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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 May 26 2019
Journal Name
Iraqi Journal Of Science
Depositional Environment and Diagenesis processes impact on the carbonate rock quality: a case study, southeastern of Iraq
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Deposition environment and diagenesis processes are very important factors which affect and control the reservoir properties.  The carbonate Mishrif Formation has been selected as a carbonate reservoir in selected wells from southeastern Iraq to understand the influence of the Deposition environment and diagenesis processes on the carbonate reservoir. A core examination of thin sections, shows that Mishrif Formation comprises of six depositional environments, these are: deep marine, lagoon, rudist biostrome, back shoal, and shallow open marine.  These environments have effect by many diagenetic processes, including dolomitization, dissolution, micritization, cementation, recrystallization and Stylolite, some of these processes

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Publication Date
Sun Nov 26 2017
Journal Name
Journal Of Engineering
Numerical Study of Heat Transfer Enhancement for a Flat Plate Solar Collector by Adding Metal Foam Blocks
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Numerical study has been conducted to investigate the thermal performance enhancement of flat plate solar water collector by integrating the solar collector with metal foam blocks.The flow is assumed to be steady, incompressible and two dimensional in an inclined channel. The channel is provided with eight foam blocks manufactured form copper. The Brinkman-Forchheimer extended Darcy model is utilized to simulate the flow in the porous medium and the Navier-Stokes equation in the fluid region. The energy equation is used with local thermal equilibrium (LTE) assumption to simulate the thermofield inside the porous medium. The current investigation covers a range of solar radiation intensity at 09:00 AM, 12:00 PM, and 04:00

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Publication Date
Thu Aug 30 2018
Journal Name
Journal Of Engineering
Monitoring Land Cover Change Using Remote Sensing and GIS Techniques: a Case Study of Al-Dalmaj Marsh, Iraq
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Al-Dalmaj marsh and the near surrounding area is a very promising area for energy resources, tourism, agricultural and industrial activities. Over the past century, the Al-Dalmaje marsh and near surroundings area endrous from a number of changes. The current study highlights the spatial and temporal changes detection in land cover for Al-Dalmaj marsh and near surroundings area using different analyses methods the supervised maximum likelihood classification method, the Normalized  Difference Vegetation Index (NDVI), Geographic Information Systems(GIS),  and Remote Sensing (RS). Techniques spectral indices were used in this study to determine the change of wetlands and drylands area and of other land classes, th

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Publication Date
Fri Apr 30 2021
Journal Name
Iraqi Journal Of Science
Sedimentary Basin Reconstruction and Tectonic Development of Paleocene-Eocene Succession, Southern Iraq, by Geohistory Analysis
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The Paleocene-Early Eocene sequence is represented by Aliji and Umm Er Radhuma formations, while the Middle-Late Eocene sequence is represented by Jaddala and Dammam formations. The Rus Formation has been described and its basin was analyzed separately because it was deposited during the regression period (Middle Eocene), which is a transitional period between these two cycles.  

This study includes analysis of the geohistory of this succession,  interpretation of the changes of the accumulation, and calculation of subsidence rates. The results were compared with the space available to explain the basin development. The study site included the boreholes of Garraf-84 and 92, Halfaya-1, Nasirya-13 and 40, and Noor-5 at th

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Publication Date
Tue Aug 31 2021
Journal Name
Iraqi Journal Of Science
Facies Analysis and Depositional Environments of the Ubaid Formation, Western Iraq
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The Early Jurassic (Liassic) sequence crops out in numerous anticlines of the high folded zone of north and north-east Iraq and in the Rutba subzone (including Ubaid Formation) in west Iraq. The present study deals with siliciclastic / carbonate rocks of the 58 m-thick Ubaid Formation at Zor Hauran valley in south western Iraq. The formation consists of two parts; the lower part is composed of pebbly coarse sandstone and greenish to yellowish soft marl alternated with marly dolostone, while the upper part is characterized by light brown, well bedded dolostone, with stromatolite structure in some locations. Oval, light to dark brown nodules of chert are also present.

     A detailed field lithological desc

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Publication Date
Fri Dec 30 2022
Journal Name
Iraqi Journal Of Science
Climate parameters analysis as an indication of climate Changes for Diwaniya, Nasiriya, Kut and Karbala meteorological stations - Central and southern Iraq: Karbala climate condition as a case study
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       The climate parameters (rainfall, number of rainy days and temperature) data for about seventy years from 1941 – 2009 for three Iraqi meteorological stations (Diwaniya, Nasiriya, and Kut) were investigated and gave good evidence of climate change. As well as  the climatic water balance and the climatic conditions were determined at Karbala meteorological station for the years (1982-2015). The annual precipitation for Karbala station-reflect declination from 105 mm for the period 1982-1990 to about 71 mm for the years 2011- 2015 confirms the effect of global climate change. Analyzing Karbala climate parameters reflects that the total annual rainfall is (89 mm), evaporation is (2984 mm), while the mean monthly relative humi

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Publication Date
Tue Dec 05 2023
Journal Name
Baghdad Science Journal
A Novel Water Quality Index for Iraqi Surface Water
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The study aims to build a water quality index that fits the Iraqi aquatic systems and reflects the environmental reality of Iraqi water. The developed Iraqi Water Quality Index (IQWQI) includes physical and chemical components. To build the IQWQI, Delphi method was used to communicate with local and global experts in water quality indices for their opinion regarding the best and most important parameter we can use in building the index and the established weight of each parameter. From the data obtained in this study, 70% were used for building the model and 30% for evaluating the model. Multiple scenarios were applied to the model inputs to study the effects of increasing parameters. The model was built 4 by 4 until it reached 17 parame

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Publication Date
Wed Mar 27 2019
Journal Name
Iraqi Journal Of Science
Evaluation of the Tectonic Boundaries Using Potential Data at Tikrit-Kirkuk Area, North - Central Iraq
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The gravity and magnetic data of Tikrit-Kirkuk area in central Iraq were considered to study the tectonic situation in the area. The residual anomalies were separated from regional using space windows method with space of about 24, 12 and 10km to delineate the source level of the residual anomalies. The Total Horizontal Derivative (THD) is used to identify the fault trends in the basement and sedimentary rocks depending upon gravity and magnetic data. The identified faults in the study area show (NW-SE), less common (NE-SW) and rare (N-S) trends. Some of these faults extending from the basement to the upper most layer of the sedimentary rocks. It was found that the depth of some gravity and magnetic source range 12-13Km, which confirm th

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Publication Date
Wed Dec 01 2021
Journal Name
Iraqi Journal Of Science
Interpretation of Potential Fields and Detection of Deep Faults of Kut-Dewania- Fajir Area, Central Iraq
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Gravity and magnetic data are used to study the tectonic situation of Kut- Dewania- Fajir and surrounding areas in central Iraq. The study includes the using of window method with different spacing to separate the residual from regional anomalies of gravity and magnetic data. The Total Horizontal Derivative (THD) techniques used to identify the fault trends in the basement and sedimentary rocks depending upon gravity and magnetic data. The obtained faults trends from gravity data are (N30W), (N60W) (N80E) and (N20E) and from magnetic data are (N30W), (N70E), (N20E),(N10W),(N40E). It is believed that these faults extend from the basement to the lower layers of the sedimentary rocks except the N60W trend that observed clearly in gravity in

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Publication Date
Wed Dec 30 2020
Journal Name
Al-kindy College Medical Journal
Iraqi women Attitude towards Immediate Post-partum/ Post-abortion Contraception: a multi-institutional study
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Background: Immediate postpartum contraceptive and post abortion contraception methods are effective safe methods and are becoming a standard practice in many countries, yet it is not widely used in Iraq.

Aims: this study: is designed to assess the attitude and willingness of women to immediate contraception after giving birth or abortion and their satisfaction to previous use.

Methods and Material: Four hundred thirty-four women were surveyed in the labor word immediately after giving birth/ abortion. Their knowledge, attitude and contraception use were assessed according to the response they reported to a given questionnaire.

Results: women were not sure abo

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