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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 Jan 01 2021
Journal Name
Family Medicine & Primary Care Review
Assessment of depressive symptoms among students at Al-Kindy College of Medicine in Baghdad
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Publication Date
Sun Oct 22 2023
Journal Name
Iraqi Journal Of Science
Determination of Some Aromatic Hydrocarbon in Water of Tigris River near Al-Dora refinery
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This study aims to assess the concentrations of some Poly Aromatic
Hydrocarbons in water, in order to monitor effectively and provide possible
recommendations to improve the water quality in the aquatic ecosystem of Tigris
River near Al-Dora refinery. Distribution and concentration of the sixteen polycyclic
aromatic hydrocarbons (PAHs) were studied in surface water. Solid-phase extraction
was used for water samples, and then analyzed by HPLC. Results showed that the
highest and the most dominant (PAH) was ancephthlnene (3-ring PAH), with
concentration of (40.33 ng/l), while the lowest concentration was for Indeno (1, 2, 3-
cd) pyrene (5-ring PAH), with (0.33 ng/l). The highest and the lowest mean
concentrations

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Publication Date
Mon Jun 01 2015
Journal Name
Journal Of Engineering
Variation of Compression Index and Swelling Index with Degree of Saturation in Unsaturated Soils
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The variation of compression index Cc and swelling index Cs with the degree of saturation S was studied on unsaturated and fully saturated soils for different degrees of saturation (100%, 91%, 85%, 75%, 60%), several mathematical equations were found to describe these relationships, these equations can be used to predict settlement during the consolidation process in unsaturated and fully saturated soils.

 

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Publication Date
Thu Dec 21 2017
Journal Name
International Journal Of Engineering & Technology
Determination of liquefaction potential for two selected sites in Kerbala city- middle of Iraq
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Geotechnical characterization of the sites has been investigated with the collection of borehole data from different sources. Using the data, grain size distribution curves have been developed to understand the particle size distribution of the alluvium present. These curves were further used for preliminary assessment of liquefiable areas. From geotechnical characterization, it has been observed that the soil profile in the two sites is dominated by sand and silty sand.Seed and Idriss (1971) approachhas been usedevaluatethe liquefaction potentialbydeterminationof the relation between the maximum ground acceleration (a max/g) valuesdue to an earthquake and the relative density of a sand deposit in the field. The results reveal that

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Publication Date
Wed Aug 16 2017
Journal Name
Ibn Al-haitham Journal For Pure And Applied Sciences
Spectroscopic Studies of a New Mixed Ligand Complex of Fe(III) in Aqueous Medium
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A spectrophotometric study of Fe(III) mixed ligand complex has been

performed  involving  1,4 phenylenediamine  (A) and  anthran i lic acid (B) ligand  at 25°C  and  aconstant  ionic strength  of  µ= 0.05M  NaC I04•  The optimum  pH was  found  to be pH=4.l. The format ion  rat io of the new complex   is   determined   to   be   2:1:4  of   Fe(III):(A):(B).   The   molar absorptivity was determined to be :::::: 0.5 x  I 04•  Stepwise spectrum change of the complex formation  is recorded by continuous flow system. Keywords: Mixed ligand

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Publication Date
Wed Feb 08 2023
Journal Name
Iraqi Journal Of Science
Bioremoval of Chromium by Local Isolates of Pseudomonas aeruginosa in Respect to its Genotype
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The current study included bioremoval of chromium metal ions from aqueous solution by using seventeen Pseudomonas aeruginosa species isolated from different environments. The experimental results showed that isolates Pseudomonas aeruginosa have high efficiency in removal of chromium where the P. aeruginosa p.8 was the most efficient (P≥0.001) in bioremoval of chromium with a removal capacity reached 92.5 mg/L and removal index reached (96.5%). While P. aeruginosa p.4 was the least efficient (P≥0.001) in bioremoval of chromium from aqueous solutions reached 74.6 mg/L and removal index reached (79.8%). The REP-PCR detection using BOX-primer, showed genetic relatedness among the isolates of P.aeru

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Publication Date
Tue Dec 26 2017
Journal Name
Al-khwarizmi Engineering Journal
Corrosion Resistance of Synergistic Welding Process of Aluminium Alloy 6061 T6 in Sea Water
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Abstract

 

This work involves studying corrosion resistance of AA 6061T6 butt welded joints using Two different welding processes, tungsten inert gas (TIG) and a solid state welding process known as friction stir welding, TIG welding process carried out by using Rolled sheet of thickness6mm to obtain a weld joint with dimension of (100, 50, 5) mm using ER4043 DE (Al Si5) as filler metal and argon as shielding gas, while Friction stir welding process carried out using CNC milling machine with a tool of rotational speed 1000 rpm and welding speed of 50mm/min to obtain the same butt joint dimensions. Also one of weld joint in the same dimensions subjected to synergistic weld

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Publication Date
Thu Feb 28 2019
Journal Name
Iraqi Journal Of Science
Evaluation of Petrophysical Characteristics of Carbonate Mishrif Reservoir in Ahdeb oil Field, Central Iraq
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Ahdeb oil field is located in the central block of Mesopotamia plain in Iraq. It has three domes AD-1,   AD-2, and AD-4.The current study represents characterization of carbonate Mishrif reservoir (Cenomanian-Early Turonian) in three wells (AD-A,AD-B,AD-C) at southern dome of Ahdeb oil field. Petrophysical properties were calculated using available well logs data such as neutron, density, sonic, gamma ray, resistivity and self-potential logs. These logs are digitized and then environmental corrections and interpretations were carried out using Techlog software. Petrophysical parameters such as shale volume, porosity, water saturation, hydrocarbon saturation, bulk water volume, etc. were determined and interpreted and illustrate

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Publication Date
Fri Apr 01 2022
Journal Name
Baghdad Science Journal
Interactive Effects of Major Insect Pest of Watermelon on its Yield in Wukari, Nigeria
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Watermelon is known to be infested by multiple insect pests both simultaneously and in sequence. Interactions by pests have been shown to have positive or negative, additive or non additive, compensatory or over compensatory effects on yields. Hardly has this sort of relationship been defined for watermelon vis-à-vis insect herbivores. A 2-year, 2-season (4 trials) field experiments were laid in the Research Farm of Federal University Wukari, to investigate the interactive effects of key insect pests of watermelon on fruit yield of Watermelon in 2016 and 2017 using natural infestations. The relationship between the dominant insect pests and fruit yield were determined by correlation (r) and linear regression (simple and multiple) analys

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Publication Date
Wed Apr 01 2020
Journal Name
Brazilian Dental Journal
In Vitro Homeostasis of Rat Oral Epithelial Cell Cultures Following Withdrawal of Periodontal Pathogens
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Abstract Inflammation of periodontal tissues is the consequence of interaction between periodontal pathogens and immune system. This is associated with increased expression of inflammatory cytokines, which may exert destructive effect to the periodontal tissues when released over long period. The aim of this study was to chronologically track the homeostasis of oral keratinocytes following removal of periodontal pathogens. This was done by investigating expression of selected inflammatory markers and integrity of epithelial monolayers in vitro. Rat oral keratinocytes were stimulated with heat-killed Fusobacterium nucleatum and Porphyromonas gingivalis over 7-days then bacteria were washed away and epithelial cells re-cultured for 3-

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