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Wall Street Journal Examines Pharmaceutical Companies Expansion Into Developing Countries
The Wall Street Journal examines the "strategic shift in the $770 billion pharmaceutical industry to target the working poor in the developing world" through the eyes of a Pfizer pharmaceutical representative working in the slums overlooking Caracas, Venezuela. The newspaper writes: "For the first time in a half-century, sales of prescription drugs are forecast to decline this year in the U.S., historically the industry"s biggest and most profitable market ò€¦ As a result, developing countries ò€¦ have begun to look more attractive to the industry."

Where The Most Private Becomes Public: Policy Making For Sexual Health
It is time to realign research and policy making to promote better sexual
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Behavioral And Neural Effects Of Bihemispheric Brain Stimulation On Stroke Recovery
Researchers in the Neuroimaging and Stroke Recovery Laboratory at Beth Israel Deaconess Medical Center / Harvard Medical School are using a novel treatment for chronic stroke patients. The non-invasive technique of dual-hemisphere transcranial direct current stimulation (tDCS) uses electrical stimulation to modulate brain activity while simultaneous engaging the paretic arm/hand in sensorimotor activities. They studied chronic stroke patients who had movement problems after a stroke in a randomized clinical trial. The patients were divided into groups receiving either the electrical stimulation or placebo stimulation while receiving occupational therapy (OT) at the same time. After only 5 treatment sessions, patients receiving real stimulation and OT significantly improved in their motor functions, while control patients (receiving placebo stimulation and OT) showed no significant improvement. Functional magnetic resonance imaging showed increased brain activity in areas that control limb movement on the affected side for patients who received the real tDCS. It is important to notice that these changes were found in patients whose strokes had occurred on average about 3 years prior to the study, when patients are typically considered to be stable and unlikely to experience further improvement. This new treatment offers hope for patients debilitated by strokes.
Public Health

Healthcare Locums Sees Demand Rocket As Trusts Prepare For European Working Time Directive

Healthcare Locums (HCL), the UK"s largest specialist health and social care agency, says it is seeing rocketing demand for locum and permanent placement doctors from Trusts struggling to prepare for the European Working Time Directive, which limits the number of hours trainee doctors can work to 48 per week. The Directive, which is due to come into force on 1 August 2009, poses another challenge for an already over-stretched healthcare workforce only a few months after the Government imposed stringent new qualification requirements on overseas doctors working in the UK. Changes to the Highly Skilled Migration Programme, introduced earlier this year, means that only those who have a master"s degree can apply for a visa to work in the UK, in a move which has been heavily criticised by the British Medical Association. HCL echoes the BMA"s concerns as it believes that greater emphasis on international recruitment drives for doctors outside the UK is the only way to address the staffing squeeze which will result from imposing strict limits on doctors" working hours. Kate Bleasdale, HCL"s Executive Vice Chairman, said: "The European Working Time Directive is intended to regulate the working hours of all workers in the European Union, which, while laudable in its aims, does not take into account the realities of working in a hospital, especially in an emergency care environment. You cannot make an emergency situation conform to a 48 hour per week rota limit. "This is a huge concern for our clients, and we are seeing accelerating demand for locum staff in the run-up to 1 August as some Trusts anticipate a big staffing shortfall once the Directive kicks in. "In our permanent placement division, we have seen demand rise by as much as 30%. "We are even receiving orders from the NHS Deaneries who are not able to find enough doctors to fill all the six and twelve month posts which will become available in August - something we are seeing for the first time." She added: "The obvious solution is to drive international recruitment programmes to appropriately qualified medical professionals from overseas, and at HCL, with our networks spanning the Middle East, United States, Australia, New Zealand and Canada, that is exactly what we are doing. But since the changes to skilled migration legislation, which make it harder for overseas doctors to work in the UK, this is also a big challenge. "Of course no one wants a return to the days of junior doctors working 120-plus hour weeks - patients should always be seen by an alert and well-rested doctor. But we also must ensure that there are enough medical professionals to meet patients" needs and get them the highest quality of treatment. There is a very real possibility that we will see a drastic shortage of available hospital doctors after 1 August, which could have serious implications for patients. In order to address this, we must be able to go easily beyond the confines of the UK to find highly skilled and qualified doctors who want to come and work here." Healthcare Locums


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