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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
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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Publication Date
Sun Jun 12 2011
Journal Name
Baghdad Science Journal
Impedance Characteristics of Pulsed Atmospheric Electrical Discharge in Spherical Plasma Switch
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A number of pulsed experiments have been carried out using a high-voltage circuit containing R,L, and C in certain arrangements. A spherical spark gap of steel electrodes was used as a high-current switch operated by a voltage of up to 8kV and triggered in both self-triggering and third-electrode triggering modes. Current measurements were carried out by using both current-viewing resistor and Rogowski coils designed for this purpose. Typical current waveforms have shown obvious dominating inductance effect of the circuit components in an underdamped oscillation. The behavior of the circuit impedance was studied by recording both pulsed current peaks and the charging voltages when currents of up to 2.5kA were recorded. The dur

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Publication Date
Fri Jan 26 2024
Journal Name
Iraqi Journal Of Science
Expression Of Xylose Reductase Enzyme From Spathaspora passalidarum In Saccharomyces cerevisiae.
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Baker’s yeast (Saccharomyces cerevisiae) has been genetically engineered to
ferment the pentose sugar xylose present in lignocellulosic biomass. One of the
reactions controlling the rate of xylose utilization is catalyzed by xylose reductase
(XR).The current study describes xylose reductase from Spathasporapassalidarum
with NADH preference. According to JGI site the gene coding for this enzyme
contains 954 nucleotides and it consists of 317 amino acids. The restriction sites for
the enzymes SacII and NotI located on the 5P
´
Ptermini for both the forward and
reverse specific primers were designed using Lasergen 9.0 program. The genomic
DNA was isolated and purified from S .passalidarum. Polymerase chain r

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Publication Date
Sun Jun 30 2024
Journal Name
Journal Of Language Studies
Translation Challenges in Children's Literature: A Comparative Study of Story Narratives
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This paper presents the intricate issues and strategies related to the translation of children's books, and it particularly focuses on the comparative analysis of "The Tale of Peter Rabbit" by Beatrix Potter and "Le Petit Prince" (The Little Prince) by Antoine de Saint-Exupéry. The study finds that the typical problems in translation are, idiomatic expressions, cultural reference, and the voice preservation, along side-sheet-specific challenges which each of the text faces. The translator of Potter's work should have skills of transposing all culturally oriented peculiarities of the UK land to the international audience to keep it accessible. On the contrary, "Le Petit Prince" translation will be the process of capturing the abstra

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Crossref
Publication Date
Fri Jun 29 2018
Journal Name
Journal Of The College Of Education For Women
Stream of Consciousness Technique: Psychological Perspectives and Use in Modern Novel
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Stream of Consciousness technique has a great impact on writing literary texts in the modern age. This technique was broadly used in the late of nineteen century as a result of thedecay of plot, especially in novel writing. Novelists began to use stream of consciousness technique as a new phenomenon, because it goes deeper into the human mind and soul through involving it in writing. Modern novel has changed after Victorian age from the traditional novel that considers themes of religion, culture, social matters, etc.  to be a group of irregular events and thoughts interrogate or reveal the inner feeling of  readers.

This study simplifies stream of consciousness technique through clarifying the three levels of conscious

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Publication Date
Mon Feb 20 2017
Journal Name
Ibn Al-haitham Journal For Pure And Applied Sciences
Determination of Some Polychlorinated Biphenyls in River Tigris within Baghdad City
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A number of aqueous samples were collected from river Tigris in Baghdad city, enriched ~1000 times using solid phase extraction (SPE), then extracted the trace concentrations of some polychlorinated biphenyls (PCB) using an aqueous two-phase system (ATPS) composed of 1Methylpyridinium chloride [MePy]Cl and KH2PO4 salt. High performance liquid chromatography technique coupled with ultraviolet (HPLC-UV) is used for the quantification. Extraction under the optimized conditions of pH, solvent composition, duration and temperature has given with a yield of PCB about 91%. The limit of detection (LOD) and limit of quantification (LOQ) for analyses are 0.11-0.62 µg.L−1 and 2.67–3.43 µg.L−1 respectively with relative stan

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Publication Date
Sun Oct 22 2023
Journal Name
Iraqi Journal Of Science
Optimum Condition for Asparginase Activity in Crude Extract of Capiscum annum
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In this study asparaginase was extracted from fruit part of Capiscum annum then Asparaginase activity was detected and optimised. Optimum conditions for the activity of crude asparaginase were studied. Results showed maximum activity of asparaginase was achieved 140 u/ml when the enzyme was incubated with 200 mM of asparagines at 35 °C for 30 minutes in the presence of 0.05 M of potassium phosphate buffer solution at pH 8.

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Publication Date
Tue Jul 02 2024
Journal Name
Al-rafidain Journal Of Medical Sciences ( Issn 2789-3219 )
Formulation and Evaluation of Bilastine Thermosensitive Mucoadhesive Ophthalmic in situ Gel
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Background: Bilastine is a non-sedating, second-generation antihistamine used to treat urticaria and allergic conjunctivitis. Objective: to formulate and test bilastine as a mucoadhesive ophthalmic in situ gel in order to extend its presence at site for longer time and help treat conjunctivitis and allergic rhinitis. Methods: We prepared formulations using different concentrations of poloxamers (Poloxamer 407 (P407) and Poloxamer 188 (P188)) in combination with hydroxypropyl methyl cellulose (HPMC). The prepared formulas were evaluated for their physicochemical properties, sol-gel transition temperature, viscosity, mucoadhesive strength, drug release, and kinetic modeling. Results: The prepared in situ gels were clear and transparen

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Publication Date
Fri Jun 24 2022
Journal Name
Iraqi Journal Of Science
Detection of Genetic Polymorphism in Iraqi Barley using SSR-PCR Analysis
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Nine Iraqi varieties of barley (Hordeum vulgare L.) has been differentiated and diagnosed using simple sequence repeat markers to detect their genetic polymorphism. Six SSR primers were used for genetic screening of barley samples (IPA 265, IPA 99, Tuwaitha, Hitra, Rayhan, Shuaa, Bawadi, Samir and Al_khair). These primers generated total PCR product (11) bands divided to 8 polymorphic bands 3 monomorphic bands. the percentage of polymorphism 80% ranged between (50-100%). a mean value of polymorphic band per primer was 1.6 . these primers produced amplification fragment at Molecular weight between 75-900 bp. One unique band was generated at size 200bp, this band can be used as a DNA profiling of all studied genotypes. These results appear

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