belstaff fraser jacket the presence of a cadre of well trained multilingual professionals with relevant expertise in research

Urgent need to deal with its unintended consequencesIndia, the country with the largest disease burden in the world,1 is now a major international hub for clinical research. However, a recent policy that was meant to mitigate important ethical concerns may have profound and unintended consequences for public health and may threaten the viability of clinical research in India.India has an impressive profile of research. Its clinical research market alone has been estimated to be worth nearly $500m (Rs30240m; 326m; 376m) in revenues.2 India has also been an active partner in international collaborative global health research, including the recent development of a low cost rotavirus vaccine Rotavac.3In 2011, the Clinical Trials Registry of India registered more than 1800 trials.4 These included studies of treatments for cancer, diabetes, and cardiovascular disease, as well as public health trials of optimal childhood vaccination and HIV treatment. In addition, India is the world’s largest producer of generic drugs $10bn worth and the main supplier of antiretrovirals to donor supported HIV treatment programmes in developing countries.5 6 Furthermore, the country supplies nearly 80% of the global supply of DPT (diphtheria, pertussis, and tetanus) and BCG vaccines and 90% of the measles vaccine.7Several factors have contributed to India’s global leadership in research and the production of generic drugs. Most important is the presence of a cadre of belstaff fraser jacket
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The aim was to create and then whittle away at a prioritised list of treatments covered by the state funded Medicaid programme, so that the available money would cover more people. With the global credit crunch likely to make scarce resources even scarcer, this week’s BMJ looks back at what can be learnt from Oregon and forward to how we should ration health care in the future. But it hit the rocks of an economic downturn, and almost no other health system has adopted the approach. Oregon’s latest attempt at health reform is more sophisticated, but, says Alakeson, it may prove just as unlucky in its timing. He is scathing about President Bush’s subversion of scientific evidence for political ends. A new president should swiftly recommit to science, transparency, and public scrutiny, he says.

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What you’d really like to do is design a system that would erode, in much the same way a bar of soap dissolves. Along with my students, I went through an entire engineering analysis to determine how one would do this, and came up with a family of polymers that we call polyanhydrides.

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