Coalition for Health Services Research

 

Select an interest group (AARP, AHIP, Coalition for Health Services Research, Emergency Nurses Association, Pharma)
Discuss how they are pushing their agenda (i.e., mechanisms used to influence policy makers), key obstacles, and spending (consult the Center for Responsible Politics, www.opensecrets.org)
Investigate the interest group’s website and review their position statements, testimony, and consult media reports to obtain more information on the group’s lobbying efforts.

 

Sample Solution

Coalition for Health Services Research

The American Association of Retired Persons (AARP) fights for age 50 and over individuals and their families at the local, state and national levels. It works on important issues, such as: leading efforts to update Social Security and promote other retirement savings efforts to help everyone achieve lifetime security; promoting adequate, affordable health care, including prescription drugs and long-term care; and fostering communities with affordable and appropriate housing, as well as supportive community features and options for getting around. Since AARP`s constituency is older people, it must court new members just to break even. AARP also faces the difficult task of recruiting people who vary widely in age, socioeconomic status and ethnicity.

chanism of action:
In low PH values, pantoprazole is transformed into cationic sulfenamide, which is its active form [184, 190] , this drug accumulates in the highly acidic environment of the parietal-cell canalicular lumen and it is activated. The active form, tetracyclic cationic sulfonamide, reacts with thiol groups of cysteines 813 and 822 of transmembranal H+ / K+ ATPase[183, 186]. This conversion must take place beside the gastric parietal cells, so pantoprazole must be absorped intact by GIT [184].

The pantoprazole is an acid labile drug, which undergoes degradation in the stomach [191-194]. Therefore, the drug should be targeted to the intestine; to bypass the stomach. The gastro resistant drug delivery system is designed for the acid labile drugs due to the necessity to pass intact through the stomach for reaching the duodenum for absorption. The dosage form is prepared to bypass the stomach by formulating a solution for intravenous administration (lyophilized powder for reconstitution) or as gastric‐resistant tablets (oral delayed‐release dosage form) [195]. In the case of oral administration, the enteric coating prevents the drug from degradation in the gastric juice (at pH 1–2, for a few minutes [195-197]. Therefore the enteric coating, on the acid labile drug, is essential, thus they are less affected by pH. Thus the concept of gastro resistant drugs was generated.
The wavelength of maximum absorbance for pantoprazole sodium sesquihydrate (λmax) was found to be 283.5 nm in 0.1N Hcl (pH 1.2) and 288.5 nm in phosphate buffer (pH 6.8).

Calibration curves for pantoprazole sodium sesquihydrate in each of 0.1N Hcl (pH 1.2) and phosphate buffer (pH 6.8) were assessed from absorbance values, at λmax of a series of pantoprazole sodium sesquihydrate solutions containing different concentration of pantoprazole as shown in figure (1) and figure (2).
The proposed nanoprecipitation (solvent displacement or interfacial precipitation) [143-148] method enabled the formulation of polymeric nanoparticles by using organic phase with different concentrations of Eudragit S100 (ES100) and HPMC phthalate HP55 with using Tween 80 and Poloxamer 407 as surfactant with different concentrations and different ratio of organic phase: aqueous phase. Although, all formulae produce nanoparticles, formulation factors significantly affect the size of prepared polymeric nanoparticles.
3.1. Effect of polymer concentration and polymer type on particle size of plain PNPs :
Particle size of Eudragit S100 and HPMC Phthalate HP55 nanoparticles was directly proportional to polymer concentration (Eudragit S100 and HPMC Phthalate HP55 concentration respectively) as the particles size increased with increasing polymer concentration [211, 212] and this may be due to increasing the concentration of dissolved polymer resulted in increasing organic phase viscosity and reducing the efficiency of stirring which caused formation of the bigger emulsion droplets [213] and this can be also attributed to that higher viscosity

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