...13605 | Ankit Khurana | | PROBLEM STATEMENT The decision of Cooper Pharmaceuticals, Inc. (CPI) on terminating the services of Bob Marsh, a detailer who had twelve years of experience with their company and also had an unmatched rapport with many physicians and hospitals in the geographical territory assigned to him. ENVIRONMENTAL SCAN The Pharmaceutical industry witnesses a cut-throat competition with major brands having a hold over the industry. This industry utilized a sales force of detailers who played a major role in their sales. Their job was to persuade medical personnel to use and prescribe certain drugs. A typical CPI was responsible for about 200 physician and hospital accountants within an assigned geographic territory. CPI was a major manufacturer of prescription drugs for medical and dental professions. These products were channeled through drug wholesaler and then the drug stores for reselling to the general public. SWOT ANALYSIS ON MARSH Strengths: 1. Quick learner 2. Good people skills 3. Friendly nature with the customers Weaknesses: 1. Poor organizing skills 2. Poor planning skills 3. Poor attitude 4. Lack of enthusiasm 5. Lack of sincerity 6. Low knowledge of technical and promotion literature 7. Low reliability Opportunity: Bon Marsh had run successfully drug store and with the experience in CPI, he can restart the same business again. Threats: There are many retailers in pharmacy and it may be difficult...
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...Impact of the Global Economic Downturn page 9 6) Summary page 10 7) Conclusion page 11 Bibliography page 12 8) 1. Introduction This paper briefly examines the current state of the pharmaceutical industry, as well as the economic characteristics, performance, and the impact of the global recession. The industry is made up of several enterprises engaging in the research, development, manufacture and marketing of medicines, vaccines, medical devices, and nutritional products for humans and animals. Though, this multi-billion dollar industry includes large ethical drug multi-nationals (often referred to as Big Pharma), mid-sized specialty pharmaceutical companies, manufacturers of generics, small biotechnology and biopharmaceutical firms, and service companies, 1 for the purpose of this paper, the emphasis will be mainly on drug makers. 2. History/Overview of the Industry The pharmaceutical industry of today is a far cry from its humble beginnings in the nineteenth century of physicians mainly prescribing plant extracts to being technology intensive, dominated by a few large companies with significant research and development (R&D) budgets, and significant government oversight. Over the past five years, the industry has been characterized by mega-mergers and acquisitions, company reorganizations, regulatory reform, expiring patent protection, and the growth of generics. Figure 1. Big Pharma Top 10 for 2010 The...
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...Hunter Viles™ Mrs. Lesky Eng III 6th hour 19 September 2012 Whistle Blower Drugs are around. No matter where you go. It’s a fact of life. Many people try not to believe it, but it’s true. Cops do their job to make sure these “drugies” and “druge dealers” get caught and justice is served, right? Well, for the most part, they do. However, there is a right way and there is a crooked way to do things. Cops in Charlevoix have been proved to misuse drug dogs. Who knows who else have been using drug dogs to their advantage. They’re animals that can easily be trained and controlled by humans. Drug dogs should not be used because they aren’t always accurate, they cost too much, and some cops don’t use them in the correct way. “Send the K9 unit!” Sounds pretty promising if a cop yells that, but not as much as you may think. Drug dogs have been known to be easily thrown off. Bacon, beef, and common dog treats have been known to throw off the scent of a professionally trained drug dog. If a drug dealer knows this simple trick, an easy getaway could be in his future. Something that is so easily thrown off should not be dependable. A nose of a dog shouldn’t be the last resort to try to find something or someone. For one of the best drug dogs you can possible get, the lowest price is $5,000, not including shipping. Most K9 units come from Germany which can ride shipping costs up to $3,000 a dog. This reason goes hand and hand with the first reason previously stated. If we pay up to...
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...of Illinois and Douglas Ganslar (D) of Maryland, allege that Caremark "engaged in deceptive business practices" by informing physicians that patients or health plans could save money if patients were switched to certain brand-name prescription drugs (Miller, Chicago Tribune, 2/14).[29] However, the switch often saved patients and health plans only small amounts or increased their costs, while increasing Caremark's profits, Connecticut Attorney General Richard Blumenthal (D) said (Levick, Hartford Courant, 2/15).[30] Pennsylvania Attorney General Tom Corbett (R) said the PBM [31] kept discounts and rebates that should have been passed on to employers and patients (Levy, AP/San Francisco Chronicle, 2/14).[32] In addition, Caremark did not "adequately inform doctors" of the full financial effect of the switch and did not disclose that the switch would increase Caremark's profits, the lawsuit alleges (Chicago Tribune, 2/14).[29] ...The settlement prohibits CVS from requesting prescription drug switches in certain cases, such as when the cost to the patient would be higher with the new prescription drug; when the original prescription drug's patent will expire within six months; and when patients were switched from a similar prescription drug within the previous two years (Hartford Courant, 2/15).[30] Patients also have the ability to decline a switch from the prescribed treatment to the prescription offered by the pharmacy under the settlement, Madigan said...
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...11, 2014 Dr. Jane Manson Can Medication Generate a False PTSD Event? During the past few decades, many soldiers have returned from war (Dessert Storm, Dessert Shield, Iraq, and Afghanistan) with having Post Traumatic Stress Disorder (PTSD), traumatic experience and sleep disorders. Traumatic experiences have a different effect on each person. Each person that went to war had a different mission. Each of these soldiers has experienced different variations of the war from their contributions. Some of the soldiers have been medicated during the wars, and some are being treated after the wars. Many have been on medication prior to the war and sent with these medications. This doctrine is going to depict if medications and drugs, whether legal or illicit, have caused a kind of PTSD event within this special group of people. The people that make up the military force and veterans are approximately one percent of the population of the United States. This is a much-diversified group of people. They comprise of the Air Force, Army, Navy, Marines and Coast Guard. These are further broken down to reserves and national guards. They also come from different ethnic backgrounds, race, male and female alike. Many reports have been made in the media about the soldiers that have returned about the various treatments they have experienced and care that has been provided them. The purpose of this proposal is to find out if medications have generated a false...
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... This kind of needless torture happens hundreds of times every day as scientists don’t even care if the animal is suffering. Animal testing should be banned because we don’t need the next eyeliner and we have a different body system than animals. Claim: My claim is that we should not do animal testing. First Argument: The first reason why is that they kill animals just to have the next medicine,soap, and food ingredient. My first piece of evidence: Right now there are millions of animals such as dogs, cats, rats, mice, and primates getting tortured just to get the next product of eyeliner. In a recent article by PETA they said that “More than 100 million animals every year suffer and die in cruel chemical, drug, food, and cosmetics tests”(PETA), just to see if the products work. There are some countries such as Europe are getting away from buying products that were animal tested. China is different, they are continuing to sell animal cosmetics. What are cosmetics? A product applied to the body, especially the face, to improve its appearance. In 2014 “China spent 26.3 billion dollars, just on cosmetics”(Jeanne Kim). This proves that people should not kill animals just to get the next resource. The second piece of evidence: Animals are suffering mentally and physically in the facilities where they are getting treated. In the “United States there are over 1,100 facilities” where dogs, cats, rats, mice, and primates are suffering from all of...
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...Delirium is marked by disorientation without drowsiness, hallucinations, delusions; difficulty in focusing attention; inability to rest and physical and autonomic over activity. Common causes of delirium are drug and alcohol withdrawal; medication side effects, infections, pain surgery or trauma, hypoxia, and acid-base electrolyte imbalances. Treatment of delirium includes determining the cause of the delirium. Antipsychotic drugs and benzodiazepines may be used cautiously when other non-pharmacological interventions have failed. (Tabors 2009) Dementia is a progressive irreversible decline in mental function marked by memory impairment and often deficits in reasoning, judgment, abstract thought registration, comprehension, learning, and use of language. Symptoms may take months to years to progress and they include poor judgment, clouding of consciousness and orientation, depression, agitation sleeplessness, Patient may become dependent of activities of daily living. Dementia may result from AIDS, chronic alcoholism, Alzheimer’s disease, vitamin B12 deficiency, carbon monoxide poising, hypothyroidism and subdural hematomas. 4.5 million People in the U.S are affected by dementia. 20-40% of patients with dementia are over the age of 85. (Tabor’s 2009) Some of the most common drugs used to treat dementia are Tacrine (Cognex), Donepezil (Aricept), Rivastigmine (Exelon), and Galantamine (Razadyne). When administering these medications to a patient it is important to remember that each...
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...its criminal and civil liability arising from the company’s unlawful promotion of certain prescription drugs. GlaxoSmithKline committed unethical behavior by neglecting to turn in all research on their pharmaceuticals. By them not turning in all the research it hid some information that was critical to rather or not the drug was legal and healthy for the prescribed patients. GlaxoSmithKline failed to report certain safety data that could have caused major harm to anybody that used their product. Blinded by the greed and wanting to produce a well profitable product, GlaxoSmithKline withheld the information and released their drugs. With the safety data withheld and the health care representatives still passing out drud samples to hospitals and clinics throughout the United States, this could have caused a significant medical problem. The possibility of the drug medically injuring a patient would be the worst situation imaginable. The patient is not the only one that could have been injured due to the lack of research GlaxoSmithKline announced about the product. The doctors and clinics who the patients received the drugs from would also be hurt. Granted the doctors and clinics would not be hurt physically, their reputation and image could be significantly damaged if they were the ones who prescribed the drugs to the patient that ended up dead, do to a side effect that the drug caused. Doctors and clinics could lose some previous patients and creditability, but one group of individuals...
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...Study drugs in the USA How much pressure is too much pressure? Family, friends, social events, hobbies, a job and outstanding grades – how much is too much for the average teenager? Nevertheless, does the enormous pressure justify the use of ‘’smart pills’’? What about ethics and standards? To the head of the class, but at what price? The non-fiction text ‘’Do ‘study’ Drugs’ Breed a Nation of Winners or – Cheaters?’’ written by David Sack and published in 2012 shows a great example of this increasing issue. That guides me to the genre and sender of the text, which is a non-fiction article written by David Sack. The article was published on Huffington Post website on July 19, 2012. The article is probably intended for young people/students to read, to show them the many consequences of ‘’study drugs/smart pills’’. The article is relevant due to the lack of knowledge on the topic ‘’study drugs’’, which is teenage students consuming prescription drugs to gain higher grades in school. The topic is conveyed negatively because it mostly focuses on the consequences instead of the good things. That leads me to the structure of the non-fiction text. In the beginning of the article, the author describes the current situation in USA by writing: ‘’ Is this obsession with achievement equipping our children for real life? Or are they simply getting the message that it’s no longer about how they play the game, but about winning at all costs? ‘’. Sack then explains the term ‘’study drugs’’/‘’smart...
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...Pill by Ken Blanchard and Marc Muchnick. They relay a parable of a pill that one can take that encompasses all of the attributes of a highly successful manager. Although many peoples’ stories warrant justifiable consideration, it is questionable to me as to whether the explanations of others are the truth. This is a difficult topic for me, and I believe that it would be difficult for most people. I did not realize that this book entailed actually taking a drug. This totally weirded me out. According to this book, it seems as though middle management is a bit ignored as long as they do their job acceptably. The Leadership Pill was a good book and not only made me think, it made me learn. These people wonder whether or not such a pill would be a miracle or a hindrance. It made me smile a bit when it spoke of its various hypothetical drug interactions. How nice it would be to simply be able to take a Leaderhip Pill, and then have everything work well. However, some people like me have a weird fear of drugs and would be afraid to take anything, well, at all. ( I would hate to see myself as a resistant old person. I hate taking my vitamins as it is. ) I really am glad that I was able to take this class. There are so many that I am required to take that just take the joy out of my life and make me question my sanity. I do not understand how anyone could have any sort of passion about finance. I often wonder if there is anyone else who wanted a marketing masters but...
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...tactics to motivate his audience to take such actions. A reformed drug addict can inspire teenagers to prevent drug abuse, for example, or a former managing director, the company can now talk to the vendors to boost morale. The ultimate goal of an effective motivational speaker is to convince his audience to do some kind of personal or professional change in themselves. A former New York detective named David Toma is perhaps one of the most recognized motivational speakers in the United States. Toma personally witnessed the devastating effects...
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... Anali Khalil Case Analysis 2 November 1, 2015 I. Client Psycho-Social Brandy is a 32-year-old Mexican mother of two, who is currently seeking treatment for heroine and alcohol use. Brandy was recently arrested for possession and distribution of heroin, and was court ordered to comply with substance-abuse classes. During intake, Brandy states that she has been using heroin for the last four years. Brandy states that after she had her twins, she felt very alone and overwhelmed. Although Brandy is still with the father of her children, she states that her significant other works 13 hour days, which gives her plenty of time to use. Aside from her regular heroine use, Brandy also states that she regularly drinks bottles of wine on a weekly basis. Brandy states that as a child, she remembers her mother regularly drinking wine, at times even sending her to the refrigerator to pour her another cup. Although Brandy has never been in trouble previously, she states she has considered treatment often. Brandy states that the longest time she has been sober from alcohol was for about 3 to 4 days. She states the longest she has not used heroin was 2 days. At this time, Brandy states that she wishes to get treatment for her heroin use. Brandy insists that her alcohol use does not negatively affect her, however not only did she lose her job due to an alcohol binge 3 years ago, but she also has had several marital issues that have put her on the brink of divorce. In addition, Brandy...
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...that’s what it’s all about. The idea of becoming a top athlete is a dream many athletes hope to achieve regardless of the means of achieving this dream. Many athletes resort to the use of performing enhancing drugs, steroids as such, to reach the top and become the best. The film, “Bigger, Faster, Stronger,” by Christopher Bell, released January 19, 2008, shares the struggle he and his brothers faced with the use of steroids while trying to become more like their idolized characters, such as Hulk Hogan, Rocky, and Arnold Schwarzenegger. The film is a sport documentary that shows the win at all cost lifestyle, that many athletes have taken in, from the viewpoint of bodybuilding and performance enhancing drugs. It also examines the inconsistency of the views on...
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...Secondly, the results of professional athletes using steroids is harmful to the fans. Albert Schweitzer, once quoted “Example is not the main thing in influencing others. It is the only thing.” In the article “Let steroids Into the Hall of Fame” written by Zev Chafets, he writes a major key point about “People thinking that steroids can set a bad example to the young athletes”. Younger fans hearing of their heroes using enhancement drugs can be harmful to their health and to their life. Children and the way they think are very persuasive. Players should think about the impact they have on the lives of children. Some children may believe that the only way that they are ever going to carry out anything in sports, is by using performance enhancement...
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...1. Mr Green is a 52-year-old male that has a chief complaint of a red rash that has been present for five days. He notes only occasional itching from the rash. Name five questions from 3 different systems to assess a cause of this patient’s rash. 1) Are you experiencing any pain, fever, chills, or malaise with this rash? 2) Is there any tenderness or enlargement of your lymph nodes? 3) Do you have any shortness of breath, difficulty breathing, wheezing, and or cough? 4) Have you noticed any pigmentation or texture changes to your skin? 5) Have you made changes in your diet and or have food restrictions due to an allergy? 2. A 67-year-old Caucasian female presents to you with a chief complaint of severe fatigue and weight loss. She notes that she has some a few dark spots on her neck and chest that she is worried about. Proceed by beginning the interview with obtaining a history of present illness (HPI) with this patient. Include OLDCARTS and ROS for at least 2 different systems 1) When did you start to have severe fatigue and weight loss? Did the dark spots appear at the same time or after? 2) Would you describe your weight loss and fatigue as generalized? 3) Has the fatigue and weight loss been consistent? Do the spots on your skin disappear? 4) How would you describe the fatigue and weight loss? Is there any pain, swelling, redness, drainage to these spots? 5) Does anything make you feel more fatigued? 6) What has helped you combat the weight loss and fatigue...
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