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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
Mon Jun 19 2023
Journal Name
Journal Of Engineering
Study of Dynamic Sorption in Adsorption Refrigeration Cycle
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This paper shows the characteristics of temperature and adsorbed (water vapor) mass rate distribution in the adsorber unit which is the key part to any adsorption refrigeration system. The temperature profiles of adsorption/desorption phases (Dynamic Sorption) are measured experimentally under the operating conditions of 90oC hot water temperature, 30oC cooling water temperature, 35oC adsorption temperature and cycle time of 40 min. Based on the temperature profiles, The mass transfer equations for the annulus adsorbent bed are solved to obtain the distribution of adsorption velocity and adsorbate concentration using non-equilibrium
model. The relation between the adsorption velocity with time is investigated during the process of ads

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Publication Date
Sat Jan 11 2025
Journal Name
Iraqi Journal Of Science
Specification of Actual Evapotranspiration in Iraq by GIS
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     Evapotranspiration (ET) is produced from vegetation transpiration and soil evaporation. The ET measurements must be considered to study water management systems and irrigation (planning, designing and operating). This study is based on USGS (United States Geological Survey) data by the SSEBop (Simplified Surface Energy Balance) model to estimate the total annual amount of ET using ArcGIS software. The ET values were determined for seventeen years from 2003 to 2019. Also, these values for year 2020 were estimated based on the value of the monthly ET for seven months, i.e. until August by summation. The field data of gauge stations spread throughout Iraq for the year 2012 were used to verify the ET values for the s

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Scopus
Publication Date
Tue Oct 02 2018
Journal Name
Iraqi Journal Of Physics
Sensitivity of gold nanoparticles doped in porous silicon
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In this work gold nanoparticles (AuNPs), were prepared. Chemical method (Seed-Growth) was used to prepare it, then doping AuNPs with porous silicon (PS), used silicon wafer p-type to produce (PS) the processes doping achieved by electrochemical etching, the solution etching consist of HF, ethanol and AuNPs suspension, the result UV-visible absorption for AuNPs suspension showed the single peak located at ~(530 – 521) nm that related to SPR, the single peak is confirmed that the NPs present in the suspension is spherical shape and non-aggregated. X-ray diffraction analysis indicated growth AuNPs with PS. compare the PS layer without AuNPs and with AuNPs doped for electrical properties and sensitivity properties we found AuNPs:PS is more

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Publication Date
Sun Jun 30 2019
Journal Name
Journal Of Engineering
Thermal Performance of Plastic Receiver in Solar Collector
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A plastic tubes used as absorber of active flat plate solar collector (FPSC) for heating water were studied numerically and experimentally. The set-up is located in Babylon (republic of Iraq) 43.80 East longitude and 32.30 North latitude with titled of 450 toward the south direction.  The study involved three dimensions mathematical model for flat coil plastic absorber which solved by FLUENT-ANSYS-R.18 program. Experiments were conducted at outdoor conditions for clear days on January and February 2018 with various water volume flow rates namely (500, 750, 1000, 1250, and 1500 Liter per hour LPH) on each month for Reynolds number range of (1 x 104 to 5 x 104) th

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Publication Date
Wed Mar 15 2023
Journal Name
Al-academy
Functional variables of responsive materials in product design
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The research discussed the topic of the functional role of responsive materials in being elements of a functional transformation in the design of industrial products, based on the study of the structures of smart materials and their performance capabilities at the level of action and self-reaction that characterize this type of materials.

Basic features of responsive materials have been identified to be elements of self-functional insertion into the industrial product design, which contributes to raising the efficiency and functional capacity of the industrial product and enhancing the ability of products to perform self-acting interactions in the structural structure of the material structure of the product and its ability to res

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Publication Date
Tue Jun 14 2016
Journal Name
Al-academy
Recruitment of Arabic calligraphy in gold jewelry styles
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Search came (the employment of Arabic calligraphy in gold jewelry styles) four chapters, the first chapter of which dealt:A/research problem B/importance of research C/targets search D/ Define termsAs the aim of the research (to identify the employment of different forms of Arabic calligraphy on gold jewelry styles).It came in the second quarter (the theoretical framework and previous studies), some of the topics reviewed in which diversities researcher aesthetic and functional, and various uses that filled Arabic calligraphy.The third chapter outlining the researcher methodology and the research community, has a special form for the analysis of the samples are designed as form is offered on a number of experts in the field of jurisdicti

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Publication Date
Thu Feb 07 2019
Journal Name
Journal Of The College Of Education For Women
EFFICIENCY SPIHT IN COMPRESSION AND QUALITY OF IMAGE
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Image compression is an important tool to reduce the bandwidth and storage
requirements of practical image systems. To reduce the increasing demand of storage
space and transmission time compression techniques are the need of the day. Discrete
time wavelet transforms based image codec using Set Partitioning In Hierarchical
Trees (SPIHT) is implemented in this paper. Mean Square Error (MSE), Peak Signal
to Noise Ratio (PSNR) and Maximum Difference (MD) are used to measure the
picture quality of reconstructed image. MSE and PSNR are the most common picture
quality measures. Different kinds of test images are assessed in this work with
different compression ratios. The results show the high efficiency of SPIHT algori

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Publication Date
Tue Feb 14 2023
Journal Name
Journal Of Educational And Psychological Researches
Inclusive education in Saudi Arabia/(Review of Literature)
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Abstract:

Inclusive education has experienced a number of positive educational trends and developments in many different countries, typically by recognising that all students, including those who have special educational needs (SEN), have a right to education. Inclusion of children with SEN in mainstream schools, alongside their peers, has become a major concern for interested educators, professionals and parents in many countries around the world. The reasons for this trend are due to a number of factors such as the increasing attention to the role of education in achieving social justice for pupils with SEN; the right of individuals with SEN to be educated along with their typically developing peers in mainstr

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Publication Date
Sat Apr 15 2023
Journal Name
Iraqi Journal Of Science
Seasonal Variation of Phytoplankton in AL-Diwaniya River
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This study was conducted from January to October 2014, the samples were
collected monthly from four stations in AL-Diwaniya River at AL-Diwaniya city.
Phytoplankton species which are diagnosed during study period are (506) and the
numbers of common types in four sites are (61). Bacillariophyceae is dominate on
other classes and Chlorophyceae, Cyanophyceae, Dinophyceae then Chrysophyceae
and Euglenophyceae. The study shows that there are (150), (144), (118) and (94)
species in the first, second, third and fourth sites. The species that have highs numbers
are (Achnanthes, Cymbella, Nitzschia, Navicula). Other types are dominant in their
existence and number during study period (Cycltella comta, Cylotella Ocellata,

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Publication Date
Sun Sep 07 2008
Journal Name
Baghdad Science Journal
Proparyation of Low frequency microwave in dusty Plasma
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The numerical simulation for the low frequency waves in dusty plasma has been studied. The studying was done by taking two special cases depending on the direction of the propagation of the wave:First, when the propagation is parallel to the magnetic field K//B,this mode is called acoustic mode.Second,when K B this mode is called cyclotron mode.In addition, every one of the two modes divided into two modes depending on the range of the frequency.The Coulomb coupling parameter was studied, with temperature T,density of the dust particles Nd ,and the charge of the particle Qd.The low frequency electrostatic waves in dusty grains were studied. Also, the properties of ion-acoustic waves and ion-cyclotron waves are shown to modify even through

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