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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 Mar 30 2023
Journal Name
Iraqi Journal Of Science
Phytoplankton Diversity and Pollution Index in North Part of Euphrates River, Iraq
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This study covered approximately 150 km from the northern part of the Euphrates River in Iraq. Water and phytoplankton samples were monthly collected from six selected stations from April 2013 to March 2014; three stations were distributed within Hadithah Reservoir, while the three others were in the river's inflow. Water physical and chemical parameters and the phytoplankton community structure were analyzed. The most important results of this study were the diagnoses of 355 phytoplankton species belong to eight phylums. Algal class Bacillariophyceae which belong to phylum Ochrophyta was the most qualitative and quantitative dominant in all stations over the study period. The stations within the reservoir were characterized by higher nu

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Publication Date
Wed Mar 28 2018
Journal Name
Iraqi Journal Of Science
A Characterization of Soft Semi Separation Axioms in Soft Quad Topological Spaces
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Our main interest in this study is to look for soft semi separations axioms in soft quad topological spaces. We talk over and focus our attention on soft semi separation axioms in soft quad topological spaces with respect to ordinary points and soft points. Moreover study the inherited characteristics at different angles with respect to ordinary points and soft points. Some of their central properties in soft quad topological spaces are also brought under examination.

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Publication Date
Thu Mar 09 2017
Journal Name
Ibn Al-haitham Journal For Pure And Applied Sciences
External Morphological Study of Tabanus autumnalis L. 1761,(Diptera: Tabanidae) in Iraq
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This work included external morphological study of horse fly Tabanus autumnalis L. 1761, which belongs  to family Tabanidae order: Diptera. The study involved the most important taxonomic external characters of the: head, thorax, abdomen and their appendages which are: antenna, maxillary palp, wings, legs, spotting in coloring pattern of abdomen. 

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Publication Date
Fri Dec 01 2023
Journal Name
Caspian Journal Of Environmental Sciences
Assessment of indoor air quality for closed cafés in Baghdad City, Iraq
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The phenomenon of young people frequenting closed cafes spread in Baghdad to smoke hookahs and cigarettes has increased. This phenomenon is associated with unemployment, an increase in leisure time and the deterioration of economic conditions. This phenomenon has an impact on indoor air quality and exposes workers to the risk of exposure to various pollutants, including particulate matter, therefore, we examined some indicators (PM2.5, PM10) IAQ for a month in summer and another month in winter in six different locations in the Rusafa district. PM2.5 and PM10 concentrations, relative humidity (RH) and temperatures were measured using (Multifunction Air Quality Detector BENETECH -China). The results showed an increase in temperatures inside

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Publication Date
Thu Apr 28 2022
Journal Name
Iraqi Journal Of Science
Molecular and Bacteriological Detection of Some Bacterial Vaginosis Associate Bacteria in Women
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Bacterial vaginosis (BV) is one of the most common genital infections among women in the childbearing age. Many novel, fastidious and uncultivated bacterial species are related with BV. These are called bacterial vaginosis associated bacteria (BVAB), present in trace amount and have a significant role in the infection. A total of 80 vaginal swabs were obtained from 80 pregnant and non-pregnant women. Samples were collected from different hospitals in Baghdad city and Al-Kut city.
Clinically, 60 sample among 80 were gave positive results depending on Nugent score and Amsel criteria ,the Bacteriologicall test showed the percentages of gram negative bacteria (E.coli ,K.pneumoniae, P.mirabilis, Ps.aeruginosaand A. baumanniiwere) were (38.

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Publication Date
Tue May 10 2016
Journal Name
International Journal Of Current Microbiology And Applied Sciences
New Record of Liriomyza trifolii (Burgess, 1880) (Diptera; Agromyzidae) in Baghdad, Iraq
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Publication Date
Fri Mar 30 2007
Journal Name
Iraqi Journal Of Chemical And Petroleum Engineering
Corrosion Inhibition of Low Carbon Steel in Different HCl Concentrations by Phenythiourea
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Phenylthiourea  (PHTU),was  tested  as  inhibitor for  the  corrosion  of  low  carbon  steel  in different  HCI  acid concentration by mass loss ,and polarization measurements .it was found that (PHTU) is a good inhibitor for the corrosion of low carbon steel in 1,3,and 5N HCI solution ,and its inhibition efficiency (0) increases with its concentration and attains approximately 97% at l g/I .polarization curves indicate that (PHTU) acts as an anodic type inhibitor .the inhibitor was adsorbed on the low carbon steel surface according to the Langmuir adsorption isotherm model. Results show that the rate of corrosion of low carbon steel increased with increasing temperature o

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Publication Date
Sun Jul 31 2022
Journal Name
Iraqi Journal Of Science
Kinetic Studies of Wastewater Purification Using Local Sand Samples in Erbil, Kurdistan
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      This research describes a straightforward procedure for extracting the pigment of Methylene Blue (MB) dye from aqueous solutions by utilizing a low-cost, safe, natural, and national source. Batch adsorption experiments were carried out to determine contact time, adsorbent dose, and the starting concentration of the adsorbate. For the analysis, a UV spectrophotometer was employed. Dye adsorption equilibrium was obtained after 120 minutes of contact time. Temkin, Langmuir, and Freundlich isotherm adsorption were used at solution concentrations of (3, 4, 6, and 8) mg/l. Adsorption data is used to predict the pseudo first and pseudo second order kinetic equations, Elovich kinetic models, and intra-particle diffusion using pseudo f

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Publication Date
Mon Feb 18 2019
Journal Name
Iraqi Journal Of Physics
Preparation and characterization of colloidal CdTe nanoparticles by laser ablation in liquids
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Nanoparticles generation by laser ablation of a solid target in a liquid environment is an easy method. Cadmium Telluride (CdTe) colloidal nanoparticles have been synthesized by laser ablation Nd:YAG with wavelengths of 1064nm and double frequency at 532 nm, number of pulses 50 pulses, with pulse energy= 620mJ, 700mJ of a solid target CdTe is immersed in double distilled deionized water (DDIW) and in methanol liquid. Influences of the laser energy and different solutions on the formation and optical characterization of the CdTe nanoparticles have been studied using atomic force microscope (AFM) and the UV-Vis absorption. As a results, it leads to the absorbance in UV-Vis spectra of samples prepared in water at laser wavelength of 532nm i

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Publication Date
Sun Mar 02 2008
Journal Name
Baghdad Science Journal
Spectrophotometric determination of Procaine penicillin in pure and pharmaceutical formulations using metol
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A simple, accurate and sensitive spectrophotometric method for the determination of Procaine penicillin (PP) is described. The method is based on charge-transfer reaction of PP with metol (N-methyl-p-hydroxy aniline) in the presence of ferric sulphate to form a purple-water soluble complex ,which is stable and has a maximum absorption at 510 nm .A graph of absorbance versus concentration shows that Beer’s low is obeyed over the concentration range of 3-80 µg /ml of PP (i.e.,3-80 ppm) with a molar absorbativity of 4.945 ×103 L.mol-1.cm-1 ,Sandell sensitivity of 0.1190 µg cm-2 ,a relative error of (-1.57)-2.79 % and a standard deviation of less than 0.59 depending on the concentration of PP.The optimum conditions for full co

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