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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
Mon Apr 01 2024
Journal Name
Al-qadisiyah Journal Of Veterinary Medicine Sciences
Mycoplasma gallisepticum Infection in Poultry: Article Review
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Publication Date
Fri Jan 01 2021
Journal Name
International Journal Of Agricultural And Statistical Sciences
NONPARAMETRIC ESTIMATION IN DOUBLY GEOMETRIC STOCHASTIC PROCESSES
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A stochastic process {Xk, k = 1, 2, ...} is a doubly geometric stochastic process if there exists the ratio (a > 0) and the positive function (h(k) > 0), so that {α 1 h-k }; k ak X k = 1, 2, ... is a generalization of a geometric stochastic process. This process is stochastically monotone and can be used to model a point process with multiple trends. In this paper, we use nonparametric methods to investigate statistical inference for doubly geometric stochastic processes. A graphical technique for determining whether a process is in agreement with a doubly geometric stochastic process is proposed. Further, we can estimate the parameters a, b, μ and σ2 of the doubly geometric stochastic process by using the least squares estimate for Xk a

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Publication Date
Tue May 01 2018
Journal Name
The Journal Of Immunology
Gut dysbiosis and immunological profile in endometriosis
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Abstract<p>Ectopic growth of normal cells or debris originating from endometrium, the inner layer of female reproductive tube leads to endometriosis. The main symptoms are dyspareunia, dysmenorrhea, and sometimes chronic pelvic pain. Unfortunately, it has no cure or treatment, only symptoms relief medication or surgical removal. Endometriosis causes estrogen imbalance leading to intestinal bacterial estrobolome dysregulation and subsequent change in immune response. Our study aims to investigate the linkage between gut dysbiosis and immunological response in endometriotic mice. Balb/c mice were ovariectomized (OVX) 7 days before intraperitoneal transplantation of 2mm2 endometrial tissue from OVX</p> ... Show More
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Publication Date
Tue Apr 18 2023
Journal Name
Ibn Al-haitham Journal For Pure And Applied Sciences
Glomerulogenesis and Histomorphometeric in Mus musculus Embryo
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In mammals, the kidneys originate in an embryo from the mesoderm through three excretory organs, namely: Pronephros, Mesonephros, and Metanephros. After the formation of Metanephros is completed, the kidneys begin to form nephrogenesis through mesenchymal cells located at the tip of the ureteric bud, that contribute in the formation of glomerulus and Renal tubules. The stages of glomerulus formation in the embryo of albino mice at the age of 14 to 19 days of gestation were studied. It was obtained after the sacrifice of the expectant mother and the kidneys were excised from the embryos and fixed using Aqueous Bouin's solution, Microscopic slices with a thick

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Publication Date
Thu Nov 30 2023
Journal Name
Iraqi Journal Of Science
Modeling Extreme COVID-19 Data in Iraq
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     This paper considers the maximum number of weekly cases and deaths caused by the COVID-19 pandemic in Iraq from its outbreak in February 2020 until the first of July 2022. Some probability distributions were fitted to the data. Maximum likelihood estimates were obtained and the goodness of fit tests were performed. Results revealed that the maximum weekly cases were best fitted by the Dagum distribution, which was accepted by three goodness of fit tests. The generalized Pareto distribution best fitted the maximum weekly deaths, which was also accepted by the goodness of fit tests. The statistical analysis was carried out using the Easy-Fit software and Microsoft Excel 2019.

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Publication Date
Sat May 01 2021
Journal Name
Journal Of Physics: Conference Series
Paths and Cycles in Alpha Topological Spaces
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Abstract<p>This paper presents the concepts of prepaths, paths, and cycles in α-topological spaces and studies them in orderable spaces. Also, many relationships are proved with their equivalences using some properties in topological spaces like compactness and locally connectedness.</p>
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Publication Date
Mon Dec 30 2019
Journal Name
College Of Islamic Sciences
Extremism in religion Causes, effects and treatment
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Praise be to God, Lord of the worlds, and prayers and peace be upon His messenger, the mercy of the worlds.
As for after ....
It is clear from the legal texts in the Noble Qur’an and the Sunnah of the Prophet, that Islam is a method that interferes in everything in beliefs, worship, behavior and transactions, and it forbids excess and extremism and mistrust of people and looking at them through a black lens, self-conceit and contempt of others.
In our research, we will try, God willing, to study the phenomenon of religious extremism with its comprehensive dimensions, the position of Islam on it through the verses and hadiths discussed by it, and the diagnosis of the reasons for its emergence and emergence, because if we learn

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Publication Date
Fri Dec 01 2023
Journal Name
Iop Conference Series: Earth And Environmental Science
Preserving Stained Fish Specimens in Resin Epoxy
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Abstract<p>In this study, we try to deviate from the traditional methods of preserving fish. The research depends on finding alternative modern methods by which fish bodies can be preserved in a better way and for long periods after conducting some laboratory treatments on the specimens to ensure obtaining clean and clear samples suitable for diagnosis and study, in addition to keeping it in a new, lightweight and elegant form that can give three-dimensional shapes to the specimens. The final specimens were of high quality and unbreakable durability with high clarity and transparency and low manufacturing costs. This study is the first of its kind.</p>
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Publication Date
Thu Sep 02 2021
Journal Name
Journal Of Al-frahedis Arts
Public Relations Activities in Iraqi Industrial Companies
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Due to the impact of industrial companies on the ransformations and developments witnessed by the world in general nd Iraq in particular, especially in the industrial and economic Jonrnal spects, the liberalization of internal and external trade, and the idoption of the open market policy in Iraq, which led to the intensification of competition between industrial companies and heir products and services, and the increase and diversity of the Onumber of alternatives Available to the public on the one hand, and he diversity and change of their desires and needs on the other hand, which was reflected in the reality of those companies and heir products or services, especially in light of the great challenges facing companies and the deteriorat

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Publication Date
Fri Dec 30 2022
Journal Name
Iraqi Journal Of Science
Radon Assessment in Ceratophyllum demersum Plant Samples
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     The amount of radioactive isotopes in submerged Ceratophyllum demersum plants samples were estimated using passive track detector CR-39.  The samples were collected from four selected sites along the Tigris River in Baghdad city, on a monthly basis for one complete year of 2019. Certain factors like radon concentration (Bq.m-3), radium content (Bq.kg-1) and uranium concentration (ppm) were evaluated. The average values of 222Rn level, 226Ra content and 238U concentration in Ceratophyllum demersum samples for site (1) were (593.1 Bq.m-3, 5.8 Bq.kg-1, 0.113 ppm), site (2) were (413.4 Bq.m-3, 3.8 Bq.kg-1, 0.074 ppm)

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