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Pharmacist Intervention to Address Drug Related Problems in Patients with Decompensated Liver Cirrhosis
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Background: Patients with decompensated cirrhosis are often given therapeutic and prophylactic drugs. Polypharmacy raises both the likelihood of prescription errors and the complications associated with drugs. Clinical pharmacists are excellent at recognizing, addressing, and preventing clinically significant drug-related problems.

Objectives: Identification types of pharmacist interventions to address drug-related problems in patients with decompensated cirrhosis and assess the acceptance/implementation of these recommendations. And identify patient factors associated with accepting pharmacist recommendations.

Subjects and Methods: Prospective, interventional, clinical study for 80 hospitalized decompensated cirrhosis patients was conducted at Baghdad Teaching Hospital and lasted for four months, from the first of December 2021 until the last of March 2022. The study involved two phases, the first one was observational to identify drug-related problems and classify them according to the Pharmaceutical Care Network Europe classification version 9.1,   and the second phase was interventional to increase the awareness of patients and health care providers about those problems and to propose a proper solution for each one.

Results: The most frequent pharmacist intervention was proposed to the prescriber (54.7%), followed by speaking to the caregiver (37.7%). Acceptance and full implementation were highly observed in 71.1% of the intervention. There is a significant  association between occurring ascites and bleeding in patients and accepting/implementing pharmacist recommendations

Conclusions: Patients with decompensated liver cirrhosis have a significant prevalence of drug-related problems. Clinical pharmacists are excellent at recognizing drug-related problems and reducing their incidence, and their interventions were well accepted.

 

 

 

 

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Publication Date
Sat Nov 28 2020
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Characteristics of the Oil Water Contact Zone of Nhar Umr and Mishrif Reservoirs in Kumait and Dujaila Oil Fields, Southern Iraq, Using Vp/Vs Ratio and Porosity Logs Data
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The detailed data of the Vp/Vs ratio and porosity logs were used to detect the Oil-Water Contact Zone (OWCZ) of Nahr Umr sandstone and Mishrif limestone reservoir formations in Kumiat (Kt) and Dujaila (Du) oil fields, southeastern Iraq. The results of OWC were confirmed using P-wave, Resistivity, and Water Saturation (Sw) logs of Kt-1 and Du-1 wells. It was found that the values of the oil-water contact zone thickness in Nahr Umr sandstone and Mishrif limestone were approximately one meter and eight meters, respectively. These results suggest that the OWCZ is possibly thicker in the carbonate rock than clastic rock formations. The thickness of OWCZ in the clastic rocks changed from one part to another, depending on several factors includ

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Wed Nov 14 2018
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