Pharmaceutical Pricing: A Review of Proposals to Improve Access and Affordability of Prescription Drugs

This article discusses how pharmaceutical innovation achieves remarkable improvements in human health but a significant portion of the U.S. population cannot afford prescription drugs. The author examines ways that patent protection, generics, supply chain complexity, and the cost of innovation and promotion affect access and affordability. The author then looks at the influences of marketing strategies and industry trends such as the patent cliff and pipeline for new drugs, innovations in biotechnology and genomics, comparative effectiveness analysis, and payor and employer strategies on drug prices. An analysis of reform proposals in the context of industry trends suggests that promoting generic drug use and availability through education, prohibiting authorized generics, and restricting the practice of developing follow-on drugs and discontinuing the original formulations upon patent expiration could improve access and affordability most quickly and significantly

Manejo de plantas daninhas e fertilidade limitam o potencial de produtividade da mandioca em ambiente subtropical

The objectives of this study were to evaluate the response to fertilization and different weed control periods in the accumulation of dry matter of cassava leaves, stems, roots, and fresh mass roots yield. Two experiments were carried out on commercial fields in Ibarama, and Santa Maria municipalities located at the Rio Grande do Sul State, South Brazil, during the 2018/2019 growing season. Five treatments, varying chemical fertilizer applications and herbicides were used to represent management practices commonly used by farmers in Southern Brazil. The Simanihot process-based model simulated cassava growth, development, and productivity under potential conditions. Results show that the recommended dose of fertilizers and liming combined with pre-emergent herbicide and three mechanical weed clear management showed a 72% increase in root productivity compared to the management used by the average yield of smallholder farmers. Therefore, it is possible to reach 80% of the potential productivity by keeping the cassava crop free from weed interference and applying fertilizers. The presence of weeds during the first 100 days after planting reduced about 50% of the plant dry matter production in Ibarama and Santa Maria. Interestingly, it also affects 79.2% of fresh roots productivity in Ibarama. The objectives of this study were to evaluate the response to fertilization and different weed control periods in the accumulation of dry matter of cassava leaves, stems, roots, and fresh mass roots yield. Two experiments were carried out on commercial fields in Ibarama, and Santa Maria municipalities located at the Rio Grande do Sul State, South Brazil, during the 2018/2019 growing season. Five treatments, varying chemical fertilizer applications and herbicides were used to represent management practices commonly used by farmers in Southern Brazil. The Simanihot process-based model simulated cassava growth, development, and productivity under potential conditions. Results show that the recommended dose of fertilizers and liming combined with pre-emergent herbicide and three mechanical weed clear management showed a 72% increase in root productivity compared to the management used by the average yield of smallholder farmers. Therefore, it is possible to reach 80% of the potential productivity by keeping the cassava crop free from weed interference and applying fertilizers. The presence of weeds during the first 100 days after planting reduced about 50% of the plant dry matter production in Ibarama and Santa Maria. Interestingly, it also affects 79.2% of fresh roots productivity in Ibarama.Os objetivos deste trabalho foram avaliar a resposta à adubação e diferentes épocas de controle de plantas daninhas no acúmulo de matéria seca de folhas, hastes, raízes e produção de massa fresca de raízes de mandioca. Dois experimentos foram conduzidos em campos comerciais nos municípios de Ibarama e Santa Maria localizados no Rio Grande do Sul, Sul do Brasil, durante a safra 2018/2019. Cinco tratamentos, com aplicações variadas de fertilizantes químicos e herbicidas foram utilizados para representar as práticas de manejo comumente utilizadas pelos agricultores do Sul do Brasil. O modelo baseado no processo Simanihot foi usado para simular o crescimento, desenvolvimento e produtividade da mandioca sob condições potenciais. Os resultados mostram que a dose recomendada de fertilizantes e calagem combinados com herbicida pré-emergente e três manejos mecânicos de limpeza de plantas daninhas apresentaram um aumento de 72% na produtividade de raízes em relação ao manejo utilizado pela produtividade média dos pequenos agricultores. Portanto, é possível atingir 80% do potencial de produtividade mantendo a cultura da mandioca livre de interferência de plantas daninhas e com aplicação de fertilizantes. A presença de plantas daninhas durante os primeiros 100 dias após o plantio reduziu cerca de 50% da produção de matéria seca da planta em Ibarama e Santa Maria e 79,2% da produtividade de raízes frescas em Ibarama

Pharmaceutical Pricing: A Review of Proposals to Improve Access and Affordability of Prescription Drugs

This article discusses how pharmaceutical innovation achieves remarkable improvements in human health but a significant portion of the U.S. population cannot afford prescription drugs. The author examines ways that patent protection, generics, supply chain complexity, and the cost of innovation and promotion affect access and affordability. The author then looks at the influences of marketing strategies and industry trends such as the patent cliff and pipeline for new drugs, innovations in biotechnology and genomics, comparative effectiveness analysis, and payor and employer strategies on drug prices. An analysis of reform proposals in the context of industry trends suggests that promoting generic drug use and availability through education, prohibiting authorized generics, and restricting the practice of developing follow-on drugs and discontinuing the original formulations upon patent expiration could improve access and affordability most quickly and significantly

Chilean management education: rhetoric of pragmatism, consumerism, individualism and elitism

The aim of this paper is to understand the character and the role of higher education in business in relation to the wider institutional and structural contexts within which they function. Being loyal to that widespread background, business schools in Chile have become efficient providers of appropriate goods and services for their respective clients and consumers, behaving more like corporations and businesses rather than educational institutions. From this perspective, business education's alignment with the wider political and socio-economic shifts associated with the developments of market economies and economic globalization is a necessary reflection. In this paper we will provide an account of our problematization of management education practices in Chile. This practice was pictured as one of the main characters at the forefront of the Chilean neo-liberal revolution during the final years of the last century. In particular, we will unravel more closely the chain of signifiers articulating the meaning of Chilean higher business education. This articulation is recuperated mainly around how those involved in the management education practice talk about (our)themselves. As well as specialised press writings, some academic accounts and fragments from our own 'ethnographic' involvement are used for this purpose. Particular attention is paid to the social, political and fantasmatic logics (GLYNOS; HOWARTH, 2007) as key elements of our own explanation of this practice, which in turn informs our critical standpoint

Ion Transport across Transmembrane Pores

To study the pore-mediated transport of ionic species across a lipid membrane, a series of molecular dynamics simulations have been performed of a dipalmitoyl-phosphatidyl-choline bilayer containing a preformed water pore in the presence of sodium and chloride ions. It is found that the stability of the transient water pores is greatly reduced in the presence of the ions. Specifically, the binding of sodium cations at the lipid/water interface increases the pore line tension, resulting in a destabilization of the pore. However, the application of mechanical stress opposes this effect. The flux of ions through these mechanically stabilized pores has been analyzed. Simulations indicate that the transport of the ions through the pores depends strongly on the size of the water channel. In the presence of small pores (radius <1.5 nm) permeation is slow, with both sodium and chloride permeating at similar rates. In the case in which the pores are larger (radius >1.5 nm), a crossover is observed to a regime where the anion flux is greatly enhanced. Based on these observations, a mechanism for the basal membrane permeability of ions is discussed