All posts by Turacoz Group

Top Benefits of Using Academic Research Writing Services

“Write the paper as though no editor will ever see it … then let a good editor make sure everyone does.” — Anonymous Peer‑Reviewer

Introduction

In the era of hyper‑competitive research, scholars juggle with laboratory work, teaching loads, clinical duties, and an ever‑growing expectation to publish quickly. This demanding environment requires well-structured, clear writing with proper grammar and language quality. In the health‐sciences journals, a surveyed by Johnson & Miller (2023) reported that approximately one‑fifth of manuscript received first round rejections due to poor language quality.¹ As a result, many researchers turn to academic research writing services for professional support.

These services can amplify your productivity when it used transparently and within institutional policies,  without compromising authorship or academic integrity. Below we outline seven evidence‑backed benefits, the ethical safeguards you must observe, and practical tips for choosing the right provider.

  1. Save Time and Lower Stress
  • Drafting & structural editing free up hours during grant‑cycle crunches
  • Formatting & reference management eliminate repetitive tasks

A R01 applicant survey showed that outsourcing technical editing saved principal investigators a median of 7.5 hours per submission.²

  1. Access Field‑Specific Expertise

Reputable agencies recruit writers with advanced degrees (often PhDs or PharmDs) in specialties ranging from bioinformatics to nurse education. Their familiarity with discipline‑specific terminology, preferred reporting guidelines (e.g., PRISMA, CONSORT), and target‑journal scope improves the likelihood of favourable peer review.

  1. Ensure Technical & Regulatory Compliance

Professional editors keep abreast of style manuals (Vancouver, APA, AMA) and evolving journal requirements such as data‑sharing statements and graphical abstracts. A compliant manuscript avoids immediate desk rejection for formatting errors.

  1. Robust Plagiarism & Similarity Screening

Premium services run every draft through similarity‑detection suites (iThenticate, Turnitin) before you upload to the journal portal. You receive a similarity report along with guidance on legitimate paraphrasing and quotation.

  1. Comprehensive Research Support

Beyond writing, many firms offer:

  • Systematic literature searches (with librarian peer review)
  • Statistical analysis plans
  • Data‑visualisation assets
  • Response‑to‑reviewers letters

This end‑to‑end model streamlines the entire publication life‑cycle.

  1. Tailored Deliverables for Every Project

Whether you require a 300‑word conference abstract, an NIH R21 grant, or a 40‑page scoping review, services can scale and customise outputs to your word count, rubric, and journal guidelines.

  1. Collaborative Skill Development

Annotated edits, tracked‑changes files, and explanatory margin comments turn each project into a master‑class in academic writing. Over time, clients report noticeably clearer prose even when drafting solo.

Balanced Considerations & Ethical Safeguards

  1. Authorship Responsibility: Per ICMJE and COPE, authors must retain ownership of ideas, data, and final wording. Writing support does not equal authorship unless substantive intellectual contribution is added.
  2. Institutional Policies: Always confirm your university or funder permits external editorial services.
  3. Disclosure Statement: Good practice includes a note such as:

“Editorial assistance was provided by XYZ Medical Communications in accordance with journal policy; all authors approved the final manuscript.”

Final Thoughts

Academic research writing services, when used responsibly, can transform overwhelming writing tasks into efficient, high‑quality outputs—freeing you to focus on discovery, patient care, and teaching.

At Turacoz, we offer comprehensive Academic Research Writing Services designed to bridge the gap between brilliant research and compelling communication. Our commitment extends beyond mere editing—we partner with researchers to enhance clarity, ensure methodological rigor in presentation, and maintain the highest standards of academic integrity. Whether you’re navigating your first publication or seeking to accelerate your research output, our expert team stands ready to help transform your valuable insights into impactful, publication-ready manuscripts that advance both your career and your field of study.

References

  1. Johnson R, Miller C. Common reasons for manuscript rejection: an analysis of peer‑reviewers’ comments. J Schol Publishing. 2023;54(1):45‑56.
  2. Smith A, Gupta P. Time savings associated with professional editorial support during NIH grant preparation. Res Manage Review. 2022;37(2):125‑131.

World Thyroid Day 2025: How AI Is Revolutionizing Thyroid Health

World Thyroid Day invites us to appreciate the tiny, butterfly-shaped gland with a big job in managing our body’s energy, growth, and mood. This year, the spotlight shifts to a very 21st-century ally, artificial intelligence (AI), and how it is reshaping the way clinicians detect, treat, and even prevent thyroid disorders such as hypothyroidism, hyperthyroidism, Graves’ disease, Hashimoto’s thyroiditis, thyroid nodules, and thyroid cancer.

 

AI in early detection: Who needs it the most

Machine-learning models trained on millions of electronic-health-record lines and lab reports can now flag people at risk of developing clinical thyroid disease months before the first symptom.1 A 2025 multicenter study built an interpretable ensemble model that accurately stratified heart-failure patients with co-existing thyroid dysfunction for one-year mortality and hospital-admission risk, outperforming conventional scores.2 By linking abnormal thyroid stimulating hormone (TSH) traces with age, comorbidities and medications, the system directs scarce clinic slots to those who need them most.

 

Diagnostic tools rebuilt around AI

Imaging: Deep-learning convolutional networks now review ultrasound videos, color-code suspicious tissue, and even render 3-D nodule maps on-the-fly. A study of 4569 cases found that the 3-Dimensional Total Nitrogen Visualization (3-D ‘TN Vis’) model, which was validated using data from seven hospitals, improved radiologists’ diagnostic accuracy by raising the area under the curve (AUC) from 0.66 to 0.79 and helped junior radiologists perform at the level of their senior colleagues.3 Another 2025 paper reported that “ThyroNet-X4 Genesis,” surpassed mainstream models in classifying sub-centimeter nodules.4

Blood-test interpretation: AI tools digest full thyroid panels – TSH, free T4/T3, antibodies – alongside “hidden” markers hidden in routine blood counts.

Pathology & molecular markers: Computer vision is also assisting cytologists reading fine needle aspiration slides and matching tumor genomes to targeted therapies. The same codebase that spots lung mutations now guide the choice of kinase inhibitors in regenerative medicine trials for recurrent thyroid cancer.

Remote monitoring: Wearables that track heart-rate variability and basal temperature can now feed AI predictors. In a 2023 cohort, resting-heart rate streams from smartwatches predicted thyrotoxic episodes with 86.14% sensitivity and 85.92% specificity, weeks before lab confirmation.5 For patients in rural areas, merging these data with tele-endocrinology portals means rapid dose tweaks without leaving home.

Limitations & Ethical Considerations of AI in Thyroid Care

While AI-driven tools promise faster detection and personalized management, several cautions remain.

  • Most commercial algorithms are trained on imaging and laboratory datasets derived from narrowly defined, often Western, populations. This can skew performance and increase the risk of missed or misclassified disease in underrepresented groups. Precise risk scores may also create false reassurance for low-risk patients or drive unnecessary procedures for those flagged as high-risk—unless clinicians interpret the outputs within the full clinical context.
  • On the privacy front, cloud-based ultrasound archives, wearable sensor feeds and integrated electronic health records aggregate highly sensitive data that must now meet India’s Digital Personal Data Protection (DPDP) Act, Health Insurance Portability and Accountability Act (HIPAA)/ General Data Protection Regulation (GDPR), and other regional regulations; security breaches in healthcare remain among the costliest of any sector.
  • Finally, many AI applications are still classed as software as a medical device and must clear Central Drugs Standard Control Organization (CDSCO) and FDA regulatory pathways before routine clinical use.

Ongoing prospective validation, algorithmic auditing, and explicit human oversight are therefore essential to translate impressive pilot results into safe, equitable real-world care.

Practical ways to observe World Thyroid Day

  1. Check your risk: Women over 30, anyone with autoimmune history, or those previously irradiated should ask for a TSH baseline
  2. Practice iodine-smart nutrition: Use iodized salt; eat seafood or dairy twice a week; discuss selenium or vitamin D status with your clinician
  3. Leverage digital tools: Connect a reputable thyroid-tracking app to your smartwatch and share the trends with your doctor for personalized dose adjustments
  4. Know the warning signs: Persistent fatigue, neck swelling or unexplained weight change warrant a thyroid panel—early self-awareness amplifies AI’s predictive power
  5. Spread the word: Share a factsheet, host a webinar, or post on social media using the hashtags #WorldThyroidDay and #ThyroidAwareness to boost public engagement

 

The road ahead

AI will not replace endocrinologists; it will empower them. Imagine chat-bots that guide newly diagnosed patients through lifestyle tweaks, or ultrasound probes that whisper malignancy scores during a scan. As datasets grow to include genomics, microbiome signals and environmental exposures, guidelines could evolve into continuously learning care paths, delivering precision medicine to the people living with thyroid disease.

On World Thyroid Day 2025, Turacoz celebrates not only the promise of silicon and code but also the power of informed citizens. By pairing innovative AI algorithms with classic public-health wisdom, we can ensure that the next decade marks a turning point in thyroid care.

References:

  1. Németh Á, Tóth G, Fülöp P, et al. Smart medical report: efficient detection of common and rare diseases on common blood tests. Frontiers in Digital Health. 2024 Dec 5;6:1505483.
  2. Iacoviello M, Santamato V, Pagano A, et al. Interpretable AI-driven multi-objective risk prediction in heart-failure patients with thyroid dysfunction. Front Digit Health. 2025;7:1583399.
  3. Zhou Y, Chen C, Yao J, et al. A deep learning-based ultrasound diagnostic tool driven by 3-D visualization of thyroid nodules. NPJ Digit Med. 2025;8:126.
  4. Santos-Silva MA, Sousa N, and Sousa JC. Artificial intelligence in routine blood tests. Front Med Eng (Lausanne). 2024;2:1369265.
  5. Shin K, Kim J, Park J, et al. A machine learning-assisted system to predict thyrotoxicosis using patients’ heart rate monitoring data: a retrospective cohort study. Sci Rep. 2023;13:21096.

How AI is redefining content creation in pharma — And why humans are still the drivers of trust

In an era where speed, efficiency, and personalization have become imperatives, Artificial Intelligence (AI) — particularly machine learning, AI algorithms, and generative AI — is revolutionizing how the pharmaceutical industry approaches content creation. From automating reference linking to generating first drafts, AI is making content smarter, faster, and more scalable.

Yet, amidst this digital acceleration, one thing remains clear that human expertise is still the foundation of trust in healthcare communication.

At recent industry events and conferences, thought leaders echoed a common sentiment: AI is a catalyst, not a replacement. The most impactful pharma content today is born from a powerful synergy between AI and human intelligence, particularly when applied across disciplines such as data analysis, pharmacovigilance, clinical trials, and drug development.

 

The power of AI in pharma content creation

AI has significantly shortened the timeline of content development. By automating routine tasks like data architecture, extraction, summarization, and even modular content creation, AI enables teams to focus on higher-value activities. Some of the key advantages include:

  • Speed and efficiency: Drafting scientific summaries, creating modular content blocks, and auto-tagging assets for reuse — AI can perform these tasks in minutes, which previously took days.
  • Compliance and consistency: AI can cross-reference regulatory guidelines and validate claims faster, ensuring fewer errors and a higher level of consistency across materials.
  • Personalization at scale: Machine learning and AI algorithms help in tailoring content to specific audiences, ensuring that messaging is relevant, targeted, and timely – particularly in fields like personalized medicine and patient care.

The impact is undeniable. Pharma companies are no longer just creating more content — they are creating better content, delivered at the right time, to the right audience.

Why humans remain at the heart of trusted communications

Yet, even as AI transforms the operational side of content creation, human oversight remains indispensable for several reasons:

  1. Contextual accuracy and nuance

Medical communication is not just about relaying information — it’s about conveying it with precision, empathy, and context. AI can process data, but only humans can interpret complex medical nuances, drug discovery insights, and cultural considerations that shape the right narrative.

  1. Ethical and regulatory oversight

In the field of regulatory pharmalike pharmacovigilance and clinical trials, accuracy and ethics are non-negotiable. While AI can check references, it cannot assure about the ethical gray areas – a responsibility that remains with human experts.

  1. Building emotional connection

Trust in healthcare communications is deeply emotional. Physicians, patients, and stakeholders seek authenticity and human connection – something machines like large language models cannot replicate. Skilled writers infuse compassion, clarity, and credibility into every piece of content, building the trust that AI alone cannot establish.

  1. Innovation and strategic thinking

AI can optimize existing processes but cannot create disruptive strategies. Human creativity is still essential in commercial areas like customer engagement, content marketing, and long-term drug development strategies.

The future is Human + Machine, Not Human vs Machine

The future of pharma content creation lies in collaboration, not competition. AI — whether used in pharma AI tools, generative AI, or data analysis pipelines — should be seen as a powerful tool that augments human potential. When medical writers, regulatory experts, and creative strategists partner with AI, the result is content that is faster, smarter, and — most importantly — trusted.

At Turacoz, we believe that technology is only as powerful as the people who wield it. By combining the scalability of AI with the critical thinking, empathy, and expertise of humans, we help our clients craft communications that build lasting trust with healthcare professionals and patients alike.

Final thoughts

AI is redefining the way content is created in pharma, making processes smarter, faster, and more scalable — especially with advancements in AI algorithms, data architecture, and personalized medicine. But even the most sophisticated AI cannot replace the human touch that drives trust, credibility, and connection in healthcare communications.

As we embrace this exciting new era, the winning formula is clear: leverage the best of AI innovation, anchored by the irreplaceable value of human expertise.

Ready to elevate your content strategy with the perfect blend of human insight and AI innovation? Connect with Turacoz today.

World Thalassemia Day 2025: Giving a Voice to the Global Patient Community

Every 8 May, World Thalassemia Day shines an international spotlight on the millions of people living with this inherited genetic disorder. The 2025 theme – “Together for Thalassaemia: Uniting Communities, Prioritising Patients – captures the day’s core mission: to centre the patient, safeguard their rights, and ensure they are heard in every conversation about diagnosis, care, and cure.

Why patient voices matter

Thalassemia is more than severe anaemia or the frequent blood transfusions keep patient alive. It also means coping with fatigue, recurrent infections, painful splenomegaly, and the anxiety of waiting for a suitable bone marrow transplant. When patients share these everyday realities, they transform abstract epidemiology into human stories that resonate with policy‑makers, clinicians, and the public. Listening to patient experiences helps researchers design therapies that protect quality of life, not just haemoglobin levels, and reminds health systems that compassionate, patient‑centred care is a clinical imperative, not a luxury.

Awareness breeds early detection – and equity

World Thalassemia Day is the year’s biggest megaphone for public awareness. Broad campaigns that explain the difference between alpha and beta thalassemia, the role of genetic mutations, and the importance of early genetic counselling empower families to seek screening before the birth of an affected child. Awareness also normalises lifelong treatment – from iron‑chelation to emerging gene therapies – helping communities overcome stigma and misinformation. Crucially, it spotlights the wide gap in access to care between well‑resourced urban centres and low‑income regions where health inequalities still dictate life expectancy.

Patient advocacy: From individual struggle to collective power

Grass‑roots organisations turn individual stories into collective action. Their advocacy has expanded newborn screening programmes, secured government subsidies for transfusion supplies, and pressured insurers to cover expensive iron‑chelators. By partnering with scientific bodies, advocates elevate patient priorities on the global research agenda – accelerating healthcare innovation such as CRISPR‑based gene editing. This year’s theme urges deeper community engagement so local groups in Africa, South‑East Asia, and the Middle East can exchange strategies and unite around shared goals.

Public health policies that put patients first

No amount of patient courage can replace political will. World Thalassemia Day provides a rallying point for drafting evidence‑based public health and healthcare policies that guarantee timely transfusions, safe blood donation networks, and affordable chelation therapy. Advocates are calling for national guidelines that enshrine healthcare equality, fund specialised thalassemia centres, and subsidise cutting‑edge cures so that ability to pay never determines access to quality healthcare. Governments are also urged to adopt preventive measures—premarital carrier testing, public education on consanguinity risks, and school‑based disease prevention programmes—to curb the financial and emotional burden on future generations.

  • Donate blood – A single unit sustains a child with thalassemia for weeks.
  • Champion prevention – Encourage friends to seek carrier testing and pre‑marital genetic counselling.
  • Amplify stories – Share patient videos or blog posts on social media to shift the narrative from statistics to lived reality.
  • Support research funds – Philanthropy accelerates clinical trials for curative therapies and less invasive treatments.
  • Engage politicians – Write to representatives about the need for robust, patient‑friendly thalassemia legislation.

Looking ahead

World Thalassemia Day is more than a date on the calendar; it is a movement that refuses to let patients be passive recipients of care. By elevating their voices, the global community can drive healthcare access, reduce the financial burden of lifelong therapy, and ultimately fulfil the promise that no child will be barred from a healthy future because of an inherited blood disorder.

On this 8 May, Turacoz calls for the community support, systemic change, and truly person‑centred care reverberates far beyond a single day—until every patient, everywhere, is not just surviving, but thriving.

 

Decoding Ovarian Cancer Symptoms: Communicating the Silent Signs

Ovarian cancer remains one of the most challenging gynaecologic malignancies, often referred to as a “silent killer” due to its subtle onset and late-stage diagnosis.1 In 2022, 324,603 women worldwide were diagnosed with ovarian cancer. By 2050, the annual incidence is projected to rise to nearly half a million, representing a 55% increase compared to current levels.² With over 200,000 lives lost globally in 2020, this disease continues to be a significant public health concern.3 The prognosis of ovarian cancer remains disappointing, with a mere 46% of women surviving beyond 5 years after diagnosis.3 Its ability to progress without clear early symptoms makes it particularly dangerous, but early detection can dramatically improve outcomes. A powerful ally in this effort—often underrecognized—is effective medical communication.

Why Early Detection Makes All the Difference

The statistics speak for themselves. Ovarian cancer that remains localized to the ovaries (stage I) has the potential to be effectively treated in as many as 90% of patients, whereas malignancy limited to the pelvic region (Stage II) correlates with a 5-year survival rate of 70%. Conversely, neoplastic disease that has disseminated beyond the confines of the pelvis (stage III-IV) exhibits a long-term survival probability of 20% or lower.4 This stark difference underscores the importance of timely diagnosis.

From a patient’s perspective, early detection can mean a less aggressive treatment course. In some cases, surgery alone may suffice, avoiding the physical and emotional toll of chemotherapy.5 For younger women, early intervention also opens the door to fertility-preserving options.6

From a provider’s standpoint, diagnosing the disease at an early stage facilitates more personalized care, reduces treatment complications, shortens hospital stays, and ultimately improves the quality of life for patients. Additionally, early-stage management is often more cost-effective and resource-efficient, which benefits the healthcare system as a whole.

The Challenge: Recognizing the Subtle Symptoms

One of the biggest hurdles in ovarian cancer care is identifying it early. The symptoms are often vague and easily mistaken for common digestive or urinary issues. But when these signs occur frequently—12 or more times a month—they shouldn’t be ignored.7

Watch out for:

  • Bloating or a swollen tummy
  • Pelvic or abdominal pain
  • Feeling full quickly or loss of appetite
  • Needing to urinate more often or urgently

Additional symptoms may include indigestion, unintentional weight loss, changes in bowel habits (constipation or diarrhoea), back pain, fatigue, and postmenopausal vaginal bleeding.7 Although these symptoms may be dismissed as minor or attributed to other causes, persistent occurrence warrants medical evaluation.

Who’s at Greater Risk?

Several risk factors further increase susceptibility, such as:8

  • Being over 50, particularly post-menopausal
  • Having BRCA1 or BRCA2 gene mutations
  • A family history of ovarian, breast, or colorectal cancer
  • A history of endometriosis
  • Never having been pregnant
  • Long-term use of hormone replacement therapy
  • Obesity

In individuals with these risk factors, proactive monitoring and timely screening become even more critical.

How is Ovarian Cancer Detected Early?

Unfortunately, there is no universally recommended screening test for ovarian cancer in asymptomatic women at average risk. However, several biomarkers and imaging tools are used—especially in high-risk individuals or when symptoms are present.

Key biomarkers encompass elevated levels of CA-125 (Cancer Antigen 125) and HE4 (Human Epididymis Protein). Diagnostic modalities like Risk of Ovarian Malignancy Algorithm (ROMA) integrates CA-125, HE4, and menopausal status to generate a risk score for malignancy, thereby facilitating the early detection of ovarian cancer. Furthermore, OVA1 test, a multivariate index assay, evaluates multiple protein levels in the blood to determine the risk of ovarian cancer in women presenting with an ovarian mass.8

There exist specific imaging tools that contribute to the early detection of ovarian cancer. Transvaginal ultrasound (TVUS) is instrumental in visualizing the ovaries and identifying abnormalities, such as masses or cysts, while pelvic MRI or CT scan may further assist in evaluation when ultrasound findings lack clarity.8

In women with familial predisposition to breast or ovarian cancer, genetic testing is crucial for the identification of BRCA1/2 mutations and other hereditary cancer syndromes linked to ovarian cancer. Understanding one’s genetic risk facilitates the implementation of preventive measures, including enhanced surveillance or prophylactic surgical interventions.8

Where Medical Communication Comes In?

While awareness of symptoms and risk factors is essential, medical communication serves as the cornerstone in bridging knowledge and action. Its role is multifaceted, benefitting both patients and healthcare providers.

Empowering Patients Through Education: When patients understand early signs of ovarian cancer, they’re more likely to seek care promptly. Campaigns like the CDC’s Inside Knowledge show that clear, accessible information leads to earlier recognition and action.9

Facilitating Early Diagnosis: Empathetic, attentive dialogue from healthcare providers encourages patients to report unusual symptoms, building trust and enabling earlier detection.

Enabling Shared Decision-Making: Clear, compassionate communication helps patients understand their diagnosis, explore treatment options, and actively participate in their care—improving both outcomes and satisfaction.

Overcoming Communication Barriers: Poor communication can delay diagnosis. Culturally sensitive, respectful interactions make patients feel safe, heard, and more likely to engage in their care.

Enhancing Screening and Prevention: Regular discussions about risk, symptoms, and family history motivate patients to adopt preventive behaviours and pursue early screening—critical for early-stage detection.

The Role of Medical Communication Agencies

At every stage—from raising awareness to supporting diagnosis, treatment decisions, and prevention—medical communication agencies act as strategic partners in improving outcomes. By transforming complex medical information into patient-friendly content, developing provider training tools, and designing culturally sensitive campaigns, these agencies ensure that critical health messages resonate. Their expertise in crafting clear, compassionate, and actionable communication bridges the gap between medical knowledge and patient engagement, ultimately driving earlier detection and better care experiences across the board.

Conclusion

Ovarian cancer remains challenging due to its silent onset and rapid progression, but early detection can shift outcomes dramatically. Medical communication is not just supportive—it’s a strategic enabler, driving awareness, encouraging timely symptom reporting, and building trust between patients and providers. As diagnostics advance, the impact of clear, compassionate communication remains vital in bridging the gap between symptom onset and timely intervention.

Turacoz specializes in in transforming complex medical information into clear, actionable content that supports both patients and healthcare providers. From developing symptom awareness tools to creating dialogue aids and educational campaigns, we enable early recognition, informed decision-making, and timely action. With expertise in oncology communication, we craft materials that foster trust, encourage preventive behaviour, and enhance patient-provider conversations—ultimately contributing to earlier detection and improved outcomes in ovarian cancer care.

References

  1. Feeney L, et al. Liquid biopsy in ovarian cancer: Catching the silent killer before it strikes. World J Clin Oncol. 2020;11(11):868-889.
  2. World Ovarian Cancer Coalition. Available at: https://worldovariancancercoalition.org/wp-content/uploads/2024/04/2024-Global-Priority.pdf. Last accessed: May 2025.
  3. Wang M, Bi Y, Jin Y, and Zheng ZJ. Global Incidence of Ovarian Cancer According to Histologic Subtype: A Population-Based Cancer Registry Study. JCO Glob Oncol. 2024;10:e2300393.
  4. Elias KM, Guo J, and Bast RC Jr. Early Detection of Ovarian Cancer. Hematol Oncol Clin North Am. 2018;32(6):903-914.
  5. Fishman DA and Bozorgi K. The scientific basis of early detection of epithelial ovarian cancer: the National Ovarian Cancer Early Detection Program (NOCEDP). Cancer Treat Res. 2002;107:3-28.
  6. Kim SY and Lee JR. Fertility preservation option in young women with ovarian cancer. Future Oncol. 2016 Jul;12(14):1695-8.
  7. Ovarian cancer. Available at: https://www.nhs.uk/conditions/ovarian-cancer/symptoms/. Last accessed: May 2025.
  8. Fernandes B. A Review on Emerging Biomarkers for Early Detection of Ovarian Cancer. Ind J Pharm Pract. 2024;17(1):17–20.
  9. Cooper CP, Polonec L, and Gelb CA. Women’s knowledge and awareness of gynecologic cancer: a multisite qualitative study in the United States. J Womens Health (Larchmt). 2011;20(4):517-524.

4 Ways in Which HEOR is Transforming Healthcare with RWE

The healthcare landscape is being reshaped at an unprecedented pace, powered by sophisticated data analytics, emerging technologies, and the escalating demand for real-world evidence (RWE). At the heart of this shift, Health Economics and Outcomes Research (HEOR) harnesses RWE to sharpen clinical decision-making, tailor treatment pathways, and elevate patient care. By embedding authentic, real-world insights into healthcare systems, HEOR is not just adapting to change — it is redefining the future of medical practice. Here’s how:

  1. Accelerating drug approval and access through real-world data

Bringing a new drug to market is a complex and highly scrutinized process. Traditional clinical trials, while essential, often have limitations, such as strict patient selection criteria that may not fully represent real-world populations. HEOR bridges this gap by utilizing RWE to offer a more comprehensive understanding of a drug’s effectiveness and safety across diverse patient groups.

For example, post-marketing RWE studies have been instrumental in demonstrating the long-term efficacy and safety of cancer drugs, helping pharmaceutical companies negotiate with regulators and payers for broader market access.1 By analyzing patient outcomes, healthcare resource utilization, and adherence patterns in real-world settings, HEOR strengthens the case for reimbursement and pricing strategies, ensuring that innovative treatments reach those who need them most.

  1. Driving value-based care and smarter reimbursement models

The shift from volume-based to value-based healthcare means that reimbursement is increasingly tied to patient outcomes rather than the quantity of services provided. HEOR, supported by RWE, plays a crucial role in assessing the cost-effectiveness and clinical benefits of medical interventions, leading to the adoption of value-based pricing models.

Payers and policymakers rely on HEOR data from sources like electronic health records (EHRs), insurance claims, and patient registries to determine whether treatments justify their costs. For instance, RWE analyses of diabetes treatments have influenced insurance providers to support outcome-based contracts, where reimbursement is tied to patient improvements rather than fixed pricing.2 This approach ensures that high-value treatments are rewarded, reducing inefficiencies and unnecessary healthcare spending.

  1. Personalizing care with precision insights from RWE

One of the most significant advances in modern medicine is the move toward personalized healthcare. HEOR, powered by RWE, helps identify patient subgroups that benefit most from specific treatments, enabling more targeted and individualized care strategies.

For example, RWE-driven HEOR studies have shown that certain genetic markers can predict a patient’s response to targeted cancer therapies, allowing oncologists to tailor treatment plans accordingly.3 This precision approach minimizes trial-and-error prescribing, reduces adverse events, and improves overall healthcare resource allocation. By aligning therapies with real-world patient data, HEOR enhances the efficiency and effectiveness of medical interventions, leading to better patient outcomes.

  1. Shaping public health strategies and improving population outcomes

Beyond individual care, HEOR and RWE provide essential insights for population health management and policy formulation. Governments and healthcare providers use this data to craft targeted interventions, address disparities, and respond to public health emergencies.

During the COVID-19 pandemic, HEOR-supported RWE helped evaluate vaccine efficacy across varied populations, guiding immunization strategies worldwide.4 With data-driven policymaking, healthcare systems can allocate resources more effectively and improve health outcomes on a broader scale.

Conclusion

At Turacoz, we aim to integrate HEOR and RWE is revolutionizing healthcare by delivering actionable insights that enhance drug development, refine reimbursement models, personalize treatment approaches, and inform public health strategies. As the healthcare landscape continues to evolve, the role of HEOR in leveraging real-world data will only grow, fostering a more efficient, evidence-driven, and patient-centered healthcare system.

With stakeholders across the healthcare spectrum embracing these advancements, we are moving toward a future where treatments are not only innovative but also accessible, cost-effective, and tailored to patient needs.

How is HEOR transforming healthcare in your region? Join the conversation.

 

References:

Dang A. Real-world evidence: a primer. Pharmaceutical medicine. 2023 Jan;37(1):25-36.

  1. Peasah SK, Huang Y, Palli SR, Swart ECS, Donato BMK, Pimple P, et al. Real-world impact of empagliflozin on total cost of care in adults with type 2 diabetes: Results from an outcomes-based agreement. J Manag Care Spec Pharm. 2023 Feb;29(2):152–60. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10387982/
  2. Agarwala V, Khozin S, Singal G, O’Connell C, Kuk D, Li G, et al. Real-world evidence in support of precision medicine: Clinico-genomic cancer data as a case study. Health Aff (Millwood). 2018 May;37(5):765–72. Available from: https://www.healthaffairs.org/doi/10.1377/hlthaff.2017.1579

EUPATI. Real-World Data (RWD) & Real-World Evidence (RWE). EUPATI Toolbox. 2025 Feb 19. Available from: https://toolbox.eupati.eu/resources/patient-toolbox/real-world-data-rwd-real-world-evidence-rwe/

The Role of HEOR in Payer Decisions to Switch from Originators to Biosimilars

Biosimilars—biologic medicines that are highly similar to FDA-approved originator biologics—offer a cost-effective alternative without compromising clinical efficacy.1,2 Since the first U.S. biosimilar approval in 2015, however, their market adoption has progressed more slowly than expected, despite a steady increase in FDA approvals and their proven safety and effectiveness.3,4 Payers have been cautious in fully embracing biosimilars, even though they are pivotal in reimbursement decisions and prescribing patterns. Understanding the barriers to biosimilar adoption and exploring how Health Economics and Outcomes Research (HEOR) can address these challenges is crucial for unlocking the full potential of biosimilars in transforming healthcare access and affordability.

Why Are Payers Hesitant to Adopt Biosimilars?

Several key challenges slow biosimilar adoption among payers:4

  • Lack of confidence in interchangeability: Payers often demand robust safety and efficacy data to feel comfortable substituting originators with biosimilars
  • Limited financial incentives: Without clear cost savings or reimbursement benefits, payers may not prioritize biosimilar uptake
  • Administrative burdens: Complex approval processes involved in switching the treatments can deter payers from encouraging biosimilar use

These concerns have created a cautious environment, slowing down the transition from originator biologics to biosimilars. This is where HEOR plays a pivotal role by generating comprehensive evidence that addresses payer concerns through cost-effectiveness analyses (CEA), budget impact models (BIMs), and real-world evidence (RWE).

How HEOR Supports Biosimilar Adoption

  1. Cost-Effectiveness Analysis (CEA)

The value of biosimilars, in comparison to originator biologics, can be assessed through CEA, which considers both their lower costs and comparable clinical efficacy.

For instance, CEA conducted in Canada for the treatment of metastatic colorectal cancer found that the biosimilars MVASI® and Zirabev® offered annual cost savings of €6379 compared to the originator drug, Avastin, without compromising survival outcomes. The study also supported the initial policy decision to mandate using bevacizumab biosimilars over the originator formulation. This approach helped reduce budget allocation toward bevacizumab and facilitated more efficient resource allocation while maintaining effective care.5 These savings highlight the potential for biosimilars to reduce healthcare expenditures without compromising patient outcomes.

  1. Budget Impact Models (BIMs)

While CEAs assess value, BIMs estimate the actual financial consequences of adopting biosimilars on healthcare systems. BIMs help payers understand potential cost savings and resource allocation implications, which are critical for reimbursement decisions.

The practical impact of BIMs is evident in several European countries. The introduction of biosimilar adalimumab and tocilizumab across seven European nations—including the UK, Germany, and France—was projected to yield cumulative savings of €462 million and enable treatment for an additional 65,593 patients.6 Similarly, a U.S. study on biosimilar adalimumab showed that faster conversion rates from originator to biosimilar led to greater savings, with cumulative savings reaching $28.8 million in a fast-conversion scenario.7 This demonstrates that not only the decision to adopt biosimilars but also the speed of adoption impacts financial outcomes.

  1. Real-World Evidence (RWE)

By leveraging RWE, researchers can better understand the clinical effectiveness and safety of biosimilars outside the structured environment of clinical trials. This data is crucial in building payer confidence by demonstrating that biosimilars perform similarly to originators in everyday clinical practice.

For instance, a real-world population-based study in British Columbia found no significant differences in healthcare resource utilization or clinical outcomes between biosimilar and originator etanercept users.8 This evidence helped underpin the province’s biosimilar switching policy. This policy dramatically increased biosimilar prescriptions: etanercept and infliximab biosimilar use rose by 76.98% and 58.43%, respectively. The switch generated substantial cost savings and improved patient access to biologic therapies without compromising safety or efficacy.9

How HEOR Influences Payer Decisions

HEOR evidence directly informs payer strategies in several ways:

Practical Influence

  • Cost Savings: Payers are motivated by the potential for significant cost reductions. For example, EU-5 markets saved €303.86 million with biosimilar rituximab.10 These savings can be reinvested to expand patient access or improve healthcare services.
  • Reimbursement Policies: HEOR informs the design of reimbursement frameworks, including price discounts, tendering processes, and mandatory switching policies. Countries like the UK and Germany have successfully implemented these strategies, which have been instrumental in driving biosimilar uptake.11,12

Theoretical Influence

  • Value-Based Healthcare: HEOR aligns with value-based healthcare principles by prioritizing interventions that deliver optimal outcomes at the lowest cost. Biosimilars exemplify this approach by reducing treatment costs without compromising quality.13
  • Policy Formation: Policymakers use HEOR findings to shape regulations encouraging biosimilar use. British Columbia’s biosimilar switching policy is a prime example, where evidence-based policy led to increased biosimilar uptake and substantial cost savings.9

Conclusion

In conclusion, as the healthcare system faces mounting pressures to deliver high-quality care while managing costs, adopting biosimilars stands out as a compelling opportunity that cannot be ignored. The collaborative efforts of regulators, payers, and providers, guided by robust HEOR evidence, are key to ensuring that the transition from originators to biosimilars is clinically sound and economically advantageous. HEOR has provided clear insights into cost-effectiveness, budget impact, and real-world performance, enabling payers to make informed decisions, optimize reimbursement strategies, and contribute to forward-thinking policy development. Ultimately, HEOR’s role in biosimilar adoption is not just supportive but transformative, paving the way for a more sustainable and accessible healthcare future.

References:

  1. Yang J, et al. Greater uptake, an alternative reimbursement methodology needed to realize cost-saving potential of oncology biosimilars in the United States. J Manag Care Spec Pharm. 2021;27(12):1642-1651.
  2. Mroczek DK, et al. Obstacles to Biosimilar Acceptance and Uptake in Oncology: A Review. JAMA Oncol. 2024;10(7):966-972.
  3. Shubow S, et al. Prescriber Perspectives on Biosimilar Adoption and Potential Role of Clinical Pharmacology: A Workshop Summary. Clin Pharmacol Ther. 2023;113(1):37-49.
  4. Edgar BS, et al. Overcoming barriers to biosimilar adoption: real-world perspectives from a national payer and provider initiative. J Manag Care Spec Pharm. 2021;27(8):1129-1135.
  5. Lu B, et al. Cost-Effectiveness Analysis of Bevacizumab Biosimilars Versus Originator Bevacizumab for Metastatic Colorectal Cancer: A Comparative Study Using Real-World Data. Value Health. 2024;27(12):1689-1697.
  6. Shastri K, et al. AB1428 Adalimumab and Tocilizumab Biosimilars in Europe: Budget-impact and Opportunity for Expanded Patient Access. Ann Rheum Dis. 2024;83:2069-70.
  7. Chaplin S, et al. Budget impact analysis of including biosimilar adalimumab on formulary: A United States payer perspective. J Manag Care Spec Pharm. 2024;30(11):1226-1238.
  8. Lacaille D, et al. POS0874 Comparable Safety and Effectiveness Among New Users of Biosimilar vs Originator Anti-NFTs in Inflammatory Arthritis: Population-based Evidence From a Policy Change. Ann Rheum Dis.;83:595-6.
  9. McClean AR, et al. Uptake and Spending on Biosimilar Infliximab and Etanercept After New Start and Switching Policies in Canada: An Interrupted Time Series Analysis. Arthritis Care Res (Hoboken). 2023;75(9):2011-2021.
  10. Jang M, Simoens S, and Kwon T. Budget Impact Analysis of the Introduction of Rituximab and Trastuzumab Intravenous Biosimilars to EU-5 Markets. BioDrugs. 2021;35(1):89-101.
  11. Zhang W, et al.
  12. Machado S, et al. Policy measures and instruments used in European countries to increase biosimilar uptake: a systematic review. Front Public Health. 2024;12:1263472.
  13. Chen HH, Yemeke T, and Ozawa S. Reduction of biologic pricing following biosimilar introduction: Analysis across 57 countries and regions, 2012-19. PLoS One. 2024;19(6):e0304851.

Content’s Industrial Revolution: Shaping the Future of Pharma

Communications

In a rapidly evolving digital ecosystem, the pharmaceutical industry’s relationship with content is undergoing a seismic shift. At the recent Reuters Pharma event in Barcelona, Dr. Namrata, Founder of Turacoz, led a thought-provoking panel discussion titled ‘Content’s Industrial Revolution’. The dialogue explored how content in pharma is undergoing a transformation driven by technology, collaboration, and an evolving mindset.

This transformation isn’t just about producing more content – it’s about producing smarter content that is personalized, compliant, and delivered at speed and scale. Here are the key takeaways that highlight how pharma companies can adapt to this revolution.

From linear to circular: Rethinking the content supply chain

Traditionally, the content supply chain in pharma has been linear – ideation, creation, review, and deployment. But the industry is waking up to a powerful realization: a circular content supply chain is the way forward. This means insights from content consumption must loop back into content creation.

It’s about listening, learning, and evolving continuously. When feedback and performance metrics inform the next content iteration, the result is more relevant, targeted, and effective communication.

Upfront partnerships: Shifting left in the review process

Another game-changing approach discussed in the panel was the concept of “shifting left” – engaging reviewers early in the content lifecycle. Instead of waiting until the end of the process for medical, legal, and regulatory (MLR) reviews, involving them upfront leads to fewer iterations and a higher rate of getting content right the first time. “Involving reviewers early and leveraging AI is no longer optional—it’s the only way to create content that’s both fast and flawless,” noted Dr. Namrata during the panel. This proactive alignment improves efficiency, saves time, and ensures clarity from the start.

AI and GenAI in Action: Smarter, Faster, Compliant

Nearly 80% of pharma companies are now embedding AI into their content workflows.1 The path forward lies in industrialization—standardizing content processes to eliminate duplication and reduce costs. This includes:

  • Tiered review systems based on content similarity
  • Modular content structures for reuse and recycling
  • AI-led automation for reference linking and claims validation

 These innovations reduce manual effort and error, speed up reviews and improve compliance and traceability.

Reduce, reuse, recycle: Sustainable content practices

Content sustainability is now a business imperative. Strategies like modular content creation, centralized digital libraries, and approved content recycling help reduce production time and content fatigue—while ensuring consistency across global teams.

Let’s break down what reduce, reuse, and recycle means in the pharma content world:

  • Reduce
    Minimize duplication by avoiding the creation of redundant content. Use centralized libraries and templates to streamline creation and approval processes.
  • Reuse
    Build modular content blocks that can be repurposed across different channels, regions, and campaigns. One approved module (e.g., a product description) can be reused in emails, websites, and brochures.
  • Recycle
    Refresh and repackage existing high-performing content instead of always starting from scratch. This ensures content stays relevant and reduces production time.

These sustainable practices improve efficiency, maintain global consistency, and cut down costs.

Mindset, toolset, and skillset: The three pillars of change

Technology is only part of the equation. To truly embrace this revolution, organizations need the right:

  • Mindset: Be curious, open to learning, and willing to fail fast
  • Toolset: Adopt tech that enables agility without sacrificing compliance
  • Skillset: Invest in training and upskilling teams for the future of content

Internal and external collaboration will be the glue that holds these pillars together ensuring that strategy, execution, and innovation move in sync.

Human + Machine: A balanced equation

While technology is a powerful enabler, the human touch remains irreplaceable. Keeping humans in the loop ensures contextual accuracy, emotional intelligence, and ethical responsibility especially critical in healthcare communications. The goal is to strike the right balance between automation and human oversight.

Final thoughts

As the content landscape shifts from volume to value, pharma companies need to focus on crafting impactful content that resonates with the audience. This means not just doing things faster but doing them better – with clarity, compliance, and compassion.

At Turacoz, we are proud to be at the forefront of this transformation, driving change that empowers our clients to communicate with precision and purpose. The content revolution is here—and we’re ready to lead it.

Ready to transform your content strategy? Connect with Turacoz to explore how we can help you scale smarter.

Reference:

Kudumala A, Konersmann T, Israel A, Miranda W. Biopharma digital transformation: Gain an edge with leapfrog digital innovation. Deloitte Insights. 2021 Dec 8. Available from: https://www2.deloitte.com/us/en/insights/industry/life-sciences/biopharma-digital-transformation.html

Health Journalism: Combating Misinformation with Accuracy

By Turacoz Healthcare Solutions | World Liver Day 2025

In a world where social media dominates wellness discussions, liver health is a popular topic — albeit not always a well-informed one. From miracle cures to detox diets, the liver is the focus of myriad health claims with little scientific basis. On this World Liver Day, we highlight the vital role of health journalism in separating fact from fiction and delivering accurate, science-based information.

Emergence of Misinformation about Liver Health

Digital media have opened health information to everyone—but with such openness comes an influx of unfiltered information. Wellness bloggers, often with little to no medical training, tout liver ‘cleanses’ and ‘superfoods’ without accountability. These messages, though alluring, can mislead consumers, undermine patient education campaigns, and jeopardize liver health.

False information not only causes confusion but also can delay treatment and accurate diagnosis. With early treatment being essential in conditions such as non-alcoholic fatty liver disease (NAFLD), hepatitis, and cirrhosis, patients are at a loss if discussion centers around misinformation.

The Role of Health Journalism in Public Health

Evidence-based health journalism acts as a link between health practitioners and the general population. Accurate, accessible, and understandable health reporting translates complex medical jargon into clear messages, enhancing health literacy and supporting informed decision-making.

Medical writers and journalists have an obligation to:

  • Confirm information from evidence-based sources like peer-reviewed journals and clinical practice guidelines.
  • Work with specialists such as hepatologists, nutritionists, and scientists.
  • Employ health information management systems to track, interpret, and share accurate data.

Fact-checking in the Social Media era

With misinformation traveling at lightning speed on the internet, fact-checking now forms a bedrock of trustworthy health communication. Using health information technology like automated content verification systems and AI-based surveillance, medical communicators can quickly address misleading claims and disseminate accurate content to the masses.

Agencies, along with journalists, should also predict patterns. Tracking social media discussions enables them to correct misleading reports in a timely fashion and present scientifically correct counter-information.

Empowering Patients Through Education

Correct health information not only educates, it empowers. Liver health education should be centered in useful, actionable information: comprehending liver function, identifying risks, adopting evidence-based dietary practices, and recognizing warning signs that necessitate medical care.

By ensuring that educational resources are synchronized with national health goals and governmental standards, medical communicators contribute effectively to national campaigns promoting liver health.

A Partnership with Health Professionals

Effective health journalism does not exist in a vacuum. It is developed in close collaboration with health professionals, patient advocacy organizations, and public health organizations. Such collaborations help guarantee that information is up to date, applicable, and consistent with clinical best practices.

The way forward

Combating misinformation on matters related to the liver necessitates a multifaceted approach:

In Conclusion

Being a trusted medical communications agency, Turacoz is of the opinion that science-based, accessible, and honest communication is central to improved health outcomes. On this World Liver Day, we reaffirm our values of truth, science, and service—because timely information is a matter of saving people’s lives.

 

Patient Voices Matter: How Patient-reported Outcomes Are Redefining Market Access

The healthcare industry is experiencing a paradigm shift as patient voices take center stage in drug development and approval processes. While clinical trial data continues to be the cornerstone of drug development and approval, patient-reported outcomes (PROs) are emerging as the gold standard for demonstrating real-world value, particularly when it comes to market access approvals offering valuable insights into the patient experience and treatment impact. As healthcare systems worldwide shift toward value-based care, PROs are getting more and more widely used in clinical trials and approval processes. For example, the proportion of industry-sponsored oncology trials including PROs assessments rose from 26% (2007–2013) to 75% (2014–2018).1 This increased integration of PROs into clinical trials and regulatory submissions reflects a growing acknowledgment of their value in evaluating therapies from the patient’s perspective.

The Evolution of Healthcare Metrics

Historically, drug approvals focused primarily on “hard” clinical endpoints, while these metrics remain important, they tell only part of the story, and do not completely capture the picture of quality of life (QoL) or daily functioning. PROs that reflect the patient’s direct perspective on their symptoms, functional status, and overall well-being capture this crucial dimension that clinical data alone cannot measure complementing the traditional clinical outcomes. This holistic view of treatment effects is particularly important for chronic and debilitating conditions, where symptom burden and QoL are critical determinants of treatment success.2,3

Regulatory Recognition

Regulatory bodies worldwide have recognized this gap and are increasingly demanding PRO data as part of approval submissions:

  • The U.S. Food and Drug Administration (FDA)1 has established Patient-Focused Drug Development (PFDD) to encourages patient participation in R&D decision-making process with an aim to develop a drug which better meets the patients’ needs. PROs were included in FDA’s 53% of medical device authorizations.4
  • The EMA’s regulatory guidance explicitly recommends PROs inclusion for many therapeutic areas. For example, 78.1% of oncology approvals by EMA included PROs.5
  • Health technology assessment (HTA) bodies and reimbursement agencies are leveraging PROs to evaluate the value of treatments in real-world settings. This trend is supported by studies showing that PROs can identify low-value care and inform cost-effectiveness analyses, thereby optimizing resource allocation in healthcare systems.6 

The increasing integration of PROs into regulatory submissions underlines their significance in demonstrating treatment benefits from a patient perspective.

The Market Access Imperative

For pharmaceutical companies PRO data is becoming essential for market access success. Here’s why:

Differentiation in Crowded Markets

PRO data can help to distinguish therapies, especially in oncology post-progression scenarios. A study has indicated that positive PRO data such as superior symptom relief, improved physical functioning support continued therapy at the physician’s discretion upon regulatory approval, even in progressive disease.7

Pricing and Reimbursement Leverage

The U.S. healthcare system is shifting from fee-for-service to value-based payment models to enhance patient care quality and control costs. Under the 2015 Medicare Access and Children’s Health Insurance Program Reauthorization Act, providers will be assessed on quality and cost efficiency, affecting their reimbursement rates. PROs play a key role in this transition by offering insights into patient preferences, experiences, and perceptions of benefits and risks. These insights inform pricing, reimbursement, and benefit-risk assessments, ensuring treatments align with patient values. PROs also influence health technology assessments by evaluating the impact of medical technologies on quality of life, guiding more equitable pricing decisions based on what patients value.8,9

Formulary Placement and Treatment Guidelines

Clinical practice guidelines are giving greater weight to PROs evidence when making recommendations. For example, European Society for Medical Oncology (ESMO) recommends symptom monitoring using patient-reported outcome measures (PROMs) for patients with stage IIIB/IV lung cancer who have completed initial or maintenance treatment. Additionally, it also recommends PROMs in survivorship care of patients after treatment of cancer, to improve communication and identify late toxicities, symptoms or functional impairment warranting supportive care.10

Beyond regulatory initiatives, incorporating PROs can increase the “value” of your therapeutic from a payor perspective, ultimately helping formulary placement.11

Advances in Digital Data Collection Have Made Collecting PROs Easy

The advent of digital health technologies has facilitated the collection and analysis of PROs, making them more accessible and actionable. Electronic patient-reported outcome measures (ePROMs) enable real-time data capture, reducing barriers to implementation and improving the quality of PRO data.6,12  For example, digital platforms are being used to collect PROs in large-scale studies, such as the PROMchronic study in Germany, which aims to evaluate the effectiveness of ePROMs in improving care for patients with chronic diseases like diabetes and asthma.6 Additionally, AI and machine learning help analyze PRO data to identify patterns and insights.

Challenges and Opportunities

Despite their growing importance, the use of PROs in market access approvals is not without challenges. Issues such as the lack of standardization, variability in data quality, and the need for robust methodologies remain. However, ongoing research and policy initiatives are addressing these challenges, with a focus on developing validated instruments, improving data collection practices, and integrating PROs into regulatory frameworks.13,14

For example, the European Medicines Agency (EMA) has emphasized the need for harmonization of PRO measures to facilitate their use in drug development and regulatory decision-making. Similarly, initiatives like the Innovative Medicines Initiative (IMI) PREFER project are working to establish best practices for incorporating patient preferences into regulatory evaluations.14,15

The Future of PROs in Market Access

The future of PROs in market access approvals is promising, with ongoing advancements in technology, policy, and methodology. As regulators and payers increasingly recognize the value of patient-centered data, PROs are likely to become even more integral to healthcare decision-making. Their ability to capture the patient’s perspective, complement traditional outcomes, and support real-world evidence makes them indispensable in the era of value-based healthcare.16

Conclusion

In conclusion, PROs are becoming the gold standard for market access approvals because they provide a patient-centered perspective, complement traditional clinical outcomes, and support regulatory and reimbursement decisions with real-world evidence. As healthcare systems continue to evolve, the integration of PROs into decision-making processes will remain a cornerstone of value-based, patient-centered care.

References

  1. Cao K, et al. From the Formation of Conceptual Framework to Regulatory Decision-Making: Considerations for the Developments of Patient-Reported Outcome Instruments. Drug Des Devel Ther. 2024;18:5759-5771.
  2. Bonsel JM, et al. The use of patient-reported outcome measures to improve patient-related outcomes – a systematic review. Health Qual Life Outcomes. 2024;22(1):101.
  3. Jeyaraman N, et al. Voices that matter: The impact of patient-reported outcome measures on clinical decision-making. World J Methodol.2025; 15(2):98066.
  4. Matts ST, et al. Inclusion of patient-reported outcome instruments in US FDA medical device marketing authorizations. J Patient Rep Outcomes. 2022;6(1):38.
  5. Teixeira MM, et al. A review of patient-reported outcomes used for regulatory approval of oncology medicinal products in the European Union between 2017 and 2020. Front Med (Lausanne). 2022;9:968272.
  6. Nikkhah J, et al. Evaluating the Population-Based Usage and Benefit of Digitally Collected Patient-Reported Outcomes and Experiences in Patients With Chronic Diseases: The PROMchronic Study Protocol. JMIR Res Protoc. 2024;13:e56487.
  7. Brogan AP, et al. Payer Perspectives on Patient-Reported Outcomes in Health Care Decision Making: Oncology Examples. J Manag Care Spec Pharm. 2017;23(2):125-134.
  8. Chachoua L, et al. Use of Patient Preference Information in Benefit-Risk Assessment, Health Technology Assessment, and Pricing and Reimbursement Decisions: A Systematic Literature Review of Attempts and Initiatives. Front Med (Lausanne). 2020;7:543046.
  9. Squitieri L, Bozic KJ, and Pusic AL. The Role of Patient-Reported Outcome Measures in Value-Based Payment Reform. Value Health. 2017;20(6):834-836.
  10. Di Maio M, et al. The role of patient-reported outcome measures in the continuum of cancer clinical care: ESMO Clinical Practice Guideline. Ann Oncol. 2022;33(9):878-892.
  11. Oderda G, et al. Payer perceptions on the use of patient-reported outcomes in oncology decision making. J Manag Care Spec Pharm. 2022;28(2):188-195.
  12. Joeris A, et al. Real-world patient data: Can they support decision making and patient engagement?. Injury. 2023;54 Suppl 3:S51-S56.
  13. Almeida D, et al. Leveraging patient experience data to guide medicines development, regulation, access decisions and clinical care in the EU. Front Med (Lausanne). 2024;11:1408636.
  14. Janssens R, et al. How can patient preferences be used and communicated in the regulatory evaluation of medicinal products? Findings and recommendations from IMI PREFER and call to action. Front Pharmacol. 2023;14:1192770.
  15. Ciani O, et al. Patient-reported outcome measures in drugs for neurological conditions approved by European Medicines Agency 2017-2022. Neurol Sci. 2023;44(8):2933-2937.
  16. Adeghe EP, Okolo CA, and Ojeyinka OT. The influence of patient-reported outcome measures on healthcare delivery: A review of methodologies and applications. OARJBP. 2024;10(2):013-21.

The Role of AI & Machine Learning in Real-World Evidence Generation

In the evolving era of healthcare, data is the foundation of informed decision-making. With the rise of Artificial Intelligence (AI) and Machine Learning (ML), real-world evidence (RWE) generation is undergoing a revolutionary transformation. AI-driven analytics empower researchers and healthcare professionals (HCPs) to extract meaningful insights from vast and complex datasets which ultimately improve patient outcomes and optimize treatment strategies.

The power of RWE in healthcare

AI and ML are playing a pivotal role in bridging the gap between controlled clinical trials and real-world clinical practices by enabling seamless synthesis and interpretation of diverse datasets. These technologies help in aligning clinical evidence with real-world treatment patterns and outcomes, making the data more applicable and impactful for regulatory documentation. Through automated data extraction, natural language processing, and real-time analytics, AI supports the creation of timely and compliant regulatory submissions that reflect real-world treatment efficacy and safety. In publication planning, ML can identify emerging data trends and prioritize high-impact topics, while AI-driven tools streamline manuscript generation and literature analysis. Additionally, in Health Economics and Outcomes Research (HEOR), AI enhances model precision by incorporating dynamic, real-world variables—leading to more robust cost-effectiveness and budget impact assessments that resonate with payers and policymakers.

How AI & ML transform RWE generation

  1. Data integration & processing

Healthcare data is often fragmented across multiple systems, making integration a major challenge. AI-driven algorithms efficiently harmonize disparate datasets, standardizing information from diverse sources such as:

  • EHRs: AI extracts relevant clinical information while maintaining patient privacy.
  • Wearable & sensor data: Continuous monitoring devices provide real-time insights into patient health trends.
  • Medical imaging & genomic data: AI enhances pattern recognition, enabling precision medicine approaches.
  1. Predictive analytics for better decision-making

ML models analyze historical patient data to predict outcomes, identify disease progression, and assess treatment efficacy. For example:

  • Early disease detection: AI models detect anomalies in imaging scans or lab results, enabling early intervention.
  • Treatment optimization: By analyzing patient responses to therapies, ML suggests tailored treatment plans, reducing trial-and-error approaches.
  • Risk stratification: AI helps classify patients based on risk factors, aiding in proactive disease management.
  1. Enhancing clinical trials & drug development

AI and ML streamline clinical research by:

  • Patient recruitment: Identifying eligible participants through automated data analysis.
  • Synthetic control arms: Using AI-generated patient models to simulate control groups, reducing the need for large trial populations.
  • Real-time monitoring: AI continuously tracks patient responses, adjusting protocols dynamically for optimal results.
  1. Improving pharmacovigilance & safety monitoring

Post-market drug surveillance benefits from AI’s ability to detect adverse events from vast datasets, including:

  • Social media & patient forums: AI scans digital discussions for emerging side effect patterns.
  • EHRs & claims data: Identifies unexpected adverse reactions across large patient populations.
  • Natural Language Processing (NLP): Extracts insights from unstructured physician notes and reports.

Real-world impact of AI & ML in RWE generation

AI-driven RWE applications are already making tangible improvements in healthcare:

  • Personalized medicine: AI enables the development of individualized treatment plans based on genetic, environmental, and lifestyle factors.
  • Chronic disease management: ML models predict disease exacerbations, prompting timely interventions.
  • Health policy & public health initiatives: AI-driven RWE informs regulatory decisions, optimizing healthcare resource allocation.

Challenges & Solutions in AI-Powered RWE Generation

Challenge Solution
Data privacy & security Implementing robust encryption and federated learning techniques.
Bias & algorithm transparency Ensuring diverse datasets and conducting regular audits to reduce biases.
Regulatory compliance Aligning AI applications with global data governance frameworks.
Interpretability of AI models Developing explainable AI (XAI) methods for better clinical adoption.

 

The future of AI in RWE

As AI and ML continue to advance, their role in RWE generation will expand, fostering

  • More efficient drug approvals: Regulatory bodies increasingly rely on AI-enhanced RWE to accelerate decision-making.
  • Improved patient-centric care: AI-powered insights enable more holistic, tailored treatment plans.
  • Greater integration with wearable tech: Continuous patient monitoring enhances real-time evidence collection.

Turacoz remain committed to scientific integrity, clear communication, and regulatory compliance. Our AI-enhanced approach to RWE documentation ensures that valuable real-world insights are effectively translated into actionable information for all stakeholders.

By combining medical writing expertise with advanced AI and ML capabilities, we help our clients transform complex real-world data into compelling evidence narratives that advance medical knowledge, support regulatory decisions, and ultimately improve patient care.

Are Real-World Studies Reliable? Addressing Bias & Data Quality Issues

In an era where healthcare decisions are increasingly driven by data, real-world evidence (RWE) has become a crucial tool for assessing treatment effectiveness beyond controlled medical trials. Real-world data (RWD) provides insights into how medical interventions perform across diverse patient populations in routine practice. However, concerns regarding bias, data integrity, and regulatory compliance raise an important question: How reliable are real-world studies?

The Growing Importance of RWE

Unlike traditional clinical trials, which follow strict protocols and eligibility criteria, real-world studies rely on data from electronic health records (EHRs), insurance claims, patient registries, and even wearable devices. This shift allows researchers, policymakers, and healthcare professionals to evaluate the long-term safety, cost-effectiveness, and impact of treatments in real-world settings.

Medical affairs teams use RWE to support health economics research, inform market access strategies, and guide regulatory decision-making. However, ensuring the credibility of findings requires a proactive approach to addressing biases and enhancing data quality.

Common Biases in Real-world Studies

Real-world studies are vulnerable to multiple forms of bias, which can compromise their reliability:

  • Selection bias: Since real-world studies do not employ randomized patient selection, certain demographic or clinical groups may be overrepresented or underrepresented, leading to skewed results.
  • Confounding variables: Unlike randomized controlled trials (RCTs), real-world studies often lack mechanisms to isolate variables, making it difficult to establish causality.
  • Reporting bias: Incomplete or inconsistent data entry in electronic health records and insurance claims databases can introduce errors that affect study conclusions.
  • Publication bias: Studies with favorable outcomes are more likely to be published, creating an incomplete picture of a treatment’s true effectiveness.

Mitigating Bias in RWE

Several methodologies can help mitigate bias in RWE studies:

  1. Propensity score matching (PSM): This statistical technique matches patients with similar baseline characteristics to reduce confounding.
  2. Inverse probability weighting (IPW): A weighting method that adjusts for imbalances in patient characteristics, improving comparability.
  3. Sensitivity analyses: Conducting multiple analyses with different assumptions helps assess the robustness of findings.
  4. Use of linked datasets: Combining multiple data sources (e.g., EHRs, registries, and claims data) can improve data completeness and reduce missingness-related biases1.

Ensuring Data Quality in Real-world Studies

Improving the reliability of RWE requires stringent methodologies and advanced analytical tools. Strategies to enhance data quality include:

  • Systematic literature reviews: Conducting thorough literature reviews ensures that RWE studies incorporate all relevant data, reducing the risk of biased conclusions2.
  • Artificial intelligence in healthcare: AI-driven analytics can identify patterns, clean datasets, and account for missing variables, leading to more reliable insights3.
  • Standardized data collection: Implementing structured reporting systems across healthcare institutions ensures greater consistency and completeness in real-world data4.
  • Regulatory compliance: Adhering to guidelines set by regulatory bodies such as the U.S. Food and Drug Administration (FDA) and the European Medicines Agency (EMA) ensures that real-world studies meet rigorous scientific and ethical standards5.

The Role of Regulatory Compliance in RWE Reliability

To incorporate RWE into clinical decision-making, regulatory bodies have introduced stringent data governance frameworks. Ensuring compliance with Good Clinical Practice (GCP) and other regulations mitigates the risks associated with incomplete or biased data.

  • The FDA’s Real-World Evidence Framework establishes standards for assessing RWD quality, study design, and applicability in regulatory submissions6.
  • The EMA emphasizes transparency and reproducibility in RWE submissions, ensuring that studies meet the highest scientific standards7.

For example, the FDA approved Palbociclib (Ibrance) for male breast cancer based on RWE from claims and EHR data rather than traditional clinical trials8. This case highlights how high-quality RWE can inform regulatory decisions when RCTs are impractical.

Future Outlook: Combining RWE with Clinical Trials

While RCTs remain the gold standard for evaluating treatment efficacy, RWE plays a complementary role by providing insights into long-term safety, patient adherence, and economic impact. Integrating real-world data with traditional research methodologies can create a more comprehensive understanding of healthcare interventions.

Advancements in AI-driven analytics, real-time data integration, and digital health monitoring are improving the accuracy of RWE studies. Organizations are increasingly leveraging these technologies to refine data accuracy and eliminate bias9. By embracing the best practices in systematic literature review, regulatory compliance, and data validation, real-world studies can offer valuable insights that drive evidence-based healthcare decisions.

The Path Forward

RWE is a powerful tool in modern healthcare, but its reliability depends on addressing biases and ensuring data integrity. Implementing standardized methodologies, leveraging artificial intelligence, and adhering to regulatory standards can help unlock the full potential of real-world studies and effectively disseminate findings across the healthcare ecosystem.

References

  1. Schneeweiss S. Learning from big health care data. N Engl J Med. 2014;370(23):2161-3.
  2. Wang SV, Pinheiro S, Hua W, et al. STaRT-RWE: structured template for planning and reporting on the implementation of real-world evidence studies. BMJ 2021;372:m4856.
  3. Rajkomar A, Dean J, Kohane I. Machine learning in medicine. N Engl J Med. 2019;380(14):1347-58.
  4. FDA. Real-world evidence: what is it and what can it tell us? [Internet]. 2023 [cited Feb 27, 2025]. Available from: https://www.fda.gov/science-research/science-and-research-special-topics/real-world-evidence
  5. European Medicines Agency. Real-world evidence in regulatory decision-making [Internet]. 2022 [cited Feb 27, 2025]. Available from: https://www.ema.europa.eu/en/human-regulatory/post-authorisation/real-world-evidence
  6. US FDA. Framework for FDA’s real-world evidence program [Internet]. 2018 [cited Feb 27, 2025]. Available from: https://www.fda.gov/media/120060/download
  7. European Medicines Agency. Guideline on good pharmacovigilance practices (GVP) [Internet]. 2021 [cited Feb 27, 2025]. Available from: https://www.ema.europa.eu/en/documents/scientific-guideline/guideline-good-pharmacovigilance-practices_en.pdf
  8. US FDA. FDA approves Ibrance for male breast cancer based on real-world evidence [Internet]. 2019 [cited Feb 27, 2025]. Available from: https://www.fda.gov/news-events/press-announcements/fda-approves-ibrance-male-breast-cancer-based-real-world-evidence
  9. Corrigan-Curay J, Sacks L, Woodcock J. Real-world evidence and regulatory decision making: where are we now? Clin Pharmacol Ther. 2018;104(5):822-9.

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The Role of Medical Science Liaisons in Educating Physicians on Colorectal Cancer Advances

Colorectal cancer (CRC) is the third most commonly diagnosed form of cancer globally and is the second most common cancer-related cause of death worldwide.1,2 This makes CRC a major public health issue due to the great economic burden it places on countries. There is significant progress in screening, diagnosis, and therapy for CRC at present; however, prognosis is poor, and there are challenges.2 With rapid advancements in treatment, staying updated on new therapeutic developments is crucial. Medical Science Liaisons (MSLs) play a vital role in bridging the gap between pharmaceutical companies and healthcare professionals (HCPs) by providing scientific expertise, facilitating medical education, and ensuring the exchange of accurate, up-to-date clinical data and therapeutic guidelines.3

The growing importance of MSLs in oncology

MSLs are highly trained scientific professionals, often with advanced degrees in medicine, pharmacy, or life sciences, and are key members of the medical Affairs teams of pharmaceutical companies.3 They serve as a critical link between the pharmaceutical industry and the medical community, aiding in informed decision-making, fostering collaborations, and enhancing patient care.4

In oncology, where the treatment landscape evolves rapidly, MSLs play a key role in equipping physicians with the knowledge necessary to optimize patient care.

How MSLs keep physicians updated on CRC research

Colorectal cancer treatment has witnessed major advancements in recent years, including targeted therapies, immunotherapies, precision medicine and biomarker-based treatment, antibody-drug conjugate therapy, and novel chemotherapy.5 MSLs ensure that physicians stay informed on these innovations in the following ways:

  1. Providing clinical insights

MSLs interpret and communicate complex clinical trial data, helping physicians understand the latest scientific breakthroughs and how new therapies compare with existing treatments in terms of efficacy, safety, and patient outcomes.6 Thus, MSLs serve as a bridge between the industry and HCPs or key opinion leaders (KOLs), facilitating a two-way exchange of scientific and clinical information. By keeping KOLs informed about the latest industry developments, MSLs help save their valuable time.4

  1. Explaining mechanisms of action

With the rise of precision medicine, understanding the molecular mechanisms of novel drugs is crucial. MSLs educate physicians on how therapies, such as immune checkpoint inhibitors, monoclonal antibodies, and combination regimen, work at a molecular level.

  1. Navigating treatment guidelines

Organizations like the National Comprehensive Cancer Network (NCCN) and the American Society of Clinical Oncology (ASCO) frequently update treatment guidelines. MSLs assist physicians in integrating these changes into clinical practice, ensuring adherence to the most recent guidelines.

  1. Facilitating real-world data insights

Beyond clinical trials, real-world evidence plays a crucial role in assessing long-term treatment effectiveness and improving medical treatment.7 MSLs provide valuable insights into patient responses, adverse event management, and emerging real-world trends.

How MSLs bridge research and clinical practice

One of the major challenges in oncology is translating scientific research into practical, patient-centered care. MSLs address this challenge by:

  1. Conducting peer-to-peer educational programs

MSLs organize advisory boards, roundtable discussions, and one-on-one meetings with KOLs to discuss recent advancements in the therapeutic area and their implications for clinical practice.  MSLs gather insights from KOLs and help in guiding research and product development for pharmaceutical and biotechnology companies.

  1. Facilitating clinical trials

Oncologists often collaborate with pharmaceutical companies to enroll patients in clinical trials. MSLs help identify suitable studies, clarify eligibility criteria, and provide trial-related updates to oncologists.

  1. Providing medical education resources

From whitepapers to webinars, MSLs curate educational content tailored to the needs of oncologists, ensuring they have access to reliable and relevant information.

  1. Fostering multidisciplinary collaboration in CRC treatment

Colorectal cancer management requires a multidisciplinary approach, involving medical specialists such as medical oncologists, surgical oncologists, radiologists, gastroenterologists, radiation oncologists, and pathologists.8 MSLs play a crucial role in fostering collaboration among these specialties by:

  • Encouraging interdisciplinary discussions on treatment sequencing and combination strategies.
  • Addressing concerns related to emerging therapies, such as side effect management and patient selection criteria.
  • Ensuring consistent communication between pharmaceutical companies and medical institutions to align treatment advancements with real-world patient needs.

Call to action: Recognizing the impact of MSLs in oncology

The Colorectal Cancer Awareness Month serves as a timely reminder to recognize and appreciate the invaluable contributions of MSLs in the fight against CRC. Turacoz proudly acknowledges and values the critical role MSLs play in advancing care and driving impact in the battle against CRC. Their expertise not only advances physician education but also enhances patient outcomes by ensuring that the latest medical innovations are seamlessly integrated into clinical practice.

By championing the role of MSLs, we can bridge the gap between research and real-world care, ensuring every patient with CRC receives the best treatment possible.

 

References

  1. Klimeck L, Heisser T, Hoffmeister M, et al. Colorectal cancer: A health and economic problem. Best Practice & Research Clinical Gastroenterology. 2023 Oct 1;66:101839.
  2. Fadlallah H, El Masri J, Fakhereddine H, et al. Colorectal cancer: Recent advances in management and treatment. World journal of clinical oncology. 2024 Sep 24;15(9):1136.
  3. Chen J, Burns G, Kelly C, Vanderhoef D, Johnson J. Medical Science Liaisons: A Guide for Advanced Practice Registered Nurses. The Journal for Nurse Practitioners. 2024 Nov 1;20(10):105211.
  4. García García C, Riosalido Montero M, Sastre V, González del Castillo A, Matesanz Marín A. The medical science liaison role in Spain: Opinion of the commercial department personnel. Therapeutic Innovation & Regulatory Science. 2023 Sep;57(5):1030-9.
  5. Alese OB, Wu C, Chapin WJ, et al. Update on emerging therapies for advanced colorectal cancer. American Society of Clinical Oncology Educational Book. 2023 May;43:e389574.
  6. Theron P, Britland M, Holder D, Ikeda Y, Rewers RF, Tiku A. Promoting best practices for medical science liaisons position statement from the APPA, IFAPP, MAPS and MSLS. Therapeutic Innovation & Regulatory Science. 2021 Nov;55:1139-44.
  7. Moss B, Goodall EA, Maravic Z, et al. Real-world evidence research in metastatic colorectal cancer: raising awareness of the need for patient contributions. Future Oncology. 2023 Aug 1;19(26):1811-23.
  8. Sievers CK, Kratz JD, Zurbriggen LD, et al. The multidisciplinary management of colorectal cancer: present and future paradigms. Clinics in colon and rectal surgery. 2016 Sep;29(03):232-8.

Are randomized clinical trials enough: Why regulatory bodies are demanding more real-world evidence?

Real-world evidence (RWE) has emerged as a critical complement to randomized clinical trials (RCTs) in healthcare regulatory decision-making. While RCTs remain the gold standard to assess an intervention and the efficacy of an intervention and are irreplaceable when testing the effect of new treatments, they often face limitations in terms of generalizability, cost, and timeliness. Derived from real-world data (RWD), RWE offers valuable insights into the effectiveness, safety, and economic impact of healthcare interventions in everyday clinical settings. It has become an essential part of integrated evidence generation, creating a continuous flow of information from the premarket to post-market approval decisions. By providing a meaningful clinical context, RWE bridges the gap between evidence of efficacy and effectiveness, enriching the decision-making process.

Although RWE has been used for years to support post-marketing approval and drug safety, the 21st Century Cures Act, enacted in December 2016, accelerated the use of RWE for regulatory submission.1 The act, designed to speed up medical product development and deliver innovations to patients more efficiently, has led to an increase in the use of RWE.2 For example, between 2017 and 2019, only 13% of evaluated oncology submissions to the FDA included RWE to support efficacy, compared to 70% from 2019 to 2021 using RWE to support efficacy and/or safety.1

The Role of Real-World Evidence in Regulatory Decision-Making

  1. Complementing RCTs

RCTs are highly controlled studies that provide robust evidence of efficacy and safety but are often limited by their strict inclusion and exclusion criteria, which may not reflect real-world patient populations. On the other hand, RWE captures data from diverse real-world settings, including patients with comorbidities, rare diseases, and those taking multiple medications, thereby enhancing the generalizability of the findings. Additionally, the RWE allows for the assessment of intervention values, considering both clinical and economic implications. Understanding real-world costs and outcomes is essential for optimizing resource allocation and ensuring the greatest value to patients and society.3,4

  1. Addressing Evidence Gaps

RWE is particularly valuable in addressing questions that RCTs cannot answer or do not answer. For example, RWE can provide long-term safety and effectiveness data, information on drug interactions, assess treatment outcomes in rare diseases, and evaluate the impact of medications in paediatric or geriatric populations.5,6 Additionally, RWE can inform decisions on drug labelling, post-marketing surveillance, and reimbursement.7

  1. Regulatory Applications

Regulatory bodies such as the U.S. Food and Drug Administration (USFDA), European Medicines Agency (EMA), and Health Canada have increasingly recognized the value of RWE in regulatory decision-making. In North America, both the FDA and Health Canada have created frameworks to integrate RWE into the regulatory process for premarket and post-market activities. The FDA’s 2018 framework emphasizes using RWE to modify drug labels and evaluate effectiveness, whereas Health Canada encourages its use for special populations and rare diseases. In Europe, the EMA has set out strategies, including the “Regulatory Science to 2025” document and Adaptive Pathways, to incorporate RWE throughout the drug lifecycle, with a focus on harmonizing data access and analysis within the EU. In Asia, countries such as China, Japan, and Taiwan, have developed specific guidelines for the use of RWE in drug development. China’s National Medical Products Administration (NMPA) emphasizes its use for rare diseases and label expansions, while Japan’s Pharmaceuticals and Medical Devices Agency (PMDA) is working to refine methods for ensuring the reliability of registry data.8

Examples of RWE Improving Decision-Making

  1. COVID-19 Vaccine Deployment

During the COVID-19 pandemic, RWE was crucial in speeding up vaccine deployment by assessing vaccine effectiveness (VE) in real-world settings and complementing clinical trial data. Studies conducted in Denmark and Israel have provided valuable insights into VE against emerging variants and the effectiveness of booster doses. RWE also helped refine vaccination strategies and dosing regimens, offering evidence that RCTs couldn’t deliver on time. It supported safety monitoring and vaccine adaptation to new variants, enabling regulatory bodies to adjust dosing, guide on target populations, and optimize vaccine strategies for rapid decision-making.9

  1. Rare Disease Medicine Approvals

In the context of rare diseases, the RWE has been instrumental in broadening the indicated population for orphan drugs. A study analysing engagements with the EMA found that submissions, including RWE, resulted in a broader indicated population than those relying solely on RCT evidence. This highlights the potential of RWE to expand treatment access for rare diseases.10

  1. Medical Cannabis

RWE has also been used to support the approval of medical cannabis, where RCT evidence is often limited due to the challenges of studying whole-plant medicines. RWE studies, incorporating patient-reported outcomes, have demonstrated the positive impact of medical cannabis on patients’ lives, providing a broader evidence base for regulatory decisions.11

Challenges and Limitations of RWE

While RWE offers significant advantages, it also has limitations. Key challenges include concerns about data quality, potential biases, and lack of standardization in data collection and analysis. Additionally, RWE studies may lack the rigor of RCTs, and their findings may be influenced by confounding factors.4,6 To address these challenges, regulatory bodies stress the need for fit-for-purpose data, ensuring transparent study designs, and applying robust analytical methods.12

The Future of RWE in Regulatory Decision-Making

The integration of RWE into regulatory decision-making is expected to grow as methodologies improve and data quality is enhanced. Emerging trends, such as the use of artificial intelligence in healthcare and patient-generated data, offer new opportunities for leveraging RWE.4,13 Additionally, hybrid trial designs that combine elements of RCTs and RWE are being explored to generate evidence that is both robust and generalizable.14

Conclusion

Real-world evidence has become an indispensable tool for healthcare regulatory bodies, complementing the strengths of RCTs and addressing their limitations. By providing insights into real-world effectiveness, safety, and health economics impact, RWE has improved decision-making in areas where RCT data is insufficient. As methodologies evolve and data quality improves, the role of RWE in regulatory decision-making is expected to expand, offering new opportunities for advancing public health.

Turacoz specializes in leveraging RWE to support regulatory submissions, market access strategies, and healthcare decision-making. With expertise in data analytics, evidence synthesis, and regulatory compliance, we help pharmaceutical, and healthcare organizations integrate RWE into their product development and approval processes. From designing fit-for-purpose RWE studies to ensuring alignment with global regulatory frameworks, our tailored solutions empower clients to generate high-quality, actionable insights. By partnering with us, companies can enhance their evidence-generation strategies, optimize resource allocation, and accelerate patient access to innovative treatments.

References:

  1. Wilson BE, Booth CM. Real-world data: bridging the gap between clinical trials and practice. EClinicalMedicine. 2024;78:102915.
  2. Real-World Evidence. Available at: https://www.fda.gov/science-research/science-and-research-special-topics/real-world-evidence#:~:text=The%2021st%20Century%20Cures%20Act,drug%20post%2Dapproval%20study%20requirements. Last accessed: March 2025.
  3. Hernandez RK, Critchlow CW, Dreyer N, et al. Advancing Principled Pharmacoepidemiologic Research to Support Regulatory and Healthcare Decision Making: The Era of Real-World Evidence. Clin Pharmacol Ther. Published online January 14, 2025.
  4. Bhatia N. Harnessing real-world evidence in pharmacoeconomics: A comprehensive review. Open Health. 2024:5(1).
  5. Prilla S, Groeneveld S, Pacurariu A, et al. Real-World Evidence to Support EU Regulatory Decision Making-Results From a Pilot of Regulatory Use Cases. Clin Pharmacol Ther. 2024;116(5):1188-1197.
  6. Bakker E, Plueschke K, Jonker CJ, et al. Contribution of Real-World Evidence in European Medicines Agency’s Regulatory Decision Making. Clin Pharmacol Ther. 2023;113(1):135-151.
  7. Pulini AA, Caetano GM, Clautiaux H, et al. Impact of Real-World Data on Market Authorization, Reimbursement Decision & Price Negotiation. Ther Innov Regul Sci. 2021;55(1):228-238.
  8. Burns L, Roux NL, Kalesnik-Orszulak R, et al. Real-World Evidence for Regulatory Decision-Making: Guidance From Around the World. Clin Ther. 2022;44(3):420-437.
  9. Bollaerts K, Wyndham-Thomas C, Miller E, et al. The role of real-world evidence for regulatory and public health decision-making for Accelerated Vaccine Deployment- a meeting report. Biologicals. 2024;85:101750.
  10. Jandhyala R. The effect of adding real-world evidence to regulatory submissions on the breadth of population indicated for rare disease medicine treatment by the European Medicines Agency. Pharm. Policy Pract. 2022:15.
  11. Schlag AK, Zafar RR, Lynskey MT, et al. The value of real world evidence: The case of medical cannabis. Front Psychiatry. 2022;13:1027159.
  12. Dreyer NA, Hall M, Christian JB. Modernizing Regulatory Evidence with Trials and Real-World Studies. Ther Innov Regul Sci. 2020;54(5):1112-1115.
  13. Dagenais S, Russo L, Madsen A, et al. Use of Real-World Evidence to Drive Drug Development Strategy and Inform Clinical Trial Design. Clin Pharmacol Ther. 2022;111(1):77-89.
  14. Andre EB, Reynolds R, Caubel P, et al. Trial designs using real-world data: The changing landscape of the regulatory approval process. Pharmacoepidemiol Drug Saf. 2020;29(10):1201-1212.

 

Why Ongoing Education for Healthcare Professionals is Crucial

Healthcare is a constantly evolving field, where innovation, research, and technology shape patient care and outcomes. Ongoing education isn’t just a professional requirement – it’s a commitment to delivering the highest standard of care. Continuing Medical Education (CME) plays a vital role in ensuring that healthcare professionals (HCPs) remain informed, adaptable, and prepared to meet the dynamic needs of their patients and communities. Additionally, AI in medical education is transforming how HCPs learn and apply knowledge in real-time clinical settings.

When HCPs engage in continuous learning, they stay informed, adaptable, and prepared to meet the dynamic needs of their patients and communities.

KEY REASONS ONGOING EDUCATION BENEFITS HEALTHCARE

Enhanced patient outcomes
The updated knowledge and skills help to provide better diagnoses, treatments, and patient care strategies.

Studies show that HCPs who engage with the continuous education

  • Reduce medical errors by 30%1
  • Improve patient recovery rates by 20%2

Updated with medical advancements
New drug therapies, innovative treatment protocols, and emerging medical technologies help to shape modern healthcare. Ongoing education ensures

  • Adoption of the latest clinical guidelines3
  • Prescription of evidence-based treatments4
  • Enhanced patient safety through updated protocols1

Compliance with evolving regulations and guidelines
Healthcare policies and best practices change frequently. Staying informed ensures compliance, reduces liability and improves the quality of care. For example, updated infection control guidelines have been crucial in managing global health crises like COVID-19.5

Professional growth and career advancement
Continuous education opens doors to career progression, specialization opportunities, and leadership roles. HCPs who pursue further training are 25% more likely to attain senior positions.² With advancements in technology-driven medical education, professionals can access flexible training that enhances their qualifications and career prospects.

Adapting to technological innovations
From AI-powered diagnostics to robotic-assisted surgeries, technology is revolutionizing healthcare. HCPs who receive ongoing education in digital health can

  • Increase diagnostic accuracy
  • Optimize workflow efficiency

Enhance patient engagement through telemedicine

REAL-WORLD IMPACT OF ONGOING EDUCATION IN HEALTHCARE

  • Reducing hospital readmissions – HCPs trained in post-discharge care strategies lower readmission rates by 15%.5
  • Improving emergency response – Advanced training in emergency care boosts survival rates for critical cases by 40%.5
  • Strengthening public health initiatives – Continuous education enables HCPs to drive better vaccination campaigns, disease prevention, and health promotion efforts.
  • Better interdisciplinary collaboration – Education fosters stronger teamwork among doctors, nurses, and specialists, improving overall healthcare efficiency.

CHALLENGES TO CONTINUOUS EDUCATION & SOLUTIONS

THE PATH FORWARD: A CALL TO ACTION

Investing in ongoing education for healthcare professionals is an investment in better healthcare for all. Supporting continuous learning opportunities ensures that providers

  • Deliver the highest quality care
  • Stay ahead of medical advancements
  • Contribute to improved patient outcomes worldwide

Healthcare never stands still—neither should learning. What step will you take today to stay ahead?

Turacoz is committed to empowering healthcare professionals (HCPs) by providing specialized training on the integration of Artificial Intelligence (AI) in medical education. Our programs are designed to help HCPs leverage AI-driven tools for enhanced learning, clinical decision-making, and patient management. Through interactive workshops, case-based discussions, and hands-on training, we equip professionals with the knowledge to utilize AI-powered diagnostics, predictive analytics, and personalized learning platforms effectively. By bridging the gap between technology and healthcare education, Turacoz ensures that HCPs stay ahead in the evolving medical landscape, improving both educational outcomes and patient care.

References:

  1. World Health Organization. Global patient safety action plan 2021–2030. Available from: https://www.who.int/publications/i/item/9789240032705
  2. National Institutes of Health. The impact of continuing education on professional growth. Available from: https://www.nih.gov/research-training/training-opportunities
  3. World Health Organization. Global guidelines and implementation strategies for clinical practice. Available from: https://www.who.int/publications/guidelines
  4. Agency for Healthcare Research and Quality (AHRQ). Evidence-based practice centers (EPCs) [Internet]. Rockville (MD): AHRQ. Available from: https://www.ahrq.gov/research/findings/evidence-based-reports/index.html

Centers for Disease Control and Prevention. Strategies to reduce hospital readmissions. Available from: https://www.cdc.gov/healthcare/quality/reduction-of-hospital-readmissions.html

Breaking the Silence: Why Chronic Kidney Disease Awareness Needs Better Communication

Chronic kidney disease (CKD) is often called ‘silent killer’ as most people live with it for years without symptoms. In resource-limited settings, up to 9 out of 10 individuals with CKD are unaware of their condition, delaying crucial interventions.1 Despite being a growing global health crisis, kidney disease remains widely misunderstood and under-communicated, leading to severe health and economic consequences. Kidney Awareness Month serves as a critical opportunity to amplify education and encourage early detection.

A Growing Global Crisis

CKD affects approximately 850 million people worldwide and is the third fastest-growing cause of death. By 2040, it is projected to become the fifth leading cause of premature mortality.1 Modern lifestyle diseases—such as diabetes and hypertension significantly contribute to this burden, with 1 in 3 adults and 1 in 5 adults at risk of developing this disease, respectively.2

Additionally, prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs) poses a growing threat. Around 30 million people globally consume NSAIDs daily,3 and unmonitored long-term use can worsen kidney function, further increasing CKD prevalence.

The Economic Toll of CKD

Beyond health risks, CKD imposes a profound economic burden. By 2027, the direct annual costs of diagnosed CKD and kidney replacement therapy (KRT) are expected to reach $406.7 billion.4

The challenge is particularly severe in low- and middle-income countries, where about 78% of patients with CKD reside, and health systems struggle with limited resources and systemic inequalities.5 The financial burden frequently falls on families, leading to catastrophic health expenditures. Patients often lose their ability to work, further impacting household income and national productivity.

Unawareness and the Problem of Late Diagnosis

More than 90% of people with early-stage CKD are unaware of their condition.1 The disease progresses silently, often overlooked until symptoms appear increasing risk for serious health complications such as heart attack, stroke, and kidney failure. Understanding the stages of kidney disease is crucial in recognizing progression and taking necessary preventive measures. Early detection through screening and risk stratification could significantly reduce morbidity and mortality. However, at present, there is no accepted systematic strategy for CKD screening and treatment.

For example, in the United States, over 20% of individuals with hypertension have increased albuminuria, yet only 7% have tested for it.6 Delayed diagnoses also raises treatment cost by 19% compared to early detection.7 Additionally, Late-stage CKD often requires dialysis or transplants, both costly and with limited accessibility.

In contrast, early-stage CKD can often be managed effectively through medication, lifestyle changes, and controlling underlying conditions like diabetes and hypertension. But this is only possible when the disease is identified in time.

Treatment Affordability and Accessibility

Kidney disease is not just a health issue—it’s a socioeconomic challenge. In many countries, dialysis centres are concentrated in urban areas, leaving rural populations underserved. Even when available, treatment is expensive, with annual costs reaching $19,380 for dialysis and up to $26,903 for the first year of a kidney transplant.8 Many patients delay or forgo treatment due to financial constraints, worsening outcomes.

Strengthening Awareness, Early detection, and Communication

Kidney Awareness Month is a key initiative that seeks to promote education, encourage early screening, and advocate for health policies that support kidney patients. World Kidney Day, led by the International Society of Nephrology (ISN) and the International Federation of Kidney Foundations (IFKF), also aims to enhance kidney health education and drive policy changes.

Incorporating CKD screening into public health initiatives enhances cost efficiency and resource utilization. Successful examples include Thailand’s Screening and Early Evaluation of Kidney Disease program and South Africa’s HIV Treatment Program, which has integrated serum creatinine testing to monitor kidney function.5

Digital and mobile platforms offer scalable CKD screening solutions. In rural India, telehealth programs and point-of-care (POC) testing for creatinine and urine albumin have improved risk assessment and diagnostic accuracy at the primary care level.5

Public health messaging should emphasize kidney health through lifestyle choices—nutrition, hydration, exercise, and routine screening. Stronger communication strategies, including public education campaigns, HCP engagement, social media outreach, and community initiatives, are crucial, especially for underserved groups. Addressing the emotional and social aspects of CKD can empower patients, reduce stigma, and encourage timely care-seeking.

Conclusion: Early Action Saves Lives

Kidney disease is a growing global health threat, but it is also one that can be detected early, managed effectively, and even prevented—provided the right information reaches the right people at the right time.

Enhancing communication about kidney disease is not just a public health priority but a moral responsibility. With better education, awareness, and timely intervention, we can help millions avoid the severe consequences of this silent epidemic.

References:

  1. Francis A, Harhay MN, Ong ACM, et al. Chronic kidney disease and the global public health agenda: an international consensus. Nat Rev Nephrol. 2024;20(7):473-485.
  2. Preventing Chronic Kidney Disease. Available at: https://www.cdc.gov/kidney-disease/prevention/index.html#:~:text=Manage%20CKD%20risk%20factors,Family%20history%20of%20CKD. Last accessed: March 2025.
  3. Montuori P, Shojaeian SZ, Pennino F, et al. Consumer awareness and knowledge regarding use of non-steroidal anti-inflammatory drugs (NSAIDs) in a metropolitan area. Front Pharmacol. 2024;15:1362632.
  4. Chadban S, Arıcı M, Power A, et al. Projecting the economic burden of chronic kidney disease at the patient level (Inside CKD): a microsimulation modelling study. EClinicalMedicine. 2024;72:102615.
  5. Wijewickrama E and Kalyesubula R. World Kidney Day: Detecting Kidney Disease in Low- and Middle-Income Countries. Kidney Int Rep. 2025;10:637–640.
  6. Shlipak MG, Tummalapalli SL, Boulware LE, et al. The case for early identification and intervention of chronic kidney disease: conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference. Kidney Int. 2021;99(1):34-47.
  7. Spencer D, Dunning S, McPheeters J, St Clair Russell J, Hane C. Health care costs associated with unrecognized progression to late-stage kidney disease. Am J Manag Care. 2023;29(2):e64-e68.

Bello AK, Okpechi IG, Levin A, et al. An update on the global disparities in kidney disease burden and care across world countries and regions. Lancet Glob Health. 2024;1

Bridging the Gap: How Women’s Empowerment Drives Global Health Improvements

Imagine a world where every woman has the power to make decisions about her health, future, and family’s well-being. A world where women are not just patients but policymakers, not just caregivers but change-makers. This isn’t just an ideal—it’s a necessity. Women’s empowerment is not only about fairness; it is a fundamental driver of global health and economic progress. When women have access to education, financial resources, and quality healthcare, they uplift entire communities. Yet, despite undeniable progress, many women still face barriers that prevent them from achieving optimal health and well-being. Addressing these challenges through policy, advocacy, and leadership opportunities is essential for fostering a healthier, more equitable world.

Women as pillars of global health

Women play a fundamental role in health systems—not only as caregivers in their families but also as healthcare professionals, policymakers, and advocates. Studies have shown that societies with stronger female leadership representation experience improved health outcomes. For instance, Rwanda, where women hold over 60% of parliamentary seats, has seen notable progress in reducing maternal and child mortality rates.1,2

Moreover, female-led health initiatives tend to prioritize community well-being, increasing access to essential services such as vaccinations, maternal healthcare, and family planning. Women leaders are more likely to invest in equitable healthcare solutions that address the unique needs of women and children.3

Bridging the gap: Gender disparities in health

Despite their critical role, women often face disproportionate barriers to healthcare access. Gender inequalities manifest in various ways, including restricted access to reproductive health services, economic dependency that limits medical decision-making, and cultural norms that discourage seeking care. The World Health Organization (WHO) has identified gender-based violence and inadequate access to sexual and reproductive health services as key issues affecting women’s overall health.4

Furthermore, the intersection of gender and economic status exacerbates health disparities. Women in low-income settings are less likely to receive preventive care, leading to higher incidences of maternal mortality and untreated chronic illnesses.

Empowering women through healthcare access

Ensuring universal health coverage for women requires a multifaceted approach that includes:

  • Expanding access to reproductive health services: Family planning, maternal health programs, and reproductive rights are crucial for reducing unintended pregnancies and maternal mortality.
  • Addressing gender-based violence: Implementing survivor-centered healthcare responses and prevention strategies in high-prevalence regions is necessary to mitigate health consequences of violence against women.
  • Investing in women’s health leadership: Increasing female representation in health policymaking ensures that gender-specific health concerns are adequately addressed.
  • Economic empowerment programs: Cash transfer programs directed at women have shown positive impacts on family health outcomes, reinforcing the connection between financial independence and improved well-being.

Women as agents of change

Numerous examples highlight the transformative power of women’s leadership in health.

Dr. Soumya Swaminathan, former Chief Scientist at WHO, has been instrumental in global health policy, particularly in tackling tuberculosis, infectious diseases, and pandemic preparedness.

Dr. Kiran Mazumdar-Shaw, founder of Biocon, has revolutionized India’s biotechnology sector by pioneering affordable insulin and cancer treatments. Through her innovations, she has ensured greater access to life-saving medicines, particularly for low-income communities, and has championed women’s leadership in STEM and healthcare innovation.

Furthermore, grassroots movements led by women in developing nations have been instrumental in tackling health crises. Community-driven initiatives focusing on malaria prevention, maternal health, and child nutrition have significantly reduced disease burdens in low-resource settings. For example, the Self-Employed Women’s Association (SEWA) in India has improved access to healthcare for informal workers, helping women take charge of their own health.

A call to action

Empowering women in health is not just about fairness—it is about effectiveness. The evidence is clear: when women have control over their health and economic resources, societies thrive.

  • Support female-led health initiatives by advocating for policies that increase women’s leadership in healthcare and research.
  • Encourage education and training for women in medicine, public health, and policymaking.
  • Challenge harmful gender norms that limit women’s access to healthcare and economic independence.

By prioritizing gender-inclusive health policies and investing in women as decision-makers, we can move closer to a world where health equity is a reality for all.

What role will you play in empowering women for better global health?

References

  1. UN Women. Rwanda – Women, peace and security [Internet]. 2024 [cited 2025 Mar 3]. Available from: https://data.unwomen.org/country/rwanda
  2. UN Women. Beijing +30 Report: Rwanda – Advancing gender equality and women’s empowerment [Internet]. 2024 [cited 2025 Mar 3]. Available from: https://www.unwomen.org/sites/default/files/2024-09/b30_report_rwanda_en.pdf
  3. Gender-equitable families and health systems are better for children [Internet]. 2024 [cited 2025 Mar 3]. Available from: https://www.defeatdd.org/campaign/gender-equitable-families-and-health-systems-are-better-children/
  4. World Health Organization. Violence against women and girls [Internet]. 2024 [cited 2025 Mar 3]. Available from: https://www.who.int/teams/sexual-and-reproductive-health-and-research-%28srh%29/areas-of-work/violence-against-women-and-girls

Empowering Women Through Health: The Importance of Preventive Care at Every Stage of Life

Recently, while working on a project about preeclampsia during pregnancy, our team was startled to learn that preeclampsia is one of the most common hypertensive disorders of pregnancy, accounting for 2%–8% of pregnancy-related complications, more than 50,000 maternal deaths, and over 500,000 fetal deaths worldwide.1 Yet, many women are unaware that early diagnosis and prompt symptomatic management can help prevent such maternal and neonatal complications. The need of the hour is to empower women with knowledge and awareness about their health so that they can proactively prioritize their well-being while juggling multiple responsibilities.
Below are ten essential steps all women should undertake to keep all diseases at bay for themselves and their families.

Understand the food labels before buying food items

According to the World Health Organization (WHO), the increased consumption of processed foods high in salt, sugar, and fat is a key driver of a global obesity crisis. Currently, more than a billion people live with obesity,2 and an estimated 17 million early deaths occur every year due to noncommunicable diseases such as diabetes and heart disease.3 Studies have shown that some of the most frequently present additives in children’s food include bisphenols, phthalates, perfluoroalkyl chemicals, perchlorates, pesticides, nitrates and nitrites, artificial food colors, monosodium glutamate, and aspartame—all of which can be harmful to a child’s growth and development. As women are more involved in feeding their families, they must understand the nutritional labels and their implications. The next time you pick up a packet of your favorite snack, do not blindly trust the brand—read the fine print carefully.

Stay physically active

A recent study involving 5000 postmenopausal women in California supports the importance of regular physical activity and reduced sedentary time in lowering mortality risk, regardless of their genetic predisposition for longevity. Women who do strength training exercises 2–3 times a week are more likely to live longer and have a 30% lower risk of death from heart disease compared to those who do not exercise.4

Get screened for common cancers

According to the American Cancer Society, breast cancer is the second leading cause of cancer-related deaths in women, with the lifetime risk of 1 in 43.5 Young women are more likely to develop aggressive forms of breast cancer, often linked to genetic factors such as inherited mutations in the BRCA genes, highlighting the importance of undergoing BRCA testing. Studies have demonstrated that early detection of breast cancer can lead to a 100% survival rate, especially when the cancer is localized.6 Another major cancer affecting women is cervical cancer, which the WHO ranks as the fourth leading cause of cancer-related deaths among women, causing 350,000 deaths in 2022.7 Persistent HPV infections are the primary cause of cervical cancer, and vaccination between the ages of 9 and 14 is an effective preventive measure. Studies indicate that unvaccinated women are ten times more likely to develop cervical cancer than those who are vaccinated.8 Therefore, to maintain good health and a high quality of life, women should prioritize regular checkups, early detection screenings, and staying up to date with vaccinations.

Test your blood sugar regularly

Recent studies have demonstrated that 10.5% of the adult population has diabetes,9 with nearly half unaware of their condition, leading to untreated diabetes and increasing the risk of cardiovascular (CV), renal, and neurological complications.10 Research has shown that early detection and treatment of type 2 diabetes can reduce the risk of CV complications by 29%–38%, emphasizing the importance of early detection. Regular blood sugar testing plays a vital role in this process.11 With glucometers now widely available, women can easily monitor their own and their family’s blood sugar levels, even with their busy schedules, and promptly seek medical attention if any irregularities are detected.

Mental health matters

Women are three times more likely to experience mental health issues than men.12 Poor mental health not only impacts physical well-being but also decreases workplace productivity by nearly 13%,13 with twelve billion working days lost annually due to depression and anxiety.14 Furthermore, about 10% of pregnant women and 13% of postpartum women experience mental health disorders, primarily depression, which can negatively affect both the mother’s well-being and the child’s growth and development.15 These statistics are concerning and highlight the importance of prioritizing mental health. Women can support their well-being by adopting healthy habits such as regular exercise, balanced diet, self-care, and maintaining social connections.

Understand the needs of your changing body

Menopause, marking the end of reproductive years, often lacks the attention it deserves despite its significant impact. It leads to a decline in estrogen, causing symptoms like irregular periods, hot flashes, night sweats, insomnia, vaginal dryness, and mental health challenges like mood swings, anxiety, and depression. Menopause is also a major risk factor for osteoporosis, affecting 1 in 3 women.16 Hormone replacement therapy (HRT) is most effective when started within 10 years of menopause or before age 60. HRT helps relieve menopausal symptoms, prevents bone loss, and reduces the risk of fractures by 20%–40%.17 Hence, women should consult their doctor early for best results. Additionally, calcium and vitamin D supplements, a healthy diet, an active lifestyle, and cognitive behavioral therapy can help manage symptoms further.

Keep your weight under control

PCOS, hypothyroidism, Cushing’s syndrome, insulin resistance, stress, and emotional eating are the common health issues that can lead to weight gain in women. Studies show that 38%–88% of women with PCOS are either overweight or obese, which can negatively impact their menstrual and reproductive health.18 However, even a modest weight loss of 5% in obese women with PCOS can help alleviate symptoms.19 Regarding hypothyroidism, women are 8–9 times more likely to develop the condition, with the highest incidence between the ages of 30 and 50.20 Gaining a few pant sizes can be a key symptom of hypothyroidism. Women experiencing this should seek prompt medical advice and undergo appropriate treatment, as weight gain can lead to additional complications such as cardiovascular disease (CVD), joint issues, sleep apnea, and psychological distress.

Rely on nutrition for healthy skin and hair

The quest for healthy skin and hair often leads women to explore a wide range of cosmetic products. However, emerging research suggests that nutrition plays a far more significant role in maintaining and enhancing skin and hair health. Rather than relying on topical treatments, proper nutrition addresses the root causes of skin and hair concerns by supplying the body with essential nutrients. Many common chemicals found in skincare products, such as sodium lauryl sulfate, phthalates, fragrances, mineral oils, lead, and formaldehyde, can have harmful effects on the skin and other organs. In contrast, studies have shown that consuming antioxidant-rich foods can reduce photoaging by 10% over 15 years compared to diets low in antioxidants.21 Similarly, for hair health, research reveals that incorporating omega-3 fatty acids into the diet can improve scalp hydration and increase hair shine. These findings highlight how nutrition offers a safer and more effective approach to achieving and maintaining healthy skin and hair, as opposed to relying on potentially harmful cosmetics.

Relax and sleep well

Research shows that inadequate sleep negatively affects women’s mental, physical, and reproductive health, along with daily functioning. Studies reveal concerning patterns that underscore the importance of adequate sleep. Chronic sleep deprivation (less than 6 hours per night) is correlated with a higher body mass index, 22 15% increased risk of CVD, 23% higher risk of coronary heart disease,23 and increased likelihood of developing diabetes.24 .26 By adhering to a consistent good sleep routine, women may mitigate these health risks.

Avoid smoking and alcohol consumption

According to WHO data, tobacco use causes more than eight million deaths each year, whereas alcohol consumption is responsible for 2.6 million deaths.27,28 Research has shown that alcohol misuse and smoking are rising among women, posing serious health risks not only for them but also for their babies. Studies indicate that babies born to mothers who smoke are twice as likely to have a lower birth weight compared to those born to nonsmoking mothers.29 In fact, 14% of all deaths due to low birth weight are linked to tobacco use during pregnancy.29 Moreover, heavy alcohol consumption in women is associated with a more rapid onset of health conditions such as CVD, obesity, and various cancers. These findings highlight the importance of cutting back or abstaining from these habits. To stay on track, it is essential to recognize triggers, avoid situations that tempt you, find healthier coping mechanisms such as exercising or picking up new hobbies, and seek support from friends and family.

In conclusion, discipline is the key to a healthy life. By incorporating a few simple healthy habits into your daily routine, you set yourself up for a future filled with health and happiness. Take charge of your life—stay vigilant, act quickly when needed, do not hesitate to ask for help, and stay strong. Everything will fall into place. Remember, prioritizing your health and scheduling regular checkups is not just about taking care of your body, it is about empowering yourself. Staying up to date with the latest health information and educating yourself on wellness is just as important, as it helps you make informed choices and stay ahead. By prioritizing your well-being, you truly embody the strength of an empowered woman.

  1. Karrar SA, Martingano DJ, Hong PL. [Updated 2024 Feb 25]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available at: https://www.ncbi.nlm.nih.gov/books/NBK570611/.
  2. One in eight people are now living with obesity. Available at: https://www.who.int/news/item/01-03-2024-one-in-eight-people-are-now-living-with-obesity. Last accessed: March 2025.
  3. Cardiovascular disease. Available at: https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)#:~:text=In%202013%2C%20WHO%20Member%20States,on%20preventing%20and%20controlling%20CVDs . Last accessed: March 2025.
  4. Study: Women who do strength training live significantly longer. Available at: https://globalwellnessinstitute.org/global-wellness-institute-blog/2024/05/28/study-women-who-do-strength-training-live-significantly-longer/#:~:text=Study:%20Women%20Who%20D,Access%20this%20study%20on%20exercise. Last accessed: March 2025.
  5. Key statistics for breast cancer. Available at: https://www.cancer.org/cancer/types/breast-cancer/about/how-common-is-breast-cancer.html#:~:text=Breast%20cancer%20is%20the%20second,decline%20of%2044%25%20through%202022. Last accessed: March 2025.
  6. Li J, Guan X, Fan Z, et al. Non-Invasive Biomarkers for Early Detection of Breast Cancer. Cancers (Basel). 2020;12(10):2767.
  7. Cervical cancer. Available at: https://www.who.int/news-room/fact-sheets/detail/cervical-cancer#:~:text=Cervical%20cancer%20is%20the%20fourth,compared%20to%20women%20without%20HIV. Last accessed: March 2025.
  8. Naslazi E, Hontelez JAC, Naber SK, et al. The Differential Risk of Cervical Cancer in HPV-Vaccinated and -Unvaccinated Women: A Mathematical Modeling Study. Cancer Epidemiol Biomarkers Prev. 2021;30(5):912-919.
  9. Sun H, Saeedi P, Karuranga S, et al. IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045 [published correction appears in Diabetes Res Clin Pract. 2023;204:110945.
  10. Hossain MJ, Al-Mamun M, Islam MR. Diabetes mellitus, the fastest growing global public health concern: Early detection should be focused. Health Sci Rep. 2024;7(3):e2004.
  11. Herman WH, Ye W, Griffin SJ, et al. Early Detection and Treatment of Type 2 Diabetes Reduce Cardiovascular Morbidity and Mortality: A Simulation of the Results of the Anglo-Danish-Dutch Study of Intensive Treatment in People With Screen-Detected Diabetes in Primary Care (ADDITION-Europe). Diabetes Care. 2015;38(8):1449-1455.
  12. Men and women: Statistics. Available at: https://www.mentalhealth.org.uk/explore-mental-health/statistics/men-women-statistics#:~:text=Women%20between%20the%20ages%20of,the%20same%20age%20(9%25).&text=Women%20are%20twice%20as%20likely%20to%20be%20diagnosed%20with%20anxiety%20as%20men. Last accessed: March 2025.
  13. Happy workers are 13% more productive. Available at: https://www.ox.ac.uk/news/2019-10-24-happy-workers-are-13-more-productive. Last accessed: March 2025.
  14. Mental health at work. Available at: https://www.who.int/news-room/fact-sheets/detail/mental-health-at-work. Last accessed: March 2025.
  15. Perinatal mental health. Available at: https://www.who.int/teams/mental-health-and-substance-use/promotion-prevention/maternal-mental-health. Last accessed: March 2025.
  16. Prevention and treatment of osteoporosis in postmenopausal women. Available at: https://thebms.org.uk/wp-content/uploads/2023/10/06-BMS-ConsensusStatement-Prevention-and-treatment-of-osteoporosis-in-women-SEPT2023-A.pdf. Last accessed: March 2025.
  17. Gosset A, Pouillès JM, Trémollieres F. Menopausal hormone therapy for the management of osteoporosis. Best Pract Res Clin Endocrinol Metab. 2021;35(6):101551.
  18. Barber TM. Why are women with polycystic ovary syndrome obese? Br Med Bull. 2022;143(1):4-15.
  19. Treatment, polycystic ovary syndrome. Available at: https://www.nhs.uk/conditions/polycystic-ovary-syndrome-pcos/treatment/#:~:text=In%20overweight%20women%2C%20the%20symptoms,a%20significant%20improvement%20in%20PCOS. Last accessed: March 2025.
  20. Chiovato L, Magri F, Carlé A. Hypothyroidism in Context: Where We’ve Been and Where We’re Going. Adv Ther. 2019;36(2):47-58.
  21. Hughes MCB, Williams GM, Pageon H, et al. Dietary Antioxidant Capacity and Skin Photoaging: A 15-Year Longitudinal Study. J Invest Dermatol. 2021;141(4S):1111-1118.e2.
  22. Papatriantafyllou E, Efthymiou D, Zoumbaneas E, et al. Sleep Deprivation: Effects on Weight Loss and Weight Loss Maintenance. Nutrients. 2022;14(8):1549.
  23. Hoevenaar-Blom MP, Spijkerman AM, Kromhout D, et al. Sleep duration and sleep quality in relation to 12-year cardiovascular disease incidence: The MORGEN study. Sleep. 2011;34(11):1487-1492.
  24. Darraj A. The Link Between Sleeping and Type 2 Diabetes: A Systematic Review. Cureus. 2023;15(11):e48228.
  25. The close relationship between sleep and mental health. Available at: https://www.medicalnewstoday.com/articles/sleep-and-mental-health. Last accessed: March 2025.
  26. Beroukhim G, Esencan E, Seifer DB. Impact of sleep patterns upon female neuroendocrinology and reproductive outcomes: A comprehensive review. Reprod Biol Endocrinol. 2022;20(1):16.
  27. Available at: https://www.who.int/news-room/fact-sheets/detail/alcohol#:~:text=Worldwide%2C%202.6%20million%20deaths%20were,per%20100%20000%20people%2C%20respectively. Last accessed: March 2025.
  28. Available at: https://www.who.int/news-room/fact-sheets/detail/tobacco#:~:text=Tobacco%20kills%20up%20to%20half,are%20Parties%20to%20this%20treaty. Last accessed: March 2025.
  29. Tobacco in Australia, facts and issues. Available at: https://www.tobaccoinaustralia.org.au/chapter-3-health-effects/3-8-child-health-and-maternal-smoking. Last accessed: March 2025.

Pharma’s Shift to Patient-Centric Models: How Listening to Patients Drives Better Health Outcomes

The pharmaceutical industry is undergoing a significant transformation. In the past, the focus was primarily on research, development, and approval processes driven by science and regulations. However, today’s landscape is evolving to prioritize what truly matters — delivering effective, affordable treatments to patients faster. For instance, in 2020, the rapid development and approval of COVID-19 vaccines in less than a year showed the power of collaboration, new technologies, and streamlined processes, setting a new precedent for how the industry can respond to urgent health crises.

The shift to patient-centricity is one of the most profound changes to impact the industry in recent years. As patients take on more responsibility for their own healthcare, their voices are becoming more influential in shaping the direction of pharmaceutical development and treatment options.

Why is Patient-Centric approach is so Important?

Patients are no longer passive recipients of care. Patients today are well-informed, actively involved in their healthcare decisions, and expect both healthcare providers and pharmaceutical companies to listen to their needs. This shift is not only about improving the patient’s experience but also about ensuring better outcomes in drug development, clinical trials, and treatment efficacy.

As we look ahead, here are a few key reasons why patient-centric models are crucial for the future of pharma:

  1. Improved Patient Health Outcomes
    Evidence shows that patient-centered care significantly improves clinical outcomes. A study on adolescents with diabetes highlights that key element—improved patient-provider communication, providing symptom information, and addressing concerns—are linked to better psychosocial health outcomes. The findings reveal a strong correlation (r ≥ 0.3) between these factors and improved patient-reported outcomes. This reinforces that prioritizing patients’ preferences and needs enhances treatment effectiveness and overall health results (Vasanwala et al 2022). By integrating patient feedback into the drug development process, pharmaceutical companies can design treatments that are more aligned with patients’ real-world needs. Whether it’s reducing side effects, improving drug delivery methods, or ensuring easier access to medications, listening to patients is key to developing effective therapies that work in practice — not just in theory.
  1. Enhanced Patient Engagement
    A recent study on patient’s beliefs about medicine and adherence shows that patients who perceive higher levels of people-centered care (PCC) are more likely to adhere to prescribed medications. Each point increase in PCC corresponds to a 7% higher chance of adherence, underscoring how active patient engagement and listening to their needs and beliefs about treatment can lead to better health outcomes. Patients who are actively engaged in their treatment are more likely to adhere to prescribed therapies, leading to better health outcomes. By involving patients in their care journey, pharmaceutical companies can enhance engagement, trust, and overall satisfaction. This shift is not just about providing a product but about offering a comprehensive healthcare solution that fits into a patient’s life (Dilles et al 2023).
  2. Bridging the Gap in Clinical Trials
    Historically, clinical trials have had limited diversity and were often not fully representative of the populations that would ultimately use the drugs. By adopting patient-centric approaches, companies can ensure that trials are more inclusive, ensuring a broader range of patient experiences, which leads to more relevant and effective treatments.
  3. Building Trust Through Transparency
    Recent advances in patient engagement show improved health outcomes across prevention and chronic disease management. Addressing health literacy and ensuring clear, actionable information is key. Gaps remain in effectively engaging patients, especially in decision-making and self-management. Future efforts should integrate patient feedback from wearables, improve information navigation, and involve patients in designing healthcare systems, policies, and research to make patient engagement a cultural norm for better health outcomes. Patients today want to know how treatments are being developed, the risks involved, and how their data is being used. Pharma companies that communicate openly with patients build trust, foster long-term relationships and ensure better patient cooperation and compliance.

How Medical Communications Agencies Support Patient-Centric Models

While the shift to patient-centricity is a broad industry-wide movement, medical communications agencies play a critical role in ensuring that pharma companies effectively implement these models. Here’s how they contribute to the patient-centric process:

  1. Bridging the Communication Gap
    Medical communications agencies can facilitate clear, effective communication between pharmaceutical companies and patients. Through the creation of educational materials, online platforms, and patient-facing content, agencies ensure that patients are fully informed about treatments, potential side effects, and clinical trial options. This transparency helps build trust and encourages patient engagement.
  2. Developing Patient-Centered Content
    Agencies specializing in medical communications create content that resonates with patients, ensuring that it’s not only scientifically accurate but also accessible and empathetic. Whether through print, digital channels, or social media, agencies ensure that the content speaks directly to patients’ concerns, empowering them with information that helps them make informed decisions about their treatment options.
  3. Facilitating Patient Advocacy Partnerships
    Medical communications agencies often collaborate with patient advocacy groups to ensure that patients’ voices are heard in the development process. Agencies help to amplify the concerns and needs of patient communities, ensuring that pharma companies are aware of the specific issues patients face. This collaboration leads to more inclusive and responsive drug development strategies.
  4. Enhancing Patient Engagement Strategies
    Agencies help design and execute strategies for sustained patient engagement, whether through digital tools, community forums, or targeted campaigns. By utilizing real-time patient feedback, agencies ensure that pharma companies are continually improving their patient-centric approaches and creating solutions that meet evolving patient needs.
  5. Optimizing Clinical Trial Recruitment
    Medical communications agencies can assist pharmaceutical companies in reaching out to a diverse patient population for clinical trials. They help design recruitment campaigns that are tailored to various patient groups, ensuring that trials reflect the diverse populations that will eventually benefit from the drugs. Moreover, agencies provide ongoing support to patients throughout the trial process, increasing retention and improving overall success rates.

The Road Ahead: A Patient-First Future

The transition to a patient-centric model in the pharmaceutical industry is not just a trend — it’s a necessity. As the demand for more personalized, effective, and accessible healthcare continues to grow, pharma companies must keep patients at the forefront of their strategies.

By truly listening to patients and involving them in every step of the journey, from drug discovery to post-market support, pharmaceutical companies can help create a future where treatments are not only more effective but also more aligned with the needs of the people they are designed to help.

Ultimately, a patient-first approach doesn’t just lead to better outcomes — it leads to a healthier, more informed world. As industry continues to evolve, embracing patient-centric models will be the key to transforming lives and advancing healthcare for generations to come.

References:

  1. Vasanwala, R., Lim, A., Soo Ting, L., Pei Kwee, L., Yuen Ching, H., & Xiang Feng, T. (2022). The impact of patient-centered care on health outcomes in adolescents living with diabetes. Patient Experience Journal, 9(1), 46–53. https://doi.org/10.35680/2372-0247.1619
  2. Dilles, T., Mortelmans, L., Loots, E., Sabbe, K., Feyen, H., Wauters, M., Haegdorens, F., & De Baetselier, E. (2023). People-centered care and patients’ beliefs about medicines and adherence: A cross-sectional study. Heliyon, 9(5), e15795. https://doi.org/10.1016/j.heliyon.2023.e15795

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Advancing Genitourinary Cancer Treatment: The Critical Role of Medical Communications Agencies in Clinical Trials and Data Dissemination

Introduction to Genitourinary Cancer Treatment

Genitourinary (GU) cancers—including prostate, bladder, kidney, and testicular cancers—represent a significant proportion of global cancer cases. In 2023, prostate cancer was the second most common cancer in men around the world. There were about 1.4 million new cases and around 375,000 deaths (Sung et al., 2021). Despite major advancements in oncology, effectively translating clinical research management findings into accessible and actionable knowledge remains a challenge for advancing Genitourinary Cancer Treatment in 2025.

Medical communications agencies, like Turacoz Group, are important for sharing complex clinical trial data by managing phases of clinical trials, conducting proper research management and journal publication submissions to help experts identify appropriate treatment for various types of Genitourinary cancers including prostate and bladder cancer treatment. The role of Medical Communication Agencies is to make sure this information reaches stakeholders, such as doctors, regulatory authorities, and patients. Their expertise in scientific writing, regulatory documentation, publication planning, and stakeholder engagement ensures that life-saving therapies and treatment reaches patients efficiently and ethically.

The Growing Burden of Genitourinary Cancers

The incidence of GU cancers continues to rise, necessitating innovative treatment approaches and effective management of clinical trial data:

  • Prostate Cancer is the most common genitourinary cancer. It has a 5-year survival rate of nearly 99% in localized cases treatment. However, this rate is much lower in metastatic disease treatment (Siegel et al., 2023).
  • Bladder Cancer: Characterized by high recurrence rates, requiring ongoing clinical trials to refine treatment strategies (Antoni et al., 2017). Bladder Cancer Tumour is curable if identified early with a cure rate of 95% of patients surviving 5 Years or more.
  • Renal Cell Carcinoma (RCC): Accounts for 85% of kidney cancers, often diagnosed incidentally at advanced stages (Capitanio & Montorsi, 2016).
  • Testicular cancer is a rare type of cancer. However, it has a high cure rate of over 95% when found early (Ghazarian et al., 2017).

With immune checkpoint inhibitors, targeted therapies, and next-generation hormonal agents reshaping the treatment landscape, the role of strategic medical communications in clinical trial success and regulatory approvals is more important than ever especially for prostate cancer immunotherapy clinical trials.

The Role of Medical Communications Agencies in Clinical Trials

Medical communications agencies provide critical support to clinical trial programs management through the following functions:

1. Precision in Clinical Trial Management & Documentation

Regulatory authorities such as the FDA (United States), EMA (Europe), and PMDA (Japan) require well-structured documentation for investigational drug approvals. Agencies like Turacoz Healthcare Solutions excel in developing and managing:

✔ Clinical Study Reports (CSRs)

✔ Investigator Brochures (IBs)

✔ Regulatory Dossiers (NDA/BLA Submissions)

✔ Common Technical Document (CTD) Modules

For instance, the approval of Enfortumab Vedotin (EV) for Urothelial Carcinoma was backed by robust clinical data meticulously documented for regulatory review (Powles et al., 2021).

2. Scientific Publications and Medical Writing

Publication planning ensures that pivotal clinical trial results reach global audiences through:

✔ Manuscripts for High-Impact Journals (e.g., The Lancet, JCO, NEJM)

✔ Conference Abstracts and Presentations (ASCO, ESMO, AUA, SUO)

✔ Systematic Literature Reviews and Meta-Analyses

For example, medical communications experts strategically publish Phase III trial data on androgen receptor inhibitors (apalutamide, darolutamide) in prostate cancer to ensure timely and credible dissemination.

3. Key Opinion Leader (KOL) Engagement & Advisory Boards

KOLs shape clinical practice and treatment guidelines. Medical communications agencies facilitate:

✔ KOL-Led Webinars and Roundtable Discussions

✔ Advisory Board Meetings for Trial Design Optimization

✔ Medical Education Programs for Oncologists and Urologists

A notable example is the KEYNOTE-564 trial, which established pembrolizumab as an adjuvant therapy for RCC. Effective KOL engagement helped drive physician awareness and adoption (Choueiri et al., 2021).

4. Data Visualization and Infographic Creation

Communicating complex clinical trial data phases in a digestible, engaging, and compliant manner is critical. Turacoz specializes in:

✔ Infographics Summarizing Clinical Trial Outcomes

✔ Patient-Friendly Educational Materials including informative ppt, pdf and journals

✔ Interactive Data PPT Presentations for Conferences

For example, in the era of real-world evidence (RWE) studies, agencies translate large datasets into visually impactful decision-support tools for clinicians.

5. Medical Affairs & Market Access Support

Beyond publications, medical communications agencies enhance health economics and outcomes research (HEOR) by:

✔ Developing Value Dossiers and Reimbursement Submissions

✔ Creating Plain Language Summaries for Patient Advocacy Groups

✔ Facilitating Payer Engagement Strategies

For instance, the cost-effectiveness of nivolumab for bladder cancer played a crucial role in reimbursement decisions, highlighting the importance of structured HEOR communication (Sharma et al., 2021).

Genitourinary Cancer Treatment medical communication services for oncology, cancer treatment of bladder, prostate
medical communication services for oncology, cancer treatment of bladder, prostate

Partnering with Turacoz ensures that breakthrough innovations in genitourinary oncology are accurately communicated, accelerating regulatory approvals, clinician adoption, and improved patient outcomes.

Conclusion

The treatment landscape for genitourinary cancers is evolving rapidly, making expert medical communication strategies essential to bridge the gap between scientific breakthroughs and clinical practice. By partnering with a specialized agency like Turacoz, pharmaceutical companies can optimize clinical trial success, regulatory submissions, and market access—ultimately improving patient care and outcomes.

References (Fact-Checked & Credibility Verified)

  • Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021). Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 71(3), 209-249. https://doi.org/10.3322/caac.21660
  • Siegel, R. L., Miller, K. D., & Jemal, A. (2023). Cancer statistics, 2023. CA: A Cancer Journal for Clinicians, 73(1), 17-48. https://doi.org/10.3322/caac.21763
  • Antoni, S., Ferlay, J., Soerjomataram, I., Znaor, A., & Jemal, A. (2017). Bladder cancer incidence and mortality: A global overview and recent trends. European Urology, 71(1), 96-108. https://doi.org/10.1016/j.eururo.2016.06.010
  • Capitanio, U., & Montorsi, F. (2016). Renal cancer. The Lancet, 387(10021), 894-906. https://doi.org/10.1016/S0140-6736(15)00046-X
  • Ghazarian, A. A., Trabert, B., Devesa, S. S., McGlynn, K. A., & Sakoda, L. C. (2017). Recent trends in the incidence of testicular germ cell tumors in the United States. Andrology, 5(1), 99-104. https://doi.org/10.1111/andr.12296
  • Powles, T., Rosenberg, J. E., & Sonpavde, G. (2021). Enfortumab vedotin in urothelial carcinoma. Nature Reviews Urology, 18(6), 357-358. https://doi.org/10.1038/s41585-021-00464-7

Choueiri, T. K., Powles, T., Burotto, M., & Escudier, B. (2021). Pembrolizumab as adjuvant therapy for renal-cell carcinoma. NEJM, 385(8), 683-694. https://doi.org/10.1056/NEJMoa2106391

How to Choose the Best Medical Writing Agency for Your Needs

Medical writing demands utmost precision, as even a small error, such as a misplaced comma, can lead to confusion. While choosing the best medical writing agency for your needs, it is important to keep in mind that they should be proficient in medical terminologies and possess the expertise to create and process various types of documents—whether for scientific audiences, the general public, or regulatory agencies—each requiring unique writing and presentation styles.

Step-by-Step Guide to Choosing the Right Medical Writing Agency

The following step-by-step guide will help you identify the ideal medical writing partner. By following these expert tips, you can ensure that your project meets the highest standards of quality, precision, and professionalism:

Step-by-Step Guide to Choosing the Right Medical Writing Agency
Step-by-Step Guide to Choosing the Best Medical Writing Agency
  1. Understand Your Audience

A reliable content agency takes the time to analyze your target audience’s demographics, preferences, and needs. This ensures that the medical content is accurate, engaging, and tailored to resonate effectively with its intended readers.

  1. Experienced and Specialized Writers

Leading content agencies have a team of highly skilled writers with expertise in various healthcare domains. These professionals are well-versed in crafting content that meets the highest regulatory standards, ensuring accuracy, compliance, and credibility in every project.

Content Writing Agency
Content Writing Agency
  1. Commitment to Timely Delivery

Time is crucial in the healthcare and pharmaceutical industries. A reliable agency must prioritize deadlines, consistently deliver high-quality content on time, and adapt seamlessly to sudden increases in content demands to keep project timelines on track.

  1. Scalability and Flexibility

The right partner offers scalable solutions to meet fluctuating content demands. Whether you’re handling a small project or a large-scale initiative, they ensure seamless production without requiring you to invest in additional resources or personnel.

  1. Technology and Innovation

Agencies leveraging advanced tools like AI-driven writing platforms, content management systems, or data analytics to enhance efficiency and accuracy.

  1. Global Reach

For multinational projects, it’s essential to partner with an agency that excels in localization and understands cultural nuances. This ensures your content resonates with diverse audiences while maintaining accuracy and relevance. An experienced agency will adapt language, tone, and context to meet the specific needs of each target market.

Why choose a medical writing agency

Partnering with a medical writing agency offers specialized expertise, streamlined workflows, and high-quality, compliant content tailored to your needs, freeing up valuable time to drive business growth.

A medical writing agency plays a pivotal role in content creation, developing everything from website content and whitepapers to social media posts, all customized to meet your specific goals. They manage the entire content creation process—from initial concept planning to the final draft—ensuring every piece meets the highest standards of accuracy and professionalism. This end-to-end approach allows you to focus on strategic business priorities while leaving the details to the experts.

Five Steps for Choosing the Right Content Writing Agency

Finding the right medical agency that fits your business will take a bit of elbow grease. It’s challenging to locate an agency proficient in various types of medical publishing. These include journal publishing, report writing, scientific communication, data monitoring, omnichannel communications, CSR clinical studies, clinical trial studies, treatment planning analysis reports, omnichannel promotional/non-promotional communication, and content strategy planning.

 

  1. Determine What You Need

The first step is to determine what content you need from your agency. Understanding your needs will ensure you choose an agency as when you need it, and how you want it done.

  1. What If I Don’t Know What I Need?

If you’re unsure about your content requirements, consider choosing an agency that offers separate services for medical content calendars and marketing strategy calendars. Such agencies can create a well-defined content plan tailored to help you achieve your goals.

  1. Evaluate Content Agency Expertise

When selecting a top-tier agency for medical writing in clinical research, it’s essential to ensure they operate across all major therapeutic areas and deliver tailored solutions for every stage of drug development, from early clinical phases to post-marketing activities. Look for specialization in key areas such as:

  1. Early-phase Clinical Trials

Expertly documenting trial protocols, results, and analysis for initial drug development stages.

  1. Post-marketing Content

Generating real-world evidence and safety updates to support ongoing product lifecycle management.

  1. Scientific Communications

Creating impactful presentations, abstracts, and manuscripts for conferences and peer-reviewed journals.

  1. Marketing Authorization Applications

Crafting regulatory-compliant dossiers for product approval and market entry.

  1. Assess Collaboration and Communication

A reliable content agency dealing in healthcare ensures close collaboration by providing regular updates and maintaining clear communication throughout the project.

Look for an agency that assigns a dedicated contact for updates, leverages collaborative tools like shared calendars and review platforms, and ensures transparency in workflows, timelines, and deliverables for efficient and seamless project management.

  1. Review Credentials and Past Work

An agency’s track record and portfolio provide valuable insights into their expertise and reliability. Review their case studies, client testimonials, sample documents from similar projects, and certifications or affiliations with regulatory and medical writing associations to assess their credibility and capability.

Final Thoughts

Partnering with the right medical writing agency is vital to achieving your business goals. By carefully assessing your needs, evaluating the agency’s expertise, and ensuring seamless collaboration, you can choose a partner who delivers exceptional content, adheres to international standards, and aligns with your broader objectives. Consider exploring the comprehensive medical writing services offered by Turacoz, where expertise meets precision to help you achieve outstanding results.

Why choose Turacoz for medical writing?

At Turacoz, we offer a comprehensive range of medical writing services tailored to meet diverse needs across the healthcare and pharmaceutical industries. Our Regulatory Writing Services include medical writing in clinical research & trial reports, investigator brochures, and marketing authorization applications, ensuring compliance with international standards. In Scientific Communications, we specialize in research publications, conference abstracts, posters, and literature reviews. Our Medical Marketing Content covers product launch materials, promotional campaigns, and digital marketing strategies. We also focus on Patient Education and Outreach, providing disease awareness campaigns, treatment guides, and educational videos. Additionally, our expertise extends to Real-World Evidence (RWE) and HEOR Writing, including cost-effectiveness analyses, market access dossiers, and observational study reports. For Health and Wellness Content, we create blogs, newsletters, and lifestyle articles. Our Training and Educational Materials cater to e-learning modules, CME content, and webinar presentations. Furthermore, we offer Conference and Event Support, covering pre-event briefs, on-site coverage, and post-event summaries. With Turacoz, you gain a trusted partner capable of delivering high-quality, precise, and impactful content across all facets of medical writing.

 

 

The Evolving Importance of Medical Communications Services in Healthcare

In an extremely competitive market, it is a fact that many therapeutic products, medical devices, and clinical studies are never recognized by ethical committees or are removed from the market for reasons other than safety considerations. This challenging landscape makes it crucial for healthcare organizations to communicate their research, findings, and product benefits effectively. With so much at stake, medical communications in health care is a critical priority that demands careful attention and strategic planning.

Effective medical communication in healthcare bridges the gap between innovation and real-world impact, driving informed decisions and improving patient outcomes by presenting clear, accurate, and compelling scientific narratives throughout the product lifecycle and involving the stakeholders at every stage to ensure an adequate scientific dialogue about the shared knowledge. This comprehensive approach ensures that valuable medical innovations reach their intended audiences and make meaningful contributions to healthcare advancement.

What is medical communications?

Medical communication is a vast field with a variety of roles catering to a huge audience associated with organizational dynamics within medical settings such as regulatory bodies, congresses, and medical societies. This multifaceted discipline requires expertise in both scientific knowledge and communication strategies to convey complex medical information to diverse stakeholders effectively.

Medical communication ensures that treatment plans are effectively conveyed to patients in both inpatient and outpatient settings. Effective medical communication, like technical communication, and MedTech marketing, emphasizes clear, informative, and actionable content that is relevant to target audiences.

So, in short, medical communication is the intersection of clinical research, clinical science, scientific research and development, pharmaceuticals, diagnostic aids, medical devices, biotechnological corporations, patient care, business strategy, and mass media. This interconnected network of disciplines requires skilled professionals who can navigate complex scientific concepts while maintaining clarity and accuracy.

What services come under medical communications?

Medical writers are highly qualified professionals, including doctorates, scientists, and subject matter experts, well-versed in cutting-edge science, technology, and tools. They access data from platforms like PubMed, PUBSTRAT, iEnvision, and CITRIX, covering all therapy areas and every stage of drug development. These professionals combine their scientific expertise with strong communication skills to create impactful content that serves various healthcare needs.

Examples of medical communication include but are not limited to:

  • Scholarly Writing– Abstract, research papers, manuscripts, review articles written by scholars of medicine and human health.
  • Grant Proposals– Writing proposals for accessing grants in medical research funding, including detailed methodology and potential impact assessments
  • Systematic Reviews & Data Analysis– Writing systematic reviews and narrative reviews, preparing cohort series, writing protocols for randomized controlled trials, developing pre-meeting decks based and analyzing complex data
  • Health Policy & Advocacy– Health care policy and regulatory documents, as well as health-related advocacy materials for non-profit organizations
  • Pharmaceutical Marketing– Pharmaceutical marketing and public relations documents including e-detailers, emailers, newsletters, pharma leave behind literature, designed to effectively communicate product benefits and safety information
  • Digital Health Content- Medical and health advice articles written and presented for online audiences in the form of video bytes and whiteboard animations
  • Patient-Provider Communication- healthcare provider communication materials ranging from in-person conversations that doctors and nurses have with patients and their families to video chats, emails, e-detailing aids, e-post messages, and medical/treatment standard operating procedures
  • Internal Medical Communication-Group and organizational communication within medical settings, including conversations and medical documentation shared between health care providers, and between administrative leadership including pre and post webinar materials and follow-up resources


Why is medical communication important?

Medical practitioners possess a wealth of knowledge and expertise in their respective fields. However, these skilled and experienced professionals do often need specialized assistance when it comes to publishing their years of valuable work in reputable journals. The journey from research to publication involves multiple complex steps that demand dedicated support and guidance.

The process begins with the crucial need for someone to meticulously plan meeting agendas, craft well-structured abstracts, and develop comprehensive manuscripts. A significant component involves conducting thorough systematic literature reviews, which requires extensive database searches, critical analysis of existing research, and systematic documentation of findings.

Not just this but performing detailed meta-analyses to effectively position the drug or medical products in today’s highly competitive market is an intricate task that typically spans 12 months or more to yield meaningful results accepted by the medical congresses and the ethical committees.

What is the role of a medical communication agency?

Agencies working in medical communications specialize in creating custom healthcare content. They have experts who excel in creating content tailored for every stage of product development, from regulatory approval to final omnichannel marketing, ensuring it effectively reaches the target audience, whether healthcare professionals or patients.

Their services portfolio includes strategic consultation for drug development, brand positioning, innovative digital solutions, and creative material design. They excel in developing impactful messaging campaigns enhanced with informative infographics and provide extensive medical liaising services within specified timeframes. These agencies effectively manage all aspects of medical communication, ensuring everything is meticulously organized and delivered well before deadlines, allowing healthcare professionals to focus on their core responsibilities while maintaining confidence in their communication strategies.

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Regulatory Changes in Medical Communications: Preparing for 2025 and Beyond

Regulatory Changes in Medical Communications: Preparing for 2025 and Beyond

The pharmaceutical industry isn’t just about business—it’s about saving lives. The COVID-19 pandemic spotlighted the critical role of this sector, driving unprecedented growth. In response, regulatory authorities worldwide have become stricter, emphasizing the need for compliance and embracing digital transformation in documentation management and research submissions.

However, communicating effectively in this highly regulated industry is complex. Writing for a scientific community differs vastly from addressing the patient community, social media audiences, or regulatory bodies. Each audience has unique expectations and requirements.

Alt text: Pharma team brainstorming session for regulatory submission

To curb unethical practices and ensure compliance, global regulatory agencies enforce strict standards. Yet, staying compliant across diverse formats and communication platforms remains a significant challenge for pharmaceutical businesses. Understanding the global regulatory landscape is essential to navigate these complexities. The table below highlights key regulatory bodies and their focus areas

How to Tackle Regulatory Challenges in the Pharma Industry?

For small and medium-sized pharmaceutical companies, understanding the regulatory landscape is essential for success. Key authorities like the FDA in the United States and the EMA in Europe establish stringent standards to ensure the safety and efficacy of biotech products. These regulations, including FDA Title 21, PhRMA Codes, EFPIA, and the ABPI Code of Practice, govern how companies communicate with healthcare professionals, patients, and the public.

These guidelines require precise clinical trial documentation, adherence to ethical communication practices, and compliance with specific formatting standards. Regulatory agencies demand highly technical and scientifically accurate submissions—

known as medical writing—rather than layman language. Failure to meet these requirements can result in serious consequences, including drug approval delays, legal challenges, product recalls, and risks to patient safety.

By mastering regulatory requirements and investing in professional medical writing, small and medium-sized pharma companies can streamline their approval processes and maintain compliance in a highly regulated industry.

Significance of medical writing for regulatory submissions?

Medical writing is crucial in bringing innovative therapies to patients by creating precise, compliant documentation for regulatory agencies. Regulatory medical writers ensure submissions meet strict standards, helping minimize delays and rejections. Beyond regulatory submissions, they craft patient-friendly labels and leaflets, ensuring safe and effective product use. These experts bridge the gap between innovation and patient care, streamlining the approval process and accelerating access to life-saving therapies.

What role does medical writer play in regulatory submission?

Regulatory medical writers are vital for creating accurate, compliant documentation that meets strict regulatory standards. They collaborate with scientists and healthcare professionals to ensure clinical trial documents adhere to guidelines, minimizing approval delays or rejections. Their role is crucial in drug development and regulatory affairs.

What does medical writing for regulatory submissions involve?

Medical writing for regulatory submissions involves creating documents required by agencies like the FDA and EMA to approve new drugs and devices. Key documents include investigator brochures, clinical study reports, New Drug Applications (NDAs), and Marketing Authorisation Applications (MAAs).

How Does Regulatory Writing Impact Healthcare Product Approval?

Effective regulatory writing is key to speeding up healthcare product approvals. Regulatory writers ensure accurate, compliant documentation, reflecting research findings and supporting smooth drug development. Their expertise minimizes delays and facilitates approvals by adapting to evolving guidelines and technological advancements.

How to choose the right regulatory & medical writing services?

Selecting the right regulatory and medical writing services requires assessing their experience, familiarity with global guidelines, and proven success in submissions. Look for tailored solutions that meet your project needs and adapt to evolving regulatory standards.

Key qualifications include advanced degrees in life sciences, expertise in FDA and EMA regulations, and certifications like RAC, AMWA, DIA, or EMWA. Experienced writers ensure compliant, high-quality documentation for streamlined approvals.

What are the essential documents for clinical research and regulatory submissions?

Clinical trial protocols outline study methods, while clinical study reports summarize results. Informed consent forms educate participants about trials. Investigator’s brochures provide product data, and marketing application dossiers document development for approval. Regulatory response letters address inquiries from authorities.

As global regulations change, skilled writers use new tools and strategies to meet diverse requirements, ensuring faster and successful submissions. Partnering with expert medical writers enhances the approval process and streamlines product launch.

Essential Guidelines for Ethical Medical Writing and Research

Here’s a comprehensive overview of key guidelines that ensure accurate medical writing and research practices.

Compliance Requirements for Medical and Scientific Communications

Turacoz provides compliance strategies for medical and scientific communications, ensuring integrity and credibility, and improving patient care and public health through expertise in regulatory frameworks, transparency standards, and ethical guidelines.

Essential regulations and guidelines for regulatory writing

The following are the key regulations and guidelines that ensure compliance and promote best practices in the pharmaceutical and healthcare sectors.

Do your current strategies effectively meet the demands of the regulatory bodies?

Are your current strategies meeting the stringent demands of regulatory bodies? If not, let Turacoz Medical Writing Agency guide you with expert solutions to ensure compliance and success.

Explore our regulatory writing services

Are you looking to improve the quality and compliance of your medical documents for regulatory approvals? Our expert medical writing services are here to ensure precision, clarity, and adherence to regulatory standards. Contact with us to streamline your healthcare projects and achieve approval success.

 

FAQs

What is regulatory medical writing?

Regulatory medical writing involves writing documents for regulatory bodies like the FDA or EMA, including clinical study reports, investigator brochures, and new drug applications.

How does medical writing impact the regulatory approval process?

Effective medical writing ensures that all required data is presented clearly and accurately, meeting regulatory standards. This is crucial to ensure the approval process is smooth and efficient.

What’s the difference between medical writing and regulatory writing?

Medical writing is a broad field that includes various types of healthcare-related writing, including patient education materials and clinical research documents. On the other hand, regulatory writing is a specialised field focused on creating documents for regulatory approval.

How do you ensure compliance in medical writing?

Compliance can be ensured by adhering to regulatory guidelines, staying updated on industry standards, and conducting comprehensive reviews and quality checks throughout the writing process.

Importance of Professional Medical Writing Services in Healthcare

Medical writing involves the expertise to craft the healthcare content keeping in mind the audience you are catering to. This includes creating information for general readers seeking healthcare treatments who may not be familiar with medical terminology. For example, they might recognize terms like ‘high blood pressure’ instead of ‘hypertension’ or ‘high blood sugar level’ instead of ‘hyperglycaemia.’ Skilled medical writers transform complex medical terminology and clinical research data into accessible and easy-to-understand information for through a process known as medical communication.

Importance of Professional Medical Writing in Healthcare Content Creation

In today’s era of information and technology, professional medical writers play a crucial role in bridging the gap between complex medical information and diverse audiences. They create clear, accurate, and engaging healthcare content that enhances public awareness and education, ultimately fostering trust and engagement with healthcare organizations. Additionally, medical writers are pivotal in developing well-structured documentation to support regulatory approval processes for new treatments, ensuring adherence to strict guidelines and standards. Their expertise improves communication and drives advancements in healthcare and patient outcomes.

How Medical Communication Facilitates Regulatory Approvals?
A medical writer serves as a liaison between researchers, pharmaceutical companies, and the broader medical community. Different skill sets are required when you’re writing for a layman compared to a healthcare professional to make them understand some technical terms. The differences are mentioned below in the table.

On the other hand, when we craft professional documents for the stakeholders or regulatory agencies, we first prepare the templates having a certain style guide, and professional tone. The same document undergoes multiple quality check approvals so that not a single misplaced comma or ambiguous phrases can lead to any misunderstanding, that could compromise patient safety.

Some forms of professional medical writing include Clinical Report Writing, Regulatory writing, Scientific writing, Medical Education Writing, Health Economics and Outcomes Research (HEOR) Writing, Grant Writing, Medico-Marketing Writing, Technical Writing for Medical Devices, Editorial Services for journal publications, conference materials, poster presentations and so on.

Why Mastering Medical Writing is Crucial for Pharma Industry Success?

Failure to effectively communicate in above mentioned high-stakes documents can delay regulatory approvals, potentially leading to financial losses, wasted time, and reputational damage of the involved parties in the healthcare industry. Mastering medical writing is, therefore, an indispensable skill for anyone working in the pharma industry or about to enter the healthcare documentation writing services to ensure that no document gets stalled between agencies and research organizations.

What’s Next for Medical Writing? Top Trends Shaping the Industry

Our recent poll revealed that Artificial intelligence (AI) integration is anticipated to have the most significant impact on the future of medical writing. With a rapidly evolving healthcare industry, medical writers are expected to adapt to a dynamic environment shaped by technological advancements, patient-centered approaches, and globalization. This article delves into the trends that will shape medical writing in the coming years and what they mean for professionals in the field.

  1. AI Integration: Shaping the Future of Medical Writing

The poll results indicate that a significant 60% of respondents believe AI integration will play a pivotal role in medical writing. This trend is expected given the growing impact AI is already having on the field. From automating literature searches to drafting clinical study reports, AI is improving efficiency, accuracy, and productivity.

Key Contributions of AI to Medical Writing

  • Automated Content Generation: AI-powered tools like ChatGPT can draft sections of manuscripts, abstracts, and summaries. This reduces the time required for first drafts, enabling writers to focus on refining content and ensuring compliance with regulatory standards.
  • Data Analysis and Interpretation: Tools equipped with natural language processing (NLP) can extract and analyze data from clinical trials, research papers, and regulatory documents. AI simplifies complex data sets, helping writers present findings clearly and concisely.
  • Grammar Check and Translation: AI tools are increasingly being used for grammar and style checks, ensuring documents adhere to linguistic and stylistic standards. Additionally, advanced translation technologies enable seamless multilingual content creation, breaking language barriers, and facilitating global communication.

AI’s role in medical writing extends beyond automation. It enables predictive analytics and personalized content creation, offering tailored solutions for diverse audiences, including healthcare professionals, regulatory bodies, and patients.

Challenges and Opportunities

While AI offers immense benefits, it also raises concerns about data security, ethical considerations, and the potential loss of human oversight in sensitive medical communications. However, these challenges present opportunities for medical writers to upskill and collaborate with AI, enhancing their roles as content strategists and quality controllers.

  1. Evidence-based Writing: The Foundation of Credible Communication

Coming in as the second most influential trend, with 19% of the votes, evidence-based writing underscores the importance of accuracy and scientific rigor in medical communication. As healthcare decisions increasingly rely on data-driven insights, medical writers must ensure their content is rooted in robust evidence.

The Role of Evidence-based Writing

Transparency and Accountability: Evidence-based writing involves citing credible sources, ensuring transparency, and providing a clear trail of evidence supporting medical claims. This is crucial in regulatory documents, clinical trial reports, and healthcare guidelines.

Strengthening Healthcare Decisions: By presenting data from systematic reviews, meta-analyses, and clinical trials, medical writers help healthcare professionals make informed decisions. This approach supports the development of effective treatments and interventions.

Adapting to New Data Standards

The demand for evidence-based writing is expected to grow as data-sharing initiatives and open-access publishing increase. Medical writers must stay updated on evolving guidelines and best practices for integrating and presenting evidence in various formats.

  1. Patient Centricity: Putting Patients at the Center of Communication

With 17% of respondents highlighting patient-centricity as a key trend, it’s clear that the focus on patients is becoming more central in medical writing. This shift reflects a broader movement in healthcare toward empowering patients and ensuring they are active participants in their care journey.

What is Patient-centric Medical Writing?

Patient-centric medical writing involves tailoring content to meet the needs of patients, ensuring information is accessible, understandable, and relevant. This includes:

  • Simplifying Medical Jargon: Translating complex medical terminology into lay language, so patients can understand their diagnoses, treatments, and clinical trial participation.
  • Focusing on Patient Experiences: Including patient-reported outcomes and experiences in clinical trial reports and other medical documents.
  • Developing Patient Education Materials: Creating leaflets, brochures, and digital content that inform and empower patients.

The Rise of Plain Language Summaries (PLSs)

One of the most notable developments in patient-centric medical writing is the increasing use of PLS. These summaries provide a clear and concise overview of complex medical research, making it accessible to non-specialist audiences. As regulatory bodies like the European Medicines Agency (EMA) emphasize the importance of PLS, medical writers are expected to play a pivotal role in their development.

  1. Multilingual Content: Breaking Language Barriers

Though only 4% of respondents identified multilingual content as a top trend, its importance cannot be overstated. As healthcare becomes more globalized, the ability to communicate effectively across different languages and cultures is critical.

Why Multilingual Content Matters

  • Global Clinical Trials: With clinical trials conducted across multiple countries, medical writers must produce documents that cater to diverse regulatory requirements and linguistic needs.
  • Health Campaigns and Education: Multilingual content ensures that vital health information reaches diverse populations, promoting inclusivity and equity in healthcare.
  • Regulatory Submissions: In regions like the European Union, regulatory submissions often require documentation in multiple languages.

Tools and Techniques for Multilingual Medical Writing

Advancements in translation technologies, including AI-driven tools, are making multilingual medical writing more efficient. However, human oversight remains crucial to ensure cultural nuances and context are accurately conveyed.

How AI Can Support Every Trend

AI plays a pivotal role in each of these emerging trends. In evidence-based writing, AI tools can swiftly analyze vast amounts of clinical data, enabling writers to identify and cite the most relevant evidence. For patient-centricity, AI can personalize content by analyzing patient feedback and tailoring educational materials to specific needs. In the realm of multilingual content, AI-driven translation tools ensure timely and accurate communication across languages, fostering inclusivity. AI is not only a driving force in its dedicated trend but also a supportive tool that enhances the effectiveness of every other emerging aspect of medical writing.

Implications for Medical Writers

The trends identified in our poll reflect a dynamic and rapidly evolving field. To stay ahead, medical writers must adapt and expand their skill sets:

  • Technical Proficiency: Familiarity with AI tools and data analysis software will be essential as automation becomes more prevalent.
  • Continuous Learning: Keeping up-to-date with evolving guidelines, best practices, and new trends like patient-centric and evidence-based writing.
  • Cultural Competence: Understanding and respecting cultural differences will enhance the effectiveness of multilingual content.
  • Interdisciplinary Collaboration: Working closely with healthcare professionals, regulatory bodies, and patient advocacy groups to create impactful medical communications.

The Road Ahead

As we look to the future, it’s clear that medical writing will play an even more critical role in shaping healthcare communication. The integration of AI, the emphasis on evidence-based and patient-centric approaches, and the need for multilingual content will redefine the profession, offering both challenges and opportunities.

At Turacoz, we are committed to embracing these trends and equipping our team with the skills and tools to lead in this evolving field. Whether it’s leveraging AI for efficiency, adopting evidence-based methodologies, or focusing on patient-first communication, we are ready to meet the challenges of the future head-on.

For more information, reach out to us at [email protected]

Publication Extenders: Our Offerings

In the fast-evolving landscape of academic and medical publishing, journals and publication houses strive to stay relevant by providing comprehensive content and ensuring its timely dissemination. Leveraging publication extenders—a value-added service designed to expand the lifecycle and impact of published content—has become an innovative way to achieve these goals. This blog explores how publication extenders work, their benefits, and how a collaborative approach can elevate your journal’s reach and influence.

  1. What Are Publication Extenders?

Publication extenders, also referred to as publication enhancers, are innovative strategies that go beyond traditional publishing to maximize the reach and impact of research. By offering supplementary formats such as plain language summaries, infographics, video abstracts, and social media content, journals can connect with broader audiences. These are not only academic and clinical communities but also policymakers, patients, and the public. Publication extenders transform dense academic research into accessible, engaging, and widely shareable formats, ensuring greater visibility and impact.

  1. Challenges of Traditional Publishing

While peer-reviewed journals, conferences, and books have long been the pillars of research communication, traditional publishing faces several limitations:

  • Limited audience reach: Traditional formats cater primarily to specialized academic or clinical readers, leaving non-expert audiences underserved.
  • Technical language: The complexity of scientific jargon can alienate policymakers, patients, and other stakeholders who may benefit from the research findings.
  • Access barriers: Subscription-based models restrict access to critical research, limiting the audience and reducing the overall impact of the published work.
  • Reduced engagement: Conventional articles often lack the visual and interactive elements preferred by modern readers, which can hinder engagement and dissemination.
  1. Innovative Strategies for Journals with Publication Extenders

Integrating publication extenders allows journals to address traditional publishing challenges and significantly enhance the reach and influence of their content. Here are some effective strategies tailored to journals’ needs:

  • Plain language summaries: Simplified summaries that make scientific content accessible to non-specialists, fostering broader engagement.
  • Infographics: Visual representations of data that create a reader-friendly experience, making complex findings easier to understand and share.
  • Slide decks: Visually appealing, curated highlights that support authors and speakers in presenting research at conferences and other forums.
  • Video abstracts: Short, dynamic videos distilling the study’s objectives, methods, and conclusions to create engaging content for digital platforms.
  • Blog summaries: Concise, reader-friendly blogs that promote key insights and drive online traffic to the original article, reaching a wider audience.
  • Interactive PDFs or e-learning modules: Provides enhanced reading experiences with clickable elements, supplementary data, and interactive features.
  • Social media posts: Optimized content for platforms such as LinkedIn, Twitter, and Instagram, boosting visibility through targeted outreach.
  1. Why Publication Extenders Matter for Journals

In today’s dynamic publishing landscape, publication extenders have become essential tools, transforming how research is communicated and consumed. Here’s how they play a pivotal role:

  • Bridging the accessibility gap: Extenders such as plain language summaries and infographics simplify complex findings, making research accessible to non-experts, including policymakers, patients, and the public.
  • Amplifying engagement and reach: Formats such as video abstracts, blog summaries, and social media posts cater to digital audiences, extending research visibility across platforms and ensuring it reaches wider, more diverse audiences.
  • Increasing citation and impact: Promoting research in multiple formats and on varied platforms enhances discoverability, driving citations and attention from both academic and non-academic stakeholders.
  • Supporting author collaboration: Publication extenders provide authors with additional tools to disseminate their work, enhancing contributor satisfaction and fostering long-term relationships.
  • Adapting to evolving reader preferences: Visual and interactive formats, such as slide decks and e-learning modules, cater to readers’ modern consumption habits, ensuring research is engaging and user-friendly.
  • Building a competitive advantage: In a competitive publishing environment, journals that offer publication extenders differentiate themselves, attracting both authors and readers by demonstrating innovation and commitment to accessibility.

  1. How Collaboration Benefits Journals and Publication Houses

Collaboration with publication extender experts provides significant advantages for journals, enabling them to:

  • Access specialized resources: Leverage a dedicated team with expertise in crafting high-quality supplementary materials.
  • Optimize costs: Utilize affordable services that add value without burdening operational budgets.
  • Enhance reputation: Position the journal as forward-thinking and innovative, and committed to making research accessible and impactful.
  • Expand the journal’s network: Strengthen relationships with authors, readers, and stakeholders by offering comprehensive solutions that meet their needs.
  1. A Collaborative Vision

The vision for publication extenders is not just about enhancing individual articles—it is about redefining the role of journals as facilitators of knowledge dissemination. By embracing these tools, journals can transform how research is shared, making it accessible to a global audience while fostering deeper engagement. In doing so, they ensure their relevance in a publishing ecosystem that is increasingly focused on inclusivity and innovation. 

  1. Conclusion

The future of publishing lies in bridging the gap between research and its audience by making content accessible, engaging, and impactful. Publication extenders empower journals to expand their reach, amplify engagement, and ensure that vital research resonates with diverse audiences. By adopting these innovative tools, journals can enhance their reputation as forward-thinking knowledge providers and drive meaningful changes in the publishing landscape.

With expertise in crafting customized publication extenders, ranging from plain language summaries and infographics to video abstracts and social media content, Turacoz offers comprehensive solutions to elevate your journal’s content strategy. Interested in maximizing the impact and reach of your publications?  Contact us at [email protected]  or visit www.turacoz.com  to collaborate and take your publications to the next level.

Turning Research Data into Publishable Manuscripts

Scientific advancement in academia depends greatly on research, but its true value lies in publishing and sharing findings with the broader scientific community. Transforming raw data into a refined, publishable manuscript can be challenging and requires significant focus and effort. This blog provides a comprehensive roadmap to assist researchers in effectively transforming their research findings into manuscripts ready for publication.

Recognizing the Significance of Your Data

Before beginning the writing process, researchers should reflect on their findings and consider the following questions:

  •  What novel insights does the study provide? This helps identify the critical findings that distinguish the research from the existing literature.
  • How does it advance the research area? This question highlights how the study’s findings contribute to advancing current practices, knowledge, and understanding in the respective field.
  • How does it address existing knowledge gaps? This helps determine to what extent the study addresses previously unresolved questions in the research area.

Knowing the answers to these questions helps organize the manuscript efficiently, highlight its significance, and ensure its relevance to the field.

Read More: AI-Driven Insights: Discovering New Research Opportunities in Medical Science

Selecting a Journal and Target Audience

Choosing the right journal and determining the target audience are crucial steps in manuscript preparation. The journal selection can impact the manuscript’s focus, length, and style. Key factors to consider when selecting a journal include:

  • Impact Factor: Journals with higher impact factors often have more stringent submission requirements.
  • Journal Scope: The research should align with the journal’s focus. For example, choosing a specialized journal for research in a particular therapeutic area.

Understanding a journal’s guidelines can reduce the likelihood of rejection and save time during the submission process.

Addressing Ethical Considerations

It is critical to follow ethical standards when writing an acceptable manuscript. This involves getting the required approvals to conduct the study, securing informed consent from participants, and ensuring data privacy requirements are upheld.

Common Challenges in Manuscript Preparation

Recognizing potential challenges can significantly improve the manuscript preparation process. Some common challenges include:

  • Time Constraints: Balancing ongoing research with personal commitments can limit the time for manuscript writing.
  • Data Organization: Presenting complex data effectively requires careful organization and a strategic approach.
  • Statistical Analysis: Conducting and presenting statistical analyses accurately can be difficult, especially for those without a strong statistical background.
  • Formatting Requirements: Different journals have specific formatting and submission guidelines that can be tricky to navigate.
  • Peer Review Process: The peer review process can feel daunting, as constructive feedback often necessitates significant revisions.
  • Writing Skills: Difficulty in clearly conveying ideas can affect the overall quality of the manuscript.
  • Ethical Considerations: Ensuring compliance with ethical standards, including proper citation practices, is crucial but challenging.
  • Collaboration: Coordinating with co-authors and aligning different writing styles can make it difficult to create a cohesive manuscript.

Identifying these challenges early can help researchers streamline the manuscript preparation process and improve their chances of successful publication.

Organizing the Data

Effective organization of the raw research data is a critical aspect of manuscript preparation. Careful organization of the data before starting the writing ensures clarity and coherence. This can be achieved by:

  • Analyzing findings and identifying key points.
  • Grouping similar findings with a clear rationale.
  • Creating a logical flow to present the data.
  • Using visual aids to enhance clarity.
  • Avoiding overloading the manuscript with unnecessary visuals.

Crafting a Compelling Title and Abstract

The title and abstract are critical elements that are often the first things noticed by potential readers and journal editors. A clear, concise title, combined with a well-crafted abstract, can significantly influence the readability and appeal of the full paper. The abstract should:

  • Clearly define the research problem.
  • Briefly describe the methods and key findings.
  • Highlight the significance of the work.

Structuring the Manuscript

Most scientific manuscripts follow the Introduction, Methods, Results, and Discussion (IMRaD) format. This structure ensures logical organization and makes the paper easy for readers to follow.

  • Introduction: Provides context by summarizing the research background, stating the research question, and outlining the study objectives.
  • Methods: Details the study design, including experimental procedures and statistical analyses, ensuring transparency.
  • Results: Presents the findings in an organized manner, supported by visuals.
  • Discussion: Interprets the findings, compares them with existing research, and discusses limitations and future directions.

Writing Clearly and Precisely

Clear writing is essential for effective research communication. This involves:

  • Avoiding jargon and unnecessary abbreviations.
  • Being concise and eliminating redundancy.
  • Using active voice to enhance readability.

For those who find this challenging, seeking feedback from colleagues or considering professional editing can be beneficial.

Citing Appropriately

Accurate referencing adds credibility to the work. This can be accomplished by:

  • Using current and relevant references.
  • Following the specific citation style required by the target journal.
  • Focusing on key studies directly related to the research, while avoiding over-citation.

Revising and Editing

It is beneficial to revise the draft once it has been completed. Involving colleagues in this process can provide valuable insights and perspectives. This process ensures:

  • Refining the clarity and coherence of the manuscript.
  • Eliminating unnecessary details or redundancies.
  • Double-checking data and citations for accuracy.

Submitting and Navigating the Review Process

After submission, preparing for the peer review process is essential. Reviewers will assess the strengths and weaknesses of the paper and provide feedback. Answering the feedback involves the following:

  • Responding clearly to each point raised in the requested revisions.
  • Resubmitting the manuscript with all corrections and justifications.

Rejection is a normal part of the academic publication process. Learning from feedback can improve the manuscript for future submissions.

Final Thoughts

Turning research data into a publishable manuscript requires time, effort, and patience. Using appropriate and methodical approaches can make the process more manageable. It is important to remember that every step, from selecting the right journal to refining the writing, helps researchers make valuable contributions to their field.

Want to Simplify Your Publication Process?

Despite the challenges of transforming raw research into a well-structured manuscript, the entire journey — from data analysis to manuscript submission — can be streamlined. Partnering with Turacoz ensures a professional, efficient, and successful publication process. Our experience and expertise in scientific publications can significantly ease the workload and elevate the impact of research. Whether you need assistance with writing, editing, submission, or promotion, the Turacoz team offers tailored solutions to meet your needs. Please contact us at [email protected] to elevate your publication experience.

Medical Copy Editing: The Unsung Hero of High-Quality Scientific Writing

In scientific research, precision and clarity are essential for ensuring that valuable findings are accurately communicated to the global scientific community. As researchers delve into complex topics, from medicine to engineering, the role of copy editing becomes critical. While the process of writing a research paper or medical document is intellectually demanding, ensuring that the content is clear, error-free, and accessible often requires an external review. This is where medical copy editing comes into play, improving the quality, readability, and reliability of research outputs.

What is Medical Copy Editing?

Medical copy editing involves reviewing and refining the text of medical or scientific documents to enhance readability, consistency, and accuracy. This process addresses grammar, syntax, punctuation, and style inconsistencies while ensuring that the scientific content remains precise. More than just correcting language errors, medical copy editors ensure that the message is conveyed, free from ambiguity, and in line with the standards required by journals, regulatory bodies, or academic institutions.

Medical copy editing is distinct from developmental editing, which deals with structural issues like content organization. Instead, it focuses on the finer details, ensuring that every word serves a purpose and that the entire document adheres to a consistent style.

Enhancing Clarity and Precision

One of the most significant contributions of medical copy editing is improving clarity. Researchers often use complex language, which can hinder the understanding of key findings. Even within the scientific community, clarity is paramount to ensure research is not misinterpreted or ignored.

A skilled medical copy editor refines technical jargon, ensuring it is understandable to both experts and those new to the field. In doing so, they help avoid potential misinterpretations that can arise from ambiguous phrasing. The copy editor’s objective is to ensure that each sentence communicates the intended meaning without unnecessary complexity or redundancy.

For instance, if a study’s results are described vaguely or using convoluted language, readers might struggle to understand the significance of the findings, while researchers may find it difficult to reproduce the results. By rewording these sentences, a copy editor helps ensure the research is accessible and easy to comprehend, even for non-experts in the field. As research impacts policy decisions, patient care, and future studies, ensuring its clarity is a crucial task for a copy editor.

Consistency in Terminology and Formatting

Medical writing often contains technical terms, specific abbreviations, and references to clinical data. Inconsistent use of terms can lead to confusion, and in the medical context, any confusion can have serious implications. Medical copy editors play a vital role in maintaining consistency throughout the document. Whether it’s ensuring that abbreviations are used correctly and consistently or checking that terminology aligns with current industry standards, the editor’s role ensures the document is coherent.

Furthermore, medical copy editors are responsible for ensuring formatting consistency. Adhering to a journal’s submission guidelines or an organization’s style manual is critical for acceptance and publication. Copy editors meticulously check that headings, subheadings, tables, figures, and citations are uniformly formatted and in line with the required style.

Ensuring Adherence to Style Guides

Different fields of research, journals, and regulatory agencies have specific style and formatting requirements. For example, the American Medical Association (AMA) Manual of Style is a widely used guide in medical writing. It provides guidelines for writing, grammar, punctuation, and citation formats, among other things.

Medical copy editors ensure that manuscripts adhere to these guidelines. Citations are formatted correctly, the text follows the prescribed writing conventions, and figures or tables comply with the required formats. Adhering to these rules increases the chances of acceptance for publication and ensures that the document meets the highest professional standards.

Improving the Flow and Readability of the Document

The arrangement of content is critical to the success of a research paper. Research papers that are difficult to follow, with disjointed sections or unclear transitions, can frustrate readers and obscure the study’s key points. A medical copy editor facilitates coherent section transitions and logical idea progression.

For example, when moving from the introduction to the methods or results section, a copy editor might suggest restructuring sentences or paragraphs to improve readability. By ensuring that each section connects logically, the editor helps the reader stay engaged with the content and reduces the risk of misinterpretation.

Additionally, copy editors prioritize the manuscript’s logical coherence. To facilitate comprehension, the background, methods, results, and conclusions must be systematically arranged. Occasionally, they may recommend to restructure sections for enhanced logical flow.

Addressing Ethical Concerns

Medical copy editors are also responsible for ensuring that ethical standards are upheld in research writing. They verify that references are properly cited, helping to prevent plagiarism, whether intentional or accidental. In the era of open science and data sharing, ensuring proper attribution is vital.

Moreover, editors review whether patient consent, animal research guidelines, and conflict of interest disclosures are properly addressed in the document. Ethical lapses in research publications can damage reputations and compromise the integrity of the research. Therefore, a copy editor plays a crucial role in maintaining ethical rigor in medical manuscripts.

Accuracy and Fact-Checking

While the primary responsibility for accuracy lies with the authors, medical copy editors also perform fact-checking tasks. They check for inconsistencies in data reporting, review statistical values, and verify that claims are supported by appropriate evidence. This ensures that the research stands up to scrutiny from peer reviewers and readers alike.

Read More: Medical Copy Editing: A Step-by-Step Guide to Edit Your Document

Moreover, medical copy editors review references to ensure relevant, and correctly cited. Accurate references lend credibility to the research, and failing to properly attribute prior work can lead to accusations of plagiarism.

The Role of Technology in Copy Editing

Technological advancements have introduced new tools for copy editing, such as automated grammar checkers and reference management systems. While these tools are valuable for speeding up the editing process, they are not infallible. Medical copy editors use these tools carefully to ensure that the manuscript is polished to a high standard.

For instance, while a grammar checker can catch basic errors, it cannot replace the critical thinking required to ensure a manuscript is logically sound and free from ambiguities. An experienced medical copy editor goes beyond mere error correction, considering the broader context of the manuscript and ensuring that the content aligns with the research’s goals.

Conclusion

Medical copy editing is an indispensable part of the research publication process. It ensures that research papers are clear, consistent, accurate, and ethically sound. By refining the language, improving the flow of ideas, and ensuring adherence to style guides, medical copy editors enhance the overall quality of scientific writing.

At Turacoz, we specialize in Medical Copy Editing to ensure research manuscripts, clinical documents, and medical reports meet the highest standards of clarity and accuracy. Our expert editors enhance readability, correct errors, and ensure compliance with style and ethical guidelines. By refining scientific content, we help researchers present their findings effectively, increasing the chances of successful publication. We believe quality research deserves precise communication, and our editing services are tailored to achieve that.

The Role of Academic Societies in Journal Publishing

Academic societies have long been integral to the advancement of research, education, and professional development in various fields. In the journal publishing, their influence is particularly notable. These organizations are often at the forefront of disseminating new scientific discoveries, setting rigorous standards for academic integrity, and fostering the growth of researchers through peer-reviewed publications. For medical writers, understanding the contributions of academic societies to journal publishing is essential, as it informs their work and ensures that the content they produce aligns with their highest academic and ethical standards.

  1. Setting and Maintaining Publishing Standards

One of the primary contributions of academic societies to journal publishing is their role in setting and maintaining high standards of scientific and academic content. These standards ensure that the research published in their journals is credible, rigorous, and adheres to the ethical guidelines.

  • Peer Review Process

The peer review process is a key mechanism by which academic societies maintain their publishing standards. Most academic journals, especially those affiliated with societies, require manuscripts to undergo rigorous peer review before publication. This process involved expert reviewers who evaluated the quality, originality, and validity of the research. By providing an independent assessment, peer review helps maintain the integrity of published research and prevents the dissemination of flawed or misleading findings.

For medical writers, the peer review process is both a guide and safeguard. When preparing manuscripts, regulatory documents, or clinical trial summaries, medical writers must ensure that their content meets the criteria set by the reviewers. This implies paying close attention to data accuracy, clarity of communication, and adherence to ethical standards.

  • Ethical Guidelines and Reporting Standards

Academic societies are instrumental in developing ethical guidelines and reporting standards for research publications. These include principles such as transparency in data reporting, disclosure of conflicts of interest, and adherence to ethical guidelines in human and animal research. For example, organizations like the International Committee of Medical Journal Editors (ICMJE) and Committee on Publication Ethics (COPE) have established widely accepted standards for manuscript preparation and publication ethics.

Medical writers working in the field of journal publishing must be familiar with these guidelines to ensure that their work complies with the industry norms. By adhering to the standards set by academic societies, medical writers contribute to the credibility and ethical standing of their research.

  1. Supporting Researchers: Providing a Platform for Scientific Dialogue

Another critical role that academic societies play in journal publishing is to provide a platform for researchers to share their findings, exchange ideas, and collaborate with their peers. By publishing journals, academic societies facilitate the dissemination of knowledge, ensuring that discoveries are accessible to the scientific community.

  • Encouraging Collaboration and Networking

Many academic societies organize conferences, workshops, and symposiums in addition to publishing journals. These events serve as valuable networking opportunities for researchers, where they can discuss their work with other professionals, receive feedback, and collaborate. For early career researchers, academic societies offer mentorship and support, helping them navigate the often-complex publishing process in high-impact journals.

Medical writers, particularly those involved in preparing research for publication, benefit from  resources and networking opportunities provided by academic societies. Attending society-sponsored events or engaging with the latest journal articles allows medical writers to stay updated on emerging research trends, new methodologies, and shifts in the regulatory field.

  • Advancing Careers Through Recognition

Academic societies often have awards or recognition programs that honor outstanding research contributions. This recognition not only advances the careers of researchers, but also brings attention to important scientific discoveries. Many societies also offer travel grants, fellowships, and scholarships, to further support researchers in their professional development.

Medical writers, who often collaborate with researchers in preparing manuscripts and grant proposals, can help their clients or employers navigate these opportunities for recognition. By aligning their work with the high standards and expectations of academic societies, medical writers play a role in helping researchers advance their careers and secure the recognition of their contributions.

  1. Ensuring Accessibility and Credibility in Scientific Publishing

In recent years, the open-access movement has gained significant momentum, with the aim of making research freely available to a wider audience. Academic societies have been key players in this movement, with many offerings open-access options for their journals or participating in initiatives like Plan S, which promotes the unrestricted availability of scientific publications. By supporting open access, academic societies can help bridge the gap between researchers, clinicians, policymakers, and the public.

Read More: The Evolution of Academic Publishing: From Print to Digital

  • Enhancing Accessibility Through Open Access

The open-access model offers unique opportunities and challenges for medical writers. On one hand, open-access publications allow medical writers to access a wealth of research data and articles without barriers to paywalls. This is particularly useful when preparing literature reviews or drafting content that requires a comprehensive understanding of current research. However, open-access journals often require authors or their institutions to cover publication costs, which can be a financial burden for some researchers.

  • Upholding Journal Reputation and Impact

The reputation of a journal is often linked to the academic society that supports it. Journals affiliated with respected societies typically have higher impact factors, attract submissions from leading researchers, and maintain strict editorial standards. For medical writers, publishing in a high-impact journal can significantly enhance the visibility and credibility of the research they are helping communicate.

When preparing manuscripts, medical writers should consider the impact and reach of the journals they are targeting. Submitting work to society-affiliated journals that maintain high editorial standards can improve the likelihood of publication and ensure that research reaches the intended audience.

  1. Supporting Medical Writers: Collaboration Between Writers and Academic Societies

Academic societies are not only beneficial to researchers; they also play a crucial role in supporting medical writers. Many societies offer specialized resources to writers, including style guides, ethical guidelines, and access to professional networks. For example, organizations such as the American Medical Writers Association (AMWA) and European Medical Writers Association (EMWA) provide valuable training opportunities and certifications for medical writers.

  • Continuing Education and Professional Development

By collaborating with academic societies, medical writers can access continuing education opportunities that will help them stay current in their fields. Many societies offer workshops, webinars, and online courses that cover topics, like manuscript preparation, ethical writing practices, and advancements in medical research.

These educational opportunities not only enhance the skills of medical writers, but also contribute to the overall quality of the research publications they help produce. By being informed about the latest trends in medical writing and journal publishing, writers can improve the accuracy, clarity, and ethical standards of their work.

  • Bridging the Gap Between Researchers and Publishers

Medical writers often serve as intermediaries for researchers and publishers. By understanding the standards and requirements of academic societies, medical writers can help researchers navigate the publication process smoothly. This includes preparing manuscripts that meet society-specific guidelines, ensuring compliance with ethical standards, and facilitating clear communication between the authors and journal editors. Through this collaboration, medical writers contribute to the successful dissemination of research, ensuring that it reaches the right audience and has a lasting effect on the scientific community. The role of academic societies in journal publishing is essential to maintaining the integrity, accessibility, and credibility of scientific research.

At Turacoz, we understand the pivotal role academic societies play in setting rigorous standards for ethical and credible scientific communication. Our expert medical writers are dedicated to producing content that not only meets these high standards but also contributes to advancing scientific knowledge. Leveraging the resources and guidelines provided by academic societies, we ensure the accuracy, credibility, and impact of the research we help communicate. We stay updated on emerging trends and innovations in publishing, such as open-access platforms and transparent peer review processes, guiding researchers through the complexities of today’s academic landscape. By partnering with Turacoz, you gain a dedicated ally who is equipped to elevate your research, ensuring it meets the highest academic standards while reaching the widest possible audience. Visit www.turacoz.com or contact us at [email protected] to learn how we can support your publishing journey

Visualizing Medical Data: Enhancing Understanding and Communication

In medical and scientific writing, effectively communicating complex information is vital to ensuring that research findings, clinical data, and patient outcomes are clearly understood. As data becomes more abundant, healthcare professionals and researchers are increasingly relying on data visualization as a key tool for simplifying complex datasets. For medical writers, data visualization can transform written content into visually engaging and informative material that enhances comprehension and decision-making.

The Importance of Data Visualization

  • Improved comprehension: Complex data is easier to interpret when presented visually, helping readers grasp key information faster.
  • Enhanced decision-making: Healthcare professionals can make more informed decisions when data is presented in a clear, concise manner.
  • Increased engagement: Visual content is more engaging and memorable, making the message more impactful.

How Data Visualization is Used in Healthcare

In healthcare, data visualization is used in various ways, from monitoring patient health to evaluating healthcare system performance. Medical writers often contribute to these processes by creating documents and reports that incorporate visual elements, helping different stakeholders—healthcare providers, researchers, and patients—make sense of the data.

  1. Patient Monitoring: In clinical settings, healthcare professionals use dashboards and visual reports to track patient health metrics in real-time. This allows for quick identification of abnormal trends, such as sudden spikes in heart rate or blood pressure, prompting timely interventions.
  2. Clinical Research: Data visualization is essential for presenting research findings, making it easier to communicate complex statistical data from clinical trials or population studies. Medical writers can use charts, graphs, and other visual elements to summarize results, allowing readers to quickly grasp significant findings and their implications.
  3. Public Health Initiatives: Public health authorities often rely on visual tools, such as heat maps and bar graphs, to track disease outbreaks, vaccination rates, or healthcare access. Visualizations help these agencies monitor trends, allocate resources efficiently, and educate the public.
  4. Decision Support Systems: Decision support tools that use visual analytics assist clinicians in selecting appropriate treatments, assessing risks, and predicting patient outcomes. Visual dashboards and algorithms can help professionals make quicker, evidence-based decisions.

For medical writers, understanding the role of visualization in healthcare allows them to craft content that aligns with the needs of healthcare providers and researchers while making complex data more accessible.

Infographics for Visualizing Medical Data

Infographics have become a powerful tool for medical writers to communicate data in a more engaging format. By combining visual elements like charts, icons, and text, infographics present data in a way that is easy to understand. This is particularly important in medical writing, where the audience can range from highly specialized clinicians to patients with limited medical knowledge.

For medical writers, infographics serve multiple purposes:

  • Patient Education: Infographics can break down medical information into clear, easy-to-follow steps, making it easier for patients to understand their condition, treatment options, or preventative measures.
  • Scientific Communication: In research articles or reports, medical writers can use infographics to highlight key findings, summarizing the most important data points in a visually appealing way.
  • Public Health Campaigns: Infographics are often used in public health messaging to inform the general population about important health issues, such as vaccination schedules, hygiene practices, or disease prevention.

Incorporating infographics into medical writing not only enhances clarity but also increases the likelihood that the content will be shared and referenced, broadening its reach and impact.

Posters in Hallways and Doctors’ Offices: A Thing of the Past?

For many years, posters in hospitals, doctors’ offices, and clinic hallways served as a primary way to communicate health information. However, in today’s digital age, static posters are being replaced by more dynamic and interactive forms of data visualization. Medical writers now can move beyond traditional posters and embrace digital communication tools, such as:

  • Interactive Screens: Digital displays in waiting rooms and hallways can present rotating information, such as patient education videos, real-time health statistics, or news updates. This digital shift offers more flexibility in updating content and engaging patients.
  • Online Platforms: With the rise of telemedicine and digital health apps, patients are accessing health information online. Medical writers can create interactive infographics, videos, and other digital content tailored to these platforms.

While posters may still have a role in certain settings, digital tools allow medical writers to create more dynamic, customizable content that can be easily updated and widely distributed.

Graphical Reports on Clinical Data and Performance

Medical writers play a crucial role in creating these reports, which often include:

  • Visual Performance Dashboards: Dashboards can track key performance indicators (KPIs) such as patient satisfaction, readmission rates, and average hospital stays. These visualizations allow healthcare administrators to monitor their institution’s performance and make informed decisions to improve services.
  • Patient Outcome Reports: Medical writers can use visual elements to create reports that summarize patient outcomes, such as treatment efficacy or recovery rates. These reports are useful for both clinicians and patients in assessing the success of a treatment plan.

By using graphical elements, medical writers can ensure that clinical reports are not only informative but also visually engaging, making it easier for healthcare professionals to absorb and act on the information.

How to Implement Data Visualization in the Healthcare Sector

Implementing data visualization in the healthcare sector requires careful planning and collaboration among various stakeholders. Medical writers can play a key role in this implementation by following these steps:

  1. Understand the Audience: Medical writers should tailor their visualizations based on the target audience, whether it’s clinicians, researchers, patients, or the public. Different audiences require different levels of complexity in their data presentations.
  2. Choose the Right Tools: There are numerous software tools available for creating data visualizations, including Tableau, Power BI, and Google Data Studio. Medical writers should be familiar with these tools to create effective, professional-grade visualizations.
  3. Simplify Complex Data: The goal of visualization is to make data easier to understand. Medical writers should avoid overloading their visuals with too much information and focus on highlighting the most critical data points.
  4. Ensure Accuracy: Data visualization must accurately represent the underlying data. Medical writers need to collaborate with data analysts and healthcare professionals to ensure that the visualizations are both accurate and informative.
  5. Regularly Update Content: Healthcare data is constantly changing, and medical writers should ensure that their visual content is regularly updated to reflect the latest information and trends.

Read More: Navigating Predatory Publishing in Medical Communications: A Comprehensive Guide

AI and the Future of Healthcare

Artificial intelligence (AI) is revolutionizing healthcare, and data visualization is no exception. AI can process vast amounts of data, identify patterns, and present insights in visual formats that are easy to interpret. For medical writers, this means that AI-driven tools can assist in creating more sophisticated and predictive visualizations.

  1. Predictive Analytics: AI can analyze patient data to predict outcomes, such as the likelihood of disease progression or treatment success. Medical writers can incorporate these predictive models into their reports, helping clinicians make proactive decisions.
  2. Personalized Visualizations: AI can generate personalized visualizations based on individual patient data. For example, AI algorithms could create customized dashboards for patients to track their progress and understand their treatment plans.
  3. Streamlined Content Creation: AI-powered tools can help medical writers by automating parts of the content creation process, such as generating charts and graphs based on raw data inputs.

Conclusion

Data visualization is an indispensable tool in modern healthcare, offering a way to simplify complex data and communicate it effectively to a wide range of audiences. Medical writers, as key facilitators of healthcare communication, can harness the power of data visualization to enhance their content, making it more accessible, engaging, and impactful. As AI continues to shape the future of healthcare, the role of data visualization will only grow, creating exciting opportunities for medical writers to further improve how healthcare data is presented and understood.

Innovations in Scientific Publishing: Case Studies

The landscape of scientific publishing is transforming, driven by advances in technology, changes in business models, and the evolving needs of researchers, readers, and institutions. Traditional models, where scientific discoveries are disseminated in print journals, are being augmented—and in some cases, replaced by innovative practices that promise to make research more accessible, transparent, and interactive.

In this blog, we will explore key innovations in scientific publishing using real-world case studies to highlight how these changes have an impact. The focus is on collaborative platforms, interactive articles, and new business models that aim to address the limitations of traditional publishing.

  1. Collaborative Platforms: A New Era of Open Science

Collaborative platforms are transforming how research is conducted, shared, and evaluated. These platforms promote transparency and inclusivity, allowing scientists from around the globe to collaborate in real-time, access data more freely, and engage in open peer review. One example is F1000Research, a platform that has redefined how the scientific community shares and evaluates research.

Case Study: F1000Research

F1000Research is an open-access publishing platform in which researchers can submit their findings, datasets, and methods directly for immediate publication. What sets F1000Research apart from traditional journals is its approach to peer review. Instead of the pre-publication peer review process typically followed by academic journals, F1000Research employs post-publication peer review. This means that research is made available to the public and the scientific community without delays, and experts can assess and provide feedback on the content post-publication.

This model not only speeds up the dissemination of research but also fosters more open and constructive dialogue between authors and reviewers. Readers also benefit from having access to research as soon as it is submitted, which is especially valuable in fast-moving fields such as health and technology.

F1000Research also integrates collaborative features by allowing the inclusion of living articles that can be updated as new data emerges. This shifts the paradigm from static publications to dynamic, evolving pieces of scholarship.

Key Innovation

  • Open peer review: Promotes transparency and constructive feedback.
  • Living articles: Enable continuous updates and revisions aligned with the ever-evolving nature of scientific research.
  1. Interactive Articles: Enhancing Reader Engagement

The traditional static nature of scientific articles often limits their ability to communicate complex data effectively. With the advent of interactive articles, readers are now able to engage with research in meaningful and insightful ways. These articles often include dynamic elements such as embedded videos, datasets, or 3D models, enabling readers to explore findings in real time rather than just passively reading.

Case Study: The Elsevier Interactive Article

Elsevier, one of the largest academic publishers in the world, pioneered the development of interactive articles, particularly in fields that require complex data visualization, such as chemistry and biology. In collaboration with researchers, Elsevier created digital articles that allowed readers to explore datasets, simulations, and even molecular structures directly within the article.

For example, in a study on protein structures, the article allowed users to rotate 3D molecular models and explore different configurations of protein-binding sites. This interactive feature made it easier for readers to grasp the complexities of protein dynamics, something that would be difficult to understand through static images alone.

Moreover, interactive figures allow users to manipulate variables in datasets and immediately observe how changes affect the outcomes. This not only makes the research more engaging but also empowers readers to experiment with data and draw their conclusions.

Key Innovation

  • Interactive figures and models: Enhance comprehension and engagement by allowing real-time manipulation of data.
  • Multimedia integration: Incorporates video, audio, and 3D elements to enrich the reader’s experience and improve understanding.
  1. New Business Models: Breaking the Paywall

Traditional scientific publishing has long relied on subscription-based models, often limiting access to research on paywalls. However, a growing push towards open access has led to the development of new business models aimed at making research freely available to all. The transition to open access has been facilitated by initiatives such as Plan S and the rise of transformative agreements between universities and publishers.

Case Study: Plan S and PLOS ONE

Plan S, launched by a consortium of research funders in Europe, mandates that publicly funded research be published in open-access journals or platforms. This initiative has prompted a wave of changes in how scientific publishing operates, particularly by incentivizing publishers to transition from subscription models to fully open-access or hybrid models.

A successful example of open-access publishing is PLOS ONE, a multidisciplinary, open-access journal. PLOS ONE has gained prominence by charging authors a publication fee while making the research freely available to anyone. This model flips the traditional subscription-based revenue stream, making the cost borne by the authors rather than the readers or institutions.

The benefits of open access are clear: it allows for wider dissemination of knowledge, ensuring that research is not confined to those with access to expensive journal subscriptions. However, the model has also faced criticism for shifting the financial burden to researchers, particularly to those without sufficient funding. To address this, transformative agreements are emerging, in which institutions negotiate deals with publishers to cover open-access publication fees for their researchers.

Key Innovation

  • Author-pays model: Shifts financial responsibility from readers to researchers, facilitating open access.
  • Transformative agreements: Help institutions and publishers transition to open-access models while minimizing financial barriers.
  1. Preprint Servers: Speeding Up Knowledge Sharing

The preprint movement is another innovation that has gained momentum, particularly during the COVID-19 pandemic, when the rapid dissemination of research is crucial. Preprint servers allow researchers to share their findings before formal peer review, providing the global scientific community with access to cutting-edge research.

Read More: Strategies for Streamlining Scientific Publishing Services

Case Study: arXiv and bioRxiv

arXiv, launched in 1991, is one of the oldest and most widely used preprint servers, specializing in fields such as physics, computer science, and mathematics. Its success inspired the creation of bioRxiv, which serves the life science community. During the pandemic, bioRxiv saw an unprecedented surge in submissions, as researchers sought to rapidly share their findings with the world.

The preprint model allows for the fast dissemination of research, enabling real-time feedback and collaboration. However, this also raises concerns about the reliability of unreviewed findings, particularly when preprints are picked up by the media. However, preprint servers have become an integral part of the scientific publishing ecosystem, offering a balance between speed and rigorous peer review.

Key Innovation

  • Rapid dissemination: Researchers can share their findings immediately, thereby accelerating knowledge transfer.
  • Open feedback loops: Encourages early collaboration and feedback from the scientific community.
  1. Blockchain and Decentralized Peer Review: Ensuring Integrity

Blockchain technology is emerging as a tool to improve transparency and accountability in scientific publishing. By creating a decentralized system for tracking and verifying research, blockchain can help combat issues like plagiarism, data manipulation, and reviewer bias.

Case Study: ARTiFACTS

ARTiFACTS is a blockchain-based platform designed to improve the integrity of the research process. By recording each step of the research lifecycle, from data collection to peer review, on a blockchain, ARTiFACTS ensures that the research is transparent and traceable. This allows researchers to claim authorship over their work more securely and provides a verifiable chain of contributions.

Blockchain-based peer review is another innovation area. By decentralizing the peer review process, blockchain can make it more transparent, reduce the risk of bias, and increase trust in the system.

Key Innovation

  • Decentralized peer review: Enhances transparency and accountability in the peer review process.
  • Blockchain verification: Provides an immutable record of research activities, ensuring the integrity of the scientific process.

Conclusion

The innovations highlighted in this blog—collaborative platforms, interactive articles, open-access models, preprint servers, and blockchain technology—reshape the scientific publishing landscape. Enhancing transparency, improving accessibility, and fostering collaboration, these innovations promise to address some of the long-standing challenges in academic publishing.

At Turacoz, we are at the forefront of embracing these innovative trends in scientific publishing. Our team of experienced professionals is well-versed in leveraging collaborative platforms, creating interactive articles, and navigating new open-access models to enhance the impact and reach of your research. We understand the importance of rapid dissemination through preprint servers and the potential of blockchain technology to ensure research integrity. By choosing Turacoz, you gain a partner who can help you navigate this evolving landscape, ensuring your work benefits from the latest advancements in scientific communication while maintaining the highest standard of quality and ethics. Whether you need assistance with open peer review processes, creating dynamic content for interactive articles, or strategizing for open-access publication, we are here to support your academic publishing journey. Visit www.turacoz.com or contact us at [email protected] to discover how we can help elevate your research in today’s innovative publishing environment.

AI-Driven Insights: Discovering New Research Opportunities in Medical Science

In the evolving medical research field, identifying unexplored areas and novel opportunities is crucial for advancing scientific knowledge and improving patient outcomes. Effective, traditional methods of literature review and gap analysis can often be time-consuming and prone to human error. This is where artificial intelligence (AI) – a transformative technology- plays a key role in revolutionizing how researchers identify gaps in the literature and uncover new avenues for investigation. This blog explores the role of AI in medical research, specifically how it can analyze existing literature to identify research gaps and suggest new opportunities.

Role of AI in Medical Research

Artificial intelligence, with its capacity to process vast amounts of data quickly and accurately, offers a powerful tool for researchers. AI technologies, such as machine learning (ML) and natural language processing (NLP), can scan and analyze thousands of research papers, clinical trials, and medical records, providing insights that would be impossible to achieve manually.

One of the primary applications of AI in medical research is in literature mining. Systematic literature reviews (SLRs) and meta-analyses, in particular, are critical for synthesizing existing knowledge. However, conducting an SLR manually can take several months to over a year, requiring researchers to sift through thousands of articles to identify relevant studies. This laborious process often involves multiple rounds of selection and data extraction. With AI tools like Covidence, Rayyan, Easy SLR, and Robot Reviewer, this timeline can be drastically reduced, as AI automates the initial stages of searching, screening, and extracting data from large datasets, making the process more efficient.

Moreover, AI can assist in meta-analyses by automating the extraction of relevant data from studies, calculating effect sizes, and synthesizing findings. This automation not only accelerates the research process but also enhances the accuracy and reproducibility of the results.

AI in Identifying Research Gaps

The identification of research gaps is a critical step in the scientific process. A research gap represents an area within a field where little or no information is available, indicating a need for further study. Traditionally, identifying these gaps required extensive literature review, expert consultation, and a deep understanding of the field. However, AI offers a more efficient and systematic approach.

  1. Automated Literature Review

AI-powered tools can perform comprehensive literature reviews in a fraction of the time it would take a human researcher. By scanning thousands of publications, AI can identify under-researched areas, highlight inconsistencies in findings, and pinpoint topics that have not been adequately explored. For example, AI algorithms can map the frequency and distribution of certain keywords or concepts across publications, revealing topics that are either overrepresented or underrepresented in the literature.

While AI can efficiently analyze vast amounts of data, it is essential to maintain a human-in-the-loop approach. Human researchers are crucial in ensuring the correctness and relevance of the AI-generated insights. AI may identify a potential gap based on patterns in the data, but human expertise is necessary to evaluate whether the gap is genuinely significant and to provide the necessary clinical or scientific context. A human in the loop ensures that biases, misinterpretations, or irrelevant results are filtered out, improving the overall accuracy and validity of the findings.

  1. Trend Analysis

AI can track trends in research by analyzing the publication dates, authorship patterns, and citation networks of scientific papers. This analysis can reveal emerging areas of interest, shifts in research focus, and the lifecycle of topics. By understanding these trends, researchers can identify when a field is reaching saturation and where new questions are beginning to emerge.

  1. Sentiment Analysis

NLP techniques enable AI to perform sentiment analysis on research articles, identifying the tone and sentiment expressed in the literature. By analyzing the positive, negative, or neutral language used in studies, AI can detect areas of controversy, skepticism, or confidence within a field. This information can guide researchers toward topics that require further investigation or areas where there is a lack of consensus.

  1. Predictive Analytics

AI’s predictive capabilities can forecast future research trends based on historical data. By analyzing past and present research outputs, AI can predict which areas are likely to gain attention in the future and where potential research gaps may arise. This foresight allows researchers to position themselves at the forefront of emerging fields, contributing to innovative studies that address anticipated knowledge gaps.

AI in Suggesting New Research Opportunities

Beyond identifying existing research gaps, AI has the potential to suggest new research opportunities. By integrating data from multiple sources, AI can uncover connections and correlations that may not be immediately apparent, leading to the generation of novel hypotheses and research questions.

  1. Cross-Disciplinary Research

AI can facilitate cross-disciplinary research by identifying intersections between different fields of study. For example, by analyzing literature from both oncology and immunology, AI might identify a potential link between cancer treatment and immune response that has not been fully explored. These cross-disciplinary insights can lead to innovative research that bridges gaps between traditionally separate fields.

Read More: Predictive Analytics in Medical Research: The Role of AI

  1. Data-Driven Hypotheses

AI’s ability to analyze large datasets enables the generation of data-driven hypotheses. By examining patterns and correlations within clinical data, patient records, and genetic information, AI can suggest new avenues for research that are grounded in empirical evidence. These hypotheses can then be tested in clinical trials or experimental studies, potentially leading to breakthroughs in medical science.

  1. Real-World Data Integration

AI can integrate real-world data, such as electronic health records (EHRs), wearable device data, and social media activity, into the research process. By analyzing this data, AI can identify patterns and trends that may not be visible in traditional clinical studies. This real-world evidence can highlight gaps in current medical knowledge and suggest new research opportunities that are more aligned with the needs and experiences of patients.

Challenges and Considerations

While AI offers significant advantages in identifying research gaps and opportunities, it is not without its challenges. The quality of AI-driven insights depends on the quality of the data it analyzes. Incomplete or biased datasets can lead to incorrect conclusions and missed opportunities. Therefore, it is crucial for researchers to ensure that the data fed into AI algorithms is comprehensive, diverse, and representative of the broader population.

AI algorithms may generate insights based on patterns in the data, but these insights require human interpretation and validation. Human researchers bring critical thinking, domain expertise, and the ability to assess the broader scientific context that AI lacks. Additionally, AI systems may sometimes generate false positives or overlook subtle nuances that are crucial in the interpretation of research gaps and opportunities.

Monitoring AI systems and ensuring proper checks and balances are in place is vital for the integrity of the research process. AI can suggest promising avenues of research, but human researchers must critically evaluate and refine these suggestions to ensure that they align with scientific goals and ethical standards.

AI is transforming the way researchers identify gaps in the medical literature and uncover new opportunities for investigation. By automating literature reviews, analyzing trends, and generating data-driven hypotheses, AI enables researchers to focus on the most promising areas of study and contribute to the advancement of medical science. However, the successful integration of AI into the research process requires careful consideration of data quality and a collaborative approach that leverages the strengths of both AI and human expertise.

As AI continues to evolve, its role in medical research will likely expand, offering even more sophisticated tools for identifying research gaps and suggesting new opportunities. For researchers and medical communication professionals, embracing AI’s potential is key to staying at the forefront of scientific discovery and innovation.

Bridging the Gap: How to Write User-Friendly Medical Content

Are you finding it challenging to make your medical communications clear and engaging?

Navigating the world of medical content can sometimes feel like deciphering a foreign language, even for seasoned professionals. The goal of this blog is to help you create content that is clear, engaging, and most importantly, user-friendly. Let’s dive into some tips to help you communicate more effectively with your audience, whether they are healthcare professionals or patients.

  1. Know Your Audience

First and foremost, understanding your audience is crucial. Are you writing for healthcare professionals (HCPs) or patients?

The language and level of detail you use will differ greatly. For HCPs, you can use more technical terms and delve into complex details. For patients, however, it is essential to use plain language and avoid jargon. Always keep in mind who you are speaking to and tailor your message accordingly.

  1. Clarity is Key

Medical information can be complex, but your job is to make it as clear as possible. Use simple, straightforward language, and avoid long, convoluted sentences. Break down complex ideas into manageable chunks. Remember, the clearer your content, the easier it will be for your audience to understand and retain the information.

  1. Engage with Stories and Analogies

People love stories. They make information more relatable and memorable. Use real-life examples, patient stories, or analogies to explain complex medical concepts. For instance, describing the immune system as a “security system” that protects the body from intruders can make the concept more accessible to a layperson.

Read More: How to Write Medical Content That Ranks on Search Engines?

  1. Use Visual Aids

A picture is worth a thousand words, especially in medical communications. Diagrams, infographics, and videos can help illustrate your points and make your content more engaging. Visual aids are particularly helpful when explaining procedures, anatomy, or the effects of certain medications. Just make sure that your visuals are clear and accurately represent the information you are conveying.

  1. Make It Interactive

Interactive content can greatly enhance user engagement. Consider incorporating quizzes, interactive diagrams, or clickable links that provide additional information. Interactive elements can help reinforce learning and keep your audience engaged. For example, a quiz at the end of an article about diabetes management could help patients assess their understanding and encourage them to learn more.

  1. Keep It Crisp

In today’s fast-paced world, attention spans are short. Keep your content concise and to the point. Avoid unnecessary fluff, and focus on delivering valuable information. Bullet points, numbered lists, and short paragraphs can help break up the text and make it more digestible.

  1. Provide Clear Calls to Action

Whether you want your readers to schedule an appointment, read more about a condition, or follow a treatment plan, make sure your calls to action are clear and easy to follow. Use direct language and provide easy-to-follow instructions. For example, “Click here to book your appointment” is more effective than a vague “Learn more.”

  1. Be Empathetic and Supportive

Empathy goes a long way in medical communications. Acknowledge the emotional and physical challenges your audience may be facing, and offer support and encouragement. Use a friendly and reassuring tone. For example, instead of saying, “You must take your medication daily,” try, “Taking your medication daily can help you feel better and stay healthy. We’re here to support you every step of the way.”

  1. Seek Feedback and Improve

Finally, don’t be afraid to ask for feedback. Whether through surveys, comment sections, or direct conversations, gather insights from your audience about what works and what doesn’t. Use this feedback to continuously improve your content and better meet the needs of your readers.

In conclusion, making your medical content user-friendly is all about clarity, engagement, and empathy. By knowing your audience, using simple language, incorporating visuals, and being supportive, you can create content that truly resonates with your readers.

Happy writing!

For more information or assistance, feel free to reach out to us at [email protected].

The Importance of Indexing in Academic Journals

In the rapidly evolving academic publishing world, journal indexing plays a pivotal role in determining the visibility, accessibility, and credibility of research. Whether you are a seasoned researcher or a novice in the field, understanding the importance of journal indexing is crucial for navigating the publication landscape effectively. This blog explores the significance of journal indexing, the process through which journals are indexed, and the implications of indexing for the visibility and credibility of research.

What is Journal Indexing?

Journal indexing refers to the inclusion of academic journals in a database or directory that categorizes and lists publications based on specific criteria. These databases serve as repositories of scholarly content, making it easier for researchers, academics, and professionals to discover relevant literature in their fields. Common indexing databases include PubMed, Scopus, Web of Science, and Google Scholar.

Indexing databases vary in scope and specialization. Some are broad and multidisciplinary, covering a wide range of academic fields, while others are more specialized, focusing on specific disciplines, such as medicine, engineering, or social sciences. The inclusion of a journal in these databases is often seen as a mark of quality and credibility, as indexed journals are subject to rigorous evaluation.

The Significance of Journal Indexing

  1. Enhanced Visibility and Discoverability: One of the primary benefits of journal indexing is its increased visibility of published research. When a journal is indexed in a reputable database, its content becomes more accessible to global audiences. Researchers can easily find articles through keyword searches, leading to a higher likelihood of citations. Increased visibility can have a cascading effect, contributing to the academic impact and recognition of the research.
  2. Credibility and Prestige: Indexing is often associated with credibility and prestige in the academic communities. Journals indexed in well-known databases generally adhere to high standards of quality, peer review, and editorial integrity. This recognition can enhance the reputation of both the journal and the authors who publish in it. Researchers are more likely to submit their work to indexed journals, if they know that they will be taken seriously by peers and evaluators.
  3. Access to a Wider Audience: Indexed journals often have a broader reach, attracting readers from diverse academic backgrounds and institutions. This can lead to more collaborations, discussions, and advancements in the field. Publishing in an indexed journal means that their work is more likely to be read and cited by others, thus contributing to the overall growth of knowledge within their discipline.
  4. Improved Citation Rates: Articles published in indexed journals tend to have higher citation rates than those in non-indexed journals. This is partly due to the ease with which these articles can be found and accessed in databases used by researchers worldwide. Citations are a key metric for assessing the impact and influence of a researcher’s work, making indexing an important factor for academic success.
  5. Compliance with Institutional and Funder Requirements: Many academic institutions and funding agencies require researchers to publish in indexed journals for career advancement, grant approval, or research funding. Indexing serves as a form of validation, ensuring that the research meets the established standards of quality and rigor. Researchers can fulfil these requirements and enhance their professional credentials by publishing in indexed journals.

How Do Journals Get Indexed?

The process of getting a journal indexed is rigorous and involves several steps. Indexing databases have specific criteria that journals must meet for inclusion. While these criteria may vary depending on the database, some common factors include the following:

  1. Peer Review Process: One of the most critical aspects of journal indexing is the resilient peer review process. Indexing databases prioritize journals that demonstrate a commitment to thorough, unbiased, and transparent peer review, ensuring the quality and reliability of published research.
  2. Editorial Quality: The overall quality of the editorial process, including the qualifications and expertise of the editorial board, plays a significant role in determining whether a journal is indexed. Journals with reputable editors, who are experts in their fields, are more likely to be indexed.
  3. Publication Ethics: Adherence to ethical publishing practices is essential for indexing. Journals must demonstrate a commitment to ethical standards, including conflicts of interest policies, proper attribution of authorship, and transparency in the publication process. Journals that engage in unethical practices, such as predatory publishing, are unlikely to be indexed.
  4. Timeliness and Regularity: Indexing databases prefer journals that publish regularly and on time. Consistency in publication frequency and the timely release of issues are important indicators of a journal’s reliability and professionalism.
  5. Originality and Relevance: The content published in a journal must be original, relevant, and contribute to the advancement of the field. Indexing databases assess the significance and impact of the research published in the journal as well as their relevance to the academic community.
  6. International Standard Serial Number (ISSN): An ISSN is a basic indexing requirement. The ISSN serves as a unique identifier for the journal, helping databases categorize and track it accurately.
  7. Citations and Impact Factor: Some indexing databases consider a journal’s citation metrics, such as its impact factor, when making indexing decisions. Journals with higher citation rates and impact factors are more likely to be indexed as they demonstrate the journal’s influence and importance in its field.

Read More: The Future of Academic Publishing: Trends and Predictions

The Impact of Indexing on Research Visibility and Credibility

Journal indexing has a direct impact on research visibility and credibility. When a journal is indexed, it gains a wider audience and becomes more accessible to researchers worldwide. This increased visibility can lead to higher citation rates, thereby enhancing the academic impact of research.

Moreover, indexing serves as a mark of quality and reliability, signalling to the academic community that the journal adheres to high standards of peer review, editorial integrity, and ethical publishing practices. Consequently, research published in indexed journals is often viewed as more credible and trustworthy.

Publishing in indexed journals can significantly boost their professional reputation and career prospects. Indexed publications are often considered more prestigious and given greater weight in academic evaluations, tenure decisions, and funding applications.

In the competitive landscape of academic publishing, journal indexing plays a crucial role in determining the visibility, accessibility, and credibility of research. By understanding the significance of indexing and the process by which journals are indexed, researchers can make informed decisions about where to publish their work.

At Turacoz, we understand the importance of targeting the right journals for research purposes. We employ indexing databases to identify the most suitable journals for your work, ensuring that research reaches the widest possible audience and achieves the recognition it deserves. Whether you are looking to publish in a highly specialized journal or a multidisciplinary platform, our expert medical writers help in journal selection and navigate the complexities of academic publishing with confidence. For more information, visit www.turacoz.com to discover how proper journal indexing can enhance your research visibility and impact.

Medical Writing: A Promising Career for Freshers and Professionals Alike

Medical writing is an exciting and rapidly growing field that blends the expertise of healthcare professionals with the creativity of communicators. As the medical and pharmaceutical industries continue to expand globally, the demand for skilled medical writers is skyrocketing. For freshers entering this dynamic profession, medical writing offers a unique opportunity to combine scientific knowledge with strong writing skills to create impactful content that educates, informs, and influences healthcare professionals, patients, and the general public.

In this blog, we will explore why medical writing is an excellent career option, the essential skills required to succeed in this field, and how enrolling in a specialized course can provide a solid foundation for a successful career in medical writing.

The Growing Demand for Medical Writers

The healthcare industry is vast and multifaceted, encompassing pharmaceuticals, medical devices, diagnostics, health services, and more. As new drugs, therapies, and technologies are developed, there is an increasing need for clear and accurate communication between researchers, healthcare providers, regulatory authorities, and patients. Medical writers play a crucial role in this communication by producing a wide range of documents, including clinical trial reports, regulatory submissions, promotional content, scientific publications, and patient education materials.

The demand for medical writers has surged in recent years, driven by factors such as:

  • Expanding Research and Development: As more pharmaceutical companies invest in research and development, there is a greater need for writers who can document clinical trials, draft regulatory submissions, and communicate scientific data effectively.
  • Increasing Regulatory Requirements: Regulatory authorities such as the FDA and EMA require detailed documentation for the approval of new drugs and medical devices. Medical writers help ensure that these documents meet regulatory standards.
  • Rising Importance of Healthcare Communication: Clear and accurate communication is essential for educating healthcare professionals and patients about new treatments, medical devices, and health practices. Medical writers are instrumental in crafting this communication.
  • Emerging Digital Health Technologies: The rise of digital health, telemedicine, and artificial intelligence (AI) in healthcare has created new opportunities for medical writers to work on cutting-edge technologies and innovations.

Read More: Revolutionizing Medical Writing with AI and Automation

The Role of Medical Writers

Medical writers wear many hats and can work in various niches depending on their interests and expertise. Here are some of the common types of medical writers:

  • Regulatory Writers: These writers focus on creating documents required by regulatory authorities for the approval of drugs, biologics, and medical devices. This includes clinical study reports, investigator brochures, and regulatory submission documents.
  • Scientific Writers: These professionals specialize in writing research papers, review articles, and conference abstracts for publication in scientific journals. Their goal is to communicate complex scientific data clearly and concisely.
  • Medico-Marketing Writers: In this role, medical writers produce promotional materials such as brochures, websites, and presentations aimed at healthcare professionals and patients. They must balance scientific accuracy with persuasive messaging.
  • Patient Education Writers: These writers create materials that help patients understand their medical conditions, treatment options, and health management strategies. Their work is critical in promoting patient engagement and adherence to treatment plans.
  • Health Communication Writers: These writers develop content for public health campaigns, awareness programs, and social media. They focus on making health information accessible and understandable to the general public.

Essential Skills for Medical Writers

While a background in life sciences or healthcare is often beneficial, it is not the only requirement for becoming a successful medical writer. Here are some key skills that are essential for a career in medical writing:

  • Strong Writing Skills: Medical writers must be able to communicate complex scientific concepts clearly and concisely. They need to adapt their writing style to suit different audiences, from regulatory authorities to patients.
  • Attention to Detail: Accuracy is paramount in medical writing. Even small errors in a document can have significant consequences, especially in regulatory submissions or scientific publications.
  • Critical Thinking: Medical writers need to critically analyze scientific data and research findings to produce accurate and reliable content. They must also ensure their writing is evidence-based and supported by credible sources.
  • Project Management: Medical writers often work on multiple projects simultaneously, each with its own deadlines and requirements. Strong organizational and time management skills are crucial for meeting deadlines and producing high-quality work.
  • Collaboration and Communication: Medical writers frequently collaborate with researchers, clinicians, regulatory professionals, and other stakeholders. Effective communication and teamwork are essential for producing accurate and coherent documents.

The Importance of Specialized Medical Writing Courses

While some medical writers enter the field with a degree in life sciences or healthcare, specialized medical writing courses can provide a significant advantage, particularly for freshers and those transitioning from other fields. These courses offer structured learning, hands-on experience, and a comprehensive understanding of the different aspects of medical writing.

Here is why a specialized course can be the key to launching a successful career in medical writing:

  • Comprehensive Knowledge: A well-structured course provides a solid foundation in medical writing, covering essential topics such as clinical research, regulatory writing, scientific publications services, and ethical considerations. It helps freshers gain a deep understanding of the healthcare industry and the specific requirements of different types of medical writing.
  • Practical Experience: Many courses include practical assignments and projects that allow students to apply their knowledge in real-world scenarios. This hands-on experience is invaluable for developing the skills needed to produce high-quality medical writing.
  • Understanding of Regulatory Requirements: One of the most challenging aspects of medical writing is navigating the complex regulatory landscape. Specialized courses provide detailed guidance on regulatory requirements, helping writers produce documents that meet the standards of agencies like the FDA, EMA, and other regulatory bodies.
  • Introduction to AI in Medical Writing: The integration of AI in medical writing is a game-changer. AI tools can streamline the writing process, analyze large datasets, and even assist in regulatory submissions. A specialized course that explores the role of AI in medical writing can give freshers a competitive edge by equipping them with knowledge of cutting-edge technologies that are shaping the future of the field.
  • Mentorship and Networking Opportunities: Many medical writing courses are taught by experienced professionals who have worked in the industry for years. Their insights and mentorship can provide valuable guidance as students navigate their careers. Additionally, these courses often offer networking opportunities, allowing students to connect with peers and industry experts.
  • Portfolio Development: A course can help students build a portfolio of writing samples that demonstrate their skills and expertise. Having a strong portfolio is essential for securing job opportunities in medical writing.
  • Career Support and Guidance: Many courses offer career support, including resume writing, interview preparation, and job placement assistance. This support can be especially helpful for freshers looking to break into the industry.

Conclusion

Medical writing is a rewarding and versatile career that offers opportunities across various domains, from regulatory writing to health communication. For freshers entering the field, a specialized medical writing course can provide the knowledge, skills, and confidence needed to succeed in this dynamic profession.

As the healthcare industry continues to evolve, the demand for skilled medical writers will only increase. By enrolling in a comprehensive medical writing course, freshers can position themselves at the forefront of this exciting field, equipped with the expertise and tools to make a meaningful impact on healthcare communication.

 

Accuracy Amplified: AI Tools Transforming QC Processes in Medical Publications

In the field of medical publishing, accuracy and precision are crucial. Medical writers and editors ensure accuracy, clarity, consistency, and error-free information in publications. This task has traditionally been time-consuming and prone to human error. However, with the advent of AI technology, powerful tools to enhance quality control (QC) and copy-editing processes. In this blog, we’ll explore how AI is revolutionizing these crucial aspects of medical publication.

The Challenges of Quality Control and Copy Editing in Medical Publishing

The challenges we face in QC and copy editing for medical publications are varied and can roughly be summed up as:

  1. Volume and Complexity: Medical literature often involves large volumes of complex information, making thorough review a daunting task.
  2. Consistency: Maintaining consistency across multiple documents or within large documents can be challenging, especially when multiple authors or editors are involved.
  3. Technical Accuracy: Ensuring the accuracy of medical terminology, drug names, and statistical data requires specialized knowledge and attention to detail.
  4. Style Adherence: Different publications may have specific style guidelines that need to be consistently applied.
  5. Time Constraints: Tight deadlines can put pressure on the QC and editing process, increasing the risk of overlooked errors.
  6. Cognitive Fatigue: Extended periods of detailed review can lead to mental fatigue, potentially resulting in missed errors.

How AI is Transforming QC and Copy Editing

AI-powered tools have proven to be useful in addressing these challenges, offering solutions that enhance accuracy, efficiency, and consistency in the QC and copy-editing process. Here are some key areas where AI is making a significant impact:

  • Automated Proofreading and Grammar Checking

Advanced AI-powered proofreading tools go beyond basic spell-check functionality. They can identify complex grammatical errors, suggest improvements in sentence structure, and even detect nuances in tone and style. For medical writing, these tools can be customized to recognize field-specific terminology and conventions.

Example: Tools like Grammarly or ProWritingAid, when tailored for medical content, can catch errors that might slip past human editors, especially in long documents.

  • Consistency Checking

AI can quickly scan entire documents or sets of documents to ensure consistency in terminology, formatting, and style. This is particularly useful for maintaining uniformity across multi-author papers or large clinical trial reports.

Example: An AI tool could flag inconsistencies in the spelling of drug names (e.g., “paracetamol” vs. “acetaminophen”) or variations in formatting of statistical data across a document.

  • Reference and Citation Verification

AI-powered reference management tools can automatically check the accuracy and formatting of citations and references. They can also flag potential issues like outdated sources or mismatched citations.

Example: Tools like EndNote or Mendeley now incorporate AI features to suggest relevant citations, check for formatting consistency, and even detect potential citation errors.

  • Plagiarism Detection

While not unique to medical publishing, advanced AI-driven plagiarism detection tools are crucial for maintaining the integrity of scientific literature. These tools can identify not just verbatim copying but also paraphrased content and idea similarity.

Example: iThenticate, a widely used plagiarism detection tool in academic publishing, uses AI to compare submitted manuscripts against a vast database of scientific literature.

  • Technical Accuracy Checking

Specialized AI tools are being developed to verify the accuracy of medical and scientific content. These can check for correct usage of medical terminology, accuracy of drug dosages, and consistency of statistical reporting.

Example: A hypothetical AI tool could cross-reference drug names and dosages mentioned in a manuscript against established pharmacological databases to flag potential errors or inconsistencies.

  • Style Guide Compliance

AI can be trained on specific style guides (e.g., AMA, APA) to ensure that documents adhere to the required formatting and stylistic conventions.

Example: An AI tool could automatically check and correct formatting of headings, tables, and references according to the target journal’s style guide.

  • Readability Analysis

AI-powered readability tools can analyze the complexity of the text and suggest simplifications where necessary. This is particularly useful for patient-facing materials or when aiming for clear communication of complex medical concepts.

Example: Tools like Hemingway Editor use AI to suggest ways to make prose clearer and more concise, which can be invaluable for improving the readability of dense medical text.

  • Data Consistency and Accuracy Checking

For publications involving large datasets or multiple statistical analyses, AI can verify the consistency and accuracy of reported numbers across text, tables, and figures.

Example: An AI tool could cross-check numerical data in the results section against data presented in tables and figures, flagging any discrepancies for human review.

  • Language Translation and Localization

For medical publications that require translation, AI-powered translation tools, when used under human oversight, can significantly speed up the process while maintaining accuracy.

Example: DeepL, an AI translation tool, has shown promising results in accurately translating medical texts, though human review remains essential.

Implementing AI in the QC and Copy-editing workflow

While AI tools offer tremendous potential, their effective implementation requires careful consideration:

Challenges and Limitations

While AI offers significant benefits, it’s important to be aware of its limitations:

  1. Context Understanding: AI may struggle with nuanced context or highly specialized content. Human expertise remains crucial for interpreting and validating AI suggestions.
  2. Over-reliance: There’s a risk of becoming overly dependent on AI tools, potentially leading to complacency in human review.
  3. Learning Curve: Integrating AI tools into existing workflows requires time and may initially slow down processes before improving efficiency.
  4. Cost: Advanced AI tools can be expensive, potentially limiting access for smaller organizations or individual freelancers.
  5. Data Privacy: When using cloud-based AI tools, ensure they comply with data protection regulations, especially when handling sensitive medical information.

The Future of AI in Medical Publication QC and Editing

As AI technology continues to evolve, we can expect even more advanced capabilities:

  • Predictive Editing: AI might suggest edits based on patterns in previous publications or author preferences.
  • Real-time Collaboration: AI could facilitate real-time editing and QC in collaborative environments, flagging potential issues as content is being created.
  • Automated Fact-Checking: Advanced AI might cross-reference claims in manuscripts against current medical literature to flag potential inaccuracies or outdated information.
  • Enhanced Contextual Understanding: Future AI may better understand complex medical contexts, reducing false positives and improving suggestion relevance.

AI technology is revolutionizing quality control and copy editing in medical publishing. By leveraging these tools, we can significantly enhance the accuracy, consistency, and efficiency of our work. However, it’s crucial to remember that AI is a powerful assistant, not a replacement for human expertise. The most effective approach is to combine the strengths of AI – speed, consistency, and the ability to process vast amounts of data – with the nuanced understanding, contextual knowledge, and critical thinking of human medical writers and editors.

As we move forward, embracing and adapting to these AI technologies will be key to maintaining the highest standards in medical publishing. By doing so, we can focus more of our human efforts on the aspects of our work that truly require our unique insights and expertise, ultimately leading to higher-quality medical publications and, by exten

Journal Submission Process: Tips for Researchers

The journey from completing a research project to seeing your work published in a reputable journal can be daunting. The submission process involves several critical steps: selecting the right journal, preparing a manuscript, and handling revisions and rejections. This guide offers practical advice to help researchers effectively navigate this process.

Selecting the Right Journal

Choosing the right journal is a crucial step. A well-chosen journal increases the chances of acceptance and ensures your work reaches the appropriate audience.

Understand Research Niche

  • Identify the Audience: Consider who would benefit most from the research findings. Is the work highly specialized or general? Identifying the audience will help narrow down the list of potential journals. For example, if the research is on a niche topic within oncology, it might look for journals that specialize in cancer research rather than general medical journals.
  • Journal Scope: Review the aims and scope of potential journals to ensure the manuscript aligns with their focus. Many journals outline their scope on their website, detailing the types of articles they are interested in. This can save time and effort by ensuring that the work is suitable for the journal before submission.
  • Read Past Issues: Familiarize with the type of research published in the journal. This helps gauge whether the work fits their editorial style and content. Reading past issues also gives insight into the topics and methodologies that the journal prioritizes.

Assess Journal Quality and Impact

  • Impact Factor: While not the sole indicator of quality, the impact factor can give an idea of the journal’s reach and influence. However, it is important to balance the desire for a high-impact publication with the suitability of the journal for specific research.
  • Reputation: Look at the editorial board and the journal’s reputation within the field. High-quality journals often have renowned experts as editors, which can lend credibility to published work.
  • Indexing: Ensure the journal is indexed in major databases like PubMed, Scopus, or Web of Science. Indexing in these databases increases the visibility and accessibility of research.

Practical Considerations

  • Open Access Subscription-Based: Decide whether to make the article freely accessible (open access) or to accept it being behind a paywall. Open access can increase the reach of the research but often involves higher publication fees.
  • Publication Time: Some journals have longer review and publication times. Consider how quickly the work needs to be published, especially if the research is time-sensitive or if there are deadlines for career progression.
  • Publication Charges: Be aware of submission or publication fees, especially for open-access journals. Consider these costs during the decision-making process.

Preparing the Manuscript

A well-prepared manuscript can significantly increase the chances of acceptance. Here are key steps to ensure the manuscript is polished and ready for submission.

Follow Journal Guidelines

  • Author Instructions: Each journal has specific guidelines for formatting, structure, and submission. Adhere to these meticulously to avoid desk rejection. These guidelines often include details on word count, figure and table formats, and referencing style.
  • Referencing Style: Use the correct citation style as required by the journal. Consistency in referencing is crucial, as incorrect citations can be a red flag for reviewers.

Writing Tips

  • Clear and Concise: Write clearly and concisely. Avoid jargon and ensure the manuscript is easy to understand. Clarity is the key to effective communication, especially when conveying complex research findings.
  • Logical Structure: Organize the manuscript logically, with a clear introduction, methods, results, and discussion. Each section should flow naturally into the next, guiding the reader through the research process.
  • Strong Abstract: Craft a compelling abstract. It should summarize the study’s key points and entice readers to delve deeper. A well-written abstract can capture the attention of reviewers and readers.
  • Figures and Tables: Use figures and tables to present data effectively. Ensure they are well-designed and complement the text. Visual aids can help clarify complex data and make the findings more accessible.

Peer Review and Editing

  • Internal Review: Have colleagues review the manuscript before submission. Fresh eyes can catch errors and provide valuable feedback. Internal reviews can also provide insights into the clarity and impact of the manuscript.
  • Professional Editing: Consider professional editing services, especially if English is not your first language. A polished manuscript stands a better chance during the review process. Professional editors can help refine the writing, ensuring it meets the high standards of academic publishing.

Handling Revisions and Rejections

Receiving feedback from reviewers is an integral part of the submission process. Knowing how to handle revisions and rejections can turn setbacks into opportunities for improvement.

Revisions

  • Respond Promptly: Address reviewers’ comments promptly and thoroughly. Delays can slow down the publication process. Timely responses demonstrate the commitment to the publication process and respect for the reviewers’ time.
  • Be Detailed: In response to reviewers, address each comment individually. Provide clear explanations of the changes made. Detailed responses demonstrate thoughtful consideration of feedback and appropriate adjustments.
  • Be Respectful: Maintaining a respectful tone, even in disagreement with a reviewer’s comment, is important. Diplomacy can smooth the review process. If a comment appears to be based on a misunderstanding, providing a polite clarification supported by evidence is advisable.

Rejections

  • Never Take it Personally: Rejection is part of the process. Even top researchers face rejection. Use it as a learning experience. Remember that rejection is often not a reflection of the quality of work but may be due to fit or other factors beyond control.
  • Review Feedback: Carefully review the feedback provided. It can offer insights into how to improve the manuscript. Constructive criticism can help identify weaknesses and areas for enhancement.
  • Revise and Resubmit: Use the feedback to revise the manuscript. You can then resubmit to the same journal or consider a different, more suitable journal. Persistence and willingness to improve are key to eventual success.
  • Persistence Pays Off: Persistence is key. Keep refining work and submitting it until it finds a home. Many successful researchers have stories of multiple rejections before achieving publication.

Navigating the journal submission process requires careful planning, attention to detail, and resilience. Selecting the right journal, meticulously preparing the manuscript, and handling revisions and rejections with professionalism, can improve the chances of seeing research published. Each step is a learning opportunity that brings researchers closer to contributing valuable knowledge to the field.

Additional Tips

  • Networking: Attend conferences and engage with fellow researchers. Networking can provide insights into journal reputations and submission tips.
  • Stay Updated: Keep abreast of trends and changes in the field. This includes new journals, changes in editorial boards, and evolving publication standards.
  • Keep Records: Maintain detailed records of the submissions, including dates, responses, and feedback. This can help track the progress and manage multiple submissions.

Publishing the research is a significant achievement that requires dedication and strategic planning. By following these tips and remaining committed to the process, can navigate the journal submission process successfully and contribute meaningful advancements to the field.

The journal submission process can be both challenging and rewarding. At Turacoz Healthcare Solutions, we support through every stage of academic publishing, with a range of services designed to enhance the quality and impact of research work. Our expertise extends beyond journal publication to include manuscript refinement, revision handling, and guidance on journal selection. We also offer additional support for book writing, thesis development, and chapter authoring. Partner with us to advance research and ensure it reaches its full potential. For more information, visit www.turacoz.com to explore how we can help achieve your academic goals.

The Future of Academic Publishing: Trends and Predictions

Academic publishing is undergoing a significant transformation, driven by technological advancements, changing attitudes toward knowledge dissemination, and the need for greater transparency in research. As medical writers, it’s crucial to stay informed of these developments to better serve our clients and contribute to the evolving scholarly communication ecosystem. This blog explores emerging trends and predicts future developments in academic publishing, with a focus on their implications for medical writing.

Open Peer Review: Transparency in the Evaluation Process

One of the most notable trends in academic publishing is the move toward open peer review. Traditionally, peer review was typically a closed process, with reviewers remaining anonymous and their comments hidden from public view. However, there’s a growing push for transparency in this crucial step of scholarly publishing.

Open peer review can take various forms, ranging from simply publishing reviewer reports alongside the final article to revealing reviewer identities and allowing public comment on preprints. This shift towards openness aims to address several issues in the current system, including:

  1. Accountability: By making reviewer comments public, there is increased accountability for both reviewers and authors.
  2. Credit for Reviewers: Open peer review allows reviewers to receive recognition for their contributions to the scientific process.
  3. Educational Value: Early career researchers can learn from seeing high-quality peer reviews.
  4. Reducing Bias: Open peer review may help diminish some forms of bias in the review process.

For medical writers, this trend necessitates a deeper understanding of the peer review process and the ability to guide clients through more transparent scholarly communication. We may need to assist authors in preparing responses to reviewer comments that will be publicly visible, requiring a more tactful and constructive approach.

Data Sharing Policies: Enhancing Reproducibility and Transparency

Another significant trend is the implementation of stricter data-sharing policies by journals and funding bodies to promote open data. This push aims to enhance research reproducibility, allow for secondary analyses, and increase overall transparency in scientific research.

Key aspects of this trend include:

  1. Mandatory Data Availability Statements: Many journals now require authors to include a statement on how and where their data can be accessed, fostering data transparency.
  2. Data Repositories: The use of specialized repositories for different types of data (e.g., genomic, imaging, clinical trial data) is becoming more common.
  3. FAIR Principles: There is an increasing emphasis on making data Findable, Accessible, Interoperable, and Reusable, promoting data usability and accessibility.

For medical writers, this trend requires a thorough understanding of data management practices and the ability to guide clients in preparing their data for sharing. We may need to assist in writing clear data availability statements, ensuring proper data anonymization, and navigating the complexities of various data-sharing platforms.

Artificial Intelligence in Publishing: Shaping the Future

Artificial Intelligence (AI) is poised to revolutionize various aspects of academic publishing. While it will not replace human expertise, AI will likely augment and streamline many processes. Some key areas where AI is making inroads include:

  1. Manuscript Screening: AI tools can help editors quickly assess whether submissions meet basic criteria and are within the journal’s scope.
  2. Plagiarism Detection: Advanced AI algorithms can detect not just verbatim copying but also paraphrased content and idea plagiarism.
  3. Reference Checking: AI can verify the accuracy and completeness of citations more efficiently than manual checking.
  4. Language Polishing: AI-powered tools can assist in improving the clarity and grammar of manuscripts, particularly beneficial for non-native English speakers.
  5. Peer Reviewer Matching: AI algorithms can suggest appropriate reviewers based on the manuscript’s content and reviewers’ expertise.

As medical writers, it is essential to stay informed about these AI tools and potentially incorporate them into our workflow. However, it is crucial to maintain a critical eye and not over-rely on AI-generated content or suggestions.

Preprint Servers: Accelerating Scientific Communication

The rise of preprint servers, such as medRxiv for health sciences, is another trend reshaping academic publishing. These servers allow researchers to share their findings rapidly, before the often lengthy peer review process. This trend has several implications:

  1. Faster Dissemination of Research: Crucial in fast-moving fields or during health crises like the COVID-19 pandemic.
  2. Increased Visibility: These can attract collaborators and feedback early in the research process.
  3. Establishing Priority: Researchers can stake their claim to ideas and findings earlier.

However, the proliferation of preprints also raises concerns about the quality of non-peer-reviewed research entering the public domain. As medical writers, we may need to help clients navigate the decision of whether to post preprints and assist in preparing manuscripts that clearly state their preprint status.

Predictions for the Future of Academic Publishing

Looking ahead, several developments are likely to shape the future of academic publishing:

  • Blockchain for Peer Review: Blockchain technology could be used to create a transparent, immutable record of the peer review process, potentially addressing issues of trust and accountability.
  • AI-Assisted Authorship: While AI will not replace human authors, it may play a larger role in literature reviews, generating hypotheses, and even drafting sections of papers.
  • Interactive Papers: Future academic papers may incorporate multimedia elements, live data visualizations, and even virtual reality components to create a more interactive reading experience.
  • Micro-publications: There may be a shift towards publishing smaller units of research, such as individual experiments or observations, rather than waiting to compile a full paper.
  • Continuous Publishing: Some journals may abandon the issue and volumes-based model, instead publish articles on a rolling basis as soon as they are ready.
  • Alternative Metrics: Traditional impact factors may be supplemented or replaced by more diverse metrics that capture societal impact, policy influence, and public engagement.
  • Open Access Dominance: The trend towards open access is likely to continue, potentially becoming the dominant model for academic publishing, with more journals making their content freely available online.

Peer Review Evolution: These may become more collaborative, with reviewers and authors working together to improve papers through multiple rounds of feedback.

Implications for Medical Writers

These trends and predictions have significant implications for medical writers:

  1. Expanded Skill Set: We will need to develop new skills, such as data management, AI tool utilization, and multimedia content creation.
  2. Ethical Considerations: As AI becomes more prevalent in writing and publishing, we willneed to navigate complex ethical issues around authorship and originality.
  3. Adaptability: The publishing landscape is likely to remain in flux, requiring us to stay adaptable and continuously update our knowledge and practices.
  4. Client Education: We will play an important role in educating clients about new publishing models, data-sharing requirements, and the evolving peer review process.
  5. Quality Assurance: With the rise of preprints and AI-assisted writing, our role in ensuring the quality and accuracy of scientific communication will become even more crucial.
  6. Interdisciplinary Collaboration: As research becomes more complex and data-intensive, we may need to collaborate more closely with data scientists, statisticians, and other specialists.

The future of academic publishing is exciting and challenging, with trends towards greater openness, transparency, and technological integration. As medical writers, we are uniquely positioned to help navigate this changing landscape. By staying informed about these trends and developing new skills, we can continue to play a vital role in ensuring effective and accurate scientific communication.

The key to thriving in this evolving environment will be our ability to adapt, embrace new technologies while maintaining a critical perspective and continue to prioritize the clear and accurate communication of scientific ideas. As we move forward, our expertise in crafting compelling narratives and translating complex scientific concepts will remain invaluable, even as the medium and methods of publishing continue to evolve.

Turacoz Healthcare Solutions stands at the forefront of academic publishing, offering comprehensive medical writing services that cater to the needs of researchers, clinicians, and academicians. Our team is adept at navigating the complexities of modern publishing, from open peer review to AI integration and data sharing. Partnering with Turacoz, you gain access to a wealth of knowledge and experience to help you publish confidently and clearly. Visit www.turacoz.com or contact us at [email protected] to learn more about how we can support your academic publishing journey.

Predictive Analytics in Medical Research: The Role of AI

In the rapidly evolving field of medical research, the application of artificial intelligence (AI) has brought transformative changes. Among the various AI-driven technologies, predictive analytics has emerged as a crucial tool. By leveraging historical data, statistical algorithms, and machine learning techniques, predictive analytics can forecast future trends and outcomes with remarkable accuracy. For medical writers, understanding and utilizing predictive analytics can significantly enhance their work’s quality and impact, especially in medical communication.

The Evolution of Predictive Analytics in Medical Research

Predictive analytics in medical research is not a novel concept. Traditionally, researchers have used statistical methods to analyze data and make predictions. However, the advent of AI has revolutionized this process by enabling the analysis of vast datasets with greater speed and precision. AI-powered predictive analytics can identify patterns and correlations that might be missed by human analysis, thus offering deeper insights and more accurate predictions.

Key Components of Predictive Analytics

  1. Data Collection and Preparation: The foundation of predictive analytics lies in collecting high-quality data. This data can come from various sources, including electronic health records (EHRs), clinical trials, and real-world evidence (RWE). Preparing this data involves cleaning, normalizing, and structuring it to ensure it is suitable for analysis.
  2. Model Development: AI algorithms are trained on historical data to develop predictive models. These models can range from simple linear regression to complex neural networks, depending on the nature of the data and the prediction goals.
  3. Validation and Testing: Before deploying predictive models, they must be validated and tested to ensure their accuracy and reliability. This involves comparing the model’s predictions with actual outcomes to assess its performance.
  4. Deployment and Monitoring: Once validated, predictive models are deployed in real-world settings. Continuous monitoring is essential to ensure the model remains accurate over time, and adjustments may be needed based on new data.
  5. Integration with Clinical Workflows:
    1. API development for model deployment
    2. User interfaces for healthcare professionals
    3. Integration with existing health information systems
  6. Continuous Monitoring and Updating:
    1. Performance tracking over time
    2. Model retraining with new data
    3. Drift detection and handling
  7. Ethical and Regulatory Compliance:
    1. Ensuring patient privacy and data security
    2. Addressing bias and fairness in AI models
    3. Compliance with healthcare regulations (e.g., HIPAA, GDPR)
  8. Domain Expertise:
    1. Collaboration with medical professionals
    2. Incorporation of clinical guidelines and medical knowledge
    3. Validation of AI findings against established medical practices

The Role of Predictive Analytics in Medical Communication

Enhancing Clinical Trial Reporting

One of the most significant applications of predictive analytics in medical communication is in the reporting of clinical trials. Medical writers are often tasked with summarizing complex trial data and presenting it clearly and concisely. Predictive analytics can streamline this process by:

  1. Disease prediction and risk assessment: AI algorithms can analyze patient data to predict the likelihood of developing certain diseases or health conditions. This helps in early intervention and preventive care.
  2. Drug discovery and development: AI can accelerate the drug discovery process by analyzing vast amounts of molecular and clinical data to identify potential drug candidates and predict their efficacy and safety.
  3. Personalized treatment plans: By analyzing patient data, genetic information, and treatment outcomes, AI can help develop personalized treatment plans tailored to individual patients.
  4. Medical imaging analysis: AI algorithms can analyze medical images like X-rays, MRIs, and CT scans to detect anomalies and assist in diagnosis, often catching details that human observers might miss.
  5. Clinical trial optimization: AI can help in patient selection for clinical trials, predict trial outcomes, and optimize trial designs, potentially reducing costs and time to market for new treatments.
  6. Electronic Health Record (EHR) analysis: AI can extract insights from large EHR datasets to identify patterns, predict patient outcomes, and suggest interventions.
  7. Epidemic prediction and management: AI models can analyze various data sources to predict disease outbreaks and help in resource allocation during epidemics.
  8. Biomarker discovery: AI can analyze complex biological data to identify new biomarkers for diseases, aiding in early detection and treatment monitoring.
  9. Healthcare resource allocation: Predictive models can help healthcare systems optimize resource allocation by forecasting patient admissions, length of stay, and required care.
  10. Precision medicine: AI supports the advancement of precision medicine by analyzing genetic, environmental, and lifestyle factors to predict treatment responses.

Personalizing Patient Communication

Effective patient communication is crucial in medical practice, and predictive analytics can play a pivotal role in personalizing this communication. Medical writers can leverage predictive models to:

  1. Tailor Information Delivery: Predictive analytics can segment patients based on their medical history, preferences, and behaviors. This allows medical writers to tailor educational materials and communication strategies to meet the specific needs of different patient groups.
  2. Forecasting Patient Outcomes: By analyzing patient data, predictive models can forecast individual patient outcomes, such as disease progression or response to treatment. This information can be used to create personalized care plans and educational content that addresses the unique concerns of each patient.
  3. Improving Engagement: Predictive analytics can identify the most effective communication channels and formats for different patient demographics. This ensures that information is delivered in a manner that maximizes patient engagement and comprehension.

Advancing Publication Planning

In the realm of medical publication, predictive analytics can enhance the planning and execution of publication strategies. Medical writers can benefit from:

  1. Identifying High-Impact Research Areas: Predictive models can analyze trends in scientific literature and clinical research to identify emerging areas of interest. This helps medical writers focus on topics that are likely to have a significant impact on the field.
  2. Optimizing Submission Strategies: By analyzing historical publication data, predictive analytics can suggest the most appropriate journals and conferences for submitting research. This increases the likelihood of acceptance and maximizes the visibility of the work.
  3. Forecasting Citation Impact: Predictive models can estimate the potential citation impact of a publication based on various factors, such as the journal’s reputation and the relevance of the research topic. This information can guide strategic decisions in publication planning.

Challenges and Considerations

While the benefits of predictive analytics in medical research and communication are substantial, several challenges needs to be addressed:

  1. Data Quality and Integrity: The accuracy of predictive models depends heavily on the quality of the input data. Ensuring data integrity and addressing issues such as missing or biased data are critical.
  2. Ethical and Privacy Concerns: The use of patient data in predictive analytics raises ethical and privacy considerations. It is essential to implement robust data protection measures and adhere to ethical guidelines to maintain patient trust.
  3. Model Transparency and Interpretability: Complex AI models, such as deep learning algorithms, can sometimes function as “black boxes,” making it difficult to understand how they arrive at their predictions. Developing transparent and interpretable models is crucial for gaining the trust of stakeholders.
  4. Continuous Learning and Adaptation: Predictive models must be continuously updated with new data to maintain their accuracy. This requires ongoing investment in data collection, model development, and validation.

The Future of Predictive Analytics in Medical Communication

The integration of predictive analytics into medical research and communication is poised to grow as AI technologies advance. Staying abreast of these developments and acquiring the necessary skills to leverage predictive analytics will be essential for medical writers.

In the future, we can expect predictive analytics to become more sophisticated, offering even greater insights and more precise forecasts. This will enhance the ability of medical writers to communicate complex medical information effectively, ultimately improving patient care and advancing medical knowledge.

Predictive analytics, powered by AI, is transforming the landscape of medical research and communication. For medical writers, harnessing these technologies offers a unique opportunity to enhance the quality and impact of their work. By understanding and applying predictive analytics, medical writers can forecast trends, personalize patient communication, and optimize publication strategies, contributing to the advancement of medical science and patient care. As the field continues to evolve, embracing these tools will be crucial for staying at the forefront of medical communication.

The Role of Preprints in Modern Research

Scientific research dissemination has undergone a significant transformation in recent years, largely owing to the rise of preprint repositories. Preprints, which are versions of scholarly papers that precede formal peer reviews and publications in academic journals, have become an integral part of the scientific communication ecosystem. This blog explores the rise of preprint repositories, their role in accelerating research dissemination, and their impact on traditional journal publishing.

The Rise of Preprint Repositories

They have emerged as vital platforms on which researchers can share their findings with the global scientific community. Repositories, such as arXiv, bioRxiv, and medRxiv, have become popular across various disciplines. The concept of preprints is not new; it dates to the early 1990s with the launch of arXiv, a repository for physics research. However, the proliferation of preprint servers across different fields is a relatively recent phenomenon driven by the need for quicker dissemination of scientific knowledge. The coronavirus disease 2019 (COVID-19) pandemic has accelerated the adoption of preprints. With the urgency to share critical research findings related to the virus, treatments, and vaccines, preprint repositories have played a crucial role in providing immediate access to scientific data. This shift highlights the importance of preprints in responding to global health emergencies and underscores their potential to expedite the research process.

Accelerating Research Dissemination

Preprints have revolutionized the speed at which research findings are shared. Traditionally, peer review and publication in academic journals can take months if not years. This delay can hinder the timely dissemination of important scientific discoveries. Preprints address this issue by allowing researchers to share their work with the community almost immediately after completing their manuscript. Rapid dissemination has several benefits:

  1. Immediate Access to Research: Researchers, clinicians, and policymakers can access the latest findings without waiting for a lengthy peer review process. This immediate access is particularly crucial in fields in which timely information can influence ongoing research and public health decisions.
  2. Increased Collaboration: By making research publicly available at an early stage, preprints foster collaboration and feedback from a broader audience. Researchers should receive constructive comments and suggestions to improve the quality of their work before formal publication.
  3. Enhanced Visibility: Preprints can increase the visibility of research findings. Studies available as preprints can attract the attention of the media, funding agencies, and other researchers, potentially leading to new opportunities for collaboration and funding.

Impact on Traditional Journal Publishing

The rise of preprints has significant implications for traditional journal publishing. While preprints offer several advantages, they also challenge the established norms of scientific communication.

  1. Peer Review Process: One of the primary roles of academic journals is to provide rigorous peer review to ensure the quality and reliability of published research. Preprints, by definition, are not peer-reviewed, which has raised concerns about the potential spread of misinformation and the and credibility of unreviewed findings. However, many preprint servers have implemented basic screening processes to mitigate these concerns.
  2. Citation and Credibility: The acceptance and citation of preprints in academic circles have been the subject of debate. Some researchers and institutions hesitate to cite preprints, preferring peerreviewed articles for their credibility. However, the scientific community is gradually recognizing the value of preprints, and many funding agencies and institutions now consider preprints in grant applications and tenure evaluations.
  3. Economic Model: The conventional journal publishing model, which is based on subscription fees and article processing charges, faces challenges from the open-access nature of preprints. Preprints offer an alternative that can reduce the financial burden on researchers and institutions. This shift has prompted journals to explore new business models and to consider the integration of preprints into their publication pipelines.

Preprints in Medical Research

Preprints are particularly influential in medical research. The importance of sharing findings quickly in the medical field, where discoveries can directly impact patient care and public health policies, cannot be overstated. Preprint repositories like medRxiv have gained prominence, providing a platform for medical researchers to disseminate their work before formal peer review.

However, the use of preprints in medical research also requires careful consideration. Since unreviewed medical research can influence clinical practice and public health decisions, a balanced approach is necessary. Researchers and readers must exercise caution, critically evaluating the credibility and reliability of preprint findings.

Future Directions

The incorporation of preprints into the scientific communication landscape will likely continue to evolve. Several trends and developments can be anticipated:

  1. Enhanced Review Mechanisms: Preprint servers may develop more potent review mechanisms, including post-publication peer review and community-based feedback systems. These enhancements can improve the quality and reliability of preprints while retaining the speed of dissemination.
  2. Integration with Journals: Some academic journals are exploring partnerships with preprint servers, offering streamlined submission processes that allow researchers to submit preprints directly to journals for peer review. This integration can bridge the gap between preprints and traditional publishing.
  3. Policy and Guidelines: Institutions, funding agencies, and publishers are likely to develop clearer policies and guidelines regarding the use of preprints. Standardized practices can help address concerns about the credibility and citation of preprints.
  4. Education and Awareness: As preprints become more prevalent, educating researchers, clinicians, and the public about their proper use and interpretation will be essential. Increased awareness can help mitigate the risks associated with unreviewed research while maximizing the benefits of rapid dissemination.

Preprints have transformed the way scientific research is shared and accessed, offering a faster, more collaborative approach to dissemination. Their rise has had a profound impact on traditional journal publishing, challenging established norms and prompting innovation in the peer review process. As the scientific community continues to embrace preprints, their role in accelerating research dissemination and enhancing public engagement with science is likely to expand, shaping the future of scientific communication.

At Turacoz, we specialize in assisting researchers with the preparation of preprints. Our team of experienced medical writers and reviewers ensures that your preprints are clear, accurate, and impactful, maximizing their potential to reach and engage a broad audience. Visit www.turacoz.com or contact at [email protected] to learn more about how we can support your research communication needs.

Impact Factor and Beyond: Understanding Journal Metrics

Journal metrics play a crucial role in evaluating the significance and influence of scholarly journals in academic publishing. These metrics serve as quantitative tools that help researchers, institutions, and funding bodies assess the impact of journals and, by extension, the research published within them. Although the impact factor is perhaps the most well-known of these metrics, it is by no means the only one. This blog will dive into various journal metrics, including the impact factor, h-index, and altmetrics, and discuss their significance, limitations, and broader implications for the academic community.

The Impact Factor: A Traditional Measure

The quest to quantify scholarly impact began in the mid-20th century as the volume of scientific literature exploded. Eugene Garfield’s introduction of the Science Citation Index in 1964 and the subsequent development of the impact factor in 1975 marked significant milestones in bibliometrics. The formula for calculating the impact factor is as follows:

Significance of the Impact Factor

  1. Indicator of Influence: The impact factor is widely regarded as an indicator of a journal’s influence and prestige within its field. Higher impact factor values are often associated with prestigious journals.
  2. Decision-Making Tool: Researchers use the impact factor to decide where to submit their work, and institutions use it to assess research output and make funding decisions

Limitations of the Impact Factor

  1. Disciplinary Variations: Different academic fields have different citation behavior. For instance, journals in the natural sciences often have higher impact factors than those in the humanities and social sciences do.
  2. Short-Term Focus: The two-year citation window may not adequately reflect the long-term impact of research, especially in fields where citations accumulate slowly over time.
  3. Susceptibility to Manipulation: Journals may adopt strategies to artificially inflate their impact factors, such as encouraging self-citations or publishing review articles that tend to receive more citations.
  4. Narrow Scope: The impact factor focuses solely on citation counts, ignoring other aspects of scholarly influence, such as societal impact, educational value, or policy influence.

The h-Index: A Measure of Individual and Journal Impact

Introduced by physicist Jorge Hirsch in 2005, aims to measure both the productivity and citation impact of an individual researcher or a journal. An entity has an h-index of h if h of its N papers  have at least h citations each, and the other N – h papers have fewer than h citations each.

Significance of the h-Index

  1. Balanced Metric: The h-index balances quantity (number of publications) and quality (number of citations), providing a more comprehensive measure of impact.
  2. Comparative Tool: This is useful for comparing researchers or journals within the same field, helping to identify influential contributors.

Limitations of the h-Index

  1. Field-Specific Bias: Like the impact factor, the h-index can be biased by field-specific citation practices, which makes cross-disciplinary comparisons problematic.
  2. Age Sensitivity: The h-index tends to favor senior researchers who have had more time to accumulate citations, potentially disadvantaging early-career researchers.
  3. Ignores Context: It does not account for the context of citations, such as whether citations are positive or negative, nor does it consider collaborative efforts where authorship contributions may vary.

Altmetrics: Beyond Traditional Citations

This represents a diverse set of measures that capture the attention research outputs receive online. This includes social media mentions, news coverage, blog posts, and other online platforms. Tools like Altmetric.com and PlumX provide aggregated altmetric scores for individual research output.

Significance of Altmetrics

  1. Broader Impact: Altmetrics capture the broader impact of research, including its influence on public discourse, policy, and practice, which traditional metrics may overlook.
  2. Timeliness: They provide real-time insights into how research is discussed and shared, offering a timely complement to traditional citation metrics.
  3. Engagement: Altmetrics highlights engagement with a wider audience beyond the academic community, reflecting the societal relevance and reach of research.

Limitations of Altmetrics

  1. Data Quality: The reliability and consistency of altmetric data can vary, as it depends on tracking diverse and sometimes ephemeral online activities.
  2. Potential for Gaming: Social media activities can be easily manipulated, raising concerns regarding the authenticity of altmetric scores.
  3. Field-Specific Bias: Certain fields may naturally attract more online attention than others, skewing altmetric comparisons across disciplines.

Integrating Multiple Metrics: A Holistic Approach

While each of these metrics offers valuable insights, none is without flaws. A holistic approach that integrates multiple metrics can provide a more comprehensive evaluation of journal impact. Some strategies for achieving this are as follows:

  1. Combine Metrics: Use a combination of traditional metrics (impact factor, h-index) and alternative metrics (altmetrics) to capture both scholarly and broader societal impacts.
  2. Field-Normalized Indicators: Employ field-normalized indicators to account for disciplinary differences in citation practices, and ensure fair comparisons across fields.
  3. Contextual Analysis: Consider the context of citations and altmetric mentions, distinguishing between positive and negative citations, and identifying the nature of online engagement.
  4. Qualitative Assessments: Complement quantitative metrics with qualitative assessments, such as expert reviews, peer feedback, and case studies, to capture the nuanced impact of research.

The Way Forward

The landscape of journal metrics is evolving, with new tools and methodologies continually being developed to address the limitations of existing metrics. Some emerging trends are as follows:

  • Open Metrics: The movement towards open science is driving the development of open metrics, which are transparent, reproducible, and freely accessible. These metrics aim to provide a more democratic and inclusive assessment of research impact.
  • Responsible Metrics: There is a growing emphasis on responsible metrics that advocate the ethical and responsible use of metrics in research assessment. Initiatives like Declaration on Research Assessment (DORA) and the Leiden Manifesto provide guidelines for the responsible use of metrics.
  • AI and Big Data: Advances in artificial intelligence and big data analytics are enabling the development of sophisticated metrics that can analyze vast amounts of data and provide deeper insights into research impact.

Understanding journal metrics is essential for navigating the complex landscape of academic publishing. While traditional metrics like the impact factor and h-index offer valuable insights into scholarly influence, they have significant limitations. Altmetrics provides a complementary perspective by capturing the broader societal impact of research. However, no single metric can fully capture the multifaceted nature of research impact.

A holistic approach that integrates multiple metrics and considers both quantitative and qualitative assessments is crucial for the comprehensive evaluation of journal impact. As the landscape of journal metrics continues to evolve, researchers, institutions, and funding bodies need to stay informed about emerging trends and adopt responsible practices in research assessment.

At Turacoz, we integrate multiple metrics for journal assessment, combining traditional measures like the IF and h-index with innovative altmetrics. This comprehensive approach captures both scholarly influence and broader societal engagement, providing nuanced insights. Our expertise in academic publishing metrics helps clients make informed decisions about where to publish and how to evaluate research impact. Visit www.turacoz.com or contact [email protected] to discover how we can enhance your research strategy and maximize your work’s visibility and influence.

AI and Machine Learning in Peer Review: Improving Efficiency and Reducing Bias

Artificial Intelligence (AI) and Machine Learning (ML) are revolutionizing various sectors, peer review in academic publishing is no exception. The integration of AI and ML into the peer review process promises to enhance efficiency, reduce bias, and ensure high-quality scholarly communication. This blog explores how AI and ML are transforming peer review, the potential benefits, and the challenges associated with their implementation.

Need for AI in Peer Review

The peer review process plays a key role in academic publication, to ensure the authenticity and quality of scholarly articles. However, this system is under significant strain due to the increasing volume of manuscript submissions. According to a study, manuscript submissions have been growing at an annual rate of 6.1% since 2013, leading to a substantial increase in the workload for peer reviewers. Traditional peer review is time-consuming, with estimates suggesting that over 15 million hours are spent annually on reviewing manuscripts often resubmitted to other journals after rejection [1].

AI and ML can alleviate some of these burdens by automating parts of the review process, thereby saving time and resources. These technologies can perform initial screenings, check for plagiarism, ensure adherence to formatting guidelines, and even assess the quality of a manuscript. Such automation can free up reviewers to focus on more complex and subjective aspects of the review process.

How AI and ML Enhance Peer Review

  1. Automated Screening and Quality Checks

AI tools can automate the initial screening of manuscripts. For example, software like Statcheck and Penelope.ai can verify the consistency of statistical reporting and check whether a manuscript meets a journal’s structural requirements. These tools can quickly identify common issues such as plagiarism, incorrect formatting, and language errors, which might otherwise delay the review process.

  1. Reviewer-Document Matching

Matching manuscripts with appropriate reviewers is another area where AI can make a significant impact. Traditional matching relies heavily on the expertise of journal editors, but AI can analyze the content of manuscripts and reviewer profiles to suggest the most suitable reviewers. This speeds up the process and ensures that the reviewer has the relevant expertise, potentially leading to more thorough and insightful reviews.

  1. Predicting Review Outcomes

AI can also be trained to predict the likely outcome of a peer review based on the manuscript’s content. A study demonstrated that a neural network trained on a large dataset of manuscripts and their corresponding reviews could predict review scores with a high degree of accuracy [1]. While AI cannot replace human judgment, it can assist editors in making preliminary decisions, such as identifying manuscripts that are likely to be rejected due to poor quality.

Reducing Bias in Peer Review

Bias in peer review is a well-documented issue. Reviewers may be influenced by factors such as the author’s institution, gender, or nationality, leading to unfair evaluations. AI and ML have the potential to mitigate these biases by providing objective assessments based on the content of the manuscript rather than the identity of the authors.

  • Uncovering Hidden Biases

AI can be used to analyze patterns in review data to uncover biases. For instance, an AI tool trained on a large dataset of peer reviews might reveal that certain types of papers or authors are consistently rated lower than others, regardless of the content. This information can help journals to develop strategies to address these biases and ensure a fairer review process.

  • Ethical Considerations

Despite the potential benefits, the use of AI in peer review raises ethical concerns. One major issue is the risk of perpetuating existing biases if the AI systems are trained on biased data. For example, if past reviews have favored certain demographics or institutions, the AI might learn to replicate these biases. Therefore, it is crucial to ensure that AI systems are trained on diverse and representative datasets.

Another concern is the opacity of AI decision-making. Authors and reviewers may be skeptical of AI-generated recommendations if they do not understand how these decisions are made. Ensuring transparency in AI algorithms and providing clear explanations of AI decisions can help build trust among stakeholders.

Case Studies and Current Implementations

Several initiatives are already leveraging AI to support peer review. For instance, the National Natural Science Foundation of China uses AI to assist in the grant review process, aiming to reduce bias and the workload on reviewers. Similarly, the Canadian Institutes of Health Research have implemented an online system to manage grant applications, which has been praised for its ability to reduce reviewer fatigue and improve transparency.

Another notable example is the use of AI in MOOCs (Massive Open Online Courses) to assess student essays. Automated Essay Scoring (AES) systems, used by platforms like EdX, MIT, and Harvard, have demonstrated the potential of AI to handle large volumes of written work, providing timely feedback and maintaining consistent evaluation standards.

Future Directions

The future of AI in peer review holds many possibilities. Ongoing research aims to enhance the capabilities of AI systems to handle more complex aspects of the review process, such as assessing the novelty and significance of research. Additionally, integrating AI with other technologies, such as blockchain, could further enhance transparency and accountability in peer review.

  1. Enhancing AI Capabilities

Future AI tools could be developed to provide more sophisticated analysis of manuscripts. For example, AI could be trained to evaluate the logical coherence of arguments, the robustness of methodologies, and the relevance of cited literature. This would require advances in natural language processing (NLP) and domain-specific training.

  1. Blockchain Integration

Integrating blockchain technology with AI could address some of the transparency issues associated with AI in peer review. Blockchain can provide a tamper-proof record of the review process, ensuring that all decisions and changes are documented and traceable. This could enhance the credibility and accountability of the peer review process.

Conclusion

AI and ML offer promising solutions to many of the challenges faced by the traditional peer review system. By automating routine tasks, improving the matching of reviewers and manuscripts, and providing objective assessments, AI can enhance the efficiency and fairness of peer review. However, it is essential to address the ethical concerns and ensure transparency in AI decision-making. As these technologies continue to evolve, they hold the potential to transform peer review, making it more efficient, equitable, and reliable.

The integration of AI and ML into peer review is not just a technological upgrade but a fundamental shift in how we approach scholarly communication. By harnessing the power of AI, we can build a more robust and inclusive peer review system that upholds the highest standards of academic integrity.

References

  1. Kousha K, Thelwall M. Artificial intelligence to support publishing and peer review: A summary and review. Learned Publishing. 2024 Jan;37(1):4-12.
  2. Checco A, Bracciale L, Loreti P, Pinfield S, Bianchi G. AI-assisted peer review. Humanities and Social Sciences Communications. 2021 Jan 25;8(1):1-1.

Strategies for Streamlining Scientific Publishing Services

Scientific publishing is a cornerstone of academic and research progress that involves presenting the latest discoveries, fostering collaboration, and driving innovation across diverse fields. However, traditional publishing processes are often slow, costly, and inefficient, raising the need for streamlining scientific publishing services to enhance the efficiency and impact of research. In today’s fast-paced digital world, optimized publication services are crucial for maintaining competitiveness and relevance, which can be achieved by improving workflows and utilizing automation tools. Optimizing these services can create an efficient platform for researchers to share groundbreaking discoveries effectively. These improved publishing services address challenges in the scientific publication process and enable a rapid peer review process, leading to effective dissemination of research findings.

The Current Landscape

The conventional scientific publishing process involves the following steps:

  • Manuscript Submission: Researchers submit their manuscripts to journals for evaluation as a part of communicating their research findings to the global community.
  • Peer Review: This is an expert review of the submitted manuscript done by professionals in the respective domains to evaluate the validity, significance, and originality.
  • Editing and Formatting: The accepted manuscripts are subjected to editing and formatting to meet publication standards.
  • Publication: Once the manuscript has successfully undergone peer review, editing, and formatting, the final version is published and made accessible to the scientific community.

Challenges Associated with the Current Publishing Processes

  • Lengthy Review Cycles: The traditional peer review process often involves multiple rounds of revisions and can take several months, delaying the dissemination of research results.
  • Fragmented Dissemination of Research: With the availability of numerous journals and publication platforms, it can be difficult for researchers to reach their target audience effectively and for readers to find relevant and reliable scientific information.
  • Access and Accessibility Issues: High costs associated with publishing in reputable journals and the limited accessibility to scientific articles pose barriers for researchers and readers, particularly in developing countries.

The Need for Streamlining

Streamlining scientific publishing can address these challenges and offer numerous benefits:

  • Accelerated Dissemination of Research Findings: Research publication can be sped up by expedited review and publication processes which result in quick communication of novel insights, reducing time for peer review, editing, and formatting.
  • Enhanced Collaboration and Interdisciplinary Research: Efficient publishing mechanisms provide an interdisciplinary collaboration by improving the accessibility of research.
  • Global Accessibility Through Open-Access Initiatives: Open-access models ensure that research findings are universally accessible, regardless of financial constraints, promoting widespread dissemination of knowledge.
  • Ensuring Data Integrity and Transparency: Improved processes can enhance the reliability and transparency of published research, promoting trust and credibility among the scientific community.

Innovations in Streamlining Services

Various strategies help streamline scientific publishing services to enhance efficiency and create an impact across researchers, readers, and the scientific community.

  • AI and Machine Learning for Manuscript Screening and Peer Review: Implementing digital tools and AI for automated tasks like plagiarism checks and manuscript formatting to accelerate the process can streamline publication. These advanced technologies can enhance the initial review process by swiftly identifying potential issues and providing insights for a more efficient process.
  • Blockchain for Authentication and Data Integrity: Blockchain technology offers a secure and transparent solution for tracking the publication process, ensuring data integrity, and safeguarding the credibility of research findings throughout the entire publishing lifecycle.
  • Open-Access and Open Peer Review Models: Opting for open-access platforms to enable public access to research can amplify its reach and impact. Open peer review promotes transparency, accountability, and constructive feedback among researchers by disclosing reviewer identities and making review comments publicly available.
  • Collaborative Tools for Streamlined Workflows: Employing various efficient collaborative tools to benefit researchers, readers, and the broader scientific community promotes and simplifies submission and review processes making it crucial in enhancing scientific publishing efficiency.
  • Integrated Research Dissemination: Utilizing the power of social networking sites by leveraging social media and digital platforms can broaden research outreach, enhance engagement with a diverse audience, and maximize dissemination impact effectively.

Future Directions

Enhancing the efficiency and impact of scientific publishing can be achieved through several key strategies and considerations:

  • Community Engagement and Best Practices: It is essential to actively promote collaboration and exchange of best practices within the scientific community for ongoing enhancement. Promoting transparent communication and teamwork among scientists can result in more creative solutions and superior research results. Workshops, conferences, and online forums can play a role in enabling the sharing of ideas and experiences, contributing to the establishment and dissemination of best practices in scientific publishing.
  • Policy and Funding Support for Open Access: Governments and funding organizations have a crucial role in advancing open-access initiatives. By providing financial backing and establishing policies that endorse open-access publication, these bodies can ensure that research discoveries are readily available to the global scientific community and the public. Open access models can eliminate financial barriers, enabling worldwide researchers, including those in developing nations, to reach and participate in the scientific conversation. This widespread accessibility has the potential to hasten the pace of discovery and innovation.
  • Upholding Ethical Standards in Publishing: Ensuring that scientific research maintains high ethical standards is crucial to protect the integrity and credibility of the work. It involves verifying the accuracy and dependability of published data, avoiding conflicts of interest, and preventing plagiarism and other forms of academic misconduct. Journals and publishers should establish and enforce strict ethical guidelines and review processes to guarantee that all published research complies with these standards. By adhering to these principles, the scientific community can foster trust with the public and ensure that scientific progress involves robust and ethical research practices.

Conclusion

Streamlining scientific publishing is essential for enhancing the efficiency and impact of research communication. Embracing technological innovations, improving workflows, and promoting open access, can help the scientific community overcome current challenges and create a more effective research ecosystem. Stakeholders in the scientific community must collaborate and innovate advanced strategies for streamlining scientific publishing to achieve these improvements. This process will ensure swift and extensive communication of scientific knowledge, driving progress across all disciplines.

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Chat with our experts today. At Turacoz, we are committed to making scientific research publications effective, and tailor our services to meet the industry’s needs. Partner with Turacoz for academic excellence and maximize your work’s outreach. Visit us at www.turacoz.com or share your queries at [email protected] and we will connect with you!

The Peer Review Process: An Inside Look

The peer review process is a cornerstone of academic and scientific publishing. It serves as a quality control mechanism to ensure accuracy, reliability and contributes to the body of knowledge in each field. Despite its critical role, the peer review process can be sometimes complicated to understand. This blog aims to provide an in-depth look at the peer review process, exploring its various types, common challenges, and potential improvements to enhance transparency and efficiency.

What is Peer Review?

Peer review is a process in which work is evaluated by individuals who possess similar skill sets as the creators of the work, known as peers. It functions as a form of self-regulation by qualified members of a profession within the relevant field. The main goals of peer review are to assess the validity, quality, and originality of research before publication.

Types of Peer Review

a. Single-Blind Review

This review method involves reviewers knowing the authors’ identities, whereas the authors themselves are kept unaware of the reviewers. This type of peer review is the most used, as it allows reviewers to provide unbiased critiques without any personal relationships affecting their assessment. However, there is a potential for bias to arise if the reviewer is familiar with the author’s identity.

b. Double-Blind Review

In this type of review, both the reviewers and the authors are anonymized. This type of review is intended to eliminate any bias related to the author’s identity, such as their reputation, gender, or affiliation. The goal is to ensure that the manuscript is judged solely on its merits. However, achieving true anonymity can be challenging.

c. Open Review

This denotes a form of evaluation, where both the identities of the author and the reviewers are disclosed to each other. . This approach aims to increase transparency and accountability. Open review can take several forms, including publishing the reviewers’ names alongside their reviews or even making the reviews publicly available. While open review promotes accountability, it can also deter reviewers from providing honest critiques due to fear of conflict.

d. Post-Publication Review

These reviews occur after a manuscript has been published. This type of review, facilitated through online platforms, allows for valuable feedback and contributes to the enhancement of scholarly discourse. However, it can also lead to unmoderated or overly critical comments.

Common Challenges in Peer Review

a. Bias and Subjectivity

Despite efforts to minimize bias, it can still occur in peer review. Reviewers may be influenced by the authors’ identities, their own beliefs, or their relationships with the authors. Bias can affect the objectivity of the review and ultimately the quality of published research.

b. Lack of Transparency

The traditional peer review process is often criticized for its lack of transparency. Authors may not know why their work was rejected or what specific issues were identified by reviewers. This opacity can lead to frustration and a lack of trust in the process.

c. Reviewer Availability and Quality

Finding qualified reviewers who are willing to provide thorough and timely reviews is a significant challenge. Many reviewers are overburdened with their work and may not have the time to conduct detailed reviews. Additionally, the quality of reviews can vary significantly, with some reviewers providing only cursory feedback.

d. Time-Consuming Process

The peer review process can be time-consuming, often taking several months from submission to publication. This delay can be detrimental to researchers who need to publish their work quickly for career advancement or funding purposes.

e. Ethical Issues

These can arise in peer review, including plagiarism, conflicts of interest, and breaches of confidentiality. Reviewers must adhere to ethical guidelines to maintain the integrity of the process.

Improving Transparency and Efficiency in Peer Review

a. Adopting Open Review Practices

Increasing transparency in the peer review process can be achieved by adopting open review practices. Making reviewers’ identities and their reviews public can promote accountability and improve the quality of reviews. Additionally, publishing the decision letters and the authors’ responses can provide insights into the review process and the rationale behind editorial decisions.

b. Implementing Double-Blind Review

While challenging to implement perfectly, double-blind review can reduce bias and ensure that manuscripts are judged solely on their content. Journals can take steps to anonymize submissions and instruct authors on how to remove identifying information from their manuscripts.

c. Utilizing Technology

Advancements in technology can streamline the peer review process. Online submission systems, automated reviewer matching, and artificial intelligence tools can help manage the review workflow more efficiently. AI can assist in initial screenings, identifying potential reviewers, and detecting ethical issues such as plagiarism.

d. Providing Reviewer Training

Enhancing the quality of reviews can be achieved by providing training for reviewers. Many reviewers receive little to no formal training in how to conduct a peer review. Journals and academic institutions can offer workshops, guidelines, and mentorship programs to help reviewers develop their skills.

e. Recognizing Reviewers

Acknowledging and rewarding reviewers for their contributions can incentivize quality reviews and encourage more researchers to participate in the peer review process. Journals can provide certificates, offer discounts on publication fees, or recognize top reviewers publicly.

f. Expediting the Review Process

To reduce the time from submission to publication, journals can implement strategies to expedite the review process. These may include setting clear deadlines for reviewers, using fast-track options for high-priority research, and improving communication between editors, reviewers, and authors.

g. Encouraging Post-Publication Review

This can provide ongoing scrutiny and discussion of published research. Online platforms that facilitate post-publication comments and ratings can help identify any overlooked issues and keep the scientific discourse alive.

Conclusion

The peer review process is essential for maintaining the quality and credibility of scientific research. Despite its challenges, peer review remains a crucial component of academic publishing.  Understanding the different types of peer review, recognizing common challenges, and exploring ways to improve transparency and efficiency, the academic community can enhance the effectiveness of this process. Continued efforts to refine and innovate peer review practices will ensure that it remains a potent mechanism for validating and disseminating scientific knowledge. Through transparency, accountability, and continuous improvement, the peer review process can better serve researchers, reviewers, and the wider scientific community.

We are Here!

Turacoz Healthcare Solutions, committed to enhancing scientific communication, is poised to enhance the peer review process by offering advanced manuscript management technology and promoting ethical review practices. Understanding the evolving landscape of academic publishing, Turacoz supports scholars with a comprehensive range of services, including book and thesis writing, authoring book chapters, and tailored academic support. Their expertise ensures that the peer review process remains robust, validating research and advancing knowledge. Partner with Turacoz for academic excellence and maximize your work’s potential in the digital age. Visit us at www.turacoz.com or share your queries at [email protected] and we will connect with you! .

AI-Powered Medical Imaging: Revolutionizing Diagnosis and Treatment

Artificial Intelligence (AI) is rapidly transforming the healthcare industry, and medical imaging is at the forefront of this revolution. The integration of AI into medical imaging is enhancing the efficiency, accuracy, and overall quality of diagnostic procedures, thereby improving patient care. AI technologies enable computers to learn from and interpret complex medical data, making it possible to automate and optimize many aspects of medical imaging. This blog explores the current and potential applications of AI in medical imaging, highlighting the advancements, benefits, and challenges associated with this transformative technology.

Current Applications of AI in Medical Imaging

  1. Image Acquisition and Quality Control

AI has helped enhance the quality and efficiency of image acquisition in medical imaging. AI algorithms can automatically adjust imaging parameters to optimize image quality, reducing the need for repeat scans and minimizing radiation exposure. For example, GE’s Critical Care Suite 2.0 uses AI to assess the quality of chest radiographs in real-time, ensuring that images meet diagnostic standards before they are reviewed by radiologists. Similarly, Philips’ Radiology Smart Assistant provides real-time feedback to radiographers on collimation, rotation, and inspiration during image acquisition, enhancing image quality and departmental productivity by up to 30%.[1]

  1. Image Interpretation and Diagnosis

AI’s ability to analyze large volumes of data quickly and accurately makes it a valuable tool for image interpretation. AI algorithms can detect anomalies in medical images that might be missed by human eyes, thereby aiding in the early detection of diseases. For instance, AI systems are being used to identify early signs of cancer in mammograms and lung nodules in chest CT scans. These systems can flag suspicious areas for further review, assisting radiologists in making more accurate and timelier diagnoses​​.

  1. Workflow Optimization

AI is streamlining workflows in medical imaging departments. By automating routine tasks such as image sorting and preliminary analysis, AI allows radiologists to focus on more complex cases. AI-powered tools can prioritize urgent cases based on the analysis of imaging data, ensuring that critical patients receive prompt attention. This optimization not only improves efficiency but also enhances patient outcomes by reducing the time to diagnosis and treatment.

  1. Radiation Dose Reduction

One of the significant concerns in medical imaging is the exposure of patients to radiation. AI is helping mitigate this risk by optimizing imaging protocols to use the lowest possible radiation dose without compromising image quality. Deep learning-based reconstruction algorithms, like GE’s TrueFidelity, produce high-quality images from low-dose CT scans, significantly reducing the radiation exposure to patients.

Potential Applications of AI in Medical Imaging

AI’s potential in medical imaging extends far beyond current applications:

  1. Personalized Imaging Protocols

AI has the potential to personalize imaging protocols based on individual patient characteristics. By analyzing a patient’s medical history, demographics, and previous imaging studies, AI can tailor imaging protocols to ensure optimal results. This personalized approach can improve diagnostic accuracy and reduce unnecessary imaging.

  1. Advanced Image Reconstruction

Future advancements in AI could lead to more sophisticated image reconstruction techniques. AI could enhance the resolution and clarity of images obtained from low-quality scans, making it easier to identify and diagnose conditions. For instance, AI algorithms could reconstruct images from non-contrast scans to mimic the quality of contrast-enhanced scans, potentially eliminating the need for contrast agents and reducing the risk of adverse reactions.

  1. Predictive Analytics

AI can leverage predictive analytics to foresee equipment failures and maintenance needs, minimizing downtime in imaging departments. Predictive models can analyze data from imaging equipment to predict when maintenance is required, ensuring that machines are always operational and reducing disruptions in patient care.

  1. Integration with Other Data Sources

The integration of AI with electronic health records (EHRs) and other data sources can provide a more comprehensive view of a patient’s health. AI can correlate imaging findings with clinical data, lab results, and genetic information to offer a more accurate and holistic diagnosis. This integration can also aid in monitoring disease progression and treatment response, allowing for more precise and effective interventions.

Challenges and Considerations

  1. Ethical and Legal Issues

The implementation of AI in medical imaging raises several ethical and legal issues. Ensuring patient privacy and data security is paramount, especially given the sensitivity of medical information. Moreover, the use of AI algorithms that are not fully transparent can lead to trust issues among healthcare professionals and patients. It is essential to develop ethical guidelines and regulatory frameworks to address these concerns.

  1. Training and Education

Healthcare professionals need to be adequately trained to use AI tools effectively. This includes understanding how AI algorithms work, their limitations, and how to interpret their results. Continuous education and training programs are necessary to keep up with the rapid advancements in AI technology.

  1. Integration with Existing Systems

Integrating AI into existing medical imaging systems can be challenging. Compatibility issues, data standardization, and the need for robust IT infrastructure are some of the hurdles that need to be addressed. Collaboration between technology providers and healthcare institutions is crucial to ensure seamless integration and adoption of AI solutions.

  1. Bias and Accuracy

AI algorithms are only as good as the data they are trained on. Bias in training data can lead to inaccurate or unfair outcomes, particularly for underrepresented groups. It is essential to use diverse and representative datasets to train AI models and continuously monitor their performance to ensure accuracy and fairness.

Conclusion

The current and potential applications of AI in medical imaging are vast and transformative. AI is already enhancing image acquisition, interpretation, workflow optimization, and radiation dose reduction. Future advancements promise even more personalized, accurate, and efficient imaging practices. However, addressing the ethical, legal, and practical challenges associated with AI implementation is crucial to fully realizing its potential. As AI continues to evolve, it will undoubtedly play a pivotal role in shaping the future of medical imaging and improving patient care.

AI’s integration into medical imaging is not just a technological advancement but a step towards more personalized and effective patient care. By embracing these advancements and addressing the associated challenges, the healthcare industry can harness the full potential of AI to revolutionize medical imaging practices and outcomes.

References:

  1. Potočnik J, Foley S, Thomas E. Current and potential applications of artificial intelligence in medical imaging practice: A narrative review. J Med Imaging Radiat Sci. 2023;54(2):376-385. doi:10.1016/j.jmir.2023.03.033

Scholarly Publishing Dilemmas: Open Access versus Subscription Journals

In the rapidly changing domain of academic publishing, two distinct models have emerged as prominent pathways for disseminating research findings: open-access (OA) journals and traditional subscription-based journals. While both aim to advance knowledge, their approaches to accessibility, cost, and impact on the scholarly community diverge significantly, presenting a compelling dilemma for researchers and institutions alike.

  1. Accessibility

Open-Access Journals

These journals have revolutionized knowledge dissemination by making research freely available to anyone with an internet connection. This democratizes access to cutting-edge discoveries, allowing researchers from resource-constrained institutions, independent scholars, and practitioners in developing nations to engage with the latest findings without financial barriers.

  • Pros
    • Universal Access: The most significant advantage of OA journals is their universal accessibility. Researchers from institutions with limited resources, independent scholars, and practitioners in developing countries can access cutting-edge research without subscription costs.
    • Increased Visibility and Citations: Studies have shown that OA articles tend to be cited more frequently than those behind paywalls, likely due to their wider availability. This increased visibility can enhance the impact of the research and the reputation of the authors.
  • Cons
    • Quality Concerns: Some critics argue that the proliferation of predatory OA journals—publications that prioritize profit over rigorous peer review—can dilute the quality of available research. However, this is not a critique of the OA model itself but of inadequate regulation and oversight.
    • Sustainability: Ensuring the financial sustainability of OA journals can be challenging, as they rely on alternative funding models, such as author processing charges (APCs) or institutional support.

Subscription-Based Journals

These journals have long been the traditional route for scholarly publishing, associated with high-impact factors, rigorous peer review, and academic prestige.

  • Pros
    • Established Prestige: Many subscription-based journals have long histories and are often associated with high-impact factors, rigorous peer review, and academic prestige.
    • Financial Stability: These journals have a stable revenue stream from subscriptions, allowing them to invest in quality control, editorial staff, and other resources that maintain high publication standards.
  • Cons
    • Limited Access: The primary drawback is restricted access, which can limit the dissemination of knowledge. Researchers without access to well-funded institutional libraries may struggle to obtain necessary articles, hindering their work and perpetuating inequalities.
    • High Costs: Subscription fees can be prohibitively expensive for institutions, especially those in low- and middle-income countries. Additionally, the cost of individual articles for non-subscribers can be steep.
  1. Cost

Open-Access Journals

The OA model shifts the financial burden from readers to authors, institutions, or funders, typically through APCs, which vary widely in amount.

  • Pros
    • No Reader Fees: Articles are free to read, removing financial barriers to access.
    • Funding Support: Many institutions and funding bodies are increasingly supporting OA publishing by covering APCs, recognizing the broader dissemination benefits.
  • Cons
    • High APCs: The cost for authors can be significant, sometimes reaching thousands of dollars. This can be a barrier for researchers without substantial funding, particularly early-career researchers and those from less affluent institutions.
    • Inequality in Publication: The requirement for authors to pay APCs can create disparities in who can afford to publish, potentially biasing the literature toward well-funded researchers and institutions.

Subscription-Based Journals

The traditional model generates revenue through subscription fees paid by libraries, institutions, or individual subscribers.

  • Pros
    • Author Accessibility: Authors typically do not have to pay to publish, which can democratize the ability to disseminate research findings regardless of funding status.
    • Stable Revenue: The steady income from subscriptions supports the operational costs of journals, including rigorous peer review processes and editorial management.
  • Cons
  • Reader Fees: The high cost of subscriptions can restrict access to those affiliated with well-funded institutions, leaving many potential readers, especially in developing countries, without access.
  • Budget Strain: Increasing subscription fees have strained library budgets, forcing institutions to make tough decisions about which journals to subscribe to, potentially limiting access to a comprehensive range of literature.

  1. Impact on Research Dissemination

Open-Access Journals

These journals can significantly enhance the dissemination and impact of research by providing global access and facilitating faster engagement with findings.

  • Pros
  • Wider Dissemination: OA articles can be accessed by anyone globally, facilitating broader dissemination and engagement with the research.
  • Faster Impact: Immediate availability of research findings can accelerate scientific progress and allow for more timely application of research outcomes.
  • Cons
  • Perception Issues: Despite growing acceptance, some OA journals still face skepticism regarding their quality and impact compared to established subscription-based journals.

Subscription-Based Journals

These are highly respected and influential but face challenges in the digital age.

  • Pros
    • High Prestige: Many subscription-based journals are highly respected and influential within their fields, contributing significantly to the academic discourse.
    • Quality Assurance: These journals often have robust peer review processes, ensuring the publication of high-quality research.
  • Cons
  • Restricted Dissemination: Paywalls limit the audience, which can slow down the dissemination and application of research findings.
  • Delayed Access: Embargo periods can delay public access to research findings, which can be particularly problematic in fast-moving fields.

The choice between OA and subscription-based journals is not a clear-cut one; each has distinct advantages and drawbacks. OA journals democratize access to knowledge, potentially increasing the visibility and impact of research, but they often require significant financial contributions from authors. Subscription-based journals maintain high standards and stable financial models but restrict access to those who can afford subscription fees.

The future of academic publishing may lie in hybrid models that incorporate the strengths of both systems. Initiatives such as transformative agreements, which shift the cost burden from readers to funders and institutions while maintaining rigorous peer review standards, represent promising developments. Ultimately, the goal should be to maximize the dissemination and impact of research while ensuring sustainability and equity in the publishing process.

At Turacoz Healthcare Solutions, we understand the intricate landscape of academic publishing, especially the dynamics surrounding scholarly journals. Our commitment is to empower researchers in navigating these complexities effectively, ensuring their research achieves maximum visibility and impact. We offer a comprehensive range of specialized services tailored to enhance scholarly work, including expert guidance on crafting detailed manuscripts, developing rigorous theses, and authoring book chapters with meticulous writing and editing support. Our personalized academic assistance extends to navigating the nuances of both open-access and subscription-based journal models, enabling strategic decisions that optimize publication outcomes. Partner with Turacoz Healthcare Solutions to elevate your academic contributions and expand your reach to a global audience. Visit www.turacoz.com to discover how we can enhance your research impact in the digital era.

Interactive Elements to Enhance Your Medical Poster Presentations

In the dynamic world of academia and medical research, effectively communicating your findings through well-designed presentations that captivate the audience is paramount. As medical professionals, we have the privilege and responsibility of sharing our knowledge and insights to drive progress in our field. While traditional poster presentations have long been the standard, the digital age offers us an opportunity to enhance our presentations and captivate our audience.

Poster Presentation journey commences with a thorough understanding of the scientific concepts and essential design elements. These elements include information clarity, colour schemes, typography, images and graphics, and layout. Striking the right balance between white space and information is crucial to prevent clutter and ensure the poster effectively communicates its message. A well-designed poster facilitates audience engagement aiding them in grasping the presenter’s intended message and maintaining their interest as they explore the content. In addition to focusing on design, incorporating storytelling approach enhances clarity and comprehension for the viewer. Furthermore, the advent of digital and e-posters has introduced new opportunities for integrating interactive and multimedia elements, thereby enhancing audience engagement and the overall impact of the poster.

In this blog, we will highlight a range of interactive elements and strategies to elevate the impact of your medical poster presentation.

Before diving into the realm of interactive elements, it’s crucial to understand your audience. Tailoring the interactive elements to suit the preferences and needs of your audience ensures maximum impact and resonance.

Visual Aids:

Visual Aid

Visual aids like infographics, charts, and graphs serve as effective tools for simplifying the complex data making it appealing and easily comprehensible to viewers. Additionally, depicting gradation or scales in a pictorial manner adds visual appeal. In case of digital poster, incorporating multimedia elements like videos or animation can significantly enhance engagement and understanding.

 

Augmented Reality:

Augmented reality (AR) is a cutting-edge technology that adds depth and interactivity to the digital poster, thereby transforming static content into dynamic and engaging presentation. Viewers can engage with the AR integrated digital posters through their smartphones or tablets delving into 3D models, animations, and additional layers of information. This technology increases poster engagement by offering enhanced visualization, interactive demonstration, innovative data visualization techniques, and freedom for viewers to explore the poster at their own pace. Consequently, leveraging AR technology empowers presenters to captivate the audience, facilitate deeper understanding, and create memorable presentations that leave a lasting impact.

AR Visual Aid

 

QR Codes:

QR Code Visual Aid

Incorporating QR code into the poster can elevate viewer engagement by directing them to supplementary materials such as videos, animations, or additional research data. By scanning the codes with their smartphones, viewers can easily access these resources, facilitating further learning and exploration.

 

Interactive Displays:

Integrating touchscreen displays within the poster enables the users to interactively navigate through the content. Incorporating interactive quizzes and puzzles related to your research topic promotes active participation and adds a fun element to the poster. Conducting surveys via the touchscreen function enhances viewer engagement and facilitates feedback collection.

Touchscreen Display Visual Aid

Social Media Integration:

Social Media Links Visual Aid

Including social media links to the poster amplifies interaction by allowing viewers to connect beyond the presentation. These links offer instant access to social media platforms, where viewers can discuss and share their insights about the poster. The links also open the doors to a wider online community, encouraging ongoing conversation and collaboration even after the presentation ends.

 

Hands-on Activities:

Incorporating hands-on activities or experiments can be a powerful way to make your research more tangible and relatable for viewers. By allowing viewers to actively participate and engage with the concepts or methodologies you employed, they can gain a deeper understanding of your work.

Hands-on Activities Visual Aid

 

Interactive Case Studies:

Case Studies Visual Aid

Presenting case studies with interactive elements allows viewers to explore different scenarios and outcomes, promoting deeper understanding and critical thinking. Incorporating multimedia elements such as patient testimonials or interactive simulations enriches the learning experience.

 

Collaborative Whiteboards:

Presenting case studies with interactive elements allows viewers to explore different scenarios and outcomes, promoting deeper understanding and critical thinking. Incorporating multimedia elements such as patient testimonials or interactive simulations enriches the learning experience.

Case Studies Visual Aid

 

To ensure effective communication, keep your poster uncluttered with a clear focus on one main idea, prioritizing essential elements for a concise, visually appealing layout. Avoid overwhelming your audience with too much text or visuals. Integrating interactive elements enhances engagement and understanding, transforming medical poster presentations from static displays to dynamic experiences that engage, educate, and inspire viewers. Additionally, these interactive elements heighten audience engagement, understanding, and collaboration. With technology advancing, the potential for innovative and interactive poster presentations is limitless. Embrace technological innovations to make a lasting remark on your audience.

AI-Powered Content Lab Management: Boosting Productivity and Quality

In the dynamic field of medical communication, managing a content lab effectively is crucial to ensure the delivery of high-quality and timely outputs. As the demands for precise, accurate, and compliant medical documentation increase, so does the need for efficiency in handling these tasks. Enter Artificial Intelligence (AI) – a transformative technology revolutionizing content lab management by automating repetitive tasks and improving workflow efficiency. At Turacoz, we understand the growing need to integrate and accept AI in the workflow whilst ensuring no data is compromised.

Role of AI in Content Lab Management

AI, with its capabilities in machine learning, natural language processing (NLP), and data analytics, offers a myriad of solutions to the challenges faced by content labs. It can automate routine tasks, streamline workflows, and enhance the accuracy and quality of medical content. Here’s how AI-powered solutions are making a significant impact:

  1. Automating Repetitive Tasks

Repetitive tasks such as data entry, document formatting, and reference management are time-consuming and prone to human error. AI can automate these tasks, save valuable time for medical writers and editors to focus on more complex activities.

  • Data Entry and Extraction: AI algorithms can automatically extract relevant data from clinical trial reports, research papers, and regulatory documents, and input it into predefined templates. This not only speeds up the process but also reduces the risk of errors.
  • Document Formatting: Formatting documents according to specific guidelines can be tedious. AI tools can automate this process, ensuring that all documents adhere to the required standards and are consistent in style and structure.
  • Reference Management: AI-powered reference management tools can automatically generate, format, and update citations and bibliographies, ensuring accuracy and compliance with journal or regulatory requirements.
  1. Enhancing Workflow Efficiency

AI can significantly enhance workflow efficiency by streamlining processes and improving collaboration among team members. This is achieved through intelligent task management, real-time collaboration tools, and predictive analytics.

  • Intelligent Task Management: AI-driven project management tools can allocate tasks based on team members’ expertise, workload, and deadlines. They can also prioritize tasks and set reminders, ensuring that projects stay on track and deadlines are met.
  • Real-Time Collaboration: AI-powered platforms enable seamless real-time collaboration among team members, regardless of their geographical location. These platforms can facilitate document sharing, version control, and instant feedback, improving the overall efficiency of the content creation process.
  • Predictive Analytics: By analyzing historical data, AI can predict potential bottlenecks and suggest proactive measures to mitigate them. This helps in anticipating challenges and optimizing workflows to ensure smooth project execution.
  • Improving Quality and Accuracy

Quality and accuracy are paramount in medical communication. AI can enhance these aspects through advanced proofreading, content generation, and compliance checks.

  • Advanced Proofreading: AI-powered proofreading tools can detect grammatical errors, spelling mistakes, and inconsistencies in medical terminology. They can also suggest improvements in sentence structure and readability, ensuring that the content is clear, concise, and error-free.
  • Content Generation: AI algorithms, particularly those based on NLP, can generate initial drafts of medical documents such as clinical trial reports, patient information leaflets, and regulatory submissions. These drafts can then be reviewed and refined by human experts, significantly reducing the time and effort required to create high-quality content.
  • Compliance Checks: Ensuring compliance with regulatory guidelines and industry standards is critical in medical communication. AI tools can automatically check documents for compliance with specific guidelines, flagging any deviations and suggesting corrections. This reduces the risk of non-compliance and ensures that all documents meet the necessary standards.

Human Intervention: The critical component

While AI offers numerous benefits, human intervention remains crucial in AI-powered content lab management. AI can handle many aspects of data processing and initial content creation, but human oversight is essential for ensuring the accuracy, relevance, and quality of the output. Medical writers and editors bring expertise and critical thinking that AI cannot replicate. They review and refine AI-generated content, provide context-specific insights, and make judgment calls that require a deep understanding of the subject matter. This collaborative approach, where AI handles the heavy lifting and humans add the finishing touches, ensures that the final product is both technically sound and contextually appropriate.

Case Studies: AI in Action

Case Study 1: Streamlining Clinical Trial Reporting

A global pharmaceutical company implemented an AI-powered solution to streamline its clinical trial reporting process. The AI tool extracted data from clinical trial databases and automatically populated predefined templates for clinical study reports. This reduced the time required to generate these reports by 50%, allowing the company to accelerate its drug development timelines and bring new treatments to market faster.

Case Study 2: Enhancing Quality Control

A medical communication agency adopted an AI-driven proofreading tool to enhance the quality control of its publications. The tool identified and corrected errors in grammar, punctuation, and medical terminology, ensuring that all documents were of the highest quality. As a result, the agency saw a significant reduction in rework and an increase in client satisfaction.

Case Study 3: Improving Regulatory Submissions

A biotech firm leveraged AI for regulatory writing and compliance checks. The AI system reviewed regulatory documents for adherence to guidelines and flagged any non-compliant sections. This automated review process not only ensured compliance but also reduced the review time by 40%, allowing the firm to expedite its regulatory submissions.

The Future of AI in Content Lab Management

The integration of AI in content lab management is still in its early stages, but its potential is immense. As AI technology continues to evolve, we can expect even more advanced solutions that will further optimize workflows, enhance quality, and drive productivity.

  1. Emerging Trends:
    • AI-Powered Content Personalization: AI will enable more personalized content creation, tailoring information to the specific needs and preferences of different audiences, such as healthcare professionals, patients, and regulatory authorities.
    • Integration with Other Technologies: The combination of AI with other technologies like blockchain and the Internet of Things (IoT) will enhance data security, traceability, and real-time data sharing, further improving content lab management.
    • Continuous Learning and Improvement: AI systems will continuously learn from new data and user feedback, becoming more accurate and efficient over time. This will lead to continuous improvement in the quality and efficiency of medical communication.
  2. Challenges and Considerations

While the benefits of AI are clear, there are also challenges and considerations to keep in mind:

  • Data Privacy and Security: Handling sensitive medical data requires strict adherence to data privacy and security regulations. Ensuring that AI systems comply with these regulations is crucial.
  • Human Oversight: Despite the capabilities of AI, human oversight is essential to ensure the accuracy and relevance of AI-generated content. Collaboration between AI and human experts will be key to achieving the best results.
  • Ethical Considerations: The use of AI in medical communication raises ethical questions about transparency, accountability, and bias. It is important to address these issues to maintain trust and integrity in medical communication.

AI-powered content lab management is transforming the field of medical communication by automating repetitive tasks, enhancing workflow efficiency, and improving quality and accuracy. By leveraging AI, medical communication companies can boost productivity, ensure high-quality outputs, and meet the increasing demands of the industry. As AI technology continues to advance, its integration into content lab management will become even more impactful, driving innovation and excellence in medical communication.

The Evolution of Academic Publishing: From Print to Digital

For centuries, the world of academic publishing was dominated by the printed word. Scholarly journals, monographs, and textbooks were carefully typeset, printed on paper, and distributed through a network of publishers, libraries, and bookstores. However, the rise of the Internet and digital technologies has ushered in a seismic shift in the creation, sharing, and preservation of academic knowledge. The transition from traditional print to digital formats has brought significant changes and opportunities for scholarly publishing.

  1. Traditional Print Era
  • Historical Context
    The origins of academic publishing were traced back to the 17th century, with the establishment of some of the first scientific journals, such as “Philosophical Transactions of the Royal Society” in 1665. For centuries, the print media has been the primary vehicle for the dissemination of scholarly work. Journals, often affiliated with academic societies, were revered to be the cornerstone of academic communication.
  • The Role of Print Journals

Print journals play a crucial role in shaping the field of academics:

  1. Validation and Peer Review: Print journals establish a rigorous peer-review process, ensuring the credibility and quality of published research.
  2. Archival Value: Physical copies of journals provided a tangible archival record that future scholars could access and reference.
  3. Limited Accessibility: Access to print journals was often restricted to those affiliated with institutions that could afford costly subscriptions, limiting the reach of academic knowledge.

2. Digital Revolution

Emergence of Digital Formats

The seeds of the digital revolution in academic publishing were planted in the late 20th century with the advent of electronic databases and online repositories. Initiatives such as JSTOR and Elsevier’s ScienceDirect have begun digitizing academic journals, making them accessible to researchers and students through institutional subscriptions. This initial foray into digital publishing provided a glimpse into the potential for wider dissemination of scholarly work and more efficient information retrieval.

As the Internet became more ubiquitous and bandwidth increased, publishers started experimenting with online journals and e-books. These early digital formats offered several advantages over their print counterparts, including lower production and distribution costs, faster publication cycles, and the ability to incorporate multimedia elements.

Benefits of Digital Publishing

The shift to digital formats brought a plethora of benefits:

  1. Accessibility and Reach: Digital publishing democratized access to academic research. Scholars, students, and practitioners worldwide can access journals without geographic and financial constraints of print subscriptions.
  2. Speed and Efficiency: The digital medium significantly reduced the time lag between submission, peer review, and publication. This accelerated the dissemination of new findings and fostered timely academic dialogue.
  3. Interactivity and Multimedia: Digital platforms allowed the inclusion of interactive elements, such as hyperlinks, videos, and datasets, enhancing the depth and engagement of scholarly articles.
  4. Searchability and Discoverability: Advanced search functions and indexing made it easier for researchers to find relevant literature, boosting the visibility and impact of published work.
  5. Environmental Impact: Reducing the need for physical copies helped decrease the environmental footprint of academic publishing.

3. Open Access Movement

One of the most significant developments in the digital era of academic publishing is the emergence of the open access (OA) movement. Driven by the belief that scholarly research should be freely available, OA initiatives aim to remove barriers in accessing and sharing academic content.

OA publishing models typically fall into two categories: gold open access, where authors or their institutions pay article processing charges to make their work openly available immediately upon publication, and green open access, where authors self-archive their works in institutional or subject-specific repositories after an embargo period.

Prominent OA publishers like the Public Library of Science (PLOS) and BioMed Central have played a pivotal role in advancing open access, while traditional publishers have also adopted hybrid models that allow authors to make their articles open access upon payment of a fee.

Benefits of Open Access

  1. Increased Visibility: OA publications are more widely read and cited, which increases the impact of research.
  2. Equity: OA ensures that researchers from underfunded institutions and developing countries can access the latest findings and foster global academic collaboration.
  3. Public Engagement: By making research freely available, OA bridges the gap between academia and the public, promoting informed societal discourse.

Challenges in the Digital Era

Despite its numerous benefits, the transition to digital publishing has presented several challenges:

  1. Quality Control and Predatory Journals: The ease of digital publishing has led to the proliferation of academic journals, including predatory journals that exploit the OA model. These journals often lack rigorous peer review and publish substandard research for profit, undermining the credibility of academic publishing.
  2. Financial Sustainability: The traditional subscription model provided a steady revenue stream for publishers. While democratizing access, the OA model raises questions about financial sustainability. Many OA journals rely on article processing charges (APCs) paid by authors, which can be a barrier for researchers without sufficient funding.
  3. Technological Barriers: While digital platforms have enhanced accessibility, they also require a robust technological infrastructure. Researchers in regions with limited Internet access or digital literacy may still face barriers in accessing and publishing research.
  4. Data Security and Privacy: The digital environment pose risks related to data security and privacy. Ensuring the integrity and confidentiality of scholarly work in an online setting is paramount, requiring continuous advancements in cybersecurity measures.
  5. Intellectual Property Concerns: The shift to digital formats has sparked debates over intellectual property rights. Balancing the open dissemination of knowledge with the protection of authors’ rights and preventing unauthorized use or distribution of content remains a complex issue.

4. Future of Academic Publishing

Integration of Advanced Technologies

The future of academic publishing is poised to integrate advanced technologies and to further enhance the research ecosystem:

  1. Artificial Intelligence (AI): AI can streamline the peer-review process, detect plagiarism, and assist in identifying relevant literature, making the publication process more efficient and robust.
  2. Blockchain Technology: Blockchain can provide secure and transparent records of publication histories, ensuring the integrity and traceability of scholarly work.
  3. Data-Driven Insights: Big data analytics can provide valuable insights into research trends, impact metrics, and collaboration networks, informing strategic decisions in academic publishing.

5. Enhanced Collaboration and Interdisciplinary Research

Digital platforms facilitate collaboration across geographical and disciplinary boundaries. The future of academic publishing will likely see increased interdisciplinary research, addressing complex global challenges through a holistic approach.

6. Continued Advocacy for Open Access

The push for OA is expected to intensify, driven by advocacy from academic communities, funding agencies, and policymakers. Sustainable OA models that balance accessibility with financial viability are crucial in shaping the future of academic publishing.

The evolution of academic publishing from print to digital has transformed the dissemination and accessibility of scholarly research. While the digital revolution has brought significant benefits, it has also introduced new challenges that require ongoing adaptation and innovation. As technology continues to advance, the academic community must navigate these changes thoughtfully, ensuring that the pursuit of knowledge remains inclusive, credible, and impactful. The future of academic publishing holds immense potential, promising to further democratize access to knowledge and foster a vibrant, interconnected global research community.

At Turacoz Healthcare Solutions, we understand the evolving landscape of academic publishing and are committed to supporting scholars in navigating these changes. Beyond our expertise in journal publication, we offer a comprehensive range of academic services designed to enhance the quality and impact of scholarly work. Our services include book writing, thesis writing, authoring book chapters, and providing tailored support to meet the diverse needs of the researchers. Whether you are crafting a detailed monograph, developing a critical thesis, or contributing to collaborative volumes, Turacoz Healthcare Solutions is your partner with academic excellence. Reach out to us at www.turacoz.com  to ensure that your work achieves its full potential in the digital age.

How to Get Quality Proofreading Services Within Your Budget?

Proofreading is the meticulous review of written content which is the final stage in the writing process. It is an essential step for creating quality academic or professional documents. This process involves rectifying errors of grammar including punctuation, and spelling, addressing misplaced words, checking for abbreviations, capitalizations, and formatting, ensuring consistency in English dialects (such as US versus UK English), adhering to style guides, and enhancing clarity, structure, and tone.

At Turacoz, we recognize the significance of proofreading and integrate it at various stages of development. Our team of expert medical writers, editors, proofreaders, and copy editors ensure the dissemination of clear, accurate scientific information while adhering to budget constraints. This high-quality output captivates the audience and aligns seamlessly with the client’s vision, even within compressed timeframes.

Here we explore the significance of proofreading and how to obtain quality proofreading services within budget.

Importance of Proofreading

  • Error-Free Content: Proofreading ensures error-free content that is essential for maintaining professionalism and credibility.
  • Enhances accuracy: Proofreading ensures factual correctness, preventing the dissemination of misinformation.
  • Clarity and Coherence: Proofreading enhances text clarity and coherence by addressing paragraph structure, ambiguous sentences, and unclear ideas, ensuring effective communication with the reader.
  • Enhanced Readability: Proofread content is clearer and more engaging, achieved by replacing complex language with simpler words.
  • Professionalism: Well-proofread content showcases attention to detail and a dedication to quality, boosting the writer’s reputation and credibility.
  • Avoidance of Miscommunication: Proofreading minimizes misinterpretations of the intended message by ensuring the text accurately reflects the author’s intended meaning.
  • Compliance with Standards: Proofreading ensures documents adhere to industry or academic formatting and style guidelines.

What Determines the Cost of Proofreading Services?

  • Document type: A major factor that determines the cost of proofreading is the type of document such as a scientific publication, technical document or legal contract. Since different documents have different levels of complexity, difficulty, and specialization, hence they require varied levels of proofreading, depending on the purpose, audience, and format of the text.
  • Complexity of document: The complexity of the document affects proofreading charges. The complexity depends on the language, style, structure, and content of the text. Proofreading technical or specialized content or a document with inconsistent style or unclear structure, is challenging, thereby increasing charges. Therefore, you may charge more for proofreading complex documents than for proofreading simple documents.
  • Document length: The length of the document, measured by the number of words, pages, or characters is another factor contributing to the cost of proofreading. Generally, larger documents, require more time and effort to proofread. However, shorter documents have poor quality and readability can also increase the efforts to proofread thus increasing the proofreading charges.
  • Deadline of the document: Deadlines affect the time and pressure to proofread the document. An urgent deadline may be more stressful and demanding than proofreading a document that has a flexible or relaxed deadline, thus leading to higher charges for shorter deadlines.
  • Target audience/ market of document: The market of the document refers to the industry, sector, or specialization that the document belongs to or targets. Different markets may have different expectations, standards, and budgets for proofreading services. Depending on whether the market of a document is for lucrative, demanding, or prestigious markets the proofreading would vary.
  • Experience of proofreader: The qualifications of the proofreader also impact the cost of proofreading. Proofreaders who have more experience, education, training, or credentials might charge more for their services, as they can deliver higher quality and reliable documents.

    Common Cost Models Used by Proofreading Services

  • Proofreading per word: Pricing per word is a widely used cost model that offers easier budgeting. However, it might become very high for complex work. Per-word rates typically range between $0.03 and $0.1 for document proofreading.
  • Proofreading per hour: This model can be used for documents of various types and complexity levels thus making it the best option for technical documents. Hourly rates for proofreading typically range between $35 and $54 per hour.
  • Proofreading per page: Cost is determined by the number of pages, typically 250 to 300 words each, in documents following standard A4 or Letter formatting. However, estimating charges becomes more challenging when different layouts are used. Charges range from $2.70 to $10.80 per page.
  • Proofreading per project: This cost model is often part of editing packages, aiding in budgeting for documents requiring extensive editing. However, a clear scope of work is essential. Rates for proofreading a 1000-word document typically range from $11 to $25.

    Things to Consider

While searching for proofreading services, focus on the following:

  • Understanding the requirement: It is essential to properly communicate the specific requirements, including the type of content and the intended audience.
  • Turnaround times: Turnaround times is different for each company or industry. The workload needs to be defined to estimate the turnaround times. Based on these services may be selected.
  • Cost: Proofreading costs vary from company to company depending on the quality of the services provided. Charges can be compared, and budget service providers can be selected.
  • The Background Check: This includes checking the websites, platform, code of conduct, achievements, positive reviews, testimonials, and overall reputations of proofreading services that can help in the selection process.
  • Referrals: Recommendations by colleagues, classmates, or fellow writers on reliable proofreaders or editing services can help find quality proofreading services. Such personal referrals can help find services that may not be readily found through online searches.
  • Standard of proofreading: Samples of proofreading can be asked from the service providers that can provide a clear picture of the quality of work provided.
  • Transparency in services: A suitable proofreading service should be transparent about payment schedules, invoice requirements etc to avoid potential conflicts.

Obtaining quality proofreading services within your budget requires a comprehensive understanding of various factors influencing costs and service quality. Proofreading ensures error-free, accurate, and polished content, essential for maintaining professionalism and credibility. It is essential to conduct thorough research when searching for proofreading services. At Turacoz, we provide comprehensive proofreading services tailored to meet your specific needs while staying within your budgetary constraints. Our meticulous proofreading process ensures that your written content is error-free, accurate, and polished to perfection, maintaining the highest standards of professionalism and credibility.

If you’re ready to refine your proofreading skills or delve into the world of polished written content, we welcome you to explore the opportunities within our training programs. Reach out to us at [email protected] to learn more about becoming part of our community of expert proofreaders. Visit our website www.turacoz.com for detailed information about our services. Let’s work together towards a future where precision and clarity in written communication are paramount.

Scientific Publishing Services: How they help in Research Publication

Publishing research is a significant achievement in an academic or scientific journey. It not only adds to the global knowledge pool but also enhances the reputation and credibility of researchers. However, the path to publication can be complex and time-consuming, especially with the stringent standards and intense competition in the academic publishing realm. In such a landscape, scientific publishing services play a crucial role as trusted guides, leading researchers through the intricate process of manuscript preparation, submission, and publication. Let’s explore how these services can simplify the journey from research to publication.

About Scientific Publishing Services

Scientific publishing services are instrumental in facilitating research publication by offering expert assistance to authors, healthcare professionals, and students. These comprehensive services are designed to help authors navigate the complex and often confusing process of manuscript preparation, submission, and publication. The advantages of using scientific publishing services are numerous and can significantly enhance the chances of publishing research in a reputable journal. It assures the authors that their work is in capable hands, ensuring their research is published smoothly and without any complications.

Benefits of Scientific Publishing Services

  1. Quality Editing and Proofreading: Scientific publishing services provide thorough editing and proofreading of your manuscript. This ensures that your research is free of errors and written concisely and effectively, increasing the chances of your research being accepted for publication.
  2. Formatting: Different journals have different formatting requirements. Scientific publishing services are familiar with these requirements and can format your manuscript accordingly. This saves you time and ensures that your manuscript meets the standards of the target journal.
  3. Targeted Journal Selection: Scientific publishing services can help you select the most appropriate journal for your research, increasing the chances of your research being accepted for publication.
  4. Improved Chances of Publication: Scientific publishing services can help you navigate the submission process and increase your chances of publication. They know what journals are looking for and can help you tailor your research to meet their requirements. This may involve making your research more accessible to a broader audience, ensuring it aligns with the journal’s scope and aims, and addressing any specific formatting or language requirements. Doing so increases the likelihood of your research being accepted for publication.
  5. Time-saving: Scientific publishing services can save you time. They can handle the time-consuming formatting, editing, and proofreading tasks, allowing you to focus on your research. This efficiency boost can make you feel more productive and less overwhelmed by the publishing process. 

Enhancing Scholarly Impact

  • Leveraging Specialized Expertise

Scientific publishing services offer access to specialized professionals who provide tailored guidance and support that aligns with the intricacies of authors’ research. These specialized editors and consultants enhance the scholarly rigor and credibility of the manuscript by helping authors navigate technical terminology, ensure accuracy, and address discipline-specific conventions. By leveraging specialized expertise, authors can improve the quality and impact of their research, increasing its potential for publication success.

  • Maximizing the Visibility and Impact of Research

Scientific publishing services use various tactics like crafting compelling abstracts and keywords, optimizing search engine visibility, and social media outreach to enhance the discoverability and accessibility of research. They also help engage with the target audience through targeted promotion and networking activities. By maximizing visibility and impact, authors can extend the reach and influence of their research, amplifying its contribution to knowledge advancement and fostering meaningful dialogue. Scientific publishing services empower authors to make a lasting impact, leaving a lasting imprint on their respective fields.

  • Embracing Open-access Initiatives

Open-access initiatives promote transparency, accessibility, and inclusivity in scholarly publishing. Scientific publishing services help authors navigate open-access publishing options by selecting reputable journals and repositories and guiding them through the intricacies of open-access publishing. By embracing open-access initiatives, authors can maximize the impact of their research, make knowledge accessible to a global audience, and contribute to advancing science and scholarship.

  • Nurturing Ethical Scholarship

Scientific publishing services prioritize integrity and ethical conduct by adhering to strict editorial standards, ethical guidelines, and best practices in academic publishing. These services uphold accountability and integrity at every stage of the publication process and help authors navigate ethical dilemmas. By fostering ethical scholarship, these services maintain the credibility and trustworthiness of the scholarly literature, safeguard the integrity of the research enterprise, and promote public confidence in science and academia.

How to Choose the Right Scientific Publishing Service?

Choosing an exemplary scientific publishing service is essential. Here are some factors to consider when selecting a scientific publishing service:

  1. Reputation: Look for a scientific publishing service with a good reputation. Check reviews and testimonials from previous clients.
  2. Experience: Look for a scientific publishing service with experience in your field. This ensures that they are familiar with the standards and requirements of the target journal.
  3. Quality of Service: Look for a scientific publishing service that provides quality service. This includes thorough editing and proofreading, timely delivery, and excellent customer service.
  4. Cost: Look for a scientific publishing service that offers competitive pricing. Competitive pricing means the service’s rates align with industry standards and reflect the quality and range of services provided. Compare prices and services before deciding to ensure you’re getting the best value for your money.

Getting your research published can be a challenging task. However, scientific publishing services can help you navigate the process and increase your chances of getting published. They provide quality editing and proofreading, formatting, targeted journal selection, improved chances of publication, and save you time. However, it’s important to note that scientific publishing services may not guarantee publication, and the final decision rests with the journal’s editorial board. When choosing a scientific publishing service, consider their reputation, experience, quality of service, and cost. With the exemplary scientific publishing service, you can get your research published and contribute to the growth of knowledge in your field.

At Turacoz, we pride ourselves on offering exemplary scientific publication services to healthcare professionals, medical writers, students, researchers, pharma companies, and other healthcare organizations. Our expert team members are dedicated to providing top-notch editing, formatting, and journal selection assistance at competitive prices. Whether you’re a seasoned researcher looking to streamline the publication process or a student seeking guidance on manuscript preparation, we have the expertise and resources to meet your needs. You can contact us at [email protected] with your queries.

Integral Drug-Device Combinations: Minor Variations to the Device (or Device Part)

The European Medicines Agency (EMA) has released a question-and-answer guidance on the implementation of Regulations (EU) 2017/745 and (EU) 2017/746 concerning medical devices and in vitro diagnostic medical devices. This document offers practical insights into implementing these regulations for combination products comprising both medicinal products (or substances) and medical devices. Such products fall under either the pharmaceutical or medical device framework, depending on their primary mode of action.

The guidance document covers regulatory and procedural guidance for:

  1. Integral drug-device combinations (medical devices that form an integral product with a medicine, such as pre-filled syringes) and their lifecycle management.
  2. Medicinal products that include a medical device in their packaging (referred to as co-packaged) and how these should be labeled.
  3. The consultation procedure for medical devices with an ancillary medicinal substance (a substance that supports the proper functioning of the device).
  4. The consultation procedure for companion diagnostics, diagnostic tests that are essential for the correct use of a specific medicine.

How to Submit Minor Variations to the Device (or Device Part):

  1. As for any other changes, the market authorization holder (MAH) should determine whether there is a potential impact on the delivery, quality, safety, and/or efficacy of the integral Drug-Device Combination (iDDC).
  1. If the MAH determines that the change impacts the registered information, or if the change does not impact the registered information but the MAH concludes that there is an impact on the delivery, quality, safety, and/or efficacy of the iDDC, a variation application should be submitted.

The MAH of the integral combination has the overall responsibility to ensure that the device used in the integral combination is supported by an up-to-date notified body (NB) opinion.

Minor changes to the device (or device part) that do not impact the safety or performance of the device (part), or the intended use of the device but still require an update of the registered information in the marketing authorization application (MAA), should be submitted with the corresponding variation application according to the variation guideline. The MAH should assess and provide justification whether the change has no significant impact on the device to justify the absence of a NB opinion. Otherwise, proof of compliance with the Medical Device Regulation (MDR) should be provided. An assessment of the proposed change will be performed case by case upon submission. In cases where the need for a variation and/or the category of the change is unclear, it is recommended to consult the national competent authority for medicinal products that issued the Market Authorization.

Some Examples:

  1. Change in Qualitative and/or Quantitative Composition of a Device (Part)

The replacement of a material (change in qualitative and/or quantitative composition) of a device (part) by an equivalent one for a medical device (part) that is not in contact with the medicinal product but requires an update of the registered information can be submitted as type IA notification under B.II.e.6 – change in any part of the (primary) packaging material not in contact with the finished product formulation (such as the color of flip-off caps, color code rings on ampoules, change of needle shield (different plastic used)), as long as all conditions stated in the Variations guideline are met.

The replacement of a material (change in qualitative or quantitative composition) by an equivalent one for a medical device (part) in contact with the medicinal product should be submitted under the B.IV.1 category of variation classification.

If the change in composition also includes a change in manufacturer, both should be submitted in a single variation under the B.IV.1.z category of variation classification, type IB, or type II depending on the criticality.

  1. Change in the Sterilization Method for a Device (Part)

Changes to the sterilization method for the device part of an iDDC with no change in the sterilization site should be submitted under the B.II.b.3 category of variation classification.

If there is a change in manufacturer, the addition of a new sterilization site with the corresponding sterilization method should be submitted under the B.II.b.1 category of variation classification.

Of note, in case of several changes to the existing device resulting in the addition or replacement of a new syringe (e.g., change not limited to the supplier of some device parts of the existing syringe but other changes are introduced as well such as an alternative syringe with changes to the design and materials of the existing device parts), both the change in composition including the change in manufacturer should be submitted in a single variation under the B.IV.1.z category of variation classification, type IB, or type II depending on the criticality.

  1. Change in Dimensions to a Device (Part):

Changes in dimensions to a device (part) not in contact with the medicinal product (such as finger grip, plunger rod) that do not impact the functionality or performance of the device but still require an update of the registered information can be submitted as a type IA notification under B.II.e.6 category, as long as all conditions stated in the European Commission variation classification guideline are met.

Changes in dimensions to a device (part) in contact with the medicinal product (such as needle, syringe barrel, plunger) that require an update of the registered information should be submitted as a type IB or type II variation under the B.IV.1 category of variation classification, depending on the criticality of the change.

  1. Change in Suppliers of a Device (Part):

Suppliers of the device (part) for iDDC should be stated in section 3.2.P.7 according to the Quality Working Party (QWP) – Biological Working Party (BWP) guideline on medicinal products used with a medical device.

A variation under category B.II.e.7 of variation classification – change in supplier of packaging components or devices of the guidance for applicants for the preparation of the ‘precise scope’ section of the variation application form (EMA/220707/2017), should be submitted to add/delete a supplier of a medical device (part).

In case of addition or replacement of the supplier of the device (or device part), if the risk assessment performed by the MAH has concluded that the change is non-significant and there are no other changes to the device beyond the change in suppliers, a statement can be included in the submission to justify the absence of an NB opinion / EU certificate/ EU declaration of conformity.

If the device manufacturer is also performing sterilization and the device (part) is supplied as sterile ready-to-use, the change should be submitted under the B.II.b.1 category of variation classification in line with submitting the transfer of test methods for testing of biological medicinal products to a new or already authorized testing site.

For more information, please refer to the official guidance provided by the European Commission. You can access the document at the below link:

Questions and answers on implementation of the medical devices and in vitro diagnostic medical devices Regulations ((EU) 2017/745 and (EU) 2017/746): [https://www.ema.europa.eu/en/documents/regulatory-procedural-guideline/questions-answers-implementation-medical-devices-vitro-diagnostic-medical-devices-regulations-eu-2017-745-eu-2017-746_en.pdf]

How is AI Shaping the Future of Medical Affairs: Insights and Innovations

Artificial Intelligence (AI) has already begun to revolutionize numerous industries, and medical affairs is no exception. As the technology continues to evolve, it promises to bring profound changes to how medical professionals manage and disseminate information, interact with stakeholders, and maintain compliance. This blog explores the multifaceted impact of AI on medical affairs, focusing on key areas such as generative AI and prompt engineering, managing organizational behavior, augmenting content generation, and creatively presenting scientific information.

Generative AI and Prompt Engineering

A subset of artificial intelligence that involves creating new content based on existing data, holds immense potential for medical affairs. Prompt engineering, the process of designing prompts to guide AI in generating relevant and accurate content, is a critical aspect of leveraging this technology effectively.

  1. Enhanced Data Analysis and Insights: Generative AI can analyze vast amounts of medical data, including clinical trial results, patient records, and scientific literature, to generate meaningful insights. These insights can help medical affairs professionals make informed decisions, identify trends, and anticipate future developments in the medical field. For example, AI can identify potential side effects of new drugs by analyzing patient data from clinical trials, thereby enhancing patient safety and accelerating the approval process.
  2. Personalized Medical Communication: Prompt engineering enables AI to generate personalized communication tailored to the needs of different stakeholders, such as healthcare professionals, patients, and regulatory bodies. By crafting precise prompts, medical affairs teams can ensure that the AI produces accurate, relevant, and comprehensible information. This personalized approach can improve stakeholder engagement and facilitate better understanding of complex medical information.
  3. Efficient Literature Reviews: Conducting literature reviews is a time-consuming but essential task in medical affairs. Generative AI can automate this process by quickly summarizing vast amounts of scientific literature and highlighting key findings. This allows medical professionals to stay up-to-date with the latest research without spending countless hours sifting through papers.

Managing Organizational Behavior

The integration of AI into medical affairs requires careful management of organizational behavior to ensure a smooth transition and maximize the benefits of the technology.

  • Change Management: Introducing AI tools necessitates a shift in organizational culture. Employees may resist adopting new technologies due to fear of job displacement or a lack of understanding of how these tools work. Effective change management strategies, including training programs, transparent communication, and involving employees in the implementation process, can help overcome these challenges.
  • Collaboration and Interdisciplinary Teams: AI in medical affairs often requires collaboration between various departments, including IT, data science, and medical teams. Fostering interdisciplinary collaboration ensures that AI tools are effectively integrated and utilized. By bringing together diverse expertise, organizations can develop more robust AI solutions and address potential issues from multiple perspectives.
  • Ethical Considerations: The use of AI in medical affairs raises ethical questions, such as data privacy, algorithmic bias, and the potential for misuse. Organizations must establish ethical guidelines and ensure compliance with regulations to address these concerns. Transparent policies and regular audits can help build trust among stakeholders and maintain the integrity of medical affairs operations.

Augmentation of Content Generation by Generative AI Tools

Generative AI tools can significantly enhance content generation in medical affairs, enabling the creation of high-quality, accurate, and engaging materials.

  • Automated Report Generation: AI can automate the generation of various reports, such as clinical trial reports, regulatory submissions, and medical publications. By analyzing data and generating structured reports, AI reduces the time and effort required for these tasks, allowing medical professionals to focus on more strategic activities.
  • Consistency and Accuracy: AI ensures consistency and accuracy in content generation by minimizing human errors and standardizing information. This is particularly important in medical affairs, where precise and reliable information is crucial. AI-generated content can be cross-verified with existing data to ensure its accuracy before dissemination.
  • Multilingual Content: In a globalized world, medical affairs professionals often need to communicate in multiple languages. Generative AI tools can translate and adapt content for different linguistic and cultural contexts, ensuring that information is accessible to a broader audience. This capability enhances global collaboration and improves the dissemination of medical knowledge.

Generative AI Tools and Creative Presentation of Science

AI tools are not only proficient at generating content but also excel in presenting scientific information in innovative and engaging ways.

  • Interactive Visualizations: AI can create interactive visualizations that help explain complex scientific concepts and data. For instance, AI-generated graphs, charts, and 3D models can make it easier for stakeholders to understand clinical trial results or the mechanism of action of a new drug. These visualizations can be tailored to different audiences, from healthcare professionals to patients.
  • Virtual Reality (VR) and Augmented Reality (AR): Generative AI can power VR and AR applications that provide immersive experiences for medical education and training. For example, medical professionals can use VR to explore detailed 3D models of the human body or simulate surgical procedures. AR can enhance presentations by overlaying digital information onto the physical world, making scientific explanations more interactive and engaging.
  • Customizable Content: AI enables the customization of scientific content based on the preferences and needs of the audience. For instance, AI can generate different versions of a presentation for a technical audience and a lay audience, ensuring that the information is appropriately detailed and understandable for each group. This customization enhances the effectiveness of communication and increases audience engagement.

Artificial Intelligence is poised to transform medical affairs in profound ways. Generative AI and prompt engineering are enhancing data analysis, personalizing communication, and streamlining literature reviews. Managing organizational behavior is crucial for successful AI integration, requiring effective change management, interdisciplinary collaboration, and adherence to ethical standards. Generative AI tools are augmenting content generation by automating reports, ensuring consistency, and translating content for a global audience. Moreover, AI is revolutionizing the presentation of scientific information through interactive visualizations, VR and AR applications, and customizable content.

The future of medical affairs with AI is bright, with continuous learning, integration with other technologies, and the democratization of medical knowledge paving the way for more efficient and effective healthcare. Embracing AI in medical affairs not only enhances the capabilities of medical professionals but also ultimately improves patient outcomes and advances the field of medicine.

How AI Influences Reading: The Summarization Shift

In healthcare, staying up-to-date with the latest research, guidelines, and clinical studies is crucial for medical professionals. However, the sheer volume of published literature can be overwhelming. This is where AI-assisted summarization steps in, offering a solution that can revolutionize medical writing and information consumption. By distilling vast amounts of text into concise, meaningful summaries, AI tools enhance healthcare providers’ productivity, decision-making, and knowledge acquisition.

Information Overload

The medical field generates an enormous amount of data daily. The influx of information is relentless, from research papers and clinical trial results to guidelines and case reports. For medical professionals, keeping abreast of these developments is essential but challenging. The traditional approach to summarizing and reviewing literature is time-consuming and not scalable, given the current pace of publication.

Efficient summarization tools can help mitigate this issue by extracting key points and presenting them in a digestible format. This also ensures that healthcare providers can access and utilize the most relevant and up-to-date information in their practice.

The Evolution

Summarization has traditionally been a manual process, reliant on individuals’ expertise to identify and condense the main ideas of a text. While effective, this method is labour-intensive and prone to human error. The advent of AI has introduced significant advancements in this field, leveraging natural language processing (NLP) and machine learning to automate and enhance the summarization process.

  1. Extractive vs. Abstractive Summarization

AI summarization techniques can be broadly categorized into

  1. Extractive method: Extractive summarization involves selecting key sentences or phrases directly from the original text. This relatively straightforward method ensures accuracy by preserving the original wording and context.
  2. Abstractive methods: Abstractive summarization generates new sentences that convey the core ideas of the text. This more complex approach aims to create more coherent and readable summaries, akin to how a human might summarize a document.

Both methods have their place in medical writing. Extractive summarization is helpful for quickly highlighting important points, while abstractive summarization can provide more comprehensive and understandable summaries of complex medical literature.

  1. Advances in NLP and Machine Learning

The development of sophisticated NLP models has been transformative for AI summarization. Early models, such as Latent Semantic Analysis (LSA) and TextRank, laid the groundwork for extractive summarization. However, the real breakthrough came with the introduction of neural networks and deep learning.

Models like BERT (Bidirectional Encoder Representations from Transformers) and GPT (Generative Pre-trained Transformer) have significantly improved extractive and abstractive summarization quality. These models are pre-trained on vast datasets and can understand text context, semantics, and nuances, enabling them to generate more accurate and coherent summaries.

Read More:- How Can You Benefit from Medical Communication services?

Applications of AI Summarization

The applications of AI-assisted summarization in medical writing are vast and varied, impacting numerous aspects of healthcare and research.

  • Research and Literature Reviews: Researchers and clinicians often need to review extensive literature to stay informed about the latest findings in their fields. AI summarization tools can condense research papers, articles, and case reports into summaries, highlighting the most critical findings and contributions. This allows scholars to quickly identify relevant works and focus on in-depth reading when necessary.
  • Clinical Guidelines and Protocols: Medical guidelines and protocols are critical for ensuring standardized and evidence-based care. However, these documents can be lengthy and complex. AI summarization can extract critical recommendations and best practices, making it easier for healthcare providers to access and implement guidelines in their practice.
  • Continuing Medical Education (CME): CME is essential for healthcare professionals to maintain their knowledge and skills. AI summarization tools can streamline the process by providing concise summaries of educational materials, research updates, and clinical guidelines. This enables medical professionals to stay current with less time investment.
  • Patient Education: For effective communication, AI summarization can help create clear and concise educational materials for patients, summarizing complex medical information into understandable language. This enhances patient engagement and empowerment.

Challenges and Limitations

While AI-assisted summarization offers numerous benefits, it is not without challenges and limitations. Understanding these limitations is crucial for setting realistic expectations and technology.

  • Quality and Accuracy: Ensuring the quality and accuracy of summaries is a primary challenge. While advanced models like BERT and GPT have made significant strides, they are not infallible. AI-generated summaries can sometimes miss critical details, misinterpret context, or lack coherence. Continuous improvement in NLP models and training data is essential to enhance accuracy.
  • Handling Ambiguity and Nuance: Medical language is often technical and nuanced. AI models may struggle to grasp subtle meanings, medical jargon, or context-specific terminology, leading to either too simplistic or inaccurate summaries. Addressing these nuances requires ongoing refinement of NLP algorithms and models.
  • Ethical Considerations: The potential for biased summaries, data privacy concerns, and the need for transparency in AI decision-making are important issues. Developers must ensure that summarization models are trained on diverse datasets and that their use adheres to ethical guidelines.
  • Dependence on Data Quality: The effectiveness of AI summarization heavily depends on the training data quality. Poor-quality or biased data can lead to inaccurate summaries. Ensuring diverse and high-quality training datasets is crucial for developing reliable AI summarization tools.

Is AI Summarisation Ethically Correct?

The ethical correctness of AI summarization is a subject of ongoing debate. While some argue that AI summarization tools can aid in paraphrasing content effectively and efficiently, others raise concerns about potential issues related to originality and attribution of ideas. It’s essential to consider both the benefits and ethical implications of using AI summarization tools and to ensure that their use aligns with principles of academic and professional integrity.

In this respect, when considering the use of AI-summarized content in manuscripts or publications, it is crucial to address specific ethical and practical concerns. Transparency about the use of AI summarization tools is essential, along with proper attribution to the original sources of the summarized content. Additionally, verifying the accuracy and completeness of AI-generated summaries is necessary to avoid the dissemination of errors or oversimplified information in published work. By adhering to these principles, the use of AI summarization tools can be ethically integrated into academic and professional writing.

The Future of AI Summarization

The future of AI-assisted summarization in medical writing is promising, with ongoing advancements in NLP and machine learning poised to address current limitations and unlock new possibilities.

  • Integration with Other AI Technologies: AI summarization to become more integrated with other AI technologies, such as machine translation, sentiment analysis, and voice recognition. This integration enables more comprehensive and versatile tools to summarize content across different languages and formats.
  • Personalized Summarization: AI tools can generate tailored summaries that cater to individual needs by understanding user preferences and reading habits. This will enhance user experience and make information consumption more efficient.
  • Real-Time Summarization: AI tools can generate summaries on the fly, providing instant insights during medical conferences, seminars, and live events. This will facilitate better decision-making and information sharing in dynamic environments.
  • Enhanced User Interaction: The interaction capability allows users to customize and refine summaries. By incorporating user feedback, these tools can improve over time, delivering more accurate and relevant summaries.

Expansion to New Domains

AI summarization will continue expanding into new healthcare domains, from patient records and clinical trial data to telemedicine and healthcare administration. As the technology matures, its applications will become more diverse, offering benefits across various medical fields.

AI-assisted literary exploration through efficient summarization is ushering in a new era for medical writing. By distilling vast amounts of text into concise, meaningful summaries, AI tools enhance healthcare providers’ productivity, decision-making, and knowledge acquisition. While challenges remain, ongoing advancements in NLP and machine learning promise a future where AI summarization becomes an indispensable tool for navigating the complexities of medical literature.

As we embrace this technological evolution, that we remain mindful of ethical considerations and strive for continuous improvement. By doing so, we can harness the full potential of AI summarization, transforming the way we interact with medical information and ultimately improving patient care.

Effect of MDR on the Packaging of Medicinal Products with Co-packaged Medical Devices

Pharmaceutical companies frequently co-package European Conformity (CE) marked medical devices with their medicinal products for patient convenience. In such instances, the medical device is placed on the market within an outer carton alongside the medicinal product.

Effect of Medical Device Regulation (MDR) on Co-packaged Medical Devices

Applicants seeking marketing authorizations (MA) for medicinal products, wherein a medical device (such as spoons, measuring cups, inhalers, or spacers) is included within the secondary packaging but does not constitute an integral part of the medicinal product, must ensure that the co-packaged medical device is CE marked in compliance with pertinent medical device legislation to sustain product marketability.

Certain medical devices may qualify for a transitional period stipulated in MDR Article 120(3a) to (3e). This provision allows devices holding a valid certificate or declaration of conformity issued under Directives 93/42/EEC or 90/385/EEC to be marketed in accordance with extended transitional periods until either December 31, 2027, or December 31, 2028, depending on the device’s risk class, provided that relevant conditions are met. The medical device manufacturer must comply with specific requirements outlined in the guidance from the “Frequently Asked Questions on MDR Transitional Provisions,” the European Commission services’ Q&A document regarding the implementation of Regulation (EU) 2023/607, and relevant the Medical Device Coordination Group (MDCG) directives.

Self-CE marked Class I devices must comply with MDR. If a self-CE marked Class I device is up-classified by the MDR, then the notified body that issued the certificate shall continue to be responsible for the appropriate surveillance in respect of all the applicable requirements relating to the devices it has certified [MDR Article 120(3b)].

As per Annex I, Chapter III, 23.1 (b) of Regulation (EU) 2017/745, the necessary information for the medical device label (e.g., manufacturer identification, lot/serial number, etc.) should be presented on the device or its packaging. However, it is acknowledged that co-packaged medical devices, particularly Class I and Class IIa (such as dosing devices like measuring spoons, cups, or syringes), may be supplied in bulk without individual packaging by the manufacturer, lacking their packaging or instructions for use (IFU), as stated in Annex I, section 23.1(d) of Regulation (EU) 2017/745. Given their small size, directly marking information on these devices can pose challenges or may not be technically feasible.

Alternate Solutions for Device Labeling

Alternate solutions can be considered to display the labeling requirements if Class I and Class IIa medical devices are co-packaged without individual packaging, and it is not technically viable to implement the labeling requirements directly onto the device itself.

Considering that the product information annexes [which include the summary of product characteristics (SmPC), labeling, and package leaflet] of the medicinal product must not include the required labeling information of the medical device, the proposed solutions below aim to provide an acceptable way to include this information.

  1. To provide medical device administrative information as per the MDR, a separate, additional leaflet can be included within the packaging of the medicinal product. This option will result in two separate leaflets included in the secondary packaging, i.e., the package leaflet (PL) of the medicinal product, as well as the leaflet containing the medical device administrative information. It is recommended to include a cross-reference to the other leaflet to avoid one of the two leaflets being overlooked.

This approach is not preferred when several devices are co-packaged together with the medicinal product. Having several leaflets for different devices in the same package could be confusing for the end-user.

  1. The leaflet containing the medical device administrative information shall be attached to the package leaflet of the medicinal product and placed within the secondary package of the medicinal product as one single folded component. To implement this option, manufacturers shall consider the following:
  2. The leaflet containing the medical device administrative information should be differentiated from the package leaflet of the medicinal product. This can be achieved by adding the leaflet containing the medical device administrative information as a tear-off section at the end of the printed package leaflet.
  3. The product information annexes (SmPC, labeling, and package leaflet) of the medicinal product, which is co-packaged with a medical device, should follow the requirements of Directive 2001/83/EC and should not include any administrative information about the device as laid down by MDR.
  4. The purpose of the section containing administrative information about the device should be indicated by using a relevant subheading, e.g., entitled “<Device name > specific information”.
  5. A fold-out vignette/sticker containing device-specific information shall be directly affixed onto the device itself or on the packaging of each device, when available. The following points should be considered when including a fold-out vignette/sticker:
  6. The information on the fold-out vignette should be indelible, easily legible, and comprehensible to the intended user or patient (Article 10(11) MDR).
  7. The risk of possible loss of information (the sticker can become loose) should be addressed.
  8. The adhesive should remain functional throughout the life cycle of the product (e.g., during shipping, storage in a refrigerator, or a freezer).

For more information, please refer to the official guidance provided by the European Commission. You can access the document at the below link:

Questions and answers on implementation of the medical devices and in vitro diagnostic medical devices Regulations ((EU) 2017/745 and (EU) 2017/746): [https://www.ema.europa.eu/en/documents/regulatory-procedural-guideline/questions-answers-implementation-medical-devices-vitro-diagnostic-medical-devices-regulations-eu-2017-745-eu-2017-746_en.pdf]

From Data to Design: The Role of Canva and Revolutionizing AI tools in Medical Writing

In the rapidly evolving landscape of healthcare and scientific research, effective communication is crucial. Medical writing, which encompasses a broad range of documents from clinical trial reports to patient education materials, is undergoing a significant transformation thanks to advancements in technology. Among these advancements, Canva and various AI-driven tools are revolutionizing how medical information is presented, written, and disseminated. This blog explores the impact of Canva and other AI tools in medical writing, highlighting their contributions, challenges, and future potential.

Canva: A Game-Changer in Medical Visuals

  • Enhancing Presentation of Medical Data: A go-to tool for creating visually appealing graphics, making complex medical data more accessible and understandable. Its user-friendly interface allows medical writers to design professional-quality charts, graphs, and infographics without advanced design skills.
  • Customizable Templates for Consistency: Its extensive library of customizable templates helps maintain consistency across various documents, whether creating patient education brochures, research posters, or clinical reports. Consistent design looks professional but helps reinforce brand identity and ensures key messages are communicated effectively.
  • Collaboration and Sharing: This feature enables multiple users to work on a project simultaneously, which is useful for team-based medical writing projects. Large research teams or departments can collaborate in real-time, ensuring that all members are on the same page. Furthermore, Canva’s sharing options allow for easy distribution of completed designs, whether through direct links, social media, or embedding in websites.

Other AI Tools Natural Language Processing (NLP) Tools: NLP tools have revolutionized how medical writers handle large volumes of text, offering capabilities to analyze, interpret, and summarize complex medical literature.

  • IBM Watson Health: This tool uses NLP to scan and analyze vast amounts of medical literature, clinical trial data, and patient records. IBM Watson Health can identify patterns and generate hypotheses, assisting medical writers in creating evidence-based content. It provides comprehensive reviews of current research, facilitating the creation of up-to-date and accurate medical documents.
  • Grammarly: Grammarly is another NLP tool invaluable for medical writers. It offers advanced grammar and style checking, ensuring documents are clear, concise, and error-free. Its ability to suggest synonyms and restructure sentences enhances the readability and professionalism of medical writing.

Automated Content Generation

AI-driven content generation tools assist in drafting medical documents, saving time and ensuring consistency.

  • OpenAI’s GPT-4: It can produce coherent and contextually relevant text based on input data, making it useful for drafting research articles, patient education materials, and clinical documentation. While human oversight is necessary to ensure accuracy, GPT-4 significantly reduces the initial drafting workload.
  • Health[at]Scale: This tool uses machine learning to predict health outcomes and personalize treatment recommendations. It generates patient-specific reports that summarize health risks and suggest preventive measures, which is invaluable in creating personalized patient education materials and clinical summaries.

Data Visualization Tools

Effective data visualization is crucial in medical writing, helping convey complex information in an easily digestible format.

  • Tableau: A powerful data visualization tool that enables medical writers to create interactive and detailed charts, graphs, and dashboards. Particularly, useful for presenting research data, epidemiological trends, and clinical trial results. Its ability to handle large datasets and perform real-time updates makes it indispensable for dynamic data presentation.
  • Infogram: A user-friendly platform for creating engaging infographics using templates and design elements. In medical writing, infographics can simplify the presentation of statistics, treatment protocols, and patient care guidelines.

Read More:- How Can You Benefit from Medical Communication services?

Voice Recognition and Dictation Tools

Voice recognition and dictation tools are transforming how medical writers compose and edit documents, making the process faster and more efficient.

  • Dragon Medical One: One is a leading voice recognition software designed specifically for healthcare. It allows medical professionals to dictate clinical notes, patient reports, and other documents with high accuracy, speeding up the documentation process and reducing the physical strain of typing.
  • ai: A real-time transcription service, that captures detailed notes during meetings, conferences, and interviews.

Reference Management Tools

A critical aspect of medical writing is managing references, and ensuring all sources are accurately cited and organized.

  • EndNote: A comprehensive reference management tool helps to organize and format citations and bibliographies. It integrates with word processing software to streamline the citation process, reducing the likelihood of errors and ensuring adherence to various citation styles.
  • Zotero: An open-source reference management tool allows users to collect, organize, and cite research sources. Its browser extension captures citation information directly from web pages, while its collaborative features support teamwork in large research projects.

Challenges and Considerations

While AI tools offer numerous advantages, their integration into medical writing presents challenges and considerations.

  • Ensuring Accuracy: AI-generated content must be carefully reviewed for accuracy. Although AI tools can process and generate text based on vast datasets, they may not fully grasp the nuanced context of medical information. Human oversight is essential to verify the correctness of the content and make necessary adjustments.
  • Ethical Concerns: Transparency and accountability-related concerns arise due to use of AI in medical writing. Medical writers should disclose the use of AI tools in their work to maintain trust and integrity. Additionally, guidelines on the ethical use of patient data and AI-generated content must be established.
  • Data Privacy: AI tools must comply with regulations to protect patient information. Ensuring that AI tools are secure, and that data is anonymized where necessary is crucial in maintaining confidentiality.
  • Adaptation and Training: Adopting new AI tools requires training and adaptation. Medical writers need to familiarize themselves with the functionalities and limitations of these tools to use them effectively. Continuous learning and staying updated with technological advancements are essential for maximizing the benefits of AI.

Conclusion

The integration of Canva and other AI tools is transforming the field of medical writing, making it more efficient, accurate, and accessible. These technologies offer powerful capabilities for data visualization, automated content generation, reference management, and more, enhancing the way medical information is communicated. However, the successful adoption of these tools requires careful consideration of accuracy, ethics, data privacy, and ongoing training.

As AI continues to evolve, its potential to revolutionize medical writing will only grow, promising a future where medical communication is more effective and impactful. We at Turacoz, embrace these advancements and address the associated challenges, our medical writers can leverage technology to enhance their work, ultimately contributing to better healthcare outcomes and scientific progress.

Interested in taking the first steps into medical writing or enhancing your expertise to meet the challenges of omnichannel communication in healthcare, we invite you to explore the opportunities available through our training programs. Contact us at https://turacoz.com/ to learn how you can join the ranks of medical writers making a significant impact in healthcare communication. Together, let’s shape a future where accurate, accessible, and actionable health information reaches every corner of the globe, empowering individuals and transforming healthcare outcomes.

How Can You Benefit from Medical Communication services?

In today’s fast-paced and ever-evolving healthcare landscape, effective communication is paramount. Medical services, including medical affairs and marketing departments, face the challenge of disseminating complex scientific information to a diverse range of stakeholders, from healthcare professionals (HCPs) to patients and the public. This is where medical communication services step in, providing an effective solution to bridge the gap between advanced research and targeted audience engagement.

Medical Communication Services: An Overview

Medical communication services encompass a broad range of activities designed to facilitate the exchange of scientific information and enhance understanding across multiple channels. These services may include:

  1. Medical Writing: Crafting scientifically sound and regulatory-compliant content tailored to specific audiences, such as manuscripts, clinical study reports, abstracts and posters, as well as patient education materials.
  2. Publication Planning and Execution: Strategically planning and executing publication plans, ensuring timely dissemination of research findings through peer-reviewed journals, congress presentations, and other scientific platforms.
  3. Congress and Event Support: Providing end-to-end support for medical congresses and events, including development of abstracts and posters, booth materials, speaker training materials , and on-site assistance.
  4. Social Media Management: Developing and implementing effective social media strategies to engage target audiences, promote brand awareness, and disseminate credible medical information across various online platforms.
  5. Digital and Multimedia Communication: Leveraging innovative technologies to create immersive and interactive digital experiences, such as virtual reality simulations, augmented reality applications,  gamified educational tools, videobytes and podcast.

Key Benefits of Medical Communication Services

  1. Reach You Target Audience Effectively: Medical communications agencies specialize in developing targeted campaigns tailored to specific audiences, such as HCPs and patients, maximizing the impact and resonance.
  2. Enhance Brand Credibility: Collaboration with reputable medical communications agencies ensures that all communications are scientifically accurate and free of errors. Moreover, they aid to stay updated with the latest trends and developments in medical communications.
  3. Stay Compliant: Navigating the complex regulatory landscape of healthcare industry can be a daunting task. Medical communications agencies ensures that the content adheres to industry standards thereby mitigating potential risks and legal issues.
  4. Access to Cutting-Edge Tools and Technologies: Medical communication agencies invest in the latest tools and technologies to create engaging and interactive content that captivate audiences and stand out distinctly in the crowded digital landscape.
  5. Streamlined Processes and Efficient Workflows: Experienced medical communications agencies have well-established processes and workflows in place, ensuring seamless collaboration, efficient project management, and timely delivery of materials.

Do’s and Don’ts

To maximize the benefits of medical communications services, it’s essential to follow best practices and avoid common pitfalls. Here are some do’s and don’ts to keep in mind:

Do’s

  • ✅ Clearly define the objectives and target audience for the medical communication campaign, ensuring alignment with the brand’s goals and messaging
  • ✅ Collaborate closely with the medical communications agency, providing detailed information about the brand, products, and target audience
  • ✅ Leverage the expertise of medical writers, scientific experts, and creative professionals to ensure accuracy, credibility, and engaging content
  • ✅ Embrace digital platforms and interactive content to enhance engagement and reach
  • ✅ Regularly review and update your content to ensure it remains relevant, accurate, and aligned with the latest scientific developments and industry trends 

Don’ts

  • ❌ Don’t overlook the importance of regulatory compliance and industry guidelines, as violations can have severe consequences
  • ❌ Don’t underestimate the power of visually appealing and engaging content in capturing and retaining audience attention.
  • ❌ Don’t neglect the potential of social media and digital channels for medical communications, as these platforms offer valuable opportunities for outreach and engagement
  • ❌ Don’t rely solely on traditional print materials in today’s digital landscape, as audiences increasingly prefer interactive and dynamic content
  • ❌ Don’t hesitate to seek guidance and expertise from experienced medical communications professionals, as their knowledge and skills can significantly enhance the communications efforts

Remember, effective medical communications require a strategic approach, scientific rigor, and a commitment to staying ahead of the curve. Embrace the power of medical communications services to elevate your outreach efforts and make a lasting impact in the medical community.

LEVEL Up Your Career: Top Medical Writing Courses to Take Online

Whether you are an aspiring medical writer looking to kickstart your career or an experienced professional aiming to stay ahead in the rapidly evolving field of medical writing, one thing is clear: with the growing global demand for skilled medical writers across various sectors, investing in quality education and training has become more essential than ever.

Medical writing is a multifaceted field that requires a diverse skill set. From conducting comprehensive literature searches to leveraging emerging technologies like AI, medical writers must be adept at both traditional and innovative practices. With the advent of online learning platforms, aspiring as well as seasoned medical writers now have access to a plethora of customized courses designed to meet their needs. This blog will explore various online training resources aimed at enhancing your proficiency as a medical writer.

American Medical Writers Association (AMWA) online learning: AMWA offers a comprehensive range of online courses and webinars for medical writers, providing an invaluable opportunity to deepen their expertise and solidify understanding of the fundamentals. Covering all the aspects of medical writing, from basics to regulatory writing, these courses empower writers to excel in their career. (https://www.amwa.org/page/Online_Learning)

European Medical Writers Association (EMWA) professional development programme (EPDP):       EPDP delivers high-quality training for medical writers through workshops and training assignments. Led by experts in specific fields, this programme offers an interactive experience including lectures, group exercises, and discussions. Covering a broad spectrum of medical writing topics and related subjects like statistics, health economics and cross-cultural communication, this program offers a unique feature where successful completion of workshops and assignments earns you credits towards EMWA certification. This certification showcases a commitment to continued professional development. (https://www.emwa.org/education/the-epdp-programme/) 

Institute of Good Manufacturing Practices India (IGMPI):  IGMPI is an accredited vocational institution under the ministry of education, Government of India. All the offered courses including medical writing are duly assessed and approved by Quality Council of India (QCI). Operating under the Faculty of Clinical Research (FCR), IGMPI serves as a comprehensive platform for education, training, and exchange of information for clinical research professionals. It aims to facilitate professional collaboration in designing and execution of clinical research, thereby enriching the expertise in core areas such as clinical research, medical writing, pharmacovigilance and drug discovery and development. Noteworthy features of this course include well-structured curriculum led by industry experts that comprehensively addresses the needs of medical writing industry. The online course is easy to access with user-friendly assessment tools and study materials. Moreover, IGMPI has established partnerships with numerous organizations and offers placement assistance, making it an ideal choice for aspiring as well as industry professionals. 

Coursera: Coursera stands as a global hub for learning, offering diverse array of online courses in medical writing and related fields sourced from world-class universities and renowned companies. The courses offered by Coursera are meticulously curated to cover essential skills vital for healthcare communications, pharmaceuticals, and research documentations. Furthermore, they emphasize on refinement of skills in scientific writing, regulatory compliance, and effective data presentation. Structured to be completed within a year or less, these courses are flexible, affordable, and are tailored to accommodate the needs of working professionals, students and freelancers. With Coursera’s adaptable learning framework, individuals can learn at their own pace and earn valuable certifications showcasing the expertise in the field. (https://www.youtube.com/user/coursera)

LinkedIn Learning: LinkedIn Learning offers a plethora of courses including medical and technical writing. These courses also delve into innovative technologies, such as integrating generative AI in medical and scientific writing, enabling writers to remain at the forefront of their field. Led by industry experts, these courses provide practical insights aimed at enhancing the skills as a medical writer. Whether you are a beginner or an experienced, LinkedIn Learning has something valuable to offer everyone.

Udemy: Led by industry experts, Udemy presents a variety of courses ranging from scientific writing, regulatory writing and medical writing integrated with AI. In addition to honing skills, Udemy’s course on portfolio building equips writers with the tools to impress potential clients. Offering flexible learning options and affordable pricing, Udemy enables medical writers to learn at their own pace and tailor their educational journey to their specific needs and interests.

Medical Communication Agencies: In additional to online learning platforms, medical communication agencies are pivotal in offering training and professional development opportunities for medical writers. Turacoz Healthcare Solutions is one of the leading medical communication agencies providing interactive training courses designed to enhance the skills of medical writers and healthcare professionals. These training sessions, led by domain experts, are delivered through courses, workshops, and seminars. They also include sessions on innovative techniques like AI and its ethical application in workflows. This comprehensive approach serves as an ideal solution for both aspiring and experienced medical writers aiming to elevate their skills.

In addition to these courses, medical writers can stay updated by subscribing to newsletters, following YouTube channels, and listening to podcasts hosted by influential figures in the field. These platforms provide a plethora of knowledge, tips, and strategies to enhance writing skills and stay abreast of industry trends.

In conclusion, continuous improvement is crucial for success in medical writing. By leveraging top online courses and training programs, medical writers can develop and enhance essential skillsets, stay informed about industry trends, and position themselves for career advancement opportunities.

Roadmap for Medical Communications: Ethical Integration of AI

Integrating artificial intelligence (AI) into medical communication can streamline processes, enhance efficiency, and improve patient outcomes. Given how AI is becoming a part of healthcare and medical communication industries, it necessitates ethical implementation of AI to mitigate risks. This blog explores the ethical considerations, guidelines, and strategies for preparing an AI-enabled future in medical communication.

Speed Up the Writing Process?

One of the most promising applications of AI in medical communication is its ability to streamline the writing process. AI-powered writing assistants can analyze vast amounts of data, synthesize information, and generate coherent and structured text that saves valuable time by automating tasks such as research, drafting, and editing.

Additionally, AI can assist in generating first drafts of documents, such as research reports, patient education materials, or even scientific publications. By providing a solid foundation, AI can accelerate the writing process, enabling medical communicators to focus on refining and polishing the content, rather than starting from scratch.

Guidelines for Using Generative AI Tools

As AI-powered writing tools become more prevalent, concerns have risen regarding their potential misuse, particularly in scientific publications. To address these concerns, various organizations and publishers have established guidelines and policies governing the ethical use of AI in scientific writing.

The International Committee of Medical Journal Editors (ICMJE) is a leading authority on publishing standards in the medical field. As per ICMJE guidelines:

  • Transparency: Disclose the use of AI tools in manuscripts and clearly distinguish AI-generated content from human-written content. This transparency is crucial to maintain the integrity of scientific publications and allow readers to understand the extent to which AI was involved in the writing process.
  • Accountability: Take responsibility for the accuracy and completeness of the content generated by AI tools. This includes verifying the information, ensuring proper citation, and preventing the propagation of misinformation or biased content. By adhering to these guidelines, authors can leverage the efficiency of AI while maintaining the highest standards of research integrity.

On the other hand, the Committee on Publication Ethics (COPE), an organization dedicated to promoting ethical practices in scholarly publishing, recommends that authors disclose the use of AI tools and take responsibility for the content generated by these tools.

Additionally, COPE emphasizes the importance of human oversight to ensure that AI-generated content is accurate, relevant, and properly cited. Authors should not present AI-generated content as their original work or misrepresent the extent of AI involvement in the writing process. COPE also advises publishers and editors to establish clear policies and guidelines for the use of AI in scholarly publications to maintain transparency and accountability.

The European Union (EU) has taken a proactive approach to regulating AI technologies with the proposed AI Act. This comprehensive legislation aims to establish a framework for the ethical development, deployment, and use of AI systems within the EU. Similarly, the EU-AI ACT recommends that authors disclose the use of AI tools and take responsibility for the content generated by these tools, and human oversight, additional key principles are:

  1. Robustness and Safety: AI systems must be robust, secure, and reliable, minimizing potential risks and ensuring the safety of users.
  2. Privacy and Data Governance: The development and use of AI systems must respect privacy rights and adhere to strict data governance practices, protecting personal data and preventing unauthorized access or misuse.
  3. Diversity, Non-discrimination, and Fairness: AI systems should be designed and deployed in a way that promotes diversity, avoids discrimination, and ensures fairness for all individuals and groups.
  4. Societal and Environmental Well-being: The development and use of AI systems should consider their potential impact on society and the environment, promoting sustainable and socially responsible practices.

Challenges in Implementing the EU AI Act

While the EU AI Act represents a significant step towards establishing ethical guidelines for AI use, its implementation faces several challenges:

  1. Scope and Definition: Clearly defining the scope of “high-risk” AI systems and establishing precise criteria for classification can be complex, given the rapid evolution of AI technologies.
  2. Compliance and Enforcement: Ensuring compliance with the AI Act across diverse industries and sectors will require robust enforcement mechanisms and international cooperation.
  3. Balancing Innovation and Regulation: Striking the right balance between promoting innovation and imposing necessary regulations to mitigate risks can be challenging, as overly restrictive measures may stifle technological progress.
  4. Technical Challenges: Implementing requirements such as transparency, robustness, and explainability can be technically complex, especially for advanced AI systems like deep learning models.
  5. Global Harmonization: Aligning the EU AI Act with other international regulations and standards will be crucial to avoid fragmentation and promote a consistent global approach to ethical AI use.

Preparing for an AI-Enabled Future in Medical Communication

As AI continues to advance and become more integrated into the medical communication field, professionals must adapt and develop the necessary skills to thrive in an AI-enabled future. Here are some strategies to consider:

  • Embrace Lifelong Learning: The rapid pace of technological change necessitates a commitment to continuous learning and upskilling. Medical communicators should stay updated on the latest AI developments, attend relevant training programs, and actively seek opportunities to enhance their knowledge and skills.
  • Develop Critical Thinking and Analytical Skills: While AI can automate certain tasks, human expertise in critical thinking, analysis, and interpretation will remain invaluable. Medical communicators should focus on honing these skills to effectively evaluate and interpret AI-generated content and ensure its accuracy and relevance.
  • Cultivate Creativity and Emotional Intelligence: AI may excel at processing data and generating content, but human creativity, empathy, and emotional intelligence are essential in medical communication. Medical communicators should nurture these uniquely human qualities to create engaging and impactful content that resonates with diverse audiences.
  • Foster Interdisciplinary Collaboration: Effective integration of AI in medical communication requires collaboration between professionals from various disciplines, including healthcare, technology, ethics, and communication. By fostering interdisciplinary collaboration, we can leverage diverse perspectives and expertise to navigate the complexities of AI implementation.
  • Advocate for Ethical AI Practices: Medical communicators should actively participate in discussions and initiatives aimed at promoting ethical AI practices within their organizations and the broader industry. This includes advocating for transparency, accountability, and adherence to established guidelines and regulations.

The integration of AI in the medical communication field presents both opportunities and challenges. While AI can potentially speed up the writing process and enhance efficiency, it is crucial to navigate its use ethically and responsibly. The EU AI Act provides a comprehensive framework for ethical AI development and deployment, addressing key principles such as human oversight, transparency, fairness, and accountability.

However, implementing these guidelines will require addressing challenges related to scope, compliance, and global harmonization. As we prepare for an AI-enabled future in medical communication, it is essential to embrace lifelong learning, cultivate critical thinking and creativity, foster interdisciplinary collaboration, and advocate for ethical AI practices. By doing so, we can harness the potential of AI while mitigating risks and ensuring that medical communication remains trustworthy, accurate, and impactful in advancing healthcare outcomes.

Behind the Scenes: Medical Scriptwriting for Podcasts and Videos

In the realm of medical communications, the ability to deliver information in an engaging and accessible manner is paramount. As podcasts and videos continue to surge in popularity as educational tools, the art of scriptwriting has emerged as a vital skill for healthcare professionals and medical writers. Whether you aim to educate patients, share insights with colleagues, or promote public health initiatives, a well-crafted script can elevate your content and ensure your message resonates with your target audience. For instance, the ‘Health Matters’ podcast by Dr. John Doe has successfully used skillful scriptwriting to engage and educate its audience about various health topics.

The Power of Storytelling

In medical communications, storytelling a is also a potent tool that can captivate audiences and make complex medical concepts more relatable and memorable. By incorporating personal narratives, case studies, or analogies into your scripts, you can humanize the subject matter and forge emotional connections with your listeners or viewers. This approach not only enhances understanding but also empathy and trust, which are vital components of effective healthcare communication.

Basic Framework

A compelling script follows a clear and logical structure, guiding your audience through the content cohesively and engagingly. Here’s a basic framework to consider:

  1. Hook: Grab your audience’s attention from the outset with an intriguing statistic, a thought-provoking question, or a relatable anecdote. This opening sets the tone and piques curiosity, encouraging listeners or viewers to stick around.
  2. Context: Provide the necessary background information and establish the relevance of your topic. This section should orient your audience and set the stage for the main content.
  3. Core Content: Present the key concepts, findings, or recommendations clearly and organized. Break down complex information into digestible segments using analogies, examples, or visual aids to reinforce understanding.
  4. Call to Action: Conclude with a compelling call to action that encourages your audience to apply knowledge and expertise you’ve shared or take the next step in their medical journey. This could involve scheduling a screening, adopting healthy habits, or seeking further guidance from healthcare professionals.

Crafting Compelling Dialogue

In podcasts and scripted videos, dialogue can be a powerful tool for conveying information naturally and engagingly. Well-crafted dialogue can bring characters to life, foster rapport with the audience, and make complex concepts more accessible.

When writing dialogue, consider the following tips:

  • Establish Distinct Character Voices: Ensure that every character has a unique voice and personality, reflecting their background, expertise, and communication style.
  • Keep It Conversational: Mimic natural speech patterns, incorporating pauses, contractions, and colloquialisms to make the dialogue feel authentic and relatable.
  • Use Humor Judiciously: Appropriate humor can lighten the tone and make your content more enjoyable but be mindful of maintaining professionalism and sensitivity when addressing serious medical topics.
  • Incorporate Expert Perspectives: Leverage the expertise of medical professionals by incorporating their insights and real-world experiences into the dialogue, lending credibility and depth to your content.

Engaging Scriptwriting Techniques

To captivate your audience and ensure that your message resonates, consider employing the following scriptwriting techniques:

  • Sensory Descriptions: This technique can enhance understanding and create a more immersive experience for your audience.
  • Rhetorical Devices: Strategically incorporate rhetorical devices such as metaphors, analogies, or rhetorical questions to clarify complex concepts, provoke thought, and maintain audience engagement.
  • Emotional Appeals: Personal stories, empathy-evoking scenarios, or relatable struggles can humanize your content and foster a stronger emotional connection.
  • Interactive Elements: In scripted videos, consider incorporating interactive elements that encourage audience participation, such as posing questions, prompting responses, or suggesting hands-on activities. This approach can enhance engagement and reinforce learning. For example, you could include a brief quiz at the end of your video to test your audience’s understanding of the content or ask them to share their thoughts and experiences related to the topic in the comments section.

Ethical Considerations in Medical Scriptwriting

When creating medical content, it’s essential to prioritize accuracy, objectivity, and ethical standards. Ensure that your scripts are thoroughly researched, fact-checked, and reviewed by subject matter experts to maintain scientific integrity and avoid disseminating misinformation.

Additionally, be mindful of the following ethical considerations:

  1. Respect patient privacy and confidentiality by obtaining consent and identifiable information.
  2. Avoid sensationalism or exaggeration, and present information objectively without compromising scientific accuracy.
  3. Disclose potential conflicts of interest or commercial biases transparently.
  4. Adhere to relevant regulatory guidelines and professional codes of conduct.

Upholding ethical practices is a cornerstone of effective medical communications. By ensuring that your scripts are thoroughly researched, fact-checked, and reviewed by subject matter experts, you can maintain scientific integrity and avoid disseminating misinformation. This commitment to ethical standards builds trust with your audience and enhances the credibility of your medical communications.

Collaboration and Iterative Refinement

Scriptwriting for medical podcasts and videos is often a collaborative process involving input from various stakeholders, including subject matter experts, healthcare professionals, and multimedia production teams. Embrace this collaborative approach and be open to feedback and revisions throughout the scriptwriting process.

Remember that effective medical communication is an iterative process. Be prepared to refine and polish your scripts based on feedback and evolving needs. This collaborative and iterative approach ensures that your final product resonates with your target audience and achieves its intended objectives. Your audience’s feedback and engagement are crucial in this process, making them an integral part of the scriptwriting journey and ensuring that the final product meets their needs and expectations.

Conclusion

In the rapidly evolving landscape of medical communications, podcasts, and videos offer powerful platforms for engaging audiences and disseminating vital information. However, creating genuinely impactful and effective content requires the art of skillful scriptwriting. Turacoz, a leading provider of medical writing and communication services, can assist healthcare professionals in honing their scriptwriting skills and creating compelling content for their podcasts and videos.

By mastering storytelling, dialogue crafting, and engaging scriptwriting techniques, medical writers and healthcare professionals can transform complex medical concepts into compelling and accessible narratives. When combined with ethical practices, thorough research, and a collaborative approach, these skills become invaluable tools for educating, inspiring, and empowering audiences across various healthcare settings.

At Turacoz, our seasoned medical writers possess the expertise to craft captivating content that seamlessly blends engaging storytelling with accurate and impactful health messaging. Their proficiency in scriptwriting ensures that every podcast, video, or multimedia production resonates with audiences while upholding the integrity of the underlying medical information and educational objectives.

Interested in taking the first steps into medical writing or enhancing your expertise to meet the challenges of omnichannel communication in healthcare, we invite you to explore the opportunities available through our training programs. Contact us at https://turacoz.com/ to learn how you can join the ranks of medical writers making a significant impact in healthcare communication. Together, let’s shape a future where accurate, accessible, and actionable health information reaches every corner of the globe, empowering individuals and transforming healthcare outcomes.

Compliance in Regulatory Medical Writing

Regulatory medical writing is a specialized field that involves developing and managing documentation necessary to obtain regulatory approval for medical products such as pharmaceuticals, biologics, and medical devices. It involves drafting various medical documents such as clinical trial protocols, clinical trial reports, regulatory submissions, investigator brochures, patient information leaflets, and pharmacovigilance reports. Regulatory compliance is crucial in healthcare and pharmaceuticals. It ensures patient safety through reliable information. Let’s explore regulatory medical writing, its compliance, the challenges associated with maintaining regulatory compliance, the qualities of regulatory medical writers, and the latest trends in compliance standards.

Understanding Regulatory Requirements

Regulatory requirements are essential in medical writing. Understanding these criteria is crucial to ensuring compliance in the healthcare industry. Regulatory authorities such as the Food and Drug Administration (FDA) and the European Medicines Agency (EMA) have established various guidelines for creating medical documents. These guidelines include precise formatting guidelines, clinical trial and research documentation, and compliance with ethical standards. Adhering to these regulatory requirements and industry norms enables you to communicate critical information effectively.

Importance of Regulatory Compliance

The regulatory documentation must be comprehensive and precise, adhering to strict regulations and guidelines to ensure that healthcare professionals receive reliable, evidence-based information. Compliance is crucial to maintain the highest standards of patient safety. Failure to comply with these regulations can cause delays in the drug approval process and, in some cases, lead to severe consequences, including legal issues, product recalls, and patient harm. Therefore, adherence to regulations is of utmost importance in medical writing to ensure patient safety and practitioner access to credible information.

You must strictly adhere to regulatory requirements while crafting the documents for an efficient drug development process. The documents that need to be compliant with regulatory requirements include clinical study reports (CSRs), clinical study protocols (CSPs), investigational new drug applications (INDAs), new drug applications (NDAs), and marketing authorization applications (MAAs).

Challenges in Maintaining Regulatory Compliance

The field of medical writing is constantly evolving and poses several challenges for you to be compliant. Some common issues that arise include:

Keeping up with changing regulations: You must stay updated with the latest guidelines and adapt your writing to the evolving regulatory requirements.

Scientific complexity: Medical writing often involves highly complex scientific concepts and terminology. In some situations, it can be difficult to ensure accuracy and clarity while maintaining compliance.

Balancing transparency and confidentiality: In medical writing, you provide transparent information while protecting patient confidentiality. This can be particularly challenging when writing about sensitive topics or clinical trial results.

Collaboration and coordination: Medical writing often involves coordination with multiple stakeholders, including researchers, clinicians, and regulatory authorities. Coordinating inputs from different sources while maintaining compliance may be challenging.

Qualities of Regulatory Medical Writers

Regulatory medical writers are instrumental in creating documents that comply with regulatory standards and aid in the timely approval and accessibility of life-saving medications and therapies in the market.

You must have specific key characteristics to become a regulatory medical writer:

  1. A thorough understanding of global regulatory guidelines ensures the drug development program complies with all relevant regulations.
  2. Strong communication skills are necessary for effective engagement with cross-functional teams in clinical research, medical affairs, and regulatory affairs. This is critical for ensuring all stakeholders are informed and aligned throughout the drug development process.
  3. Regulatory writers must be able to translate complex clinical data into clear and concise language for regulatory submissions and other documents.

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Best Practices for Ensuring Compliance

Adhering to best practices can improve the quality and regulatory compliance of your writing, ultimately contributing to healthcare’s overall safety and effectiveness. This involves:

Understanding regulatory guidelines: Stay updated with regulations and guidelines from regulatory bodies like the FDA and EMA and familiarize yourself with requirements for medical documents.

Using simple language: Always use clear, concise, and easily understandable language for the target audience. Avoid jargon and technical terms whenever possible.

Maintaining accuracy and staying updated: Always provide accurate and up-to-date information supported by scientific evidence.

Seeking feedback and review: Collaborate with peers and subject matter experts to review and provide feedback on the generated medical content. It helps ensure accuracy and compliance.

Documenting all sources and references: Properly document all sources and references used in medical writing to ensure transparency and avoid plagiarism.

Trends in Compliance Standards

Compliance standards should be evolved in medical writing to keep up with technological advancements, regulatory requirements, and the increasing need for transparency and patient-centricity. Several emerging trends are shaping the future of compliance standards in medical writing. These include:

Use of artificial intelligence (AI): AI technologies have the potential to automate certain aspects of medical writing, like data analysis and report generation. However, ensuring compliance with regulatory guidelines will remain critical to AI-driven medical writing.

Integration of real-world evidence: Real-world evidence derived from sources like electronic health records and patient registries is becoming more important in medical research. Compliance standards must address the unique challenges and opportunities of incorporating real-world evidence into medical writing.

Focus on patient engagement and communication: Patient-centricity is gaining significance in healthcare. Compliance standards will likely emphasize the need for clear and patient-friendly communication in medical writing, ensuring patients can understand and make informed decisions about their healthcare.

Enhanced data privacy and security: As concerns over data privacy grow, compliance standards will continue to evolve to protect patient information and adhere to data privacy regulations.

Staying updated with these future trends allows you to proactively adapt to practices and maintain compliance in an ever-changing regulatory landscape. Regulatory writing is crucial for pharmaceutical success, including compliance, clinical development, approval, marketing, and branding. It’s becoming even more critical with evolving requirements.

Are you interested in becoming a skilled regulatory medical writer? Grab this opportunity to join Turacoz! We are a committed global organization that makes healthcare information accessible through empowering training programs with our professionals, who will help you achieve your goal with confidence. Join our community of writers and take the first step towards a successful career. Please email us at [email protected] to learn more and get started today!

Mastering Regulatory Writing Skills Online

Regulatory writing, a crucial skill in various industries, can be enhanced through training programs. These programs are designed to navigate the complex requirements of regulatory documents and offer numerous benefits, such as crafting clinical study reports, protocols, and regulatory submissions. The programs also provide practical exercises, case studies, networking opportunities, and collaboration with industry professionals, ensuring you stay abreast of the latest trends and practices. This blog will explore the key features of online regulatory writing courses, their real-life applications, the top platforms offering such courses, and recommended course options.

Choosing A Regulatory Writing Course Online

Key features to maximize your online learning experience include:

  • Opt for courses taught by seasoned industry professionals who have honed their skills in regulatory writing. Their wealth of experience can offer you invaluable insights and practical knowledge.
  • Look for courses that offer interactive learning environments, including live webinars, discussion forums, and virtual workshops. These platforms allow you to actively engage and participate, making it easier to understand the subject matter.
  • Consider courses that provide comprehensive course materials, such as study guides, reference materials, and practice exercises. These resources can be helpful references even after you complete the course.
  • Ensure that the online course offers flexibility regarding scheduling and access to course materials. This allows you to learn at your own pace while balancing your existing work or personal commitments.

Mastering Regulatory Writing Skills

Specific strategies include:

  • Setting Clear Goals: Define your objectives and prioritize the skills you wish to develop in regulatory writing.
  • Staying Organized: Create a study schedule and allocate dedicated time each week for learning and practice.
  • Engaging Actively: Use interactive elements in online courses, such as quizzes and discussion forums, to reinforce your understanding and engage with fellow learners.
  • Seeking Feedback: Share your work with peers or instructors for feedback and constructive criticism to improve your writing skills.
  • Staying Updated: Continuous learning and professional development can help you stay informed of the latest developments in regulatory guidelines and industry best practices.

Real-life Applications

The knowledge and skills gained from regulatory writing training programs have numerous real-life applications in the pharmaceutical, biotechnology, and medical device industries. Becoming a regulatory writer, you can play a crucial role in ensuring that companies comply with regulations and guidelines when preparing and submitting regulatory documents.

  • Primary responsibility is to create clinical study reports that accurately and comprehensively present the results of clinical trials. These reports are crucial for regulatory submissions and obtaining new drug or medical device approval.
  • Contribute to developing protocols that outline clinical trials’ objectives, methodology, and ethical considerations. These protocols serve as a blueprint for trials and provide vital information for regulatory authorities.
  • Additionally, you may be involved in preparing regulatory submissions, such as Investigational New Drug (IND) applications and New Drug Applications (NDA). These submissions are critical for obtaining regulatory approvals and marketing new therapies.
  • Regulatory writing training is essential to equip you with the knowledge and skills to navigate the complex regulatory landscape and contribute to developing safe and effective healthcare products.

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Recommended Online Courses

If you are interested in pursuing a career in regulatory writing, several online courses can help you gain the necessary knowledge and expertise. Some of these courses include:

  • Regulatory Writing Certification Programs: Look for reputable certification programs focusing on regulatory writing. These programs often cover essential topics such as regulatory submissions, document preparation, and compliance standards.
  • Medical Writing Courses: Explore online courses that focus on medical writing, which typically include modules on regulatory writing tailored to the healthcare industry. Topics may include writing clinical study reports, investigator brochures, and regulatory submission documents.
  • Clinical Research and Regulatory Affairs Courses: Enrol in courses that comprehensively understand clinical research methodologies and regulatory affairs. These courses delve into topics such as clinical trial design, data interpretation, and regulatory requirements for documentation.
  • Good Clinical Practice (GCP) Training: Gain expertise in GCP principles through online training programs from reputable organizations. Understanding GCP is essential for ensuring the integrity and compliance of regulatory documents related to clinical trials.
  • Writing Workshops and Seminars: Participate in online writing workshops and seminars on regulatory writing. These events often feature industry experts who provide valuable insights and practical tips for crafting effective regulatory documents.

Top Online Platforms Offering Regulatory Writing Courses

Several globally recognized platforms offer numerous resources and opportunities for learning and skill development in regulatory medical writing. A few popular platforms include:

  • Coursera is a renowned platform for its partnerships with leading universities and institutions worldwide, which provide access to high-quality courses often taught by industry experts.
  • Udemy is another prominent platform that offers a wide selection of online courses covering diverse topics, including regulatory medical writing, with options suitable for learners of all levels.
  • LinkedIn focuses on professional development and provides a range of courses and tutorials on regulatory medical writing, catering to the needs of professionals looking to advance their careers in this field.
  • MedComms Networking and the Society for Technical Communication (STC) serve as specialized medical and technical communication training hubs, offering resources and courses explicitly tailored for regulatory medical writing professionals.

These platforms offer a convenient and accessible way for learners to acquire essential skills and knowledge in regulatory medical writing.

Online regulatory writing training programs offer valuable benefits if you want to enhance your skills and advance your career in the pharmaceutical, biotechnology, and medical device industries. Mastering regulatory writing provides a gateway to professional advancement and personal growth. By enrolling in these programs, you can gain comprehensive knowledge, practical skills, and valuable networking opportunities essential for regulatory writing success.

Are you interested in becoming a skilled regulatory medical writer? Grab this opportunity to join Turacoz! We are a committed global organization that makes healthcare information accessible through empowering training programs with our professionals, who will help you achieve your goal with confidence. Join our community of writers and take the first step towards a successful career. Please email us at [email protected] to learn more and get started today!

Future of Ghost Writing: Can AI Take Over?

In the world of medical and scientific publishing, ghost-writing has long been a common practice. Researchers, doctors, and subject matter experts often collaborate with professional writers to transform their raw data, insights, and technical knowledge into polished manuscripts, reports, and other documents ready for publication. At Turacoz Healthcare Solutions our skilled medical writers offer a symbiotic relationship with the experts to shape and communicate their ideas and core work effectively for the intended audience.

As artificial intelligence (AI) technology rapidly advances, a pressing question arises: could AI systems eventually replace human ghost-writers altogether? In this blog, let’s explore the background, potential, and limitations of AI in the field of medical and scientific writing.

AI’s Checkered History in Writing

The idea of using AI for automated writing is not new. As early as the 1960s, pioneers have explored methods of generating coherent narratives through algorithms and rules-based systems. However, these early AI writing tools were extremely limited, producing stilted and unnatural language devoid of deeper meaning or context.

It wasn’t until the rise of machine learning and neural networks in the 2010s that AI language models started to demonstrate more sophisticated abilities in understanding and generating human-like text. AI writing has progressed significantly in the past decade, but it still has a long way to go before reaching parity with human capabilities.

AI as a Potential Ghost-writing Substitute

Current AI language models like GPT-3, PaLM, and Claude show remarkable prowess in certain types of writing tasks when provided with the right prompts and training data. These systems can produce grammatically correct and surprisingly coherent content on almost any topic by ingesting and rearranging their pre-existing knowledge.

For ghost-writing in medical and scientific fields, AI could potentially accelerate phases of the process such as:

  • Research synthesis from literature
  • Data analysis and interpretation commentary
  • First draft generation based on outlines/prompts
  • Citation incorporation and referencing
  • Language translation between drafts

An AI trained on a wealth of existing medical papers, drug documentation, guidelines, and other technical sources could conceivably generate passable first drafts of documents to be revised and finalized by a human medical writer. This could streamline certain ghost-writing workflows.

However, AI language models have very significant constraints that limit their ability to truly replace human ghost-writer, at least with current technology.

Limitations of Ghost-writing AI

While AI shows promise for aiding medical writing, there are considerable hurdles for it to fully take over the ghost-writing role:

  1. Lack of Originality: AI systems simply rearrange and restate their training data in new ways. They cannot generate wholly new information, ideas, or creative narratives from scratch as human writers can.
  2. Inability to Understand Cultural Nuances: AI struggles with contextual subtleties around culturally specific references, expressions, and societal implications. This could lead to misinterpretation or reinforce cultural biases and insensitivities.
  3. Dependence on Pre-Existing Data: An AI’s knowledge is static and confined to what data it was exposed to during training. As new research, treatments, and discoveries emerge, AI trained on older data quickly becomes outdated.
  4. Ethical Risks and Copyright Infringement: There are also serious open ethical questions around assigning accountability and liability for any errors or misinformation originating from AI-generated content, especially in medical/scientific contexts where accuracy is paramount. Because AI models are trained on copyrighted material from across the internet, there are valid concerns about AI output being too derivative or duplicative of existing copyrighted works. Well-established procedures and vetting would be required to mitigate intellectual property infringement risks.

AI Will Augment, Not Replace, Medical Ghost-writers

While AI language models show incredible potential for augmenting and optimizing workflows, the consensus is they will be assistive tools for ghost-writer rather than a full replacement for human professionals.

The most likely path forward is a hybrid augmented model where human medical writers leverage AI for first drafts, source synthesis, and other components – but then apply their specialized expertise, creativity, and judgment to revise and finalize content tailored for the specific communication goals.

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Human medical writers will remain essential for providing:

  • Expert real-world experience, context, and critical thinking
  • Creative draft flow to engage the audiance
  • Nuanced interpretation of data, studies, regulations
  • Publication-ready quality control and revision
  • Accountability, integrity, and ethical oversight

Just as AI won’t automate roles like physicians, scientists, and surgeons any time soon due to limitations in emotional intelligence, judgment, and situational analysis – medical ghost writing is a cerebral communication craft that appears incredibly challenging to fully automate with current AI technology.

The future is likely human-AI collaboration, not outright AI autonomy. Ghost-writer who embraces assistive AI as a productivity multiplier, while doubling down on intrinsically human skills, will be best positioned for success as this technological disruption unfolds.

Let’s discuss a case study where an Oncologist employed an AI system to produce an initial draft paper describing the team’s clinical trial results for a new breast cancer drug treatment. The AI assimilated the raw data and rapidly generated a technical paper including methodology, findings, charts, and surface-level conclusions. However, when the oncologist reviewed the AI-generated draft, she identified several critical discrepancies requiring extensive human revisions:

  • Lack of nuanced medical context around treatment implications
  • Sterile presentation lacking a compelling human narrative
  • Inability to properly convey ethical nuances around protocols

Only after multiple revision rounds incorporating the team domain expertise, real-world clinical insights, and professional judgment could the AI-generated technical draft be transformed into a powerful, contextualized paper with the potential to impact actual cancer treatment strategies.

This case study underscores how even highly capable AI writing tools remain limited by their training data and lack of true lived experience. For authoritative medical and scientific publishing, the human writer’s real-world proficiency, creativity, and ethical compass are irreplaceable elements AI cannot yet replicate with the required level of nuance and sophistication.

In the ever-evolving medical and scientific landscape, trust and precision in communication will only become more vital. While AI may handle more grunt work, it will be human ghost-writer communicating discoveries that change lives.

Medical Copy Editing: A Step-by-Step Guide to Edit Your Document

In the intricate realm of medical communications, precision and clarity are paramount. Every piece of content, be it a research paper, clinical study, or educational material, carries immense weight, as it can potentially shape practices, influence decisions, and impact lives. Amidst this landscape of critical information, medical copy editing emerges as an indispensable safeguard, ensuring that the written word conveys its intended message with utmost accuracy and effectiveness.

Editing is a crucial step in the medical writing process, ensuring that your documents are free of errors, inconsistencies, and ambiguities. In this blog post, we’ll guide you through a step-by-step approach to medical copy editing, helping you achieve a polished and professional final product.

Step 1: Understanding the context and audience

Before diving into the editing process, it’s essential to understand the context and purpose of the document. Familiarize yourself with the subject matter and the specific requirements or guidelines that need to be followed. Effective medical communication is not a one-size-fits-all approach. It is essential to understand the intended audience and purpose of the document you are editing. Is it a research paper aimed at fellow scientists and medical professionals? Or is it an educational resource designed for patients or the general public? Grasping the target audience’s level of knowledge and the document’s intended impact will guide your editing decisions, ensuring that the language, tone, and level of detail are appropriate and effective.

Step 2: Conducting a structural review

Start by assessing the overall structure and organization of the document. Ensure that the information flows logically and that the various sections are coherent and well-connected. Look for any gaps or redundancies in the content and make necessary adjustments.

Step 3: Checking for accuracy and consistency

Accuracy is paramount in medical writing. Carefully review the document for any factual errors, incorrect terminology, or inconsistencies with established guidelines or industry standards. Verify all scientific data, units of measurement, drug names, and references against authoritative sources. In the realm of medical writing, factual accuracy and scientific integrity are of paramount importance. During the proofreading phase, it is crucial to verify the accuracy of all scientific data, statistics, and references cited within the document.

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Step 4: Enhancing clarity and readability

Medical documents often contain complex scientific concepts and technical jargons. In addition to the content, take note of the tone and voice employed throughout the document. Is the language appropriate for the intended audience? Does the writing style align with the subject matter and the desired level of formality or informality? Assessing these elements early on will allow you to make necessary adjustments and ensure a consistent and engaging reading experience.

Step 5: Addressing style and formatting

Consistency in style and formatting is essential for a professional-looking document. Ensure that the document adheres to the appropriate style guide (e.g., AMA, APA, or client-specific guidelines) and that formatting elements, such as headings, tables, and references, are consistently applied throughout.

Step 6: Proofreading and polishing

After addressing the content, structure, and style, a thorough proofreading is necessary to detect any remaining typographical errors, spelling mistakes, or grammatical issues. Identify instances of wordiness, redundancy, or unnecessary complexity, and strive to simplify and streamline the language without compromising the intended meaning. Aim for concision and elegance, crafting sentences that are easy to comprehend while retaining the depth and nuance of the subject matter. This final polish ensures that your document is truly publication ready.

By following this step-by-step approach to medical copy editing, you can transform your draft into a polished and professional document that meets the highest standards of accuracy, clarity, and consistency.

At Turacoz, we are proud to offer exceptional medical copy-editing services for scientific, regulatory, commercial, and publication documents. Our aim is to simplify language, ensuring accessibility for the intended audience while maintaining scientific accuracy. We meticulously ensure that the writing is clear, concise, and devoid of ambiguity.

Contact us today to learn more about how our medical copy-editing services can elevate the quality of your medical communications.

The Role of Medical Writers in Supporting Medical Marketing Agencies

Medical marketing agencies play a crucial role in the healthcare industry by providing specialized marketing services tailored to the unique needs of healthcare organizations, practitioners, and stakeholders. Medical writers play a pivotal role in supporting these agencies; whether it’s conveying complex scientific information to healthcare professionals or educating patients about treatment options. Let’s delve into how these skilled professionals contribute to the success of medical marketing efforts.

Translating complex science into compelling narratives:

At the heart of every marketing campaign lies a compelling story – one that resonates with the audience on a personal level. Medical writers are experts in translating scientific and medical information into engaging content for various audiences. They possess a deep understanding of medical terminology, research methodologies, and regulatory requirements. Their expertise extends across diverse formats, including

  • Manuscripts
  • Regulatory documents
  • Marketing materials
  • Patient education materials
  • Brochures
  • Websites, and
  • Social media posts

Bridging the gap between science and marketing:

Evidence-based marketing is essential for establishing credibility and trust within the healthcare community. Medical writers play a pivotal role in supporting evidence-based marketing strategies by synthesizing and interpreting clinical data, case studies, and real-world evidence. They also aid in validating marketing claims and reinforcing the efficacy of medical products as well as services.

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Navigating the regulatory maze:

In the highly regulated healthcare industry, adherence to compliance standards is non-negotiable. Medical writers are well-versed in regulatory requirements and ensure that all marketing materials meet legal and ethical guidelines. From referencing scientific literature to disclosing potential risks, they uphold the highest standards of accuracy and integrity.

Furthermore, medical writers work closely with regulatory affairs teams to ensure that marketing materials comply with local and international regulations. From Food and Drug Administration (FDA) guidelines to General Data Protection Regulation (GDPR) compliance, they stay abreast of regulatory updates and integrate regulatory considerations into their writing process.

KOL engagement and advocacy:

Medical marketing agencies often collaborate with key opinion leaders (KOLs) and subject matter experts to enhance their credibility and influence. Medical writers assist in developing thought leadership content, including

  • White papers
  • Literature reviews
  • Clinical guidelines.
  • Blog posts
  • Slide decks for conferences, seminars, and continuing medical education (CME) events
  • Articles for publication in peer-reviewed journals/ industry publications

Medical writers also support KOLs in advocacy initiatives via the development of position statements, and policy briefs that communicate key messages and drive action.

Adapting to diverse platforms and channels:

In today’s age of omnichannel communications, medical writers help adapt scientific and medical content to various formats, ensuring consistency of messaging across multiple channels. Whether it’s crafting search engine optimized (SEO) website content or producing engaging video scripts, medical writers leverage their skills to maximize reach and impact.

Educating and empowering patients:

Medical writers play a crucial role in educating and empowering patients by creating clear, accurate, and accessible medical information. They create a variety of patient education materials, including

  • Brochures
  • Pamphlets
  • Fact sheets
  • Educational websites
  • Multimedia content such as videos, infographics etc.

Medical writers help patients understand their health conditions, treatment options, and self-care strategies, enabling them to make informed decisions and actively participate in their healthcare journey. 

Summary:

In conclusion, medical writers play an indispensable role in supporting the efforts of medical marketing agencies by translating complex science into compelling narratives, ensuring compliance with regulatory standards, and adapting to diverse communication channels. Medical writers also collaborate closely with marketers, designers, and subject matter experts to bring ideas to life. By collaborating closely with medical writers, marketing agencies can elevate their messaging, enhance their credibility, and ultimately, improve patient outcomes in the ever-evolving landscape of healthcare.

Power Up Your Presentations: Key Tips and Tricks”

In today’s fast-paced world, PowerPoint presentations have become indispensable tools for effective communication. Whether you’re a student presenting a project, a professional pitching a business idea, or a lecturer delivering a lecture. Creating an effective PowerPoint presentation involves more than just incorporating attractive slides and animations. It requires a thorough understanding of design principles, audience engagement techniques, and the appropriate use of technology. In this blog, we will delve into the critical aspects of designing an outstanding PowerPoint presentation, covering everything from background design to the role of AI in simplifying the process.

Setting the Stage

Before diving into the nitty-gritty of slide design and content creation, it’s essential to establish a solid foundation for your presentation. This begins with defining your objectives and understanding your audience. Ask yourself: What message do I want to convey? Who is my target audience, and what are their needs and preferences?

Once you have clarity on these points, it’s time to brainstorm ideas and organize your content. Create a storyboard or outline to map out the flow of your presentation, ensuring a logical progression from one point to the next. Remember, a well-structured presentation is easier for your audience to follow and digest.

Click Here:- Narrative Writing in Clinical Research: Guidelines for a Medical Writer

Tips and Techniques

With your groundwork laid, let’s turn our attention to the heart of your presentation: the slides themselves. Here are some essential tips and techniques for creating slides that captivate and inform your audience:

  • Keep it Simple: Avoid cluttering your slides with excessive text or graphics. Stick to the rule of thumb: one main idea per slide expressed concisely.
  • Visual Appeal: Leverage visuals—such as images, charts, and graphs—to enhance understanding and retention. Choose high-quality images and photos that complement your message and use charts and diagrams to illustrate data trends or comparisons.
  • Consistent Design: Use a coherent color scheme, font style, and layout to maintain visual consistency throughout your presentation.  Consistency lends professionalism and helps establish visual continuity.
  • Typography Matters: Select fonts that are easy to read and appropriate for your audience. Avoid decorative fonts that may distract from your message and ensure sufficient contrast between text and background colors for readability.
  • Engage with Multimedia: Incorporate multimedia elements, such as videos or audio clips, to add variety and interactivity to your presentation. Just be sure that multimedia content aligns with your message and enhances rather than detracts from your presentation.
  • Practice, Practice, Practice: Rehearse your presentation multiple times to familiarize yourself with the content and pacing. Practice also helps refine your delivery and ensures smooth transitions between slides.
  • Interactive Elements: Consider incorporating interactive elements like polls or quizzes to engage your audience and solicit feedback actively. Interactive features can transform passive listeners into active participants, fostering more excellent retention and comprehension.
  • Storytelling: Craft your narrative presentation, weaving critical points into a cohesive story. Stories resonate with audiences emotionally, making your message more memorable and impactful.

What an Artificial Intelligence (AI) Can Improve Your Presentation

In recent years, AI has emerged as a powerful ally in presentations, offering tools and features that streamline the creation process and enhance presentation quality. Here’s how AI can lend a helping hand:

  1. Design Assistance: AI-powered design platforms like Canva or Adobe Spark offer pre-designed templates and layouts that simplify the design process. These platforms utilize AI algorithms to suggest color schemes, fonts, and image combinations, saving you time and effort crafting visually appealing slides.
  2. Content Generation: AI-driven content generation tools, like OpenAI’s GPT-3, can help you generate written content for your slides. Input key points or prompts, and these tools can generate coherent text that you can then refine and tailor to your presentation.
  3. Speech Recognition: AI-powered speech recognition software, such as Otter.ai, can transcribe your spoken words in real time, creating accurate presentation transcripts. This feature is invaluable for generating captions or subtitles and can a reference for revising your presentation content.
  4. Data Analysis: AI algorithms can analyze large datasets and extract insights that can be presented visually in your slides. Whether you’re showcasing market trends, survey results, or financial projections, AI-powered analytics tools can help distill complex data into easily digestible visuals.
  5. Personalized Recommendations: AI-driven presentation platforms, like Prezi or Zoho Show, leverage machine learning algorithms to provide personalized recommendations for improving your presentation. From slide layout suggestions to content optimization tips, these platforms offer tailored guidance to enhance your presentation’s effectiveness.

In conclusion, mastering the art of PowerPoint presentations requires a combination of strategic planning, creative design, and effective communication techniques. By following the principles outlined in this guide and harnessing the power of AI tools, you can create presentations that inform, inspire, and leave a lasting impression on your audience. So go ahead, unleash your creativity, and let your ideas shine through the power of PowerPoint.

Recognizing the growing demand for skilled professionals in this field, Turacoz Healthcare Solutions is at the forefront of nurturing the next generation of medical writers. Through comprehensive training programs, we are committed to equipping aspiring medical writers with the knowledge, skills, and insights needed to excel in this dynamic landscape. Whether you’re looking to start a career in medical writing or to refine your existing skills, Turacoz offers a pathway to mastering the art and science of medical communication.

As we begin this journey of exploration and discovery, let’s embrace the transformative power of manuscript editing. This journey goes beyond disciplinary boundaries, inspires creativity, and enriches human knowledge. Together, we can strive for editorial perfection, driven by curiosity, passion, and a relentless pursuit of excellence. Through manuscript editing, we can see the transformative power of words, which transcends time and space, shaping our understanding of the world and illuminating the path toward a brighter, more enlightened future.

In pursuing editorial perfection, let us dare to dream, innovate, and push the boundaries of possibility. For within the crucible of manuscript editing lies the potential to transform the ordinary into the extraordinary, the mundane into the magnificent, and the fragmented shards of knowledge into the shining beacon of truth. Let us embark on a journey together – a journey fuelled by curiosity and guided by the love and unwavering commitment to excellence. The possibilities in manuscript editing are limitless, the horizons are boundless, and the rewards are immeasurable.

For those interested in taking their first steps into medical writing or enhancing their expertise to meet the challenges of omnichannel communication in healthcare, we invite you to explore the opportunities available through our training programs. Contact us at [email protected] to learn more about how you can join the ranks of medical writers making a significant impact in healthcare communication. Together, let’s shape a future where accurate, accessible, and actionable health information reaches every corner of the globe, empowering individuals and transforming healthcare outcomes.

Narrative Writing in Clinical Research: Guidelines for a Medical Writer

Medical writing is a specialized discipline within the clinical research domain, focused on preparing scientific documents. These documents must adhere strictly to guidelines regarding their structure, content, and format. Narrative writing is a crucial component of medical writing services, particularly in crafting patient narratives to summarize identified adverse events (AEs) and establish causal relationships with investigational drugs. These narratives, typically one to four pages long, are submitted alongside the clinical study report (CSR), with large trials potentially generating hundreds of narratives. Sponsors often outsource narrative writing activities to effectively manage the demands of cost, time, and quality in project management. We at Turacoz Healthcare Solutions have been in this business for a decade catering to diverse clientele.

This blog aims to guide medical writers in understanding the narrative writing process (NWP), regulatory standards, challenges, mitigation strategies, and emerging trends in narrative automation. Patient narratives summarize AEs observed in clinical trial patients, including criteria such as death, serious AEs (SAEs), events of special interest, AEs leading to drug discontinuation, and adjudication events. Structured with clarity and precision, they provide medical and scientific context, typically following a logical flow:

  • Description of the event’s clinical course, including timing concerning drug administration.
  • Details on the nature, intensity, and outcome of the event.
  • Relevant laboratory findings and administered treatments.
  • Actions taken regarding the study drug.
  • Postmortem findings (if applicable) and assessments of causality by the investigator and sponsor if necessary.

Moreover, patient identifiers, demographics, medical history, and concurrent medications should also be included to provide comprehensive context.

Types of Narratives

  1. Descriptive Narratives: Focused on providing a detailed account of the research process, from study design and methodology to data collection and analysis. Descriptive narratives aim to paint a comprehensive picture of the research endeavor, guiding readers through each phase with clarity and precision.
  2. Analytical Narratives: These delve deeper into the interpretation and implications of research findings. They analyze the data within the context of existing literature, identify patterns or trends, and offer insights that contribute to advancing scientific knowledge or update clinical practice.
  3. Persuasive Narratives: They aim to convince readers of the significance and validity of the research findings. Leveraging compelling storytelling techniques, persuasive arguments, and evidence-based reasoning to sway the reader’s opinion or influence decision-making processes.

Process of Narrative writing

Narrative writing is a complex process involving various departments that begins with template finalization which is a crucial step in the NWP as it avoids subjectivity.

  • Research and Planning: Begin by conducting thorough research on the topic, familiarizing yourself with existing literature, and identifying key research questions and objectives. Plan the narrative structure, outlining the main sections and their respective content.
  • Drafting: Write the initial draft of the narrative, focusing on clarity, coherence, and engagement. Pay attention to storytelling elements such as narrative arc, character development (e.g., study participants), and thematic coherence.
  • Revision and Editing: Review the draft critically, refining the narrative for clarity, accuracy, and conciseness. Eliminate unnecessary details, strengthen the argumentation, and ensure consistency in style and tone. Seek feedback from peers or subject matter experts to enhance the quality of the narrative.
  • Finalization: Incorporate feedback and make final revisions to the narrative. Ensure adherence to formatting guidelines and standards for scientific writing. Proofread the document meticulously to correct any errors in grammar, punctuation, or spelling.

Challenges in NWP

Balancing Objectivity and Subjectivity: Striking the right balance between objective reporting of facts and subjective interpretation of findings can be challenging. Avoiding bias while presenting research results objectively requires careful attention to language and tone.

Complexity of Scientific Concepts: Communicating complex scientific concepts in a clear and accessible manner poses a significant challenge. Medical writers must employ effective strategies such as analogy, visualization, and plain language to enhance understanding among diverse audiences.

Time Constraints: Meeting tight deadlines while ensuring quality and accuracy can be daunting. Effective time management, prioritization, and collaboration with team members are essential to overcoming this challenge.

Effective Ways to Execute Narrative Writing Process

  • Collaborative Approach: Foster collaboration and communication among multidisciplinary team members, including researchers, clinicians, statisticians, and editors. Leverage each team member’s expertise to enrich the narrative and ensure its accuracy and relevance.
  • Iterative Writing Process: Embrace an iterative writing process that involves multiple rounds of drafting, revision, and feedback. This iterative approach allows for continuous improvement and refinement of the narrative until it achieves optimal clarity and impact.
  • Utilization of Technology: Harness the power of technology tools and resources to streamline the narrative writing process. Digital platforms, reference management software, and writing assistance tools can enhance productivity, organization, and collaboration among team members.

Automation of Narratives

The automation of narrative writing offers promising opportunities to streamline and optimize the process. Natural language processing (NLP) algorithms, machine learning techniques, and artificial intelligence (AI) platforms can analyze data, generate insights, and draft narrative content with increasing accuracy and efficiency. While automation cannot replace human creativity and critical thinking, it can complement the work of medical writers by automating repetitive tasks and providing valuable support in data analysis and interpretation.

Tips for Narrative Writing

  • Know Your Audience: Tailor the narrative to the needs and preferences of the target audience, who could be healthcare professionals, researchers, policymakers, or patients.
  • Focus on Clarity and Simplicity: Use clear, concise language and avoid unnecessary jargon or technical terms. Ensure that the narrative is accessible and understandable to readers with varying levels of expertise.
  • Engage the Reader: Capture the reader’s attention from the outset with a compelling introduction and maintain engagement throughout the narrative with vivid storytelling and relevant examples.
  • Stay True to the Science: Uphold scientific integrity and accuracy in all aspects of the narrative, from data interpretation to citation of sources. Avoid sensationalism or exaggeration of findings.
  • Seek Feedback: Welcome constructive feedback from peers, mentors, or subject matter experts to improve the quality and effectiveness of the narrative.

Narrative writing in clinical research is a multifaceted endeavor that requires a combination of creativity, analytical rigor, and effective communication skills. By adhering to the guidelines outlined in this guide and embracing innovative approaches and technologies, medical writers can master the art of narrative writing and contribute to advancing scientific knowledge and improving patient care outcomes.

How to Avoid Procrastination in Scientific Writing & Publishing Process?

The complexity of research and the pressure to publish in prestigious journals can feel daunting, tedious, and frustratingly slow. This often leads to procrastinating and delaying working on manuscripts until the last minute. Procrastination is quite like a domino effect  leading to increased stress, lower quality work, and missed opportunities for publishing significant findings. Understanding the reasons for procrastination and implementing effective strategies is crucial for scientists to enhance their productivity and reduce the anxiety associated with the writing and publishing process. This blog explores practical tips to overcome procrastination in scientific writing and publishing.

Understand the root cause

Procrastination in scientific writing can be attributed to several factors:

Perfectionism: Many scientists feel their work is never quite ready, which leads to continuous revisions and delays.

Overwhelm: The sheer volume of data, literature reviews, and the complexity of thoughts that need to be organized can be daunting.

Fear of Failure: Concerns about rejection from journals or criticism from peers can hinder progress.

Lack of Clarity: Uncertainty about the paper’s structure or the research’s main message can cause delays.

Poor Time Management: Inadequate planning and prioritization can lead to last-minute writing under pressure.

Recognizing these triggers is the stepping stone toward addressing procrastination.

Strategies to Avoid

  1. Set Clear Goals and Deadlines

Writing a full scientific paper in one stretch can feel like an unsurmountable task. Unclear intention to “work on the paper” opens the door to endless procrastination. Instead, set specific goals like “complete the introduction by Thursday” or “have the first full draft done in two weeks.” Attach firm but reasonable deadlines to these goals and build accountability by sharing your timeline with colleagues or advisors. Clear objectives with target dates provide motivation and make procrastination more difficult. Additionally, break the mammoth task process down into a series of manageable steps:

  • Outline the paper and sections
  • Complete the Introduction section
  • Analyze data and create figures/tables
  • Write the Methods
  • Draft the Results carefully
  • Discuss the findings
  • Edit and refine

Focusing on one component at a time makes the workload less overwhelming. Do not forget to pat your back and celebrate small achievements along the way.

  1. Establish a Writing Routine

Consistency beats sporadic bursts of activity. Using the Pomodoro Technique often kicks in when facing long, unbroken stretches of work. The Pomodoro Technique helps counter this by splitting work into 25-minute focused sessions separated by 5-minute breaks. During each Pomodoro, commit to pure concentration on the writing task. When the timer goes off, take your break, reset, and go again. This system provides breaks to refresh while keeping procrastination at bay. While it may seem counterintuitive, building in true breaks completely separated from writing can renew focus and reduce the perceived need to procrastinate. Take a walk, exercise, read a book, or pursue a hobby — any activity offering a mental reset from the manuscript. Short periods of reprieve prevent burnout and frustrated procrastination.

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  1. Create a Supportive Environment

The environment in which you write can significantly impact your productivity. Choose a quiet, clutter-free space that encourages focus. Inform your colleagues or family about your writing schedule to minimize interruptions. Consider working at different times of the day when you feel most focused and energetic. An environment designed for concentration makes productive writing sessions much easier. The very reason famous authors like Rabindranath Tagore, Roal Dahl, and Richard Feynman had dedicated writing spaces or places where they felt motivated to write, successfully keeping procrastination at bay.

  1. Tackle the Hardest Tasks First

Begin with the sections of your manuscript that you find most challenging. This could be the results section where you need to interpret data or the discussion where you link your findings to existing literature. Completing the most difficult parts first can provide a significant motivational boost and make the remaining tasks feel more manageable.

  1. Use Writing as a Tool for Thinking

Don’t wait to start writing until you have all your thoughts perfectly aligned. Writing can be a formative process through which clarity and new ideas emerge. Start with rough drafts and don’t worry about perfection on the first go. This approach can help mitigate the paralysis often caused by perfectionism. Look for writing groups or clubs within your department or institution that meet regularly. These forums create external motivation and pressure to make progress. Groups also provide empathy, tips, and feedback from colleagues facing similar challenges.

  1. Limit Distractions

Identify what distracts you the most—emails, social media, or office noise—and take steps to mitigate these during your writing time. Tools like website blockers can help keep online distractions at bay while noise-cancelling headphones can be a boon in a noisy environment.

  1. Reward Yourself

Set up a system of rewards for meeting small milestones. For example, after finishing a draft of your methods section, treat yourself to a coffee break or a short walk. These little rewards can provide incentives and make the process more enjoyable.

  1. Seek Feedback Early

Don’t wait until your manuscript is fully written to seek feedback. Discussing your paper with colleagues or a mentor early in the writing process can provide new insights, catch potential errors, and significantly improve the quality of your work. This also helps keep the project moving forward and reduces the fear of criticism.

  1. Stay Physically and Mentally Healthy

Physical and mental well-being can significantly affect your ability to focus and write effectively. Ensure you are getting enough sleep, eating well, and engaging in regular physical activity. Mindfulness or meditation practices can also help manage stress and enhance concentration. This is a sure-shot way of fighting back the demon of procrastination.

  1. Learn from Rejections

View rejections not as failures but as opportunities to improve. Analyze reviewer comments carefully and use them to strengthen your manuscript before submitting it to another journal. Rejections are a great way to propel you to give your 100%, as they say, “Setback is by no means an excuse for procrastination, it is the platform for your best comeback”.

Procrastination is a challenge, but not an unsurmountable one. By understanding its causes and implementing structured strategies, scientists can overcome delays in their writing and publishing endeavors. Remember, the goal is progress, not perfection. Each small step forward is a victory against procrastination, bringing you closer to sharing your research with the world.

The Evolving Role of Medical Writers: Adapting Content Management Systems

The evolving landscape of healthcare and pharmaceutical industries has catalysed a significant transformation in the traditional role of medical writers. Beyond content creation, medical writers now find themselves analysing and interpreting data, acting as strategic partners, and leveraging technology to deliver impactful and accurate medical content with data integrity.

Traditionally, medical writers were primarily responsible for simplifying complex scientific data into understandable formats. Their primary focus was communicating effectively with the target audience while maintaining accuracy, clarity, and compliance with industry guidelines. However, with significant advancements in the healthcare industry and increased industry demands, medical writers faced the challenge of efficiently managing and organising vast amounts of data while maintaining quality standards. This shift has required adopting advanced technologies to streamline workflows, ultimately enhancing efficiency.

Now, let’s delve deeper into Content Management Systems and examine Veeva Vault PromoMats as a prime example.

Understanding Content Management Systems (CMS)

Content Management Systems (CMS) are software applications that enable organizations to create, manage, and distribute digital content effectively. In the pharmaceutical and healthcare settings, where adherence to stringent regulations and standards is paramount, a robust CMS is essential, which would efficiently manage the extensive array of medical content, including promotional materials and regulatory documents. With the diversity of CMS platforms, organizations have options tailored to their needs. Veeva stands out as a leading CMS platform in pharma and healthcare settings. It offers robust features and capabilities designed to streamline content management processes.

Veeva Vault PromoMats: A Tailored Solution

Veeva Vault PromoMats is a cloud-based platform specifically designed for the healthcare sector. It stands out as a comprehensive solution tailored to meet the unique needs and challenges of managing promotional content. Veeva is a one-stop solution for creating, reviewing, approving, and distributing medical content. This manages the documents efficiently and guarantees version control and security of sensitive medical information.

Unveiling the Benefits of Veeva

  1. Centralized Content Repository: Medical writers can easily find approved content in one place, making sure all documents are consistent and accurate.
  2. Asset Organization and Search: With Veeva’s advanced search and sorting tools, finding promotional materials is quick and simple, boosting productivity.
  3. Integration: Veeva seamlessly fits into your workspace, enabling a single hub for managing and collaborating the content.
  4. Collaboration and Workflow Optimization: Medical writers can work closely with other teams, like researchers, medical experts, regulatory affairs, and marketing teams, using Veeva. Automation features speed up the review process, cutting down on waiting time.
  5. Content Reuse and Standardization: Veeva lets you reuse approved content across different documents, ensuring uniformity and meet regulations.
  6. Regulatory Compliance and Data Security: Veeva provides tools to stay compliant with regulations, keep track of changes, and securely store data, all within a safe cloud platform.
  7. Increased Efficiency and Productivity: Templates, content reuse, and dynamic formatting tools in Veeva make writing documents easier, so that writers can spend more time on content and less on layout/formatting.

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Transitioning to Veeva: Essential Requirements and Strategies

Platform Familiarization: Medical writers must extensively learn about the tool and its terminologies.

  1. Developing Proficiency: Formal training and hands-on practice are crucial for seamless tool integration in the workflow.
  2. Workflow Adjustments: Integrating Veeva may require adjustments to existing workflows, such as handling reviews, approvals, and content distribution.
  3. Team Collaboration and Communication: Adapting to new methods of collaboration, feedback, and revision tracking within the platform is essential for seamless teamwork.
  4. Staying Up to Date: Medical writers should stay informed about updates and adapt them in their workflows accordingly.

Incorporating Veeva into the Medical Writing Process: Overcoming Challenges

Incorporating Veeva into the medical writing process has its share of challenges, especially for healthcare professionals and medical writers. Healthcare professionals may face difficulties in syncing Veeva with existing systems and workflows within the healthcare organization while simultaneously using other tools and platforms. Similarly, medical writers rely on specific templates and formatting standards for their documents, making transitioning to a new platform like Veeva daunting due to its unique interface and complex features. Moreover, ensuring consistency and compliance of writing processes further adds to the complexity of the transition. Also, familiarization with the platform requires time and effort.

Overcoming Challenges with the Right Strategies and Support

However, with the right strategies and support, these challenges can be overcome, leading to a smoother integration and improved efficiency. Effective implementation of Veeva requires comprehensive support to align technology with medical writing expertise. Customized training initiatives play a crucial role in empowering healthcare professionals and medical writers to effectively utilize CMS platforms like Veeva to their fullest potential. These training programs should focus on providing user-friendly introduction to the platform’s unique features, allowing users to navigate Veeva with confidence and proficiency.

Conclusion

In the ever-evolving landscape of medical writing, the role of Content Management Systems (CMS) like Veeva Vault PromoMats is pivotal. As highlighted, these platforms streamline content creation, review, approval, and distribution processes, ensuring accuracy, compliance, and efficiency in the management of medical content. Transitioning to Veeva presents both opportunities and challenges for healthcare professionals and medical writers alike. While challenges such as platform familiarization, workflow adjustments, and integration complexities may arise, proactive strategies and comprehensive support can overcome these hurdles. By embracing customized training initiatives and leveraging technology-medical writing expertise alignment, organizations can empower their teams to effectively utilize CMS platforms like Veeva. Such initiatives enable healthcare professionals and medical writers to navigate the complexities of Veeva with confidence, maximizing its capabilities for improved efficiency and productivity in medical content management. In essence, by addressing challenges head-on and capitalizing on opportunities, the integration of Veeva into the medical writing process signifies a significant step forward in enhancing the quality, compliance, and effectiveness of medical content management in the healthcare industry.

Remember, the future of medical writing is not just about words – but to embrace technology for the betterment of mankind.

Turacoz is a registered content partner with Veeva, specializing in Veeva Vault PromoMats and other Veeva solutions. Our certification ensures expert guidance and support for seamless integration and effective utilization of Veeva platforms in medical content management.

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Avoid These Common Pitfalls When Hiring Medical Writers

In the realm of healthcare, the demand for proficient medical writers in scientific and medical communications is soaring. Whether it’s content creation for medical journals, developing materials for education for healthcare professionals, patient educational materials, or creating impactful  presentations, the need for skilled medical writers is undeniable.

However, amidst the sea of options available, there are certain mistakes that medical writing services companies must steer clear of when hiring medical writers.

Let’s have a look at some key considerations that medical communications services companies can implement to ensure a successful recruitment process for their next medical writer:

Thoroughly Evaluating Qualifications and Experience:

One of the critical steps for a successful recruitment process is to carefully assess the qualifications and experience of a medical writer before hiring them. It is crucial to ensure that they have the necessary science knowledge, medical background and thorough understanding of medical terms and definitions. A non-medical candidate will face numerous challenges and won’t fit into the role. So, the first important step for a medical writer recruitment is the science qualification.

Prioritizing Scientific Accuracy:

Medical writing demands a precise level of scientific accuracy and meticulous attention to detail. Hiring a writer who excels in this area ensures the integrity of medical content, safeguarding patient well-being and upholding the reputation of your organization.

Emphasizing Writing Excellence:

While scientific knowledge is essential, it is also important for healthcare communications agency to hire a medical writer with an excellent research and academic writing skills.

They should be able to convey complex medical information in a clear and concise manner, making it easily understandable for both professionals and the public. A proficient medical writer should also be aware of different citation styles and should be good at working with slide decks, infographics, word documents and excel files.

Also, research paper writer needs to understand digital platforms, search engine optimization (SEO) best practices, and the ability to tailor content for online audiences.

Prioritizing Proofreading, Editing, and Copy-editing Expertise

One of the most crucial aspects of medical writing is impeccable medical proofreading to eliminate errors in grammar, spelling, punctuation, and formatting; medical editing for a deeper review of content to enhance clarity, coherence, and overall quality; and medical copy editing to refine content at a granular level, addressing issues such as sentence structure, style consistency, and adherence to editorial guidelines. So, an excellence in English language must be considered while recruiting a medical writer.

Embracing Omnichannel communications strategy

Medical communications agency should choose a medical writer who possesses expertise in omnichannel communications  . This will be a strategic investment. When creating content for healthcare organizations, medical writers need to understand how information flows seamlessly across various channels, maintaining consistency and relevance. Look for candidates who have demonstrated proficiency in adapting their writing for different platforms, including social media, websites, print materials, and more.

Emphasizing Strong Knowledge of Content lab management:

To comply with regulatory standards and streamline the submission process, life science businesses are swiftly transitioning to electronic submission of commercial contentSo, it is a great addition for a medical writer to have sound knowledge of content management platform like Veeva Vault.

Prioritizing Time Management Skills:

Effective time management is essential in medical writing, especially when it comes to regulatory submissions, journal publications, and product launches. Selecting a medical writer with strong time management skills ensures prompt delivery and maximizes opportunities for success.

Fostering Communication and Collaboration:

Successful medical writing projects hinge on effective communication and collaboration. Healthcare communications agency should choose a writer who excels at team communication and collaboration to ensure clarity in project requirement, delivery of high-quality content, and most importantly, timely completion of the project.

Valuing the Significance of Research:

In the realm of medical writing, thorough literature research is pivotal to guarantee accuracy and evidence-based content. It is vital to hire a writer who possesses exceptional literature research skills to fortify the quality and credibility of the written material.

Consider Regulatory Expertise:

For regulatory medical writing projects and regulatory medical writing services, regulatory expertise is necessary, especially in areas such as clinical trials, drug development, or medical device documentation. Hiring a medical writer without the requisite regulatory knowledge can lead to non-compliant documentation and potential legal issues.

Acknowledging Language Diversity:

If you require medical writing in a language other than the writer’s native language, it is important to assess their proficiency in that language. Strong language skills are essential to ensure clarity, accuracy, and effective communication of information.

Setting Realistic and Clear Expectations:

Articulating your expectations clearly is paramount when hiring a medical writer. By establishing realistic and specific expectations, you foster mutual understanding, ensure high-quality work, and promote satisfaction for both parties involved.

Embracing Feedback and References:

Medical writing agency can gain valuable insights into a medical writer’s reliability, professionalism, and work quality through feedback from previous clients or colleagues, as well as checking references. By actively considering and leveraging this feedback, you ensure informed decision-making and the selection of the ideal candidate for your medical writing needs.

In conclusion, it is important to hire the right fit for a role of medical writer as it is much more than just content creation. A thorough review of the candidate’s profile, qualification, experience, and expertise is required before initiating the onboarding process. Hope this compilation of essential considerations smoothen your next hiring for a medical writer.

 

Navigating Uncertainty: A Comprehensive Guide to Enterprise Risk Assessment

In latest fast-paced and dynamic enterprise environment, corporations face a myriad of risks which can notably impact their operations, reputation, and backside line. From cyber threats to market volatility, information and successfully handling these dangers is crucial for lengthy-term achievement. This is wherein the exercise of enterprise hazard assessment comes into play.

What is Enterprise Risk Assessment?

Enterprise hazard evaluation is the way of figuring out, reading, and prioritizing risks that might have an effect on a company’s ability to advantage its goals. It involves comparing both inner and external factors that might pose threats or opportunities to the commercial enterprise. By systematically assessing dangers, businesses can make informed decisions and put into effect strategies to mitigate capacity terrible effects.

The Importance of Enterprise Risk Assessment Protecting Assets: Enterprises make investments large assets of their assets, such as monetary capital, highbrow assets, and human resources. Risk assessment helps pick out functionality threats to these property and growth techniques to shield them. Enhancing Resilience: By expertise ability risks, companies can build resilience and flexibility into their operations. This lets in them to reply correctly to sudden activities and maintain continuity even inside the face of adversity. Informing Decision-Making: Risk evaluation offers choice-makers with valuable insights into the capability outcomes of several movements or conditions. This permits them to make informed picks that align with the organization’s targets and danger tolerance. Maintaining Stakeholder Confidence: Stakeholders, along with buyers, customers, and regulators, anticipate corporations to proactively control risks. Conducting normal danger assessments demonstrates a determination to transparency, responsibility, and responsible governance.

Key Steps in Enterprise Risk Assessment

Establishing Objectives: Clearly outline the goals and scope of the danger assessment manner. This includes figuring out the vital aspect areas and methods within the organization so as to be evaluated.

Risk Identification: Identify ability risks by collecting data from several resources, together with historical records, industry developments, and input from stakeholders. Classify risks into lessons which includes strategic, financial, operational, and compliance.

Risk Analysis: Assess the chance and potential effect of recognized dangers. This can also additionally contain quantitative analysis, consisting of monetary modeling or state of affairs planning, as well as qualitative assessments primarily based totally on expert judgment.

Risk Evaluation: Prioritize risks primarily based totally on their significance and urgency. Consider elements which include the significance of ability losses, the chance of prevalence, and the business enterprise’s risk urge for food.

Risk Treatment: Develop and placed into effect techniques to manipulate and mitigate diagnosed dangers. This may encompass hazard avoidance, hazard cut price, chance switch, or chance attractiveness, counting on the character of the danger and the organization’s targets.

Monitoring and Review: Continuously display screen and examine the effectiveness of risk control strategies. Regularly update risk tests to mirror changes within the business surroundings, rising threats, or new possibilities.

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Common Challenges in Enterprise Risk Assessment

Data Quality and Availability: Obtaining correct and reliable facts for chance evaluation may be hard, specially in complicated and rapidly changing environments.

Integration Across Functions: Risk assessment regularly calls for collaboration and coordination at some stage in one-of-a-kind departments and business enterprise devices. Ensuring alignment and consistency may be difficult, mainly in massive businesses with numerous operations.

Risk Perception Bias: Individuals may also recognize and prioritize risks in every other way based mostly on their roles, studies, and biases. It’s important to foster open communique and numerous perspectives to mitigate the impact of cognitive biases.

Emerging Risks: Identifying and assessing rising dangers, which include technological disruptions or regulatory changes, calls for proactive tracking and foresight. Organizations ought to live vigilant and adaptable to anticipate and respond to these evolving threats.

Best Practices for Effective Enterprise Risk Assessment

Top-Down Commitment: Senior leadership must display a willpower to chance control and actively assist the threat assessment system. This allows foster a lifestyle of chance awareness and duty sooner or later of the organization.

Holistic Approach: Take a holistic view of hazard with the useful resource of thinking about both inner and outdoor factors, in addition to their interdependencies. This guarantees whole insurance and minimizes blind spots within the chance assessment manner.

Continuous Improvement: Risk assessment is not a one-time workout however an ongoing method. Continuously evaluate and refine risk manage strategies based on comments, commands observed out, and changing circumstances.

Risk Communication: Effectively communicate dangers and mitigation strategies to stakeholders at all degrees of the company. Use clean and available language to facilitate statistics and purchase-in.

Utilize Technology: Leverage era system and structures to streamline and automate the threat evaluation technique. This can enhance performance, accuracy, and scalability, in particular in large or complicated agencies.

Conclusion

Enterprise hazard assessment is a crucial aspect of powerful risk manage and strategic choice-making. By systematically identifying, reading, and mitigating dangers, agencies can beautify resilience, guard property, and seize possibilities for growth. While the gadget may additionally gift disturbing situations, following quality practices, and fostering a lifestyle of danger focus can help businesses navigate uncertainty and thrive in an ever-converting enterprise landscape.

Beware of Botstuff: Managing the Knowledge Risks from AI Chatbots

In the digital era, AI-driven chatbots have become ubiquitous, transforming how we interact with information and automate processes across various sectors. From customer service to content creation, chatbots, powered by advancements in large language model (LLM) technology, are reshaping the interactive landscape. However, the rapid integration of these tools into daily operations comes with its own set of challenges, particularly concerning the accuracy and reliability of the information they generate. This blog explores the concept of “botshit”—the misleading or inaccurate content produced by chatbots—and offers strategies to manage these knowledge risks effectively.

Understanding the Challenge of Botshit

“Botshit” refers to instances where chatbots, despite their sophisticated algorithms, generate coherent yet factually incorrect or misleading content. This phenomenon arises because chatbots do not truly “understand” the data they process; rather, they predict responses based on patterns identified in their training data. Consequently, this can lead to what is known as “hallucinations,” or responses that, while sounding plausible, are entirely fabricated or distorted.

The risks associated with botshit are not trivial. They can range from minor inaccuracies that confuse major errors that could potentially lead to financial loss, reputational damage, or even legal challenges. As such, identifying and mitigating the epistemic risks of chatbot interactions is crucial for organizations that rely on these technologies for delivering critical information and services.

Framework for Managing Knowledge Risks

To effectively manage the risks posed by AI chatbots, organizations can adopt a structured framework that categorizes chatbot usage based on the importance of response accuracy and the feasibility of verifying these responses. Here’s how organizations can navigate these risks across different scenarios:

  • Authenticated Mode: This mode applies when the accuracy of chatbot responses is critical, and verification is challenging. High-risk industries such as healthcare, finance, and legal often fall into this category. Strategies include implementing stringent validation processes, maintaining rigorous oversight, and integrating human checks to verify chatbot outputs before any critical decision-making or dissemination of information.
  • Autonomous Mode: When accuracy is less critical and easily verifiable, chatbots can operate more freely. This mode is suitable for tasks like generating generic customer service responses or managing low-stakes interactions where errors can be quickly identified and corrected without significant consequences.
  • Automated Mode: In scenarios where both the importance of accuracy and the ease of verification are high, chatbots can be used to automate routine tasks efficiently. However, regular audits and spot checks should be instituted to ensure ongoing reliability, such as in data entry tasks or report generation where accuracy is paramount.
  • Augmented Mode: Suitable for creative or brainstorming tasks where the veracity of information is less critical and harder to verify. In these cases, chatbots can be used as tools to spark human creativity and innovation, with the understanding that their outputs require subsequent human interpretation and refinement.

Implementing the Framework

Deploying this framework involves several practical steps:

  • Risk Assessment: Evaluate the specific functions and tasks assigned to chatbots within the organization to identify potential risk areas.
  • Protocol Development: For each category of chatbot use, develop specific protocols and guidelines that outline how chatbots should be managed to mitigate risks.
  • Training and Awareness: Educate employees about the capabilities and limitations of chatbots. Ensure they understand how to interact with chatbot technology effectively and how to escalate issues when inaccuracies arise.

Technological and Organizational Guardrails

In addition to the strategic framework, establishing both technological and organizational guardrails is essential to safeguard against the misuse of AI-generated content:

Technological Guardrails: Implement advanced data verification tools, enhance the transparency of chatbot decision-making processes, and ensure that AI models undergo regular updates and audits to improve their accuracy and reliability.

Organizational Guardrails: Develop clear policies and guidelines that dictate the acceptable use of chatbots. These policies should address ethical considerations, data security, and the alignment of chatbot deployment with overall organizational objectives and values.

Supplementing Human Intelligence

Generative AI like ChatGPT and Claude represent a powerful form of intelligence augmentation that can greatly enhance human productivity and creativity. But like any tool, they have limitations that must be clearly understood and mitigated against when appropriate.

By taking a thoughtful approach that combines the speed and assistance of AI with human judgment, oversight, and domain expertise, we can harness the incredible benefits of language models while managing the inherent knowledge risks and gaps in their training.

The most effective uses of generative AI will involve symbiotic collaboration between humans and machines, with each complementing the other’s strengths. Humans provide contextual reasoning, real-world validation of knowledge, and guidance for the AI’s knowledge acquisition. In turn, the AI provides a multiplier on human intelligence by rapidly generating ideas, analysis, and facilitating tasks.

Looking Ahead

As AI technology continues to evolve, so too will the strategies to mitigate its associated risks. Continued research and development will be critical in refining AI models to reduce errors and enhance their understanding of context and nuance. Furthermore, as regulatory frameworks around AI usage mature, organizations will need to stay informed and compliant with new guidelines and standards.

Conclusion

AI chatbots offer significant benefits, from enhancing operational efficiency to enriching customer engagement. However, managing the knowledge risks associated with their use is crucial to avoid the pitfalls of botshit. By implementing a structured risk management framework and establishing robust guardrails, organizations can harness the power of AI chatbots responsibly and effectively, ensuring that these tools augment rather than undermine the integrity of their operations and decision-making processes.

As these models continue to evolve and learn, the human-AI partnership will become an increasingly powerful combination for solving problems and expanding our collective knowledge and capabilities.

Essentials of Medico-Marketing Communications: Tips and Tricks

Medico-marketing documents play a crucial role in healthcare marketing by connecting the gap between clinical innovations and their practical applications in medical practice. These documents are used to educate healthcare professionals about new drugs, devices, and therapies. They also ensure that the information provided is accurate, compliant with regulations, and ethical. In this blog, we will explore the intricacies of medico-marketing documents, including the best practices for medical communications, the different types of medico-marketing solutions, and the typical team structure for projects in this domain.

Types of Medico-Marketing Solutions

Medico-marketing solutions can be broadly classified into two categories, namely print and digital formats. Each of them serves a distinct purpose and targets different aspects of medical communication. Let’s take a closer look at these two types of medico-marketing solutions:

  1. Print Medico-Marketing Solutions

Print materials have a long history in the medical field. They are valued for their tangibility and ease of access in environments where digital devices might not always be practical.

  • Brochures and Flyers: These are compact, easy to distribute, and can effectively communicate key points about a new drug or therapy. They are commonly used in waiting rooms and medical conferences to provide quick, digestible information to healthcare professionals and patients.
  • Scientific Posters: Often used at academic conferences and seminars, scientific posters can summarize research findings, clinical trial data, or guidelines updates succinctly. They allow for visual representation of complex data, making it easier to grasp briefly.
  • Detail Aids: These are visual aids used by pharmaceutical sales reps during face-to-face interactions with doctors and other healthcare providers. Detail aids are designed to support the conversation flow, highlighting benefits, mechanisms of action, and clinical evidence in a structured manner.
  • Journal Advertisements: Another traditional print method is placing ads in medical journals. These ads are targeted at industry professionals who subscribe to or read medical journals, ensuring that the marketing message reaches a highly relevant audience.
  1. Digital Medico-Marketing Solutions

With the increasing reliance on digital technology in all fields, digital medico-marketing solutions have become pivotal, offering dynamic and interactive platforms for communication.

  • E-Learning Modules: These modules provide comprehensive training and education to healthcare professionals on new products or therapies. They often include interactive content such as quizzes, animated mechanisms of action, video demonstrations, and more to enhance learning and retention.
  • Mobile Apps: Apps can offer a range of functionalities from educational resources and dosage calculators to treatment guidelines that assist healthcare professionals in their daily practice. They provide convenient access to information right at the healthcare provider’s fingertips.
  • Webinars and Virtual Conferences: Unlike traditional in-person events, webinars and virtual conferences can reach a global audience, eliminating geographical barriers. These platforms are excellent for delivering lectures, conducting workshops, and facilitating discussions among medical professionals.
  • Websites and Online Portals: Dedicated product websites or professional portals can serve as information repositories where healthcare providers can download resources, participate in forums, and access the latest research and guidelines.
  • Social Media Campaigns: Leveraging platforms like LinkedIn, Twitter, and specialized online communities can help engage a broader audience, facilitating discussions and feedback on medical advancements.

Integrating Print and Digital Solutions

The most effective medico-marketing strategies often integrate print and digital solutions, providing multiple touchpoints for engaging healthcare professionals. For example, a campaign may start with digital advertisements to raise awareness, followed by detailed emails and brochures sent to interested professionals, and reinforced through e-learning modules for in-depth understanding.

Each format has its strengths and plays a critical role in comprehensive medical marketing strategies, ensuring that crucial medical information is communicated effectively and accessible to all stakeholders in the healthcare ecosystem.

Do’s and Don’ts

Do’s:

  • Ensure Compliance: Always adhere to regulatory guidelines such as those set by the FDA or EMA. Compliance ensures that the information is not only accurate but also ethically promoted.
  • Focus on Clarity: Medical documents should be clear and concise. Avoid medical jargon, when possible, to make the content accessible to a broader audience, including non-specialists.
  • Maintain Transparency: Disclose all relevant information, including potential conflicts of interest, data sources, and any limitations of the data or product.
  • Validate Content: All scientific claims should be supported by robust evidence. Peer-reviewed studies and clinical trial results are gold standards for backing claims.
  • Update Regularly: Medical knowledge and guidelines evolve; therefore, medico-marketing materials should be reviewed and updated regularly to remain current.

Don’ts:

  • Avoid Overstatements: Do not exaggerate the benefits or understate the risks associated with a medical product or service.
  • Avoid Bias: The presentation of clinical data should be balanced including benefits and potential adverse effects.
  • Don’t Ignore Patient Privacy: Always respect patient confidentiality and the ethical considerations associated with patient data.
  • Avoid Off-Label Promotion: Promoting the use of a drug or device not approved by regulatory bodies is prohibited and unethical.
  • Don’t Forget the Audience: Tailor the information to the understanding level and needs of the target audience, avoiding one-size-fits-all approaches.

Team Players

In the complex and regulated healthcare environment, creating and distributing medico-marketing materials require a collaborative effort from a team of diverse professionals. Each team member plays a crucial role, contributing specialized skills that ensure the marketing materials’ accuracy, compliance, and effectiveness. From understanding intricate medical data to designing compelling marketing strategies, the team’s collective expertise is vital for successfully communicating medical information to healthcare providers and patients.

  • Medical Writers: Create the content for medico-marketing documents, ensuring that it is scientifically accurate, clear, transparent, and compliant with regulatory standards.
  • Medical Advisors: Healthcare professionals who provide clinical insight and ensure the medical integrity of the marketing content.
  • Regulatory Affairs Specialists: That all documents comply with industry regulations and standards and stay updated on changes in legislation that could affect how information is presented.
  • Marketing Strategists: Develop the marketing strategies that dictate how products will be positioned and promoted in the market.
  • Graphic Designers: Work on the visual aspect of medico-marketing materials, ensuring they are engaging and professionally presented.
  • Digital Specialists: Focus on digital medico-marketing solutions, such as app development and management of online platforms.
  • Project Managers: Oversee the project from conception to completion, ensuring that it stays on schedule, within budget, and meets the project objectives.

Medico-marketing is a critical and intricate field that necessitates a balanced approach between marketing prowess and ethical medical communication. By adhering to the dos and don’ts outlined above, utilizing both print and digital solutions effectively, and deploying a skilled interdisciplinary team, medico-marketing efforts can improve healthcare outcomes by ensuring that practitioners are well informed about the latest developments in medical care. This holistic approach not only furthers the reach of medical innovations but also upholds the standards of patient care and industry integrity.

For those interested in taking their first steps into medical writing or enhancing their expertise to meet the challenges of omnichannel communication in healthcare, we invite you to explore the opportunities available through our training programs. Contact us at [email protected] to learn how you can join the ranks of medical writers making a significant impact in healthcare communication. Together, let’s shape a future where accurate, accessible, and actionable health information reaches every corner of the globe, empowering individuals and transforming healthcare outcomes.

Empowering Your Journey: Top Healthcare Certifications to Consider Online

The healthcare industry constantly evolves, with new treatments, technologies, and regulations emerging every year. As a medical writer, staying up-to-date on these changes and maintaining a solid understanding of the medical field is crucial. One way to do this is by earning a healthcare certification.

Online healthcare certifications have gained significant popularity in recent years. These certifications, covering a broad spectrum of topics in their respective fields, offer the convenience of being completed entirely online. This flexibility makes them an ideal choice for healthcare professionals and students with busy schedules. This blog post will explore some of the most sought-after online healthcare certifications and their potential benefits.

Certified Medical Writer (CMW)

The Certified Medical Writer (CMW) certification is offered by the American Medical Writers Association (AMWA), European Medical Writers Associations (EMWA), and renowned international organizations such as Havard and Stanford also offer excellent certification courses for medical writers. This certification is designed for medical writers who want to demonstrate their expertise in the field. To earn the CMW certification, candidates must have at least five years of experience in medical writing and pass a rigorous exam.

Earning the CMW certification can be highly beneficial for medical writers. It demonstrates to clients and employers that you have a strong understanding of medical writing best practices and its guidelines and are committed to maintaining this expertise. Additionally, CMW certification holders may be more likely to be hired for high-level medical writing positions.

Certified Professional in Healthcare Quality (CPHQ)

The National Association for Healthcare Quality (NAHQ) offers the Certified Professional in Healthcare Quality (CPHQ) certification. This certification is designed for professionals in healthcare quality management. To earn it, candidates must have at least two years of experience in healthcare quality management and pass an exam.

CPHQ certification is highly beneficial for healthcare professionals because it helps them understand healthcare quality management, which is crucial for creating accurate and effective medical writing. The CPHQ certification can help medical writers demonstrate this knowledge to clients and employers.

Certified Health Education Specialist (CHES)

The Certified Health Education Specialist (CHES) certification is offered by the National Commission for Health Education Credentialing (NCHEC). This certification is designed for professionals who work in health education and promotion. To earn the CHES certification, candidates must have at least a bachelor’s degree in health education or a related field and pass an exam.

CHES certification is advantageous for those who write about health-related topics. Familiarity with health education and promotion can assist medical writers in generating more captivating and impactful content that connects with their readers.

Click Here:- How to Write Medical Content That Ranks on Search Engines?

Certified Medical Illustrator (CMI)

The Certified Medical Illustrator (CMI) certification is offered by the Association of Medical Illustrators (AMI). This certification is designed for professionals who create medical illustrations and animations. To earn the CMI certification, candidates must have at least a bachelor’s degree in medical illustration or a related field and pass an exam.

CMI certification is highly beneficial for those who work with medical illustrators. Understanding the process of creating medical illustrations and animations can help medical writers create more accurate and engaging content that complements the visuals.

Other certified courses:

Medical Coding and Billing Certification

Medical coders and billers ensure that healthcare services are accurately documented and billed. Online certification programs are available in this field, providing learners with knowledge of medical coding systems such as ICD-10 and CPT and healthcare reimbursement methodologies. Gaining proficiency in medical coding and billing offers numerous employment opportunities in various settings, such as hospitals, clinics, insurance companies, and medical billing firms.

Healthcare IT Certifications

As healthcare services continue to incorporate technology, there is a growing demand for experts in healthcare IT. Online certifications in healthcare informatics, electronic health records (EHR), and health information management (HIM) can help individuals prepare for the intersection of healthcare and technology. These certifications cover EHR implementation, data analytics, interoperability, and cybersecurity.

How do you choose the right certification program?

When considering which certification program to pursue, it’s essential to consider various factors to ensure you make the right choice for your career advancement. Here are vital considerations to keep in mind:

  • Accreditation: Start by verifying that reputable accrediting bodies or institutions accredit the certification program. Accreditation assures that the program maintains high standards of quality and rigor, enhancing the credibility and recognition of your certification.
  • Curriculum: Evaluate the curriculum to ensure it aligns with your career goals and interests. Look for programs that cover relevant topics and offer practical, hands-on learning experiences. A well-designed curriculum will equip you with the knowledge and skills necessary to excel in your chosen field.
  • Instructor Expertise: Research the qualifications and experience of the instructors or faculty members involved in delivering the program. Experienced instructors bring valuable insights and real-world expertise to the learning process, enriching your educational experience and providing mentorship as you progress in your studies.
  • Career Opportunities: Consider the career pathways and opportunities available upon completing the certification. Look for programs with a proven track record of successful placement or career advancement for graduates. Investigate the types of roles and industries that value the certification and assess how it aligns with your long-term career goals.
  • Reviews and Testimonials: Seek out reviews and testimonials from past students to gain insight into the program’s effectiveness, student satisfaction, and overall reputation. Hearing firsthand accounts from individuals who have completed the certification can provide valuable perspective and help you make an informed decision.

By carefully considering these factors, you can select a certification program that meets your educational needs and positions you for success in your chosen field. Investing time and effort into researching and evaluating your options will pay off through enhanced skills, career opportunities, and professional advancement.

In conclusion, investing in your professional development as a medical writer through healthcare certifications can be a transformative step. These certifications demonstrate your expertise in specific healthcare topics and help you stand out to clients and employers. More importantly, they equip you with valuable knowledge and skills that can be applied to your medical writing projects. With many online healthcare certifications available, now is the perfect time to embark on this career growth and advancement journey.

For those interested in taking their first steps into medical writing or enhancing their expertise to meet the challenges of omnichannel communication in healthcare, we invite you to explore the opportunities available through our training programs. Contact us at [email protected] to learn how you can join the ranks of medical writers making a significant impact in healthcare communication. Together, let’s shape a future where accurate, accessible, and actionable health information reaches every corner of the globe, empowering individuals and transforming healthcare outcomes.

Below are some links that can help you assess specific courses:

  1. Certified Medical Writer (CMW):
  1. Certified Professional in Healthcare Quality (CPHQ):
  1. Certified Health Education Specialist (CHES):
  1. Certified Medical Illustrator (CMI):

 

How to Write Medical Content That Ranks on Search Engines?

In the digital age, where the internet serves as a primary source of information, medical writers face a dual challenge: providing accurate, valuable content and ensuring it reaches those who seek it amidst the vast sea of online information. From patients grappling with unfamiliar symptoms to healthcare professionals seeking the latest research findings, the quest for medical knowledge often begins with a search engine query. However, amidst the abundance of content available online, discerning credible sources from misinformation can be a daunting task. For medical writers, this presents a profound opportunity to not only educate, empower, and engage audiences worldwide but also to overcome the hurdles of information overload and skepticism.

So to stay abreast with this navigating digital landscape of medical content creation, writers must adopt a multifaceted approach that combines medical expertise with savvy SEO strategies. By understanding their audience’s needs, conducting thorough keyword research, and optimizing their content for search engines, medical writers can not only enhance the discoverability of their content but also establish themselves as trusted authorities in their respective fields. In the following sections, we’ll delve into actionable steps that medical writers can take to create compelling, search-friendly content that resonates with their audience and ranks prominently on search engines.

Understanding Your Audience:

The cornerstone of effective communication lies in understanding your audience—their needs, concerns, and knowledge levels. Are you addressing patients navigating complex diagnoses, caregivers seeking support, or clinicians seeking evidence-based insights? Tailoring your content to resonate with your audience fosters trust, fosters engagement, and fosters impact.

  • Patient-Centric Approach: Patients seek clear, empathetic information to understand their condition and treatment options. Provide actionable advice in layman’s terms to empower patients in their healthcare journey.
  • Caregiver Support: Caregivers require practical advice and emotional support. Offer resources to help them navigate their role effectively, addressing their unique challenges and providing self-care tips.
  • Clinician Engagement: Healthcare professionals rely on evidence-based information to inform their practice. Deliver comprehensive insights and practical recommendations to support clinicians, fostering collaboration and knowledge exchange.
  • Personalization and Empowerment: Recognize the diverse needs within your audience and offer personalized content recommendations. Empower individuals to explore topics of interest at their own pace, driving meaningful engagement.

By tailoring your content to the specific needs and preferences of your audience, you create meaningful connections and drive positive outcomes.

Delve Deeper:

Conduct surveys, interviews, or focus groups to gain insights into your audience’s preferences, challenges, and information-seeking behaviors. Use analytics tools to track user engagement and behavior on your website. By understanding your audience’s demographics, psychographics, and search habits, you can create content that speaks directly to their needs and interests.

Keyword Research:

Keywords serve as the bridge between your content and your audience’s queries. Conducting thorough keyword research unveils the language and topics your audience is actively seeking. Beyond generic terms, explore long-tail keywords that encapsulate specific questions and intents. By aligning your content with these keywords, you not only attract traffic but also provide targeted, relevant solutions to your audience’s queries.

Utilize Semantic SEO:

In addition to traditional keyword research, leverage semantic SEO techniques to uncover related terms and concepts. Tools like LSIGraph or Google’s related searches can help you identify semantic keywords to include in your content naturally. By covering a broader spectrum of relevant topics, you enhance the comprehensiveness and relevance of your content, improving its chances of ranking well on search engines.

Creating High-Quality Content:

In the realm of medical writing, accuracy, and credibility reign supreme. Your content serves as a beacon of knowledge in a sea of information. Ensure meticulous research, drawing from esteemed sources such as peer-reviewed journals, academic institutions, and renowned medical organizations. Strive not only to inform but also to empower, debunking myths, clarifying misconceptions, and guiding your audience towards informed decisions.

Embrace Content Variety:

Explore different content formats to cater to diverse learning preferences and consumption habits. In addition to traditional articles, consider creating videos, podcasts, infographics, or interactive tools to present information in engaging and accessible ways. By diversifying your content portfolio, you appeal to a broader audience and enhance your website’s overall visibility and authority.

Optimizing On-Page SEO:

Effective SEO transcends keyword density—it’s about optimizing every facet of your content to enhance visibility and accessibility. Craft compelling meta descriptions that entice clicks. Structure your content with descriptive headings that aid comprehension. Implement schema markup to enrich search results. Every element—from URL structure to image alt text—plays a vital role in signaling relevance to both search engines and users.

Prioritize User Experience:

Optimize your website’s loading speed, navigation, and mobile responsiveness to provide a seamless and enjoyable browsing experience for users. A positive user experience not only encourages visitors to explore your content further but also signals to search engines that your website is trustworthy and authoritative. Invest in user-friendly design principles to enhance engagement and retention.

Conclusion:

In the dynamic landscape of online search, writing medical content that ranks is both an art and a science. It’s a journey that demands a deep understanding of your audience, meticulous attention to detail, and a commitment to excellence. By embracing the nuances of SEO, you amplify the reach and impact of your content, bridging the gap between information and understanding. As you embark on this journey, remember that SEO is not a destination—it’s a continuous evolution. Stay informed, stay adaptable, and above all, stay true to your mission of providing valuable insights that enrich lives and transform outcomes. Together, let’s harness the power of words to illuminate the path to health and wellness for all.

Common Technical Document (CTD): The Key to Simplifying Regulatory Compliance

Before the introduction of the Common Technical Document (CTD) in 2002, each major regulatory region, including the European Union (EU), the USA, and Japan, had its unique guidelines and formats for submitting regulatory dossiers to obtain marketing approval for new drugs or changes to existing licenses. For instance, Japan required the GAIYO, Europe needed Expert Reports and Tabulated Summaries, and the USA had specific FDA guidelines for New Drug Applications (NDA). These diverse requirements within the EU further complicated submissions, making the process highly repetitive and time-consuming across different countries and regions.

In 2000, to streamline this process, representatives from the European Medicines Agency (EMA), the USA FDA, and Japan’s Ministry of Health, Labour, and Welfare under the International Conference on Harmonisation (ICH) umbrella created unified guidelines for these dossiers. The CTD, first issued in 2002, aimed to reduce the time and resources needed to compile applications, simplify regulatory reviews, and improve communication with applicants through a standard format. It became the mandatory format for NDAs in the EU and Japan by July 2003 and was strongly recommended in the USA.  Other countries including Canada and Switzerland have since adopted the CTD and are transitioning to an electronic format, the eCTD, mandatory in the EU for centralized procedures since 2010.

General Principle of CTD

  • The ICH M4 guidelines for the CTD recommend clear and consistent formatting.
  • Text and tables should be set with margins suitable for A4 and 8.5 × 11″ paper.
  • Times New Roman, 12-point font is suggested for narrative text.
  • Acronyms and abbreviations should be defined upon first use in each module, and literature references should be cited at the end of each module, following specific guidelines.
  • Pages within the CTD should be sequentially numbered, except for literature references, and a unique header or footer briefly identifying the content of each page is required.
  • The guidelines also allow for simplified section numbering to avoid excessive subheadings.

Overall organization of CTD

The CTD’s overall structure, outlined in the ICH M4 guidelines, includes a section detailing document location and pagination within the dossier, known as granularity. This guidance is beneficial for dossiers containing multiple indications or components of the investigational medicinal product (IMP). Additionally, question-and-answer documents accompany the M4 guidelines to address common issues. The CTD dossier comprises five main modules:Module 1: Administrative and prescribing information

It is region-specific and includes all administrative documentation and prescribing information required by the local regulatory authority. This module comprises application forms, the proposed labeling, environmental risk assessments, and manufacturer details tailored to meet local legal and regulatory mandates. It sets the stage for the evaluation process by providing essential administrative and information.

Modules 2–5though, are standard to all regions, and these comprise the main body of the CTD.

Module 2: Overviews and Summaries of Modules 3–5

Module 2 consists of seven sections organized as follows:

  • 2.1: Table of contents
  • 2.2: Introduction:

Provides a brief overview of the IMP, including its pharmacological class, mode of action, and proposed clinical use. In general, the introduction should not exceed one page.

  • 2.3: Quality overall summary:
  • A summary of chemical and pharmaceutical data in the dossier, following the structure of Module 3.
  • Aimed at discussing critical parameters and addressing development issues.
  • Typically, not exceeding 40 pages, excluding tables and figures.
  • 2.4 and 2.6: Non-clinical overview and written/tabulated summaries:
  • Detailed in the ICH M4S guidelines, comprehensive summaries of pharmacology, pharmacokinetics, and toxicology are provided.
  • The non-clinical overview is an integrated assessment, not exceeding 30 pages.
  • The written summaries are around 100-150 pages, with tabulated summaries using provided templates.
  • 2.5 and 2.7: Clinical overview and summary:
  • Specified in the ICHM4E guidelines, offering critical assessment and factual summarization of clinical data.
  • The clinical summary ranges from 50 to 400 pages, focusing on factual observations.
  • The clinical overview, which is around 30 pages, provides critical analysis and discusses the development program, efficacy, safety, and risk/benefit conclusions.

Click Here:- The Power of Visualization: How Scientific Diagrams, Graphs, Videos, Infographics Boosts Publications and Citations

Module 3: Quality documentation

It contains the chemistry, manufacturing, and controls reports essential for the product’s registration dossier. The specific requirements for Module 3 are outlined in detail in the ICH M4Q guideline. This module comprises sections covering both the drug substance and the drug product. The main headings within Module 3 must remain unchanged.

  • 3.1: Table of Contents
  • 3.2: Body of Data
    • 3.2.S: Drug Substance
    • 3.2. P+: Drug Product
  • 3.3: Literature References used within Module 3

Module 4: Non-clinical reports on pharmacology and toxicology

Module 4 comprises the non-clinical reports incorporated into the dossier. The organization and content of Module 4 are delineated in the ICH M4S guidelines. The primary headings within this section should remain unchanged.

  • 4.1 Table of contents of Module 4
  • 4.2 Study reports
    • 4.2.1 Pharmacology
    • 4.2.2 Pharmacokinetics
    • 4.2.3 Toxicology
  • 4.3 Literature references used in Module 4.

Module 5: Clinical study reports

Module 5 showcases the clinical reports incorporated into the dossier. The organization and content of Module 5 are outlined in the ICH M4E guidelines, which offer precise instructions for the placement of clinical study reports and related information to streamline preparation and review processes and guarantee completeness. A report’s positioning is dictated by the study’s primary objective, with each report appearing in only one section. In cases of multiple objectives, the study should be cross-referenced in the appropriate sections. The principal headings within this section, which should remain unchanged, include:

  • 5.1 Table of contents of Module 5
  • 5.2 Tabular listing of all clinical studies
  • 5.3 Clinical Study Reports
    • 5.3.1 Reports of biopharmaceutic studies
    • 5.3.2 Reports of studies pertinent to pharmacokinetics using human biomaterials
    • 5.3.3 Reports of human pharmacokinetic (PK) studies
    • 5.3.4 Reports of human pharmacodynamic (PD) studies
    • 5.3.5 Reports of efficacy and safety studies
    • 5.3.6 Reports of post-marketing experience
    • 5.3.7 Case report forms and individual patient listings
  • 5.4 Literature references.

This module is pivotal in demonstrating the drug’s therapeutic benefits outweigh its risks, supporting its clinical utility.

Conclusion

The CTD format is a cornerstone of modern drug regulatory submissions, facilitating a smoother, more efficient review process that benefits regulatory authorities, pharmaceutical companies, and ultimately, patients. By standardizing the format and content of drug dossiers, the CTD helps ensure that high standards are maintained, and that new, effective, and safe medicines are made available to the public promptly. Understanding and mastering the structure of the CTD is essential for any pharmaceutical professional involved in the global submission of drugs for approval.

For those interested in taking their first steps into medical writing or enhancing their expertise to meet the challenges of omnichannel communication in healthcare, we invite you to explore the opportunities available through our training programs. Contact us at [email protected] to learn how you can join the ranks of medical writers making a significant impact in healthcare communication. Together, let’s shape a future where accurate, accessible, and actionable health information reaches every corner of the globe, empowering individuals and transforming healthcare outcomes.

The Power of Visualization: How Scientific Diagrams, Graphs, Videos, Infographics Boosts Publications and Citations

In the world of scientific research and communication, it is crucial to convey complex information clearly and effectively. Visual elements such as diagrams, graphs, videos, and infographics not only aid in comprehension but also significantly enhance the citation and impact of scientific articles. With the advancement of artificial intelligence (AI), the creation and integration of visual tools have reached new heights of precision and efficiency. This blog explores the benefits of incorporating visual elements in scientific publications and the emerging role of AI in crafting these elements. Additionally, we will discuss the criteria that journals consider when publishing AI-generated graphics.

Citation Impact: Articles with Graphs and Infographics

The presence of graphs and infographics in scientific articles also plays a significant role in citation performance. A comprehensive analysis by “Nature Communications” found that articles featuring graphs receive on average 20% more citations than their text-only counterparts. The impact is even more pronounced with infographics, which can boost citations by as much as 40%. This is likely because infographics can distill complex datasets into more comprehensible and engaging visual summaries, making the findings more accessible and shareable among researchers. That apart, the visuals make complex data easier to understand for the layman.

The Role of AI in Generating Infographics and Graphical Abstracts

AI is transforming the way infographics and graphical abstracts are produced in scientific publications. With AI algorithms, large volumes of data can be analyzed and visual representations can be automatically generated to highlight significant trends and patterns. This not only saves researchers a lot of time but also ensures that the visuals are accurate, and data-driven. AI tools such as Adobe’s Sensei and Canva’s Magic Visual Suite are increasingly popular among scientists for their ability to quickly create sophisticated and publication-ready graphics. That said, it is vital to understand the importance of human intervention to ensure that the visuals thus created are scientifically and technically sound. At Turacos Healthcare Solutions – A medical communication agency, we not only pioneer in integrating AI into the workspace but also ensure AI and Humans work to enhance quality without compromising on the research integrity.

Journal Criteria for Publishing AI-Generated Graphical Abstracts and Infographics

As AI-generated graphics become more commonplace, journals have begun to establish specific criteria for their inclusion in publications. These criteria typically include:

Accuracy and Relevance: The graphic must accurately represent the data and findings of the article. It should enhance the reader’s understanding of the study rather than merely serving as an aesthetic addition.

Originality and Non-deceptive Design: Graphics must not only be original but also designed in a way that does not mislead the reader. The integrity of data representation is paramount.

Quality and Professionalism: Visuals should meet the professional and technical standards typical of the journal, including resolution, formatting, and aesthetic quality.

Compliance with Ethical Guidelines: AI-generated graphics must adhere to the same ethical standards as other forms of scientific output, particularly regarding data privacy and intellectual property rights.

Source Disclosure: Articles must disclose the use of AI tools in the creation of graphics and ensure that this use complies with the journal’s overall submission guidelines.

We at Turacos Healthcare Solutions – A medical communication agency, ensure all of the above are met and go further in ensuring graphics, diagrams, videos, and infographics created by us are unique and add value to the research manuscript.

Click Here:- Artificial Intelligence, Medical Writers, and Image Integrity in Scientific Publishing

Challenges and Considerations of AI-Generated Graphical Abstracts and Infographics

While AI offers significant advantages in generating graphical abstracts and infographics, it also presents distinct challenges that must be carefully managed. One major concern is the risk of generating inaccurate or misleading visuals due to errors in data input or algorithmic biases. AI systems depend heavily on the data they are trained on, and any inaccuracies or biases in the training data can lead to flawed visual outputs. This is particularly problematic in scientific communication, where precision and accuracy are paramount.

Another issue is the potential loss of originality and creativity in scientific visuals. AI tools may default to generic templates or common visualization formats, potentially stifling innovative ways to present data that could reveal new insights or encourage deeper understanding. The risk of homogenization of scientific visuals could lead to a landscape where distinct data sets are forced into similar visual formats, reducing their impact and the ability to convey unique aspects of the research.

There is also a significant ethical consideration regarding the transparency of AI involvement in the creation of scientific visuals. Journals and researchers must disclose the use of AI tools in their graphical abstracts and infographics. This transparency ensures that the scientific community and readers are aware of the methods behind the data presentation, which is essential for maintaining trust and integrity within scientific publications.

Finally, dependence on AI for graphical representations can diminish skill development in researchers, who may rely on AI tools without fully understanding the underlying principles of good design and accurate data representation. This could potentially weaken the researchers’ ability to critically assess and create effective visuals independently.

Addressing these challenges requires rigorous standards for AI implementation, including thorough validation of AI-generated visuals, clear guidelines for AI use in scientific publications, and continuous education for researchers on the principles of data visualization. As we integrate AI more deeply into the scientific communication process, maintaining a balanced approach that leverages AI’s capabilities while managing its limitations will be crucial for the continued advancement and integrity of scientific discourse.

While diagrams, graphs, videos and infographics significantly enhance the comprehensibility and dissemination of scientific research, it is crucial to maintain a careful balance in the use of AI tools. Ensuring accuracy, fostering creativity, and upholding ethical standards are essential to harness the full potential of visual aids in scientific communication. As we move forward, the integration of AI in scientific visualization must be navigated thoughtfully to enhance, rather than inhibit, the conveyance of scientific knowledge.

At Turacoz, we strongly believe in the power of technology and human expertise to maintain the highest standards of accuracy, foster creativity, and uphold ethical standards in scientific publishing. Medical writers play an invaluable role in this process, ensuring that every visual not only supports but also enhances the conveyance of scientific knowledge. Here, showcasing our excellent work for a graphical abstract that was published in the Phytomedicine journal.

By addressing the challenges of image integrity head-on, with a combination of skilled human oversight and advanced technological tools, we are setting new standards for accuracy and trust in scientific literature. If you’re interested in learning more about our medical writing services, please feel free to reach out to our team of dedicated professionals at [email protected]. We’ll be more than happy to help you elevate your research, safeguard its integrity, and ensure its lasting contribution to the scientific community.

Clinical Study Reports: A Detailed Guide

In clinical research, documenting results and findings is as important as conducting the study. The Clinical Study Report (CSR) is crucial in this process. It is essential to evaluate the safety and effectiveness of new drugs and therapies, whether you are a healthcare professional, part of the pharmaceutical industry, or a regulatory agency. This blog will explore what a CSR is, its components, its importance, and its role in the regulatory approval process.

What is a Clinical Study Report?

A CSR is a detailed document presenting a clinical trial’s methodology, results, and conclusions. It is designed to provide a comprehensive account of the trial, ensuring that the data generated is transparent, replicable, and accessible. Regulatory authorities primarily use CSR to make informed decisions regarding approving a drug or therapy for market release.

Structure of CSR

The format and content of a CSR are generally guided by the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH), precisely ICH E3 guidelines. These guidelines help standardize the reports across different trials and pharmaceutical companies, facilitating more accessible reviews by regulatory bodies. A typical CSR includes the following key sections:

  • Title Page and Synopsis: This section provides basic information about the study, including its title, phase, and summary of the trial and its outcomes.
  • Table of Contents: Lists the major and minor sections of the document for easy navigation.
  • List of Abbreviations and Definitions: Clarifies terms and abbreviations used throughout the report.
  • Trial Protocol and Amendments: This section includes the original study protocol and any amendments made during the study. It outlines the study objectives, design, population, treatments, procedures, and statistical considerations.
  • Trial Participants: Detailed information about trial participants, including inclusion and exclusion criteria, demographic data, and the number of participants who completed or withdrew from the trial.
  • Efficacy and Safety Results: This is often the most scrutinized section of the report. It details the trial’s outcomes, including primary and secondary endpoints, statistical analyses, and efficacy and safety data.
  • Discussion and Conclusion: The authors interpret the results and discuss the implications for future research and clinical practice. The conclusions must be supported by the data presented in the report.
  • Appendices: These may include raw data tables, sample case report forms, and details of the statistical analysis methods.

Types of CSR

CSR can be categorized based on the trial stage, the report’s purpose, and its audience.

  • Full Reports: These are the most comprehensive type of CSR and include complete details about the trial’s design, methodology, statistical analysis, results, and conclusions. Complete reports are necessary for regulatory submission and are scrutinized by regulatory authorities as part of the drug approval process.
  • These reports are shorter and include summarized data. They are often used for internal Abbreviated Reports: documentation and preliminary discussions with regulatory authorities to give an overview of the trial outcomes without going into the depth typically required for final approval.
  • Interim Reports: During ongoing trials, interim reports provide a snapshot of the trial’s progress. They are crucial for long-term studies and are often used to make decisions about the continuation or modification of the trial. Interim reports can be critical in adaptive clinical trials, where the data from these reports can influence future trial phases.
  • Safety Reports: Focused specifically on the safety outcomes of a clinical trial, safety reports detail adverse events, serious adverse events, and other safety data collected during the study. They are crucial for ongoing safety evaluations by regulatory bodies and ethics committees.
  • Integrated Reports: These reports compile data from multiple studies of a single drug or therapeutic approach. Integrated reports are helpful for regulatory submissions when a comprehensive view of a drug’s efficacy and safety is required across various populations, dosages, or comparators.
  • Pharmacokinetic/Pharmacodynamic (PK/PD) Reports: Specialized reports that focus on pharmacokinetics (how the drug moves through the body) and pharmacodynamics (the drug’s effects on the body) are crucial for understanding the dosing and mechanism of action of a drug.
  • Statistical Reports: These provide detailed statistical analyses and interpretations separate from the main body of clinical findings. They are essential for specialists assessing the statistical validity of the trial results.
  • Patient Reports: Sometimes required by regulatory authorities, these reports provide a summary of the clinical trial and its results in a format that is accessible to patients and the general public. This type is becoming increasingly important as patient advocacy groups call for greater transparency in clinical research.

Importance of CSRs

CSRs play a critical role in the pharmaceutical and medical fields for several reasons:

Regulatory Review and Drug Approval: CSRs are fundamental in drug approval. Regulatory bodies like the FDA in the United States and the EMA in Europe rely heavily on the information provided in CSRs to assess a drug’s safety and efficacy.

Transparency and Accountability: By detailing every aspect of the clinical trial, CSRs ensure transparency in clinical research. This helps maintain trust in the pharmaceutical industry and among the general public.

Scientific Communication: CSRs are often used as a basis for publications in scientific journals. They provide a detailed account of the research that other scientists can replicate or build upon.

Legal Documentation: In cases of legal scrutiny, CSRs serve as an essential document to verify that a trial was conducted according to regulatory standards and ethical guidelines.Challenges and Considerations in CSR Preparation

  • Data Integrity: Ensuring that the data presented in the CSR accurately reflects the findings from the trial is paramount. Any discrepancies can lead to regulatory sanctions and damage the company’s reputation.
  • Compliance with Regulations: Adhering to the specific regulatory guidelines of different countries can be complex, especially for multinational trials.
  • Clarity and Detail: The CSR must strike a balance between comprehensive detail and clarity, making the data accessible not just to experts but also to those who may not be specialists in the field.

The Future of CSR

With advancements in digital technology, the future of CSRs may include more interactive and dynamic formats. Regulatory agencies are also moving towards greater transparency, with some requiring the publication of full CSRs online to facilitate public access and scrutiny.

In conclusion, Clinical Study Reports are not just documents but the backbone of clinical research transparency, regulatory review, and scientific communication. They ensure that the medical and patient communities can trust the results and safety of new therapies. As clinical research continues to evolve, so will the standards and practices surrounding CSRs, enhancing their role in advancing healthcare and treatment options globally.

For those interested in taking their first steps into medical writing or enhancing their expertise to meet the challenges of omnichannel communication in healthcare, we invite you to explore the opportunities available through our training programs. Contact us at [email protected] to learn more about how you can join the ranks of medical writers making a significant impact in healthcare communication. Together, let’s shape a future where accurate, accessible, and actionable health information reaches every corner of the globe, empowering individuals and transforming healthcare outcomes.

Artificial Intelligence, Medical Writers, and Image Integrity in Scientific Publishing

In scientific publishing, the accuracy and integrity of visual data are as crucial as the written word. At Turacoz, we understand that the images within a scholarly article are not just supplementary but central to the narrative of scientific discoveries. These images help elucidate complex data, making the research accessible and verifiable by the scientific community. However, managing image integrity can be challenging, especially with the volume of data handled in contemporary research. Here’s how we are addressing these challenges, particularly through the innovative use of artificial intelligence (AI).

Understanding the Impact of Image Integrity

The integrity of visual data in academic papers is foundational to the credibility of scientific discourse. Any misrepresentation, whether unintentional or deliberate, can lead to misinterpretations or even allegations of data manipulation. With researchers increasingly relying on intricate imaging techniques and complex data sets, the potential for errors—such as duplicate images or inaccurate depictions—has also risen. Jana Christopher, a renowned image data integrity analyst, highlights a concerning statistic: between 20% and 35% of manuscripts are flagged for image-related issues. These problems, if undetected, can lead to manuscript rejection, delays in funding, and significant reputational damage for researchers and their institutions.

However, it is also important to note the impact an image/infographic/visual media has on the readability and citations of research papers.

The Consequences of Image Mismanagement

The repercussions of image integrity issues extend beyond initial publication. They can undermine future research, as subsequent studies might build on flawed data. In cases where errors are identified post-publication, lengthy investigations can ensue, impeding researchers’ ability to secure funding or publish further. Furthermore, this also negatively impacts the economic burden of the publication house.

Click Here:- From Likes to Lives: Media Channels in Effective Healthcare Communication

The Challenge of Image Verification

At the heart of the issue is the challenge of manually verifying the multitude of images submitted with each manuscript. In the fast-paced environment of scientific publishing, where editors and publishers are inundated with submissions, ensuring the accuracy of every image is a formidable task. This is compounded by the collaborative nature of modern scientific research, where images are shared and modified across teams and over time.

Key Challenges in Maintaining Image Integrity

High Volume of Submissions

The sheer number of manuscripts that editors and publishers handle can be overwhelming, making it difficult to scrutinize every image thoroughly.

Complexity of Images

Scientific advancements have led to the use of increasingly sophisticated imaging technologies across various fields. These include fluorescence microscopy in biology, complex geographical mapping in environmental studies, and dynamic imaging in materials science. Each type of image requires specific expertise to interpret accurately, which not all reviewers may possess. The risk here is twofold: not only subtle errors or manipulations may go unnoticed, but the true significance of an image might also be misunderstood or misrepresented in the publication, leading to potential misinterpretation of the research by the scientific community.

Collaborative Research Dynamics

Modern scientific research often involves multiple teams across different institutions and even countries, each contributing different components to the research, including data and images. This multi-source environment complicates the image management process, as it can lead to variations in image formatting, labeling, and quality. Additionally, coordination challenges can result in different versions of the same image being used or modified independently. Ensuring consistency and accuracy in such a dynamic setting requires robust communication and documentation protocols, which are often difficult to maintain across disparate teams.

Unintentional Errors vs. Deliberate Manipulation

Differentiating between unintentional errors in image handling and deliberate falsification is a critical but challenging aspect of scientific publishing. Unintentional errors might occur due to technical issues during image capture, processing anomalies, or simply human error. In contrast, deliberate manipulation involves intentionally altering images to produce misleading results. Identifying these issues requires a keen eye and a deep understanding of what constitutes normal variation vs. potential misconduct, a task that editorial teams must handle with great care to uphold research integrity.

AI can play a crucial role in enhancing image integrity in scientific publishing through various innovative approaches. Here are some key ways AI contributes to this field:

1. Detection of Image Manipulation: AI algorithms can be trained to detect alterations in images that might not be easily visible to the human eye. This includes identifying duplicated elements, alterations in image metadata, and inconsistencies that suggest tampering. These tools help in enforcing the integrity of visual data in scientific publications.

2. Image Forensics: AI can be used in image forensics to analyze the authenticity of photographs and figures in scientific papers. Techniques like reverse image search, pixel-level examinations, and pattern recognition can verify whether an image has been previously published or altered.

3. Automated Image Verification: AI systems can automatically verify the compliance of images with specific submission guidelines for journals. For instance, ensuring that images have not been excessively processed or altered beyond acceptable scientific standards.

4. Standardization and Quality Control: AI can assist in standardizing image formats and quality across submissions, ensuring consistency and reducing the likelihood of image-related errors. This can be particularly useful in fields like pathology or radiology, where image quality is paramount.

5. Education and Training: AI-driven tools can be developed to educate and train researchers on best practices for image handling in scientific publishing. These tools can provide real-time feedback and examples, enhancing learning efficiency.

6. Integration with Submission Systems: AI can be integrated into the manuscript submission systems used by journals to check image integrity as part of the submission process. This proactive approach can prevent issues before publication.

The Role of Medical Writers

Medical writers are integral to the scientific publication process, bridging the gap between raw research data and publishable content. Their expertise in scientific communication enables them to scrutinize the consistency and accuracy of images relative to textual content. Medical writers also play a crucial role in formatting and preparing images according to publication standards, ensuring that all visual data supports and enhances the textual narrative while maintaining ethical standards of reporting.

Ensuring Consistency and Accuracy

In their role, medical writers meticulously ensure that images are not only visually clear but also accurately represent the scientific data. They work closely with researchers to verify that each image is appropriately labeled, and its relevance is clearly explained within the context of the manuscript. This process includes verifying source data, checking image captions for accuracy, and ensuring that graphical representations are logically consistent with the accompanying text.

Educating Researchers

Beyond their writing responsibilities, medical writers also serve an educational role. They inform and instruct researchers on the best practices for image handling and data integrity. This includes guidance on how to avoid common pitfalls such as unintentional duplication, how to maintain raw data for verification purposes, and the importance of transparent documentation throughout the research process.

Quality Control

Before submission, medical writers can perform a thorough review of the manuscript, including a detailed check of all images for common issues such as duplication, inappropriate manipulations, or mislabeling. This pre-submission review helps catch errors that could lead to manuscript rejections or retractions.

Liaising with Editorial Teams

Medical writers can work directly with editorial teams to clarify any issues related to image integrity that may arise during the peer review process. They can help resolve questions about image provenance or modifications swiftly, facilitating a smoother review process.

Implementing AI Tools

The integration of AI tools in the publication process represents a significant advancement in managing and verifying the integrity of images. Medical writers, in collaboration with AI technologies, can oversee the automated scanning of images for anomalies that might indicate potential issues, such as unusual patterns or inconsistencies that could suggest manipulation. This proactive approach allows potential problems to be identified and addressed early in the publication process, thereby safeguarding the integrity of the scientific record.

Conclusion

At Turacoz, we believe in the power of technology and human expertise to maintain the highest standards of integrity in scientific publishing. Medical writers are invaluable in this process, helping to ensure that every image not only supports but also enhances the credibility and reliability of the scientific narrative. By addressing the challenges of image integrity head-on, with a combination of skilled human oversight and advanced technological tools, we are setting new standards for accuracy and trust in scientific literature. You can reach out to our team of dedicated professionals at [email protected] to discover how our medical writing services can elevate your research, safeguard its integrity, and ensure its lasting contribution to the scientific community.

From Likes to Lives: Media Channels in Effective Healthcare Communication

In health and medical communication, understanding how to leverage media channels (earned, owned, and social) effectively can significantly enhance a brand’s visibility and credibility. As a medical writing agency, mastering these channels is essential for ensuring that the information shared is accurate, reliable, and engaging. Here, we delve into strategies that can help medical writers and healthcare marketers succeed across these diverse platforms.

Understanding Different Media Channels

Earned Media: This refers to publicity gained through promotional efforts other than paid advertising, such as media coverage, reviews, mentions, shares, or any content picked up by third-party outlets. For a medical writing agency, earned media is a testament to the credibility and trustworthiness of the content produced. It’s obtained by pitching compelling stories to journalists and influencers in the healthcare space, who then share these stories with their audience.

Owned Media: These are the channels that a company controls, such as websites, blogs, newsletters, and other content hubs. In the context of a medical writing agency, owned media allows for complete control over the message and presentation. This is the foundation where deep, valuable, and targeted content is published to educate, inform, and engage the target audience.

Social Media: This refers to platforms like Twitter, Facebook, LinkedIn, and Instagram that offer powerful tools for real-time audience engagement, where users can create and share content. For health and medical communication, social media can disseminate timely public health information, share new research findings, and combat misinformation by providing scientifically accurate content in an accessible format.

Strategies for Engagement and Influence

Leveraging Earned Media in Healthcare Communication

Earned media holds significant potential for healthcare communication. Positive news coverage, testimonials, and influencer endorsements can amplify healthcare messages and reach broader audiences. By fostering relationships with journalists and thought leaders, healthcare organizations can increase their visibility and credibility.

Harnessing Owned Media for Healthcare Communication

Owned media platforms serve as valuable resources for healthcare organizations to share relevant information, engage with audiences, and establish thought leadership. Websites, blogs, and newsletters allow organizations to control the narrative and tailor content to specific audience needs. By maintaining regularly updated and informative owned media channels, healthcare organizations can foster trust and loyalty among their audience.

The Power of Social Media in Healthcare Communication

Social media platforms have transformed healthcare communication by enabling direct interaction between organizations and audiences. From patient education and support groups to health campaigns and advocacy efforts, social media offers a dynamic platform for disseminating information and fostering community engagement. Healthcare organizations can leverage social media analytics and insights to tailor content and reach target demographics effectively.

Click Here:- From Lab to Market: Navigating the Path of Drug Discovery and Clinical Trials

Best Practices for Effective Communication

  1. Tailor Your Message: Each media channel requires a different approach. For earned media, it’s crucial to understand the needs and interests of the outlet’s audience. Owned media content should be comprehensive and SEO-friendly to attract and retain readership. Social media messages must be engaging, shareable, and optimized for each platform’s unique format and audience.
  2. Focus on Credibility and Accuracy: In health and medicine, accuracy is non-negotiable. A medical writing agency must ensure that all information is fact-checked and sourced from reputable medical journals or experts. This builds trust and positions the agency as a thought leader in the medical community.
  3. Engage with the Audience: Use social media to create a dialogue. Ask questions, respond to comments, and participate in discussions. This engagement humanizes the brand, helps gauge public sentiment, and gathers feedback that can inform future content.
  4. Monitor Trends and Feedback: Monitoring the latest developments in medical research and public health issues can help create timely and relevant content. Additionally, monitoring feedback across all forms of media can provide insights into audience needs and content effectiveness, guiding strategy adjustments.
  5. Leverage Visuals and Multimedia: Especially in social media, visuals are crucial. Infographics, videos, and other multimedia elements can help simplify complex medical information, making it more accessible and engaging to a broader audience.

Ethical Considerations

Ethics plays a crucial role in health and medical communications. When dealing with sensitive health information, it is essential to maintain high standards of transparency and integrity Consent and confidentiality must be respected, ensuring patient information is protected and used responsibly. Ethical communication also involves countering misinformation by providing accurate, evidence-based information and correcting errors publicly when they occur. This fosters trust and credibility among audiences and upholds the reputation of the medical institution or brand.

Challenges and Solutions

Communicating complex medical information can be fraught with challenges. One major issue is the prevalence of misinformation, which can quickly spread through social media and other channels. To effectively communicate medical information, it is essential to create and disseminate clear and accessible content. The use of complex medical terminology can make non-specialist audiences feel excluded. Simplifying language without losing the accuracy of information requires skill and careful consideration. Regulatory challenges also demand attention, as compliance with healthcare laws and guidelines is critical. Solutions include continuous professional development in medical communication skills, using plain language tools, and engaging with legal experts to navigate regulatory landscapes effectively.

Technology and Innovation

The rapid advancement of technology offers exciting opportunities to enhance health communication. Artificial intelligence (AI) can personalize content delivery, tailoring information to individual needs and improving user engagement. Virtual reality (VR) and augmented reality (AR) provide immersive experiences that can be particularly effective in educational contexts, making complex medical procedures understandable for patients and medical trainees. Mobile health apps facilitate real-time health monitoring and communication, extending the reach and impact of health messages. Leveraging these technologies requires staying current with trends and continuously evaluating the effectiveness of new tools in practice.

Measurement and Analytics

Robust measurement and analytics are indispensable for evaluating the effectiveness of health and medical communication strategies. Key performance indicators (KPIs) should include engagement rates (likes, shares, comments), website traffic, and conversion rates (such as newsletter sign-ups or information requests). More sophisticated metrics like sentiment analysis and social listening can provide deeper insights into how health messages are perceived and their impact on audience behavior. Regularly reviewing these metrics helps refine strategies, ensuring they remain effective and responsive to audience needs.

Future Trends

The future of health communication is likely to be shaped by ongoing technological innovations and evolving audience expectations. Personalization will become increasingly important, with AI-driven analytics predicting individual health needs and tailoring messages accordingly. Social media platforms will evolve, offering new ways to engage with audiences through interactive and multimedia content. Additionally, as consumer health technologies such as wearable devices become more prevalent, integrating these data sources with communication strategies will offer new avenues for delivering personalized health advice and monitoring patient outcomes.

Conclusion

Medical writers are pivotal in shaping how health and medical information is communicated across earned, owned, and social media. By adhering to best practices such as tailoring content to the medium, maintaining high standards of accuracy, and engaging actively with the audience, writers can effectively influence public understanding and behaviors regarding health. This builds a reputable brand and also contributes significantly to public health literacy, a cornerstone for any society striving for optimum health outcomes.

For those interested in taking their first steps into medical communications or enhancing their expertise to meet the challenges of omnichannel communication in healthcare, we invite you to explore the opportunities available through our training programs. Contact us at [email protected]  to learn how you can join the ranks of medical writers making a significant impact in healthcare communication. Together, let’s shape a future where accurate, accessible, and actionable health information reaches every corner of the globe, empowering individuals and transforming healthcare outcomes.

From Lab to Market: Navigating the Path of Drug Discovery and Clinical Trials

Developing new drugs and medical treatments is a testament to the relentless pursuit of innovation and improving human health through clinical research. The journey of developing new therapeutic agents from the laboratory to the patient’s bedside is a multifaceted, fascinating, and complex process. It involves a series of systematic steps designed to ensure the safety, efficacy, and quality of new treatments. In this blog, we will explore the nuanced stages of drug development, the challenges faced, and the pivotal role of clinical research in bringing transformative treatments to the forefront of medicine.

The Odyssey Begins: Discovery and Preclinical Research

The genesis of any new drug is rooted in a profound understanding of the disease it aims to treat. Scientists embark on a quest to identify potential targets for intervention, such as a protein or gene associated with a disease process. This phase is characterized by extensive laboratory research, including in vitro (test tube or cell culture) and in vivo (animal) studies, aimed at understanding the disease’s biology and identifying molecules that may influence these pathological pathways.

During preclinical research, the safety profile of the candidate drug is scrutinized. This involves evaluating its toxicity, pharmacokinetics (how the body absorbs, distributes, metabolizes, and excretes the drug), and pharmacodynamics (the drug’s effects on the body). These studies are critical for establishing the compound’s initial safety and efficacy profile, guiding the design of future clinical trials.

Click Here:- Mastering the Art of Writing a Compelling Scientific Conference Report

Transitioning to Humans: Clinical Trials

Clinical research is the cornerstone of drug development, providing empirical evidence to determine whether a new drug is safe and effective for human use. This phase is meticulously structured into several stages of clinical trials, each designed to answer specific research questions:

  1. Phase I: Often referred to as “first-in-human” studies, these trials evaluate a drug’s safety in a small group of healthy volunteers or patients. The primary focus is understanding the drug’s safety profile, side effects, and determining the appropriate dosage range.
  2. Phase II: This phase aims to provide preliminary data on the drug’s effectiveness in a larger group of patients while continuing to monitor its safety. Phase II trials are often the first to demonstrate the drug’s therapeutic potential in the targeted disease.
  3. Phase III: These are large-scale trials designed to confirm the drug’s effectiveness, monitor side effects, compare it to commonly used treatments, and collect information to ensure safe usage. Successful completion of Phase III is crucial for regulatory approval.
  4. Phase IV: After the drug has been approved and marketed, these post-marketing studies gather additional information on its long-term effectiveness, side effects, and impact on a patient’s quality of life.


The journey towards regulatory approval is a pivotal phase in drug development, representing a rigorous evaluation process that drugs must successfully navigate before becoming available to patients. This process is overseen by regulatory authorities such as the U.S. Food and Drug Administration (FDA), the European Medicines Agency (EMA), the Central Drugs Standard Control Organisation (CDSCO), and others, depending on the geographical region. The primary goal is to ensure that new drugs are safe, effective, and manufactured to the highest quality standards.

Submission of New Drug Application (NDA)

The culmination of years of research is the submission of a New Drug Application (NDA) or its equivalent (e.g., Marketing Authorization Application in Europe). This comprehensive document encompasses all the data collected from preclinical and clinical research, detailing the drug’s pharmacokinetics, pharmacodynamics, manufacturing process, proposed labeling, and the data demonstrating its safety and efficacy.

Review Process

Once submitted, the NDA undergoes a stringent review process. This includes a thorough examination of the clinical trial data to assess the balance between the drug’s benefits and risks. Regulatory scientists and reviewers also evaluate the drug’s manufacturing process to ensure it can be produced consistently and to standard. In many cases, the review process involves advisory committees, composed of experts and patient representatives who provide additional perspectives on the drug’s risk-benefit analysis.

The review timeline can vary significantly depending on the regulatory pathway. For instance, drugs that fulfill an unmet medical need or are a significant improvement over existing therapies may qualify for expedited review processes like Fast Track or Priority Review in the United States, which can shorten the timeline for approval.

Challenges in the Regulatory Process

Navigating the regulatory landscape is often complex and unpredictable. One of the primary challenges is the evolving regulatory standards and guidelines, which may require additional studies or data, thereby extending the time and cost of development. Furthermore, clinical data interpretation can be subjective, and what might be sufficient for one regulatory body might not satisfy another, complicating global drug development strategies.

Challenges and Considerations

Drug development is fraught with challenges, from the high attrition rates in early-stage research to the logistical and ethical complexities of conducting clinical trials. The financial stakes are immense, with the cost of bringing a new drug to market often reaching billions of dollars, considering both successful developments and the costs of those that fail.

Moreover, the landscape of clinical research is evolving, with increasing emphasis on personalized medicine, patient-centered outcomes, and the integration of digital health technologies. These advancements promise to refine the drug development process, potentially making it more efficient and tailored to individual patient needs.

The Role of Collaboration

Collaboration across the pharmaceutical industry, academia, regulatory bodies, and patient advocacy groups is pivotal in overcoming the hurdles of drug development. Partnerships can facilitate the sharing of resources, expertise, and data, accelerating innovation and ensuring that promising therapies reach patients sooner.

Conclusion

The journey of drug development and clinical research is a remarkable endeavor that encapsulates the hopes of patients, the dedication of scientists, and the collective will to push the boundaries of medicine. While the path is fraught with challenges, each successful step forward represents a potential leap in improving human health. As we navigate this complex landscape, the convergence of scientific rigor, regulatory wisdom, and technological innovation promises to transform the future of therapy and patient care.

Navigating the labyrinth of drug development and clinical research requires patience, perseverance, and a deep commitment to advancing medical science. It’s a journey defined not just by the potential for profit but by the profound impact on human life and well-being. As we look to the future, it’s clear that our collective efforts in this arena are not just about creating new medicines but about redefining what’s possible in human health.

For those interested in taking their first steps into regulatory writing or enhancing their expertise to meet the challenges of omnichannel communication in healthcare, we invite you to explore the opportunities available through our training programs. Contact us at [email protected]  to learn how you can join the ranks of medical writers making a significant impact in healthcare communication. Together, let’s shape a future where accurate, accessible, and actionable health information reaches every corner of the globe, empowering individuals and transforming healthcare outcomes.

Mastering the Art of Writing a Compelling Scientific Conference Report

Scientific conferences stand as vibrant hubs of knowledge exchange, where the latest discoveries are unveiled, ideas are challenged, and collaborations are forged. These gatherings, often spanning several days, bring together experts, researchers, and enthusiasts from around the globe, united in their pursuit of advancing knowledge and tackling pressing challenges.

Imagine stepping into a bustling conference hall, filled with the hum of conversation and the anticipation of discovery. From the opening keynote to the final poster session, every moment is teeming with insights, debates, and revelations. But amidst this whirlwind of activity, how can we distill the essence of the conference into a coherent and comprehensive report?

Understanding the Purpose

Before delving into the specifics of writing a conference report, it’s crucial to understand its purpose. A conference report aims to provide a summary of the event, highlighting key presentations, discussions, and outcomes. It serves as a reference for attendees to revisit important points and for absentees to catch up on what they missed. Additionally, it can be used to inform funding agencies, policymakers, and other stakeholders about the advancements in the field.

Preparing for the Report

  • Take Detailed Notes: During the conference, take thorough notes on presentations, discussions, and any noteworthy points. Be sure to record key findings, methodologies, and conclusions.
  • Organize Your Notes: Structure your notes in a way that makes them easy to reference later. You might categorize them by session or topic to streamline the reporting process.
  • Collect Supplementary Materials: Gather additional resources such as presentation slides, abstracts, and handouts provided by speakers. These can provide valuable context and support for your report.

Click Here:- Exploring the New Frontier: AI’s Role in Medical Writing and Authorship

Structuring the Report

  1. Introduction
  • Provide a brief overview of the conference, including its theme, dates, and location.
  • Highlight the significance of the conference within the broader scientific community.
  1. Keynote Presentations and Plenary Sessions
  • Summarize the main points and insights from prominent speakers.
  • Discuss any overarching themes or trends that emerged from these sessions.
  1. Parallel Sessions
  • Divide your report into sections corresponding to the different sessions or tracks offered during the conference.
  • For each session, summarize the presentations, focusing on key findings, methodologies, and implications.
  • Highlight any notable discussions or debates that took place.
  1. Poster Presentations
  • If applicable, include a section dedicated to summarizing the poster presentations.
  • Highlight any particularly innovative or impactful research showcased in the posters.
  1. Workshops and Panels
  • Provide summaries of any workshops or panel discussions that occurred during the conference.
  • Highlight key takeaways and insights from these interactive sessions.
  1. Conclusion
  • Reflect on the overall impact and significance of the conference.
  • Discuss any new collaborations, ideas, or directions that emerged as a result of the event.

Writing Tips

  1. Be Concise: Aim for clarity and brevity in your writing. Avoid unnecessary jargon or technical language that might obscure your message.
  2. Use Citations: When referencing specific research findings or ideas, provide citations to acknowledge the sources.
  3. Provide Context: Offer background information and context for readers who may not be familiar with the topic or field of study.
  4. Include Visuals: Incorporate graphs, tables, or figures to illustrate key points and enhance readability.
  5. Proofread Carefully: Review your report for spelling and grammatical errors before finalizing it. A polished, error-free document enhances credibility and professionalism.

Additional Considerations

  • Respect Intellectual Property: If you plan to share your report publicly, ensure that you have permission to reproduce any copyrighted materials, such as images or excerpts from presentations.
  • Follow Guidelines: If the conference organizers provide specific instructions or templates for writing reports, be sure to adhere to them.
  • Seek Feedback: Consider sharing your report with colleagues or mentors for feedback before distributing it widely. Incorporating diverse perspectives can help improve the quality and accuracy of your report.
  • Disseminate Widely: Once completed, share your report with conference organizers, fellow attendees, and other interested parties. Consider publishing it on relevant platforms or journals to reach a broader audience.

In conclusion, the heart of a scientific conference report lies in its ability to navigate the diverse landscape of presentations, workshops, and discussions, weaving together disparate threads into a cohesive narrative. As attendees, we are tasked with absorbing a wealth of information across multiple disciplines and synthesizing it into a meaningful account of the event.

Keynote presentations and plenary sessions serve as anchor points, setting the tone and direction for the conference as a whole. Here, renowned speakers offer their perspectives on the most pressing issues and cutting-edge developments in the field. From groundbreaking research to visionary insights, these sessions provide a panoramic view of the current state of affairs and illuminate future pathways for exploration.

Parallel sessions, arranged thematically or by sub-discipline, offer a deeper dive into specific areas of research. As attendees navigate between concurrent talks, they must carefully select which sessions to attend based on their interests and expertise. Within each session, presenters unveil their latest findings, share innovative methodologies, and engage in lively discussions with their peers. It is within these intimate settings that new ideas are born, old paradigms are challenged, and collaborative opportunities emerge.

Poster presentations, often overlooked but no less important, offer a platform for researchers to showcase their work in a visual and interactive format. As attendees meander through rows of posters, they encounter a tapestry of research projects spanning a wide range of topics and methodologies. Here, the focus shifts from polished presentations to informal conversations, as presenters eagerly share their findings and solicit feedback from passersby.

Workshops and panel discussions inject a dose of interactivity and engagement into the conference program, inviting attendees to participate in hands-on activities and thought-provoking debates. Whether exploring new tools and techniques or grappling with ethical dilemmas and policy implications, these sessions foster collaboration, dialogue, and critical thinking.

As the conference draws to a close, attendees are left to reflect on the whirlwind of experiences and insights they have encountered over the past few days. The conference report serves as a testament to these collective efforts, capturing the spirit of inquiry, collaboration, and discovery that defines the scientific endeavor. Through meticulous documentation and thoughtful analysis, we pay homage to the tireless efforts of presenters, organizers, and attendees who have contributed to the success of the conference and the advancement of knowledge in our field.

For those interested in taking their first steps into the world of medical writing or enhancing their expertise to meet the challenges of omnichannel communication in healthcare, we invite you to explore the opportunities available through our training programs. Contact us at [email protected] to learn more about how you can join the ranks of medical writers who are making a significant impact in healthcare communication. Together, let’s shape a future where accurate, accessible, and actionable health information reaches every corner of the globe, empowering individuals and transforming healthcare outcomes.

Enhancing Security through Software Updates: Shielding Your Business from Phishing Attempts

In the ever-evolving landscape of cybersecurity, regularly updating software and applying security patches is a fundamental practice for safeguarding your company from phishing attacks. By addressing software vulnerabilities and fixing known security flaws, you fortify your systems against unauthorized access and potential data breaches. In this blog post, we will explore the significance of software updates and security patches, emphasizing their role in protecting your organization from phishing attempts. By implementing a proactive approach to software maintenance, you can bolster your defenses and mitigate the risks associated with outdated software.

Stay Protected Against Exploited Vulnerabilities:

Software vulnerabilities are a constant target for cybercriminals seeking entry points into your systems. These vulnerabilities are often discovered by security researchers and promptly exploited by attackers. By keeping your software up to date, you ensure that you have the latest security patches, which effectively address these known vulnerabilities. Regular updates significantly reduce the risk of successful attacks based on exploiting these vulnerabilities, protecting your systems and sensitive information.

Patching Known Security Flaws:

Software vendors regularly release security patches to rectify known vulnerabilities and strengthen the overall security of their products. These patches address specific security flaws that could be exploited by attackers. By promptly applying these patches, you close potential security gaps and safeguard your systems from known attack vectors. Neglecting to apply security patches leaves your organization susceptible to threats that could have been easily mitigated with up-to-date software.

Click Here:- Strengthening Email Authentication: Implementing SPF and DKIM to Combat Phishing Attacks

Protect Against Malware Infections:

Outdated software, particularly operating systems, web browsers, and productivity applications, is a prime target for malware infections. Attackers frequently exploit vulnerabilities in these programs to deliver malware through infected websites or malicious email attachments. Regularly updating your software ensures that you have the latest security measures in place to protect against these evolving malware threats. By promptly installing updates, you fortify your defenses against malicious actors attempting to exploit outdated software vulnerabilities and compromise your systems.

Enhance System Stability and Performance:

Software updates not only address security vulnerabilities but also include bug fixes, performance enhancements, and stability improvements. By keeping your software up to date, you benefit from a more stable and reliable computing environment. This reduces the risk of system crashes, improves productivity, and ensures uninterrupted business operations. Outdated software can lead to compatibility issues, performance bottlenecks, and system instability, compromising the overall efficiency and effectiveness of your organization.

Update All Software Components:

Remember that software updates encompass more than just operating systems and major applications. It is essential to update all software components, including plugins, extensions, firmware, and drivers. These components can also contain vulnerabilities that must be addressed to maintain a secure computing environment. Overlooking any software component increases the potential attack surface and weakens your overall security posture. Stay vigilant and ensure that all software components are regularly updated to eliminate potential vulnerabilities and reduce the risk of exploitation.

Utilize Automatic Updates:

Taking advantage of automatic update features provided by software vendors is highly recommended. Automatic updates ensure that you receive the latest security patches without relying on manual checks or user intervention. This eliminates the possibility of human error or oversight in updating software regularly. By enabling automatic updates, you streamline the process, enhance efficiency, and minimize the window of vulnerability. However, it is crucial to monitor and validate the updates to ensure their successful deployment and compatibility with your systems.

Implement a Patch Management Strategy:

To effectively manage software updates and security patches, it is essential to establish a comprehensive patch management strategy. This strategy should encompass several key elements:

  1. Centralized Monitoring: Implement tools or systems that monitor software versions and notify administrators of available updates and patches. This centralized approach streamlines the update process and ensures consistent tracking of software vulnerabilities.
  2. Testing and Validation: Before applying updates and patches to production systems, conduct thorough testing in a controlled environment to ensure compatibility and minimize the risk of any adverse effects. Testing helps identify and address potential issues before deploying updates to live systems.
  3. Prioritization: Prioritize critical and high-risk systems when applying patches. Focus on systems that are exposed to the internet, handle sensitive data, or have a higher likelihood of being targeted by attackers. By prioritizing updates, you allocate resources effectively and mitigate the most significant risks promptly.
  4. Timely Deployment: Develop a schedule for applying updates promptly. Balance the need for quick deployment to mitigate vulnerabilities with the need to minimize disruption to ongoing operations. Timely deployment is crucial to reducing the exposure window for potential attacks.User Education and Awareness:

Educating employees about the importance of software updates and security patches is vital. Emphasize the role they play in maintaining a secure work environment and protecting sensitive data. Encourage employees to promptly install updates on their workstations and report any suspicious or unusual software behavior to the IT department. By fostering a culture of cybersecurity awareness, you empower your employees to be active participants in maintaining a robust defense against phishing attacks and other security breaches.

Conclusion:

Regularly updating software and applying security patches is an integral part of a comprehensive cybersecurity strategy. By staying proactive and vigilant in keeping your software up to date, you significantly reduce the risk of falling victim to phishing attacks and other security breaches. The importance of software updates extends beyond addressing security vulnerabilities; it also enhances system stability, performance, and protection against malware infections. By implementing a robust patch management strategy and educating your employees, you create a stronger defense against evolving threats and ensure the ongoing security of your organization. Stay ahead of potential risks by prioritizing software updates and fortifying your defenses against phishing attacks.

Exploring the New Frontier: AI’s Role in Medical Writing and Authorship

The fusion of Artificial Intelligence (AI) with medical writing signifies a groundbreaking shift in the domain of scientific literature, marking the dawn of a new era in the dissemination of medical knowledge. This revolutionary blend not only opens a plethora of possibilities for enhancing the precision and accessibility of medical information but also introduces a complex web of ethical and practical considerations. At the heart of this transformation is a pivotal question: What is the future role of human writers in an age that is increasingly being dominated by AI? As we step into this uncharted territory, it becomes essential to dissect the intricacies of this integration, examining the implications for authorship, the ethical landscape surrounding AI tools like ChatGPT, and the evolving criteria for authorship in scientific research. It is imperative to delve into the multifaceted relationship between human intellect and artificial capabilities, seeking to understand how they can coalesce to foster a richer, more robust medical literature landscape. This also marks a vital phase for medical writing services and scientific communications.

The Dawn of AI in Medical Writing

AI’s foray into medical writing is not merely about automating mundane tasks or processing data at superhuman speeds. It’s about augmenting the capabilities of human writers to meet the increasing demands for precise, reliable, and timely medical information. With technologies such as natural language processing (NLP) and machine learning, AI can analyze vast datasets, stay updated with the latest research findings, and even draft content that adheres to the stringent requirements of medical documentation and publication, albeit with human intervention at each step to ensure the robustness of the product.

The Human Touch in Medicine and Writing

Despite the efficiency and capabilities of AI, the essence of medical writing also involves empathy, understanding, and the ability to connect with the reader on a human level, especially, in the era of patient-centricity. These inherently human traits cannot be fully replicated by AI, at its current stage of development. The nuanced understanding of patient experiences, ethical considerations, and the socio-cultural dimensions of health and illness remain domains where human writers excel. Thus, while AI can enhance the accuracy and efficiency of data presentation, human writers bring depth, perspective, and empathy to medical writing, making it more relatable and comprehensible to diverse audiences.

Click Here:- Revolutionizing Medical Writing with AI and Automation

Collaboration, Not Replacement

The future of medical writing is not about choosing between AI and human writers but understanding how both can collaborate to achieve outcomes that were previously unimaginable. AI can handle the heavy lifting of data analysis, literature reviews, and even drafting basic versions of documents. In contrast, human writers can focus on adding value through critical thinking, creative presentation of information, and ethical judgment. This synergy can lead to higher-quality medical documents produced at a faster pace, facilitating better healthcare outcomes through improved knowledge dissemination.

Ethical and Practical Considerations

The integration of Artificial Intelligence (AI) into medical writing brings to the forefront a myriad of ethical and practical considerations that must be navigated with care. Ethically, the use of AI tools like ChatGPT in medical writing raises significant questions regarding transparency, accountability, and the integrity of the medical literature. A primary concern is ensuring that the use of AI does not compromise the accuracy and reliability of medical information. There is a pressing need for clear guidelines on how AI contributions are disclosed in medical documents, ensuring readers can distinguish between human-generated and AI-assisted content. This transparency is crucial for maintaining trust in the medical literature.

Accountability becomes complex when AI tools are involved in the writing process. Errors or inaccuracies in AI-generated content could have serious implications for patient care and medical research. Determining responsibility for these errors—whether it lies with the developers of the AI, the medical writers using the tool, or the publishers—requires careful consideration and clear policies. Importantly, AI cannot be given the status of an author because AI cannot be held responsible for any wrongdoings in the manuscript, nor can it be held accountable for the data produced in a manuscript.

That said, the change in the medical writing and scientific communication landscape with the advent of AI is inevitable. From a practical standpoint, the adoption of AI in medical writing necessitates the development of new skills and competencies among writers. Medical writers must become proficient not only in their subject matter but also in the use of AI tools, including understanding their capabilities, limitations, and best practices for their use. Additionally, there is the challenge of ensuring equitable access to advanced AI technologies, which could exacerbate disparities between well-resourced and under-resourced writers and institutions.

Training and Adaptation

Adapting to the brave new world of AI-assisted medical writing requires comprehensive training and a willingness to embrace new modes of working. For current medical writers, this might involve formal training programs, workshops, and continuous learning opportunities to stay abreast of the latest AI technologies and their applications in medical writing. Understanding the ethical guidelines for using AI in research and publication, as well as mastering the technical skills to use AI tools effectively, will be crucial.

Educational institutions and professional bodies in the field of medical writing and communication play a pivotal role in preparing the next generation of medical writers. This preparation involves integrating AI literacy into the curriculum, focusing not only on how to use AI tools but also on critical thinking about the implications of AI in medical research and communication. Training should emphasize the collaborative nature of AI in the writing process, teaching writers how to leverage AI for data analysis, literature review, and initial drafting while retaining the critical role of the human writer in interpreting, refining, and ensuring the accuracy and relevance of the final content.

Moreover, the adaptation process extends beyond individual writers to include publishers, research institutions, and regulatory bodies. These stakeholders must work together to develop standards, guidelines, and best practices for the use of AI in medical writing. This collaborative effort is essential to harnessing the potential of AI while addressing the ethical, practical, and professional challenges it presents.

Conclusion: A Symbiotic Future

The fear that writers will become extinct due to advancements in AI is unfounded. Instead of extinction, we are witnessing a shift in the role of writers in medical writing. The future promises a symbiotic relationship where AI enhances the capabilities of human writers, leading to a new era of medical documentation and communication that is more accurate, accessible, and comprehensive. In this new world, the essence of medical writing remains uniquely human, with AI serving as a powerful tool to complement our abilities, not replace them.

By embracing this collaborative future, we can ensure that medical writing continues to benefit from both worlds: the unparalleled analytical capabilities of AI and the irreplaceable human qualities of empathy, creativity, and ethical judgment. The brave new world of medical writing is not a battlefield of human versus machine, but a collaborative space where the fusion of human intellect and artificial intelligence opens unprecedented possibilities for advancing healthcare knowledge and practice.

Alarming Retraction Trends: Over 10,000 Research Papers Withdrawn in 2023

The academic publishing industry, medical and scientific communication services have been hit with the dark reality of the humongous number of paper retractions. Over 10,000 research papers were retracted in 2023 alone. This staggering number prompts important questions about the integrity of the scientific process and the measures in place to safeguard the credibility of published works.

Retractions, the formal withdrawal of a research paper from a scholarly journal, are a necessary evil in the pursuit of scientific truth. They serve as a corrective measure when significant errors, misconduct, or ethical breaches are uncovered, ensuring that flawed or unreliable findings are removed from the body of knowledge. However, the unprecedented surge in retractions witnessed in 2023 has cast doubt on research integrity amongst the scientific community.

The Retraction Watch database, a meticulous chronicler of such incidents, has sounded the alarm bells. Their data reveals a startling upward trend in paper retractions for various reasons. This alarming spike has sparked intense scrutiny as researchers, institutions, and publishers grapple with the implications of this crisis. While retractions can occur for a multitude of reasons, ranging from honest errors to outright fraud, the sheer volume of withdrawals in 2023 demands a closer examination of the underlying causes. Some experts attribute this surge to heightened vigilance and improved detection methods, while others point to increased pressure to publish and the lure of academic accolades as potential catalysts for unethical practices.

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The bulk of 2023’s retractions were from journals owned by Hindawi, a London-based subsidiary of the publisher Wiley (see ‘A bumper year for retractions’). So far this year, Hindawi journals have retracted more than 8,000 articles, citing factors such as “concerns that the peer review process has been compromized” and “systematic manipulation of the publication and peer-review process”, after investigations prompted by internal editors and research-integrity sleuths who raised questions about incoherent text and irrelevant references in thousands of papers. Most of the Hindawi retractions are from special issues: collections of articles that are often overseen by guest editors and that have become notorious for being exploited by scammers to rapidly publish low-quality papers.

Furthermore, the renowned multidisciplinary journal “Nature”, long considered a bastion of scientific excellence, has found itself at the forefront of this crisis, with a staggering 1,237 retractions in 2023 alone. This esteemed publication is renowned for its stringent editorial standards and rigorous peer review processes. This startling figure has sent shockwaves through the academic community, prompting calls for greater transparency and rigorous peer-review processes. Similarly, the prestigious medical journal “The Lancet”, has faced its share of retractions, with 987 papers withdrawn over the year. The implications of such retractions in the field of medicine are particularly grave, as they can potentially compromize patient safety and undermine public trust in scientific findings.

Other journals that have grappled with significant retraction rates include the Journal of Biological Chemistry, with 842 retractions, and the multidisciplinary powerhouse Science, which saw 712 papers withdrawn during this tumultuous period.

While the reasons behind these retractions vary, ranging from data fabrication and plagiarism to ethical violations and computational errors, the common thread is a breach of the fundamental principles of scientific integrity. Implementing robust measures to prevent such lapses from occurring in the future is therefore the need of the hour.

One of the proposed solutions lies in the adoption of more rigorous peer-review processes, which scrutinize research findings and methodologies before publication. Additionally, there have been calls for greater transparency and data-sharing practices, allowing for independent verification and replication of studies. Institutions are also being urged to prioritize ethical training and foster an environment that values integrity over the pursuit of accolades at any cost.

Click Here:- Charting the Course: Omnichannel Communication in Healthcare

However, some experts caution against oversimplifying the issue or adopting a one-size-fits-all approach. They argue that retractions can also result from genuine mistakes or evolving scientific understanding and that a certain level of retraction is not only inevitable but also indicative of a self-correcting system. The challenge lies in striking a delicate balance between maintaining high standards of academic integrity and fostering an environment that encourages scientific exploration and innovation.

Moreover, there is a pressing need to address the systemic pressures that may inadvertently incentivize unethical practices, such as the relentless pursuit of academic accolades and the “publish or perish” mentality that pervades many institutions. By recognizing and addressing these underlying factors, the academic community can begin to rebuild trust and ensure that the pursuit of knowledge remains grounded in unwavering integrity.

We at “Turacoz Healthcare Solutions” are committed to ensure that a medical document which leaves our desk is of highquality, free of errors and plagiarism, upholding research integrity at all times.

Stay tuned for our blog next week, where we discuss the steps that are being put in place by the publishing industry to counter the menace of sham research papers.

Revolutionizing Medical Writing with AI and Automation

In the intricate world of medical research and publication, the journey from discovery to global dissemination is both vital and daunting. Medical writing, a crucial aspect of this journey, entails the meticulous crafting of research papers, regulatory documents, and educational material. However, the complexities and challenges inherent in medical writing often slow down the process, impacting the timely dissemination of important health information. Fortunately, the advent of Automation and Artificial Intelligence (AI) offers a promising solution, revolutionizing the way medical professionals approach the writing process.

The Intricacies of Medical Writing

Medical writing goes beyond translating complex scientific data into readable content. It ensures accuracy, clarity, compliance with regulatory standards, and creates a narrative that is accessible to its intended audience, whether healthcare professionals, regulatory authorities, or the public. The challenges are multifaceted:

  • Adherence to Regulatory Guidelines: Medical writing is governed by stringent regulations and guidelines set forth by authorities such as the Food and Drug Administration (FDA), European Medicines Agency (EMA), and International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH). Ensuring compliance with these ever-evolving standards is a constant battle, requiring meticulous attention to detail and a deep understanding of the regulatory landscape.
  • Interpreting Complex Scientific Data: Medical writers are tasked with distilling highly technical and often intricate scientific data into clear, concise, and accessible language. This process necessitates a thorough comprehension of the subject matter, as well as the ability to effectively communicate complex concepts to diverse audiences, ranging from healthcare professionals to regulatory bodies and the public.
  • Maintaining Scientific Accuracy: Precision and accuracy are paramount in medical writing, as even minor errors or inaccuracies can have far-reaching consequences. Writers must meticulously cross-reference and validate every claim, statistic, and finding, ensuring that the information presented is scientifically sound and unbiased.
  • Navigating Interdisciplinary Collaboration: Medical writing frequently involves collaboration among diverse stakeholders, including researchers, clinicians, statisticians, and regulatory experts. Facilitating effective communication and achieving consensus among these disparate groups can be a daunting task, requiring exceptional interpersonal and project management skills.
  • Ensuring Consistency and Clarity: Maintaining consistency in terminology, style, and tone across a vast array of documents, from clinical study reports to regulatory submissions, is a significant challenge. Writers must strike a delicate balance between adhering to established guidelines and conveying information in a clear, concise, and accessible manner.
  • Time Constraints: Meeting publication and regulatory timelines and quick dissemination of medical science information without compromising on quality is also vital for medical writers. 

Click Here:- Between Progress and Protection: The Struggle over AI Data Sharing in Publishing

Traditional Medical Writing: A Labor-Intensive Process

Traditionally, the medical writing process has been manually intensive, relying heavily on the expertise and time of skilled writers who navigate through vast amounts of data, regulations, and editorial standards. This approach, while effective, is fraught with the potential for delays and inefficiencies, often leading to bottlenecks in research publication or product development timelines. Let’s check out what can ease our task:

  • Embracing Automation in Medical Writing: Enter the era of AI and automation – technologies that promise to streamline the medical writing process, enhance accuracy, and significantly reduce time to publication.
  • Data Analysis and Interpretation: AI algorithms can quickly sift through large datasets, identifying patterns and crucial findings, thereby assisting in the accurate interpretation of complex data.
  • Content Generation: AI can help draft sections of documents based on data inputs, generate descriptive statistics, and even suggest narrative structures for papers or reports.
  • Compliance Checks: Automated tools can scan documents to ensure adherence to regulatory standards and guidelines, flagging inconsistencies or areas that require revision.

AI in Action: The Writing Process Revolutionized

Medical writing steps can be transformed markedly with AI:

  1. Pre-writing: AI tools preprocess data, highlighting key results and suggesting angles for the narrative.
  2. Drafting: Automated content generation helps draft sections of the document, which can then be refined by human writers.
  3. Review and Compliance: AI-assisted review processes ensure accuracy and adherence to guidelines, streamlining revisions.
  • Publication: Automation tools assist in formatting and submitting documents according to journal or regulatory body specifications.

Steps for Selecting a Medical Writing Tool for Your Company

Incorporating AI and automation into your medical writing processes can be a game-changer, but it requires careful selection of the right tools. Here’s how to approach it:

  • Identify Needs: Understand the challenges and features needed in an automation tool.
  • Assess Tool Capabilities: Look for robust data analysis, compliance checks, and ease of use.
  • Ensure Security: Choose tools that prioritize data security and privacy.
  • Trial and Train: Select tools offering trials and invest in team training.
  • Iterate Based on Feedback: Adjust tool usage based on team feedback to maximize benefits.

Conclusion

AI and automation herald a new era in medical writing, promising to overcome traditional hurdles and significantly speed up the research-to-publication pipeline. By choosing the right tools and embracing these technologies, the medical writing community can make substantial contributions to medical science and patient care, marking a significant step forward for the industry. Recognizing the growing demand for skilled professionals in this field, Turacoz Healthcare Solutions is at the forefront of nurturing the next generation of medical writers. Through comprehensive training programs, we are committed to equipping aspiring medical writers with the knowledge, skills, and insights needed to excel in this dynamic landscape. Whether you’re looking to start a career in medical writing or aiming to refine your existing skills, Turacoz offers a pathway to mastering the art and science of medical communication.

As we begin this journey of exploration and discovery, let’s embrace the transformative power of manuscript editing. This journey goes beyond disciplinary boundaries, inspires creativity, and enriches human knowledge. Together, we can strive for editorial perfection, driven by curiosity, passion, and a relentless pursuit of excellence. Through manuscript editing, we can see the transformative power of words, which transcends time and space, shaping our understanding of the world and illuminating the path toward a brighter, more enlightened future.

In the pursuit of editorial perfection, let us dare to dream, innovate, and push the boundaries of possibility. For within the crucible of manuscript editing lies the potential to transform the ordinary into the extraordinary, the mundane into the magnificent, and the fragmented shards of knowledge into the shining beacon of truth. Let us embark on a journey together – a journey fuelled by curiosity, driven by passion and guided by the unwavering commitment to excellence. The possibilities in manuscript editing are limitless, the horizons are boundless, and the rewards are immeasurable.

For those interested in taking their first steps into the world of medical writing or enhancing their expertise to meet the challenges of omnichannel communication in healthcare, we invite you to explore the opportunities available through our training programs. Contact us at [email protected] to learn more about how you can join the ranks of medical writers who are making a significant impact in healthcare communication. Together, let’s shape a future where accurate, accessible, and actionable health information reaches every corner of the globe, empowering individuals and transforming healthcare outcomes.

Strengthening Email Authentication: Implementing SPF and DKIM to Combat Phishing Attacks

Email authentication plays a crucial role in safeguarding your company from phishing attacks. Sender Policy Framework (SPF) and DomainKeys Identified Mail (DKIM) are two effective email authentication methods that verify the legitimacy of email senders and prevent email spoofing. In this blog post, we will delve into the implementation of SPF and DKIM and highlight their importance in securing your organization’s email communication. By following the steps outlined below and understanding the benefits of SPF and DKIM, you can significantly reduce the risk of phishing emails reaching your employees’ inboxes.

  • Sender Policy Framework (SPF) Implementation:

Sender Policy Framework (SPF) is an email authentication protocol that enables domain administrators to specify which IP addresses are authorized to send emails on behalf of their domain. Implementing SPF involves several steps:

  1. Identify Authorized Sending Servers: Begin by identifying the IP addresses of your company’s legitimate email servers and any authorized third-party email services that send emails on behalf of your domain.

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  1. Create SPF Records: Create a DNS TXT record for your domain that includes the IP addresses authorized to send emails. This record serves as your SPF policy and specifies the permitted sending servers and their respective IP addresses.

Example:

TXT Record: “v=spf1 ip4:192.168.1.10 ip6:2001:db8:abcd::1 include:third-party.com -all”

 

  1. Publish SPF Records: Publish the SPF records in your domain’s DNS zone. Ensure that the records accurately reflect the authorized sending servers.

 

  1. Define SPF Policy: Configure the SPF policy to indicate the action the email server should take if an email fails SPF verification. It is recommended to set a strict policy to reject or mark as suspicious any emails that fail SPF.

Example:

SPF Policy: “-all” (Reject emails that fail SPF)

  • DomainKeys Identified Mail (DKIM) Implementation:

DomainKeys Identified Mail (DKIM) is an email authentication method that adds a digital signature to the email’s header, verifying the authenticity of the sender’s domain. Implementing DKIM involves the following steps:

  1. Generate DKIM Keys: Generate a pair of cryptographic keys – a private key and a public key. The private key should be securely stored on your email server, while the public key will be added to your DNS as a DKIM record.

 

  1. Add DKIM Records to DNS: Publish the public DKIM key as a DNS TXT record in your domain’s DNS zone. This record allows email servers receiving your domain’s emails to verify the DKIM signature.

Example:

TXT Record: “v=DKIM1; k=rsa; p=MIIBIjANBgkqhkiG9w0BAQEFAAOCAQ8AMIIBCgKCAQEAtL/fuHc4K8h1RE6dw7uU5VUq/vFQ46u6eMNBVLU3A1CaeY7pjuFAKoVrW5bDvMKy4J4e3HPvNtP+M1XzW5g+DHsEjcc5IiA2UkYyVJBUKRXRGpnJSLn+KcN1CrQc1dMVmJL2ORg28wAYIrrrTdDdLjC/87R5T1LbMmXvqZqS2VG+yOok+3jN26UIGpQz5T4RdSG7Q7EymkO2ZHSWdTEzj5Hd+Uuus7L85mdU8HE6A/hlS/VaSCQpKQ2vS/E7yNTVvPqB/ITcQyXV04zDo+U3cOeR5U6Qo5S5DfPRGLIi94Wljm/IYDzU+CHHnQ1aUDRq1/5lONC3u4/S6XAViJJq1DzQIDAQAB”

  1. Configure Email Server: Configure your email server to add the DKIM signature to outgoing emails using the private key. The server signs the outgoing emails, embedding the DKIM signature in the email header.
  2. Enable DKIM Verification: Configure the recipient’s email server to perform DKIM verification when receiving emails. The server retrieves the DKIM public key from the DNS and verifies the email’s signature.
  • Benefits of SPF and DKIM:

Enabling SPF and DKIM provides numerous benefits for email security:

  1. Reduced Email Spoofing: SPF and DKIM mechanisms prevent malicious actors from impersonating your domain, ensuring that email senders are authorized and email integrity is verified.
  2. Enhanced Email Deliverability: Implementing SPF and DKIM improves email deliverability, as reputable email servers are more likely to accept and deliver emails from authenticated domains.
  3. Protection against Phishing Attacks: SPF and DKIM enable recipients to identify legitimate emails from your domain, reducing the chances of falling victim to phishing attempts.

Conclusion:

Implementing SPF and DKIM is a crucial step in securing your company’s email communication and protecting it from phishing attacks. By following the implementation steps for SPF and DKIM, organizations can significantly reduce the risk of email spoofing and enhance email security. These email authentication methods provide added trust and assurance for both senders and recipients, fostering a safer email environment. Strengthen your email authentication process by enabling SPF and DKIM and fortify your defenses against phishing attacks.

Between Progress and Protection: The Struggle over AI Data Sharing in Publishing

The emergence of Artificial Intelligence (AI), particularly generative AI, has sent shockwaves through various sectors including academia. While some have embraced its potential with open arms, others remain hesitant and reluctant about its integration at their workplace. It’s widely acknowledged that the efficacy of generative AI is significantly dependent on the quality of the training data. However, a notable concern persists due to the lack of transparency surrounding the origin of data being used to train the large language models (LLMs). Developers frequently work with a considerable degree of secrecy, leaving stakeholders in academia unsure about the origins and methodologies utilized during the training process. This opacity raises valid concerns regarding data security and ethics not only in academia but also in corporate medical and scientific communication agencies.

In the absence of robust policies for AI with respect to the training of large language models, it’s evident that the publication industry is polarized within two factions.

On one side, there exists a group of individuals and organizations who are willing to collaborate with generative AI model developers and believe in the power of working together to design an efficient system for processing and generating content. On the other hand, there is another set who opposes the idea of their data being used for training AI models and rightly so. They harbor a concern about the potential misuse of their client’s (in this case authors, researchers, scientists) data being used. This group is adamant about safeguarding their data from being exploited without proper consent. Each faction has its own set of reasons for its stance on this issue.

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Individuals within the group advocating collaboration with generative AI see a broader potential for such collaboration. They believe it could simplify researchers’ lives by providing access to a wealth of high-quality open, licensed, and proprietary content and data. They believe that well-trained LLMs could speed up accessing vast scholarly content, ultimately aiding the academic, research, and scientific community in achieving its objectives efficiently. Moreover, they are of the opinion that embracing generative AI in alignment with academic standards not only fosters efficiency but also maintains integrity within the research process. By adhering to ethical guidelines and respecting intellectual property rights, this collaborative approach ensures that advancements in AI technology serve to enrich scholarly endeavors rather than compromise them.

Conversely, the group advocating for data protection raises a plethora of concerns regarding the data utilization in training LLMs. They perceive generative AI models are engaging in what they term as “AI mining” of important research data. Their apprehension revolves around the potential for copyright infringement and unauthorized use of their data without consent or compensation. These individuals raise their concerns about the lack of control over how their data is being used for training LLMs, emphasizing the need for stringent laws to protect intellectual property rights. Moreover, there is ongoing discourse regarding the accessibility of the data used for LLM training, with some asserting that while certain datasets may be openly available online, access might be restricted to abstracts rather than full-text articles.

The crux of their argument lies in the assertion that the current practices surrounding AI data usage in publishing lack transparency and fail to adequately address the ethical implications of utilizing proprietary data for training purposes.

Another significant concern revolves around the absence of standardized guidelines and global laws pertaining to AI model training. As a result, publishers are advocating for comprehensive regulations to ensure transparency regarding the data usage for training AI models and to uphold ethical data practices. This demand reiterates the urgent need for clear and robust guidelines to govern the ethical usage of data in AI development, addressing concerns including transparency and accountability.

While the publishers express concern regarding data mining, AI model developers offer a contrasting perspective. They acknowledge the utilization of openly available online data to train AI models but emphasize that the generated outcomes on AI platforms are not direct reproductions of the original data. Instead, these results undergo paraphrasing, wherein AI models process the data based on learned patterns and algorithms. This point is crucial indicating AI models not just replicate the data, but they generate novel outputs from the existing data. Hence, it is essential to understand where the data comes from and how it gets processed in the AI models.

As we navigate through this complex terrain, it is the need of the time for all the stakeholders to engage in meaningful dialogue, to confront these challenges with courage and integrity, and to find a solution toward a future where AI serves as a force for good, enriching research and development. Utilizing AI for expanding the boundaries of human knowledge and imagination is one of the vital aspects of training AI for a better world.

By looking at the current scenario around the usage of generative AI, what are your thoughts on the ethical dilemmas surrounding AI data usage in the publishing sector? Do you believe that collaborative efforts between publishers and AI developers can strike a balance between innovation and ethical responsibility? Or do you envision a colluded space where research integrity is a lost case? Let’s engage in a dialogue where each one of us plays an important role in creating a responsible AI-integrated space for medical and scientific communications and uphold the soul of authentic research and transparent process.

Enhancing Your Manuscript: Essential Tools and Tips for Medical Writers

In the fast-paced world of medical communication, where accuracy and clarity are paramount, manuscript editing stands as a cornerstone of excellence. Whether crafting a research paper, a clinical trial report, or a medical manuscript, the editing process plays a pivotal role in ensuring coherence, accuracy, and effectiveness. Yet, amidst evolving editorial standards and technological advancements, navigating the world of manuscript editing can be both daunting and exhilarating for medical communicators.

Refining a manuscript from its initial draft to its final polished form mirrors sculpting a masterpiece—a delicate fusion of science and artistry, precision and creativity. Each word, sentence, and citation holds the power to shape the narrative, influence the reader, and contribute to the advancement of medical knowledge.

Importance of Manuscript Editing

Editing in medical communication is crucial for clarity, coherence, and credibility. Accurate dissemination of information is vital, and a meticulously edited manuscript is a source of knowledge, reflecting the precision and dedication of the scientific community.

Tools for Efficient Manuscript Editing

In the digital age, where technology permeates every aspect of our professional lives, a myriad of tools and software solutions have emerged to facilitate the manuscript editing process. From grammar-checking wizards to citation management behemoths, these tools serve as invaluable allies in the quest for editorial perfection. Let’s explore some of the crucial tools designed explicitly for efficient writing:

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  1. Grammarly

Harnessing sophisticated AI-powered algorithms, Grammarly offers far more than conventional grammar and spell-checking capabilities. Its intuitive interface and advanced features, such as tone detection and plagiarism detection, empower medical communicators to refine their drafts with precision and finesse.

  1. EndNote or Mendeley

Citation management software like EndNote or Mendeley revolutionizes the referencing process by seamlessly organizing citations, generating bibliographies, and ensuring adherence to citation styles prescribed by leading medical journals.

  1. StyleWriter

Designed to enhance clarity, conciseness, and readability, StyleWriter emerges as a beacon of hope for medical communicators striving to elevate their manuscripts to unparalleled heights of excellence. With its specialized medical writing edition, StyleWriter offers tailored suggestions and insights to refine manuscripts and adhere to industry standards.

  1. Adobe Acrobat Pro

In medical communication, where the sanctity of PDF documents reigns supreme, Adobe Acrobat Pro emerges as a formidable ally for manuscript editing. From reviewing proofs to annotating manuscripts, Adobe Acrobat Pro empowers medical communicators to ensure formatting consistency and editorial integrity before submitting their manuscripts to prestigious journals.

Tips for Effective Manuscript Editing

Armed with an arsenal of cutting-edge tools and software solutions, medical communicators embark on a journey fraught with challenges and opportunities. Yet, amidst the dizzying array of options, it is crucial to remain anchored to fundamental principles and strategic techniques that underpin effective manuscript editing. Here are some invaluable tips:

  1. Establish a Structured Editing Process

A structured editing process serves as the bedrock of manuscript refinement, guiding medical communicators through content organization, grammar correction, and formatting consistency. By breaking down the editing process into manageable stages, medical communicators can ensure comprehensive coverage and meticulous attention to detail.

  1. Use Checklists and Templates

Checklists and templates provide a roadmap for navigating the manuscript editing process. By incorporating guidelines from leading style manuals and journal submission requirements, medical communicators can ensure compliance and consistency throughout the editing process.

  1. Seek Peer Review and Feedback

Peer review constitutes a cornerstone of the scientific endeavor fostering constructive criticism and collaborative dialogue. By soliciting feedback from colleagues, mentors, and subject matter experts, medical communicators can gain valuable insights, identify blind spots, and refine their manuscripts for better clarity.

  1. Stay Updated on Industry Standards

In a rapidly evolving landscape marked by shifting editorial standards and emerging best practices, staying abreast of industry guidelines and conventions is essential for medical communicators. By consulting resources such as the International Committee of Medical Journal Editors (ICMJE) guidelines and leading style manuals, medical communicators can ensure adherence to industry standards and enhance the credibility of their manuscripts.

  1. Proofread with Precision

Meticulous proofreading lies at the heart of effective manuscript editing, serving as the final line of defense against typographical errors, inconsistencies, and formatting irregularities. By deploying a keen eye for detail and unwavering attention to punctuation, abbreviations, and numerical data, medical communicators can ensure accuracy and precision in their manuscripts.

  1. Use Plain Language and Avoid Jargon

Clarity is the hallmark of effective communication—an indispensable attribute that distinguishes exceptional manuscripts from mediocre ones. By opting for clear and concise language, minimizing the use of technical jargon, and providing clear explanations and definitions where necessary, medical communicators can enhance readability and accessibility for a diverse audience.

It is important to note that manuscript editing transcends the realms of grammar correction and proofreading; it embodies a commitment to excellence, precision, and integrity that lies at the heart of medical communication. By leveraging cutting-edge tools, strategic techniques, and unwavering dedication, medical communicators can elevate the quality of their manuscripts, contributing to the advancement of medical science and the dissemination of knowledge.

Turacoz is Here!

Recognizing the growing demand for skilled professionals in this field, Turacoz Healthcare Solutions is at the forefront of nurturing the next generation of medical writers. Through comprehensive training programs, we are committed to equipping aspiring medical writers with the knowledge, skills, and insights needed to excel in this dynamic landscape. Whether you’re looking to start a career in medical writing or aiming to refine your existing skills, Turacoz offers a pathway to mastering the art and science of medical communication.

As we begin this journey of exploration and discovery, let’s embrace the transformative power of manuscript editing. This journey goes beyond disciplinary boundaries, inspires creativity, and enriches human knowledge. Together, we can strive for editorial perfection, driven by curiosity, passion, and a relentless pursuit of excellence. Through manuscript editing, we can see the transformative power of words, which transcends time and space, shaping our understanding of the world and illuminating the path toward a brighter, more enlightened future.

In the pursuit of editorial perfection, let us dare to dream, innovate, and push the boundaries of possibility. For within the crucible of manuscript editing lies the potential to transform the ordinary into the extraordinary, the mundane into the magnificent, and the fragmented shards of knowledge into the shining beacon of truth. Let us embark on a journey together – a journey fuelled by curiosity, driven by passion and guided by the unwavering commitment to excellence. The possibilities in manuscript editing are limitless, the horizons are boundless, and the rewards are immeasurable.

For those interested in taking their first steps into the world of medical writing or enhancing their expertise to meet the challenges of omnichannel communication in healthcare, we invite you to explore the opportunities available through our training programs. Contact us at [email protected] to learn more about how you can join the ranks of medical writers who are making a significant impact in healthcare communication. Together, let’s shape a future where accurate, accessible, and actionable health information reaches every corner of the globe, empowering individuals and transforming healthcare outcomes.

Enhancing Email Security: Safeguarding Your Company from Phishing Attacks

Email remains one of the primary communication channels for businesses, but it also serves as a common avenue for cybercriminals to launch phishing attacks. Safeguarding your organization from these threats requires implementing advanced email security solutions. In this blog post, we will explore the importance of utilizing these solutions and delve into their key features. By effectively implementing advanced email security measures, you can significantly reduce the risk of falling victim to phishing attacks and protect your sensitive information.

Threat Detection and Analysis:

One of the fundamental aspects of advanced email security solutions is their ability to detect and analyze potential threats. These solutions employ sophisticated algorithms and machine learning techniques to assess incoming emails in real-time. By analyzing various attributes such as sender reputation, content, attachments, and embedded links, these solutions can identify patterns and indicators of malicious emails. This proactive approach helps to flag and prevent potential phishing attempts, enabling organizations to stay one step ahead of cybercriminals.

Spam Filtering:

Robust spam filters are a crucial component of advanced email security solutions. These filters employ techniques such as blacklisting known spam sources, analyzing email headers and content, and utilizing machine learning algorithms to differentiate between legitimate and spam messages. By reducing the influx of unsolicited and spam emails, organizations can minimize the chances of employees encountering phishing emails. Spam filtering ensures that employees can focus on legitimate communications, while potential threats are automatically filtered out.

Malware and Attachment Scanning:

Email security solutions often include built-in malware scanners that automatically analyze attachments for known malware signatures or suspicious behavior. These scanners detect viruses, ransomware, trojans, and other types of malicious software. By preventing employees from accessing infected attachments, organizations can mitigate the risk of malware infections and subsequent data breaches. By implementing effective malware and attachment scanning measures, organizations can safeguard their networks and sensitive data.

URL and Link Protection:

Phishing emails frequently contain malicious URLs or links that direct users to fake login pages or malware-infected websites. Advanced email security solutions incorporate URL and link protection mechanisms to analyze and verify the legitimacy of links within incoming emails. These mechanisms ensure that the displayed text matches the actual URL, inspect the reputation of linked websites, and perform real-time checks against threat intelligence databases. Suspicious or malicious links are flagged or blocked, providing an additional layer of defense against phishing attacks.

Domain Reputation Analysis:

Advanced email security solutions assess the reputation of sending domains to determine the likelihood of an email being a phishing attempt. Factors such as domain age, sender authentication, SPF and DKIM records, and previous malicious activities associated with the domain are evaluated. By considering these factors, solutions can identify and block emails originating from suspicious or compromised domains. This helps organizations protect their employees from potential phishing attempts that utilize deceptive domain names or compromised email accounts.

Email Encryption:

Some advanced email security solutions offer encryption features to protect sensitive information within emails. Encryption ensures that even if an attacker intercepts the email, the contents remain unreadable. Implementing email encryption enhances data security, particularly when sharing confidential or sensitive information via email. By utilizing encryption, organizations reduce the risk of data breaches and unauthorized access to sensitive data.

Real-Time Threat Intelligence:

Email security solutions integrate with threat intelligence services and databases that provide real-time information on known phishing campaigns, malicious domains, and suspicious IP addresses. By leveraging this intelligence, solutions can proactively block emails associated with known threats, even before they reach users’ inboxes. Real-time threat intelligence enhances the effectiveness of email security measures and allows organizations to stay informed about emerging threats. By continuously updating their threat intelligence databases, solutions can provide organizations with the latest information to combat evolving phishing attacks effectively.

Reporting and Incident Response:

Email security solutions offer comprehensive reporting and analytics on detected threats, spam emails, and user behavior. These reports provide valuable insights into the email threat landscape, allowing administrators to identify potential vulnerabilities and take necessary actions to enhance security measures. In the event of a phishing incident, email security solutions aid in incident response by providing insights into the attack and facilitating investigations. The reporting capabilities of these solutions help organizations refine their security strategies and continuously improve their defenses against phishing attacks.

Conclusion:

The threat of phishing attacks continues to grow, making it crucial for organizations to implement advanced email security solutions. By leveraging these solutions’ capabilities, such as threat detection and analysis, spam filtering, malware and attachment scanning, URL and link protection, domain reputation analysis, email encryption, real-time threat intelligence, and reporting and incident response, businesses can significantly reduce the risk of falling victim to phishing attempts. Strengthening email security protects sensitive information, maintains the integrity of communication channels, and ensures the overall cybersecurity posture of the organization. Stay proactive, stay vigilant, and employ advanced email security measures to safeguard your company against phishing attacks.

Charting the Course: Omnichannel Communication in Healthcare

The landscape of information sharing has seen a remarkable evolution. The shift towards omnichannel communication is a game-changer, promising to enhance patient care, streamline processes, and improve outcomes. This communication strategy, combined with the expertise of medical writers, is reshaping the future of healthcare. Through the lens of medical communication agencies and the broader scope of medical writing, this blog delves into how omnichannel communication is revolutionizing healthcare. It highlights the indispensable role of medical writers in this new era.

The Omnichannel Approach in Healthcare

The advent of omnichannel communication in healthcare marks a transformative shift towards a more integrated, patient-centered approach to health information and services. This strategy transcends traditional boundaries, weaving together digital and conventional communication channels into a cohesive, unified experience for patients. The essence of omnichannel communication lies in its ability to harness the power of technology to foster seamless interactions among healthcare providers, patients, and other key stakeholders. By leveraging a diverse mix of platforms — from social media and email to telehealth services and in-person consultations — this approach endeavors to meet patients in their preferred spaces, addressing their unique preferences and requirements.

Unifying Digital and Traditional Channels

At its core, the omnichannel approach recognizes the diverse preferences of patients in how they receive health information and interact with healthcare systems. Some patients may prefer the immediacy and convenience of digital platforms, such as mobile apps for scheduling appointments or accessing test results. Others might value the personal touch of direct mail or face-to-face consultations for discussing their health concerns. By integrating these varied channels, omnichannel communication ensures that no patient is left behind, catering to a broad spectrum of needs and preferences.

Leveraging Technology for Enhanced Interactions

Technology serves as the backbone of omnichannel communication, enabling the synchronization of information across different channels to deliver a consistent and personalized patient experience. Advanced data analytics and CRM (Customer Relationship Management) systems play a pivotal role in understanding patient behaviors and preferences, allowing healthcare providers to tailor their communication strategies effectively. This technology-driven approach ensures that whether a patient receives a reminder for a vaccination via SMS or browses health tips on a provider’s website, the information is consistent, accurate, and aligned with their health profile.

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Improving Accessibility and Convenience

The omnichannel approach significantly enhances the accessibility and convenience of healthcare services. Patients can easily access medical advice, schedule appointments, and receive treatment updates through their preferred channels, reducing barriers to care. For healthcare providers, this translates to an increased capacity to reach and engage patients, leading to better health outcomes and increased patient satisfaction. Telehealth services exemplify the omnichannel spirit by offering remote consultations and breaking down geographical and mobility barriers.

Meeting Patients Where They Are

One of the most compelling aspects of omnichannel communication is its patient-centric nature. By meeting patients where they are — not just geographically but also in terms of their comfort with technology and communication preferences — healthcare providers can build stronger relationships. This approach acknowledges the patient’s role in their health journey, empowering them with information and options to make informed decisions about their care.

Streamlining Healthcare Delivery

The implementation of omnichannel communication strategies in healthcare is not just transforming patient engagement but is also revolutionizing the delivery of healthcare services. By integrating multiple communication channels into a cohesive system, omnichannel communication fosters efficiency, reduces operational bottlenecks, and enhances the quality of care patients receive. This approach leverages technology to facilitate smoother interactions between patients and healthcare providers, streamlining processes that were once fragmented and time-consuming.

One of the crucial benefits of an omnichannel approach is the notable increase in operational efficiency within healthcare settings. Traditional communication methods often lead to delays and miscommunications, resulting in longer wait times for patients and a heavier administrative burden on healthcare providers. In contrast, omnichannel communication automates and synchronizes appointments, reminders, and follow-ups across various channels, significantly reducing wait times and improving the patient experience. This seamless coordination ensures that healthcare services are delivered promptly and efficiently, thereby enhancing patient satisfaction and trust in the healthcare system.

The data collected through omnichannel communication platforms offer valuable insights into patient preferences, behaviors, and health trends. Healthcare providers can analyze this data to tailor their services and communication strategies to meet the unique needs of their patients. Personalized reminders for medication adherence, customized health education content, and targeted follow-up communications are just a few examples of how data-driven insights can enhance patient care. By personalizing the healthcare experience, providers can increase engagement, encourage proactive health management, and ultimately achieve better health outcomes.

The Role of Medical Writers

In this omnichannel landscape, medical writers emerge as key players. Their expertise in creating clear, accurate, and engaging content is critical in conveying complex medical information across diverse channels. Medical writers ensure that the content is not only scientifically accurate but also tailored to the specific needs of the audience, whether it be patients, healthcare professionals, or the public. Medical writers must be adept at understanding the nuances of each channel and the expectations of different audiences. Their work is critical in ensuring that the flow of medical knowledge continues unabated, supporting informed decision-making and enhancing patient outcomes.

Collaborating with Medical Communication Agencies

Medical writers often collaborate with medical communication agencies to develop and execute omnichannel strategies. These agencies rely on medical writers to produce content that resonates with each segment of their audience, ensuring messages are consistent and impactful across all channels. From developing patient education materials to crafting scientific articles, medical writers are instrumental in bridging the gap between scientific innovations and clinical practice.

Mastering the Art of Medical Writing

The integration of omnichannel communication in healthcare, supported by the unparalleled expertise of medical writers, marks a significant advancement in the way health information is communicated and received. As we navigate through this transformation, the role of medical writers becomes ever more critical. Their ability to distill complex medical data into clear, accurate, and engaging content across various channels is indispensable in enhancing patient engagement, streamlining healthcare delivery, and improving overall health outcomes. In this era of information overload, the precision and clarity provided by skilled medical writers ensure that the essence of medical discoveries and knowledge is not lost in translation.

Recognizing the growing demand for skilled professionals in this field, Turacoz Healthcare Solutions is at the forefront of nurturing the next generation of medical writers. Through comprehensive training programs, we are committed to equipping aspiring medical writers with the knowledge, skills, and insights needed to excel in this dynamic landscape. Whether you’re looking to start a career in medical writing or aiming to refine your existing skills, Turacoz offers a pathway to mastering the art and science of medical communication.

For those interested in taking their first steps into the world of medical writing or enhancing their expertise to meet the challenges of omnichannel communication in healthcare, we invite you to explore the opportunities available through our training programs. Contact us at [email protected]  to learn more about how you can join the ranks of medical writers who are making a significant impact in healthcare communication. Together, let’s shape a future where accurate, accessible, and actionable health information reaches every corner of the globe, empowering individuals and transforming healthcare outcomes.

The Digital Preservation Crisis in Scholarly Journals: A Wake-Up Call

In a recent study published by the Journal of Librarianship and Scholarly Communication, researchers have unveiled a stark reality that challenges the very foundation of academic integrity and accessibility. The paper, titled “Digital Scholarly Journals Are Poorly Preserved: A Study of 7 Million Articles,” serves as a critical alarm for libraries, publishers, and researchers alike, highlighting a significant preservation deficit in the digital scholarly community.

Digital preservation is crucial for maintaining the persistence of scholarly links and citations through the DOI (Digital Object Identifier) system. However, there has been a lack of comprehensive understanding regarding the extent to which articles assigned a DOI are preserved.

To bridge this knowledge gap, researchers constructed a database from original archival sources, examining the preservation statuses of 7,438,037 DOIs in a meticulously selected random sample.

Alarming Findings

The results of this study are alarming. Out of the over 7 million works examined, a mere 58.38% (4,342,368 works) were found in at least one archive. This leaves a staggering 27.64% (2,056,492 works) seemingly unpreserved, with an additional 13.98% of works excluded from the study due to various limitations such as recency, publication type, or insufficient metadata.

The Implications of Limited Preservation

The consequences of these findings are far-reaching. Considering only 0.96% of Crossref members confirmed to digitally preserve over 75% of their content in three or more archives, and a troubling 32.9% showing no adequate digital preservation efforts, the research community faces a dire challenge. This preservation deficit not only jeopardizes the longevity and accessibility of scholarly work but also undermines the reliability of academic citations and the progression of knowledge.

Amid the digital preservation crisis outlined by the recent study published, the role of medical writers has become increasingly significant. As professionals skilled in communicating complex scientific information clearly and accurately, medical writers are pivotal in ensuring that research findings reach their intended audience in a manner that is engaging and easy to understand. However, their role extends beyond mere writing; they play a crucial part in navigating the complex landscape of academic publishing.

Finding the Right Journal

The task of finding the right journal for a manuscript is crucial and complex, demanding more than just a cursory understanding of the research area. Medical writing professionals bring a comprehensive service to this task, utilizing their extensive knowledge of scientific communication and publication landscapes. They navigate through the vast sea of scientific journals to identify the most suitable publication platforms. This process involves evaluating the journal’s impact factor, audience, scope, and the compatibility of the manuscript’s subject matter with the journal’s focus.

Medical writers consider several key factors during this process. Firstly, they assess the journal’s reputation within the scientific community, ensuring it is recognized for its editorial quality and integrity. They also analyse the journal’s indexing status, as being indexed in prestigious databases enhances visibility and accessibility. Furthermore, they consider the publication timelines and open access options, balancing the need for timely publication with the potential benefits and costs of open access.

By meticulously selecting the right journal, medical writers ensure that the research not only contributes effectively to the scientific discourse but also reaches its intended audience. This strategic placement maximizes the impact of the research and secures its inclusion in academic and professional networks. It also ensures that the research is preserved in reputable, indexed databases, safeguarding its availability for future scholarly inquiry.

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Protecting Against Predatory Publishing

In the field of scientific publishing, the threat of predatory journals is a significant concern. These journals, often masquerading as legitimate platforms, exploit the open-access publishing model without offering the fundamental services of peer review and editorial oversight. This not only endangers the quality and credibility of the research published but also the reputation of the authors involved. Predatory publishers target especially those researchers under pressure to publish, using deceptive practices to lure them into submitting their work.

Medical writers, equipped with a nuanced understanding of the publishing ecosystem, stand on the front lines in the fight against these unethical practices. They employ a rigorous vetting process to evaluate journals and publishers, looking for signs of credibility such as clear peer review processes, transparent editorial policies, and affiliation with reputable academic institutions or societies. Their expertise allows them to spot the subtle signs of predatory practices, such as unsolicited and overly flattering emails to authors, vague or non-existent submission guidelines, and rapid publication promises without clear peer review procedures.

Moreover, medical writers guide researchers through the complexities of copyright agreements and publication fees, ensuring that authors retain their rights and understand the financial aspects of publication. Their vigilance in identifying and avoiding predatory journals not only protects the integrity of the research but also shields the academic community from the fallout of associating with disreputable publishers.

Considering the digital preservation crisis, the role of medical writers in safeguarding against predatory publishing gains even greater significance. By ensuring that research is published in reputable, ethically sound journals, they contribute to the stability and reliability of the scientific record. This proactive approach is essential for maintaining the quality and accessibility of scholarly work, ensuring that it withstands the test of time and continues to advance the progression of scientific knowledge.

Conclusion

The escalating digital preservation crisis within scholarly journals brings to light an urgent need for the meticulous preservation of academic work and the assurance of its publication in reputable journals. In this intricate ecosystem, the role of medical writers emerges as both pivotal and multi-dimensional. These professionals do not merely facilitate the publication process; they serve as custodians of scientific integrity, guiding researchers with unparalleled expertise from the initial selection of the right journal to the critical safeguarding against predatory practices. Their contribution is indispensable in upholding the standards of scientific communication, thereby playing a significant role in the continued availability and reliability of scholarly work for future generations.

In navigating these challenges, researchers and academic institutions can find a powerful ally in Turacoz Healthcare Solutions. With a team of experienced medical writers, Turacoz offers comprehensive medical writing services that encompass all aspects of the publication process. From drafting and revising scientific manuscripts to selecting the most appropriate journals and navigating the complex landscape of open-access publishing, Turacoz ensures that your research not only meets but exceeds the highest standards of scientific publishing services.

Turacoz Healthcare Solutions specializes in identifying the most suitable journals for your research, emphasizing those with a strong reputation for integrity and quality. By doing so, they significantly mitigate the risks associated with predatory publishing, ensuring that your work contributes meaningfully to the scientific community and is preserved within credible, scholarly archives. Furthermore, their expertise in the latest trends and requirements of academic publishing provides an invaluable resource for achieving maximum visibility and impact for your research.

For those seeking to navigate the complex terrain of academic publishing with confidence, Turacoz Healthcare Solutions extends its expertise and support.

You can reach out to our team of dedicated professionals at [email protected] to discover how our medical writing services can elevate your research, safeguard its integrity, and ensure its lasting contribution to the scientific community.

In conclusion, the digital preservation crisis in scholarly journals emphasizes not just the necessity of preserving academic work but also the critical role of ensuring its publication in reputable journals. The expertise of medical writers and the specialized support offered by Turacoz Healthcare Solutions in the arena of publishing scholarly articles and upholding research integrity are invaluable. As a medical writing agency we ensure the enduring legacy of scholarly work for generations to come.

Empowering Your Employees: The Importance of Multi-Factor Authentication Awareness

In today’s digital landscape, protecting sensitive data and systems from unauthorized access is of paramount importance. Cyberattacks, including phishing attempts, pose a significant threat to organizations worldwide. To bolster security measures, implementing Multi-Factor Authentication (MFA) has become a crucial step. By requiring users to provide multiple forms of authentication, MFA adds an extra layer of protection, reducing the risk of unauthorized access, even if login credentials are compromised.

This blog post aims to provide a comprehensive guide on effectively implementing MFA to enhance the security of your company. We will delve into the key considerations, methods, and best practices for deploying MFA, ensuring maximum protection against phishing attacks and unauthorized access attempts.

  1. Choose the Right MFA Method:

Before implementing MFA, it is essential to assess the available authentication methods and choose the ones most suitable for your organization. Common MFA methods include One-Time Passwords (OTP), biometric authentication, hardware tokens, and push notifications. Evaluate factors such as user preferences, infrastructure compatibility, and level of security required to determine the optimal MFA methods for your organization.

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  1. Apply MFA to Critical Systems:

Identify the critical systems and accounts that house sensitive data or have administrative privileges. Email accounts, administrative consoles, customer databases, and financial platforms are examples of accounts that require enhanced security. Implement MFA for these accounts to establish a robust security barrier against unauthorized access.

  1. Enable MFA for Cloud-based Services:

If your organization relies on cloud-based services, such as file storage or collaboration tools, ensure that MFA is enabled for these services. Many cloud providers offer MFA as an additional security feature. Enabling MFA for cloud-based services adds an extra layer of protection to your company’s cloud environment, safeguarding critical data stored in the cloud.

  1. Utilize Single Sign-On (SSO):

Implementing Single Sign-On simplifies the MFA process for users by requiring them to authenticate only once to access multiple systems and applications. SSO reduces the burden of remembering multiple credentials while ensuring robust authentication through MFA. Integrating MFA with SSO streamlines the user experience and encourages consistent usage of MFA across various platforms.

  1. Provide Clear Instructions and Guidance:

During the implementation phase, it is crucial to provide clear instructions and guidance to employees on how to enable and set up MFA for their accounts. Develop step-by-step guides, FAQs, or video tutorials that explain the process in a user-friendly manner. Address common issues or concerns that employees may encounter, ensuring a smooth and successful MFA implementation.

  1. Support Multiple MFA Options:

Recognize that users may have different preferences or limitations when it comes to MFA methods. Provide options for users to choose the most suitable MFA method for them, considering factors such as accessibility, device compatibility, and personal preferences. Offering flexibility helps ensure that users embrace and consistently use MFA to secure their accounts.

  1. Regularly Monitor and Review MFA Usage:

Monitoring MFA usage and access logs is essential for identifying any unusual or suspicious activities. Establish a process to review MFA implementation regularly, ensuring that all accounts and systems requiring enhanced security have MFA enabled. Implement automated alerts or notifications for failed MFA attempts or suspicious login activities, enabling proactive identification and response to potential security threats.

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  1. Keep MFA Solutions Up to Date:

Like any other security technology, MFA solutions may require periodic updates or patches to address vulnerabilities. Stay informed about the latest versions and security patches provided by MFA solution providers. Regularly review and update your MFA implementation to ensure its effectiveness against emerging threats and to leverage the latest security enhancements.

Conclusion:

Implementing Multi-Factor Authentication (MFA) is a vital step in fortifying your organization’s security against phishing attacks and unauthorized access attempts. By requiring users to provide multiple forms of authentication, MFA adds an extra layer of protection, significantly reducing the risk of compromised accounts. This comprehensive guide has provided valuable insights into implementing MFA effectively.

Remember to communicate the importance of MFA to employees and highlight how it contributes to the overall security of the organization. Encourage employees to embrace MFA and provide support for any questions or issues they may encounter during the setup process. By implementing MFA in a well-planned and user-friendly manner, you can significantly enhance the difficulty for attackers to gain unauthorized access to your company’s systems and data.

Take proactive steps today and implement Multi-Factor Authentication to safeguard your organization’s sensitive information and maintain a robust security posture in the face of evolving cyber threats.

The Latest Scholarly Publishing Incident and the Lessons Learnt: A Closer Look

In a recent and unprecedented event, the esteemed open-access journal, Frontiers in Cell and Developmental Biology, found itself at the center of controversy. The journal, known for its rigorous peer-review process and contribution to scientific knowledge, faced fierce criticism on social media for publishing an article that included anatomically incorrect rat testicles and sperm cell images generated by the AI tool Midjourney, accompanied by gibberish descriptions. The paper was published on 13th Feb 2024.

This incident, involving the article titled “Cellular functions of spermatogonial stem cells in relation to JAK/STAT signaling pathway,” underscores the complex challenges and responsibilities of integrating AI into scientific research and publication.

Researchers and the broader scientific community were quick to spot the inaccuracies and nonsensical nature of the AI-generated figures within the publication. The imagery, purportedly depicting rat testicles and sperm cells, bore clear signs of being fabricated by an AI image generator, lacking anatomical correctness and coherence. The swift response from the scientific community on social media platforms, particularly on social media network X, highlighted the vigilance of readers and the importance of community feedback in maintaining the integrity of scientific literature. It also brings forth the silent contributions made by medical writers who were the first to spot the erroneous images in the publication.

Journal’s engagement with the community through its verified account on X revealed an openness to critique: “We thank the readers for their scrutiny of our articles: when we get it wrong, the crowdsourcing dynamic of open science means that community feedback helps us to quickly correct the record.” This acknowledgment led to the prompt retraction of the article from their website and the issuance of a retraction notice. The notice clarified that the article “does not meet the standards of editorial and scientific rigor for Frontiers in Cell and Development Biology; therefore, the article has been retracted.”

Reflections on Responsible AI and Scientific Rigor

This incident is a critical reflection point for the scientific community and AI developers. It highlights the necessity for responsible AI development and usage, especially in fields that rely heavily on accuracy and ethical considerations, such as medical research and scientific publication. Turacoz Healthcare Solutions, with its commitment to excellence in medical writing services, science communication, and research and academic writing, recognizes the importance of this dialogue.

The Limitations of AI in Scientific Accuracy and Integrity

  1. Inherent Risks of Misinformation

The incident with Frontiers in Cell and Developmental Biology vividly illustrates how AI, despite its advanced capabilities, can produce misleading or inaccurate content. AI-generated images of anatomically incorrect mammalian testicles and sperm cells, accompanied by inaccurate descriptions, are a testament to the risks of misinformation. These risks are particularly alarming in scientific research, where accuracy is paramount. Turacoz Healthcare Solutions mitigates these risks by providing expertly crafted content that upholds the highest standards of scientific accuracy and integrity. Whilst AI integration into work is inevitable but human intervention is of utmost importance, this is precisely where our medical writing services play a vital role.

  1. Lack of Contextual Understanding

AI algorithms, though sophisticated, lack the nuanced understanding of context and the specialized knowledge that medical writing and science communication demand. The generation of nonsensical images in a reputable scientific publication underscores this limitation. Professional medical writers and communicators, in contrast, bring a deep understanding of the subject matter, ensuring that the content is both accurate and contextually appropriate.

The Role of Peer Review

The indispensable role of peer review in maintaining the integrity and quality of scientific research is a cornerstone of the academic world. This rigorous process acts as a critical checkpoint before research findings are shared with the wider scientific community or published in scholarly journals. Its importance in safeguarding scientific integrity, especially in the era of rapid technological advancements and the increasing use of AI in research, cannot be overstated.

However, the incident in question highlights a critical challenge posed by the integration of AI into scientific research: the potential for AI-generated content to introduce inaccuracies or biases into the scientific record. Effective peer review processes are essential for scrutinizing AI-generated content. Peer reviewers, traditionally experts in their field, must be adept at understanding and evaluating the outputs of AI tools. This means they need to be equipped with not only their domain-specific knowledge but also a robust understanding of AI methodologies, potential sources of error, and the nuances of how AI interacts with traditional research processes.

Advancing Responsible AI in Research

The path forward involves a collaborative effort to ensure AI’s responsible integration into scientific research. This includes:

  • Establishing clear guidelines for AI-generated content in scientific publications.
  • Training researchers and peer reviewers to critically evaluate AI-generated data.
  • Encouraging transparency from authors regarding the use of AI in their research.

The Value of Expert Medical Writing Services

  • Ensuring Editorial and Scientific Rigor

The retraction notice from Frontiers highlighted a failure to meet the “standards of editorial and scientific rigor.” Our team of experienced medical writers and editors is adept at ensuring that all content meets the stringent requirements of scientific publication, from initial draft to final submission. We provide a critical layer of scrutiny that AI alone cannot.

  • Navigating Ethical Considerations

Ethical considerations are at the heart of scientific communication, particularly in sensitive fields like healthcare and medicine. The use of AI in generating scientific images or data without proper validation can lead to ethical dilemmas and credibility issues. We prioritize ethical standards in all our services, ensuring that the content not only informative but also respects the ethical boundaries of scientific research.

  • Customization and Personalization

AI’s one-size-fits-all approach falls short of meeting the specific needs of individual research projects or publications. We offer tailored medical writing and science communication services that cater to the unique requirements of each client. Our ability to personalize content, adapt to different scientific audiences, and align with specific publication goals is something AI cannot replicate.

The Role of Human Expertise in Advancing Scientific Knowledge

  • Critical Thinking and Creative Problem-Solving

The generation and communication of scientific knowledge require more than just data processing; they demand critical thinking and creative problem-solving skills. These human attributes enable medical writers and communicators to interpret data accurately, draw meaningful conclusions, and present information in innovative ways that engage and inform diverse audiences.

  • Building Trust through Expertise

Trust is paramount in scientific communication. The retraction incident highlights how quickly trust can be eroded when standards are not met. We build trust with clients and their audiences through expert medical writing services, ensuring that all content is not only accurate but also ethically sound and scientifically valid.

  • The Importance of Community Feedback

Frontiers’ response to the incident emphasized the value of community feedback in maintaining the integrity of scientific literature. Unlike AI, professional medical writers and communicators engage in a dynamic process of feedback and revision, working closely with clients, peer reviewers, and the scientific community to refine and improve content. This collaborative approach is vital in advancing scientific knowledge and maintaining credibility.

  • Conclusion: Embracing the Human Element

While AI offers promising tools for scientific research and publication, this incident serves as a powerful reminder of the limitations and risks associated with over-reliance on technology.

In a world increasingly influenced by technology, the value of human expertise and personalized service remains irreplaceable, highlighting why clients need our services more than ever.

At Turacoz Healthcare Solutions, we offer unparalleled expertise in medical writing services, science communication, and research and academic writing. Our team ensures the accuracy, integrity, and ethical compliance that AI alone cannot guarantee.

For your next project, don’t leave anything to chance. Entrust your work to the professionals who understand the nuances of medical communications and the critical role of meticulous research.

Contact us at [email protected]  and let’s set the standard for excellence together.

Navigating Predatory Publishing in Medical Communications: A Comprehensive Guide

Medical writers find themselves at a critical juncture in the scientific and medical communications field. The rise of predatory journals poses a significant threat to the credibility of research and the careers of those who engage with them. This guide aims to illuminate the challenges of predatory publishing, offering insights, strategies, and resources to help medical writers and those involved in medical writing services navigate this complex issue with integrity and caution.

What is Predatory Publishing

Predatory publishing is a concerning byproduct of the open-access publishing model, that exploits the academic pressure to publish, undermining the credibility of scientific research and medical communications. This issue holds particular importance for medical writers and providers of scientific publishing services, as the integrity of published research directly impacts patient care and scientific advancement. Understanding and avoiding predatory publishing practices is imperative for maintaining the quality and credibility of medical communications.

Exploiting the academic and financial pressures on researchers and institutions, predatory publishing offers a fast track to publication without the rigorous peer review expected from reputable journals. This practice is particularly concerning as it undermines the foundation of evidence-based medicine. The troubling growth in predatory journals emphasizes the need for vigilance among those involved in medical communications.

Evolution of Predatory Journals

The journey into the depths of predatory publishing begins with its origins in the open-access movement, which promised a democratized approach to scientific knowledge dissemination. However, this noble intent was quickly overshadowed by the rise of predatory publishers, who saw an opportunity to exploit academic pressure for profit. Through a series of milestones and studies, how predatory journals have mushroomed can be traced, which casts a substantial shadow over the landscape of scientific publishing.

Click Here:- Transformative Journey in Medical Communication: A Comprehensive Case Study

How Predatory Journals Lure Authors

Predatory publishers employ a range of deceptive tactics to ensnare unsuspecting authors. From manipulating impact factors and misrepresenting academic credentials to fabricating editorial boards, these journals dangle the carrot of swift publication to lure researchers into their trap. By dissecting these techniques, we aim to arm authors with the knowledge to identify and avoid these predatory practices.

Impact of Predatory Publishing

The implications of predatory publishing are far-reaching. Scientific research and evidence-based medicine rely on the integrity of published findings. Predatory journals, with their lack of rigorous peer review, pollute the scientific record with unverified and potentially misleading data. For authors, publishing in such journals can tarnish reputations and hinder career progression. Financially, the costs can be substantial, with institutions and researchers spending millions on article processing charges that do not further the cause of scientific advancement.

Identifying Predatory Journals

Identifying predatory journals requires vigilance and a critical eye. Red flags include a lack of clear information about the editorial process, unusually rapid publication times, and solicitations for submissions through spam emails. Legitimate journals are often indexed in reputable databases and adhere to recognized standards such as those set by the Committee on Publication Ethics (COPE). Evaluating journal metrics, while useful, should be done with caution, as some predatory publishers may manipulate these figures to appear more reputable.

Ethical and Legal Considerations

Publishing in predatory journals not only raises ethical concerns but can also have legal ramifications. The dissemination of flawed or fabricated data can have serious consequences in the medical field, potentially leading to legal issues for authors. Adherence to publishing ethics and standards is not just a matter of principle but a legal imperative, underscoring the importance of due diligence before submission.

How to Protect Yourself

To safeguard against predatory publishers, authors should thoroughly vet journals before submission. This includes checking the journal’s presence in reputable databases, assessing the transparency of its peer review process, and seeking advice from professional networks and mentors. Tools such as Think. Check. Submit. offer valuable checklists to help evaluate a journal’s legitimacy. Trust your instincts; if uncertain, discuss it with your peers and colleagues.

Your Choice for Publications

Fortunately, there are numerous reputable open-access and traditional publishing options available. Leveraging institutional support can also facilitate access to these platforms, ensuring that research is disseminated through channels that uphold the principles of scientific integrity. The peer review process, despite its challenges, remains a cornerstone of this integrity, providing an avenue for the critical evaluation and improvement of scientific work.

The Future of Publishing

The landscape of scientific publishing continues to evolve, with emerging trends aimed at combating predatory practices. Legislative efforts, academic initiatives, and technological advancements are all playing a role in securing the integrity of scholarly publishing. As these efforts gain momentum, the hope is that predatory journals will find it increasingly difficult to operate, paving the way for a more transparent and ethical publishing ecosystem.

The fight against predatory publishing is a collective one, requiring the vigilance and engagement of all stakeholders in the scientific community. For medical writers, staying informed and adherent to reputable publishing practices is not just a professional responsibility—it’s a moral one. By doing so, they contribute to the preservation of scientific integrity and the advancement of medical research. Hope this guide serves as a roadmap, empowering medical writers to navigate the complexities of predatory publishing with confidence and caution.

Click Here:- From Research to Regulation: Diverse Types of Medical Writing Documents

Additional Resources

For those seeking further guidance, a wealth of resources is available to assist in the evaluation of journal legitimacy. Databases such as PubMed, Scopus, and the Directory of Open Access Journals (DOAJ) provide a starting point for identifying reputable journals. Professional organizations, including the International Committee of Medical Journal Editors (ICMJE) and the World Association of Medical Editors (WAME), offer guidelines and networks to support medical writers in their publishing endeavors. Additionally, resources like Retraction Watch can help authors stay informed about retractions and controversies within the scientific community, further aiding in the discernment of credible journals.

In navigating the challenges of predatory publishing, knowledge is power. Armed with the right information and resources, medical writers can make informed decisions, uphold ethical standards, and contribute to the integrity and advancement of medical research.

Continuous Professional Development

The importance of continuous professional development (CPD) cannot be overstated. As the field adapts to new challenges, including the rise of predatory journals, staying informed and skilled is paramount for professionals committed to excellence and integrity in their work. It represents a commitment to lifelong learning, ensuring that medical writers and those involved in scientific publishing remain at the forefront of best practices, ethical standards, and the latest research methodologies. This ongoing education is not just about acquiring new skills but also about deepening the understanding of complex issues that impact the field, such as predatory publishing practices.

Structured educational programs offer a formal avenue for CPD, providing comprehensive training that covers a wide array of topics relevant to medical writing and publishing. Courses like the “Comprehensive Certificate Course in Medical Writing” offered by Turacoz Healthcare Solutions are designed to equip participants with a deep understanding of the medical writing process, from research and writing to publication and beyond. It includes modules on ethics, peer review, and how to differentiate between legitimate and predatory journals, thereby arming professionals with the knowledge needed to navigate the publishing landscape wisely.

The benefits of engaging in CPD are manifold. For individuals, it enhances job performance, boosts career prospects, and fosters a sense of professional fulfillment. For the broader scientific community, the commitment of medical writers and publishers to continuous learning helps to uphold the integrity of scientific communication, ensuring that research findings are disseminated accurately and ethically.

Want to know more about our courses contact us at [email protected] now!

Building a Secure Workforce: Educating Employees to Defend Against Phishing Attacks

In today’s digital age, where cyber threats are on the rise, organizations face an ever-present danger in the form of phishing attacks. These fraudulent attempts to deceive individuals and gain unauthorized access to sensitive information can cause significant harm to both businesses and their employees. However, the first line of defense against such attacks lies within a well-informed and vigilant workforce.

To protect your company’s valuable assets, it is crucial to educate employees about the various types of phishing emails and empower them to identify and report potential threats effectively. By conducting regular training sessions, providing real-life examples, and fostering a security-conscious culture, organizations can significantly enhance their overall security posture.

This blog post aims to explore the importance of employee education in mitigating the risk of phishing attacks. We will delve into the key strategies and best practices for effectively educating employees about phishing, emphasizing the significance of continuous learning and adaptation in the face of evolving threats.

Conduct Regular Training Sessions:

To lay the foundation for a secure workforce, organizations should conduct regular training sessions dedicated to phishing awareness. These sessions can be led by internal IT departments or external cybersecurity experts. The following key points should be covered during the training:

  • Explain Phishing Techniques:

Employees need to understand the common techniques employed by attackers in phishing attempts. Educate them about email spoofing, deceptive URLs, and social engineering tactics. Provide tangible examples and demonstrate how attackers manipulate recipients into divulging sensitive information or taking unauthorized actions.

  • Recognize Red Flags:

Train employees to identify red flags associated with suspicious emails. These may include unfamiliar senders, spelling, and grammar errors, urgent or threatening language, requests for sensitive information, or unexpected attachments or links. Emphasize the importance of verifying the legitimacy of emails before taking any action.

  • URL and Link Awareness:

Teach employees to exercise caution when encountering links in emails. Encourage them to hover over links to view the actual destination URL and advise against clicking on links in unsolicited or suspicious emails. Instead, encourage them to manually type URLs or use bookmarks to access known websites.

  • Email Attachment Precautions:

Advise employees to be cautious when opening email attachments. Instruct them to scan attachments with antivirus software before opening them, even if the email appears legitimate. Encourage the use of secure file-sharing services for larger attachments rather than relying solely on email attachments.

  • Social Engineering Awareness:

Raise awareness about social engineering tactics used by attackers, such as impersonating executives or IT support personnel. Teach employees to verify requests for sensitive information or unusual actions through established channels, such as contacting the person directly or using a known phone number.

Read More:- Safeguard Your Company: Effective Strategies to Secure Against Phishing Email Attacks

Provide Real-Life Examples:

To reinforce the severity and potential consequences of phishing attacks, share real-life examples of successful incidents. Illustrating the impact on the company, personal information, and individual roles can help employees understand their critical role in maintaining security. By demonstrating the realistic nature of phishing attacks, employees are more likely to remain vigilant and adhere to security protocols.

Offer Interactive Training:

Engaging employees through interactive training methods can significantly enhance their knowledge retention and preparedness. Conduct simulated phishing exercises and quizzes to test employees’ ability to identify and report suspicious emails. Provide feedback and guidance based on the results, reinforcing correct behaviors, and addressing areas that require improvement. These interactive exercises foster a proactive approach to security and empower employees to actively contribute to the protection of the organization.

Establish Reporting Channels:

Clear communication regarding the procedure for reporting suspicious emails or potential phishing attempts is vital. Encourage employees to report any suspected incidents promptly, even if they are uncertain. Establish dedicated reporting channels, such as a specific email address or reporting tool, to streamline the process. This enables the IT team to investigate and take appropriate action, further fortifying the organization’s defenses.

Reinforce Training:

Education is an ongoing process, and it is essential to reinforce training material regularly. Utilize various communication channels such as reminders, newsletters, posters, and internal messaging systems to share updates on emerging phishing techniques, recent incidents, and success stories of employees who successfully identified and reported phishing emails. Continuous reinforcement keeps security practices at the forefront of employees’ minds, ensuring a culture of heightened vigilance.

Foster a Security-Conscious Culture:

To create a robust security environment, foster a culture that prioritizes cybersecurity and encourages open communication about potential threats. Instill a sense of responsibility among employees to protect the organization’s information assets. Recognize and reward employees who actively contribute to the security of the organization by reporting phishing attempts or suggesting security improvements. By fostering a security-conscious culture, organizations empower their employees to become active participants in maintaining a secure working environment.

Conclusion

As phishing attacks continue to evolve and pose significant threats to organizations, educating employees becomes a crucial aspect of defense. By conducting regular training sessions, providing real-life examples, offering interactive exercises, establishing reporting channels, reinforcing training materials, and fostering a security-conscious culture, organizations can build a vigilant and proactive workforce capable of identifying and mitigating phishing attacks effectively.

Remember, cybersecurity education is an ongoing process that demands continuous adaptation to stay ahead of the latest phishing trends. By investing in employee education and cultivating a security-focused culture, organizations can bolster their resilience against phishing attacks and safeguard their valuable assets. Empowering employees with knowledge and awareness transforms them into the first line of defense, working collectively to protect the organization from the pervasive threat of phishing.

Importance of Effective Medical Writing in Healthcare Communication

In healthcare and medicine, the precision and clarity of information can significantly impact patient outcomes and public health. This is where medical writing, a specialized form of science communication, plays a crucial role. Effective medical writing serves as the bridge between complex medical science and its comprehension by various audiences, including healthcare professionals, regulatory authorities, and the general public. This blog delves into the essence of effective medical writing, its importance, and how organizations like Turacoz Healthcare Solutions are pioneering in enhancing these skills through comprehensive educational programs.

Understanding Medical Writing

Medical writing encompasses the creation and production of scientific documents that communicate clinical and health-related information clearly and understandably. It ranges from regulatory and research-related documents to educational materials for healthcare professionals, patients, and the public. A proficient medical writing service facilitates the accurate dissemination of medical science, ensuring that all stakeholders have access to reliable and understandable medical information.

Role of Medical Writers in the Healthcare Industry

Medical writers are invaluable in translating scientific research into clear, accurate, and accessible information. They contribute significantly to advancing medical knowledge, supporting healthcare decision-making, and promoting public health awareness. As the demand for skilled medical writers grows, so does the need for specialized training and education in this field.

The landscape of medical writing is undergoing transformation, influenced by digital advancements, artificial intelligence, patient-centric communication, multimedia content, and global collaboration. Medical writers are embracing to new technologies and communication strategies, ensuring that medical writing remains a key player in advancing global healthcare.

Read More:- AI-Powered Literature Search: Enhancing Medical Research

The Foundation of Effective Medical Writing

Several key features characterize effective medical writing:

  • Precision: Effective medical writing demands the precise use of medical terminology, numerical data, and clinical findings.
  • Clarity: Complex medical concepts are presented in a way that is accessible to the intended audience.
  • Accuracy: All information is factual, up-to-date, and well-researched, reflecting the latest advancements and guidelines in medicine.
  • Relevance: The content is tailored to address the specific needs and knowledge level of its audience.
  • Consistency: There is a uniform style and format that aids in the document’s readability and comprehension.
  • Objectivity: Information is presented in an unbiased manner, focusing on evidence-based data.

Why is Effective Medical Writing Important?

The significance of effective medical writing cannot be overstated:

  • Enhancing Patient Care: Clear communication helps patients understand their conditions and treatment options better, leading to improved healthcare outcomes. When patients are well-informed, they are more likely to actively participate in their healthcare decisions, adhere to prescribed treatments, and adopt healthier lifestyles. This, in turn, contributes to improved healthcare outcomes, increased patient satisfaction, and the establishment of a strong patient-provider relationship.
  • Regulatory Approval: Precise and well-structured documentation is crucial for the regulatory approval process of new drugs and medical devices. Regulatory bodies demand meticulous attention to detail, accurate representation of clinical trial results, and adherence to specific formats.
  • Educational Value: Medical writing supports the continuous education of healthcare professionals, contributing significantly to their professional development. This educational aspect of medical writing not only supports the growth of individual practitioners but also fosters a culture of knowledge-sharing within the broader healthcare community.
  • Public Health: The impact of medical writing extends beyond individual patient care to encompass broader public health initiatives. Effective communication of health risks and preventive measures can significantly impact public health initiatives. By clearly conveying information about infectious diseases, vaccination campaigns, and lifestyle interventions, medical writing contributes directly to the success of public health initiatives and the overall well-being of communities.

Challenges in Medical Writing

Despite its importance, medical writing presents challenges such as:

Keeping Abreast of Scientific Advancements: Medical writing operates at the intersection of rapidly evolving scientific knowledge and the need to communicate this information effectively. Staying current with perpetual advancements in medical research, technologies, treatment modalities, ongoing clinical trials, and breakthroughs requires a continuous commitment to learning and updating one’s knowledge base.

Regulatory Compliance: Navigating the intricate web of regulatory requirements is a persistent challenge in medical writing. Different regions and governing bodies have specific guidelines for the preparation of regulatory documents, clinical trial reports, and drug submissions. Meeting these standards demands meticulous attention to detail and a deep understanding of regulatory nuances. Non-compliance can lead to delays in approvals, legal repercussions, and potential risks to patient safety.

Simplifying Complex Information Without Compromising Accuracy: Communicating complex medical information in a manner that is clear and accessible to diverse audiences, including patients and non-specialist stakeholders, is a delicate balancing act. Striking this balance is challenging, especially when dealing with intricate details of diseases, treatments, and pharmaceutical mechanisms.

A Professional Consultancy Helps!

Role of Medical Communication Agencies: In addressing these challenges, medical communication agencies emerge as essential players in the realm of medical writing. Their teams often consist of experienced medical writers, researchers, and subject matter experts who are adept at distilling complex medical information into clear and compelling narratives that meet the highest standards of quality, accuracy, and compliance.

Specialized Medical Writing Services: Medical communication agencies offer a spectrum of specialized services, including the development of regulatory documents, clinical trial protocols, scientific manuscripts, and patient education materials. Their expertise extends to various therapeutic areas, ensuring that the writing aligns with the specific requirements of diverse medical disciplines.

Quality and Accuracy Assurance: The paramount focus of medical communication agencies is on maintaining the highest standards of quality and accuracy. Rigorous quality assurance processes, peer reviews, and adherence to industry best practices are integral components of their service offerings. This commitment to excellence ensures that the medical writing produced by these agencies not only meets regulatory requirements but also surpasses expectations in terms of clarity, precision, and relevance.

 Tips for Effective Medical Writing

To achieve effective medical writing, consider the following tips:

  • Know Your Audience: Tailor the content to the audience’s knowledge level and needs.
  • Continuous Learning: Stay updated with the latest in medical research and regulatory guidelines.
  • Peer Review: Utilize feedback from peers to refine and improve the content.
  • Ethical Considerations: Ensure all writing adheres to ethical standards, including patient confidentiality and conflict of interest disclosures.

Medical writers are invaluable in translating scientific research into clear, accurate, and accessible information. They contribute significantly to advancing medical knowledge, supporting healthcare decision-making, and promoting public health awareness. As the demand for skilled medical writers grows, so does the need for specialized training and education in this field.

Comprehensive Certificate Course in Medical Writing

Recognizing the critical need for skilled medical writers, Turacoz Healthcare Solutions offers a Comprehensive Certificate Course in Medical Writing. This program is designed to equip participants with the knowledge and skills required to produce high-quality medical documents across various formats. The course covers the fundamentals of effective medical writing, including ethical considerations, regulatory requirements, and the latest trends in medical research and publications. Participants will learn from experienced professionals in the field, gaining hands-on experience that prepares them for a successful career in medical writing and science communication.

Effective medical writing is crucial for the dissemination of medical knowledge and the advancement of healthcare. It requires a unique blend of scientific understanding, writing proficiency, and ethical consideration. With the increasing complexity of medical science and the need for clear communication, the demand for skilled medical writers has never been higher.

Turacoz Healthcare Solutions’ Comprehensive Certificate Course in Medical Writing represents an excellent opportunity for aspiring medical writers to develop their skills and contribute to the field of medicine and public health.

By fostering a new generation of medical writers, we can ensure that medical science continues to be communicated with clarity, accuracy, and integrity, ultimately contributing to better healthcare outcomes and informed public health decisions.

Register here: https://forms.office.com/r/uieHuZu52q

For more info contact us at [email protected]

AI-Powered Literature Search: Enhancing Medical Research

Healthcare research (Medical Research) and development is dynamic and staying abreast with the latest scientific discoveries is imperative to remain relevant in the field. At Turacoz Healthcare Solutions, we understand the critical importance of efficient literature searches in underpinning high-quality medical writing services. The traditional approach to literature review can be time-consuming, often like searching for a needle in a haystack. This is where Artificial Intelligence (AI) steps in, transforming the search process into a more efficient, accurate, and insightful endeavour.

While there is skepticism about the thoroughness of AI tools for literature review, its efficiency in reducing the hours invested in the task is undeniable. As scholarly publications embrace AI, fine-tuning to ease out the initial hiccups will be crucial to ensure research and medical writing are not compromised. One of the steps to achieve this is to iron out any biases in the AI tools for literature search.

Traditional Hurdles

Traditionally, researchers and medical writers have faced significant challenges in sifting through scientific literature. The sheer volume of data, coupled with the need for precision and relevancy, makes the literature search time-consuming and often daunting. The quest for relevant studies, latest findings, and historical research data can significantly slow down the progress of scientific writing and publication.

Read More:- Transforming Medical Writing: The Impact of Audio-Visual Content

The AI Advantage

Artificial intelligence, with its advanced algorithms and machine learning capabilities, is redefining the approach to literature searches in scientific writing. By automating the sifting through of countless articles, studies, and databases, AI tools significantly reduce the time it takes for researchers and medical writers to find relevant information. AI tools accelerate the search process helping access the desired information with exceptional turnaround time. However, medical writers need to be vigilant to ensure the accuracy and relevance of the results obtained.

Here’s how AI is making a difference:

  • Speed and Efficiency: AI-powered tools can parse through millions of documents in seconds, identifying relevant literature at speeds no human could match. This rapidity significantly cuts down the time required for comprehensive literature reviews.
  • Precision and Relevance: Through advanced understanding of context and semantics, AI enhances the accuracy of search results, delivering highly relevant literature that matches the specific needs of medical writers and researchers.
  • Trend Identification: AI algorithms excel at detecting patterns, trends, and emerging topics within vast data sets, providing medical writers with invaluable insights that can shape the direction and focus of their work.
  • Customized Search Experience: AI tools learn from interactions, refining and personalizing search results based on user behaviour and preferences. Thereby, ensuring that medical writers receive the most applicable information for their projects. 

Navigating Challenges

Despite its numerous benefits, the integration of AI in literature searches is not without its challenges. Data privacy, the need for high-quality input data, and potential algorithmic biases are considerations that need careful navigation. The crucial role of human oversight in AI-assisted processes guarantees the accuracy and pertinence of our endeavours.

At Turacoz Healthcare Solutions, we are at the forefront of integrating AI into our medical writing services. Our commitment to leveraging the latest technology ensures that our team of medical writers can produce high-quality, evidence-based content efficiently and effectively. By harnessing AI, we not only enhance our research capabilities but also ensure that the medical communications we deliver are grounded in the most current and relevant scientific evidence.

Connect With Us

Are you looking to elevate your medical research, publication, or communication projects with the power of AI?

Discover how we can assist you in leveraging AI for more effective and efficient medical writing services. Reach out to us at [email protected]  to learn more about our services and how we can help you achieve your scientific communication goals.

Decoding Science: The Evolution and Craft of Plain Language Summaries

Science often appears as a maze filled with complex terminologies and heaps of data that can be challenging to navigate. It can be a daunting task for people outside the scientific realm to understand what’s going on. Imagine science communication as a locked door accessible only to a select few – mainly those who work in science or extensively study it. This blog explores the transformative solution known as Plain Language Summaries (PLS), making it simpler for everyone to understand the exciting discoveries and intriguing discussions unfolding in the world of science.

The Quest for Clarity

For decades, the complex jargon of scientific research has been a gatekeeper, restricting access to knowledge to an exclusive few. This exclusivity not only isolated the public but also hindered interdisciplinary collaboration. The turn of the century indicated a paradigm shift towards more accessible communication methods, including omnichannel communications, among which PLS has emerged as a pivotal tool in democratizing scientific knowledge.

Understanding PLS

At its core, a PLS translates complex scientific findings into digestible, jargon-free language understandable by non-specialists, opening up science to a broader audience. This inclusivity fosters deeper public engagement with science, empowering individuals with knowledge that was once confined to academic papers.

Types of PLS

PLS manifests in various forms, each serving distinct purposes and audiences:

  • Research Findings Summaries distill complex study outcomes into engaging, comprehensible narratives.
  • Policy Briefs leverage scientific evidence to inform decision-making and legislative action.
  • Educational Materials transform intricate scientific concepts into accessible learning resources.

The Importance of PLS in Modern Science Communication

The ascent of PLS signifies a monumental shift towards inclusivity and engagement in science communication. By breaking down the barriers to understanding, PLS fosters a well-informed public, equipped to engage in scientific discourse, appreciate the impact of research, and make informed decisions in their personal and civic lives.

How to Write a Good PLS

Crafting an effective PLS requires a blend of art and science:

  1. Know Your Audience: Tailor the content to the audience’s level of understanding and interest.
  2. Simplify Wisely: Use clear, concise language while ensuring the scientific essence remains intact.
  3. Embrace Storytelling: Employ narratives and relatable examples to convey complex ideas engagingly.
  4. Visual Aids: Complement text with visuals to aid comprehension and retention.
  5. Maintain Accuracy: Balance simplicity with the obligation to accurately represent the science.

Challenges and Considerations in Crafting PLS

Creating PLS comes with its hurdles. Simplification must not turn into oversimplification, which can misrepresent or dilute scientific findings. Moreover, addressing uncertainties and maintaining the integrity of the scientific discourse without alienating the audience is a delicate balance to strike.

As we navigate the future of science communication, it becomes evident that making complex information understandable and accessible is paramount. Through PLS, we are not just sharing knowledge; we are inviting everyone into the fascinating world of scientific discovery.

Reach Out to Us!

Turacoz Healthcare Solutions is committed to this mission, offering medical writing services and online medical courses designed to bridge the gap between scientific research and public understanding.

If you’re interested in honing your skills in medical writing and want to contribute to clearer, more impactful science communication, consider joining our “Comprehensive Certificate Course in Medical Writing.” This course is tailored to equip you with the knowledge and tools needed to make a difference in how science is communicated.

Register here: https://forms.office.com/r/uieHuZu52q

For more details about the course, don’t hesitate to get in touch with us at [email protected]. Together, we can make science accessible to everyone, advancing knowledge and understanding across communities.

Safeguard Your Company: Effective Strategies to Secure Against Phishing Email Attacks

In our interconnected and globalized world, phishing attacks via email have become an important threat to companies of all sizes. These attacks do not only compromise sensitive company information, but can also cause financial instability and damage to a firm’s reputation. As an organization it is vital to prioritize cyber security and implement robust protection against phishing. In this blog, we will discuss practical strategies for protecting your company from the ever evolving threat of spam emails.

Educate Employees About Phishing Attacks:

The first line of defense against phishing attacks is a well-informed workforce. Conduct regular training sessions to educate your employees about the various types of phishing emails and how to identify them. Teach them to scrutinize email senders, check for suspicious links or attachments, and be cautious about sharing sensitive information via email. Encourage employees to report any suspicious emails promptly.

Implement Multi-Factor Authentication (MFA):

MFA adds an extra layer of security to your company’s email accounts. By requiring additional verification, such as a code sent to a mobile device, even if an attacker obtains login credentials, they will be unable to access the account without the second authentication factor. Implement MFA for all email accounts and other critical systems.

Use Advanced Email Security Solutions:

Invest in robust email security solutions that employ advanced threat detection mechanisms. These solutions can analyze incoming emails in real-time, flagging potential phishing attempts and malicious links or attachments. Email security tools can also filter out spam and perform regular antivirus scans to identify and block any potential threats.

Enable Sender Policy Framework (SPF) and DomainKeys Identified Mail (DKIM):

SPF and DKIM are email authentication methods that prevent spoofing and verify the legitimacy of email senders. SPF allows administrators to specify which IP addresses are authorized to send emails on behalf of their domain, while DKIM adds a digital signature to the email, verifying its authenticity. Implementing SPF and DKIM can significantly reduce the chances of phishing emails reaching your employees’ inboxes.

Regularly Update Software and Security Patches:

Phishing attackers often exploit vulnerabilities in software to gain unauthorized access to systems. To prevent this, ensure all software applications and operating systems are up to date with the latest security patches. Regularly update and patch vulnerable software to minimize potential entry points for attackers.

Deploy Email Filters and Anti-Spam Measures:

Utilize spam filters and anti-phishing measures to block or quarantine suspicious emails. These filters use various algorithms and heuristics to identify and categorize potentially harmful emails. Configure your email system to automatically filter out suspected phishing emails, reducing the risk of employees falling victim to them.

Conduct Regular Phishing Simulations:

Periodically simulate phishing attacks to assess the effectiveness of your security measures and employees’ awareness. These simulations involve sending test phishing emails to employees and analyzing their responses. Based on the results, provide additional training, and reinforce security practices where necessary.

Establish Incident Response Procedures:

Prepare a robust incident response plan to handle potential phishing attacks effectively. Define roles and responsibilities, establish communication channels, and outline the steps to be taken in the event of a suspected or confirmed phishing incident. Regularly test and update the incident response plan to account for emerging threats.

Conclusion:

Phishing email attacks continue to be a prevalent and evolving threat to companies worldwide. By implementing a comprehensive security strategy, educating employees, and leveraging advanced email security solutions, you can significantly reduce the risk of falling victim to phishing attacks. Regularly review and update your security measures to stay one step ahead of cybercriminals. Remember, securing your company against phishing attacks is an ongoing process that requires vigilance, awareness, and a commitment to cybersecurity.

Transforming Medical Writing: The Impact of Audio-Visual Content

In medical communications, the traditional reliance on text-heavy documents is undergoing a transformative shift. The rising surge of audiovisual (AV) deliverables has introduced a dynamic and engaging way to disseminate medical information, making complex medical concepts more informative, accessible, and understandable. This blog delves into how AV content revolutionizes medical writing, enhancing patient education, professional training, and overall communication within the healthcare industry.

Why AV?

Interestingly, the power of AV content lies in its ability to convey information through multiple sensory channels. Unlike text, which demands focused reading, AV materials combine visual elements, narration, and sometimes even interactive components to create a multifaceted learning experience. This multisensory approach caters to various learning styles, increasing the likelihood that the message will be effectively absorbed and retained.

AV in Medical Writing

Patient Education: AV podcasts can demystify medical conditions, treatments, and procedures. By visually illustrating how a medication works within the body or what to expect during a surgical procedure, patients can gain a clearer understanding, alleviating anxiety and empowering them to make informed healthcare decisions.

Professional Development: For healthcare professionals, AV materials serve as an invaluable tool for continuous learning. Whether a detailed surgical technique video, a webinar on the latest clinical trial findings, or an interactive e-learning module, an AV content ensures staying abreast of medical advancements without the constraints of geographic and time barriers.

Public Health Campaigns: AV announcements for public service can communicate health risks and preventive measures more effectively than conventional pamphlets or posters. During public health emergencies, such as the COVID-19 pandemic, AV materials played a crucial role in rapidly disseminating vital information to the public at large.

Click Here:- Enhancing Consensus Research in Biomedicine: The Advent of ACCORD Guidelines

Crafting Effective AV Deliverables

Creating impactful AV content in medical writing involves more than just technical knowledge; it requires an understanding of storytelling, visual design, and audience engagement. Here are some key considerations:

  • Clarity and Accuracy: Medical information must be presented clearly and accurately, avoiding medical jargon when targeting non-professional audiences.
  • Engagement: Utilizing storytelling techniques, such as patient narratives or hypothetical scenarios, can make the content more relatable and engaging.
  • Visuals: High-quality visuals, including animations, diagrams, and real-life footage, can enhance understanding, especially for complex mechanisms or procedures.
  • Accessibility: Ensuring that AV materials are accessible to all individuals is crucial. This includes providing captions, and audio descriptions, and ensuring compatibility with assistive technologies.

The integration of AV deliverables into medical writing represents a significant leap forward in healthcare communication. It’s about more than just keeping pace with digital trends; it’s about enhancing the clarity, impact, and accessibility of medical information. 

Turacoz is Here!

As a leading healthcare communications agency, Turacoz Healthcare Solutions is at the forefront of this movement, offering innovative solutions and education through its medical writing services and online healthcare certificate programs.

If you are intrigued by the world of medical writing and eager to learn how to create various AV deliverables, explore our “Comprehensive Certificate Course in Medical Writing.” Start your journey towards becoming a skilled medical writer today. Join us in shaping the future of medical communication, where every piece of content—written, spoken, or visualized—makes a difference.

Reach out to us at [email protected]  and elevate your expertise now!

Registration link: https://forms.office.com/r/uieHuZu52q 

Enhancing Consensus Research in Biomedicine: The Advent of ACCORD Guidelines

The introduction of the ACCORD (ACcurate COnsensus Reporting Document) guidelines marks a pivotal advancement in consensus-based research within biomedicine. These guidelines aim to improve how consensus methods are documented ensuring that studies are transparent, comprehensive, correctly interpreted, and applied by the medical and research communities.

The Need for ACCORD

Reporting of consensus has been fraught with several challenges, including inadequate and incomplete documentation. This has often led to difficulties in understanding, interpreting, and applying research findings effectively. The ACCORD guidelines emerge as a beacon of hope, offering a comprehensive framework designed to address these issues head-on.

What is ACCORD?

ACCORD is a pioneering guideline focused on consensus methods used in biomedical research reporting. Developed through a rigorous process involving a systematic review and a modified Delphi method, ACCORD aims to standardize the reporting of consensus studies. Thereby, enhancing the quality of research outputs, and facilitating better decision-making in clinical recommendations, policy formation, and priority setting.

Click Here:- From Research to Regulation: Diverse Types of Medical Writing Documents

The Development Process

The development of ACCORD involved a systematic review of existing literature and inputs from a diverse panel of experts across six continents. The collaborative effort culminated in a checklist of 35 items that covered various reporting aspects, including the study’s introduction, methods, results, and discussion. This structured approach ensures the transparent and comprehensive conveyance of all crucial information.

Benefits of ACCORD

The ACCORD guidelines offer numerous benefits to the biomedical research community:

Improved Transparency: By adhering to a standardized reporting format, researchers can more transparently present their methods and findings.

Enhanced Trust: Comprehensive and clear reporting builds trust among the scientific community, policymakers, and the public.

Facilitated Application: Detailed documentation allows for the critical interpretation and application of research findings.

Cross-Methodology Applicability: ACCORD is the first guideline applicable across all consensus methodologies, making it a versatile tool for researchers.

Looking Ahead

As we move forward, the adoption of ACCORD by journal editors, publishers, and researchers will be crucial. It aligns with other established reporting guidelines, such as CONSORT and PRISMA, emphasizing the collective effort towards enhancing research quality. Turacoz Healthcare Solutions supports and encourages the biomedical research community to embrace ACCORD, contributing to a more transparent, reliable, and effective consensus-building process.

Get in Touch

For more information on how our consensus-building services can support your research or policy-making needs, please contact us at [email protected] . Our team is ready to assist you in leveraging consensus methods to their fullest potential, guided by the latest advancements in reporting standards.

From Research to Regulation: Diverse Types of Medical Writing Documents

Medical writing plays a pivotal role in conveying medical information and research findings, addressing diverse needs within the healthcare and pharmaceutical sectors. This field encompasses a variety of documents, each serving specific purposes, from regulatory submissions and clinical research documentation to educational material and scientific publications. Here’s a closer look at our medical writing services and what kind of medical writing documents we provide:

Clinical Research Documents

Clinical Trial Protocols: These documents outline the objective, design, methodology, statistical considerations, and organization of a clinical trial, providing a roadmap for conducting the study.

Informed Consent Forms: Essential for clinical trials, these forms provide participants with information about the study, including its purpose, procedures, risks, benefits, and their rights as participants.

Clinical Study Reports (CSRs): Prepared after completing a clinical trial, CSRs present the methodology, results, and conclusions of the trial, comprehensively serving as a detailed record of the trial and its outcomes.

Patient Information Leaflets (PILs) and Summary of Product Characteristics (SmPCs): These are regulatory documents required for the marketing approval of a drug. PILs inform patients about how to use a medication, while SmPCs provide detailed information for healthcare professionals on how to prescribe it.

Regulatory Documents

Investigational New Drug (IND) Applications: These documents are submitted to regulatory authorities to obtain permission to initiate clinical trials with a new drug.

New Drug Applications (NDA)/Marketing Authorization Applications (MAA): Submitted to regulatory authorities to seek approval for marketing a new pharmaceutical for sale and use.

Periodic Safety Update Reports (PSURs): These reports offer updates on the safety profile of a pharmaceutical product, including any new risks identified.

Scientific Publications

Research Articles: These are detailed studies reporting original research, published in scientific journals.

Review Articles: Articles that summarize current research on a particular topic.

Case Reports: Detailed reports on the symptoms, diagnosis, treatment, and follow-up of an individual patient.

Abstracts and Posters for Scientific Conferences: Concise summaries of research findings presented at scientific meetings.

Educational Materials

Continuing Medical Education (CME) Materials: Designed to educate healthcare professionals about the latest developments in their field.

Patient Education Materials: Written in accessible language, these materials inform patients about their health conditions, treatment options, and healthy lifestyle choices.

Medico-Marketing Documents

Product Monographs: Detailed information about a drug, including its properties, indications, contraindications, side effects, etc.

Sales Training Manuals: Materials created to train sales representatives about the medical and scientific aspects of the products they will be selling.

Advertising Copy: Writing promotional materials targeting healthcare professionals or the public, adhering to regulatory standards.

Health Policy Documents

Health Technology Assessments (HTAs): Evaluations of the social, economic, organizational, and ethical issues of a health intervention or health technology.

Policy Briefs: Documents providing evidence-based recommendations on health policy issues to policymakers.

Turacoz Group is a leading medical writing agency and we provide different kinds of medical writing and academic writing services. If you are looking for a medical writer, you are at the right place. With us, you will get assistance with regulatory medical writing, research paper writing, academic writing, etc. We also provide medical and regulatory writing courses that are designed to equip you with essential skills and insights to excel in the dynamic healthcare industry. If you are intrigued by the world of medical writing and eager to learn how to create various document types, explore our “Comprehensive Certificate Course in Medical Writing.” Start your journey towards becoming a skilled medical writer today. 

Reach out to us at [email protected] and elevate your expertise now!

Registration link: https://forms.office.com/pages/responsepage.aspx?id=TCiDEIoeEUeaAGbcYpnFeedjbeZ6M2hImsjsFwldXtdUNEpRVVlMRzZKUlpLTE1MUDA2NUdRQ0JVVC4u

Empowering Patient Engagement Through Effective Medical Writing

Medical writing serves as a crucial link in enhancing patient engagement, providing a vital channel through which healthcare providers communicate complex health information in a way that patients can easily understand and act upon. The significance of medical writing in the healthcare continuum cannot be overstated, as it directly impacts a patient’s capacity to navigate their health conditions, treatment pathways, and participation in clinical research. High-quality medical writing is paramount for fostering improved patient outcomes, adherence to therapeutic regimens, and overall satisfaction with healthcare services.

To achieve content that resonates deeply with patients and encourages active participation in their healthcare, consider the following strategies:

Focus on Patient-Centric Content

Craft the content with the patient’s unique needs, preferences, and backgrounds at the forefront. This involves tailoring medical writing to accommodate various levels of health literacy, cultural nuances, and personal values. For instance, simplifying complex information in informed consent documents or customizing patient education materials to address specific concerns can significantly enhance understanding and empower patients. Many studies emphasizes the benefits of such patient engagement strategies in healthcare, highlighting improved outcomes and satisfaction.

Incorporate Interactive and Multimedia Elements

Leverage interactive and multimedia content, such as videos, infographics, interactive quizzes, and eLearning platforms, to make medical information more engaging and accessible. These formats cater to different learning styles and preferences and demystify medical jargon and concepts for the lay audience. Such dynamic content encourages patients to actively engage with their health information, promoting a proactive approach to healthcare.

Click Here:- Scientific Presentations: The Canvas of Medical Industry

Prioritize Accessibility and Inclusivity

Ensure that medical content is accessible to all patients, including those with digital, physical, or cognitive limitations. This means offering content in various formats and languages to cater to a wide range of patient needs.  Accessibility and inclusivity ascertain that more patients are empowered and are actively involved in making their treatment decisions.

Continuously Evaluate and Improve Content

Regularly assess the effectiveness of medical content with respect to meeting patient needs and preferences. Employing readability metrics, soliciting direct patient feedback, and incorporating patient insights into content development ensures the relevance and impact of medical materials. Engaging with patients through focus groups, surveys, or advisory boards offers valuable perspectives that can guide content improvement efforts.

Conclusion

Understanding the transformative role of patient-centric medical writing in enhancing patient engagement and healthcare outcomes underscores the commitment to excellence in medical communication. By focusing on creating accessible, engaging, and tailored content, medical writers can significantly contribute to empowering patients in their healthcare journeys. Studies also advocates for the integration of patient feedback in the development of digital health tools, emphasizing the importance of user-centered design for improving health outcomes.

To explore how we can support your organization in elevating its medical writing and patient engagement efforts, contact us at [email protected]. Our expertise in delivering top-tier medical writing solutions is rooted in a deep understanding of the importance of effective communication in patient-centered care.

Avoiding Red Marks – Make Your Citations Perfect

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You cannot share a single post on social media without acknowledging its original creator. This is exactly how a citation works! Citations are a way to inform people about the source of the information while giving credit to the researchers. If we want to transport science from a journal to a layman, citations are the means for travelling.

Why are Citations important?

The main purpose of drafting articles is to give exact information and contribute to the subject. However, if you do not have evidence to validate your hypothesis or ideas, then the whole plan is disrupted! Citations allow giving credit to deserving authors. It ensures the commitment one shows towards research and the work. With accurate citations, one can always avoid the risk of plagiarism. Copying and paraphrasing without giving citations lead to fraud and infidelity and is undesirable.

The citation is important, from making a specific reference to using some ideas. But it’s tough witnessing poor remarks even after putting so much in an article. Mistakes are not accepted when you are communicating science. So, how to reduce all those red marks on your research paper and make accurate citations?

Some tips and tricks to cite accurately: –

–         Excess is bad

Citations are the basis of spreading valid information. However, you are not required to cite every word. If you are writing a paragraph picking information from a research article, you need to add one in-text or parenthetical citation at the end. Use citations only when you are picking up valuable information with strong evidence.

–         Follow one style

Do not clutter your research article by using different styles of citations like MLA style or APA style etc. Follow a single style or look for guidelines suggested by the journal. Track these tiny errors by double proofreading your document. It is something we are aware of but often overlook!

–         What comes before

Most of the time, small errors lead to rejection. The period in citation will come after the parenthesis. Remember this detail and you will never make a citation go wrong.

–         Match them

A manuscript should match its source citations and in-text citations. References contain more in-depth and elaborate citations. They are found at the end and should align with in-text citations. . However, in some instances, such as in-person interviews, there is no space for references because they are not based on previously published works.  Hence, they have citations.

What distinguishes citations from references? How to do a literature search? Turacoz has the solutions to these kinds of queries. Turacoz is a medical communications agency offering medical and scientific writing courses to enhance opportunities for medical writers.

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Keywords – The Probe to Your Manuscript

Content is the king”, they say. Keywords are the powerful weapons of your king. Words or phrases which represent your ideas or define the content in a manuscript are known as keywords. These act as context-specific probes helping researchers to find your manuscript better. The specific words that a researcher will write while looking through search engines, journals, indexing, etc. should be found in your manuscript. If this happens, the deal is yours!

What makes Keywords so important?

Keywords act as a roadmap to your article. They increase the exposure of your manuscript as readers and researchers follow the route shown by keywords. The search criteria followed by researchers or readers to find specific information is the keywords. So, it is very important to use accurate keywords in your manuscript as it allows search engines to find your manuscript easily and make it appear at the top of the search list. 

The perfect example of what you reap is what you sow!

The right keywords will bring you more citations and credibility in the domain. 

Click Here:- Avoiding Red Marks – Make Your Citations Perfect

What are the “right” keywords?

Here are a few tips to choose the right keywords: –

  • Not the last step 

Adding keywords to your document should not be your last step but do the research in advance. Do the research yourself using your keywords and see what you find. Plan before drafting how to use the keywords. Your keywords should appear not only in Google searches but also in Science Databases.

  • Single words are not helpful

Your keyword should consist of more than one word. To prevent your manuscript from getting lost in the crowd, use detailed keywords. For example, “diabetes” or “medicine” is not the right keyword but “cause of diabetes” or “medication for diabetes” is the accurate choice depending upon your topic. 

  • The “methodology” is the trail

Use the name of techniques, methodology, and treatment as keywords in your manuscript. They lead in a specific direction. Accurate keywords ensure correct indexing and showcase the research to the interested groups.

  • Begin with abstract and titles

If keywords are used wisely in abstracts and titles, it will be a plus point. Hold the reader from the beginning and then explain your story. But the keywords should come in naturally and not be forcibly imposed on the reader.

  • Follow the guidelines

Every journal has its guidelines and instructions for keywords. The most important task is to follow them whether they want 5-6 words or phrases. Find what will aid in your publication, what will help in the literature search, and capture that.

Do you wish to know more about Publication Writing? Publication documents, guidelines, the structure of a paper, journal selection, submissions, conference presentations, and a lot more are just a click away. Turacoz is conducting a Certificate Course in Scientific Writing: End to End Journal Publication and Conference Presentation” on 23.07.2022 . Come join in! We assure you of an enriching experience and a smooth journey through the essentials!


Visual Data – An aid for Scientific Writers

Visualization of data and information makes clinical research and science more realistic and accessible. A visual presentation of data has a stronger and far-reaching impact on the discerning mind. Tables and graphs are two modes of presenting information in a visually appealing manner, which provide a clear picture of the current and expected scenario. Thus, these are excellent communication tools for the presentation of scientific data and information. Ideas, information, and facts summarized using tables and figures instead of complex scientific jargon are relatively easy to understand by patients and laymen, thereby extending their reach.

As so aptly quoted by William Playfair, an engineer who innovated line charts, bar charts, and pie charts “…it occurred to me, that making an appeal to the eye when proportion and magnitude are concerned, is the best and readiest method of conveying a distinct idea.”

Importance of Tables, Figures, and Graphs in Scientific Writing

  • Presentation of complex information using less space and few words
  • Addition of creativity and value to a manuscript layout
  • Help to manage word count limit
  • Makes it easy for the readers to focus on the most relevant information
  • Easy and rapid assimilation of relevant information by readers, particularly busy healthcare professionals
  • Facilitates communication of science in a crisp and comprehensible way

What type of graphs, tables, or figures to include in your manuscript?

This entirely depends on how you want to narrate your story and what you want your readers to focus on.

Click Here:- Keywords – The Probe to Your Manuscript

How can tables, graphs, and figures be used to make technical writing more creative and less complicated?

  • Decide your objective

Tables convey data and information in a logical and orderly manner. Graphs talk about the relationship between different variables and changing trends. The optimal tool should be chosen according to your objective.

  • Adhere to guidelines

Some journals have instructions about design patterns for graphs and tables. Follow the guidelines given by your target journal.

  • Choose consistency

Maintain a consistent pattern for abbreviations, values, treatments, etc.  Avoid any repetition while sharing information and maintain a consistent rhythm.

  • Completely Complete

Graphs and tables should be self-explanatory. As images attract people before the text, so the visual data should be completely complete in itself!

  • Don’t dress up to kill!

Never use both tables and graphs to represent the same data. Titles must be concise, and abbreviations should be mentioned in footnotes. Graphs and illustrations should be arranged systematically and not just to dress up the data!

Everything about visualizing data in scientific writing, from bar graphs to histograms to line graphs, is a fusion of art and technique. However, putting the appropriate pieces in the right place might become challenging at times. Lack of skill can lead to minor errors, but health science is unapologetically intolerant to them! And here is where, Turacoz steps in to upskill you in your journey of scientific writing.

Turacoz offers courses, workshops, and webinars to guide blooming scientific writers.

Come and join Turacoz to take you on a path towards scientific writing that will open doors to new avenues.

            Course – Scientific Writing: Publication Writing and Submission in Journals

            Date- 16 July 2022

For more details and information contact,

[email protected]

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5 Steps Towards Freelance Medical Writing

Working within organized cabins, reporting to managers, and clocking in as per company norms: work culture has taken a leap beyond these precincts. “Opportunities are created by us”, as the saying goes. Freelance Medical Writing exemplifies this precisely. Undoubtedly, full-time jobs support a sense of structure, decorum and a running income, but they are not always conducive, especially for those who are unable to devote time to a nine-to-six job due to personal commitments. This is precisely where freelancing comes to rescue. Freelancing also helps bridge the ever-increasing workforce gap, at the same time bringing in more flexibility and creativity to work styles.

Here are 5 steps to take a leap towards Freelance Medical Writing:

  • Understanding the Benefits
    • Working from the hills or from your home office, freelancing is laden with benefits. It is you who can choose the project, workload, time, location, and schedule. It is where responsibility and comfort merge. From flexibility of working hours to deciding your worth, you are your own master.
  • Burning the Myths
    • Although having one’s own website certainly gives an edge to freelancing, just the thought that it may require a knowledge of coding and could turn out expensive, forces one to step back! For the uninitiated, this is just a myth. There is a plethora of options such as WordPress, where one can create a website with minimal efforts. Look for the available options and they are right there waiting for you!
  • Choosing your Niche
    • After burning the myths, the next step is choosing where your interest lies. Medical writing is a broad domain, including manuscript writing, medico-marketing, regulatory writing. Hospitals, pharmaceutical companies, health-tech firms, medical communication agencies, etc. have diverse communication requirements. Decipher your interest, strength area, choose your tribe, and find out where you fit in. This is what will define the structure of your portfolio and growth prospects.
  • Keeping the Links Open
    • Build a strong connection within your fraternity. Form a network of writers where you all can share referrals and help each other.
  • Don’t Stop Learning
    • Upgrade your skills in medical and scientific writing. Enroll yourself in courses, seminars, online workshops, etc. First, it can help broaden your vision and identify your blind spots, giving you a good start. Second, it can help in understanding the industry and best practices and build a network. Third, it can enhance your writing skills. Focus on understanding the market and learn how tools are changing.

You are just one decision away from taking a step towards freelance medical writing. A fog of doubts and questions is what might be blurring your mind. To clear them all, attend the workshop organized by Turacoz. Turacoz is a medical communications agency having in-depth knowledge of the healthcare industry. Professional and experienced medical writers at Turacoz are organizing a workshop for Freelance Medical Writers.

Details for the workshop:

Title: Freelance Medical Writing: A Flexible Career Option

Date: 9th July 2022 (Saturday)

To know more, visit the link https://turacoz.typeform.com/to/EkIe1bUJ

MLR – Approaching Perfection

Medico marketing and medical communications are adding a novel approach to the dissemination of information by medical and healthcare industry. Nonetheless, improper marketing and communication can dampen the efforts of medical and healthcare industry. This is where Medical-Legal Regulatory (MLR) review steps in.

What do you understand by MLR?

MLR Review is an important step in healthcare promotion and marketing. This step ensures the accuracy, compliance, and credibility of content. The content is reviewed and approved by both medical and legal reviewers in compliance with guidelines and regulations.

Significance of Medical-Legal Regulatory Review

Every healthcare practice or product entering the market impacts lives. If the drug or device information is not conveyed accurately, it can lead to lethal outcomes. Thus, such information necessitates stringent verification and review as one wrong step can not only cost lives but may have a huge financial impact. Media trials leading to disrepute and functional collapse could be other added side effects. Therefore, if a product involves instructions for dosage, storage etc., the need for MLR review becomes paramount and non-negotiable  

  • False or unreliable information can get companies shut down and banned
  • Wrong marketing equals exit from the market
  • MLR adds credibility and a sense of security

In a world where healthcare promotion is moving towards digitalization and extensive marketing strategies, patient awareness of available options is increasing. Hence, MLR review has become even more necessary, but the question is how to evolve in this revolution?

Click Here:- 5 Steps Towards Freelance Medical Writing

Technology and Software in solving the problem

From paperwork to soft copies, the leap has been taken a long time ago. However, medical reviewers and writers are still one step away from the ideal. This is because the increased number of drafts, multiple revisions, and pressure of meeting the deadlines tends to create a gap in the development of a perfect document.

With tools and technology, we can fill the gap between creativity and accuracy. These tools allow us to move from “Leave behind Leaflets” to “Video content”. The process right from uploading a document to referencing a document, everything can be put in order and system.

Turacoz is opening its doors by introducing you to such tools and technology and welcomes you to be a part of the digital revolution. Turacoz is organizing workshops, webinars, and courses to guide and teach the new generation about MLR reviews.

“Perfection is the pillar of Turacoz”

Here is the detail of upcoming courses and workshops of Turacoz

  1. Certificate Course in Scientific Writing: 16th July,2022
  2. Workshop on “Freelance medical writing: A flexible career opportunity”: 9th July,2022.

Book your seat in advance at [email protected]

Literature Search – Building Block of Research Realm

How to know if an article or a journal is trustworthy source? Literature search forms the basic unit of trust for medical writing and communications. The past studies and research have so much to offer that the whole new healthcare world is based upon what has already been concluded. Before writing about any topic, we need to read and read about all that has been written and published. But is simply reading known as literature search?

What is literature search?

Literature Search is like a process in which the first step is to look for all the available evidence (books, journals, websites etc.) for a particular topic. The next step involves combining and assembling all the available data. Literature search is like searching for treasure. The next thing is to find the hidden facts and gaps in them. These gaps would become the basis for further research and questions in medical world.

Importance of literature search

The literature search is mostly done by researchers, scientists, doctors, students writing thesis, entrepreneurs and anyone seeking to find more and create much more. But why is literature search an important topic to learn?

  • Literature search forms the ground for further discussions, methods of study and provides solid content
  • Literature search offers an in-depth education about a specific topic and hence increases the understanding of the author
  • Literature search allows you to explore what is not answered yet in the world of science
  • The mistakes that had been done, the experience and achievements of previous studies is all in your hands
  • Literature research justifies the reason for your research and research methodology used
  • Point of reference gives life to your search and helps you sail through struggles of drafting an article

These are some of the major reasons why literature search is important but, there is no end to this question because literature search is giving power and intellect to your research topic.

Errors in deciding what to search and what not, destroys the whole process of medical writing. How to move towards a successful literature search?

Literature search is not about typing random keywords, it’s an art to find the real capital. Choose the right question or keywords, improve quality by sources or reliability, the tiny details make your work shine out. But if you know the right way and right stops then your journey is smooth. The guidance and trainings from the experienced ones make the road polished.

Turacoz is a pack of experienced and trained medical professionals, those who know the roots of medical writing. If you want to step in medical writing or struggling to draft a thesis then, you are on the right page. Turacoz is offering an online course about medical writing, the course commences soon.

Turacoz is a medical communication agency that knows the lock stock and barrel of medical writing and the scientific industry. You are just one click away from learning all about presentations, literature research, literature search referencing etc.

 Contact us at email: – [email protected] or mobile number :-+91 9758901021

The Knights of Days and Nights

“No matter the day, you can always meet them in white, green, and blue, Behind the walls, curing me and you!”

Whites, Blues, and Greens: Standing stoic for sacrifice, devotion, and enthusiasm to challenge any illness, are the colours chosen by our healthcare workers. Nurses are the lifeline of our healthcare system. On duty, come rain or sunshine. A day without nurses in hospitals cannot be dreamt of because it is impossible and catastrophic. Holding your prescriptions, pills, and hand, they dissolve their personal life for mankind without a whiff. The comforting words and gestures of a nurse can treat patients better than injections. Acknowledging the towering service of nurses who take the oath to heal humanity, we express our gratitude to all nurses on World Nurse Day and honour one such lady. A daughter, wife, and mother of two daughters, this is not some fairy-tale or story of some influential businesswoman. This is Head Nurse, Sudesh Kumari Sharma.

Behind those crisp uniforms of millions of nurses, you have crossed by in hospitals, medical institutes, etc., are ordinary girls who came with a vision to heal and a heart to feel. Seeing blood, cleaning stools, and witnessing the shades of life and death in emergency wards is just another day for them. Head nurse, Sudesh, is a divine messenger serving infected and diseased from the last 18 years for the Civil Hospital in Rehan, Kangra district of Himachal Pradesh. “I am there for my patients first and then my family. I am working for a special purpose.” – This 47-year-old woman is ruling the hills with her spirit of working endlessly for improving the health of her patients.

Sudesh coloured her dreams with a vision to become a nurse at an early age; “I was motivated to do something like Didi, the nurse looking after my uncle. I don’t know the exact profession back then. But I got my sunshine looking at her; the way she was working with her heart completely into something and how she was making patients smile in that ward of PGI.” Light enters from tiny cracks in our souls and witnessing a nurse while looking after a relative in PGI, a girl turned to be a head nurse in Civil Hospital.

A simple, generous, and amazing lady who cherishes the nature of her work. She has no regrets in life but still trying to figure out why her profession is not respected enough in our society. “We are doing what even the loved ones deny to for the patients.” While narrating her experiences, she describes the moments when on festivals like Diwali, Karwa Chauth, Dussehra or Holi, her chair at the dining table of her home is always empty. When the women around her are adorning their homes or swirling delicious savouries, she is noting down someone’s blood pressure or cleaning up an invalid. Her hardships go unnoticed. Unintentional insults by addicts, unwarranted blame, and brickbats by families who would have lost their loved one, or struggle with mentally challenged patients, there is a lot that nurses soak in, and yet promise to not lose their poise or empathy.

With no complaints or demands, Sudesh has chosen this life. The twinkle in her eyes and glow on her cheeks while describing her journey speaks more than her words. Like any other healthcare worker, she truly loves her job. But being a nurse is not just a job; it takes enormous strength and compassion to lead a life for others. There is nothing disastrous in her story, but magic is in her enthusiasm. How a common woman holds the power to devote herself towards society is itself a miracle! Such was humility in her words and grace on her face.

The ones who put the life, happiness, and safety of others before their own, are certainly made up for a different metal. Painted with colors of blood and fluids, nurses are doing a commendable job. Covid left healthcare units gasping for space as they were inundated with patients; the nursing team was the highest risk group, and despite the virus doing its rounds unceasingly, these nurses never stopped going on their rounds! Let’s appreciate what we miss in the rush, let’s applaud the magic in their dedication and let’s show respect to their dynamics in battling the disease for their whole lives.

We call them sisters. And indeed, they are. Sisters from another mother; sisters who refuse to wink while we sleep in peace; sisters who are there no matter what. They are the real knights.

“The Knights of Days and Nights  who matter come in dark and dirty armours; because they have been soiled in battles for the ones they serve and live for. The knights in shining armours only appear in Cinderella parties!”

Scientific Presentations: The Canvas of Medical Industry

Ideas and knowledge will be of no value if not transferred and communicated with the right words and some creativity. If you do not want blank faces staring back at you, it is important to put your message simply and innovatively. Presentations are a powerful way of unveiling valuable information, scientific research, training peers, etc. and keeping the audience engaged at the same time. But what makes a scientific presentation weigh heavier than any other? The value of a well-designed presentation is neglected in the medical world. Let us probe into the need for an impressive presentation.

Unlike journal publications which are text-heavy, structured, guideline-driven and use only scientific imageries for representation of data, power point presentations have the creative liberty. Presentations steer your way to take your research and knowledge into the world. And communication in a way that is understood by the audience is the responsibility of a medical writer. Here are some domains where medical writers and designers need to flip open PowerPoint and their creative genius!

  • Medical Education

Learning never ends for anyone. And likewise for the healthcare community. To support consistent academic and professional development, knowledge sharing, and with the ultimate goal to upscale health system for community, medical education is imperative and requires strategic involvement of medical writers. For any healthcare policy or clinical advancement to bloom, the medical fraternity needs to be part of medical education (eg Continuing Medical Education, CME for doctors) to maintain competency and lengthen the learning curve.

  • Conferences and Advisory Boards

Medical conferences andAdvisory Boards require robust impart of research and contribution to existing scientific evidence by Subject Matter Experts (SME) and Key Opinion Leaders (KOL). To speak their science, presentations become their canvas. In national and international conferences, 5 minutes of the presentation can describe their whole journey from deciding the motive to finding a conclusion. Textually light and graphical presentations welcome the attention span and add retention bonus.

  • Webinars and Training Courses

In a one-click away generation, webinars and courses are important means of learning. To learn something new from experienced professionals, presentations bring all the important information. In the medical industry where nobody has enough time, short presentations with important facts are the finest assets.

  • Healthcare Sales Force Training

If a pharmaceutical company has to bring its brand or product to the market, its sales team should be well educated about what are they selling and how will it affect public health. Simple informative training presentations for such serve a huge purpose of empowering every stakeholder with every possible information.

This list is long, but the crux, precise. Presentations are not just a deck of slides; they give you a whiteboard (and lots of colors too!) to showcase all a medical writer has got for the healthcare world. A medical or scientific presentation should be visionary, informative and to learn what are you missing. So, how do you make the best of it? You are on the right page, as Turacoz will guide you through crafting an impressive presentation through its upcoming certificate course on Medical Communications: Medical Writing for Medical Affairs.

Turacoz is a medical communication agency that knows the lock stock and barrel of medical writing and the scientific industry. You are just one click away from learning all about Presentations, literature research, etc.

Click here to know more

Building Happy Clients in Medical Communications

“The customer’s perception is your reality”- Kate Zabriskie

You will not ring the bell of a home where you are welcomed without a smile. This is the simplest description of client servicing. Be it a street eatery or a multinational company, they are running fundamentally on two core aspects: Quality and Service. As the old granny might have said ‘Client is God’, if your client is happy- prosperity surely knows your address. But the problem is the blue image of client servicing. Does client servicing have a protocol? What are the Musts and Haves? What is missing and what is a big NO? There are no absolute answers to these because client servicing is an art and not a recipe!

The next big question is “We have a strong team of project managers; why do we need a separate client servicing department?” Project Management being an independent functional unit of any service, is not anymore just about managing timelines, sharing deliverables, and keeping the team together. Moving beyond occasional hellos and project discussions, managing projects is now about building relationships. And that is where client servicing enters as an irreplaceable skill and grows as an invincible core contributor to this partnership.

Client Servicing grabs the fuller plate when it comes to the Service industry, as opposed to Products; and it becomes even more winding for Healthcare Services. Dealing with doctors, healthcare professionals, scientists, and researchers is a game of acuteness and perseverance. These experts and professionals don’t have much time to adjust with poor servicing or lack of communication skills. It is hard-won to impress a medical professional with their experience and knowledge.

So, what will be the deal breaker? Here are some choices that you can make while giving client servicing in medical communications:

  • Listen! And Listen More!
    • Listening is an important skill if you want to understand the needs and requirements of your client. You need to understand the message behind the product; you must learn about how their needs were not met by other communication agencies; you have to listen their struggles, dilemmas, goals and basically EVERYTHING they want to convey. This will allow you to design a bond with your client as these conversations will guide you to knowing them better. Listening comes with patience. So, decide to listen before you speak in front of professionals.
  • Stay Connected
    • Make your clients feel connected with you and the company. Make online portals where they can share their feedbacks and suggestions. 90 percent of clients expect an online portal for service. Don’t ignore their queries and doubts. Make everything transparent before it becomes a complaint.
  • Own your Work
    • Deal with the problems of client personally. Don’t make him travel through the emails and endless contact numbers of your company. Assist him and talk to your team yourself rather than asking your client to repeat the same sentences. Doctors and scientists need their tasks to be done on time and with professionalism. They don’t have time for lame excuses as they hold a greater responsibility towards public health. So, that’s what they expect from you, meeting the goals and timelines with a sense of responsibility. Remember, you are as much a stakeholder of that task as your client. Ownership is the word.
  • Every client is a Blessing!
    • Irrespective of the lucrative index, no project is small or big. Even if the client is bringing only small business to you, you still give them reasons to come back. Your communication skills will speak before the drafts created by your team. One happy client will be your live marketing. It’s your attitude that matters and not the money.
  • Make a Personal Bond
    • The project is your duty, but client servicing is much more than just submitting the project on time. You should be able to bond with the client at personal level. The comfort zone created by you for the clients will be a building block for your company. Learn about their choices and expectations and give them space to open. Words have their way to create magic, and this is how you can construct a good relationship with your clients. It may seem trivial before a vast complex project staring back at you, but your greetings, signoffs, wishes, frequent calls, exchanges on online portals, being part of their achievements and successes, and a personal touch to your communication will go a longer way than you ever thought.
  • Consolidate your Service
    • Does the onus of client servicing lie on the PM? YES. Does it lie only on the PM? NO. It takes an entire village to raise a child. As a MedComm company, the output of a project is equally divided between technical experts and managers. And precisely why the service we give a client lies on the shoulders of all. However, there is no denial that the weight is felt more by the managers since they face the client directly.

Client servicing is not just a department but a whole gigantic teamwork. Turacoz believes that before you start managing a project, learn to manage a client. We have an impeccable record of rendering more that 80% of repeat business and there is no other route to this statistic but Ace Quality and Great Client Servicing.

The only way we clock in every morning is with a motto: With every project we deliver to a client, we do not close it, we open the next one with them!

Postpartum Depression- What are we missing to provide safe motherhood?

Holding the baby for long hours, cleaning poop with a smile on face, singing lullabies relentlessly, spending sleepless nights are the most common scenes of new motherhood. But what is not seen are the collateral surges of emotional drain-outs, restlessness, insomnia, anxiety, panic, bouts of despondency and detachment. While the former is normal, the latter is compelled to be normalized. And that is where steps in a crucial point to ponder: are you just a new mother adapting to changes or a new mother weighing down deep under those changes. The line is very fine, and more than often, goes unrecognized and unacknowledged. This is the onset of Post-Partum Depression (PPD) which can take ugly turns if not addressed on time.

PPD slips women into extremely dark and dispassionate places and is experienced by one in every eight as reported by CDC, although only 10% report it.

Are you suffering from Postpartum Depression?

A few days after giving birth to your baby, if you feel moody, fatigued, sad and lost, you might be going through “Baby blues”. But when these feelings continue for more than a few weeks then you need to consult your doctor. Postpartum depression can happen to any new mother; dealing with chemical, psychological, physical, and social changes, you are bound to experience what you never did before.

Some of the classic indicators of Postpartum Depression are:

  • Trouble sleeping
  • Appetite changes
  • Feeling that you are not bonding with your baby
  • Thoughts of suicide
  • Thoughts of hurting someone else
  • Crying all the time
  • Panic disorders

Are you at risk?

Postpartum depression can affect people of all genders and sexualities. Parents who are adopting or are surrogating can also find themselves in this haunted space. The first thing to understand about perinatal depression: the way you feel is not your fault. Still there are some major risk factors leading to depression.

Social and Emotional Factors

  • History of depression
  • Recent divorce/ marital conflict
  • Death of loved ones
  • Having twins or triplets
  • Early pregnancy
  • Financial crisis

Physical Factors

  • Lack of Sleep
  • Drug and alcohol misuse
  • Low Thyroid Hormone levels
  • Any other medical conditions

Bringing in Safe Motherhood

Safe motherhood is not just about a physically strong mother and a baby. Mental health of a mother is as important a concern which is sadly neglected by families and peers. The undue pressure of being “perfect mother” and the stigma of being shamed for not being so, is enough to take a woman down the spiral and permanent guilt trips. Swaying back and forth in the closed doors and asking, “Where have I gone wrong?” is not the solution. It is indoctrinated in humans that motherhood comes naturally to a woman. But what if it doesn’t? Ironically there are absolutely, no absolutes! It is very much possible that a new mother doesn’t feel like one, or her mind is not ready to register multiple signals, or perhaps she is plainly not able to differentiate between the reasons for her baby crying. She doesn’t need to hear those caustic comments, she needs to be heard! She might need a bit more compassion and a lot of help.

What Can You Do?

  • Talk it out with your partner, family, or friends you trust
  • Read books or magazines guiding postnatal education
  • Balance your diet and lifestyle
  • Don’t hesitate to arrange for childcare
  • Meet people and socialise with fellow mothers
  • Divide responsibilities with your partner
  • Be realistic about your expectations from yourself and baby
  • Seek help. See a counsellor and accept therapeutic inventions if required

There is nothing called ‘normal parents’ or ‘good parents’. Parenting or motherhood is subjective and a never-ending journey; one starts learning from day one and keeps on learning. Don’t forget to take care of your laughter, your backaches and mental health. If you are feeling different from what society has told you then there is nothing wrong. Feel what you need to feel, this is also a part of growing as a mother. This National Safe Motherhood Day Turacoz is inspiring society to accept new mommies with their concerns, insecurities, and fears. Don’t force motherhood on her but let it come to her slowly and slowly.

Medical Podcasts

Digitalization has recalibrated healthcare to new heights. It is imperative for healthcare professionals and medical students to stay abreast with scientific and clinical advancements, but ironically the rush hours of duty leave them very little room and time for it. Nevertheless, newer technological options have widened the windows to healthcare communications and one such innovation is the emergence of Podcasts. Podcasts have been around for some time providing audio experiences to diverse fields but its passage into the healthcare industry has unlocked a whole new dimension. 2005 to 2016 has witnessed increased publications about it, reinforcing the boon of medical podcasts.

What is a Medical Podcast?

Podcasts are the radio of a new era; they are digital audio files which can be easily downloaded and accessed at convenience. They have been instrumental in overhauling medical education. While some fields of medicine have active podcasts available, some are yet to venture into it.

Here is a list of Benefits of Podcasts

1. Sensory Experience

An audio format certainly adds more poundage to information. It gives depth to the kind of medical knowledge being disseminated and expedites assimilation due to its high sensory quotient.

2. Convenience

Needless to say, it is the most convenient mode of receiving information. All one would need is a listening device on the head and passion to learn, inside the head!

Click Here:- Scientific Presentations: The Canvas of Medical Industry

3. Expanding Perspectives

Podcasts offer more creative perspectives through strong mental imageries and critical thinking.

4. Deeper Engagement

Deep listening is a salient quality that a medical practitioner, willingly or unwillingly, needs to cultivate. Podcast listening helps practitioners have deeper engagement with not only the content, but also with their peers and patients. Practitioners who have experienced podcasts can even share the recordings with their patients and help them understand their conditions, treatment strategies, etc. The conversation and terminologies which are often tough to explain are made easy with podcasts.

5. Multitasking

One of the main reasons behind the popularity of medical podcasts is the liberty of
 multitasking. Podcasts will not ask for any extra time from your busy schedules. You can learn a new skill while folding your clothes or listen to case studies while walking. Listening to podcasts while working also has a positive impact on your co-ordination skills and judgment ability.

6. Pocket Friendly

A podcast gives you freedom from enrolling and paying for books. They are certainly
less expensive and an entertaining way to learn. One can gain knowledge about anything from the medical industry to stories of patients. Podcasts have their way to get involved with you and your daily life. You can play them anytime and anywhere and it will not burn a hole in your pocket.

7. Shrinking the Stress

The power of healing others leaves an impact on HCPs, nurses and other medical caregivers. Witnessing pain and suffering daily asks for the mind and eyes to rest. Auditory simulations can be deeply relaxing since they enhance your imagination and help in de-stressing.

8. Challenging Boundaries

Podcast is an equally well-equipped mode of disseminating medical information as a manuscript or a book and is a blessing for medical students and professionals who are visually impaired. Podcasts break the boundaries of physical challenges and keep them well-informed and aligned to the latest of the healthcare industry.

Medical podcasts are providing convenient access to medical knowledge. From just prescribing medications, to new clinical advancements, to drug development and information on diseases, podcasts are bringing a huge shift. However, unlike written content like manuscripts, emailers, newsletters and marketing documents to name a few, a podcast needs additionally skilled professionals to develop it. Considering the nuances of presenting accurate medical information through precise planning, language and grammar, diction, formatting, audio rendering, etc., ‘podcasting’ has now formally entered the world of medical communication. Having worked for over 85 podcast projects, Turacoz has proven to be one of the best in the game! And we are glad to share our knowledge and skills with all the interested ones through an upcoming webinar on how podcasts are created. Visit the link: https://turacoz.com/podcast-from-medical-education-to-scientific-dissemination/

Reference

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5717411/

Unlocking Mental Health in the Workplace: Building a Healthy Workplace

Fingers constantly working on laptops, eyes lost in the starlight of the screen, and mind battling with anger, fear, anxiety, judgments, and pressure to win the race! This is the image of a modern human working to earn a little more and finding peace a little less. The struggle of the mind against the world has led to an increase in mental health issues.
85 percent of the people say their mental health issues are causing self-deprivation, poor physical health, reduced happiness at home, suffering family relationships, or isolation from friends.
The numbers are shouting about what we don’t want to discuss. We have unfortunately merged the line between hard work and mental pressure and have started accepting our mental ill-health as part of our journey towards success. This is not only a myth but a catastrophic one! Ignoring the red signs our tired brain and body give us is not a smart choice. Workplace is not a battlefield to succumb but a space to grow.

What are you missing?

An employee within a healthy work culture can still suffer anxiety and depression. So, how does one recognize what is going wrong? How can one assess that something is not right around him? How can companies ensure that their employees’ mental health is well taken care of? The warning signs are always in front of our eyes but not seen often.

  1. Choosing self-isolation

If your colleague or manager is ignoring social interaction or unwilling to converse; The day has passed and he has not shared a cup of coffee, taken a break, or isolated himself till the last light is off.

2. Deterioration in work habits

Unable to meet deadlines, poor productivity, and sudden loss of concentration: the most common symptoms, yet 98% of times attributed only to low intellect and performance.

3. Losing the calm

Frequent and regular episodes of anger, nervousness, restlessness, outbursts, and losing control over emotions are red flags that need immediate attention.

4. Leaning on addictions

An increase in alcohol consumption, smoking habits, and drug abuse are the signs that a person is choosing to stay out of the mind rather than in a stable mindset.

5. Physical Buzzers

Decrease in physical activity, constant headaches, lethargy, pale skin, and dizziness are all the buzzers indicating that the person is not feeling good. Indications like these show that there is an importunate need for help.

“What will my colleagues think? Will my manager compromise my promotion because of my condition? My image will be tainted. I will be branded as a weak human with poor performance…” These are lesser of the many heard-of thoughts, and these are the exact imaginary walls that prevent them from seeking help. People often need guidance and a shoulder to lean on but insecurities and fear to show emotions, especially in the workforce are what force them to take a step back.

Click Here:- From Research to Regulation: Diverse Types of Medical Writing Documents

A workplace that holds space

We spend most of the days’ time working/at the workplace. Not always does stress stem out of work; it could be a personal struggle or a family conflict. Either way, what is important is if the workplace is receptive to one’s predicament.

Educating to connect

Awareness campaigns and frequent open talks regarding mental health issues are wonderful ways to break the barrier. Employees and managers can be guided to reach out to coworkers who are feeling stressed.

Maintaining Work-life balance

Encouraging employees to take out time for exercise, regular health check-ups and pursuing hobbies take the employee-employer relationship to another level. This not only motivates employees but also facilitates better communication and trust with their team.

Jumping on Mental Health Policies

An establishment without mental health policies is just a pack of cards stacked on a windy day. Mental health policies against harassment, bullying, discrimination like POSH etc. are not something to miss! Documentation and implementation of these policies should be de rigueur.

Look for the gaps

As a leader or manager, connecting with the team-mates at a personal level is important. Monitoring employee engagement as a positive environment will serve an organization with passionate and enthusiastic employees.

  • Taking breaks together as a team
  • Casual meetups and outings
  • Offsite visits
  • Family days and cultural events
  • Celebrations and appreciations
  • Open conversations
  • Employee wellness support teams

These are a few of the numerous possibilities of ensuring active engagement, discernment, and connection amongst the team members. This can go longer way than one can really imagine by rendering a sense of belonging and a non-judgmental environment.

An individual’s mental ability to assimilate and manage multiple chores of life is very subjective; nevertheless, a perpetual unresolved mental health condition of an employee is a direct measure of its organizational ethics. A happy workplace is not one where employees are endlessly rejoicing, rather one where even the tears and woes are given space, held, and supported with equal conviction.

CERTIFICATE COURSES

“Life is a puzzle where we keep trying to fit pieces to be successful. But there is no one single move or mantra.”

As it brings forth equally-chances and struggles, opportunities, and failures, wishes and disappointments, it becomes imperative to choose our area of focus, wisely. Every science student, be it medical or academic, wishes to be part of the contributory chain towards growth of healthcare. However, more often than not, there emerges a gap between what you study and what the market demands as a professional. This empty space of unlearnt skills is filled by wonderful opportunities in the form of courses, webinars and specific skill-based workshops. Without a shadow of doubt, these options are a new look at the education system.

What makes Turacoz distinct from ordinary learning institutes?

By the face of it, Turacoz is well-known as a valuable medical communication partner in the healthcare industry but there is much more than what appears. Turacoz is not only a service- oriented organization but also through its regular courses and webinars, is a grooming and upskilling platform for learners with diverse age and experience spectrum. It is priming every aspiring science geek into a medical writer; exploring talent and polishing it with practical knowledge and technical skills is the best way Turacoz is giving to society the richness of knowledge

Turacoz has brought evolution from academic learnings to target based learnings. The courses based on medical writing, scientific publications, scientific documents etc. talks about the practical needs and not just theoretical writing skills.


Turacoz knows the healthcare market from its roots, and one gets to learn from the experienced and real evidence.


Being one of the very few organizations which envision empowerment of women, Turacoz encourages women to join the workforce and provides them opportunities to rebuild their career despite long gaps.


Turacoz does not impose qualification-based boundaries and hence bias is never part of its modus operandi. If you have a scientific background and interest in writing, you will be groomed without any judgment.


In the COVID era, when millions of people were losing jobs and colleges were shut down, education and growth was posed with a big question mark. But Turacoz never shut its doors. Turacoz being a wide spectrum stage never stopped offering jobs and mentorship and continued to cultivate their Skill Development Programs (TSDP) manifold


Turacoz gives a place to connect with like-minded people and increase your network in the professional world of healthcare research and communication.

Learning the perks of courses
The world is changing at one scroll, and it is really important to walk along with the change Is a certificate program a replacement for a degree? NO. Is it an addendum to your qualifications? YES. It is a flavor-enhancer if we can put it in a more aesthetic way! Webinars, workshops and courses are bettering the chance to fit the missing pieces in a professional boardgame. There are new streams of clinical and scientific research opening every day and these options are guiding you to supplement your knowledge-bank with skills and other perks as well.

Not so heavy on the pocket

For a medical writing course/certificate or a webinar, you certainly do not need a pocket as deep as you would for a master and diploma. The expenses entailed in these courses can be easily managed with work and personal life. So, why not choose something which is light on your pocket and adds weight to your resume at the same time.

Targeting the skills

‘By the books’ sounds as medieval as it can get. The need of the hour is to focus on what more we can think, innovate and contribute. You definitely need your fundamentals in place, but only to chaperone new skills. The short-term courses offered by Turacoz are by subject matter experts who freight real-time experiences and know in depth about the skills that can raise your chances to get a job.

Convenience

The biggest advantage of the short-term courses is the convenience they provide you in terms of time, venue and menu. While physical workshops undoubtedly render a more interpersonal leverage, advent of online options have made it more accessible. Professionals and experienced guides take you through a 8 by 8 window, into a world where you get to learn from real stories and facts. Through distance learning and online classes, certificate courses are letting you maintain your work-life balance like a boss.

Long-term benefits

With professional and targeted skill enhancement courses, you are planning a life ahead with surety. You add points in your resume and finesse in your work, and it helps you in raising your visibility at work.

Making your career and passion meet

You enjoy science and you love writing, but you never knew how to get these two shake hands! With a flair of writing along with good scientific knowledge, one can turn into an ace medical writer.

Diversity

Courses and workshops have a wide vision and no boundaries set and so you can get admission at any phase of your life. All you need is passion and hunger to learn. In Turacoz, be it a science graduate, or a healthcare professional or a PhD, anyone can learn medical writing.
“A decade back, someone doing a course was considered a hobbyist; nor was scientific writing considered an independent skill or profession. However, with unfolding layers of clinical research and its allies, medical writing emerged as an indispensable province. The role of such courses and workshops has hence evolved in widening the learning curve, imparting skill-based knowledge, upskilling and providing better employment opportunities.”

Talking Science with Laymen – Future of Scientific Communication

Not explaining science seems to me perverse. When you are in love you want to tell the world.” – Carl Sagan

From the corridors of laboratories, science has found its way to our mobile screens. Digital media and social apps have pulverized the boundaries between a published paper and the public. Today a scientist can communicate and share his progress with everyone on the planet irrespective of his background. During the pandemic, Twitter brought an evolution in the minds of people about research and science. Twitter allowed global communication between scientists on a scale never experienced before. The way to see progress in science has become a routine even for people who are not from a medical background. Social media changed the meaning and trends of scientific communication forever.

Unlearning the old rules

From Publish-or-Perish theory to Post-your-Publication concept, science has come a long way. Scientists and doctors are using common social media platform (Twitter, Instagram, LinkedIn, etc.) to blog and post about new advancements. Pharmaceutical companies are forming patient advocacy groups to engage more lay audiences and connect with them. These small changes have brought in the quintessential butterfly effect to the way documentation is done these days. New types of documents like Lay summaries, etc. are bringing in considerable shift in the paradigm of scientific publications.

A look over perks

Walking behind time is not a wise decision. The present is expecting direct communication with lay audience and scientists outside the field. The traditional methods of publishing and communication only target people related to the field but with social media at our fingertips, scientific communication can reach everywhere, be it a patient or a student, a medical writer or a businessman. A few of various advantages of choosing social media:

  • Boosting professional profiles
  • Making science accessible
  • Rise in NSF Fundings
  • Educating patients and young doctors
  • Reaching the audience across the globe
  • Higher citations in coming years
  • Communicating and connecting can help in the development of medications and treatment.
  • Networking and marketing
  • If misinformed people are there spreading incomplete knowledge, then authorized documents must be there to correct the wrong guidelines.

Checklist before sharing on social media

Medical content is something that people trust and apply in their daily life, like dosage of a particular drug, mode of action, side effects, etc. Something that seems obvious to you can be a fact for your audience. So, put your words in right frame.

Here are some tips to improve your draft:

  1. Address real-life issues which can change the behavior of readers like smoking, dietary habits, etc. Use standard details and facts.
  2. Plan according to your goals and targets; be sure of what you expect out of it, like media coverage, collaboration, feedback, visibility for your research, or citations for your papers.
  3. Make your audience feel like part of your research. Tell stories and use fiction to spread your message.
  4. Keep yourself aware of how scientific communication will be interpreted by others and the media.
  5. Presentation and design – the question and answers format can usually not go wrong and make sure that language is clear and comprehendible to a layman.
  6. Images and graphs can create the big picture in front of an audience. So, provide visuals using graphics and statistics.
  7. Convert results and conclusions of research in pdfs for better understanding.
  8. The power in your words depends upon the trust of your readers. Use it wisely and with ethical standards.
  9. Spark the curiosity in the audience by talking about the scientific process. Talk about the conclusion, future and answers the questions occurring in your reader’s mind.
  10. Don’t use jargon and scientific terminologies. If you are using one, then explain it properly in clear terms. Abbreviations and acronyms will not make sense to a broader audience.

With more people getting involved in the progress of research and healthcare, scientific communication is becoming an influential part. The revolution in the publication field has arrived and the way to connect with people is changing with a distance of a click. Scientific communication and publishing make science an important section of society. To protect the thread of trust between people and the research world, the rules and guidelines are also expanding. To learn more about the new documents and guidelines visit https://turacoz.com/Scientific-Writing-Course/ Tell the world about all your discoveries and learnings because there are millions of science geeks waiting to read and learn.

Lay Summary – A New Phase of Publication

“What is the side effect of paracetamol? Why can’t my kid get vaccinated? Which vaccine is more effective?” The patients and worried parents are looking all over on internet to treasure trove the answers to these questions. In such a scenario and many of its likes, Google becomes the go-to database for information, but it unfortunately leads to misinformation, misdiagnosis, spurious remedies, all heading to graver damage to health. And hence it becomes imperative to verify any scientific information from authentic databases and validated documents.

In an era of Covid, when every message, blog, news piece, article, all and sundry were talking about it, there was clearly a realization amongst the more aware ones, to lean on more scientifically accurate information. And it urged them to grab published articles for perusal. But the language and terminology of these documents made it arduous for them to comprehend and find what they were looking for. This informed curiosity and interest of laymen towards learning scientific facts and guidelines encouraged Patient Lay Summaries to find their place in the world of Publication and Research.

Patient Lay Summary Explained

Lay Summary is an abstract-like content or summary where complex scientific/medical/clinical information from published research articles is represented in a lucid way to cater to an audience who may or may not have any subject knowledge or scientific background. The difficult terms and methods are made easier to understand and implement and ensure that correct information goes to the reader. According to EMA, all clinical studies need to have a lay summary and should be prepared within one year.

Call for Lay Summary

The main aim of a lay summary is to answer questions of the public regarding studies or research. The basic need of lay summary is awareness to the widest possible audience. If the correct information reaches people in their own language, they can relate to it. This will increase the quality of medical research as patients will be encouraged to contribute and be partners in decision making. Talking about risk management of medicine and trials, these documents provided transparency and a clear vision to the public and are highly appreciated by patient advocacy groups. A lay summary is not only beneficial for the public but also for researchers as a way to take their work out of the room of the scientific fraternity and reach a broader generic audience. A brilliant chance to go out of the box and get attention!

But these documents are themselves a dare to write and this dare is given to medical writers.

Writing for Lay

The medical writers hold the responsibility of informing and educating patients in a way that can alter their decisions. Words can direct a reader on the journey of good health and wise choices. But how to find a midway between writing a The medical writers hold the responsibility of informing and educating patients in a way that can alter their decisions. Words can direct a reader on the journey of good health and wise choices. But how to find a midway between writing a simple and educational document? Try to seat yourself in the mind of a patient and imagine what he or she needs to learn.

Here are some key points you need to follow while drafting

  • A good Lay summary should be able to answer questions like:
  1. What was the study about?
  2. Who Participated in the study?
  3. What were the main results?
  4. Detail about the side effects etc.
  • Writer can use words or terminologies which are more homespun to patients like using brand names and not the salts.
  • Use of infographics, charts, tables, and graphs to make the data more understandable as the images will easily attract them and look at more key facts.
  • Lay summary will be a map for the patients and decide what to choose or not. So, the data and details should be relevant and not just a random collection of facts.
  • Patients are reading something to find -what after that? So, don’t forget to explain the impact of your research or review.
  • Specialized language, jargon should be avoided as it will only confuse the reader.
  • Start using the first person in your sentence formation as if you are conversing with a reader like ‘we decided’ and not ‘that was decided’.
  • A well-written lay summary should be published in a way that there should not be any wall between your work and readers. From social media to sponsor’s website, where all to publish this new type of publication document, should be on your list. To know more visit https://lnkd.in/dQuHWhHH

Down the Road

In a world where every piece of information is one click away, documents like lay summaries are catching momentum; it is the new face of Publication. According to surveys and reports, maximum internet searches encompass health-related guidance. Thereby, it is the need of hours to provide correct, complete and accurate educational information to patients. Social media plays a crucial role in transporting whatever comes in front, right or wrong and medical-writers are in a way, guards of true and authorized knowledge. In the coming years, publication will be all about reaching every corner and a lay summary is not just a right of patients but also the only route to read the right.

Beyond surgeries and doctors – How to help a cancer patient?

Needles, pills, liquid diets, and a room with the daunting odor of disease, are things a cancer patient is never devoid of experiencing. Cancer is a disease that takes a human down physically and mentally; a disease in which your own body cells refuse to listen to you. This metastasizing monster has its claws all over the globe and the entire healthcare community is leaving no stones unturned to find that perfect cure. Alas! it is still a quest. But what about those who are not equipped to fight this monster in the lab and yet want to offer their share of comfort to a patient? The family sitting next to that bed as damp as the spirit of a cancer patient; that friend who is trying best to cheer the patient while crying helplessly behind closed doors; all and everyone, who want to, but cannot; just to grab something that can make them feel better or show them that there is still light at the end of the tunnel. Well, there is indeed, light. There are numerous ways healing can be offered to a cancer patient.

  • Brew a cup of coffee at their place – Visit them

Time is the best gesture you can offer a patient. Make short visits when they need you the most: days like Wednesday mornings and Saturday nights when other people do not often meet. Do not let them feel lonely – this is the mantra. Watch their favorite show or cook a meal for them. Go on a short walk even they are willing to and talk all the nonsense with them. Before leaving, hug them tight because it is your love that will heal them faster.

  • Virtual Caring

Even if you cannot meet them, use your smartphones. Keep sending them posts, beautiful texts, videos of songs, etc. You can post a story about your past funny memory with him or share some article of their interest with them. Call them randomly and listen to them. More than talking, listen to what they have to say. Ask about what they like and dislike these days. Create an aura of warmth around them. Make sure you are always available on the other side of the phone.

  • Gifts always help in rehabilitation

Spend money on small gifts used on regular basis and not something big- and one-time use. Think about their interests or something that will ease them and cheer them up at the same time. You can also gift the caregiver.

10 Ideas for gifts

  1. Pillow
  2. Book
  3. A Plant
  4. Socks, Mufflers
  5. A massage device
  6. Subscriptions for various OTT platforms
  7. Toiletries like soap, shampoo, etc.
  8. Food that is compliant with the dietary restrictions of the patient
  9. Hot water bottle
  10. A box to keep all their medicines
  • Make a Project

One extra hand is always welcome. Plan to do one of their projects or errands. Clean their kitchen or water their plants. You can always help the caregiver in completing his tasks; it not only helps finish tasks faster, but also is a wonderful way of reassuring your presence even to the caregiver who is undoubtedly exhausted emotionally and physically. Visits to the doctor can be emotionally very draining even if the patient is ready for what is coming. Going along for a visit is not a bad idea at all as it may take rub off some level of anxiety, if not completely. If it is your co-worker battling cancer, a gesture of help in their regular work or targets can go a long way. Having said this, being the one wearing a cape might although sound like a perfect plan, this often comes with a risk of making the patient feel invalid, dependent, and incapable. And that totally defeats the purpose. Be the empowering force, not the crutch. Do not make the patient feel weak; they do not need you, but you want to be there. Remember this.

  • Ask for help from the world

 Sometimes a patient needs economic help or alternate therapy to fight that out. But with the fear and shame of being tagged as weak, help stayed unsought. But even in those scenarios, doors are not shut. There are many waiting outside to help; organizations helping cancer patients financially and through palliative care, are growing leaps and bound. Find the one fit for your loved one.

Battle against cancer has been made easier through organizations and NGOs like:

  1. Charutar Aarogya Mandal  
  2. Cuddles Foundation
  3. Make a Wish Foundation
  4. Cancer Patients Aid Association
  • Charutar Arogya Mandal

A pledge to provide treatment at such affordable rates that any underprivileged can dream to survive cancer was taken by Dr. H. M Patel, former Union Finance and Home Minister, former Union Finance and Home Minister. The team of experts provides free consultation, free treatment for women and children belonging to BPL families, and a promise to hold your hands in this journey. Cancer drains the whole family emotionally and financially. In such a situation, Charutar Aarogya Mandal took a step ahead to deliver better healthcare to all regardless of what is your salary. It started with 136-beds now turned into a post-graduate institute offering healthcare to thousands.

  • Cuddles foundation

A room of people with one mission to heal children with cancer is what cuddles look like. They cuddle the children with nutrition and diet. This foundation works on the principle that nutrition is the key to restoring the health of a cancer patient. More than 40 percent of the children are found malnourished at the time of diagnosis. Through Cuddles Foundation, people start fundraisers at Give India on their birthdays, anniversaries, etc. and the money collected is medium to provide nutrition to the kids struggling with cancer. Cuddles foundation work through an app known as Food Heals with various hospitals and dietitians to reach their goal of beating cancer with food. A stranger can be a life savior for many children with a vision to heal the pain.

  • Make a Wish Foundation

You do not need to be a surgeon to save a life always. Sometimes you can make a little wish come true. It is not the medicines but sometimes a dream can also increase the life span. Make a wish is like a team of archangels on earth who are completing the wishes of children suffering from life-threatening diseases like cancer. A toy airplane or a one-day trip can create magic on their faces. The imagination of a kid smiling and healing with just a wish becoming real is so pleasant. These imaginations and wishes are turning solid at Make a Wish. They have a completely organized plan of who can refer a child and how can you help with genuine paperwork. Parents say that their kids battling cancer at such an early age when they do not even understand the meaning of life and death, someone making their little wish true is like a supernatural power. Sometimes it is the heart that needs to be nourished more than cells.

  • Cancer Patient Aids Association

This is a registered charitable non-government organization that announced a war against Cancer in 1969. They work to manage cancer patients from awareness to aiding beyond medical treatment. This NGO works at different steps to murder cancer like offering fellowships to Patient Mentoring Program. They work at the regional level and involve patients to assess the needs and requirements. National Cancer Control Programme is their weapon in this battle and hence providing technical support to the country and the neighboring countries like Bhutan, Nepal, etc. This organization is working at a global level with a broader vision of cancer-free earth.

In the road of darkness and disease, walk along with them

Doctors and treatments are doing their part, but it is more about inner strength than some colorful pills. That inner strength is enhanced by support from the people around the patient. The willpower and reason to feel good again are what will antidote them. Your one good action put with the right intention can do magic. Do not be afraid and hold your loved one tight on this dark night. You can be a ray of sunlight in their foggy dawn.

References

https://www.giveindia.org/blog/10-cancer-care-ngos-in-india-helping-poor-to-fight-cancer/

https://www.ncbi.nlm.nih.gov/books/NBK4020/

Why was my manuscript rejected? – Talking about 5 most common reasons for rejection in journals

“We are sorry to inform you that your submission is rejected”- This is something you never want to hear or read but this is most often experienced. These words are disheartening. When we start research, it becomes a dream to see that work turning into pages of a journal. But after so much hard work and research what is something that we lack? This blog will unlock your mysteries and let you know the reasons behind that NO, that rejection. Let’s find out what goes wrong and what one should do.

  1. Technical Screening turning into a failure

The first problem can be in your basic check. From plagiarism to figures, something has gone wrong. In technical Screening, manuscript is rejected if: –

  • There is some issue with language
  • Imprecise hypothesis  
  • Main titles, references, list of authors etc. crucial elements are missing
  • There is no proper conclusion
  • Flaws in study design

2. Deviation from aim and outlook of journal

The biggest and smallest mistake we can do is not finding the perfect journal. Before sending your submission, one must know what the aim and scope of the journal is. If your manuscript is not adding any value to the journal, they will reject it. To learn how to find where to publish and how to find that right key visit https://lnkd.in/drKKnPHe

3. Do not Put your feet in two boats

Journals usually mention that if your work is under review at some other place then they will not consider it. So, do not submit your work at two journals, you might sink. Find the journal interested in your research and focus in one direction.

4. Format it before sending

Journals have their own writing style, their way of transforming the manuscript. It begins from font size, font style and can never end because definitive amount of margin is also essential for a journal. So, it is especially important to meet the standards set by a journal and follow the instructions about guidelines.

5. Finding Originality and Significance

If your submission is extension or another version of some research paper, you have high chances of getting a NO. If the journal does not find any significance in what you are trying to convey then also your submission is rejected.

Take Away Points

For the buds of researching world, it is challenging to get their manuscript accepted. But if you know the secrets and tips to the road, this world is welcoming. The world of publishing and medical writing is a place where you need to know what, why and where. Planning matters here.

To turn the “NO” into “YES”, Turacoz is conducting a webinar on Publishing Planning, and this is your chance to track https://lnkd.in/drKKnPHe

References:

  1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3035881/
  2. https://www.elsevier.com/connect/8-reasons-i-rejected-your-article

Why numb fingers are left helpless – Leprosy

She was unfamiliar with the bacteria inside her and hence even after taking Multi-Drug- Therapy she didn’t eat or sleep with her children for more than four years. The universe might be testing her as she lost her husband during this span of her life. She was denied her rights towards her husband’s estate. From economic support to emotional care, every door was closed for her. Her tale is not of a patient, this is about a single mother who was an unaware Leprosy patient. But this lady turned out to be a winner. With her will and strength, she changed her dim days into brighter ones.

Rachna Kumari – the story of a Leprosy Hero

Reciting a story about the journey of the woman who went from closed rooms of her house to an international stage. Once upon a time, she was not able to meet her kids and now she is addressing the world and helping women. Her struggle speaks about a lady who was diagnosed with Leprosy and was not aware of the disease. She was diagnosed at a later stage by the AIIMS professionals when the pain and numbness in her fingers became unbearable. Leprosy is a chronic infectious, transmissible, curable, and less talked about disease. The awareness about the disease is next to negligible and hence patients suffer the social dilemma more than the pain due to disease. Leprosy or Hansen’s disease is caused by the bacteria Mycobacterium Leprae, affecting the skin, mucosa, and peripheral nerves. The most common symptom is pale-coloured skin sores, lumps, or bumps that do not go away easily.

Patients also undergo leprosy-related nerve damage, which will lead to loss of feeling. 

This disease is not transmitted through hug or touch and being uninformed she stayed away.

If she was diagnosed early or proper care was provided to her, she might have recovered early. In such dark days, she needed her family and society to hold her, but the opposite was experienced by her. People are often forbidden and thrown behind doors when they need even more sunshine Today, she is speaking the heart of every woman and patient on an international platform. According to her, she got three lives, and this third one she is dedicating to empowering women and seeking proper health facilities for them. She is working for Lepra in the Bihar district; her roles and responsibilities took her to UN Human Rights and Anti-Leprosy Associations Advisory Board. She opened her wings and gave flight to millions of patients saying, “Treatment of leprosy should be combined into the general healthcare in order to promote inclusion.”

Open the doors

Millions of people are suffering from leprosy and lack of information is leading to chaos. we need to remember that this is curable and can be transmitted when you came in close contact with the mouth or nose of the patient. So, freezing out patients from your family or society is not the cure. The treatment lies in taking care of their mental health and not shutting doors for them. They need love, light, and MDT to feel healthy again.

References:

  1. https://www.webmd.com/skin-problems-and-treatments/guide/leprosy-symptoms-treatments-history
  2. https://en.wikipedia.org/wiki/Leprosy
  3. https://www.ohchr.org/EN/NewsEvents/Pages/LeprosySurvivorRachna.aspx#:~:text=After%20her%20eight%2Dyear%20battle,and%20campaign%20for%20their%20rights.

Eight Ways to Improve Clarity in Medical Writing

Introduction to Medical Writing

Medical writing involves producing clear, precise documents of high quality to effectively communicate scientific, medical, and clinical data to a wide range of target audiences. It also includes regulatory writing and medical communications.  With the constant advancements in clinical research, large amounts of data must be translated to target audiences such as regulatory authorities, healthcare professionals, patients, and the general public in a clear, explicit, and well-structured format. Apart from thorough technical knowledge, a medical writer must have excellent writing skills to convey complex scientific information credibly and clearly.

Types of Medical Writing

Clarity in Medical Writing

Clarity is the most valued quality required in medical writing to ensure that the audience perceives correct information without any ambiguity. Lack of clarity is the major issue affecting timely submission of research/regulatory documents, publication acceptance rate, and, accessibility of scientific information to health care providers and patients.

Eight Ways to Improve Clarity in Medical Writing:

  1. Clear and Concise Language:
    • Writing in clear language makes a document easy to understand and increases readability.   It is advisable to use simple words to convey accurate information; using sophisticated words often results in confusion and misinterpretation of data. The best practice is to write simple, short sentences containing one idea per sentence for easy interpretation and keeping it concise by using fewer words to communicate necessary information without eliminating any important data.
  2. Avoid Jargons:
    • Using jargon may hinder effective communication especially when the target audience are non-experts in the field of interest. Though experts like scientists or health care providers are aware of medical jargons, it is always recommended to use simpler words and phrases for better communication.
    • When writing for non-experts such as the general public, it is best to avoid jargons completely. For example, writing ‘fast heart rate’ instead of tachycardia, ‘muscle pain’ instead of myalgia, makes it easier to understand.
  3. Avoid Redundancy:
    • Contrary to the assumption that using more words enhances clarity, it may in fact distract the reader from the original idea. It merely adds length to the document without providing any additional information. Do not repeat information that is already presented in the form of tables and figures. This can be achieved by limiting the overuse of synonyms, double negatives, and intensifiers.
  4. Know your Audience:
    • A medical writer offers services to a diverse range of audiences including clinical and regulatory authorities, physicians, patients, and general public. For effective communication, the scientific content has to be tailored according to the target audience. Even cutting-edge research would not leave an impact on the industry experts if it is not documented to suit their level of comprehension. Similarly, when writing for non-experts, the use of plain language is advised to enhance accessibility. Graphical presentation or images can be considered as a good option to convey complex information in a simpler way.
  5. Active over Passive Voice:
    • Medical writers are encouraged to write in active voice for clarity. It helps to present data in a simple, straightforward, and concise manner.
  6. Grammar and Spellings:
    • Good grammar is instrumental to clear and effective medical writing. Grammatically accurate paper conveys precise meaning and in turn keeps the audience engaged. Proper use of punctuations, hyphens, commas aids facilitate comprehensive communication. Similarly, avoiding spelling mistakes helps decipher the right information; a single error in spelling may change the entire meaning of the sentence. A common challenge experienced is with homophones (words with same pronunciation but different meaning); one needs to be vigilant to avoid misinterpretations.
    • It is also important to consider whether to write in British English or US English depending on the target audience and maintain consistency throughout the document.
  7. Formatting:
    • A well written report without proper formatting appears misconstructed. Often standard documents are required to comply with specific regulatory formats. Implementing client specific formatting guidelines aids in improving clarity thereby increasing the level of acceptance.
  8. Proofreading:
    • Once the document is written, proofreading the entire work is extremely critical to check for any inconsistencies or errors in spelling, grammar, abbreviations, capitalizations, and formatting. This step significantly aids in the dissemination of clear, accurate scientific information.

Conclusion

Medical writers play a crucial role in knowledge transfer among scientists, industry experts, healthcare providers, and the public. Accurate interpretation of sophisticated data is essential for good understanding. Articulating well-structured, precise documents can be achieved by implementing various techniques for improving clarity in medical writing.

Medical Writer: Trusted Partner for Medical Affairs Webinar

To get more detailed insights about Medical Writing, we encourage you to register for our upcoming live webinar on 8th January 2022: Webinar Registration Fee (razorpay.com).

DE-MYTHIFYING THE MONSTER- THE BREAST CANCER MONSTER

Welcome to October, the Breast Cancer Awareness Month. Turacoz presents to you a de-mystified read on Breast Cancer and issues related to it.

Prevalence

In recent times, Breast Cancer has been one of the predominant cancers. How predominant? Let’s have a look at the numbers.  A total of 7.8 million women were diagnosed worldwide within the 5-year period according to the WHO (World Health Organization) statistics reported at the end of 2020. Among these 7.8 million patients, 2.8 million people were diagnosed in the year 2020 itself. Breast Cancer accounts for 14% of total cancers in Indian women with four reported cases every minute.

Risk Factors- the Uncontrollable and Healthy Lifestyle

The numbers are worrisome. Hence, understanding the risk factors are vital.

Gender: Well, being a woman is the highest risk factor of developing Breast Cancer. Unlike men, women’s breast development is much more elaborate and is highly sensitive to hormonal fluctuations, especially estrogen.

Age: Everyone ages and with aging, the risk of Breast Cancer development also increases until the seventh decade. Two prominent reasons behind this trend include:

  • Hormonal changes with age: The estrogen levels shoot up three-fold in 30s and plateaus by 60s. However, this ruckus of estrogen levels wreaks havoc on breast tissues.
  • Impaired repairing mechanism: Loss of organ function with age is common. But add on to that, with age even the DNA repairing capability decreases- more to say correct gene expressions and regulation, all gets affected after a certain age. So, this erroneous DNA fuels Breast Cancer.

Other inexorable risks include:

  • Giving birth after 30!
  • Menarche before 12 or Menopause after 55
  • Immediate family having Breast Cancer
  • Inherited genes
  • Race/Ethnicity

The risks aforesaid are unavoidable.

Now comes something that is in your control which include:

  • Maintaining a healthy weight
  • Drinking alcohol
  • Lack of exercise
  • Smoking
  • Low Vitamin D levels
  • Eating healthy food.

Basically, all the factors that are controllable are related to maintaining a healthy lifestyle.

From the risk factors checklist, it is evident Breast Cancer development is not under your control. Seems like an invisible monster, doesn’t it? But there must be something you all can do to keep it in check. Well, yes.

Other than self-examination of breasts, screening techniques such as MRI, Mammogram, Thermography or Tissue sampling are also done. However, the testing varies depending on age or certain causative factors.

And lastly, we must understand that cancer is a multifactorial phenomenon. Hence, it requires not only avoiding the controlling factors but avoiding the myths as well.

The Myths of Breast Cancer

Mammograms are dangerous!

Not at all. Mammograms are not at all dangerous. In fact, they are your best saviour for correct screening.

I self-examined. No lumps found!

Well, even if you self- examined, it’s better to double check by opting for screening tests.

I haven’t resorted to Hormone Replacement Therapy. I am safe!

No. Hormone Replacement Therapy may or may not fuel your cancer. But avoiding it has no relation to Breast cancer occurrence.

My mother/ sister had breast cancer. I will definitely get it!

Well, no. There is no “definite” in cancer. Had there been, treating them would have been much easier. So don’t resort to fear, rather report to your physician and opt for any screening test for a clinical confirmation.

Cancer is a monster? Yes. But keeping that monster out of the bay with your awareness can SAVE you.

Stay aware, Stay Healthy

References

  1. who.int (2021) Breast Cancer https://www.who.int/news-room/fact-sheets/detail/breast-cancer
  2. Benz C. C. (2008). Critical reviews in oncology/hematology, 66(1), 65–74. https://doi.org/10.1016/j.critrevonc.2007.09.001
  3. Husna, et al. (2019). Education for health (Abingdon, England), 32(2), 101–102. https://doi.org/10.4103/efh.EfH_226_18

Artificial Intelligence in Medical Device Industry

What is artificial intelligence (AI)?

As per the Merriam Webster dictionary, AI is “the capability of a machine to imitate intelligent human behavior”.

The recently released proposal for a REGULATION OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL LAYING DOWN HARMONISED RULES ON ARTIFICIAL INTELLIGENCE (ARTIFICIAL INTELLIGENCE ACT) AND AMENDING CERTAIN UNION LEGISLATIVE ACTS defines AI system as a “software that is developed with one or more of the techniques and approaches that can, for a given set of human-defined objectives, generate outputs such as content, predictions, recommendations, or decisions influencing the environments they interact with”. According to this document, AI techniques and approaches include the following1:

(a) Machine learning approaches, including supervised, unsupervised and reinforcement learning, using a wide variety of methods including deep learning;

(b)Logic- and knowledge-based approaches, including knowledge representation, inductive (logic) programming, knowledge bases, inference and deductive engines, (symbolic) reasoning and expert systems;

(c)Statistical approaches, Bayesian estimation, search, and optimization methods;

Birth of AI into the Healthcare Field

Changes Brought by AI in the Medical Device Field

AI has brought about many revelations in healthcare field. It would be difficult to sum it all up in one blog hence we would be looking into some of the changes brought by AI into healthcare.

So, what do you think about an automatic blood pressure monitor at your homes? Well, yes, that is a change brought out by AI since it mimics the activity of a trained physician in detecting the sounds that are generated when a blood pressure cuff changes the flow of blood through the artery and in reporting the diastolic and systolic blood pressure measurements3.

Many such devices are available in the market that does not require a physician nearby, instead you can work on it by yourself.

And now companies are equipping themselves with machine learning to monitor patients using sensors and automate delivery of treatment using connected automated mobile apps. Ex: Medtronic launched the MiniMed 670G system, which is AI trained on algorithms that help to self-adjust insulin delivery once we feed the amount of insulin required for a given time 4.

So, as AI integrated medical devices are slowly becoming part of our lifestyles, shouldn’t the safety concerns around it be more stringent.

Regulations around AI integrated medical devices

An AI/ML screening tool for the eye disease occurring due to diabetic retinopathy, was cleared (in 2018) to aid in diagnostic decision by the FDA. It was cleared since it was a tool which was based on a ‘locked’ algorithm, which means that they don’t evolve over time and do not require new data to alter their performance. It is important that regulators follow stringent rules regarding software as a medical device using AI or machine learning (ML) so that they do not provide approval based on an already existing algorithm5.

As per a recent (2020) article published in the Nature, regulators must not restrict their evaluation to the AI/ML-based medical devices only but also assess the entire systems associated with it, for approval. The key things that should be done to attain a full system approach include5:

a) Collecting entire data such as current regulatory and legal mandate information, reimbursement decision of insurers, data quality of any third-party providers, any ML algorithms developed by third parties etc.

b) Issuing a limited authorization which would track factors discussed above

c) Seeking approval from a specific hospital, with specific trained and authorized users, and

d) Obtaining detailed hospital level information such as how the AI/ML-based medical device software is integrated into the workflow and staffing levels, the practice style and training of the physician, etc.

As for European Union is concerned, it is planning to tighten its regulations regarding AI by implying additional requirements on the use of AI in medtech along with heavy fines for those companies that fail to adhere to the EU requirements on AI. An official from the European Commission’s health group stated that “An AI medical device… would be now more secure, in the sense that it will also be complying with the MDR obligations and in addition those aspects of AI that could be creating some worries and some concerns would be handled by the new AI regulations. So, the two would be ensuring that the system is secure and trustworthy and so on6.”

Since AI is a vast and rapidly evolving topic, stay tuned to reading more about in our upcoming blogs/posts. Also, if you find our blogs to be interesting and you want to take the next step in advancing your knowledge on EU MDR and CER, consider our CER training class. Our experts are also available to help you with end-to-end CER development and gap analysis. Please contact us at [email protected]

References:

1) Proposal for a Regulation of the European Parliament and of the Council LAYING DOWN HARMONISED RULES ON ARTIFICIAL INTELLIGENCE (ARTIFICIAL INTELLIGENCE ACT) AND AMENDING CERTAIN UNION LEGISLATIVE ACTS. https://eur-lex.europa.eu/legal-content/EN/TXT/?qid=1623335154975&uri=CELEX%3A52021PC0206

2) Demystifying AI in Healthcare: Historical Perspectives and Current Considerations. https://www.physicianleaders.org/news/demystifying-ai-in-healthcare-historical-perspectives-and-current-considerations

3) Machine Learning AI in Medical Devices: Adapting Regulatory Frameworks and Standards to Ensure Safety and Performance. https://www.ethos.co.im/wp-content/uploads/2020/11/MACHINE-LEARNING-AI-IN-MEDICAL-DEVICES-ADAPTING-REGULATORY-FRAMEWORKS-AND-STANDARDS-TO-ENSURE-SAFETY-AND-PERFORMANCE-2020-AAMI-and-BSI.pdf

4)https://emerj.com/ai-sector-overviews/ai-medical-devices-three-emerging-industry-applications/

5)https://www.nature.com/articles/s41746-020-0262-2#Sec4

6)https://www.medtechdive.com/news/eu-plans-to-impose-additional-regulations-on-medtech-ai-products-other-hi/600022/

LET’S TAKE NUTRITION SERIOUSLY INDIA – THE NATIONAL NUTRITION WEEK (1ST TO 7TH SEPTEMBER, 2021)

“Let food be thy medicine and medicine be thy food”

-Hippocrates

Introduction

Gluten free, Keto free, Dairy free- these are a few “terms” trending all around us on our Instagram, Twitter and Facebook feeds. However, have you ever questioned yourself why there is a sudden surge in opting for these diets? Where did we all go wrong in making diet choices? Are these diets necessary for everyone? The answer is NO. 

Food and nutrition is indeed fuel for our body. However, our continuous ignorance in over or mis-consuming this fuel has led to a drastic shift in our health. Obesity, PCOS, Diabetes, Hypertension, High BP- all these conditions indicate, something is seriously wrong with our lifestyle choices.  Nutrition is health. To remember this truth and make citizens more aware of nutritional choices, India observes the National Nutrition Week every year from September 1 to September 7. The 2021 theme for National Nutrition Week is ‘feeding smart right from start’.

So, it all started in India? – The History

No. National Nutrition week first started in 1973 when an United States organization namely Academy of Nutrition and Dietetics [formerly known as the American Dietetic Association or ADA) announced- “Invest in Yourself—Buy Nutrition.” This campaign was targeted to educate people on importance of nutrition and nutritionists. Be it radio announcements, news coverage or pamphlets, the National Nutrition Week gained entire America’s attention and got upgraded to a month-long program from 1980.

Forward to 1982, India, on a similar intention launched the National Nutrition Week to educate its citizens on Nutrition.

Fast forward 2021: India and Nutrition

Though India’s fight for nutrition began way back in 1982, the rise of obesity, diabetes, polycystic ovary syndrome (PCOS) and other lifestyle diseases in 2021 clearly indicates that we have not reached the mark yet with nutritional choices being the primary culprit. This year’s theme ‘feeding smart right from start’ also highlights that not only us, but our younger generation also requires to make right nutritional choices.  

So how can we contribute?

Cut down on fats and sugar: Eating right involves choosing right. One of the best ways to do so is opting for healthier versions of daily food. Understanding the content of saturated fat is the key as they are responsible for increasing the cholesterol level. 

Stay away from junk food: Junk food does not serve your body’s nutritional requirements, rather hampers your body by causing digestive issues, fluctuation in blood sugar levels, depression, fatigue and weakness. The best idea is to switch to fresh food and leafy vegetables. They not only provide you the right nutrition but also increases your immunity

Drink water: May be your favourite beverage is Coffee, but let’s not forget the importance of drinking water. Water is the ultimate nutritional support. It aids in digestion, normalizes BP, stabilizes the heart beat and what not.

And last but not the least, Exercise.

“Invest in Yourself—Invest in your Nutrition.”

References

  1. eatright.org (2021) National Nutrition Month: A Brief History https://www.eatright.org/~/media/eatright%20files/nationalnutritionmonth/nnmhistory_032006jada.ashx
  2. Dixon, et al. 2007. Social science & medicine, 65(7), pp.1311-1323.
  3. Skerrett, P. J., & Willett, W. C. (2010). Essentials of healthy eating: a guide. 55(6), 492–501.

A SIMPLE GUIDE TO PCOD/PCOS

Introduction

Polycystic Ovary Syndrome (PCOS), also known as Polycystic Ovarian Disease (PCOD) is one of common hormonal syndrome that women blame for their weight gain. The cause of PCOS is still unknown, but studies have shown that it may involve a combination of genetic and environmental factors (like lifestyle, pollution). Normally ovaries have follicles which contain eggs, and one or more mature eggs are released during each menstrual cycle. In PCOS, eggs in follicles do not mature and are not released, instead form cysts. The ovaries also produce small amount of male hormones. However, the absence of ovulation in PCOS leads to an imbalance in the sex hormone levels.

The common symptoms PCOS patients present:

Acne, weight gain, irregular periods, extra hair on face and body

If untreated, can lead to:

Infertility (women having regular intercourse, but fail to conceive), heart diseases, breast cancer, endometrial and uterine cancer, diabetes, obesity

Influence of obesity on PCOS:

Obesity aggravates certain manifestations in PCOS and are more likely to have menstrual irregularities. It also increases the risk of infertility, higher probability of hair growth on face and body and complications during pregnancy.

CAN PCOS BE TREATED?

PCOS can be managed by improving insulin levels using metformin, commonly used to treat type 2 diabetes.

Irregular cycles can be treated by Oral Contraceptive Pills (OCPs).

Infertility can be treated by ovulation inducing drugs.

Consult your doctor before taking medicine.

Hair growth on body and face can be treated by laser and non-laser techniques.

However, nutrition and exercise play a major role in the management of PCOS.

Nutrition strategies:

Eating fresh food, wholesome food and eating in peace is important.

Avoid foods that are over-heated or microwave food.

Carbohydrates are extremely important to be included in the diet.

Eating wheat, rice, jowar (whole grains and carbohydrates make slow and steady rise of blood sugar) is very important.

Eating complete proteins is also vital (eggs, pulses, milk, paneer).

Essential fatty acids like ghee, oils, groundnut oil, sesame, sunflower, olive oil should be included in adequate amount.

Alpha-linolenic acid (ALA)-rich food like flax seeds, peas and nuts can also be incorporated in a regular diet.

Calcium-rich foods can help in reducing general fatigue and cramps during periods.

Exercise strategies

Regular workouts are the key to regular periods.

Seven days a month is a good start.

Weight training workouts are must at least twice a week.

Cardio is a great way to burn fat when associated with learning new movements or a skill.

Surya namaskar’ along with pelvic opening exercises are among the best.

Sleep strategies

Maintaining sleep-wake cycle with 8 hours of sound sleep.

Resources: DC Dutta’s textbook of gynecology, Shaw’s textbook of gynecology, The PCOD-thyroid book -book by Rujuta. Diwekar

FDA’s Recent Recalls: Ensuring Patient Safety

According to the US Food and Drug Administration (FDA), a ‘device recall’ is defined as, “when a manufacturer takes a correction or removal action to address an issue with the medical device that violates the FDA law”1

According to the FDA, a recall measure can be classified as1

Class I recall type is considered as the most serious type since these devices would result in serious injuries or death. Here, we elucidate this based on some real-life examples.

Some of the Recent Medical Device Recalls

The unique selling property of the Emblem subcutaneous Implantable Cardioverter Defibrillator (S-ICD) electrode (Boston Scientific) was that the lead is implanted just under the skin along the sternum, thus requiring a minimally invasive procedure. In the conventional ICD systems, the leads pass through the large veins from the surgically implanted device into the heart.

Boston Scientific is recalling the Emblem S-ICD electrode as it is associated with increased rate of fractures at a specific point distal to the proximal sensing ring (see image above).  Death can occur due to cardiac arrest as with the fractured device it is impossible to provide therapy for slowing down very fast heartbeats. The FDA reported 27 complaints of electrode body fractures, of which 26 were serious injuries and one death. Thereby, announcing a Class I recall on the Boston Scientific Emblem S-ICD electrode. This measure led to a recall of 19,919 devices that were manufactured and distributed in market between March 2016 to November 2020 2.

In another recent recall case, the manufacturing company (Philips) has voluntarily recalled its ventilator and other breathing devices indicated for patients with sleep apnoea since they posed a significant health risk. These devices were in market since 2009; however, the manufacturing company (Philips) received few complaints about the device around 2020. Further investigations revealed that these complaints rose due to the polyester-based polyurethane (PE-PUR) sound-reducing foam associated to reduce sound and vibration in these devices, which may penetrate to the device’s air pathway and, ultimately find a way to enter the body of the user either via inhalation or ingestion. In addition, the foam tends to off-gas certain chemicals which could be harmful during operation. The manufacturing company has received complaints about instances where presence of black debris/particles were observed in some of these device parts such as outlet, humidifier, tubing, and mask. These instances elevated the risk of particulate exposure in the user which irritates the skin, eye, and respiratory tract leading to headache, asthma, and adverse effects to kidneys and liver as well as possible toxic carcinogenic effects. With respect to off-gassing, the potential risks include headache/dizziness, irritation, hypersensitivity, nausea and vomiting along with possibility of toxic and carcinogenic effects. Although these issues sound serious and could be life-threatening, to date, no death has been reported due to these. The manufacturer eventually decided to recall about 4 million ventilators and breathing machines which were in market between 2009 and April 26, 20213.

Among the two examples, the first one is a typical case of a Class I type recall by FDA since there were reports of serious events and death, whereas the second one showcases that the manufacturing company was alert enough to voluntarily recall their devices on noticing complaints associated with it. Cited here were just the few examples of the recalls that were announced this year. In order to view the detailed list of all the devices that were recalled please check the below link

https://www.fda.gov/medical-devices/medical-device-recalls/2021-medical-device-recalls

How does FDA Ensure Patient Safety?

One of the pivotal roles and responsibilities of FDA include protection of public health by ensuring the safety, efficacy, and security of drugs, biological products, and medical devices. With respect to medical devices, FDA executes a robust program at every stage of a device’s life cycle to evaluate the safety of medical devices 4.

The FDA supervises the adverse event reports and other issues related to medical devices. Since the medical device market is enormous, to monitor all medical devices seamlessly, the devices are classified based on their potential risk as follows4:

Conclusion

To protect and promote public health, FDA’s Center for Devices and Radiological Health (CDRH) improvises its regulatory monitoring strategies now and then, to ensure the best effective use of the medical devices available on the US market without compromising on the quality and safety measures.

If you find our blogs to be interesting and you want to take the next step in advancing your knowledge on EU MDR and CER, consider our CER training class (link for our training class here). Our experts are also available to help you with end-to-end EU CER development and gap analysis please contact us at [email protected]

References

  1. FDA. What is a Medical Device Recall? 2021 [Available from: https://www.fda.gov/medical-devices/medical-device-recalls/what-medical-device-recall.
  2. FDA. Boston Scientific Recalls EMBLEM S-ICD Subcutaneous Electrode (Model 3501) Due to Risk of Fractures 2021 [Available from: https://www.fda.gov/medical-devices/medical-device-recalls/boston-scientific-recalls-emblem-s-icd-subcutaneous-electrode-model-3501-due-risk-fractures.
  3. FDA. Certain Philips Respironics Ventilators, BiPAP, and CPAP Machines Recalled Due to Potential Health Risks: FDA Safety Communication 2021 [Available from: https://www.fda.gov/medical-devices/safety-communications/certain-philips-respironics-ventilators-bipap-and-cpap-machines-recalled-due-potential-health-risks.
  4. FDA. Medical Device Safety Action Plan: Protecting Patients and Promoting Public Health  [Available from: https://www.fda.gov/files/about%20fda/published/Medical-Device-Safety-Action-Plan–Protecting-Patients–Promoting-Public-Health-%28PDF%29.pdf.

Diabetes Mellitus & it’s Management

Diabetes Mellitus (DM) is an endocrine metabolic disorder, characterized by elevated blood glucose level. DM is sub-classified into following categories.

  1. Type 1 Diabetes mellitus, also called as insulin dependent diabetes mellitus.
  2. Type 2 Diabetes Mellitus, also called as non-insulin dependent diabetes mellitus.

Type 1 DM

In Type 1 DM, there is no secretion of insulin by Beta cells of Islet of Langerhans in the pancreas because of the auto-immune destruction. Hence, there is no proper secretion of insulin. Type 1 DM is mainly treated by insulin replacement therapy. Symptoms of Type 1 DM include excessive thirst and hunger, blurred vision and fatigue. Frequent urination and weight loss occur in short period of time.

Diabetic complications may lead to cardiovascular diseases, retinopathy, and skin problems like foot ulcer.

Diagnosis of Type 1 DM is usually conducted by following procedure:

  1. Fasting blood sugar >126 mg/dl on two separate tests.
  2. Random blood sugar >200 mg/dl.
  3. Haemoglobin, HbA1c> 6.5 on two separate tests.

Management of Type 1 DM:

Good glycaemic control in Type 1 DM requires insulin therapy and oral hypoglycaemic agents like metformin, pioglitazone.

Diet and exercise play a crucial role in the management of DM.

Type 2 DM

In Type 2 DM, body cells not able to respond to insulin which is produce by Beta cells of the pancreas and is not able to produce insulin anymore.

Gestational Diabetes:

Gestational Diabetes is a condition in which sugar level is elevated during pregnancy.

mRNA Vaccine: From Class to Mass

SOURCE                                                      

Coronavirus disease 2019(COVID-19) is giving the world a rollercoaster ride with shoot-up in infection cases globally. With more than 14 crores of infection cases worldwide in 16 months, the world is looking up to a miracle to stop this pandemic. One way of controlling the spread is to get vaccinated. More than 98 crores vaccines have been administered globally till the end of April 2021 and it is still making way to reach people in every corner of the world. India is in its second wave of COVID-19 infection with a tremendous rise in corona infection cases compared to the first wave of infection. But a positive side of this is, the largest vaccination drive of the world is under progress in India and giving positive hope for Indians to overcome this situation.

With COVID-19 a large number of research areas started to work on the war front to explore a possible cure, vaccine, a drug to treat COVID-19. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) is the disease-causing virus of COVID-19. The First case of COVID-19 was seen in Wuhan, China in 2019. With the increase in the number of cases globally, the World Health Organization (WHO) declared it as a pandemic. With 13 approved vaccines, more than 150 clinical trials, and pre-clinical trials globally every country is trying its best in exploring safe vaccines for the same. Along with traditional vaccines, new generation mRNA vaccines also jumped in this race. These mRNA vaccines are Messenger Ribonucleic acids vaccines. 

WHAT ARE VACCINES AND WHY ARE THEY NEEDED?

A Vaccine is a product that triggers an immune response in our body and produces antibodies without causing the disease itself. So, when we face a real pathogen (Disease causing organism), our body is trained to produce immune defence against it and make antibodies and protect us from getting the disease. 

Vaccines are developed for decades with traditional methods and few new methods have also emerged with time. The older methods included using the whole organism (Inactivated vaccine, Live attenuated vaccine, viral vector vaccine), a subunit vaccine (only a part of the pathogen is used) and a new method is using Genetic material (DNA or RNA vaccine)

WHAT ARE mRNA VACCINES? AND THE HISTORY BEHIND mRNA VACCINES

mRNA vaccines are new generation vaccines wherein mRNA is used to produce the desired protein. It carries a message to the cell and produces protein. Once the protein is produced, the immune system produces antibodies against it. This feature of using mRNA is not a recent technology, it has been researched for its efficiency for use in therapeutics for the betterment of mankind. So, mRNA has now jumped from classroom studies to the mass population to show its safety and disease controlling ability.

SOURCE

A researcher Katalin Kariko explored the possible uses of mRNA in medical sciences, but she never got a grant for her work and was demoted from her position by a university. But that did not stop her to work. Along with an immunology professor Drew Weissman, she worked to understand immunological benefits by modification of mRNA and published their work through 2005. They modified mRNA to get an entry into the cell, this work was innovative. In 2010, Derrick Rossi and Robert Langer formed the biotech company Moderna, as they saw mRNA’s use for vaccine development and other therapeutic areas. By 2013, one more biotech company BioNTech came into existence looking upon immunotherapies using mRNA work done by Katalin and Weissman. Thus, a new era of pre-clinical testing of mRNA vaccine for various infectious diseases and cancer had already started. HIV, Malaria, Influenza, Rabies were few diseases that were considered to develop mRNA vaccines by preclinical testing in Mice and Non-human primates. But none of these could reach a stage from where it could be used in humans. 

AND CAME THE COVID-19 PANDEMIC

At the end of 2019, when the world was busy planning to welcome 2020 in Wuhan, China people were getting infected by an unknown respiratory disease, which came out to be COVID-19 caused by SARS-CoV-2. This turned out to an outbreak globally in few days.

On 11 January 2020, the first-time genome sequence of SARS-CoV-2 was shared by the Chinese authority. This led to accelerated work by researchers globally for vaccine development. Pfizer/BioNTech vaccine immediately began their vaccine work. Phase I trials were started in April 2020, with required regulatory standards, followed by Phase II/III. On 2 December 2020, UK gave an emergency use approval for this vaccine. MHRA (Medicine and Healthcare products Regulatory Agency) of the UK became the first global medicines regulator to approve an RNA vaccine followed by various other nations also. Vaccine efficacy (is the percentage reduction of disease in a vaccinated group of people compared to an unvaccinated group, using the most favorable conditions)of more than 90% was seen so it was given EUA in many countries. The Pfizer/BioNTech BNT162b2 vaccine was based on the use of nucleoside-modified mRNA (modRNA) which encoded the spike protein found on the surface of the SARS-CoV-2 virus encapsulated in lipid nanoparticles.

A Similar mRNA work approach was seen by Moderna and NIH. Within two days they finalized their sequence for vaccine mRNA-1273.The first participant in the phase I study was dosed within 63 days of the sequence selection. Vaccine efficacy of more than 90% was seen in mRNA-1273. On 18 December 2020 USFDA authorized the Emergency use of the vaccine for individuals 18 years or older. Many countries after the USA, have given emergency use approval (EUA)for mRNA-1273 till today. Moderna vaccine mRNA-1273 is composed of nucleoside-modified mRNA (modRNA) encoding a spike protein of SARS-CoV-2, which is encapsulated in lipid nanoparticles.

FUTURE OF mRNA in VACCINES AND THERAPEUTIC AREA

With emerging variants of Coronavirus mRNA vaccines are showing protection against few new variants. Modified mRNA vaccines according to emerging variants are also being developed and studied by many companies worldwide. 6 more mRNA new vaccines are in pipeline, with one in India by Gennova Biopharmaceuticals Ltd in collaboration with HDT biotech, called HGC019. Animal studies have been done and now they are gearing up for Human Clinical Trials. Other vaccines are CureVac by GSK, MRT5500 by Sanofi and Translate Bio, PTX- COVID19-B by Providence therapeutics, one in under development in Thailand, and Pfizer/BioNTech are developing various modified mRNA vaccines. 

With the development of mRNA vaccines, Science has reached the next level of advancement. But this comes with the pros and cons of the substance. The major con is Storage temperature; it requires very low degree storage and that is causing a problem in many countries for storage or transport globally, wherever it is essential. But with the Indian version HGC019, we are hoping this problem might get solved as it is claimed it is stable at 2-8°C. Pros consisted of short time to design and test mRNA vaccine, rapid and easy manufacturing compared to traditional vaccine.

mRNA is also considered to be used in mRNA-based therapies like protein replacement therapy in cardiology, oncology, pulmonary medicines, etc., and treatment of diseases. Hope this mRNA serves as a boon to the biotechnology industry and a golden substance for humankind.

REFERENCES:

  1. Moderna work 
  2. RAPS Vaccine Information
  3. Pfizer Vaccine 
  4. Moderna Vaccine 

Four Things All Class I Manufacturers Must Do by May 26

Class I devices are the lowest risk medical devices. However, the manufacturers of these devices also need to act immediately to comply with the new European Union (EU) Medical Devices Regulation (MDR); otherwise, they risk being unable to place their devices on the EU market after May 26, 2021.

As many Class I devices are being up classified, the manufacturers of these devices will require notified body (NB) review for the first time to comply with the EU MDR. Manufacturers will be relieved to know that these devices have been given a grace period till May 26, 2024. Current Class I devices may also move to Class I reusable surgical instruments (Ir), which is a newly added subclassification in MDR 2017/745. Other Class I devices such as devices with measuring function (Im), or Class I sterile (Is) devices, which have a valid MDD certificate, can be sold in the EU market till May 25, 2024. However, if manufacturers of these Class I devices do not act now, they may not know if their devices need to be re-classified. For the rest of the Class I devices, as well as for Class Is/Im devices requiring a new certificate, the timeline to comply with the new regulation remains May 26, 2021.

Through this blog, we would like to highlight the key requirements for Class I device manufacturers to place their devices on the market as per the recent EU Regulation 2017.

Checklist items for placing Class I medical devices on the market:

As most of the Class I device manufacturers self-certify their devices, it is unlikely to have a relevant quality management system (QMS) or clinical data available with them. Hence, they may require significant remediation work before May 26.

To comply with the EU MDR, Class I device manufacturers must establish and implement a risk management system to reduce risks as far as possible without adversely affecting the benefit-risk ratio.

Involvement of the Notified Body (NB)

The NB needs to be involved for Class Is, Class Im, or Class Ir devices. As per Annex IX, the manufacturer of such a device must establish, document, and implement a QMS. Additionally, with respect to Annex II, the manufacturer must lodge with the NB an application for assessment of technical documentation relating to the device. However, the involvement of the NB in those procedures shall be limited:

  • in the case of 1s devices, to the aspects relating to establishing, securing and maintaining sterile conditions;
  • in the case of 1m devices, to the aspects relating to the conformity of the devices with the metrological requirements;
  • in the case of 1r devices, to the aspects relating to the reuse of the device, in particular cleaning, disinfection, sterilization, maintenance, and functional testing and the related instructions for use.

Intervention by NB is not required for other Class I devices. As the QMS system remains proportionate to the risk class, the requirement is less complex for Class I manufacturers, but they need to meet the QMS requirements set out in Article 10 of the EU MDR. As per this article, Class I manufacturers must provide the required technical documentation in an official Union language dictated by the concerned Member State when requested by the Competent Authority (CA).

EU Declaration of Conformity

Manufacturers of other Class I devices can continue to self-certify. According to Article 19, the EU declaration of conformity shall state that the requirements specified in this Regulation have been fulfilled in relation to the device that is covered. However, manufacturers of these devices will need to update technical documentation (set out in Annexes II and III) by May 26, 2021.

CE-marking

Manufacturers of Class I devices will have to gather all relevant clinical information, especially for devices that are self-certified under MDD. This will apply to even those manufacturers whose Class I devices have been on the market for 20+ years. Manufacturers can either use already available post-market data or perform a post-market clinical follow-up study (PMCF) to provide clinical information in technical documents (set out in Annexes II & III). Hence, manufacturers of those Class I devices that have got a grace period till May 26, 2024, should not wait till the last day. They should make a robust system now to start collecting clinical data.

Post-market surveillance (PMS)

  1. Class I device manufacturers need to establish and maintain a post-market surveillance (PMS) system, which should be integrated into the QMS. According to Article 83, manufacturers shall plan, establish, document, implement, maintain, and update a PMS system for every device.
  2. The PMS plan of the manufacturer must include PMCF plan or a justification why PMCF is not applicable.
  3. Reporting time frames have been tightened in the EU MDR. As per article 87, a serious public health issue should be reported within two days. Whereas, in the event of death or an unanticipated serious deterioration in a person’s state of health, the report should be provided immediately after the manufacturer has established or as soon as it suspects a causal relationship between the device and the serious incident but not later than 10 days. For all other cases apart from the above two, the manufacturer must report any serious incident immediately and not later than 15 days, which was 30 days earlier as per MDD.
  4. As a follow-up of reporting a serious incident, the manufacturer shall, without delay, perform the necessary investigations in relation to the serious incident and the devices concerned (Article 89).
  5. Finally, all Class I device manufacturers are expected to prepare a PMS report (Article 85) summarizing the results and conclusions of the analysis of all the data from the market. This report will be updated when necessary, for example, when the intended benefits are not achieved or when there is a change in the benefit-risk balance. The report can be requested by the CA at any time from May 26, 2021, irrespective of the type of Class I device (with or without grace period).
  6. If PMS data analysis provides evidence that a device placed on the market is not in conformity with the MDR, the manufacturer is obliged to take the immediate necessary corrective action, which can be either bringing that device to conformity, or withdraw it, or recall it.

Conclusion

Class I device manufacturers need to take immediate action to comply with EU MDR. If manufacturer’s Class I device (exception: Is, Ir, Im) was self-certified under MDD, then it must be compliant under EU MDR by May 26, 2021. If the device has been up classified as per EU MDR, certification from NB will be required to place the device on the market. Manufacturers need to gather all relevant clinical information through PMS activities and PMCF studies for devices which are self-certified under MDD to achieve CE marking under EU MDR before May 26, 2021. A QMS must be established which will include documentation of PMSP and PMSR for all Class I devices by May 26, 2021. For devices, reclassified as class Ir, and the devices already placed on the market in accordance with the MDD (Is and Im), the manufacturers have got a grace-period of three more years to fully comply with the new EU regulation. These manufacturers should start conducting a gap analysis to guarantee that all the necessary requirements are fully completed at the date of the application of MDR. Non-conforming devices will no longer be allowed to be on the EU market.

Narcolepsy – a revelation

There is a time for many words there is also time for sleep – Homer

Introduction

Sleep is an important part of our day-to-day life and everybody long for a good night’s sleep after a day’s work. But do you know why you sleep at night and are awake during daytime? Do you know we have a biological clock inside us? Do you know why some people fall asleep while talking or even while driving? If you want to know the answers to these questions, please read on.

Before delving into this topic, let us first discuss the sleep-wake cycle. In a day, most people are awake for 16 hours and asleep for 8 hours on average. This sleep-wake cycle is controlled primarily by parts of the brain called the brain stem and the hypothalamus. While the precise mechanisms of control are not fully understood, researchers have found out the various biochemical and physiological changes that take place in our brain during sleep.

Arousal signals in the form of neurotransmitters are sent from the brain stem and the hypothalamus to the cerebral cortex, which is the largest part of the brain. Neurons in specific regions of the cerebral cortex are activated by the neurotransmitters. Hypocretin, also known as orexin, is an example of such a neurotransmitter.

Apart from this mechanism, sleep and wakefulness are also regulated by our biological clock – a region of the brain comprising ~50000 neurons in the suprachiasmatic nucleus. This clock is activated by light signals from the eye and received through the optic nerve. So, we can sleep during the night as there is less light and this clock will also send powerful alerting signals to wake us up in the morning.

There are several sleep disorders which can present as either excessive sleepiness (hypersomnia) or lack of sleep (insomnia).

With this background knowledge, let me introduce you to the topic of narcolepsy.

What is narcolepsy?

Narcolepsy (narke – numbness lepsis – attack) belongs to a group of sleep disorders and is characterized by excessive and persistent sleepiness. It was not recognized till the French physician Jean-Baptiste Edouard Gelineau identified and named this condition in 1880.With the research happened in the field of sleep disorders now we have a better understanding of the brain changes leading to the manifestation of this condition. 

Narcolepsy is a neurological disorder that causes sudden, recurring, and uncontrollable urge to sleep during day time. It is an underdiagnosed condition which affects 3 million people worldwide. Both males and females are affected equally. It commonly starts in teenage and early 20s but can also affect children and older people.

The exact cause of this condition is unknown. However, scientists have discovered a link between the levels of hypocretin and narcolepsy .Hypocretin is a regulator of wakefulness as it increases activity of target neurons which release epinephrine, serotonin, and dopamine and hence involved in alertness. The hypothalamic neurons which produce hypocretin are destroyed by

     a) an autoimmune process

     b) infectious agents like streptococcus or influenza virus.

     c) head injury

     d) genetic defect

It is underdiagnosed due to unfamiliarity of the physicians with this condition and sometimes takes 10 years or more before the patient receives a correct diagnosis. Affected people are often mislabelled as simply lazy, depressed, epileptic, or schizophrenic.

Symptoms of narcolepsy

There are numerous ways in which this disorder presents itself and the severity also varies. The most common complaint is of course excessive daytime sleepiness (EDS).Narcoleptics can be likened to “Sleepy,” the famous Disney character in the fairy tale of Snow White and the seven dwarfs .Those affected may find it difficult to stay awake like him during day time and will fall asleep during routine activities like talking, driving, working etc. It will be more like a “sleep attack.”

Teachers may complain to parents that their child sleeps during the class. Narcolepsy can also present as hyperactivity, irritability, memory problems and brain fog.

The excessive sleepiness may also be associated with another neurological condition called cataplexy which leads to sudden loss of muscle tone or paralysis in the form of knee buckling, head dropping or collapsing, often triggered by strong emotions or excitement.

Thus, we can categorize narcolepsy into two types

Type 1– Narcolepsy with cataplexy

Type 2 – Narcolepsy without cataplexy

Symptoms of cataplexy can precede EDS and hence narcolepsy can be misdiagnosed as a seizure disorder.

Another important feature of narcolepsy is inadequate quality of sleep at night which is often referred to as fragmented sleep. Night time sleep will be interrupted several times and the person will often feel tired after sleeping.

At times, narcolepsy can coexist with sleep paralysis or hypnagogic hallucinations (vivid dream-like events). A brief inability to move the body or speak while falling asleep or waking up is called sleep paralysis.

 Fortunately, only ~25% of affected individuals will display the full set of symptoms. All these disabilities can negatively impact education, professional life, relationships, and even personal safety of affected individuals.

How is this condition diagnosed?

Because of the varied and nonspecific presentation, it may take several years for someone with narcolepsy to get diagnosed properly. Hence the treating physician need to take a detailed history and conduct a thorough medical examination.

The doctor will ask the patient to keep a sleep journal to record the time of sleep, symptoms experienced etc over a period of 2 weeks. Sleep specialists have devised two tests viz; Polysomnography (PSG) and Multiple Sleep Latency test to establish the diagnosis of narcolepsy.

Polysomnogram (sleep study) is a recording of breathing, eye movements and activity of brain and muscles during night.

Multiple sleep latency test – this test helps to determine how quickly a person falls asleep during day time.

How can it be managed?

Narcolepsy is a disease which can persist throughout life as there is no cure. However, symptoms can be successfully controlled by lifestyle changes and medications. Medicines like modafinil, antidepressants, and stimulants are the main stay of drug therapy. But medication alone will not be sufficient to maintain a normal state of alertness.

Patients need to be taught proper sleep hygiene to maintain a regular sleep schedule. Several support groups are available to help patients develop coping strategies and to offer emotional support. Even though it is an incurable disease, the advancements in the management of narcolepsy have enabled people to lead near normal life.

Points to remember!

  1. Narcolepsy is a sleep disorder which is characterized by excessive day time sleepiness.

2. It is caused by lack of a neurotransmitter called hypocretin in the brain.

3. It usually starts in teenage and early twenties.

4. It can be associated with another neurological problem called cataplexy.

5. It is often misdiagnosed and it might take several years for the affected person to get a proper diagnosis.

6. It is an incurable disease but affected people can lead a normal life by taking medicines and by following life style changes.

Pain and Recent Advances in Managing Pain

What is pain?

Pain can be a displeasing and uncomfortable experience associated with possible damage to the body. The word ‘pain’ is derived from Latin literature, ‘poena’ meaning penalty or punishment. The majority describe it as an irritating, overwhelming, unpleasant, and terrible phase to go through. Most of us can recall visiting a medical chamber with different kinds of pain.

Let us dwell deeper into pain, based on time, intensity, location, and types.

  1. Duration of time:

Pain can be acute or chronic.

Acute – It is sudden, momentary, or a short period of fewer than 3 months.

Example- Pinprick, minor injuries

Chronic – It usually lasts longer than 3 months and more resistant to medical treatment with time.

Example- Arthritic pain, migraines

2. Intensity:

The feeling of pain can be mild, moderate, and severe measured on a pain scale of 0-10.

Although, the perception of intensity may differ among individuals. Severe pain for one felt as moderate by another.

Example- Minor fall from the cycle, major brain trauma

3. Location:

It can differ in locations. It can be anywhere from top to toe.

Ex- Back pain, knee pain, stomach pain

4. Types:

Pain can be superficial, deep, or psychogenic.

Superficial – Direct irritation (chemical/ mechanical/thermal/electrical) of the peripheral nerve endings in the superficial tissue.

Deep – Due to irritation of deep structures like the muscles, the tendons, the bones, the joints, and the viscera.

Psychogenic – Pain attributed to the processing of thoughts, mental and emotional state, or other unknown behavioral causes.

Can the tip of my shoulder be hurting? What else could be the reason for my pain?

So, let us discuss a bit more about pain and then go into how one can free themselves from pain and tips to manage pain!

Pain can be originating elsewhere and felt elsewhere. Pain can radiate, refer, or migrate! Your pain can travel and move around! How is that possible? Through the brilliantly intricate nervous system, we possess!

Our body is unique in a way that no one can decipher it to 100%.

Not just yet!

The central role of controlling and managing pain is to release the stress and suffering associated with it on an everyday basis. Sometimes, pain can be extremely distressing, leading to mental disturbances in the long term. It can lead to anxiety, depression, loneliness, debilitating one’s life to the extreme side.

Therefore, it is wise to act and take control.

The evidence-based management of pain

Management of pain can be abled by using modern medicine or traditional techniques like acupuncture, homeopathy, physiotherapy, massage, yoga, meditation, physical therapies, psychological therapies, occupational therapies, etc.

On an individual level, leading an active lifestyle, changing to a nutritious diet and food, physical activity for 20 minutes a day 4-5 times a week can lead to an overall increase in quality of life and alertness levels of the body.

For minor injuries or falls, menstrual cycle pains, headaches, causing mild pain, the first reach out is the first aid kit, OTC (over the counter) drugs like paracetamol, aspirin, ibuprofen, and some prescribed antibiotics and topical ointments if infection presents.

How much freedom does a pharmaceutical drug intervention bring? That depends on the type of pain; chronic pains usually do not subside on taking drugs but need a combination of therapies.

Acute and sudden pain conditions can sometimes be fatal requiring urgent medical care and surgical treatment. For example, appendicitis, obstructed bile duct, acute pancreatitis, kidney stones, heart attack, head injuries, trauma, etc.

Chronic conditions eventually become resistant to the regular drugs and need stronger management pain regimes.

For example, arthritic knee joint pain, lower back pain due to slip disc or compression of nerves, nerve conditions like sciatica or neuralgias, cancer pains, constant headaches due to migraine, tension headaches, post-surgical pain, structural deformities like scoliosis & lordosis, psychogenic pain, etc.

Drug treatment – Analgesics or pain relievers like aspirin, Ibuprofen, Naproxen is usually the first-line treatment for mild to moderate chronic conditions.

Opioids are the last reserve when the pain is resistant and non-responsive to other lines of treatment.

OTC creams and ointments like lidocaine can be applied topically for relief 2-3 times a day or as told by the physician.

Anticonvulsants and nerve supplements are used to treat multiple chronic nerve conditions like injuries and diabetic neuropathy.

A newer class of drug under investigation is the monoclonal antibodies, which target the nerve growth factor (NGF), a peptide involved in the growth and survival of neurons that regulate how the body processes pain.

Nonpharmacological management

  • Mild exercise improves blood circulation and reduces mild to moderate pain. (Caution – Heart condition, Disability)
  • Physiotherapy is a new line of pain management with many advances for musculoskeletal disorders, nerve conditions causing chronic pain.
  • Physical heat/cold therapy – Icing and hot packs
  • Acupuncture, meditation, massages, aromatherapy, yoga are some other personal preferences of many.

Psychogenic pain- Mental well-being and counseling – Seeking psychiatric care for mental illness is the right of the brain, body, and well-being of the person in society.

Cognitive-behavioral therapy – Coping mechanisms and stress reduction techniques among the wide range of CBT methods

Antidepressants – Avoid self-medication and always seek professional help.

Genetic modeling is a newer science, which can strike a great deal in the way we perceive and manage pain. Science is all about optimism. Epigenetics, modification of gene expression, examples – like a fan switch or a remote button.

Neuroplasticity – the ability of the brain and spinal cord to adjust their activities in response to new changes.  For example – To compensate for injury and pain

Seeking professional medical care should be the first step for any kind of pain for assessment and evaluation.

However, one can do a self-assessment with the PQRST characteristics, Pain rating measurement scale ranging from 0 – 10, and quality of life.

  • P   Provocative factors: what intensifies the pain?
  • Q   Quality of pain: what kind of pain is it?
  • R   Radiation of pain: Is it at the same location or moving?
  • S   Severity of pain: how does it feel?
  • T   Temporal factors: Is the pain universal or comes and goes away?

One can take an informed decision and visit the nearest health center or pain clinic for the best care and treatment.

*Keep in mind the hazards associated with self-medication and combination of drugs without the right professional help*

Staying fit while working from home

Working from home comes with its own set of pros and cons. And staying fit while working from home is a challenge. Setting up a routine and breaking down the plan into feasible goals is all that is required.

Key points to stay fit while you work from home

  • Setting up a routine
  • Creating a workspace at home
  • Healthy eating habits
  • Adequate sleep
  • Physical activity
  • Mental health
  • Social interactions
  • Positive attitude and empathy

Setting up a routine

  • Start your day with a morning routine that includes yoga, jogging, or any physical activity. Make sure you keep aside a few minutes to plan your day.
  • Make plans so that you don’t mix up work and family time. Focussing on one thing will bring out the best in you.

Creating a workspace at home

  1. Create a quiet, well-lit workspace.
  2. A clutter-free desk with minimal things will reduce chaos and help you work effectively.
  3. Watch your posture while sitting on a chair.
  • Adjust the chair to support your back and arm.
  • Let your feet lie flat on the floor.
  • Maintaining the curve of the lower back (upper lordotic sitting) is one of the optimal position recommended by the physiotherapists.1

4. Computer vision syndrome is a group of symptoms that you experience when you sit in front of the computer monitor for a prolonged time in the same position.

Key points :

  • The monitor should be at the level of your eyes.
  • Keep the monitor at a distance of 53 to 72 cm from the eyes.2
  • Ideal positioning will reduce your neck discomfort.
  •  Use filters to reduce the screen glare.
  • Keep your eye moist by blinking frequently.
  • Take breaks while viewing the monitor and give your eyes some rest.
  • 20-20-20 rule: take a break once every 20 minutes and view things 20 feet away for 20 seconds.
  • You may have to change your eyeglasses or contact lenses if you are having discomfort.
  • Consult your doctor if the symptoms persist, and also schedule regular eye examinations.

Healthy eating habits

  1. Take frequent breaks from work to drink water (10-12 glasses in a day).
  2. Replace your fries, cookies, and muffins with fruit, nuts, and vegetables.
  • Healthy snacks bring down the calorie and have lots of benefits.
  • According to the Centre for Disease Control and Prevention (CDC), only 1 in 10 individuals consume enough fruits and vegetables in a day.
  • Fruits and vegetables help to protect you from heart disease, stroke, cancer, and overweight.3

3. Practice mindfuleating

  • Eat your meals slowly and enjoy the food; stay away from the distractions like television, phone, and so on
  • Mindful eating will help digestion and curb overeating.
  • Try eating mindfully at least once a day; it will benefit you in the long run.

4. Limit caffeine consumption in your diet

  • Coffee, tea, caffeinated soda, and energy drinks contain caffeine.
  • You should avoid replacing plain drinking water with caffeinated drinks.
  • Though caffeinated beverages are relatively safe, they can get addictive at times.
  • Too much caffeine may lead to insomnia, restlessness, digestive problems, high sugar level, and diuretic effect causing dehydration.4
  • Hence consume caffeine in moderation and always wean gradually from the habit.

5. Vitamin D

  • You may be lacking the sunshine vitamin; hence, make efforts to get the rays by keeping the windows open or taking a stroll on the balcony.
  • Include food rich in vitamin D such as milk, egg yolk, cod liver oil, and fortified grains in your diet.
  • Vitamin D is required for your bones’ growth and health; It is vital for the immune system that protects you from infections.

Sleep

  1. Adequate sleep has a lot of benefits.
  2. Sleeping well at night will help you focus and concentrate better; it affects your judgment and reaction time.
  3. Sleeping between 7-9 hours is ideal for you, and the duration varies depending on age.
  4. According to a study, people having around 7 hours of sleep/night are at a lower risk of developing overweight, hypertension, and diabetes (metabolic syndromes).5

Physical activity

Physical includes a spectrum of activities like exercise, household chores, and leisure activities; It improves your life quality. They have immediate and long-term benefits.

Benefits of exercise

  1. Regular exercise offers multiple health benefits.
  2. Exercise plays a significant role in treating obesity, lung disease, heart disease, diabetes, cancer, and low back pain.
  3. Recent studies suggest that exercise reduces your risk of developing long-term (chronic) health conditions like high blood pressure, diabetes, heart attacks, and stroke.
  4. Regular exercise will strengthen your bones and muscles; It helps you manage weight and reduce arthritis.
  5. According to recent physical activity guidelines, you can attain substantial health benefits by engaging in physical activity for 150 minutes a week.
  6. When you exercise, the body releases endorphins (feel-good hormones). Endorphins boost happiness; hence, they reduce stress and calms down your mind. You can sleep better too.

Mental health

Mental health is as important as physical health; It includes emotional, psychological, and social well-being. Mental health is all about how you handle the highs and lows; make choices, and keep calm amidst the chaos.

Yoga

  • Long-term stress and anxiety may increase the risk of developing heart disease, diabetes, cancer, and inflammatory conditions.
  • Studies have shown that yoga reduces stress hormone levels called cortisol (downregulation of hypothalamic-pituitary-adrenal axis) in your body; hence, it can ease stress and anxiety.
  • Yoga also has a beneficial effect on depression. It acts as an antidepressant.6
  • Practicing yoga as a routine will calm your nerves and bring peace of mind.
  • Pranayama includes breathing exercises. It offers a lot of health benefits, both physical and mental.
  • Practice yoga for a healthy body and mind.

Nurturing a hobby

  • Nurturing a hobby is very satisfying; it is right for your mental health.
  • It includes reading a book, gardening, dancing, games, and so on.
  • A hobby can lower stress levels and enrich your life.

Social interaction

  • Working from home shouldn’t limit your social life.
  • Spend quality time with your family and friends.
  • Make plans with your friends and meet them often.
  • Volunteering for a specific cause you believe in will create an opportunity to meet people and add value to your life.

Positive attitude

Being positive, grateful, and empathetic will impact your overall well-being.

Conclusion

Most of us are aware of all the steps mentioned to stay fit while working from home, but we still procrastinate. The best way to start is to set small achievable goals and gradually build them up. It’s never too late to make positive lifestyle changes. Stay fit, stay happy!

References:

  1. Korakakis V, O’Sullivan K, O’Sullivan PB, et al. Physiotherapist perceptions of optimal sitting and standing posture. Musculoskelet Sci Pract. 2019;39:24-31. doi:10.1016/j.msksp.2018.11.004
  2. Rempel D, Willms K, Anshel J, Jaschinski W, Sheedy J. The Effects of Visual Display Distance on Eye Accommodation, Head Posture, and Vision and Neck Symptoms. Hum Factors. 2007;49(5):830-838. doi:10.1518/001872007X230208
  3. CDC. Steps to Safe and Healthy Fruits & Vegetables. Centers for Disease Control and Prevention. Published December 10, 2020. Accessed December 15, 2020. https://www.cdc.gov/foodsafety/communication/steps-healthy-fruits-veggies.html
  4. Reyes CM, Cornelis MC. Caffeine in the Diet: Country-Level Consumption and Guidelines. Nutrients. 2018;10(11). doi:10.3390/nu10111772
  5. Smiley A, King D, Bidulescu A. The Association between Sleep Duration and Metabolic Syndrome: The NHANES 2013/2014. Nutrients. 2019;11(11). doi:10.3390/nu11112582
  6. Naveen GH, Varambally S, Thirthalli J, Rao M, Christopher R, Gangadhar BN. Serum cortisol and BDNF in patients with major depression-effect of yoga. Int Rev Psychiatry Abingdon Engl. 2016;28(3):273-278. doi:10.1080/09540261.2016.1175419

EUDAMED – European Database for Medical Devices

Background

According to European Commission a web-based portal EUDAMED is being developed to implement Regulation (EU) 2017/745 on medical devices and Regulation (EU) 2017/746 on in vitro diagnosis medical devices. The system consists data on medical devices that have been collected and registered by Competent Authorities and the European Commission and can only be accessed by these same parties. The amount of data which will be available to the European Authorities through EUDAMED is the most significant changes being introduced by the new European Union Medical Device Regulations (EU MDR) Article 33. This data collection with EUDAMED was established by the Medical Device Directive (MDD) Article 14a. But the amount of data made available to the European Authorities has been minimal compared to what is envisaged in the new EU MDR. This ‘MDR EUDAMED’ is intended to provide more data, of higher quality and with a wider accessibility. EUDAMED aims at improving transparency and coordination of information regarding medical devices available on the EU market.

Database Access

The ‘MDR EUDAMED’ will not only be used by the National Competent Authorities (NCAs) and the European Commission. Depending on the type of user, only certain levels of the databank can be accessed. It will also be accessed by:

  • Medical Devices Coordination Group (MDCG)
  • Notified Bodies (NBs)
  • Economic Operators (EOs – manufacturers, authorized representatives, importers, sponsors)
  • Experts
  • Non-European Competent Authorities (NCAs)
  • And the public, including medical institutions and the press

Database Module

EUDAMED will function as a registration system, a collaborative system, a notification system, and a dissemination system (open to the public) and will be interoperable. EUDAMED is structured around 6 interconnected modules and a public website:

  • Actors ((NCA’s, EOs, NB’s) registration
  • UDI/Devices registration
  • Notified Bodies and Certificates
  • Clinical Investigations and performance studies
  • Vigilance and post-market surveillance
  • Market Surveillance

One of the key objectives of the Medical Devices Regulation (MDR) is transparency aiming at providing a larger access to relevant information to the public and strengthening public and patient confidence in the safety of medical devices placed on the EU market. These obligations in MDR will be applicable once the EUDAMED is fully functional.

Key information accessible to the public in EUDAMED:

  • Registration of all manufacturers, their authorized representatives and importers placing medical devices on the EU market
  • Registration of devices, the core elements of the UDI database of part B of Annex VI, including the basic UDI and UDI-DI of devices
  • Registration of certificates of conformity, their scope and validity period
  • List of notified bodies designated under the MDR, their identification numbers and their conformity assessment activities through a link to NANDO database and the list of their subsidiaries
  • Scientific opinions of the expert panels and the written justification of the notified body where it has not followed the scientific opinion of the expert panel
  • Clinical investigation reports and their summary
  • The summary of safety and clinical performance reports for implantable devices and class III devices
  • Manufacturer incident reports (partial access) and the field safety notices for Vigilance activities
  • Summary of the results of market surveillance activities on their national territory by each EU Member State.

Key information publicly available outside EUDAMED

  • National measures taken by competent authorities for the placing on the market of single use devices which are reprocessed
  • Types and levels of fees levied by Member States for funding activities carried out by the competent authorities
  • National measures governing the assessment, designation, and notification of notified bodies
  • List of standard fees from notified bodies
  • Summary of each Member State report on its monitoring and on-site assessment activities regarding notified bodies
  • Commission annual summary report of the peer review activities of authorities responsible for notified bodies,
  • Declaration of interests of top-level management of notified bodies
  • Declaration of interests of each member of the MDCG, of its sub-groups except for stakeholder organizations, and of the advisors within the expert panels and expert laboratories
  • Advice provided by the expert panels
  • Names and affiliation of the members of the MDCG.

Important EUDAMED Dates

For the EU Commission this development and implementation of EUDAMED is a high priority. And with help of MDCG, it is going to release different modules as soon as they become functional. Currently the deployment of Actor registration (first module) is planned for December 2020. The module on UDI/device registration (second module) and the module on Certificates and Notified Bodies (third module) will become available by May 2021. Afterwards, the remaining modules will be presented as soon as they are operational. Most of the requirements on Transparency and public access to information linked to the EUDAMED, are planned to become fully functional by May 2022. The official web address of the EUDAMED public website will be “ec.europa.eu/tools/eudamed”. It will be available once it is in production and not before.

Turacoz Healthcare Solutions understands medical device regulatory MDR requirements and can assist you in your device approval journey. Our technical writers are experienced industry experts having worked with EMA, FDA and other regulatory agencies in gap analysis, device approval and regulatory queries responses. In addition to the regulatory services, the team also provides publication, medi-marketing and advisory board meetings for medical device companies.

If you have any queries, email us at [email protected].

References

  1. https://ec.europa.eu/health/md_eudamed/overview_en
  2. https://ec.europa.eu/health/sites/health/files/md_newregulations/docs/transparency_factsheet_en.pdf

 

PMCF Planning as per EU MDR

As the Medical Device Regulation (MDR) deadlines are approaching for re-certification and/or introduction of new products, manufacturers are also working to start or fulfil the Post-market Clinical Follow-up (PMCF) activities as per requirements set out in Annex XIV, part B of the MDR.

The Annex states “PMCF shall be understood to be a continuous process that updates the clinical evaluation referred to in Article 61 and Part A of this Annex and shall be addressed in the manufacturer’s post-market surveillance plan”.

The purpose of PMCF is:

a) to gather information regarding:

  • rare complications
  • clinical observations only seen in a larger user/patient population
  • clinical observations only seen after long-term use of the device

b)  verification of clinical risk-benefit analysis conclusions

PMCF requirements as per EU MDR

A successful PMCF plan ensures that safety and performance results are continuously available to the market. PMCF should be carried out to proactively collect and evaluate clinical data per the method laid out in the PMCF plan which aims at:

  • confirming the safety and performance throughout the product lifecycle
  • identifying risks and previously unknown side-effects while continually monitoring already identified side-effects and contraindications,
  • ensuring the continued acceptability of the benefit-risk ratio, and
  • identifying off-label uses of the device, while ensuring the intended purpose is correct in the environment it is supposed to be used.

If through PMCF, the need for preventive and/or corrective measures has been identified, the manufacturer must implement them and update the post market surveillance report accordingly.

Therefore, PMCF plan specifies the methods and procedures that will be used to proactively collect and evaluate clinical data in relation to the product’s safety as well as clinical performance.

PMCF Planning Pitfalls

Some of the most common pitfalls in planning a prospective clinical PMCF plan are: 

a) Time-consuming ethical approval

Overall delay in planning a PMCF study might happen due to requirement of approval from ethical committees, which can be a time-consuming task as requirements may vary from country to country.

b) GDPR Compliance

The GDPR is a comprehensive regulation which can help identify the safety, performance, and risk profile specific to your device. The key to compliance lies in selecting systems that guarantee the correct security and safety measures and obtaining clear informed consent from respondents/patients. 

c) Key Opinion Leaders

It is important to collaborate with a network of key opinion leaders in the region you are seeking approval as conducting as planning a PMCF study requires correct and relevant data reported to ensure the safety and performance profile of the device is rightly captured. Clinical experts in the region can help assess and guide these requirements as they have expertise in the filed due to their exposure to working with such devices.

 

Medical Device Industry and COVID-19: Regulatory Modifications to Consider

Background

The COVID-19 outbreak is a public health crisis that this generation has never seen before and has presented itself as an unprecedented challenge to the health industry including the Medical Device and Regulatory framework.

There is tremendous burden being faced by first responders and health institutions. Simultaneously, there is increasing pressure on national authorities, EU member states, and economic operators to supply vitally important medical devices at the time of adoption of Regulation (EU) 2017/745.

The unanticipated crisis has had a significant impact on placing devices on the market in the Union while halting the designated work of the notified bodies. The commission recognizes the role of Personal Protective Equipment (PPEs) such as medical gloves, surgical masks, and equipment for intensive care in the current pandemic and has therefore decided to prioritize the demands of such equipment thereby avoiding any potential market disruption.

MDR defers till 2021

Therefore, the European Commission released a proposal earlier in April to defer without any alterations to the guidelines, the enforcement of the EU Medical Devices Regulation (MDR) for a year, applicable from May 26th, 2020. However, the commission made no deferments for the In Vitro Diagnostic Regulation (IVDR), which will be applicable from May 26th, 2022. The aim of the deferment has been to ease the pressure on the medical fraternity to be able to cope and focus with the current crisis and minimize risk to medical professionals.

National Derogation

In scenarios of a public health crisis, such as COVID-19 the Regulation (EU) 2017/745 allows the commission to extend the validity of a national derogation for a limited period of time in exceptional cases for member states in response to address Union-wide shortages of vitally important medical devices in an effective manner.

The Commission has agreed with the European standardization organization to make originally copyright standards (including EN 149 and 14683) freely and fully available by the national standardization bodies. Manufacturers can download a copy for free from the online catalogues of the national standardization bodies.

Furthermore, Directives 90/385/EEC and 93/42/EEC of the regulation empower national authorities on duly justified requests to place medical devices on the market for whom relevant conformity assessment has not been completed but substantial evidence is available to prove interest of public health, patient safety, and health.

Market approval of devices without CE marking

In exceptional circumstances, products can be placed on the market even if no CE marking has been affixed upon them, given that the following conditions are fulfilled:

  • The products manufactured are in accordance with one of the EN standards or other standards referred to in the WHO guidelines
  • The products are part of a purchase organized by the relevant Member State authorities;
  • The products are only made available for the healthcare workers;
  • The products are only made available for the duration of the current health crisis; and
  • The products are not entering the regular distribution channels and made available to other users.

This approval, may bring some relief from the intense pressure on manufacturers to complete the MDD/AIMDD work by giving them an additional year while ensuring devices reach hospitals. Meanwhile, the European parliament and the Council continue to work together to adopt the legislation as mandated implementation date.

Take home message

It is important to note and acknowledge that the framework of manufacturers, regulatory bodies, and agencies continue to work on collaborating and collectively contributing in ensuring that medical devices are used safely amongst patients in this evolving pandemic.

Turacoz Healthcare Solutions understands medical device regulatory requirements and can assist you in your device approval journey. Our technical writers are experienced industry experts having worked with EMA, FDA and other regulatory agencies in gap analysis, device approval and regulatory queries responses. In addition to the regulatory services, the team also provides publication, medi-marketing and advisory board meetings for medical device companies.

If you have any queries, email us at [email protected].

Role of a Medical Writer in Publication Documents

Background

Writing is a medium of human communication to express one’s thinking in easily understandable but effective way. The strength of writing is displayed by its knowledge-transforming effects. Knowledge is vital at every stage of research-based endeavours in basic research, clinical research, drug development lifecycle, drug approvals, phases of clinical trials, and post-marketing research.  At each stage, this knowledge is passed on in writing to communicate the findings of research to the scientific community, clinicians, regulators as well as public.

Importance of publication

Publishing biomedical research, in the form of case reports, original articles, literature reviews etc. in peer-reviewed journals, is important. Doing so, augments understanding of health, diseases and their management, drug risks and benefits, and helps to improve medical practice benefitting the patients, health community and society at large.

Reasons to not publish

However, despite the fact that most clinicians and researchers understand the need to publish their work, this task may prove challenging to them because of various reasons including lack of time to write and submit, inadequate data analysis support and technical writing expertise, and lack of knowledge of publication practices and guidelines (1).  But, we all understand and admit that scientific information can be difficult to read and to comprehend. A poorly written information could easily confuse the reader and leave the audience misinformed. For these reasons, numerous papers are rejected by top peer-reviewed journals.

Medical Writing services

Medical writing is communication of scientific and clinical information in a clear, accurate, unbiased, and logical way to a specific set of target audiences such as clinicians, healthcare professionals, regulators, scientists, patients, and general public. This includes the preparation of different types of documents: Regulatory (e.g. clinical trial protocols, clinical study reports, investigator’s brochures, new drug applications, research proposals, informed consent documents); Publications (e.g. original articles, literature reviews, case reports, editorials, abstracts for conferences); Medical education (e.g. posters, continuing medical education (CME), e-learning modules, slide decks for meetings, brochures and internet content for physicians and patients); and Medico-marketing (e.g. literature for product promotion) (5).

Medical Writing – need and demand

There’s pressing need for effective presentation and dissemination of knowledge to accelerate publishing and decision-making in healthcare. Supporting this, a Portuguese report highlighted the importance of medical writing skills for successful publishing in top-rated journals (2). Furthermore, according to a report, global demand for medical writing market was valued at approximately USD 2.03 billion in 2018 and is expected to generate a revenue of around USD 2.95 billion by the end of 2025 (3). Even in India, the medical writing industry is on an upward growth path (4).

Medical Writer – skills and role in publication

Researchers and clinicians may be best at their jobs, but they may not necessarily have the skills to present their data in an effective manner. A medical writer (MW) is a scientific writing and editing expert with an advanced degree in biomedical sciences (e.g. MBBS, PhD) and robust understanding of biomedical and clinical research, reporting guidelines and publication practices such as ICH, ICJME, GPPs, CONSORT (6). He/she would possess substantial data analysis skills to be able to summarise and present even the most complex clinical research data in a coherent manner. This helps the researchers to achieve objectives such as getting their work published in a respected journal, receiving funding for research projects or finding acceptance of their work by their professional peers.

Therefore, the documents prepared with the support of medical writers are less likely to get rejected or retracted by the peer-reviewed journals as they adhere to the reporting and publication guidelines specified by the journals. Such documents are accepted for publication quickly as good writing fastens the review process as compared to the ones without any such support (7). All this suggests that a MW makes a substantial contribution towards a good quality research publication. In addition to providing writing assistance, a MW advise on the right journals for an article and offer support for editing, journal styling and submitting the manuscript for publication (Figure 1).

A MW has the ability to model his/her writing in terms of most suitable language and level of technical information depending on the target audience. For instance, the documents entitled for medical professionals usually include detailed clinical information or data while the ones intended for common people are in simple language and free of core scientific details. In regulatory writing, a MW is well aware of the prescribed formats and regulatory guidelines to be strictly followed in order to produce the high-quality documents.

MWs are not involved in the conception, design or execution of clinical research, so they are not listed as authors, but their contributions are mentioned in the acknowledgments section of the manuscript (8).

Conclusion

Clear, logical, and accurate writing reinforces the dissemination of reliable research information through good quality publications to varied target audience. MWs play an important role to speed up the publication process to meet the growing need for high-quality, timely publications. Clear understanding of the role of a medical writer in publication development will pave the way for their appropriate use by clinicians and scientists to communicate their research findings to the scientific community.

The Medical Writers at Turacoz Healthcare Solutions (THS) understand and abide by the reporting guidelines and publication practices such as ICH, ICJME, GPPs, CONSORT to deliver high-quality documents communicating scientific and clinical information. Turacoz is a medical communications company, which offers services to healthcare professionals in clinical research, regulatory writing, publication writing, medico-marketing writing, and support for conducting medical advisory board meetings.

If you have any queries, email us at [email protected].

References

  1. Sharma S. Professional medical writing support: The need of the day. Perspectives in clinical research 2018; 9:111-112.
  2. Marinho RT, Donato H, Fernandez-Llimos F, Massano J, Silva JM, Almeida M, et al. Think Tank: Relatório estratégico sobre publicação científica biomédica em Portugal. Acta Med Port. 2014;27:1-3.
  3. Global Industry Perspective, Comprehensive Analysis and Forecast, 2019 – 2025. Available from: https://www.zionmarketresearch.com/report/medical-writing-market. Accessed on 15 July 2020.
  4. Shirke S. Medical writing on an accelerated path in India. Perspect Clin Res. 2015;6:125-128.
  5. Bissau J, Borrego P. Professional medical writing: A tool for high quality publications. Acta Med Port. 2015;28:545–7.
  6. Das N, Das S. Hiring a professional medical writer: is it equivalent to ghostwriting? Biochem Med. 2014;24:19-24.
  7. Wager E, Woolley K, Adshead V, Cairns A, Fullam J, Gonzalez J, et al. Awareness and enforcement of guidelines for publishing industry-sponsored medical research among publication professionals: the Global Publication Survey. BMJ Open. 2014;4:e004780.
  8. Angela Stocks, Donna Simcoe, Dikran Toroser & Lisa DeTora. Substantial contribution and accountability: best authorship practices for medical writers in biomedical publications. Current Medical Research and Opinion 2018;34:1163-1168.

Working from home in pandemic: How yoga can be your best friend in this time?

It has been weeks and months since we have stopped counting days being in this pandemic-driven lockdown. There is a unique quality to this day-by-day pandemic despair; this quarantine depression is edging humans into physical and mental stagnation.  According to an article I read in the Hindu couple of days back, approximately  12.2 crore Indians lost their jobs during the coronavirus lockdown in April 2020 only, which makes COVID 19 pandemic much more stressful for people.

Not only for people who have lost their jobs, but also for people who are working from home in this pandemic and trying to juggle between their family and work without any house help and childcare services available, that this pandemic is proving more emotionally exhausting than the virus itself. With an official Microsoft TEAMS video call in my morning joggers or stirring the ladle in a cooking pot with my official call in my earpods and with my toddler in my arms, I too am acing at juggling! Watching this situation very closely for past couple of months now, I feel a more accepting and holistic approach to this fiasco is the need of the hour.

We all know that there is uncertainty & fear and we all are multitasking around for the past 4-5 months, but instead of getting bogged down, coping with stress in a healthy way will not only make us, but the people we care about and our community stronger. The best we can do is accept the situation and take care of our and our family’s mental and physical health. One way that I discovered and loved during this period, is a 40 minutes yoga routine with 10 minutes meditation, to reinforce my strength and potential. Every single day for past three months now: believe me these are the most blissful 60 minutes I have from my day! I feel that my mind is calmer and more focussed; I am able to do one thing at a time, that too perfectly and my productivity has increased like anything. I am following a very good book ‘Light on Yoga’ by BKS Iyengar and practicing yoga from the same.

It can be anything, as long as you are present in the moment mentally & physically and moving, stretching and doing basic pranayama initially for 10 minutes in a day and gradually increasing to half an hour or 40 minutes; but please follow the same with 10 minutes of mediation (just focussing on your breath with closed eyes) and you will feel a positive change in your day. You can even take breaks in between your office calls and stretch your arms, necks or legs for 2 minutes on the chair or your yoga mat.

On the occasion of International Yoga Day 2020, I am sharing some of basic yoga poses which I have been practicing and you can also start with them as a beginner in yoga journey:

Trianga Mukha Eka Pada Paschimottanasana: Keeping one knee folded, try to touch your nose to the other stretched knee. It gives a nice and long stretch to your tense back and can make you ready for a long office call.

Matasyasana: Matasyasana or  Fish pose is a reclining back-bending pose. It relieves tension in your neck, throat, and shoulders and stretches and tones the front of your neck and your abdominals. It could be proven beneficial for all the creative people who like to keep their neck in the laptop screens for better focus.

Dhanurasana: Dhanurasana or chakrasana or wheel pose or The Upper Facing Bow whatever you can call, it can help—and strengthen your arms, legs, abdomen, and spine. For this one, you bend your knees and place your heels as close to the hips as possible and then slowly raise your arms, bend your elbows by resting the palms beside your ears.Floating camel pose: an advance version of Utraasna. This one is little bit of an advance yoga pose and maybe you will be able to do it after a month’s practice but the benefits are for sure worth the pain in the process. It increases flexibility in the spine, stimulates the nervous system, opens the chest and shoulders, improves circulation and digestion, and stimulates the thyroid gland. It’s said to rejuvenate/increase energy levels, and lower blood pressure.Sirsasana or headstand: and finally the king of all the yoga poses, The headstand. This is definitely a very advance yoga pose but is known as the most relaxing and cooling posture. It helps you to draw your attention inwards, to concentrate more, to focus more. This posture is extremely helpful if you are having anxiety, stress, fear or otherwise worrisome thoughts. Combine headstand with long, slow breathing and you have a recipe for stress relief.

So happy International yoga day 2020 people and I would like to leave you with a very special quote from my favourite yogi BKS Iyengar, ‘Yoga is a light, which once lit, will never dim. The better your practice, the brighter the flame.’

Good Clinical Practice Guidelines by WHO

Good Clinical Research Practice (GCP) is an established international ethical and scientific quality standard process for the design, conduct, performance, auditing, monitoring, recording, analysis, and reporting of clinical studies. GCP ensures that the reported data and results are credible and accurate, and the rights integrity and confidentiality of study subjects are respected and protected. All the stakeholders must adhere to the GCP standards including research subjects, sponsors, investigators, contract research organizations (CROs), site staff, ethics committees, and regulatory authorities.

Goals of Good Clinical Practice

The GCP is established with the following aims:

  • To protect the rights,safety, and wellbeing of humans involved in research
  • To assure the accuracy, reliability, quality and integrity of data collected
  • To provide standards and guidelines for a well-conducted clinical research
  • To speed up the marketing and promotion of new products
  • To ensure benefit to both sponsors and consumers by reducing the cost of trial and investigation products.

Figure 1: Goals of GCP

Compliance of GCP assures public that the safety,rights and well-being of human subjects involved in research are protected and are consistent with the principles stated in the Declaration of Helsinki and other internationally recognized ethical guidelines.

Foundations for Ethical Conduct

Declaration of Helsinki

Declaration of Helsinki (1964) was developed as a statement of ethical principles to guide physicians and other participants in medical research involving human subjects.

The other foundations for the ethical conduct of clinical research include:

  • The Nuremberg Code (1947): After the second world war, Nuremberg trials of war criminals resulted into introduction of 10 elements of medical ethics, known as ‘Nuremberg Code’, in August 1947, to protect human subjects from cruelty and exploitation while conducting human experiments.
  • The Belmont Report (1979): As a result of National Research Act of 1974, the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research had written ‘The Belmont Report’. It was created to identify the basic ethical principles for the conduct of biomedical and behavioral research involving humans and develop guidelines to make sure that the research is conducted in accordance with the principles.
  • International Conference on Harmonization (ICH-GCP): ICH provided the international quality standard to harmonize technical procedures and standards, enhance quality and accelerate time to market.
  • International Standards Organization (ISO): ISO 14155:2011 developed international standards to protect the rights, wellbeing and safety of human subjects, ensure the accuracy and reliability of results, define the responsibilities of sponsorsand clinical investigators, and assist sponsors, investigators, regulatory authorities, ethics committees, and others involved in the conformity assessment of medical devices.
  • Code of Federal Regulations (CFR): CFR is the codification rules and regulations published in the Federal Register by the federal government of the United States. The CFR includes FDA regulations on human subject protection and the conduct of clinical studies.

Background

WHO organized a ‘Scientific Group on Principles for Clinical Evaluation of Drugs’ in 1968 and then in 1975 to review and formulate principles and guidelines for clinical evaluation of drugs, new indications or dosage forms for marketed drug products and new combination products, and covering all aspects of drug development.In 1995,the WHO published ‘Guidelines for good clinical practice for trials on pharmaceutical products’ based on these reports.

WHO Principles of GCP

There are 14 principles of WHO GCP and are summarized as follows:

Principle 1 –Ethical Conduct: All clinical trials must adhere to basic ethical principles which have their origin in the Declaration of Helsinki, namely equal importance for persons, beneficence, and justice, permeate all other GCP principles.

Principle 2 –Protocol: A detailed, clear protocol including background, rationale, objective(s), design, methodology, statistical considerations, information, and organization of a trial should be laid out for every clinical research involving human subjects and comply with scientific standards.

Principle 3 – Risk Identification: Beforea study/trial is initiated, all foreseeable inconveniences and risks should be assessed against the estimated benefit(s)for the individual trial subject and society. A proposed clinical trial should be supported by sufficient non-clinical and clinical information for source of information, knowledge of literature, and on adequate lab, and where applicable, animal experimentation.

Principle 4: Benefit-Risk Assessment: Trial with human subjects should be initiated and continued only if the predicted benefits outweigh the risks for the individual and society. The safety and well being of the trial subjects should be considered most important over the interest of science and society.

Principle 5 – Review By IEC/IRB:A protocol review of a clinical trial involving humans,should be submitted for consideration, guidance, evaluation, comments, and approval by specially appointed independent ethics committee/institutional review board (IEC/IRB).

Principle 6 – Protocol Compliance: Research with humans should be well-conducted in compliance with the protocol after approval by IEC/IRB. Any deviation or changes of the protocol shouldn’t be applied by the investigator without the sponsor’s agreement and documented approval/favorable opinion by IEC/IRB.

PRINCIPLE 7 – Informed Consent: A freely provided informed consent from each human subject before participation in any clinical trial should be obtained in compliance with the national culture(s) and requirements. The subjects should volunteer as informed participants. If giving informed consent is not possible for any subject, a legally authorized representative should give permission,by applicable law.

Principle 8 – Continuing Review/Ongoing Benefit-Risk Assessment: Clinical trials having humans as research subjects should be continued only if the benefit-risk assessment remains favorable. The sponsors should ensure a process to assess and evaluate the drug development continuously during the clinical trial. The ethics committee should conduct reviews during the research and monitor its progress.

Principle 9 – Investigator Qualifications: On behalf of the trial subjects, the decisions and medical care should be made by a qualified and duly licensed medical professional, i.e., physician or, when appropriate, a dentist.

Principle 10 – Staff Qualifications: Every individual who is involved in directing a trial must be qualified by training, education, and experience to perform their respective task. This includes the investigator and his/her supporting staff to assist him.

Principle 11 – Records: All the information during the clinical trial should be recorded, handled, and stored in a way to allows accuracy in its interpretation, reporting, maintenance, and verification.

Principle 12 –Confidentiality/Privacy: The confidentiality of records that could identify subjects must be protected, respecting the privacy and confidentiality rules in compliance with the applicable regulations This is done to safeguard the integrity of subjects.

Principle 13 – Good Manufacturing Practice (GMP): Manufacturing, handling, and storage of investigational product(s) should be in accordance with applicable GMP and should be used in accordance with the approved protocol.

Principle 14 – Quality Systems: Systems with procedures that assure the control assure and improve the quality of every aspect of the clinical trial must be implemented.

Turacoz Healthcare Solutions understands and abides by the GCP. We aim to deliver the best of the information about clinical research. Turacoz is a medical communications company, which offers services to healthcare professionals in clinical research, regulatory writing, publication writing, medico-marketing writing, and support for conducting medical advisory board meetings.

If you have any queries, email us at [email protected].

References

  1. World Health Organization. Handbook for Good Clinical Research Practice (GCP), 2002. Available at https://www.fda.gov/files/medical%20devices/published/Presentation–Good-Clinical-Practice-101–An-Introduction-%28PDF-Version%29.pdf. As accessed Apr 14, 2020.
  2. Vijayananthan A, Nawawi O. The importance of Good Clinical Practice guidelines and its role in clinical trials. Biomed Imaging Interv J. 2008;4(1):e5.
  3. S. Food and Drug Administration. Good Clinical Practice 101: An Introduction. Available at https://www.fda.gov/files/medical%20devices/published/Presentation–Good-Clinical-Practice-101–An-Introduction-%28PDF-Version%29.pdf. As accessed Apr 14, 2020.
  4. Permissible Medical Experiments. Trials of War Criminals before the Nuremberg Military Tribunals under Control Council Law No. 10: Nuremberg October 1946–April 1949. Washington: U.S. Government Printing Office (n.d.), 2,181-182.
  5. The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research (1979).
  6. International Organization for Standardization. ISO 14155:2011: Clinical investigation of medical devices for human subjects — Good clinical practice (2011). Available at https://www.iso.org/standard/45557.html.As accessed Apr 14, 2020.
  7. S. Food and Drug Administration: FDA Regulations Relating to Good Clinical Practice and Clinical Trials (2015). Available at https://www.fda.gov/about-fda/center-drug-evaluation-and-research-cder/fda-regulations-relating-good-clinical-practice-and-clinical-trials.As accessed Apr 14, 2020.

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Good Practices for Conference Abstracts and Presentation

Medicine is an ever-changing science. As new researches and clinical experience broaden our knowledge, changes in treatment, and drug therapy help in improvising patient care management. WHO describes research as being an imperative element for settling public health challenges – whether it be combating the diseases highly prevalent in developing countries, responding to the alarming rise of chronic conditions, or ensuring proper prenatal, natal and post-natal care for women and children. Research is a structured evaluation to present the facts and reach new conclusions. Medical and scientific conferences serve as a platform for research sponsored by various organizations. These conferences are of crucial importance to disclose and discuss potentially practice-changing data of on-going research studies. The variation in the practices of different organizations makes it difficult to adhere to the good publication practice guidelines and conference requirements. There are no specific guidelines or recommendations to describe the standards for conference presentations.

Company-Sponsored Research

The company-sponsored research is presented in the conferences in the form of abstracts and posters. The scientific committee of the conference review the abstracts. However, they are not included in the peer-review process, as are the journal articles. Further, reviewing the poster and oral presentations is rare. A systematic review reported < 50% were published in full, following presentation at a conference after being accepted as abstracts. It is of utmost importance to attain a high standard process for developing conference abstracts and presentations, mainly for company-sponsored research, since it may ultimately become the only source for a particular analysis. The Good Publication Practices (GPP), Consolidated Standards of Reporting Trials (CONSORT), and Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and recommendations are followed for the conference presentations. On the other hand, the International Committee of Medical Journal Editors (ICMJE), the most widely cited recommendations on authorship, is related exclusively to the publications in peer-reviewed journals. It is challenging to implement these guidelines in practice since they are not fully applicable to conference presentations.

Principles of Good Publication Practice for Company-Sponsored Medical Research

As per GPP guidelines, Good practice for conference abstract and presentation focuses on the presentation of all company-sponsored researches. GPCAP aims to provide guidance on good submission and presentation practice for scientific and medical congresses, explicitly addressing certain aspects where current publication guidelines are inadequate.

Some of the principles for practicing good publication are as follows

  • Ensure timely submissions of the study report guaranteeing complete transparency and accuracy.
  • Reporting and publication processes should follow the FDA, ICMJE, and EQUATOR guidelines.
  • Ethical guidelines should be followed to deliver originality in the abstract and avoiding redundancy.
  • The authorship, contributors (including the writing support), and the sponsorship should be mentioned clearly, ideally at the start of the research, and, in all cases, before publication preparation begins.
  • All the authors should have access to study data and other information; all named authors should review, approve the content of abstracts and presentations, and should take responsibility while being involved in the process of publication.
  • All authors and contributors should disclose any relationships or potential competing interests relating to the research and its publication or presentation.
  • The registration number of the study should be mentioned.

Recommendations for conference organizers

Conference organizers should:

  • Encourage and support the inclusion of contributor lists on posters and slides
  • Include the space for the trial registration number, medical writing support disclosure, sponsor details on abstract forms
  • Use Open Researcher and Contributor ID (ORCID) to uniquely identify scientific and other academic authors and contributors.

Encore Abstract

An encore abstract is typically defined as presenting the same study reports at different conferences to reach various audiences. Even though encore abstracts are not considered to be a superfluous presentation, some conferences accept only the additional findings that were not presented in any other scientific meetings. Presenting the same study to different conferences, the authors and the company sponsoring the research should consider submitting different parts of the studies to reach different audiences at various conferences. It should be noted, the addition of new data to a previously accepted abstract may not necessarily constitute a new abstract unless it is confirmed with the conference.

Encore Checklist

  • Ensure there is no overlapping in terms of the region, profession, etc.
  • Make sure there is no licensing difference between the two regions for the product/medicine of the study.
  • Ensure timely publication of the study even with multiple presentations.

Conclusion

Good publication practices are essential elements and the growing need for on-going and evolving researches in the field of medicine. The authorities and the committees around the world have put together the recommendations and guidelines for improving the accuracy and originality of the study presentations while decreasing the incidence of unethical writing practices; thus, preserving the authenticity of the study. Hence, following appropriate recommendations and guidelines can be helpful in putting forward the research in an effective manner.

Turacoz Healthcare Solutions aims at encouraging the researchers and the medical writers in following Good Publication Practices.

If you wish to contact us, click here.

Email us at : [email protected]

[email protected]

Recent Advancements in Cancer Treatment

Cancer refers to a medical condition characterized by uncontrolled division of cells forming tumor. During normal cell cycle, the cells grow, divide and die and new cells take their place, whereas in cancer, the abnormal cells continue dividing and do not die. The cancerous cells may invade other body parts or tissues thereby spreading cancer to those parts which is known as metastatic cancer. On the other hand, the benign cancer does not spread or invade other body parts, it remains located to a specific organ.1, 2

Global prevalence of cancer

As per the estimates of GLOBOCAN 2018, the global cancer burden has increased to 18.1 million new cases and 9.6 million deaths. The global 5-year prevalence is estimated to be 43.8 million which is the total number of people alive within 5 years of a cancer diagnosis.3,4 On combining the global patterns for men and women in 2018, around half of the new cases and more than half of the cancer deaths globally are estimated to occur in Asia.4

Importance of early detection

Early diagnosis of cancer is important as it enhances the chances of successful treatment. Raising the awareness towards early signs and symptoms of cancer can help in targeting this deadliest disease at the earliest. Various tests are available for screening of different types of cancers such as mammography for breast cancer screening; cytology screening methods, including Pap smears for cervical cancer screening.5

Treatment of cancer

Cancer treatment is based on the type of cancer and its stage. It usually involves a combination of various treatment approaches including:6

  • Surgery
  • Chemotherapy
  • Radiotherapy
  • Hormonal therapy
  • Novel therapies

Latest Advances in the Treatment of Cancer

The advent of novel ideas and techniques of cancer treatment are showing promising results by improving the survival outcomes.7 Below mentioned are some recently introduced treatment modalities for cancer.

1. Nanomedicine

  • It has shown promising results in cancer therapy.7
  • It utilizes the principles of nanotechnology in which highly engineered nanoparticles (NPs) of sizes less than 100 nm are used to actively or passively target drugs to cancer cells.7
  • These are the target-drug delivery systems that utilizes drugs with high solubility, biocompatibility, bioavailability, and multifunctionality.7,8
  • They act as multi-target inhibitors and nano-imaging tools (Figure 1).7
  • The use of polymeric and lipid based nano systems are one of the best alternatives for the central delivery of drugs in brain tumour.8
  • The possible approach of the nanomedicine would be combining drug or gene delivery with external stimuli, like hyperthermal, photothermal, or photodynamic (PDT) treatments, thereby attacking the cancer cells with various mechanisms.7
  • Nanomedicine may overcome the common disadvantages of conventional cancer treatment by providing7
    • High selectivity
    • Differentiating among healthy and cancer cells
    • Early diagnosis and molecular imaging methods

Figure 1: Nanotechnology in cancer therapy7

2. CAR-T cell therapy

  • Chimeric antigen receptor (CAR)-genetically modified T cells (CAR-T cells) have shown significant clinical responses and cancer remission in relapsed or refractory B-cell malignancies.9
  • This is a new form of adoptive T cell therapy (ACT), in which an artificial CAR redirects T cells endogenous antitumor activity towards a predefined tumor-associated antigen. This in turn eliminates a specific tumor.9
  • The US Food and Drug Administration (FDA) approved the first CAR-T cell therapy in 2017 for the treatment of CD19-positive leukemias and lymphomas.9
  • The associated drawbacks of CAR-T cell therapy are:9
    • Specific life-threatening toxicities
    • Lack of efficacy in the treatment of solid tumors because of strong immunosuppressive tumor microenvironment and lack of reliable tumor-specific targets

3. Radiomics and Pathomics

  • It is a systems-based approach developed to provide a better strategy to study and understand the complexity of cancer cell and related parameters.7
  • Tools have been developed that utilize computerized feature analysis methods for extracting sub-visual attributes for characterizing disease appearance and behaviour on radiographic (radiomics) and digitized pathology images (pathomics).7
  • It considers a large number of interrelated variables to identify a specific disease phenotype, such as:7
    • Gene expression profile
    • Tumour cellular architecture, and microenvironment (seen through histological image features)
    • Three-dimensional tissue architecture and vascularization (seen through dynamic contrast enhanced (DCE) magnetic resonance imaging (MRI))
    • Metabolic features (seen through magnetic resonance spectroscopy (MRS) or PET)
  • Radiomics extracts high-dimensional information from clinical images and clinical data, with or without associated gene expression to support evidence-based clinical decision-making.10
  • Radiomics’ analyses can be performed in tumour regions, metastatic lesions, as well as in normal tissues.10

4. Advancements in radiotherapy

  • Radiotherapy has been a mainstay in cancer treatment. However, studies reported resistance to radiotherapy in some cancer cells which is found to be related to altered mitochondria structure and the size. 7
  • The therapies that can regulate mitochondria function and metabolism and induce apoptosis may be the most effective anti-cancer agents.7
  • A novel radiosensitizer with dual anti-metabolic and anti-angiogenic activity for oesophageal (OAC) cancer resistance has been identified and patented that can significantly reduce both metabolic and anti-angiogenic activity in real time and in parallel with increasing radio sensitivity in an isogenic model of radioresistance.7

5. Cancer treatment vaccines

  • Cancer treatment vaccines act by strengthening the body’s natural defenses against the cancer.11
  • They are designed to be used in cancer patients where they act against cancer cells.11
  • Cancer cells are comprised of tumor-associated antigens which are not present in normal cells. Treatment vaccines recognize and interact with these antigens thereby destroying the respective cancer cells.11
  • Sipuleucel-T is a vaccine used for prostate cancer.11
  • T-VEC is used to treat some patients with melanoma that relapses after surgery.11
  • These vaccinations are associated with some serious side effects which can vary from person to person. For e.g. Sipuleucel-T can lead to stroke. It is deemed important to know about the side effects and what to do if they occur.11
  • The common side effects associated with cancer vaccine are flu-like symptoms such as Fever, weakness, chills, dizziness, muscle or joint pain, nausea/vomiting, low or high blood pressure, fatigue, headache, difficult breathing.11

We, at Turacoz Healthcare Solutions join hands to fight against the cancer by spreading the awareness about timely diagnosis and treatment of cancer. If cancer is detected at an earlier stage, there are high chances of successful treatment which in turn increases the chances of survival compared to diagnosis at advanced stages. Let us be aware, strong and brave – life is beautiful, and cancer can’t change it.

If you have any queries, email us at [email protected]

References

  1. Available at https://www.who.int/news-room/fact-sheets/detail/cancer . As accessed on Feb 03, 2020.
  2. What is cancer. Available at https://www.cancer.gov/about-cancer/understanding/what-is-cancer . As accessed on Feb 03, 2020.
  3. Bray F, Ferlay J, Soerjomataram I, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: a cancer journal for clinicians 2018;68:394-424.
  4. WHO: latest global cancer data. Available at https://www.who.int/cancer/PRGlobocanFinal.pdf . Last accessed on Feb 03, 2020.
  5. Early screening of cancer. Available at https://www.who.int/cancer/detection/en/ . Last accessed on Feb 03, 2020.
  6. Cancer treatment. Available at https://www.cancer.gov/about-cancer/treatment . Last accessed on Feb 03, 2020.
  7. Charmsaz S, Prencipe M, Kiely M, Pidgeon GP, Collins DM. Innovative Technologies Changing Cancer Treatment. Cancers (Basel). 2018;10(6):208.
  8. Cano A, Espina M, García ML. Recent advances on anti-tumor agents-loaded polymeric and lipid based nano-carriers for the treatment of brain cancer. Curr Pharm Des. 2020 Jan 16.
  9. Abreu TR, Fonseca NA, Gonçalves N, Moreira JN. Current challenges and emerging opportunities of CAR-T cell therapies J Control Release. 2019 Dec 30;319:246-261.
  10. Rizzo S, Botta F, Raimondi S, et al. Radiomics: the facts and the challenges of image analysis. Eur Radiol Exp. 2018;2(1):36.
  11. Cancer treatment vaccines. Available at https://www.cancer.gov/about-cancer/treatment/types/immunotherapy/cancer-treatment-vaccine . Last accessed on Feb 03, 2020.

Blood Donation: Significance

The gift of blood is the gift of life. There is no other substitute for human blood. According to statistics, every two seconds someone is in dire need for blood. And only one pint of blood can save up to three lives. Data collected over a span of many years suggests that the blood type most often requested by hospitals is Type O.

Sickle cell patients are required to have frequent blood transfusions throughout their lives. And for cancer patients (with an estimate of more than 1 million new patients every year), many of them require blood, sometimes on a regular basis, during their chemotherapy treatment.

FYI: A single car accident victim can require up to 100 units of blood to survive.

Things to know about the blood donation process:

  • Blood donation is safe! Hospitals/doctors/nurses make sure that a sterile needle is used only once for each individual donor and then discarded/destroyed.
  • The process is simple. Mainly consisting of four steps:
  1. Registration
  2. Physical & Medical history
  3. Donation
  4. Refreshments
  • A mini-physical is done for every donor, checking his/her temperature, blood pressure, pulse and hemoglobin count. Basically, to ensure that the donor is fit for donating, and if whether it is safe.
  • The real process takes around 10-12 minutes. It is crucial for you to stay calm if it is your first time donating.
  • The average human adult has approximately 10 units of blood in their body. At the time of donation, roughly one unit is given (don’t worry you still have enough).
  • Red blood cells can be donated every 56 days (by a healthy person).
  • Platelets can be donated every 7 days apart (a maximum of 24 times a year).
  • All blood donations are tested for HIV/AIDS, hepatitis B & C, syphilis and other diseases, before it is transfused.

General FYI:

  • Type O- red cells can be transfused to patients of all blood types.
  • Type AB+ plasma can be transfused to patients of all other blood types.

Top Ten Reasons Why You Should Donate Blood (there is no denying these):

  1. First of all, it saves lives! What else is there to know?
  2. It is one of your civic duties as a responsible citizen.
  3. Not everyone can donate blood, it’s a blessing to have the ability to save people.
  4. If one day you need blood, you won’t hesitate to take it, so why hesitate to give it?
  5. It gives the donors a free medical checkup.
  6. It helps maintain an adequate blood supply in the community for secure blood transfusions.
  7. The feeling of satisfaction of helping others is unreal.
  8. Even though the cure for cancer is not discovered, yet! But donating blood helps keep someone alive while they wait for the cure.
  9. The real question is, why not give blood?
  10. Excuses are always vague, there is no logical reason as to why a healthy person should not donate blood.

Advantages of donating blood:

Donating blood is not only beneficial for the person receiving it, but it is also highly beneficial for the donor’s health.

  • Lowers iron levels: The body needs iron to produce red blood cells. But too much iron in the blood can be harmful. Too much iron in one’s blood can lead to it being deposited in different organs of the body, such as the heart and the liver, and this could lead to a malfunction in the way those organs function. Donating blood can help control the level of iron in your system.
  • Checks your system: Each and every person who donates blood undergoes a simple physical examination and a blood test before they can move on to donating their blood. Through these tests, hospitals can assess a person’s internal fitness and health. It is highly possible that a person could identify unknown health issues as a part of the blood donation process. The donor is tested for HIV/AIDS, hepatitis B & C, and/or any other blood-borne diseases.
  • Burns calories: According to the University of California, San Diego, donating blood has been proven to burn around 650 calories per donation. Its like getting ripped without going to gym. But on a more serious note, donating blood cannot be considered as an alternative to exercise. Also, after donating blood try to hold off on going to the gym the very same day, take some rest.

Disadvantages of donating blood:

  • Dizziness
  • Feeling faint
  • Lightheadedness
  • Nausea

Note: These symptoms usually subside within 3 days of donating blood.

Turacoz Healthcare Solutions aims to spread awareness about the benefits and advantages of donating blood. We urge the people to take part in this noble act of saving lives. We wish that people would actively contribute in this ‘gift of life’ and are working hard towards achieving a healthier future for the masses.

If you wish to contact us, click here.

How to Prevent HIV/AIDS?

The world’s leading public health challenge is the HIV virus that leads to AIDS. In 2018, around 37.9 million people were infected with HIV/AIDS and approximately 1.7 million more joined the club worldwide. Only 79% of the affected numbers were aware of their HIV status and the remaining 21% did not even have access to HIV testing services. The death rate associated with AIDS has reduced from 1.7 million in 2004 to 770,000 in 2018 [1,2,3].

A brief summary on the HIV epidemic is presented in the Figure 1 [2]

Figure 1: Global HIV Epidemic [2]

Despite the advances in our healthcare sector and availability of a wide range of effective prevention tools, a large number of individuals with HIV or at risk of HIV do not have access to the prevention, care, and treatment [1]. A study reported that majority of the current HIV transmission is done via people who inject drugs, occurring in the majority of low and middle-income countries [4].

The advances in science have provided many tools to prevent HIV these days. However, to protect oneself from a disease one should be aware about the cause of the disease, with an understanding of how the virus spreads. HIV virus can be passed in the following ways [5]:

  • Having sexual intercourse with an HIV infected person
  • By sharing contaminated needles such as through blood transfusion or drug use
  • From an HIV infected mother to the foetus during pregnancy, or through breast feeding

Anyone and everyone is vulnerable to the HIV virus, but preventive measures can help one to reduce the risk of getting infected. Key approaches for the prevention of HIV are listed below:

HIV Prevention Medication [6,7]

Pre-exposure prophylaxis (prEP) and post-exposure prophylaxis (PEP) can greatly reduce the risk of contracting the HIV infection. According to the federal guidelines, prEP is considered for HIV-negative or people at a very high risk of HIV. It consists of daily medication and regular visits to a healthcare professional. This includes:

  1. Anyone who is in sexual contact with a HIV positive person
  2. A man who has sex with both women and men
  3. A heterosexual man or woman who have had sexual intercourse with partners of unknown HIV status.

PEP can prevent you from becoming infected with the virus once you are exposed to it. For this medication to work, it must be started within 72 hours after a possible exposure. It should be taken once or twice daily for 28 days. Use of condoms and safe injection practices is recommended during the medication.

An HIV-negative person has the following ways to protect himself/herself from getting infected:

Figure 2: Steps of Prevention for HIV-negative person

Treatment as Prevention [7]

This refers to the use of HIV medication to prevent transmission of the infection to others. An HIV infected person taking the medications as prescribed and has regular follow-ups to keep an undetectable viral load are at no risk of transmitting HIV to their HIV-negative partners. Antiretroviral therapy (ART) to suppress the virus should be taken regularly as it prevents the virus from growing in our body that keeps us healthy and prevents illness. Women infected with the virus are recommended to take the treatment to minimize the risk of transmission to the foetus during pregnancy or delivery. After conception, the new-born receives HIV medications for 4 to 6 weeks. Figure 2 shows the actions to be taken to prevent HIV from passing to others.

Figure 3: Steps for Prevention for HIV-positive person

The United Nations organized the Joint United Nations Programme on HIV/AIDS (UNAIDS) with an ambitious target to treat HIV with a 90-90-90 goal. By 2020, 90% of the people living with HIV will be aware of their HIV Status. 90% of the people diagnosed with HIV will receive a proper antiretroviral therapy (ART). 90% of people on ART will have viral suppression [1,7].

Turacoz Healthcare Solutions aims to spread awareness about HIV/AIDS. We urge the people to be aware about the condition. Following the preventive measures and seeking counseling is the best way to avoid this condition. However, for the HIV infected individuals it is best to continue with the ART and maintain a healthy diet. Nevertheless, with love and support from family and friends they can lead a happy and long life.

If you wish to contact us, click here.

References

  1. Retrieved from: https://www.hiv.gov/hiv-basics/overview/data-and-trends/global-statistics [Accessed on 26th December 2019]
  2. Retrieved from: https://www.who.int/hiv/data/en/ [Accessed on 26th December 2019]
  3. Retrieved from: https://www.unaids.org/en [Accessed on 26th December 2019]
  4. Mathers BM, Degenhardt L, Phillips B, Wiessing L, Hickman M, Strathdee SA, Wodak A, Panda S, Tyndall M, Toufik A, Mattick RP. Global epidemiology of injecting drug use and HIV among people who inject drugs: a systematic review. The Lancet. 2008 Nov 15;372(9651):1733-45
  5. Retrieved from: https://stanfordhealthcare.org/medical-conditions/sexual-and-reproductive-health/hiv-aids/treatments/prevention.html [Accessed on 26th December 2019]
  6. Retrieved from: https://www.cdc.gov/hiv/basics/prevention.html [Accessed on 27th December 2019]
  7. Retrieved from: https://www.hiv.gov/hiv-basics/hiv-prevention/reducing-sexual-risk/preventing-sexual-transmission-of-hiv [Accessed on 27th December 2019]
  8. Retrieved from: https://www.unaids.org/en/resources/909090 [Accessed on 26th December 2019]
  9. Retrieved from: https://www.hiv.gov/hiv-basics/hiv-prevention/using-hiv-medication-to-reduce-risk/hiv-treatment-as-prevention [Accessed on 27th December 2019]

HIV Awareness

The human immunodeficiency virus (HIV) invades the immune system and damages the host’s defense system and causes it to weaken against all kinds of minor and significant infections and cancers. Thus, gradually leading to immunodeficiency, which in turn makes the body susceptible to opportunistic infections. CD4 cell count typically measures immune function. As stated by global statistics about 37.9 million people were HIV infected in 2018, with a prevalence of 0.8% in adults.

The advancement to a stage of acquired immunodeficiency syndrome (AIDS), takes 2 to 15 years to occur if not treated, depending on the individual.

Signs and symptoms

The symptoms of HIV depend on the stage of infection. It’s noteworthy that people with HIV infection are highly contagious during the initial period. However, most individuals aren’t aware of this until the later stages. People may experience no symptoms or influenza-like illnesses, including headache, rash, fever, and sore throat. The progressing illness leads to advanced symptoms and signs, like diarrhea, fever, cough, without treatment; tuberculosis (TB), cryptococcal meningitis, severe bacterial infections, swollen lymph nodes, weight loss, and cancers such as lymphomas and Kaposi’s sarcoma.

Transmission

Transmission of this dreadful disease occurs through the exchange of a variety of bodily fluids such as blood, breast milk, semen, and vaginal secretions from infected people, and from a mother to her child during pregnancy and delivery. Individuals cannot become infected through regular day-to-day contacts such as kissing, hugging, shaking hands, or sharing personal objects, food, or water.

Risk factors

Behaviors and conditions that put individuals at higher risk of contracting HIV include:

  • Unprotected anal or vaginal sex
  • Drug abuse
  • Sexually transmitted infections (STI) like syphilis, gonorrhea, bacterial vaginosis, herpes, and chlamydia
  • Use of contaminated needles, syringes, and other injecting equipment and drug solutions when injecting drugs
  • Unsafe blood transfusions, injections, using contaminated and unsterilized needles, and tissue transplantation
  • Experiencing accidental needle stick injuries, including among health workers

Diagnosis

HIV diagnosis is made through rapid diagnostic tests that provide same-day results. These tests dramatically facilitate early diagnosis and treatment. There are self-diagnostic tests available to help test for HIV infection; however, a confirmatory test is always required, conducted by a qualified and validated health worker at a community center or clinic. The WHO pre-qualified tests are the most accurate for diagnosing HIV infection. These tests detect the antibodies produced from the infected individual. People develop antibodies within 28 days of infection. This period is called window period, during which a person does not experience any symptoms; however, he/she might transmit the disease to others.

All the HIV positive patients should be retested before enrolling for the prescribed treatment, to rule out any testing or reporting error.

While testing for babies born to HIV-positive mothers, the virology test is the test of choice and should be performed at birth or 6 weeks of age. New technologies are being available to help perform these tests more accurately along with delivering the results on same day.

HIV testing services

HIV testing should be voluntary and the right to decline testing should be recognized. Mandatory or coerced testing by a health care provider or authority, or by a partner or family member is not acceptable as it undermines good public health practice and infringes on human rights.

All HIV testing services must follow the WHO-recommended principles known as the “5 Cs”:

  • Informed consent
  • Confidentiality
  • Counseling
  • Correct test results

Connection (linkage to care, treatment and other services)

Prevention

Individuals can reduce the risk of HIV infection by limiting exposure to risk factors. Key approaches for HIV prevention, which are often used in combination, are listed below.

  • Male and female condom use
  • Testing and counseling for HIV and STIs
  • Testing for HIV and other STIs
  • Testing and counseling, linkages to tuberculosis (TB) care
  • Voluntary medical male circumcision (VMMC)

Prevention benefits of ART

WHO based on the results of a study conducted in 2011 recommended that all the HIV infected individuals should receive ART to prevent the transmission of this deadly condition. Also, a study conducted in 2019 reported negligible transmission risk of HIV in individuals on ART.

Pre-exposure prophylaxis (PrEP) for HIV-negative partner

Pre-exposure prophylaxis is recommended for all the individuals who are at a greater risk of HIV infection such as, trans-genders, hetero and homosexual couples, drug abusers, pregnant and lactating women.

Post-exposure prophylaxis for HIV (PEP)

Post-exposure prophylaxis should be used within seventy-two hours of being exposed to HIV. This includes testing, counseling, treatment with anti-retroviral for 28 days.

Harm reduction for people who inject and use drugs

Individuals who use the injections can follow the below-mentioned interventions as prevention:

  • needle and syringe programs
  • opioid substitution therapy for people dependent on opioids, and other evidence-based drug dependence treatment
  • risk-reduction information and education, and provision of naloxone to prevent opioid overdose

Elimination of mother-to-child transmission of HIV

HIV infection can be transmitted to the child or the unborn fetus through the mother during pregnancy or breastfeeding. This is called a vertical mother to child transmission (MTCT). However, this can be prevented with the treatment using antiretroviral therapy during pregnancy and breastfeeding.

Treatment

Treatment comprises of combination therapy with three or more anti-retroviral drugs. This therapy helps suppress the condition and does not completely cure it. Hence WHO recommends all the individuals suffering from HIV to take lifelong medication to lead a normal life.

The clinical research and health care system is continuously working to develop ARTs with better efficacy, tolerability. Use of dolutegravir-based or low-dose efavirenz for first-line therapy, and raltegravir and darunavir/ritonavir for second line as recommended by WHO.

Making the access to the treatment and prevention is the core goal for the upcoming year. And this aims to bring the world back on track to end the AIDS epidemic by 2030.

WHO response

The 69th World Health Assembly recommended a new “Global health sector strategy on HIV for 2016–2021”. The strategy comprises of five strategic directions that guide the countries and WHO to take necessary actions over six years.

The strategic directions are:

  • Information for concentrated action for the region/country
  • Interventions designed to have an impact on the variety of services needed
  • Delivering services equally to cover the population in need
  • Financing for the sustainability of the services in terms of cost
  • Innovation in acceleration towards future

WHO is a co-sponsor of the Joint United Nations Programme on AIDS (UNAIDS). Where it directs the activities on HIV treatment and care and the coinfection. It also jointly organizes with UNICEF, the work on elimination of MTCT of HIV.

Prevention is always better than cure! Follow these tips to notice a change in your lifestyle.

Turacoz Healthcare Solutions aims to spread awareness about HIV/AIDS. We urge the people to be aware about the condition. Following the preventive measures and seeking counseling is the best way to avoid this condition. However, for the HIV infected individuals it is best to continue with the ART and maintain a healthy diet. Nevertheless, with love and support from family and friends they can lead a happy and long life.

If you wish to contact us, click here.

 

World Diabetes Day | 2019 Awareness

The campaign “World Diabetes Day (WDD)” was launched in 1991 jointly by International Diabetes Federation (IDF) and the World Health Organization (WHO) to address the growing concerns about the rising health issues posed by diabetes. It was officially recognized by United Nations in 2006 and is marked every year on November 14th, to commemorate the birth anniversary of Sir Frederick Banting, who along with Charles Best co‑discovered insulin in 1922 (1).

The condition

Diabetes is a metabolic disorder characterized by hyperglycemia which results from defects in insulin, secretion, insulin action, or both. A long‑term uncontrolled hyperglycemia can cause damage, dysfunction, and failure of the eyes, kidneys, nerves, heart, and blood vessels (2).

Classification:

Diabetes can broadly be classified into two main categories:

  • Type 1: In this case, body’s own immune system attacks and destroys the cells in pancreas that produce insulin. Although it can occur at any age, but it is prevalent more among children and young adults who require daily dose of insulin to stay alive.
  • Type 2: This situation arises when body does not make or use insulin efficiently. it is the most common type and can occur at any age, but middle‑aged and older people suffer from this condition mostly.

Other forms of diabetes include: Gestational diabetes, monogenetic diabetes, and cystic fibrosis related diabetes (3).

Symptoms

Symptoms associated with diabetes in general includes:

  • Increased thirst and urination
  • Increased appetite
  • Fatigue
  • Blurred vision
  • Numbness or tingling in the feet or hands
  • Sores that do not heal

Unexplained weight loss (4).

Causes

  • Type 1 diabetes is a result of auto immune destruction of beta cells of the pancreas. It may also occur due to certain genetic and environmental factors, such as viruses.
  • Several factors are involved in causing type 2 diabetes such as obesity, physical inactivity, insulin resistance, genes, and a history of diabetes in the family.
  • It is believed that gestational diabetes can be caused by hormonal changes during pregnancy along with genetic and lifestyle factors (4).

Prevalence and some statistics

  • People with diabetes have risen sharply from 108 million in 1980 to 422 million in 2014. Prevalence of diabetes among adults over 18 years of age has almost doubled from 4.7% to 8.5% within the same time period.
  • Prevalence of diabetes has become a serious health concern specially in middle‑and‑low‑income countries.
  • As of 2016, approximately 1.6 million deaths were attributed to diabetes only and in 2012, around 2.2 million deaths were reported globally due to high blood glucose.
  • As per an estimate by WHO, diabetes was the 7th leading cause of death in the year 2016 (5).

The campaign and the aim

At present WDD is the largest diabetes campaign having presence in more than 160 countries and a reach to more than 1 billion people. It is represented by a blue circle logo adopted by the UN resolution on diabetes on 2007. The color blue signifies the unity among global diabetes community against the epidemic (6).

WDD serves as:

  • Platform for promoting IDF advocacy efforts throughout the year.
  • Global driver to promote the importance of taking coordinated and concerted actions to confront diabetes as a critical global healthcare (1).

What’s in store for 2019?

WDD will be observed November 14th on Thursday this year which is just around the corner. On this day, millions of people around the globe organize events and activities raising awareness about diabetes (6). The campaign projects a dedicated theme every year which runs for one or more year. For the year 2019, the theme is ‘Family and Diabetes’ with an intent to raise awareness about the effect that diabetes has on the family and support network of those who are suffering as well as promoting the role of family in the management, care, prevention, and education (1).

Diabetes affecting family members

Diabetes can be considered as a family disease since the other members of the family somehow get affected if someone, specially a child is diagnosed with it. It is for this reason that it can be regarded as a form of chronic illness like any other chronic illnesses (7).

In a survey named DAWN2 involving 2000 family members of those affected by diabetes reported that 1/3rd of those experienced a notable burden and negative impact of diabetes, including effects on their emotional wellbeing, financial situation, leisure activities, and physical health (8).

Some of the risks, that family members of those affected by diabetes, experience, can be categorized as (9):

  • Biological risk: it has been shown that there exists a correlation (0.34 and 0.38) on BMI ranges of those suffering from diabetes and their partners. Partners of those with diabetes have been found to have higher BMI than their counterparts with non‑diabetic partner.
  • Health behavioral risk: a study involving multiethnic sample of > 500 patients suffering from type 2 diabetes and their partners showed that significant correlation exists between factors such as; consumption of fat, consumption of carbohydrates, total physical activity, and indulging in smoking and alcohol.
  • Affective/emotional risk: it is reported that female partners of diabetic patients have higher mean level of depressive effect. For male partner, the mean level of depressive effect was comparatively lower but still higher than that of the control subjects.

Role of family members in diabetes management

A family can play a crucial role in managing diabetes of the affected member. Having them involved in the self‑care interventions may help in achieving positive outcomes for the diabetics (10).

Families are required to share responsibilities and reconsider role of family as a result of diabetes. Reports have suggested that low level of conflicts, unity, and efficient organization patterns are linked with better treatment adherence (11).

The Family Approach to Diabetes Management (FADM) is a novel model that focusses on determining and exploring different ways of intra family communication having either positive or negative impact on clinical outcomes while keeping patient and family self‑management at forefront. It has been shown that engagement of entire family is easy to adjust as well as cost‑effective into standard diabetes care in addition to offering positive clinical outcome pertaining to general quality of life and A1C results (12).

Studies have shown that family members while participating in health interventions for diabetes care improves their own knowledge about the disease and inculcate skills necessary to support their loved ones. Family’s participation benefits their own health behaviors and health outcomes (10).

Turacoz Healthcare Solution is committed to raise awareness about diabetes management, prevention and educating people so as to make them help their near and dear ones suffering from this chronic lifestyle disorder to maintain and live a healthy life. Family’s engagement in diabetes care can significantly improve the outcomes and also make other family members learn about the management of diabetes.

If you have any queries, email us at [email protected]

 

References 

  1. About World Diabetes Day. International Diabetes Federation. Available at: https://worlddiabetesday.org/about/
  2. Diagnosis and classification of diabetes mellitus. American Diabetes Association; 2013: 36(S1). 67‑74. Available at:https://care.diabetesjournals.org/content/36/Supplement_1/S67
  3. What is diabetes? National Institute of Diabetes and Digestive and Kidney Disease. Available at: https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes
  4. Symptoms and causes of diabetes. National Institute of Diabetes and Digestive and Kidney Disease. Available at:https://www.niddk.nih.gov/health-information/diabetes/overview/symptoms-causes
  5. World Health Organization. Available at: https://www.who.int/news-room/fact-sheets/detail/diabetes
  6. Getting Ready for World Diabetes Day 2019. Diabetes self‑management. Available at: https://www.diabetesselfmanagement.com/blog/getting-ready-world-diabetes-day-2019/
  7. The family approach to diabetes management: Theory into practice toward the development of a new paradigm. Diabetes Spectrum. 2004; 17(1): 31‑36. Available at: https://spectrum.diabetesjournals.org/content/17/1/31
  8. Family matters in diabetes. The Lancet Diabetes and Endocrinology. 2018; 12(6): 911. Available at: https://www.thelancet.com/journals/landia/article/PIIS2213-8587(18)30317-6/fulltext
  9. Fisher L. Family relationships and diabetes care during the adult years. Diabetes Spectrum. 2006; 19(2): 71‑74. Available at: https://spectrum.diabetesjournals.org/content/19/2/71
  10. Baig AA, Benitez A, Quinn MT et al. Family interventions to improve diabetes outcomes for adults. 2015; 1353(1): 89‑112. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4624026/
  11. Ahmed Z, Yeasmeen F. Active family participation in diabetes self‑care. A commentary. Diabetes Management. 2016; 6(5): 104‑107. Available at: https://www.openaccessjournals.com/articles/active-family-participation-in-diabetes-selfcare-a-commentary.pdf
  12. Solowiejczyk J. The family approach to diabetes management: Theory into practice toward the development of a new paradigm. Diabetes Spectrum. 2004; 17(1): 31‑36. Available at:  https://spectrum.diabetesjournals.org/content/17/1/31

Diabetes Prevention Tips

According to statistics by the WHO, “The number of people with diabetes has risen from 108 million in 1980 to 422 million in 2014.” Also, “In 2016, an estimated 1.6 million deaths were directly caused by diabetes. Another 2.2 million deaths were attributable to high blood glucose in 2012.”
It is astounding how many people are affected by this chronic disease. Diabetes occurs when the pancreas does not produce enough amounts of insulin for the body or when the body cannot effectively make use of the insulin it produces. Insulin is essential to the body as it is responsible for regulating blood sugar. Unbalanced (high) blood sugar levels are what causes diabetes.
Diabetes is categorized into the following four types:

Figure 1: Types of diabetes

Insulin is the hormone which is highly essential for maintaining proper blood sugar levels, for the adequate functioning of the entire body. If, for some reason the body produces unbalanced levels of this hormone, over time, high blood glucose can lead to the following problems:

Figure 2: Problems due to high blood glucose levels

 

Diabetes imposes many restrictions on life and one can take several steps to prevent developing it. Here are some of the suggested diabetes preventions tips:

Exercise daily:

The most common advice anyone can give to stay mentally and physically fit is to workout daily. The applications of exercising daily are endless and when it comes to preventing diabetes, it is highly beneficial. Exercising regularly increases the insulin sensitivity of your cells. This basically means that less insulin is used up to keep your blood sugar levels under control.

A study published on NCBI found that people with prediabetes who trained under moderate-intensity experienced an increase in insulin sensitivity by 51%. And people who adopted high-intensity exercises measured an increase of 85%.

Even though the results vary, it’s totally up to you to choose what style of training program you wish to follow. Straining your body will do you no good, but also taking it casually will never be beneficial.

Quit Smoking:

Smoking has been associated with many major diseases and conditions. It has been proven to be the major cause of many health conditions, which includes heart diseases and cancer to various organs, such as the lungs, mouth, breast, digestive tract and prostate. Tobacco usage has no proven benefits and even second-hand exposure to tobacco smoke can be very harmful.

A research paper published in 2012 on the NCBI website states that smoking and second-hand smoke exposure is linked to type 2 diabetes.

An analysis of over one million people, showed that smoking was found to increase the risk of diabetes by 44% in average smokers.

Once you quit smoking, the effects on the body it had seem visible as they subside. Smoking is closely linked to the risk of diabetes, and quitting has been shown to reduce this risk.

Avoid processed foods:

Fitness cannot be achieved if you aren’t doing justice with your diet. Any experienced athlete or bodybuilder will always say one thing, 70% diet and 30% gym is what results in a fine toned body. Processed or “junk” food damages your body from both the inside and outside. It is linked to various heart diseases, obesity and to diabetes.

These food products are high in vegetable oils, refined grains and preservatives, which when consumed over a long period of time, increase the risk of developing diabetes. Cutting back on these unhealth packaged foods can prove to be very helpful.

To be healthier, from both the inside and outside, it is recommended to adopt a diet consisting of minimum amounts of carbs and a diet high in fiber. Also portion control is one thing that people should be conscious about. Believe it or not, eating an unhealthy amount of healthy food can also lead to many unwanted problems.

Visit your doctor from time to time:

Get yourself checked annually. One of the best ways to stay on top of any disease or ailment is to be aware of it before the symptoms start to set in. At your annual physical, make sure to get a blood pressure check, an eye exam, and screenings for other complications such as kidney damage, nerve damage, and heart disease. To make sure you aren’t developing diabetes, blood-glucose levels also need to be measured.

Prevention is always better than cure! Follow these tips to notice a change in your lifestyle.

Turacoz Healthcare Solutions aims to spread awareness about diabetes. We urge the people to exercise regularly and stay fit. Adopting a balanced diet and limiting the intake of sweet substances is highly beneficial and helps in cutting down the risk of developing diabetes. Smoking is one habit that should be dropped. Quitting the use of tobacco products not only helps with reducing the risk of diabetes but also other bodily diseases such as cancer and heart diseases.

If you wish to contact us, click here.

Medical Writing for Disease Management Platforms

Disease management programs (DMPs) are defined as “structured treatment plans that aim to help people manage their chronic disease in a better way and to maintain as well as improve quality of life”. The main components of disease management programs are mentioned in Figure 1.

Figure 1: Components of Disease Management Software

By application, the care management solution is classified into chronic care management, disease management and utilization management.

Disease Management Software’s

According to Markets and Markets™ report, the disease management software market is expected to reach USD 37.94 billion by 2027 from USD 14.12 billion in 2019. This may be attributed to the rising geriatric population and burden of chronic diseases.

The disease management software is used to manage, monitor, and process patient data by connecting to electronic health record (EHR) and other healthcare data sources. It aims to reduce healthcare costs and promote government initiatives to assist patient-centric care. The high growth in this segment can be attributed to the ability of these solutions to reduce the cost of care with the help of protocol management and prevent episodes of ill health through comprehensive health management.

To be included in Disease Management Software category, a product must have the following characteristics as mentioned in Figure 2.

Figure 2: Characteristics of Disease Management Software

Some of the examples of disease management software are mentioned in Figure 3.

Figure 3: Examples of Disease Management Software

Mobile Health Apps for Disease Management

Due to widespread use of smart phones and tablet computers, disease management via mobile health apps is easy and is expanding rapidly. Around 3.7 billion apps were downloaded in 2017 and is expected to grow by 16% within the next year. Many apps are available in play store and iTunes for clinical disease management and patient self-management of conditions including asthma, diabetes, heart disease, cancer, and even autism and insomnia. These apps help both doctors and patients as money can be saved by patients and doctors can save on labour force. Some of the apps for chronic disease management are mentioned in Figure 4.

Figure 4: Examples of Disease Management Applications

Poor Usage of Disease Management Software’s and Mobile Apps

One of the reasons why the healthcare apps or software’s fail is because of the lack of understanding about the healthcare apps. Most of the health care apps get uninstalled either due to the highly scientific content which is difficult for the laymen to understand. Apps with very basic scientific content also fail to impress the audience. Therefore, it essential to involve a medical writer who has a scientific background and knows the subject comprehensively. The content for such software’s or apps must be developed based on patient’s requirement, target audience and should be specific to a region.

Role of Medical writing in Developing Health Related Software’s and Mobile Apps

According to Grand View Research, global medical writing industry is expected to reach USD 3.75 billion by 2026. Medical writers are involved in analysis and reporting of retrospective and prospective clinical trials, research methods (descriptive and predictive), health economics, and evaluation of disease management initiatives. Medical writers also play a key role in developing applications for mobile devices that are used in multiple ways, such as:

  • Disease management
  • Continuing education and training
  • Medical reference and information-gathering
  • Practice management and monitoring

The medical writer creates informational or instructional materials for use in health or medical context. These materials allow different audiences to understand health and medical situations or practices, perform certain health or medical-related activities, or use a health/ medical product/ mobile health apps or device. Medical writers must have the following skills to develop medical content:

  • They must possess medical and therapeutic knowledge, and must have understanding about the recent regulations and technical guidelines
  • They must have mastery in language and grammar, proof reading and editing skills, ethical and legal issues related to writing
  • They must have creative writing skills to articulate the scientific information in clear and approachable language
  • As scientific writers are involved in creating content for mobile medical apps and other disease management software’s, it is essential for them to possess instructional designing skills

Writer Groups Initiative in Developing Disease Management Programs

The heterogeneity of disease management programs has made it difficult to compare and evaluate different programs. The American Heart Association’s Disease Management Taxonomy Writing Group developed a taxonomy or system of classification to classify and compare different disease management programs and to inform efforts to identify specific factors associated with effectiveness.

The writers did a MEDLINE (Medical Literature Analysis and Retrieval System Online) search on the terms heart failure, diabetes, and depression, together with disease management, case management, and care management. English articles published between the time period 1987 and 2005 were considered for the program. The following studies were considered:

  • Interventions designed to improve outcomes and/or reduce medical resource utilization in patients with,
  1. Heart failure
  2. Diabetes
  3. Depression
  • Clearly defined protocols with at least two prespecified components traditionally associated with disease management

A taxonomy was developed by the writer’s group with eight domains. A graphic representation of the taxonomic structure and subdomains are found in the Figure 5.

Figure 5: Taxonomic Structure and Subdomains

Turacoz Healthcare Solutions understands its professional responsibility and takes an initiative to make authors and medical writers aware about their role in developing disease management programs. Turacoz is a medical communication company that provides scientific/medical writing support to the industry and academicians.

To contact us, click here.

 

 

 

Decoding breast cancer, its known facts and myths!

Breast cancer is a growing concern as it is reported to be the most common cancer in women worldwide. About 1.7 million new cases and 5,22,000 deaths from breast cancer occur every year. The number of deaths due to breast cancer (3,24,000) are high, in low and middle-income countries.

Risk Factors of Breast Cancer

Risk factors of breast cancer can be divided in to 2 categories; non-modifiable and modifiable factors.

Non-modifiable factors

  • Older age: Women over 50 years are likely to suffer from breast cancer
  • Genetic mutations: Women who have inherited mutated genes such as BRCA1 and BRCA2 are at a higher risk of developing breast cancer
  • Family history: If a woman has a first degree relative (mother, sister, or daughter) or multiple family members on either her mother’s or father’s side of the family suffering from the disease, she has higher chance of developing the disease. Also, a woman’s risk of developing breast cancer is high if she has a first-degree male relative with breast cancer, though this happens rarely in males
  • Exposure to radiation therapy: The chance of developing breast cancer is higher among those women who have undergone previous treatment using radiation therapy to chest or breast before the age of 30
  • Race: White women are slightly more likely to develop breast cancer than African American women
  • Reproductive history: Women who have early menstrual periods before age 12 and starting menopause after age 55 are more likely to develop breast cancer due to long exposure to hormones
  • Health/Personal history: Women who have been diagnosed with breast cancer in one breast, have increased risk of being diagnosed with breast cancer in the other breast in the future
  • Other factors: Women who took diethylstilbestrol during 1940s through the 1960s, have slightly increased chance of developing breast cancer

Modifiable factors

  • Being overweight and Obese: Overweight and obese women are likely to suffer from breast cancer
  • Alcoholism and smoking: Frequent alcohol consumption and smoking are found to increase the risk of developing breast cancer in women
  • Physical inactivity: Lack of physical activity and sedentary lifestyle is linked to increased risk of breast cancer
  • Poor diet: Diet with high saturated fatty acids and lack of fruits, and vegetables increase the risk of breast cancer
  • Hormonal replacement therapies: These are usually taken during menopause and can raise the risk of breast cancer specifically if taken for more than 5 years
  • Oral contraceptives: Some of oral contraceptives increase the chance of developing breast cancer

Warning Signs and Symptoms of Breast Cancer

It is always best to reach out to your healthcare practitioner, if you are experiencing any signs or symptoms. During the early stages of cancer, the person may suffer from any one or two of the symptoms.

 

Figure 1: Warning Signs of Breast Cancer

Myth and Truth                                                                                                   

  • Dairy products or drinking milk causes breast cancer: The truth is till now no studies have reported any link between dairy products or drinking milk and increased risk of breast cancer
  • Finding lump in your breast means you have breast cancer: It is not always true that finding lump in your breast means you have breast cancer. But it is always the best to consult a doctor if you find any changes
  • Breast cancer only affects women: Though rare, the truth is, it is estimated that each year approximately 2190 men suffer from breast cancer and 410 die. Thus, it is recommended for men also to check themselves and look for any changes and report the same to their doctor
  • Mammogram can cause breast cancer to spread: Many people fear breast cancer can spread due to breast compression while getting a mammogram. Also, the exposure to radiation is very little and its benefit outweighs the harm from radiation. It is recommended for women above 40 to get annual mammographic screening
  • If you have family history of breast cancer, you are also likely to get it: Studies report that, though at high risk, only 10% of breast cancer patients have family history of breast cancer. However, it is advised that if you have a first degree relative (mother, daughter, sister) with breast cancer below the age of 50, you should get diagnosis done 10 years prior to the age of your relative’s diagnosis. Your chance of getting breast cancer slightly increases if you have a second degree relative (grandmother, aunt) with the disease. However, if there are multiple generations diagnosed with breast cancer on the same side of the family, it means a cancer gene runs through your family and it is advised to get regular check-ups
  • Breast cancer is contagious: Breast cancer is the result of uncontrolled cell growth of mutated cells that begin to spread into other tissues within the breast. It is not contagious
  • If gene mutation BRCA1or BRCA2 is detected in your DNA, then you will get breast cancer: Not every cancer in such families is linked to a harmful mutation in one of these genes, not every woman who has a harmful BRCA1 or BRCA2 mutation will develop breast and/or ovarian cancer. However, if these genes are detected in a woman, she is 5 times more likely to develop breast cancer compared to the normal one. If such mutations are detected in you, it is recommended to take proactive measures like taking hormonal therapy called tamoxifen or a surgical prevention approach
  • Antiperspirants and deodorants can cause breast cancer: No link has been reported between the use of antiperspirants/deodorants and development of breast cancer till now

What can you do to Prevent Breast Cancer?

  • Limit your alcohol consumption: It is recommended to limit the drinks to less than one drink a day, as even small amount increases risk
  • Don’t smoke: In premenopausal women, link between smoking and cancer has been found. Thus, it is advised to avoid smoking
  • Control your weight: Overweight and obese women tend to develop cancer, particularly after menopause. Thus, it is advised to be physically active and take healthy diet to minimize the risk of breast cancer or prevent it. Further, it is recommended to cut down on saturated fat and consume more fibre in your diet
  • Breast feeding: Recent studies reported that breast feeding tends to have a protective effect from cancer
  • Limit the dose and duration of hormonal therapy: Taking hormone combinations for more than 3 to 5 years can increase the risk of getting breast cancer. It is advised to replace the hormonal therapy with non-hormonal therapy. In case if it cannot be avoided, ask for low dose, and continue to visit your doctor to get monitoring of the length of time you are taking hormones.
  • Link between breast cancer and cumulative exposure to radiation over your lifetime are reported. Thus, such tests must be taken only when necessary
  • Chances of breast cancer decrease if you bear a child before 30 years of age

Thus, all women need to be aware of breasts cancer signs and symptoms. Self-examination will help to identify any changes in the breasts and if found consult healthcare professional at the earliest to confirm the diagnosis and initiate timely treatment.

Turacoz Healthcare Solutions aims at raising awareness about breast cancer to help women in early detection of breast cancer, if present. An early detection increases your chances for better treatment and recovery.

Opioid Crisis: How big is the problem, and what are the solutions?

What are opioids?

Opioids (Figure 1) are a class of drugs naturally found in the opium poppy plant that acts on the nervous system to produce a variety of effects, including the relief in pain or pleasure.

Opioid Use Disorder: How big is the problem?

Figure 1: Opioids [2]

 

The clinical term opioid use disorder, also known as opioid abuse, is a multidimensional health issue with complicated causes and no appropriate solution [3]. Therefore, the world is in the midst of an unparalleled, self-inflicted opioid epidemic [1]. In 2016, approximately 275 million people globally used drugs at least once and 27 million people were estimated to be suffering from opioid abuse. In 2015, around 4,50,000 people died as a result of drug use, of which 160,000 were directly related to drug use disorders and about 118,000 with opioid abuse. Approximately, a third and a half of all drug-related deaths are contributed by drug overdose [4].

 

Drug abuse: What are the contributing factors?

Over-prescription: It is one of the significant factors of drug abuse that not only affects adults but also youngsters and children. People who depend on opioids are most likely to get addicted and experience an adverse event [5]. Opioids are responsible for high proportion of fatal drug overdoses around the world because of their ability to cause respiratory depression and death, which can be identified by a triad of signs and symptoms as depicted in Figure 2.

Figure 2: Signs and symptoms of drug overdoses

 

Non- genetic factors: Some non-genetic factors also play a role in opioid addiction such as psychiatric disorder, substance abuse, depression, child abuse, or neglect. Certain personality traits such as impulsivity and sensation-seeking also increase the risk of opioid addiction.

Opioid as pain relievers: Easy or unrestricted availability of opioid pain relievers (medications used for pain relief that falls under the category of opioids) is another reason for high opioid abuse. A survey demonstrated that 22% of the respondents had opioids from an active prescription at home and 21% had medications leftover from the previous prescription of which 66% deliberately kept the medications at home in case there is a requirement in the future. Another survey by Thiels et al. found that more than 60% of pills prescribed by healthcare professionals went unused [6]. Few contributing factors that led to the presence of opioids at home were high family income and high caregiver educations. However, some critics say that the prevalence of opioids in home was not affected by one’s relationship with the youth, race, household type or Medicaid insurance [7]. It is essential that a combination of health, social, economic and lifestyle factors interact with genetic factors to determine an individual risk [3].

 

Opioid abuse: How to resolve the problem?

Basic life support and antagonistic drugs: Fortunately, overdose of opioid can be prevented if the basic life support and naloxone (opioid antagonist) are administered on time. This approach is adopted by many countries and jurisdictions to reduce deaths resulting from an opioid overdose [4].

Appropriate prescription procedures: Emphasis should be made on the proper prescription procedures and expectations of the patient regarding postoperative pain management to bridge the gap of unused opioids. Several approaches are needed to ameliorate the opioid overdose and other problems caused by the opioid abuse if administered measurably (Figure 3) [8]:

Figure 3: Steps to prevent opioid crisis

 

All these measures are a necessity to abate the opioid crisis. However, only half of the countries provide access to the effective treatment of opioid dependence, and less than 10% of the people who need the treatment are receiving it [8].

Drug abuse: What does WHO recommend?

WHO recommendations to prevent opioid crisis [3] are given below:

  1. WHO supports countries to administer the treatment where it doesn’t exist and also helps in monitoring trends in drug use and related harm to have a better understanding of opioid dependence and overdose
  2. WHO supports countries to use the medications rationally, to make the appropriate use of the drug and minimize the misuse/ overuse
  3. WHO recommends to take measures to alleviate the risk of misuse by a careful patient selection and supervising the doses whenever necessary
  4. WHO recommends that naloxone should be made available in the rehabilitation centers to manage opioid overdose and the people who are probably to witness an opioid overdose
  5. WHO provides psychosocial support, promotes detoxification and opioid maintenance treatment (which involves administration of drugs such as methadone and buprenorphine)
  6. A stepped approach was highlighted to manage the pain in cancer patients namely- the WHO cancer pain ladder that recommends initial use of non-opioids, followed by weak opioids and then strong opioids

Although the appropriate use of opioids is a fundamental part of modern analgesia, but the drug abuse has led the problem spin out of control. While there are people suffering from chronic and acute pain, opiates shall remain an essential class of medication in healthcare facilities. Proper emphasis should be given to understand the reasons why people are using these drugs and offer fewer stigmatizing strategies to assist people who use opioids. A three-point approach emphasizing on the prevention, treatment, and rehabilitation of those already affected and who might be at risk in the future may be the holistic solution. Further investigation and success with the prevention approaches and some new strategies devoted to managing the crisis are required in order to respond effectively to such conditions in the future.

 

Turacoz Healthcare Solutions aims to provide information on the latest trends, updates, and advances in the field of clinical research, trials and regulatory affairs. Turacoz Healthcare offers end-to-end support for scientific communications, clinical trial documents and disclosures, regulatory documents writing and submissions, and medico-marketing writing along with e-modules & e-books on healthcare and research.

 

References

  1. Health resources and service administration: [https://www.hrsa.gov/opioids, Accessed on 16th sep, 2019]
  2. John Hopkins Medicine Retrieved from: [https://www.hopkinsmedicine.org/opioids/what-are-opioids.html, Accessed on 16th sep, 2019]
  3. US National Library of Medicine: [https://ghr.nlm.nih.gov/condition/opioid-addiction#resources, Accessed on 16th sep, 2019]
  4. World Health Organisation Retrieved from: [https://www.who.int/substance_abuse/information-sheet/en/, Accessed on 16th sep, 2019]
  5. Stoicea, N., Costa, A., Periel, L., Uribe, A., Weaver, T., & Bergese, S. D. (2019). Current perspectives on the opioid crisis in the US healthcare system: A comprehensive literature review. Medicine98(20).
  6. Ziegelmann, M. J., Habermann, E. B., & Gettman, M. T. (2019, May). In Reply—The Importance of Educational Interventions and Regional Analgesia in Tackling the Opioid Crisis in the United States. In Mayo Clinic Proceedings(Vol. 94, No. 5, pp. 921-922). Elsevier.
  7. Garbutt, J. M., Kulka, K., Dodd, S., Sterkel, R., & Plax, K. (2019). Opioids in Adolescents’ Homes: Prevalence, Caregiver Attitudes, and Risk Reduction Opportunities. Academic pediatrics19(1), 103-108.
  8. Saloner, B., McGinty, E. E., Beletsky, L., Bluthenthal, R., Beyrer, C., Botticelli, M., & Sherman, S. G. (2018). A public health strategy for the opioid crisis. Public Health Reports133(1_suppl), 24S-34S.

 

Health Benefits of Nutraceuticals

Economic development of the people has improved their lifestyle. But the challenge that has arisen with this lifestyle change is increasing the prevalence of ‘lifestyle diseases.’ Lifestyle diseases refers to diseases associated with bad lifestyle choices including food habits. The increased trend of eating junk food is known to be the reason for several diseases (obesity, cardiovascular diseases) and nutritional deficiencies. Due to high cost of treatment of these diseases in the modern science, people have started looking for alternative or complementary treatment options. Thus, nutraceuticals came into focus and are being opted as they fulfill nutritional requirements and have therapeutic benefits.

The word “nutraceutical” was coined from “nutrition” and “pharmaceutical” by Stephen De Felice, founder and chairman of the Foundation for Innovation in Medicine in 1989. It is defined as “a food or parts of food that provide medical or health benefits, including the prevention and treatment of disease”.  Nutraceuticals are the pharmaceutically blended products that have both nutritional as well as the medicinal value. This type of product is designed to improve the physical health, and fight against day-to-day challenges such as stress, increase longevity, etc. It is a food supplement that plays a vital role in maintaining a healthy body and provides necessary supplements required for various metabolic processes to regulate body functions and thus protects the body from disease.

According to a Mordor Intelligence Report, the global nutraceuticals market is predicted to reach $671.30 billion by 2024.

Classification of nutraceuticals:

Nutraceuticals can be organized in several ways, depending upon its application and easier understanding. Some classifications can be based on academic instruction, clinical trial design, functional food development or dietary recommendations.

  • Based on food availability, they are divided into traditional nutraceuticals, obtained from nature directly, without any changes in the natural form and non-traditional nutraceuticals, foods enriched with supplements or biotechnologically designed crops to boost the nutrients
  • Based on mechanism of action, they are further classified with respect to specific therapeutic properties such as anti-microbial, anti-inflammatory, and antioxidants
  • Based on chemical nature, these are segmented depending upon their primary and secondary metabolite sources such as isoprenoid derivatives, phenolic substances, fatty acids, carbohydrates, and amino acid-based substances.

Nutraceuticals and their health benefits

Nutraceuticals are known to have therapeutics effects and physiological benefits. They are known to provide protection against various diseases including cardiovascular, obesity, diabetes, cancer, chronic inflammatory disorders, and degenerative diseases. Some of the food sources used as nutraceuticals and their therapeutic effects are discussed below:

  • Dietary Fibre– Dietary fibres are not hydrolysed by enzymes secreted by the digestive tract but by microflora in the gut. The benefits of consuming dietary fibres include the retardation of emptying of the gastric juices in the stomach thereby affecting the rate of digestion and the uptake of nutrients, and it improves glucose tolerance and lowers the risk of coronary heart disease, stroke, hypertension, diabetes, obesity and certain gastrointestinal (GI) disorders. Also, an increase in the intake of high fibre food improves serum lipoprotein values, lowers blood pressure level, improves blood glucose control for diabetes, and aids weight loss.
  • Probiotics– Probiotics are non-pathogenic, non-toxic anti-bacterial substances. These are resistant to gastric acid and adhere to gut epithelial tissues. Consumption of probiotics decreases the risk of systemic conditions like allergy, asthma, cancer, several infections of the ear and urinary tract. It is also used to treat GI conditions such as lactose intolerance, acute diarrhoea and antibiotic-associated GI side effects.
  • Prebiotics– It improves lactose tolerance, has anti-tumor properties, is capable of neutralizing toxins, stimulates the intestinal immune system, and helps reduce constipation, blood lipids and maintains safe blood cholesterol levels.
  • Polyunsaturated fatty acids (PUFAs) – These are very essential for all bodily functions and hence known as “essential fatty acids”. It can be only taken through diet. Omega-3-fatty acids are one on the best examples of PUFAs. The three major effects against cardiovascular diseases are anti-arrhythmic, hypolipidemic and antithrombotic. Its benefits are numerous, such as, it can help improve the health of pre-mature infants and patients suffering from asthma, bipolar and depressive disorders, dysmenorrhea and even diabetes. Infant formulas of omega-3-fatty acids nowadays contain docosahexaenoic acid (DHA) along with arachidonic acid, which closely mimic the breast milk. The FDA recommends a maximum of 3g/day intake of eicosapentaenoic acid (EPA) and DHA omega-3 fatty acids, with no more than 2g/day as a dietary supplement.
  • Antioxidant vitamins– Vitamins like vitamin C, vitamin E, and carotenoids are collectively known as antioxidant vitamins. These vitamins are self-sufficient and have synergistic effects. They prevent oxidative reactions leading to several degenerative diseases including cancer, cardiovascular diseases, cataracts etc.
  • Polyphenols– It has antioxidant, anti-inflammatory, anti-microbial, cardioprotective activities and plays a role in the prevention of neurodegenerative diseases and diabetes mellitus. Also, dietary polyphenols are believed (from in vitro studies) to affect numerous cellular processes like gene expression, apoptosis, platelet aggregation, intercellular signalling that can have anti-carcinogenic and anti-atherogenic implications.
  • Spices– These are responsible for lowering of blood cholesterol, prevention, and dissolution of cholesterol gallstones, protection of erythrocyte integrity in hypercholesterolemic condition, hypoglycaemic potential, amelioration of diabetic nephropathy. It also possesses antioxidant effect, anti-inflammatory and anti-arthritic effect, antimutagenic effect/cancer preventing, digestive stimulant action and antimicrobial activity.

People are trying to attain a healthier and a better quality of life by eating more vegetables, fruits, and other plant extracts, taking dietary supplements or nutraceuticals. The development of nutraceuticals and functional foods delivers unique products to the world at large and helps in enhancing consumer confidence. Nutraceuticals are substances that have physiological benefits or provide protection against chronic diseases. They are used to improve health, delay the aging process, prevent chronic diseases, increase life span, or support the structure or functions of the body.

Pharmacovigilance

The term ‘pharmacovigilance’ was coined in the mid 70’s by a group of French pharmacologists and toxicologists to describe the operations encouraging evaluation of the risks and side effects potentially associated with drug treatment.(1, 2)The World Health Organization (WHO) defines pharmacovigilance as, ‘the science and activities relating to the detection, assessment, understanding and prevention of adverse effects or any other drug-related problem’(3) It incorporates the processes involved in monitoring and evaluating adverse drug reactions viz., collecting, monitoring, researching, assessing and evaluating information from healthcare providers and patients on the adverse effects of medications, biological products, blood products, herbals, vaccines, medical device, traditional and complementary medicines, with an aim to identifynew information about hazards and figuring out ways to safeguard patients from any potential harm.(2, 4)

Pharmacovigilance aims to:

    • Improve patient care and safety in relation to the use of medicines
    • Improve public health and safety in relation to the use of medicines;
    • Detect problems related to the use of medicines and communicate the findings in a timely manner.
    • Contribute to the assessment of benefit, harm, effectiveness and risk of medicines, leading to the prevention of harm and maximization of benefit.
    • Encourage the safe, rational and more effective use of medicines.
    • Promote understanding, education and clinical training in pharmacovigilance and its effective communication to the public(5)

Pharmacovigilance Setup
A typical setup for pharmacovigilance studies includes people from various organizational units, people at various levels colluding to prevent drug related problems and thereby decreasing morbidity/ mortality rates. Figure 1 depicts the various functions of each party involved in a pharmacovigilance setup.(2)


Operational Overview
The process of pharmacovigilance begins with safety information coming in fromvarious sources, followed by processing and assessment of these reports to their relationship with the investigational product, and submission of the compiled report to the concerned regulatory authorities.Figure 2 summarizes the major activities associated with pharmacovigilance.(6)


Type of Data Collected
According to the, International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guideline E2D, two types of safety reports are distinguished in the post-authorization phase, viz.,
a) Unsolicited Reports
b) Solicited Reports
Table 1 enlists the types of reports included in both the categories.(7)Table 1: Classification of Safety Reports [Adapted from: Good Pharmacovigilance Guideline Module VI (7)]

Data Collection Methods
The process of data collection in a pharmacovigilance setup is broadly of 3 types:
1.Passive data collection
2.Mandatory data collection
3.Active data collection

1.Passive Data Collection
Passive data collection also known as voluntary case reporting, involves active participation by health care providers in reporting adverse reactions and medication errors.

2. Mandatory data collection
Mandatory data collection is when manufacturers and pharmaceuticals must report information on adverse reactions gathered during post-marketing surveillance to the health authorities as per the country regulations.

3. Active data collection
Active data collection is a focused and structured data collection activity involving use of various tools such as trigger tools, patient chart audits, and direct observation methods.(8)

Data Collection Tools
Adverse drug reactions and medication errors are generally collected by filling a standardized form. For countries with a national pharmacovigilance program (e.g., India), the reporting forms are generalized throughout thecountry.(8) These are collected in different databases. For example, Adverse Event Reporting System (AERS), Eudravigilance, Vigiflow, etc.(9)
Figure 3 provides a country-wise list of database and adverse drug report forms.


Figure 3: Country-Wise Database and Adverse Drug Report Forms [Adapted from: Kumar A. et al.,(9)]
Data MiningData mining is the process of searching big data sets for interesting or useful information.(10) Data mining is used in the construction of literature-extracted knowledge databases as well as a method for detecting new potential drug interactions. Information retrieval and natural language processing (NLP) techniques are frequently used in data mining. (11)It also provides an “early warning system” to help identify drug safety issues. (12)
Many methods have been developed for data mining drug safety signals (early hints suggesting the possibility of adverse events) in pharmacovigilance, such as disproportionality analyses, text mining, natural language processing, change-point analysis, geographical information systems technology, visualization tools, etc.(13, 14)The most common of them are viz.,

a)Disproportionality Analyses
b)Text Mining(12)
a)Disproportionality Analyses

Disproportionality analyses is primarily used for data mining spontaneous reporting system (SRS) databases. It makes use of statistical methods such as, proportional reporting ratio (PRR) and multi-item gamma poisson shrinker (MGPS) to compare the observed count of a drug-adverse event combination with a background count for the adverse events for all other drugs or drug combinations in the database. (12, 14) Several software programs generate PRR and/or MGPS scores such as Empirica Signal™, PV-Analyser™, Molecular Analysis of Side Effects [MASE™], Empirica Study™, JReview™, and Statistical Analysis Systems (SAS™). (14)
b)Text Mining
The large volume of “unstructured” or “narrative” data submitted in the reports such as event descriptions or narratives in electronic health records, medical literature, social media, or the internet, require analysis with the help of ‘text mining’.(12)Vaccine Adverse Event Text Mining (VaeTM) system, search and retrieval framework (SARF), Linguamatics™ I2E, Georgetown Vaccine Information and Safety Resource (G-VISR) tool, MedWatcher Social, SAS Enterprise Miner™, etc., are the various tools used to perform text mining. (14)
Figure 4 describes the data mining methods used for different types of data.


Figure 4: Data Mining Tool for Different Types of Data[Adapted from: DuggiralaHJ. et al., (14)]New Trends in Pharmacovigilance
The current trends followed in the pharmacovigilance industry are elaborated below;

  • Contract outsourcing to increase operational efficiency
  • Use of secondary data sources that contribute to widespread adverse drug reaction reporting
  • Cloud-based reporting to bring a robust global database of adverse drug reactions accessible to all
  • Big data technologies to protect and assimilate huge amounts of information
  • Use of data analytics to improve data utilization
  • Automation in the pharmacovigilance process to increaselabor efficiency
  • Artificial intelligence to overcome the drawbacks with traditionalpharmacovigilance services

Social Media and Pharmacovigilance
The Internet and social media has changed people’s mindset in relation to health care. According to the Pew Research Center’s Internet & American Life Project 2013, 72% of internet users admitted looking online for health information of some kind. (15) Social networks, forums and blogs have become a major platform for patients to share their therapy experiences, including adverse drug reactions. (16) Reports from social media sources are much rapid, occurring in close proximity to the event and are potentially richer sources than those reported through healthcare professionals. (17)
Figure 5 describes the ways in which pharmacovigilance teams can use social media to participate and enhance product safetyawareness.


HCP, Health Care Professional; PV, Pharmacovigilance.
Figure 5: Use of Social Media to Engage and Improve Awareness About Product Safety[Adapted from: The Impact and Use of Social Media in Pharmacovigilance (17)]The ICH-GVP, Council for International Organizations of Medical Sciences (CIOMS) Guidelines and the US FDA Guidelines provide guidance to the pharmaceutical industry for development and implementation of their social media strategies for pharmacovigilance. (7, 18, 19).Benefits of social media in pharmacovigilance are listed below (Figure 6).

HCP, Health Care Professional.
Figure 6: Benefits of Social Media on Pharmacovigilance[Adapted from: The Impact and Use of Social Media in Pharmacovigilance (17)]

Conclusion
Pharmacovigilance is an important discipline in managing adverse reactions of healthcare products.(20) It is based on the qualitative and quantitative research of reports of spontaneous adverse drug reactions, followed by a clinical evaluation of its effect on the drug’s general safety profile. Pharmacovigilance can promote public health programs by offering continuing information throughout the life cycle of a product, enabling a precise, reliable and balanced evaluation of the product’s risk-benefit ratio as more and more information becomes accessible with its use. (21) Pharmacovigilance’s fundamental goal is the secure use of drugs, safety of patients, and the protection of public health. To achieve this goal, national regulators and international organizations should be empowered to report more adverse reactions to health care professionals and the public.

References
1.McBride WG. Thalidomide and congenital abnormalities. Lancet. 1961;2(1358):90927-8.
2.Suke SG, Kosta P, Negi H. Role of pharmacovigilance in India: An overview. Online journal of public health informatics. 2015;7(2).
3.Pharmacovigilance 2019 Available from: https://www.who.int/medicines/areas/quality_safety/safety_efficacy/pharmvigi/en/.
4.Pharmacovigilance: Ensuring the Safe Use of Medicines – WHO Policy Perspectives on Medicines2004 19 July 2019. Available from: http://apps.who.int/medicinedocs/en/d/Js6164e/.
5.The safety of medicines in public health programmes: Pharmacovigilance an essential tool. 2006. Available from: https://apps.who.int/iris/bitstream/handle/10665/43384/9241593911_eng.pdf.
6.Gagnon S, Schueler P, Fan JD. Pharmacovigilance and risk management. Elsevier; 2012. p. 141-59.
7.EMA. Guideline on good pharmacovigilance practices (GVP) Module VI2017 22 July 2019. Available from: https://www.ema.europa.eu/en/documents/regulatory-procedural-guideline/guideline-good-pharmacovigilance-practices-gvp-module-vi-collection-management-submission-reports_en.pdf.
8.Pharmacovigilance. 2012 [cited 22 July 2019]. In: Management Sciences for Health [Internet]. [cited 22 July 2019]; [35.1-.19].
9.Kumar A, Khan H. Signal Detection and their Assessment in Pharmacovigilance. Open Pharmaceutical Sciences Journal. 2015;2(1).
10.Hand DJ, Blunt G, Kelly MG, Adams NM. Data Mining for Fun and Profit. Statistical Science. 2000;15(2):111-26.
11.Vilar S, Friedman C, Hripcsak G. Detection of drug–drug interactions through data mining studies using clinical sources, scientific literature and social media. Briefings in bioinformatics. 2017;19(5):863-77.
12.Ventola CL. Big Data and pharmacovigilance: data mining for adverse drug events and interactions. Pharmacy Therapeutics. 2018;43(6):340.
13.Hauben M, Madigan D, Gerrits CM, Walsh L, Van Puijenbroek EP. The role of data mining in pharmacovigilance. Expert opinion on drug safety. 2005;4(5):929-48.
14.Duggirala HJ, Tonning JM, Smith E, Bright RA, Baker JD, Ball R, et al. Use of data mining at the Food and Drug Administration. Journal of the American Medical Informatics Association. 2015;23(2):428-34.
15.Fox S, Duggan M. Health online 2013. Health. 2013;2013:1-55.
16.Lengsavath M, Dal Pra A, de Ferran A-M, Brosch S, Härmark L, Newbould V, et al. Social media monitoring and adverse drug reaction reporting in pharmacovigilance: an overview of the regulatory landscape. Therapeutic innovation regulatory science. 2017;51(1):125-31.
17.The Impact and Use of Social Media in Pharmacovigilance2018. Available from: https://www.sciformix.com/wp-content/uploads/Social_Media_in_PV_Whitepaper.pdf.
18.Administration; FD. Good pharmacovigilance practices and pharmacoepidemiologic assessment. Center for Drug Evaluation Research. 2005.
19.V. CWG. Current Challenges in Pharmacovigilance: Pragmatic Approaches: Report: CIOMS; 2001.
20.Nour S, Plourde, G. Pharmacovigilance. 2019. In: Pharmacoepidemiology and Pharmacovigilance: Synergistic Tools to Better Investigate Drug Safety [Internet]. [7-23].
21.Nour S, Plourde, G. Conclusion. 2019. In: Pharmacoepidemiology and Pharmacovigilance: Synergistic Tools to Better Investigate Drug Safety [Internet]. [137-8].

Biosimilars: Advantages & Challenges

Introduction

A biosimilar product, as defined by USFDA, is “a biological product that is highly similar to and has no clinically meaningful differences from an existing FDA-approved reference product.” By 2020, the biosimilar market is expected to reach $15 billion booming market, which is thrice the presentmarket(Ragunadhan 2018).Latest additions to this category of drugs are Hadlima(adalimumab-bwwd), Ruxience (rituximab-pvvr), Zirabev (bevacizumab-bvzr) and Kanjinti (trastuzumab-anns), which were approved on June, 2019(USFDA).

Advantages of Biosimilars

Biosimilars are nowadays gaining significant interest due to the advantages associated with it. They are as follows(Ragunadhan 2018)

  1. Reduction in cost:Biosimilar drugs are similar to original drugs, produce equivalent clinical outcomes to that of the original biologics but are less expensive (because their development is not associated with some of the costs borne by pharmaceutical companies in the development of reference agents).The reference drug monopoly is broken when multiple biosimilars are introduced in the market.
  2. Improved patient accessibility: As a number of biosimilar drugs are being launched in the market, and biosimilar drugs are found to reduce the healthcare cost by 40%, more patients can have access tosuch medical innovations at an early stage.
  3. Incentives for innovation:In the wake of expiring patents on reference drugs, innovative and patentable new biologic products may be necessary to maintain a large market share. This will encourage the pharmaceutical companies to invest more to foster innovation in biosimilar drugs.

Challenges of Biosimilars

Despite the benefits, there are few challenges and issues faced by biosimilar market which are as follows(Ragunadhan 2018, Stenger 2018)

Figure 1: Challenges of Biosimilars

Figure 1: Challenges of Biosimilars

  1. Education:Mass education is required in healthcare and pharmaceutical industry/patient and prescriber to enlighten them on the benefits of switching to biosimilars.
  2. Extrapolation issue:“Extrapolation is the process of granting a clinical indication to a medication without its own or new clinical safety and efficacy studies to support that indication”. Guidelines need to be developed to avoid confusion over whether the biosimilar can be used for the off-labelindications also.
  3. Interchangeability issues:Interchangeability issues ariseas the reference product can be substituted with biosimilar. Though guidelines have been published, there is uncertainty prevalent at the prescriber and pharmacist level.
  4. Rare diseases:Orphan drugs are developed for rare diseases. Though biosimilars are developed for the same, but there are many obstacles. It is a challenge to obtain sufficient  non-heterogeneous population for trials. Also, the cost for developing biosimilars to run batch-to-batch variability studiesis high.
  5. Approval process:Common challenges faced by biosimilar manufacturers in processing and packaging are the variability in critical quality attributes between the biosimilar drug and the reference drug which requires manufacturer to provide the FDA with adequate proof of clinical safety.
  6. Post-marketing reporting: As there is no clinical data available, post marketing surveillance is the only tool available to assess the efficacy and safety of biosimilars. However, as the post marketing surveillance process is a herculean task as felt by clinicians, many do not participate in the samedue to time and resource constraints.

Future of biosimilars

There will be a giant leap in biosimilar market in the coming decades(Ragunadhan 2018). As the reference products are nearing their expiry date, the biosimilars market is poised for added growth. Also, it is essential for the professional organizations to provide education and training about biosimilar drugs. This would spread awareness among consumers and healthcare professionals about opportunities and the challenges that these new agents are associated with.

Turacoz Healthcare Solutions, being an active provider of medical communication services, aims to inform people about the advantages and challenges of biosimilars. For any queries, write to us at [email protected]

References

Ragunadhan, M. (2018). Biosimilars: Benefits, Challenges and Futurehttps://blog.kolabtree.com/biosimilars-benefits-challenges-and-future/.
Stenger, M. (2018). “Opportunities, Issues, and Challenges for Biosimilars in Oncology.”  https://www.ascopost.com/issues/july-25-2018/opportunities-issues-and-challenges-for-biosimilars-in-oncology/.
USFDA “Biosimilar Product Information.”

INNOVATIONS IN PEER-REVIEW

Peer Review is the process of evaluation of manuscripts submitted for scientific publication in journals/books, pre-clinical or clinical study reports, research progress reports etc., by experts or peers with similar competence as manuscript authors. It plays a pivotal role in scholarly publications with objective to ascertain quality, reliability and credibility of the work reported in the manuscripts and reports through qualitative scrutiny. This contributes to the acceptability of scientific work as authentic, rigorous and coherent for the intended purpose. Also, it widens networking opportunities within the scientific fraternity.

Types of Peer Review

  • Single blind review: This is the traditional and most common type of review in which the reviewer’s name is hidden from the author.
  • Double-blind review: In this kind of review, there is anonymity of both the author and the reviewer to each other.
  • Open review: The identity of the author and the reviewer are known to each other and there is more transparent communication during the review process.

Peer-review is a golden practice to improve the quality of publications but comes with its own set of disadvantages and shortcomings. Table 1 details the various featural pros and cons of different types of peer-review.

Table 1 Advantages and Disadvantages of Peer-Reviewing [1]

Ethics of Peer Review

As the reviewing experts are essentially from the same area or field of the study as of the authors of documents under review, some conflict of interests or differences in viewpoints may introduce bias that might come in the way of a fair peer review. For instance, a reviewer may not accept the manuscript/report under review if the author’s hypothesis is different from that of the reviewer. Indeed, many journals take this possibility into account and allow the authors submitting manuscripts to give the name(s) of reviewers to whom the manuscript should not be sent for review in addition to names of reviewers the authors would like to recommend. But then, peer review by reviewers recommended by the authors may also occasionally lead to undeservingly favored evaluation.

To avoid undesirable contentions, it is a prerogative for a peer-reviewer to adhere to ethical guidelines outlined by the Committee of Publication Ethics (COPE), which categorises the ethical responsibility of a peer-review into confidentiality of the data reviewed, objectivity of the review process and diligence towards their competency, following processes, policies and conduct [6].

A few ethical practices that should be incorporated in peer-reviewing are as follows:

  • Maintaining objectivity and diligence in assessing a document
  • Avoiding any favoritism or likewise, negative bias
  • Respecting confidentiality of the manuscript
  • Avoiding giving any personal or derogatory remarks
  • Refraining from disrespectful tone of criticism
  • Maintaining timeliness
  • Adhering to the rationales, norms, policies and specific scope of the journal
  • Promptly reporting any unethical duplication or data fabrication/design
  • Staying discrete from the author during the review process to avoid any unwanted confrontation

Essential Components of Peer-Reviewing

Studies conducted by scientists/experts/professional are rendered into a detailed article or manuscript, a draft of which is then sent to the journal editor. The article is sent by the journal editor to peer reviewers before publication. The reviewers then assess the manuscript and extend their comments focusing on the following aspects:

  • Adequacy of the background information (literature survey) justifying the necessity and purpose of the study reported
  • Appropriateness and adequacy of the materials and methods employed to generate the data
  • Compliance to national and international regulatory requirements [e.g. Good Laboratory/Manufacturing/Clinical Practices (GLP/GMP/GCP), Animal ethics, OECD/ICH/USFDA guidelines etc.]
  • Analysis of data using appropriate (statistical) methods
  • Proper interpretation and discussion of the data/results and the conclusions drawn.
  • Originality of the study
  • Presentation of the manuscript relying on legible and comprehendible language that is grammatically, technically and scientifically correct

Innovations in Peer Review

Any advancement or innovation in a process primarily requires recognition of the prevalent roadblocks. “Necessity is the mother of invention”, Plato’s misattributed proverb reflects the rationale of some compelling advancements that peer-reviewing attributes to the share of challenges it had faced.” Addressing some fundamental conundrums, there are many driven groups across the scientific fraternity who have offer valuable innovative answers.

  • Raising the satisfaction quotient of the author-reviewer-editor trilogy by ‘Volunpeers’

Lack of familiarity with the subject matter causes many reviewers to decline from reviewing. To overcome this challenge, the journal of Molecular biology enabled a Reviewer Recognition Platform, that facilitates reviewers, christened as Volunpeers (to represent the rationale of this platform), to register for their area of expertise and receive manuscripts for reviewing according to their preference. The outcome of this platform was impressive! It proudly flaunted a high rate of involvement and satisfaction from both the reviewer and the editor and establishes a faith that peer reviewing indeed has not reached an intimidating stagnancy. Figure 1 indicates the promisingly positive impacts of Volunpeer-ing on various critical aspects [2].

Figure 1: Impact of Peer-Reviewing through the Reviewer Recognition Platform ‘Volunpeer’
  • Expediting the process of review and making it less cumbersome and time‑consuming

The dichotomy of time versus quality lead many to attempt to address long and tiresome process of reviewing. Recently, The Journal of Bone & Joint Surgery (JBJS) has initiated below mentioned tiny steps to upgrade their overall peer-review process [3].

  • Automated and weekly reminder emails to editors
  • Weekly reminder emails for editor queue statistics
  • Monthly emails delineating acceptance rates and transfer rates by editor
  • Shortened deadlines for peer-reviewing
  • Addition of manuscript Xtract in Editorial Manager that reduces manual entry for basic data like manuscript title, author-names, abstract and affiliations
  • Refining the review process by spotting errors and maintaining quality standards of review

The quality of any manuscript proportions directly to the errors established during review and editing process. A keen study conducted on ‘Improving the peer-review process and editorial quality by studying key errors escaping the review and editorial process in top scientific journals [4]. Figure 1 shows the common trend of errors encountered during review.

Figure 1: Proportion and types of errors during review/editing process [4]

The recognition of these error-patterns led to the application of a novel mistake index, independent of the journal’s impact factor. Mistake Index Total (MIT) represented the fraction of corrections published by total number of items published in a year and Mistake Index Paper (MIP) represented the fraction of corrections published by the total number of papers (categorised by articles) published in a year. These were then statistically analysed and applied on scientific journals of diverse disciplines to determine the type, rate of occurrence and severity of errors encountered. It is hence recommended that a detailed guideline based upon MIT and MIP be provided to reviewers, authors and editors, which can help them minimise error redundancy, reduce time-to-correction and reinforce quality of published manuscripts [4].

  • Ensuring recruitment of competent reviewers and providing visibility, value and appreciation for their efforts by R-index

On a more humane level, getting good reviewers and providing visibility, value and appreciation for their efforts stays a huge contributing factor to optimising the quality and efficiency of peer-review. Lack of recognition of time and valuable expertise of the reviewer often is a big dampener for review quality. A simple yet cutting-edge R-index (Reviewer index), has emerged as an essential metric to quantify and credit a scientist’s contribution as a reviewer, regardless of his/her stage of career. Based on the list of reviewers for any particular journal, number of papers reviewed, total number of words against the journal’s impact factor, and eventually fostered by the editor’s feedback on individual review, a score ranging from 0 to 1 is credited to the reviewers. Widely being accepted and implemented, this index is open doors to a wider academic productivity and increased transparency within the scientific community and works reciprocally towards maintaining and enhancing the quality of reviewing [5].

Conclusion

With a fair share of recognition as well as criticism that it comes with, peer-review is undoubtedly an essential component of the publication world. Although an overall positive impact and effectiveness of peer review mechanism to improve upon quality in biomedical journals has been observed in clinical trial and other comparative study publications, it is still difficult to ascertain its tangible impact, considering the aforesaid challenges [7]. Nevertheless, the brighter side shows that the existing peer-review paradigm is inevitably treading towards innovations; profoundly embedded into the process of scientific progress, its indispensable purpose gives reasons enough to boost its operations and we hope to witness more streamlining, transparency, efficiency, robustness and inventive tableaus in its modus operandi.

Turacoz Healthcare Solutions aims to provide information on the latest trends, updates and advances to help researchers stay abreast of important innovations in peer-review in the field of scientific publications. Turacoz Healthcare provides an end-to-end support for scientific communications, clinical trial documents and disclosures, regulatory documents writing and submissions, and medico-marketing writing along with e-modules & e-books on healthcare and research.

Reference

  1. https://www.elsevier.com/en-in/reviewers/what-is-peer-review
  2. https://www.elsevier.com/connect/reviewers-update/innovation-in-peer-review-introducing-volunpeers
  3. https://www.csescienceeditor.org/article/new-innovations-in-peer-review/
  4. https://peerj.com/articles/1670/
  5. https://royalsocietypublishing.org/doi/full/10.1098/rsos.140540
  6. https://www.aje.com/arc/ethics-peer-review/
  7. https://www.bmj.com/content/349/bmj.g4145

Osteoporosis: Overview and Recent Advances in its Management

Osteoporosis is a silent age-related skeletal disease characterized by loss of bone mineral density and microarchitectural deterioration leading to increased fragility and susceptibility to fractures. The most common sites of fracture are femoral neck, lumbar spine and distal forearm which more than often are debilitating and disabling if not intervened. Osteoporosis has affected more than 200 million people worldwide, with almost 8.9 million fractures reported annually across the globe. Close to 30% of postmenopausal women in America and Europe suffer from osteoporosis while India estimates not less than 50 million of its people in the plexus of this debilitating bone disease. The overall impact of osteoporosis is presented in Table 1.

Impact of osteoporosis
Table 1: Impact of osteoporosis

Assessed by a T score of less than -2.5 (World Health Organization definition in Figure 1) and a Z score significantly higher or lower than the average, osteoporosis may operationally be classified as the following 2 types:

Postmenopausal (type I): Linked to the fall in oestrogen levels, this type affects women between 50 and 70 years of age.

Senile (type II): Affects both men and women over the age of 70, but predominantly women.

Figure 1: Understanding the T-Score

Risk Factors for Osteoporosis

Using Fracture Risk Assessment Tool Model (FRAX) algorithms, several risk factors have been recognized that predispose men and women to osteoporosis. Smoking, alcohol consumption, high salt intake, immobilization, sedentary life, excessive weight loss reducing the BMI below 18.5 kg/m2, inadequate exposure to sun and socioeconomic factors have been shown to be significantly associated with its risk and incidence. The most common risk factors are shown in Figure 2, of which, modifiable factors like declining levels of sex hormones, anorexia nervosa, low calcium and vitamin D intake are attributed to faulty lifestyle. Public awareness campaigns have been spreading their annex to educate and motivate necessary changes towards preventing osteoporosis.

Figure 2: Common osteoporotic risk factors

RECENT ADVANCES IN OSTEOPOROSIS

Diagnosis

With one in three women and one in every five men over the age of 50 years worldwide are being estimated to face the risk of osteoporotic fractures in their lifetime [1], inclusion of diagnostic tests for bone health in their health check-up plans to help them get therapeutic or preventive measures in time becomes imperative.

  • Dual energy X-ray absorptiometry (DXA): Stands as the gold-standard for diagnosis of osteoporosis by determination of bone mineral density (BMD). However, the high capital cost of DXA created a need for alternative diagnostic tools.
  • Bindex®: Recently approved by United States Food and Drug Administration (USFDA) for osteoporosis diagnosis, it is a portable hand-held instrument that measures with 90% sensitivity and specificity, cortical bone thickness of the tibia. The algorithm calculates the density index, a parameter which estimates BMD at the hip as measured with DXA.
  • OsCare Sono: This is another inexpensive and small portable ultrasound-based instrument that measures bone strength from the forearm radial bone. It provided measurement results in a few minutes and they correlate well with bone cortical thickness, bone elasticity and BMD, including BMD of the deeper cortical layers. These attributes suggest a promising device that offers enhanced sensitivity to early osteoporotic changes.

Treatment

Currently, to accost the imbalance between bone resorption and build-up in osteoporosis, anti-resorptive and osteoanabolic agents crown the list and fall under the first and second line of therapy [9].

  • Bisphosphonates which bind to bone mineral and also inhibit bone osteoclast activity (resorption), are anti-resorptive agents which mainly increase the trabecular BMD and are one of the reliable and cost-effective first-line therapy options for both primary and secondary osteoporosis.  
  • Denosumab, a human monoclonal antibody, inhibits RANKL-induced bone resorption and increased cortical BMD.
  • Teriparatide is an N-terminal 34-amin acid long peptide of the parathyroid hormone which again acts on increasing lumbar BMD and contributes to prevention of vertebral and non-vertebral fractures.
  • Abaloparatide is again a peptide 34-amino acid long and belonging to the N terminal region of PTH-related protein. It has shown to be effective in increasing the lumbar spine- and proximal femoral BMD.
  • Romosozumab, an anti-sclerostin humanized monoclonal antibody, is shown to increase the lumbar spine- and proximal femoral BMD.

Table 2 gives a brief glance over the current mediation used to treat osteoporosis with their trade names.

Medications for osteoporosis
Table 2: Medications for osteoporosis

Apart from these current ones, there have been a surge in development of more efficacious drugs for osteoporosis management (Table 3).

Recent therapeutic agents for osteoporosis
Table 3: Recent therapeutic agents for osteoporosis

A minimally invasive targeted treatment in which local bone loss due to osteoporosis is restored by implanting a unique material that is resorbed and replaced by bone, is being offered as Ossure LOEP (local osteo-enhancement procedure) kit by AgNovos, USA. Also, during the last decade, vertebroplasty and kyphoplasty has also evolved as an effective surgical procedure in certain cases with subacute pain, oedema and focal joint tenderness.

THE KNOWLEDGE-PRACTICE GAP

Despite path-breaking diagnostic and therapeutic advances, there exists a lacuna in their application and compliance. Osteoporosis stays unfortunately and vastly, underdiagnosed and undertreated, and identifying these gaps in patient care becomes indispensable. A few of them are listed below:

  • Failure to follow screening guidelines for osteoporosis by physicians leading to erroneous assumptions and subsequent lack of appropriate treatment plan.
  • Inefficacy to treat patients sustaining fragility fracture with a timely intervention reducing the likelihood of preventing future fractures. One of the commonly observed reason is concerns around side effects of drugs like bisphosphonates, etc. which lead to reluctance from physicians in prescribing medicines and challenges in compliance by patients.
  • Underestimating the menace of osteoporosis especially by women who are more at risk but are unfortunately lesser concerned about its consequences; poor communication with physicians and non-compliance of screening and diagnostic recommendations puts patients at irreversibly damaging risks.
  • Inadequate follow-up and non-adherence by patients during the treatment regimen.
  • Insufficient funding and reimbursement of exorbitant diagnostic and therapy costs also remaining one of the main reasons why osteoporosis lies low on the priority list of patients.

PREVENTION

Rebuild. Refuel. Renew.

Although lifestyle choices, genetics and systemic diseases, and even certain medications pose as substantial risk factors, the good news is that osteoporosis is preventable.

  • Weight bearing and cardiovascular exercises: These not only work towards building muscles, but also strengthen bones, ligaments and tendons. In turn they improve agility, strength, balance and posture, considerably reducing the risks of fractures.
  • Dietary calcium and vitamin D3 intake: Falling on the fundamentals of skeletal science, calcium and vitamin D stay incontestable for bone health. A good balanced diet and adequate exposure to sun are always the safest choices to regulate calcium and vitamin D3 levels,
  • Supplements: calcium and vitamin D3 supplements are also often opted in times of nutritional inadequacy. Yet, concerns over prolonged supplementation causing serious adverse effects like hypercalcemia and hypercalciuria, have been cropping up lately. The U.S. Preventive Services Task Force (USPSTF) recently recommended “against daily supplementation with 400 IU or less of vitamin D3 and 1,000 mg or less of calcium for the primary prevention of fractures in noninstitutionalized postmenopausal women”.

“A thousand tiny steps can conquer the tallest tower”

Turacoz Healthcare Solutions aims to provide information on the latest trends, updates and advances in the field of clinical research, trials and regulatory affairs. Turacoz Healthcare provides an end-to-end support for scientific communications, clinical trial documents and disclosures, regulatory documents writing and submissions, and medico-marketing writing along with e-modules & e-books on healthcare and research.

Here is Everything You Should Know About Cystic Fibrosis

The month of May is commemorated as Cystic Fibrosis Awareness Month. It aims at raising awareness about cystic fibrosis (CF). Cystic fibrosis foundation (CFF) sponsors this month.

According to estimates, more than 70,000 people globally are affected by cystic fibrosis, but the prevalence of the condition varies globally. The US alone accounts for around 30,000 people living with cystic fibrosis. Around 1000 new cases of cystic fibrosis are diagnosed every year in the US. More than 75% of these cases are of children of age 2 or below. Asia and Africa are thought to be under-diagnosed for CF. Many nations don’t screen for CF in new-borns unlike the US, and the nation registries suffer from lack of data.

What is Cystic Fibrosis (CF)?

CF is a genetic disease that has an impact on lungs and digestive system of human body. Under the influence of this condition, the body produces thick and sticky mucus that can lead to blockage of lungs and obscure pancreas.

In individuals with CF, metamorphosis in the cystic fibrosis transmembrane conductance regulator (CFTR) gene makes the CFTR protein debilitated. When this protein doesn’t function properly, it is incapable of moving chloride- a salt component- to the surface of cell. Without the chloride to bring water to the surface of cell, the mucus in different organs turns thick and sticky.

The mucus blocks the airways and entrap germs such as bacteria, in the lungs, which lead to infections, soreness, respiratory issues and other complications. The people with CF need to be extra cautious and avoid contact with germs.

The thickening of mucus can also lead to infertility in males by clogging the vas deferens or the tube responsible for carrying sperms from testes to urethra.

Symptoms of CF:

Mentioned below are some prominent symptoms of cystic fibrosis:

  • Skin tasting very salty
  • Continual coughing
  • Running out of breath
  • Breathing roughly/heavily
  • Persistent lung infections inclusive of pneumonia or bronchitis
  • Problem with gaining weight despite of heavy diet
  • Infertility in males
  • Greasy and heavy stools
  • Troubles with bowel movements
  • Nasal polyps or slight fleshy growth in the nose

Due to the obstruction in lungs, infections like bronchitis and pneumonia can occur in the patient, leading to growth of pathogens. Blockage in pancreas contribute to malnutrition and poor growth. The risk of developing osteoporosis and diabetes is also associated with it.

Causes of Cystic Fibrosis:

Since CF is a genetic disease, to be affected by it one is required to inherit the mutated gene from both of their parents. The mutated genes are the carriers of codes that produce protein controlling the flow of salt and water on the surface of organs, inclusive of pancreas and lungs.

People suffering from CF struggle with the balance of salt and this leads to more salt and water on the surface of cells and formation of very thick mucus.

Individuals with a single copy of the mutated gene are known as carriers. They do not fall prey to the condition or symptoms of CF. For someone to be affected by CF, both their parents must be the carriers.

If two people are carriers and have a child together, there are:

  • 25% chances that the kid will have CF
  • 50% chances that the kid will be a carrier, but won’t suffer from CF
  • 25% chances that the kid will neither be the carrier and nor suffer from CF

Treatment for CF:

At present, CF is not curable. Certain treatments work on controlling the symptoms and improving quality of life for CF patients. Depending on the kind and intensity of symptoms, the treatments are personalized.

Clearing airway

It is very important for CF patients to reduce the level of mucus in their lungs in order to breathe easily and avoid any lung infections.

Airway Clearance Techniques (ACT) helps individuals with CF to soften their mucus and get rid of it from their lungs. Inhalable medications are effective in reaching the airways and are usually used. The medication can be given through aerosol or through inhalers. These medications help in thinning mucus, killing bacteria and setting off mucus to enhance airway clearance.

Antibiotics act as an essential part of routine care. These can be consumed orally, through injecting and inhalation. Some other medications like azithromycin and ibuprofen are said to protect and enhance lung function and now made a part of standard therapy for CF patients.

CF patients can lower the risk of developing lung infections by taking the below mentioned steps:

  • Washing hands often
  • Avoid smoking
  • Avoid futile contact with people suffering from cold or other contagious diseases
  • Getting a flu injection every year

Other styles of treatment:

Other than the airway clearance technique, there are other types of treatment too.

Implanted devices:

These allow long-term contact with the bloodstream for constant supervision of drugs. These are capable of making the management of CF more powerful and less invasive.

CFTR Modulators:

CFTR (CF Transmembrane Conductance Regulator) modulators are the recent medications developed to focus on the defective CF-causing gene. They help in easing the flow of salt and fluids on the expanse of lungs and weed out the heavy mucus that CF patients generally form in their lungs.

At present, two CFTR modulator brands are certified by FDA (Food and Drug Administration), namely Orkambi and Kalydeco. They’re recommended for children suffering from 10 distinct mutations of the CF-causing gene. Kalydeco might be recommended for kids of age 2 years or more, whereas Orkambi is for kids aged 6.

Remedial measures based on Nutrition:

CF affects the digestive system adversely and the patient suffers from poor nutrient absorption. It is recommended that CF patients should consult their doctor regarding their diet. A nutritionist would assist them in having a control of digestive symptoms.

To balance the digestion of nutrients, a variety of additional supplements like pancreatic enzyme supplements, vitamins or salt might be required along with a specific kind of diet.

CF is responsible flawed growth. To ensure proper development and growth in affected children, a diet rich in calorie and fat, is very essential. It also helps adults in maintaining optimum health. Good nutrition is very crucial for CF patients so that they can be safeguarded against high risk of lung infection.

Cystic fibrosis cannot be cured as of now but with proper care, treatment and diet, the symptoms of it can be controlled. The average life expectancy of CF patients is early 40s. The life expectancy may vary based on the intensity of the symptoms, age of diagnosis and the kind of mutation in gene.

The life expectancy of CF patients has increased significantly in last few years, being around 47 years. There are many patients living well in their 50s or 60s.

Turacoz healthcare solutions, a medical communications firm, believes that appropriate treatment and caution is the key to control currently incurable diseases like cystic fibrosis. Turacoz provides cost-effective medical writing services like regulatory writing, publication writing, advisory board meetings, etc. To know more about Turacoz and to avail the services, drop a mail at [email protected]

Talc, a cosmetic ingredient: Safety issues

Most of us have possibly used it or sprinkled on our skin at some point in our life, ‘Talc’ which is a processed from of soft mineral compound of magnesium silicate and is called talcum powder or just talc in general terms. The natural smoothness and adsorbency of talc have been utilized since millennia and its use dates back to the Egyptian time. Some of the major brands utilizing talc’s adsorbent properties are Nivea, Pond’s, Cinthol and Johnson & Johnson. Ideally, cosmetic grade talc should not contain asbestos but recent lawsuits against Johnson & Johnson have claimed its presence in the marketed cosmetic products.

Non-clinical Findings

In 1993, the National Toxicology Program (NTP) in their report stated that there were some evidence of carcinogenic activity in male F344/rats, clear evidence of carcinogenic activity in female F344/N rats, and no evidence of carcinogenic activity in male or female B6C3F1 mice exposed to aerosols of 6 or 18 mg/m3 non-asbestiform cosmetic grade talc in a lifetime study. In 2010, the International Agency for Research on Cancer (IARC) Working Group reported that there is a limited carcinogenicity evidence for talc (not containing asbestos/asbestiform fibres) in experimental animals.

Clinical Safety Alerts

Talc has been safely used and is well tolerated since many years and recent scientific reviews on available data have supported this position lately. However, the first alert associated with genital was reported by identification of talc particles in ovarian cancers which came in 1971.

This finding was strongly contested by Dr G.Y. Hildick-Smith, Johnson & Johnson’s medical director. A subsequent publication in the Lancet warned that “The potentially harmful effects of talc in the ovary should not be ignored”. This warning was confirmed in a 1992 Obstetrics & Gynaecology publication, reporting that a woman’s frequent talc uses on her genitals increased her risk of ovarian cancer by threefold. The talc in question was simple brand or generic ‘baby powder’.

Unexpectedly, the mortality of ovarian cancer in women over 65 years of age has escalated sharply, especially in black women who have a higher rate of talc use as compared to other races. Almost 16,000 women in the United States die from ovarian cancer yearly, by some estimates, one out of five women regularly applies talc to her genitals either via direct application, or from tampons, sanitary pads and diaphragms that have been dusted with talc.

Conclusion

IARC reports perineal use of talc-based body powder to be possibly carcinogenic (Group 2B) in humans, and that inhaled talc (without asbestos or asbestiform fibres) is not classifiable as to its carcinogenicity (Group 3). Additionally, the US Cosmetic Ingredient Review Expert Panel published a safety assessment of talc as used in cosmetics. It concluded that talc is safe for use in cosmetics in the present practices of use. Johnson & Johnson faced continued concerns on about the threat posed by lawsuits over the safety of the company’s signature baby powder. The company has always denied the allegations and maintained a swift stance on the safety of talc.

At Turacoz Healthcare services, we provide end to end toxicology and regulatory assistance to meet the high standards set by the regulators worldwide. We provide exhaustive toxicology/safety literature search from pre-clinical to post-marketing stage. We provide consultation at various stages of product lifecycle in order support the ingredient compliance with the guidelines of respective regulatory bodies.

Medical Diagnostics: An Update

Diagnostics play a very important role in our everyday life, be it for a disease, condition or identification of a risk factor. Various diagnostic advancements viz. novel techniques, devices, pathology and laboratory services, etc. are introduced regularly in the market by companies across the globe to help improve the lives of people and ensure quality‑care for patients.

The first quarter of 2019 featured some important updates on medical diagnostic and innovations and some are shared below:

  • Paper-based LAMP Diagnostics for Detecting Malaria

According to the World Malaria Report 2018, 219 million people were affected by malaria in 2017. Diagnosing the same is difficult in rural areas and in developing countries. Keeping the disease burden and non-accessibility in mind, scientists have developed a low-cost portable device which accurately and efficiently detects malaria. The technique uses a paper infused with loop-mediated isothermal amplification, LAMP, which involves printing with hydrophobic wax using a commercial printer and then heating the paper on a hot plate to bind the wax with the paper [2]. The paper attached to a lateral flow device helps in containing the blood sample (DNA) for the detection of malaria. This device uses amplification and detection techniques which help in identifying Plasmodium falciparum, the malarial parasite. This device was used to detect malaria in 67 school children from 2 different schools in Uganda. The results were also compared to the gold standard test in malaria, PCR. The new device showed promising results by identifying 98% of the malaria cases and is now undergoing further research for proper implementation.

  • Objective Diagnosis for PTSD

Posttraumatic stress disorder is associated with functional impairment involving delayed-speech and substance abuse. Diagnosis of PTSD involves long-term counseling sessions which often tend to get biased owing to the subjective nature of the entire process. Also, patients are often reluctant and unwilling to visit the clinician in-order to avoid confrontation. Diagnostic biological markers, though available for PTSD related factors, are not cost-effective. Further, PTSD has a high disease burden which limits the success of these markers.

A software known as the random forest was developed by researchers which assesses speech patterns for variations in speech, lifeless, metallic tone of the speech along with animated speech using AI. It provided 89% accurate results in the tested participants. The software was fed with data on various speech patterns which it uses as training data to grasp better and provide suitable results. With the use of this preliminary information, clinicians can use naturally collected data for diagnosis of PTSD. This technique, however, is still under research and hopes to aid in the diagnosis of PTSD.

  • Blood Test for Detecting Breast Cancer Relapse

The second most common type of cancer-causing death in women is breast cancer. It can be detected using various methods such as mammography, ultrasound, etc. Although the survival rate has improved in comparison to earlier times, relapse is still a very important concern. Approximately 30% of the patients suffer through a relapse within 5 years. Natera, a genetic testing company has developed a blood test by the name of Signatera, which detects the mutant DNA released by the cancerous cells. The technique, known as Molecular Residual Disease (MRD) Assessment is used for early detection of breast cancer, enabling patients to take proper precautionary measures. This technique was found successful in 89% of relapse cases. The detection, however, has to be clinically confirmed for a confirmed diagnosis. The researchers aim to test this in a large number of the sample population in order to bring this into mainstream diagnostics.

  • New Diagnostic Manufacturing Facility Launches in India

Co-Diagnostics Inc. and Synbiotics Pvt Ltd, together in partnership have launched a diagnostic manufacturing facility in India. It is said to be a one-of-a-kind facility providing state of the art facilities in the world of diagnostics. The owners are known for developing facilities which have global approvals from the leading regulatory bodies (US Food and Drug Administration, World Health Organisation-Good Manufacturing Practices). This facility is not only ready to start operations in India but has plans underway for further expansion. Asence Inc, a US company which specializes in providing pharmaceutical products to various markets, would be managing the commercial operations for the facility.

  • VITROS® XT Chemistry Product Slides (FDA approved)

One factor that delays the diagnosis of various diseases is the delay in lab test results. These diagnostic tests are either time taking or are too many done at one time, which in turn delays the results. Ortho Clinical Diagnostics have come up with a new VITROS® XT MicroSlide which can run two tests simultaneously, thus reducing the time required to conduct these tests along with less usage of the products. Ortho’s VITROS XT MicroSlides, which are available for use on Ortho’s VITROS® XT 7600 Integrated System, provide high-quality results and are used for paired tests such as, triglycerides and cholesterol; urea and creatinine; and glucose and calcium. The miniature testing area in the slide is highly efficient and requires less amount of sample for providing results. With this FDA approved technique (approval received in October 2018), multiple tests can be done together, thus saving time and infrastructure.

Turacoz Healthcare Solutions aims to provide information on the latest trends, updates and advances in the field of clinical research, trials and regulatory affairs. Turacoz Healthcare provides an end-to-end support for scientific communications, clinical trial documents and disclosures, regulatory documents writing and submissions, and medico-marketing writing along with e-modules & e-books on healthcare and research.

Regulatory Troubles Clamping Down on OTC and Other Healthcare Products

The regulatory authorities have been on fire lately. They are vigilantly sniffing any suspicious and harmful substance in healthcare and OTC (Over the Counter) products. They are working towards the standardization of products which has added to the woes of some famous names as well.

Everything going wrong with Johnson & Johnson (J&J)

The most popular baby product brand Johnson & Johnson lands into trouble again. This time The Rajasthan Drugs Control Organization has indicated that two batches of company’s “No More Tears Baby Shampoo” had ‘pernicious elements’, to which J&J, not long ago, has classified as carcinogen formaldehyde and has denied the test results.

Earlier, the baby powder of the company was also in news and that was because of no good reasons. The baby powder of the company was suspected of having asbestos (a cancer-causing element).

Only a month ago, the US healthcare colossal got clean chit from the government and proceeded again with the production of their baby powder at their plants in India. Now they are encountering troubles with the baby shampoo and are on the radar of domestic drug regulatory authorities.

This is a serious threat to the image of J&J and their well-established market in a place like India. Two batches of J&J’s baby shampoo failed the quality test, as per the reports by Indian Express. The samples of the batches BB58204 and BB58177, to be expired in September 2021, were tested positive for harmful and objectionable ingredients.

These samples containing one lakh bottles of “No More Tears Shampoo” were manufactured at Baddi, Himachal Pradesh. Rajasthan government has asked to withdraw these adulterated batches and has demanded the regulatory authorities of other states to follow the litigation.

The regulators found the presence of formaldehyde in the samples of shampoo. Formaldehyde has been declared as a probable carcinogen substance by the US Environmental Protection Agency. The studies conducted in past have shown a link between formaldehyde and a greater risk of leukemia.

Rajasthan drugs auditors relayed a notice to drug control officers to withdraw the available stock, so that the stocks of these drugs are not used by anyone and the consumers are safeguarded. Further, it was also notified to take appropriate actions in accordance with provisions of the Drugs and Cosmetics (D&C) Act 1940 and rules made afterwards.

J&J has though, denied any such allegations. It has claimed that neither did the government revealed the method of testing used and nor did it state the details and quantitative findings. A J&J spokesperson said that the samples were drawn at the start of this year and the company has extended full support during the whole process.

J&J stated that they had been inveterate to the Indian authorities that they have forbidden adding formaldehyde to their shampoos and nor does they use any such element in their shampoos that can release formaldehyde with time. J&J also claimed that their products are safe to consume and are manufactured in accordance with the standards of D&C Act and rules.

J&J has declared that they extend their full support to Indian regulatory authorities and act according to their regulatory requirements. The US healthcare giant has also applied for re-testing of their samples at Central Drugs Laboratory.

Adding to J&J’s anguish, Central Drugs Standard Control Organization (CDSCO) has planned to investigate the matter more scrupulously.

Reviewing of dispensations to Dettol, Savlon and other antiseptics, by the panel

Dettol, Savlon and other products of similar nature are liberated from getting a sale permit, as per Drugs and Cosmetics Rules, 1945. An expert panel now has been set up by Drug Controller General of India (DCGI), which will be deciding whether OTC healthcare products will be proceeding further with an exemption under disinfectants and antiseptics.

According to clause 12, schedule K of the Drugs and Cosmetics Rules 1945, “substances intended to be used for annihilation of vermin or insects, which produce disease in human beings or animals, like insecticides and disinfectants, can be stocked, exhibited and sold without a license.”

Currently products like Savlon, Dettol, etc. fall under the clause 12, schedule K. This ensures that they do not need any sales license. This matter, however, has now been consigned to a sub-committee for further investigation. It shall also be reviewed whether these products can be kept under the category of OTC products or ‘no-prescription’ products.

Dettol is a popular first-aid product, used as a disinfectant and it contains additives like terpineol, chloroxylenol and absolute alcohol. The reason for this action is to ensure the safety measure of these products. Such products, being a crucial part of infection control strategies in healthcare regimen, are required to be monitored closely. It is also because these products play a major role in antimicrobial resistance, so their manufacturing and usage becomes even more crucial.

The US Food and Drug Administration (FDA) also took a similar action in the year 2017, when it shut down the use of 24 elements in OTC antiseptic products like handwashes and surgical hand scrubs.

Things not going smooth for Claire

No one can deny the fact that cosmetics have been deeply rooted into the daily routine of our lives and hardly any woman walks out without wearing makeup or using any sort of cosmetic products. The widespread use of cosmetic products has made it even more important to screen them carefully in order to avoid any possible harmful effects.

With a wide range of cosmetic brands available, more vigilance is required. Recently, a popular cosmetic brand, named Claire, has been under the radar of FDA.

FDA called on Congress to alter the rules for cosmetic safety as it broadcasted an alert for consumers against 3 of the products sold by Claire Stores Inc. This was because these products were tested positive for asbestos- a product that causes cancer. The presence of any carcinogen element in any product is not acceptable.

The 3 products against which the warning was issued are:

  • Claire’s eye shadow palette
  • Contour Palette
  • Compact Powder

The retailer, who just escaped from the jaws of bankruptcy, stated that there is no proof that any of the product sold by Claire is risky. Though, as a measure of precaution, the retailer removed the stated 3 products from the store and any other such product that was talc-based.

Claire, however, has challenged the test results shown by FDA and says that it has misunderstood fibers present in the products as asbestos.

FDA has been under huge pressure to screen for any asbestos presence in the products, especially after the J&J case, where asbestos was found in their baby talcum powder. The reports from the Reuters stated that J&J was aware that their talc, in raw form, contains asbestos, from 1970s to early 2000s.

No favor to flavor: FDA plans on imposing restrictions on Flavored E-cigarettes sales to teens

The commissioner of FDA has decided to put a restriction on the sale of flavored e-cigarettes in order to minimize the rate of teenage vaping.

Vaping is practice of inhaling and exhaling vapors formed by an e-cigarette or electronic cigarette or any related device. The issue associated with this is that youngsters, especially teens might take up vaping as an alternative less harmful than smoking.

The agency has suggested in a proposal that the stores cloister flavored electronic cigarettes to areas prohibited to anyone falling below the age of 18. All retailers inclusive of departmental stores and gas stations will have to mandate the age verification of the customers.

There are enough proofs to show that youngsters are drawn towards flavored e-cigarettes and the minors have access to these from physical and online stores, despite of the fact that there are federal restrictions imposed on sale of such items to anyone below 18.

The increasing rates of teenage vaping is a serious concern over the past few years. Around 3.6 million middle and high school kids confirmed that they were involved in vaping, as per a study conducted by Centers for Disease Control and Prevention.

Previously, FDA repressed teenage vaping by issuing a threat warning to put a ban on maximum flavored e-cigarettes and asked retailers to stop selling them to minors.

The recent proposal states that the sellers need to filter the sale of such items according to the area. If any store caters to customers of all age group, then they might be required to have a separate space/room for such products, so that minors don’t have direct access to it.

Though many retailers aren’t happy with this and have even threated to fight against these stipulations in court. Conservative groups and vaping trade associations also seem to be in no mood for support and have stated that the efforts made by the agency to regulate e-cigarette industry corresponds to government overdo.

The new stipulations are not applicable on menthol, tobacco or mint flavors as the FDA wishes to keep them available for adults who are trying to quit volatile smoking with the help of e-cigarettes.

Meanwhile FDA plans to monitor the use of mint or menthol flavored e-cigarettes by the youth and upon finding excessive use by the youngsters, it would reconsider the exoneration of these products. This step is not going to be in favor of Juul labs, the vaping colossal. Juul has already shifted the sales of its products online, other than the mint and menthol flavored ones.

The proposal made is still in the draft phase and is required to abide by a 30-day comment period prior to its finalization. This regulatory approach is bit off-beat as it is neither an autonomous guideline nor a new rule. FDA has mentioned that if the e-cigarette manufacturers sell their products in contravention of the solicitation, then their products can be lifted off the market and asked to apply for approval from the agency. FDA can carry out this action under its discretionary enforcement authority.

With time, more emphasis is being given to the safety and efficacy of healthcare and cosmetic products. Proper measures should be taken to avoid the presence of any harmful substances in these products and ensure the safe usage. The safety and health of consumers is becoming a primary concern.

The regulatory authorities across the globe are working hard towards maintaining the standard of the manufacturing of these products by implementing stricter measures of screening and making amendments to the safety rules.

With the changing regulatory requirements and parameters, even the big giants need to buckle up and prepare for the best and ensure quality products from their end to stay out of any likely troubles. How things unfold in the future, would be a sight to see.

Turacoz Healthcare Solutions, being a medical communication firm, realizes the significance of drug safety and efficacy and believes that the manufacturing standards of the drugs and cosmetic products should be at par with the regulatory standards and rules. Consumer safety is a priority and the regulatory authorities are working on the same by fastening the grip on major healthcare and OTC product players, to ensure that the products are of standard quality and their consumption is safe.

Turacoz offers quality and cost-effective medical writing services. To know more about our services, write to us at [email protected]

New Drug and Clinical Trial Rules 2019, INDIA What they bring to the table!

Effective from March 19, 2019, The New Drug and Clinical Trial Rules released by the Ministry of Health and Family Welfare have met with mixed reviews by the industry. These rules which apply to Investigational new drugs for humans, clinical trials, bioequivalence and bioavailability studies, except the chapter on ethics, were much awaited by the healthcare industry in order to bring a change in the clinical research sector in India.

These new rules have brought quite a few changes to the previously published Drugs and Cosmetics Rules, 1945, the name itself, being the first.

Reduced Timelines

The drug approval regulatory body- the Central Drugs Standard Control Organisation (CDSCO) will have 30 days to respond to a clinical trial in India and 90 days for global trials with India as one of the site. Failing to respond within these timelines, the trials will be deemed as approved. Earlier, these approval timelines were a major challenge as these could take anywhere from six months to one year.

This, however, would add on to the pressure for CDSCO to approve trials within the stipulated timeline.

Hello phase IV

These rules state that the drugs and indications approved by the regulatory authorities like Food and Drug Administration, European Medicines Agency, etc, would not require a phase III to test the efficacy and safety in India and can directly skip these to a phase IV, to be promoted to the Indian population.

This rule would also apply to Orphan drugs which are used for treatment of rare diseases affecting less than five lakh Indians. With this rule, the accessibility of drugs for the Indian population is believed to increase and will help them in getting better treatment options. Whether these drugs be effective for the Indian population who differ from their counterparts, is still an unanswered question.

Free Post-trial drug access

Trial participants enrolled in clinical trials did not have access to the drugs under study until they were marketed after completing the necessary steps involved. This, however, has been revised in the new rules. Participants will have access to the trial drugs post-trial if and only if there is no other alternative available. Also, the trial participants would have to submit a written waiver to the sponsor, relieving them of the responsibility of any post-trial complications caused by the drug under study. 

Clinical Trial Approval Validity

The approved clinical trials would have a validity of two years which is extendable by one year. This is aimed at fast-tracking the trials and in turn, would help patients to get faster access to drugs.

Welcoming equality

The New Drug and Clinical Trial Rules would now apply to bioequivalence and bioavailability studies and consider them at par with clinical trials. This would help in understanding these studies in terms of their conduct, analysis, and reporting. It has also been mentioned to acknowledge the centers conducting these studies.

Compensatory vows

It has been stated that the compensation for death or permanent disability of the trial participants would be decided by the Drug Controller General of India. Also, free compensation for trial-related disability or injury would be extended until the injury subsides or is no longer related to the trial or drug under study. There is, however, a catch in this clause. This extended compensation would be provided under the guidance of the trial investigator. So, if the investigator feels that the injury is not trial related or is no longer associated with the trial, his opinion would be deemed final. This does put the trial participant at a bit of disadvantage.

These rules aim to promote clinical trials and studies in India, which has a very high disease burden, yet only 1.2% of Global clinical trials are conducted here. Hopefully, these rules would help India be taken seriously as a country which supports ethical Clinical trials and studies, providing opportunities for various Global leaders to see India in a different light.

Turacoz Healthcare Solutions aims to provide information regarding the latest trend and updates in the clinical trial industry. Turacoz is a medical communications company, which offers services to healthcare professionals in clinical research, regulatory writing, publication writing, medico-marketing writing, and support for conducting medical advisory board meetings.

You can write to us at [email protected] to know more about us and avail our services.

National Leadership Summit On Women And Education, 2019 Held At Vigyan Bhawan, New Delhi

Women Innovation and Entrepreneurship Foundation (WIFE) had conducted the second edition of the National Leadership Summit on Women and Education on 18th Feb 2019 at Vigyan Bhawan, New Delhi.  The Chief Guest of the summit, Shri Suresh Prabhu, Honorable Minister of Commerce, Industry and Civil Aviation addressed the gathering and acknowledged women and men who are on mission of empowering women entrepreneurs across India. The awards were focused on honoring women entrepreneurs who have set a standard in a male dominating industry. Dr Namrata Singh, Founder and Director, Turacoz Healthcare Solutions, had received an Indian Women Excellence and Leadership Award in healthcare sector for her persistent efforts, dedicated work and going extra mile to impart knowledge and experience in medical field.

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Moving to Virtual Clinical Trials

 

In the clinical trials industry, 80% of trials do not meet enrolment timelines, leading to a loss of $8 million per day. Delayed enrolment not only impacts trial timelines, but more trials are being cancelled because of it, preventing investigators from determining the safety and efficacy of what could be promising new therapies for patients who need them the most.  This loss can be dealt through incorporation of virtual clinical trials. Unlike traditional site based clinical trials, virtual clinical trials do not require multiple study sites. Though some research space will be required for management of a virtual clinical trial, it can generally be organized from a single facility. Also, patients need not be in proximity to sites, and the data collection requirements fit more easily into their everyday routines, improving compliance and patient engagement. Greenlight insights reported that virtual industry will reach $7.2 billion by the end of 2017, and is expected to touch $74.8 billion by 2021.

Virtual clinical trial is a new method of collecting safety and efficacy data from trial participants, from scratch of the study through execution to follow-up. The participant does not have to travel to the trial site and can make use of simple mobile applications to report general information and adverse events. Body temperature and other vital signs are send directly to the electronic data capture records via wearable sensors.

What are the benefits of virtual clinical trials?

The advantages of virtual clinical trials compared to the traditional trials are mentioned below.


Figure 1: Benefits of virtual clinical trials
  1. Maximizes patient availability and enrolment: The patient recruitment phase is longest in clinical trials and almost 80% of the study fails to reach the initial target.
  2. Overcome of mobility issues: As the patient is not required to travel to the trial site or doctor’s office, it is convenient for elderly participants residing in remote area.
  3. Keep subjects engaged with the study: Almost 40% of the phase III clinical trials subjects drop out from the study due to many factors such as inconvenience in travelling, complexity of trial design and data collection procedure. However, virtual clinical trials does not require patient to travel to clinical study sites. Also, the data collection procedure is automated which increases the patient engagement and reduces the dropout rates.
  4. Better data collection: Data collection is made easy by electronic data capture records hence; the timelines can be achieved at a faster rate.
  5. Benefits to research team: With notifications, scheduling and reporting functions, researchers are freed from performing tedious administrative duties.
  6. Reduce risk in drug development process: Real-time data analysis and data cleaning can be carried out simultaneously. Based on the real time clinical trial data, decisions to terminate drugs development can be made faster.
  7. Cost effectiveness: The reduced number of sites involved in the study leads to reduction of the cost. While trial staff will likely still be based at a single site or a reduced number of sites in multi-site trials, the operating costs will be significantly lower.

Key challenges of virtual clinical trials

  1. Sometimes
    technology may fail:
    When everything
    relies on technology, challenge arises if it won’t operate optimally.
  2. Data accuracy
    problems:
    As the patients will not face the
    doctor directly, doubts exist whether ideal standard treatment care is provided
    for the patient.
  3. Conservative in
    approach:
    Corporate conservatism is another
    major challenge as it is difficult for the sponsors to move on from traditional
    method and trust the data generated from virtual clinical trials.
  4. Challenges in
    device selection:
     There are concerns that the device model, the position at which the
    trial participants wear it and other factors could introduce variability into
    the trial results.

Pioneers in virtual clinical trials

REMOTE (Research on Electronic Monitoring of Overactive Bladder Treatment Experience) trial by Pfizer in 2011 was the first virtual clinical trial. Though, the trial faced many challenges, it was the first trial to use web and smartphone based patient recruitment. Also, the patients were not required to visit the study site.

Turacoz Healthcare Solutions aims to provide information regarding the latest trend in clinical trial industry. Turacoz is a medical communications company, which offers services to healthcare professionals in clinical research, regulatory writing, publication writing, medico-marketing writing, and support for conducting medical advisory board meetings.

To know more about us and our services, write to us at [email protected]

Financial Disclosures in Medical Publishing

Introduction

Financial disclosures enable the readers to evaluate the potential conflict of interest (COI) which probably builds the trust of transparency in the medical publishing’s.

Importance

The financial disclosures are made available to the readers either in the published article or by posting the submitted financial disclosure forms online along with the published article. It allows the readers to evaluate the author disclosure with COI and analyze the financial aspect of the published material. Furthermore, it allows one to interpret the information provided in the article accordingly in the gleam of all those disclosures.

Consequences

  • Many scientific journals and funding agencies have adopted and regularized it for the authors to disclose all finance related interests to improve the uprightness of science and manage all COIs. The complete disclosure removes the inkling of hiding some relevant information regarding the object.
  • It allows the reader to draft their own opinion on whether a COI exists and what significant association it has with the study.
  • Readers and editors easily recognize that several nonfinancial forms of bias, may it be executive, cognitive, competition at academic level, or discriminatory based on personal confront can affect a study or the reviews.

Over the past few decades, only the financial disclosure has emerged as an attainable goal among the above stated, but the process has not been perfected either in concept or practice.

The financial disclosure remains a debatable topic in field of medicine with some finding the requested reporting burdensome and others still unsatisfied that declaration is pellucid, at its best.

Turacoz Healthcare Solutions, a medical communication company providing medical writing services, understands the significance of financial disclosures in medical publishing.

Turacoz provides services like scientific writing, publication writing, regulatory writing, clinical trial writing support, pharmacovigilance support, etc.

To know more about the services and to seek help, you can write us at [email protected]

New Drugs For HIV: Making An Impact On HIV Treatment

The global statistics for HIV/AIDS 2017 have revealed that around 37 million people across the globe were affected by HIV, out of which 1.8 million were children. 1.8 million new cases of HIV were registered in 2017, making it about 5,000 new cases per day.

Around 75% of the total people affected by HIV were aware of their condition, whereas the rest 25% were yet to be examined. HIV screening is very important and crucial for its prevention and treatment. 21.7 million HIV positive people, globally, were having the access to antiretroviral therapy (ART).

Though the deaths due to AIDS have been reduced by 51 %, globally, there is still a lot to be done for this condition. Till date, we have no cure for HIV. There are various advancements in the drugs for HIV treatment, but there hasn’t anything been invented yet that can cure HIV forever. In such a case, every new drug invented and approved is a ray of hope for many HIV patients worldwide.

New drugs approval for HIV:

Recently, the US Food and Drug Administration gave its approval to two new drugs developed for treating HIV-1, the most common form of the virus.

Over the decades, this disease has been researched upon and understood by various scientists and efforts have been made to find treatment for the same. This approval signifies the potential and improvement in the treatment of the ailment and states that the options for treating the condition have now increased.

Known drug manufacturer, Merck, announced that FDA have approved the two new antiretroviral drugs- Delstrigo & Pifeltro.

These oral medications are targeted toward those adult HIV patients who have not been exposed to antiretroviral treatments before. These medications aren’t meant for the patients who have been previously receiving the antiretroviral treatments.

The approval for these drugs was granted posted the successful phase 3 clinical trial of these 2 drugs. The trial involved 700 participants for each drug. Both the medicines had same side effect of reducing the cholesterol levels.

People with HIV are now living longer life and with the recent statistics it can be inferred that very soon HIV positive people will live longer than 50 years. In such situation they are most likely to be exposed to issues like high cholesterol. So, in such conditions, the side effects of these drugs can prove beneficial as they lower down the cholesterol.

No single drug is effective for HIV patients. So, people who are looking forward to these drugs must consult their doctor beforehand to figure out the most suited treatment for them.

Choosing a certain drug or treatment regimen depends highly on various factors such as other medical issues faced by the patient, possible side effects and drug interactions. As more and more drug being available for the treatment, customized treatments can be generated keeping in mind patient’s condition.

The complexity of HIV/AIDS is still highly misunderstood by people in general and a lot is yet to be done in treatment of HIV.

Turacoz Healthcare Solutions hopes that more and even better drugs will be manufactured in near future which will make a positive impact on the treatment of HIV/AIDS and hopes that the new drugs manufactured will help in treating HIV and benefit HIV positive people.

Being a medical communication company, Turacoz wishes for HIV positive people to live a long and healthy life. Turacoz offers medical writing services like clinical trial support, pharmacovigilance support, regulatory writing, etc. and is updated on the recent advancements in the treatment of various diseases.

To know more, write us at [email protected]

Myths about HIV/AIDS: Busted

Ever since HIV/AIDS is discovered, there have been lots of rumors surrounding it. This article aims at busting those myths and presenting the fact.

HIV-Human Immunodeficiency Virus attacks the immune system of human body and makes a person weaker and increases his disability to fight against diseases. This is caused by having unprotected sex with a HIV positive person and using shared needles/syringes for injecting drugs.

There are various myths about HIV. Let’s have a look at them and then get aware of the reality:

  • You can get HIV by being around a HIV positive individual: This is the most popular rumor surrounding this situation, that you can get affected by HIV by staying around a person who suffers from this disease.

Fact: You cannot get affected by HIV by shaking hands, touching, hugging, kissing or sitting together with a HIV positive person. The HIV virus transfers to your body through vaginal fluids, semen and blood of a HIV positive person.

  • HIV is caused by mosquito and insect bites: Another popular myth which says that if a mosquito bites a HIV positive person and bites you too, then you can also get HIV.

Fact: One cannot get HIV from any mosquito or insect bites. Mosquitoes never inject blood in your body, not does any other insect.

  • You cannot live long, if diagnosed with HIV: A common misconception is that if you have HIV than your life is cut-short or say is over. You will die soon.

Fact: HIV does not mean that your life is over. When it came into knowledge, there were any deaths due to it because there was nothing that we knew about this disease. But today, a lot is known about it. Though there is no fix cure for this, but still, there are certain treatments and therapies that help control the damage HIV does to your body. If one follows proper therapy and takes daily doses, one can live a normal, healthy and long life.

  • Having sex with a HIV positive person will get you HIV: Another myth, that says, if you become physically intimate with a person who is HIV positive, you can also get affected by the virus.

Fact: It is very important to understand that how HIV spreads, what are the risk factors and the preventative measures. By using quality condoms, you can lower down the risk of transmission of this virus. Practicing safe sex is the key to stay away from getting infected with this virus.

  • A woman affected by HIV will pass it on to her baby: This myth states that a HIV positive woman will pass on this virus to her baby during pregnancy and the baby with be HIV positive too.

Fact: This can only be possible in the case where no proper measures are taken to prevent the baby from the virus. A HIV positive woman can prevent her baby from getting infected by taking proper treatments at the right time. There are some treatments available that ensure safer deliver of child and keep him/her virus-free.

  • There is no need for condom if you use HIV Prevention Pill: A myth that says, one does not need to use condoms if he/she is taking a PrEP.

Fact: PrEP (HIV pre-exposure prophylaxis) is a technique through which the use of a regular antiretroviral pills can lower down the risk of getting infected by HIV by as much as 92%. But this does not state that the condoms should not be used at all. It is always good to stay on the safer side.

  • One can stop using condoms if he has an undetectable virus: A myth that says if you have suppressed your viruses to an undetectable level, you should quit using condoms.

Fact: It is true to a certain extent that a person who has suppressed his viruses completely such that they become undetectable, is less likely to transmit the virus. But this doesn’t ensure that there aren’t any factors that can increase or reduce the risk individually.

  • We are on the verge of curing HIV/AIDS: Another false claim that the cure for HIV is about to be discovered.

Fact: There are numerous researches going on and a lot has been understood on this disease. Advances are being made but we are not yet close to disclosing the cure for it. Till date, this disease has no permanent cure and only certain drugs are available which can help control the damage.

  • Straight men and the ones who do not take IV drugs cannot get HIV: Misconception that only gays can get affected by this virus called HIV.

Fact: Though men involved in homosexual sex are more likely to develop HIV, heterosexual contact can also get you affected. Around 3 in 4 women and 1 out of 6 men have this situation.

  • You cannot have children if you’re HIV positive: A very common misconception stating that a HIV positive cannot conceive and extend family.

Fact: It is not necessary that you will not be able to have children if HIV positive. There are certain ways and treatments that can help you conceive. Though HIV is a sexually transmitted disease, there are various options you can consider for conceiving, depending on which partner is HIV positive.

Turacoz Healthcare Solutions aims at spreading awareness regarding HIV/AIDS and debunk any myths or misconceptions surrounding it and make people understand the reality.

Turacoz is a medical communication company and provide services like medical writing, regulatory writing, publication writing,  pharmacovigilance, etc. So, being related to pharma industry, we believe in raising awareness among masses for certain diseases and help them in knowing the truth.

To avail our services or for any query or help, you can contact us at:

[email protected]

Time for India to adopt orphan drugs

What are orphan drugs?

The term orphan drug refers to any drug or biological product intended for treatment, prevention or diagnosis of a rare disease. The definition of rare disease varies across countries but typically considers the prevalence of the disease, severity and existence of alternative therapies. As per WHO, a disease is considered rare if it affects ≤ 1 in 1000 population. In Unites states, a condition is rare if it affects fewer than 200,000 people in the country while in European union, it’s for < 1 in 2000 people.

Examples of rare disease include genetic disease, rare cancers., infectious tropical disease and degenerative disease. Oncology products account for greatest number of orphan drug designations.

Why Orphan?

Considering the high cost of drug development and lower patient pool, it becomes unviable for pharmaceutical companies to invest in these rare diseases, thus naming them orphan. In lack of proper diagnostic tools and treatment options, the patient’s suffering widens and poses a challenge for the doctor, society and the Government. To overcome this, the government and several NGOs provide incentives to drug companies to develop and market such drugs. The support is extended by the federal legislature through various research grants, market exclusivity, access to centralized facilities, free scientific advice, tax credits and fee reduction.

Adoption of Orphan drugs

Orphan designation may be granted at any stage of drug development if proper scientific justification is provided for its intended use. Efficacy, safety and quality of the drug should be satisfied to receive market authorization.

USA was the first country to pass orphan drug act in 1983 followed by Japan in 1993, Australia in 1997 and EU in 2000.

It is difficult to understand that countries like India and China being two of the largest in terms of population size still lack the designation of orphan drugs and national legislation for them. It creates a substantial negative impact on patients affected with such diseases.

The rare diseases are estimated to affect 72-96 million people in India. Though rare disease policy was drafted by Indian Government in 2017, it has yet to see the light of the day. The policy is the first major step by the government which recommends genetic counselling, as well as pre-natal and antenatal screening. Indian Council of Medical Research (ICMR) has launched a registry for Indian rare diseases to collect data for policy framing and guide future research. Beyond funding, a more holistic approach and faster implementation is the need of the hour to facilitate the adoption of orphan drugs.

Turacoz Healthcare Solutions takes an initiative to sensitize general population and pharmaceutical companies on the challenges faced by people affected with rare disease and take adequate steps via regular screening to limit such conditions. Turacoz is a medical communication company that provides scientific/medical/ regulatory writing support to the industry and is serving their clients in developing new drug applications, protocol writing for research, and medico marketing support. To get the assistance you can get in touch with us at [email protected]

It’s about the Blue Circle: Diabetes, its types and challenges

Not everything sugar is good for you! The overdose of sweetness in your life can be fatal as the threat called ‘Diabetes’ is hovering over the head of millions of people around the globe. It has emerged as the leading cause of blindness, kidney failure and lower limb amputations, globally.

The worldwide commonness of diabetes among grown-ups of the age 18 years and above has ascended from 4.7% in 1980 to 8.5% out of 2014, i.e. 108 million to 422 million.

In 2016, an expected 1.6 million deaths were straightforwardly caused by diabetes. Another 2.2 million deaths were inferable from high blood glucose in 2012. As per WHO estimates, diabetes was the 7th prominent cause of deaths in 2016. Diabetes has been prevalent in the middle and low-income nations.

When talking about Asian countries, India accounts for the most number of diabetic people. As per WHO, India is on the top of the list of the countries with highest number of diabetic people. Currently India represents 49% of world’s diabetic population, with around 72 million cases in 2017 and this figure is expected to rise by more than double by the next decade.

A month dedicated to Diabetes:

The month of November is observed as Diabetes month and November 14th of every year is celebrated as World Diabetes Day in order to raise awareness about Type 1 and Type 2 diabetes, considering the gravity of the ailment.

The theme for the year 2018-2019 is “The Family and Diabetes”.

We all have come across a pink ribbon for breast cancer awareness, a red ribbon for AIDS awareness, etc. The World diabetes is denoted by a Big Blue O.

The blue colour is intended to summon the shade of the sky, and the circle is an image of solidarity. This symbol thus stands for “unite for diabetes”.

What is diabetes?

Diabetes is a critical, long lasting condition where your blood glucose level is extreme. It is chronic disease in which he pancreas either are unable to produce insulin or the body is not able to efficiently use the insulin formed.

Be it any type of diabetes, it holds one thing in common which is that they cause the patients to form extreme level of glucose (sugar) in their blood. It is true that the human body needs glucose as it is the source of energy but excessive formation of it is not good for the body.

Glucose is formed when our body breaks down the carbohydrates which we consume in form of solids or liquids and this glucose is then diffused to the blood. A hormone named ‘Insulin’, secreted by pancreas, helps the glucose in the blood to enter the cells and provide us energy.

A non-diabetic person’s pancreas realizes when the glucose enters the blood and eventually releases the right amount of insulin helping the glucose to enter the cells. This whole process doesn’t function properly in a person affected by diabetes.

The 2 main type of diabetes are: Type 1 and Type 2. They’re diverse conditions, yet they both are serious.

Type 1 and type 2 diabetes:

People with Type 1 diabetes are not capable of making insulin, but the case differs for the person with Type 2 diabetes. The person with latter form of diabetes has either insufficient amount of insulin produced, or the insulin formed doesn’t work effectively. Around 90-95% of a diabetic cases accounts for Type 2 diabetes.

In both types of diabetes, the glucose is unable to enter the cells and thus start accumulating into blood, causing various health issues such as heart problems, issues with eyesight, adverse effect on kidneys, etc.

Symptoms of Type 1 diabetes:

  • Polyuria (increased frequency of urination)
  • Feeling excessively thirsty (polydipsia)
  • Frequent hunger
  • Weight loss
  • Changes in eyesight
  • Tiredness

Symptoms of Type 2 diabetes:

These are almost similar to the Type 1 diabetes but may remain undiagnosed in initial or early stage and hence the complications arise.

Other rare types of diabetes are:

  • Maturity onset diabetes of the young (MODY): A rare types of diabetes that runs in family and is caused by a change or mutation in a single gene. So if any parent has this mutation, there are 50% chances that their child will inherit it from them and even can develop it before the age of 25 irrespective of their weight, lifestyle, etc.
  • Neonatal diabetes: It is spotted under the age of 6 months. In it the mutation of genes affects the insulin formation resulting in a high blood glucose level. Around 20% of people affected by this have developmental delay or epilepsy. It’s different from Type 1 diabetes on the point that Type 1 doesn’t affect a person below the age group of 6 months.
  • Wolfram syndrome: A rare type of genetic disorder which is also acknowledged as DIDMOAD syndrome, pertaining to its 4 common features (Diabetes Insipidus, Diabetes Mellitus, Optic Atrophy & Deafness).
  • Alstrom syndrome: It is also a rare genetically inherited condition which has features like Retinal decay, loss of hearing capacity, obesity, kidney failure, rheumatic problems, etc.

People suffering with Type 2 diabetes have quite a few issues when monitoring their health, like:

  • Monitoring their blood sugar level at regular intervals, throughout the day.
  • Consuming a diabetic-friendly diet
  • Exercising on daily basis to stay fit and maintain weight.
  • Taking the daily dose of medications.
  • Frequently visiting the doctor for check-ups.

What makes this a tedious task is that only 1% of diabetic people’s time is spent under the guidance of a healthcare expert, rest 99% are managing it on their own. Self-management is the toughest form of management.

Adhering to a strict and healthy diet becomes quite a difficult task for people today, considering their hectic life schedule.

The most crucial aspect in case of diabetes is early diagnosis. The prediabetes is very important in determining the factors related to Type 2 diabetes. When talking about the challenges in diabetes diagnosis, the awareness of the disease is the most crucial part. The prediabetes stage is the phase when one needs to get alert in order to avoid further complications in diabetes and reach out for early and timely diagnosis.

What is prediabetes?

It is concerned with the pre-diagnosis of diabetes. It is basically a warning signal for a person whose blood sugar level is higher than normal. Though it is not considered as diabetes, but still implementing a healthy lifestyle from thereon can help reduce the risk of forming Type 2 diabetes later.

By adapting a healthy lifestyle, eating healthy and exercising daily and maintaining a healthy weight can prevent prediabetes from converting into diabetes.

Prediabetes strikes when your body starts encountering trouble with the use of insulin. It is yet not clear as to what causes the insulin process to go astray in some people.

Here are the risk factors that contribute to the development of prediabetes:

  • Weight issues: Being overweight i.e. having a BMI more than 25 can result in prediabetes.
  • Absence of exercise: Not doing any form of physical activity can result into mismanagement of weight and leading to problem like obesity which is the root cause of prediabetes.
  • Family history: If someone in your close blood relation or a family member near to you has diabetes, then you are likely to develop it too, as it is hereditary in nature.
  • Age: Getting older has its own set of cons and one such is the risk of developing diabetes. People with age 45 & above can expect to be at the risk of prediabetes and post 65, this risk increases even more.
  • Other health issues: People with high blood pressure/hypertension are at the risk of getting type 2 diabetes.
  • PCOS: In women, PCOS (Polycystic Ovarian Syndrome), wherein multiple cysts get formed into ovaries, increases the risk of developing prediabetes as one cause for these cysts can be insulin resistance.
  • Gestational diabetes: If a woman has developed diabetes during the pregnancy, there are higher chances of developing prediabetes in the long run.

Challenges in health management during diabetes:

  • Absence of disease arbitration for pre-diabetics: As per American Diabetes Association, the predominance of diabetes has hiked up by 40%, during the last decade. Without any mediation, these numbers will constantly rise in the coming years. 1 in every 3 adults is suffering from prediabetes, but dismally only 7-10% are informed of it. In the absence of intervention, around 30% of such people will fall prey to Type 2 diabetes in a time-span of 3 years.
  • Cohesion with medication: Diabetic people juggle between the costs, avenues, competing arrangements and absence of awareness when they struggling to adhere to the medication.
  • Expensive treatments: The treatment expenses for diabetes are really high. The minimum cost care is impediment, early diagnosis and treatment soon after to minimize the chances of any complications.
  • Inclusion for meds and supplies associated with diabetes: The patients today bear a huge responsibility towards their healthcare costs. Along with the payment of rising insurance premiums, they also have to cope-up with the extra costs of co-pays, co-insurance, etc.

Every problem comes with a solution and so is the case with diabetes. Here are the solutions for the complexities of diabetes management:

  • As mentioned, that early diagnosis is very crucial, staying alert and vigilant about the early symptoms is very important which helps in early detection of diabetes. Symptoms like excessive hunger and urination, excessive thirst, fatigueness, etc. are to be watched out for and in case of any doubt consulting with the physician will help in the diagnostics of prediabetes.
  • A fasting plasma glucose test is used to detect diabetes (126 mg/dl & more) or prediabetes (100mg/dl-125mg/dl) and provides with the measurement of blood glucose, post eating for a minimum of 8 hours.
  • Oral Glucose Tolerance is used to measure blood sugar, post 8 hours of eating anything and post 2 hours of drinking glucose drink. It tests diabetes (200mg/dl & above) and prediabetes (140mg/dl-199mg/dl).
  • There is a random plasma glucose test which in conducted test blood sugar irrespective of when the food is consumed. With particular symptoms like excessive urination, hunger or thirst and weight loss, etc., values of 200mg/dl or more is tested.

Type 1 diabetes is diagnosed earlier as compared to Type 2 diabetes as the symptoms are quite evident and it requires immediate medical care. In case of Type 2 diabetes, the symptoms are too mild to be detected early and can go unnoticed for 7-10 years, inviting more complications and greater health risks.

Now it is about the lifestyle choices that you make. The sedentary lifestyle which people lead today has given birth to various health issues, diabetes being the main. Try to live a more active and healthy lifestyle to prevent yourself against this disease. Healthy eating and healthy living is the key to a healthy life. Being aware regarding the disease can help reduce the risk of its development.

Turacoz Healthcare Solutions-a medical communications company, understands the complexity of diabetes and acknowledges that the hectic schedule of the corporate has fuelled the condition. Turacoz practices a healthy working style for its employees. Practicing desktop yoga, eating healthy and taking breaks in-between work is the culture practiced here. Turacoz values its employees and understands the fact that ‘health is wealth’ and is constantly working towards making work-life healthier for the employees and practicing a active and healthy living style.

Turacoz follows a ‘NO-STRESS’ policy for its employees and believes in keeping the work environment friendly and healthier to avoid any work or workstation related stress and pressure, as stress is also a key factor in triggering diabetes among people.

“Healthy living, healthy eating and healthy working are the mantra for Turacoz Healthcare Solutions”.

 

 

Breast cancer does not define you nor does it end your life!

The month of October is dedicated to breast cancer to create awareness regarding this prevalent cancer in women, globally. Breast cancer accounts for up to 25% of all new cancers diagnosed in women worldwide. With this being such a serious health issue, it is important to raise awareness about the same.

Here are few of the stories from some of the brave breast cancer survivors:

1. This story is of Kajal:

“My world fell apart on learning that I had breast cancer. It was discovered that my tumor was 1.2 cm and my cancer turned out to be both estrogen and progesterone positive. I cried my eyes out. I was only 24, it wasn’t the time for me to be dealing with cancer. I had different dreams and aspirations but now everything was so different.

I had no family history of breast cancer, so I never ever imagined that I would be going through this. My family and the doctors were my greatest support at this very terrifying phase of my life. Post discussions it was decided that I would be going through double mastectomy. My doctors weren’t concerned about the preservation of fertility until they discovered that I would be needing chemotherapy.

I was clueless when asked that whether I wanted to freeze my eggs, considering that I was so young. But I went on for it. I didn’t wanted to give up on my long hair locks but seeing them fall out in chunks was heartbreaking and I ended up shaving my head.

I was scared to look at myself in the mirror. I was frustrated, sad and miserable complaining why it had to be me! Life was so unfair. But I came in touch with other women who were fighting the same ailment as me. Slowly I began to regain the lost spirit and strength and was determined to defeat cancer. I decided to be a fighter. Everyone around me was so supportive.

It has been 1 year, and I have survived various round of chemo and radiations and I am still going strong. To all the young girls out there struggling with cancer, I would say that don’t let cancer break you, your dreams and your soul. Pull up your socks and fight back and you would emerge victorious.”

2. Neeta’s story:

“Life was going smooth. I got married to the love of my life at the age of 32. We were thinking of a beautiful future ahead, but my world flipped upside down on learning that I had breast cancer. I was noticing a lump on my right breast and ignored it for several days think of it as a normal cyst. My husband insisted that I once get it checked. I had an ultrasound, escalated to mammogram and then biopsy to confirm that I my diagnosis would be for stage 2 triple negative breast cancer.

I was shattered. I knew being a cancer patient means taking all those painful chemo sessions and a lot more and going through various side-effects of the therapies. All I could think of was that it couldn’t have happened to me. I felt helpless but my husband, family and the doctors comforted me and made me believe that I could be cured.

As the chances for pregnancy would eventually decrease with chemo, I went through IVF and got my eggs freezed in hopes of becoming a mother someday. It all began then. I have completed 17 rounds of chemo and dealt with various extra drugs helping me to fight cancer.

I cried seeing my hair fall. I sometimes didn’t had strength to even speak loudly and I ended up crying silently blaming god for my condition. I was dealing with fatigue, nausea and some neuropathy issues.

Undergoing 30 rounds of radiations was not half as painful as the mental and emotional pain I was going through. At one point I even stopped thinking of any future fearing that there might be no future for me. But the support I received from my family, husband, doctors and friends dragged me out of the big black hole of depression I was plunged into.

I came in contact with other cancer patients and interacting with them I learned many things that helped me cope up with this frightening disease. I learnt to be thankful for each day I was breathing, realizing how precious life was. I felt blessed to have such a supporting husband and lovely family and friends besides me, who stood out for me in my toughest times.

It has already been 4 years now and I am all better. I do visit my doctors for health checkups and other essential. I have learned to live even better post cancer. May be not in the best possible way, but I feel cancer has made me a better human being.

Never give up and keep up the spirit. Nothing can bring you down, not even cancer. Just learn how lucky you are to be alive. Learn to give and spread happiness all around.”

Turacoz Healthcare Solutions stands in support of all the women and men dealing with breast cancer and wants to convey them a message that:

“Cancer is not the definition of you. Cancer is just a situation that happened to you. It does not need to define you personally. Gather all your strength and courage and fight against it. No ailment is stronger than your will to live. Be brave, be bold. Wear your pink gloves on and punch the cancer in its face!”

Significance of Publication Planning

Publication planning is that part of the pharmaceutical landscape that ensures that data from pharma companies (clinical trials, commentaries on drug/device class, and other publications supporting the efficacy of drug/device) is disseminated through medical journal articles–an important aspect of pharma companies’ overall marketing strategy. To publish a mix of editorials, primary and secondary publication, and review papers is the goal of efficient publication planning. Strategic publication planning can maximize product visibility throughout its life cycle. The launch of new drug/device in the market can be successful if the key clinical messages reach the target audience at the right time, for which publication planning is essential. The most successful drugs launched in the last 10-15 years have ridden on the back of a very well-implemented publication strategies. Overall, publication planning aids in the accurate reporting of scientific research, thereby promoting ethical transparency at every stage of medical research through the involvement of investigators, journal editors, and publication professionals.

An effective publication planning team is the key to an efficient publication plan. It is the publication planning team that creates a proactive plan to deliver client‑focused solutions and enable strategic planning and timely implementation of the publication plan. The first step in a publication plan is a “GAP analysis”, which can identify gaps in the literature. Thereafter, the team does an analysis of strengths, weaknesses, opportunities, and threats (SWOT) comprising product strengths, weaknesses, market opportunities, and market threats to understand which areas need maximum focus during implementation of the publication plan. For example, if the product in question has more safety issues compared to its competitors, then the publications would mostly be aimed to showcase that the safety concerns are unfounded. The publication planning team also analyzes the Health Economics and Outcomes Research (HEOR) related to the product and various competitors available in the market. In addition, it is the responsibility of the publication planning team to discuss issues related to authorship and data interpretation, and to ensure all the professionals involved in the publication process meet scientific and ethical standards. A good publication planner gets the best key opinion leaders (KOLs), study investigators, and a publication agency (if needed) to write the papers. This allows authors to concentrate only on scientific discussion, and not on logistical issues. Moreover, it encourages transparent communication between researchers and contributors.

There are also a few ethical issues that the publication planning team needs to deal with. These are shown in Figure 1.

Figure 1: Ethical issues relating to publication planning

Apart from ethical considerations the publication strategy team should know the audience; whether they intend to reach out to primary-care physicians, specialists, allied health specialists, managed care specialists, hospital pharmacists, retail pharmacists, formulary managers, and calibrate their publication plan accordingly. Based on this, they should select the journals for publication. Although publishing in a top-tier journals is prestigious, and adds substantially to a product’s first impression, it should be balanced against the length of time to publication. Prestige cannot make up for a publication that arrives too late. Early publication planning helps to ensure both goals are achieved. Finally, ensuring that a publication coincides with important meetings is an important part of efficient publication planning. This can ensure that the medical representatives at these scientific meetings have evidence to back their claims regarding the drugs/devices they are promoting.

With new guidelines such as GPP3 in place, there is an increased scrutiny on publication planning. Therefore, understanding good publication practices for providing structure and ethical implementation of the publication plan are important.

Turacoz Healthcare Solutions (THS), a medical communication company, offers services to healthcare professionals in clinical research, regulatory writing, medico marketing writing, publication writing and support for conducting medical advisory board meetings. Turacoz understands the importance of a good publication which is in line with the new GPP3 guidelines. We follow the same updated guidelines for all our publications and comply with all legal, ethical and regulatory requirements. To know more about our specialization, please do visit our services section.

Are you at the risk of Breast Cancer? Read this & find out.

Breast cancer is the most prevalent form of cancer in women. Though it also affects men, the incidence rate is quite low. Early detection (be it any type of cancer) increases the chances of survival in case of this deadly ailment.

For better and timely diagnosis, it is very important to detect the early signs of breast cancer. In this blog we will be discussing the signs of breast cancer.

Have you ever paid attention to your breasts?

How often do you check your breasts?

Ever noticed anything unusual around that area?

These questions are very crucial when it comes to determining the signs and symptoms of breast cancer. Start with having a look carefully at your breasts.

How to check your breasts?

You don’t need any special training to check your breasts. Each woman has a different set of breasts and you should know how your breasts normally feel like or look like. When you know this, you will easily be able to spot anything unusual in your breast area.

Check the whole area around your breast including your armpits & upper chest and if you notice anything unusual, get yourself checked by a doctor.

What to check?

Check for any lumps around your breast area, upper chest or even around armpits. Lumps can be the primary symptom of breast cancer. Pain in breast can also be a sign of breast cancer but usually it is not in most cases. Pain in your breast can be due to other reasons as well but if an unexplained pain prevails over some time, it is advisable to get it checked by a doctor.

Checking your breasts for any signs of breast cancer follows a simple formula: TLC: Touch, Look, Check

  • Lumps are not visible, but they can be felt. Look for any lump or swelling in your breast, armpits and upper chest.
  • Check for any changes in shape or texture of your breasts. A change in size or shape of your breasts might be an indicator of something fishy, for instance one breast appearing larger than the other one.
  • Have a look closely at the texture of your breasts. Look for any puckering or dimpling of the breast skin.
  • Closely examine the color of the breasts. If you notice any redness or inflammation on your breasts, get it checked by a doctor.
  • Notice whether your nipples look different than usual. A change like inversion of one of the nipples if present (these are usually pointed outwards), then consult a doctor.
  • If there is any unusual discharge from your nipples, immediate action is required.
  • Check for any rashes or crusting on your nipples or the areas nearby.

If you notice any of the above symptoms (also presented in Figure 1), then go and see a doctor. It is not necessary that having any of these symptoms is the sign of breast cancer, but it is always safe to have a breast screening post consulting with a doctor. Doctor would examine and if further check-ups required, he will refer you to the specialists accordingly.

Are you at the risk of Breast Cancer? Read this & find out.

Figure 1: Symptoms of breast cancer in women

Do you need to check your breasts often?

Well, as a precautionary step or rather say to be on the safer side and to be aware of this disease you can check your breasts at regular intervals. You can check them monthly or bi-monthly or how often you feel like.

Once you start checking them regularly you will be able to identify even the slightest change taking place in them, be it due to age or at various times of a month. Your breasts can feel sore or heavy before or during your periods, heavier and bigger during pregnancy and you might notice this change if you know your breasts well.

In the similar way if anything is odd with them, it would be noticeable when you are aware of the normal/usual appearance of your breasts.

Breast cancer in men:

Men also have breast tissue, but they are very much less developed as compared to the ones of women. This is also the reason why breast cancer in men is a rare phenomenon.

But, still, we cannot feign ignorance to the fact that men too, are affected by breast cancer.

 

Signs & symptoms of breast cancer in men:

If someone in your family had breast cancer, you have some chances of getting it, but again it’s not definite that you will. Regularly checking your breast is a wise option especially if you have a genetic record of Klinefelter’s Syndrome (history of breast cancer in family).

The breast tissues in men are mostly behind the nipple area & the pigmented region known as areola. Breast cancer in men usually appears around the nipple area as a lump (Figure 2).

Are you at the risk of Breast Cancer? Read this & find out.

Fig. 2: (a) Shows changes in the look of the nipple or areola (direction change in nipple); (b) shows discharge from nipple or nipple ulcers; (c) Shows lump formation around nipple or armpit

If you find any of these symptoms, go and consult a doctor. In case cancer is detected, you can get an early diagnosis, ensuring better and faster recovery. If not, then, any other problem might also get solved in time.

Turacoz Healthcare Solutions requests every men & women to pay close attention to these specific parts of their body and help themselves in early detection of breast cancer, if present.

An early detection increases your chances for better treatment and recovery.

Ghostwriting in Medical Literature

With the advances in medical technology and innovations in field of medical sciences and drug development, there has been widespread increase in scientific research papers. These scientific papers not only add volume to the medical literature, but also greatly impact the decision making of doctors and regulatory authorities. Doctors might make decisions pertaining to treatment planning based on the updated information available. Regulatory authorities, on the other hand, use this literature for drug approval process or for formulating new policies. Thus, it is important that the scientific articles should be written and published in an ethical manner and should uncover all the advantages and disadvantages/side effects of newer treatment modalities/drugs so that the medical literature is free from bias.

Concept of Ghostwriting

Ghostwriting in medical literature is an awful breach to the ethics in dissemination of information obtained from scientific/medical research. This practice of ghostwriting has widely attracted the attention of medical writers and scientific community and has been greatly criticized by them. Ghostwriters are the ones who are hired by pharmaceutical companies for drafting scientific articles for purpose of marketing their product. Such papers incorporate good effects of product while making exaggerated promises and omit its side effects that might adversely affect its usage/ approval/marketing. The articles written in this manner are credited with the authorship of physicians and academicians in the field to enhance the credibility of given information projecting the same as an unbiased source.

As per a review paper by Górski A et al in 2010, approximately 10% of papers published in reputed journals were estimated to be ghostwritten. Furthermore, this rate was suggested to be even higher for some of the medical specialties. Ghostwriters have been defined by The International Society for Medical Publication Professionals as “individuals who contribute substantially to a medical publication but do not appear on the byline and are not acknowledged for their contribution.”

Concept of Authorship

Authorship makes a person/writer accountable for the published information. The onus of the integrity of information presented in the paper lies on its authors. A person/writer is considered an author as per ICMJE guidelines (available at http://www.icmje.org/) if he has substantial intellectual contribution towards the research or content of publication. For being an author to a document, one must fulfill four important authorship criteria. First criterion is substantial contribution to work either in form of its conception and design, data acquisition or its analysis and interpretation. Secondly, the author should have either drafted the manuscript or made critical revisions necessary for its intellectual content. Thirdly, the final version of the paper to be published should have been approved by the individual to qualify as an author. Lastly, the accuracy or integrity of the work should have been adequately investigated by the authors and issues if any should have been resolved by them. The European Medical Writers Association (EMWA) guidelines clearly state that a medical writers can be listed as an author, if they fulfils the authorship criteria; otherwise they must be acknowledged for their work.

Medical Writing vs. Ghostwriting

Medical writing is a dignified professional service provided by the medical writers from diverse fields of life sciences having a background knowledge of medical and allied sciences. Medical writing services can be utilized by pharmaceutical companies, researchers, doctors, and academicians as a process to disseminate their workloads thereby preventing wastage of research resources. It has been estimated that 6% of all papers in medical literature are developed by the help of medical writers and are based on studies sponsored by “nonprofit organizations”. Professional medical writers with their skills and expertise, can support the research by collating data, analyzing and interpreting it, and presenting the results in a clear and concise manner. They can provide intellectual help by writing publication manuscripts. Additionally, they can be hired by pharmaceutical companies for developing regulatory documents required for drug approval or research protocols, clinical trials and their results etc. In addition, professional medical writers can be hired for writing publication documents like original research articles, review papers, consensus statements, expert opinions, and clinical practice guidelines etc. While medical writers are hired for their skill, efficiency, speed, and expertise in the field, ghostwriting is perceived by scientific community as an intent to deceive.

Acknowledgement of Writing Services as a Solution to Ghostwriting

Acknowledgement of contribution by medical writers to the document/paper is believed to be the best method to tackle problematic ghostwriting in medical literature. Considering this, numerous journal’s, editor’s and medical writer’s associations including ICMJE, World Association of Medical Editors (WAME), EMWA, and American Medical Writers Association (AMWA) allows professional medical writers to contribute to the writing of papers even if they are not listed as authors provided their role is adequately acknowledged along with the funding source to receive these services, to improve transparency. Thus, medical writers can legitimately contribute to manuscripts and their contribution should be adequately acknowledged as recommended by ICMJE, EMWA, and AMWA. Ideally, the acknowledgement should reveal the necessary information to maintain transparency viz. name of the aiding writer and name of the person/company/organization who funded for the writing assistance.

It is the responsibility of authors to ensure that the medical writers whose help was sought while preparing manuscript do not remain as ghosts in the underworld. Instead, they should be brought into light by giving them adequate acknowledgment.

Turacoz Healthcare Solutions understands its professional responsibility and take an initiative to make authors and medical writers aware about drawbacks of ghostwriting and method of acknowledging dignified professional services. Turacoz is a medical communication company that provides scientific/medical writing support to the industry and academicians.

World Rabies Day: September 28th, 2018

Rabies, a viral disease that is mainly transmitted by an infected animal bite, is a 100% preventable disease. However, it is still major a public health problem with one death reported every 15 minutes worldwide. Therefore, to raise awareness regarding the burden of rabies, and to unite efforts for its prevention and control, 28th September is celebrated globally as World Rabies Day. This day also marks the anniversary of Louis Pasteur’s death, the French chemist and microbiologist, who developed the first rabies vaccine. Celebrating the World Rabies Day serves a reminder that our fight against this deadly disease is far from over.

The first World Rabies Day was observed in 2007, which was a collaboration between the Global Alliance for Rabies Control and the Centers for Disease Control and Prevention, Atlanta, USA, with the co-sponsorship of the World Health Organization (WHO), the World Organization for Animal Health (OIE) and the Pan American Health Organization. It proved to be an extremely successful campaign, and by 2009, nearly 100 million people worldwide had been educated about rabies and ~3 million dogs had been vaccinated (as estimated by the Global Alliance for Rabies Control). On the last World Rabies Day in 2017, several major health organizations, including WHO, OIE, and the Food and Agriculture Organization of the United Nations (FAO), pledged to eliminate human deaths from dog-transmitted rabies by 2030.

The World Rabies Day has been identified as an important tool that can assist in rabies prevention by educating and mobilizing at-risk communities, animal health workers, public health practitioners, governments, key opinion leaders, and experts. Today, we have safe and efficacious animal and human vaccines that can eliminate human deaths from rabies; however, lack of awareness is the major roadblock in successfully engaging communities for rabies prevention. Rabies prevention and control has two broad components: animal rabies control and human rabies prevention. Pictorial description of both are shown in Figure 1.

 

 

Figure 1          Rabies prevention and control

The World Rabies Day campaign has a centralized online platform where groups can register their World Rabies Day events and download resources, in print and online, that can support their message for rabies prevention. Moreover, since rabies is a disease that can easily cross borders, especially in wild animal populations, the campaign encourages trans‑national collaboration of rabies control and prevention. The World Rabies Day logo represents the complexity of rabies, which can infect human beings, wildlife and domestic animals, and therefore, needs an interdisciplinary approach to control it.

Overall, the World Rabies Day is a campaign for education, awareness, and action to encourage organizations across all levels-international and local-to increase the spread of messages for rabies prevention. With this blog, Turacoz Healthcare Solutions (a medical communication company) aim to raise awareness about rabies prevention and highlight progress in defeating this animal transmitted viral disease.

A guide to Alzheimer’s care: Tips for daily tasks

It is estimated that nearly 44 million people worldwide have Alzheimer’s or related dementia. The total number of people with Alzheimer’s is projected to almost double every 20 years.

What really scares me is Alzheimer’s or premature senility, losing that ability to read and enjoy and to write. And you do it, and some days maybe aren’t so good, and then some days, you really catch a wave, and it’s as good as it ever was: – Stephen King

Patience and flexibility are of most importance in Alzheimer’s patients care. Practical tips to be considered by caregivers when handling patients with Alzheimer’s are illustrated in the figure. This helps maintain a sense of independence, dignity and boost their confidence as the patient becomes dependent on caregiver for his/her daily needs.

A guide to Alzheimer’s care: Tips for daily tasks

Figure 1: Tips for caregivers’ family and friends of patient on how a person with Alzheimer’s disease should be cared.

Handling patients with Alzheimer’s disease

Caring for patients with Alzheimer’s disease is challenging, and in many instances the caregiver also falls into depression if they are not supported by friends and family. One of the major challenges a caregiver faces is the change in behaviour of the patient. Both the patient and the caregiver find it difficult to manage the daily basic activities like bathing, eating dressing etc.

  • Tackling communication challenge in Alzheimer’s Disease

Communicating with a patient with Alzheimer’s can be challenging as both understanding and being understood pose a problem. Thus, always try to communicate in simple words and short sentences, avoiding distractions. In many cases the patient finds it difficult to frame sentences to communicate. Have patience and provide them the words he/she is looking for. Give them enough time to respond.

  • Tips to reduce bathing and showering challenge in Alzheimer’s disease

Plan bathing or shower for time of the day when the patient is calm and is ready for bathing. Try to make it a routine. The patient must be made comfortable. As the patient is sensitive to temperature, test the water temperature before bath.

  • Dressing a person with Alzheimer’s disease

Try to get the patient dressed same time each day and make it a routine. Give the patient time to dress and encourage the patient to dress himself/herself.

  • Getting a Person with Alzheimer’s disease to Eat

Try to maintain familiar meal time routine. Ensure a calm, relaxed environment free of distractions during meal time. This helps to reduce confusion and anxiety of patients. Caregivers must ensure that patients are drinking enough water to avoid dehydration. Routine oral check-ups have to be done.

  • Exercises and Activities for people with Alzheimer’s disease

Always watch for agitations. Simple and easy activities which will enhance his/her skills will be more effective than teaching them something new. Exercises can improve the patients’ health and help them to sleep better.

  • Incontinence in patients with Alzheimer’s disease

This is a common problem faced by the patients as the disease progress. Limit fluids containing caffeine and other diuretics.

  • Sleep Problems for Caregivers and a Person with Alzheimer’s disease

Many patients with Alzheimer’s faces ‘sundowning syndrome’, where the patient gets agitated and irritated during bed time. Exercises and physical activity with minimized day time naps helps the patient to get a sound sleep during night.

  • Hallucinations and delusion in patients with Alzheimer’s disease

In most cases hallucination and delusions are signs of physical illness. In such situations avoid arguing with the patient and distract the patient attention to some other topics. Check whether the patient has access to any dangerous objects that can cause harm to others and the patient himself/herself.

  • Wandering: A problem for a person with Alzheimer’s disease

People with Alzheimer’s tend to wander away from their home. Always ensure that the patient carries some sort of identification. Notify local authorities in advance regarding this problem. Always try to keep the doors locked.

Turacoz is a medical communications company, providing customized and cost-effective services in regulatory writing, publication writing, medico-marketing writing, and support for conducting medical advisory board meetings.

Turacoz healthcare solutions, aims to increase awareness about Alzheimer’s disease and with this blog, provide useful tips to caregivers, family and friends of Alzheimer’s patients.

Being a Star in your Industry is a Matter of Corporate Etiquettes!

You might wonder about the title of this article, figuring out how manners can make you a star. But before we explain you how, let’s look at the story of 2 individuals, Mr. X, who is an MBA graduate with 90% and is working for a big company for 3 years. Mr. Z, who serves the same company as Mr. X but with qualifications of bachelors & work experience of only a year. Mr. X excels in terms of qualifications & experience.

Both left to meet their clients one day for some work. Mr. X went into the cabin without knocking and discovered that client was his batch-mate & seeing this he said while patting on his client’s shoulders –“Hey! Good morning. How are you doing? Long time. (flipping the file on the table) have a look at my new proposal, I bet it is awesome dude.”

Mr. Z went in after knocking and receiving a welcome gesture from his client. He recognized the client was someone he knew. He then asked for the permission to sit and spoke-“Good Morning, sir. As per the telephonic discussion, I have prepared a draft of the proposal. Kindly have a look. (handing over the file to the client)”

He then stands up, greets again and then leaves.

The client thrashed Mr. X while Mr. Z got an appreciation for his efforts.

Now you must marvel, what went so wrong with Mr. X? Well, the lack of proper business etiquettes landed Mr. X in this situation. No matter how well qualified he was and how much experience he had, he didn’t act accordingly. When into business, your personal relationships don’t signify, you must act formally.

Mr. Z though being less qualified and experienced than Mr. X, knew how to act professionally and thus strike the chord right.

So, when you are driving in a corporate set up, it signifies how you behave in the business environment.

What are Corporate Etiquettes?

These are an array of generally recognized rules for acting reasonably in a business environment. It is a way of displaying socially relevant behavior in business relationships.

Why Corporate Etiquettes?

  • It gives a positive perception of you
  • Behaving properly makes you feel confident & composed, letting you focus on your work
  • It saves your time as you don’t have to appease the individual whose sentiments you have hurt
  • It makes people around you comfortable & they would like to work with you
  • Forms an amicable environment
  • Ward offs misunderstandings to a remarkable extent

As per research organized by the American Society of Quality Control, 68% of business is cast away by corporate because of the improper attitude of employees’ while approaching expected clients.

So, you can simply infer the importance of Corporate Etiquettes now.

Basic Business Etiquettes to follow:

Being a Star in your Industry is a Matter of Corporate Etiquettes!

Here are some absolute DOs & DON’Ts in a corporate set-up:

DOs:

  • Dress properly/formally
  • Respect your fellow employees, juniors & seniors
  • Keep your workplace neat & clean
  • Be punctual, reach office on time
  • Respect the privacy of other employees
  • Take care of your tone & language

DON’Ts:

  • Never adopt a casual attitude at work
  • Don’t squeak into other’s cubicles/workstations
  • Don’t keep your phone on ringing mode
  • Don’t touch or use other people’s belongings without their permission
  • Don’t bully or make fun of fellow employees
  • Never wear flashy or exposing clothes to workplace
  • Never drink while you are at work

By following these simple tricks & tips you can shine at your workplace and be a star. Incorporate these into your daily life & see the difference. Turacoz Healthcare Solutions encourages the practice of good business etiquettes within its employees and promotes the same. Remember:

                            “Standards are not established by your proclamations, but by your routines.”

Because if you kill yourself, you’re also going to kill those who love you

Suicide has become the 3rd highest reason for deaths today in the world, notably among the age group of 15-44 years (male & female). As per the reports, there is 1 death every 40 seconds globally. The suicide rate, globally, has increased by 60% in the last 45 years. Suicide endeavors are up to 20 times more incessant than finished suicides.

This is undeniably a sad state as predominantly the youth is becoming suicidal. When you are surrounded by problems and cannot figure out a way, suicide is not the solution. But still, many people fail to understand this fact and end up taking their lives, leaving their near & dear ones in immense pain, shock & trauma.

The world celebrates “World Suicide Prevention Day” on 10th September to spread awareness about suicide & offer worldwide commitment & action to prevent suicides.

The theme for 2018 is “Working together to prevent suicide.”

There are various reasons for suicide, to name some:

  • Unemployment
  • Losing a loved one
  • Family problems
  • Financial issues
  • Alienation from community, society or any group
  • Mental disorders like depression, substance abuse, etc.

As per a survey, mental states like depression account for most suicides in the world, about 90%.

According to the reports by WHO:

  • The Eastern European region has the highest suicide rate for both the genders.
  • India & China contribute to 30% of total suicides worldwide.
  • 55% of people aged between 15-44 years & 45% aged 45 or above commit suicide.
  • Suicide among the youth is becoming a major reason for concern.

Suicide in India:

A land of over 1.32 billion people has a suicide rate of 16.4 per 100,000 women (6th highest globally) & 25.8 for men (22nd highest in the world), according to WHO. The major causes are identified as family issues, prolonged illness & any mental disorder. People in the age group of 15-44 had the highest number of suicides.

Turacoz Healthcare Solutions understands the severity of the problem and presents some tips to help a suicidal person.

First, let’s get ourselves clear about common misconceptions about suicide:

  • Individuals who discuss suicide won’t usually do it
  • Any individual who tries to kill him/herself must be insane
  • In the event that a man is resolved to murder him/herself, nothing will stop them
  • Individuals who committed suicide were individuals unwilling to have looked for help
  • Discussing suicide may give somebody the thought

If you pay attention, then anyone who is about to attempt a suicide or is having suicidal thoughts, won’t commit it abruptly. He/she will drop some or the other hint. Being alert & noticing the hints can aid in preventing the suicide

Below mentioned are some hints that a person thinking of suicide might drop:

  • Discussing suicide
  • Searching out deadly means like pills, gun, etc.
  • Distraction with death
  • No expectation for what’s to come
  • Self-hatred, self-loathing
  • Getting undertakings all together like making a will, etc.
  • Saying farewell
  • Pulling back from others
  • Causing harm to themselves
  • A sudden feeling of quiet

Preventing the suicide:

Because if you kill yourself, you’re also going to kill those who love you

  • Speak up to the individual whom you are really concerned about. If you think he/she is having suicidal intentions, you, being the individual to share the sentiments with might make him feel comfortable and by talking, you will also get an idea of his mental state and judge the gravity of the situation.
  • Respond promptly in a deadlock. Once you have analyzed the urgency of the situation and sensed the degree of the threat, respond accordingly. Call emergency services, remove any hazardous material or weapons & make sure to stick with the person about to commit suicide.
  • Extend your support & sympathy. Lay an ear to the person and hear out all he/she has to say. Comfort the individual and try to console him/her. Show your faith in him/her and make the person believe that they are much needed here and are loved and cared for.

To help a suicidal person you should:

  • Reach out for professional help
  • Have a follow-up on the treatment
  • Raise the person’s morale & encourage a healthy lifestyle for him
  • Keep the person distant from any measures of suicide
  • Keep supporting and caring

There are various Suicide helplines you can reach out to even if you are the person concerned or the victim itself. Below are the list & details of a few 24/7 suicide helplines for India:

  1. AASRA: +91 22-27546669/ +91 22-27546667

      Email: [email protected]

  1. 1life: +91 78930-78930

      Email: [email protected]

  1. Vandrevala Foundation: 1860-266-2345/ 1800-233-3330

      Email: [email protected]

Suicide is an issue that needs to be taken care of immediately. Your support and love for such people can make them love their life again. The individuals suffering from suicidal thoughts don’t want to die; they want their pain to die. We can help them with ending their suffering or at least make them forget their misery and live again.

To all those people who are thinking of ending their existence, Turacoz wants to convey to them the message that-

“You are not alone. Everyone feels lonely at some stage in his or her life. But this feeling is momentary and will not last forever. The world is a predominant place with you in it. Love yourself!”

Art of Effective Team Management

Managing a team to success requires more than just simply assigning tasks to individuals. Handling a team can be exciting, rewarding and exhausting. Being responsible for a team of people you have never met before and then being accountable for their development, achievements, and performance can be little petrifying.

So, what does it take to manage the team effectively? Good Leadership! Yes, for effective team management to work, it needs good leadership. A manager must work upon to strengthen the bonds between the individuals in their team and must possess good management skills.

We often hear the terms ‘leader’ and ‘manager’ used inclusively, but there is actually a difference. By definition, a leader is someone who creates the vision, innovates, and focuses on the long-term overview, and a manager is the person who gathers the necessary tools and resources to set, measure, and accomplish the vision. The leader is the one with the people skills, whereas the manager focuses on systems and structures. But away with that — we all know that for a manager to stand out, having leadership qualities is a must.

Being able to communicate well and develop a relationship with all the members of the team is critical for building trust, promoting collaboration, and enhancing teamwork. A team who enjoy working together, is more likely to succeed together.

Here are some tips for achieving a happier and more productive team:

  1. Being transparent: Transparent working environments have been found to make teams more accountable, happy and creative. Transparent work environments help to develop a feeling of mutual respect between team members and team leaders.
  2. Keep communicating: The foundation of a cooperative and productive team is good communication. Open and consistent communication at workplace helps employees to feel secure in their positions. In turn, team members feel freer to contribute ideas and suggestions, enhancing creativity.
  3. Constant feedback: Providing feedback to team members is one of the best ways you can support them to develop professionally and personally. Feedback can be difficult, but it is an essential part of effective team management.
  4. Encourage collaboration: Team members feel happy if they can get along well with one another & can perform better too.
  5. Trust your team to do their job: Effective team management shouldn’t mean micro-management. Leaving your team to do their job without you constantly hovering over their shoulder will not only highlight your confidence in them to do a good job, but it will also give you time to complete your own tasks — a win-win for everyone really.
  6. Recognize achievements: If someone’s doing a good job, acknowledge it. Recognizing efforts illustrates to your team that you are paying attention to them, and that you appreciate their hard work.
  7. Foster development: Encouraging employees to acquire new or advanced skills, knowledge, viewpoints and ensure that the team members are happy in their roles are crucial factor for the overall growth of business.

Turacoz Healthcare Solutions takes pride in having very effective and efficient team managers who understands the need and expectation of the team members. We believe in supporting all our employees in every way possible. We are a listening organization and continuously working in the lines of perfecting our teams. To work with us please do visit career section.

Borderline Medical Devices – European Commission Update (December 2017)

When a device seems to fit onto the definitions of two or more product types, and cannot be clearly classified as a medical device, an in vitro diagnostic medical device, or an active implantable medical device, it is referred to as a borderline medical device. The 18th version of the Manual on Borderline and Classification in the Community Regulatory Framework for Medical Devices (Borderline Manual) was issued by the European Commission’s Medical Devices Expert Group (MDEG) on Borderline and Classification in December 2017. The manual complements MEDDEV 2.1/3 Rev. 3, which provides guidance on borderline products and other medical devices that incorporate pharmacological or biological substances. The appropriate classification of a medical device is important as it determines the device’s authorization process and marketing strategy. From a regulatory standpoint, the classification is usually based on its primary mode of action, intended use, and product claims.

The updated Borderline Manual includes recommendations on a total of 94 devices, including guidance on the classification of 12 additional product types; however, these recommendations are not legally binding. It is important to note that the decisions on the classification of a product remain a competence of the Member States, which may lead to different interpretations among different countries within the EU. However, to ensure a uniform approach, difficult cases may be discussed in the informal MDEG; the consensus statements from this meeting are published in the Borderline Manual.

The revised Borderline Manual indicates that the following products should generally be classified as medical devices:

  • Mobile application for the assessment of moles (Class I)
  • Liquid nitrogen for cryopreservation of cells and tissues of human origin for medical purpose (Class IIa)
  • Alum styptic pencils (Class IIa)
  • Dura guard for use with a craniotome (Class III)
  • Heart bypass cannulae (Class III)
  • Tissue expanders used in the breast (Class III)

On the contrary, the following products should, in principle, not be considered as medical devices:

  • Mobile application for managing pictures of moles
  • D-mannose for the prevention of urinary tract infections
  • 8-MOP solution in extracorporeal photochemotherapy
  • Products intended to reduce the effect of alcohol
  • Radiation shields
  • Microplate washers

It is important to note that based on criteria proposed by the Court of Justice of the European Union (CJEU) for borderline determinations, each product’s assessment should include several elements and be very factual; however, the guidance provided in the Borderline Manual often lacks such a detailed and balanced review. Moreover, some of the positions taken in the Borderline Manual may require reconsideration due to potential reclassifications brought by new European Commission Regulations. The new Regulations broaden the definition of a medical devices and also include some products without medical purpose within the purview of the new rules (especially products for aesthetic use). Although changes introduced by the new regulations may help resolve some of the existing borderline questions, divergent views on the classification of more complex products may persist.

Turacoz Healthcare Solutions, a medical communication company, specializes in various kinds of medical writing documents (Publication, Regulatory and Medico marketing) which covers a vast arena of clinical trials, drugs, medical devices, health economics and outcome research, observational studies etc.  We take pride in providing customized, guideline compliant documents which are well within the committed timelines.

World Senior Citizen Day- Let us join hands to create awareness about quality healthcare to the elderly

The World Senior Citizens Day is observed on 21st August every year with the intention to acknowledge the contributions of senior citizens of to the society. Further, it intends to make people aware about the condition of elderly and support them while aging. Aging is an unstoppable phenomenon which is also related to numerous health concerns. The global improvement in standard of living has increased longevity and is associated with aging of population. In the year 2011, the estimated number of adults living in India over 60 years of age was about 104 million. This number is expected to increase up to 323 million by 2050, thus constituting approximately 20% of the total Indian population. Furthermore, older people across the globe are estimated by World Health Organization (WHO) to outnumber children under age of 14 years by the year 2050.

With such drastic increase in elderly population, there has been increased burden of geriatric health problems worldwide including India. Therefore, for any nation to prosper in current scenario, wellbeing of its geriatric population is very important. This necessitates proper understanding of their health issues and related needs.

In view of this, WHO in collaboration with the Government of India conducted a cross-sectional survey on elderly population of 60 years and above in 10 different sites of different states and union territories of India. As per this survey, older people are commonly afflicted by diseases such as visual impairment (including uncorrected long sightedness/ reduced near vision), unoperated cataract, uncorrected hearing impairment, urinary problems, obesity, poor nutrition, hypertension, diabetes, ischemic heart disease, dental problems, and depression. Thus, overall morbidity is higher in older population of any country. This highlights the need for preventive health checkup camps for them, with affordable laboratory investigation packages, transport service to labs and hospitals. Furthermore, government and other private/charitable hospitals/organizations should come forward and take initiatives either individually or in collaboration to strengthen the healthcare facilities for senior citizens in the country which may be in form of immunization programs or measures for improving their nutrition or simple health awareness programs for elderly.

Further, it is certain that older people suffer from multiple comorbid conditions which leads to polypharmacy i.e., concurrent use of multiple pills. It is known that polypharmacy negatively affects patient’s adherence to treatment protocol which makes medication schedule irregular. Medication non-adherence basically, is a failure to adopt a prescribed medication regimen adequately. It involves either stopping the intake of prescribed medicines, and/or alterations in their dosage or missing doses in between. This non-adherence adversely affects individual’s health. This results in worsening of health issues and leads to increased medical emergencies and hospitalizations, and thus decreases quality of life.

Apart from polypharmacy, medication non-adherence in elders may be due to physical barriers such as cognitive deficits or diminished physical senses. Low health literacy and low socioeconomic status can also negatively impact individual’s ability to manage the prescribed medicines adequately. Furthermore, medication non-adherence might sometimes be because of more faith of elderly people on traditional medicines and the local doctors than specialists. In view of above mentioned health issues related to elderly people, it is of utmost important that they take good care of their health to lead healthy and quality lives. So, below mentioned are few health tips for them.

Tips to keep yourselves healthy while aging:

  • Keep yourself physically active as much as possible by doing regular exercise and walking.
  • Remain socially active by meeting friends, relatives or joining some social clubs, yoga clubs etc.
  • Eat healthy and balanced diet as per your medical condition. Seek advice from dietician or nutritionist if required.
  • Avoid use of tobacco in any form.
  • Visit your doctor and get your health checkups done at regular intervals.
  • Take your medicines as prescribed. If you tend to forget, set alarms in your phone or watch or ask someone you trust to remind you.
  • Join a pharmacy that delivers medicines to you. Your pharmacist can also remind you when your next prescription is due.

Elderly people many times are either completely or partially dependent on their care providers who are usually of comparatively younger generation. Therefore, onus lies on these care givers from younger generation or the youth of nation to take adequate care of older people. So, below mentioned are few tips which can help younger care givers provide adequate care to their elderly to improve their quality of life.

Tips for caregivers for taking care of elderly:

  • Keep track of health of dependent elderly and take them to visit their doctor at regular intervals for routine health checkup and other body investigations.
  • As elderly people tend to become forgetful and miss their medicines, therefore keep track of their medications and ensure a regular intake of medicines.
  • Ensure that the dependent elderly is fed with healthy and nutritious diet as per their health requirements.
  • Accompany dependent elderly during morning and evening walks so that they feel refreshed.
  • Spend some time with dependent elderly so that they do not feel lonely and depressed.

If it is the responsibility of caregiver to take care of good health of their elderly, it is important for caregivers to keep themselves fit and healthy.

If our elderly become self-reliant and if their caregivers and the society become sensitive to their needs, the elderly can lead a healthy meaningful life. The society can benefit from their experience and the growing geriatric population can be a healthy one.

Turacoz Healthcare Solutions take an initiative to draw attention of youth towards health concerns of elderly people in nation and shares tips to ensure a better quality of life for them. Turacoz is a medical communication company that provides scientific/medical writing support to the industry and academicians.

Writing an Original Research Article

What is an Original Research Article?
Original research articles, the primary sources of scientific literature, are considered to have the highest level of evidence/quality of evidence. An article is considered an original research if;

  • It is an article by the researchers who have conducted the study
  • It is a report that elaborates the methodology and results of a randomized controlled trial/observational study/survey/real world evidence study
  • It is an article that describes a hypothesis or research question

Overall, the goal of an original research is to answer the question about specific scientific method, compare two treatments (experimental vs comparative), or establish a hypothesis.

How to Plan a Manuscript?
Conception of a manuscript to submission, has several steps in between. Before we discuss the content that must go in each section, let us read through the steps that must be followed to plan, draft, and complete a manuscript draft as illustrated in Figure 1.
Among the steps involved in drafting a manuscript, understanding the therapeutic area and conducting a literature search appropriately are the most important steps. Literature search is usually done based on the research question of the study. Identifying relevant articles during the literature search is dependent on picking the right search terms, electronic databases to be searched, region of the study, and time duration in which the articles are required.

Figure 1: Steps Involved in Planning and Completing a Scientific Manuscript

What is the Format to be Followed while Writing an Original Research Article?

Drafting an original research article requires adequate knowledge of the different sections in it along with the relevant guidelines. The uniform requirements for manuscripts submitted in biomedical journals by International Committee for Medical Journal Editors (ICMJE) has defined a standard format for presenting information in an original research article. As per this guideline, the IMRAD (Introduction, methods, results, and discussion) format must be followed.
IMRAD defines the overall format of the manuscript. However; the equator (Enhancing the QUAlity and Transparency Of health Research) network is an international initiative that aims to improve the reliability and value of published health research literature (http://www.equator-network.org/).

What goes Where: Know the Sections and their Content
Although IMRAD broadly defines the format of an original research article. One must be clear, and specific about the information that must be added in each section for a well written manuscript (Figure 2). This not only makes the manuscript clear to understand but also increases the chances of it getting accepted in the journal the author plans to submit it to.

Figure 2: IMRAD, Section-wise Description of a Scientific Manuscript

Turacoz Healthcare Solutions (THS), a medical communication company, offers services to healthcare professionals in clinical research, regulatory writing, medico marketing writing, publication writing and support for conducting medical advisory board meetings. The aim of the blog was to appraise its readers regarding the importance of following guidelines and their importance for writing and getting original research articles published.

Healthcare Advertising

“Are you into healthcare advertising?”

“Yes!”

“Oh! It involves so much medical jargon, and little opportunity for creativity! Do you enjoy your job?”

I have been part of several such conversations, and through this blog, I would like to touch upon some facets of healthcare advertising that may partly undermine (and partly reinforce!) the stereotypes associated with this field.

Based on data from a 2015 US-based study, nearly $10 billion is spent by the healthcare industry into advertising and marketing. Despite the huge amount of money involved, the healthcare advertising segment is often typecast as “lacking in creativity/innovation” and “boring”. Well, this is not surprising considering that every print, website, banner, and video advertisement gets scrutinized by a medical review team and needs to pass a rigorous risk mitigation assessment. In fact, dissemination of safety information takes up almost half of a 30 second TV spot and rules for short-form messaging may run up to 10-15 pages. With such extensive regulations in place, it is often difficult to be creative! Most advertising professionals, therefore, create campaigns that are safe and obvious to avoid getting caught in the legalities of the system.

In addition, creating advertisements from data provided by doctors, is quite challenging. The key is to understand the underlying motivation behind the drug/campaign from an emotional perspective, including purchasing decisions and consumer behavior.

Future of healthcare advertising

How can healthcare advertising evolve in the near future? Here are a few pointers:
1)  Optimizing advertisements for mobile phones (smartphones) and using social media apps, such as Facebook and Twitter, as marketing platforms
2)  Developing smart (read: social-media shareworthy) content that is interesting, fresh, reliable, and authoritative
3)  Individualizing marketing delivery systems using digital marketing tools: Contemporary marketing methods identify user interests and deliver timely, personalized and relevant content on a one-to-one basis
4) Target patients by location: Such a strategy can adapt the advertisement according to social and personal preference of the audience, and also inform them about nearby facilities
5)  Going live! “Programmatic video” is the new buzzword in the field, and according to some estimates, it will account for the majority of digital video spending over the next couple of years. Programmatic video basically uses real time data and presents video advertisements to precisely qualified customers at exactly the right time.

Overall, it can be concluded that healthcare advertising may not be as creative as the fast-moving consumer goods (FMCG) segment; however, the challenges it poses make it all the more interesting to work in this field. With the evolution of new marketing strategies, the constraints of healthcare advertising can prove to be an asset in a non-conventional marketing set-up of the future.

Turacoz Healthcare Solutions provides high quality end to end scientific/medical writing support to the industry and academia. We expertise in different kinds of medicomarketing solutions like leave behind literature (LBL), slide-decks, posters, newsletters, patient education materials, customized books/booklets, visual aids etc. Turacoz strongly follows good marketing practices backing every product claim with scientific relevance and ensuring that the message rightly resonates with the target audience.

Breastfeeding & Love: How they are the same?

With the World Breastfeeding Week (1st Aug-7th Aug) towards its wrap for the year 2018, Turacoz Healthcare Solutions brings to you a beautiful story we received from one of the amazing mothers. The narrative is as expressed by her:

I became mother for the first time. It is a feeling I cannot explain. Being a mother is what completes a woman and my baby gave me that feeling of completeness.

3rd April 2018, the day my baby boy was born, is the happiest day of my life. I have been waiting to meet him for so long. During my pregnancy, I took care of everything and learned about the most important aspect of being a mother, Breastfeeding.

After Ansh (my boy) was born, I breastfed him. He is 4 months old now and I make sure to exclusively breastfeed him. I am aware of all the benefits of breastfeeding and want to deliver the best to my baby.

At first, I struggled a lot with it, as my nipples would hurt a lot when he latched onto them, but slowly it began to settle. Never once in mind, this thought of giving up breastfeeding occurred to me. I knew this is the best thing I can give to my baby as his mother.
I had sore nipples and cracks on them in the beginning and I was worried all the time whether he is receiving enough milk or not. But doctors told me that I would settle down with time and so will the baby. I decided to forget about the pain and discomfort and focus on feeding my baby, which he needed the most. Despite the discomfort, I fed him for 30 minutes every 2-3 hours in a day.

Today my baby is all healthy and naughty. The expressions on his face while he is being breastfed are so satisfying to me that I will go to any extent of pain or discomfort to make him happy.

This is my request to all mothers who hesitate in breastfeeding their baby, that, you should not keep your baby away from this wonderful gift. It not only gives your baby the strength and nutrients he needs but also is beneficial for you and completes you as a mother.

This is so right!

Breastfeeding is important for both babies and mothers. Here is why:

For babies:

  • It provides the best nutrition to the babies: this is what they need at least for the first 6 months of their life. Ideally, breastfeeding is recommended for a year, meanwhile, your baby can try different foods.
  • Breast milk is the source of essential antibodies: it gives babies the immunity to fight against bacteria & viruses. Colostrum, the first milk of a mother is very important for the baby and helps the most to build up the immune system. It contains immunoglobulin A, which enhances the immunity.
  • Breast milk helps in minimizing the risk of diseases: if a baby is exclusively breastfed, the chances of him/her being ill gets low. It gives the baby the strength he/she requires to stay healthy.
  • It reduces the risk of obesity: if you are exclusively breastfeeding the baby, it helps in reducing the risk of childhood obesity and helps in gaining weight healthily.

For mothers:

  • Breastfeeding can help you reduce weight: every mother puts on weight during pregnancy. Many studies have proven that breastfeeding helps you shed the extra weight off your body. For the initial 3 months, mothers who breastfeed may lose weight as compared to the mothers who don’t breastfeed.
  • Breastfeeding stimulates the contraction of the uterus: during pregnancy, the uterus expands a lot and post-delivery it goes through a process known as involution, which assists in returning the uterus to its normal size. It happens due to a hormone Oxytocin released during the pregnancy. The mothers who breastfeed have faster uterus contraction.
  • Breastfeeding lowers the risk of post-partum depression: many mothers suffer from post-partum depression which occurs shortly after delivery. Mothers who breastfeed have a lower risk of suffering from this condition.
  • Breastfeeding prevents you against diseases: breastfeeding can save you against deadly disease like breast & ovarian cancer.
  • Breastfeeding helps restrict menstruation: it provides a halt to ovulation process for some time thus preventing you from menstruating. This acts as a natural birth control.

Breastfeeding is nothing but the love you can give to your baby. Don’t hesitate or restrict yourself from loving your baby. The other name for breastfeeding is surely LOVE.

Turacoz Healthcare Solutions (a medical communication company) support and encourages exclusive breastfeeding to newborns in their first six months.

‘Feedbacks’ – Key to Improvement

 

“Feedback is the key to improvement.”

I wish giving feedback was as easy as it is to write down these words. But, why? Why is it that feedbacks are so feared?

During my career, what I could figure out is that giving feedback is an ‘art’. A highly complicated art that involves an exchange of views, based on facts and figures, between the employee and the manager, smartly. Learning this art can help you become a better leader, become more self-aware, understand how others see you, look beyond your own biases.

One of the best ways to improve yourself in any area of life-is to ask for feedback. I strongly believe that “You don’t get better at anything unless you get feedback.”

However, we can always make feedback sharing creative. Following tips can be helpful to receive and give feedback more effectively:

Receiving Feedback

  • Listen to the feedback given
  • Be aware of your non-verbal responses
  • Be open and receptive to new ideas and different opinions
  • Make sure you understand what is being said to you, especially before responding to the feedback
  • Assess the value of the feedback and the consequences of using it or ignoring it, and then decide what you want to do. Your response is your choice
  • Follow up on feedback

Giving Feedback

  • Prioritize your ideas and understand their value.
  • Concentrate on the behavior, not the person.
  • Balance the content. by providing comments on specific strengths, to give reinforcement and identify things the recipient should keep doing, identify specific areas for improvement and ways to make changes. Conclude with a positive comment.
  • Be realistic. Feedback should focus on what can be changed.
  • Own the feedback. When offering evaluative comments, use the pronoun “I” rather than “they” or “one”, which would imply that your opinion is universally agreed on
  • Be timely. Being prompt is key because feedback loses its impact if it is delayed too long.
  • Offer continuing support. Feedback should be a continuous process, not a one-time event.

These tips will work best for more structured feedback sessions but are worth bearing in mind for less planned conversations too.

Constructive and relevant feedback can help an individual learn the existing knowledge gaps.

At Turacoz we believe that effective feedback, both positive and negative, is very helpful and give benefits to the giver, the receiver, and the wider organization. Feedbacks are given and also taken. It helps in clarifying expectations, enable people learn from their mistakes and builds confidence We firmly believe that feedback is an essential part of training and personal development.

To know more about Turacoz Healthcare Solutions click here

 

Turacoz Healthcare Solutions workshop

 

On 6th July 2018, Turacoz Healthcare Solutions organized an eventful and interactive workshop on “Best practices for Scientific Writing & Publications” in Canada. The workshop drew a gratifying response from diverse audiences and professionals.

The workshop was a synthesis of discussions, presentations and a one-on-one session on issues associated with creating an original research article, data sharing, publication writing, etc.

All sessions were highly interactive and informative. Dr. Namrata, Founder, Director & Trainer at Turacoz Healthcare Solutions went an extra mile to guide the participants on the technicalities of scientific & publication writing.

It is important for a research article to make the cut and at this workshop Dr. Namrata explained the ways one could accomplish this. The workshop also had career counselling sessions for aspiring medical writers along with the bilateral sessions, presentations & editing support for a drafted or rejected manuscript.

This workshop was a feat by Turacoz Healthcare Solutions to promote quality Medical/Scientific writing and Publication writing and to propel & steer endeavoring medical writers and researchers.

Health Economics and Outcome Research

Health economics and outcomes research (HEOR) activities comprise of Pharmacoeconomics (PE) research and health technology assessment (HTA) activities. Health economics (HE) is applied to analyze the economic aspects of health and healthcare, with focus on the costs and consequences of healthcare interventions.

PE, a sub-discipline of HE, provides a comparative value assessment between two pharmaceutical products or treatment mix. Outcome research (OR) helps in evaluating the effect of healthcare interventions on patient-related clinical, humanistic, and economic outcomes.

Thus, HEOR is a discipline that helps the stakeholders to fully understand the product value and its potential in real-world clinical practice. In healthcare industry, the stakeholders and payer rely on HEOR to gain market access and remain competitive. For this, pharmaceutical and medical technology manufactures provide clinical development information (i.e. efficacy, safety and quality) and economic evidences to guide decision makers regarding patient access to specific drugs and services. These evidences help in determining whether the treatment is effective in the populations they serve.

Sources of HEOR Evidence

To generate outcomes to monitor and evaluate healthcare services, we need to collect evidences from different sources which can be further used for decision-making processes. These evidences can be collected from different sources as shown in Figure 1:

Health Economics and Outcome Research 2

Figure 1: Sources of health economics and outcome research (HEOR) evidence

Need of HEOR Evidences

The HEOR evidences are helpful in identifying unmet needs and addressing evidence gaps. The real-world data can be used to determine primary randomized control trial (RCT) endpoints (e.g. laboratory test results) which is considered as the most relevant clinical outcomes for physicians and healthcare decision makers. These evidences also help in promoting the patient-centered research and helps in developing and evaluating the cost containment strategies.

Tools for HEOR

There are several approaches which can be applied to the collected evidences through which a meaningful outcome can be achieved. Below are some tools which are used to analyze data.

  • Exploratory Data Assessment
  • Epidemiology study
  • Cost-benefit Analysis (CBA)
  • Cost of Illness Analysis
  • Budget Impact Model (BIM)
  • Cost-effectiveness Analysis (CEA)
  • Satisfaction Assessment
  • HRQL Analysis
  • Assessment of Analysis Compliance and Persistence
  • Market Assessment
  • Pricing Strategy

Types of Outcomes

Generally, the outcomes are of three types namely, clinical outcomes, economic outcomes and humanistic outcomes.

Health Economics and Outcome Research-2Today there is increased emphasis on HEOR activities due to the growing power of payers in the healthcare decision-making. This has led to HEOR professionals covering all aspects of drug development to ensure they have the right data and analysis. This growing importance of HEOR is reflected in the phenomenal increase in the field-based HEOR professionals employed by the pharma companies.

Turacoz Healthcare Solution (THS) aim to deliver the best quality and guideline compliant documents to the pharma and different sectors of healthcare industry. We are dedicated in providing scientific/medical writing support to the industry and academia. With expertise in several clinical trial related documents like Investigator Brochures (IBs), Protocols, Clinical Study Reports (CSRs) Prescribing Information (PI), and Common Technical Documents (CTDs). We also provide services for health economics and outcome research.

Maintaining Work-Life Balance for Healthy and Fulfilling Life

People have argued about the concept of “Work-Life Balance” for decades and it implies something distinctive to everybody. Some might think that the balance is achieved when they can leave work early enough to eat dinner with family. While others might view it as having a flexible schedule, so that they can incorporate their other interests along with work like studying part-time. Yet some others might feel fulfilled spending their “free” time progressing their career.

‘Work-life balance’ is the term used to describe the balance that an individual need between time allocated for work and other aspects of life. The saying goes that ‘All work and no play makes Jack a dull boy’.

Achieving Optimal Work-Life Balance

It can be challenging to attain a great work-life balance, particularly when organizations downsize, and individuals are anticipated to take on additional assignments, or when your obligations at domestic front conflict with those at work.

The methodologies underneath can assist you achieve a balance. A few of them may suit you way better than others, so choose the ones you think will work best for you.

Here are a few ways to improve your work-life balance:

1. Work-Life Balance does not mean an equal balance, there is no ‘perfect’ balance.

When we hear “work-life balance,” we probably envision waking up early, going for work-out, getting meal, heading off to work, have lunch, come home early, cook dinner, and retiring to bed by 9 PM with a nice book and going off to sleep by 10 PM. however, that’s often not the case.

Trying to schedule equal number of hours for work and personal activities is usually unrewarding and unrealistic. Life is and ought to be more fluid than that. We should not strive for the perfect schedule but, for a realistic one. Some days, you might focus more on work, while other days you might have more time and energy to pursue your hobbies or relax with your loved ones. Balance is achieved over time and not every day.

2. Be productive at work

The more productive and efficient you are at work, the simpler it is for you to go home at a sensible time.

Make sure you like your job. If you hate what you are doing, you aren’t going to be happy and content. You don’t have to love every aspect of your work, but it needs to be exciting enough that you don’t fear getting out of bed every single morning.

3. Prioritize your health.

Prioritizing your health, will make you a better employee and individual in true sense. Your overall wellbeing should be your fundamental concern. In the event you’ve been struggling with anxiety or depression and you think any treatment would benefit you, fit those sessions into your schedule, even if you need to leave work early or take time off from other activities.

4. Flexibility

Flexibility plays a vital role in maintaining a good work-life balance. Research has shown that people who believe they have flexible jobs look more favorably on their work-life balance than those with the same workload but with no perceived flexibility. It also found that team members who think their jobs are flexible do longer hours before their workload has a negative effect on them.

Another research came to similar conclusions: you are more likely to stay and feel satisfied in your job if you have access to flexible working arrangements.

Ask your boss to permit more flexibility in your schedule. Perhaps, you could work from home occasionally, come in and leave early, or have some flexibility with your working hours. Job sharing, when two people split the responsibilities of one role, is another well-known option.

5. Finding time for yourself

Work-life balance means having time for yourself as well. While your work is important, it shouldn’t be your whole life. You should prioritize work, activities or hobbies that make you happy.

The people and the work that you love deserve your best, and you can only give it when you stay healthy and look after yourself.

To bring more balance in your life, review how you spend your time, identify and eliminate low-value tasks and try to put more efforts on activities that you believe will make difference. Be flexible and add flexibility to your schedule. Discover the reason and fulfillment in whatever work you do.

Turacoz Healthcare Solutions understands the significance and importance of maintaining a perfect work-life balance and supports its each employee to ensure that they stay stress-free and enjoy their work without their personal lives being hampered. We also urge every working individual to take charge in achieving the same. Let us all pledge to bring in the perfect blend of personal and professional life.

Medical Writer for Medical Device Industry: Evolving Indispensable Role

The medical device industry is undergoing a surge in growth, with new products being developed and
introduced into the market to meet the ever evolving, unmet needs of this industry. The medical writer
in this industry performs a key role in facilitating this process. The key function of the medical writer is to
analyze and present clinical and product specific data into accurate and regulatory compliant documents
using standardized templates, and facilitate submission to the concerned regulatory authorities as part
of the marketing application.

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Desktop Yoga: Don’t just sit there! Start Yoga

 

With the years passing, International Yoga Day, has received super positive response from people from all walks of life.
Yoga, introduced to the world by India, was developed in ancient India. Current Indian Prime Minister Mr. Narendra Modi actively performs Yoga and encourages people to take it up. Each year on International Yoga Day, he performs Yoga himself amongst thousands of Indian citizens.

With our lives getting increasingly busy, we hardly find time to devote to our health which leads to increasing health issues. Yoga helps us to relax and rejuvenate and improve our health in the long run.

Current lifestyle of corporate personnels forces everyone to be at their desk for 8-12 hours a day. This sedentary lifestyle among office-goers takes a huge toll on the respective physical health.

How our bodies get affected?
Constantly glaring at the computer screens while sitting might seem normal but alas! For our bodies it is different. Being a couch potato doesn’t help at all. By constantly being seated in the office chair or couch:

  • Our risk of getting a heart disease increases by 64%.
  • We can become prone to specific types of cancer.
  • We are technically wasting 7 precious years of your life.

So, in simple words, sitting is bumping us off.

What must be done?
Not going to office is not the solution. Then what? If we go to office, we need to sit. But worry not, Turacoz Healthcare Solutions lists out a logical and practical way to help you cope with the issue.

While we cannot convert your office seat to a gym, we can do something light yet effective for our body to keep it healthy. Let us all benefit from “DESKTOP YOGA”.

What is DESKTOP YOGA?
Desktop Yoga is simply a string of easy-to-perform exercises based on traditional yoga and are crafted particularly for the community of working people.

These exercises not only helps our body to relax but also re-energizes us helping us to focus better. It’s also appropriate for people who don’t want to put in much effort and exercise. We can perform desktop yoga easily while sitting on your office chair and ensure towards minimizing your stress.

Desktop yoga spots the muscles that are usually affected while we sit for prolonged hours. It is body part specific, so it is up to us in terms of duration in which we want to practice it.

We, at Turacoz HealthCare Solutions practice Desktop Yoga and aim to spread awareness regarding it thus promoting its practice. For us, the well-being of our employees is of primary concern and we sincerely believe that only a fit and healthy employee can perform at his true and best potential.

The following images depicts the different steps and types of “DESKTOP YOGA”

Desktop yoga

Along with performing these basic exercises, we must also follow few basic but golden tips to stay fit and healthy, both physically and mentally:

  • Must eat healthy food, avoid junk
  • Avoid sitting in one position for too long. We must stand up and take a walk and stretch our body at regular intervals
  • Avoid looking at the screen for elongated hours, must blink frequently to keep our eyes moist.
  • Avoid stress as much as possible and take interest in various hobbies
  • Practice meditation and
  • Stay positive and happy

Turacoz Healthcare Solutions wishes everyone a very happy International Yoga Day and urges all to opt for a healthy and happy lifestyle. STAY FIT, STAY HIT.

Transparency in Scholarly Publishing

A research publication is considered as the highest-level medium of dissemination of research findings. Scholarly publications play an important role in disseminating findings, thoughts, and analysis to the scientific, academic, and lay communities. Transparency is an ethic that strengthens the credibility and integrity of research work as well as bonding among the scholarly communities. Due to frequent questioning on research credibility, pressure for open access by governments, and high incidences of research frauds, it has become important to form and follow the principles of transparency.

Principles of Transparency

The Committee on Publication Ethics (COPE), the Directory of Open Access Journals (DOAJ), the Open Access Scholarly Publishers Association (OASPA), and the World Association of Medical Editors (WAME) together have structured the principles of transparency, discuss all aspects of publication ethics and formulate the best practices to overcome any issue in this regard. The various principles of transparency and best practice in scholarly publishing are described as under:

These principle also help in differentiating the legitimate journals and publishers from the non-legitimate ones.

As per transparency, the scholars should give an access to the research data and methods employed for deriving the conclusion. The data production methods should be shared in a much wider platform. If scholar’s research is based on another researcher’s data, he or she should always cite their data clearly. The rules of data confidentiality, wherever applicable should be followed ethically.

Both the perspectives of transparency, viz. transparency in policy context and transparency in research process should be followed to make the scholarly publishing stronger and more reliable.

Publication plan carrying complete information about all types of publications or articles to be formed from the research or clinical studies also contributes towards ethical practice. A proper and firm publication planning can help researchers follow appropriate publishing practices, in time publication of research and hence, increased transparency.

Turacoz Healthcare Solutions (THS) provides end-to-end medical publication writing support including scholarly or academic publication, research publication, manuscripts, slide deck as well as regulatory writing support for clinical trials which includes Prescribing Information (PI), Investigator Brochures (IBs), Protocols, Clinical Study Reports (CSRs), Clinical Evaluation Reposts (CERs) and Common Technical Documents (CTDs). Our documents are guideline compliant and are as per the current pharma and the healthcare standards. We aim to extend our services to different domains of the industry around the globe.

Chitkara University and Turacoz Healthcare Solutions Pvt. Ltd.: Memorandum of Understanding (MoU) and Centre of Excellence

On May 2018, Turacoz Skill Development Program (TSDP), a wing of Turacoz Healthcare Solutions signed a MoU with Chitkara University, Punjab, India for initiating training centers for pharma and life sciences freshers and train them as per the industry standards. The trainings would cover the requirements in different industries like medical communication companies, healthcare KPO/BPOs, journals, hospitals, pharma industry, healthcare event management companies, universities/colleges, etc. Turacoz Skill Development Program would run a Centre of Excellence within the University campus and provide paid internship to the students. It would also conduct faculty development programs and organize free seminars within the university premises

Turacoz Conducted a Workshop in 1mg, Gurugram (India)

Turacoz conducted a workshop on “Literature Search and Lifecycle of a Manuscript” in 1mg Technologies, Gurugram on 10th April 2018. The workshop was conducted by Dr Namrata Singh, Director and Vasudha, Lead Medical Writer of Turacoz. The sessions focused on types of publications, lifecycle of a manuscript, structure of a manuscript, and literature search. The participants really liked the workshop and had great interactions with the trainers.

Chitkara University and Turacoz Healthcare Solutions: Memorandum of Understanding

India – Turacoz Skill Development Program (TSDP) is an initiative of Turacoz Healthcare Solutions, a knowledge partner for medical evidence creation and writing documents for pharmaceuticals, biotechnology companies, publishing houses, societies and associations and academics. Turacoz team consists of well-experienced medical writers, editors, reviewers, business development experts, statisticians, project managers, social media and digital marketing experts, analytics, management information system experts, and healthcare professionals with expertise across all major therapeutic areas and various types of job requirements.

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Turacoz Healthcare Solutions Picks Acceliant to Strengthen Clinical Trial Offerings

Acceliant, the global leader in e-clinical data management solutions, has partnered with Turacoz, a leading medical communications company that provides customized, cost-effective solutions to the healthcare and pharmaceutical industries.

Turacoz will leverage its association with Acceliant to strengthen its technological capabilities in PMS, registry, observational and real-world evidence studies globally.

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Life Sciences Sector Skill Development Council (LSSSDC) and Turacoz Healthcare Solutions Pvt. Ltd.

Turacoz Healthcare Solutions, a medical communications company provides customized and cost-effective services for various types of medical writing documents. A team of young, dynamic, and energetic professionals contribute to the core service spectrum which includes publication writing; clinical research and regulatory writing; print and digital marketing solutions; and medical content development for physicians, key opinion leaders (KOLs), education institutes, pharmaceutical organizations, or any other healthcare professionals.

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Women`s Health Confluence Prevention and Cure of Cancers & Thyroid Disorders

Women are pivotal contributors to society in their roles as mothers, individuals, family members, and as citizens. When a woman’‘s health is poor, her contribution to society is decreased. A woman’‘s health is critical to the well-being of her family and to the economy of her community and her country. Investing in the health of women is not only the right thing to do; it also builds stable, peaceful and productive societies.

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‘World No Tobacco Day’ (31st May 2018): Tobacco and Heart Disease.

World No Tobacco Day (WNTD) is celebrated every year on 31st May, since its beginning in 1988. The main aim to mark this day is to encourage a 24-hour period of abstinence from all forms of tobacco consumption around the world. It also aims to spread awareness about the widespread prevalence of tobacco use and the health risks associated with tobacco consumption. The resolution to celebrate 31 May as WNTD was passed by the World Health Assembly (WHA) in 1998 (WHA40.38). The World Health Organization (WHO) has continuously supported WNTD, every year for this campaign and decides on a theme for the day to create a more unified global message. The global theme for WNTD 2018 is – “Tobacco and Heart disease”. The theme focuses on the association between tobacco consumption and cardiovascular health and aims to inculcate the sense of refraining from tobacco use among general people.

Tobacco contains nicotine, a drug classified as potent parasympathomimetic stimulant. Nicotine is a poisonous alkaloid of the plant genus Nicotiana (family Solanaceae). The WHO declared tobacco as the world’s single greatest preventable cause of death in 2008.

Tobacco use is an important risk factor for the development of various diseases such as cancers (lung, blood, kidney, bladder, brain etc.), respiratory diseases, cardiovascular diseases (CVDs), coronary heart disease (CHD), stroke, peripheral vascular disease, pregnancy complications etc.

Key Facts from 2017 World Tobacco Reports

  • Worldwide, each year tobacco causes nearly 6 million deaths, and current trends show that tobacco use lead to more than 8 million deaths annually by 2030.
  • Almost every child regularly breathe air polluted by tobacco smoke in public places.
  • As per the WHO’s, Global Health Observatory (GHO) data 2016, 40% of children are exposed to second-hand tobacco smoke, accounting for over 600,000 deaths per year. Close to a third of those deaths were reported in children under the age of five and two-thirds were in Sub-Saharan Africa (SSA) and South Asia.
  • In 2011, tobacco caused one-tenth of CVDs worldwide. About 12% of all heart disease deaths are due to the use of tobacco and second-hand smoke.
  • After high blood pressure, tobacco use is the second leading cause of CVD.

Aim of the World No Tobacco Day 2018

  • Highlighting the connection between the use of tobacco products and CVDs.
  • Increasing awareness within the masses to refrain from tobacco use and resist exposure to second-hand smoke to improve their cardiovascular health.
  • Promoting heart health by feasible government actions and public measures that can help to reduce the risks to heart health posed by tobacco.
  • Encouraging countries to include tobacco control in their national agenda.

Turacoz healthcare solutions, aims to increase awareness about the negative health impact of tobacco consumption and motivate them to refrain from the use of tobacco products. We must all join hands and raise our voice against both active and passive smoking so that a brighter and healthier future can be ensured for our younger generation and our Nation. Turacoz is a medical communications company, which offers services to healthcare professionals in clinical research, regulatory writing, publication writing, medico-marketing writing, and support for conducting medical advisory board meetings.

Graphical Abstract

What is graphical abstract?

Graphical abstract is a concise and visual/pictorial summary of the main findings of any publication manuscript. It helps readers to understand the findings of a manuscript in a better way and in a simplified manner. They are not replacements of traditional textual abstracts instead are an addition to them.

Why Graphical Abstract?

Graphical abstract should not be considered as a burden or waste of time by the authors. Therefore, it is necessary for them to understand the rationale behind the use of graphical abstract. Graphical abstract is a well-suited platform to share or disseminate the research via social media in today’s time and help attract the readers to encourage them to further read the article. Graphical abstract can help reader to quickly get the take-home message.

Hullan et al. analyzed 54 graphical abstracts and outlined the common patterns of graphical abstract designs observed in published literature. They include:

  1. Process illustrations: The most common layout presenting the processes “using (hand‑crafted) illustrations on a linear or forking layout”.
  2. Result representation: Data visualizations in the form of line charts to depict research results was used by numerous graphical abstracts.
  3. Parallel layouts: These graphical abstracts include “parallel pictures laid out horizontally on the graphical abstract plane”.

Recently, the use of graphical abstract is gaining momentum. A recent study by Pferschy‑Wenzig et al. compared the visibility of manuscripts published with graphical abstracts with that of publications without the one in the journal ‘Molecules’. The study found that the manuscripts published without graphical abstract had significantly higher abstract views, PDF downloads, and total citations. However, this study included the comparison of research from a limited timeframe and also focused on one journal. Future research on other journals comparing research from longer time periods is warranted.

Some tips for designing a graphical abstract

  1. Always refer to the journals guidelines to check specifications for graphical abstracts. For example; Elsevier has the specifications on image size, font, file type
  2. Refer to the examples of graphical abstract from the publisher and see the one to which the new study matches and design it accordingly. Elsevier has enlisted 16 good examples of graphical abstracts for articles published in their journals
  3. Keep it simple and to one image only
  4. Focus on the design and composition
  5. Stay away from using saturated distracting colors for the abstract
  6. Graphical abstract should present the results of the study rather than the method used to obtain the results or the referenced literature, unless necessary
  7. Must be self-explanatory
  8. Must include keywords in the image
  9. Microsoft paint, Microsoft PowerPoint, adobe illustrator, ChenDraw, Coreldraw can be used to design graphical abstract. Several software available online can also be used, such as Mind the Graph, Inkscape etc.
  10. You can also refer to agencies offering services for graphical abstract designing

Turacoz Healthcare Solutions (THS) is a medical writing agency with specialized medical writing and editing services of Publication writing, Regulatory writing, and Medico-marketing document for the pharma industry. This blog aims to spread awareness about the increasing use of graphical abstracts in publications and its role in disseminating the published research information to a wide audience via online media.

Relationship Building at Workplace

Our current lifestyle revolves around our workplace duties and responsibilities. Every day we spend the major part of our time at our workplace. In order to have a satisfying job, we must enjoy the work. Maximum output and increased productivity can only be achieved if we have a healthy working environment. Work becomes burden if we don’t have people around to talk to or discuss and brainstorm ideas. Also, it is okay to trust our colleagues, provided we don’t cross our limits and disclose confidential matters.

Let us look at the various impacts of relationship building at workplace:

  • A knowledgeable individual is one who on one hand improvises on the negative qualities of his/her colleague and on the other glorifies their strengths. This trait helps in resolving conflicts. Conflicts at work place lead to no solutions whereas on the other hand nice gesture sets things straight.
  • As a mature professional, one needs to keep a check on his/her emotions. One must learn to ignore negative people or sit with him/her and try to mutually sort out their differences.
  • Managers must have a healthy relationship with their subordinates. Listening to them closely, helps the subordinates to strive hard and perform better. Doing this, a good manager can ensure their team’s performance is the best under all situations.
  • Knowledge sharing is important factor governing career excellence. Sharing with the team is a two-way learning process.
  • An individual need to be a team player and pay attention to other team member ideas as well.
  • Unnecessary conflicts and misunderstandings at workplace lead to stress. An individual would never be able to deliver his/her level best if she/he is under stress.

Importance of Relationship Building

  • Healthy relationship is the key to positive ambience at workplace.
  • Healthy relationship goes a long way in extracting the best out of individuals.
  • Healthy relationship leads to mental peace. One tends to enjoy his/her work if he/she has a trustable environment.
  • Healthy relationship leads to people from varied backgrounds and expertise come together on a common platform, exchange ideas and reach to best possible solutions and strategies.
  • Healthy relationship among employees also goes a long way in inculcating a sense of pride and loyalty for the organization. People tend to enjoy their work and office.
  • Healthy relationship among employees plays a crucial role at the time of crisis. Emergency situations are unpredictable and can arise anytime. It is necessary that people help each other for increased productivity and better output.

Relationship Building Approaches at Workplace:

  • Be honest in your relationships. Never lie to people you are close to.
  • Respect others. Superiors ought to respect their subordinates if they expect the same in return.
  • Never misguide If you feel your team member is going on the wrong track, guide him/her immediately. Give others the right suggestion.
  • It always pays to be straight forward in relationships. Never speak ill about someone behind their back.
  • Be transparent in relationships. A senior need to be transparent with his/her subordinates and vice a versa. Favoritisms should be avoided.
  • One needs to communicate effectively for successful relationships. The other person must understand what you intend to communicate.
  • Learn to say a polite yet firm ‘NO’ to people.
  • Leave your ego behind the moment you step inside the office. Be kind to each and every-one. It pays in the long run.
  • Learn to forgive
  • Motivate each other and avoid being jealous. Help each other at the times of crisis.
  • Develop a habit of working in teams. Responsibilities ought to be distributed equally among employees as per their expertise and work experience.
  • Do not open any of your team member’s personal files, couriers or letters just because he/she is your friend. Such an approach is unprofessional and unacceptable.

Turacoz Healthcare Solutions (THS) strongly believes in a transparent and healthy workplace environment. We understand the benefits of relationship building in today’s world and encourage everyone to be a team player. If you have the zeal for writing and enjoy working with a dynamic team visit us at https://turacoz.com/careers/.

 

World Malaria Day (25th April 2018)

“Ready to Beat Malaria”

World Malaria Day has become a global phenomenon and is celebrated on 25th April every year since its inception in 2007. This year’s global theme for World Malaria Day is ─ “Ready to Beat Malaria”. This theme encloses the universal goal of developing a malaria-free world. Further, it emphasizes the progress achieved in the past to tackle one of humanity’s oldest diseases; and at the same time grabs our attention towards the escalating trends reported in the 2017 World Malaria Report. After a remarkable period of success in controlling the spread of malarial cases, the progress appears to have slowed down. Hence, this year, World Health Organization (WHO) demands a greater expansion and investment of recognized tools that can prevent, diagnose, and treat malaria.

Malaria is an infectious disease caused by Plasmodium parasites that are transmitted to people through bite of infected female Anopheles mosquitoes (malaria vector). Initial symptoms include mild fever, headache, and chills, which might become lethal if left untreated for more than 24 hours. Severe malaria often leads to development of cerebral malaria or severe anaemia or involvement of multiple organs.

Statistical Facts according to the 2017 World Malaria Report:

  • In 2016, 216 million cases of malaria were estimated in 91 countries, corresponding to a surge of 5 million cases over those reported in 2015.
  • A total of 445,000 fatality cases were reported in 2016 compared to 446,000 in 2015.
  • In 2016, African regions shared a high global malaria burden, with 90% of malaria cases and 91% of mortality cases.
  • In 2016, India reported 6% of the world’s new malaria cases.

Prevention:

Transmission of malaria can be prevented and reduced with effective vector control. Vector control can be achieved in the following ways:

  • Insecticide-treated mosquito nets: WHO recommends the use of long-lasting insecticidal nets (LLINs) for people residing in areas at high risk of malaria. Pyrethroids are the only class of insecticides presently recommended for use in LLINs.
  • Indoor residual spraying with insecticides: This is a powerful method for rapid reduction of malaria transmission. The effect of indoor spraying persists for 3-6 months, depending on formulation of the insecticide used.
  • Antimalarial drugs: The travelers can use chemoprophylaxis as an effective method for prevention of malaria, as it suppresses the blood stage of malarial infections. WHO recommends the use of sulfadoxine-pyrimethamine for pregnant women at risk, and monthly courses of amodiaquine in addition to sulfadoxine-pyrimethamine for children at risk below 5 years during high transmission season.
  • Vaccines: Partial protection in children can be achieved by administration of an injectable vaccine “Mosquirix”. The vaccine is a complementary malaria tool rather than a replacement for treatment strategies.

Diagnosis and Treatment:

The diagnosis and treatment of malaria at an early stage limits transmission of the disease, reduces the risk of complications, and prevents death. Parasite-based diagnostic testing (either microscopy or rapid diagnostic test) is suggested by WHO prior to administering the treatment. Post-parasitological confirmation, artemisinin-based combination therapy (ACT) is used for treatment of Plasmodium falciparum malaria.

Turacoz Healthcare Solutions aims to spread awareness about malaria and strategies for its prevention, to aid ‘World Health Assembly’ achieve the global target of reducing 90% of incidence and mortality rates by 2030. Turacoz is a medical communications agency, which offers services to healthcare professionals in clinical research and regulatory writing, publication writing, medico-marketing writing, and support for conducting medical advisory board meetings.

Orphan Drugs: Global Market Scenario and Regulations

Global Market Scenario for Orphan Drugs

Orphan drugs are the drugs which are used for treatment of orphan/ rare diseases. After being neglected for a long time, the global market for orphan drugs is now witnessing a boom. The market is showing a constant growth and is expected to reach US$225 billion by 2024 due to recognition of their importance in healthcare. Other than this, the growth in orphan drugs is further attributed to recent advances in research modalities, increasing awareness and incidence of rare diseases, and improved incentives by regulatory authorities for development of orphan drugs. Favorable regulatory policies for orphan drug market in the United States have led to a fast growth of this market across the world. Pharmaceutical companies such as Actelion Pharmaceuticals Ltd., AbbVie, Inc., Alexion, Inc., Bayer AG and, AstraZeneca Plc are the key players in the orphan drug market.

Evolution of Orphan Drug Market Over the Years

As already mentioned, favorable regulations for the orphan drugs plays an important role in their increasing development and market growth. This is evident from the increasing numbers of orphan drugs in market from just 38 orphan drugs in 1983 to over 500 orphan drugs hitherto. Furthermore, over 230 orphan drugs had been approved by FDA in past decade and numbers are still increasing.

Development of Regulations and Guidelines for Orphan Drugs

Growth in orphan drug development led to emergence of US Orphan Drug Act 1983. With its’ successful outcomes, the act was then adopted by other nations in different customized forms. Below is the summary of the current regulations and guidelines for orphan drugs in different countries:

United States Orphan Drug Act

The act came into existence in 1983 and underwent further amendments in 1984, 1985, 1988, 1990 and, 1992. This act prioritized the treatment of rare diseases by facilitating research and development in field with provision of large amount of incentives for the same. Further, the act reduced the cost of developing new orphan drugs by wavering the fees at different stages of drug development such as new drug application fee, annual establishment and product fees after drug approval. Moreover, the act has a provision of tax credits on clinical research for orphan drugs along with the rights of exclusive marketing of product by pharmaceutical company for 7 years of development.

Japanese Orphan Drug Regulation

This act was formulated in 1993. As per these guidelines any drug would be categorized as orphan drug if it fulfills below mentioned criteria:

  • The disease targeted by orphan drug should be either incurable without any existing treatment or else the efficacy and safety profile of the new drug should surpass the ones already existing in market.
  • The prevalence of the rare condition must be less than 50,000; or the incidence must be 4/10,000 individuals.

The evaluation of new orphan drugs as per guidelines is done on priority basis resulting in fast track approvals and marketing authorizations. Further, pharmaceutical company would get added on incentives due to extended validity period of about 10 years. Moreover, reimbursement of 50% of drug development cost and waivers of taxes up to 6% on research and development of orphan drugs as per guidelines further ads onto the profits generation by pharmaceutical companies.

European Orphan Drug Act

This act came into existence in 1999. As per European Union (EU), the companies sponsoring orphan drug can participate in consultations and provide scientific advice related to development of orphan drugs. The fee for protocol assistance and follow-up is completely reduced by the act. Further the act waivered off all the fees for pre-authorization inspections. Moreover, there is provision for 50% reduction in fees on new marketing approval applications by large sized enterprises. The act also eliminated complete charges for not only marketing authorization, but post-approval charges are also wavered during the first year. However, this is applicable only to small and medium companies. Further profits to pharmaceutical companies can come from the provision of 10 years of exclusive marketing as per the act.

Turacoz Healthcare Solutions take an initiative to draw attention of healthcare providers and pharmaceutical companies towards the changing trend in global market scenario for orphan drugs. Further, this blog provides updated information about rules and regulations related to these drugs different countries. Turacoz provides high quality end to end scientific/medical writing support to the industry and academia. We expertise in several clinical trial related documents like Investigator Brochures (IBs), Protocols, Clinical Study Reports (CSRs), Clinical Evaluation Report (CER) and Common Technical Documents (CTDs) Prescribing Information (PI).

Medical Devices in Healthcare: Their Classification System and The Marketing Approval Process

Introduction

Medical device is an essential part of healthcare system. It is utilised for diagnosis, prevention and treatment of the disease as well as for patient care. It covers a broad range of products, starting from simple bandage to drug delivery pumps. Over the past two decades, the demand of safe and effective medical devices has increased tremendously. This has been achieved by constantly updating and improving the regulatory framework and implementing them in the process. Moreover, the regulatory authorities across the world are working towards smoothening of the process of registration of the medical devices.

Medical devices have different classification systems and marketing approval processes for different regions. The classification systems and marketing approval processes for United States of America (USA), Europe (EU) and Canada have been discussed below.

United States of America

The medical devices, in USA, are regulated by US Food and Drug Administration (USFDA), while the law, 21 CFR (code of federal regulation), describes the regulations of medical devices. FDA’s Centre for Devices and Radiological Health (CDRH) regularly monitors trends that point towards future product development and is responsible for pre- and post-market supervision of devices in US.

Classification of medical devices

US classifies medical devices into three categories:

  1. Class I General Controls
  • With Exemptions
  • Without Exemptions
  1. Class II General Controls and Special Controls
  • With Exemptions
  • Without Exemptions
  1. Class III General Controls and Premarket Approval

The USFDA has established classifications for approximately 1,700 different generic types of devices and grouped them into 16 medical specialties referred to as panels. A panel is assigned to determine the class of medical device and decides for the exception applicable to the device.

Marketing Approval Process

Firstly, the medical devices are classified according to the FDA searching database meeting the requirements of Quality system regulation (QSR) for which Quality management system (QMS) is implemented according to the 21 CFR part 820. Clinical trial data are submitted for some of the devices of class II and all the devices of class III followed by submission of Investigational Device Exemption (IDE) report followed by submission of 510(K) premarket notification or premarket approval application. Some premarket submissions such as PMA (Premarket Approval), De Novo (Evaluation of Automatic Class III Designation) and HDE (Humanitarian Device Exemption) are also required for submission, if applicable. Most of the devices under class II are required to submit 510(K) clearance form whereas, the devices under class III are required to submit PMA approval letter issued by FDA. Once all the clearance is submitted, FDA quality system inspects the manufacturing facilities for its compliance with QSRs. After that, the medical device listing and registration of competent company is done by using FURLS system on the FDA website in accordance with 21 CFR Part 807. The steps for issuing market approval for medical devices in the US are depicted in Figure 1.

 

Figure 1: Steps for medical devices market approval in the US

 

Europe

There is no single body in EU, as in India and USA, to regulate medical devices. However, a decentralized procedure of marketing authorization is followed in EU for regulating medical devices. A third party, i.e. notified bodies, is responsible for issuing Quality Assurance certificates as well as for assuring post-approval compliance to QMS.

European commission has established three directives which are regulated by Medical Devices Directives (MDD) and are allocated to regulate the safety and marketing of medical devices. The three directives are:

  • Medical Device Directive (MDD 93/42/EEC)
  • Active Implantable Medical Device Directive (AIMDD 90/42/EE)
  • In Vitro Diagnostic Medical Device Directive (IVDMDD 98/79/EC)

Classification of medical devices

Europe follows a risk-based classification system which are broadly classified into 3 classes:

  • Class I – Low risk
  • Class IIa – Medium risk
  • Class IIb – Medium/high risk
  • Class III -High risk

Marketing Approval process

The market approval of medical devices in Europe is very different from the regulations in US. First the EU derivative which applies to the medical devices is identified followed by the determination of the class of the medical device according to the Annex IX. For class II and III QMS is implemented for the device in accordance with Annex II or V of the MDD. An authorized representative of Europe is then appointed who can take care of all the regulatory issues. A notified body audits QMS and all the technical documents after which the device registration is done followed by the registration of the competent authority with EU member state. Declaration of Conformity is then prepared which ensures the compliance of medical device with applicable Directive. Finally CE mark certificate for the device is affixed and placed it in market. Additionally, a Conformité Européene or European Conformity (CE) mark certificate is required to commercialize medical devices. The steps required for market approval of medical device in Europe are shown in Figure 2:

 

Figure 2: Steps for medical devices market approval in Europe

 

Canada

The medical devices in Canada are regulated by Health Canada. Therapeutic Product Division (TPD) of health Canada classifies medical devices on the basis of Risk-Based Classification System (RBCS). Health Canada follows a four-class scheme to classify medical devices according to the risk to the human body. Among the four classes, medical devices that possess lowest risk on human body fall under class I while the medical devices with high risk fall under class IV.

Marketing approval in Canada

For issuing market approval of medical device in Canada, first the class of the medical device is determined i.e. from class I to IV in accordance with schedule 1, part 1 of the Canadian Medical Devices Regulations (CMDR) SOR/98-282 as published by Health Canada. Except for class 1 medical devices, implement an ISO 13485:2003 QMS for all the devices followed by audit. Health Canada generally issues two types of licences for market approval of medical devices. These are the Health Canada Medical Device Establishment License (MDEL) and the Health Canada Medical Device License (MDL). MDEL is required for the devices that come under class I while the devices of class II and IV needs to have MDL for the device. Health Canada then reviews Canadian MDL application and Premarket Review Document.The approved application and certificates are posted on the official website of Health Canada and then the device is marketed. The steps for market approval of a medical device in Canada are shown in Figure 3:

 

Figure 3: Steps for medical devices market approval in Canada

 

Turacoz Healthcare Solution (THS) always aims to keep professionals updated about rules and regulations of drugs and devices of different countries. Turacoz is dedicated in providing scientific/medical writing support to the industry and academia. With expertise in several clinical trial related documents like Investigator Brochures (IBs), Protocols, Clinical Study Reports (CSRs), Clinical Evaluation Report (CER) and Common Technical Documents (CTDs) Prescribing Information (PI), we aim to deliver the best quality and guideline compliant documents to the pharma and different sectors of healthcare industry.

Regulations of Drug Approval in United States, European Union and Canada

Introduction

Drug regulations can be defined as the overall control of drug by following rules and regulations which are enforced by the government to protect the health and well-being of humans. They are crucial for ensuring high quality of the drug by confirming its efficacy, safety and quality. Every country has its own regulatory authorities such as the United States Food and Drug Administration (US-FDA for US), the European Medicines Agency (EMA for Europe) and Therapeutic Products Directorate (TPD for Canada which frame the regulatory requirements for development, approval, manufacturing and marketing of the drugs.

Regulations for Drug Approval in United States

USA is the main regulatory agency in the world and hence, it has the strictest standards for approving a new drug in US market. The regulator y authority of US, i.e., USFDA, is responsible for the safety regulation of the food and drug products in US. The drug approval process in US includes filing of Investigational New Drug (IND) application followed by New Drug Application (NDA).

Investigational New Drug Application

Once the drug is found to be safe, as per the reports of the preclinical trails, IND application (IND) is filed to the FDA to start the clinical trials or Phase I trial. The sponsor appointed by the firm or institution is responsible for submitting the IND application to the FDA for which a pre-IND meeting with FDA may be arranged in order to discuss the intended protocol for conducting the trial. The sponsor also provides information related to the chemistry, manufacturing details and quality control of the investigational drug.

New Drug Application (NDA)

After completion of all the clinical trials (i.e. Phase I, II and III trials), if the studies confirm the safety and effectiveness of the investigational drug, the manufacturer can file a New Drug Application (NDA) to the FDA for manufacturing and selling the drug in the US market.

Regulations for Drug Approval in Europe

The regulatory authority of the Europe, i.e., EMA, is responsible for the safety of the public in Europe. Prior to approval for marketing in EU, the applicant has to follow two regulatory steps mentioned below:

  • Clinical trial application
  • Marketing authorization application (MAA)

Clinical Trial Application

In Europe, the drug can be approved by four types of procedures depending upon the drug class and preference of the manufacturer. The four procedures are presented in Figure 1

Figure 1: Drug approval procedures followed in Europe

Marketing Authorization Application

The MAA is an application which is submitted by a drug manufacturer to the EMA in order to seek permission to market a developed drug product in Europe. MAA is approved at both, the state or centralized levels while the clinical trial application is approved at the state level only.

Regulations for Drug Approval in Canada

Therapeutic Products Directorate (TPD) is Health Canada’s federal authority which regulates the drugs and medical devices in Canada for human use. The applicant must present the scientific evidence on the product’s safety, effectiveness, and quality to the directorate in order to obtain permission to sell a drug product.

The Canada’s system of regulating a drug is quite similar to US. If an applicant wants to get marketing authorization in Canada then a new drug submission (NDS) must be compiled with clinical trial information and details of production, packaging, labelling, conditions for use and side effects must be submitted to TPD. Post-submission, it undergoes administrative screening to check the completeness of the document with appropriate format followed by review and assessment of safety, efficacy and quality. The TPD then evaluates the submission and communicates the deficiencies of the NDS to the sponsor to resolve them. After all the issues have been resolved, TPD issues a notice of compliance (NOC).

Turacoz Healthcare Solutions (THS) provides end-to-end regulatory writing support for clinical trials which includes Prescribing Information (PI), Investigator Brochures (IBs), Protocols, Clinical Study Reports (CSRs), Clinical Evaluation Reposts (CERs) and Common Technical Documents (CTDs).

Employee Empowerment

Over and over we keep hearing about how employees want to feel connected to their work. How much they want their contributions to matter and impact the business as a whole. Empowering the team members is a great way to discover and develop the individual strengths, and then absorb them in new roles where they can excel.

Employee empowerment allows the employees to have control over their work. It gives a degree of autonomy and responsibility for decision-making in certain organizational tasks. Also, it encourages the employee to play a more active role in their work, involves them more in their specific role and enables them to make better, bigger and independent decisions (Figure-1).

Figure 1: Employee empowerment

 

In a corporate setting, employee empowerment can emerge out as powerful drivers for better performance, profitability and productivity for organizations (Figure-2).

Figure 2: Empowerment in corporate world

Turacoz Healthcare Solutions strongly believes in and practices employee empowerment. We take pride in providing employees with the skills, tools, information, and above all, the authority and responsibility for their work.

If you are looking to work with a team where every member is encouraged to be a performer, an achiever and a leader, come join us and be the part of our team!!! Share your profile on [email protected].

 

 

 

Challenges in Rare Disease Research: The Role of Advocacy Organizations in Overcoming these Challenges

What is a Rare Disease

Rare disease refers to a condition that affects fewer people. The World Health Organization (W.H.O) has defined a rare disease as one with frequency less than 6.5-10 per 10,000 people. Challenges in Rare Diseases Research

Unlike the common disease, research in rare diseases encounters several challenges. They are:

  1. Recruiting, engaging, and retaining patients
  2. Designing and evaluating clinical trials
  3. Lack of funding

It is important to overcome these challenges to develop treatment for rare diseases and provide the affected patients a better quality of life. A boost in the research of rare disease has occurred in last two decades, the credit for this can partly be given to the patient advocacy groups.

Patient Advocacy Groups

Patients advocacy groups (PAGs) refer to the organizations, mostly non-profit, that are often concerned with one specific group of disorders. The history of the development of PAGs for specific disease dates to mid-1930s. Initially, the PAGs role was to provide emotional and social support to the affected patients; however, later they also started initiating and conducting research. As per the estimates, there are more than 1200 patient organizations in the U.S. alone that advocate patients with one or more rare diseases.

PAGs help patients with rare diseases in various ways as listed below:

  • They help patients seeking information on therapeutic options, the latest research, or financial aid resources.
  • They encourage research on the disorder by enrolling patients in studies and being involved in the study design. They may also help to look for volunteers and control subjects, to collect data, and analyze it.
  • They are involved in developing and updating guidelines related to disorders.
  • They provide emotional support to the affected individuals by organizing social events where they can meet other individuals affected with the same disorder.
  • They are involved in initiating and conducting research for new therapies, natural history information, management and care for their disorder.
  • They are involved in creating a registry of individuals affected with a rare disorder or a biobank of specimens.

Thus, the PAGs can help overcome the above-mentioned challenges associated with rare disease research.

A single organization is usually involved in one (or may be 2 to 3) of the above activity. The table below enlists some rare disease organizations that initiated research either with staff scientists of the advocacy groups or in partnerships with scientists from academic institutions or industry (Table 1).

Table 1: Advocacy Organizations and Their Achievements

 

These PAGs are linked to one or more bigger networks. Let us discuss one such bigger network.

Rare Diseases Clinical Research Network and Patient Advocacy Groups

The Rare Diseases Clinical Research Network (RDCRN) group was formed in 2003 by the Office of Rare Diseases Research (ORDR) National Center for Advancing Translational Sciences (NCATS).in collaboration with six other Institutes and Centers (ICs). It funded 10 Rare Diseases Clinical Research Consortia (RDCRC) and a single Data Management and Coordinating Center (DMCC) for the whole Network. Following its expansion in 2014, RDCRN collaborated with ten Institutes and Centers of the National Institute of Health and include 22 consortia and one DMCC. It was announced that these consortiums will collaborate with 98 PAGs as research partners. A recent study by Merkel et al (2016) outlines the roles patients and PAGs play in the RDCRN and reports on the PAGs’ impact on the Network’s success. The activities of PAGs are presented in Figure 1.

RDCRN: Rare Diseases Clinical Research Network; PAG: Patient advocacy group

Figure 1: Activities of patient advocacy groups

Thus, PAGs form a pillar in conducting rare disease research. They can help reach the treatment to millions of individuals with rare diseases worldwide. Turacoz Healthcare Solutions aims to spread awareness about the role of patient advocacy groups in the rare disease research.

Rare Disease Day: Raising Awareness towards Rare Diseases and Orphan Drugs

Rare Disease Day

On the 28th of February, rare disease day is celebrated globally every year. This day was established for the first time by EURORDIS (The European Rare Disease Organization) in 2008 to spread awareness amongst the public about rare diseases and their impact on the lives of patients suffering with them. Further, it sought to raise awareness about the challenges faced by these patients, their unmet needs and the importance of research and development in the field. In 2009, NORD [The National Organization for Rare Disorders, United States (US)] supported the initiative by EURORDIS and Rare Disease Day was sponsored in the US by both the organizations in partnership. The concept was then propagated beyond Europe and US to spread awareness around the world.

Rare/ Orphan Diseases

Rare diseases also called as orphan diseases affect small number of patients. These diseases might cause serious and life threatening or fatal consequences. The designation of disease as rare/ orphan differs from country to country. As per World Health Organization (WHO), a disease affecting 6.5-10 individuals for every 10,000 people is referred to as rare/orphan disease. However, as per European Union (EU), the diseases with prevalence of 5 per 10,000 people are considered as orphan. While, USA designates a disease as rare if it has an incidence lesser than 7.5 individuals per 10,000 of population. As a clear definition of rare diseases in Indian context was not defined, a non-profit organization namely Organization for Rare Diseases in India (ORDI) took the initiative to define them. According to ORDI, a disease with a prevalence of ≤1 per 5000 people may be referred to as a rare/orphan disease. The estimated prevalence of rare diseases in South Asian countries according to Foundation for research on Rare Diseases and Disorders (FRRDD) is given in Table-1.

Table:1 Prevalence of rare diseases in South Asian countries

 

Challenges Related to Rare Diseases

There are numerous challenges that pertaining to rare diseases. These are as follows:

  • Lack of general understanding about the underlying mechanism responsible for these diseases.
  • Difficulty in recruitment of clinical trials and experimental studies owing to the rarity of diseases and their widely dispersed prevalence.
  • Centers for their diagnosis and treatment are scarce.
  • Research and development is this field is also highly neglected.

Orphan Drugs

Orphan drugs are those that are used for the treatment of an orphan disease. Apart from disease rarity, other concepts also underlie the designation of a drug as orphan. Certain drugs are assigned as orphan based upon their feasibility and financial profits. Illustrating this, few vaccines and drugs which are employed to manage tropical diseases are categorized as orphan drugs. This is attributed to the fact that financial benefits to the drug developers is minimal. The population suffering from these diseases is often incapable to bear their cost and thus they must be provided at a subsidized rate thereby, giving minimal financial benefits to drug developers.

In addition, the drug is also categorized as orphan if it might have earlier been withdrawn from the market and later revives back afresh with recognition of its role in treating some other affliction. For instance, thalidomide, which was once withdrawn from market due to the landmark tragedy in mid-1960s has revived back in recent years is an orphan drug to treat lupus erythematosus.

The recent paradigm shift in market trends and profitability in research and development of orphan drugs and related regulation shall be discussed in our upcoming blog.

Turacoz Healthcare Solutions understands its responsibility towards society and this blog is an initiative to draw attention of healthcare providers and pharmaceutical companies towards the unaddressed needs of patients with rare diseases.

Practicalities of Working From Home

Work-From-Home (WFH) is one of the main argument topics lately. WFH as well as flexible working hours are the two major retention tools for working mothers and even other employees. Time is changing very fast, and it has become necessary to build a transparent culture within, which includes trusting employees to work whenever they want. The benefits of working from home are shown in Figure-1.

 

Figure-1: Practicalities of Working from Home

 

We @Turacoz Healthcare Solutions understand the significance of a better work-life balance and realize that employees often value the flexibility of working from home. We firmly believe that best work does not always happen within the restricted office hours of 9-5 and hence have integrated remote working arrangements and flexi time in our culture. So, if you are interested in what we do and looking for a gig that will let you work from home completely/occasionally, reach out to us at [email protected] . To know more about our company visit https://turacoz.com/ and http://www.turacozskilldevelopment.org/.

Regulations of Medical Devices in India: An Update

Medical devices comprise of a vast range of equipment, ranging from a single pair of tongs to a heart-lung machine. Along with medicines and allied healthcare technologies, medical devices are important for modern patient‑centric care in all sorts of clinical settings like bedside, rural clinics, or metro hospitals. Medical devices have improved the quality of healthcare by making diagnosis, prevention, treatment, and monitoring of diseases simpler and efficient.

Indian medical device industry

Medical device industry is a huge industry, manufacturing wide range of products. In India, the medical device industry has a relatively small share of the global market when it is compared to the size of its economy. India ranks twentieth in the world in medical device market and it is fourth largest market in Asia. Most of the medical devices are imported in India which constitutes over 65% of the total market. The Indian medical device industry is driven by foreign manufacturers. The largest medical device manufacturing segment (53.7%) in India comprises of medical electronics, hospital equipments, and surgical apparatus. Around 31.3% of the medical device industry deals with medical disposables and consumables while diagnostic reagents and implants contributes to 7.9% and 7.1% of the market share respectively (Figure 1).

 

Figure 1*: Components of Indian Medical Devices Industry

*Source: Sethi R, Popli H, Sethi S. Medical Devices Regulation in United States of America, European Union and India: A Comparative Study. Pharm Regul Aff. 2017;6(1):1-9.

Medical devices regulations in India (CLAA scheme)

The Central Drug Standard Control Organization (CDSCO) has assigned a particular division i.e. Medical Device and Diagnostics Division which is dedicated to regulate the medical devices. Under the Central Licensing Approval Authority (CLAA) scheme, the CDSCO notified some of the medical devices and diagnostic kits which are being regulated for the manufacture, import and sale of the medical devices. These medical devices are also called as notified devices. The medical devices are regulated by Drugs and Cosmetics Act (1940) and Rules (1945) for the purpose of import, manufacture, sales and distribution. Currently, fourteen medical devices are notified under the CLAA scheme which are mentioned below:

  1. Disposable Hypodermic Syringes
  2. Disposable Hypodermic Needles
  3. Disposable Perfusion Sets
  4. In-vitro Diagnostic Devices for HIV, HBsAg and HCV
  5. Cardiac Stents
  6. Drug Eluting Stents
  7. Catheters
  8. Intra Ocular Lenses
  9. V. Cannulae
  10. Bone Cement
  11. Heart Valves
  12. Scalp Vein Set
  13. Orthopaedic Implants
  14. Internal Prosthetic Replacements

Current medical device rules (2017) in India

The Government of India has realized the need for framing separate rules and regulations for medical devices in order to improve the Indian regulatory system for medical devices. Hence, Government of India has issued a draft of medical devices to help the medical device industry and will separate the regulatory norms for manufacturing of medical devices from drugs. The draft of medical device was issued on January 31, 2017 and came into force on January 31, 2018.

The new rules and regulations for medical devices will create a novel and different regulatory apparatus by creating a separate registration process for medical devices. The key features of medical device rules, 2017, are summarized below:

  • The new rules have classified the medical devices on the basis of risk. These classes include:
  • Class A – Low risk

(e.g. catheters, surgical dressings)

  • Class B – Low moderate risk

(e.g. disposable hypodermic needles, orthopedic implants)

  • Class C – Moderate high risk

(e.g. cardiac stents, internal prosthetics replacements)

  • Class D – High risk

(e.g. drug eluting stents, heart valves)

  • The Indian regulators will have unique identification for their devices.
  • The medical devices should follow the standards established by the Bureau of Indian Standards (BIS). Where no relevant standard of any medical device has been laid down, then those devices should follow the standards laid down by International Organization for Standardization (ISO) and International Electrotechnical Commission (IEC) standards.
  • Licenses will remain valid indefinitely which are issued to the device registrants, along with the payment of the license retention fees, unless cancelled or surrendered.
  • Licenses and registration certificates received before the implementation of the new rules will be valid till expiry or after an 18-month period following implementation, whichever is later.
  • Test license will be valid only for one year.
  • The manufacturing sites of the devices will be audited by the notified bodies.
  • Medical devices for which trials are not required will need only a pilot study on a smaller population in order to test the safety and performance of the device followed by a pivotal trial on a large population.
  • These rules would be imposed by Central Licensing Authority and State Licensing Authority
  • The Central Licensing Authority is responsible for importing medical devices of all classes, and manufacturing of class C and D medical devices. Also, it is responsible for clinical investigation and approval of investigation of devices, and co-ordination with the State Licensing Authorities.
  • The State Licensing Authorities are responsible for the manufacturing, sale, and distribution of the devices that fall under class A or B, and also, control of sale, stock, exhibit, or offer for sale or distribution of in-vitro medical devices (IVDs) of all classes.

The new rules for medical devices will improve the accessibility and affordability of medical devices globally and will create a favourable and encouraging environment for development and innovation of new medical devices in India. The main objective of Government of India, through these rules, is to develop the confidence of the investors in medical device industry in India and to maintain the quality of all devices as per the international standards.

Turacoz Healthcare Solutions (THS) always aims to keep professionals updated on the current rules and regulations pertinent to regulatory affairs. Turacoz is dedicated towards providing scientific/medical writing support to the industry and academia. With expertise in various clinical trial related documents like Investigator Brochures (IBs), Protocols, Clinical Study Reports (CSRs), Common Technical Document (CTD), and Prescribing Information (PI), we aim to deliver the best quality and guideline compliant documents to the pharma and different sectors of healthcare industry.

Clinical Evaluation Report for Medical Devices-Role of Medical Writer

Clinical Evaluation Report for Medical Devices

Clinical evaluation report (CER) is a document containing information regarding clinical evaluation of a medical device. CER is intended to be reviewed by the Notified Body (NB). Clinical evaluation refers to an organized procedure (Figure 1) used to collate, compile, and analyze clinical data related to a medical device. The clinical data includes updated published information on a medical condition and the medical device which is obtained from various databases. It also includes pre-clinical and clinical data, quality control data, and risk management and post-market surveillance related inputs which are obtained from manufacturers, quality and safety scientists, respectively. The clinical information also includes the instructions to be followed while using the medical device. The CER is prepared as per the guidelines mentioned in MEDDEV 2.7/1 Rev. 4 (June 2016). It specifies the structure as well as content to be added in the CER.

 

Figure 1: Organized procedure followed for Clinical Evaluation of a Medical Device

(Reference: MEDDEV 2.7/1 Rev. 4, June 2016, Section 6.3)

 

MEDDEV 2.7/1 Rev. 4 (June 2016)

MEDDEV 2.7/1 Rev. 4 (June 2016) is the guideline followed to prepare the CER. It includes summary of CER, updated published information about medical condition for which the medical device is used, as well as complete information about device under evaluation (Figure 2).

Figure 2: Table of content for development of Clinical Evaluation Report

(Reference: MEDDEV 2.7/1 Rev. 4, June 2016, Section 6.3)

Role of Medical Writer in the Development of Clinical Evaluation Reports

Medical writer plays an essential role in development of CERs. According to the requirements of MEDDEV 2.7/1 Rev. 4 (June 2016), the medical writer performs various activities (Figure 3).

Figure 3: Role of a medical Writer in development of Clinical Evaluation Report

Turacoz Healthcare Solutions, a medical communication company, provides latest updates on medical devices. Turacoz is dedicated in providing scientific/medical writing support to the industry and academia. With expertise in several clinical trial related documents such as Investigator Brochures (IBs), Protocols, Clinical Study Reports (CSRs) and Common Technical Documents (CTDs), Prescribing Information (PI), we aim to deliver the best quality and guideline compliant documents to the Pharma and different sectors of Healthcare Industry.

 

Recent Advancements in Cancer Diagnostics

Global Cancer Diagnostics Market

The global cancer diagnostics market was estimated to be USD 16.55 billion in year 2016. It is expected to reach USD 232.7 billion by 2025 as per a new report released by Grand View Research, Inc. This boost in the cancer diagnostics market is majorly attributed to the advances in diagnostic technology. Although the newly developed diagnostic modalities remain costly, but they provide an incremental benefit.

Recently Developed Cancer Diagnostic Methods

  1. Magnetite Nanoparticles (MNPs)

Iron oxide, owing to their higher biocompatibility and least toxicity, is the only metal oxide nanoparticle that is approved for clinical use. These nanoparticles are used for diagnostic imaging to enhance image contrast as they accumulate selectively at tumour sites and thereby, provide precise details about tumour. Besides diagnostics, MNPs, when loaded with therapeutic agents such as daunorubicin, are used for the treatment of various cancers such as blood cancer, prostate cancer, etc. Their properties have also been harnessed to induce localized magnetic hyperthermia for cancer treatment.

With the recognition of MNP’s potential for theranostics (diagnostics + therapeutics), further researches are ongoing to develop new techniques for localization of non-palpable breast lesions and its applications in therapy for breast cancer and other tumours.

  1. Biosensors

Biosensor is a diagnostic device used to detect a biological analyte, i.e. tumour biomarkers (certain molecules/ proteins expressed and/or secreted by tumour cells). Biosensor rapidly analyses and measures the cancer biomarkers present and thereby helps in detection of cancer and its nature benign/malignant). In addition to diagnosis, biosensors also help in monitoring the efficacy of anticancer agents. They provide instant information to the treating physician at office (point of care) which greatly influence treatment planning and patient management. Their use is extended to diagnose wide range of cancers including lung cancer, oral cancer, breast cancer and many more.

A biosensor device is formed by three components, namely recognition component (detects signal), signal transducer (responsible for conversion of biological signal to electrical output), and processor (displays result). These are simple tool having huge potential for sensitive and specific detection of cancer biomarkers. Most of the currently available biosensors utilize single biomarker for detection of cancers. However, cancers usually express multiple biomarkers. Therefore, there is a need to develop biosensors with improved diagnostic accuracy and repeatability that can perform multiple analysis.

  1. Next-Generation Sequencing (NGS)

The advent of NGS technology have revolutionized the cancer diagnostics. In contrast to traditional DNA sequencing methods, simultaneous sequencing of numerous DNA fragments can be performed using NGS technique even without any prior knowledge about DNA sequences. This technique allows sequencing of complete genome within few days at a cost less than $1000/genome.

Presently, NGS technique is available in two types, namely short read sequencing and long read sequencing. The short-read technique is relatively cheaper and can read sequences that are less than 300 base pairs. The contrast long-read technique is costly and allows reading of sequences larger than 2.5 Kilo bases.

Cancer diagnostics is an evolving field and numerous researches are always underway to develop more advanced modalities. Turacoz Healthcare Solutions aims to keep everyone updated on the newer technologies and help spread awareness on the current and upcoming trends.

Chimeric Antigen Receptor (CAR) T-cell Therapy: An Emerging Therapy for Cancer

Cancer is the second most common cause of death after heart disease. The treatment of cancer depends upon the type of cancer and at what stage it is being diagnosed. Due to low socioeconomic status and low literacy rate, patients often opt traditional methods and alternative medicines instead of seeking proper treatment. There are numerous methods such as surgery, radiation therapy, chemotherapy, stem cell transplant, etc., which are being used for the treatment of cancer. However, the major concerns associated with these therapies are their adverse effects and the recurrence of the disease. Nowadays, immunotherapy is budding as a promising method for the treatment of cancer as it is associated with minimal adverse effects and low risk of disease recurrence.

The emergence of immunotherapy, i.e., using body’s own immune system, to fight with cancer has been seen from the past two decades. William B. Coley, father of immunotherapy, was the first person to use immune system to treat cancer in the late 19th century. Recently, researchers have developed and approved a new Chimeric Antigen receptor (CAR) T- cell therapy for the treatment of cancer.

CAR T-cell Therapy: A Promising Therapy to Fight Cancer

CAR T-cell is a new therapy that has shown favorable result in the treatment of the cancer. This therapy uses T-cells from the patient’s cell which are further modified to target cancer cells. The therapy is a type of cellular therapy which functions by using body’s own immune system to destroy cancer cells.

Since the treatment involves extraction of T-cells from the blood, the patients may face the risk of infection and may temporarily have low blood cell counts and need transfusion support.

CAR T-cell Therapy: Updated Status

CAR T-cell therapy has been found to be effective in the treatment of cancer and also received approval from Food and Drug Administration (FDA) for cancer treatment. Novartis was the first ever company to receive the United States (US) FDA approval for CAR T-cell (Kymriah (TM) (CTL019)) therapy in August 2017 after years of research and clinical trials. Kymriah is the first gene therapy that is approved for the pediatric and young adult patients with a form of acute lymphoblastic leukemia (ALL).

Kite’s Yescarta (Axicabtagene Ciloleucel) is the second most CAR T-cell therapy which got FDA approval in October 2017 to treat adults with certain types of large B-cell lymphoma. Yescarta is the first approved therapy for certain types of non-Hodgkin lymphoma (NHL).

An ongoing phase I clinical trial (NCT00968760) is focusing on the use of gene transfer in patients with advanced B-cell lymphoma. Another interventional clinical trial, in phase I (NCT02186860), aims to determine safety and effectiveness of third generation CART-cells in patients with refractory acute lymphoblastic leukemia. The results of both the clinical trials are awaited.

CAR T-cell therapy: Pharmaceutical development

Several companies such as Novartis, Bluebird bio, Kite Pharma and Juno therapeutics are in lead to develop CAR T-cell therapy. Recently, Gilead and Kite Pharma associated with Pfizer to work on a combination of Yescarta-Utomilumab, which could be beneficial in treating certain blood cancers.

CAR T-cell therapy is one of the recent advancements in the field of cancer immunotherapy and Turacoz Healthcare Solutions (THS) aims to keep professionals updated on the recent advancement in cancer therapeutics and patient care. Turacoz is dedicated in providing scientific/medical writing support to the industry and academia. With expertise in several clinical trial related documents such as Investigator Brochures (IBs), Protocols, Clinical Study Reports (CSRs) and Common Technical Documents (CTDs), Prescribing Information (PI), we aim to deliver the best quality and guideline compliant documents to the Pharma and different sectors of healthcare Industry.

Why is Healthcare Regulation so Complex?

Healthcare systems are driven by regulations which ensure patient’s access to safe, effective, and high-quality products. Regulations are basically rules which are framed by the government or the regulatory authority of the respective region so that risk associated with public health is under scanner. Regulations help in improving the quality and affordability of healthcare. These regulations are implemented by all levels of government including federal, state, local, and private organizations. However, many a times there is lack of coordination between them which results in complexity of the healthcare regulations.

What Makes Regulation Complex?
Healthcare sector is currently the largest and fastest growing industry which is making the regulations more diverse and complex to provide safe and quality service to every individual who accesses the healthcare system. The reason behind complexity of healthcare regulation is a series of historical tragedies like thalidomide and sulfanilamide tragedy. Thalidomide tragedy took place in early 1960s where the drug was prescribed as sedative and later was used for nausea in pregnant women. The drug got marketed in Germany without passing rigorous drug approval and monitoring system. This led to the birth of infants with phocomelia (congenital deformity which leads to development of abnormally short limbs). Similarly, sulfanilamide disaster took place in 1937, where the drug which was used for Streptococcal infections was responsible for deaths of more than 100 people in 15 states. These incidences later gave a lesson to drug safety and regulatory authorities leading the regulatory bodies to structure strict rules and regulations.

What is the Role of Healthcare Regulatory Bodies?
The pharmaceutical industry is considered as one of the most highly regulated industries worldwide where the regulatory bodies are responsible to enforce rules and regulations and issue guidelines for regulating drug development process, manufacturing, and marketing of any given pharmaceutical product. The European Medicines Agency (EMA) of Europe, Ministry of Health, Labour & Welfare (MHLW) of Japan, and Food and Drug Administration (FDA) of the United States came together for scientific and technical discussion and make some common standards on quality, safety, and efficacy of pharmaceutical products by the International Council for Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use (ICH). The main aim of ICH is to harmonize technical regulatory standards in different countries in order to avoid duplicative testing in pharmaceutical development.
In conclusion, healthcare sector has flourished over the past hundred years irrespective of the complicated nature of healthcare regulations which has shown that the complexity has served to support and nurture the overall enterprise. However, regulatory bodies keep changing their laws constantly for betterment of the public health.
Turacoz healthcare solutions (THS) aims you keep you updated about the recent trends related to healthcare regulations and guide you through the fine technicalities of the same. We provide end-to-end regulatory writing support for clinical trials which includes Investigator Brochures (IBs), Protocols, Clinical Study Reports (CSRs) and Common Technical Documents (CTDs).

Evidence-Based Practice

Evidence-based practice (EBP) is defined asthe conscientious, explicit and judicious use of current best evidence in making correct, prompt and individualistic patient care decisions. (Sackett D, 1996)
EBP integrates the clinician’sown expertise, the best available scientific evidence, and the patient values and preferences (Figure 1).

Figure 1: Elements of Evidence-Based Practice (EBP)
Inability of current medical practice to cape pace with the available evidences generated interest in the use of evidence-based practice while a varied number of steps have been defined to be applied for the use of EBP (Figure 2).

Figure 2:Steps Involved in Evidence-Based Practice (EBP)
1. Problem definition: Clinician formulates an answerable clinical question based on the most updated and relevant data to solve individual patient problem. Defining the problem may provide answers to certain areas ofdisease prevention, diagnosis, prognosis, therapy, causation, cost-effectiveness, etc.
A defined PICO (Population, Intervention, Comparison, Outcome) approach which directly focuses on the clinical question may ensures that it will be helpful in finding the relevant evidences to bridge the prevailing clinical gap.
2. Search for information sources:
After formulating the clinical question, search for appropriate scientific evidences in various databases including PubMed, EMBASE etc. must be done. Firstly, a search for the relevant evidence-based guidelines is done and if it is not available, scientific evidences including systematic reviews or individual studies are referred too.
3. Appraise the information for validity and applicability:
After literature search,each review/study needs to be critically appraisedfor relevance, reliability, validity, and applicability to the persisting clinical question. A clinician can rapidly appraise the study by assessing three important aspects which are:
Validity of study results: It should include assessment of research methods (randomization or non-randomization), characteristics of patients prior to intervention, and instruments used to measure outcomes.
Results and their importance: It should include effectiveness of the intervention, its impact on outcomes, and probability of getting similar results in the clinicians’ own practice settings.
Applicability of the results in patent care: Clinical considerations of the study results such as similarity between study subjects and one’s own patients, benefits/risks ratio, and patient values and preferences, and feasibility and cost-effectiveness needs to be incorporated.
4.Integration of the evidence with one’s clinical expertise and patient preferences and values:
As discussed above, EBM is not solely based on appraising scientific evidences. In the integration step, the relevant scientific evidences are combined with clinical expertise andalso the patient’s perspective. This step requires answering to several questions on: similarity between study patients and one’s own patient; availability of the treatment; alternative treatments available; side effects of the treatment, outweighing risks and appropriateness of the patient outcomes.
5. Evaluating the effectiveness of EBP for individual patients
The last and the final step in EBP is to assess the effectiveness of evidence-based approach when applied to a specific patient. It assesses the clinical improvement of the patient achieved with the evidence and whether it is comparable and as found in the research study.
Level of Evidence
The Level-of-Evidence pyramid represents the types of studies which represents their research quality and risk of biasness. As we move up in the pyramid, the research quality increases while risk of biasness decreases.Studies are assigned to specific hierarchy in the pyramid based on their methodological design quality, results validity, and applicability to patient care. Levels of evidence for different subjects including therapy, diagnosis, prognosis etc. can be viewed at the Oxford Centre for Evidence-based Medicine website (http://www.cebm.net/blog/2009/06/11/oxford-centre-evidence-based-medicine-levels-evidence-march-2009/) Researchers practicing EBP should have an understanding of level of evidences to prioritize all the information collected. EBP holds a strong ground in the top-order of the pyramid as shown in Figure 3.
Current Status of EBP Application
Presently, the implementation of EBP is not sufficient in making healthcare decision. A recent survey assessed the factors which facilitates or hinders the application of EBP in the clinical context. Respondents stated that in clinical healthcare currently EBP is underused and explained this shortcoming with several practical and structural barriers, which they felt can be better monitored by individual organization and directors. In the survey, only 11% of the respondents used EBP and 20% stated that they worked ‘in the way they always had’.
It was also highlighted that increased awareness about EBP and implementation systems for the same in future will be useful in providing evidence-based, best quality and cost-effective healthcare to individual patients.

Figure 3: Level-of-Evidence Pyramid
Evidence based practice is central to providing high-quality care and decreasing unwarranted variation in practice. Turacoz Healthcare Solutions aims to spread awareness about the latest offerings of evidence based practice so that we are able to do our bit and contribute more towards patient healthcare.

Pharma Mergers and Acquisitions

Mergers and acquisitions (M&As) refer to consolidation of companies or assets. Merger means combining two companies into one, while acquisition refers to taking over of one company by the other one. In pharmaceutical world, mergers and acquisitions are quite common. According to the insights, M&As help the pharmaceutical companies in achieving their goals easily by acquiring it, instead of making it. Moreover, the companies with products which are soon to be off-patent also seek for companies with high revenue potential to acquire. Moreover, the expenditure involved in research and development has also attracted the investors to merge with or acquire other companies.

Indian pharmaceutical industry, which is known for its highly skilled core players and low-cost manufacturing, has also been highly influenced by M&As. Many domestic and cross-border M&As have been witnessed by the Indian Pharma companies. The major reasons which have drawn the attention of Indian pharma companies towards M&As are presented in Figure 1.

Figure 1: Major reasons of Pharma Mergers and Acquisition in India

Some of the major M&A Deals that took place in India recently (2015-2017) are:

  1. Mergers of Ranbaxy and SunPharmaceuticals
  2. Acquisition of Primal Healthcare by Abbott
  3. Acquisition of Ranbaxy by DaiichiSankyo
  4. Acquisition of US-based Gavin by Lupin Ltd.
  5. Acquisition of Russian Biocom by Lupin Ltd.
  6. Acquisition of Taro by Sun Pharmaceuticals
  7. Acquisition of UCB by Dr Reddy’s Laboratories
  8. Acquisition of Beta Pharma by DrReddy’s Laboratories
  9. Acquisition of Elder Pharma by Torrent Pharma

It is apparent that such M&As have become essential for the pharmaceutical industry to grow. Moreover, the trend does not seem to slow down due to their necessity to meet the expenditures. However, the loss of expected R&D and thoroughness associated with M&As warrants development of comprehensive guidelines for successful M&As.

Turacoz Healthcare Solutions keeps a tab of the latest healthcare update and studies Pharma mergers and acquisitions in detail. We extend our services in assisting pharmaceutical companies by providing them end-to-end writing support in both the publication and regulatory arena.

World Diabetes Day

The term diabetes mellitus is defined as a metabolic disorder which is characterized by hyperglycemia with disturbances of carbohydrate, fat and protein metabolism resulting from defects in insulin secretion or insulin action or both.The long-term effects of Diabetes Mellitus include retinopathy with potential blindness, nephropathy that may lead to renal failure or neuropathy with the risk of foot ulcers and autonomic dysfunction which may lead to sexual dysfunction.

There are various treatment strategies for diabetes mellitus which are successful in recovering clinical status but cause a variety of complications such as cardiomyopathy, retinopathy, neuropathy, etc.The most promising approach for diabetes mellitus is restoration of insulin-secreting pancreatic beta cells. This approach controls the blood sugar level and helps in the regeneration of insulin-secreting pancreatic beta cells from adult cells.

Diabetes poses a major heath issue for women who tend to face the same joys and problems, but with an added element where theyhave to battle a chronic disease with various social and personal challenges every now and then. In 1983, the American Assistant Secretary for Health established the Public Health Service Task Force on Women’s Health Issues. In 1985, this task force reported the health issues intervening in women’s life stages. Diabetes in pregnancy is a serious condition that is unique to women as it affects the health of both the mother and her unborn child.The most common complication attributable to diabetes is the risk of cardiovascular disease which is more serious among women than men. Also, it has been reported that women with diabetes lose their premenopausal protection from ischemic heart disease and have risk for this condition as great as or greater than that of diabetic or nondiabetic men. Women are also at greater risk for blindness due to diabetes than men.

In India, gestational diabetes mellitus (GDM), which affects pregnant women, is of major concern for women and gynaecologists. Fig.1 mentions the management of gestational diabetes. The incidence of GDM has grown fourfold in the past 10 years, according to Dr B Rajkumar, a doctor of Indian systems of medicine at the Keezhariyoor government ayurveda dispensary in the state’s northern coastal district of Kozhikode. According to few medical researchers, the disease that was earlier considered an ailment of the rich, is on the rise in India. Nearly 70 million people, half of them women, in a population of 1.21 billion have diabetes, and the number is predicted to rise to 101 million by 2030.According to a 2012 report published by the Brussels-based International Diabetes Federation,about 60% of diabetics in India have never been screened or diagnosed due to lack of awareness.

 

Figure 1: Management of Gestational Diabetes

As we know, diabetes mellitus is one disorder that has no cure till date. IPSC (Induced Pluripotent Stem Cell) is one such prodigious breakthrough to generate functional insulin -secreting- pancreatic -beta cells. However, there are a lot of lacunas and challenges that have to be addressed in case of IPSC based diabetic therapy. One of the major limitations of this therapy is the lack of supply of pancreatic islets.Moreover, awareness and management of the diabetic condition is becoming more crucial after reports stating the rise in the incidence of gestational diabetes.

Turacoz Healthcare Solutions wishes to spread the awareness on World Diabetes Day, i.e., 14th November. World Diabetes Day is the primary global awareness campaign focusing on diabetes. There are few ways by which this disease can be prevented such as having a balanced diet, exercising regularly, maintaining ideal body weight, avoiding alcohol and tobacco. Also, having regular health checks should be a priority for every individual over the age of 40.

Diabesity

When the balance of body’s metabolic processes is disrupted, certain conditions arise which are known as ‘metabolic conditions’, of which diabetes and obesity are at top of the list. These two metabolic conditions go hand in hand and are putting a major burden on global healtheconomy. The co-existence of these diseases is collectively known as ‘Diabesity’.According to WHO, the global burden of obesity has raised three times between the year 1975 and 2016, with more than 650 million obeseadults reported in 2016.The number of diabetics has grown from 108 million to 422 million from the year 1980 to 2014. WHO reports that around 50% of deaths in diabetic patients occur before the age of 70 years and it is predicted to be the seventh leading cause of mortalityby 2030. Hence, both diabetes and obesity are counted as the biggest concerns to human health and well-being.

Major reasons behind the raising epidemic status of diabesity include adoption of modern or sedentary lifestyle, fast food habits and relying on technology.Both diabetes and obesity come in a package with other health complications, reduced quality of life, and reduced life expectancy. The major associated challenges include myocardial infarction, cerebrovascular stroke, and renal diseases.

The pathophysiological mechanisms of diabetes and obesity are strongly inter-connected.Insulin resistance and beta cell dysfunction lead to diabetes. Body mass index, the direct measure of obesity, has been found to have positive association with insulin resistance, and consequently with diabetes. In obese people, non-esterified fatty acids, glycerol, hormones,cytokines, and proinflammatory markers are increased, which further lead to development of insulin resistance.Each kilogram rise in bodyweight has been reported to increase the risk of diabetes by 4.5%.

Various medical treatments that improve insulin sensitivity and beta cell functionare available to manage diabetes. Apart from pharmacological approaches, it is also important to practice lifestyle modifications, which not only impart benefits to the treatment, but also improvepatient’s quality of life. Consuminglow-calorie diet,doing regular exercise, maintaining weight, avoiding smoking and regular self-monitoring are highly beneficial in successfully improvement in health status of diabetics and obese patients.

We, at Turacoz Healthcare Solutions, believe that health is real wealth. In an attempt to reduce the global burden of diabetes and obesity, we wish to remind everyone to adopt healthy lifestyle.

Pharmacovigilance Chicago Conference

Turacoz represented in 13th Pharmacovigilance Conference in Chicago (27-28 Sep) as Speaker and participated as Panel member for discussion on very interesting topics. It was a platform wherein people from various domains of the industry shared their experience and future perspective related to Pharmacovigilance and it was extremely an honor meeting such brilliant experienced people.

 

Alzheimer’s Disease

Alzheimer’s Disease (AD) is emerging as one of the critical public health concerns among elderly in various countries around the world including United States (US)and India.It is the fifth leading cause of death among older individuals in US. Over 35 million people worldwide suffer from AD or other forms of dementia. This number is expected to increase over 65 million people by 2030 and 115 million by 2050. In India,14.2% of elderly population is expected to be afflicted with AD by 2020. With the intend to spread awareness about the disease globally,September was launched as World Alzheimer’s month in 2012 and since then 21st September has been marked as World Alzheimer’s Day.

AD poses a significant burden on individual’s physical, social, mental and financial well being. It is characterized by degeneration of nerves which manifests itself as episodes of memory loss in initial stages. As the disease progress, individual have trouble in planning or solving problems, becomes confused with time or place, have mood swings and changes in personality. Person may face problems in speaking or writing and has decreased judgement4. These symptoms worsen with the progression of disease. During the final stages of disease, individual’s ability to communicate is lost and often become bed-ridden, and need around-the-clock care.

The cause of disease is multifactorial, with risk factors like age, gender and genetics being non-modifiable. AD is commonly seen in older age group, prevalent among females and associated with apolipoprotein E gene. The modifiable risk factors associated with disease includes education, lifestyle factors like smoking and conditionssuch as diabetes, hypercholesterolemia,and hypertension. It has been suggested by studies that people with low educational attainment are at increased risk of developing AD. Education develops the cognitive features of individuals, thereby decreasing the risk of AD. Modification in lifestyle can further, reduce the risk of development of AD. Regular aerobic exercise and physical activity serves to improve cognitive function and decrease the risk of disease. It is further suggested that proper prevention or management of above mentioned lifestyle conditions may decrease the likelihood of AD development. Further, eating healthy diet, and specific adherence to Mediterranean diet, with adequate dietary and vitamin supplements can help prevent occurrence of AD.

Alzheimer’s Disease (AD) is an emerging threat to health amongst elderly. Turacoz Healthcare Solutions (THS) aims to spread awareness about Alzheimer’s Disease amongst masses. Let’s unite and spread awareness to prevent Alzheimer’s disease.

Clinical practice guidelines (CPGs)

Healthcare professionals are expected to provide the best evidence based care to the patients. However, due to continuous medical advancements, it becomes challenging for the clinicians to keep abreast with the new developments and implement them in everyday practice.

Clinical practice guidelines (CPGs) have become increasingly important in the healthcare practice. They are evidence-based recommendations, intended to standardize treatment and provide high quality care to patients. These guidelines are a tool for translating research findings into clinical practice, thus, bridging the gap between what clinicians do and what scientific evidence supports. There is growing evidence that developing and adhering to CPG, can reduce practice variation, and improve outcomes and cost effectiveness of healthcare.

World over, physicians, healthcare organizations, professional societies, disease advocacy groups, government appointed workgroups etc. have been involved in developing CPG to standardize clinical practices.

Greater adherence to CPG is critical to improving healthcare processes and achieving the best patient outcomes. Now, the question arises, why these guidelines need to be followed? They are designed to:

  • Improveclinical outcomes
  • Provide easy access to quality information, so that clinicians have a wide range of options for patient care, improving efficiency and consistency of care
  • Helping clinicians stayapprised of the new developments, by use of up-to-date guidelines
  • Improve patient safety and quality of life by facilitating the treatment of patients based on the summary of benefits and limitations of interventions and procedures
  • By finding gaps in current knowledge, research activities can be prioritized

Some of the practitioners believe that guidelines are cookbook medicines, not allowing them to make their own independent decisions. The other reasons for non-adherence to these guidelines could be lack of awareness, lack of transparency in guideline development, lack of relevance to clinical practice, complex and conflicting guidelines, and lack of insufficient access to guidelines at point of care.

The development of a good guideline, includes, healthy participation of key stakeholders, access to accurate, credible, up-to-date,relevant scientific information, correct interpretation of the available evidence, clinical flexibility, and use of proper tools for implementation and monitoring in day to day practice. The guidelines must be clearly expressed in a user-friendly, logically organized format,written in anunambiguous, easy to follow language, and with clear links of recommendations to the available evidence.

To ensure improved care outcomes, emphasis should be placed on effective guideline implementation and evaluating their effectiveness in real world clinical settings. The guidelines should be evaluated for practicality and significance, projected benefits and harm,quality and strength of the scientific evidence and should be periodically updated to keep pace with latest advancements in the field of medicine.

Given the large number of guidelines, following are the key questions, one should keep in mind while reviewing any guideline:

  • Who developed the guideline?
  • Was systematic review of the literature carried out?
  • Were the recommendations valid?
  • Were all relevant outcomes (overall survival, impact on quality of life, absence of complications etc.) considered?
  • Does it report conflict of interest and how was it managed?
  • When was the guideline last updated and assessed for validity?

Turacoz Healthcare Solutions, understands the importance of clinical practice guidelines in improving healthcare standards and patient outcomes and recommends strict adherence to them.

Summing up Results of Research with Meta-Analysis: How it is Done and Why is it Important?

We all are aware of the different types of publication documents, and meta-analysis is one of those documents with the highest level of evidence (Figure). Meta-analysis is a statistical analysis that combines or integrates the results of several independent clinical trials considered by the analyst to be combinable. It usually aims to resolve controversy over true effect, when results of individual studies are variable; and validate a statistically non-significant but clinically important result of small studies.

A meta-analysis usually considers the main outcome of the overall magnitude of the effect. The process of conducting a meta-analysis is often rigorous and well defined which leaves very less opportunities for bias to distort the results. While systematic reviews summarize the medical literature textually, meta-analyses statistically summarize results to obtain overall estimate of treatment effect.

Conducting a Meta-analysis

Over the years, the methodologies involved in conducting meta-analyses have changed. The Cochrane Collaboration has been the most important contributor to streamline and validate the procedures involved in conducting a meta-analysis. Major contributions of the Cochrane Handbook include development of protocols which describe literature search, and analytic and diagnostic methods for evaluating the output of meta-analyses. Additionally, the PreferredReporting Items for Systematic reviews and Meta-analyses(PRISMA) statement provides a more robust procedure in which meta-analyses can be conducted. Steps involved in a meta-analysis include:

A sound literature search is the key to achieving robust results. A clear definition of the hypotheses to be investigated can provide the framework for the overall process to be followed in a meta-analysis. The PRISMA statement recommends inclusion of PICOS (Participants, Interventions, Comparators, Outcomes, and Study Designs) explicitly in the research question. Inclusion of PICOS incorporates all aspects being considered for the selection of studies which further helps in searching for studies with specific information/results. Searching most electronic databases with relevant search terms is important to identify articles. However; identifying appropriate search terms is the first step to achieving this. According to the PRISMA statement, complete search strategy used for at least one electronic database must be reported.

The quality assessment of studies to be included is done by evaluating each study for the eligibility for inclusion, study bias, study quality, and reported findings. Often, two independent reviewers are involved in assessing the study quality of the included studies. This assessment basically provides insights to the degree to which the trial design, conduct, analysis, and presentation have minimized or avoided systematic biases.Several tools are available to assess the study quality of which JADAD, and QUADAS are a few to name.

Data extraction decides the result of the meta-analysis. Important data which requires to be collected includes study design, description of study groups, diagnostic information, treatments, length of follow-up evaluations, and outcome measures. Sometimes, data extraction may pose a challenge when studies use different outcome metrics. In these cases, the data must be converted to a uniform metric for easy pooling.

Measuring inter-study heterogeneity is very important to understand whether the data of the meta‑analysis has addressed the two most important questions:

  1. What is the overall relationship between the treatment/intervention/ exposure and the health outcomes?
  2. Is this association consistent across the studies that constitute the systematic review and meta-analysis?

Heterogeneity can be addressed by checking if the data is correct, analyzing variation in results of the study, further exploring heterogeneity by conducting sub-group analysis/ meta‑regression, using analysis procedures which ignore heterogeneity, change the effect measure, and finally exclude the studies which may create conflict.

The data analysis is very complex and involves several analysis techniques. This is usually done using the random effects model or the fixed effect model. The random effects model is used when there is considerable heterogeneity in the studies included while fixed effects model is used when the overall outcome is similar in all studies included. Meta-analyses may also include sensitivity analysis which is a repeat meta-analysis substituting alternative decisions and a meta-regression in which the outcome variable is predicted according to the values of one or more explanatory variables.

Interpretation of the analyzed results must provide answers which are relevant to the context of the current healthcare, state the methodological limitations of studies, consider size of effect in studies and review, their consistency and presence of dose-response relationship, consider interpreting results in context of temporal cumulative meta-analysis, make recommendations that are clear and practical, and finally propose future research age.

In conclusion, conducting a meta-analysis can prove beneficial as it summarizes the overall results in an area of research. However; it must be noted that a single study cannot provide definitive conclusions. In addition, larger randomized controlled trials may sometimes contradict to the results of a meta-analysis. Meta-analysis can summarize the results of studies with varying sample size, diverse populations across different ages which provide an opportunity to explore newer hypotheses. Having said that, meta-analysisstill remains the most important and efficient tool in adding value to the already available evidence. Turacoz Healthcare Solutions (THS) provides guidance in understanding the different attributes of a meta-analysis and its finer details.

Current Scenario of Medical Device Industry in India

The Indian healthcare industry is on a high growth trajectory and undergoing transformation across the continuum since the last decade. Technology is redefining the possibilities in healthcare delivery and expanding global industry leadership of the healthcare sector while seeking elusive solutions for addressing India’s needs. With the recent approval of National Health Policy 2017 by the Government of India, healthcare expenditure intends to increase to 2.5% of gross domestic product (GDP)and India embarks on a planned approach to bridge the healthcare divide while maintaining industry competitiveness.

Medical device industry is rapidly moving into an era of growth driven by unmet clinical needs and greater focus on domestic manufacturing. Indian medical devices market is the 4th largest in Asia and in the list of top 20 in the world.The medical device sector represents 9% of the overall Indian healthcare industry. It was estimated at the value of USD 4 billion in 2014 and is growing at a compounded annual growth rate (CAGR) of 16% over the period of five years.2

Key Driving Factors of the Medical Device Industry

Key Driving Factors of the Medical Device Industry

In current scenario, there is an immense need to use medical devices effectively to address the huge gap between demand and supply of healthcare services in India. The medical devices sector in India is at a nascent stage with most of the indigenous manufacturing restricted to medical consumables. In true sense, imports still constitute over 75% of the current medical devices market. India is looking forward to improving self-sufficiency in medical devices as a part of the “Make in India” initiative.

The rapidly expanding sector presents immense opportunities to local manufacturers and startups as well global players. There is a big shift in health burden from communicable to non-communicable diseases, which in turn is driving key medical devices segment. There is a huge demand for both cutting‑edge precision technologies as well as affordable low technology. The Indian medical device innovation ecosystem is fast evolving with academic research, venture capital firms, government funding, and promising startups which are developing products specifically for the Indian market. Innovation is a transforming force across the industry to propel growth, improving value, creating sustainable business opportunities, and expanding “Make in India” drive.

Although there is robust growth across segments, new challenges abound which need attention from both policymakers and industry to sustain the momentum across segments.Major hurdles that slow the growth pace of the medical device industry arethat of price control and uncertainty about the effect of new Medical Device Rules, 2017 which will be applicable from 1st Jan 2018.Despite the above challenges, medical device represents the segment where greater change and growth is expected in coming future.

Turacoz Healthcare Solutions, as a knowledge partner of the medical device companies are well equipped to raise up to the occasion and support the industry with a wide range of service spectrum. Our regulatory experts can give consultancy services for global regulatory strategies development and medical device approval and registration, and provide support for Indian market with registration and approval in India (Form 41), manufacturing license (Form 28), import license (Form 10), CE Marking / European MDD Compliance, and FDA 510(k) Notifications / PMA Submissions.

Feel free to reach out at [email protected] for any query or RFI/RFP related to medical devices.

 

1IBEF Healthcare Report 2017

2FICCI and Quintiles IMS reports

Importance of Good Oral Health

Oral health is an integral part of our general health, yet is the most neglected one. The Indian Dental Association (IDA), in a National Oral Health Survey, 2005, highlighted that 95% of the Indian population suffers from gum diseases and only 50% of the population use a toothbrush. The survey also noted that, only 2% of the population visit the dentist.

A good oral health plays an important role in overall health improvement, improving quality of life, boosting of self-confidence and performance enhancement at workplace. However, the irony lies in the factthatmost people remain unaware of the benefits of maintaining a good oral health. Further, individual’s lack of knowledge, a neglecting attitude, and inadequate oral hygiene practices adds to the oral health problems.

Pyorrhea (periodontitis), tooth decay/ cavities, misaligned teeth, and oral cancer are amongst the most common oral health problems affecting people worldwide as well as in the India. It has also been proved by researchers and has been widely accepted by doctors/ dental professionals worldwide that oral and general/systemic healthshare a two-way relationship between them. This means that oral diseases especially,pyorrhea may predispose an individual to different systemic diseases such as uncontrolled blood sugar levels/ diabetes, hypertension, heart diseases and many more. The implications of poor oral health have been shown in Figure 1. Similarly, systemic diseases especially diabetes may also lead to/ worsen oral diseases especially, pyorrhea/ periodontitis. Thus, to keep ourselves healthy, it is very important to maintain an adequate oral health.

Figure 1 : The implications of poor oral health

World Blood Donor Day

Nations around the globe celebrate World Blood Donor Day (WBDD), every year, on 14th June. The event was established in 2004 not only with the purpose to aware people about the importance and necessity of safe blood and blood products, but also to thank all the blood donors for their unconditional intention and effort to save lives.

The history of blood donation takes us back to the 17th century when blood transfusions performed with poor science knowledge led to some shocking outcomes for the patients. Richard, being the first one to safely transfuse blood among animals, raised a hope of similar practice among humans.  Subsequently, an obstetrician, in 1818, brought blood transfusion back into limelight. Since then, transfusion of blood and blood products is being used to spare many lives each year by supporting people experiencing life-threatening conditions.

This year, the theme of the WBDD campaign is “What can you do?“, with an optional message “Give blood. Give now. Give often“. The campaign underlines the role that every individual can play to save lives just by endowing blood. It additionally focuses on the frequency that should be followed by people in donating blood so as to maintain adequate stock in blood banks to meet crisis.

The International Society of Blood Transfusion (ISBT) and World Health Organization (WHO) are playing an important role making the World Blood Donor Day, a success. They highlight the importance of this day and expect a satisfactory supply of blood through regular donations by intentional unpaid blood donors. In 2014, 60 nations had their national blood supplies in view of 99-100% voluntary unpaid blood donations, with 73 nations still dependent on family and paid donors. The WHO’s global objective is to get all their blood supplies from deliberate unpaid donors by year 2020. To attain the same, numerous events are held far and wide on June 14 to mark WBDD. These include football matches, shows and mobile blood donation camps, etc.

World Blood Donor Day

Turacoz Healthcare Solutions extends its support and cooperation to be a part of this campaign of blood donation. The most ideal approach to observe and celebrate WBDD is to go out and donate blood. Every drop is important, so even a solitary contribution from time to time will help save lives.

 

IMRAD in Original Research Articles

IMRAD is nothing but the acronym used for the 4 basic sections of an original research article, namely Introduction, Methods, Results, and Discussion. Any original article must include these 4 essential parts. Diagrammatic representation of IMRAD is depicted in Figure 1. Each of these sections are designed to answer certain questions as described below.

Introduction – Why was the study carried out? What is the specific question to be answered? What is already known, and what is being sought? What is the specific objective?

Introduction must be written in present tense. It must start with broad topics and gradually narrow down to the precise study topic. Thus, this section must provide the background information, set the stage for the article, and build-up the reader’s interest. It must highlight how the study intends to fill-in the existing gaps and what it will add to the current knowledge that already exists.

                                                                                          Figure 1. Diagrammatic Representation of IMRAD

Methods – When, where, and how was the study conducted?

Methods must be written in past tense. This section must clearly describe how the study was designed and carried out, what was the sample, and how it was collected. Procedures conducted must be described comprehensively in a chronological order. The methods section must describe the outcomes being evaluated in the order of their relevance to the research question. Statistical analysis methods used must also be described here. Methods must be presented such that the process could be reproducible.

Results – What was found?

Results must be written in past tense. This is the most important part of any research article as it provides answers to the questions asked in introduction section. Results must be presented in a simple structured way so that they are easy to read and understand. Tables and figures must be included to present the results. If required, results can be organized in subsections. All outcomes must be reported in this section in the same order in which they have been mentioned in the methods section of the article. Results must be only reported in this section and not interpreted or discussed. Specific statistical data such as p-values must be included.

Discussion

What do the results mean? How do the results compare with the existing published literature? What are the implications and future directions?

Discussion must be written in both present and past tense. Established knowledge must be written in past tense and discussion of current results must be written in present tense. This is the most difficult section to write as the author must put everything together in a comprehensive way and should attempt to draw conclusions from the results obtained. Results must be discussed here with an emphasis on the most significant observations. These observations must then be compared with previously published similar studies. Strengths and limitations of the study must be mentioned. Some speculative discussion can be included, which can serve as the source for future research.

Discussion section can be followed by conclusion section where the overall findings can be summarized succinctly.

We, at Turacoz Healthcare Solutions (THS), provide customized medical communication support. Our wing, Turacoz Skill Development Program (TSDP), provides training solutions in various forms to help the healthcare and pharma professionals improve their skills. Although medical writing is a skill and one gets better at it only by practice, equipping oneself with certain basic tools would be a very good start. Here, we share the basic concept of IMRAD in original research articles, which will help budding writers to understand the importance of following this structure while developing manuscripts.

 

‘World No Tobacco Day’ (31st May 2017): Tobacco – A Threat to Development

A yearly celebration since 1987, ‘World No Tobacco Day’ observed on 31st of May, is an initiative by World Health Organization (WHO). The main aim to mark this day is to highlight the health risks associated with tobacco consumption and advocate for implementation of effective policies which in turn can help in reducing tobacco uses.

Facts and Figures

  • Tobacco causes cancers (head and neck, lung, blood, stomach, kidney, pancreas, colon, bladder, cervix etc.) cardiovascular diseases, respiratory diseases, pregnancy complications and still birth, congenital malformations and several other debilitating diseases.

  • Every year 6 million people die from tobacco use. By 2030, the number is predicted to rise upto 8 million, if intensified quick action is not taken.

  • National economies and health-care costs are negatively impacted by tobacco uses.

  • Low- or middle-income countries (LMIC) reports approximately 80% of premature tobacco‑related deaths.

  • Tobacco cultivation contributes to global deforestation (2% – 4%), water and land pollution (since growing requires large amounts of pesticides and fertilizers) and significant generation of solid waste.

  • The National Cancer Institute (NCI) in collaboration with WHO found that the global economy is burdened with US$1 trillion annually as a result of tobacco use.

 

 

According to the WHO 2030 Agenda for Sustainable Development, countries must prioritize and accelerate tobacco control efforts. Tobacco epidemic once controlled will support the health, economy and development of a nation. Alongside, it will lessen the environmental burden of tobacco growing, manufacturing, trade and consumption.

Indian Scenario

As per the National Organization for Tobacco Eradication (NOTE), an Indian federation of 20 non-governmental organizations (founded in 1992) works towards networking and coordinating campaigns of various institutions and NGOs across the country and aims to bring about governmental policy changes which tackle the tobacco problem of our nation.

Way Forward and Developmental Goals

  • The WHO Framework Convention on Tobacco Control (WHO FCTC) treaty, signed with 180 Parties (179 countries and the European Union), guides countries to ward off interference from the tobacco industry in government tobacco control policy.

  • Increase in worldwide cigarette taxes will contribute to government revenue generation. Alongside, it will also reduce the demand for tobacco and help in financing national development activities.

Tobacco control laws and regulations generated and implemented around the globe can promote sustainable agriculture and economic growth, save people dying of hunger, break the poverty cycle, and fight against climate change.

We, Turacoz healthcare solutions, support ‘World No Tobacco Day’, 2017 and urge people to refrain from any form of tobacco consumption and use. We must all join hands and raise our voice against both active and passive smoking so that a brighter and healthier future is ensured for our younger generation and our nation. Healthy food, healthcare and education is what we all deserve, let us not lose it to the tobacco smoke.

World Health Day: Let’s Talk About Depression

World Health Organization (WHO) celebrates 7th of April every year, as World Health Day to mark the anniversary of WHO founding. This day provides us with an opportunity to spread awareness about a specific health topic of concern amongst people all over the world and take some action towards it.

Depression: The Theme for 2017

Depression is characterized by persistent sadness and a loss of interest in activities that a person normally enjoys, along with an inability to carry out daily activities. In addition, people with depression normally experience the following symptoms:

  • Anxiety
  • Lack of energy
  • Loss of appetite
  • Changes in sleeping patterns and habits
  • Decrease in concentration
  • Restlessness
  • Feelings of worthlessness or hopelessness
  • Thoughts of self-harm or suicide

 

Depression may affect people from all walks of life, irrespective of their age group, gender and ethnicity or geographical location. Depression causes mental anguish and inhibits people’s ability to do the simplest tasks in day-to-day life. It may sometimes lead to devastating consequences for relationships with family and friends, and affect the livelihood of a person causing financial damage. At worst, depression can develop suicidal tendency in a person, making it the second leading cause of death among teenagers and young people.

Depression has spread its pangs into our society and grown into a worldwide problem. Looking at the gravity of this psychosocial disorder, the theme of 2017 World Health Day campaign is “Depression: Let’s Talk”.

 

It’s Okay to Talk About Depression and Seek Help

Talking about depression is the first step towards its treatment. Aim of this WHO campaign is to:

  • Make people more informed about depression, its causes and possible consequences, and what help can be given for prevention and treatment
  • Motivate people with depression seek help
  • Support and help family, friends and colleagues of people having depression

It is most important to make the people with depression feel that they are not alone, and that you care for them. Without having this intention and will, one can never help their friends or loved ones get out of depression. People who are facing this problem need great courage and moral support to cope up with this condition.

The more distant one gets from the family, the closer they get to depression. So, it is important to break the silence and speak about it. Let everyone be a part of the war against this mental illness. Turacoz Healthcare Solutions extends its support and cooperation to all those who are fighting depression.

World Down Syndrome Day – Let Them Be Heard!

World Down Syndrome Day (WDSD) is a global awareness day which has been officially observed by the United Nations since 2012. Every year it is observed on 21 March with the same zeal and enthusiasm. On this day, people with Down syndrome and their close friends and acquaintances throughout the world organize and participate in events to raise public awareness.

Why the Date March 21?

The date for this day was selected being the 21st day of the 3rd month to signify the uniqueness of the triplication (trisomy) of the 21st chromosome which is the cause of Down syndrome.

Who Manages WDSD Platform?

The WDSD website is managed by the charity organization, Down Syndrome International (DSi). DSi created this platform as a single global meeting place where everyone can share their experiences, advertise their activities and participate in DSi’s WDSD initiatives. The website is a hub of activity taking place around 21 March each year. DSi, a global network of individuals and organizations from all over the world, is committed to improve the quality of life of people affected by Down syndrome and advocating their inherent right to be accepted.

What is the WDSD-Theme this year?

Each year DSi takes up a theme to champion the cause of Down syndrome. The theme for WDSD this year, My Voice, My Community, has been taken up to encourage people with Down syndrome, and their supporters to speak their mind, and let their voice influence government policy and action, to ensure that they can be included, on a full and equal basis with others, in all aspects of society.

What is Down Syndrome?

Down syndrome is a naturally occurring chromosomal arrangement that has always been a part of the human condition, being universally present across racial, gender or socioeconomic lines, and affecting approximately 1 in a few hundred live births, although there is considerable variation worldwide. Per an estimate given by the United Nations, the incidence of Down syndrome is between 1 in 1,000 to 1 in 1,100 live births worldwide. Down syndrome usually causes varying degrees of intellectual and physical disability and associated medical issues.

 

DSi encourages people all over the world to help raise awareness of what Down syndrome is, and how people affected with this disorder play a vital role in our lives and communities. Turacoz Healthcare Solutions, as a part of its corporate social responsibility, joins hands with DSi to raise awareness about Down syndrome and for the well-being of the affected people. Our aim is to communicate our concern and draw more people to be a part of this campaign for those who need our help.

To Eat, or Not to Eat : Is Mediterranean Diet Good for All?

A lot of talking about Mediterranean food and its benefits has been doing the rounds for quite some time now. Indeed, there are many advantages of planning for such a healthy diet. But first, we should know about the so-called ‘Mediterranean food’.

What is Mediterranean Diet?

The food habits followed in the countries around the Mediterranean Sea is referred to as the Mediterranean diet. This diet-plan emphasizes on eating fresh fruits and vegetables, fish, food prepared in extra virgin olive oil, herbs and spices, and minimal use of salt. A typical Mediterranean diet includes lots of vegetables, fruits, beans, whole grain cereals and cereal products. It also contains moderate amounts of fish, white meat and some dairy produce.

What Are Its Benefits on Health?

Mediterranean diet is a combination of different elements that seem to bring health benefits. It includes healthy fats in the form of monounsaturated fats from olive oil and polyunsaturated fats from seeds, nuts, and fish oil. Such a diet plan is good for people who have:

  • Type 2 diabetes mellitus
  • High blood pressure
  • High blood cholesterol
  • Cardiovascular disorders

How to Start With?

The most important thing to do is to visit your healthcare provider or a registered dietician for a diet plan. Always seek expert advice from your dietician or healthcare provider before you set to take up a new diet plan.You will know about what to eat and what to avoid. In general, few things one should know about the foods included in Mediterranean diet:

  • Bing on fresh fruits- and vegetable salads
  • Cook food in extra virgin olive oil
  • Have about 100-125 grams fish at least twice a week
  • Have1-3 servings of dairy products daily (one serving equals 1 cup of milk /yogurt or 28 grams of cheese)
  • Include nuts, legumes and sprouted grains(wholegrain bread, pasta and brown rice)
  • Incorporate fermented grains (like, sourdough) for easier digestion and better nutrient absorption
  • Add herbs and spices to your food for taste enhancement
  • Reduce intake of salt
  • Include green tea with mint for antioxidant intake

Why Should we Think Twice Before Starting the Mediterranean Diet?

Mediterranean diet plan is based on the traditional food of the people residing in countries around the Mediterranean Sea which have maritime climate and Mediterranean vegetation. Though it has a lot of health benefits, it has some negative effects also.

  • Risk for Hypertensive patients– Mediterranean diet may not be healthy for all the hypertensive patients. Prefer having a diet which is suitable for your body-type and the place where you reside. Besides, food allergies can make this diet plan unsuitable for you.
  • Not cost-effective-Mediterranean food is not easily available in all countries and the cost of the food is also high. It is also not very easy to obtain the food items at places which have a different climate, or at places where seasonal fruits and vegetables are more easily available.
  • Only Mediterranean diet is not enough– Follow a healthy lifestyle to be fit. Regular physical exercise, staying away fromsmoking and alcohol consumption, and having an overall healthy diet is important for good health.
  • Increased intake of olive oil is unhealthy– Mostly people start with an increased consumption of olive oil in the form of fried food. Overeating of snacks which are deep fried in olive oil is definitely not a healthy way to gain the benefits of olive oil.

 

Turacoz Healthcare Solutions wants to make you aware of the health benefits and risks associated with Mediterranean diet. Mere following a new health trend and a new diet chart is not enough. You should know what kind of foods are suitable for your body. We hope to share more facts on healthcare in times to come.

5 Medical Writing Tips for Novice Writers

5 Medical Writing Tips for Novice Writers

  • Always start with an outline and ensure that all the relevant questions are answered:
    •  What is the research topic and what is its importance?
    •  What is the hypothesis formulation strategy?
    •  What were the expected results and the major findings of the study?
  • Create an IMRAD strategy:
    •  Introduction: Importance of study, what is already known, hypothesis, objectives
    •  Materials and Methods: Materials, subjects, design, procedure used for study
    •  Results: Findings of the study and related to study
    •  Discussion and Conclusions: Discussion of supporting studies , previous literature, limitations, future prospects of study
  • Prepare the draft:
    •  Start with materials and methods
    •  Be specific, clear, concise, and objective in writing results (prepare figure/ table wherever required)
    •  Start with the introduction to attract the reader by highlighting the novelty of the study, followed by discussion
  • Review the draft as a reviewer:
    •  Review the paper thoroughly and revise it
  • Submit the final draft according to journal guidelines
    •  Follow the order: title page; abstract and key words; main text; acknowledgements (optional); conflicts of interest (optional); references; author information; figure legends; tables
    •  Be strict for word limits (total word count/ abstract’s word count)
    • Take care of number of figures and tables to include
    •  Make sure that the reference style in text as well as bibliography is followed

 

THS shares a few tips on medical writing for novice writers. At THS, we provide medical writing assistance to healthcare professionals. Medical writing is a creative way of communication for those who love to write and want to keep abreast with the recent developments in science. While writing a manuscript, try to follow these tips and prepare the manuscript as per the instructions given by a journal. However, its acceptance and publication is not at your will. You may, sometimes, face rejection at initial stages. Revise, edit and modify your paper. Keep practicing. Brush up your writing skills and get ready to type your next manuscript.

DASH it for Hypertension

Know About the DASH Plan

“DASH” or the Dietary Approaches to Stop Hypertension (DASH) is an eating plan which can reduce the risk of developing high blood pressure, and also manage existing hypertension.

  1. The first DASH diet research showed that it could lower blood pressure as efficiently as the first line anti-hypertensive medications, even with a sodium intake of 3300 mg/day.
  2. Other than hypertension, DASH diet reduces the risk of many diseases like stroke, heart disease, heart failure, kidney stones, diabetes, and even some kinds of cancer.
  3. It can be considered as an Americanized version of the Mediterranean diet, and owing to its specific guidelines it is easier to follow.

 Advise to Follow the DASH Plan

  1. Seek Advice From Experts: The number of servings that is right for you may vary, depending on your caloric need. Hence, it is advisable to consult a nutritionist before adopting DASH diet.
  2. Track Your Diet Plan: A good way to start with the DASH eating plan is to keep a diary of your current eating habits to track down the time where you tend to eat high-fat food, or when you skip meals. Later, make necessary changes in your diet.
  3. Go Slow: Increase your servings of fruits, vegetables, and grains gradually, as DASH diet is high in fibre, and may temporarily cause bloating and diarrhoea.
  4. Know What’s Best for Your Tummy: If you have trouble digesting dairy products, try lactase enzyme pills or drops, or buy lactose-free milk or milk with lactase enzyme added to it.
  5. Look Before You Leap: Carefully read the food labels to compare fat content in packaged foods, as items marked low-fat or fat free are not always lower in calories than their regular versions.
  6. Beat Sugar Cravings: Limit foods with lots of added sugar, such as pies, flavoured yogurts, candy bars, ice cream, sherbet, regular soft drinks, and fruit drinks.
  7. Eat it Right: Instead of snacking on chips or sweets, eat unsalted pretzels or nuts, raisins, low-fat and fat-free yogurt, frozen yogurt, unsalted plain popcorn with no butter, and raw vegetables.

“DASH”is a dietary plan which is clinically proven to reduce blood pressure, and the risk of developing hypertension. We, at Turacoz Healthcare Solutions, consider it our corporate social responsibility to share the dietary approaches that can save you from the pangs of hypertension and many other diseases associated with it. Know how to manage hypertension with the DASH plan.

Turacoz Conducted a Seminar on Medical Writing at the National University of Singapore

Under the aegis of Turacoz Healthcare Solutions, Turacoz Skill Development Program conducted a seminar on medical writing at the National University of Singapore on 12th October, 2016. The seminar, headed by our lead trainer and medical director, Dr. Namrata Singh was focused on research proposal and publication, and medical writing as a career. With live assignments and discussion, Dr. Singh gave an update to the participants about how to write a research proposal, what is the importance of publication of a research, and how to initiate manuscript writing. She also emphasized on medical writing as a career option for medical students. The seminar was received with overwhelming response and valuable feedbacks.

Liver Cancer Awareness Month: October

Facts

  • Approximately 83% of liver cancer cases are diagnosed in developing regions of the world.
  • 1 year survival rate of patients with liver cancer is 44% while the 5-year survival rate is 17%.
  • 1 in 105 men and 1 in 195 women will present liver cancer during their lifetime.

The first step towards finding the right care for liver cancer is to have a better understanding of the disease. Liver cancer awareness month is observed to spread awareness among the general population and a bright emerald-green color ribbon is used to imply this objective.

Liver is the second most important organ in our body, weighing about three pound and located under the rib cage on the right side. It plays a major role in metabolism, hormone production, plasma protein synthesis, glycogen storage, bile secretion and detoxification. Liver cancer or hepatic cancer begins with the tissue of the liver and is the sixth most common cancer in the world.

Risk factors

  • Chronic hepatic infection with hepatitis B virus (HBV) and hepatitis C virus (HCV)
  • Cirrhosis
  • Aflatoxins
  • Alcohol consumption
  • Male gender
  • Family history
  • Old age

Types

Hepatocellular carcinoma is the most common type of primary liver cancer accounting of almost 75% of all liver cancer cases. Some other types of liver cancer are bile duct cancer, angiosarcoma, fibrolamellar carcinoma, hepatoblastoma etc. There is even a secondary type of liver cancer (liver metastasis) which develops when another primary cancer spreads to the liver (most commonly from colorectal cancer).

Symptoms

The signs and symptoms are not very specific and may include the following

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Diagnosis

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Treatment

Treatment generally depends on the number, size and location of the tumor. Also, the metastatic spread and the overall hepatic functionality determines the treatment course.

Liver transplantation, tumor ablation, embolization, targeted therapy, radiation therapy and chemotherapy are the current treatment options for liver cancer patients.

Prevention

The American Cancer Society mentions that reducing exposure to known risk factors can prevent some incidences of liver cancer cases. Some of the listed measures are:

  • Proper vaccination against hepatitis B virus (HBV) and hepatitis C virus (HCV)
  • Treatment of hepatitis infection
  • Maintaining a healthy body weight
  • Limiting tobacco use and alcohol consumption
  • Avoiding exposure to cancer-causing chemicals
  • Treatment of diseases like cirrhosis, which increase the  risk of liver cancer

Liver cancer is the second most common cause of death due to cancer, and in 2012 it was estimated to be responsible for nearly 746,000 cancer related deaths worldwide. People having some form of liver disease, are infected with HBV or HCV, and don’t even know it. Turacoz Healthcare Solutions supports the cause of Liver Cancer Awareness Month and urges everybody to become more conscious about their liver health and get screened for liver infections. Our accelerated efforts can help in preventing and treating liver cancer.

World Osteoporosis Day-October 20, 2016

“Love Your Bones and Protect Your Future”

World Osteoporosis Day is observed every year on October 20, with a year-long campaign to raise global awareness on the prevention, diagnosis and treatment of osteoporosis and metabolic bone diseases. Organized by the International Osteoporosis Foundation (IOF) every year, the campaign aims to promote awareness about the disease and its associated risk factors. It encourages high-risk individuals to become proactive about their own bone health and advocate for a worldwide preventive care.

Osteoporosis: The Disease

Osteoporosis is a disease characterized by decreased bone mass and deterioration of the bone tissue, leading to an increased risk of fracture. It causes a net loss of bone strength; as a result, even a slight bump or fall can lead to a broken bone (referred to as a fragility fracture). Osteoporosis affects all bones in the body; however, fractures occur most frequently in the vertebrae (spine), wrist, and hip. Osteoporotic fractures may also occur in the pelvis, upper arm and lower leg. Osteoporosis itself is not painful but the broken bones can result in severe pain,major physical disability and sometimes, complete immobility.

Signs and Symptoms

  • Bone pain or tenderness
  • Fractures with minimum or no trauma
  • Loss of height with time and age
  • Neck or lower back pain
  • Stooped posture

 

Risk Factors

Modifiable Risk Factors Non-Modifiable Risk Factors
Smoking Family history
Alcohol consumption Previous fracture
Low body mass index Certain medications (glucocorticoids, immunosuppressants, steroids etc.)
Poor nutrition Primary/secondary hypogonadism in men
Vitamin D deficiency Menopause/hysterectomy
Frequent falls Certain medical disorders (HIV, rheumatoid arthritis, chronic kidney disease, malignancy etc.)
Insufficient exercise
Eating disorders (anorexia and bulimia)
Sedentary lifestyle

 

Treatment Options for Osteoporosis

Goals of osteoporosis treatment includes pain management, stopping or slowing down bone loss, preventing bone fractures, and minimizing the risk of falls.

 

Treatment

Non-pharmacological options Pharmacological Options
Calcium supplementation Hormone replacement therapy
Vitamin D supplementation Selective estrogen receptor modulators
Exercise Calcitonin
Surgical intervention Bisphosphonates

 

Preventive Measures

Proper nutrition with regular weight-bearing and resistance exercises are very crucial in protecting bone and muscle health, irrespective of age. Every individual must proactively try to identify their personal risk factors and seek early diagnosis and treatment. Lifestyle modification and medical assistance together could significantly reduce the likelihood for future fractures in osteoporotic patients and give them a better quality of life.

 

Food for Healthy Bones

It’s very important to include adequate daily amounts of calcium, vitamin D, phosphorus, and magnesium for good bone health. These vitamins and minerals are the most important in building bones and teeth. Examples include:

  • ¾ Dairy products (low-fat milk, yogurt and cheese)
  • ¾ Fish
  • ¾ Green vegetables
  • ¾ Fruits
  • ¾ Fortified foods (soy milk, rice milk, breakfast cereals, and breads)

Dietary supplements of calcium and vitamin D might be needed,if our diet does not provide us with the required minimum dose.

Though our genes are responsible for our skeletal properties like body height and bone strength, we can positively influence our bone health by incorporating certain lifestyle changes (diet and exercise) and becoming actively involved in monitoring the early signs of osteoporosis.

So much we ignore our bone health and intake of nutritious diet,that we forget that deficiency of calcium and vitamin D may lead to osteoporosis and serious fractures. The disease osteoporosis is not gender-specific; both men and women are affected by its painful consequences. Turacoz Healthcare Solutions supports the cause of healthy bones and tells you about the osteoporosis. So, learn to love your bones and protect your future. On World Osteoporosis Day, let’s join in to know more about your bone health.Include healthy food in your diet and say cheers to the healthy bones!

Desktop Workers! Eat it Right!

Desktop dining has now become a common phenomenon with approximately 65% of working professionals typically having lunch at their desks on a regular basis. Pizzas, burgers, sandwiches, muffins, momos, and doughnuts are the most preferred meals of this group of busy workers who generally, in order to clock-in extra working hours, avoid extra spends and get hooked to these high fat, sugar and salt diets because of lack of options. This increasing trend of consuming quick-tasty-junk at desk when combined with compulsive snacking, caffeine overdose, and minimal water intake plays a massive havoc on our body.

This unhealthy food habit in sedentary office life is a risk factor for several lifestyle diseases such as:

  • Obesity
  • Cardiovascular diseases
  • Stroke
  • Lipid disorders
  • Depression
  • Anxiety

Since our body switches-off the fat-burning process when sitting for a longer period of time, we really need to mind the calories and correct our eating habits while at work.Though we require less calories during this period of minimal physical activity, our body needs a well-balanced and proper nutritional diet to function optimally and prevent malnutrition.

The initial area of focus should be on giving our diet a complete makeover by planning in advance for healthy meals and snack options for the entire week. This proactive planning would limit our urge of compulsive binging and thus,help in controlling the habit of going for unhealthy meal options.

Foods to Include in Daily Diet:

  • Complex carbohydrates (whole grains, cereals, pulses, beans, legumes, fruits, vegetables etc.)
  • Good protein sources (eggs, lean meat, poultry without skin, fish and low fat dairy products)
  • Healthy forms of fat (yogurt, cheese, skimmed milk, nuts, olive oil etc.)
  • Dietary fibers and nutrients (dry fruits, sunflower and pumpkin seeds, granola bars etc.)
  • Sufficient quantity of water

Foods to Avoid in Daily Diet:

  • Processed foods (white flour bread and pastas, chips, candies, processed meat, canned food etc.)
  • Food with high-cholesterol content (egg yolk, bacon, butter, seafood, red meat, sausages, cheese, cakes, pies, and cookies)
  • Unhealthy fat (foods rich in saturated fats like beef, lamb, pork, coconut oil, palm oil etc.)
  • Empty calories (foods with no nutritional content like sweets, soft drinks, and high fat salad dressings)

A nutritious and balanced meal gives us a sustained energy flow and optimizes brain oxygen level without getting too hard on our digestive system. This provides fuel to our brain and energy to our body, improves our cognition, and helps us stay focused – all of which increase our productivity and performance at work.

Turacoz Healthcare Solutions understands the need to make smarter diet choices while sitting for longer working hours. We aim to increase awareness about the negative health impact of unhealthy eating and suggest the ways to healthy eating. Let’s improve our eating quotient and make the right choice.

Breast Cancer: Early Detection Saves Life

October is the “Breast Cancer Awareness Month”. Breast cancer is the second most common cause of death due to cancer in women, after lung cancer. Lately, there has been an increase in the incidence of breast cancer in the developing world, owing to increase in life expectancy, urbanization and adoption of western lifestyle.

Some Statistical Facts about Breast Cancer

According to the World Health Organization (WHO),

  • Breast cancer is the most common cancer in women, both in the developed and the less developed countries
  • Over 508, 000 women died due to breast cancerin 2011
  • 58% of breast cancer deaths occur in less developed countries
  • Incidence rates are quite high in non-Hispanic white women
  • Asian/Pacific Islander women have the lowest incidence and death rates due to breast cancer

Symptoms of Breast Cancer

There are no specific symptoms when the tumor is small. Therefore, it is very important for women to follow recommended screening guidelines for detecting breast cancer at an early stage. When breast cancer has grown to a large size, it can be felt as a painless lump.Breast cancer can spread to underarm lymph nodes and cause a lump or swelling. Less common signs and symptoms include:

  • Breast pain or heaviness
  • Persistent changes to the breast, such as swelling, thickening, or redness of the breast’s skin
  • Abnormal discharge from nipple

Prevention of Breast Cancer

The American Cancer Society has recommended guidelines for Nutrition and Physical Activity for Cancer Prevention. They can be enlisted as:

  • Achieve and maintain a healthy weight throughout life.
    • Be fit throughout life without being underweight.
    • Avoid excess weight gain at all ages.
    • Do regular physical activity and limit the intake of high-calorie foods and drinks.
  • Adopt a physically active lifestyle.
    • Adults should doat least 150 minutes of moderate-intensity or 75 minutes of vigorous-intensity activity each week.
    • Children and adolescents should performat least 1 hour of moderate- or vigorous activity each day.
    • Limit the sedentary behavior such as sitting, lying down, watching television, and other forms of screen-based entertainment.
  • Follow a healthy diet, with an emphasis on plant foods.
    • Choose foods and beverages in amounts that help achieve and maintain a healthy weight.
    • Reduce the consumption of processed meat and red meat.
    • Eat at least 2½ cups of vegetables and fruits each day.
    • Choose whole grains over refined-grain products.
  • Avoid drinking alcoholic beverages.
    • Limit to no more than 1 drink (per day) for women or 2 (per day) for men.

Approximately,eight out of ten women develop malignant lumps in the breast. Therefore, don’t underestimate the importance of a monthly breast self-exam. Breast cancer can be fatal at any age. Women should therefore undergo proper counseling and screening for early detection. Turacoz Healthcare Solutions (THS) aims to raise awareness about the breast cancer. We, as a medical writing company in Delhi, consider it our corporate responsibility to share the healthcare measures for prevention of breast cancer.

 

World Heart Day-September 29, 2016 : Your Heart says, “Listen to the Murmurs!”

Cardiovascular diseases (CVDs) are a group of disorders of the heart and the blood vessels which include coronary heart disease, cerebrovascular disease, peripheral arterial disease, ischemic heart disease, rheumatic heart disease, congenital heart disease, raised blood pressure, deep vein thrombosis, pulmonary embolism, and heart failure. The usual acute events are heart attack and stroke that are mainly caused by the blockage due to fatty-acid deposition which prevents the blood from flowing to the heart or brain.

Disease burden

  • Globally, CVDs are the prime cause of death
  • Around 17.5 million people died from CVDs in 2012
  • Around 7.4 million deaths were due to coronary heart disease only
  • More than half of the CVD deaths take place in low- and middle-income countries

Causes

Cardiovascular diseases may be caused due one or more of the following factors:

  • Tobacco and/or alcohol consumption
  • Unhealthy diet
  • Obesity
  • Physical inactivity
  • Hypertension
  • Diabetes
  • Dyslipidemia

Symptoms

A person experiencing any cardiovascular disease can be noted with the symptoms like:

  • Pain/discomfort in the centre of the chest(in case ofheart attack)
  • Discomfort in the arms, left shoulder, elbows, jaw, or back
  • Sudden weakness of the face, most often on one side of the body (in case of stroke)
  • Difficulty in walking, speech, or vision
  • Shortness of breath, fatigue, irregular heartbeats and chest pain (in case of rheumatic heart disease)
  • Light-headednessor severe headache
  • Cold sweating

Prevention

Thomas Fuller once said, “He who cures a disease may be the ‘skill-fullest’, but he who prevents it is the safest physician.”

Some precautionary measures and effective healthcare can definitely help in preventing the CVDs. Here are listed some healthcare measures that one should take to reduce the risk of cardiovascular problems:

  • Abstain from tobacco use
  • Reduce harmful consumption of alcohol
  • Cut down the intake of salt in diet
  • Include 5 servings of fruits and vegetables in daily diet
  • Exercise for 30 minutes every day
  • Get yourself checked for blood pressure, blood cholesterol and blood sugar (diabetes) every three months

Preventive measures suggested by the World Health Organisation include:

  • Comprehensive tobacco control policies
  • Taxation on foods that are high in fat, sugar and salt
  • Campaigns to encourage physical activities such as walking and cycling
  • Regulations to reduce the consumption of alcohol
  • Healthy school meals for children

Individual healthcare interventions targeted to those at high cardiovascular risks

Your heart is at the heart of your health. Together with the World Heart Federation, Turacoz Healthcare Solutions (THS) raises awareness about the CVDs and wants to make you understand what you can do to fuel your heart and give power to your life. You ought to give your heart the care it deserves. So eat healthy, reduce alcohol and tobacco consumption, and keep your heart healthy. Being involved in the medical writing services, THS provides assistance in publication writing, clinical research and regulatory writing, medico-marketing writing, and support for conducting medical advisory board meetings.

 

World Rabies Day, 28th Sep 2016 : Educate. Vaccinate. Eliminate.

This year marks the 10th World Rabies Day, which has become a global phenomenon since its beginning in the year 2007. The theme of this year is: “Educate. Vaccinate. Eliminate.” which emphasizes on the two important actions that we need to take to prevent rabies. Also, the theme reflects the global target of eliminating deaths due to canine rabies by 2030.

Rabies is a viral disease in mammals that is transmitted through the bite of a rabid animal and infects the central nervous system (CNS). Its symptoms range from fever, headache, and general weakness to insomnia, anxiety, confusion, hallucinations, agitation, and difficulty in swallowing. Once clinical signs and symptoms appear, the disease is nearly fatal and the patient can be given only supportive treatment. Thus, it is very important to prevent the disease. Rightly said, prevention is better than cure and after all, prevention is the only remedy for this deadly disease.

KEY FACTS BY WORLD HEALTH ORGANIZATION

·         Dogs contribute to 99% of all the rabies transmissions to humans

·         Rabies causes tens of thousands of deaths every year, majorly in Asia and Africa

·         40% of people bitten by suspected rabid animals are below 15 years of age

·         More than 15 million people get post-bite vaccinations globally, every year

 

Preventing rabies

Rabies can be easily prevented by vaccination. Following measures can help in easy eradication of the disease:

  • Vaccinating dogs to eliminate rabies.
  • Pre-exposure immunization in people, especially those involved in high risk occupations like laboratory workers dealing with animals, children etc.
  • Post-exposure prophylaxis immediately after exposure to rabies can prevent the infection from entering the CNS. This can be done via:
    • Local treatment of the bitten area/wound immediately after exposure
    • Administration of potent rabies vaccines
    • Administration of rabies immunoglobulin, if needed

Turacoz Healthcare Solutions, a medical writing company, aims to spread awareness about the rabies and ways to prevention, in order to help attain the global target of attaining ZERO deaths due to canine rabies by 2030. We offer services to healthcare professionals in publications writing, clinical research and regulatory writing, medico-marketing writing, and support for medical advisory board meetings. We aim to provide health solutions for everyone to live a happy and healthy life.

Turacoz Healthcare Solutions opens its new WING in Pune

Turacoz is a medical communications company providing customized and cost-effective solutions to healthcare and pharma industries. The team of young, dynamic, and energetic professionals contribute to the core service spectrum, which includes publication writing;

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Importance of Macro-Editing in Medical Writing

Editing is an important task that is performed by an editor with a good scientific background and good editing skills. Once a manuscript is finalized, it is reviewed for editorial concerns. It includes checking the content or the information in order to ensure that the thoughts or concepts are expressed clearly and in a logical way to form a comprehensive and meaningful information on the whole. Editing requires critical thinking and careful analysis of the information. It is broadly divided into micro- and macro-editing.

Micro-editing deals with the technical aspects and ensures the language and style are correct and consistent. On the other hand, macro-editing ensures transparency, accuracy, and consistency of the information in the document. Following things are generally rectified during macro-editing :

  1. Logical flow of story from one paragraph to the next
  2. Clarity and completeness of the information
  3. Clearly mentioned rationale/purpose of the document
  4. Information is oriented towards the target reader
  5. Accuracy of data
  6. Tables and figures are cited appropriately in the document
  7. Supportive references are accurate and mentioned appropriately in the text
  8. Conclusions are succinctly summarized
  9. Other things that are taken care during editing include sentence structure, repetitiveness of information, language style (tone and voice), parallelism in the statements, paragraph structure, and word and phrases usage with proper meaning depending on the context

The best way for macro-editing is that the writer self-checks the document based on the below-mentioned questions:

  • Is the introductory paragraph clear enough to indicate the purpose and provide a broad outline of the content?
  • Is every statement relevant to the purpose of the study, with no deviations?
  • Does the text flow reasonably from one paragraph to the next paragraph?
  • Are the sentence structures and language varied enough, without too much repetition?
  • Are the evidences or references given to statements appropriate?
  • Is the terminology consistent throughout the text, or if more than one term has been used to refer to something, is it clear that they are one and the same thing?
  • Is the language and tone appropriate for the reader?
  • Does the information provided in the document meet the readers’ needs?
  • Are the conclusions clearly and effectively summarized?
  • Is the content in the draft aligned as per the journal or congress guidelines?
  • Are the page, text, tables, figures, references, and other information formatted as per the style sheet?

Turacoz Healthcare Solutions (THS) shares the importance of macro-editing in medical writing. Being a medical writing company, Turacoz is involved in publication writing, training solutions, and skill development program. We offer medical writing solutions at par with the latest trends in journal-publication.

Role of a Medical Writer in Advisory Board Meetings

Medical writing is a multidimensional profession which requires creating numerous scientific/non-scientific documents for various phases of a drug life-cycle. Different types of documents prepared by a medical writer are later utilized by the pharmaceutical companies in procuring approval from the regulatory bodies and for knowledge sharing with the healthcare stakeholders. These documents may include (but are not limited to) documents for pre-clinical studies, clinical trials, and post-marketing studies,reports of advisory board meetings, patient educational material, and promotional material. Among all the above-mentioned documents, writing reports for advisory board meetings is an integral part of the medical writing profession.

What is an Advisory Board?

Advisory boards are considered as an important tool for understanding the unmet medical or healthcare needs of a drug/product. By forming an ‘advisory board’, the pharmaceutical companies or medical societies aim to engage their key opinion leaders (KOLs)in order to get better insights on the various medical benefits/limitations of their products from the medical fraternity. Productive discussions held during the advisory board meetings are used to gather visions on possible research opportunities, including guidance on the clinical development and trial protocols, as well as unmet health care needs of current clinical practices that might drive future clinical strategies. The organizing body usually involves a medical writer during an advisory board meeting for capturingevery detail of the discussion held at the medical advisory board meeting and later drafting an objective-driven report which is shared at different knowledge sharing platforms.

What is the Role of a Medical Writer?

The responsibility and role of a medical writer vary according to the objective of the advisory board and according to the type of report required by the organizing body. This may include:engaging KOLs for an advisory board, preparing questionnaires, conducting online surveys (for understanding unmet needs), preparing a pre-meeting report to be shared with KOLs, preparing presentations for the advisory board meeting, hosting an advisory board, capturing minutes of meeting, preparing draft for meeting report, and modifying the report into a publication-ready literature. Hence, it is very important that a medical writer has a prior understanding of the objective of the meeting and nature of deliverable.

Turacoz Healthcare Solutions provides end-to-end support for conducting an advisory board and preparing high-quality scientific reports of the meeting. We have successfully conducted several national and global advisory boards related to preclinical research and product positioning in the past two years and look forward to partnerships in future. Turacoz has experienced medical writers who understand the requirements of our clients and efficiently capture the body and soul of an advisory board meeting.

Triclosan and Memory Loss in Children

What is Triclosan?

Triclosan is commonly used as a disinfectant or an antiseptic to reduce and control the bacterial contamination. It is an organic compound with a slight phenolic smell. It is a very well-known biocide for over 40 years. Although its main application is in cosmetics (maximum allowed concentration 0.3%), triclosan is also ubiquitously usedinanti-bacterial soaps and toothpastes (even upto the concentration0.46%). About 75% of liquid anti-bacterial soaps and 30% of bars use triclosan as an active ingredient. The drug, which was originally used strictly in hospitals and healthcare centres, was adopted by manufacturers of soaps and other home products in course of time.

Triclosan Causes Memory Loss

Triclosan is believed to cause endocrine disruption; even low levels of triclosan may disrupt thyroid function. Poor thyroid function, in turn, may lead to depression, weight gain, fatigue, and memory loss. Also, triclosan degrades to dioxins in the body, which can destroy brain cells. As a result, neurological disorders and emotional distress might happen.

Triclosan attaches itself to the receptor molecules on the surface of brain cells and leads to increased calcium levels inside the cells. As a result, cells become over-excited, leading to cellular death. Over-excitation of brain cells may lead to developmental delays and autism in children.

The United States Food and Drug Administration (US FDA) research, along with countless independent studies, have shown that triclosan does not provide any health benefits as compared to the old-fashioned soaps. Using triclosan-containing anti-bacterial soaps does not give any added advantage over triclosan-free normal soaps in providing antimicrobial protection.

The U.S. FDA has issued a proposed rule requesting additional scientific data to support the safety and effectiveness of such active ingredients used in topical antiseptic rubs (including hand sanitizers) marketed over-the-counter (OTC).

How to Reduce Exposure to Triclosan

Anti-bacterial soaps and hand-sanitizers mostly contain triclosan, which is harmful for children. However, you must ensure that children clean theirhands before eating. A few tips can help you to avoid exposure to triclosan:

  • Choose a safer soap or liquid hand soaps which do not contain triclosan.
  • Encourage washing hands with soap and water, the best way to reduce the number of microbes in most of the situations.
  • If soap and water are not available, use an alcohol-based hand sanitizer that contains at least 60% alcohol.

Exposure to triclosan can disrupt normal brain function and cause memory loss in children. We, at Turacoz Healthcare Solutions, consider it our corporate social responsibility to raise awareness for the minimal use of triclosan-containing antibacterial hand sanitizers, especially in children. Protect your children from the toxic effects of triclosan.

Health Hazards of Being a Medical Writer

Being a medical writer has a lot of allure, particularly if you are having a flexible work schedule, competitive salary package, and assured growth as a professional. However, having these advantages doesn’t insulate you from some of the hazards that you may face as a medical writer. Medical writing, being a sedentary job, requires sitting behind a desk for long hours, which over a period of time can take a toll on your health.

The Risks

  • Metabolic Diseases 
    Medical writers spend their maximum awake time sitting and working. Sedentary lifestyle and reduced physical activity contribute to the excessive body fat around the waist and abnormal cholesterol levels, which are major risk factors for certain diseases like obesity, hypertension, and diabetes.
  • Cardiovascular Diseases
    The sedentary lifestyle attributes to abnormal cholesterol level which is a major risk factor for cardiovascular diseases like atherosclerosis, stroke, angina, and heart attack. It is found that the risk of heart disease is increased by 50 per cent in a sedentary worker (who sits for 11 hours or more a day) even if exercise is performed regularly.
  • Posture Problems
    Due to the nature of work, a medical writer usually works in a ‘static posture’ throughout the day that results in a faulty ergonomics. Rotator cuff disease, chronic pain in the neck, shoulder, back or hand, ruptured disks, and pulled or strained muscles/ligaments are the few disorders that might occur due to static posture. Several studies have reported that there is an increased risk of physical injuries if a worker maintains a static posture throughout working hours.
  • Bone and Joint Disorders
    Spending daily 8 hours or more working on a desktop/laptop without any significant movement of the joints and muscles of limbs may result in loss of muscle mass, loss of muscular flexibility, carpal tunnel syndrome, and hand/wrist tendinitis.
  • Eye Problems
    Prolonged working on a desktop or laptop and gazing the screen for hours expose eyes to undue effects of brightness of the screen that later results in eye strain, temporary blurred vision, headaches, and migraines.
  • Psychological Problems
    In today’s competitive world, analogous to any other professional, medical writers also experience several psychological problems like stress, anxiety, exhaustion, depression, and disordered sleep.

 

The Remedies

Overall, being more physically active is the basic remedy to reduce the chances of all the potential health problems that are associated with the sedentary nature of the work of a medical writer. It is recommended that a sedentary worker (e.g. a medical writer) should spend a minimum of 10 minutes in moderate- or vigorous-intensity aerobic exercise to improve circulation of blood and burn calories. Additionally, there are a few health tips which a medical writer should follow:

  • Take regular breaks during the working hours. After every couple of hours, stand up from the desk and move around.
  • After every 30 minutes of desktop work, do basic stretching exercises at your desk. This will help in maintaining flexibility of the muscles.
  • Avoid getting locked into a static posture. Change your posture frequently by adjusting the angles of your hips, knees, ankles, and elbows while sitting.
  • Be more active: take stairs instead of the lift, prefer public transport or cycle to work.
  • Eat smart. Avoid binging and unhealthy eating habits.
  • Keep your body well hydrated by drinking enough amount of water.
  • Don’t eat while you work. Ensure you eat lunch away from your desk.
  • Adjust the brightness of the screen of your laptop/desktop. Don’t gaze the screen fora long Take regular breaks to relax your eyes.
  • Ensure that you spend at least an hour each week in outdoor sport or leisure activity of your choice.
  • Don’t work hard, work smart.Plan well before you start to work, divide all major tasks into sub-tasks and organise your work schedule. This will help to reduce the chances of having stress and anxiety.
  • Don’t be a workaholic! Make sure you spend a reasonable amount of time with your family and friends, which is important for your mental and emotional well being.

Being sedentary is the root-cause of most of the health problems. Making appropriate lifestyle changes in your daily work schedule may reduce your risk of having these health problems. As a medical communication company, we at Turacoz Healthcare Solutions always encourage our medical writers and everyone to exercise daily and lead a physically active, healthy life.

Keep Your Skin Healthy: Prevent Seasonal Ailments

As the cool showers of monsoon bring relief after the torrid summers, the warm humid weather also brings numerous skin problems in trail. Some common skin problems which may cause trouble in this season are:

  • Heat rash: Heat rash is a red pimply eruption caused by sweating that leads to choking or blockage of skin pores.
  • Eczema: It is aterm applied to variety of skin conditions that result from inflammation of the skindue to external and genetic factors.
  • Acne:It is a common skin problem during the rainy season, mainly for youngsters. Itresults from bacterial overgrowth on the face, especially due to exposure to a lot of rainwater.
  • Ringworm and folliculitis: These are bacterial or fungal infections that result from excessive sweating, dehydration, photo-toxic effects of the sun, and humidity.
  • Nail infection: Infections can occur due to long nailsthat attract muck, and can make nailsdiscolored, brittle and dull.
  • Athlete’s foot:It is an itchy painful infection on the feet with well defined, scaly patches caused by common fungi called Candida. The toe nails may get discolored or brittle.

 

Tips to Keep Your Skin Healthy

Some easy skin-care tipscan protect your skin from having bacterial and fungal itches during the rainy season:

  • Control sweat: The ideal way to avoid skin problems is to keep it clean and avoid excessive perspiration. Take regular and more frequent baths. Use anti-bacterial soaps, talcum powder and face wash to keep yourself clean.
  • Quick-wash after rain-wash: Children are highly prone to fungal infections during the monsoons. An immediate bath after playing in the rain and application of an anti-bacterial soap is important. Avoid using public toilets, where due to lower hygiene you are exposed to infections.
  • Natural skin-care: Use anti-fungal cream or powder for nail-itches. Calamine lotion is a good option to ease skin-itching. Natural and home-made remedies such as aloe-vera, rosewater and milk can keep your skin fresh.Apply moisturizers to keep your skin hydrated.
  • Check what you wear: Wearcomfortablyloose cotton and linen clothing. Wear slippers and flip-flops as they allow your feet to breathe. Avoid wearing plastic shoes, leather or canvas ones. Wash your feet regularly, and apply anti-fungal powder in shoes and socks.Wear washed cotton socks daily and keep feet clean and dry. One must never stay in wet socks for long hours.
  • Watch your diet: Since the chances of infection increases during the rainy seasons, increase vitamin Cintake as it is an effective immunity-booster.Keep yourself well-hydrated with at least 6 to 8 glasses of water daily. Add the juice of a lemon to a glass of warm water and have it first in the morning. Fresh fruits, salads, sprouts, whole grains and curd must be included in daily diet.
  • Skin care for diabetics: People with diabetic diseases are more prone to skin infections. They must go for a check-up when symptoms like skin rashes or redness appear lest they leave scars and turn untreatable.

Several skin ailments are the result of our ignorance and a care-free attitude towards monsoon—borne microbial infections. These infections may grow into serious problems, if not nipped in the bud. Turacoz Healthcare Solutions wants to share some basic skin-care tips this season. So stay healthy, keep your skin monsoon-proof and enjoy the rains.

Transient Smartphone Blindness: Dark Side of Bright Screens

Disturbed sleep and strained red eyes seem to take a back seat as we stand face-to-face with a much more alarming side-effect of the endless smartphone usage, scientifically termed as ‘transient smartphone blindness’. Cradling your smartphone and gazing at it late at night or early in the morning, while lying in bed, leads to this unusual phenomenon of temporary vision loss.

The problem: A recent report published in the New England Journal of Medicine1 outlined the case studies of two women who suffered from impaired vision for months after regularly using their smartphones in the dark.

  • The first case was of a 22-year-old woman with right eye vision loss at night.
  • The second case was of a 40-year-old woman with recurrent monocular visual impairment on waking, lasting up to 15 minutes.

Investigation of both the cases revealed that these patients used smartphone for quite some time in the dark with just one eye while lying in bed and that the symptoms were always in the eye opposite to the side on which the patient was lying.

The Cause: Lying on one’s side while using the smartphone in the dark leads to differential bleaching of the retinal pigments, making the viewer eye light adapted while the other eye, being closed or covered by a pillow, becomes adapted to dark.2 The eye staring at the bright screen is always the one to be temporarily blind when the smartphone is put down because it takes time for the phone eye to catch up with the dark adapted eye.

The Fix: Till now the long-term effect of this strange condition is not documented but viewing screens binocularly i.e. with both eyes, is a quick and simple solution recommended by ophthalmologists.

The global smartphone user-base is exponentially increasing each day with more people going to bed with their phones which puts them at a higher risk of transient smartphone blindness. Luckily enough, the condition is temporary and probably more distracting than dangerous.

 

Turacoz Healthcare Solutions is a medical writing organization which provides assistance in publication of research articles and clinical research documents. We consider it our corporate social responsibility to raise awareness about transient smartphone blindness. The best vision is insight!

 

References:

  1. Alim-Marvasti A, Bi W, Mahroo OA, Barbur JL, Plant GT. Transient Smartphone “Blindness”. N Engl J Med. 2016;374(25):2502-4.
  2. BEC CREW. Science alert. 2016. Available at: http://www.sciencealert.com/smartphone-users-experience-temporary-blindnss-after-looking-at-their-screens-in-bed. Accessed on: 2nd Aug 2016.

World Hepatitis Day July 28th: Know Hep for NOHep!

Viral hepatitis, an inflammatory liver disease is commonly caused by hepatitis A, B, C, D, or E virus. In 2013, an estimated 1.45 million people died of the disease. Around 400 million people are believed to be infected with hepatitis B and C virus worldwide. In India, the population prevalence of chronic hepatitis is around 3-4%. Sadly, only 5% of the patients know about their chronic infection and only 1% have access to current treatment options.

Viral Hepatitis: Know it to Act Now

Many people with hepatitis do not have symptoms and do not know they are infected. If symptoms occur with an acute infection, they can appear anytime from 2 weeks to 6 months after exposure. Chronic viral hepatitis can take decades to develop symptoms. Symptoms of hepatitis are: fever, fatigue, loss of appetite, nausea, vomiting, abdominal pain, dark urine, grey-colored stools, joint pain, and jaundice. Common modes of transmission of hepatitis virus are through contaminated blood or blood products, unsafe sex, and use of contaminated medical equipment such as infected syringes. Hepatitis B is transmitted from mother to baby at birth, from family member to child, and also through sexual contact. Hepatitis viruses B and C are the most common cause of liver cirrhosis and cancer.

Let’s Join in for Hepatitis Elimination

In 2010, the World Health Organization (WHO) had announced World Hepatitis Day (WHD) to be celebrated each year on 28th July. Since then, millions of people across the world have been taking part in WHD campaign to bring awareness about hepatitis. In 2016, WHO has urged different nations to fast-track actions for educating people about the disease, its screening, and to improve access to quality healthcare and services to fight against hepatitis.

NOhep is a global movement which aims to unite hepatitis community worldwide and provide a platform for them to voice their opinion, share their stories, and plan for an action to ensure global commitments for elimination of viral hepatitis by 2030.

  • Know the Risk: Be aware of the modes of transmission of hepatitis. With better information and knowledge about hepatitis risks, you can prevent yourself from getting infected and transmitting the infection to others.
  • Get Diagnosed: WHO has recommended simple testing strategies such as blood tests to help country efforts to scale up screening and early detection of hepatitis
  • Head for Treatment: More than 90% of people with hepatitis C can get completely cured of the virus within 3–6 months. Appropriate treatment of hepatitis B and C can prevent the development of major fatal complications associated with liver dysfunction.

Treatment for hepatitis generally includes:

  • Abstinence from alcohol and bed-rest
  • Medication strategy
    • Preventive vaccines
    • Use of interferons (standard and PEGylated)
    • Nucleoside/nucleotide analogues such as telbivudine, lamivudine, adefovir, or entecavir
  • Liver transplant in severe cases of hepatitis (hepatitis-induced liver damage)

 

Turacoz Healthcare Solutions provides assistance in publication of research articles and clinical research documents. We consider it our corporate social responsibility to raise awareness for hepatitis eradication. On World Hepatitis Day, let’s take a pledge to join the cause. Together we can make it possible!

Dehydration and Importance of Oral Rehydration Salts

Introduction

Dehydration is a condition where free water loss exceeds free water intake. Around 2/3rd of the human body is composed of water, and helps in various functions such as lubrication of the joints and eyes,digestion, flushing out of wastes and toxins, and maintaining the balance of minerals (salts and sugar) in our body. Dehydration may occur due to exercise or diseases, high environmental temperature, not drinking enough fluids, persistent vomiting and diarrhea, sweating due to fever etc.

Causes for Dehydration

There are different conditions which may cause dehydration. Some of them are as follows:

  • Gastrointestinal: Diarrhea and vomiting due to gastroenteritis, cholera, yellow fever or infection of the gastrointestinal tract leads to dehydration as well as an electrolyte imbalance.
  • Sweating:Excessive sweating due to vigorous exercise, sports, fever, heavy manual work, climatic conditions etc. results in fluid loss and dehydration.
  • Alcohol intake: Alcohol is a diuretic and stimulates urination resulting in dehydration.
  • Diabetes: In diabetes, kidney removes extra glucose along with water, which in turn may result into dehydration.
  • Blood loss: Excessive loss of blood can also result in dehydration.

People can tolerate 3-4%decrease in total body water without any difficulty. But 5-8% decrease can cause fatigue and dizziness and above 8% can prove to be dangerous.

Signs and Symptoms

The early signs of dehydration include feeling thirsty and lightheaded, dry mouth,tiredness,having dark colored face, strong smell in urine, passing urine less often than usual etc.

Remedies and Treatments

  • Drink plenty of fluids such as water, squash or fruit juice and avoid caffeinated beverages and fizzy drinks.
  • In illnesses such as vomiting or diarrhea, it is difficult to maintain optimum water level in our body. In such cases, it is better to have small sips of water or other fluids.
  • Infants and children who are dehydrated or having diarrhea should be given oral rehydrated salts (ORS)as recommended by World Health Organization (WHO) instead of water.This is because water can dilute the already low levels of electrolytes and minerals in the body. ORS is a mixture of electrolytes and sugars mainly given to restore imbalance of body fluids. It is very helpful in adults suffering from dehydration, vomiting, and diarrhea.

Importance of ORS

  • ORS is a special combination of dry salts (electrolytes) that are mixed with water. It can help to replace the fluids lost due to diarrhea and vomiting.
  • ORS is important because it helps to rehydrate the body with essential electrolytes, especially sodium and potassium.
  • In severe case of dehydration, when fainting or unconsciousness occurs, ORS can be given through intravenous injections for replenishment of necessary electrolytes and water.
  • In mild dehydration, an oral rehydration can be given which is less painful, and less expensive as compared to ORS given through intravenous route.
  • ORS can be prepared at home by simply mixing 6 level teaspoons of sugar and 1/2 level teaspoon of salt in 1 liter of clean water.
  • ORS is the best treatment option for dehydration

Turacoz Healthcare Solutions is engaged in spreading awareness among people regarding any healthcare issues. We consider it our responsibility to create awareness about any health-related issues in the general public.

Turacoz at 6th Asia-Pacific Pharma Congress, Kuala Lumpur, Malaysia

Turacoz attended 6thAisa- Pacific Pharma congress organized by Omics International on 12th July,2016 at Kuala Lumpur, Malaysia.The aim of the conference was to connect pharmaceutical industries, universities, educational institutions, research centers and societies contributing to pharma industries on a single platform. Medical Director of Turacoz Healthcare Solutions Dr. Namrata Singh was a speaker at the conference who represented her views on Clinical Trial Disclosure and Redaction from Medical communication’s perspective. It was a wonderful experience meeting and interacting with the medical fraternity from all over the world.

Sedentary Lifestyle: A Threat to your Good Health!

Humans were designed to move around and stay physically active. However, over the period of time, we evolved technologically and the levels of our physical activity steeply declined. Our environment at work, schools, homes, and public places were gradually engineered in such a way which restricted our daily physical activity and compelled us to assume a non-exercising behaviour. Steadily, we adapted the non-exercising behaviour in our lifestyle and became sedentary or negligibly active.Parallel with this major change in our lifestyle, several pieces of evidence emerged which identified sedentary behaviour as a novel risk factor for cardiometabolic diseases and all-cause mortality. Studies showed that the mediocrity begins the precise moment when we swap activity with sedentary behaviour. Therefore, it is important to understand the health risks associated with sedentary lifestyle and take timely action.

What is a sedentary lifestyle?

A sedentary lifestyle can be defined as sitting, lying down, and expending very little energy (approximately 1.0-1.5 metabolic equivalents [METs]) in a day. Due to limited physical activity and associated health risks, asedentary lifestyle is also termed as a “sitting disease”.

Who is expected to have a sedentary lifestyle?

With changing nature of our work and leisure activities, an average adult is likely to spend more than 70% of the waking time in a day being sedentary or minimally active. The levels of inactivity tend to increase with growing age, and women are more prone to inactive lifestyle as compared to men. However, recent trends have shown a surge in sedentary behaviour among children.

Health risks associated with sedentary lifestyle

Lack of physical activity has clearly been shown to be a risk factor for several physical, mental and psychological disorders. Individuals having a sedentary lifestyle are at greater risk of having cardiovascular diseases, hypertension, pulmonary embolism, diabetes, and obesity. Increased adiposity (excessive weight gain) due to sedentary lifestyle also increases the risk of certain cancers like endometrial cancer, colon cancer and breast cancer. Additionally, non-exercising behaviour also results in several bone and muscle disorders like osteoporosis, back or neck pain, and muscle degeneration. An overall poor health of a sedentary individual is later accountable for developing psychological stress, depression and anxiety disorders. Worrisome is the fact that lack of physical activity and its associated conditions account for about 3.2 million deaths a year across the globe.

Tips to overcome sedentary lifestyle

Sedentary lifestyle can be easily avoided by making few smart choices at work and leisure, such as:

  • Go NEAT (non-exercise activity thermogenesis), i.e. set an alarm after each couple of hours which reminds you to stand up and go on your feet. This can include simple stretching, taking a walk around the office, or a 10-minute brisk walk. It is an ideal option for those who can’t manage to go to the gym after work.
  • Walk n Work:Schedule walking meetings with your team, walk while having a telephonic conversation, pick up your lunch instead of ordering delivery, walk to the market for picking up daily grocery, and take stairs instead of elevator whenever permissible.
  • Rearrange the workplace: Install treadmills or stationary cycles to encourage physical activity at work, schedule regular exercise sessions at workplace for your team, and relocate water coolers and trash cans so that people have to move from their workplace to use them.
  • Commute differently:If possible, try to commute with public transport or use cycle instead of personal vehicles.
  • Exercise:Try to engage yourself in a physical activity, exercise or sport of your choice. Make sure you spend at least a day each week exercising.

Being physically active is necessary for having a physical and mental well-being. A sedentary lifestyle is a root cause for most of the modern day diseases and it can be easily avoided by making healthy choices for you and your family. Turacoz Healthcare Solutions always tries to encourage its employees and everyone to exercise daily and lead a physically active, healthy life.

Physical activity should be adopted as a behaviour in daily life, and one should remember to ‘get up and move’!

Novel Therapeutic Advances for Management of Diabetes Mellitus

Diabetes mellitus (DM) has become one of the most challenging health problems in the 21st century. It is a serious public health problem globally, but the good news is that various advances are being made in prevention, detection, and treatment of diabetes. Though prevention is always better than cure, yet sometimes prevention is not possible and the cure seems to take ages. The interest to find a possible cure for diabetes has eventually led to exploration of various new scientific areas of research.

Volanesorsen

Volanesorsen (formerly ISIS-APOCIIIRx)is an antisense drug in development intended to treat patients with severely high triglycerides either as a single agent or in combination with other triglyceride-lowering agents.Elevation in triglycerides has always increased the risk of cardiovascular disorders as well as type 2 diabetes mellitus (T2DM). Researchers from the University of Pennsylvania have found the therapeutic effect of lipid-lowering medication sin improving insulin sensitivity in people with T2DM. Volanesorsen is an oral medication that can help to control the blood sugar levels. Itis believed to improve the insulin sensitivity and significantly decrease the patients’ overall glycated hemoglobin (HbA1c). After taking the medication for 12 weeks, researchers found that adult T2DM patients receiving volanesorsen experienced 69% reduction in triglycerides, and 57% improvement in whole-body insulin sensitivity.Researchers concluded that decrease in triglycerides was strongly related to improved insulin sensitivity and improved HbA1c.

PEGylated Lispro

PEGylated lispro (LY2605541) has been developed by the addition of polyethylene glycol (PEG) to insulin lispro, leading to its extended half-life. Early phase evaluations of PEGyalted lispro confirm its non-inferiority to glargine with a potential weight advantage when used in T2DM. Since insulin therapy is anabolic and its initiation is commonly associated with weight gain, an insulin preparation associated with a beneficial weight profile would represent a particularly valuable therapeutic entity.

Pre-clinical studies indicate that LY2605541 has low mitogenic potency, exerting a preferential hepatic effect on glucose homeostasis. However, LY2605541 appears to cause elevated transaminases and derangement of lipid profiles. On the basis of these initial observations, LY2605541 requires further extensive clinical evaluation to fully assess its risk/benefit profile in the management ofdiabetes.

Islet Transplantation

A novel technology has been developed to help treat type 1 diabetes mellitus (T1DM) and potentially negate the need for insulin injections. Islets are organoids that produce multiple hormones, including insulin, and donated islets are already treating severe cases of T1DMeffectively. Islet transplantation can transform the lives of T1DM patients, and may result in long-term freedom from insulin injections with excellent glucose control.

Natural Products

Plants possessing antidiabetic properties may be suitable as an adjunct to the existing therapies or as a prospective source of new hypoglycemic compounds. Many new bioactive drugs isolated from plants demonstrate antidiabetic activity equal to known oral hypoglycemic agents such as tolbutamide and chlorpropamide. Several plant species with terpenoids, flavonoids, phenols, coumarins, and other bioactive constituents have shown their potency in reducing blood glucose levels. Plants likeAllium sativum(Liliaceae),Gymnema sylvestre(Asclepiadaceae),Murraya koenigii(Rutaceae),Allium cepa(Liliaceae),Withania somnifera (Solanaceae), andFerula foetida (Umbelliferae) have exhibited antidiabetic properties when assessed in experimental models of diabetes. These traditional approaches might prove to bebeneficial in treatment of diabetic complications.

Great strides have been made clinically in the management of diabetes. Extensive research may lead to discovery of newer and better options for diabetes. With new technologies revolutionizing the treatment possibilities, the search for an effective medication is not far ahead.

Turacoz Healthcare Solutions aims to create awareness for such healthcare issues like diabetes mellitus which pose a serious threat to people, irrespective of race, gender, or age. We consider it our corporate responsibility to share the knowledge related to therapeutic research and development, and keep you updated with the recent medical advancements in the healthcare industry.“Being aware of a disease and its deleterious consequences”is the first-step towards its prevention. So stay healthy and stay long.

Helen Keller Deaf-Blind Awareness Week

Helen Adams Keller (June 27, 1880 – June 1, 1968) was an American author, political activist, and lecturer. She was the first deaf-blind person to earn a Bachelor of Arts degree. Her birthday on June 27 is commemorated as Helen Keller Day in the US.In 1984, US President Reagan announcedthe last week of June as “Helen Keller Deaf-Blind Awareness Week” — an occasion to raise awareness about deaf-blindness and highlight the contributions of those who have this disability.

Helen Keller was born with normal hearing and sight butat the age of 19 months, shesuffered from an illness of “acute congestion of the stomach and brain” that was considered to cause her lifelong deafness and blindness.According to the Alabama Institute for Deaf and Blind, there area variety of possible causes fordeaf-blindness which include maternal rubella, Usher syndrome, Down syndrome, fetal alcohol syndrome, maternal drug use, AIDS, herpes, syphilis etc.

Keller was well-traveled and outspoken in her convictions. She went on to become a world-famous speaker and author. Today, she is remembered as an advocate for people with disabilities and as a political activist who campaigned for women’s suffrage, labor rights, socialism, antimilitarism, and other similar causes.“Helen Keller Services for the Blind” mission was established to help individuals of all ages who are blind or visually impaired, and who may have additional disabilities, to develop independence. Headquartered in Brooklyn, New York,Helen Keller Services for the Blind’s programs include comprehensive rehabilitation services, low vision clinics, children’s learning center, vocational assessment and job placement, assistive technology centers, preschool vision screening program, senior centers, day treatment program etc.

Keller wrote a total of 12 published books and several articles and at age 22, she published her autobiography “The story of my life” which depicted the story of her life up to age 21 and it was written during her time in college.She was the subject of documentaries “Helen Keller in Her Story” and “The Story of Helen Keller”. In 1984,Keller’s life story was made into a TV movie called “The Miracle Continues”.The Bollywood movie “Black” (2005) was largely based on Keller’s story, from her childhood to her graduation.

In 1915, Helen Keller International was founded that is dedicated to saving and improving the sight and lives of the world’s vulnerable by combating the causes and consequences of blindness, poor health and malnutrition.

Turacoz Healthcare Solutions is passionate to spread the awareness on such social or healthcare related issues as a part of their Corporate Social Responsibility (CSR) activity. On her birthday, we give her a tribute by sharing her story.

Ramadan: Healthy Foods for a Healthy Fasting

It’s again Ramadan time. Millions of Muslims fast during this period and abstain from eating and drinking. However, two main meals are taken during Ramadan: ‘Suhur’ which is served before dawn and ‘Iftar’ which is taken after sunset. It is very important that Suhur comprises of a healthy meal to provide you energy for the whole day, and Iftar is a light meal to avoid weight gain.One should take foods that are rich in complex carbohydrates and protein, fruits or vegetables, and plenty of water to maintain a healthy fasting. Here are the few tips:

  • Incorporate brown rice, wholemeal bread or wholegrain noodles in diet which take longer more time to digest, and help in sustaining energy levels longer
  • When preparing rice, noodles and other grains, season with herbs, spices and broths
  • Include high-calcium low-fat dairy products in your diet to maintain strong bones
  • Lactose intolerant persons can choose lactose-free milk or calcium-fortified soybean milk
  • Eat fish as it contains the healthy fat- omega-3fatty acid
  • Prefer white meat over red meat and choose from low fat meat options (like veal, chicken and fish)
  • Add herbs, sliced lemon or lemon juice to white meats and fishinstead of spices and salt
  • Add favorite fruits, dates, and honey to the desserts to include more fiber and make the food vitamin-rich
  • Replace sweets with stuffed dates, which are rich in fibre and are healthy
  • Use home-made cream for the qatayef stuffing, which cuts down almost three-quarters of the calories

When deciding what to eat during Ramadan, one must remember that consuming the right food is very important. Turacoz Healthcare Solutions is passionate to spread the awareness on such social or healthcare related issues as a part of their Corporate Social Responsibility (CSR) activity. We consider it our responsibility to share the healthy way of fasting.

Turacoz Healthcare Solutions at 6th Asia-Pacific Pharma Congress, Kuala Lumpur, Malaysia, July 11-13th 2016

Turacoz Healthcare Solutions, a medical communications company will be attending 6th Asia-Pacific Pharma Congress where, Dr. Namrata Singh, director of the company will be speaking on “Data Transparency and Clinical Trial Disclosure: A Medical Communicator’s Perspective” on 12th July 2016.

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Surya Namaskar: A Complete Health Guide for Recent Times from Ancient India

Surya Namaskar or sun salutation is a way of saluting sun, the ultimate source of energy and life on earth. Our solar plexus or second brain which is located in the central part of the body, i.e. behind navel, is assumed to be connected to the sun. This rationale must be behind the gurus and rishis of ancient and current times who recommend Surya Namaskar regular practise to increase one’s creativity and intuitive abilities.

The 12 postures of Surya Namaskar are in sync with the sun’s cycles which run at twelve-and-a-quarter years. In addition to having the known health benefits, performing Surya Namaskar also makes your body ready to vibrate and breathe with the natural solar cycle.

According to Sathguru, young women are already in sync with the smallest natural cycle i.e. lunar cycle. Now if women do Surya Namaskar also every day, they will be synced to both solar and lunar cycles, and that gives a lot of energy.Probably that is why God gave the privilege to propagate the race to the women.

The 12 steps of Surya Namaskar are:

  1. Pranamasana or Prayer pose
  2. Hastauttanasana or Raised arms pose
  3. Hasta Padasana or Hand to foot pose
  4. Ashwasanchalanasana or Equestrian pose
  5. Dandasana or Stick pose
  6. Ashtanganamarkara or Salute with eight parts/points
  7. Bhujangasana or Cobra pose
  8. Parvatasana or Mountain pose
  9. Ashwasanchalanasana or Equestrian pose
  10. Hasta padasana or Hand to foot pose
  11. Hastauttanasana or Raised arms pose
  12. Tadasana

Some quick facts:

  • Twelve sets of Surya Namaskar is equivalent to 288 poses and can be done in only 12 minutes.
  • One round of Surya Namaskar can burn upto 14 calories for an average weighing person.
  • The sets can be increased up to 108 in a day.

Surya Namaskar is a complete exercise of body and soul. Including it in our daily routine can help us enjoy better life and be more productive.

One of the pillar of Turacoz Healthcare Solutions is our people and we always try to inculcate healthy habits and life style modifications to attain a comprehensive health, enjoy the life, and God’s creations. On this #InternationalYogaDay, Turacoz team pledges to inculcate healthy habits in their lifestyle and spread the awareness as a part of their corporate social responsibility.

Men’s Health Month: Make a Commitment to Improve Your Health

Men’s Health Month is a special awareness period for men’s health observed across the globe. It was passed by Congress and signed into law by President Bill Clinton on May 31, 1994. The purpose of “Men’s Health Month” is to increase the awareness of preventable health problems and encourage early detection and treatment of disease among men and boys. Alarming statistics show that men’s health is at great risk. On an average, men die almost 5 years younger than women and have higher mortality rates for cardiovascular diseases.Research has also shown that men do not consult physicians for a physical exam as often as women.

There are also health conditions that only affect men, such as prostate cancer and low testosterone. Many of the major health risks that men face, like colon cancer, heart disease orlung cancer, can be prevented and treated with early diagnosis. Besides, men are associated with the most dangerous occupations, such as mining, firefighting, construction etc. which affect their health adversely.

Men’s health has unique aspects and it should be properlytaken care of. So, this month gives health care providers, public policy makers, the media, and individuals an opportunity to encourage men and boys to seek regular check-ups, medical advice, and early treatment for diseases and injuries.

Turacoz Healthcare Solutions is passionate to spread the awareness on such social or healthcare related issues as a part of their Corporate Social Responsibility (CSR) activity. CSR is at the very heart of everything we do at Turacoz. Our medical writing team is well-versed with recent advances in various therapeutic areas which give them a head start in various publication, clinical research and regulatory writing projects.

Ramadan Fasting and Diabetes Management

Ramadan is a holy month for Muslims in which consumption of food and drinks, medications, and smoking is forbidden between dawn and dusk. During Ramadan, millions of Muslims fast during the daylight hours. People generally consume only two meals per day during this month, one after sunset (Iftar) and the other before dawn (Suhur). However, this can lead to metabolic changes in the body and can give rise to various health complications, especially in diabetic patients. Although any person who is ill or has some medical condition like diabetes can choose not to fast, it becomes a personal decision. In casediabetic patients choose to fast, they should consult their doctors before starting fasting during Ramadan.

Diabetes is characterized by high blood sugar levels in the body due to insulin deficiency or inability of the body to use insulin properly. Long fasting and fluid restriction during the day can lead to dehydration and fluctuations in sugar levels. These patients can experience any one of the following:

  • Hypoglycemia (lowering of blood sugar levels) due to long fasting hours leading to seizures and loss of consciousness
  • Hyperglycemia (increased blood sugar levels) due to increased food/sugar intake during Iftar and abstaining the use of antidiabetic medications
  • Diabetic ketoacidosis (a life-threatening situation) in patients having high blood glucose levels and taking reduced dosage of insulin during Ramadan
  • Dehydration leading to volume and electrolyte depletion and causing syncope, falls, and injuries

 

Managing Diabetes During Diabetes:

It is very important that patients with diabetes make a personal choice of fasting during Ramadan only after considering their health condition and proper consultation with their physicians. They should be aware of the associated risks and adhere to the doctors’ recommendations in order to have a safe fasting. Diabetic patients should monitor blood glucose levels regularly during Ramadan. If the blood glucose falls below 70 mg/dL, the fast needs to be ended. Checking blood glucose is very important and does not mean breaking the fast. Secondly, dosage of antidiabetic medications need to be modified during Ramadan. That doesn’t mean that a person has to stop taking his medications. Only the doses will be altered based on his sugar levels and current condition.

During Suhur, a diabetic patient should go for healthy breakfast including starchy carbohydrates and some proteins to slow down the digestion and maintaining the feeling of fullness. Breakfast can include: whole grain cereals, some lentils, and low-fat milk. During Iftar, one should drink plenty of fluids, but avoid caffeine and sugar containing beverages. One should not overeat during Iftar and have small meals. Fried food, sweets, and excessive sugar containing foodsshould be avoided.

With proper management plan and regular glucose monitoring, diabetic patients can experience a healthy living and maintain their religious beliefs during the month of Ramadan.

 

HAVE A HAPPY AND HEALTHY RAMADAN!

Turacoz aims to spread the awareness on various healthcare related issues as a part of their Corporate Social Responsibility (CSR) activity. Our medical writing team is well-versed with recent advances in various therapeutic areas. We provide support in publication writing, clinical research and regulatory writing, medical advisory board meetings and medical marketing services.

Turacoz Medical Writing Workshop At ACTREC, Tata Memorial Centre

Turacoz skill development program conducted a medical writing workshop on publication at Tata memorial hospital, Mumbai on 4th June,2016. The workshop was headed by our lead trainer and medical director, Dr. Namrata Singh who focused on publication planning and submission. The participants involved doctors, research scholars and residents from ACTREC, Tata Memorial Centre from medical oncology departments where they acknowledged that the workshop was really helpful. Dr. Namrata addressed the queries and day to day challenges faced by the doctors while writing their publication papers. There was an overwhelming responseand participants requested to conduct similar workshops in other departments.

Turacoz Medical Writing Seminar At Jamia Hamdard

Turacoz skill development program conducted a seminar on 02 June, 2016 in Center for Faculty Development (Faculty of Pharmacy), Jamia Hamdard University on medical writing. The participants involved experienced faculties from universities like KIET, BS Anangpuria Institute of Pharmacy, Amity University and reputed personalities from organizations like YES Regulatory Healthcare Services, Sun Pharma, Daiichi Sankyo. Dr. Namrata, Director of Turacoz introduced the scope of medical writing for both professors who are the contributors for scientific content and students who can choose it as a career option. There was an overwhelming response and participants suggested that such workshops should be organized more often at institutional level to help students enter the industry.

Arthritis Awareness Month

It’s not just a pain.It’s a complete physical, mental, and emotional assault on your body.

-Jamie Wingo

May is declared as “National Arthritis Awareness Month” by Arthritis Foundation, America. Arthritis is a common chronic disease which affects 1% of the worldwide population.Itis one of the major health problem in the US population, by which more than 50 millionAmericans are affected. In India, it is believed to affect 15% populationi.e. around180 million people.

About Arthritis:

Arthritis is best characterized as an immune-mediated inflammatory disease (IMID) and involves bothimmunological and inflammatory pathways. The exact pathophysiology of this disease is still unclear.

Types of Arthritis:

There are variousforms of arthritis,but the two most commontypesare osteoarthritis (OA) and rheumatoid arthritis (RA). There are over 100 other forms of arthritis such as arthritis associated with psoriasis, arthritis associated with lupus erythematosus, and septic arthritis. However, all these forms are much less common than OA and RA.

Signs and Symptoms:

  • Pain
  • Stiffness
  • Swelling
  • Redness
  • Joint deformity

Risk Factors:

  • Family history
  • Older age
  • Being female
  • Previous joint injuries
  • Being overweight and obesity
  • Infections

 

Diagnosis:

Arthritis is diagnosed based on complete medical history, including symptoms, and physical examination. Imaging techniquessuch as X-ray, computerized tomography (CT), magnetic resonance imaging (MRI), and ultrasound are generally performed.

Management:

  • Drugs like non-steroidal anti-inflammatory drugs (NSAIDs), corticosteroids, disease-modifying drugs like methotrexate and leflunomide, biologics like etanercept and rituximab etc.
  • Non-pharmacological therapies like physical or occupational therapy and patient education
  • Surgery
  • Self-management

Self-Management:

  • Control your weight
  • Exercise regularly
  • Eat a healthy diet
  • Use heating pads or ice packs for pain-relief
  • Assistive devices such as canes, walkers, and raised toilet seats can help perform daily tasks

May is marked as National Arthritis Awareness Month.Turacoz Healthcare Solutions joins with the Arthritis Foundation, America to be a part of this awareness program as a part of their Corporate Social Responsibility (CSR) activity. Our medical writing team is well-versed with recent advances in various therapeutic areas which give them a head start in publication writing, clinical research and regulatory writing projects and medical marketing services.

Medical Writing workshop in Dubai

Turacoz Skill and Development program under the umbrella of Turacoz Healthcare Solutions successfully organized its second Medical Writing workshop in Dubai on 20th May, 2016 at Four Points by Sheraton, Bur Dubai. We had a pool of doctors from various hospitals in UAE including Al Garhoud Private Hospital, Latifa hospital, Emirates Hospital, Dubai Hospital, NMC Hospital. Also we had people from medical affairs team of pharmaceutical companies.

It was a six hours workshop with live assignments and discussions. Our trainer doctor Namrata Singh gave an update to the participants about the latest guidelines on publication and the participants reciprocated with their experiences and queries related to publication. We got an overwhelming feedback and suggestions to continue this knowledge process.

We, Turacoz skill and development program will come up with our next workshop in UAE soon.

KNOW ABOUT ASTHMA AND ALLERGY!!!

The month of May is declared as “National Asthma and Allergy Awareness Month” by Asthma and Allergy Foundation of America. It is the perfect time to educate people about asthma, its causes, and the ways to lead a normal life with asthma.

Asthma is an episodic yetchronic respiratory disease characterized by recurrent attacks of breathlessness and wheezing due to bronchospasm and inflammation of the airways. It is the most common chronic disease among children. More than 100 million people worldwide are believed to from asthma, of which 15 to 20 millions are Indians. Asthma can influence the quality of life by causing missed school or working days, increased medical expenses, and poor work performance.

Asthma attacks can be mild, moderate, severe, or sometimes life threatening!!!!Shortness of breath, cough, wheezing, chest tightness, andpus-like sputum (in the recovery phase) are some of the symptoms of mild to moderate asthma. Labored and shallow breathing, bluish discoloration of the skin, and loss of consciousness may indicate life-threatening condition.

Allergy and asthma often occur together. Asthma occurring due to allergens is referred to as “allergic asthma”.

How Does Allergy Cause Asthma?

Exposure to allergens causes release of inflammatory cells such as mast cells, eosinophils, and neutrophils in the bronchi and bronchioles leading to inflammation and obstruction of the airways. This leads to increased contractibility of smooth muscles, that further results in narrowing of the airways.

Allergens Causing Asthma:

  • Pollens
  • Dust mites
  • Cockroaches
  • Animal dander
  • Mold
  • Exposure to indoor volatile organic compounds
  • Air pollution

How is Allergic Asthma Managed??

“Prevention is better than cure”, an age old saying holds good for asthma too. Asthma patients are advised to avoid exposure to known allergens and triggering factors. Though there is no cure for asthma till date, the symptoms can be improved by prompt medications. Bronchodilators are recommended for short-term relief, while low-dose inhalational corticosteroids or mast cell stabilizing drugs are recommended for long-term therapy.

Recent studies have revealed that oligonucleotide agents are found to decrease allergen-induced early and late asthmatic response. Infliximab, etanercept and golimumab are found to provide a short-term efficacy in patients with the severe disease.

Can an Asthmatic Patient Lead a Normal Life??

Asthmatic attacks may occur periodically, based on the exposure to triggering factors. However, a few changes in lifestyle can help an asthmatic lead a normal life. Here are a few:

  • Maintaining good physical and mental health
  • Regular intake of medications
  • Regular physician check-ups
  • Keeping distance from the known allergens
  • Avoiding the use of tobacco

Why is it Important to Raise Awareness About Allergy and Asthma?

According to a survey, 51-68% of the patients experiencing severe asthma and 30-61% of patients with moderate symptoms said that they suffer uncontrolled asthma. As most people may be unaware of the causes and triggering factors of asthma, educating people about allergy and asthma may yield a better treatment outcome.

What are the Various Methods to Spread Awareness About Allergy and Asthma in Public?

  • Conducting a questionnaire study about allergic asthma
  • Publishing the articles on allergy and asthma in social media
  • Organizing medical camps to reach rural population
  • Organizing awareness programs in educational institutes
  • Publishing articles in newspapers and arranging for correspondence
  • Organizing lectures about the disease
  • Organizing for a marathon, to create awareness, will help gain enormous public attention

Some Facts About Allergic Asthma

  •  People with food allergy, allergic rhinitis, hypersensitivity, familial history of asthma are at higher risk of developing asthma
  • Once an individual is sensitized to an allergen, a very minor exposure to the allergen may also precipitate the asthmatic attack
  • 50% of people with allergic rhinitis have asthma
  • Actopic eczema is probably the first sign that a future asthmatic patient develops as a child
  • Treating rhinitis may improve the symptoms of asthma, especially cough
  • In children, males are twice as susceptible to asthma than girls, while, after puberty, it is more common in females

Turacoz Healthcare Solutions is passionate to spread the awareness on such social or healthcare related issues as a part of their Corporate Social Responsibility (CSR) activity. CSR is at the very heart of everything we do at Turacoz. Our medical writing team is well-versed with recent advances in various therapeutic areas which give them a head start in various publication, clinical research and regulatory writing projects.

Hepatitis Awareness Month

For Hepatitis, Prevention is the Best Intervention

The month of May is titled as “Hepatitis Awareness Month”, as a proactive step to bring together various federal, non-federal, social groups, and public health care groups across the world for spreading awareness about hepatitis infection. As described by the World Health Organization (WHO), hepatitis is an inflammation of the liver caused by drugs, alcohol use, or certain medical conditions. But in most cases, it is caused by a virus. This is known as viral hepatitis. Currently, there are 5 main hepatitis viruses, referred to as types A, B, C, D and E, but the most common forms are hepatitis A, B, and C.  Hepatitis is a global concern as it leads to more than1.4 million deaths every year.  Hepatitis is a relatively silent disease in its acute phase, its symptoms often go unnoticed till the disease is progressed to a chronic and often a fatal stage. In its advanced stage, hepatitis can result in fatal complications like liver cirrhosis, liver cancer, or liver failure. Bridging the knowledge gap about hepatitis (its causes, symptoms, and prevention) among the masses as well as healthcare professionals is the key to reduce the global burden of the disease.

Hepatitis awareness month is an initiative to bring in all stakeholders of the healthcare industry to alliance together in spreading awareness about hepatitis. Enabling the people to identifyviral hepatitis as a critical health concern and providing better healthcare facilities to all the patients with hepatitis are the prime objectives of this collation. The key strategies that are promoted for spreading the awareness are:

  • Campaigns: As an age-old method of spreading awareness, campaigning about hepatitis is a dynamic tool in spreading the word.Patient stories, supporting videos, fact sheets, posters, templates, infographics, customizable flyers, infographics, promotional badges and bands, on the spot quizzes, and street plays are few modalities that could be used for campaigning at institutional and community levels.
  • Digital tools: Using digital media like television, radio,ormobile messagesfor sharing informationabout hepatitis, its risk factors, and vaccines.
  • Social Media: Various social media platforms are used to share information about various campaigns, resources, publications, news updates, and latest updates on hepatitis. This acts as an open platform for masses and healthcare professionals to share knowledge and experience about the disease. Any user can easily join the conversation by using hashtags #HepAware, #HepTestingDay, and #hepatitis.
  • Proclamations: Atinstitutional and community level,several proclamations related to hepatitis such as hepatitis awareness day, hepatitis awareness week, or hepatitis screening day can be initiated to generate awareness among people at the specific level.
  • Free hepatitis risk assessments and testing: Various healthcare institutions, public health care centres, community health groups, and private hospitals run a day/week long free hepatitis risk assessment and testing camps. The sole idea of these camps is to enable the masses to identify the risk factors for hepatitis infection and prevention strategies for the same.Self-assessment forms and professional diagnostic checks are the components for this risk assessment and testing programs.

Viral hepatitis is a preventable disease. Effective and timely vaccination among the high-risk group and all infants is highly recommended by healthcare professionals. Providing cheap vaccination and encouraging people to get vaccinated are crux steps in halting the endemic of hepatitis across the globe.

As said earlier, prevention is the best treatment; the statement holds true for hepatitis. The best way to combat this lethal disease is to make people aware about how it spreads, what are the early signs, what can be done to prevent it, and what should be done if one gets hepatitis. As a member of healthcare industry, we all should actively take up the responsibility to spread awareness about hepatitis in our own way. Remember to be informed is to be safe!

Awareness is the first step towards prevention of viral hepatitis. As a part of their Corporate Social Responsibility (CSR) activity,Turacoz Healthcare Solutions wants to raise awareness for prevention of this disease through this blog. We are a medical communication company in Delhi. Our medical writers are well-versed with recent advances in various therapeutic areas which give them a head start in various publication, clinical research and regulatory writing projects.

World Malaria Day : Understanding Malaria

Malaria is a serious life-threatening parasitic disease caused by parasites known as Plasmodium vivax (P.vivax), Plasmodium falciparum (P.falciparum), Plasmodium malariae (P.malariae) and Plasmodium ovale (P.ovale). Its transmission takes place through the infective bite of Anopheles mosquito. Man develops this disease after 10–14 days of being bitten by an infective mosquito.

Every year April 25 is celebrated as “World Malaria Day” across the globe in an effort to provide effective control of the disease. This occasion also provides a common platform for the affected countries to share experiences, showcase technologies and collaborate in programs in the fight against malaria.

SIGNS AND SYMPTOMS OF MALARIA

Symptoms of malaria include fever and flu-like illness, including shaking chills, headache, muscle aches, and tiredness. Nausea, vomiting, and diarrhea may also occur. Malaria may cause anemia and jaundice (yellow coloring of the skin and eyes) because of the loss of red blood cells. Infection with one type of malaria, P. falciparum, if not promptly treated, may cause kidney failure, seizures, mental confusion, coma, and death.

POPULATION AT RISK

In 2015, approximately 3.2 billion people—nearly half of the world’s population—were at risk of malaria.

Maximum number of malaria cases and deaths occur in sub-Saharan Africa. However, Asia, Latin America, and, to a lesser degree, the Middle East, are also at risk. In 2015, 97 countries and territories had ongoing malaria transmission.

DISEASE BURDEN

  • According to the latest WHO estimates, released in December 2015, there were 214 million cases of malaria in 2015 and 438,000 deaths.
  • Between 2000 and 2015, malaria incidence among populations at risk reduced by 37% globally; during the same period, malaria mortality rates among populations at risk registered a decline by 60%. An estimated 6.2 million malaria deaths have been averted globally since 2001.
  • Sub-Saharan Africa continues to contributethe highest share of the global malaria burden. In 2015, the region accounted for 88% of malaria cases and 90% of malaria deaths.

PREVENTIVE MEASURES FOR CONTROLLING MALARIA

  • Taking antimalarial drugs to kill the parasites
  • Eliminating places where mosquitoes breed
  • Spraying insecticides to kill adult mosquitoes that come inside
  • Sleeping under bed nets—especially effective if they have been treated with insecticide, e.g. insecticide-treated mosquito nets (ITNs) and
  • Wearing insect repellent and long-sleeved clothing if out of doors at night.

CURRENT SCENARIO OF MALARIA VACCINE

  • Effective malaria vaccine could helpeliminate and eradicate malaria; there are currently 63 vaccine candidates, 41in preclinical and clinical stages of development.
  • Vaccines are being designedto target pre-erythrocytic stages, erythrocytic stage or the sexual stages ofPlasmodium taken up by a feeding mosquito, or the multiple stages
  • Twovaccines in preclinical and clinical development target falciparum; and themost advanced candidate is the pre-erythrocytic vaccine RTS,S which is inphase-III clinical trials.
  • RTS,S/ASO1 is the first malaria vaccine to have completed pivotal Phase 3 testing and obtained a positive scientific opinion by a stringent medicines regulatory authority.
  • Collaborators of RTS,S Clinical Trials Partnership showed that RTS,S/AS01 prevented a substantial number of cases of clinical malaria over a 3–4-year period in young infants and children when administered with or without a booster dose. Efficacy was enhanced by the administration of a booster dose in both age categories. Thus, the vaccine has the potential to make a substantial contribution to malaria control when used in combination with other effective control measures, especially in areas of high transmission.

Turacoz Healthcare Solutions is committed to spread the awareness on such social or healthcare related issues as a part of their Corporate Social Responsibility (CSR) activity. Our medical writing team is well versed with recent advances in various therapeutic areas which gives them a head start in various publication, clinical research and regulatory writing projects.

Medical Writing Workshop at Bangalore

5b79d27d-7530-4423-be85-44dc1dc89c0d-originalTuracoz Healthcare Solutions conducted a medical writing workshop on 16th April, 2016 at Country Inn and suites by Carlson, Bangalore. The workshop primarily focused on publication where subjects like grammar, guidelines, biostatistics, referencing etc. were the topics of discussion. Doctors from the reputed hospitals, medical writers, medical managers and advisors from the pharmaceutical industry were the main audience. Live assignments and case studies made the session highly interactive where people came forward with their queries. The workshop was highly appreciated and valuable feedbacks were received.

World Hemophilia Day

Let’s Join Hands to Fight Against Hemophilia

Hemophilia is one of the oldest known genetic bleeding disorder which is caused by deficiency of the genes responsible for synthesis of clotting factors. Clotting factors are special type of proteins required for blood clotting. If a person does not have enough clotting factor VIII, then the condition is known as “hemophilia A”, while deficiency of clotting factor IX is known as “hemophilia B”.

Misconception                Individuals with hemophilia bleed faster than normal people

    Fact                             Individuals with hemophilia bleed longer than normal people

 

The major symptoms of hemophilia are: prolonged bleeding, spontaneous bleeding, bleeding into joints and muscles, excessive bleeding following trauma or surgery, easy bruising, swelling, pain, and stiffness. Left untreated, it can lead to various life-threatening complications like deep internal bleedings, joint damage, and intracranial hemorrhage. However, there are various treatment options available for the disorder like replacement therapy with clotting factors, gene therapy and anti-fibrinolytic medicines. Unfortunately, a large population of hemophilic patients is unable to receive adequate treatment due to its high cost.

Although the incidence of hemophilia is low and is estimated to affect approximately 1 in 10,000 people, only 25 % of those living with hemophilia get proper care.

 

World Hemophilia Day (WHD) is, therefore, a day to consider those hemophilic patients who are unable to access the care and treatment they require to live a healthy life.

History: WHD was established in 1989 with the help of the World Federation of Hemophilia (WFH). Since 1989, WHD is observed globally on April 17 in order to honor Frank Schnabel, the founder of WFH, whose birthday falls on the same date. Today, WHD has grown into a global event which is celebrated across 113 WFH member countries.

 

“Treatment for all is the vision of all” is the main goal of WHD.

The main aim of WHD is to increase public awareness, educate patients, attract volunteers, and advocate for improved treatment and care of hemophilia. This day provides an opportunity to talk to your family, friends, and colleagues to raise awareness and increase support for the patients living with hemophilia and other bleeding disorders.

A patient with hemophilia must be encouraged to think and act positively. Since hemophilia is a lifelong condition, requires expensive treatment, and affects patient’s family life, therefore, it is important that parents, spouses, and other family members of the patient should be educated in all aspects of the patient’s care. Besides, general information and education should also be given to the community where hemophilic patient lives.

Today, someone born with hemophilia can live a normal life if he/she has access to adequate treatment. Although access to adequate treatment is a big challenge but the WFH has a vision and is trying hard to provide treatment for all the people with hemophilia.

Uniform Code of Pharmaceuticals Marketing Practices (UCPMP) – Code for Writing Promotional Material

The Department of Pharmaceuticals (DoP), Government of India, released Uniform Code of Pharmaceuticals Marketing Practices (UCPMP) on 1st January 2015.
UCPMP is a voluntary code that should be adopted by pharmaceutical industry to curb unethical practices in the healthcare sector. UCPMP bears significance as pharmaceutical companies have been accused of massive enticements to secure prescriptions from the medical fraternity for a very long time.

UCPMP for promotional materials:

  • All promotional material issued by a product authorization holder or with his authority, must be consistent with the requirements of this Code.
  • Where the purpose of promotional material is to provide persons qualified to prescribe or supply with sufficient information upon which to reach a decision for prescribing or for use, then the following minimum information, must be given clearly and legibly and must be an integral part of the advertisement:
    • The relevant product authorization number and the name and address of the holder of the authorization or the business name and address of the part of the business responsible for placing the medicinal product on the market
    • The name of the product, and a list of the active ingredients, using the common name, placed immediately adjacent to the most prominent display of the name of the product
    • Recommended dosage, method of use and, where not obvious, method of administration
    • Adverse reactions, warnings and precautions for use, and relevant contraindications of the product
    • A statement that additional information is available on request
    • The date on which the above particulars were generated or last updated
  • Promotional material such as mailings and journal advertisements must not be designed to disguise their real nature. Where a pharmaceutical company pays for or otherwise secures or arranges the publication of promotional material in journals, such promotional material must not resemble editorial matter.
  • Promotional material must conform, both in text and illustration, to canons of good taste and must be expressed so as to recognize the professional standing of the recipients and not be likely to cause any offence.
  • The names or photographs of healthcare professionals must not be used in promotional material.
  • Promotional material must not imitate the devices, copy, slogans, or general layout adopted by other companies in a way that is likely to mislead or confuse.
  • Where appropriate (for example, in technical and other informative material), the date of printing or of the last review of promotional material must be stated.
  • Extremes of format, size, or cost of promotional material must be avoided.
  • Postcards, other exposed mailings, envelopes or wrappers must not carry matter which might be regarded as advertising to the lay public or which could be considered unsuitable for public view.
  • Audio-visual material must be accompanied by all appropriate printed material so that all relevant requirements of the Code are complied with.

Other key highlights of UCPMP are:

  • No gifts, pecuniary advantages or benefits in kind may be supplied, offered or promised to persons qualified to prescribe or supply drugs, by a pharmaceutical company or any of its agents i.e. distributors, wholesalers, retailers, etc.
  • Free samples of drugs shall not be supplied to any person who is not qualified to prescribe such products
  • Companies or their associations/representatives or any person acting on their behalf shall not extend any travel facility inside the country or outside, including rail, air, ship, cruise tickets, paid vacations, etc., to healthcare professionals and their family members for vacation or for attending conference, seminars, workshops, etc. as a delegate
  • Companies should not pay any cash or monetary grants to any healthcare professionals for individual purpose in individual capacity under any pretext
  • Funding for medical research, study etc., can only be extended through approved institutions by modalities laid down by law/rules/guidelines adopted by such approved institutions, in a transparent manner

Need for UCPMP – Self-regulation in pharma marketing has hardly worked anywhere

Many international pharmaceutical trade associations, which are primarily the lobbying bodies, strongly advocate self-regulations (such as following UCPMP) by the industry. They have also created many documents in this regard, which are also displayed in their respective websites. However, despite all this, the ground reality is that, the well-hyped self-regulation by the industry to stop the menace of pharma marketing malpractices is not working; few recent examples are cited below:

  • March 2014 – the anti-trust regulator of Italy reportedly fined two Swiss drug majors, Novartis and Roche 182.5 million euros (U$ 251 million) for allegedly blocking distribution of Roche’s Avastin cancer drug in favor of a more expensive drug Lucentis that the two companies market jointly for an eye disorder.
  • March 2014 -A German court fined 28 million euro (US$ 39 million) to the French pharma major Sanofi and convicted two of its former employees on bribery charges.
  • May 2013 – Sanofi was reportedly fined US$ 52.8 Million by the French competition regulator for trying to limit sales of generic versions of the company’s Plavix.
  • August 2012 – Pfizer Inc. was reportedly fined US$ 60.2 million by the US Securities and Exchange Commission to settle a federal investigation on alleged bribing of overseas doctors and other health officials to prescribe medicines.
  • April 2012 – a judge in Arkansas, US, reportedly fined Johnson & Johnson and a subsidiary more than US$1.2 billion after a jury found that the companies had minimized or concealed the dangers associated with an antipsychotic drug.

As per the recent information available, the government is planning to make the UCPMP practices mandatory, which have so far been voluntary. The DoP is working on to finalize the mandatory code practices. The move has been triggered by insufficient compliance to the existing voluntary code by pharmaceutical companies. The mandatory codes will also involve legal implications and invoking of marketing licenses.

Turacoz healthcare solutions fully believe in following ethical codes such UCPMP. Our medical writing team is well versed with these codes and tries to adapt to the same while providing promotional material content to our client.

Autism Awareness Month: The Challenges and Promises of Childhood Neurodisability

Autism is a serious, lifelong developmental disability characterized by considerable impairments in social interactions and communication skills, as well as a restricted/repetitive pattern of interests and/or behaviors. The term autism is also confused with the other autism spectrum disorder (ASD) including classic autism, Asperger syndrome and high-functioning autism. Autism used to be considered rare, but it is increasingly recognized as a relatively common condition.
Both genetic and epidemiological research findings have forced a change in concept as a result of the evidence that autistic like abnormalities are common and often occur in individuals with normal intelligence, particularly in first degree relatives of individuals with autism.

Autism and other forms of disability are part of the human experience that contributes to human diversity. An integral approach in the design, implementation, monitoring and evaluation of policies and programme in all political, economic and societal spheres, so that inequality is not perpetuate

Neurodevelopment Course of Autism at a Glance

  • Recent neurobiological data suggests that autism is caused by late disruption of the central nervous system (CNS) just prior to birth, perinatally, or postnatally.
  • The limbic system plays a significant role in various aspects of emotion, memory and learning, and motivation. Studies indicate that the neural cells of the limbic system in autism are small in size and more densely packed per unit volume as compared with age and sex-matched controls.
  • The second major area of abnormality found was in the cerebellum and its many circuits and interconnections. Basically they found a substantial loss of Purkinje cells throughout the cerebellum, especially in the posterior regions. The loss of Purkinje cells helps establish the timing of the abnormalities.

 

Reader’s Interest

  • Autism is one of the fastest-growing developmental disorders in the U.S.
  • Autism costs a family $60,000 a year on average.
  • There is no medical detection or cure for autism.
  • Total 2012 National Institute of Health (NIH) budget: $30.86 billion, only $169 million goes directly to autism research. This represents 0.55% of total NIH funding.
  • ASD is reported to occur in all racial, ethnic, and socioeconomic groups.
  • ASD is about 4.5 times more common among boys (1 in 42) than among girls (1 in 189).
  • The total costs per year for children with ASD in the United States were estimated to be between $11.5 billion – $60.9 billion.

 

Symptoms

The characteristic behaviors of ASD may be apparent in infancy (18 to 24 months), but they usually become clearer during early childhood (24 months to 6 years). The National Institute of Child Health and Human Development (NICHD) lists five behaviors that warrant further evaluation:

  • Does not babble or coo by 12 months
  • Does not gesture (point, wave, grasp) by 12 months
  • Does not say single words by 16 months
  • Does not say two-word phrases on his or her own by 24 months
  • Has any loss of any language or social skill at any age?

2 % of children in the U.S. are living with autism. The earlier they have access to care, services and treatment, the more likely they are to progress

Diagnosis Tests

Early identification is associated with dramatically better outcomes for people with autism. The Centers for Disease Control and Prevention’s (CDC) National Center on Birth Defects and Developmental Disabilities (NCBDD) recommends that all children be screened for autism by their family pediatrician three times by the age of 3, 9, 18, and 24 or 30 months. Treatment should start when an autism diagnosis is suspected, rather than when a formal diagnosis is made.

  • Behavioral assessments: Guidelines and questionnaires are used to help a doctor determine the specific type of developmental delay.
  • Diagnostic guidelines for autism: The American Association of Childhood and Adolescent Psychiatry (AACAP) have established guidelines for diagnosing autism. The criteria are designed so a doctor can assess a child’s behavior relating to core symptoms of autism such as:
    • Clinical observations: The parents may be asked to interpret whether certain developmental delayed behaviors are usual for the child in those circumstances.
    • Developmental and intelligence tests: To evaluate whether a child’s developmental delays affect his or her ability to think and make decisions.
    • Physical examination: Head circumference, weight, and height measurements, to determine whether the child has a normal growth pattern.
    • Hearing tests: To determine whether hearing problems may be causing developmental delays, related to social skills and language use.
    • Testing for lead poisoning: Children with developmental delays usually put items in their mouth after this stage has passed in normally developing children, which should be identified and treated.
    • Chromosomal analysis, if intellectual disability is present or there is a family history of intellectual disability.
    • An electroencephalograph (EEG), if there are symptoms of seizures, such as a history of staring spells or if a person reverts to less mature behavior (developmental regression).
    • Magnetic Resonance Imaging, if there are signs of differences in the structure of the brain.

 

According to Volkmar et al., Autism Spectrum may be distinguished from autism and pervasive developmental disorder- not otherwise specified (PDD-NOS) on the basis of higher verbal IQs, greater social deficit, higher rates of the disorder in first-degree relatives, and different patterns of co-morbidity, especially higher rates of depression.

Risk Factors

  • In identical twins, if one child has ASD, then the other will be affected about 36-95% of the time whereas in non-identical twins, if one child has ASD, then the other is affected about 0-31% of the time.
  • Almost half (about 44%) of children identified with ASD has average to above average intellectual ability.
  • A small percentage of children who are born prematurely or with low birth weight are at greater risk for having ASD.
  • ASD commonly co-occurs with other developmental, psychiatric, neurologic, chromosomal, and genetic diagnoses.
  • Children born to older parents are at a higher risk for having ASD.

The best evidence suggests that early, intensive behavioral and educational interventions can improve outcomes for many children with ASD. While there are no medications that target the primary social or repetitive behavior symptoms

Research Gaps

  • Following the emphasis on early identification and early intervention, question has been arising what are the earliest emerging signs of autism? what are the internal and external factors associated with outcomes? What are the emerging early intervention approaches for which the best evidence-base exists? Despite the increase in well-controlled intervention studies, further such trials are required to improve the evidence-base for established and newer interventions.
  • Only recently have longitudinal studies begun to examine the trajectories of social development beyond midchildhood into adolescence and adulthood.
  • Mechanistic studies that employ experimental and neuroscientific methodologies, where possible embedded within genetic and familial designs, are required to elucidate the neurodevelopmental processes that lead to the social difficulties in autism.
  • Such studies will also help us to understand the associations between social difficulties and common comorbidities in adaptive function, sensory difficulties and mental health problems.

 

Current research: Holds new hope for the treatment of autism

  • Researchers have identified a number of genes associated with the disorder and brain-imaging studies have found differences in the development of several regions of the brain. Findings suggest that ASD can result from disruptions in genes that control aspects of brain development or control how brain cells communicate with each other.
  • New and novel approaches began enrolling participants in a clinical trial to test oxytocin (via a nasal spray) for individuals with autism. For nearly 10 years, there have been studies showing that administering oxytocin, a medication and hormone used to start and increase the speed of labor in pregnancy, may change response to social cues in the laboratory setting.
  • The clinical trial at NewYork-Presbyterian (NYP/Westchester Division), which will test individuals between the ages of 3 and 17, will evaluate whether oxytocin may offer benefit as a potential treatment for those on the autism spectrum, while paying careful attention to whether oxytocin is safe for repeated administration.
  • The currently available instruments like Autism Diagnostic Interview – Revised, Autism Diagnostic Observational Schedule, and Childhood Autism Rating Scale are not specific to these criteria. So, there is also a need to develop an instrument with high fidelity to international classification of diseases (ICD-10)/ diagnostic and statistical manual of mental disorders (DSM-IV) description/criteria

Turacoz Healthcare Solutions is passionate to spread the awareness on such social or healthcare related issues as a part of their Corporate Social Responsibility (CSR) activity. CSR is at the very heart of everything we do at Turacoz. It is exclusive in a way we deal with our communities, our people, our clients and our environment. Our medical writing team is well versed with recent advances in various therapeutic areas which give them a head start in various publication, clinical research and regulatory writing projects.

World Parkinson’s Disease Day: Shatter the Myths with Hope

World Parkinson’s Disease Day: 11th April, 2016:

World Parkinson’s disease day is celebrated every year on 11th April to commemorate Dr. J Parkinson on his birthday. He was the first to describe the disease in “An Essay on the Shaking Palsy”, as a disorder with a pattern of lessened muscular power and involuntary tremulous motion. On this day, efforts are made to increase the public awareness of this terrible disease.

 

What Is Parkinson’s Disease?

Parkinson’s disease (PD) is a neurodegenerative disorder which affects the nerve cells in the brain that produce dopamine. As a result, these nerve cells are reduced in numbers. As cell death spreads to larger parts of the brain more centers are affected which results in an aggravated motor and non-motor functional impairments. It is a progressive disorder and the symptoms gradually worsen.

Symptoms of PD begin gradually, often on one side of the body and later, they affect both sides of the body. The disease is characterized by:

  • Trembling of hands, arms, legs, jaw and face
  • Stiffness of the arms, legs and trunk
  • Slowness of movement and trouble in walking and/or talking
  • Poor balance and coordination
  • Sleep problems and depression

People with the disease may have trouble doing simple tasks as the symptoms get worse. They may also have trouble chewing, swallowing, or speaking.

 

Screening and Diagnosis

PD usually begins around age 60, but it can start earlier. It is more common in men than in women. There is no laboratory test for PD, so it can be difficult to diagnose. Doctors use a medical history and a neurological examination to diagnose it. There is no cure for PD

 

Lifestyle Remedies and Health Care Solution

  • Exercise: It may increase your muscle strength, flexibility and balance. Exercise can also improve your well-being and reduce depression or anxiety
  • Medications: They may help you manage problems with walking, movement and tremor. Medications can help control the PD- symptoms by substituting/increasing for dopamine in the brain.
  • Healthy diet: A balanced diet provides nutrition. Foods such as fish which contain omega-3 fatty acids are also recommended for persons with PD.
  • Training for daily activities: An occupational therapist can show techniques that make daily life easier.
  • Be careful while walking: At later stages of the disease, movement can become difficult. Distribute your weight evenly between both feet, and don’t lean. Avoid walking backward.

 

Create Awareness to Find a Cure:

Many people are not fully aware of how to identify PD. In the interest of promoting awareness of this disease, we can:

  • Organize larger events at local parks, or even with local schools for the cause of PD
  • Work together to create a day where there are educational courses about the disease
  • Arrange for musical performances, conduct marathons and walk-a-thons to help generate donations to support the ongoing research into this condition.
  • Work together with friends and family to help organize refreshment stands or bake sales to produce more funds to donate to research groups

Turacoz Healthcare Solutions is committed to spread the awareness on such social or healthcare-related issues as a part of their Corporate Social Responsibility (CSR) activity. Our medical writing team is well-versed in various therapeutic areas which gives them a head start in various publication, clinical research and regulatory writing projects.

World Tuberculosis Day: Present Scenario and Future Prospects

Tuberculosis (TB) is an infectious disease caused by the bacillus Mycobacterium tuberculosis. It usually affects the lungs (pulmonary TB), but can affect other sites as well (extra-pulmonary TB). The disease usually spreads through air, for example by coughing. Overall, a relatively small proportion (5–15%) of the people infected with M. tuberculosis will develop TB disease during their lifetime.

World TB Day is celebrated every year on March 24 to commemorate Dr. Robert Koch, who announced his discovery of M. tuberculosis, on the same date in the year 1882

Incidence:

  • There were an estimated 9.6 million incident cases of TB globally, equivalent to 133 cases per 100,000 populations in the year 2014.
  • India, Indonesia, and China had the largest number of cases: 23%, 10% and 10% of the total cases, respectively.
  • An estimated 480,000 people developed multidrug-resistant TB (MDR-TB) globally in 2014.
  • The absolute number of incident cases has fallen over last few years; an average rate of reduction was 1.5% per year between 2000 and 2014, and 2.1% between the year 2013 and 2014. The cumulative reduction in the TB incidence rate from 2000 to 2014 was 18%.

Co-epidemics of TB and HIV

  • The probability of developing TB is much higher among people infected with human immune-deficiency virus (HIV).
  • Out of 9.6 million incident TB cases in 2014, there were approximately 1.1–1.3 million (11–13%) people living with HIV.
  • Almost three-quarters of these cases were noted in the African Region.

Mortality:

  • In the absence of treatment, the death rate of TB is very high.
  • There were an estimated 1.5 million TB deaths in 2014, including 0.4 million among people who were HIV-positive.

Treatment:

  • Effective drug molecules for TB were first developed in the 1940s. The most effective first-line anti-TB drug, rifampicin, became available in the 1960s.
  • The currently recommended treatment for new cases of drug-susceptible TB is a six-month regimen of four first-line drugs: isoniazid, rifampicin, ethambutol, and pyrazinamide.
  • MDR-TB, defined as resistance to isoniazid and rifampicin (the two most powerful anti-TB drugs), requires more expensive and more toxic drugs such as kanamycin, levofloxacin, cycloserine etc.
  • The duration of the current regimen recommended by World Health Organization (WHO) for MDR-TB is 20 months; however, treatment success rate is much lower for most patients with MDR-TB.

 

In 2014, the cost per patient treated for drug-susceptible TB ranged from US$ 100−500 in most countries with a high burden of TB. The cost per patient treated for MDR-TB was typically US$ 5000−10,000.

Between 2000 and 2014, TB treatment alone saved an estimated 35 million lives among HIV-negative people. Among HIV-positive people, TB treatment supported by anti-retroviral therapy (ART) saved an additional 8.4 million lives.

Research Pipeline

  • WHO has issued an interim guidance on the use of bedaquiline (in 2013) and delamanid (in 2014), two new drugs that have recently been recommended for the treatment of MDR-TB under specific conditions.
  • Additionally, eight new or re-purposed anti-TB drugs are in advanced phases of clinical development; some new chemical entities are discussed below:
    • For the first time in six years, an anti-TB drug candidate (TBA-354) was in Phase I testing. However, on 11 March 2016, TB Alliance announced discontinuation of the clinical development program of TBA-354 based on its safety and pharmacokinetic data.
    • PA-824 (pretomanid), currently in Phase II, is a potential cornerstone of future TB and drug-resistant TB treatment regimens.
    • Sutezolid (PNU-100480) and SQ109 are under development for the treatment of both drug-resistant and sensitive tuberculosis, and are currently in early Phase II testing.
  • Recent observational studies of the effectiveness of short-term regimens for MDR-TB in Niger and Cameroon found that a 12-month regimen (instead of current 20 months) was effective and well-tolerated in patients not previously exposed to second-line drugs.
  • Currently, there are 15 vaccines in Phase I or Phase II trials. However, for the time being, a vaccine that is effective in preventing TB in adults remains elusive.

Turacoz Healthcare Solutions is committed to spread the awareness on such social or healthcare-related issues as a part of their Corporate Social Responsibility (CSR) activity. Our medical writing team is well-versed with recent advances in various therapeutic areas which gives them a head start in various publication, clinical research and regulatory writing projects.

Colorectal Cancer – Spreading Awareness

Overview : Colorectal cancer is the abnormal growth of cells in the colon or rectum (parts of the large intestine) that has the ability to invade or spread to other parts of the body. Over 95% of colon cancers are adenocarcinomas and usually begin as polyp in the inner-lining of the colon or rectum.

Other names: Colon cancer, rectal cancer, or bowel cancer

Symptoms: The symptoms of colon cancer vary depending on the location of the tumor within the colon. Following are the symptoms of colon cancer:

  • Rectal bleeding or blood in the stool
  • Dark-colored stool
  • Change in bowel movements
  • Change in stool consistency
  • Constipation
  • Diarrhea
  • Narrow stools
  • Weight loss

Risk Factor: Although colon cancer is non-contagious, several environmental and inherent risk factors are responsible for the development of this cancer. Some common risk factors associated with colon cancer are:

  • Increasing age
  • Excessive alcohol use
  • Obesity
  • Being physically inactive
  • Cigarette smoking
  • History of inflammatory bowel disease
  • Geneticmutations
  • Colorectalpolyps
  • Family history of colorectal cancer

 

Diagnostic tests and Examination:

  • High-sensitivityfecal occult blood test (FOBT) : It checks for hidden (occult) blood in the stool (feces). The test does not directly detect colon cancer, but is often used in clinical screening for the cancer. FDA approved two types of FOBT: Guaiac (GFOBT) and Immunohistochemical (IFOBT) to detect heme. Studies have shown that early detection using GFOBT can reduce the number of deaths due to colorectal cancer by 15 to 33%.
  • SigmoidoscopySigmoidoscopy is a procedure performed using a shorter flexible scope to examine just the sigmoid colon and rectum. Polyp removal and cancer biopsy can be performed through the sigmoidoscope. Studies have shown that people who have regular screening with sigmoidoscopy after age 50 years have a 60 to 70% lower risk of death due to cancer of the rectum.
  • Colonoscopy : Colonoscope, a flexible lighted tube with a lens for viewing and a tool for removing tissue is used to examine the rectum and entire colon. Colonoscopy is generally considered to be more accurate than barium enema X-rays, especially in detecting small polyps. If colon polyps are found, they are removed through the colonoscope and sent to the pathologist. Studies suggest colonoscopy reduces deaths from colorectal cancer by about 60 to 70%.
  • Barium enema X-ray : When colon cancer is suspected, lower gastrointestinal (GI) series (barium enema X-ray) is performed to confirm the diagnosis and locate the tumor. The barium outlines the large intestines on the X-rays. Tumors and other abnormalities appear as dark shadows on the X-rays.
  • Advanced stool DNA technique/Cologuard ®   : This test is an advanced stool DNA technique that detects altered DNA and/or hemoglobin in cancer cells. This is done through identifying nine DNA biomarkers in three genes that have been found in colorectal cancer and precancerous advanced adenomas. People identified as positive with this test are advised to undergo a colonoscopy.

 

Prevention:

  • Early detection and removal of precancerous colorectal polyps before they turn into cancerous. Even in cases where cancer has already developed, early detection still significantly improves the chances of a cure by surgically removing the cancerous polyps before the disease spreads to other organs. Screening has the potential to reduce colorectal cancer deaths by 60%.
  • Regular physical activity is associated with lower risk of colon cancer, but not rectal cancer.
  • Current dietary recommendations to prevent colorectal cancer include increasing the consumption of whole grains, fruits and vegetables, and reducing the intake of red meat.
  • Use of medications such as aspirin also appears to lower the risk of colon cancer. The use of combined estrogen and progesteronein hormone replacement therapy lowers the risk of colon cancer in postmenopausal women.

 

Management: Depends on various factors, including the person’s health and preferences and most importantly the stage of the tumor. When colorectal cancer is caught early, surgery can be curative however, when it is detected at later stages this is less expected and the treatment is often directed at palliation, to relieve symptoms caused by the tumor and keep the person as comfortable as possible.

  • Surgery: If the cancer is detected at a very early stage, it may be removed during a colonoscopy. This can either be done by an open laparotomy or sometimes laparoscopically. The colon may then be reconnected or a person may have a colostomy. Robotic surgery, where a surgeon sits at a control panel and operates very precise robotic arms to perform the surgery. This type of surgery is also being studied to see if it is effective as standard surgery.
  • Chemotherapy: In colon and rectum cancer, chemotherapy can be used in addition to surgery in certain cases. The decision to add chemotherapy in management depends on the stage of the disease. New ways to combine drugs already known to be active against colorectal cancer, such as irinotecan and oxaliplatin, to improve their effectiveness.
  • Radiation therapy: Patients who have previously been treated with chemotherapy, there is evidence that selective internal radiation therapy (SIRT) can prolong time to progression of non-resectable colorectal metastases in the liver.Radiotherapy decreases 50% of recurrence of rectal cancer, improves quality of life and increases survival by 6-12 months for patients with advanced disease.
  • Palliative care: Palliative care is medical care which focuses on treatment of symptoms with serious illness for improving the quality of life. It is recommended for a person who has advanced colon cancer.

 

Latest in Colon Cancer Research

Current research into cancer immunology may lead to advances in gene therapy and prognostic markers may be useful in identifying those tumors with a high recurrence rate:

  • Colorectalpolyps and tumors can release cells and DNA into the bloodstream as well as into stool. Researchers are studying whether the presence of an altered geneSEPT9 in blood can be used to screen for early-stage colorectal cancer.
  • New approaches which avoid the need for thorough cleansing of the colon, required for ‘virtual colonoscopy’, are being studied and developed. One approach is ‘fecal tagging’ with a contrast agent that is ingested over several days before the procedure. This technique is known as electronic cleansing (EC) which allows fecal material in the colon to be differentiated from colon tissue and aids in removing fecal material that is tagged by the agent.
  • Following lab tests OncotypeDx™ Colon Cancer Assay, ColoPrint™, and ColDx™ were developed to help predict the recurrence of colorectal cancer even after treatment.
  • Colorectal cancers that have gene changes known as microsatellite instability (MSI) have been found to be more likely to respond to the anti-PD-1 drug pembrolizumab (Keytruda®). A large phase II registration study (KEYNOTE-164) is ongoing to evaluate the efficacy and safety of pembrolizumab based on MSI status in patients with previously treated advanced colorectal cancers, and a phase III study (KEYNOTE-177) in a treatment naive patient population is also planned.

 

Did You Know?

  • March is colon cancer awareness month and doctors across the country are trying to remind patients the importance of screening for cancer.
  • As per WHO, colon cancer is the third most common cancer in men (10.0% of the total) and the second in women (9.2% of the total) worldwide.
  • Colon cancer risk is tied to red meat consumption. European study reported that 478,000 men and women found those who ate about five or more ounces of red meat per day were about 33% more risk to develop colon cancer.
  • Research has shown that aspirin, fish oils, aloe vera garlic, ginger and vitamin D have strong protective influence. All these should be in your diet.
  • Japanese research has strongly implicated salt as a major cause. Doubling your salt intake doubles your risk.
  • It is the second leading cause of cancer-relatedmortality in the United States. In 2014, 136,830 individuals were newly diagnosed with colorectal cancer and 50,310 colorectal cancer deaths in the United States.
  • Over the past decade, colorectal cancerincidence and mortality rates have decreased in all racial/ethnic populations except American Indians/Alaska Natives.
  • The incidence rates of cancer in men and women are similar <40 years’ age and at and above age 40 years, rates are higher in men.

World Glaucoma Week

World Glaucoma Week (March 6-12, 2016) : Be Informed, Be Safe

Each year the World Glaucoma Association (WGA) and the World Glaucoma Patient Association (WGPA) come together to raise awareness about Glaucoma across the world. This joint initiative of WGA and WGPA is marked as “World Glaucoma Week” which is observed from March 6-12 each year worldwide.

What is Glaucoma?

‘Glaucoma’ is a group of progressive optic neuropathies that damage the optic nerve thereby resulting in degeneration of retinal ganglion cells, vision impairment, and blindness. Though unusually high intraocular pressure is been identified as the most common cause for glaucoma, yet this may not always be the case. The two most prevalent types of glaucoma are primary open-angle glaucoma (diagnosed in 90% of cases) and closed angle glaucoma. The common symptom of open angle glaucoma is a gradual loss of peripheral vison (generally in both eyes) which progresses to having a tunnel vision. Whereas, eye pain, blurred vision, nausea and vomiting, vision issues in low light, halos around light sources and red eyes are the common symptoms of closed angle glaucoma.

What is the Global Burden of Glaucoma?

Worrisome is the fact that most of the time onset of glaucoma (particularly in open angle glaucoma) are asymptomatic and disease go unnoticed by patients and healthcare professionals until it progresses to advance stages. Due to the silent nature of the disease, glaucoma is often labelled as ‘silent thief of sight’. It is worth mentioning that, glaucoma is the second leading cause of blindness globally, after cataract. The silent nature of the disease and rapid progression adds up to the global prevalence of glaucoma. In the year 2010, about 60 million people were found to be affected by glaucoma globally, and it is expected that the toll will rise up to 79 million people worldwide by 2020.

Who is at risk of having Glaucoma?

Even though glaucoma can affect any individual, but the risk increases if the individual is; over 60 years of age, have a family history of glaucoma, African Americans or Mexican American, uses steroids, have diabetes, high blood pressure and hypothyroidism, and other eye conditions.

What are the treatment Options?

Treatment of glaucoma varies according to the type of glaucoma, patient history, and advancement of the condition. Usually, the healthcare professional may prescribe medical interventions like; prostaglandins, beta blockers, carbonic anhydrase inhibitors, cholinergic or miotic agents, and alpha-adrenergic agents to relive intraocular pressure. Surgery is considered as therapeutic options if the drugs are not well-tolerated by the patient or if drugs fail to stop the progression of the disease. In such cases, healthcare professionals opt for surgeries like; trabeculoplasy, viscocanalostomy, and aqueous shunt implant.

What are the Preventive Measures?

Even though glaucoma cannot be prevented, but early screening and management of symptoms do reduces the advancement of disease and chances of having a complication. Proper awareness about the disease increases the chances of glaucoma getting a screening in its earlier stage thereby helping healthcare professionals in the timely management of the condition and preserving eyesight of the patient. Regular eye check-ups are recommended in the high risk group. It is also recommended that an individual should immediately consult a health care professional if anything unusual is observed in vision.

What should be done to Spread Awareness about Glaucoma?

‘Awareness is the first step for prevention’, and spreading awareness about glaucoma is anticipated to considerably lower the global burden of disease and associated blindness. World Glaucoma Week is one such initiative to aware masses about glaucoma.  The World Glaucoma Association (WGA) and the World Glaucoma Patient Association (WGPA) runs a week long awareness campaign to make people aware about the disease. It is recommended that healthcare professionals should involve their glaucoma patients as they organize a screening event in their local institute/hospital, should give a lecture to a patient support group, should participate in radio & TV shows to talk about glaucoma and to answer questions, and should contact newspapers to publish information about glaucoma. Additionally, all the health care professional are also suggested to run public health campaigns, eye checks up camps, and patient education classes for the high risk group. As a member of healthcare industry, we all should actively take up the responsibility to spread awareness about glaucoma in our own way. Remember to be informed is to be safe!

World Kidney Day – Kidney Disease & Children Act Early to Prevent It!

World Kidney Day (WKD) is a joint initiative of the International Society of Nephrology (ISN) and the International Federation of Kidney Foundations (IFKF). The first campaign was initiated ten years ago. Since then, the day is observed every year to raise public awareness of kidney diseases which affect millions of people worldwide, including children who may be at risk of kidney disease at an early age.

Fast Facts:

  • 10% of the global population is affected by kidney disease, and it claims the lives of millions of people each year.
  • Acute kidney injury (AKI) develops in children when red blood cells are destroyed and block the kidneys’ filtering system, or due to trauma such as burns, dehydration, bleeding, injury or surgery.
  • Chronic kidney disease (CKD) in children can be caused by birth defects.
  • A person can lose up to 90% of kidney function before experiencing any signs of CKD.
  • From birth to age 4, birth defects and hereditary diseases are the leading causes of kidney failure.
  • The majority of children with kidney disease progress to end-stage kidney diseases in adulthood.

Mission Statement

The mission of World Kidney Day is to educate people about the importance of our kidneys to our health and to reduce the frequency of kidney disease and its associated health problems worldwide.

Kidney Disease & Children. Act Early to Prevent It

This year’s World Kidney Day campaign emphasizes the importance of following kidney function and blood pressure in children and babies. Kidney disease can affect children in various ways, ranging from treatable disorders without long-term consequences to life-threatening conditions. It is our responsibility to encourage education, early detection and a healthy lifestyle in children, starting at birth and continuing through to old age, to combat the increase of preventable kidney damage including acute kidney injury (AKI) and chronic kidney disease (CKD) and to treat children with inborn and acquired disorders of the kidney.

Objectives of World Kidney Day

  • Raise awareness about our “amazing kidneys”
  • Highlight that diabetes and high blood pressure are key risk factors for CKD
  • Encourage preventive behaviors and systematic screening of all patients with diabetes and hypertension for CKD
  • Educate all the doctors and health care professionals about their key role in detecting and reducing the risk of CKD, particularly in high risk populations
  • Emphasize the important role of local and national health authorities in controlling the CKD epidemic.

What can you do for your kidneys?

Kidney diseases are silent killers and largely affect the quality of life. There are a few easy ways to reduce the risk of developing kidney disease.

  • Keep fit and active: Physical activities and exercises help you to keep fit. This will reduce your blood pressure and therefore reduces the risk of Chronic Kidney Disease.
  • Check your blood sugar level: People who have diabetes are more likely to develop kidney damage, so it is important for all to have regular tests for blood sugar level to check their kidney functions. Kidney damage from diabetes can be reduced or prevented if detected early. Keeping control of blood sugar levels with the help of doctors or pharmacists is very important.
  • Monitor your blood pressure: High blood pressure is also the most common cause of kidney damage. High blood pressure is especially likely to cause kidney damage when associated with other factors like diabetes, high cholesterol and Cardio- Vascular Diseases. The normal blood pressure level is 120/80. Between this level and 139/89, you are considered pre-hypertensive. At 140/90 and above, you need to consult your doctor and monitor your blood pressure level regularly.
  • Eat healthy and keep your weight under control: This can help many conditions associated with Chronic Kidney Disease such as diabetes and heart diseases. Reduce your salt intake. The recommended sodium intake is 5-6 grams of salt per day (around a teaspoon). Limit the amount of processed and restaurant food and do not add salt to food. Prepare the food yourself with fresh ingredients.
  • Maintain a healthy fluid intake: To maintain good health, one should consume 1.5 to 2 litres of water per day. Consuming plenty of fluid helps the kidneys clear sodium, urea and toxins from the body which, in turn, results in a “significantly lower risk” of developing chronic kidney disease. Moderately increased water intake may reduce the risk of decline in kidney function. The right level of fluid intake for any individual depends on many factors including gender, exercise, climate, health conditions, pregnancy and breast feeding. People who have had a kidney stone are advised to drink 2 to 3 litres of water daily to lessen the risk of forming a new stone.
  • Quit smoking: Smoking slows the flow of blood to the kidneys, which impairs their function Smoking increases the risk of kidney cancer by about 50 percent.
  • Do not take over-the-counter pills on a regular basis: Common drugs such non-steroidal anti-inflammatory drugs like ibuprofen are known to cause kidney dysfunction if taken regularly. Such medications probably do not pose significant danger if your kidneys are relatively healthy and you use them for emergencies only, but if you are dealing with chronic pain, such as arthritis or back pain, ask your doctor to control your pain without putting your kidney at risk.

 

Seminar on Medical Writing as a Career

333Turacoz conducted a seminar on Medical writing as a career for over 125 students with Biotechnology and Life sciences background on February 17th Wednesday at Vellore Institute of Technology, Vellore. Medical writing was introduced as an opportunity to pursue it as career. Different roles that a medical writer would play in the healthcare industry and how would their career graph look in 5+years. Students were encouraged to participate in certification programs that would enhance their skills and were mentored as how and which industry should be approached. An overwhelming response was followed by a request for workshop.

Medical Writing Workshop at Chennai

56666Turacoz conducted a Medical writing workshop on February 16th, Tuesday at Radisson Blu GRT, Chennai. It is one of the developed cites in India with brilliant minds who has produced some of the best doctors and scientists for the healthcare industry. The workshop covered three modules that included how to write publication articles like review articles, manuscripts, case reports etc. and what are the ethical concerns involved. The workshop gave the participants a practical experience by solving mini assignments and taking up the live assignments. The response was over whelming and we look forward to conduct these workshops more often.

Turacoz at InnoHealth Conference 2016

566Turacoz’s Medical Director, Dr. Namrata Singh was present at the InnoHealth conference held on February 5th at PHD house, Chamber of Commerce, New Delhi. She was one of the panelist for Day 2, session 3-Discussion on Learning from emerging and developed economies. She gave her view about the importance of data sharing and integrity, reforms or policies required by the government for the healthcare sector and how innovations in healthcare should be mentored by the people who have a medical background. Other panelist in the session were Dr. Saurabh gupta, Assistant prof. NIT Raipur, Mr. Mika Heinonen, founder- Medipoc, Finland.

Medical writing workshop at Dubai

5666Turacoz Healthcare Solutions conducted a Medical Writing Workshop in Dubai on 30th January 2016 at Radisson Blu Downtown. The participants included the doctors from various hospitals and medical managers from pharma industry. In this medical writing workshop, the participants learnt the basics of effective publication which included writing free of medical jargon, avoiding common grammatical errors, and basics of statistics while ensuring the scientific integrity of your work. It was an interactive workshop with assignments, MCQ’s and live case studies discussion at the end of all the modules. The doctors came up with their queries and the problems they face in writing a manuscript and case reports. We were requested to conduct these workshops again.

Turacoz at Arab Health conference

news1Arab Health Congress is one of the biggest, largest and most extravagant confluence for the pharmaceutical and healthcare professionals. It is the collective voices of healthcare professionals across the globe to convene, engage and expand the dialogue on improving the basics to the future of the healthcare industry. It caters approx. 7800 delegates and 1,80,000 visitors from all over the world. It is an amalgation of innovation, experts and the latest in the healthcare industry. Turacoz Healthcare Solutions visited Arab Health Congress held on January 25th -28th at world trade center. we networked with the healthcare experts and it was a great experience to share what we know and learn what we could incorporate in our learning of the industry.

Sexual and Reproductive Health Awareness

February 12 is declared as Sexual and Reproductive Health Awareness Day annually. This day provides an opportunity to raise awareness about sexual and reproductive health issues and educate to reduce the spread of sexually transmitted infections (STIs). STIs are one of the major public health concerns. Hence,

Sexual and Reproductive Health Awareness Day is therefore an annual health promotion event which focuses on the importance of sexual health issues. Also these health awareness events create publicity for health issues and aims to improve the condition and help save lives, sometimes these events encourage preventative action against conditions becoming more serious.

Sexual health is a broad area that encompasses many inter-related challenges and problems. Key issues and concerns are human rights related to sexual health, sexual pleasure, eroticism and sexual satisfaction, diseases (HIV/AIDS, STIs, RTIs [reproductive tract infections]), violence, female genital mutilation, sexual dysfunction and mental health related to sexual health.

The objectives of this awareness include:

  • Improving the acceptability of safer sex behavior;
  • Decreasing the prevalence of STIs within the community;
  • Providing sexual health information, education and resources ; and
  • Improving health seeking behaviour to increase testing and treatment for STIs.

The goal of having an awareness week is to encourage people to consider the importance of maintaining reproductive health and talking about healthy decision-making with the people they care about.

 

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Screening tests may help find diseases or conditions early when they are easier to treat. It is also important that each of us is aware of our own bodies so if changes occur that don’t seem normal they can be checked by a health-care provider.

 

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The National Population Stabilisation Fund (Jansankhya Sthirata Kosh) has started a helpline to provide confidential counseling services and immediate answers to queries on sexual and reproductive health problems. For authentic telephonic information on Reproductive Health, Family Planning and Infant Health, Call 1800-11-6555. This helpline operates daily from 9am to 11pm. A team of health executives and doctors answer questions about sexual health concerns, sexually transmitted infections, contraception, pregnancy, infertility, abortions, menopause and puberty and can explain the functioning of the reproductive systems of males and females.

The helpline will also work towards removing popular misconceptions about sex, important in a country such as India where the subject is still socially taboo. When experimented with in schools, confidential information services have been shown to be in high demand. They can help in providing objective advice from a respected source rather than peers, the Internet and word of mouth, increase public knowledge of their rights and trust in public facilities, and can reduce the bridge between users and services.

Education can provide the social vaccine needed, offering a real chance at a productive life. Not only is education essential for preventing HIV, preventing HIV is essential for education.

 

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The role of air purifier to combat air pollution

Air pollution is the introduction of chemicals, particulate matters or biological materials in air, for a sufficient time that causes harm or discomfort to humans or other living organisms or damages the natural environment. Clean air is considered as a basic requirement of human because it determines the health of the lungs as well as other organs. In order to extract 420 litres of oxygen that is crucial for human survival and function, a total of 10,000 litres of air enters the lungs every day. However, air pollution is continuously rising and responsible for significant threat to health worldwide. According to the World Health organization (WHO) report, around 7 million people died in 2012 as a result of air pollution exposure confirming that air pollution is now the world’s largest single environmental health risk.

There are different types of air pollutants, which affect the living organism as well as climate in different ways, depending on their specific properties and ultimately effect the living organisms. Air pollutants mainly consists of gas and particle contaminants that are present in the atmosphere. Gaseous pollutants includeSO2, NOx, ozone, carbon monoxide (CO), volatile organic compounds (VOCs), certain toxic air pollutants, and some gaseous forms of metals whereas particle pollution (PM2.5 and PM10) includes a mixture of compounds.

Various scientific studies have associated with air pollution to a number of health problems, which include: (1) diminished lung function; (2) precipitation of respiratory symptoms such as difficulty breathing and coughing; (3) worsening of respiratory and cardiovascular disease; (4) increased susceptibility to respiratory infections; (5) adverse effect on nervous system, including the brain, such as Intelligence quotient (IQ) loss and impacts on learning, memory, and behaviour; (6) cancer; and (7) premature death.

While air quality regulations can reduce air pollution at a societal level, but individuals can also play important role to improve the air quality especially in their house. With a better understanding of indoor pollutants (e.g., dust mites, household pets, cockroaches, mould, environmental tobacco smoke, wood smoke, volatile organic compounds), a new and effective measures i.e. air filters have evolved. Indoor air filtration can also be provided by whole house filtration via the home’s heating, ventilation, or air conditioning system, by portable room air cleaners.

Currently available air purifiers usually have a multilayer filter system composed of a pre‑filter, a carbon filter, an antibacterial filter, and a HEPA (High-efficiency particulate arrestance) filter. The HEPA filters, which were traditionally used in hospitals, has indeed been a significant inclusion to home air purifiers. A HEPA filter uses mechanical filtration to remove airborne particles. A HEPA filter is standardized at a minimum 99.97% efficiency rating for removing particles greater than or equal to 0.3μm (1/83,000 of an inch) in diameter. This means that for every 10,000 particles that are 0.3μm in diameter, 3 will pass through the filter, and the rest will be trapped by the filter.

Although air pollution remains a worldwide epidemic and need multi-tiered prevention strategy, use of air filter which efficiently remove particulate matter, may result in significant health benefits to patients of asthma and cardiovascular disease. Besides, children, the elderly, and women will also be benefited, if indoor air quality is good because they spend more time in the home environment.

Publication Writing: What Gets Accepted and What Gets Rejected?

What is a Publication?

Publications are a healthcare solution which bridges communication of research conducted to the researchers around the world. To publish is to make content available to general public making use of text, images, or other audio-visual content. Publications include books, journals, magazines, newspapers, catalogues etc. A scientific publication is a written and published report describing original research results. Scientific communications aim to communicate new scientific findings in a clear and concise manner.

Barriers in Publishing!

  • Adherence to ethical and scientific standards
  • Format and Documentation Issues
  • Lack of expertise in research methods, incentive, and support for publishing findings
  • Quality problem: interventions are too well studied and do not represent “new knowledge”
  • Intervention does not have good face validity
  • Intervention was tested in a non-generalizable population/setting; sample too small
  • Study design is not robust; study is underpowered to detect significant effects
  • Outcome measures are too few, irrelevant, or inaccurate
  • Manuscript writing is unclear; intervention is not well described

Common Reasons Leading to Manuscript Rejection

A questionnaire based study reported the following to be the most commonly observed flaws leading to manuscript rejection:

 

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Publication Solutions at Turacoz

Turacoz Healthcare solutions based at New Delhi is a budding medical communications organization specializes in various communications including clinical research and regulatory writing; medical marketing solutions; and publication writing. Turacoz focusses on the client’s requirement and delivers projects as per the client’s specifications. At Turacoz, we believe in delivering projects which brings the client back to us.

Training And Development

“Anyone who stops learning is old, whether at twenty or eighty. Anyone who keeps learning stays young. The greatest thing in life is to keep your mind young.” – Henry Ford

The most important aspect of our lives and our work is “continuous learning”. Nobody in the world can stop a person who has willingness to learn more and more. Be it school, college, office, or our personal life, everything is based on learning new things every day. However, learning becomes an easy task if there is someone to guide you and to train you.

And there comes the importance of TRAINING AND DEVELOPMENT!

Training is defined as a learning process in which a person acquires knowledge and appropriate skills to excel in a particular role. This process helps in the development of an individual and thus, plays an important role in improving the status of an organization, society, as well as a country. However, it is a short-term process and is specific to a particular job/role/skill. On the other hand, development is a long-term process that helps to improve the overall dimensions of an individual, and makes him better equipped to handle any sort of situations.

The important thing is not only training, but the timing and type of training. Imagine a twelve class student being trained on the basic concepts of physics which he had already learnt in class nine, or a training imparted on waste management to the student of economics. Such kind of trainings would just be a waste of time, resources, as well as money. Thus, the most significant aspect of training is the correct type of training to the right people at the most appropriate time.

Usually when we talk about training and development, what comes to our mind is the “human resource development”, i.e. training and development programs that are conducted in an organization for enhancement of the skills of its employees.

So let’s see why do we need training and development in an organization?

  • To enrich the employees with latest technology and knowledge.
  • To match employee specifications with the job requirements.
  • To improve or enhance the skill-set of employees.
  • For personal development of the employees.
  • To improve the quality of work and minimize the wastage of resources.

There are different types of trainings that are conducted based on the requirements of the employees as well as the organization. So let’s look at the various types of training?

  • Induction training: To make the new employees familiar with the procedures, code of conduct, policies, and work profile of an organization.
  • Job training: To improve the knowledge and skills of an employee for his designated job.
  • Refresher training: To incorporate the latest developments, and upgrade the skills of the employee.
  • Safety training: To minimize the accidents and ensure safe working in an organization.
  • Promotional training: For training of the existing employee before his promotion.
  • Remedial training: To overcome the shortcomings of the employees.
  • Internship training: To provide practical knowledge to the students via combined efforts of the educational institutes and industries.

Usually, any training can be imparted via two methods:

  • On-job training methods: Includes job rotation, coaching, job instructions, assignments, and internships.
  • Off-job training methods: Includes lectures, conferences, seminars, case studies etc.

However, any training should not just be the dump of information. It should suit the requirements of the employees and serve their needs. We can say that training and development is effective only if it imparts new and necessary skills, is practical-oriented, and aligns the training needs with the goals of the organization

Some of the advantages of training and development are:

  • Improved knowledge and skills at the level of organization
  • Improved corporate image
  • Organizational development
  • Increased profits of the organization
  • Increased morale of the employees

Nevertheless, there are certain challenges associated with the training and development process like:

  • Difficulty in identifying the needs of the employees
  • Individuals might be resistant to learn
  • Expensive process
  • Needs time and resources
  • Equips staff to resign for better jobs

In a nutshell, we can say that training and development are very important in an organization for its continuous progress. Although it is a challenging and expensive process, training and development in the right direction can help the individuals/employees as well as organization in their growth, and thus, can prove to be a worthwhile investment.

As it is well said, “Leadership and learning are indispensable to each other.” – John F. Kennedy

Turacoz Healthcare Solutions as a socially responsible company spreads the word and awareness and looks forward to collaboration or associations with other agencies/companies with similar goals and aspirations. We have a skilled and competent team of medical writers, clinicians, researchers and biostatisticians. Our clients include major pharmaceutical companies, hospitals and healthcare professionals. Our experience has been in supporting publications, creating regulatory documents, conducting observational studies, designing and creating for print and digital marketing as well as customizing sessions on medical writing. 

Grammar Hammer: Few Tips to Better Yourself in English Grammar

Practice Flawless English for Good Scientific Writing

Knowledge of grammar is one of the keys to writing clearly and credibly. Whether you are learning a grammar rule for the first time or refreshing your memory, some basic points of English language and grammar need to be kept in mind before you start penning down a scientific document. The medical writer must know the target audience for a particular document. The scientific information in these documents must be presented to suit the level of understanding of the audience, namely, patients or general public, and the physicians. The main advantages of plain English are:

  • It is faster to write
  • It is faster to read, and
  • You get your message across more often, more easily and in a friendlier way

A few tips given here will help you to avoid common grammar and usage errors. These errors are the usual careless mistakes that are checked when a document is being edited and proof-read.

Avoid the Common Grammatical Errors

  • Use Formal Language in the Document
  • Do not write as you would in a medical register/log book. Use articles (a, an, the) wherever necessary, to complete your sentences; e.g., the patient came to the clinic; not patient came to clinic.
  • Many of us think in our mother tongue. While writing, however, avoid in incorrect sentence formations and check for such errors.
  • Avoid using slang/colloquial language that you may use in college, e.g., breast cancer, not CA Breast.
  • Make Clear Comparisons

When drawing comparisons, make it clear as to what or who you are comparing with; do not assume that the reader knows.

For example: We found that the virus affected children more [than adults].

  • Avoid Jargons And Clichés
  • Use of jargons in the document should be minimum. Jargons, if used, must be explained.
  • Get to the point and avoid clichés, such as

– “As you may already be aware…”

– “It is a well-known fact that…” etc.

  • Use Simple Language
  • Be punchy and keep sentences short (not more than 15-20 words in one sentence). Readers may lose track of the meaning if the sentence is too long.
  • Use active voice and first person as much as possible. Active voice is more reader-friendly. Passive voice unnecessarily complicates the sentence. For example, “We found that…” not “It was found that…”
  • Give proper commands wherever necessary. The most common fault is putting ‘customers should do this’ or ‘you should do this’ instead of just ‘do this’. To avoid them from sounding harsh, you can put the word ‘please’ in front. However, if something must be done, it is best not to say ‘please’ as it gives the reader the option for refusal of request.

For example,

  1. The document needs to be reviewed with track-changes. (Passive voice)

   Please review the document with track-changes. (Command)

  1. You should just think of it as a complete statement. (Passive voice)

Just think of it as a complete statement. (Command)

  1. Writers should aim to be precise. (Passive voice)

Be precise. (Command)

  1. They should be split where suitable. (Passive voice)

Split them where suitable. (Command)

  • Reduce Nominalization of Verbs

Nominalized verbs are the nouns which are often used in place of the verbs from which they are derived. Like passive verbs, they also make the sentences dull and heavy.

      Verb                    Nominalization

Complete              Completion

Introduce              Introduction

Arrange                Arrangement

For example,

  1. We had a discussion about the matter. (Nominalized verb)

We discussed the matter. (Verb)

  1. There will be a stoppage of trains by drivers.(Nominalized verb)

Drivers will stop the trains.(Verb)

  • Reach Out to The Readers
  • Be gender-inclusive in your writing. Do not use the general pronoun ‘he’ to include women; instead, use ‘they’.
  • If that is not possible in certain cases, use ‘he or she’.
  • Keep your tone conversational, and avoid words that you wouldn’t use naturally. Terms like ‘therefore’, ‘thus’, and ‘hence’ – should be used less frequently, as they prevent them from connecting with the readers.
  • An article with informative subheadings, bulleted lists and pointers is likely to grab more readership than a plain document with mere cluster of statements and paragraphs.

The Need to Improve Writing Skills

A medical writer is responsible for communicating scientific information. In addition to understanding the scientific aspects, he or she needs to present the information in a clear manner and at a level of understanding appropriate to the target audience. Use of grammatically error-free language, simple short sentences, and active voice with a logical flow of ideas can go a long way in making the information understandable to the readers and garnering huge readership.

 

#AIDS:IndianStatistics

It is believed that around 1920, a deadly virus crossed species from chimpanzees to humans in Kinshasa (Africa), and led to the beginning of an era full of illness, fear, and discrimination. The deadly virus was called human immune-deficiency virus or HIV. Over decades, the virus slowly spread to other parts of the world, and a large number of people became infected. Depressed immunity, huge number of infections, and high mortality rates were observed. In 1982, Centers for Disease Control and Prevention (CDC) used the term acquired immunodeficiency syndrome (AIDS) for the first time. AIDS was defined as “a disease at least moderately predictive of a defect in cell mediated immunity, occurring in a person with no known case for diminished resistance to that disease.” Soon, the disease became an epidemic and engulfed the whole world.

As per UNAIDS, the number of people living with HIV increased from 9 million in 1990 to 36.9 million in 2014. AIDS-related deaths also increased drastically from 320,000 in 1990 to 2 million in 2004-05. However, this led to emergence of global actions for management of AIDS and with more people receiving treatment, improvements could be seen. As a result, the number of deaths has been estimated to decrease to 1.2 million in 2014.

WHERE DOES INDIA STAND?

Globally, 15 countries account for nearly 75% of the people living with HIV, with the top 3 countries being South Africa (18%), Nigeria (9%), and India (6%). Being a densely populated country with a large number of people under poverty line, living in unhygienic conditions, or lacking awareness, AIDS is a major health concern in India. By 2013, 2.1 million people were estimated to be living with HIV in India. Out of this, there were approximately 140,000 children aged 0 to 14; 750,000 women aged 15 and above; and 1.9 million adults aged 15 years and above. The prevalence rate in adults was noted to be 0.3.

Let’s look at the regional variations: The distribution of HIV is heterogeneous throughout the country. As per National AIDS Control Organization (NACO), the highest prevalence has been noted in Nagaland (0.88%), followed by Mizoram (0.68%), Manipur (0.64%), Andhra Pradesh (0.59%), Karnataka (0.53%). Chhattisgarh (0.51%), Gujarat (0.50%), Maharashtra (0.40%), Delhi (0.40%), Punjab (0.37%), Bihar (0.33%), Rajasthan (0.32%), and Odisha (0.31%).

Who all are affected?

In India, female sex workers, men who have sex with men, transgender, and people who inject drugs have been identified as the core high-risk groups. They are at high risk of HIV infection and play a significant role in the HIV transmission to general population through sexual networks. Besides them, truck drivers and migrant workers can transmit infection as they have mobile working jobs and are more likely to come in contact with the high-risk groups like female sex workers.

Population National prevalence in 2011
Female sex workers 2.8%
Men who have sex with men 4.43%
Transgender 8.82%
People who inject drugs 7.14%
Migrant workers 0.99%
Truck drivers 2.59%
Source: NACO Annual Report, 2014

The sad part: Unfortunately, 64% of these people living with HIV were found to have no access to the treatment in 2013. This led to approximately 130,000 AIDS-related deaths in India, which accounts for 8% of the AIDS-related deaths in the world and 51% in Asia.

Looking at the brighter side: Even though AIDS is a major concern in India, the number of people living with AIDS has decreased from 2.4 million in 2005 to 2.1 million in 2013. Also, the estimated number of new infections has decreased from 160,000 in 2009 to 130,000 in 2013 (19% decline). A 38% decline has been noted in AIDS-related deaths between 2005 (210,000 deaths) and 2013 (130,000 deaths). Overall, the epidemic is slowing down in India.

And the credit goes to: Various prevention and treatment interventions launched by Government of India under the National AIDS Control Programme (NACP) have played an important role in fighting with AIDS. Its main objective has been to reduce new infections and provide care, support, and treatment to people with HIV or those who are in need. The number of centers providing antiretroviral (ART) treatment has increased from 25 in 2005 to 425 in 2014, and the number of patients receiving first-line ART has increased from 6,845 in 2005 to 768,000 in 2014. HIV counseling and testing services have also scaled-up in India: from 4,567 Integrated Counseling and Testing Centres in 2007-08 to 15,606 in 2013-14. Resources allocation through states has also increased from Rs. 733.04 crores in 2008-09 to Rs. 931.00 crores in 2013-14.

The road ahead: Although improvements have been seen, it is a long way ahead to attain an AIDS-free country. Fast-track targets have been established to secure ZERO new infections, ZERO discrimination, and ZERO AIDS-related deaths in the future. The global consensus is to aim for 90-90-90 by 2020, i.e. 90% of people living with HIV know their HIV status, 90% of people who know their status receive treatment, and 90% of people on HIV treatment have a suppressed viral load so that their immune system remains strong and they are no longer infectious.

By 2020 90-90-90 treatment, ZERO discrimination
By 2030 95-95-95 treatment, ZERO discrimination

Let’s just hope that the occurrence of AIDS keeps on dipping, and we attain ZERO infections!

Sources: NACO and UNAIDS

Turacoz Healthcare Solutions as a socially responsible company spreads the word and awareness and looks forward to collaboration or associations with other agencies/companies with similar goals and aspirations. We have a skilled and competent team of medical writers, clinicians, researchers and biostatisticians. Our clients include major pharmaceutical companies, hospitals and healthcare professionals. Our experience has been in supporting publications, creating regulatory documents, conducting observational studies, designing and creating for print and digital marketing as well as customizing sessions on medical writing. 

#WorldAIDSday- Getting to Zero

World AIDS Day, 1 Dec was first declared by the World Health Organization and the United Nations General Assembly in 1988. Since then, it has progressively become one of the most successful ‘international days’ for raising awareness on a global issue.  Globally there are an estimated 34 million people who are infected with the HIV virus. Despite the virus only being identified in 1984, more than 35 million people have died of HIV or AIDS, making it one of the most destructive pandemics in history.

The day is marked by activities to unite people in the fight against HIV, show their support for people living with HIV and to commemorate people who have died. Each year this day is observed with a different theme that focuses on diverse but significant dimension of AIDS. For year 2015, the theme is, “The Time to Act Is Now,” which calls us to act with urgency to implement the latest high-impact, evidence-based HIV prevention strategies.

Where do we stand?

In spite of years of sincere efforts by global healthcare organizations to generate awareness about AIDS, each year thousands of people are diagnosed with HIV. The possible reason for high incidence of AIDS could be that the people do not know the facts about how to protect themselves and others and stigma and discrimination for people living with the condition. World AIDS Day is important because it reminds the public and Government that HIV has not gone away – there is still a vital need to raise money, increase awareness, fight prejudice and improve education. World AIDS Day is an opportunity to show support to and solidarity with the millions of people living with HIV.

World fights AIDS

As a science-based public health and disease prevention agency, centers for disease control and prevention (CDC) provides support that helps more than 60 countries including India strengthen their national HIV/AIDS programs and build sustainable public health systems. CDC conducts these activities through the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR). Recent scientific breakthroughs now point the way to achieving an AIDS-free generation, a goal championed by President Obama in his 2013 State of the Union address. CDC, through PEPFAR, is working to achieve that inspiring goal through proven science, smart investments, and shared responsibility with partner countries. Global efforts have resulted in approximately 13.5 million persons in low-income and middle-income countries receiving antiretroviral therapy (ART) for HIV infection in 2014, an increase from 2013. Globally, more than 15 million people are on ART.

CDC’s core activities focus on:

  • Providing proven combination prevention interventions, including prevention of mother-to-child HIV transmission, antiretroviral treatment, and voluntary medical male circumcision.
  • Reaching orphans and vulnerable children, as well as other neglected and hard-to-reach populations.
  • Building and enhancing health systems, including sustainable human resources for health (e.g., health care workers) and accurate, reliable laboratory systems.

India fights AIDS

Conducting outreach and communication campaigns through the Act against AIDS initiative, including the campaign Let’s Stop HIV Together, which fights stigma and seeks to ensure that all the people should know the facts about HIV.

  • Let’s Stop HIV Together includes many personal stories about living with HIV.
  • Providing training in HIV prevention and treatment.
  • Pleased to join our partners to take unified action to prevent the spread of HIV.
  • Providing funding and technical assistance for health departments.
  • Conducting surveillance and behavioural research.
  • Developing guidelines for HIV treatment, surveillance, and laboratory procedures.
  • Evaluating programs.

As an active member of healthcare industry, each one of us should take it as our moral responsibility to assist the healthcare organizations, NGOs, and social activists of our region in spreading awareness about AIDS. Theme “The Time to Act is Now,” says that everyone in the world should actively participate in teaching and guiding about HIV/AIDS to other fellow members.

Turacoz Healthcare Solutions as a socially responsible company spreads the word and awareness and looks forward to collaboration or associations with other agencies/companies with similar goals and aspirations. We have a skilled and competent team of medical writers, clinicians, researchers and biostatisticians. Our clients include major pharmaceutical companies, hospitals and healthcare professionals. Our experience has been in supporting publications, creating regulatory documents, conducting observational studies, designing and creating for print and digital marketing as well as customizing sessions on medical writing. 

Training&Development

‘Medical writing’ is a perfect amalgamation of science and art. As a medical writer, one has to maintain a good balance between the technicality of science and art of communicating with the readers via words. Other than the basic requisite of knowledge of therapeutic areas, and command over the language; medical writing requires an understanding of the medical concepts and terminology, knowledge of relevant guidelines as regards the structure and contents of specific documents, and good writing skills.

The good news is that adeptness of effective medical writing can be easily learned by regular training and development!

Though there is no formal degree / diploma or certification course in medical writing, but there are few resources which can be utilized for gaining expertise in this discipline. These resources include; in-house medical training courses for employees provided by the various organization, short courses / workshops by professional bodies, on-the-job ‘mentor-guided’ training, and motivated “self-study”. Among all these resources, the motivated self –study is the mainstay and pertinent way of learning medical writing. Curiosity to learn and self-motivation can transform any mediocre into a seasoned medical writer. If one has a desire to take medical writing as a full-time career option then these five hacks can surely add value to the work;

#1 Read carefully, read regularly

New knowledge and information are constantly being added to the field of medicine. Every year a large number of papers are published related to various research studies, clinical experience, and new ideas and thoughts related to the healthcare industry. The best way to learn is to read through as many papers as possible. This teaches how to present data and what mistakes to avoid.

All the documents prepared under medical writing strictly abide by one or more technical guidelines issued by the regulating bodies. Therefore, a medical writer should be well-acquainted with the latest technical guidelines followed in different parts of the world. For instance, EU, USA, and Japan have evolved a set of common guidelines (International Conference on Harmonisation [ICH] guidelines) related to drug development and registration. For publication, Good Publication Practices, guidelines for reporting clinical trials (e.g. CONSORT), the International Committee of Medical Journal Editors’ (ICMJE) guidelines for manuscripts are mostly used. A medical writer should keep him/her updated with the latest versions of these guidelines.

Therefore reading carefully and reading regularly is a most important part of medical writing.

#2 Understand your audience well

The documents prepared by the medical writer have a different set of target audience, which may include; healthcare professionals, regulatory bodies, patients, and consumers. A medical writer should always try and take a reader’s perspective to understand how to approach a subject. The information in any document should be targeted in terms of the subject and the audience.
Therefore, it is very important that a medical writer identifies the target audience before writing.

#3 Pre-writing is a must

Pre-writing or drafting is an important part of medical writing. Before writing the first draft, develop a road map. Gain knowledge of the therapeutic area that is to be addressed, this enhance the relevance of articles being searched. Reading about the therapeutic area is very important prior starting the literature search. The literature search should be followed by, arranging key facts and citations from the literature into a crude roadmap/outline. Follow the outline meticulously, for writing a well-organized document.

#4 Write Lucid, clear and crisp

While writing, be clear and specific, and strictly avoid beating around the bush. The main idea/ objective of the document should be clear from first few paragraph of the document. Remember, while reading, a reader follows an “F” pattern i.e. the first few paragraphs are read carefully and the remaining document is scanned in an F pattern. Hence, it is very important to keep all the key information in the first few paragraphs, to keep a reader hooked to the article.Adding sub-heading also helps to catch readers attention.

The information should be well- organized. In the margins of your paper, tag each paragraph with a phrase or sentence that sums up the main point. Then move paragraphs around to improve logical flow and bring similar ideas together.

#5 Revise well before submitting

Before submitting your work, proofread and edit it well. Remember, a sentence written incorrectly will not convey any meaning or add value to your document. Read each sentence more than once to identify grammatical errors. While revising your work; read out loud, do a verb check, cut clutter, do an organizational review, and get feedback from others.

As quoted by William Zinsser- “If writing seems hard, it’s because it is hard. It’s one of the hardest things people do”. Though, practising regularly and keeping one well-versed with the latest happenings of the domain can ease down the task.

Turacoz Healthcare Solutions as a socially responsible company spreads the word and awareness and looks forward to collaboration or associations with other agencies/companies with similar goals and aspirations. We have a skilled and competent team of medical writers, clinicians, researchers and biostatisticians. Our clients include major pharmaceutical companies, hospitals and healthcare professionals. Our experience has been in supporting publications, creating regulatory documents, conducting observational studies, designing and creating for print and digital marketing as well as customizing sessions on medical writing. 

# VaccineHesitancy

As described by the WHO, immunization is the process whereby a person is made immune or resistant to an infectious disease, typically by the administration of a vaccine. Vaccines stimulate the body’s own immune system to protect the person against subsequent infection or disease. In simpler terms, vaccination is your best shot for health. Therefore, for a healthier life it is recommended that everyone should be vaccinated according to schedule advised by their family doctors.

Despite knowing the importance of immunization and easy accessibility of vaccines, people often refuse or deny to vaccinate themselves or their children. “Vaccine hesitancy” is, therefore, the biggest challenge faced by the healthcare system in achieving optimal immunization among masses. It is evident that vaccine hesitancy negatively impacts on vaccine uptake rates and the performance of national immunization programs of the country. The UN health agency reported that globally, one in five children still do not receive routine life-saving immunizations, and an estimated 1.5 million children die each year of diseases that could be prevented by vaccines.

 As per the WHO, denying or refusing vaccination against any disease not only increases the vulnerability of an individual for that particular disease, but it also widens the immunization gap in the population. Vaccine hesitancy is a complex issue that is influenced by multiple factors such as misinformation, complacency, convenience, confidence, and fear of needles. Myths associated with vaccines such as vaccination of women leading to infertility is also a major reason for denying vaccinations, particularly among the rural population.

To overcome these issues, WHO, in the recently published editorial recommended the healthcare organizations to focus on increasing the understanding of vaccine hesitancy, its determinants, and challenges among the lay population. The recommendations also focused on usage of evidence-based practices that are required in dealing with the structures and organizational capacity to decrease hesitancy and increase acceptance of vaccines at the global, national and local levels. Sharing of lessons learned and effective practices from various countries and settings as well as the development, validation and implementation of new tools to address hesitancy were also recommended.

This World immunization day, it is suggestive that pro-active measures should be taken by various health care organizations for increasing acceptance of vaccines, such as:

  • Using effective communication to dispel fears among people
  • One‑on‑one or group interaction between health‑workers and people to resolve their doubts, and myths related to vaccination
  • Organizing number of immunization session for generating awareness about health benefits of vaccination
  • Bringing together interactive activities that engage groups of members and society members to give the guidelines related to immunization
  • Spreading awareness among people about new vaccine availability, its benefits
  • Encouraging people to bring their children for detailed check-up and give vaccine
  • Involving staff members and nurses of health care institutions, primary centers, family‑clinics to maintain the immunization record of the patients and provide them when needed

Immunization is one of the most important preventive health measures, responsible for saving millions of lives. Hence, addressing the concerns of vaccine-hesitancy must be a priority for all the stakeholders of the healthcare industry. So, this world immunization day, each one of us should take it as our moral responsibility to spread awareness among people about the vaccine and to debunk fear/myths associated with vaccination.

Turacoz Healthcare Solutions as a socially responsible company spreads the word and awareness and looks forward to collaboration or associations with other agencies/companies with similar goals and aspirations. We have a skilled and competent team of medical writers, clinicians, researchers and biostatisticians. Our clients include major pharmaceutical companies, hospitals and healthcare professionals. Our experience has been in supporting publications, creating regulatory documents, conducting observational studies, designing and creating for print and digital marketing as well as customizing sessions on medical writing. 

Diabetes Tech Advancemnents

Over the years there are many technological advancements that came into light in the treatment of diabetes. These technological advancements in diabetes care helped from the discovery, production of insulin till the development of less painful ways to deliver it to the patients.

Technological developments will continue and probably even increase, as the epidemic of diabetes continues to grow rapidly. Advances in medical technology can help control diabetes with ease, a more convenient, and a more accurate tool for everyone.

Echo Therapeutics

These are non-invasive, wireless, transdermal continuous glucose monitoring (tCGM) systems for diabetic patients. These provide reliable data continuously, conveniently and in a cost-effective way. Also reduce the dependence on periodic finger stick testing.

Omnipod

These are wireless systems that help in delivering insulin. OmniPod is discreet and durable. Wireless and waterproof, the Pod holds and delivers insulin without tubes or shots. This also programs the personalized insulin delivery, calculates suggested doses, and has a convenient style.

Mobile Devices and Social Media Tools

These help in connecting with others and the healthcare physician. Social media also helps in the maintenance and monitoring of diabetes and helps the diabetic patients connect each other. These websites of diabetes can not only clarify the doubts but also support the patients’ problems. Also mobile devices help in tracking the data and send test results directly to the doctor.

Artificial Pancreas

This is helpful and provides relief for type 1 diabetics. An automated system used to disperse insulin based on changes in blood sugar levels. This is a wearable device acting as an artificial pancreas, the system will enable people living with type 1 diabetes to better maintain blood sugar levels within a target range with minimal effort.

High-Tech Tattoo Sensor

This is again a substitute for the finger-sticking method. This includes a sensor that changes color with rising blood sugar levels. This high-tech tattoo contains a special kind of ink that reacts with glucose and is injected into the outermost layer of skin.

Technology continues to develop and help patients with diabetes with much convenient and easier methods.

Turacoz Healthcare Solutions as a socially responsible company spreads the word and awareness and looks forward to collaboration or associations with other agencies/companies with similar goals and aspirations. We have a skilled and competent team of medical writers, clinicians, researchers and biostatisticians. Our clients include major pharmaceutical companies, hospitals and healthcare professionals. Our experience has been in supporting publications, creating regulatory documents, conducting observational studies, designing and creating for print and digital marketing as well as customizing sessions on medical writing. 

#Biostatistics

Clinical studies are conducted to test the drugs and medical devices in humans before their approval and availability for the commercial market. To understand the results of clinical studies, clinical research professionals need to use statistical analysis. Biostatistics helps them to understand the different aspects of the study which enable to interpret the results of the study in more scientific way. It involves the biostatistician immediately after conceptualization of the research question. This will make sure that you design the study accurately. Introduction of the biostatistician in the middle of the study can result in several pitfalls in the study design.

Now, question may arise why there is need for biostatistics in human research? The simple answer can be to understand the concept of variation and sampling. Attributes are not only different among the individuals but they could also be different within the same individual over the time. Human research mostly conducted on small sample size and it’s indeed a tedious task to express the results from small sample size. Therefore, biostatistics plays an important role in human medical research.

The most common medical writing tips for the use of biostatistics in human research are provided below:

  • How was data collected?

For a survey type of study, describe the method of data collection and provide pertinent details, such as the number of questions, range of questionnaire response scores and the meaning of each score.

  • Use simple models for defined parameters

In data analysis, particularly for complex high-dimensional data, it is frequently better to choose simple models for clearly defined parameters.

  • Which statistical software used?

Mention the statistical software and the version used in the analysis, and details such as the manufacturer of the software, city, and country of origin in parenthesis.

  • What all to describe?

Provide clear descriptions of the main features of the statistical analysis (e.g. confidence interval, including degree of confidence; hypothesis tests, including null and alternative hypotheses; level of significance; particular tests and test statistics).

  • Why is data review essential?

To determine the quality of the data, initially look at the bad data first and then remove the suspected data. This would save a lot of time and rework later.

  • How did you manage outliers?

Describe the procedures that were put in place to handle missing values and data, as well as any outliers (provide the definition used for an outlier).

  • What should be the sample size?

To minimize the sampling error effect, large sample size need to be collected. The confidence interval can then be computed and visualized in excel. This enables to make most of small and large sample sizes.

  • Why should you describe study design?

The study design should be described accurately and in detail so that the study can be reproduced, if required. Study/sampling/data flow charts can be used to describe complicated sampling/study designs.

  • What is the role of data management?

Data management is the foundation to well done studies. Statistical team’s participation during study design is important for well reported results.

  • Some more tips
    • A pleasant appearance, coupled with visual interest, can draw the reader through the text and reduce the effort of reading. Use of tables, figures, and graphs provide visual interest and can help clarify a complex message.
    • Use appropriate measures of central tendency and spread as summary statistics; for instance, report medians for highly skewed data. If using the notation a ± b, clearly state what b is – it could be standard deviation or standard error.
    • Use tables to report summary statistics, summaries of results, or the quantities associated with a p-value.

Biostatistics gives you the rationale behind extrapolating the results to larger population and these figures are very important in our day to day science. Learning the basics of biostatics’ is necessary for medical writers as this knowledge can help them to give the explanations of the results and what impact will they have on patient care and outcome.

Turacoz Healthcare Solutions as a socially responsible company spreads the word and awareness and looks forward to collaboration or associations with other agencies/companies with similar goals and aspirations. We have a skilled and competent team of medical writers, clinicians, researchers and biostatisticians. Our clients include major pharmaceutical companies, hospitals and healthcare professionals. Our experience has been in supporting publications, creating regulatory documents, conducting observational studies, designing and creating for print and digital marketing as well as customizing sessions on medical writing. 

#DiabetesAwarenessMonth

Reduce your risk today: Eat healthy, Walk more and Weigh less

Lifestyle modification for prevention of diabetes mellitus

Structured programs that emphasize lifestyle changes for preventing diabetes are recommended by the American Diabetes Association (ADA) for people at high risk for developing type 2 diabetes. These include:

  • Dietary strategies including low intake of dietary fat and reduced calories
  • Regular physical activity (150 min/week)
  • Moderate weight loss (7% body weight)

Individuals at high risk for type 2 diabetes should be encouraged to achieve the U.S. Department of Agriculture (USDA) recommendation for dietary fibre (14 g fibre/1,000 kcal) and foods containing whole grains (one-half of grain intake). Low–glycaemic index foods that are rich in fibre and other important nutrients are to be encouraged.

Medical nutrition therapy

Medical nutrition therapy (MNT) is a therapeutic approach for treatment of medical conditions and their associated symptoms via the use of a specifically tailored diet devised and monitored by a medical doctor, registered dietitian or professional nutritionist.

MNT goals for prevention of diabetes

  • Goals of nutrition therapy for individuals at risk for diabetes or with pre-diabetes

Decrease the risk of diabetes and cardiovascular disease (CVD) by promoting healthy food choices and physical activity leading to moderate weight loss that is maintained.

  • Goals of nutrition therapy that apply to individuals with diabetes
  1.  Maintenance of
  • Blood glucose levels in the normal range or as close to normal as is safely possible
  • Lipid profile that reduces the risk for vascular disease
  • Blood pressure levels in the normal range or as close to normal as is safely possible
  1. Prevention of, or decrease in, the rate of development of the chronic complications of diabetes by modifying nutrient intake and lifestyle.
  2. Consideration of individual nutrition needs and personal preferences with willingness to change.
  3. Maintenance of the pleasure of eating by only limiting food choices as indicated by scientific evidence.
  • Goals of MNT applicable to specific situations
  1. For youth with type 1 diabetes, or type 2 diabetes, pregnant and lactating women, and older adults with diabetes, meeting the nutritional needs for such specific times is important.
  2. For patients being treated with insulin or insulin-stimulating medication, self-management training is essential for safe conduct of exercise, including the prevention and treatment of hypoglycaemia, and diabetes treatment during acute illness.

Significance of weight loss in pre-diabetes and diabetic conditions

  • Weight loss is recommended for all such individuals who have or are at risk for diabetes. In obese insulin-resistant individuals, modest weight loss has been shown to improve insulin resistance.
  • Physical activity, exercise and behaviour modification are important and most helpful in reducing body-weight.
  • For weight management, either low-carbohydrate or low-fat calorie-restricted diets may be effective in the short term (up to 1 year).
  • For patients on low-carbohydrate diets, monitoring of lipid profiles, renal function, and protein intake (in those with nephropathy), and adjustment of hypoglycaemic therapy is recommended.
  • Weight loss medications may be considered in the treatment of overweight type 2 diabetes patients and can help achieve 5–10% weight loss when combined with lifestyle modification.
  • Bariatric surgery may be considered for some individuals with type 2 diabetes and BMI ≥35 kg/m2 and can result in marked improvements in glycaemia.

Turacoz Healthcare Solutions as a socially responsible company spreads the word and awareness and looks forward to collaboration or associations with other agencies/companies with similar goals and aspirations. We have a skilled and competent team of medical writers, clinicians, researchers and biostatisticians. Our clients include major pharmaceutical companies, hospitals and healthcare professionals. Our experience has been in supporting publications, creating regulatory documents, conducting observational studies, designing and creating for print and digital marketing as well as customizing sessions on medical writing. 

#PublicationEthics

Publishing the results of a study completes the research conducted. As mentioned by EH Miller, “If it was not published, it was not done”. Although there are numerous guidelines and checklists that one follows under the publication cycle, following publication ethics is of top priority. Every aspect of publishing a manuscript is guided by ethical principles. Most peer reviewed journals, keep publication ethics their top most requirement failing which the manuscript cannot be accepted. The World Association of Medical Editors (WAME) strives to reinforce and make recommendations on publication ethics to the scientific community.

Any study begins with a study design. The study design must be made to adequately address the research question. Approval of the study design with every aspect must be obtained prior to the beginning of the study from the institutional review board or ethics committee. In addition, all animal studies must be conducted with full compliance of the local, national, ethical, and regulatory principles, and the local licensing arrangements.

Ensuring that the work being published is original, all authors enlisted are aware of the submission, obtaining copyright permission for tables and figures, including paper affiliations, and ensuring that the manuscript has not been submitted to more than one journal at a time are a mandate for following publication ethics. Other important types of ethical violations include failure to inform the editor regarding related papers, unrevealing the conflict of interests which may affect the results of the study, misinterpretation of research findings by the use of selective or fraudulent data to support a hypothesis or claim.

Breach of publication ethics sooner or later come to light leading to unavoidable consequences. In most cases, the manuscript is retracted or the authors may be asked to submit an apology to the corresponding journal of submission. In severe cases, the authors of the paper may be blacklisted from further submissions in the journal which can hamper the reputation of the authors in the scientific committee.

In conclusion, any kind of breach can be avoided by preparing a focused manuscript with originality. Appropriate citing of references to avoid plagiarism and declaration of conflict of interests among the authors must be considered. Adequate knowledge of the ethical guidelines is the key factor for preparation of documents which comply with all ethical principles.

Turacoz Healthcare Solutions as a socially responsible company spreads the word and awareness and looks forward to collaboration or associations with other agencies/companies with similar goals and aspirations. We have a skilled and competent team of medical writers, clinicians, researchers and biostatisticians. Our clients include major pharmaceutical companies, hospitals and healthcare professionals. Our experience has been in supporting publications, creating regulatory documents, conducting observational studies, designing and creating for print and digital marketing as well as customizing sessions on medical writing. 

#BreastCancerAwarenessMonth

Knocking out Triple Negative Breast Cancer: A new paradigm in treatment

Triple negative breast cancer (TNBC) are the subtypes of breast cancer that are generally diagnosed based upon the presence, or lack of, three “receptors” known to fuel most breast cancers:

  • Estrogen receptors (ER)
  • Progesterone receptors (PR)
  • Human epidermal growth factor receptor 2 (HER2)

These receptor proteins are the “eyes” and “ears” of the cells, receiving messages from substances in the bloodstream and then giving instructions to the cells. The most successful treatments for breast cancer target these receptors.

About 10-20% of breast cancers test negative for both hormone receptors and HER2 in the lab, which means they are triple-negative.

Triple negative breast cancer

  • Tends to be more aggressive than other types of breast cancer
  • Tends to be at a higher grade than other types of breast cancer which makes them bear less resemblance to normal, healthy breast cells in their appearance and growth patterns
  • Cancerous cell type is mostly “basal-like” which can be linked to the family history

Hormonal therapies and HER2-targeted therapies work to interfere with the effects of hormones and HER2 on breast cancer, which can help slow or even stop the growth of breast cancer cells. A triple negative breast cancer diagnosis means that the tumour is oestrogen receptor-negative, progesterone receptor-negative and HER2-negative, thus giving rise to the name “triple negative breast cancer.” Since hormones are not supporting TNBC growth, the cancer is not likely to respond to hormonal therapies, including tamoxifen, Arimidex, Aromasin, Femara, and Faslodex. Triple-negative breast cancer also is unlikely to respond to medications that target HER2, such as Herceptin or Tykerb.

On a positive note, this type of breast cancer is typically responsive to chemotherapy. Because of its triple negative status, however, triple negative tumours generally do not respond to receptor targeted treatments. Depending on the stage of its diagnosis, triple negative breast cancer can be particularly aggressive, and more likely to recur than other subtypes of breast cancer.

New therapies in TNBC-management

  • Targeting androgen receptor in TNBC

Triple negative breast cancer is a heterogeneous disease composed of multiple subtypes and oncogenic drivers, including a subtype that may be driven by androgen receptor (AR) signalling. Enzalutamide is a potent AR -inhibitor, which significantly improves optimal strategy in metastatic castration-resistant prostate cancer and is currently being developed for patients with breast cancer who have an androgen-driven gene signature.

The AR pathway is a new target in triple-negative breast cancer in the androgen molecular subtypes. Clinical trials in molecularly selected patients should be designed to explore the combination of enzalutamide with other targeted agents such as PIK3CA (phosphatidylinositol-4, 5-bisphosphate 3-kinase catalytic subunit alpha) inhibitors. Enzalutamide may represent a novel therapeutic option in AR-positive patients who would otherwise receive cytotoxic chemotherapy.

  • Designing nanoparticles to counter TNBC

To overcome resistance for chemotherapy in cancer patients, nanoparticles have been engineered that carry the cancer drug doxorubicin, as well as short strands of RNA that can shut off one of the genes that cancer cells use to escape the drug. This “one-two punch” disables tumours’ defences and makes them much more vulnerable to chemotherapy. The new nanoparticles will target a protein found on the surface of triple-negative breast cancer cells and will help to change that. The nanoparticles have three components: a core filled with doxorubicin, a coating of short interfering RNA (siRNA), and an outer layer that protects the particle from degradation in the bloodstream.

Doxorubicin is already used to treat breast cancer and other cancers. It kills cells by damaging their DNA, The researchers based their nanoparticles on the drug known as Doxil, which is packaged in a liposome, or fatty membrane. To improve Doxil’s effectiveness, the researchers combined it with another type of therapy known as RNA interference (RNAi), which uses very short strands of RNA to block the expression of specific genes inside a living cell. They used a technique called layer-by-layer assembly to coat the Doxil particles with one layer of siRNA mixed with a positively charged polymer that helps to stabilize the RNA. This layer contains up to 3,500 siRNA molecules, each targeted to block a gene that allows cancer cells to pump the drug molecules out of the cells.

One of the major challenges that researchers had faced in developing RNAi for cancer treatment is getting the particles to survive in the bloodstream long enough to reach their intended targets. To overcome this, they developed the nanoparticles with an outer coating of hyaluronic acid. These molecules absorb water, allowing the nanoparticles to circulate in the bloodstream undisturbed.

Hyaluronic acid also helps to target the particles to the tumours by binding to a protein called CD44, which is found in great abundance on the surface of triple-negative breast cancer cells.

Turacoz Healthcare Solutions as a socially responsible company spreads the word and awareness and looks forward to collaboration or associations with other agencies/companies with similar goals and aspirations. We have a skilled and competent team of medical writers, clinicians, researchers and biostatisticians. Our clients include major pharmaceutical companies, hospitals and healthcare professionals. Our experience has been in supporting publications, creating regulatory documents, conducting observational studies, designing and creating for print and digital marketing as well as customizing sessions on medical writing. 

#LiverCancerAwarenessMonth

Liver cancer: Treatment

Liver cancer treatment is generally based on the stage of disease and the patient response to treatment. Treatment is individualized as each patient respond differently. Based on the disease stage, the size, number, tumor location, other co-morbidities, overall health and well-being, the treatment is decided. Based on the complexity of the tumor a team of specialists are associated in the treatment. The team involves surgeons, oncologists, radiologists, gastroenterologists, radiation therapists, and pathologists.

Liver cancer is generally identified in patients who come to the hospitals with damaged livers. Also as the liver cancer stage increases the side effects also may become worse. Therefore, in order to be safe, best options to treat liver cancer should be chosen.

Treatment options

  • The best treatment option is to remove the liver surgically but only <10% of the patients are suitable for surgery. The reasons can be due to cirrhosis (due to bleeding, infection or liver failure), more tumors that are widespread to remove all. Even after successful surgery, there are some tiny deposits of tumors which are not even visible for the scans or surgery. The survival rate of patients having the surgery is >5 years.
  • Other option when there is no evidence of the spread of liver cancer includes liver transplantation. This method involves transplantation of a diseased liver with a healthy liver from a donor. Recent advances in transplantation techniques and immune medications have made transplantation the first choice for patients with cirrhosis and small tumors. The survival rate is >70% with >5 years.
  • Other possible options include injecting the liver with a toxic material such as pure alcohol or chemotherapy in order to destroy it, cryotherapy, radiofrequency ablation etc. These techniques are used in patients with only one or two small tumors, in general.
  • Chemoembolization which involves chemotherapy drugs which can be given directly into the blood vessel that feeds the liver and the tumors. This technique requires a hospital admission, and can cause pain, fever, nausea, and liver damage.
  • Radioembolization or selective internal radiation therapy (SIRT) which is almost similar to chemoembolization in which microscopic radioactive particles are used instead of chemotherapy injected into the blood vessels. This is as effective as chemoembolization for small and multiple tumors.
  • Radiation therapy which uses high-dose energy like X-rays aimed at a small part of the body and can frequently destroy cancer cells. In some cases other techniques like conformal or stereotactic radiation may be useful.

Liver cancer: outcomes

The best treatment options of all discussed above includes surgery and transplantation. Physicians with the help of several tests and scans determines the turmors. Although local treatments such as radiofrequency ablation, cryoablation, and chemoembolization can kill tumors that are visible, “new” tumors may develop which are invisible to the scan or tests. Also, the cirrhosis and conditions that gave rise to the initial cancers will still be there even after successful treatment, so more cancers might actually develop later.

Liver cancer: Prevention

For treating cancers, it not only depends on the type of treatment but also on financial strength. With the growing costs of the machines and drugs one should be able to overcome these. These kind of situations not effect at personal level of the patient.

Hepatoma can be a preventable disease. Hepatitis, alcohol abuse, and obesity can be avoided through

  • Social
  • Medical
  • Lifestyle changes

Also with this transition, there are some chances of improvement observed in the survival rates of liver cancer and hence there is a cause for optimisim.

Liver cancer: Prognosis

The outcome of hepatoma is extremely variable and depends as much upon the state of the liver and the person’s health as on any characteristic of the cancer itself. Therapies such as radiofrequency ablation, chemoembolization, cryoablation, radiosurgery, radioembolization, and systemic therapy are frequently performed sequentially over a patient’s lifetime, depending upon the changes as the disease progresses. Average survival for patients who are able to be treated with these methods is between one and two years.

Multiple techniques can be used in the extension of a patient’s life, while keeping them well and happy. Many drugs have been introduced for the treatment recognizing the molecular defects causing the cancer and few others are still under research. The evolution and improvement in radiologic and interventional technology has helped millions of people in prolongation of their lives. Also the survival rates was almost doubled since early 1990s. Increased and improved medical, scientific, and pharmaceutical areas helped to gain more attention for this disease and still make a better future.

Health tips:

  • Maintain a healthy weight
  • Regular exercise
  • Avoid fad diets (weight loss plans)
  • Limit in the intake of fat
  • Moderate alcohol consumption
  • Regular liver check-ups
  • Quit smoking
  • Be aware of drug risks
  • Vaccinations for hepatitis B

Turacoz Healthcare Solutions as a socially responsible company spreads the word and awareness and looks forward to collaboration or associations with other agencies/companies with similar goals and aspirations. We have a skilled and competent team of medical writers, clinicians, researchers and biostatisticians. Our clients include major pharmaceutical companies, hospitals and healthcare professionals. Our experience has been in supporting publications, creating regulatory documents, conducting observational studies, designing and creating for print and digital marketing as well as customizing sessions on medical writing. 

#WorldOsteoporosisDay

Since 1997, October 20, is observed as the “World Osteoporosis Day” for raising global awareness on the prevention, diagnosis and treatment of osteoporosis and metabolic bone disease.Every year, International osteoporotic foundation (IOF) launches a year-long campaign dedicated to awareness about osteoporosis that features a specific theme. The 2015 campaign theme is Serve Up Bone Strength, to support the cause, IOF suggest to wear white on October 20 and embrace better bone health. Even though, this year, the World Osteoporosis Day campaign focuses on nutrition of bones, it should be noted that different factors contribute to good bone health and osteoporosis prevention. These include healthy lifestyle, sufficient exercise and osteoporosis treatment for those at high risk. Hence these factors should not be neglected while setting up healthy bones goals.

Bones are living tissues that provide supportive structure to our body, and prevent delicate internal organs from getting damaged by external forces. For optimal functioning of the designated role, bones require nourishment throughout the life. Faulty dietary practices, inadequate nourishment, and sedentary lifestyle in early years of life increases the chances of having weakened bones or osteoporosis in old age.

Osteoporosis is a preventable disease, adequate nutrition and physical activity are the key for building strong bones throughout life and avoiding osteoporotic fractures. The size and the amount of bone contained in a skeleton changes significantly throughout life. Similarly, as the person ages, the specific nutritional needs of his/her skeleton change too. Hence, the rapidly evolving nutritional requirements of the bones should be aptly matched with the diet of the individual. The prime objective of following a bone healthy diet is to help; children and adolescents build maximum peak bone mass, adults maintain healthy bones and avoid premature bone loss, and elderly sustain mobility and independence.

Fundamentals for building healthy bones starts early, from when a baby develops in the womb and during childhood and adolescence, a time when half of a person’s bone mass is accumulated. Therefore, osteoporosis has been termed as ‘a paediatric disease with geriatric consequences’: the consequences of not maximizing the skeleton’s genetic potential in youth become apparent at older age, that clinically manifest as brittle bones and high risk of fractures.

Calcium, Vitamin-D, and proteins are the key nutrients that build up strong bones. Calcium is the building block for bones, 99% of total body calcium is found in bones. Neglecting calcium from diet can lead to negative health outcomes. Dairy foods (milk, yoghurt, cheeses) are the most readily available sources of calcium in the diet, they also contain other important nutrients for growth. Additional food sources include certain green vegetables, whole canned fish with soft, edible bones such as sardines or pilchards, nuts and tofu set with calcium. Vitamin-D is another important nutritional factor required for healthy bones. It regulates calcium absorption from food in the intestine and mineralization of bone. Though sunlight is the most abundant source of Vitamin-D, yet it can also be obtained from vitamin –D fortified food like margarine, breakfast cereals. Protein is indirectly related to bone health. Low protein intake is harmful for the building of peak bone mass during childhood and adolescence. Protein deficiency in elderly is detrimental for the preservation of bone mass.  Other micronutrients that are significantly important in building healthy bones include; magnesium, zinc, and vitamin –K.

Turacoz healthcare Solution urges all of you to spread the awareness about the importance of bone strength and the role of nutrition to build bone strength. We look forward to collaboration or associations with other agencies/companies with similar goals and aspirations. Our team comprises of medical writers, clinicians, researchers and biostatisticians. Our clients include major pharmaceutical companies, hospitals and healthcare professionals. Our experience has been in supporting publications, creating regulatory documents, conducting observational studies, designing and creating for print and digital marketing as well as customizing sessions on medical writing. 

#BreastCancerAwarenessMonth

Protect yourself from Breast Cancer

  • Over last ten years or so, breast cancer is the most common cancer in most cities in India, and 2nd most common in the rural areas.
  • Although women are highly prone to breast cancer, men may rarely get it.

Know the risk factors

  • Age: More incidences in India occur in women over the age of 40-50. However, breast cancers in young pre-menopausal women tend to be more aggressive.
  • Family history: Women with close relatives or first-degree female relative (sister, mother, daughter) who’ve been diagnosed with breast cancer or an inherited mutation in the BRCA1 and BRCA2
  • Race and ethnicity: White women are slightly more likely to develop breast cancer than are African-American women, but African-American women are more likely to die of this cancer.
  • Dense breasts due to age, menopausal status, certain medications (including menopausal hormone therapy), pregnancy, and genetics.
  • Exposure to the hormone estrogen:
    • Longer Menstrual periods, i.e., early menarche or late menopause
    • Combined hormone therapy given to women after menopause
    • Parabens and phthalates in cosmetics, hair spray and many other cleaning product fragrances.
  • Previous exposure to radiation for treatment of some malignancy (e.g., lymphoma).
  • Diethylstilbestrol (DES) exposure
  • Environmental pollutants such as organochlorine pesticides.
  • Occupational exposures: Women employed in commercial sterilization facilities (exposure to high levels of ethylene oxide) and the night shift workers (disturbed sleep/wake cycles).
  • Contraceptives: Oral contraceptives (birth control pills) and Depot-medroxyprogesterone acetate, DMPA (injectable progesterone for birth-control).
  • Benign breast conditions: Women diagnosed with certain benign breast conditions might have an increased risk of breast cancer.
  • Lobular carcinoma in situ: Also known as lobular neoplasia, it is an abnormal cellular outgrowth which may become cancerous (invasive) if left untreated for long.
  • Other factors include alcohol-consumption, obesity and lower rates of breast-feeding.

Stay healthy, get screened

A screening plan is planned by the doctor depending upon the unique situation of the patient, if one has been diagnosed with breast cancer.

  • A monthly breast self-exam: Women should know how their breasts normally look and feel and report any breast changes to a health care provider right away.
  • A yearly medical breast exam by a doctor at age 40 and continuing for as long as a woman is in good health
  • Clinical breast exam (CBE) about every 3 years for women in their 20s and 30s and every year for women 40 and over
  • One might have one screening test, such as a mammogram, and then have a different test — an MRI — 6 months later.

In addition to the recommended screening guidelines for women at average risk, a screening plan for a woman with a history of breast cancer may include the above screening tests.

  • For women aged 20-30 years, breast self-exam (BSE) is an option for those starting in their 20s. A breast self-exam is when you check your own breasts for lumps, changes in size or shape of the breast, or any other changes in the breasts or underarm (armpit)
  • For women aged 40–49 years, mammography may save lives, but the benefit for younger women may be less than for older women.
  • For women aged 50–69 years, all women in this age group should have mammograms on a regular basis
  • For women above the age of 70 years, screening mammography is probably beneficial for women aged over 70 years who are in good health and have a life expectancy of about 10 years.

Turacoz Healthcare Solutions as a socially responsible company spreads the word and awareness and looks forward to collaboration or associations with other agencies/companies with similar goals and aspirations. We have a skilled and competent team of medical writers, clinicians, researchers and biostatisticians. Our clients include major pharmaceutical companies, hospitals and healthcare professionals. Our experience has been in supporting publications, creating regulatory documents, conducting observational studies, designing and creating for print and digital marketing as well as customizing sessions on medical writing. 

#LiverCancerAwarenessMonth

What is liver cancer or hepatic cancer?

Liver is the largest internal organ in the body. It is essential for the digestion of food. Cancers that start in the liver are known as primary liver cancers and if the cancer spreads from one part to the other part such as liver then it is called secondary liver cancers.

Epidemiology

According to the WHO, there are 745000 liver cancer deaths globally in 2012.

Liver cancer is the tenth most common cancer and the fifth most common cause of cancer death among men, and the ninth most common cause of cancer death among women.

The incidence of liver cancer varies widely throughout the world, with high rates in sub – Saharan Africa, eastern and southeastern Asia, and Melanesia and a low incidence in Northern and Western Europe and the Americas.

Causes

  • Infection with hepatitis viruses
  • Smoking
  • Low immunity
  • Systemic lupus erythematosus (SLE)
  • Family history
  • Diabetes
  • Radiation from X-rays and CT-scans
  • Body weight
  • Chemicals

Risk factors

  • Viral hepatitis
  • Cirrhosis
  • Obesity, Non-alcoholic fatty liver disease (NAFLD), and diabetes
  • Age
  • Gender
  • Environmental factors

Having more than one risk factor increases the risk of developing liver cancer more. For example, a person who carries both hepatitis B and C has a higher risk than a person carrying one type of the virus.

Signs and Symptoms

  • Pain, especially at the top right of the abdominal area, or near the right shoulder blade or in the back
  • Unexplained weight loss
  • A hard lump under the ribs on the right side of the body, which could be the tumor or a sign that the liver has increased in size
  • Weakness or fatigue

How is liver cancer diagnosed?

  • Physical examination
  • Blood tests
  • Ultrasound
  • Computed tomography (CT or CAT) scan
  • Magnetic resonance imaging (MRI)
  • Angiogram
  • Laparoscopy
  • Biopsy

Based on the test results, staging is done by doctors.

Types of liver cancer

There are a number of types of adult primary liver cancer. They are named for the type of cell from which the cancer develops.

Type of Liver Cancer Description How Common
Hepatocellular carcinoma (HCC) HCC can have different growth patterns. Some spread tentacle-like growths through the liver. Some start as a single tumor that spreads to other parts of the liver as the disease develops. Others develop as nodules at several different places in the liver. Occasionally, a pattern isn’t clear. Approximately 80% of adult primary liver cancers are hepatocellular carcinomas.
Cholangiocarcinoma, (or bile duct cancer) Develops from the cells in the bile duct of the liver. The bile duct is a thin tube that extends from the liver to the small intestine. The bile duct starts inside the liver as several smaller tubes that join together. About 10% to 20% of adult primary liver cancers are cholangiocarcinomas.
Angiosarcoma Starts in the blood vessels of the liver and grows very quickly. About 1% of adult primary liver cancers are angiosarcomas.

 

Turacoz Healthcare Solutions as a socially responsible company spreads the word and awareness and looks forward to collaboration or associations with other agencies/companies with similar goals and aspirations. We have a skilled and competent team of medical writers, clinicians, researchers and biostatisticians. Our clients include major pharmaceutical companies, hospitals and healthcare professionals. Our experience has been in supporting publications, creating regulatory documents, conducting observational studies, designing and creating for print and digital marketing as well as customizing sessions on medical writing. 

#WorldHeartDay

“A heart for life”

World Heart Day (sponsored by World Heart Federation) was founded in 2000, a biggest intervention against cardiovascular disease (CVD) which takes place on 29 September every year. Around the globe, heart disease and stroke constitutes 17.3 million deaths every year.

The main focus of this is on creating healthy heart environments. By ensuring that everyone has the chance to make healthy heart choices wherever they live, work and play. World Heart Day encourages everyone to reduce our cardiovascular risk, and promotes a heart-healthy planet for those around us.

Each year there is a different theme for World heart day which essentially concentrates on the key issues and topics relating to heart health. This year’s theme is to ‘create heart-healthy environments’.

World Heart Day spreads the news that at least 80% of premature deaths from CVD can be avoided by four main risk factors- tobacco use, unhealthy diet, physical inactivity and harmful use of alcohol – are controlled. The magnitude of the benefits that can be achieved by reducing these risks makes intervention cost-effective. Hence there is a need to designate a special day for activities to prevent heart disease and stroke.

Creating a heart healthy environment,

  • Promoting physical activity, such as trails for walking, running, bicycling and places for playing outdoor games.
  • Schools and child care facilities that provide quality physical education and have nutritious meals available.
  • Workplaces and community spaces that are smoke-free and have healthy food options.

World Heart Day is observed in many different ways across the world. Many innovative ways have been devised by several foundations and professional societies for marking this event. There has been an association between national societies and foundations in many countries. These include runs, sports events, theatre, street events, dancing, and cycling in public spaces, schools, and hospitals. The success of this depends on the proactivity of organizations from around the world to help us spread awareness of CVD.

World Heart Day has enjoyed huge success in building partnerships by obtaining support from the private sector, charities, societies and foundations for this common cause. The next step is to engage the public sector and foster collaboration with the Ministries of Health. An active participation of WHO has already been done in the World Heart Day campaign.

This World Heart Day is an ideal opportunity to scale up efforts at the country level within a globally led initiative. A whole day dedicated to CVD prevention is an effective way of engaging the media, the public, policy-makers, and health professionals in information dissemination, awareness creation, and advocacy.

Turacoz Healthcare Solutions as a socially responsible company spreads the word and awareness and looks forward to collaboration or associations with other agencies/companies with similar goals and aspirations. We have a skilled and competent team of medical writers, clinicians, researchers and biostatisticians. Our clients include major pharmaceutical companies, hospitals and healthcare professionals. Our experience has been in supporting publications, creating regulatory documents, conducting observational studies, designing and creating for print and digital marketing as well as customizing sessions on medical writing.

#ProstateCancerAwarenessMonth

September is Prostate Cancer Awareness month

Globally, prostate cancer is the second most frequently diagnosed cancer in men and the fifth most common cancer.

It accounts for 13.6% of the total cancer incidences in men worldwide, following lung cancer.

In contrast to the prostate cancer trends in western countries, incidence and mortality rates are increasing in some Asian and Eastern European countries.

What’s the score?

  • The worldwide prostate cancer burden is expected to grow to 1.7 million new cases
  • About 6 cases in 10 are diagnosed in men aged 65 or older, and it is rare before age 40.
  • 499 000 new deaths by 2030 simply due to the growth and aging of the global population
  • Incidence rates are highest in Australia/New Zealand (104.2/100,000), Western and Northern Europe, North America.

Where do we stand?

  • Prevalence of prostate cancer in India is far lower as compared to the western countries.
  • Increased migration of rural population to the urban areas, changing life styles, increased awareness, and easy access to medical facility are the reasons for the growing number of prostate cancer cases in India.

Risk factors

Ethnicity:  Incidence of prostate cancer is higher in Black people.

Family history: Having a father or brother with prostate cancer increases the risk of a man getting this disease.

Age: Growing prevalence seen after the age of 50. It is very rare in men younger than 40.

Diet: Red meat, high-calcium containing dairy foods or high-fat dairy products might also increase risk.

 

How well you know your prostate health

Signs and Symptoms

Symptoms often become apparent only when the prostate is large enough to affect the urethra (the tube that carries urine from the bladder to the penis). Major symptoms of prostate cancer in human include:

  • Frequent urination or nocturia (getting up multiple times at night to urinate)
  • Difficulty in starting urine stream
  • Blood in semen or urine
  • Bowel incontinence
  • Erectile dysfunction
  • Pain in bones, especially in the lower back, hips, and ribs

 

Classification of cancer

Classification of the stages of prostate cancer is based on TNM:

T– Primary tumor

N– Tumor at regional lymph nodes

M– Distant metastases of cancer

 

To reduce the risk of Prostate cancer it’s time to get tough on prostate cancer

  • Maintain a healthy body and appropriate body weight
  • Proper exercise and physical activity daily
  • For men, who have at least one first-degree relative affected with prostate cancer, the screening tests are recommended as early as 45 years.
  • Reduce alcohol consumption to two drinks per day and avoid sugary drinks
  • Increase regular intake of diet rich in fibers such as vegetables, fruits, cereals/grains and legumes A healthy diet with more of vegetable oils and nuts could also benefit people
  • Limit salty food consumption and foods processed with salt
  • Restrict intake of red meat (beef, pork, lamb) and processed meat
  • Avoid deep fried food, heating the food at high temperatures and also reusing the cooking oil

It’s time to man up for diagnosis!

  • Some screening tests recommended at the age of 50 include,
  • Rectal examination
  • Prostate Specific Antigen (PSA) test
  • Transrectal ultra sonography (TRUS)
  • Ultrasound guided biopsy.
  • Bone scan using low-level radioactive material
  • Computerized tomographic (CT) scan
  • Lymph-node biopsy

#WorldContraceptionDay, 26 Sep 2015

World contraception day (WCD) was first conceived in the year 2007 by 10 international family planning

organizations in order to spread awareness and education about effective and safe contraception

methods.

The event has a theme which culminates from an individual perspective of living a responsible life. The motto is: “It’s your life, it’s your future, know your options.”

There are 3 sub-themes:

  • Your options: where young people can learn about all the contraceptive options available, using a reliable, unbiased source of information.
  • Your future: understanding how unplanned pregnancies can happen and how the body changes during puberty
  • Your partner: learning to talk to your partner about contraception and how to build a trusting relationship based on reliable information

WCD is supported by a coalition of 11 international NGOs/GO as well as scientific and medical societies with an interest in sexual and reproductive health. Partners are:

• Asian Pacific Council on Contraception (APCOC)
• Centro Latinamericano Salud y Mujer (CELSAM)
• European Society of Contraception and Reproductive Health (ESC)
• Deutsche Stiftung Weltbevölkerung (DSW)
• International Federation of Pediatric and Adolescent Gynecology (FIGIJ)
• International Planned Parenthood Federation (IPPF)
• Marie Stopes International (MSI)
• Population Services International (PSI)
• The Population Council
• The United States Agency for International Development (USAID)
• Women Deliver (WD)

Benefits of Family Planning / Contraception

Maternal well-being: Family planning ensures access of preferred contraceptive methods for women and couples. It helps women secure their autonomy and well-being while taking care of their family.

Preventing pregnancy-related health risks in women: Controlling the timing of pregnancy can allow women to have better control over her well-being and health. By reducing rates of unintended pregnancies, family planning also reduces the need for unsafe abortion.

Reducing infant mortality

Family planning can prevent closely spaced and ill-timed pregnancies and births, which contribute to some of the world’s highest infant mortality rates.

Helping to prevent HIV/AIDS

Male and female condoms provide dual protection against unintended pregnancies and against STIs including HIV.

Empowering people and enhancing education

Family planning enables people to make informed choices about their sexual and reproductive health.

Slowing population growth

Family planning is key to slowing unsustainable population growth and the resulting negative impacts on the economy, environment, and national and regional development efforts.

WCD coalition formed a framework for action in order to achieve significant results. It underlines key areas of enabling young people everywhere to benefit from access to high quality sexual and reproductive health advice and services. The framework emphasizes four key points to build understanding of various types of contraceptives and their ease of usage.

  • Knowledge
    Education is the key to success of any program, hence forth, people are informed about short acting methods to long acting reversible methods
  • Practicing Safe-sex

Besides preventing pregnancies, contraception also aids in providing protected sex. Young generation should be well equipped with the knowledge and resources to practice safe sex.

  • Intercourse not for reproduction

Misconception and religious beliefs needs to be addressed and people are advised to inform their partners about contraception. It should be used readily without fear or prejudices.

  • Equality and empowerment

In a relationship, both the partners have equal say and should take an informed decision about family planning. Empowering women to exercise their right to get pregnant is an important tool in ensuring well-being of a family.

Turacoz Healthcare Solutions as a socially responsible company spreads the word and awareness and looks forward to collaboration or associations with other agencies/companies with similar goals and aspirations. Our experienced team has delivered publications, regulatory and marketing documents and also conducted medical writing trainings.

#WorldEnviornmentalHealthDay, 26 Sep 2015

Understanding environmental health

The International Federation of Environmental Health, better known by its acronym IFEH, works to impart knowledge regarding environmental health and promote co-operation between countries where environmental health issues are a major concern. The federation chose 26th of September as World Environmental Health Day.

How we live the world?

Environmental health aims at preventing disease and building–up a safe and healthy environment for living. It encompasses the assessment and control of all the factors that affect the behavior of an individual.

These are

  • physical factors
  • chemical factors
  • biological factors
  • environmental factors

It pertains to all factors leading to a healthy living of an individual, irrespective of the socio-cultural background.

Better health through healthy environment!

The theme for World Environmental Health Day 2015 is ‘Children are our future, let’s protect their Environment and Health’. It will include environmental or public health infrastructure or specific projects on air, water, nature restoration, sanitation, housing or waste management.

The IFEH Board of Directors has decided to focus on the several areas as the key points of their agenda.

Love the place where you live

Here are some points that should be taken care of in order to make our environment healthy and safe:

  • Discarding accumulated water from trash cans and waste bottles to prevent breeding of vector-borne diseases.
  • Taking proper health and sanitation measures to prevent spread of infectious diseases in children.
  • Educating children for developing and maintaining hygienic feeding habits at school and home.
  • Management of kitchen and household waste to reduce garbage and landfills in the surrounding areas and providing cleaner playgrounds, roads, parks and neighboring places.
  • No smoking at home, office or crowded places.
  • Reduce noise pollution to lower the risk of dementia, memory-loss and other cognitive dysfunction.
  • Ensuring safety of people, especially children, on the road and at home.
  • Making sure children are getting safe and clean drinking water to avoid water borne diseases.
  • Careful handling and disposal of biomedical waste to reduce microbial contamination of the environment.

Save our environment and keep healthy!

Newborn Screening Awareness-September

Newborn screening test (also known as Guthrie test) is one of the successful innovations in the modern era. It is a procedure where in the newborn infants are pricked at the heel to test their blood for rare genetic, endocrine and metabolic conditions that can be harmful or serious. Also tested for hearing loss before discharge from the hospital. These screening tests has the potential to identify risk of certain diseases before the clinical symptoms appear. Thus, early detection and treatment can prevent mental retardation, spasticity, serious illness, and premature death.

According to World Health Organization (WHO), every year 140 million children are born and out of which 5 million die in the first month of life in developing countries. Four percent of the India population are mentally retarded and 5-15% of sick newborns are thought to have a metabolic problem.

Disorders which can be detected through Newborn Screening test,

  • Biotinidase deficiency
  • Congenital adrenal hyperplasia
  • Congenital primary hypothyroidism
  • G6PD deficiency
  • Cystic fibrosis
  • Galactosemia
  • Disorders of amino acids, organic acids and fatty acid oxidation by tandem mass spectroscopy
  • Sickle cell anemia

To avoid these anomalies which are hidden at birth, many non-profit organizations are developed taking care of all the newborn screening tests. The main goal of these organizations are to educate the parents, paediatric healthcare workers, lawmakers, and institutional policymakers. Also the educational programs accentuate the importance of newborn screening through comprehensive testing to identify disorders and initiate treatment promptly when necessary.

There are many campaigns like the “Be Bold, Wear Gold Campaign” to create awareness into the public regarding the newborn screening tests. In the month of September, the newborn screening community (which includes families, advocates, state health departments, legislators, and state laboratories) rallied around the principle that all babies deserve a healthy start. As a support to the campaign, members of the community wear a color gold and gold pins throughout the month.

To avoid such serious diseases and save the newborns spread the information (mouth publicity) about the screening test to all the members of your family, friends, colleagues etc. Mass education, media propagation, and training centres also can raise the awareness. Along with these share the stories you know and spread the awareness in the individuals wherein one can keep their newborns happy and safe.

 

Celiac Disease Awareness Day

Fast Facts 2

  • A genetic disease, resulting from environmental (gluten) and genetic (HLA and non-HLA genes) factors.
  • Estimated 1 % Americans (1 in 133) has celiac disease.
  • 5-22% of celiac patients have an immediate family member involved.
  • Infertility, reduced bone density, neurological disorders, some cancers, and other autoimmune diseases are other disorders associated with celiac disease.
  • Average weight time for correct diagnosis is 6-10 years.

Prevalence 3

  • Higher prevalent in women as compared to men with male: female ratio of 1:2.8

North America: Overall CD prevalence

  • 1:133 :- Not at risk groups
  • 1:22 :- first-degree relatives
  • 1:39 :- second-degree relatives

South America

  • Brazil: 1:681 in healthy blood donors & 1:473 among adult outpatients attending clinical laboratory for routine blood testing
  • Argentina: urban areas – 1:167

Overall prevalence in western population: close to 1 % and higher in Northern European countries.

Africa

  • North Africa: 0.28%-5.6% in general population
  • Algeria : 16.4% (highest with CD associated with Insulin Dependent Diabetes Mellitus)

Oceania

  • Western Australia: overall prevalence is 1:251 (0.4%)
  • New Zealand: overall prevalence is 1:82 (1.2%)

Asia

  • India: 1:100-1:310

Middle East: 1:87-1:166

Prevalence of CD is 0.5-1% in all parts of world, except for population having very low and high gluten in their diet.

Signs & Symptoms of celiac disease

Digestive symptoms: more common in children and include

  • Chronic diarrhea
  • Abdominal bloating
  • Constipation
  • Gas
  • Stomach pain
  • Nausea & vomiting
  • Pale, foul-smelling, or fatty stool

Adults are less likely to have digestive problems and may instead have one/more of the following:

  • Headache
  • Anemia
  • Bone or joint pain
  • Anxiety or depression
  • Feeling tired or fatigue
  • Missed menstrual periods
  • Infertility or recurrent miscarriage
  • Seizures
  • Osteoporosis
  • Tingling numbness in hands & feet

 

 

 

 

#WorldSuicidePreventionDay, September 10

Attempting Suicide and having suicidal tendency are the most extreme form of self-harming behaviour exhibited by humans. Centre for Disease Control and Prevention, defines suicide as “death caused by self-directed injurious behaviour with an intent to die as a result of the behaviour.” As per the statistical interpretation (for year 2012) by the WHO, suicide accounts for over 800,000 deaths per year worldwide; making it the fifteenth leading cause of death across the globe. Grossly, it can be estimated that there is one death by suicide in the world every 40 seconds! Suicidal attempts and suicidal tendency are noticeably higher in youths i.e. in age group of 15-29 year, and are acknowledged as the second leading cause of death in this age group. India is one of the most suicide prone nations of the world having suicide rate of 21.1 per 100,000 people. As per WHO, 258,075 people committed suicide in India in 2012, with 99,977 women and 158,098 men taking their own lives.

The most common motives behind suicide or suicidal attempt include: depression, bereavement, intimate partner problem, physical health problem (self/family member), job problem, financial problem, or disclosed intent to take one’s life.

It’s worth mentioning that, though suicide is a global threat that prevails among all strata of society, but it can be 100% preventable. In order to generate a worldwide awareness about suicide prevention, the International Association for Suicide Prevention (IASP), collaborates with the World Health Organization (WHO) and the World Federation for Mental Health to observe 10 September each year as ‘The World Suicide Prevention Day’ (WSPD). The sole objective of this awareness drive is to educate masses about the identification of risk factors for suicide/warning signs for suicide, suicide prevention measures and strategies, and support groups.

The ideology behind WSPD campaign is to identify warning signs of suicide and extending help to the needy which can save a life. To support the cause, each year WSPD is observed with a different theme. “Preventing Suicide: Reaching Out and Saving Lives” is the theme of the 2015 WSPD. The theme focusses on the need to reach out the vulnerable population for suicide prevention. Identifying the high-risk individuals, talking to them, and asking ‘RUOK?’ can indeed bring a lot of difference to their life.

It has been noticed that, suicide as a devastating experience for families, friends and community members of the deceased. Family history of suicide is one of the commonest cause of suicides. The people who are left behind are often haunted by the when, how, and why related to the suicide of their loved ones. Reaching out such individuals who had lost someone due to suicide and extending help and support to them can help them to overcome their loss and help in saving lives.

Another dimension of ‘reaching out and saving lives’ include providing specialist mental health services to the vulnerable individuals. Though, it is largely believed that extended help from family and friends is one of the best way to soothe the individual with suicidal tendency, but in some cases professional help is also required. Many non-profit organizations, support groups, self-help groups, and community welfare services provide professional mental health care to the high-risk individuals. These organisations not only provide support and care to the needy, but they also track the prognosis and mental health status of the individual till the apprehensive person is rehabilitated well.  The WSPD is an effort to inform the masses about these organizations and services provided by them.

Talking someone who has gone through the same emotional turmoil and hearing how they triumphed over suicide is the most motivating experience for any susceptible person. The WSPD this year is also focussing on the globalization of various pro-active suicide prevention communities across the world. Sharing testimonials of individuals who had travelled the same road and how they coped up with the situation that is anticipated to help many who are presently experiencing such emotional warfare.  Easy accessibility to these communities endorsing people who choose life over suicide will help to bring down the global burden of suicide.

Therefore, with the help of WSPD break the silence and stigma attached to suicide. Let us be more vocal about suicide prevention. Let us extent the help to the dispirited souls and make them aware that life is worth living, so fight back! Let us ask them “RUOK?”

Remember,one simple question can save a life.

#PsoriasisAwarenessMonth: Management and prevention

Psoriasis is not all of you, it is just a part of you like everything else

Psoriasis is generally classified based on the severity of the disease from mild to severe with a Psoriasis Area Severity Index (PASI) scale. Based on this severity index treatment is given to the patients.

The score comprises of 3 features of psoriatic plaque:

  • Redness
  • Scaling
  • Thickness, which are assigned a number from 0 (none) to 4 (worst).

The extent of involvement of each region of the body (12 regions) is scored from 0 to 6. The total score is a range of 72. There are many studies that quote the improvement with this index which help to know the drug’s effectiveness. For example, if a patient cleared 75% of his psoriatic lesions then it is described as “PASI 75”. These scores are used by clinicians to follow their patient’s progress.

Psoriasis Management:

Some general recommendations for treatment of psoriasis,

  • Topical application of corticosteroids in the form of ointments, creams, gels, liquids, sprays etc. Example: Keratolytics and calcipotriene, others include anthralin and tars.

Over-the-counter topical medications include, salicylic acid foams or ointments, Coal tar, Zinc pyrithione.

  • UVB is a safe, effective and cost-effective.
  • PUVA (psoralen plus ultraviolet A) is also an effective treatment.
  • Conventional treatment methods:
  • Usage of methotrexate, which is an effective therapy in the majority of patients but has the potential for hepatotoxicity and is contraindicated in some situations.
  • CyA (cyclosporine), another immunosuppressive medication, also an effective treatment for psoriatic patients.
  • Acitretin, a systemic agent which is effective and used for the treatment of psoriasis.
  • Biological agents are proteins that are extracted from animal tissue or can be produced by recombinant DNA technology that possesses pharmacological activity.
  • Few biologics that target pathogenic T cells include Alefacet and Efalizumab.
  • Few other biologics target TNF inhibitors for the treatment of psoriasis include Adalimumab Etanercept, and Infliximab.

Psoriasis can also be managed by education and advocacy. Also should promote awareness and understanding of the disease, ensuring access to treatment and supporting research that can lead to effective management.

Psoriasis Prevention:

Psoriasis is a chronic disorder that requires long-term monitoring for treatment response, adverse events and new comorbidities. Also there is a poor adherence to treatment to obtain good results for patients with psoriasis. Hence, there is no way to completely prevent or avoid the occurrence of psoriasis instead taking some precautionary steps can improvise the symptoms and help reduce number of psoriasis flare-ups. Few preventive measures that a psoriatic patient can do to reduce the flare ups.

  • Taking care of the skin, scalp, and nails and other areas where psoriasis can spread.
  • Trying some psoriasis creams or ointments that can keep the body moisturized all the time.
  • Taking sunbath for some time also helps in reducing the psoriatic skin cells.
  • Try to avoid few medications which can flare up the disease.
  • Psoriasis can spread easily in cold, dry climates and it is always better to avoid such environmental conditions.
  • Quit smoking and reduce alcohol consumption.
  • Lifestyle interventions where symptoms can get worse with stress and anxiety so need to avoid such situations. To avoid such conditions patients can start their day with yoga, meditation, and other exercises.
  • Taking a well-balanced diet.

Some health tips to bring symptom relief:

  • Keep the skin moist all the time by applying moisturizers
  • Take warm bathes that helps in skin soothing
  • Expose the body to small doses of ultraviolet light in the sunlight
  • Do not irritate or scratch the psoriatic skin patches
  • Limit intake of alcohol and stop smoking
  • Start the day with stressbusters like yoga or meditation to relieve from tensions and emotions
  • Consider some dietary changes by reducing the intake of sugars, white flour, gluten, caffeine, oils etc.

Diagnosis of psoriasis is not the end but the journey continues with normal ups and downs as with anyone else. Having a disease is not a battle lost but losing hope is defeat. So keep up hope and there are answers to every problems and let’s keep finding them and spreading them.

Turacoz Healthcare Solutions is a socially responsible medical communication company which delivers high quality medical content related to scientific publication (manuscript, review, poster, abstract, case report), regulatory documents (protocol, CSR, narratives, clinical trial disclosure, web synopsis) and marketing documents (print and digital).

Dr. Namrata Singh

Dr. Namrata’s mantra for life is “nothing is impossible”. Her experience of 10 years as a pediatrician and 9 years as medical writer helps her to find apt solutions for communicating with different audiences. As Director Medical Services she is the main force behind the team. Mentoring fresher and new entrants is always a passion for her and she goes the extra mile to impart her knowledge and experience. She is a foodie and loves to cook. Her dream is open a chain of healthy food later in life and conduct life style modification sessions for kids and teenagers.

#organdonationday

Today on Organ Donation day, Turacoz team members pledge their organs for a noble cause and want to contribute to human life even after perishing.

Why should we donate our organs?

In India, where population consists of 1.2 billion people, the statistics stands at 0.08 persons as organ donors per million population (PMP). This is an incredibly small and insignificant number compared to the statistics around the world.

  • 500,000 people die because of non-availability of organs
  • 150,000 people await a kidney transplant but only 5,000 get one
  • 1,000,000 lakh people suffer from corneal blindness and await transplant

What is Organ donation?

Organ donation is the donation of a biological tissue or an organ of the human body from a living or dead person to a living recipient for the purpose of transplantation. The organ is taken from the donor and transplanted in the body of the recipient.

Who can be donor?
Any person can be organ donor, irrespective of age, caste, religion, community, current or past medical condition.

  • Patients having cancer, HIV, active infection (for example, sepsis) or using Intravenous (IV) drugs are not eligible for organ-donation.
  • Most cancer patients may donate corneas.
  • Patients who have Hepatitis C and B rarely donate organs to a patient with Hepatitis C and B respectively.

Which organs and tissues can you donate?

  • Organs like heart, liver, kidneys, intestines, lungs, and pancreas can be donated only after the donor is declared ‘brain dead’.
  • Tissues like corneas, heart valves, skin, bones etc. can be donated in case of natural death.

How are organs harvested after brain death?

  • Efforts are made to stabilize the patient in a hospital. If he is pronounced brain-dead by the doctor’s evaluation, testing and documentation, he may donate his organs.
  • Consent from the family, coroner and legal authorities is obtained to proceed with the donation, and the organ procurement organization is informed.
  • In the meantime, the donor’s body is maintained on ventilator, and stabilized with fluids and medications. Numerous laboratory tests are performed.
  • Recipients are identified for placement of donor’s organs.
  • A surgical team is coordinated for removal of organs and tissues at the hospital.
  • Multiple organ recovery is performed with organs being preserved through special solutions and cold packing. The ventilator support is then discontinued.
  • The donor’s body is surgically closed and released.

How to donate organs?

  • To be an organ donor, it is important to register by signing up for Organ Donation.
  • Discuss with your family and friends and let them understand your decision.
  • Always carry an Organ-donor Card with you. Your family should be aware of your decision. Without their consent, the organs/tissues cannot be donated.

“If something comes to life in others because of you, then you have made an approach to immortality.”
–Norman Cousins

Turacoz supports #SarcomaAwarenessMonth: Do not loose hope

 “Once you choose hope, anything’s possible.”

Christopher Reeve

Sarcoma, may be defined as “a malignant tumor of connective or other non-epithelial tissue.” It occurs in the connective tissue of the body including fat, blood vessels, nerves, bones, muscles, deep skin tissues, and the cartilage.

Types of Sarcoma

Liposarcoma Most common soft tissue sarcoma. Develops in the deep fatty tissue. They are firm, bumpy, and invade the surrounding tissues invasively
Fibrosarcoma Occur in the arms, legs, or the trunk. Occur around scars, muscles, tissues, tendons, and around the lining of the bone
Dermatofibrosarcoma Protuberans Develops as tumor outgrowths forming outside the skin and are commonly observed on the back or the abdomen. If untreated, the tumor may break through the skin leaving an open wound
Malignant Fibrous Histiocytoma Types include storiform pleomorphic, myxoid malignant fibrous histiocytoma, malignant giant cell tumor of soft parts, and inflammatory malignant fibrous histiocytoma. Usually observed in patients above 50 yr of age and occurs more commonly in men than women.
Synovial Cell Sarcoma Occurs most commonly next to a joint in the arms or legs. This type of sarcoma is very painful and is usually treated with radiation, chemotherapy, or amputation combined with chemotherapy.
Epithelioid Sarcomas Occurs in hand and foot of younger adults. Appears like small nodules. Difficult to treat with surgical intervention and treated with amputation.
Rhabdomyosarcomas Accounts for nearly half of sarcomas in children. Types include embryonal, alveolar, botryoid, and pleomorphic rhabdomyosarcoma.
Leiomyosarcoma and Uterine Sarcoma Occurs in the smooth muscles mainly in the gastrointestinal tract and the uterus. Metastases occurs in half of the patients and is usually treated with total abdominal hysterectomy.
Gastrointestinal Sarcoma Results in the formation of stroma in the stomach and intestines. Treated with Gleeve (a biological agent that retards the activity of gtenes required for the growth of tumor).
Alveolar Soft-Parts Sarcoma Very rare type of sarcoma which usually occurs in female adolescents and young adults. Slow growing tumor found in extremities and metastases into the lungs.
Kaposi’s Sarcoma A condition in which cancerous cells are found underneath the skin or mucous membranes (mouth, nose, or anus). Commonly occurs in older Jewish, Italian, or Mediterranean men, patients receiving organ transplant, and patients with AIDS.

 

The diagnosis of sarcoma is extremely rare worldwide. Often, patients do not experience any pain or discomfort due to the presence of sarcoma which is the most common reason for its late diagnosis. The diagnosis is confirmed after a series of tests including biopsies, computed topography scan (CT-scan), positron emission tomography scan (PET scan), X-ray, magnetic resonance imaging (MRI), ultrasound, and laparoscopic procedure. In most cases, patients have already gone through immense amount of stress until the diagnosis of sarcoma is confirmed. Developing a thorough treatment plan for sarcoma is only possible with a confirmed diagnosis of the condition. The presently available treatments for soft tissue sarcoma include surgery, radiation therapy, chemotherapy, interventional radiology, and targeted therapy.

The National Cancer Institute recommends different treatment options as per the stage of sarcoma.

  • Stage I adult soft tissue sarcoma
    • Surgical removal of the tumor along with radiation therapy either before or after the surgery.
  • Stage II adult soft tissue sarcoma
    • Surgery to remove the tumor; radiation therapy before or after the surgery; radiation therapy or chemotherapy before limb sparing surgery; and high dose radiation therapy for tumors that cannot be removed by surgery
  • Stage III adult soft tissue sarcoma that has spread to the lymph nodes (advanced)
    • Surgery with lymphadenectomy followed by radiation therapy; a clinical trial of surgery followed by chemotherapy; and a clinical trial of regional hyperthermia therapy
  • Stage IV adult soft tissue sarcoma
    • Includes chemotherapy and surgery to remove cancer that has spread to the lungs

 

The duration and intensity of sarcoma therapy can be astonishing and unsettling for patients and their families, and coping with the adverse effects of treatments can be a major and drastic challenge.

The sarcoma center in India “Soft Tissue Tumor Online http://www.histopathology-india.net/SoftTissuePath.htm

There are many NGOs which aides’ new patients and their loved ones to comprehend a sarcoma diagnosis, look for the best care, manage treatment, adapts well and find support.

 

Beat Sarcoma beatsarcoma.org
Cure for Sarcoma http://www.cureforsarcoma.com/
Cynthia Solomon Holmes Foundation http://www.cynthiaholmesfoundation.com/
Dani’s Foundation www.danisfoundation.org
Desmoid Tumor Research Foundation dtrf.org
GIST Support International gistsupport.org
H. Lee Moffitt Cancer Center in Tampa moffitt.org
Kristen Ann Carr Fund www.sarcoma.com
Liddy Shriver Sarcoma Initiative sarcomahelp.org
The Life Raft Group liferaftgroup.org
LMSarcoma Direct Research http://www.lmsdr.org/
Jared Juggernaut http://jaredsjuggernaut.org/
Northwest Sarcoma Foundation nwsarcoma.org
Sarcoma Alliance http://sarcomaalliance.org/
Sarcoma Alliance for Research through Collaboration (SARC) www.sarctrials.org
Sarcoma Foundation of America www.curesarcoma.org

 

 

#5TipsForDesktopWorkers

The 5 tips for desktop workers are absolutely essential to maintain and good health and have a long innings professionally.

  1. Support your back and promote comfortable leg postures:Use a chair that supports your lower backAdjust your work surface and chair height to assume a comfortable and natural body postureClear away items from beneath your desk to allow comfortable leg positioning and movement.

    Use a footrest if your feet do not rest comfortably on the floor.

  2. Minimize reaching and to promote comfortable shoulder and arm postures:
    1. Place your keyboard and mouse or trackball at the same height; these should be at about elbow level
    2. Place frequently used items comfortably within arm’s reach
    3. Keep your wrists straight while typing and while using a mouse or trackball. Avoid bending your wrists up, down or to the sides
  3. Minimize neck bending and twisting:
    1. Position the top of the screen near eye level
    2. Centre your monitor in front of you.
    3. Consider using a document holder to position your documents near eye level.
  4. Reduce the effects of low-impact forces on your body
    1. Type with a light touch, keeping your hands and fingers relaxed, because it takes little effort to activate keyboard keys.
    2. Relax your arms and hands when you are not typing or using your mouse.
    3. Adjust your chair so the seat does not press into the back of your knees
  5. Vary your daily activities to work productively
    1. Plan your work and play so that you are not doing the same thing for extended periods of time
    2. Use different input devices, such as your mouse and keyboard, to accomplish the same task. For example, to perform a scrolling task, you can use the wheel on the mouse and the arrow keys on the keyboard.
    3. Stand up after every 25-30 minutes take a walk or perform stretching exercises involving one of the body parts.

Turacoz Healthcare Solutions strongly believes in wholesome life with a perfect personal and professional life balance with a healthy body and an energetic mind. 

 

Diabetes Management and Ramadan: What does ADA say?

Ramadan is a lunar based fasting month for Muslims. Muslims who fast during this time should refrain from eating, drinking, use of oral medications and smoking from predawn to post sunset, with no restrictions on food or fluid intake between sunset and dawn. Muslims with diabetes insist on fasting during the holy month, thus creating challenge for themselves and their health care providers. In this article we enumerated some risk factors associated with diabetic patients and how to manage diabetes in Ramadan, according to the ADA recommendations shared in 2005.

Risk associated with fasting in patients with diabetes.

Hypoglycemia: Reduced food intake is a well-known risk factor for developing hypoglycemia. The effect of fasting during Ramadan on hypoglycemic rates is not well known. But, in a study conducted it was observed that fasting during Ramadan increased the risk of severe hypoglycemia by 4.7 fold in patients with type 1 diabetes and 7.5-fold in patients with type 2 diabetes. In addition, the risk of severe hypoglycemia was more common in patient in whose dosage of oral hypoglycemic agents or insulin was changed as well as those who reported a significant change in their lifestyle.

Hyperglycemia: Glycemic control deteriorated, improved, or showed no change in patients who fasted during Ramadan. A study conducted showed 5 fold increase in the incidence of severe hyperglycemia (required hospitalization) for patients with type 2 diabetes and 3 fold increase in the incidence of severe hyperglycemia with or without ketoacidosis in patients with type 1 diabetes. This can be attributed to excess reduction in medication dose for preventing hypoglycemia. Patients with reported increase in food and/or sugar intake had higher rates of severe hyperglycemia.

Diabetic ketoacidosis: Patients with type 1 diabetes fasting during Ramadan have a greater risk of developing diabetic ketoacidosis, especially if their diabetes is poorly controlled. The risk is increased even further because of excessive reduction of insulin dose as food intake too is relatively reduced during that time.

Dehydration and thrombosis: Fluid intake limitation during the fast if prolonged, leads to dehydration (becomes severe in hot and humid climates and in patients who perform physical labor).

Hyperglycemia causes an osmotic diuresis, adding to the volume and electrolyte depletion. In patients with preexisting autonomic neuropathy orthostatic hypotension may be developed. Syncope, falls, injuries, and bone fractures may occur from hypovolemia and the associated hypotension. Blood viscosity may be increased due to dehydration, which may enhance the risk of thrombosis and stroke.

Managing diabetes in Ramadan

  1. Frequent monitoring of glycaemia: especially important for patients with type 1 & 2 diabetes requiring insulin.
  1. Nutrition: Have a well-balanced diet. Avoid large amount of food rich in carbohydrates and fats at sunset. Foods having complex carbohydrate ((slow digesting foods) should be had as a predawn meal and must be eaten as late as possible before start of daily fast. Fluid intake must be increased during non-fasting hours.
  1. Exercise: Normal physical activity may be maintained. Avoid excessive physical activity, which can lead to higher risk of hypoglycemia, especially during few hours before sunset meal.
  1. Breaking the fast: Fast must be broken if
  • Feeling hypoglycemic (blood glucose of 60 mg/dl). Blood glucose may drop further if treatment is delayed.
  • Blood glucose reaches 70 mg/dl in first few hours after start of sunset and especially if insulin, sulfonylurea drugs, or meglitinide are taken at predawn.
  • Blood glucose exceeds 300 mg/dl.
  • Avoid fasting on sick days
  1. Pre-Ramadan medical assessment: should be undertaken 1–2 months before Ramadan. During this time, appropriate blood studies need to be done and evaluated. Individualized advice must be provided if there is any potential risk to the patient. In addition, necessary changes in diet or medication regimen should be made.
  1. Ramadan-focused structured diabetes education: Healthcare professionals need to be trained to deliver structured diabetes education during Ramadan, which should include:
  • Glucose monitoring importance during fasting and nonfasting hours.
  • When fast should not be done or stopped.
  • Planning of meal if feeling hypoglycemic and dehydrated during long fasting hours.
  • Timing and intensity of physical activity during fasting.
  • Importance of diabetes-related medications and its risk during fasting.
  1. Managing of patients with type 1 diabetes
  • Close monitoring and frequent insulin adjustments are essential for avoiding hypo- or hyperglycemia in patients with type 1 diabetes.
  • Continuous subcutaneous insulin infusion (pump) management can also be done, but is substantially expensive.
  1. Managing of patients with type 2 diabetes:
  2. Diet-controlled patients : there is a potential risk for occurrence of postprandial hyperglycemia in type 2 diabetic patients. In such cases:
  • Spreading calories over 2 to 3 smaller meals during the nonfasting interval may help in preventing excessive postprandial hyperglycemia.
  • Intensity and timing of physical activity may be modified e.g.,2 h after the sunset meal.
  1. Patients treated with oral agents: choice of oral agents should be individualized.
  2. Patients on metformin : have limited possibility of severe hypoglycemia and may fast safely. However, dose timing should be modified so as to provide 2/3rd total daily dose with the sunset meal and the 1/3rd before the predawn meal.
  3. Use of sulfonylurea’s: is unsuitable for use during Ramadan as it posses inherent risk of hypoglycemia. Use of these drugs should be done with individualized with caution. Chlorpropamide use is contraindicated during Ramadan due to risk of prolonged and unpredictable hypoglycemia.
  4. Short-acting insulin secretagogues: could be taken two times daily before the sunset and predawn meals.
  5. Incretin-based therapy: drugs such as Exenatide in particular, can be given before meals to minimize appetite and promote weight loss. Due to its short half-life of 2 hrs, it’s not associated a substantial effect on fasting glucose.
  6. Patients treated with insulin: To maintain necessary levels of basal insulin and preventing fasting hyperglycemia, use of intermediate- or long acting insulin preparations and short acting insulin need to be given before meals. Also, injecting long-acting or intermediate-acting insulin can give adequate coverage in few patients as long as dosage is appropriately individualized.
  7. Insulin Pumps: Frequent glucose monitoring is needed due to failure of the pump infusion site can result in severe deterioration in control over a few hours. Patients with type 1 diabetes must be fully educated and facile about the use of an insulin pump. Before Ramadan, they should receive adequate training and education with respect to self management and insulin dose adjustment. Also, how to adjust their infusion rates as per results of frequent home blood glucose monitoring must be taught.
  1. Pregnancy and fasting during Ramadan: Women with presentational or gestational diabetes are at increasingly high risk and should be strongly advised not to fast during Ramadan. However, if they insist to fast, then special attention must be given to their care. Pre-Ramadan evaluation of their medical condition should be carried out that includes, preconception care with emphasis on achieving near-normal blood glucose and A1C values, counseling regarding maternal and fetal complications associated with poor glycemic control, self management education skills. These patients should be managed in high-risk clinics having obstetrician, diabelogists, a nutritionist, and diabetes nurse educators. Appropriate diet and intensive insulin therapy should be given to pregnant patients. In addition, frequent monitoring and insulin dose adjustment is necessary.
  1. Management of hypertension and dyslipidemia: Dehydration, volume depletion, and tendency towards hypotension may occur with fasting during Ramadan, especially if fasting is extended for long and is also linked with increased perspiration. Therefore, dose and/or type of anti-hypertensive medications should be adjusted for preventing hypotension. Further, proper counseling need to be given and agents previously given for managing elevated cholesterol and triglycerides should be continued.

Key messages

Fasting by diabetic patients should be done after prolonged discussion with their health care provider so as to discuss the risks involved. Patients, who insist on fasting in Ramadan, must undergo pre-Ramadan assessment and receive appropriate education and instructions related to physical activity, meal planning, glucose monitoring, and dosage and timing of medications. Newer pharmacological agents have lesser hypoglycemic potential and can be specifically useful during Ramadan. Similarly, insulin pump therapy can give greater safety in Ramadan setting.

Read more at

Al-Arouj M,Assaad-Khalil S, Buse J, Fahdil I, Fahmy M, Hafez S, et.al, Recommendations for Management of Diabetes During Ramadan. Diabetes Care; 2010.33 (8), 1895-1902.

July is #SarcomaAwarenessMonth: Come Spread the Word

Sarcomas are the tumors originating from mesenchyme and contribute to about  20% of all pediatric solid malignant cancers and less than 1% of all adult solid malignant cancers. Sarcoma develops in connective tissue-cells that connect or support other types of tissue in the body. These forms of tumor are most common in normal connective tissues of bones, muscles, tendons, cartilage, nerves, fat, blood vessels of arms and legs, but they can occur anywhere.

What is Sarcoma awareness month?

The majority of patients present in advanced stage of diseases mainly due to ignorance of disease as well as apprehension and fear of surgery. The economic constraints also delay the detection and management. The awareness for the disease is far less and hence the importance of July as the ‘Sarcoma awareness month’, giving a right opportunity to learn more about the disease, spreading awareness to everyone and making difference in lives of patients fighting sarcoma.

Types of Sarcomas

Though sarcomas are more than 50 types, they can be classified into two main kinds: soft tissue sarcoma and bone sarcoma or osteosarcoma. The sarcomas are further sub-classified into based on type of presumed cell of origin found in the tumor. All of these types have certain microscopic characteristics and similar symptoms.

Who is affected?

Sarcomas develop in both children and adults. In children of less than 20 years of age, 15% (approximately) of diagnosed cancer are sarcomas. In adults, about 1 out of 100 adult cancer cases are soft tissue sarcomas. Osteosarcomas are still rare. Treatment of sarcomas is by surgery for tumor removal.

Risk factors

  • Most sarcomas have no known cause. Following factors can contribute to risk factors for developing sarcomas:
  • Previous radiation therapy for cancer.
  • Genetic disorder such as neurofibromatosis type I, Gardner syndrome, Werner syndrome, nevoid basal cell carcinoma syndrome, tuberous sclerosis, Li-Fraumeni syndrome or retinoblastoma.
  • Exposure to chemicals such as vinyl chloride monomer used for making plastics.

Symptoms

There may be no signs and symptoms initially or these symptoms may be caused by medical condition, which is not cancer. Soft tissue sarcomas are usually hard to be spot as they grow anywhere in the body.

First signs of sarcoma in an arm, leg, or torso could be painless lump or swelling. These lumps may get bigger as time progresses and might press against nerve or muscles making one uncomfortable or give breathing trouble or both. Unfortunately, there are no tests that can detect these tumors before symptoms occur.

Most often lumps may not be sarcomas and soft-tissue lumps are lipomas, which are made of fat cells and not cancerous. Sarcomas in abdomen may not have any symptoms, or may cause pain or give sense of fullness.

Symptoms or osteosarcoma are more evident, including:

  • On and off pain in the affected bone, that may be worse at night.
  • Swelling that often starts weeks after the pain.
  • Limp, if sarcoma is present in the leg.

Diagnosis

Biopsy: is the only way to find for certain if tumor is a sarcoma.

If biopsy is not possible, other tests may be suggested that can be useful for diagnosis. Imaging tests can be used to find out if cancer has metastasized.

Before choosing diagnostic test following factors may be considered:

  1. Age and medical condition
  2. Type of cancer suspected
  3. Severity of symptoms
  4. Earlier test results

Imaging tests used before or after biopsy for determining location and extent of tumor includes:

  • Ultrasound
  • Chest X-ray
  • CT or CAT (computed axial tomography)
  • MRI (magnetic resonance imaging) scans
  • PET (positron emission tomography) scans
  • Bone scan – for osteosarcoma

Treatments

If sarcoma is diagnosed, treatment may depend of several factors that include:

  1. Location and type of sarcoma.
  2. Spread of cancer.
  3. Impact on body.
  4. Health in general.

Depending on above parameters, treatment for sarcoma is customized as per the needs and may include one or more of the following:

Surgery: is done to remove tumor out of the body. In osteosarcoma, only cancer cells can be removed and arm or leg won’t be amputed.

Chemotherapy: may be used as main treatment of sarcoma or with surgery or radiation. Combination of two or more chemotherapy drugs may be used. In some cases, limb profusion, a special way for giving more focused dose of chemotherapy may be done.

Radiation Therapy: not used as main sarcoma treatment, but can be used before surgery for shrinking the tumor or after surgery for destroying remaining cancer cells.

Proton Therapy: gives high doses of radiation directly to tumor site and spares nearby healthy tissue and vital organs.

Post-Treatment plan

Talking with health care provider is essential to develop a follow-up care plan. The plan may include:

  • Regular physical examinations and/or medical tests to monitor the recovery and possible tumor recurrence if any.
  • Learning ways to prevent or manage side effects, if undergone radiation therapy for treating sarcomas where region of the body may be at risk for limb swelling (lymphedema), fracture of the thigh or leg bones, poor joint mobility and hardness of the soft tissues (fibrosis).
  • Rehabilitation program (such as range-of-motion exercises, strengthening exercises, and lymphedema reduction exercise) post surgery or radiation therapy for regaining or maintaining limb function.

Turacoz Healthcare Solutions  takes steps in creating awareness and communicating to the society  information on disease-diagnosis, prevention, management and complications because we believe in

You may never know what results come from your action, but it you do nothing there will be no results.

#InternationalYogaDay2015: India is the Global Spiritual Capital

Yoga has been an integral part of India since Indus Saraswati civilization for about 5000 years now. With time the nomenclature has changed with modifications in the practise but the benefit is still the same. Today’s fast paced life with challenges from all quarters requires us to practice a discipline which is beyond achieving a physical goal. The need of the hour is a comprehensive health goal which focuses on physical, mental and spiritual health together.

Types of Yoga

Bhagawad Gita introduces 3 prominent types of Yoga:

  1. Karma yoga: Yoga of action
  2. Bhakti yoga: Yoga of devotion
  3. Jnana yoga: Yoga of knowledge

The Eight-Limbed Yoga or “Ashtanga Yoga” of Patanjali’s writing are as follows:

  1. Yama or the five abstentions
  2. Niyama or the five observances
  3. Asana which literally means seated position used for medidation
  4. Pranayama is to restrain or stop breathing
  5. Pratyahara is the withdrawal of sense organs from external objects
  6. Dharana is concentrating on one object
  7. Dhyana is meditation
  8. Samadhi is the merging consciousness with the object of meditation

There is something for every individual in yoga, all age groups including children and youth, patients with chronic illness like diabetes, hypertension, asthma, obesity etc.

On this First International Yoga Day, the atmosphere is positive and highly charged and let’s make yoga a part of our lives.

 

May is Asthma Awareness Month: How aware are we?

Asthma is a worldwide disease affecting an estimated 300 million individuals globally. Some authors also reported prevalence of Asthma as a wave of “Asthma epidemic”. Inmajority of children, asthma develops before 5 years of age, and in more than half, asthma develops before they reach 3 years of age.

Although asthma triggers vary from person to person based on if you have allergic asthma or non-allergic asthma, some of the most common triggers include: allergens such as dust mites, pollens; irritants in the air; respiratory infections such as colds, flu, sore throats, and sinus infections; exercise and other physical activities; sudden changes in weather; expressing strong emotions like anger, fear; some medications and pets.

CHALLENGES IN ASTHMA DIAGNOSIS

  • International guidelines advise that asthma diagnosis be based on both the presence of symptoms and objective measurements of variable airflow obstruction.
  • In daily practice, there are important barriers to perform lung function tests which can occur more frequently in a primary care setting but also in secondary care setting.
  • Most of the time medication is initiated without putting much effort into further diagnosis.
  •  In almost 30% of diagnosed patients asthma is ultimately excluded when objectively assessed.
    COMMON SYMPTOMS OF ASTHMA
  •           Wheeze
  •           Chest tightness
  •        Shortness of breath
  •        Cough

A diagnosis of asthma is made more likely if your symptoms:

  •        Keep coming back, or happen at the same time each year
  •        Family history of asthma
  •        Worse at night or in the early morning
  •        Triggered by exercise, allergies or infections
  •        Improve with reliever medication
    COULD IT BE ANOTHER HEALTH ISSUE AND NOT ASTHMA?
  •        Chronic obstructive pulmonary disease
  •        Pneumonia
  •        Heart disease
  •        Cystic fibrosis
  •        Gastro-oesophageal reflux disease
  •        Lung infections (especially in young children)

    Key message

    It is very important for the patient to be diagnosed and to know what triggers the problem. Monitoring your asthma is crucial to reduce symptoms. While there’s no asthma cure, keeping an asthma diary helps you recognize asthma attacks and prevents  from becoming seriously ill.

Not just live, live it full – World hemophilia day- April 17, 2015

“In three words I can sum up everything I’ve learned about life: it goes on.” ― Robert Frost

Hemophilia- a rare genetic disorder in which blood doesn’t clot normally due to lack of clotting factors. Because of this, when a person with hemophilia gets a large cut or suffers internal injuries, he’ll bleed for a longer time and have difficulty healing.

How prevalent is hemophilia?

  1. A child born with hemophilia will have it all its life.
  2. About 15% patients have Factor – IX deficiency (Christmas disease).
  3. Rest has Factor VIII – deficiency (Classical hemophilia).
  4. Worldwide incidence of hemophilia is estimated to be more than 400,000 people.
  5. Around 1300 children born in India every year are hemophilic.
  6. There are 50,000 patients with severe hemophilia A at present.
  7. Males have 50% chance of getting disease while females have 50% chance of carrying the disease.

How your hemophilic child is being treated in Indian Society?

  1. Indian schools refuse admission to hemophiliac children due to medical emergencies and complications.
  2. Condition of patient affects the whole family because of fear, anxiety, confusion and guilt.
  3. As women are the carrier of hemophilic gene, they suffer more due to criticism from family and hemophilic child.

 

How parents should help their child with hemophilia?

  1. Hemophiliac patient and their family should fight together against hemophilia.
  2. Hemophilia should not define his or her identity.
  3. Parents should accept it in a short period because being in denial for a long time can affect the child’s well being.
  4. Parents should not withdraw themselves from their own child, relatives, friends and society.
  5. As hemophilia is not curable, steps should be taken to maintain an active, productive lifestyle by proper treatment and healthy living tips.

Can your child live a normal life with Hemophilia? Yes, he can. Read the following to know how

  1. Keep up with regular medical checkups and get vaccinated.
  2. Exercise at least 3 times a week or as recommended by physiotherapist.
  3. Maintain an ideal body weight.
  4. Follow the treatment plans as prescribed by the doctor.
  5. Get tested early for blood borne infections.
  6. Treat bleeds early and adequately.
  7. Eat healthy.
  8. Always wear a seatbelt, helmets (in case of driving or riding).
  9. Make time for yourself.
  10. Get a good night’s sleep.

Last but not the least; you can live your life with hemophilia, the way you want. There is nothing in this world a hemophilic can’t do.

#ChronicFatigueSyndromeAwarenessDay: May 12

Chronic fatigue syndrome (CFS) awareness day and Florence Nightingale’s birthday fall on May 12. The day commemorates victory of Nightingale from pain, fatigue and CFS symptoms to attain many remarkable accomplishments.

What is CFS?

  • Presence of any of the following symptoms can suggest CFS:
  •  You feel fatigued after climbing just 10 stairs of your office?
  •  You don’t feel refreshed after a long sleep or you don’t get sleep at all.
  • You forget things easily and when comes to concentration, you can’t have one task finished in time.
  •   You have a sore throat almost every hour of the day.
  •  You have exhaustion but you can’t describe it.
  •   In the refreshing morning of a beautiful day, you feel so tired as if you just ran a marathon.

Myalgic encephalomyelitis (ME) or CFS or “systemic exertion intolerance disease,” includes debilitating fatigue that is constant or recurring.  CFS is an unbearable, underserved and under-diagnosed disorder characterized by extreme fatigue. This type of fatigue is not improved by getting rest. It may be made worse by physical or mental activity and can limit your ability to complete ordinary daily activities. CFS can affect multiple systems in the body causing muscle pain or weakness, cognitive dysfunction (brain fog), and insomnia (the inability to sleep). More than 17 million people worldwide suffer from this disease.

What causes CFS?

Despite substantial research, the cause of chronic fatigue syndrome remains unknown. It could be genetic, due to an environmental trigger or your lifestyle, your long working hours, exposure to microbes, toxins, and other physical and emotional factors. It may be triggered by stress, various illnesses or other medical conditions.  So it could be anything behind this dreadful disease.

What are the symptoms of ME/CFS?

  • Feeling extremely exhausted
  • Not feeling refreshed even after sleeping
  • Problems with concentration, attention and memory
  • Feeling dizzy or faint when sitting up or standing (due to a drop in blood pressure)
  • Muscle pain or aches
  • Tender lymph nodes in the neck or under the arm
  • Sore throat that is constant or goes away and comes back often

Less-common symptoms of ME/CFS include:

  • Visual problems (blurring, sensitivity to light, eye pain)
  • Psychological symptoms (irritability, mood swings, panic attacks, anxiety)
  • Chills and night sweats
  • Low grade fever or low body temperature
  • Irritable bowel
  • Allergies and sensitivities to foods, odors, chemicals, medications, and sound
  • Numbness, tingling, or burning sensations in the face, hands, or feet

How is ME/CFS treated?

Sadly there is no cure or FDA-approved treatments for ME/CFS. But, there are few things you, your family members and your doctor can do to help ease your symptoms.

Graded exercise therapy (GET)

GET is nothing but increasing your physical activities according to your CFS symptoms and closely monitored by a physiotherapist or occupational therapist who is used to treating people with CFS/ME.  GET can improve symptoms for some people. However, some people report that they do not find it beneficial.

Cognitive behavioral therapy (CBT)

CBT is based on the idea that your mind can treat your body which means that a certain way of thought process can heal your CFS.  It aims to change any harmful behaviors which can fuel certain health problems. It could be anything from physical activity, daily routine management, thinking positively, having a sleep routine, goal setting.

What can I do to cope with ME/CFS?

  • Talking about your feelings with a friend or family member can help.
  • Sometimes it also helps to talk with people who are going through the same thing.
  • Adjust your schedule to take advantage of times when you have more energy and feel less tired.
  • Keep a diary for a week or so. Write down the times of day when you have energy and when you are tired. If there is a pattern to how your energy level changes during the day, try to plan your work, school, or other activities around that pattern.
  • Do what you can to take charge of your fatigue level. Try not to do too much when you have more energy. If you do too much, you may become overtired. And it may take several days for you to recover.
  • Improve your sleep habits.
  • Sleep problems may add to your fatigue and other symptoms.
  • Go to bed only when you are sleepy. Get up at the same time every day, whether or not you feel rested.
  • If you lie awake for longer than 15 minutes, get up, leave the bedroom, and do something quiet until you feel sleepy again.
  • Avoid alcohol, caffeine, and tobacco well before bed.
  • Get light, gentle exercise regularly.
  • Eat a balanced diet. Include plenty of fruits, vegetables, grains, cereals, legumes, poultry, fish, lean meats, and low-fat dairy products.

Please keep in mind that CFS can lead to many complex medical conditions like depression and social isolation. You will also have some lifestyle restrictions because of your chronic fatigue. You might lose your career or not be able to spend as much time with family and friends as you would like. If you are employed, your doctor will be able to advise you about whether you should take time off work. Please don’t ignore symptoms

#WorldMultipleSclerosisDay 27 may 2015: Raise Awareness

ms 2

Multiple sclerosis (MS) is believed to be an immune-mediated disorder in which myelin sheath or nerve fiber is damaged or destroyed due to formation of lesions, scar tissue (sclerosis) is formed and nerve impulses travelling to and from the brain and spinal cord are distorted or interrupted, producing a wide variety of symptoms. People from northern European countries are at a higher risk of developing MS and women are 2 to 3 times more likely to develop MS than men.

MS is a chronic disorder which affects muscular movements of the patients.The progress of MS and a person’s prognosis is not predictable at the early stages with great accuracy. Patients are advised at the early stages to try to lead a normal life, exercise frequently, and follow healthy diets. However, delay in diagnosis of any early warning symptom can lead to more complicated problems. MS is not a fatal disease. Death results from other causes, such as heart attack or pneumonia, which is not related to the MS disease process.

Possible triggering factors:

  • Environmental causes: prevalence increases with distance from Equator
  • Genetics: Siblings of an affected person have a 2%-5% risk of developing MS
  • ·      Viruses: Epstein-Barr, varicella zoster, and hepatitis vaccine may be the cause of MS but not yet proven
  • ·      Sex hormones: Estrogen and progesterone may suppress some immune activity and hence the increased incidence in females

Common symptoms of MS

  1.       Blurred vision and mental imbalance
  2.       Lack of coordination
  3.       Difficulty in walking and doing physical activities due to poor balance and muscular weakness
  4.       Numbness and tingling sensation
  5.       Poor bladder control

 

How to manage MS?

Living life fully with MS demands some basic requirements that can help manage your symptoms

  • Healthy diet
  • Regular exercise
  • Stress management and other wellness strategies
  • Assistive devices for help with walking, bathing and toiletting, dressing –up, eating, sleeping, and writing
  • Memory sharpening tools: by using tools and gadgets like digital recorders, calenders, sticky-notes, diaries or record books.
  • Support in education and employment; Small changes such as having somewhere to have a rest, or flexible work hours, can make a big difference to being able to stay on at work.

 

Raise awareness for MS to make a difference

Educating people about the disease and spreading information about the available solutions and support systems can make a difference in the patient outcome. Multiple Sclerosis is incurable, but with proper medications, physical therapy  and rehabilitation  patients can have fast recovery, or relief from the symptoms.

  •  Seminars  and meetings  to educate people about the symptoms and management of MS can be taken up by physicians and social organizations.
  •  Social media and online forums, can allow space for people to share their personal experiences with MS-affected individuals in their family or acquaintances.
  •  Awareness messages via emails, cards, or  even a news, can create awareness in a group of people.
  • MS awareness days or weeks can play an important role in raising awareness among common people about how to support the patients.
  • Involvement of celebrities for raising awareness and funds for the cause of MS can play a significant role.

This blog from the desk of Turacoz Healthcare Solutions is anendeavour to spread the word for incurabe but controllable Multiple Sclerosis.

Reach out to us for developing patient education material, and building scientific evidence in the form of manuscripts, review articles, and slide deck preparation to train field force/doctors at [email protected].