scholarly journals Analysis of Risk Factors in the Channels of Drug Distribution: Professional Perspectives

2020 ◽  
Vol 12 (11) ◽  
pp. 4787
Author(s):  
Jelena Grujić ◽  
Slobodan Morača ◽  
Angela Fajsi

The subject of this paper is pharmaceutical companies and the risk factors that occur in the distribution of drugs. The paper will present guidelines for the risk management of changes in the environment of pharmaceutical distribution channels. To identify, analyse, and prioritise risks, we used a systematic literature review and the Delphi method. Identification and assessment of important risk factors in drug distribution channels were conducted based on opinions of experts from 10 international pharmaceutical companies operating in Southeast Europe. The purpose of the research was to get opinions from experts about the impacts of the risk factors on the distribution of drugs, which was accomplished through interviews and questionnaires that were conducted. Our study demonstrated a total of 78 risk factors in the distribution channels of drugs and pharmaceutical services. The results of the research combined separate evaluations for risk factors in all categories for easier data analysis. After data were obtained, results were arranged to show which risk factors had the biggest influence upon the distribution of drugs and to determine the negative effects they can produce. The research of risks was done primarily to help the representatives of distribution channels gain better insight into drug distribution.

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 163.2-164
Author(s):  
N. Nedić

Background:Since the establishment of ORS, we have been organising different activities for rheumatic diseases patients and their supporters within our five branches. After celebrating our 10thanniversary in 2017 we were keen to expand and improve our activities, learning from an organisation with long tradition, in order to strengthen our position and to start reaching another level – growing from a small to a medium-sized organization in the next three years.The main source of our income were the pharmaceutical companies (94%). We wanted to reduce their contribution to our budget by 20% in the next three years.We had established good cooperation with two medical high schools and we would like to consider cooperation with a medical faculty. We were keen to gain insight into the Patient Expert Programme (PEP) project that Swedish Rheumatism Association had developed and hoped to then begin and steadily develop successful cooperation with target institutions in Serbia in the next years. We would like to improve the cooperation with medical faculties and become a part educational program. And the PEP was the best way to achieve this aimObjectives:The aims of this knowledge transfer programme were for us to:1. Fundraising– Learn how to gather more voluntary contributions of money and other resources. Following the knowledge transfer visits we will organise a seminar to disseminate information with the representatives of all our branches. After the seminar our activists will have been trained to collect money for different activities. Those activities will attract more members and provide better life for people with RMDs.2. Patient Expert Program– Implement the Patient Expert Program. The implementation of this program would strengthen the connections with medical institutions, provide first/hand knowledge for future doctors, provide better care for RMDs patients in the future. The PEP will allow the organization to collaborate closer with the universities, the doctors, researchers, health professionals.3. Cooperation among sister organisationsDevelop strong relationships with the sisters EULAR organisations.Methods:From 4thSeptember – 8thSeptember 2018 we visited Swedish Rheumatism Association in Stockholm in order to gain insight into the structure and activities of their association.From 14thOctober-16thOctober 2019 Swedish delegation (president, two trainers and secretary) visited Serbian association for rheumatic diseases. It was organized the two-days PEP training as well as the visits to relevant institutions.From 23th January-26thJanuary 2020 two trainers from Sweden came to Serbia in order to hold the exams.Results:Association of Rheumatic Diseases Patients of the Republic of Serbia now has six Patient Experts for RA. They will be involved in the education of future doctors through the lectures within the subject Intern Medicine.ORS improved cooperation with Faculty of Medicine in Belgrade, as well as, with Ministry of Health.Conclusion:- We achieve to have six Patient Experts. Unofficially right now we have confirmation how they will be included in the education of future doctors through the lectures within the subject Intern Medicine in next school year at the Belgrade University- We reduced contribution of the pharmaceutical companies of our income for 10% to our budget.- We increased donations from personal donators In past year.Disclosure of Interests:None declared


Crisis ◽  
2015 ◽  
Vol 36 (2) ◽  
pp. 91-101 ◽  
Author(s):  
Marie Alderson ◽  
Xavier Parent-Rocheleau ◽  
Brian Mishara

Background: Research shows that there is a high prevalence of suicide among nurses. Despite this, it has been 15 years since the last literature review on the subject was published. Aim: The aim of this article is to review the knowledge currently available on the risk of suicide among nurses and on contributory risk factors. Method: A search was conducted in electronic databases using keywords related to prevalence and risk factors of suicide among nurses. The abstracts were analyzed by reviewers according to selection criteria. Selected articles were submitted to a full-text review and their key elements were summarized. Results: Only nine articles were eligible for inclusion in this review. The results of this literature review highlight both the troubling high prevalence of suicide among nurses as well as the persistent lack of studies that examine this issue. Conclusion: Considering that the effects of several factors related to nurses' work and work settings are associated with high stress, distress, or psychiatric problems, we highlight the relevance of investigating work-related factors associated with nurses' risk of suicide. Several avenues for future studies are discussed as well as possible research methods.


2020 ◽  
Vol 17 (1) ◽  
pp. 58-67
Author(s):  
N. A. Kabanova ◽  
I. K. Alekseeva

The article is devoted to the assessment of potential investment risks of the pharmaceutical company “R-Pharm” JSC with the aim of identifying the highest priority risks and developing methods for minimizing them. The relevance of the study is determined by the fact that the pharmaceutical business is characterized by a high degree of social orientation and annually invests $ 140 billion in the development of production and research, which determines the need for a risk-based approach to ensure the return on investment. The subject of this article is the investment risks of pharmaceutical companies, and the subject of research is the domestic pharmaceutical company “R-Pharm”. In order to assess the potential investment risks of “R-Pharm” JSC, the authors used elements of simulation modeling and system analysis. The proposed methods to minimize key investment risks are aimed at improving the efficiency of investment activities and is recommended as an element of the strategic planning of the company.


Author(s):  
Hannah Lee

This paper is the attempt to show how system theory could provide critical insight into the transdisciplinary field of library and information sciences (LIS). It begins with a discussion on the categorization of library and information sciences as an academic and professional field (or rather, the lack of evidence on the subject) and what is exactly meant by system theory, drawing upon the general system theory established by Ludwig von Bertalanffy. The main conversation of this paper focuses on the inadequacies of current meta-level discussions of LIS and the benefits of general system theory (particularly when considering the exponential rapidity in which information travels) with LIS.


2018 ◽  
Author(s):  
Tsair-Wei Chien ◽  
Hsien-Yi Wang ◽  
Yang Shao ◽  
Willy Chou

BACKGROUND Researchers often spend a great deal of time and effort retrieving related journals for their studies and submissions. Authors often designate one article and then retrieve other articles that are related to the given one using PubMed’s service for finding cited-by or similar articles. However, to date, none present the association between cited-by and similar journals related to a given journal. Authors need one effective and efficient way to find related journals on the topic of mobile health research. OBJECTIVE This study aims (1) to show the related journals for a given journal by both cited-by and similarity criteria; (2) to present the association between cited-by and similarity journals related to a given journal; (3) to inspect the patterns of network density indices among clusters classified by social network analysis (SNA); (4) to investigate the feature of Kendall's coefficient(W) of concordance. METHODS We obtained 676 abstracts since 2013 from Medline based on the keywords of ("JMIR mHealth and uHealth"[Journal]) on June 30, 2018, and plotted the clusters of related journals on Google Maps by using MS Excel modules. The features of network density indices were examined. The Kendall coefficient (W) was used to assess the concordance of clusters across indices. RESULTS This study found that (1) the journals related to JMIR mHealth and uHealth are easily presented on dashboards; (2) a mild association(=0.14) exists between cited-by and similar journals related to JMIR mHealth and uHealth; (3) the median Impact Factor were 3.37 and 2.183 based on the representatives of top ten clusters grouped by the cited-by and similar journals, respectively; (4) all Kendall’s coefficients(i.e., 0.82, 0.89, 0.92, and 0.75) for the four sets of density centrality have a statistically significant concordance (p < 0.05). CONCLUSIONS SNA provides deep insight into the relationships of related journals to a given journal. The results of this research can provide readers with a knowledge and concept diagram to use with future submissions to a given journal in the subject category of Mobile Health Research. CLINICALTRIAL Not available


2021 ◽  
pp. 097226292098394
Author(s):  
Kannan Perumal

The work ‘Corruption Measurements: Caught Between Conceptualizing the Phenomenon and Promoting New Governance Agenda?’ is a qualitative study based on reviewing the literature available on the subject. It starts with the introduction that explains the evolution of the idea of measuring corruption, its relevance to governance and associated theoretical issues. The topic, ‘Evolution of Corruption Measurements’ gives an overview about different corruption indices. While the topic ‘Challenges to Corruption Measurements’ briefly introduces the challenges faced by corruption measurements, the topics ‘Conceptualizing Corruption’ and ‘Methodological Issues’ give insight into the contentions faced by corruption measurements from different theoretical perspectives. Also, explained in these sections are how the corruption measurements have conceptualized corruption over the period of three decades; and how do they keep evolving their methods in order to become more relevant in policy advocacy. Issues associated with data aggregation also are explained in-depth in this work. This work demonstrates that though continuous methodological evolution and empirical research have helped corruption measurements to improve their acceptance level, the gap that exist between corruption control framework and practice will remain a challenge to address in future if corruption measurements do not genuinely account the contextual realities.


Author(s):  
Katja Voit ◽  
Cristian Timmermann ◽  
Florian Steger

This paper aims to analyze the ethical challenges in experimental drug use during the early stage of the COVID-19 pandemic, using Germany as a case study. In Germany uniform ethical guidelines were available early on nationwide, which was considered as desirable by other states to reduce uncertainties and convey a message of unity. The purpose of this ethical analysis is to assist the preparation of future guidelines on the use of medicines during public health emergencies. The use of hydroxychloroquine, remdesivir and COVID-19 convalescent plasma in clinical settings was analyzed from the perspective of the ethical principles of beneficence, non-maleficence, justice and autonomy. We observed that drug safety and drug distribution during the pandemic affects all four ethical principles. We therefore recommend to establish ethical guidelines (i) to discuss experimental treatment options with patients from all population groups who are in urgent need, (ii) to facilitate the recording of patient reactions to drugs in off-label use, (iii) to expand inclusion criteria for clinical studies to avoid missing potentially negative effects on excluded groups, and (iv) to maintain sufficient access to repurposed drugs for patients with prior conditions.


2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Hui Zanne Seng ◽  
Mei Yuit Chan ◽  
Ngee Thai Yap

AbstractThe negative effects of stereotyping arising from a victim’s acceptance and internalisation of stereotype identities are well-known. As stereotypes are created and maintained in discourse, understanding how targets of stereotyping employ discursive resources to resist the constraining structures of stereotypic identities imposed upon them can provide insight into the process of stereotyping and contribute to efforts to reduce the threat of stereotyping. We examined the strategies used by targets of stereotyping in contesting stereotypic representations of their social group through the mobilisation of a range of discourse strategies when presented with stereotyping attacks on the group. The findings revealed that stereotypes are subtle in nature and may not be easily recognised and hence, difficult to resist. Participants employed a number of discourse strategies to repair their fragmented self and group identities. However, in their attempt to maintain identity coherence, they ended up using stereotyping discourses themselves to devalue the perceived outgroup as well as subgroups they created within their own social group. The study highlights the complexity of stereotyping and its self-perpetuating character, and sheds light on the difficulty faced by targets of stereotyping discourse in reconciling their identities through intense discursive and identity work.


2019 ◽  
Vol 53 (1) ◽  
pp. 84-101 ◽  
Author(s):  
Mary Iliadis ◽  
Imogen Richards ◽  
Mark A Wood

‘Newsmaking criminology’, as described by Barak, is the process by which criminologists contribute to the generation of ‘newsworthy’ media content about crime and justice, often through their engagement with broadcast and other news media. While newsmaking criminological practices have been the subject of detailed practitioner testimonials and theoretical treatise, there has been scarce empirical research on newsmaking criminology, particularly in relation to countries outside of the United States and United Kingdom. To illuminate the state of play of newsmaking criminology in Australia and New Zealand, in this paper we analyse findings from 116 survey responses and nine interviews with criminologists working in universities in these two countries, which provide insight into the extent and nature of their news media engagement, and their related perceptions. Our findings indicate that most criminologists working in Australia or New Zealand have made at least one news media appearance in the past two years, and the majority of respondents view news media engagement as a professional ‘duty’. Participants also identified key political, ethical, and logistical issues relevant to their news media engagement, with several expressing a view that radio and television interviewers can influence criminologists to say things that they deem ‘newsworthy’.


2008 ◽  
Vol 3 (4) ◽  
pp. 293-296 ◽  
Author(s):  
Bhojo A. Khealani ◽  
Mohammad Wasay

Epidemiologic literature on stroke burden, patterns of stroke is almost non existent from Pakistan. However, several hospital-based case series on the subject are available, mainly published in local medical journals. Despite the fact that true stroke incidence and prevalence of stroke in Pakistan is not known, the burden is assumed to be high because of highly prevalent stroke risk factors (hypertension, diabetes mellitus, coronary artery disease, dyslipidemia and smoking) in the community. High burden of these conventional stroke risk factors is further compounded by lack of awareness, poor compliance hence poor control, and inappropriate management/treatment practices. In addition certain risk factors like rheumatic valvular heart disease may be more prevalent in Pakistan. We reviewed the existing literature on stroke risk factors in community, the risk factor prevalence among stroke patients, patterns of stroke, out come of stroke, availability of diagnostic services/facilities related to stroke and resources for stroke care in Pakistan.


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