The Global Clinical Trial Is A Very Challenging Job

The global clinical trial is a very challenging job; it involves strategic decision making which can affect drug development and approval process. Many factors should be considered in selecting countries, most common in feasibility studies include: the prevalence of the disease, regulatory requirement, patients’ recruitment, experience clinical trial specialist availability, ethical issues, language barrier, and marketing strategy. In this report, we perform a thorough assessment of conducting clinical trials in countries such as Canada, Germany, Spain, Japan and the US. The criteria chosen for this assessment include disease prevalence, insurance coverage, patient enrollment rates, regulatory environment and finally costs associated with†¦show more content†¦Additionally, the rates of heart attack are 1.8 times higher among adults diagnosed with diabetes than those without a diagnosis. When compared with men, women of all ages diagnosed with T2DM have even a higher risk of heart disease (NIDKK, 2016). Why selection of Germany? According to traveler’s digest, Germany’s size is comparatively small to the state of California (2014). Despite its small size, Germany ranks amongst the worst for all things diabetes. As of 2008, 7.4 million (12% of the total population) adult citizens are plagued with diabetes in Germany with an additional 4.1 million citizens on the brink of having the condition with prediabetes. Type II diabetes accounts for about 80-90% of all diabetic cases in Germany. It s also significant to note that 1/10 diabetes sufferers in Germany also have coronary heart disease (Novo Nordisk, 2008). Additionally, there have been a predicted 3 million undiagnosed cases of diabetes waiting to add to more startling statistics (Tenderich, 2011). When it comes to clinical research, it appears Germany has a legitimate presence and good rapport with industries that cater to healthcare. Germany’s involvement in clinical studies far exceeds its demographics with a strong medical tradition as well as a

Katie And Joe Play Free Essays

Is she the reason your grades are so low? Katie: NO it isn’t about her. [Joey’s phone beeps. ] Joe: Did you go to Dry. We will write a custom essay sample on Katie And Joe Play or any similar topic only for you Order Now Phil yesterday by any chance? [Joe walks over to the other side of the room picks up a charger and walks towards the small round table where there was an outlet and plugs in the charger and puts his phone on the table. ] Katie: Yeah.. ; [Pause] Joe: What did you guys talk about? Katie: Doesn’t matter. [Joe frowns] Joe: You know you can tell me anything, right? Katie: That’s Beethoven me and Dry. Phil. [Long pause] We just talked about mom, again. Joe: Oh, I see. [Joe walks over and sits beside Katie] Katie: Mom is coming back, right? Joe: Sweetie, Janice†¦ I mean your mother, she’s gone†¦ She’s not coming back. [Katie starts tearing] Joe: Katie [Long Pause] are you- Katie: I’m fine! [Joe walks to the stand across the room that held napkins and walks back with the napkin at hand] Joe: Oh my god, Kate! [Katie is sobbing and takes the cushion from the sofa and buries her face in it. Joe runs to the sofa and sits down] Joe: It’s going to be okay, you don’t have to cry anymore. Katie cries harder. Joe lets Katie cry for a while and let it all out] Joe: It’s going to be alright sweetie. Here wipe your face with this. [Joe held his hand out with the napkin still at his hand] Katie: Just leave me alone! [Katie pushes his hand out the way, the napkin flies across the room] Joe: Katie! [Katie gets up, the cushion falls. Katie tries to run out the room, Katie trips over the cushion and tries to get up, Joe tries to help. ] Katie: I said, leave me alone! [Small pause] I said I’m fine. [Joe stands back and watches Katie limp UT the room. Joe walks over to the other side of the room where his cellophane lied on the table. Joe takes out the plug and picks his phone up and dials a number. The phone rings, no one picks up. Joe walks to the bookshelf still holding onto his phone and picks up a photo album and sits down on the sofa. Joe flips through pages, slowly feeling depressed. Joe receives a phone call, he picks it up. ] Joe: Hello. Mike: Hey, you called earlier? Joe: Yeah, you busy? Mike: No why? Joe: Can you come over? Really need to talk to you. How to cite Katie And Joe Play, Papers

Indian Ethos and Values free essay sample

This is the first truth thought to every child. Even a poor uneducated man living in a hut knows that God is in everybody and therefore there is sameness in all. The second truth is about a holistic universe. Where at a level of pervading consciousness everything is interconnected at WASTHI LEVEL (Individual level) my limbs, hands, legs, ears, eyes, heart, lungs. Everything are me. I live in all of them. Their sorrows and joys are my sorrows and Joys. Similarly at SAMASTHI level (the whole universe) I am not a single individual but I am a part of the whole universe Just as my limbs are part f me. Modern science has accepted that in this holistic universe all minds and matters are interconnected at a deeper level. The basic unity of life cannot be broken. Love, sacrifice therefore emerge as the only for a meaningful living. On the basis of this holistic vision, Indians have developed work ethos of life. We will write a custom essay sample on Indian Ethos and Values or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page They found that all work, physical or mental, managerial or administrative have to be directed towards single purpose. The manifestation of the divinity in man by working for the good of others, for the happiness of others. These Indian ethos are required all over he world in present scenario in managing business and industry effectively and efficiently. Some of these ethos are as follows: All work/Karma to manifest divinity, hence these must be pure, good, honest and sincere. Indian philosophy also teaches to perform every work without having any attachment to result, because results do not fall under the Jurisdiction of a doer. Such thinking and understanding will change the whole attitude. Now the results will become a PRASAD-gratitude coming from the God himself. You can now accept the result with open mind without apprehensions-Just as you accept members into Considering motivations as internal every human being has the same divine atman with immense potentialities within Vedanta brings infinite expansion of mind, breaks down all the barriers and brings out the God in man. Motivation is to be internal and not external. Such motivation involves the inner beauty and does not promote any greed in an individual to have more and more in return of his work. Such an understanding is essential before embarking on the task of building the indigenous system of management. These are: Essential divinity of human soul Essential owners and solidarity of universe and all Philosophy of an integral experience. Family is the basic unit of social system. Rishi and ashramiac culture. Purusharth the mission. Varna-Ashram system. Spirit is free enquiry, tolerance and selective assimilation. The characteristics of Indian culture are that attends to be pervasive and enduring. When an international company is setting up business in India, it will have to look for the acceptability of their management in its present form in the Indian situation. The four basic cultural dimensions which may account for differences in management and HRD practices across culture are: the extent to which a society empahises collective rather than individual activity. the extent of power distance or tolerance for social inequility the extent of acceptance of uncertainity the extent to which a society empahises masculine values and behaviour such as assertiveness,ambitiousness and dominance etc. In the above diagram, the basic or the fundamental requirement for a manager is his VISION and attitude towards the environment in its totality i. e. Cosmic view based on cultural values. Next comes the emotional stability of the manager. He must be a self- controlled and self-propelled man. This can come by the heavy input of sattvic gunas and the constant practice of niskam karm. Job skills is the last input. Which though important, is not the Core Requirement as the westerners view it. Hence any international company should imbibe above mentioned features seeking the business in India.