End Stage Renal Disease is a well-known global public health problem. Maintenance hemodialysis is considered a life-saving treatment for patients with such disease. This treatment method that requires patients to be adherent to hemodialysis attendance, dietary and fluid recommendations as well as adherence to prescribed medications to ensure success. The aim of the current study was to assess adherence, perception, and counseling among hemodialysis patients to different modalities of treatment (fluid restriction, dietary recommendations, medications, and hemodialysis schedules). A cross-sectional study carried out on hemodialysis patients who attended to the dialysis centers at al- Karama teaching hospital and Madinat Al- Imamain Al- Kadhimain teaching hospital. The Arabic version of the “ end stage renal disease-adherence questionnaire ” was used in assessing adherence, perception, and counseling. The number of recruited patients were 200 adult patients (113 men and 87 women). The average of the total adherence score lies within the moderate adherence (984.9 ±174.2). Patients adherence to the hemodialysis session was good as representing by high scores of adherence for (hemodialysis-attendance, episode of hemodialysis-shortening and duration of hemodialysis-shortening) while the lowest adherence score (126.0 out of 200) was for following the fluid restriction. In terms of adherence categories, the majority (61%) of the patients had good adherence, 33.0% had moderate adherence with 6% had poor adherence. Age had significant positive association with the total adherence score. All patients perceived their hemodialysis management as highly/very important. On the other hand, some patients perceived their adherence to the recommended diet as moderately (7%) or less important (7%). Regarding the frequency of counseling received by patients for different treatment modalities. The negative answers represented 58.5% of answers about the how important is to follow a proper diet, and 25.0% of answers about the importance of taking prescribed medications as ordered. Accordingly, the overall adherence of hemodialysis patients to different treatment modalities was less than optimum with fluid and diet adherence representing most challenging tasks in the health care of hemodialysis patients.
The downhole flow profiles of the wells with single production tubes and mixed flow from more than one layer can be complicated, making it challenging to obtain the average pressure of each layer independently. Production log data can be used to monitor the impacts of pressure depletion over time and to determine average pressure with the use of Selective Inflow Performance (SIP). The SIP technique provides a method of determining the steady state of inflow relationship for each individual layer. The well flows at different stabilized surface rates, and for each rate, a production log is run throughout the producing interval to record both downhole flow rates and flowing pressure. PVT data can be used to convert measured in-situ rates
... Show MoreThe density-velocity relation is an important tool used to predict one of these two parameters from the other. A new empirical density –velocity equation was derived in Kf-4 well at Kifl Oil Field, south of Iraq. The density was derived from Gardner equation and the results obtained were compared with the density log (ROHB) in Kl-4 well. The petrophysical analysis was used to predict the variations in lithology of Yamama Formation depending on the well logs data, such as density, gamma, and neutron logs. The physical analysis of rocks depended on the density, Vp, and Vs values to estimate the elastic parameters, i.e. acoustic impedance (AI) and Vp/Vs ratio, to predict the lithology and hydrocarbon i
... Show MoreThe aim of study was to explore pharmacist insights toward the impact of prospective implementation of the national health insurance program on patients, providers and Iraqi health system.
This was a qualitative study including semi-structured face-to-face (mostly) interviews with experienced pharmacists. The interview guide included open-ended questions about the impact of the national health insurance program on patients and healthcare providers at three levels: quality of services, costs, and frequency of visits. Potential challenges were also discussed. Interviews were conducted in four provinces from March to May 2022. Thematic analysis was used to analyze the interview findings and generate themes and subthemes.
The
... Show MoreThe study objectives were to 1) explore the real-world experience of hospital pharmacists with the differences in effectiveness safety, and interchangeability between biosimilar medicines and their reference biological counterparts, 2) reveal pharmacist recommendations to enhance the safety of biopharmaceutical medicines in public hospitals.
The study has a mixed-method design where the core component was qualitative (interviews) and the supplemental component was quantitative (adverse drug reaction, ADR, reports). This qualitative component included semi-structured (mostly face-to-face) interviews involving hospital pharmacists from different hospitals with experience with biological or biosimilar medicines. The interviews were c
... Show MoreSludge worm samples were collected from the Tigers River sediment during the period from November 2018 to June 2019 in Al Sarafiya District/ Baghdad- Iraq. Biometric morphological measurements focusing on the form of penis sheath and chaetal morphology were used for species identification, in addition to molecular analysis by amplification of conserved 18s rRNA encoding gene using ITS1 and ITS4 universal primers.According to the morphological measurement records, the results revealed the existence of Limnodrilus hoffmeisteri Claparede 1862, L. claparedeianus Ratzel, 1868 and L. cervix Brinkhurst 1963. Other two groups of specimens, with short penis sheath, were identified by molecular technology as L
Refuse derived fuel (RDF) is considered one of the most important types of low cost thermal energy which can be tapped in the industry, especially the cement industry in particular being the need of high thermal energy during the production processes, and in this paper we have implemented the use of a derivative of the fuel RDF as a substitute for gasoline , to reduce production costs and thereby achieve production efficiency, and the methodology used in this research statistical analysis as well as the use of the cost of kaizen target for the purpose of reducing costs and achieve production efficiency, and this has reduced the cost total cement production by which led to reduce total costs of cement production by 8.4% and an incre
... Show MoreThis investigation aims to determine whether it is feasible to use the limestone rocks found in the Al-Samawa stone quarry in southern Iraq as the stationary phase in column chromatography separation. Together with the chromatographic application, the physical and chemical characteristics of the rocks are examined. SiO2, SO4, PO4, NO3, and Cl are the negative ions, while Ca, Mg, Na, K, and Li are the positive ions. The limestone samples are characterized via chromatographic analysis. The results suggest that limestone samples could be used as an adsorbent material for chromatographic separation techniques. Additionally, samples from the Nasiriyah refinery's crude oil can be used to sep
... Show MoreThis study deals with microfacies analysis, diagenetic facies, environmental interpretations related to sequence stratigraphy for Early – Middle Miocene in selected wells within Balad (Ba-X) and East Baghdad (EB-Z) oil fields.
Seven major microfacies were recognized in the successions of the study wells, these facies were used to recognize six facies association (depositional environments) within the study oil fields: deep marine, toe of slope, open marine, restricted interior platform, evaporitic interior platform and brackish interior platform. The facies associations interpreted were based on texture and obtainable fauna.
The Early - Middle Miocene succession was deposited during two depositional cycles as a t
... Show MoreA comparison was conducted between two wells, Kt-1and Kt-2, in Kumait and two wells, Du-1and Du-2, in Dujaila oil fields that belong to Mishrif formation, southern Iraq. Seismic inversion method was employed to detect oil and water reservoirs. The comparison included the behavior of acoustic impedance (AI) of fluids and the lithology with related petrophysical properties. The values of water saturation, Shale volume (Vsh), and effective porosity were compared between the AI, two fluid reservoirs. It was found that the AI value for the oil reservoir unit is relatively low to medium, whereas it was relatively medium for the water reservoir. Effective porosity value showed, in general, an increase in the oil reservoir and
... Show MoreThe focus of this research lies in the definition of an important aspect of financial development, which is reflected on the alleviation of poverty in Iraq, namely financial inclusion and then taking the path of achieving a sustainable economy, certainly after reviewing one of the important international experiences in this regard and finally measuring the level of financial inclusion in Iraq and its impact on poverty reduction through the absolute poverty line indicator.