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  • E-Articles - The Importance of Day Care in the Black Community in the United Kingdom

    In the past the establishment has always assumed that the Black Community took care of it’s older members through the extended family.

    Traditionally the elderly are cared for by the family and the ‘burden’ is not on the sho
    According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product
    ulders of one or two members. The Elders are an important respected part of the family group and the community. They are not cast aside to feel worthless.

    However, in modern day Britain, this is a myth. Family breakdowns
    ; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

    Examples of combination products may in
    can happen in any community. The limited size of family homes; the trend towards children moving away to find work and/or affordable accommodation; youngsters growing up in a ‘Me’ society with little respect for age, is re
    lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

    ulting in more of our Elders living alone.

    Many of our Elders came over with “The Five Year Plan”. Many were invited to help rebuild Britain after the war. They came to work as hard as possible, in as many jobs as possib
    here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
    le and then to retire back home and start a little business. But times changed, things got harder, taxes and bills higher, health deteriorated and the dream faded further and further away.

    Some came over as students and fo
    d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

    Combination pro
    various reasons did not qualify - money running out, trying to work and study at the same time, working all night and trying to attend college during the day, too high expectations, these led to failure; shame and embarrass
    ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc
    ment prevented them from returning home.

    Others came as political refugees. Through fear they became cut off from their own communities, not sure who to trust. These people are also likely to have a distrust of officials
    easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi
    ecause of their past experiences.

    All these groups suffered from the racist attitudes of society and they built a wall of protection around themselves. Their houses, flat, rooms become a cocoon. Within those walls they fe
    nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
    el safe. Their only forays out are to work, shopping and maybe church. (It is no coincidence that the Black churches are the fastest growing institutions in the country). Take away work and, if they do not have church or
    and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ
    amily to rely on, then disintegration begins.

    Retirement can bring loneliness and isolation and then fear takes over. The cocoon becomes a prison. Gradually people become inward looking. At first social mixing becomes d
    ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
    ifficult and then impossible. Anyone who invades their space is a threat.

    In many cases, a shoulder to lean on, a hand to hold or a friend to laugh or cry with could avert the crisis that leads to breakdown.

    ”Research car
    ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

    Following aspects would a
    ried out by MIND in l987 showed that “ ‘Afro-Caribbeans’ are far more likely than other ethnic groups to be compulsorily detained in hospital and three times as likely to be diagnosed as suffering from schizophrenia”. Whit
    dd to the challenges in developing combination products:

    Which markets to tap where the combination products can do fairly well?
    Which combination prod
    people get depressed but African and Caribbean people with the same symptoms are considered mentally ill. There is little evidence that the situation is changed.

    Patients recovering from breakdown or maintained on medica
    cts are meaningful and rational?
    Which therapeutic categories to select?
    Which Combinations can address unmet needs of the patients?
    Do combin
    tion need support. Research carried out by Dr. Martin Prince and colleagues at Royal Free Hospital indicates that recovery is accelerated more with the support of friends than family. That outside interaction and stimulatio
    tions increase the patient compliance?
    What would be the developing cost?
    How to tackle the risks encountered during combination product developmen
    is needed.

    Social Groups, Luncheon Clubs and Centres can prevent breakdowns and self-imposed isolation. The social environment can bring some Elders back from the brink of mental deterioration.

    A place where the Elders c
    t?

    As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel
    an take part in activities based on their own cultures, relax with people of similar origins, shared memories, backgrounds, and enjoy their own foods, is essential. Those who started as strangers become friends who grow int
    ping new procedures for reviewing their safety, efficacy and quality.

    Professional from academic institutions, pharmaceutical industries, health care indust
    the missing extended family.

    At an Age Concern Conference it was said that “ When you get old you need a reason to get up in the morning” All Social Centres and Elders Clubs provide this reason, none more so than those ge
    y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
    ared to the need and culture of its members. They no longer feel isolated. Their “extended family” is waiting to greet them each day, to call them when they are sick and visit them when they are in hospital.

    How can we he
    .

    As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de
    p? A phone call to a distant relative, an invitation to a meal (not just at Christmas), a card when you are on holiday; all go to making our Elders feel that they are thought of and needed. Of course, donations, however s
    elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

    Companies that provide selfless information through particip
    mall, can help in keeping these social centres running. If you have a little time, volunteer at a Centre or just smile and greet a neighbour. You would if you were back home so why not here? You will do good and feel good


    tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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