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Trend of Antibiotics Usage in the Intensive Care Unit in the Medical City in Baghdad

High frequencies of multidrug resistant organisms were observed worldwide in intensive care units which is a warning as to use the only few effective antimicrobials wisely to reduce selective pressure on sensitive strains.

The aim of the current study is to asses the compliance of the currently followed antibiotic prescribing pattern in the intensive care unit in an Iraqi hospital with the international guidelines.A cross-sectional study was done in the intensive care unit (ICU) of the Surgical Specialties Hospital, Medical City in Bagdad from the 30th of November 2011 to the 5th of May 2012.Patients were followed until they were discharged or died to see any change in condition, response to drugs, devices used, and medications.

During the period of the study, there were 46 patients admitted to the ICU of whom 23 (50%) were males and 23 (50%) were females. The age range of patients was between 16 and 85 years. The mean of age of patients was 44.52 (SD±18.45) years. All patients underwent culture and sensitivity test as soon as they were admitted to the ICU, but out of 46 patients only 16 (34.78%) of them have culture and sensitivity tests results retrieved.The number of patients, in whom the antibiotics were prescribed or changed according to culture and sensitivity tests, was six patients only (13.04%). Ceftriaxone was the most commonly used antibiotic as an empiric treatment followed by ampicillin-cloxacillin combination and meropenem, while clarithromycin and ciprofloxacin were among the least used. The bacterial culture and sensitivity tests of different samples obtained from the patients showed that the most effective antibiotic was tobramycin (90%) followed by ciprofloxacin and levofloxacin (69.2%) for each and the least effective (bacterial resistance) was ceftriaxone (33.3%) and cefotaxime (28.5) among others.

In conclusion, there is a critical need for reviewing the trend of antibiotic use in the ICUs depending more on lab. tests to identify the most effective drugs and to minimize the emergence of resistant infection.

Keywords: ICU, Antibiotic resistance, Culture and sensitivity tests.

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Publication Date
Sat Dec 30 2023
Journal Name
Iraqi Journal Of Science
Anatomical study for leaves and Epidermal properties in Athionema R.BR. species (Brassicaceae) in Iraq.

The research included anatomical study of nine wild species of the genus
Athionema R.BR. from BrassicaceA family in Iraq, and these species are:
A.arabicum (L.), A.carneum (Banks et sol.),A. cordifolium (DC.), A.fimbriatum
(Boiss.),A. froedinii (Rech. F.), A. speciosum (Boiss. et Huet), A. syriacum
(Boiss.),A. grandiflorum (Boiss. et Hoh.) , A.trinervium (D.C.).The research
covered the anatomical characteristic of the leaf Epidermis as well as leaves
venation, also transvers sections for leaves were studied ,and revealed that some
anatomical characteristics have taxonomic importance in distinguishing the species.
This research also showed the presence of important variations in internal charecters
for leaves an

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Publication Date
Sun Dec 20 2020
Journal Name
Journal Of Accounting And Financial Studies ( Jafs )
Auditing agricultural role in initiative for agricultural development: Applied research in agriculture Muthanna Directorate

The study aims to indicate the role of the agricultural initiative in building agricultural development, mediated by activation of the role of internal and external audit on agricultural initiative projects, for the purpose of meeting the challenges of abuses on agricultural land and lack of water used in agriculture and proportions of high poverty, which led to the rural people of the migration to the city and leave agriculture and livestock, and that of the main conclusions reached by the researcher. When comparing the work of the external auditing agencies (the Federal Office of Financial Supervision) on the initiative of agricultural projects with internal audit services in the Directorate of Agriculture and branches of the Agricultu

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Publication Date
Fri Nov 24 2023
Journal Name
Iraqi Journal Of Science
Biochemical Study on Pleural Effusion Fluid in Tuberculous and non-Tuberculous in Iraqi Patients

Seventy exudative lymphocytic pleural fluid specimens of patients with suspected tuberculous pleural effusion submitted to the National Reference Laboratory of tuberculosis/Baghdad from October 2012 to February 2013. These effusions were due to tuberculosis pleuritis (n=12) and non-tuberculosis pleuritis (n=58). The following parameters were analyzed: protein concentration, glucose concentration, lactate dehydrogenase (LDH) concentration and adenosine deaminase activity (ADA). As a result, the protein concentration was higher in TPE patients (8.80 ± 0.89 g/dl) than it's concentration in non-TPE patients (7.61 ± 0.54 g/dl), as well as LDH concentration was (3366.58 ± 284.28 U/L) in TPE patients and (3024.12 ± 116.84 U/L) in non-TPE pa

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Publication Date
Sun Jan 30 2022
Journal Name
Iraqi Journal Of Science
Haematological and Demographic Study in Children Infected with Enterobiasis in Al Diwaniyah Province, Iraq

     Enterobius vermicularis infection is considered as one of the important causes of anaemia and malnutrition among children. This topic has recently received an increased amount of attention.  The objective of this study is to evaluate the demographical, anthropometrical, nutritional, and  haematological status of E. vermicularis infection among children. This study was conducted in Al Diwaniyah province, south of Iraq, for the period of October 2020 to the end of January 2021. The study included 122 children from both genders (males, n= 61, and females, n=61) and their ages ranged between 1 and 14 years. Nutritional status, body mass index (BMI), BMI percentile, and wei

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Publication Date
Thu Jun 30 2016
Journal Name
Al-kindy College Medical Journal
Health education program in improving knowledge regarding emergency contraception among school teachers in Duhok

Background: Emergency contraception (EC) is a general term used to describe drugs and devices that are utilized to prevent pregnancy following unprotected intercourse or in the event of contraceptive failure. This postcoital birth-control option is available by means of hormonal pills or copper-bearing intrauterine device.Objectives: The objectives of the study were to assess the women's knowledge regarding EC, to compare the knowledge of school teachers with other women in the community, as well as assessing the pre-post test knowledge of teachers.Type of the study: A cross sectional and quasi- experimental study.Methods: It was carried out in Duhok during the period from 20th of November 2014 to 6th of January 2015. A Simple and system

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Publication Date
Mon Feb 04 2019
Journal Name
Journal Of The College Of Education For Women
Virtual ( Electronic ) Reference Services In Academic Libraries: Virtual ( Electronic ) Reference Services In Academic Libraries

Abstract
This paper deals with the concept of electronic reference services in academic
libraries , showing forms of communications , training needs for reference librarians
and the role of the librarian in the new technological environment.

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Publication Date
Sun Sep 02 2012
Journal Name
Baghdad Science Journal
Benzoic acid concentration levels recovery in Ketchup and Sauce products available in local market.

This research is dealing with five sample of tomato ketchup products available in local market that were respectively as follows: Hello-Baghdad Iraq, Tiffany-Abu Dhabi, Melody-Dubai, Baidar-Saudi Arabia, and Altunsa-Turkey. Also it is dealing with four sample of sauce products available in local market that were respectively as follows: Hello-Baghdad, Iraq, Al-Badawi-Baghdad Iraq, Family-Baghdad, Iraq, and Hala-Amman Jordon. Analysis was performed on each sample three times and mean of the reading was taking. Samples were tested through terse and shorthand from lengthened steps. The spectrophotometric method used rely on theoretical and practical bases in extraction and diagnosis by UV spectrophotometer. This method in short notes, consiste

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Publication Date
Sun Feb 27 2022
Journal Name
Iraqi Journal Of Science
A New Method in Feature Selection based on Deep Reinforcement Learning in Domain Adaptation

    In data mining and machine learning methods, it is traditionally assumed that training data, test data, and the data that will be processed in the future, should have the same feature space distribution. This is a condition that will not happen in the real world. In order to overcome this challenge, domain adaptation-based methods are used. One of the existing challenges in domain adaptation-based methods is to select the most efficient features so that they can also show the most efficiency in the destination database. In this paper, a new feature selection method based on deep reinforcement learning is proposed. In the proposed method, in order to select the best and most appropriate features, the essential policies

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Publication Date
Thu Jun 01 2023
Journal Name
Neurology Asia
Integrin alpha-4 gene polymorphism in relation to natalizumab response in multiple sclerosis patients

Objectives: The aim of this study was to assess the possible the association between +3061 (G>A, rs1143676) missense mutation in exon 24 of the integrin α-4 subunit (ITGA-4) gene and the response to natalizumab in a sample of Iraqi multiple sclerosis patients. Methods: A sample of 59 patients with multiple sclerosis (16 males and 43 females; mean age of 32 years; age range of 15 to 52 years) receiving natalizumab for at least 12 consecutive months were involved in the study between March and August/ 2022. The sample was categorized into two groups according to their response to natalizumab treatment (responders and non-responders). Polymerase chain reaction and Sanger’s sequencing for the extracted deoxyribonucleic acid was pe

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Publication Date
Sat Jan 01 2022
Journal Name
Bild Law Journal
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