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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
Tue Nov 17 2020
Journal Name
Journal Of Physics: Conference Series
A trial treatment of Hydatidosis in white mice by Immunization and Chemicals
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The present study was conducted as atrial to treat secondary hydatidosis in white mice of species Mus musculus. (Balb/c strain), experimentally infected with secondary hydatid cysts of sheep origin. The immunization process was carried by using CF/PS antigen which consist hydatid cyst fluid (CF) antigen, and protoscolices (PS) antigen mixed together and by using two concentrations 7.5, 15 mg/ml. Then derivatives of Benzimidazole, Mebendazole (M) and drugs Albendazole (A) were used 10 and 40 μm/gm body weight respectively. The mixture of drugs was used one week after challenged dose. Criteria taken into consideration to define the activity of the immunization and chemotherapy in this study were reduction in the numeral of cysts, the coeffic

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Publication Date
Thu Aug 01 2013
Journal Name
Micron
Computational investigation of electron path inside SEM chamber in mirror effect phenomenon
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Publication Date
Sat Sep 30 2023
Journal Name
Iraqi Journal Of Science
Spectrophotometric Determination of Metoclopramide Hydrochloride in Pharmaceutical Formulations Using Diazotization Coupling Reaction
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     For the determination of metoclopramide hydrochloride (MCPD) in pharmaceutical formulations, a rapid and straightforward spectrophotometric method has been proposed. The method involves diazotizing the main amino group of MCPD with sodium nitrite followed by coupling reaction with reagent 1,7-Dihydroxynaphthalene (1,7-DHN) to form a stable and colored compound in alkaline medium of sodium hydroxide which showed a maximum absorbance‎ intensity at the wavelength 578 nm. The linearity of developed method has ranged from 1.0 - 15 ‎ µg.ml-1‎‎ while the molar absorptivity 2.9867x104 l.mol-1.cm-1, RSD% was less than 1.11%. While the LOD and LOQ were 0.059 ‎µg.ml-1‎‎

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Publication Date
Thu Mar 07 2024
Journal Name
Oncology Letters
Effect of valproic acid on histone deacetylase expression in oral cancer (Review)
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Publication Date
Wed Aug 31 2022
Journal Name
Iraqi Journal Of Science
Consumer Use of E-Banking in Iraq: Security Breaches and Offered Solution
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    After the software revolution in the last decades, the field of information technology had a tremendous evolution that made many organizations reach the best benefits from this evolution in technologies. The banking sector evolved their old system from ordinary system to the online system. The term E-banking appears to cover almost all bank operations such as money transactions, account management, instant reports, instant notifications. E-banking offers several advantages to clients, but this opens many challenges and motivates unauthorized parties to focus on creating methods and exploiting weaknesses to attack and steal critical information that belongs to the banking system or clients. Iraqi banks recently adopted E-banking se

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Publication Date
Sun Oct 30 2022
Journal Name
Iraqi Journal Of Science
Proposed Hybrid Technique in Cryptanalysis of Cryptosystem Based on PSO and SA
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     Modern ciphers are one of the more difficult to break cipher systems because these ciphers high security, high speed, non - propagation error and difficulty in breaking it. One of the most important weaknesses of stream cipher is a matching or correlation between the output key-stream and the output of shift registers.

     This work considers new investigation methods for cryptanalysis stream cipher using ciphertext only attack depending on Particle Swarm Optimization (PSO) for the automatic extraction for the key. It also introduces a cryptanalysis system based on PSO with suggestion for enhancement of the performance of PSO, by using Simulated Annealing (SA). Additionally, it presents a comparison for the cryptanal

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Publication Date
Sun Apr 26 2020
Journal Name
Iraqi Journal Of Science
On Estimation of P(Y_1<X<Y_2 ) in Cased Inverse Kumaraswamy Distribution
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This paper deals with the estimation of the stress strength reliability for a component which has a strength that is independent on opposite lower and upper bound stresses, when the stresses and strength follow Inverse Kumaraswamy Distribution. D estimation approaches were applied, namely the maximum likelihood, moment, and shrinkage methods. Monte Carlo simulation experiments were performed to compare the estimation methods based on the mean squared error criteria.

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Publication Date
Wed Aug 31 2022
Journal Name
Iraqi Journal Of Science
Influence of Cylindrical Electrode Configuration on Plasma Parameters in a Sputtering System
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      In the present work, the effect of the cylindrical configurations of the sputtering device electrodes on the plasma parameters (Debye length, electron temperature, electron density, plasma frequency) is studied. Also, the effect of the argon gas pressure on the discharge properties is examined with gas pressures of (0.08, 0.2, 0.4 and 0.6) Torr. The properties of the plasma are diagnosed by optical emission spectrometry. The spectroscopic method is adopted for examining the atomic spectra of argon emission.  The electron temperature is determined by the Boltzmann method. While, the Stark-widening method was employed for calculating the electron number density. The voltage against current curves of the cylindrical sprayer disc

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Publication Date
Wed Nov 29 2017
Journal Name
Pakistan Journal Of Biotechnology
ANTIBACTERIAL ACTIVITY OF Arachis hypogaea L. SEED COAT EXTRACT CULTIVATED IN IRAQ
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The present study aimed to assess the antibacterial activity of peanut (Arachis hypogaea L.) skin extracts. The phytochemical analysis of the peanut skin extracts was investigated, the result showed a strong presence of flavonoids, phenols, alkaloids and tannins in methanol and ethyl acetate extracts. Antibiotic susceptibility of the bacterial isolates was performed on seven antibiotics represented by Amikacin, Tetracycline, Ciprofloxacin, Chloramphenicol, Ticarcillin, Cefotaxime and Gentamicin by disc diffusion method. The antibiogram for studied isolates revealed high level resistance of A. baumannii to all of the antibiotics under test except amikacin, while Staph. aurous was resistance to Chloramphenicol and Cefotxime and sensitive to A

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Publication Date
Sun Sep 30 2018
Journal Name
Bioscience Research
Phytochemical, antibacterial and antioxidant activities of Capparis spinosa L. Cultivated in Iraq
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The Capparis spinosa L. is a species has a great interest in the field of traditional medicine for its pharmacological properties with many bioactive compounds. Our study is aiming at the recovery of this species through a phytochemical analysis and an evaluation of antibacterial and antioxidant activities of leaves of Capparis spinosa L. collected from natural habitats within the region of Al-Jadriya, Baghdad, Iraq. Phytochemical investigation demonstrated the presence of flavonoids, phenols, alkaloids, tannins, and glycosides in the methanolic extract of leaves. The quantitative analysis of total phenolic contents is being performed by Folin-Ciocalteau method and expressed in terms of gallic acid equivalents. C. spinosa exhibited progress

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