ASSIGNMENT 3 (1)

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Rutgers University *

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01:119:150

Subject

Medicine

Date

Jan 9, 2024

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pdf

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3

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1. What does the FDA do? What does the FDA regulate? You do not have to provide me with full list, a summary will be fine. The FDA is known as the Food and Drug Administration. They are responsible for protecting public health by ensuring the security, efficacy, and safety of pharmaceuticals for humans and animals, biological products, and medical equipment. The FDA also takes care of the security of our country's food supply, cosmetics, and radiation-emitting items. 2. One of the things the FDA regulates is drugs. Briefly describe the drug approval process. Make sure to define Phase I, II, III, and IV clinical trials and informed consent in your description. The drug approval process is very extensive and all drugs must go through a rigorous evaluation process which is made to dissect and understand every aspect of the drug. The drug goes through both preclinical (animal) testing and then to human testing, but for human testing to occur the FDA and the local institutional review board (IRB) must review the IND application. Once this is done phase one can begin. Phase one is conducted on 20-80 healthy volunteers and the studies are used to determine the drug's most frequent side effects and how the drug is metabolized and passed through the body. Phase two testing can only begin if the drug passes phase by being under the accepted toxicity levels. Phase two’s main focus is on how effective the drug is on people who have the disease/condition. This phase involves the use of a blind experiment that involves a placebo or different drug. At the end of phase two the FAD and the sponsors meet and the studies are used to gather more information about the drug's safety and effectiveness. They test the drug on different populations and test what the drug does when combined with other drugs and used at different dosages. Phase four involves a review meeting between the FDA and the drug’s sponsor. Once the FDA has concluded that the product is good enough to be put on the market, they complete postmarket requirements and commitment studies to ensure the product's safety. The New Drug Application is what the drugs sponsor submits to the FAD as a final approval to put the drug on the market. The NDA encompasses all the relevant information that was found during phases one to three.
3. Then search the Clinical Trials website for a trial of the use of Paxlovid to treat long COVID. Use the "Find a Study" box and type in "long COVID19" in the "Disease or Condition" and then "Paxlovid" in the "Other Terms" box and then click "Search". This will bring to you a screen with two studies, click on the first and answer the following questions: What is the purpose of the study? The study is to improve treatment plans of long COVID in the health care system and in different communities. Briefly describe the study design. The study involved 1700 randomized participants that were chosen after completing an array of symptom questions. The participants were assigned into one or more out of three Symptom Clusters that were based on the original assessment. Once they are assigned into their cluster they will then be assessed again, if they qualify for more screening they will undergo assessment of all the symptom clusters that the participant qualifies for. What are the primary outcomes? The primary outcomes that were found include a change in exercise intolerance, a change in cognitive dysfunction, and a change in autonomic dysfunction. What are the eligibility requirements? In order to be eligible for the study the individuals must be older than 18, had been previously suspected or confirmed to have the SARS-CoV-2 infection, show signs of the clinical or epidemiological criteria (fever, cough, weakness, headache etc.), have at least one moderate cluster-associated symptom, must meet the patient reported outcome symptom cluster criteria, and must be willing and able to provide informed consent to complete the surveys provided and attended the necessary follow-up visits “SARS COV-2 Viral Persistence Study (PASC) - Study of Long Covid-19 - Full Text View.” SARS CoV-2 Viral Persistence Study (PASC) - Study of Long COVID-19 - Full Text View - ClinicalTrials.gov , https://clinicaltrials.gov/ct2/show/NCT05595369?term=Paxlovid&cond=long%2BCOVID 19&draw=2&rank=1#outcomemeasures .
4. Finally, use the RU Libraries website https://www.libraries.rutgers.edu and one of the database search engines for finding articles, e.g. MEDLINE, find one scientific research article having to do with treatment of COVID19. (If you decide to use MEDLINE, I would suggest you search for COVID19 and then on the next screen, the "Combine Screen", check "Drug Therapy".) Remember that a scientific research article (primary source), must have a Methods section describing the research the authors did and a Results section describing the data they collected. Please provide me with the full citation (using the format described in the final paper document) and a short (1-2 sentence) summary of the research study. The purpose of this experiment was to find out what influence the COVID-19 pandemic had on the perioperative course in cholecystectomy patients and to call attention to the possible residual consequences. Fischer, L., et al. “[The COVID-19 Pandemic Had Significant Impact on Duration of Surgery and Hospitalization Time for Patients after Cholecystectomy].” Chirurgie (Heidelberg, Germany) , vol. 94, no. 1, Jan. 2023, pp. 61–66. EBSCOhost , https://doi.org/10.1007/s00104-022-01788-4.
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