Self-medication among medical students in Anbar and Fallujah Universities – Iraq

Background: Self-medication (SM) is a worldwide issue, that has serious adverse effects on individuals and communities. Objective:  To estimate the prevalence of self- medication   among medical student in Anbar and Falluja Universities and to explore the important reasons for using self-medication.  To identify the common sources and types of self-medication drugs. Method: A descriptive cross-sectional study was carried out among medical students in Anbar   and Fallujah Universities during the period from February to March 2018.  The subjects were asked to fill a questionnaire that consisted of questions on age, gender and educational level, in addition to questions for self-medication history. Results: The results revealed that 73% of medical students had practice of self- medication. A higher prevalence of self-medication was  found among 5th study year students. Antibiotics were the most frequent self-prescribe medicine that used by 137 (49.6%) of the participants, followed by analgesic (29%), and supplements by 40 (14.5%).  The most frequently given reasons for using self-medication were previous prescription and of pharmacists’ advice. Conclusion: A high prevalence of self- medication was found among medical students in Falluja & Anbar Universities with a statistical significant association between gender and self- medication practice

Burnout among surgeons before and during the SARS-CoV-2 pandemic: an international survey

Background: SARS-CoV-2 pandemic has had many significant impacts within the surgical realm, and surgeons have been obligated to reconsider almost every aspect of daily clinical practice. Methods: This is a cross-sectional study reported in compliance with the CHERRIES guidelines and conducted through an online platform from June 14th to July 15th, 2020. The primary outcome was the burden of burnout during the pandemic indicated by the validated Shirom-Melamed Burnout Measure. Results: Nine hundred fifty-four surgeons completed the survey. The median length of practice was 10 years; 78.2% included were male with a median age of 37 years old, 39.5% were consultants, 68.9% were general surgeons, and 55.7% were affiliated with an academic institution. Overall, there was a significant increase in the mean burnout score during the pandemic; longer years of practice and older age were significantly associated with less burnout. There were significant reductions in the median number of outpatient visits, operated cases, on-call hours, emergency visits, and research work, so, 48.2% of respondents felt that the training resources were insufficient. The majority (81.3%) of respondents reported that their hospitals were included in the management of COVID-19, 66.5% felt their roles had been minimized; 41% were asked to assist in non-surgical medical practices, and 37.6% of respondents were included in COVID-19 management. Conclusions: There was a significant burnout among trainees. Almost all aspects of clinical and research activities were affected with a significant reduction in the volume of research, outpatient clinic visits, surgical procedures, on-call hours, and emergency cases hindering the training. Trial registration: The study was registered on clicaltrials.gov "NCT04433286" on 16/06/2020

Voltage Profile Improvements of Mosul City Ring System by STATCOM Reactive Power Control

Static synchronous compensator (STATCOM) is a regulating device used in AC transmission systems as a source or a sink of reactive power. The most common use of the STATCOM is in improving the voltage stability of the transmission system

Understanding public relations in China: multiple logics and identities

To contribute to critical public relations (PR) and communication research, the authors employ an institutional perspective in examining how actors conceptualize PR and make sense of PR practice in relation to their shared and competing logics. Specifically, they highlight the primacy of logics and identities in the social construction of PR by exploring how a wide range of actors interpret and understand PR in Chinese cultural contexts. In conducting 40 semistructured interviews with PR agency consultants, in-house PR practitioners, media journalists, and industry association officers, the authors have found multiple and competing logics within the field that, in turn, confer reconciled identities on Chinese PR. The Chinese cultural contexts serve as a repertoire for stakeholders to draw institutional logics and legitimize their interpretations of PR practice in China