Globalization and the Pharmaceutical Industry Revisited

2003 ◽  
Vol 33 (3) ◽  
pp. 581-605 ◽  
Author(s):  
Joan Busfield

This survey of the pharmaceutical industry at the beginning of the 21st century updates some of the information provided in Claudio Tarabusi and Graham Vickery's survey, “Globalization in the Pharmaceutical Industry,” published in the International Journal of Health Services in 1998, which was largely based on data up to 1993. However, the purpose of the present article differs from that of Tarabusi and Vickery, which covered a wide range of aspects of the industry relevant to globalization but did not explicitly address the question of the extent to which the industry could be described as globalized. After looking at the industry in some detail, the author directly confronts the question of the appropriateness of the use of the term “globalization” for characterizing the directions in which the pharmaceutical industry has been moving.

2020 ◽  
pp. 301-323
Author(s):  
Natalya I. Kikilo ◽  

In the Macedonian literary language the analytic da-construction used in an independent clause has a wide range of possible modal meanings, the most common of which are imperative and optative. The present article offers a detailed analysis of the semantics and functions of the Macedonian optative da-construction based on fiction and journalistic texts. The first part of the article deals with the specificities of the optative as a category which primarily considers the subject of a wish. In accordance with the semantic characteristics of this category, optative constructions are used in those discourse text types where the speakers are explicitly designated (the most natural context for the optative is the dialogue). The analysis of the Macedonian material includes instances of atypical usage of the optative da-construction, in which the wish of the subject is not apparent and thereby produces new emotional tonalities perceptible to the reader of a fiction/journalistic text. The study describes Macedonian constructions involving two different verb forms: 1) present tense form (da + praes) and 2) imperfective form (da + impf). These constructions formally designate the hypothetical and counterfactual status of the optative situation, respectively. Thus, the examples in the analysis are ordered according to two types of constructions, which reflect the speaker’s view on the probability of the realisation of his/her wish. Unrealistic wishes can be communicated through the present da-construction, while the imperfective construction denotes situations in which the wish can be realised in the future. The second part of the article is devoted to performative optative da-constructions, which express formulas of speech etiquette, wishes and curses. The analysis demonstrates that these constructions lose their magical functions, when used outside of the ritual context, and begin to function as interjections.


Author(s):  
Inta Klāsone ◽  
Solvita Spirģe-Sēne

Nowadays, various forms of visual art have brought closer people’s daily lives to the processes that occur in the society. At the same time, the visually fulfilled environment has created favourable conditions for misunderstanding the contexts and meanings of artworks. This article draws attention to the fact that dialogue with visual art can be an important tool for developing personal values and promoting the spiritual understanding of a cultural environment. The topicality of the issue is supported by the educational trends of the 21st century – to educate comprehensive people who are capable of doing a wide range of tasks, constantly continuing their learning and development. Art plays an initiator’s role in social life and it encompasses all spiritual realms of humanity, which cannot be accomplished by other forms of public consciousness. A work of art can be viewed as a multi-layered expression of thoughts in an artistic form of images and symbols. The artist's work means producing a coded text or message. This article includes insights of scholars and artists developing an understanding of the artist’s work and artworks in a cultural and historical context to enrich the individual's competence base, and examples of the work and beliefs of particular artists of the 21st century.


Author(s):  
Janet Goodall

Parental engagement in children and young people’s learning has been shown to be an important lever for school improvement and young people’s outcomes. However, parents are rarely involved in school reform movements. These reform movements are generally centered on the school rather than on improvement of learning per se. Shifting the focus away from the school and to learning as an overarching aim requires the inclusion of and partnership with parents. This is a new way of understanding school reform but has the best chance of supporting all students, including those not best served by the schooling systems in the early 21st century. The reforms here are chiefly concerned with U.K. schooling systems, but could be more widely applicable, and call on a wide range of evidence, from the United Kingdom and beyond.


PEDIATRICS ◽  
1993 ◽  
Vol 91 (4) ◽  
pp. 854-855
Author(s):  
LYNN R. GOLDMAN

To the Editor.— Dr Edgar J. Schoen does not like lead screening.1 In a letter to Pediatrics, "Lead Toxicity in the 21st Century: Will We Still Be Treating It?" he refers to a study my colleagues at the California Department of Health Services and I conducted in Oakland, California as "a vivid example of how poor methodology and biased selection of subjects can lead to greatly exaggerated prevalence rates," accusing me of having a "serious omission" in a submission to Morbidity and Mortality Weekly Report.


2003 ◽  
Vol 183 (6) ◽  
pp. 540-546
Author(s):  
Lynne Jones ◽  
Alban Rrustemi ◽  
Mimoza Shahini ◽  
Aferdita Uka

BackgroundIn war-affected societies it is assumed that the major mental health problem facing the population will be stress reactions.AimsTo describe the creation of a child and adolescent mental health service (CAMHS) in Kosovo after the military conflict ended in 1999, and to establish the range of problems and diagnoses that presented.MethodData were collected on 559 patients over 2 years, including their referring problems and diagnoses.ResultsStress-related disorders constituted only a fifth of the case-load in year 1. A substantial number of patients were symptom-free but attended because they had been exposed to atraumatic event, and believed it might make them ill. Non-organic enuresis and learning disability were the most common diagnoses in year 2. Many patients had a complex mix of social and psychological difficulties that did not fit conventional diagnostic categories.ConclusionsMental health services that only address traumatic stress may fail to meet the needs of war-affected children. A comprehensive, culturally appropriate CAMHS is needed to address a wide range of problems including learning disability. It should be developed through local actors, and build on existing local infrastructure. Services can also have an educational role in ‘depathologising’ normative responses.


2015 ◽  
Vol 11 (2) ◽  
Author(s):  
LeRoy Heinrichs ◽  
Parvati Dev ◽  
Dick Davies

AbstractFollowing their introduction at the beginning of the 21st century, interactive or dynamic Virtual Patients are beginning to be used more widely in clinical education. They can be seen as being at the end of a continuum of simulation technical complexity, having been earlier developed on a wide range of “media”: human actors, paper, video, physical mannequins, etc. This paper focuses on the current emergent more complex Virtual Patients in three-dimensional (3D) immersive clinical environments. In these environments,


1970 ◽  
Vol 38 (1) ◽  
pp. 77-85
Author(s):  
ZN Tahmida Begum ◽  
Dilara Khanam

Phytoplankton from a part of the Shitalakhya river receiving effluents from a pharmaceutical industry have been studied. A total of 78 taxa were identified of which 14 belonged to Cyanophyceae, 11 Chlorophyceae, 20 Euglenophyceae and 33 Bacillariophyceae. The water body was mostly alkaline (6.6 - 8.0) and showed a wide range of variation in conductivity (135 - 4768 μS/cm), DO (anoxia to 15 mg/l), free- CO2 (3 - 29 mg/l), bicarbonate alkalinity (49 - 355 mg/l), BOD (8 - 1800 mg/l) at different locations. Pharmaceutical effluents appeared to affect diversity of phytoplankton. Three diatoms namely Fragilaria brevistriata Grun., F. construens (Ehr.) Grun. and Navicula oblonga Kütz. present in the area, are described as new for Bangladesh. Keywords: Phytoplankton; Pharmaceutical effluents; Shitalakhya River; Bangladesh DOI: 10.3329/bjb.v38i1.5127 Bangladesh J. Bot. 38(1): 77-85, 2009 (June)


2003 ◽  
Vol 9 (5) ◽  
pp. 319-326 ◽  
Author(s):  
Fiona Subotsky

Risk management is a requirement of clinical governance and a new paradigm for child and adolescent mental health services. Issues are different from those of adult services and a wide range need to be considered, which include not only the risk of harm to self, to others and from others but also from the system (by omission or commission) and to the staff. Systematic policy development, using information from audits, complaints, incidents and inquiries, will be helpful and interagency agreements necessary to promote coordination. The complex regulatory framework is discussed.


Author(s):  
María José Punte

Childhood is taken up time and again in Argentine literature of the first decades of the 21st century. These are novels that engage various forms of humor, from extreme satire to imposed naivety. This broad register serves to destabilize ideas established throughout the 20th century about the management of the lives of minors. Imaginaries formed by television have become part of several texts, together with what could be termed the “infant library”, that is to say, the children’s literature read by contemporary writers. Argentine narrative of the period accounts for the serious social crisis caused by the hegemony of neoliberalism, as well as its consequences on children’s lives, revealing the fissures in the discourses surrounding their rights. The present article examines these issues in relation to three recent novels: Quedate conmigo (2017) by I. Acevedo, La maldición de Jacinta Pichimahuida (2007) by Lucía Puenzo and Osos (2010) by Diego Vecchio. They will be addressed here within the theoretical frameworks offered by Kathryn B. Stockton in her book The Queer Child (2009). --- La infancia es retomada por la literatura escrita en Argentina durante las primeras décadas del siglo XXI en novelas que apuestan a diversas formas del humor. Desde la sátira extrema hasta una ingenuidad impostada, aparece un registro amplio que sirve para desestabilizar ideas fijadas a lo largo del siglo XX en lo relacionado con la administración de la vida de los menores de edad. Los imaginarios televisivos entran a formar parte de los textos fundiéndose con la “biblioteca infante”, es decir, con las lecturas que acompañaron las infancias de los y las escritoras contemporáneos. La narrativa argentina del período también da cuenta de la grave crisis social producida por la hegemonía del neoliberalismo, así como sus consecuencias en las vidas de las infancias, lo que tendió a mostrar las fisuras de los discursos en torno a sus derechos. Estas discusiones quedan registradas en las tres novelas—Quedate conmigo (2017) de I. Acevedo, La maldición de Jacinta Pichimahuida (2007) de Lucía Puenzo, Osos (2010) de Diego Vecchio—que serán abordadas aquí desde los marcos teóricos ofrecidos por la teoría queer, en particular por la propuesta de Kathryn B. Stockton.


2003 ◽  
Vol 183 (06) ◽  
pp. 540-546 ◽  
Author(s):  
Lynne Jones ◽  
Alban Rrustemi ◽  
Mimoza Shahini ◽  
Aferdita Uka

Background In war-affected societies it is assumed that the major mental health problem facing the population will be stress reactions. Aims To describe the creation of a child and adolescent mental health service (CAMHS) in Kosovo after the military conflict ended in 1999, and to establish the range of problems and diagnoses that presented. Method Data were collected on 559 patients over 2 years, including their referring problems and diagnoses. Results Stress-related disorders constituted only a fifth of the case-load in year 1. A substantial number of patients were symptom-free but attended because they had been exposed to atraumatic event, and believed it might make them ill. Non-organic enuresis and learning disability were the most common diagnoses in year 2. Many patients had a complex mix of social and psychological difficulties that did not fit conventional diagnostic categories. Conclusions Mental health services that only address traumatic stress may fail to meet the needs of war-affected children. A comprehensive, culturally appropriate CAMHS is needed to address a wide range of problems including learning disability. It should be developed through local actors, and build on existing local infrastructure. Services can also have an educational role in ‘depathologising’ normative responses.


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