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The Role of Clinical Pharmacist in Reducing Drug Related Problems in Hemodialysis Patients
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Abstract

Prescribing drugs to patients to treat ailments or reducing their morbidity may not be enough, even if the drugs were all indicated and in the right dose. Clinical pharmacists play a pivotal role in conducting information and instruction to patients and conveying feedback to treating physician when appropriate, and the final goal is in the interest of the patient.  Identification and classification of drug related problems and discussing them with the health care providers.  Prospective, interventional, clinical study for 180 hemodialysis patients, and was designed as two phases, an observational phase to identify drug related problems and classifying them according to the latest Pharmaceutical Care Network Europe classification, an interventional phase to increase the awareness of patients and the nephrologists about those problems and proposing a proper solution for each one.  The main drug related problems was related to the effect of drug treatment being not optimal in 58.7%, followed by no effect in 17.8%, and least for unrelated symptoms or indications in 4.8%; causes were inappropriate combination and patients taking less drug than prescribed (both 17.4%), followed by no/or incomplete drug treatment in spite of existing indication in 12.2%, drug without indication in 10.4%. Erythropoietin and calcium were the most frequently drugs with problems. Acceptance and full implementation were observed in 34.3%, while half of the drug related problems had unknown implementation (51.3%). There were significant numbers of drug related problems among Iraqi patients on hemodialysis, the use of erythropoietin, calcium carbonate and sevelamer  was responsible for most of inappropriate combinations. Physicians and clinical pharmacist cooperation was excellent.

Keywords: Drug related problems, Hemodialysis, Clinical pharmacist.

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Publication Date
Sat Jul 01 2023
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Anti-microbial activity of Green Tea Extracts and Nicotine on the Growth, Biofilm Formation of Sali-vary Mutans Streptococci (in-vitro study)
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Background: The aim in vitro study was to isolate and identify salivary mutans Streptococci and determine the ability of Green Tea Extracts and Nicotine to inhibit Growth, Biofilm Formation by salivary mutans streptococci. Materials and methods: This study included a convenient sample of 40 Iraqi volunteers aged 18–23 years old from College of Dentistry \University of Baghdad. Commercial green tea and nicotine were prepared in different concentration to use in agar diffusion method for detect the activity of extract, and ELISA reader in MTP was used to determine the ability of salivary mutans Streptococci to form biofilm in the presence / and absent of extracts.to measure the biofilm inhibition rate. Results: Mutans Streptococci were s

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Publication Date
Mon Feb 01 2016
Journal Name
Journal Of Economics And Administrative Sciences
Evaluation of real estate investment projects with framework theory of real options: A case study in the shopping center project (Baghdad Mall)
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Focused research aims to provide a framework cognitive analytical nature of real estate investments and how they evaluated in the light of the assessment tools of modern theory of real options, and the possibility to rely on that theory in the detection of the true value of projects, real estate investments that would maximize the value of the investment decision taken, and the analysis of those projects that arise in the real estate markets and environments is the organization, which she was to make sure cases and high-risk, compared with entrances techniques, discounted cash flow (net present value). Based on the assumption lies in the possibility of the application of the implic

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Publication Date
Fri Mar 01 2013
Journal Name
Journal Of Economics And Administrative Sciences
Employment of exploratory factor analysis to extract factors Organizational Loyalty and job satisfaction Case Study in the College of Technology Management – Baghdad
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According to the measuring the relationship between organizational loyalty and job satisfaction among staff members at one college in the higher education ministry in Iraq by using exploratory factor analysis methods to extraction the components which have the major effects on the variables related to organizational loyalty and job satisfaction .

The research contains four basic topics، the first section related to methodology and regarding the conceptual framework it is discussed in the second section، and the third section concentrated at the presentation and the analysis Scientific results and practical results are section presented in the fourth.

 

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Publication Date
Sun Jun 03 2012
Journal Name
Baghdad Science Journal
Evaluation of the functional response of Chrysoperla carnea (Stephens) (Neuroptera:Chrysopidae) larvae feeding on cabbage aphid, Brevicoryne brassicae (L.)(Homoptera: Aphididae) in laboratory
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This study evaluated the functional response of the larva of the predator Chrysoperla carnea by offering varying densities of cabbage aphid, Brevicoryne brassicae (L.) . Results showed conformity with type–II functional response, where the number of prey killed approaches asymptote hyperbolically as prey density increases (declining proportion of prey killed or the inverse density dependent) till it reached the stability stage determined by handling time and predator satiation. Also, the values of attack rate and handling time changed with age progress for both predator and prey. It has been observed an increase in the attack rate and reduction in handling time with the progress of the predator age when feeding on a particular nymphal in

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Publication Date
Fri Dec 30 2022
Journal Name
Iraqi Journal Of Science
Utilizing Seismic Attributes to Enhance Deduction of the subtle stratigraphic trap in Mishrif Formation at Dujaila oil field, Southern East of Iraq
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     Three seismic instantaneous attributes (phase, frequency, and variance) were utilized on 3D-seismic poststack migrated data, covering 617.31 km2, integrated with data of two wells (Du-1 and Du-2) in Dujaila oil field, southeast of Iraq. They gave good results in detecting reef buildups and confirmed the existence of the stratigraphic hydrocarbon trap that was not obvious in the conventional seismic amplitude sections. They display several seismic criteria in attribute sections for recognizing reef buildups and hydrocarbon accumulation, such as phase reversal, low frequency, and high amplitude variance. The seismic attributes emphasized that the stratigraphic trap of reef rudist buildups with hydrocarbon content is con

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Publication Date
Wed Sep 16 2020
Journal Name
Route Educational & Social Journal
Effect of applying the QR-Code system for acquisition chemistry and creative thinking in of first class female student at intermediate schools.
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This research aims at identifying the system of applying the QRcode system for acquisition of chemistry by first class female students studying at intermediate schools knowledge and its effect on creative thinking. The research sample consisted of (63) female students in one of the intermediate schools in Baghdad/Iraq using two equivalents experimental and control groups. The scientific context used was based on the chemistry text book related to the periodic table, (Metals) for the first group of students and Alkaline metals,Nonmetals, Metalloides) for the second group. The research methodology employed consisted of the followings :Measuring students acquisition using (35) issues. The results were verified for their face validity and obtai

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Publication Date
Wed Jul 29 2020
Journal Name
Iraqi Journal Of Science
Interpolation and Statistical Analysis for Evaluation of Global Earth Gravity Models Based on GPS and Orthometric Heights in the Middle of Iraq
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The regions around the world need to perform their results based on the local geoid. However, each region has different ground topography based on the amount of gravity in this region. Nowadays, the recent global Earth's gravity model of 2008 is successfully used for different purposes in geosciences research. This research presents an overview of the preliminary evaluation results of the new Earth Gravitation Model (EGM08) in the middle of Iraq. For completeness, the evaluation tests were also performed for EGM96 by examining 31 stations distributed over four Iraqi provinces. The national orthometric heights were compared with the GPS /leveling data obtained from these stations. This study illustrated that the GPS /leveling based on EGM

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Publication Date
Sun Dec 29 2019
Journal Name
Iraqi Journal Of Science
Evaluation of the Hydrochemical Characteristics of Groundwater and its Suitability for Desalination to Product Potable Water in Tolul Al-Baj, Salahaldin, Iraq
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The study area, Tlul Al-Baj, suffers from a shortage of fresh water and most people depend on groundwater for different uses (drinking, domestic, irrigation, etc.).

The present research aims to select the most suitable wells for desalination and production of potable water in Tlul Al-Baj area.

Twenty-two samples of groundwater were collected to evaluate the hydrochemical properties of groundwater in the shallow aquifer in the area and to determine their suitability for desalination purposes. The study included measuring the physicochemical characteristics of groundwater, such as total hardness (TH), total dissolved solids(TDS), sodium adsorption ratio (SAR), sodium ratio (Na%), turbidity (Tur), pH…etc. Chemical anal

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Publication Date
Mon Feb 18 2019
Journal Name
Journal Of Accounting And Financial Studies ( Jafs )
Auditing Quality According To Artificial Intelligence: Applied Research on A Sample of Regulatory Bodies Working In The Federal Board of Supreme Audit
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The Evolution Of Information Technology And The Use Of Computer Systems Led To Increase Attention To The Use Of Modern Techniques In The Auditing Process , As It Will Overcome Some Of The Human Shortcomings In The Exercise Of Professional Judgment, Then It Can Improve The Efficiency And Effectiveness Of The Audit Process, Where The New Audit Methodologies Espouse The Concept Of Risk Which Includes Strategic Dimension With Regard To The Capacity Of The Entity To Achieve Its Goals, Which Requires Auditors To Rely On Advanced Technology That Can Identify The Factors Which Prevent The Entity From Achieving Its Objectives. The Idea Of Research Is To Preparing An Electronic Program Fer All Audit Work From Planning Through Sampling And Document

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Publication Date
Wed Dec 12 2018
Journal Name
Iraqi National Journal Of Nursing Specialties
Determination of the Impact of Electronic Health Information Systems upon Medical, Medical Backing and Administrative Business Fields in Al-Kindy Teaching Hospital
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Objective(s): To determine the impact of the Electronic Health Information Systems upon medical, medical backing and administrative business fields in Al-Kindy Teaching Hospital and to identify the relationship between such impact and their demographic characteristics of years of employment, place of work, and education. Methodology: A descriptive analytical design is employed through the period of April 25th 2016 to May 28th 2016. A purposive "non- probability" sample of (50) subject is selected. The sample is comprised of (25) medical and medical backing staff and (25) administrative staff who are all

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