to control the wards in hospitals, health centers and monitoring care. The research also draws necessary recommendations and suggestions for the selection of appropriate medical wireless sensors networks structure and proposees appropriate medium access control mechanism in order to build networks of different sizes. This has been done by proposing appropriate scenarios for surveillance applications to perform simulation that is similar to the working conditions of the networks. This can ensure the transfer of nodes data to the main access point and can give an opportunity to study the impact of network architecture and how to use the data transfer technology, specifically the use of ZigBee technology, both with beacon mode enabled inenabled. Improvement was evaluated based on the basic parameters in such networks, such as throughput, the time delay, and the delivery ratio. The study found a set of recommendations regarding the size of the network, the type of structure and the mechanism used to access medium.
Aim of study: Evaluating the oral health status of children with congenital heart disease in comparison with the healthy children in Lattakia city. Materials and Methods: A total of 100 children aged between 5 and 12 years attending the pediatric clinic of AL-Assad Hospital-Lattakia were included. The study group was consisted of 50 children diagnosed with heart disease. The control group was consisted of 50 healthy children of the same age and gender. Dental caries, plaque, gingivitis and developmental enamel defects were assessed for each child in the two groups. Results: Mean dmft, gingivitis and plaque were significantly higher in the cardiac group as compared to the control group. Statistically, no significant differences were found in the comparison between the prevalence of developmental enamel defects and mean DMFT for the two groups. Conclusion: Children with congenital heart disease had a poor oral health compared to the healthy children, which increased the risk of susceptibility to bacteremia and development of infective endocarditis. Therefore, dental care for children with heart disease must be seriously considered at an early age when the first tooth erupts.
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