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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 05 2023
Journal Name
Journal Of Engineering
Computational Analysis of Turbulent Natural Convection in Water Filled Tall Enclosure
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In this study, the turbulent buoyancy driven fluid flow and heat transfer in a differentially heated rectangular enclosure filled with water is quantified numerically. The two dimensional governing differential equations are discretized using the finite volume method. SIMPLE algorithm is employed to obtain stabilized solution for high Rayleigh numbers by a computational code written in FORTRAN language. A parametric study is undertaken and the effect of Rayleigh numbers (1010 to 1014), the aspect ratio (30, 40 and 50), and the tilt angle (10o to 170o ) on fluid flow and heat transfer are investigated. The results of the adopted model in the present work is compared with previously published results and a qualitative agreement and a good

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Publication Date
Fri Oct 20 2023
Journal Name
Ibn Al-haitham Journal For Pure And Applied Sciences
Qualitative and Quantitative Estimation of Total Phenols in Narcissus tazettaL. Bulbs
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Narcissus tazetta, a member of the Amaryllidaceae family, is known to be rich in bioactive metabolites such as alkaloids, phenolics and flavonoids, which have been found in nearly every species in this family. N. tazetta cultivated in Iraq, had not previously been studied for its active components; thus, the current study used phytochemical screening and phenolic compounds estimation, both qualitatively and quantitatively. Results showed that the plant alcoholic extract was rich in alkaloids, polyphenols and flavonoids besides tannins, polysaccharides and saponins. Qualitatively; TLC and HPLC chromatogram for total phenolics and flavonoids compounds revealed the presence of Gallic acid (GA), Caffeic acid (CA), Paracumar

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Publication Date
Sun Sep 30 2007
Journal Name
Iraqi Journal Of Chemical And Petroleum Engineering
Electrochemical Behavior of Chemical Conversion Coated Aluminum ASA6061 in Chromic Acid
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The corrosion behavior of bare and chemical conversion coated (through anodizing) aluminum ASA 606 I in stagnant chromic acid solutions . Solutions of 2, 6 & J O wt. % Cr03 at 45°C, have been investigated using polarization technique. The anodizing experiments were conducted under fixed conditions of 35 minute exposure time and 30 volt supplied voltage. The most important feature achieved was the great difference in behavior between the anodic polarization curves for bare and anodized aluminum in different concentrations of chromic acid solutions.

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Publication Date
Thu Dec 30 2004
Journal Name
Iraqi Journal Of Chemical And Petroleum Engineering
History of a Two-Phase Bubble Condensing in an immiscible Liquid
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Publication Date
Tue Mar 30 2021
Journal Name
Baghdad Science Journal
Spectrophotometric and Spectrofluorimetric Determination of Terazosin in Tablets by Eosin Y
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Simple, sensitive and accurate two methods were described for the determination of terazosin. The spectrophotometric method (A) is based on measuring the spectral absorption of the ion-pair complex formed between terazosin with eosin Y in the acetate buffer medium pH 3 at 545 nm. Method (B) is based on the quantitative quenching effect of terazosin on the native fluorescence of Eosin Y at the pH 3. The quenching of the fluorescence of Eosin Y was measured at 556 nm after excitation at 345 nm. The two methods obeyed Beer’s law over the concentration ranges of 0.1-8 and 0.05-7 µg/mL for method A and B respectively. Both methods succeeded in the determination of terazosin in its tablets

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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)
Preparation and Evaluation of Chloramphenicol as Thermosensitive Ocular in- situ Gel
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The purpose of this study was to develop poloxamer-based in-situ gel of chloramphenicol aiming to increase bioavailability and prolong corneal contact time, controlling drug release, and enhancing ocular bioavailability. The in-situ gel was prepared using different concentrations of poloxamer 407 combined with hydroxypropyl methyl cellulose (HPMC) or carbapol 940 to achieve gelation temperature about physiological temperature and improve rheological behavior and gelling properties of poloxamer gel. The prepared formulations were evaluated for their appearance, pH, and sol-gel transition temperature. The formulations F2, F3, and F5 have a gelation temperature within the accepted range 35-370C an

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Publication Date
Fri Mar 07 2014
Journal Name
Annals Of Applied Biology
High throughput screening of rooting depth in rice using buried herbicide
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Abstract<p>Root research requires high throughput phenotyping methods that provide meaningful information on root depth if the full potential of the genomic revolution is to be translated into strategies that maximise the capture of water deep in soils by crops. A very simple, low cost method of assessing root depth of seedlings using a layer of herbicide (<styled-content style="fixed-case">TRIK</styled-content> or diuron) buried 25 or 30 cm deep in soil‐filled boxes of varying size is described that is suitable for screening hundreds or thousands of rice accessions in controlled environment conditions. Variation in cultivar sensitivity to the herbicide when injected into pots was detected but con</p> ... Show More
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Publication Date
Sun Mar 04 2018
Journal Name
Iraqi Journal Of Science
Classification of k-Sets in PG(1,25), for k=4,…,13
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A -set in the projective line is a set of  projectively distinct points. From the fundamental theorem over the projective line, all -sets are projectively equivalent. In this research, the inequivalent -sets in have been computed and each -set classified to its -sets where  Also, the  has been splitting into two distinct -sets, equivalent and inequivalent.

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Publication Date
Wed May 22 2024
Journal Name
International Journal Of Religion
Torn by War: Fragmented Individuals in Sam Shepard's States of Shock
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Sam Shepard is considered as one of the modern American playwrights who combined the individual and the social in his plays to draw an image of a postmodern American society, and American family in particular by focusing on uniquely American aspects of culture. He is concerned with the individual in America rather than the institution. Shepard investigates, in almost all of his plays, the functions and dysfunctions of his characters, as well as the connections of individuals within the context of the family system and other social structures. The majority of his plays center on the struggle and conflict that occurs between father and son, husband and wife, and brother and brother as they strive for supremacy or for survival in a fra

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Publication Date
Wed Jan 05 2022
Journal Name
Iraqi Journal Of Science
Epidemiology of Some Parasitic Helminthes in Iraq from 2011 until 2015
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Helminthes are among transmitting pathogens including Ancylostomiasis,
Ascariasis, Enterobiasis, Hymenolepiasis, Strongyloidiasis, Taeniasis, Trichuriasis,
Schistosomiasis, Echinococcosis. These helminthes have high effect on public
health in human population around the world. Iraq is one of the most important
endemic areas in the Middle East.The objective of this study is to determine the
prevalence of some parasitic helminthes in Iraq from 2011 until 2015. This study
was carried out in all Iraqi governorates from 2011until June, 2015.In 2015, the
results showed that 6 patients were infected with Ancylostomiasis, 89 patients were
infected with Ascariasis, 56206 patients were infected with Enterobiasis, 173patient

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