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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
Wed Apr 12 2017
Journal Name
Ibn Al-haitham Journal For Pure And Applied Sciences
Spectrophotometric Determination of Mefenamic Acid in Pharmaceutical Preparations
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  A simple, accurate and precise spectrophotometric method has been proposed for the determination of Mefenamic acid(MA) in dosage forms. Proposed  method based on the reaction of cited drug with 1,2-Naphthoquinone-4-Sulfonic sodium (NQS). The optimum experimental condition have been studied. Beer's Law is obeyed in the concentration range 0.5-10.0 µg/mL at 450nm with detection limit of 0.189µg/mL.  Effect of pH, reaction time, and volume of NQS on the determination of Mefenamic acid, have been examined. The proposed method has been successfully applied for the determination of  Mefenamic acid in pharmaceutical preparations.
 

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Publication Date
Thu Oct 20 2022
Journal Name
Ibn Al-haitham Journal For Pure And Applied Sciences
Some Properties of Connectedness in Grill Topological Spaces
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 We use the idea of Grill, this study generalized a new sort of linked space like –connected –hyperconnected and investigated its features, as well as the relationship between it and previously described notation. It also developed new sorts of functions, such as hyperconnected space, and identifying their relationship, by offering numerous instance and attributes that belong to this set. This set will serve as a starting point for further research into the sets many future possibilities. Also, we use some of the theorems and observations previously studied and relate them to the grill and the Alpha group, and benefit from them in order to obtain new results in this research. We applied the concept of Connected to them and obtained

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Publication Date
Sat Jan 20 2024
Journal Name
Ibn Al-haitham Journal For Pure And Applied Sciences
Cubic Of Positive Implicative Ideals In KU- Semigroup
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In this paper, we define a cubic positive implicative-ideal, a cubic implicative-ideal and a cubic commutative-ideal of a semigroup in KU-algebra as a generalization of a fuzzy (positive implicative-ideal, an implicative-ideal and a commutative-ideal) of a semigroup in KU-algebra. Some relations between these types of cubic ideals are discussed. Also, some important properties of these ideals are studied. Finally, some important theories are discussed. It is proved that every cubic commutative-ideal, cubic positive implicative-ideal, and cubic implicative-ideal are a cubic ideal, but not conversely. Also, we show that if Θ is a cubic positive implicative-ideal and a cubic commutative-ideal then Θ is a cubic implicative-ideal. Some exam

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Publication Date
Thu Feb 01 2018
Journal Name
Journal Of Economics And Administrative Sciences
Impact of Manager Roles in Achieving Organizational Excellence
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The current research problem is focused on the level of human resource managers' performance of their contemporary roles and the impact of this on achieving organizational excellence. The research aims at diagnosing and interpreting the nature of the relationship between the roles of human resource manager and organizational excellence. ), And oil companies located in Baghdad governorate. The research included (boards of directors), and collected data from (83) respondents representing the research community exclusively and comprehensively

represented in the positions of function (Directors-General, Associate Directors-General, heads of departments, divisions and divisions). (49) questions, as well as th

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Publication Date
Thu May 18 2023
Journal Name
College Of Islamic Sciences
Consider speech science in light of its purposes
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Considering the science of speech in the light of its purposes is an accurate scientific study that looks at it from its reality in which it originated, and its topic that it dealt with and its goals that it sought, and it follows its main course in the directions of approving the belief and inferring it, and repelling the objections to it, and this study comes to show the realism of the science of speech in its emergence Its subject and method, since its launch was from the reality of the Islamic nation and based on its intellectual needs, so its presence was necessary in the life of the Islamic nation because of its role in facing the challenges faced by the Islamic faith, and the dangers it was exposed to as a result of the intellectu

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Publication Date
Tue Oct 17 2017
Journal Name
Spe/iatmi Asia Pacific Oil & Gas Conference And Exhibition
Retention of Silica Nanoparticles in Limestone Porous Media
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Nanofluids (dispersion of nanoparticles in a base fluid) have been suggested as promising agents in subsurface industries including enhanced oil recovery. Nanoparticles can easily pass through small pore throats in reservoirs formations; however, physicochemical interactions between nanoparticles and between nanoparticles and rocks can cause a significant retention of nanoparticles. This study investigated the transport, attach, and retention of silica nanoparticles in core plugs. The hydrophilic silica nanoparticles were injected into limestone core as nanofluid of different nanoparticles size (5 nm, and 20 nm), concentration (0.005 – 0.1 wt% SiO2), and base fluid salinity (0 – 3 wt% NaCl) at different temperatures (23, and 50 °C). D

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Publication Date
Wed Mar 29 2017
Journal Name
Iraqi Journal Of Pharmaceutical Sciences ( P-issn 1683 - 3597 E-issn 2521 - 3512)
In vitro Evaluation of Tinidazole Bioadhesive Vaginal Gels
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         Many trials were made to prepare Tinidazole 2% as bioadhesive vaginal gels using different gel bases including hydroxypropyl methyl cellulose (3 and 4% w/w), methylcellulose (3 and 4%w/w) and    carboxymethylcellulose (2 and 3% w/w) .Swelling index of the polymers,pH , viscosity , bioadhesive force , and in-vitro drug release to the simulating vaginal fluid (S.V.F.) were investigated for all the prepared bioadhesive gels . The mechanism of drug release from the gel bases was also investigated.

The results revealed that C MC 3% gave the highest viscosity and bioadhesive strength with the lowest release rate while lowest viscosity and bioadhesive force

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Publication Date
Sun Jan 30 2022
Journal Name
Iraqi Journal Of Science
Convergence of Iterative Algorithms in Cat(0) Spaces
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     In this article, results have been shown via using a general quasi contraction multi-valued mapping in Cat(0) space. These results are used to prove the convergence of two iteration algorithms to a fixed point and the equivalence of convergence. We also demonstrate an appropriate conditions to ensure that one is faster than others.

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Publication Date
Sat Oct 20 2018
Journal Name
Journal Of Economics And Administrative Sciences
Measurement and analysis of financial liberalization in Iraq
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Abstract :                                                                                                            

In light of the trend of the countries of t

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Publication Date
Fri Jun 30 2023
Journal Name
Iraqi Journal Of Science
Statistical Analysis of COVID-19 Data in Iraq
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The analysis of COVID-19 data in Iraq is carried out. Data includes daily cases and deaths since the outbreak of the pandemic in Iraq on February 2020 until the 28th of June 2022. This is done by fitting some distributions to the data in order to find out the most appropriate distribution fit to both daily cases and deaths due to the COVID-19 pandemic. The statistical analysis includes estimation of the parameters, the goodness of fit tests and illustrative probability plots. It was found that the generalized extreme value and the generalized Pareto distributions may provide a good fit for the data for both daily cases and deaths. However, they were rejected by the goodness of fit test statistics due to the high variability of the data.<

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