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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
Fri Oct 20 2023
Journal Name
Ibn Al-haitham Journal For Pure And Applied Sciences
A Morphological Study of Some Silene L. Species of Caryophyllaceae family in Iraq
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The current works included morphological features study (vegetative and floral parts) for five species of the genus Silene L., S. ampullata, S. chlorifolia, S. colorata, S. conoidea and S. longipetala belong to the family Caryophyllaceae, samples were collected from various areas of northern Iraq. Confirmation in the description was on the most critical parts of the plant, including the shape of the leaves, length, and shape of the calyx tube and venation, the modification shapes of coronal scales petals and appendages, anther ornamentation and structures of pistils. Images enhanced the morphological characteristics under study. Information on the locations and dates of the collection

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Publication Date
Fri Jan 26 2024
Journal Name
Iraqi Journal Of Science
Study of rock slope stability of formation outcrops in Hamrin Anticline /NE Tikrit.
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This Study aims to engineering geological evaluation of Fatha and Injana Formations in northern Hamrin anticline throughout geological and engineering geological Survey including Preparing engineering geological map (Scale1:90000) and Studying rock Slopes Stability in (6) Stations ,representing all types of failures (taken place and possible).General Survey for rock Slopes included Classification and engineering description according to [1], [2]. The slopes in the area are Classified based on the direction of the Strike Slopes and Strike of beds into Parallel, Oblique Lateral and orthogonal Slopes according to [3].Classification and the Slope Types are Concordant Slope and discordant Slope . The rocks in the area consists of two engineer

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Publication Date
Fri Jan 17 2025
Journal Name
Journal Of Baghdad College Of Dentistry
Sonographic assessment of normal cervical lymph nodes in a sample of Syrian population
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Background: Sonographic examination is an important tool in assessment of normal and abnormal cervical lymph nodes. The aim of the study is to assess the distribution and the characteristic features of normal cervical lymph nodes in a sample of Syrian population. Materials and Methods: Fifty healthy Syrian subjects (25 men and 25 women) with an age of 20 -60years old, who had their cervical lymph nodes examined by ultrasound. Three hundred and two lymph nodes were detected. Lymph nodes were evaluated for their number, size, site, echogenic hilus, shape, as well as for the border sharpness. The subjects were categorized by age into four groups, (20 -30, 31 - 40 , 41 - 50 , 51- 60 years ). Statistical analysis of data was done using SP

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Publication Date
Sun Jun 07 2009
Journal Name
Baghdad Science Journal
Biochemical study of glutathione reductase (GSH-Red) in Tissue Homogenate of Breast Tumors
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Breast tumor patients generally have more oxidative stress than normal females. This was clear from significant decrease (P<0.05) in tissue GSSG-Red activity. The study had found that free radicals in malignant breast tumors were higher than benign tumors, therefore the GSH- Red might be used as markers for prognosis of the disease. Results of molecular characterization show optimum enzyme concentration substrate conc., optimum pH, temperature & time & effect of some (chemotherapies in constant conectrations) for GSSG-Red activity.

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Publication Date
Tue Jun 01 2021
Journal Name
Journal Of The College Of Languages (jcl)
A Multimodal Analysis of Hyperbolic Devices in Advertisements of Health and Beauty Products
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         This paper examines the use of one of the most common linguistic devices which is hyperbole. It shows how hyperbolic devices are used as an aspect of exaggeration or overstatement for an extra effect in which the speaker can use hyperbole to add something extra to a situation in order to exaggerate his idea or speech. It is, like other figures of speech, used to express a negative or positive attitude of a specific unit of language. Thus, this paper is set against a background of using hyperbole concerning two main fields (advertisements and propaganda). So, the use of hyperbole will be implied by analyzing them concerning their meaning) literal and non-literal).  Methodology of this

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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)
Bioequivalence of Two Formulations of Amoxicillin in Human Healthy Volunteers on (HPLC) Technique
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Amoxicillin is commercially available in the form of capsules and tablets containing 250mg or 500mg for oral administration. It is also available in the form of suspension containing "25mg/ml” . Amoxicillin is presently used as the most common antibiotics .Ten healthy Human volunteers were characterized respected to their pharmacokinetic and bioavailability of two formulations of Amoxicillin from two sources of  industrial companies  after a single dose administration was given orally. A procedure is described for determination the concentration levels of Amoxicillin in human plasma of healthy volunteers using high performance liquid chromatography (HPLC) with reversed-phase isocratic column at low wave length of UV-visib

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Publication Date
Sun Oct 22 2023
Journal Name
Iraqi Journal Of Science
Biodegradation of Crude Oil in Contaminated Water by Local Isolates of Enterobacter cloacae
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This paper study the ability of Enterobacter cloacae for degrading crude oil in contaminated water. Six isolates of E. cloacae were isolated from hydrocarbon contaminated soil and water of different sites. The isolate E. cloacae E1 showed the highest emulsification index (E24%) reached 62% thus it was chosen for further study. Biosurfactant produced by E. cloacae E1 reduced the surface tension of the medium from 64 to 36 mN/m. pH range 6.5 – 7 and temperature range 30˚C - 35˚C were the optimal conditions for maximum degradation. After 30 days of incubation, E. cloacae E1 degraded 70.00 ± 0.40% of the crude oil. GC-MS analysis revealed that E. cloacae E1 was able to degrade aromatic compounds. This study proved that E. cloacae E1 con

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Publication Date
Thu Nov 01 2018
Journal Name
Iraqi National Journal Of Nursing Specialties
Evaluation of Knowledge and Practices of Nurses in Orthopedic wards concerning femur Fractures
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Objective: To evaluate the knowledge and practices of nursing staff at the orthopedic wards relative to
nursing care presented to patients with femur fractures.
MethodologyThe sample consisted of (50) staff nurses was selected out of orthopedic wards of five
teaching hospital in Baghdad city for duration 15th Nivember 2001-15th of January 2002.
For the purpose of data collection, two instruments were constructed. First, observational
checklist for the practices measurements and second, knowledge test for the evaluation of the nurse
knowledge. Such construction was employed through literature review and validity expert’s responses.
Data were analyzed through the application of descriptive data analysis (frequency, p

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Publication Date
Mon Sep 18 2017
Journal Name
Ibn Al-haitham Journal For Pure And Applied Sciences
Estimation of Ceruloplasmin activity, and copper, iron levels in ·sera of nor1nal pregnants
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This  study  was undertaken  to shed light on the changes  of levels of CP

activity, Cu and  Fe in sera of .(53) normaJ non-smoker pregnant's  without complication, during  three1rimestcrs of pregnancy.

G1  inc.l_ude  (I 8) pre nants in  the 1' 1 tri nester, G2 19)  pret:,rp:all.ts  _wear

taken     m the  2"    tnmester  and  G3  (16) pregnants  m the  3rd  trunester.

/\nothe.r ('18) ·serum samples were taken from liealthy non-pregnant wqmen

age matched as control·group G4.

Results bowed a significant steady  elevation in CP .p:ctivity and &n

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Publication Date
Thu May 05 2022
Journal Name
Al-kindy College Medical Journal
Prevalence of Cytomegalovirus Infection among Suspected Infants in Baghdad: Prevalence of CMV Infection
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Background: Cytomegalovirus (CMV) virus is a recognized important cause of congenital CMV infection which carries a significant risk for symptomatic disease and developmental defects in newborns. Its prevalence varies from place to other and time to time. This study is conducted to estimate its prevalence in Baghdad among infants suspected of having a congenital infection and to study the associated findings.   

 Subjects and Methods: The study was carried out in Al-Alwyia pediatrics teaching hospital. Data were collected, and blood samples were taken for infants suspected to have intrauterine infections over a period of one year, from 1 October 2019 to 1 October 2020.  Immunoglobulin M (IgM) tests for CMV w

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