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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
Sun Oct 30 2022
Journal Name
Iraqi Journal Of Science
Gravity Model for Flow Migration Within Wireless Communication Networks
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     This paper investigated an Iraqi dataset from Korek Telecom Company as Call Detail Recorded (CDRs) for six months falling between Sep. 2020-Feb. 2021. This data covers 18 governorates, and it falls within the period of COVID-19. The Gravity algorithm was applied into two levels of abstraction in deriving the results as the macroscopic and mesoscopic levels respectively. The goal of this study was to reveal the strength and weakness of people migration in-between the Iraqi cities. Thus, it has been clear that the relationship between each city with the others is based on   and  of mobile people. However, the COVID-19 effects on the people’s migration needed to be explored. Whereas the main function of the gravity model is to

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Publication Date
Tue Feb 28 2023
Journal Name
Iraqi Journal Of Science
Clay minerals study of the Kolosh Formation at selected sections from northern Iraq: Implications for provenance history
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     The mineralogical study using X-ray diffraction (XRD) supported by scanning electron microscopic (SEM) examination and energy-dispersive spectroscopy (EDS) on the claystone of the Kolosh Formation from northern Iraq was conducted to Shows the provenance history of rocks. Chlorite, montmorillonite, illite, palygorskite, and kaolinite were recorded in different amounts in the study area. The association of montmorillonite and chlorite in the claystone of the Kolosh Formation (Paleocene) refers to the marine environment. Chlorite and montmorillonite are the common minerals in the Kolosh Formation with less common of illite, kaolinite and palygorskite. These clay minerals are of authigenic, detrital and diagenetically origin, which

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Publication Date
Sun Jul 01 2018
Journal Name
Bulletin Of The Iraq Natural History Museum (p-issn: 1017-8678 , E-issn: 2311-9799)
FACIES ANALYSIS AND NEW DISCOVERY OF A MASTODONT FROM INJANA FORMATION (LATE MIOCENE) NEAR THARTHAR LAKE- MIDDLE OF IRAQ
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    The study area comprises Injana Formation (Late Miocene), exposed on the hills nearby of Tharthar Lake and about 120 km north of Baghdad city. This study depends on sedimentologic and facies analysis to recognize paleoenvironment and recognize the kinds of vertebrate bone fossils during Late Miocene. Sedimentologic and facies analysis showed many sedimentary facies: facies (Se) of scoured erosional surface, facies of (Sp) cross- bedded sandstones, facies (Fs) of fine sandstone facies, facies of (Fc) claystone, and facies of (C) calcareous clay. Facies analysis referred to the sub environments which are: point bar, over bank and floodplain in addition to fining upward cycles of deposition, which refers to meandering flu

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Publication Date
Sun Jul 31 2022
Journal Name
Iraqi Journal Of Science
Stratigraphy and Basin Development of the Oligocene-Early Miocene Succession, Southeastern Iraq
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      The study area is situated in the northern part of the Arabian Plate. The evolution of the Zagros Foreland basin is related to the compressional tectonic system at the beginning of the Tertiary Period.

This study gives an adequate nomenclature for the Oligocene – Early Miocene Sequence is Missan Group. The Buzurgan Oilfield was chosen to represent the stratigraphic column corresponding to that period. These sediments were subdivided into two cycles, where each one ends by a sequence boundary, equivalent to the lowstand siliciclastic residues in the basin center. The first cycle, Paleocene-Oligocene Epoch, was deposited marly limestone with planktonic foraminifera in the basin center during the transgressive and highst

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Publication Date
Wed Aug 31 2022
Journal Name
Iraqi Journal Of Science
Hydrochemical Study of the Southern Sector of the Al-Massab Al-Aam Canal Water, Southern Iraq
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Al- Masab AL-Aam canal (or the Main Drain) is a vital strategic project in Iraq. It collects the drain water from the agricultural lands and drains to the Arabian Gulf via Shatt Al-Basra. Fifteen water samples were collected from different sites along the course of the Al- Masab Al-Aam canal southern sector extending from Nasiriyah Basra to evaluate the hydrochemical properties. The variation of the sediment’s texture along the southern sector was investigated. The results reflected that the sediment is characterized by the presence of sand, silt, and clay. It is noted that the amount of salt in the water increases during the summer when temperatures are rising, and consequently, the evaporation rate increases. Changes in the saturatio

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Publication Date
Sun Jun 20 2021
Journal Name
Bulletin Of The Iraq Natural History Museum (p-issn: 1017-8678 , E-issn: 2311-9799)
FIRST RECORD OF OPILIO KAKUNINI SNEGOVAYA, COKENDOLPHER & MOZAFFARIAN, 2018 (ARACHNIDA, OPILIONES, PHALANGIIDAE) FROM IRAQ
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The species of Opilio kakunini Snegovaya, Cokendolpher & Mozaffarian, 2018 was recorded for the first time in Iraq; as well as to four species belonging to this order which were recorded previously. In this paper, we added a new species to the checklist of Iraqi opilionid fauna with a description of the most important characteristics, along with genitalia, for both males and females are presented with digital photographs. Specimens of males and females were collected from Al- Rifai district northern of Dhi-Qar Province, southern of Iraq.
 

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Publication Date
Thu Nov 30 2023
Journal Name
Iraqi Journal Of Science
Efficient Algorithm for Solving Fuzzy Singularly Perturbed Volterra Integro-Differential Equation
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     In this paper, we design a fuzzy neural network to solve fuzzy singularly perturbed Volterra integro-differential equation by using a High Performance Training Algorithm such as the Levenberge-Marqaurdt (TrianLM) and the sigmoid function of the hidden units which is the hyperbolic tangent activation function. A fuzzy trial solution to fuzzy singularly perturbed Volterra integro-differential equation is written as a sum of two components. The first component meets the fuzzy requirements, however, it does not have any fuzzy adjustable parameters. The second component is a feed-forward fuzzy neural network with fuzzy adjustable parameters. The proposed method is compared with the analytical solutions. We find that the proposed meth

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Publication Date
Tue Feb 28 2023
Journal Name
Iraqi Journal Of Science
Studying The Necessary Optimality Conditions and Approximates a Class of Sum Two Caputo–Katugampola Derivatives for FOCPs
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        In this paper, the necessary optimality conditions are studied and derived for a new class of the sum of two Caputo–Katugampola fractional derivatives of orders (α, ρ) and( β,ρ) with fixed the final boundary conditions. In the second study, the approximation of the left Caputo-Katugampola fractional derivative was obtained by using the shifted Chebyshev polynomials. We also use the Clenshaw and Curtis formula to approximate the integral from -1 to 1. Further, we find the critical points using the Rayleigh–Ritz method. The obtained approximation of the left fractional Caputo-Katugampola derivatives was added to the algorithm applied to the illustrative example so that we obtained the approximate results for the stat

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Publication Date
Sat Oct 30 2021
Journal Name
Iraqi Journal Of Science
Solution of Time-Varying Index-2 Linear Differential Algebraic Control Systems Via A Variational Formulation Technique
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    This paper deals with finding an approximate solution to the index-2 time-varying linear differential algebraic control system based on the theory of variational formulation. The solution of index-2 time-varying differential algebraic equations (DAEs) is the critical point of the equivalent variational formulation. In addition, the variational problem is transformed from the indirect into direct method by using a generalized Ritz bases approach. The approximate solution is found by solving an explicit linear algebraic equation, which makes the proposed technique reliable and efficient for many physical problems. From the numerical results, it can be implied that very good efficiency, accuracy, and simplicity of the pre

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Publication Date
Fri Dec 30 2022
Journal Name
Voprosy Istorii
Changing the agricultural map of Diyala Governorate for the years (1980, 1990, 2000, 2010, 2020) using GIS and remote sensing
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Abstract. Geographical and remote sensing, which gave a picture of the change in the area of agricultural land in the study area for selected years (1980, 1990, 2000, 2010, 2020). In particular and Iraq in general, as this led to a reduction in the areas of agricultural lands and in return an increase in arid lands and their desertifica- tion and the loss of their productive value, which as a result leads to the migration of the population, the change of land sex, the failure to achieve food security and dependence on the import of the food basket.