Background: One way to target polypharmacy and inappropriate medication in hemodialysis (HD) patients is with medication deprescribing. Objective: To assess the impact of implementing a pharmacist-led deprescribing program on medication adherence among HD patients. Method: A prospective interventional, one-group pretest-posttest-only design study was conducted at a hemodialysis center in Wasit Governorate, Iraq. Medication reconciliation followed by medication review based on the deprescribing program was done for all eligible patients, and the patients were monitored for three months for any possible complications. Results: Two hundred and seventy patients were screened for eligibility. Only one hundred and eighteen were enrolled in the deprescribing program. The median age was 51.5 years, 56.8% were males, and hypertension was the most common etiology for their chronic kidney disease (CKD); 78% had comorbidities. After deprescription, there was a significant reduction in the number of medications from 6.0 to 4.0 and a reduction in the number of pills from 7.0 to 5.0. Medication adherence accessed using the Arabic version of Morisky, Green, and Levine’s (MGL) adherence scale also had a significant reduction from 2.0 to 1.0. Conclusion: A pharmacist-led deprescribing program is a successful strategy for decreasing the number of medications and daily pills prescribed while simultaneously improving hemodialysis patients' adherence to their regimens without compromising the patient’s safety.
the regional and spatial dimension of development planning must be taken as a point of departure to the mutual of the spatial structure of the economy , development strategy and policies applied 'therein such as the location principles and regional development coordination of the territorial problems with the national development planning and timing of regional vis-a-vis national development plan_. Certain balance and integration is of sound necessity' between national _regional and local development objectives through which the national development strategy should have to represent the guidelines of the local development aspirations and goals. The economic development exerts an impact on the spatial evolution, being itself subje
... Show MoreIn this notion we consider a generalization of the notion of a projective modules , defined using y-closed submodules . We show that for a module M = M1M2 . If M2 is M1 – y-closed projective , then for every y-closed submodule N of M with M = M1 + N , there exists a submodule M`of N such that M = M1M`.
In this work we shall introduce the concept of weakly quasi-prime modules and give some properties of this type of modules.
The purpose of this paper is to introduce a new type of compact spaces, namely semi-p-compact spaces which are stronger than compact spaces; we give properties and characterizations of semi-p-compact spaces.
The purpose of this paper is to prove the following result : Let R be a 2-torsion free prime *-ring , U a square closed *-Lie ideal, and let T: RR be an additive mapping. Suppose that 3T(xyx) = T(x) y*x* + x*T(y)x* + x*y*T(x) and x*T(xy+yx)x* = x*T(y)x*2 + x*2T(y)x* holds for all pairs x, y U , and T(u) U, for all uU, then T is a reverse *-centralizer.
The Syriac language is one of the ancient Semitic languages that appeared in the first century AD. It is currently used in a number of cities in Iraq, Turkey, and others. In this research paper, we tried to apply the work of Ali and Mahmood 2020 on the letters and words in the Syriac language to find a new encoding for them and increase the possibility of reading the message by other people.
<p class="0abstract">The rapidly growing 3D content exchange over the internet makes securing 3D content became a very important issue. The solution for this issue is to encrypting data of 3D content, which included two main parts texture map and 3D models. The standard encryption methods such as AES and DES are not a suitable solution for 3D applications due to the structure of 3D content, which must maintain dimensionality and spatial stability. So, these problems are overcome by using chaotic maps in cryptography, which provide confusion and diffusion by providing uncorrelated numbers and randomness. Various works have been applied in the field of 3D content-encryption based on the chaotic system. This survey will attempt t
... Show MoreThe concept of epiform modules is a dual of the notion of monoform modules. In this work we give some properties of this class of modules. Also, we give conditions under which every hollow (copolyform) module is epiform.