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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 Feb 04 2022
Journal Name
Iraqi Journal Of Science
Design recommendation system in e-commerce site
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In recent years it has spread the used of e-commerce sites quite dramatically. Thus, these sites have become display huge number of diverse products. It became difficulty for the customer to choose what he/she wants from this product. The recommender systems are used to help customers to finding the desired product of their interests and proved to be an important solution to information overload problem.
This paper, designed a recommendation system based on content, which is usually textual description. Furthermore, the proposed system uses cosine similarity function to find the similarities among the characteristics of various products, and nominate a suitable product closer to customer satisfaction. The experimental result shows tha

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Publication Date
Wed Dec 14 2016
Journal Name
Journal Of Baghdad College Of Dentistry
Immediate Implant Placement in Fresh Extraction Socket
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Background: In the traditional protocol, the patient should wait after extraction up to six months to place the dental implant in healed bone, this waiting time accompanied by varying degrees of alveolar bone changes. In order to overcome these problems, immediate implant placement in the fresh extraction socket was introduced. The Aim of this study was to evaluate the outcome of the immediate implant placement utilizing Resonance Frequency Analysis (RFA) to quantify implant stability and osseointegration. Materials and Methods: A total of (23) patients participated in the study, receiving (44) implants placed in the sockets of teeth indicated for extraction. Clinical and radiographic preoperative assessment was accomplished for each patie

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Publication Date
Sun Jun 01 2014
Journal Name
Baghdad Science Journal
Oogenesis in Shabout Barbus grypus Heckel , 1843
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The female Shabout were collected as samples from Dijla river in Baghdad. The oocyte developmental stages were divided in to nine stages, based on nucleus structure , cellular inclusions and ovarian follicle structure ,they are:-( Oogonia stage , Early Perinucleolar Stage , Advanced Perinucleolar Stage , Cortical Alveoli Stage , Primary Yolk Stage , Secondary Yolk Stage , Tertiary Yolk Stage , Migratory Nucleus Stage , Hydration Stage(

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Publication Date
Mon Jan 28 2019
Journal Name
Journal Of The College Of Education For Women
Transportation movement with containers in Iraqi harbors
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The use of containers in transportation leads to the reduction in time and effort of the process of loading and unloading of goods as well as protecting the goods from damage and breakage and to reduce the financial costs.
. This development has led also to make changes in the sizes and capacity of ships, therefore changes in the ports must be taken place where they must be provided with an appropriate depth for such vessels, that means the increase in the depth of ports and the establishment of wide storage yards and to provide appropriate mechanisms for handling process.
In this study, the researcher has dealt with this type of transport business in Iraqi ports, namely:
1- Khur Al-Zubair port.
2- Um Qaser port.
In order

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Publication Date
Sat Aug 01 2020
Journal Name
International Journal Of Electrical And Computer Engineering (ijece)
Text hiding in text using invisible character
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Steganography can be defined as the art and science of hiding information in the data that could be read by computer. This science cannot recognize stego-cover and the original one whether by eye or by computer when seeing the statistical samples. This paper presents a new method to hide text in text characters. The systematic method uses the structure of invisible character to hide and extract secret texts. The creation of secret message comprises four main stages such using the letter from the original message, selecting the suitable cover text, dividing the cover text into blocks, hiding the secret text using the invisible character and comparing the cover-text and stego-object. This study uses an invisible character (white space

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Publication Date
Mon Oct 30 2023
Journal Name
Iraqi Journal Of Science
Follower and Takeoff Points in Proximity Spaces
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In the present study, the cluster concept was adopted to find points parallel to the cumulative points of any subset in topology cluster proximity spaces. The takeoff set term was given by the researcher to the set of all points. Also, an opposite definition was found for it, which is the follower set. The relation between them was found and their most important properties were highlighted. Through these two sets, new sets were built that are called, f_σ-set ,f_tσ-set ,t_fσ-set ,bushy set, scant set  .

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Publication Date
Mon Jun 19 2023
Journal Name
Journal Of Engineering
Medical waste management in Al-Kut City
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This research investigates solid waste management in Al-Kut City. It included the collection of medical and general solid waste generated in five hospitals different in their specialization and capacity through one week, starting from 03/02/2012. Samples were  collected and analyzed periodically to find their generation rate, composition, and physical properties. Analysis results indicated that generation rate ranged between (1102 – 212) kg / bed / day, moisture content and density were (19.0 % - 197 kg/ m3) respectively for medical waste and (41%-255 kg/ m3) respectively for general waste. Theoretically, medical solid waste generated in Al-Kut City (like any other city), affected by capacity, number of patients in a day, and hosp

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Publication Date
Tue Oct 23 2018
Journal Name
Journal Of Planner And Development
Affordable Housing Policies in Iraq and Jordan
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Publication Date
Wed Dec 26 2018
Journal Name
Arts Journal
Investigating Students' Ability in Identifying English Modals
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Modal verbs are also called auxiliary verbs, helping verbs and modal auxiliaries. They are special auxiliary verbs that express the degree /of certainty of the action in the sentence, attitude or opinion of the writer concerning the action. These auxiliary verbs are can, could ,may, might, must, ought to, shall, should, will, would and had better. Modality is one of the most difficult aspects of learning English, because the form of modals does not follow the conventional rules of grammar, and there are so many meanings of modals that students often get confused about which modal to use. Also, many EFL learners face difficulty in choosing the proper modal verb that fit certain situations because each modal verb has many functions. The pr

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Publication Date
Mon Jul 01 1996
Journal Name
Bulletin Of The Iraq Natural History Museum (p-issn: 1017-8678 , E-issn: 2311-9799)
TWO PRIMITIVE ORIBATIDS: FIRST RECORD IN IRAQ
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Cosmochthonius reticulatus Grandjean, 1947 (Acari: Oribatei: Cosmochthoniidae) and Rhysotritia ardua ardua C. L. Koch, 1841 ( Acari : Oribate : Euphthiracari¬dae), are two species of oribatids mites first recorded in Iraq from a woodland in the central part of Iraq. The two species are described and illustrated.

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