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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
11

The relationship between non-fatal overdose of pharmaceutical medications, suicidality and depression

Buykx, Penelope January 2007 (has links)
This thesis examines three main themes; depression, suicidality, and non-fatal overdose involving pharmaceutical and over-the-counter (OTC) medications. At any given time depression affects approximately one in every twenty adults in Australia. People with depression are at elevated risk of attempted and completed suicide compared to those without. Medication overdose is a frequently chosen method of suicidal behaviour, and accounts for one in ten suicide deaths and close to nine out of ten non-fatal episodes of suicidal behaviour for which hospital treatment is sought. The study reported here had six primary aims; (i) to quantify medication overdose presentations over a 12-month period to the Emergency Department (ED) of a major metropolitan public hospital in Melbourne, Australia, (ii) to describe the medication overdose patient group, including comparison with two other relevant types of presentation, illicit drug overdose, and actual or potential self-harm by means other than overdose, (iii) to explore the relationship between depression, suicidal ideation and medication overdose, (iv) to identify the medications typically used in overdose and their means of acquisition, (v) to explore patient experiences of emergency care following a medication overdose, and (vi) to comment on the feasibility of introducing a brief intervention within the ED with the intention of addressing the issue of medication overdose. Three data sources were employed: computerised ED records, interviews with a sub-sample of patients attending the ED following a medication overdose, and observation of ED processes in relation to these cases. / One of the most important findings of the study was the large contribution made by benzodiazepine medications to the overall medication overdose statistics. When considered in conjunction with the patient interview data, it appeared that many patients included in the study were prescribed benzodiazepines in a manner that contradicts current national prescribing guidelines. The problem of medication overdose could be partially addressed by working with doctors to ensure the appropriateness of their prescribing practices, to encourage them to more closely monitor the treatment progress of at-risk patients, and to increase awareness of other evidence-based forms of treatment for depression and anxiety.
12

Direct marketing σε μη συνταγογραφούμενα φάρμακα, OTC

Ζυγογιάννη, Γεωργία 19 January 2011 (has links)
Το direct marketing αποτελεί μια ιδιαίτερη μορφή marketing, όπου κάθε ενέργεια που περιλαμβάνει δημιουργεί ένα είδος διαπροσωπικής σχέσης μεταξύ επιχείρησης και πελάτη. Αποτελεί αναπόσπαστο κομμάτι της Ολοκληρωμένης Επικοινωνίας Marketing. Είναι ένας προσωπικός τρόπος προσέγγισης δυνητικών πελατών. Σύμφωνα με τον ορισμό της Direct Marketing Association , direct marketing είναι ένα αμφίδρομο σύστημα marketing (interactive system marketing) που χρησιμοποιεί ένα ή περισσότερα διαφημιστικά μέσα, προκειμένου να πραγματοποιήσει μια μετρούμενη ανταπόκριση (response) ή συναλλαγή (transaction) σε οποιοδήποτε σημείο. Γίνεται αντιληπτό, λοιπό, ότι περιγράφεται ένα αμφίδρομο σύστημα μεταξύ marketer και καταναλωτή. Τα βασικά εργαλεία του direct marketing αφενός δίνουν την ευκαιρία στους καταναλωτές να αποκριθούν θετικά ή μη στα μηνύματα που φέρουν προς αυτούς και αφετέρου δίνουν τη δυνατότητα στους marketers καταγράφοντας και μετρώντας τις αντιδράσεις των καταναλωτών να οδηγηθούν σε σημαντικά συμπεράσματα που θα τους βοηθήσουν σε μελλοντικό σχεδιασμό marketing. Τα βασικά χαρακτηριστικά του direct marketing συνοψίζονται στο ότι βρίσκεται δίπλα στον καταναλωτή, κατανοεί τις ανάγκες του, ανταποκρίνεται σε προσωπικό επίπεδο με τον καταναλωτή και διατηρεί σχέση μαζί του και μετά την συναλλαγή. Η φιλοσοφία του direct marketing είναι ότι κάθε πελάτης είναι μοναδικός. Βασικός σκοπός της έρευνας είναι πως επηρεάζει την καταναλωτική συμπεριφορά η εφαρμογή του direct marketing στο χώρο του φαρμακείου και συγκεκριμένα η εφαρμογή βασικών εργαλείων του direct marketing εντός του φαρμακείου όπως αυτή αποφασίζεται και σχεδιάζεται τόσο από τις εταιρίες όσο και από τον φαρμακοποιό. Η ερευνητική βάση της παρούσας εργασίας ήταν πως το direct marketing σε μη συνταγογραφούμενα φάρμακα- OTC δύναται να επηρεάσει την αγοραστική απόφαση του ασθενή ή δυνητικού πελάτη στο χώρο του φαρμακείου. Αποδεικνύεται, λοιπόν, ότι τo direct marketing εφαρμόζεται επιτυχώς στο σύγχρονο ελληνικό φαρμακείο. Σκοπός μιας θεματικής προβολής ενός φαρμάκου ή άλλου φαρμακευτικού ενδιαφέροντος προϊόντος είναι να λειτουργήσει σαν έναυσμα για τη συμβουλευτική προσέγγιση και πώληση. Η οργάνωση της θεματικής προβολής ξεκινά με στόχο να δοθεί ένα ξεκάθαρο μήνυμα στον επισκέπτη. Όπως προκύπτει από την ανάλυση των δεδομένων, ιδανικό είναι να γίνεται παρουσίαση σε τουλάχιστον 3 βασικά σημεία όπως είναι η βιτρίνα του φαρμακείου (την πρώτη εικόνα που έχει ο πελάτης που έρχεται στο φαρμακείο), γόνδολες ή σταντ στο χώρο προς το σημείο εξυπηρέτησης και ο πάγκο εξυπηρέτησης. Η έρευνα έγινε σε φαρμακεία δυο πόλεων της Ελλάδας( Πάτρα και Αθήνα) και απευθυνόταν σε ασθενείς και πελάτες των φαρμακείων, η επιλογή των οποίων ήταν τυχαία. Δημιουργήσαμε ένα ερωτηματολόγιο με 9 ερωτήματα και αντίστοιχα υπο-ερωτήματα. Αρχικά μοιράστηκαν 150 ερωτηματολόγια από τα οποία απαντημένα επεστράφησαν 102. Η συλλογή των απαντήσεων έγινε με την μέθοδο των προσωπικών συνεντεύξεων. Μετά τη συλλογή των ερωτηματολογίων και την καταγραφή των δεδομένων, έγινε η επεξεργασία τους με το στατιστικό πρόγραμμα spss.17 για τη εξαγωγή συμπερασμάτων. Το 44,1% των συμμετεχόντων στην έρευνα ήταν άνδρες και το 55,9 % γυναίκες. Η κατηγορία φαρμάκων που κερδίζει την προτίμηση των καταναλωτών και την οποία αγοράζουν σε τακτική βάση είναι τα αναλγητικά- αντιπυρετικά σε ποσοστό 39,2% και ακολουθούν τα αντιφλεγμονώδη –αναλγητικά σε ποσοστό 14,7%. Από την πρώτη σε προτίμηση κατηγορία φαρμάκων, το depon είναι εκείνο που αγοράζουν τακτικά οι καταναλωτές, ενώ από τα αντιφλεγμονώδη- αναλγητικά προτιμούν το ponstan. Οι συμμετέχοντες στην έρευνα συνηθίζουν να αγοράζουν τα φάρμακα βασιζόμενοι στην εμπειρία τους, στην διαφήμιση αυτών και στην ελκυστική συσκευασία τους, φροντίζουν να ενημερώνονται για τα κυκλοφορούντα OTC φάρμακα στην αγορά, η αγοραστική τους απόφαση επηρεάζεται από τις προωθητικές δραστηριότητες και ενδιαφέρονται για την ανάπτυξη ουσιαστικής επικοινωνίας με τον φαρμακοποιό. / Direct marketing is a special form of marketing, where every action creates a unique relationship between the venture and the customer. It is considered as an integral piece of Integrated Communication Marketing. Rather it can be characterized as a personal way to approach potential customers. According to the definition of the Direct Marketing Association, Direct Marketing is an interactive marketing system that uses one or more advertising means, so that it realises a measuring response or transaction at any point. As it is obvious, we have described an interactive system between the marketer and the consumer. The main philosophy of the direct marketing lies in the fact that every consumer is unique. We can summarize the basic characteristics of direct marketing in the following: • it tries to be near the customer, • understand his needs, • respond to them in a personal level • and to maintain a good relationship with him, even after the transaction. The basic tools of direct marketing enable on the one hand the consumers to respond directly in their own way (positively or negatively) to the messages of the marketers, and on the other hand enable the marketers to record and measure the counteractions of the consumers, so that they can actually conclude in significant results for their future marketing plans. The purpose of this study is to examine how the patient/consumer behavior is affected by the implementation of direct marketing in the actual area of a pharmacy, as this is applied either by companies or by the pharmacist himself. We restricted our research concern only to OTC medicines; therefore we could have a sample, where the final decision about drug consuming would be on the patient alone. We have seen that the direct marketing is successfully applied in today’s Greek pharmacy. The research took place in the pharmacies of two major cities of Greece, Athens and Patras, and was addressed to patients, who were randomly chosen. We handed out 150 questionnaires but finally gathered 102. We used SPSS 17 to process the data. 44,1% of the respondents were men and 55,9 % women. The first category of medicine that the patients buy is analgetics-antipyretics followed by anti-inflamatory drugs. As we have seen the major reasons that make patients decide what medicine to consume are experience, advertisements, and package.
13

Η επίδραση της διαφήμισης των μη συνταγογραφούμενων παυσίπονων φαρμάκων στη συμπεριφορά των καταναλωτών-ασθενών του φαρμακείου

Παπαδάκη, Ευαγγελία 17 September 2012 (has links)
Η παρούσα διπλωματική εργασία έχει ως σκοπό να μελετήσει αν η διαφήμιση των OTC παυσίπονων φαρμάκων επηρεάζει τη συμπεριφορά των καταναλωτών-ασθενών. Πιο συγκεκριμένα, μελετούνται διάφοροι παράγοντες που βρέθηκαν από τη βιβλιογραφική ανασκόπηση ότι επηρεάζουν τις επιλογές των καταναλωτών. Επίσης, διερευνήσαμε τη γνώμη των καταναλωτών για τα OTC παυσίπονα φάρμακα και πόσο σημαντικός είναι ο ρόλος του φαρμακοποιού για τις αποφάσεις που λαμβάνουν οι καταναλωτές. / The aim of this thesis is the impact of advertising OTC painkilling drugs on consumer behavior.
14

Στρατηγικές προβολής των μη-συνταγογραφούμενων (OTC) φαρμάκων

Ορθοδόξου, Σκεύη 11 January 2011 (has links)
Η εργασία που ακολουθεί εκπονήθηκε στα πλαίσια του μεταπτυχιακού προγράμματος σπουδών “Φαρμακευτικό Μάρκετινγκ”, του τμήματος Φαρμακευτικής του Πανεπιστημίου Πατρών, κατά την ακαδημαϊκή περίοδο σπουδών 2008-2010. Σκοπός της έρευνας ήταν να γίνει μια εκτίμηση της κατάστασης στο χώρο της αγοράς των μη συνταγογραφούμενων (over-the-counter/OTC) φαρμάκων, όπως οι φαρμακοποιοί το αντιλαμβάνονται, έχοντας υπόψη τις στρατηγικές που εφαρμόζονται στο χώρο τους από τις φαρμακευτικές εταιρίες. Τα μη συνταγογραφούμενα φάρμακα ή αλλιώς ΜΗ.ΣΥ.ΦΑ είναι φαρμακευτικά προϊόντα τα οποία ο ασθενής μπορεί να προμηθευτεί από τον χώρο του φαρμακείου χωρίς να κρίνεται απαραίτητη η προσκόμιση ιατρικής συνταγής. Επιπλέον, τα φαρμακευτικά αυτά προϊόντα δεν αποζημιώνονται από τα ασφαλιστικά ταμεία, ενώ επιτρέπεται ή διαφήμιση τους στο καταναλωτικό κοινό, τηρουμένων ορισμένων προϋποθέσεων. Οι διάφορες παράμετροι που περικλείονται σε αυτές τις ιδιαιτερότητες της αγοράς των ΜΗ.ΣΥ.ΦΑ μελετούνται και αξιολογούνται από τις φαρμακευτικές επιχειρήσεις, ώστε με βάση αυτές να καταστρωθούν οι κατάλληλες στρατηγικές που θα έχουν ως αποτέλεσμα μια επιτυχημένη πορεία του προϊόντος στην αγορά των OTC φαρμάκων. Για την πραγματοποίηση της παρούσας μελέτης συντάχθηκε ένα ερωτηματολόγιο αποτελούμενο από 8 ερωτήσεις κλειστού τύπου και αντίστοιχα υπο-ερωτήματα, το οποίο στη συνέχεια συμπληρώθηκε από φαρμακοποιούς οι οποίοι λειτουργούν φαρμακείο στην πόλη της Πάτρας και Ρόδου, υπό τη μορφή προσωπικής συνέντευξης. Τα δεδομένα που συλλέχθηκαν από τα ερωτηματολόγια αναλύθηκαν με τη βοήθεια του στατιστικού προγράμματος SPSS . / This work is the result of my thesis project carried out during the academic period 2008-2010 within the frames of ‘Pharmaceutical Marketing’, a postgraduate programme offered by Patras’s Pharmacy department. Primary objective of the study was to extract the beliefs of pharmacists concerning the (OTC) drug market, while having in mind familiar promotional strategies performed by pharmaceutical companies. The term ‘over the counter drugs’, specifies a category of drugs able to be purchased by the patient without doctor’s prescription necessary. Furthermore, OTC drugs are excluded from the government’s insurance cover drug list and their public advertisement (under certain conditions) is permitted. Numerous factors encircled in these specificities of OTC drug market are studied and evaluated by the pharmaceutical companies in order to develop the appropriate strategies that will ensure the success for an OTC product within this market. For the attainment of the study was conducted a questionnaire composed of 8 ‘closed type’ questions and correlative sub-questions. Afterwards, this questionnaire was filled in by pharmacists, through personal interview, operating a pharmacy in the city of Patras and Rhodes. Data collected, were analyzed using the statistical programme SPSS.
15

Team-Based Learning Approach for the Delivery of Over-the-counter Module in the Faculty of Pharmacy in Jordan

Basheer, H.A., Isreb, Mohammad, Batarseh, Y.S., Tweddell, Simon 17 June 2022 (has links)
Yes / Team-based learning is an active learning strategy that focuses on student’s engagement, development of critical thinking, and transferable skills needed in the workplace. While many pharmacy faculties around the world have applied team-based learning into their curriculums, the implementation of team-based learning into the Middle East is still in the experimental phase and poses its own challenges. This reflective statement elaborates on our experience and feedback of implementing team-based learning for the first time at the pharmacy faculty of Zarqa University in Jordan through the delivery of over-the-counter module.
16

'New departures' in infrastructure provision : an ongoing evolution away from physical assets to user needs

Ansar, Atif January 2010 (has links)
Infrastructure—communications, energy, transport, waste, and water networks—is critical for economic activity and social well-being. Practitioners, politicians, and economists advocate high levels of investment in infrastructure under the rubric of 'planning for growth' (or the 'push' paradigm). This paradigm relies on complex public-private arrangements in the name of public interest. These seemingly reasonable arrangements are, however, not delivering their promise. Evidence shows that the needs of infrastructure users in rich and poor countries are not being met, many private providers of infrastructure earn rich returns, assets are rarely built in time or on budget, and there is tremendous waste in the operation of many infrastructure industries. No other sector could survive the profligacy and slack common in infrastructure. I distil the following primary propositions of the accepted wisdom, which is inspired by mainstream economics: First, infrastructure assets necessarily entail high sunk costs and large economies of scale. Consequently, assets last for very long periods of time, and they cannot be readily moved. Second, infrastructure outputs are homogeneous. Third, one network fits all users (large and small). Fourth, infrastructure users, even large ones, are likely to have weak bargaining power in procurement of infrastructure outputs. I challenge these four propositions of the conventional wisdom by putting forward alternative hypotheses. First, instead of being monolithic and costly, infrastructures can be assembled (and disassembled) as flexible modules for specific users in specific places. Drawing on option pricing theory in quantitative finance, I recast infrastructures as 'portfolios of real options'. Second, infrastructure outputs are, in fact, heterogeneous and differentiated services. Third, one infrastructure network cannot fit all users, either today or in the future. Users are remarkably heterogeneous, not only in terms of unique user preferences but also in terms of spatial location. Infrastructure networks need to evolve in tandem with user needs or risk spatial, temporal, and relational obsolescence. Finally, users, large and small, are adept at exerting strong bargaining power in procuring infrastructure both prior to and after rendering durable and immobile investments. Users also strategically deploy intermediaries, e.g. futures and Over-the-Counter (OTC) exchanges, and real estate developers, to negotiate private contracts for infrastructure services. These findings are supported by two case studies. The first case study details the process by which ThyssenKrupp, a large steel company, bargained for its infrastructure by locating to a manufacturing site in the U.S. The second case study focuses on residents of Lavasa, one of the largest property developments in India. Here, small users of infrastructure exert strong bargaining power with the aid of intermediaries—the real estate developer and the property asset manager. New departures in infrastructure provision are urgently needed at a practical level. Poor investments rendered today—particularly if costly, inflexible, and durable—will suffocate tomorrow’s possibilities. The spatial, temporal, and relational approach proposed in this dissertation begins to offer an alternative account of how tomorrow can be modularly shaped.
17

跨國破產事件之爭議問題探討—以店頭衍生性金融交易市場及其案例為探討中心 / A study on legal issues regarding cross-border insolvency cases : focus on over-the-counter derivatives markets and the relevant cases

張家欣, Chang, Chia-hsin Unknown Date (has links)
在金融市場國際化之趨勢下,各國金融交易參與者極可能受到跨國破產事件的影響。同時,受到金融創新潮流的驅使,非傳統金融工具的商業活動亦構成金融市場重要環節之一,從而探討破產法制對於非傳統金融交易契約之處理方式,實有其重要性。本文以店頭衍生性金融交易市場以及所選取案例為中心,探討跨國破產事件相關議題,包括破產法制對於店頭衍生性金融交易所給予的特殊規定(或在破產法制下承認提前終止與淨額結算條款之效力,以下均統稱為「破產法特殊規定」),以及相關跨國破產事件之可能處理模式或合作途徑。 本文以國內外學術文獻、法院見解之整理為基礎,進行法學分析,並輔以金融實務觀點進行研究,於各相關部分同時探討我國法制。本文分為七章,內容簡介如後。 首先,於第一章說明研究動機、目的、研究方法與架構,同時也限定研究範圍。又因跨國破產事件具多樣性與複雜性,為使本文討論範圍明確與聚焦,故於第二章先行提出具體跨國破產事件之美國與英國案例及其爭議問題,並以其做為本文探討中心與範圍,探討內容即包含破產法制涉及店頭衍生性金融交易之規範實體面議題,以及跨國破產事件處理方式之程序面議題。後續章節將陸續探討上開問題。 第三章簡介店頭衍生性金融交易,以及說明其常見契約結構、相關法律問題。本章同時介紹「單一主契約模式」與「提前終止與淨額結算條款」之概念,學者及實務工作者有謂上開契約條款之功能,包含避免於破產程序中破產管理人選擇性履行或拒絕契約、降低交易對手信用風險、提升未違約方之再避險可能性、減少銀行業之資本計提成本、降低系統性風險等,而其中最具爭議性的降低系統性風險功能,也是目前全球多國破產法制承認提前終止與淨額結算條款具有效性的重要理由之一。本章著重於顯示店頭衍生性金融交易之當事人約定事項與破產法制間之關聯性,此屬於破產法制之規範實體面議題,以便於次一章接續介紹外國破產法制之相關具體內容。本章內容與後續各章均有密切關聯,故有說明之必要。 第四章先說明破產法制之一般原則,再分別於美國、英國、歐盟、日本、以及我國法制下,觀察破產法制對於店頭衍生性金融交易之例外規定(或在破產法制下承認提前終止與淨額結算條款之效力),著重於說明破產法制立法或承認「提前終止與淨額結算條款」效力之現況,並參考外國文獻探討其立法理由是否具有充足正當性,以及其規定是否有修訂或調整之必要。相對於第三章彙整學說及實務觀點以說明「提前終止與淨額結算條款」之功能,本章則援引外國文獻對破產法制立法或承認「提前終止與淨額結算條款」效力之批評,並做出該條款效力於破產法制中至少應調整為受有一定限制之結論,也就是訂有交易提前終止權之暫時凍結期間、於具系統重要性金融機構清理程序中適用股東與債權人共同承擔損失機制、交易雙方善意無偏頗等,以及在我國法制下亦宜採取同等看法。本章最後分析本文第二章案例在破產法制下之實體面問題,同時也藉此試行探討「提前終止與淨額結算條款」在破產法制下的效力範圍以及第二章案例合成型債務抵押債券交易中有關「序位轉換條款」之效力爭議。本文認為美國破產法院、英國法院係分別各自依其破產法制與公共政策對「序位轉換條款」做出效力判斷,各具實體理由;以及「序位轉換條款」在我國法制下應屬有效。 第五章在本論文題旨範圍內,先說明2007年-2009年金融危機後,二十國集團(G20)所提出的國際性指導建議,之後擇要介紹美國與歐盟依循上開建議,對於店頭衍生性金融交易市場所採行的金融改革法規,包含(但不限於)交易執行平台、集中清算、交易資料之申報、對未集中清算交易加強徵提擔保品等管理措施;此外,在跨國交易監理層面上,簡要介紹替代遵循之概念。本章並說明以上規範與跨國破產事件之關係。本章在整體研究架構上的功能有二,一方面是做為第四章破產法規範實體面議題與第六章跨國破產法制程序面議題之連結,也就是觀察美國及歐盟金融改革法令對第四章所述破產法特殊規定之影響,以及金融改革法案所對應第六章目前國際金融市場之實務發展趨勢以及特殊清理架構下之相關規定。另一方面,相對於第六章係探討發生跨國破產事件時之程序處理模式,第五章則是從破產事件發生前之前階段觀察,藉由事前建構市場監理措施及規劃,以期促進跨國破產事件發生時之處理效能。 第六章探討跨國破產事件處理方式之程序面議題。先敘明跨國破產立法所採行的基礎原則理論,包含普及原則、屬地原則、修正式普及原則、現代化屬地原則;同時簡要介紹相關跨國破產法制。繼而說明金融穩定理事會 (FSB)相關建議,以及觀察近期國際金融實務發展。之後,綜結第四章至第六章之內容,按跨國破產事件之實體面議題與程序面議題,對於涉及店頭衍生性金融交易之跨國破產事件,說明本文在相關立法論或處理合作模式層面上所採取之立場。最末,分析本文第二章案例之程序處理問題。 最後,第七章就本論文探討範圍以及第二章所提出之問題,進行總結論,並試行對我國金融市場參與者提出相關建議。 / Abstract Due to globalization of financial markets, it is hard for market participants to avoid the impact arises from cross-border insolvency events. With the trend of financial innovation, non-traditional financial instruments become an important role in financial markets, and it’s necessary to understand the treatment of these instruments under insolvency law systems. This thesis discusses specific legal issues with regard to cross-border insolvency events in over-the-counter (OTC) derivatives financial markets with focus on the relevant cases selected, including the special treatment of OTC derivatives under insolvency law systems and the potential procedures or coordinate ways to deal with the cases. Based on and reference to research of academic papers and court decisions, this thesis discusses issues through legal analysis supplemented with views of financial practice. The relevant parts are also discussed under Taiwan’s law system. This thesis proceeds in 7 chapters briefly described as follows. Chapter 1 explains the objective, purpose, and fundamental structure together with the method used of this thesis. Assumptions and Confines of this thesis are also described in this chapter. Given diversity and complexity of cross-border insolvency events, Chapter 2 attempts to present actual cases for discussion in order to providing the scope and focuses of this thesis. Key finding of the presented cases includes substantive legal issues of insolvency laws applied to OTC derivatives transactions and procedural legal issues of dealing with cross-border insolvency events. Matters aforementioned will be addressed in further chapters. Chapter 3 describes the basic understanding of OTC derivatives and the legal elements of participants’ transaction contracts in market practice. This chapter also describes the concepts of “the single agreement approach” and “close-out netting provisions”. As academic opinions and practical views mentioned, close-out netting provisions encompass the functions of eliminating the risk of “cherry-picking” by a liquidator in the insolvency proceeding, minimizing counterparty credit risk by calculating exposures on a net basis, promoting the possibility of re-hedging transactions, applying lower capital requirements by regulators to refer to netted transactions for bank industry, and reducing systemic risk in the financial system. Insolvency law systems which allow the effectiveness of close-out netting provisions heavily rationalize the legislation as being founded on preventing the threat of systemic risk. While some academic papers argue that the rationalization on the basis of reducing systemic risk is unconvincing or unnecessary for reasons. Chapter 3 primarily concerns the connections between OTC derivatives contracts and insolvency law systems, in the dimension of substantive legal issues. What addressed in this chapter is highly connected with the subsequent chapters. Chapter 4 describes the general principles of insolvency laws at first, and then observes the exclusions of OTC derivatives transactions under insolvency law systems of U.S., UK, EU, Japan and Taiwan respectively, focusing on issues respecting of validity and enforceability of close-out netting provisions. Compared with Chapter 3 which describes the functions of close-out netting stated by advocators, this chapter illustrates challenges or arguments posed by academic papers with different views. Reference to the relevant academic opinions, this thesis considers that the effectiveness of close-out netting provisions shall, at least, be subject to restrictions to a reasonable extent, such as temporary stays on early termination rights as well as on enforcement rights of security interests, application of the bail-in tool in SIFIs’ resolution procedures, and each party’s good faith. The aforesaid views are also proposed to be referenced by Taiwan’s law regime in the future. In the end of this chapter, it analyzes the cases presented in Chapter 2 within the scope of substantive issues of insolvency laws, and concludes that both U.S. bankruptcy court’s ruling and UK courts’ decisions on the flip clause embedded in CDO instruments are correct respectively pursuant to their own insolvency laws and public policies. In addition, this thesis is in the opinion that the flip clause shall be effective under Taiwan’s current insolvency law system. Chapter 5 will first describe the international guidelines suggested by G20 after 2007-2009 financial crisis. It will then go on to introduce the financial regulatory reforms adopted by U.S. and EU following G20’s guidelines, including the mandatory requirements for trading on the regulated platforms, clearing through a central counterparty (CCP), reporting to a trade repository (TR), and exchanging margins for non-centrally cleared OTC derivative transactions. Besides, the concept of substituted compliance is briefly explained herein for implementing the regulatory regimes to cross-border activities. Chapter 5 also observes the connections between the aforesaid regulatory reforms and cross-border insolvency events. Under the structure of this thesis, substantive legal issues in Chapter 4 and procedural legal issues in Chapter 6 are bridged by Chapter 5. While Chapter 6 emphasizes on ex post measures to handle cross-border insolvency events, this Chapter 5 considers ex ante measures that monitor and supervise OTC derivatives markets and that also have been expected to promote ex post measures in case. Chapter 6 addresses the procedural aspects while dealing with cross-border insolvency cases. First, the theoretical principles for cross-border insolvency law are explained, including universality, territoriality, modified universality and modern territoriality. It herein also introduces legislative regimes in relation to UNCITRAL Model Law on Cross-Border Insolvency and some jurisdictions’ international insolvency laws. Second, it turns to suggestions made by FSB. Third, the recent international trend in market practice is observed. Then, section 4 of this Chapter proposes framework of regulatory aspects and cooperation arrangements to process cross-border insolvency events, comprehensively in the substantive and the procedural dimensions. Lastly, it analyzes the cases presented in Chapter 2 within the scope of procedural issues of insolvency laws. Chapter 7 summaries conclusions on this thesis and on issues raised in Chapter 2. This final Chapter also tries to provide suggestions to our financial market participants in Taiwan.
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An exploration of the practice of prescribing and use of medicines, with a special focus on self-medication practices in the context of developing reform within the health care system in Kurdistan-Iraq

Aziz, Omer January 2017 (has links)
This research has been undertaken to evaluate factors with an association with the practice of self-medication amongst respondents living within three cities within Kurdistan. The research was designed to be a cross-sectional one by arranging for data collection through the direct interviewing of respondents via the use of a questionnaire that had been prepared previously. In total, the investigation involved 627 pharmacist participants, 647 general participants, and 28 interviewees from various age groups. An explanatory design is a mixed methods approach with two phases, with quantitative data collection in the first phase, and qualitative data collection in a second; data collection was conducted using a non-probability convenience sampling technique. The primary reason for self-medication practice was that participants with previous experience of attending to the same disease. The information source regarding self-medicated drugs were previous prescriptions, community pharmacies and friends. The most common indication for self-medication was the common cold or fever/headache/infection, the drugs used to treat these conditions being most commonly antibiotics, then painkillers and preparations for coughs. From the general public, a sample of 647 participants was taken that consisted of 38.4% females and 61.6% males, with participant ages ranging from 18-70 years. Within the study, 12.4% of the cohort had a degree level of education from a university. Moreover, 243 participants had the belief that it was an acceptable practice to purchase antibiotics without a prescription. Self-medication was practiced by 14/28 of the interviewees, and 28/28 (100%) of the interviewees held the belief that the pharmacy always has someone with knowledge of medicines, and who can advise and provide medication. There were 627 pharmacist participants, of which 28.1% were female and 71.9% were male, and 57.2% of them holding a Diploma in Health Institution, and 39.2% of them having a Bachelors Pharmacy degree. 20.7% of participants disagreed with keeping records for the dispensing of drugs, and approximately 20% of participants had little or no ideas regarding the characteristics of pharmacy practice that are considered professional. It was discovered that, if asked by the customer, advice was provided by 82.5% of community pharmacists. The sale of antibiotics was the most common, followed by pain-killers. A 95.5% proportion of pharmacists sold all of the medicines as OTC medicine without prescription. In conclusion, medicines are used by the people of Kurdistan in an inventive way, with suggestions provided by lay people and members of family or friends, which is acted upon without a qualified healthcare professional being consulted.

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