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.
In this paper, an adaptive polynomial compression technique is introduced of hard and soft thresholding of transformed residual image that efficiently exploited both the spatial and frequency domains, where the technique starts by applying the polynomial coding in the spatial domain and then followed by the frequency domain of discrete wavelet transform (DWT) that utilized to decompose the residual image of hard and soft thresholding base. The results showed the improvement of adaptive techniques compared to the traditional polynomial coding technique.
Experiments were conducted to study axial liquid dispersion coefficient in slurry bubble column of 0.15 m inside diameter and 1.6 m height using perforated plate gas distributor of 54 holes of a size equal to 1 mm diameter and with a 0.24 free area of holes to the cross sectional area of the column. The three phase system consists of air, water and PVC used as the solid phase. The effect of solid loading (0, 30 and 60 kg/m3) and solid diameter (0.7, 1.5 and 3 mm) on the axial liquid dispersion coefficient at different axial location (25, 50 and 75 cm) and superficial gas velocity covered homogeneous-heterogeneous flow regime (1-10 cm/s) were studied in the present work. The results show that the axial liquid dispersion coeffic
... Show MoreA principal problem of any internet user is the increasing number of spam, which became a great problem today. Therefore, spam filtering has become a research fo-cus that attracts the attention of several security researchers and practitioners. Spam filtering can be viewed as a two-class classification problem. To this end, this paper proposes a spam filtering approach based on Possibilistic c-Means (PCM) algorithm and weighted distance coined as (WFCM) that can efficiently distinguish between spam and legitimate email messages. The objective of the formulated fuzzy problem is to construct two fuzzy clusters: spam and email clusters. The weight assignment is set by information gain algorithm. Experimental results on spam based benchmark
... Show MoreThis study was conducted in an orchard pomegranate's Department of Horticulture College of Agriculture, University of Baghdad for two seasons 1999-2000 on cultivars pomegranate Salimi and narrators seedless to study the effect spraying Nizant growth in sex ratio of flowers and recipes flowering and winning was selected 27 trees per class 15 years old planted
Implementing smart community engagement should consider careful planning and collaboration with numerous stakeholders, including the community. The technology and program must be designed to frame its purpose and should link back to specific goals of implementing smart community engagement. Digital services do not guarantee a smart engagement between the community and the local government. This is the case for the Kubang Pasu local government where several online services have been provided in their attempt to implement the smart community concept. However, understanding on the preferences of features and requirements of existing web-based systems and the impact of these systems is lacking. Therefore, a perception study needs to be condu
... Show MoreThe aim of this study is to examine the effectiveness of fishbowl strategy as one of the effective learning strategies for intermediate students’ achievement in geography subject. To do this, three classes of second intermediate were chosen from Noor Al-Mustafa School for academic years (2015-2016). (64) Student were selected as a sample that distributed into two equal groups: experimental and control group. The research used the achievement test as an instrument to come up with the finding of the study. The experiment began on Tuesday 13th of October 2015 and ended on Tuesday 5th January 2016. Through this time, the researcher taught them the first and second chapter in geography of Arab homeland using fishbowl s
... Show MoreThe rapid development of automation industries and technologies has shown incredible prospects for transforming our homes into a smart home automation system, which are more secure than a simple home. This paper proposes a home application based on voice and text called the Automated Control and Monitoring System (ASCM). This application can be utilized by both normal and vision-impaired people by using with a mobile phone.
The application allows users to send voice commands through Google Assistant installed on Android to control the appliances. They can also have complete monitoring by logging onto the ThingSpeak dashboard, which displays a device status indicator and sends alert messages in the event of dang
... Show MoreThis research aimed to examine the effect of concentration of dyes stuff, contact time, temperature and ratio of adsorbent weight in (gm) to volume of solution in (ml) on the percentage removal. Two dyes were used; direct blue 6 and direct yellow and the adsorbent was the maize cob. Batch experiments were performed by contacting different weights of adsorbent with 50 ml of solution of desired concentration with continuous stirring at various temperatures. The percentage of removal was calculated and the maximum percentage of removal was 80%. And as the concentration of solution, contact time, temperature and the ratio of adsorbent to volume of solution increase the percentage of removal increase.
Intelligent Transportation Systems (ITS) have been developed to improve the efficiency and safety of road transport by using new technologies for communication. Vehicle to Vehicle (V2V) and Vehicle to Infrastructure (V2I) are a subset of ITS widely used to solve different issues associated with transportation in cities. Road traffic congestion is still the most significant problem that causes important economic and productivity damages, as well as increasing environmental effects. This paper introduces an early traffic congestion alert system in a vehicular network, using the internet of things (IoT) and fuzzy logic, for optimizing the traffic and increasing the flow. The proposed system detects critical driving conditions, or any emerge
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