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.
P. aeruginosa is a famous bacterium that causes several diseases and has a high ability to be a multidrug resistant organism that is linked with the formation of biofilm. This study aimed to investigate tssC1 gene role in the resistance of different antibiotics in the presence of biofilm. We constructed biofilm for the isolates under the study and showed the effect of different antibiotics on biofilm formation and maturation. The presence of the gene was detected through achieving PCR reaction. Finally, tssC1 gene variation was determined through sequencing and aligning the sequencing products. The results showed that most of the isolates (80%) formed biofilm that played a role in the resistance of different antibiotics which could be du
... Show MoreThe protozoan parasite Entamoeba histolytica is a causative agent of amoebiasis, where it causes millions of cases of dysentery and liver abscess each year. Metronidazole is a drug of choice against amoebiasis. The drug is a choice because of its efficacy and low cost, but at the same time it causes several adverse side effects; therefore, it is important to find effective medications to treat amoebiasis without any complications or any side effects. The aim of this study is to evaluate the effectiveness of different concentrations (50, 75 and 100 µg/ml) of silver nanoparticle (AgNPs) against trophozoites stages of E. histolytica in vitro. The results showed a significant decrease (p ? 0.05) in numbers of trophozoites stages after treated
... Show MoreThe estimation of the stressÙ€ strength reliability of Invers Kumaraswamy distribution will be introduced in this paper based on the maximum likelihood, moment and shrinkage methods. The mean squared error has been used to compare among proposed estimators. Also a Monte Carlo simulation study is conducted to investigate the performance of the proposed methods in this paper.
In this paper We introduce some new types of almost bi-periodic points in topological bitransfprmation groups and thier effects on some types of minimaliy in topological dynamics
Continuous conflict between Parisian and Ottoman states the results that Iraq became as
aground for their battles which leads to their own interests in Iraq which are shape their
strategy. The conflict continues for long time. In spite of, they signed many treatments and
protocols between the two sides, as Arzarom treaty , the first and the second, Tahran protocols
, and Astana protocol. This conflict, no sides of them to dose any part of their land, but these
treaties leaded to a big loss to Iraq ,which lost parts of it's land and water area in Ahwaz and
shatt AL-Arab, so, Iraq became as a smoth target for their interests, and lost its
sovereignty,and lost self-govern of the country country . so the research conclud
The study consists of video clips of all cars parked in the selected area. The studied camera height is1.5 m, and the video clips are 18video clips. Images are extracted from the video clip to be used for training data for the cascade method. Cascade classification is used to detect license plates after the training step. Viola-jones algorithm was applied to the output of the cascade data for camera height (1.5m). The accuracy was calculated for all data with different weather conditions and local time recoding in two ways. The first used the detection of the car plate based on the video clip, and the accuracy was 100%. The second is using the clipped images stored in the positive file, based on the training file (XML file), where the ac
... Show MoreSoft clays are generally sediments deposited by rivers, seas, or lakes. These soils are fine-grained plastic soils with appreciable clay content and are characterized by high compressibility and low shear strength. To deal with soft soil problems there is more than one method that can be used such as soil replacement, preloading, stone column, sand drains, lime stabilization and Prefabricated Vertical Drains, PVDs. A numerical modeling of PVD with vacuum pressure was analyzed to investigate the effect of this technique on the consolidation behavior of fully and different depths of partially saturated soft soils. Laboratory experiments were also conducted by using a specially-designed large consol
... Show MoreThe effect of (Di-Ammonium Phosphate DAP) (P21%), as plant fertilizer on content of the Saliva officinalis. Total flavonoid as an important active constituent was investigated in the present study. Three samples (F1, F2, and F3) of Saliva officinalis were grown in soil treated with DAP (100, 200, and 300) kg/hector respectively. Another two samples were studied: F0 as a plant sample grown in soil untreated with fertilizer and F4 as wild type obtained from market. Total flavonoids were estimated Quantitatively by Rutin standard curve and qualitatively by TLC method in corresponding to standard flavonoids. Results showed that different concentrations of DAP treated soil affected flavonoid contained of the Iraqi cultivated Saliva officinali
... Show MoreThe aim of the present research is to investigate the effecting of pH parameter on the feasibility of lead removal from simulated wastewater using an electrochemical system. Electrocoagulation method is one of electrochemical technology which is used widely to treat industrial wastewater. Parameters affecting this operation, such as initial metal concentration, applied current, stirrer speed, and contact time of electroprocessing were taken as 155ppm, 1.5 Ampere, 150 rpm, 60 minutes respectively. While pH of the simulated wastewater was in the range of 2 to 12 in the experiments. It was found from the results that pH is an important parameter affecting lead removal operation. The best value of pH parameter is appro
... Show MoreThe current study is an attempt to assess the cytogenotoxic potential of the ethanolic extract from the leaves of Borago officinalis on Swiss albino male mice. Young Swiss albino mice were orally administered with leaf ethanolic extract of Borago officinalis. Three mice groups were used using different doses of plant extract (T1: 100, T2: 200, and T3:400 mg\kg) in addition to the control negative group (untreated mice) for 7 days to assess mitotic index or 28 days to assess meiotic index. The results revealed that the extract significantly induced the division of disruptive chromosomal changes in the bone marrow and the mean of abnormality was (3.5±0.47, 4.43±0.83, and 5.83±0.96%) for T1, T2, and T3 re
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