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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 Feb 07 2013
Journal Name
Iraqi Journal Of Medical Science
A study of serum magnesium and calcium levels in missed abortion
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Publication Date
Thu Mar 09 2017
Journal Name
Ibn Al-haitham Journal For Pure And Applied Sciences
Spectrophotometric Determination of Chromium Using Promethazine Hydrochloride - Application in Various Sample
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       A rapid, simple and sensitive spectrophotometric method for the determination of trace amounts of chromium (VI) was studied. The method is based on the reaction of chromium (VI) with promethazine forming a red colored species by chromium in hydrochloric acid  medium  and exhibits  a maximum absorbance at 518 nm. A plot of absorbance with chromium (VI) gives a straight line indicating that  Beer’s law has been obeyed over the range concentration of 0.05-4.0 µg/ml with a molar absorptivity of chromium(VI) 2.04 ï‚´ 104       l.mol-1.cm-1 , Sandell’s sensitivity index of 0.0025 µg.cm-2  while the limit of detection (LOD) was found to be 0.0924 µg.ml

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Publication Date
Fri Oct 28 2022
Journal Name
Political Sciences Journal
Recruitment of Children in African Armed Conflicts and its International Dimensions
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       African countries are among the countries in the world that suffer from the phenomenon of child recruitment in wars and conflicts. There are many reasons behind it, including the nature of the human formation of children, the societal violence to which they are exposed, lack of access to education, economic hardships, as well as the role of African wars and conflicts and other reasons that compelled children to join armed groups and participate in military operations. The recruitment of children is divided into two types, compulsory and voluntary, and this leads to many humanitarian and security repercussions that are not limited to a specific period of time but extend to subsequent generations, and due to its seriousness, t

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Publication Date
Sat Jun 03 2023
Journal Name
Iraqi Journal Of Science
Facies and Reservoir Evaluation of Mishrif Formation in Tuba Oil Field
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The Mishrif Formation is one of the most important formation in oil fields, which is located in southern part of Iraq, and it is of Upper Cretaceous age. Tuba field is located nearly 40 km SW – Basrah city. It is bounded from east by Zubair oil field (5 km distance) and from west by Rumaila (2 km distance). The Tuba oil field is situated between Zubair oil field in the east and Rumaila in the west, and is separated by two depressions.
The rock (core and chips) samples have been collected systematically from cores of Mishrif Formation that are available from stores of southern oil company to prepare thin sections and slides—these slides have been examined by using microscope. These samples have been taken from all parts of the rese

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Publication Date
Tue Jan 31 2017
Journal Name
Journal Of Engineering
Sustainable Investment In Architectural Heritage Buildings (Analytical Study Of Arabic Models)
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 Heritage is considered as the civilization and cultural wealth accumulated over the . centuries, whereas architectural heritage is the physical witness of that civilization. Despite the fact that architectural heritage is the most important effort for economic development of any communit,، it suffers from deterioration and neglection especially in the Arab communities. Recently awareness has increased about the importance of investing on architectural heritage generally and sustainable investment particularly. The goal of investment process in heritage areas is to revive economic activity in addition to attempt to revive the heritage and community values. Research aims to examine the relationship between sustainable investment and

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Publication Date
Sun Aug 01 2021
Journal Name
International Journal Of Electrical And Computer Engineering (ijece)
Simulation based comparison of routing protocols in wireless multihop adhoc networks
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Routing protocols are responsible for providing reliable communication between the source and destination nodes. The performance of these protocols in the ad hoc network family is influenced by several factors such as mobility model, traffic load, transmission range, and the number of mobile nodes which represents a great issue. Several simulation studies have explored routing protocol with performance parameters, but few relate to various protocols concerning routing and Quality of Service (QoS) metrics. This paper presents a simulation-based comparison of proactive, reactive, and multipath routing protocols in mobile ad hoc networks (MANETs). Specifically, the performance of AODV, DSDV, and AOMDV protocols are evaluated and analyz

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Publication Date
Sun Jan 01 2023
Journal Name
Aip Conference Proceedings
Behavior of asymmetrical castellated composite girders by gap in steel web
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Publication Date
Sun Apr 30 2023
Journal Name
Iraqi Journal Of Science
Detection of some heavy metals and bacterial contamination in canned vegetables
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In this paper, thirty six samples of canned vegetables were collected randomly from
different markets in Baghdad city from October 2013 till March 2014. The study
includes identifying the concentration of some heavy metals (lead, nickel, zinc and iron)
by flameless atomic absorption spectrophotometery. It was found that the higher
concentrations of heavy metals in canned vegetables, was lead 1.179 ppm in olive,
nickel 0.9078 ppm in olive, while zinc 10.143 ppm green peas and iron 90.601ppm in
white asparagus; but the lower concentrations represents with lead 0.0021 ppm in green
asparagus, nickel 0.0202 ppm in mushroom, while zinc 0.528 ppm in white asparagus
and iron 4.061 ppm in green peas. Canned food has been r

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Publication Date
Wed May 01 2024
Journal Name
Tropical Journal Of Pharmaceutical Research
Validation of UV-visible spectrophotometric method for niclosamide in different media
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Purpose: To validate a UV-visible spectrophotometric technique for evaluating niclosamide (NIC) concentration in different media across various values of pH. Methods: NIC was investigated using a UV-visible spectrophotometer in acidic buffer solution (ABS) of pH 1.2, deionized water (DW), and phosphate buffer solution (PBS), pH 7.4. The characterization of NIC was done with differential scanning calorimeter (DSC), powder X-ray diffraction (XRD), and Fourier transform infrared spectroscopy (FTIR). The UV analysis was validated for accuracy, precision, linearity, and robustness. Results: The DSC spectra showed a single endothermic peak at 228.43 °C (corresponding to the melting point of NIC), while XRD and FTIR analysis confirmed the identit

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Scopus
Publication Date
Fri Dec 08 2023
Journal Name
Iraqi Journal Of Science
Physico-chemical and Biological Variables of Hospitals Wastewater in Erbil City
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Three hospitals were chosen(Maternity hospital, Raperin hospital and Rhizgari hospital) for the present survey within Erbil city. Water samples were collected at regular monthly interval periods beginning in January 2012 to December 2012. pH of all the studied sites were found to be up 7. Electrical conductivity ranged from (1318-1790 μs.cm-1 in Maternity Hospital, 1770-2232 μs.cm-1 in Raperin Hospital, 1010-1615 μs.cm-1 in Rhizgari Hospital). BOD5 and COD values ranged from 22- 80 mg.L1 and 280- 1410 mg.L-1 respectively, this indicated a high pollution situation in the studied sites in respect to organic matter content. The quantitative analysis of counted microorganisms was more than that describe by WHO guidelines standard.

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