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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
Sun Jul 02 2023
Journal Name
Iraqi Journal Of Science
Biological aspects of pollen development in six species of Brassicaceae
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The present investigation revealed cytological variations for six species (Eruca
sativa, Sisymbirium irio, Diplotaxis harra, Erucaria hispanica, Schimpera Arabica
and Brassica tournefortii ) belong to the Brassicaceaefamily.The flower buds were
collected from Al-Habania lake that located in Al-Anbar-Iraq. Using ironacetocarmine
squash technique in anther-smear studies which revealed a
chromosomal anomalies such as Lagging/brddge chromosomes, Micronuclei &
initiated delay of four daughter cells.The frequency of abnormalities ranged (0.04 -
0.77%) which indicated the unstable heredity source of most wildplants. The pollen
grains viability was estimated using acetocarmine stain, viable grains had stained,while st

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Publication Date
Sun Feb 24 2019
Journal Name
Iraqi Journal Of Physics
Synthesis of polyynes by laser ablation of graphite in ethanol
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In this work  Polyynes was synthesized by pulse laser ablation of graphite target in ethanol solution. UV-Visible Spectrophotometer, Fourier Transform Infrared Spectroscopy (FTIR) and Transmission electron microscopy (TEM) were used to study the optical absorption, chemical bonding, particle size and the morphology.  UV absorption peaks coincide with the electronic transitions corresponding to linear hydrogen – capped polyyne (Cn+1H2), the absorption peaks intensity increased when the polyynes were produced at different laser energies and the formation rats of polyynes increased with the increasing of laser pulse number. The FTIR absorption peak at 2368.4 cm-1, 1640.0 cm-1 and 1276.

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Crossref (11)
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Publication Date
Sun Sep 01 2013
Journal Name
Archives Des Sciences
Convex Approximation in Terms of Fractional Weighted Moduli of Smoothness
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This paper deals with founding an estimation of best approximation of unbounded functions which satisfied weighted Lipschitz condition with respect to the convex polynomials by means of weighted moduli of smoothness of fractional order  , ( , ) p f t . In addition we prove some properties of weighted moduli of smoothness of fractional order.

Publication Date
Thu Jun 01 2023
Journal Name
مجلة كلية الاداب | جامعة بغداد
Thematic characteristics of modern vocabulary of state correspondence in Russian
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Publication Date
Tue Jun 01 2021
Journal Name
International Medical Journal V
Acceleration of Tooth Movement in Orthodontics: A Review of Literature
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Objectives: The demand for orthodontic treatment is nowadays increasing significantly for aesthetic improvement and to correct various kinds of malocclusion, yet the prolonged treatment time remains the main obstacle. This review aimed to demonstrate various orthodontic techniques and highlight the evidence-based successful approaches used for acceleration of orthodontic tooth movement. Materials and Methods: Data and sources of information pertaining to accelerated orthodontic tooth movement premised on English-written articles were searched using electronic databases including Google Scholar, Scopus, PubMed and MEDLINE. Results: This review demonstrated the availability of different surgical and non-surgical methods to enhance tooth movem

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Publication Date
Sat Sep 23 2017
Journal Name
Ibn Al-haitham Journal For Pure And Applied Sciences
Recent Status of Prevalence of Rodents Infestation in Baghdad City
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The study was carried out for  the period    March 2007 -

January 2008 , in order to describe the status of the environmental sanitation and the prevalence of rodents infestation in nine quarters in Baghdad city . The results showed that the PI varied between 40 -

100% in garbage accumulation places and between 33.3 - 100% in the

other sites (houses , shops , bakeries and book shops) . It was noticed that, no rodents control activities were carried out from 2003 till now because of the unsuitable conditions a especially in Baghdad city . The level of ES was bad in general according to three degrees of evaluation (weak , mid and good)

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Publication Date
Sun Apr 01 2007
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Predictive values of risk factors in management of diabetic foot
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Background: Outcome of management of patients with diabetic foot is difficult to predict. Assessment of variables in history , examination and investigations were analyzed with outcome of management and whether can be assigned as prognostic factors .
Methods: prospective study of 300 patients with diabetic foot in Baghdad teaching hospital during the period from April 2000 to March 2004,certain criteria was taken in history and examination, these were investigated and treated either by conservative procedure or amputation.
Results: most common age group was 50-59 years ( 33.3%). The male to female ratio was 2:1. Conservative debridement was performed in ( 60%) of patients while amputation was employed in&nb

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Publication Date
Wed Jan 05 2022
Journal Name
Iraqi Journal Of Science
Investigation of Microbial Contamination of Primary Schools in Baghdad City
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A microbial contamination of several primary schools (official and private) in
Baghdad city was conducted. Sampling was performed in each school from desk,
door handle, and hand of students.
Out of 113swabs (classes desk, door holder, and students hands ) obtained from
ten primary schools, growth wasobserved in 91 samples (80.5%) (for official
school 84.6% and 71.4 for private school.
The results of recent study revealed that the official schools showed higher
contamination levels(130 CFU ) than private ones (90 CFU).
Resultes revealed that a total of 12 morphologically different bacterial species
were isolated from 62 bacterial isolates,among which gram negative bacteria 40
isolates(64.5%) were higher than

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Publication Date
Thu Nov 08 2018
Journal Name
Iraqi National Journal Of Nursing Specialties
Assessment of Nutritional Status of Pregnant Adolescents in Baghdad City
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Objectives: The study aims to assess the nutritional status, identify nutrition-related health problems and
find out the relationships between nutritional status and demographic characteristics of the pregnant
adolescents in Baghdad City.
Methodology: A descriptive study was carried out from April/20/2009 to June/30/2009 through a "Nonprobability"
purposive sample of (196) pregnant adolescents their age between (13–19) years who attend (14)
primary health care centers in Baghdad City seeking for antenatal care. The data were collected by the
investigator who interviewed the pregnant adolescents and filled out the constructed questionnaire formats
which designed for the purpose of the study. Internal consistency of

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Publication Date
Tue Sep 29 2020
Journal Name
Iraqi Journal Of Science
Degradable Evaluation of Two Types of Biopolymers in Loam Soil
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Gel-biopolymers were prepared by different weights of two polymers (PVA, and PEG) dissolved with distilled water. Thick films of these polymers were prepared by using the casting method, with different thicknesses (t= 0.48, 0.34mm for PVA and t=0.58 mm for PEG). The objective of this research is to determine the viability of the organic polymer films of PEG and PVA on decomposition and the time required for their degradation  in the soil. The purpose is to use these polymers in industry without leaving plastic residues along with the possibility of their application as fertilizers for soil. The results showed that PEG film was degraded during the first week, while PVA film was changed in weight from 0.3 to 0.23 g and thickness from

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