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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
Thu Sep 15 2022
Journal Name
Aladab Journal
Adjectives in Shakespeare's Sonnets
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The present paper studies the use of adjectives in Shakespeare's Sonnets (4, 5, 6, & 9), which are chosen randomly, on the three levels: grammar, lexis and conversation. It tackles adjectives as a literary term with presenting their forms and functions. The presentation is done according to the themes, their forms and functions in conversation, the adjectives are shown in this paper as for their forms, frequency and meanings in the sonnets and their effects on studying. The analysis is done according to Quirk et al. (1985) and Quirk and Greenbaum (1973). Then, all adjectives have been calculated in the sonnets. The results of the analysis have shown that compound adjectives which occurred (31) are used more than the Suffixation

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Publication Date
Mon Feb 01 2010
Journal Name
Alustath Journal
Persuasive Language in Blurbs
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Advertisement is a general phenomenon in our everyday life. In most cases, it is established for commercial purposes i.e. it is oriented for certain goals and waiting for results. One form of advertisement is a blurb. In this study, the researcher applies Fonton and Saint-Dizier (2010) and Hymes (1962) models on 23 blurbs. These two models are chosen on consideration of accounting grammatical categories and speech events respectively. The study tends to answer the following question: How do blurb’s writers exploit language to convince the reader to buy the intended book? Therefore, the aim of the study can be stated as analyzing the blurbs according to these two models and finding which category scores higher and serves in ad

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Publication Date
Sun Jul 03 2005
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Bacterial septicemia in neonates
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Summary:
Background: This study was conducted to isolate and identify the bacterial isolates of neonatal septicemia in a Neonatal Intensive Care Unite in the Baghdad teaching hospital and the resistance of these locally isolates to different antibiotics. Suspected cases of neonatal sepsis which were not treated with any antibiotics were enrolled.
Methods: One to two milliliter of blood specimens were collected from these neonates aged from 3-7 days and cultured in Brain heart infusion broth.
Results: Out of 90 neonates, 15 ( 15.5%) were positive on blood cultures. Results showed that nine isolates have been obtained belonging to Klebsiella spp. comprising (60%) out of the total isolates followed by Staphylococcus aureus (27.7%)

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Publication Date
Mon Feb 04 2019
Journal Name
Journal Of The College Of Education For Women
Ethics in historical times
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To learn about the importance of ethics in different historical eras have to be identified first on the roots of this concept and return to the origins of language and the statement connotations Home as a morality single won Position good in the literature of the Arabic language , and beliefs of the monotheistic religions that see the majority it had on moral grounds .
The name of the morality of the natural qualities of a human being , or the name of human nature itself , and morality , plural ( created) is the name of the inner configuration of this man , but Valkhalq put against the word of creation - which is the name of this human form evolving .
In the opinion of other references that word ( ethics ) but they are collecting f

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Publication Date
Mon Jan 08 2024
Journal Name
Al-academy
Visual discourse in television
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Visual discourse in cinema and television is an expressive medium that carries its audio and visual elements and is effective in influencing the memory of the recipient, according to multiple patterns of forms and representations aimed at persuasion, influence, entertainment, enjoyment and knowledge. This speech will not pass by the recipient without difficulty, as the multiplicity of forms and techniques of image presentation and the diversity of contents derived from different beliefs, concepts, ideas and perceptions may sometimes reach intersections and conflicts, which is reflected in the form of the screen and the theory of television. This motivates us to know the ways in which audio-visual discourse is produced on television, whic

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Publication Date
Sun Jul 01 2018
Journal Name
Journal Of Educational And Psychological Researches
Equality in Islamic Thought
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The concept of equality in Islamic thought emanates from the unity of human entity that does not breach the concept of equality in itself and it should take differentiation among people as means for development and growth not as excuse for injustice and discrimination. Islamic thought has left all the prevailing norms of differentiation such as (weakness and strength, economic and social position, gender, color, and social class). Islamic thought has underscored the quality of people of different race, race, color, and language which was not familiar in those civilizations before the emergence of Islam such as (Egyptian, Persian, roman civilization). It was common to divide people into different social classes. The aim of Islam is to kee

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Publication Date
Thu Jan 02 2014
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Surgery In Infective Endocarditis
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Background: Early surgery during the active phase of infective endocarditis was considered to carry high morbidity and mortality due to technical difficulties on an inflamed tissues.

Objectives: Is to focus a light on the increasing indications for surgery during the active phase of infective endocarditis which lead to significant drop in the hospital mortality.  

Patients and Methods: Eighteen patients with bacterial endocarditis and valvular dysfunction were admitted to Iraqi center for heart diseases during the period from January 2008 –April 2013. All of them were fully investigated and adequately prepared for open heart surgery.

Result:

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Publication Date
Sun Jul 04 2010
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Candida Vulvovaginitis in pregnancy.
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Background: Vulvovaginal candiddiasis is an opportunistic mucosal infection caused by Candida albicans that affects large number of otherwise healthy women of child bearing age. Acute episodes often occur during pregnancy.
Patients and methods: This study was done on 50 pregnant women with Candida vulvovagnitis who were diagnosed by direct microscopic examination, culture technique, germ tube production, chlamydospore, and Api 20 candida system, at Baghdad Teaching Hospital in the period between October 2008 to February 2009.
Results: The study group included 50 pregnant women with Candida vulvovaginitis . The percentage of pregnant women with Candida albicans infection who their age is higher than 30

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Publication Date
Thu Oct 01 2009
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Bacteriology in Adenoid Disease
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Background: Adenoidal hypertrophy is generally considered a common condition of childhood .When obstructive symptoms or recurrent otitis media (suppurative or non suppurative) occurs, adenoidectomy is generally indicated.A wide range of bacteria could be isolated from the surface and core tissue of the removed adenoid tissue.
Patients and Methods: A prospective study carried out in the ENT Department of AL-DIWANIYAH Teaching Hospital between October 2007 and September 2008.Involved 73 patients between 3 and 7 years, they were 31 male and 42 female .All patients underwent adenoidectomy .Surface and core swabs was taken from all specimens and submitted to bacteriological study.
Results: Pathogens were de

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Publication Date
Sat Jun 06 2020
Journal Name
Journal Of The College Of Education For Women
Psychological Intentions in Hadiths
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The present study aims to shed light on psychological intentions in some prophetic hadiths and present practical models and realistic applications that reveal the aim behind Prophet Mohammed’s actions and speech. This study relied on a descriptive and deductive approach. It included three demands. The first demand provided a glimpse of the theoretical and conceptual framework of psychological intentions and their most important classifications. The second request tackled the history of Makassed thought in the Prophet’s hadiths. The third requirement dealt with the presentation of the physical, mental, and psychological intentions in Sunnah. The results revealed that The Islamic religion seeks to achieve happiness for the human being

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