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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 Nov 30 2021
Journal Name
Iraqi Journal Of Science
A Survey of Human Face Mites Demodex (Acari, Demodicidae) in Patients with Dermatological Symptoms in Baghdad, Iraq
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Demodex spp. mites are external obligate parasites; they are transmitted between hosts through direct contact, and may induce several dermatological symptoms when found in large numbers. However, these symptoms may be similar to other commonly known diseases; this often leads dermatologists to neglect the pathogenic role of these mites. Therefore, a better diagnosis is recommended in order to avoid mistreatment. The aim of this study was to investigate the correlation between Demodex mites and dermatological diseases. Infestation rates in patients suffering from acne, rosacea, folliculitis, and psoriasis were compared with asymptomatic patients, along with the mites’ relation to gender, age, personal hygiene, tim

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Publication Date
Thu Aug 17 2017
Journal Name
Journal Of Health, Medicine And Nursing
Adherence to Guidelines of Secondary Prevention in patients with Ischemic Heart Disease in a Tertiary Cardiac Center
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Coronary heart disease (CHD) is the leading cause of death in United State (U.S.). Controlling of modifiable risk factors such as smoking, hypertension (HT), diabetes mellitus (D.M.), dyslipidemia, physical inactivity & obesity will prevent other serious cardiovascular complications

Publication Date
Sat Jul 31 2021
Journal Name
Iraqi Journal Of Science
Association of the Intronic Polymorphism rs3773364 A>G in Synapsin-2 Gene with Epilepsy Patients in Iraq
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     Epilepsy is a central nervous system disease which is characterized by a recurrent seizure that distinguishes it from other similar diseases. Epilepsy may occur due to defects in genes that encode some receptors in the brain. For this reason, this study aimed to understand the association between Synapsin-2 (SYN2) gene and susceptibility to epilepsy. Blood samples were collected from 40 volunteers, including 30 patients suffering epilepsy with an age range of 26-49 years old and 10 healthy individuals with an age range of 25-53 years old. The study sample involved 16 males and 14 females with epilepsy along with 6 males and 4 females healthy subjects.  DNA was isolated from the volunteers for PCR-RF

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Publication Date
Wed Feb 08 2023
Journal Name
Iraqi Journal Of Science
Seismic and Velocity Study of Luhais Oil Field Using Velocity Model
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In this study, a qualitative seismic velocity interpretation is made up through using 2D-seismic reflection data on Luhais oil field in southern of Iraq which is situated at about 105 Km to the east from the Basra city. Luhais oil field was chosen to study the type and nature of the distribution of the seismic velocities of Nahr Umr and Zubair Formations in order to show its explorational importance, where these formations contain abundant quantities of hydrocarbons. Picking of the tops of Nahr Umr and Zubair was carried out from the synthetic seismogram which is calculated from sonic-logs and check shot of well Lu-2. Velocity model was obtained via using an implementation of Petrel program version, 2013 and was corrected according to to

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Publication Date
Wed Apr 25 2018
Journal Name
Ibn Al-haitham Journal For Pure And Applied Sciences
The Comparison Between the Bayes Estimator and the Maximum Likelihood Estimator of the Reliability Function for Negative Exponential Distribution
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     In this paper, the maximum likelihood estimator and the Bayes estimator of the reliability function for negative exponential distribution has been derived, then a Monte –Carlo simulation technique was employed to compare the performance of such estimators. The integral mean square error (IMSE) was used as a criterion for this comparison. The simulation results displayed that the Bayes estimator performed better than the maximum likelihood estimator for different samples sizes.

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Publication Date
Fri Jan 26 2024
Journal Name
Iraqi Journal Of Science
Comparison between Cefoxitin disk diffusion, Crome agar and EPI-M Screening Kit for Detection of Methicillin- Resistant Staphylococcus aureus
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Specimens have been collected from one hundred and seventeen patients residing in local hospitals, 33 with burns and 84 wound injuries,. Three different methods ,Cefoxitin disk diffusion, EPI-M Screening Kit and Crome agar (MeReSa agar)with selective supplement were used to detect methicillin-resistant Staphylococcus aureus (MRSA) . A comparison was made between these 3 methods according to the results. It was found that the results of the Cefoxitin disk diffusion test were compatible with the results of culturing on Crome agar, while those obtained from the EPI-M Screening kit were not accurate and some of them gave false negative results.

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Publication Date
Sat Dec 30 2023
Journal Name
Iraqi Journal Of Science
Comparison Study for the Effect of Interleukin -6 and Carbimazole Drug in Rat Thyroid Gland Functions
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Since the inflammatory factor IL-6 known by its critical role in different metabolic reactions in the
body, therefore, this study was designed to detect it is effect in the thyroid gland function by
injecting three groups of rats, the first with IL-6 , the second with carbimazole (antithyroid drug) and
the third with normal saline (Control).The experiment included three groups of rat; each was injected
with recombinant human interleukin-6 (rhIL-6), Carbimazole, or normal saline (Control). The results
of experiments showed that both IL-6 and carbimazole caused a decrease in the levels of thyroid
hormones (T3 and T4) in animal sera, and a significant decrease in animal body weight, but had no
effect on the liver weight

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Publication Date
Sat Apr 30 2022
Journal Name
Iraqi Journal Of Science
Comparison Different Estimation Method for Reliability Function of Rayleigh Distribution Based On Fuzzy Lifetime Data
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    In this study, we present different methods of estimating fuzzy reliability of a two-parameter Rayleigh distribution via the maximum likelihood estimator, median first-order statistics estimator, quartile estimator, L-moment estimator, and mixed Thompson-type estimator. The mean-square error MSE as a measurement for comparing the considered methods using simulation through different values for the parameters and unalike sample sizes is used. The results of simulation show that the fuzziness values are better than the real values for all sample sizes, as well as  the fuzzy reliability at the estimation  of the Maximum likelihood Method, and Mixed Thompson Method perform better than the other methods in the sense of MSE, so that

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Publication Date
Thu Jun 25 2020
Journal Name
International Journal Of Drug Delivery Technology
The Effects of Salvia officinalis Gel as an Adjunct to Scaling and Root Planning in Patients with Periodontitis (Clinical and Immunological Study)
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Background: Phytotherapy is the usage of herbal species with medicinal properties for the management of various diseases. Gingivitis and periodontitis are diseases that involve the role of both the bacteria and the host immune response. Over the years, various researches have shown the importance of herbal products in the management of periodontal diseases. Aims of the study: To evaluate the efficacy of locally applied Salvia officinalis gel as adjunctive in the treatment of chronic periodontitis. Subjects and methods: Fourteen patients (10 males and 4 females) with chronic periodontitis were enrolled in the present study with total number of twenty-eight periodontal pockets utilizing a split mouth design, the pockets were divided i

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Publication Date
Tue Sep 25 2018
Journal Name
Iraqi Journal Of Science
3D Seismic Structural and Stratigraphy Study of Shuaiba Formation in Kumait Oil Field-Southern Iraq
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The Kumait Oil field was interpreted using 3-D seismic data from Oil Exploration company. The Shuaiba Formation (Cretaceous Age) reflector is detected.Structural map of formation is prepared to obtain the location and direction of  the sedimentary basin and shoreline. Depth maps was drawn depending on the structural interpretation of  the picked reflector and show several structural feature as closures.The seismic interpretation of the area approves the presence of some stratigraphic features in the studied formation. Some distributary mound and flatspot were observed within the study area, but they are not continuous due to the tectonic effects. These activity elements give reasonable explanation for the hydrocarbon distributi

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