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Signal Detection in Pharmacovigilance: An Application of Subjective Bayesian Inference 信号检测在药物警戒中的应用:主观贝叶斯推理
Pub Date : 2016-08-01 DOI: 10.4172/2167-1052.1000207
Ashok Ranjan, A. Tripathi, A. Saurabh, Kalaiselvan, R. Gupta, Gupta Sk, Agrawal Ss
The present study proposed a new statistical measure to find out the association between Drug-Adverse Drug Reaction (ADR) pair in the Pharmacovigilance system. The study proposed a subjective Bayesian measure corresponding to Proportional Reporting Ratio (PRR) parameter for quantitative signal detection. Classical and Bayesian inference procedure were used in analysis with four Drug-ADR pair as an example. We made prior information by expert opinion. The result of this analysis shows that Bayesian inference is more reliable as compared to classical inference. This study suggests that in case of spontaneous reporting in Pharmacovigilance system subjective Bayesian inference better to applying in case of small sample size.
本研究提出了一种新的统计方法来发现药物警戒系统中药物不良反应(ADR)对之间的关联。提出了一种与比例报告比(PRR)参数相对应的主观贝叶斯测度,用于定量信号检测。以四个Drug-ADR对为例,采用经典推理和贝叶斯推理方法进行分析。我们根据专家意见作出了先验信息。分析结果表明,贝叶斯推理比经典推理更可靠。本研究表明,在药物警戒系统中自发报告的情况下,主观贝叶斯推理较适用于小样本量的情况。
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引用次数: 3
Assessment of Knowledge, Attitude and Practices of Adverse DrugReaction Reporting among Doctors and Pharmacists in PrimaryHealthcare 初级卫生保健医师和药师不良反应报告的知识、态度和行为评估
Pub Date : 2016-07-26 DOI: 10.4172/2167-1052.1000206
Tew Mm, T. Bc, Mohd Baidi As, Saw Hl
Background: Adverse drug reactions (ADRs) are global problems of major concern. Healthcare professional's knowledge and attitudes to ADR and ADR reporting play vital role to report any cases of ADR. Positive attitudes may favour ADR reporting practices by healthcare professionals. Objective: This study was aimed to investigate the KAP towards ADR reporting among HCPs working at primary outpatient care in Kuala Muda District Health Office, Kedah, Malaysia. Methodology: A cross sectional study was done by survey using a self-administered structured questionnaire. The questionnaire was distributed to all healthcare professionals working at primary outpatient care in Kuala Muda District Health Office, Kedah, Malaysia. Result and Discussion: The overall response rate was 87.4%. The mean knowledge score was 66.9% ± 19.86 for doctors and 76.9% ± 13.87 for pharmacists (p=0.03). 43.8% of the healthcare professionals did not aware of the blue card reporting system in Malaysia. Almost all of the respondents agreed that ADR reporting should be made mandatory and they recognized that it's their professional obligation to report any ADR. However, only 51.9% of doctors and 70.8 % of pharmacist had reported. Half of the respondents professed that ADR forms are too complex to fill and almost all of the respondents (90.4% doctors and 87.5% pharmacists) declared that they are lacking of time to fill in the report. 69.2% of doctors expressed that they have not been trained on ADR reporting which was contradicting with the pharmacists (12.5%) (p<0.001). Almost all respondents (82.7 % doctors and 95.8 pharmacists) concurred that ADR reporting should be taught in details to them. Conclusion: Respondents reflected inadequate knowledge on ADR reporting. The prevalence of unsatisfactory practices and attitudes among these HCPs contributed to failure to report ADR even if the ADR was identified. Educational intervention strategies can be introduced in order to promote ADR reporting.
背景:药物不良反应(adr)是一个备受关注的全球性问题。医疗专业人员对ADR和ADR报告的认识和态度对ADR的报告起着至关重要的作用。积极的态度可能有利于医疗保健专业人员报告不良反应的做法。目的:本研究旨在调查马来西亚吉打州瓜拉木达地区卫生办公室初级门诊医务人员对不良反应报告的KAP情况。方法:采用自我管理的结构化问卷进行横断面研究。调查问卷已分发给马来西亚吉打州吉隆坡慕达区卫生办事处初级门诊护理的所有保健专业人员。结果与讨论:总有效率为87.4%。医师的平均知识得分为66.9%±19.86分,药师的平均知识得分为76.9%±13.87分(p=0.03)。43.8%的医疗保健专业人员不知道马来西亚的蓝卡报告系统。几乎所有的受访者都同意ADR报告应该是强制性的,并且他们认识到报告任何ADR是他们的职业义务。然而,仅有51.9%的医生和70.8%的药剂师报告过。一半的受访者表示ADR表格过于复杂难以填写,几乎所有的受访者(90.4%的医生和87.5%的药剂师)都表示他们没有时间填写报告。69.2%的医生表示没有接受过不良反应报告的培训,这与药师(12.5%)存在矛盾(p<0.001)。几乎所有受访者(82.7%的医生和95.8名药剂师)都认为应向他们详细讲授不良反应报告。结论:受访者反映对不良反应报告的了解不足。这些医务人员普遍存在不满意的做法和态度,导致即使发现了不良反应也未能报告。可以引入教育干预策略,以促进不良反应报告。
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引用次数: 5
Rare but Treatment-emergent Extrapyramidal Symptoms-related AdverseEvents after Administration of Long-acting Injectable PaliperidonePalmitate 注射长效帕利哌酮铝酸酯后罕见但治疗中出现的锥体外系症状相关不良事件
Pub Date : 2016-07-11 DOI: 10.4172/2167-1052.1000204
Kang Soo Lee, Borah Kim, T. Choi, Sang-Hyuk Lee
Paliperidone palmitate, the long-acting injectable form of paliperidone (PLAI), is approved for once-monthly intramuscular injection [1]. Several studies suggest that the loading dose regimen for PLAI does not lead to higher rates of extrapyramidal symptoms (EPS)related treatment-emergent adverse events (TEAEs) than the oral formulation [2]. However, reports of post-injection delirium/sedation syndrome (PDSS) by olanzapine LAI raise safety issues of LAI. We report a case, which demonstrates that EPS-related TEAEs can be quite refractory to a number of pharmacological interventions and persist for more than 3 months following PLAI administration.
棕榈酸帕利哌酮是长效注射型帕利哌酮(PLAI),已被批准用于每月一次的肌肉注射[1]。几项研究表明,与口服制剂相比,PLAI的负荷剂量方案不会导致锥体外系症状(EPS)相关的治疗不良事件(teae)发生率更高[2]。然而,关于奥氮平LAI注射后谵妄/镇静综合征(PDSS)的报道提出了LAI的安全性问题。我们报告了一个病例,该病例表明,eps相关的teae对许多药物干预都是相当难治性的,并且在服用PLAI后持续超过3个月。
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引用次数: 0
Preparation of Polymeric Micelles of Curcumin with Pluronic P123 and Assessment of Efficacy against B16 Cells In Vitro Pluronic P123制备姜黄素聚合胶束及其体外抗B16细胞作用的研究
Pub Date : 2016-06-30 DOI: 10.4172/2167-1052.1000202
Kun-kai Su, Yunxu Yang, Qiuping Wu, Y. Mao, Ying Hu
Polymeric micelles of curcumin were obtained using Pluronic P123 to increase the solubility and bioavailability of curcumin. The curcumin-P123 micelles were prepared by a thin-film dispersion method and the content of curcumin was determined by high-performance liquid chromatography. The entrapment efficiency was optimized by an orthogonal design to determine the best preparation method. The microscopic morphology, diameter, and drugloaded amount of the micelles were determined by transmission electron microscopy, particle size distribution, Fourier transform, and X-ray diffraction. The in vitro drug release rates were measured by a dialysis method. The entrapment efficiency of curcumin was 94.7% and the loading capacity was 3.06% under optimized conditions (curcumin 5 mg, Pluronic P123 150 mg, water 10 mL, and methanol 10 mL). The average size and zeta potential of the round or ellipse polymeric micelles were 117.23 ± 2.57 nm and 7.87 ± 2.50 mV, respectively, with uniform particle size distribution. The polymeric micelles were dispersed into block copolymers in molecular and amorphous forms based on X-ray diffraction and FTIR analysis. The polymeric micelles of curcumin showed significant sustained drug release in vitro compared with a pharmaceutical solution. The anti-tumor efficacy of curcumin-P123 on B16 cells was assessed in vitro by a (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) assay. The antitumor effects of the polymeric micelles was higher than that of curcumin. The prepared curcumin-P123 micelles increased the drug solubility in the aqueous phase. The polymeric micelles of curcumin have an important effect and excellent research value because of their sustained drug release and excellent inhibitory effect on tumor cells.
用Pluronic P123制备了姜黄素聚合物胶束,提高了姜黄素的溶解度和生物利用度。采用薄膜分散法制备了姜黄素p123胶束,采用高效液相色谱法测定了姜黄素的含量。采用正交设计优化包埋效率,确定最佳制备方法。通过透射电子显微镜、粒径分布、傅里叶变换和x射线衍射测定了胶束的微观形态、直径和药物填充量。采用透析法测定体外药物释放率。优化条件(姜黄素5 mg, Pluronic P123 150 mg,水10 mL,甲醇10 mL)下,姜黄素的包封率为94.7%,载药量为3.06%。圆形和椭圆形聚合物胶束的平均粒径为117.23±2.57 nm, zeta电位为7.87±2.50 mV,粒径分布均匀。根据x射线衍射和红外光谱分析,聚合物胶束以分子和非晶形式分散成嵌段共聚物。与药物溶液相比,姜黄素的聚合物胶束在体外表现出显著的缓释作用。采用(3-(4,5-二甲基噻唑-2-基)-2,5-二苯基溴化四氮唑)法体外检测姜黄素- p123对B16细胞的抗肿瘤作用。聚合物胶束的抗肿瘤作用高于姜黄素。所制备的姜黄素p123胶束提高了药物在水相中的溶解度。姜黄素聚合物胶束对肿瘤细胞具有持续的药物释放和良好的抑制作用,具有重要的作用和良好的研究价值。
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引用次数: 11
Selective Serotonin Reuptake Inhibitors, are They All Equal? A Pharmacoepidemiological Study 选择性血清素再摄取抑制剂,它们都是一样的吗?药物流行病学研究
Pub Date : 2016-06-30 DOI: 10.4172/2167-1052.1000203
E. Peron, J. Hardouin, Sébille, F. Feuillet, L. Wainstein, A. Chaslerie, J. Pivette, P. Jolliet, C. Victorri-Vigneau
Introduction: According to the French health authorities’ guidelines relative to depression and anxiety disorder treatments, six Selective Serotonin Reuptake Inhibitors are available for prescription as a first-line of treatment. The guidelines suggest equivalence between these treatment options, but studies diverge regarding efficacy and safety profiles. Moreover, conditions in clinical trials are strictly controlled and do not truly reflect real life utilization. The objective of this study was to evaluate differences in efficacy and/or safety between these six selective serotonin reuptake inhibitors in real conditions of use. Methods: Efficacy and safety were evaluated using a regional database of the French national health insurance. Patients who received a selective serotonin reuptake inhibitor for a new depressive disorder and who were compliant to the treatment for a period of at least 6 months were included. Events indicative of a lack of efficacy and/or safety during the 12-month follow-up period were identified in the database (i.e., a dose increase, a switch to another antidepressant drug or an association with another antidepressant drug). A Cox model was used to compare the frequency and the delay to onset of each type of indicative event for each selective serotonin reuptake inhibitor. Results: Out of 3542 patients included, 1081 (30.5%) experienced an indicative event. The Cox model showed differences in terms of efficacy and safety. Patients treated with paroxetine, sertraline or citalopram as a first antidepressant were more likely to present a therapeutic failure than those treated by escitalopram or fluoxetine. Conclusion: A Cox model identified differences between selective serotonin reuptake inhibitors in terms of efficacy and/or safety profile. Our study positioned Escitalopram as the most efficient and/or safe treatment option. This study strategy can viably be used to evaluate the real life usage and effects of other drugs, an essential part of post approval evaluation.
简介:根据法国卫生当局关于抑郁症和焦虑症治疗的指南,六种选择性5 -羟色胺再摄取抑制剂可作为一线治疗处方。该指南建议这些治疗方案之间是对等的,但关于疗效和安全性的研究存在分歧。此外,临床试验的条件受到严格控制,并不能真实反映现实生活中的使用情况。本研究的目的是评估这六种选择性血清素再摄取抑制剂在实际使用条件下的疗效和/或安全性差异。方法:使用法国国民健康保险区域数据库评估疗效和安全性。接受选择性5 -羟色胺再摄取抑制剂治疗新出现的抑郁症的患者,并且依从治疗至少6个月。在12个月的随访期间,在数据库中确定了表明缺乏疗效和/或安全性的事件(即,剂量增加,切换到另一种抗抑郁药物或与另一种抗抑郁药物相关)。采用Cox模型比较每种选择性5 -羟色胺再摄取抑制剂的每种指示性事件的发生频率和延迟时间。结果:在纳入的3542例患者中,1081例(30.5%)经历了指示性事件。Cox模型在疗效和安全性方面存在差异。用帕罗西汀、舍曲林或西酞普兰作为第一种抗抑郁药治疗的患者比用艾司西酞普兰或氟西汀治疗的患者更容易出现治疗失败。结论:Cox模型确定了选择性血清素再摄取抑制剂在疗效和/或安全性方面的差异。我们的研究将艾司西酞普兰定位为最有效和/或安全的治疗选择。该研究策略可用于评价其他药物的实际使用情况和效果,这是批准后评价的重要组成部分。
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引用次数: 5
Nutraceuticals: Emerging Trend in Public Health Promotion 营养食品:促进公共健康的新趋势
Pub Date : 2016-04-21 DOI: 10.4172/2167-1052.1000E142
J. Patil
Neuraceuticals are the biologically active materials of known medicinal uses generally accepted to supply substantially to the therapeutic activity of the drug [1]. Nutraceutical was the term first defined by Dr. Stephen L. Later on, the meaning of nutraceutical term has been modified by Health Canada as a substance extracted, separated and or purified from foods, and sold in the form of drug and claimed to have a therapeutic activity [2]. Long ago Hippocrates, father of modern medicine emphasized as food must be medicine and medicine must be our food. Hence, the food we consume is suffering with lack of nutricinals and it necessitates us to provide the essential nutrients. As the nutraceuticals are recognized to play an important role in the public health promotion increased the worldwide awareness on these products. Nutraceuticals are considered as food or part of food gives therapeutic benefits and claimed to prevention and treatment of disease. These products include isolated nutrients, dietary supplements, herbal products and processed foods. Presently over 500 such products are available with renowned health benefits [3]. In future also there is a lot of scope in India for further growth of nutraceutical market. The scientific validation of nutraceutical products is also the area where are lacking behind.
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引用次数: 2
An Assessment of Patient's Perception on Tuberculosis, Prevention and Control in a Teaching Hospital 某教学医院患者对结核病防治认知的评价
Pub Date : 2016-03-31 DOI: 10.4172/2167-1052.1000201
Fazlu Rehman, Rao As, A. Hasan, H. Parameshwar, M. Raoof, M. Qurram
Tuberculosis (TB) one of the oldest diseases known to humankind and remains as an important public health problem in India. It is still one of the leading causes of morbidity and mortality despite the fact that it can be cured with adequate treatment. The emergence of multidrug resistant tuberculosis (MDR-TB) or extensively drug resistant (XDR-TB) is one of the challenges in our efforts to control TB. The study aim was to assess the patient’s perception on tuberculosis, prevention and control. The research shows significant gender difference between male and female awareness, patients have the information TB is not a contagious, patients were not keeping proper medication records thereby incomplete or inappropriate treatment could have severe consequences of disease and might lead to death. Knowledge about TB symptoms, diagnosis, pulmonary complication, duration of treatment, free treatment, has to be stressed during health education activities.
结核病是人类已知的最古老的疾病之一,在印度仍然是一个重要的公共卫生问题。它仍然是发病和死亡的主要原因之一,尽管它可以通过适当的治疗治愈。耐多药结核病(MDR-TB)或广泛耐药结核病(XDR-TB)的出现是我们控制结核病工作中的挑战之一。本研究的目的是评估患者对结核病及其预防和控制的认知。研究表明,男性和女性对结核病的认识存在显著的性别差异,患者知道结核病不是一种传染性疾病,患者没有保存适当的药物记录,因此不完整或不适当的治疗可能会造成严重的疾病后果,并可能导致死亡。在健康教育活动中,必须强调有关结核病症状、诊断、肺部并发症、治疗时间、免费治疗的知识。
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引用次数: 1
Medication Adherence among Patients with Schizophrenia Treated with Antipsychotics at Adama Hospital, East Shoa Zone, Oromia Regional State 奥罗米亚州东部Shoa区Adama医院抗精神病药物治疗精神分裂症患者的药物依从性
Pub Date : 2016-03-07 DOI: 10.4172/2167-1052.1000200
Mamo Es, B. K. Gelaw, G. T. Tegegne
Background: Schizophrenia is a classic psychiatric diagnosis in which patients experience psychotic symptoms for longer than 6 months. Non adherence is a major problem in the treatment of schizophrenia which is significantly associated with treatment out come and is the major cause of relapse in the treatment of schizophrenia. High prevalence, costs associated with it and potentially severe consequences are those cases that made the study of this phenomenon a priority issue. The objective of this study was to evaluate adherence rates to schizophrenic patients. Methods: Cross-sectional method was conducted over 2 month period (March 10th to May 15th) in Adama hospital and patients self-reporting using an interview (focusing on how often regular medication doses were missed altogether, and whether they missed taking their doses on time) was used to evaluate adherence rates to schizophrenic medications. Data collected was analyzed using the Statistical Package for the Social Sciences (SPSS) version 20 software, which is used to associate different variables with an adherence. Result: In the study 141 patients were included and on the basis of patients self-report, 56% of patients reported that they had never missed a medication dose, 14.18% sometimes missed their daily doses, 11.35% only missed taking their dose at the specific scheduled time and 18.49% missed both taking their dose at the specific scheduled time and sometimes missed their daily doses. The most common reason for missing medication doses were forgetfulness (43.5%), being busy (17.7%), lack of sufficient information about medication (14.5%) and pill burden (8%). duration of maintenance therapy, social drug Use and medication side effects each had a statistically significant association with medication adherence (p < 0.05). Conclusion: It was well observed that medication adherence in this study was low as compared to previous reports. Forgetfulness was the most common reason for missing medication dose. Adherence must therefore be considered when planning treatment strategies with schizophrenic medications, particularly in countries such as Ethiopia.
背景:精神分裂症是一种典型的精神病学诊断,患者经历精神病症状超过6个月。不依从性是精神分裂症治疗中的一个主要问题,它与治疗效果密切相关,是精神分裂症治疗复发的主要原因。高流行率、与之相关的费用和潜在的严重后果使研究这一现象成为一个优先问题。本研究的目的是评估精神分裂症患者的依从率。方法:采用横断面法,在Adama医院进行为期2个月(3月10日至5月15日)的研究,采用访谈方式对患者进行自我报告(重点关注患者错过常规药物剂量的频率,以及患者是否错过按时服药),评估精神分裂症药物的依从性。收集的数据使用社会科学统计软件包(SPSS)第20版软件进行分析,该软件用于将不同变量与依从性联系起来。结果:本研究共纳入141例患者,在患者自述的基础上,56%的患者报告从未漏服过一次用药剂量,14.18%的患者有时漏服日剂量,11.35%的患者仅漏服特定计划时间剂量,18.49%的患者既漏服特定计划时间剂量又有时漏服日剂量。漏药最常见的原因是健忘(43.5%)、忙碌(17.7%)、用药信息不足(14.5%)和服药负担(8%)。维持治疗持续时间、社会用药情况、药物不良反应与药物依从性的相关性均有统计学意义(p < 0.05)。结论:与以往的报道相比,本研究的药物依从性较低。健忘是漏服药的最常见原因。因此,在规划精神分裂症药物治疗策略时必须考虑依从性,特别是在埃塞俄比亚等国家。
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引用次数: 6
Assessment of Knowledge, Attitude and Practices Regarding Medication Abortion among Regular Undergraduate Female Students in College of Social Sciences Addis Ababa University, Ethiopia 埃塞俄比亚亚的斯亚贝巴大学社会科学学院普通本科女生药物流产知识、态度和行为评估
Pub Date : 2016-02-28 DOI: 10.4172/2167-1052.1000199
G. Thomas, T. Gedif, Abeshu Ma, B. Geleta
Background: Abortion rates following unintended pregnancies is increasing in developing countries like Africa. Unsafe abortion is threatening the gains in reducing maternal mortality and achieving millennium development goal targets. Medication abortion is one of safe abortion interventions. Adequate level of knowledge among women of reproductive age groups contributes to prevention and control of unsafe abortion and the resulting mortality and morbidity. The aim of this study was therefore to assess knowledge, attitude and practices regarding medication abortion among regular undergraduate female students of the College of Social Sciences, Addis Ababa University. Method: A cross-sectional quantitative study supplemented by key informants’ interview was conducted between 1st of June to 5th of July 2013. The quantitative data were collected using structured, self-administered questionnaire and the qualitative data were collected by the principal investigator using interview guide. Results: The age of the study participants ranged from 18 to 25 years with a mean age of 20.6 ± 1.5. Threefourth of the respondents (159, 74.6%) knew what medication abortion meant where 11 (6.9%) and 97(61%) of them had high and low knowledge on medication abortion respectively. Majority (142, 66.7%) of the study participants would advise someone with unwanted pregnancy to undergo an abortion and 86 (40.4%) would consider abortion if they had unplanned pregnancy. From 21 respondents who had abortion experience, 13 (61.9%) used medication abortion. Conclusion: The study revealed that majority of the female undergraduate students in Addis Ababa University has low knowledge regarding medical abortion, though most of them have positive attitude towards medication abortion.
背景:在非洲等发展中国家,意外怀孕后的堕胎率正在上升。不安全堕胎威胁到在降低孕产妇死亡率和实现千年发展目标具体目标方面取得的成果。药物流产是安全流产干预措施之一。育龄妇女掌握足够的知识有助于预防和控制不安全堕胎及其造成的死亡率和发病率。因此,本研究的目的是评估亚的斯亚贝巴大学社会科学学院普通本科女生对药物流产的知识、态度和做法。方法:2013年6月1日至7月5日采用横断面定量研究,并辅以关键举报人访谈。定量数据采用结构化自填问卷收集,定性数据由首席研究员采用访谈指南收集。结果:研究参与者的年龄从18岁到25岁不等,平均年龄20.6±1.5岁。四分之三的受访者(159人,74.6%)知道药物流产的含义,其中有11人(6.9%)对药物流产有较高的认识,97人(61%)对药物流产有较低的认识。大多数(142,66.7%)的研究参与者会建议意外怀孕的人堕胎,86人(40.4%)会考虑意外怀孕的人堕胎。在21名有流产经历的受访者中,13名(61.9%)采用药物流产。结论:研究显示,亚的斯亚贝巴大学大部分女本科生对药物流产的认知程度较低,但对药物流产的态度大多是积极的。
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引用次数: 10
Technology Transfer: End Point of Research Process 技术转移:研究过程的终点
Pub Date : 2016-02-13 DOI: 10.4172/2167-1052.1000e141
Patil Js
Technology transfer (TT) is nothing but transferring the research outcomes from organization to another for future use and development of new medicinal products, educational tools, safety equipment, electronic devices, and health services required for public use. TT bridges between science, engineering, law and government agencies [1-3]. Drug discovery and development process of novel medicinal product depends on TT which is considered as essential and grave. This process gives clarity to product development laboratory about production and commercialization. In pharmaceutical industry TT is helpful in enhancing the quality, efficacy and safety of the product through standardized process of cost effective production [4,5]. TT can be viewed from the perception of research and development activities. The findings of research work in laboratories on small scale are needed to commercialized, and hence, TT is important for scale up the product on commercial base. TT is thus defined as the process begins with the invention in laboratory to product development phase and then to a commercial scale. The TT is said to be successful provided both receiving and transferring organizations effectively utilize it to promote their business.
技术转让(TT)只不过是将研究成果从一个组织转移到另一个组织,以便将来使用和开发新的医药产品、教育工具、安全设备、电子设备和公共使用所需的卫生服务。科学、工程、法律和政府机构之间的桥梁[1-3]。新药的发现和开发过程离不开TT, TT被认为是至关重要的。这一过程为产品开发实验室的生产和商业化提供了清晰的信息。在制药行业,TT有助于通过标准化的成本效益生产过程提高产品的质量、疗效和安全性[4,5]。TT可以从研究和开发活动的感知来看待。小规模实验室的研究成果需要商业化,因此,技术测试对于在商业基础上扩大产品规模非常重要。因此,TT被定义为从实验室发明到产品开发阶段,然后到商业规模的过程。如果接收和转移组织都有效地利用它来促进他们的业务,那么TT可以说是成功的。
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引用次数: 1
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Advances in Pharmacoepidemiology and Drug Safety
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