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.
Let be a commutative ring with unity and let be a non-zero unitary module. In
this work we present a -small projective module concept as a generalization of small
projective. Also we generalize some properties of small epimorphism to δ-small
epimorphism. We also introduce the notation of δ-small hereditary modules and δ-small
projective covers.
Weosay thatotheosubmodules A, B ofoan R-module Moare µ-equivalent , AµB ifoand onlyoif <<µand <<µ. Weoshow thatoµ relationois anoequivalent relationoand hasegood behaviorywith respectyto additionmof submodules, homorphismsr, andydirectusums, weaapplyothese resultsotoointroduced theoclassoof H-µ-supplementedomodules. Weosay thatoa module Mmis H-µ-supplementedomodule ifofor everyosubmodule A of M, thereois a directosummand D ofoM suchothat AµD. Variousoproperties ofothese modulesoarepgiven.
Gangyong Lee, S. Tariq Rizvi, and Cosmin S. Roman studied Dual Rickart modules. The main purpose of this paper is to define strong dual Rickart module. Let M and N be R- modules , M is called N- strong dual Rickart module (or relatively sd-Rickart to N)which is denoted by M it is N-sd- Rickart if for every submodule A of M and every homomorphism fHom (M , N) , f (A) is a direct summand of N. We prove that for an R- module M , if R is M-sd- Rickart , then every cyclic submodule of M is a direct summand . In particular, if M<
... Show MoreLet R be a commutative ring with identity 1 and M be a unitary left R-module. A submodule N of an R-module M is said to be approximately pure submodule of an R-module, if for each ideal I of R. The main purpose of this paper is to study the properties of the following concepts: approximately pure essentialsubmodules, approximately pure closedsubmodules and relative approximately pure complement submodules. We prove that: when an R-module M is an approximately purely extending modules and N be Ap-puresubmodulein M, if M has the Ap-pure intersection property then N is Ap purely extending.
Let R be an associative ring with identity and let M be a unitary left R–module. As a generalization of small submodule , we introduce Jacobson–small submodule (briefly J–small submodule ) . We state the main properties of J–small submodules and supplying examples and remarks for this concept . Several properties of these submodules are given . Also we introduce Jacobson–hollow modules ( briefly J–hollow ) . We give a characterization of J–hollow modules and gives conditions under which the direct sum of J–hollow modules is J–hollow . We define J–supplemented modules and some types of modules that are related to J–supplemented modules and int
... Show MoreIn this paper, certain types of regularity of topological spaces have been highlighted, which fall within the study of generalizations of separation axioms. One of the important axioms of separation is what is called regularity, and the spaces that have this property are not few, and the most important of these spaces are Euclidean spaces. Therefore, limiting this important concept to topology is within a narrow framework, which necessitates the use of generalized open sets to obtain more good characteristics and preserve the properties achieved in general topology. Perhaps the reader will realize through the research that our generalization preserved most of the characteristics, the most important of which is the hereditary property. Two t
... Show MoreThe multi-focus image fusion method can fuse more than one focused image to generate a single image with more accurate description. The purpose of image fusion is to generate one image by combining information from many source images of the same scene. In this paper, a multi-focus image fusion method is proposed with a hybrid pixel level obtained in the spatial and transform domains. The proposed method is implemented on multi-focus source images in YCbCr color space. As the first step two-level stationary wavelet transform was applied on the Y channel of two source images. The fused Y channel is implemented by using many fusion rule techniques. The Cb and Cr channels of the source images are fused using principal component analysis (PCA).
... Show MoreAerial manipulation of objects has a number of advantages as it is not limited by the morphology of the terrain. One of the main problems of the aerial payload process is the lack of real-time prediction of the interaction between the gripper of the aerial robot and the payload. This paper introduces a digital twin (DT) approach based on impedance control of the aerial payload transmission process. The impedance control technique is implemented to develop the target impedance based on emerging the mass of the payload and the model of the gripper fingers. Tracking the position of the interactional point between the fingers of gripper and payload, inside the impedance control, is achieved using model predictive control (MPD) approach.
... Show MoreThe performance of sewage pumps stations affected by many factors through its work time which produce undesired transportation efficiency. This paper is focus on the use of artificial neural network and multiple linear regression (MLR) models for prediction the major sewage pump station in Baghdad city. The data used in this work were obtained from Al-Habibia sewage pump station during specified records- three years in Al-Karkh district, Baghdad. Pumping capability of the stations was recognized by considering the influent input importance of discharge, total suspended solids (TSS) and biological oxygen demand (BOD). In addition, the chemical oxygen demands (COD), pH and chloride (Cl). The proposed model performanc
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