Suchergebnisse

Abstract Objectives Pharmaceutical supply chain is a significant component of the health system in supplying medicines, particularly in countries where main drugs are provided by local pharmaceutical companies. No previous studies exist assessing risks and disruptions in pharmaceutical companies while assessing the pharmaceutical supply chain. Any risks affecting the pharmaceutical companies could disrupt supply medicines and health system efficiency. The goal of this study was the risk assessment in pharmaceutical industry in Iran considering process's priority, hazard and probability of risks. Methods The study was carried out in 4 phases; risk identification through literature review, risk identification in Iranian pharmaceutical companies through interview with experts, risk analysis through a questionnaire and consultation with experts using group analytic hierarchy process (AHP) method and rating scale (RS) and risk evaluation of simple additive weighting (SAW) method. Results In total, 86 main risks were identified in the pharmaceutical supply chain with perspective of pharmaceutical companies classified in 11 classes. The majority of risks described in this study were related to the financial and economic category. Also financial management was found to be the most important factor for consideration. Conclusion Although pharmaceutical industry and supply chain were affected by current political conditions in Iran during the study time, but half of total risks in the pharmaceutical supply chain were found to be internal risks which could be fixed by companies, internally. Likewise, political status and related risks forced companies to focus more on financial and supply management resulting in less attention to quality management.

AbstractMaintaining the water quality is essential because of the limitation of drinking water bodies and their significant effects on life. Recently, much scientific interest has been attracted to the ecological condition assessment of water resources. Because of numerous health issues connected to water quality, the present work aimed to define the water quality status of Chahnimeh reservoirs, Sistan and Baluchistan province, Iran via the Iran Water Quality Index (IRWQISC), the National Sanitation Foundation Water Quality Index (NSFWQI), and human risk assessment. This cross-sectional descriptive work was accomplished in 4 seasons in 2020. The samples were gathered from 5 various points of Chahnimeh reservoirs. This study led to the results that the NSFWQI index was between 29.4 to 49.32, which showed "bad" quality, and the IRWQI index was between 19.27 and 39.23, which indicated "bad" and "relatively bad" quality. The best water quality based on both indexes was observed in the spring, and the worst was in the fall and summer. The highest value of HQ related to nitrate in drinking water was 1.60 in the group of children. However, according to the Monte Carlo simulation, HQ95% was estimated as 1.29. The Sobol sensitivity analysis of the first-order effect showed that daily water's daily ingestion rate (IR) was the most sensitive input. In addition, the value of the second-order effect indicated that the interaction effect of concentration—ingestion rate was the most sensitive input parameter for HQ. Therefore, regular monitoring is necessary to ensure water safety for human consumption.