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US FDA Warning Letters of CAPA Violations: A Review 美国FDA违反CAPA的警告信:回顾
Pub Date : 2020-07-31 DOI: 10.2174/2213476x06666191015114427
Pavan Deshpande, Rutuja Agawane, Sarath Chandra Tatikola, S. G. Vasantharaju
United States Food and Drug Administration (USFDA) is a federal agency functioningunder United States Federal Executive Departments, which strives to regulate the food productsand drug substances being manufactured or brought into US market, upholding Quality and Safetyas prime goals. It takes care of its goals by inspecting firms which market products in the UnitedStates. It chalks out good manufacturing procedures for obtaining quality end-products. Based oninspections conducted and data collected thereby, those not abiding by rules shall be issued withWarning Letters and marketing license shall be cancelled for those who fail to justify the warningletter. This brings about discipline amongst manufacturers and sets a goal of quality that needs tobe achieved to survive in market.
美国食品和药物管理局(USFDA)是美国联邦行政部门下属的联邦机构,致力于监管正在生产或进入美国市场的食品和药品,坚持质量和安全作为首要目标。它通过检查在美国销售产品的公司来实现自己的目标。它为获得高质量的最终产品制定了良好的生产程序。根据检查结果和收集到的数据,对不遵守规定的,给予警告信,对警告信不成立的,取消上市许可。这在制造商之间带来了纪律,并设定了在市场中生存所需实现的质量目标。
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引用次数: 0
The absolute socioeconomic inequity attributable to smoking 吸烟造成的绝对的社会经济不平等
Pub Date : 2020-07-30 DOI: 10.31579/2693-4779/009
F. Hernández
Background: Smoking has several consequences over the society and the economy at same time. Because of smoking smokers are reducing the life quality and life expectation too. That is the main cause of absolute socioeconomic inequity attributable to smoking. Objective: To characterize the absolute socioeconomic inequity attributable to smoking. Materials and methods: Were used several theorical methods as the inductive – deductive and the comparative too. As empirical method was used the bibliographic research. Results: Smoking is the main cause of the existence of this particular inequity form. That’s why to eliminate the absolute socioeconomic inequity attributable to smoking is necessary focus the attention in the reduction of the tobacco consumption intensity as main explicative variable for personal smoker demand of health services because of smoking. Conclusions: The absolute socioeconomic inequity attributable to smoking is showed by mortality and morbidity too. In both case the strategic to reduce the tobacco consumption must focus the attention as main way to control, reduce and eliminate the absolute socioeconomic inequity attributable to smoking
背景:吸烟同时对社会和经济有几个后果。由于吸烟,吸烟者也在降低生活质量和寿命预期。这是吸烟导致绝对社会经济不平等的主要原因。目的:探讨吸烟导致的绝对社会经济不平等。材料与方法:运用了归纳演绎法和比较法等几种理论方法。本文采用文献研究的实证方法。结果:吸烟是这种特殊不平等形式存在的主要原因。这就是为什么要消除吸烟导致的绝对社会经济不平等,必须把注意力集中在降低烟草消费强度上,这是个人吸烟者因吸烟而对卫生服务需求的主要解释变量。结论:吸烟引起的绝对社会经济不平等也表现在死亡率和发病率上。在这两种情况下,减少烟草消费的战略必须把注意力集中在控制、减少和消除吸烟造成的绝对社会经济不平等的主要途径上
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引用次数: 4
Differential equation analysis on COVID-19(CRCT) 新型冠状病毒肺炎(CRCT)的微分方程分析
Pub Date : 2020-07-30 DOI: 10.31579/2693-4779/006
Bin Zhao
Background: An infectious disease caused by a novel coronavirus called COVID-19 has raged across the world since December 2019. The novel coronavirus first appeared in Wuhan, China, and quickly spread to Asia and now many countries around the world are affected by the epidemic. The deaths of many patients, including medical staff, caused social panic, media attention, and high attention from governments and world organizations. Today, with the joint efforts of the government, the doctors and all walks of life, the epidemic in Hubei Province has been brought under control, preventing its spread from affecting the lives of the people. Because of its rapid spread and serious consequences, this sudden novel coronary pneumonia epidemic has become an important social hot spot event. Through the analysis of the novel coronary pneumonia epidemic situation, we can also have a better understanding of sudden infectious diseases in the future, so that we can take more effective response measures, establish a truly predictable and provide reliable and sufficient information for prevention and control model. Methods: We establish different models according to the different developments of the epidemic situation, different time points, and different response measures taken by the government. To be specific, during the period of 2020.1.23-2020.2.7, the traditional SIR model is adopted; during the period of 2020.2.8-2020.3.30, according to the scientific research results, it was considered that the novel coronary pneumonia has a latent period, so in the later phase of epidemic development, the government has effectively isolated patients, thus we adopt the SEIQR model accordingly. During the period of 2020.3.31-2020.5.16, because more asymptomatic infected people were found, we use the SEIQLR model to fit. Finally, through a SEIR simulator, considering the susceptible number, the latent number, the infected number, the cured number, death number and other factors, we simulate the change of various numbers of people from the beginning to the next 180 days of novel coronary pneumonia. Findings: The results based on the analysis of differential equations and kinetic models show that through the prediction of the model established in the first phase, the epidemic situation of novel coronary pneumonia in Hubei Province was controlled at the end of March, which is in line with the actual situation. The rest of Hubei province, except for Wuhan, lifted control of the departure channel from 0:00 am on March 25, and Wuhan was also unblocked on April 8. Through the establishment of the second-phase model, it is found that the epidemic situation will reach its peak in mid-February. For example, the quarantine admission of the hospital declined after mid-February, which is inseparable from the measures to build square cabin hospitals in early February so that more and more patients can be admitted. The model established in the third phase shows that the epidemic had been comp
背景:自2019年12月以来,一种名为COVID-19的新型冠状病毒引起的传染病在全球肆虐。新型冠状病毒首先出现在中国武汉,并迅速蔓延到亚洲,现在世界上许多国家都受到了影响。包括医务人员在内的许多患者的死亡引起了社会恐慌、媒体关注以及各国政府和世界组织的高度关注。今天,在政府、医生和社会各界的共同努力下,湖北省的疫情已经得到控制,防止了疫情蔓延影响人民生活。这次突发性新型冠状肺炎疫情由于传播迅速、后果严重,已成为重要的社会热点事件。通过对新型冠状病毒肺炎疫情的分析,我们也可以对未来突发传染病有更好的了解,从而采取更有效的应对措施,建立真正可预测并为防控提供可靠、充分信息的模式。方法:根据疫情发展的不同、时间点的不同以及政府采取的不同应对措施,建立不同的模型。其中,2020.1.23-2020.2.7期间,采用传统SIR模型;2020.2.8-2020.3.30期间,根据科研结果,认为新型冠状肺炎存在潜伏期,在疫情发展后期,政府对患者进行了有效隔离,因此我们采用SEIQR模型。在2020.3.31-2020.5.16期间,由于无症状感染者较多,我们使用SEIQLR模型进行拟合。最后,通过SEIR模拟器,综合考虑易感数、潜伏数、感染数、治愈数、死亡数等因素,模拟新型冠状病毒肺炎发病初期至发病后180天内各种人数的变化。结果:基于微分方程和动力学模型分析的结果表明,通过第一阶段建立的模型预测,湖北省新型冠状肺炎疫情在3月底得到控制,符合实际情况。3月25日0时起,除武汉外,湖北省其他地区解除出境通道管制,武汉也于4月8日解除封锁。通过第二阶段模型的建立,发现疫情将在2月中旬达到高峰。例如,2月中旬之后,医院的检疫入境人数有所下降,这与2月初建立方舱医院的措施是分不开的,以便越来越多的患者可以入院。第三阶段建立的模型显示,截至5月底,疫情已得到完全控制,这也符合实际情况。因为5月中旬,武汉市政府对所有市民进行了核酸检测,筛查无症状感染者,从根本上控制了新型冠状病毒肺炎的传播。解读:湖北省作为新型冠状病毒肺炎最初爆发的中心,在中国最重要的节日春节期间,人们被迫居家隔离,全社会处于暂停工作和学习的状态。为应对疫情,中国政府采取了封锁城市、大力建设方舱医院、禁止民众聚集等多项措施。今年5月初,湖北省疫情终于得到有效控制。对于普通市民来说,我们不应该对未知的新型冠状病毒造成不必要的恐慌。相反,我们应该充分了解和熟悉这种病毒。除了相关的医学知识外,我们还应该通过适当的数学模型来了解传染病的传播。通过数学模型,我们可以了解传染病的危害程度,何时控制,如何阻止,用科学的观点向公众揭示新型冠状病毒的本来面目,而不会引起社会恐慌。
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引用次数: 1
Inevitable aging and the resultant mental disorders In developing countries: a sociological appraisal 发展中国家不可避免的老龄化和由此产生的精神障碍:社会学评价
Pub Date : 2020-07-30 DOI: 10.31579/crct.2020/002
M. Sheykhi
Aging is inevitably associated with a large number of body functions including the mental health. In addition to that, heart function, emotions, moods etc. could be mentioned as the results of gradual aging. Such conditions are usually accompanied with increase in medications consumption and decline in quality of life. Though usually medical sciences study mental health conditions, sociology also needs to be applied to appraise the "cause and effect" of mental health. As life expectancy is globally increasing, more and more people are subject to mental disorders, Alzheimer's disorders, dementia, depression and many more, as the effects of aging extensively impact mental health. Therefore, under the conditions of rapid aging, geriatrics needs to be strengthened and improved as much as possible to safeguard mental health. However, structural changes in terms of biological, physical, psychological and chemical reactions which inevitably occur with aging, need prevention and appropriate medication, and other investments in long term, and if not, other vulnerabilities will inevitably appear.
衰老不可避免地与包括心理健康在内的许多身体功能相关。除此之外,心脏功能、情绪、情绪等都是逐渐衰老的结果。这些情况通常伴随着药物消耗的增加和生活质量的下降。虽然通常医学研究心理健康状况,但也需要应用社会学来评估心理健康的“因果关系”。随着全球预期寿命的延长,越来越多的人受到精神障碍、阿尔茨海默病、痴呆症、抑郁症等疾病的影响,因为老龄化的影响广泛影响心理健康。因此,在快速老龄化的条件下,老年医学需要尽可能加强和提高,以保障心理健康。然而,随着年龄的增长,不可避免地会发生生物、物理、心理和化学反应方面的结构性变化,需要预防和适当的药物治疗,以及其他长期投资,否则,其他脆弱性将不可避免地出现。
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引用次数: 0
Juvenile Xanthogranuloma: Rare Form of Histiocytosis: About 2 Cases 青少年黄色肉芽肿:罕见的组织细胞增多症:约2例
Pub Date : 2020-07-30 DOI: 10.31579/2693-4779/008
S. Benkirane
A 06-month-old infant, born from a non-consanguineous marriage, with no notable pathological history, who consults for an asymptomatic nodular lesion of 1cm in diameter at the level of the orange-yellow vertex appeared since the age of 4 months, gradually increasing in size.
6月龄婴儿,非近亲婚姻出生,无明显病理史,4月龄起就诊于橙黄色顶点水平,无症状结节状病变,直径1cm,大小逐渐增大。
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引用次数: 0
Diploma course: “Health Economy tools for taking decisions”, a useful tool for health managers 文凭课程:"卫生经济决策工具",这是卫生管理人员的有用工具
Pub Date : 2020-07-29 DOI: 10.31579/crct.2020/010
F. Hernández
The Public Health services are closest related with the human develop. The strong relation between population health and labor productivity is determining the historical economic develop and the real capability to make sustainable the economic develop. Few sectors have an extensive and strong relation with the human develop as the Public Health. The health policies may insider over the whole population and can determine which population sector can access to the health services and the real dimension from the effective demand from these services too.
公共卫生服务与人的发展关系最为密切。人口健康与劳动生产率的密切关系决定着经济的历史发展和经济可持续发展的现实能力。很少有部门像公共卫生这样与人类发展有着广泛而密切的关系。卫生政策可以涵盖整个人口,并可以确定哪些人口部门可以获得卫生服务,以及这些服务的有效需求的实际规模。
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引用次数: 2
Personal spend on cigarettes and tobaccos in Cuba from 2013 to 2016. 2013年至2016年古巴香烟和烟草的个人支出。
Pub Date : 2020-07-29 DOI: 10.31579/crct.2020/011
F. Hernández
Introduction: As risk factor smoking means a social opportunity cost because of the whole goods and services didn´t obtained to satisfice the tobacco and cigarettes demand. While the tobacco and cigarettes spend is increasing these opportunity cost will be increasing too. Objective: To describe the tobacco and cigarettes spends in Cuba since 2013 to 2016. Materials and methods: Was made a descriptive and longitudinal research about the tobacco and cigarettes spends in Cuba from 2013 to 2016. Were utilized two rates: monthly per capita sales on cigarettes and tobaccos measured in pesos and monthly per capita sales on cigarettes and tobaccos respect to middle salary measured in percent. Theoric methods: Historic – Logic, Inductive – Deductive, Comparative and Analysis and Synthesis. Empiric methods: documental and bibliographic research and arithmetic calculus. All the statistic processing was in Microsoft Excel 2007. Results: The personal spend on cigarettes and tobaccos from 2013 to 2016 shows a stable and defined structure. Conclusions: Havana, Santiago de Cuba provinces and the Special Municipality Isla de la Juventud were the Cuban regions showed consumption rate higher than the national middle.
引言:作为危险因素,吸烟意味着一种社会机会成本,因为没有获得满足烟草和卷烟需求的全部商品和服务。在烟草和香烟消费增加的同时,这些机会成本也将增加。目的:描述2013 - 2016年古巴烟草和卷烟消费情况。材料与方法:对2013 - 2016年古巴烟草和卷烟消费进行描述性和纵向研究。我们采用了两种比率:以比索计算的香烟和烟草的月人均销售额和以百分比计算的中等工资的香烟和烟草月人均销售额。理论方法:历史-逻辑,归纳-演绎,比较,分析与综合。实证方法:文献和书目研究和算术演算。所有统计处理均在Microsoft Excel 2007中进行。结果:2013 - 2016年我国个人卷烟消费结构较为稳定、明确。结论:哈瓦那省、古巴圣地亚哥省和青年岛特别市是古巴消费水平高于全国中等水平的地区。
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引用次数: 0
Personal spend on cigarettes and tobaccos in Cuba from 2013 to 2016 2013年至2016年古巴香烟和烟草的个人支出
Pub Date : 2020-07-29 DOI: 10.31579/2693-4779/011
F. Hernández
Introduction: As risk factor smoking means a social opportunity cost because of the whole goods and services didn´t obtained to satisfice the tobacco and cigarettes demand. While the tobacco and cigarettes spend is increasing these opportunity cost will be increasing too. Objective: To describe the tobacco and cigarettes spends in Cuba since 2013 to 2016. Materials and methods: Was made a descriptive and longitudinal research about the tobacco and cigarettes spends in Cuba from 2013 to 2016. Were utilized two rates: monthly per capita sales on cigarettes and tobaccos measured in pesos and monthly per capita sales on cigarettes and tobaccos respect to middle salary measured in percent. Theoric methods: Historic – Logic, Inductive – Deductive, Comparative and Analysis and Synthesis. Empiric methods: documental and bibliographic research and arithmetic calculus. All the statistic processing was in Microsoft Excel 2007. Results: The personal spend on cigarettes and tobaccos from 2013 to 2016 shows a stable and defined structure. Conclusions: Havana, Santiago de Cuba provinces and the Special Municipality Isla de la Juventud were the Cuban regions showed consumption rate higher than the national middle.
引言:作为危险因素,吸烟意味着一种社会机会成本,因为没有获得满足烟草和卷烟需求的全部商品和服务。在烟草和香烟消费增加的同时,这些机会成本也将增加。目的:描述2013 - 2016年古巴烟草和卷烟消费情况。材料与方法:对2013 - 2016年古巴烟草和卷烟消费进行描述性和纵向研究。我们采用了两种比率:以比索计算的香烟和烟草的月人均销售额和以百分比计算的中等工资的香烟和烟草月人均销售额。理论方法:历史-逻辑,归纳-演绎,比较,分析与综合。实证方法:文献和书目研究和算术演算。所有统计处理均在Microsoft Excel 2007中进行。结果:2013 - 2016年我国个人卷烟消费结构较为稳定、明确。结论:哈瓦那省、古巴圣地亚哥省和青年岛特别市是古巴消费水平高于全国中等水平的地区。
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引用次数: 5
Coronavirus (COVID-19) Outbreak: A Test of Viral Muscle Versus the Human Tussle 冠状病毒(COVID-19)爆发:病毒肌肉与人类角力的测试
Pub Date : 2020-07-14 DOI: 10.2174/2213476x07999200309141640
K. P. Satish, S. Nair
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引用次数: 0
A Comprehensive Review of Regulatory Requirements and Registration Process of Pharmaceutical Drug Products in CIS Countries 对独联体国家药品监管要求和注册过程的全面审查
Pub Date : 2020-07-08 DOI: 10.2174/2213476x07666200708105237
Kapil Pihwal, Neelam Pawar, Sheikh Aamir, M. S. Alam, Vikas Rathee
The CIS region has a potential market for India. The registration of thedrug products in CIS regions is a challenging task because these countries have no harmonizedregulatory organization. The CIS region includes 12 countries such as Russia, Kyrgyzstan,Ukraine, Uzbekistan, Kazakhstan, Tajikistan, Turkmenistan, Armenia, Azerbaijan, Belarus, Georgiaand Moldova, which require different regulatory guidelines for medicinal product registrationas per their FDA guidelines. The different guidelines for the same region become a challengingtask for the manufacturer and exporter. The registration of the same product for different countriesof CIS is not possible with the same dossier due to the lack of their regulatory harmonization.These countries obey their country-specific dossier format, so to target these market manufacturersand exporters needs to submit different dossier documents for different countries. But Ukraineand Kazakhstan have harmonization and it varies in Uzbekistan and Tajikistan. Ukraine and Kazakhstanare also imposing strict rules and expecting USFDA level documents for approval.The overall conclusion is that harmonization in CIS is highly imbalanced, which affectsboth time and cost for product registration. Harmonization is the need of the era for easyproduct registration, and it will be beneficial for the manufacturer, regulator, importer, exporter,and to access medicines of high public health value.
独联体地区对印度有潜在的市场。在独联体地区注册药品是一项具有挑战性的任务,因为这些国家没有统一的监管组织。独联体地区包括俄罗斯、吉尔吉斯斯坦、乌克兰、乌兹别克斯坦、哈萨克斯坦、塔吉克斯坦、土库曼斯坦、亚美尼亚、阿塞拜疆、白俄罗斯、格鲁吉亚和摩尔多瓦等12个国家,根据其FDA指南,这些国家对药品注册需要不同的监管指南。对于制造商和出口商来说,同一地区的不同指导方针成为一项具有挑战性的任务。由于缺乏监管协调,同一产品在独联体不同国家的注册是不可能的。这些国家遵守其国家特定的档案格式,因此为了针对这些市场,制造商和出口商需要为不同的国家提交不同的档案文件。但乌克兰和哈萨克斯坦是和谐的,乌兹别克斯坦和塔吉克斯坦则有所不同。乌克兰和哈萨克斯坦也实施了严格的规定,并期待获得美国食品药品监督管理局(fda)级别的文件批准。总体结论是,CIS的协调是高度不平衡的,这影响了产品注册的时间和成本。统一是易于产品注册的时代的需要,它将有利于制造商、监管机构、进口商、出口商以及获得具有高公共卫生价值的药物。
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引用次数: 0
期刊
Applied Clinical Research, Clinical Trials and Regulatory Affairs
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