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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
Wed Jan 09 2008
Journal Name
Iraqi Journal Of Agricultural Sciences 39 (3)‏
IFNFLUENCES OF IRRIGATION WITH MAGNETIZED WATER AND FOLIAR FERTILIZATION IN MINERAL CONTENTS OF ORANGE LEAVES.‏
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Publication Date
Tue Jan 15 2008
Journal Name
Iraqi Journal Of Agricultural Sciences 39 (2)‏
EFFICIENCY OF Trichoderma spp. ISOLATES IN ENHANCING SEEDS GERMINATION AND SEEDING GROWTH OF SOUR ORANGE‏
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Publication Date
Thu Jan 15 2009
Journal Name
Basrah Journal For Date Palm Research 8 (1), 64-71‏
Survey study of ten rare cultivars of Date Palm Phoenix dactylifera L. in Basrah city‏
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Publication Date
Fri Mar 19 2021
Journal Name
Plant Archives 21 (1), 1463-1469‏
Effect of addition of organic fertilizer and rootstock in Lemon transplants exposed to water stress‏
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Publication Date
Sun Aug 30 2020
Journal Name
Turkish Journal Of Agriculture - Food Science And Technology
Determination of Operating Characteristics of 540 and 540E PTO Applications in Disc Type Silage Machines
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In this study, performance characteristics such as power take off (PTO) power consumption, fuel consumption, fuel consumption for the unit field-unit product were determined at different working speeds with two different PTO applications (540 and 540E) in a single row disc type silage machine. In particular, the 540E PTO application greatly reduces fuel consumption for unit work. The best results in terms of hourly fuel consumption were achieved in 540E PTO application and V1 working speed. When the field - product fuel consumption is evaluated, the best results were obtained with the 540E PTO application at the V3 working speed. When an evaluation is made considering all the parameters, it is concluded that the 540E PTO application will p

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Publication Date
Tue Jan 01 2019
Journal Name
Malaysian Journal Of Biochemistry & Molecular Biology
Evaluation influence of extract of Terfezia claveryi desert truffle, pezizaceae, against Streptococcus pneumoniae, in vivo
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Publication Date
Wed May 01 2019
Journal Name
Iraqi Journal Of Science
Environmental Assessment of heavy metals Concentration and Distribution in Surface Soils of Wasit Governorate/ Iraq
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     Wasit Governorate is characterized by industrials activities such as groups of asphalts and bricks factories, oil fields and thermal power plant, in addition to the agricultural activity that is widely separated, which leads to pollution of the surface soils with heavy metals. The main objective in this research is to assess heavy metals pollution and understand the distribution in the surface soils in the studied area.  Twenty two surface soils samples were collected from 6 districts and 4 subdistricts within Wasit Governorate during April 2017. The results obtained showed that grain size analyzes are classified as sandy mud (sand 9.5%, silt 50.8 % and clays 39.8%). In the term of geochemic

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Publication Date
Tue Sep 30 2008
Journal Name
Iraqi Journal Of Chemical And Petroleum Engineering
EFFECT OF TEMPERATURE ON CORROSION OF CARBON STEEL BOILER TUBES IN DILUTE SODUIM CHLORIDE SOLUTION
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The corrosion behavior of carbon steel at different Temperatures and in water containing different sodium chloride
concentrations under 3 bar pressure has been investigated using weight loss method . The carbon steel specimens were
immersed in water containing (100,400,700,1000PPM) of NaCl solution and under temperature was increased from
(90-120ºC) under pressures of 3 bar. The results of this investigation indicated that corrosion rate increased with NaCl
concentrations and Temperature.

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Publication Date
Mon Jul 01 2019
Journal Name
Iop Conference Series: Materials Science And Engineering
Influence of water in size of Synthesized Carbon Black Nanoparticles from Kerosene by Flame Method
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Publication Date
Sat Dec 30 2023
Journal Name
Iraqi Journal Of Science
3-D Seismic Survey Study of Faults System in Balad Oil Field – Center of Iraq
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3D seismic reflection structural study of (250) km² of Balad Oil field located in central part of Iraq within Salah Al-din province (Balad area) was carried out.
Faults were picked using instantaneous phase attribute of seismic sections and variance attribute of seismic time slices across 3D seismic volume.
A Listric growth normal fault is affecting the succession of Cretaceous Formation and cut by strike slip fault. In addition, minor normal faults (Dendritic and tension faults) are developed on the listric normal growth fault. As a result, a major graben is separated by Strike slip fault into two parts (north and south parts) and trend in NW-SE direction.

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