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Comparison between Reference Infliximab (Remicade) and its Biosimilar (Remsima) in Patients with Ankylosing Spondylitis: A Field-based Pharmacoeconomic Study
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Background: Ankylosing spondylitis is a chronic inflammatory disease that mostly involves the spine and sacroiliac joints. It is associated with a decreased quality of life. Biological medicines such as infliximab and its biosimilar are the mainstay treatments for active ankylosing spondylitis.

Objective: The study objective was to conduct a pharmacoeconomic study comparing the cost-effectiveness of the reference infliximab with its biosimilar in ankylosing spondylitis patients visiting public hospitals.

Subjects and Method: This is a two-center pharmacoeconomic study performed at two large teaching governmental hospitals in Baghdad, Iraq, which supplied infliximab to outpatients with ankylosing spondylitis. The outcome data were obtained from patient’s medical records and face-to-face interviews with the patients from December 2021 through April 2022. The Independent T-Test was used to measure the differences in areas of utility, and quality of life, between the two infliximab groups.

Results: The study recruited 62 patients with ankylosing spondylitis who received infliximab (31 received Remicade, and 31 received Remsima) for at least 12 weeks at two public teaching hospitals. The mean age of the patients was 37.85 years and 83.9% were men. In general, both reference infliximab and its biosimilar were successful in increasing the quality of life. Their importation costs were different from 2019 to 2021. The incremental cost-effectiveness ratio of reference infliximab versus biosimilar was $ 40,909/quality-adjusted life year (QALY) according to 2019 pricing. In contrast, in 2021 reference infliximab (Remicade) was less expensive and yielded slightly better quality of life improvement than biosimilar (Remsima) making Remicade more cost-effective (dominant).

Conclusion: Remicade was slightly superior to Remsima in quality of life improvement. However, it was difficult to determine whether the reference or its biosimilar was more cost-effective in 2019 because the health officials did not specify a willingness to pay per quality-adjusted life year. Compared to Remsima, Remicade was more cost-effective in 2021 because it was less expensive and more effective in terms of quality of life improvement.

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Publication Date
Tue Feb 13 2024
Journal Name
Iraqi Journal Of Science
Suggested method of Estimation for the Two Parameters of Weibull Distribution Using Simulation Technique
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In this paper, suggested method as well as the conventional methods (probability
plot-(p.p.) for estimations of the two-parameters (shape and scale) of the Weibull
distribution had proposed and the estimators had been implemented for different
sample sizes small, medium, and large of size 20, 50, and 100 respectively by
simulation technique. The comparisons were carried out between different methods
and sample sizes. It was observed from the results that suggested method which
were performed for the first time (as far as we know), by using MSE indicator, the
comparisons between the studied and suggested methods can be summarized
through extremely asymptotic for indicator (MSE) results by generating random
error

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Publication Date
Sun Sep 06 2015
Journal Name
Baghdad Science Journal
Oscillations of Third Order Half Linear Neutral Differential Equations
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In this paper the oscillation criterion was investigated for all solutions of the third-order half linear neutral differential equations. Some necessary and sufficient conditions are established for every solution of (a(t)[(x(t)±p(t)x(?(t) ) )^'' ]^? )^'+q(t) x^? (?(t) )=0, t?t_0, to be oscillatory. Examples are given to illustrate our main results.

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Publication Date
Sun Jun 05 2016
Journal Name
Baghdad Science Journal
Investigations about the characteristic behavior of the linear mode of quantum acoustic waves ion
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The dispersion relation of linear quantum ion acoustic waves is derivate according to a fluid approach that depends on the kinetic description of the systems of charged particles model. We discussed the dispersion relation by changing its parameters and graphically represented. We found through graphs that there is full agreement with previous studies on the subject of interest. That motivates us to discuss the dispersion relation of waves depending on the original basic parameters that implicitly involved in the relationship which change the relationship by one way or another, such as electron Fermi temperature and the density at equilibrium state.

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Publication Date
Sun Dec 02 2012
Journal Name
Baghdad Science Journal
The Effect of Aqueous Extract of Citrullius colocynthis Seeds on Cellular Immunity
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The aqueous extract of Citrullius colocynthis dried seeds (160 ?g/ml) was in vitro evaluated for its effect on phagocytic index (PI) and lymphocyte transformation index (LTI) of blood cells obtained from 30 apparently healthy blood donors (15 males and 15 females). The PI was further in vivo evaluated in cells of peritone, spleen and liver of mice treated with the extract at a dose of 0.64 mg/kg. The results revealed that in in vitro study, phagocytic cells treated with the extract showed a significant increased percentage as compared with untreated cells (60.0 vs. 44.1%). Phagocytes obtained from peritone (44.1 vs. 30.0%) and spleen (45.6 vs. 39.6 %) of treated and untreated mice behaved in a similar manner, while liver phagocytes showed n

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Publication Date
Thu Dec 30 2021
Journal Name
Iraqi Journal Of Science
The Intersection Graph of Subgroups of the Dihedral Group of Order 2pq
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   For a finite group G, the intersection graph   of G is the graph whose vertex set is the set of all proper non-trivial subgroups of G, where two distinct vertices are adjacent if their intersection is a non-trivial subgroup of G. In this article, we investigate the detour index, eccentric connectivity, and total eccentricity polynomials of the intersection graph  of subgroups of the dihedral group  for distinct primes . We also find the mean distance of the graph  .

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Publication Date
Tue Oct 01 2019
Journal Name
Journal Of Engineering
Effect of laser process an inclined surface cutting of mild steel then analysis data statistically by RSM
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The regression analysis process is used to study and predicate the surface response by using the design of experiment (DOE) as well as roughness calculation through developing a mathematical model. In this study; response surface methodology and the particular solution technique are used. Design of experiment used a series of the structured statistical analytic approach to investigate the relationship between some parameters and their responses. Surface roughness is one of the important parameters which play an important role. Also, its found that the cutting speed can result in small effects on surface roughness. This work is focusing on all considerations to make interaction between the parameters (position of influenc

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Publication Date
Sat Sep 30 2023
Journal Name
Iraqi Journal Of Science
Analytical Studies on the Effectiveness of IoMT for Healthcare Systems
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     The Internet of Things (IoT) has great importance in the medical industry. The creation of intelligent sensors, intelligent machines, and superior algorithms for lightweight communication made it feasible to connect medical equipment in order to monitor biomedical signals and also to detect illnesses in patients without human intervention. This new IoT and medical equipment connection is called IoMT. This IoMT model is most adapted to this pandemic since every human being has to be interconnected and monitored via a larger communication network. Hence, this article provides an overview of remote healthcare systems, monitoring ingestible sensors, mobile health, smart hospitals, and improved chronic disease management focused on t

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Publication Date
Mon Jan 01 2018
Journal Name
Asian Journal Of Ournal Of Chemistry
Extraction of Ocimum basillicum Oil by Solvents Methods
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The extraction of Basil oil from Iraqi Ocimum basillicum leaves using n-hexane and petroleum ether as organic solvents were studied and compared. The concentration of oil has been determined in a variety of extraction temperatures and agitation speed. The solvent to solid ratio effect has been studied in order to evaluate the concentration of Ocimum basillicum oil. The optimum experimental conditions for the oil extraction were established as follows: n-hexane as organic solvent, 60 °C extraction temperature, 300 rpm agitation speed and 40:1mL:g amount of solvent to solid ratio.

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Publication Date
Tue Feb 13 2024
Journal Name
Iraqi Journal Of Science
Systems Reliability Estimations of Models Using Exponentiated Exponential Distribution
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This article deals with estimations of system Reliability for one component, two and s-out-of-k stress-strength system models with non-identical component strengths which are subjected to a common stress, using Exponentiated Exponential distribution with common scale parameter. Based on simulation, comparison studies are made between the ML, PC and LS estimators of these system reliabilities when scale parameter is known.

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Publication Date
Wed Mar 01 2023
Journal Name
Baghdad Science Journal
Sum of Squares of ā€˜nā€™ Consecutive Carol Numbers
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The discussion in this paper gives several theorems and lemmas on the Sums of Squares of  consecutive Carol Numbers. These theorems are proved by using the definition of carol numbers and mathematical induction method. Here the matrix form and the recursive form of sum of squares of  consecutive Carol numbers is also given. The properties of the Carol numbers are also derived.

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