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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
Sun Feb 10 2019
Journal Name
Journal Of The College Of Education For Women
British Attitude towards American expansion in Caribbean
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This paper deals with the nations of British American Struggle in Caribbean. It
explains British Navy attitude of American expansion in Caribbean. Then continuation of
American expansion in the same place and Britain failure to limit it. This paper high lights the
beginning of acceptance between Britain's and United state, especially after British
submission to United States in Caribbean. Then we study the Anglo – American harmony and
the affection on the Anglo – American relation.
This paper concludes that American influences in Americans which is a truth.

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Publication Date
Mon Jun 30 2014
Journal Name
Al-kindy College Medical Journal
Leptin and Insulin Resistance in Obese Children
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Background: Insulin resistance (IR) is the primary metabolic disorder associated with obesity. Obesity is a growing worldwide health problem affecting both adults and children. Objectives: To determine the association between leptin and IR, and to identify the ratio of fasting glucose/leptin (G/L) and insulin/leptin (I/L) as a new simple method for the detection of IR in obese children.Methods: This study was done in the National DiabeticCenter/ AL-Mustansiriya University during the period fromMay 2013 until the end of October 2013. Fasting bloodglucose (FBG), serum insulin, leptin, and lipid profile weremeasured in 52 obese children (24 children with IR and 28without IR); their age range was (5-15) years, they werecompared with 38 healt

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Publication Date
Fri Mar 30 2007
Journal Name
Iraqi Journal Of Chemical And Petroleum Engineering
Drop Interface Coalescence in Liquid-Liquid System
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This investigation is a study of the length of time where drops can exist at an oil-water interface before coalescence take place with a bulk of the same phase as the drops. Many factors affecting the time of coalescence were studied in is investigation which included: dispersed phase flow rate, continuous phase height, hole size in distributor, density difference between phases, and viscosity ratio of oil/water systems, employing three liquid/liquid systems; kerosene/water, gasoil/water, and hexane/water. Higher value of coalescence time was 8.26 s at 0.7ml/ s flow rate, 30cm height and 7mm diameter of hole for gas oil/water system, and lower value was 0.5s at 0.3ml/s flow rate, 10 cm height and 3mm diameter of hole for  hexane

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Publication Date
Sun Jun 01 2008
Journal Name
Journal Of The College Of Languages (jcl)
Pain and pleasure in Ibn – Zaidoon poetry
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Pain and pleasure is when a human being feels pain because one of his sensesُ organs has extremely stressed itself. Where as pleasure is when someone indulges himself as much as he could and get away from anything that causes pain to himself and hurts it. The beauty of the poetic text appears when two contradictions occur together in the same poetic line, just like when two contradictions live together in life; they live and struggle in one poem. Contradictory duet is not something new poetry was based on this duet since it was found until this day. It forms the essential source from which meanings come, and the guide lines that drawn by the personal experience of the poet are formed from it.I preferred to study the duet of Ibn- Zaido
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Publication Date
Wed Dec 15 2021
Journal Name
Arab World English Journal
Aggressive Language in Literature: A Pragmatic Approach
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Aggression is a negative form of an anti-social behavior. It is produced because of a particular reason, desire, want, need, or due to the psychological state of the aggressor. It injures others physically or psychologically. Aggressive behaviors in human interactions cause discomfort and disharmony among interlocutors. The paper aims to identify how aggressive language manifests itself in the data under scrutiny in terms of the pragmatic paradigm. Two British literary works are the data; namely, Look Back in Anger by John Osborne (1956), and The Birthday Party by Harold Pinter (1957). This paper endeavors to answer the question of how aggressive language is represented in literature pragmatically? It is hoped to be significant to

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Publication Date
Thu Oct 01 2015
Journal Name
Journal Of Educational And Psychological Researches
Teaching and Education manners in Islamic legacy
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Learning education in the Islamic legacy vision considers a completed The Islamic learning education took its bases from origins of Quran and honored prophet Suna , and stressed on education child a good education and providing him with principles of religion and semantic moral values and Messenger (peace on him) considers the higher example for man in his moral, behavior and goodness and witness on this Higher God said

(you had in God Messenger a good leadership for those were requesting God and last day and mentioned God a lot). Al- Ahzab Surah :21. learning education converts man from religion to another and from culture to another and teacher left his signs on the generation if he accept or refuse.

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Publication Date
Wed Feb 16 2022
Journal Name
Iraqi Journal Of Science
Colord Image White Cracks In-Painting Method
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The gaps and cracks in an image result from different reasons and affect the images. There are various methods concerning gaps replenishment along with serious efforts and proposed methodologies to eliminate cracks in diverse tendencies. In the current research work a color image white crack in-painting system has been introduced. The proposed inpainting system involved on two algorithms. They are Linear Gaps Filling (LGF) and the Circular Gaps Filling (CGF). The quality of output image depends on several effects such as: pixels tone, the number of pixels in the cracked area and neighborhood of cracked area and the resolution the image. The quality of the output images of two methods (linear method: average Peak Signal to Noise Ratio (PS

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Publication Date
Sun Jun 05 2016
Journal Name
Baghdad Science Journal
Study Oxidative Stress Statues In Hypertension Women
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The oxidative stress is result of unbalancing between oxidants and antioxidants in the body. Hypertension (HT) is a measure of average systolic blood pressure which created by the heart contracting, greater ?140 mmHg or an average diastolic blood pressure, which is the heart fills, of ?equal to 90 mmHg. The study is conducted on 28 female patients with HT from Ibn Al-nafese hospital in addition to 28 female control. The markers measured are albumin, malondialdehyde (MDA) and 8-Hydroxy deoxyguanosine (8-OHdG). Also electrophoresis study on extracted DNA with Fenton reaction was done. Results of this study show there are high significant decrease (p?0.01) in albumin concentration of patient related to control, and there is a high significan

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Publication Date
Wed Nov 27 2019
Journal Name
Iraqi Journal Of Science
Watermarking in 3D Models Using Depth Path
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This paper presents a 3D watermarking model based on the nearest distance between two vertices in mesh, where the embedding path moves as deep as possible until the embedding data is completed. The proposed algorithm achieved good results according to invisibility and robustness. The visibility was measured in term
of Root Mean Square Error (RMSE) and Hausdroff Distance (HD), which obtained good results. As related to robustness, the proposed method showed resistance to geometrical attack (translation, scaling and rotation) as well as acceptable resistance to signal processing attacks like noise addition and simplification.

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Publication Date
Fri Jan 05 2024
Journal Name
Al-academy
metaphor and their transformations in surrealist painting
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The problem of research tagged: (metaphor and its transformations in the surreal drawing) dealt with the nature of the concept of metaphor and the mechanisms of its work in the contemporary global achievement. The research came in four chapters: The first chapter was concerned with the systematic framework for the research represented by the problem of the research, as it was manifested through this study by metaphor and its transformations, which were associated with the Surreal drawing papers in Europe. The goal of the study has been crystallized with the following:

Exposing metaphor and its transformations in the visual system of the surreal drawing.
As for the limits of the research, I was interested in analyzing video mod

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