ABSTRACT Drug manufacturers (Biopharmaceutical and Pharmaceutical) companies undergoes a serious regulatory and inspections protocol because health and life are involved. The authorities validate that new products are carefully tested (both in pre-clinical and clinical stage) for consumption safety before marketingINTRODUCTIONRegulatory Affairs is the proficiency and application of strategic enforcement of the legal frame work relating to biopharmaceutical, pharmaceuticals and related products. The modern drug regulations started in the 19th century which systemized a solid foundation for the modern drug research, development and started to flourish.WHY REGULATORY AFFAIRS All substances are poison, the right prescription extricates a poison and a remedy. Drugs are not ordinary consumers product. Patients are not in position to decide on when to use drugs, which drugs to use and how to use them. Professionals should prescribe, however even the health professionals cant act or prescribe drugs without proper guidelines & training (both theoretical and practical) REGULATORY AFFAIRS AIMSEnsures safety, efficacy and quality of medical productsEnsures accuracy of product informationProtects human health ROLES OF REGULATORY BODIESDirect the manufacturers on regulatory conditions and climate that would influence their proposed activesEnsures obedience & compliance with all the applicable regulations and guidelinesProvides regulatory intelligence in converting regulatory requirement into practical workable plans DRUG DISCOVERY: Drug discovery simply means the researching and identification of a new medicinal product. Drugs can be discovered in so many ways such as Random screening, Molecular manipulation, molecular designing, drug metabolites, serendipityHEAT TO LEADSCREEN DEVELOPMENT & HTSLEAD OPTIMIZATIONCANDIDATE SELECTION TARGET PRIMARY PARALLEL OPTIONAL POTENCY EFFICACYIDENTIFICATION HTS MEDICAL CHEMISTRY SELECTIVITY IN VIVO MODELS THE DRUG DISCOVERY PROCESS IN THE 21TH CENTURY Screen development & HTS: This is the method of finding a new medicinal product against a chosen target for a disease. High-Throughput Screening(HTS) is the discovery process widely used in Biopharmaceutical and Pharmaceutical industriesHeat to lead (lead generation): This is a phase in drug discovery where molecule(small) from HTS are classified and undergo limited optimization to identify lead optimizationLead optimization: The goal of this phase is to transfer a suitable compound for testing in humans by subjecting a given lead to a development process to optimize its properties. A key step in lead optimization include increasing the pharmacological efficacy and mechanism of action on a medicinal productCandidate selection: The is the process by which a drug candidate is designed after the initial compound has been identified (Bleicher et al., 2003)DRUG DEVELOPMENTThis is the process of formulating a new medicinal product once a lead compound has been identified through the process of drug discovery. Classification of drugsActive Pharmaceutical Ingredients (API)The excipientsActive pharmaceutical ingredients (API): This is the main drug in any medicinal product which influences the body when taken. e.g. acetaminophen in a pain relief tabletExcipients: This is simply a substance added to a medicinal product, so it is suitable to administer.Types of excipients. Coating (e.g. shellac, zinc), preservatives (antioxidants like vitamin a, citric acid) GUIDELINES FOR DISCOVERY AND DEVELOPMENTICHQ1A STABILITY TESTING. This guideline provides a clear proof on how the quality of medicinal product varies under environmental influence such as humidity and temperatureICHQ1B PHOTOSTABILITY TESTING. This guideline indicates that medicinal products must be photo tested to guarantee safety after the exposure to lightICHQ1C This are newly produced drugs from a different manufacturer but contains the same active substances. This testing is done to certify a drug under different factorsICHQ1D This is the testing of samples at different design factors (factors like container size, strength)ICHQ1E This is the assessment of stability data which can be used to retest the shelf life of a medicinal productICHQ1F The guidelines describe the manufacturing process development and the risk of quality by designICHQ10 This guideline helps to match various quality system across the life cycleREGULATIONS FOR DISCOVERY AND DEVELOPMENTRegulation (EC) No 1394/2007STANDARDS FOR DISCOVERY AND DEVELOPMENTISO 10006:2003ISO 11239:2012E 2500:13 PRE-CLINICAL TRIALSThis is a phase where important feasibility testing and drug safety data are collected. This involves all the necessary task to advance a new medicinal product through manufacturing, formulation, pharmacology, pharmacokinetics &toxicology testing. All this task must be accomplished in a healthy and regulatory compliant to ensure the quality of data and safety of clinical trials participant (Pre-clinical development, 2018)BASIC GOALS Classify the pharmacological properties PD (mode of action)Establish a safe dose level for human exposureFinding the parameters for clinical monitoring of effect Pharmacology This is the mode of inspecting drugs and their effect on organisms(biological). Pharmacokinetics:The analytical movement of medicine within the body. The step involves AbsorptionDistributionMetabolismExcretionToxicology: This is the systematic research of toxic substance and its effect. Testing of toxicology includesRepeat dose testingGenotoxicity testingCarcinogenicity testingCLINICAL TRIALSThis is the method of diagnosing & treating of health conditions. This stage of drug development comprises of four phases.PHASE I: This is the first phase in clinical trial. At this stage, the researcher administers the new drug to a few healthy volunteers (70 people) to examine the potential toxicity. The phase main aims are to determine the highest dose patients can take without side effect. This trial takes about a year and the success will lead to phase to trial.PHASE II: At this phase, the new drug will be administered to people living with the disease (about 300 carriers) to determine the effectiveness.PHASE III: At this phase, the drug will be administered to huge population (about 2500 patients) with the disease in the same clinics or hospital. This phase confirms the effectiveness & side effect of the drug and will last for several years (about 3 years). Its the longest trial phase in clinical trialPHASE IV: This final phase determines the long-term effect of the new product i.e. whether a drug reduces agitationCLINICAL TRIAL RISK ASSESSMENT: This is the fundamental role of the sponsor to ensure the rights and safety of subjects are protected. Risk (the medicine may not work thereby causing harm to volunteers) Define the objective in each clinical phase Identify the risk that may affect the trial stageAccess the root causeAccess the impact Decide the risk response base on the type of risk GUIDELINES FOR PRE-CLINICAL AND CLINICAL TRIALSICHM3: This guideline characterizes the principles for non-clinical safety evaluationICHS1A-C: The guidelines are based on testing of rodent carcinogenicity for human pharmaceuticalsICHS3A: The guideline describes the exposure assessment in toxicity studiesICHS2: Gives a description of test battery for genotoxicityICHS4: The guideline maps the minimum duration toxicology (rodent 6months, nonrodent 9months)ICHS8: The guideline evaluates nonclinical testing for immunoenhancementICHE6A-BREGULATIONS FOR PRE-CLINICAL AND CLINICAL TRIALS Regulation (EC) No 45/2001: The regulations determine the reaction of any medicinal products. It also analyzes the absorption-distribution of drugsRegulation (EU) No 536/2016: Regulation (EC) No 190/2006Regulation (EC) No 596/2009Regulation (EU) No 45/2001STADARDS FOR PRE-CLINICAL AND CLINICALSISO 1415:2011 This standard gives details of clinical investigations in human subjects for safety evaluationsISO 15189 The standards defines the requirements of quality management system in laboratory testingISO 14155:2001 Clinical analysis in human ASTM E691 The standard defines the method for analyzing and treating of results MARKET AUTHORIZATION (MA)This is a compulsory license to place a new drug in the market to be used by patients. All biopharmaceutical and pharmaceutical companies require this license to market their product and can obtain the authorization once the application has been approved by the competent authorities. Before applying for the market authorization application, the compliance team must submit an important dossier called Common Technical Documents (CTD) to the authority for evaluation and approval. This document holds all the data and informations obtained at the previous stages of drug development life cycle.The Common Technical Document is made up of five fixed module contentsRegional admin information Module 1Clinical overviewNon-clinical overviewQuality overall summary Module 2Non-clinical summaryClinical summaryClinical reportsNon-clinical reportsQuality data Module 3 Module 4 Module 5 (Cowley and Camp, 2015)Module 1: Documentation of files / information e.g. manufacturing license, labelling informationModule 2: Summarizes of the quality and clinical informations which are shown hereModule 3: This document shows how the medicinal product are made (quality)Module 4: Non-clinical study reports are displayed here (both in vivo & vitro)Module 5: Details of efficacy and safety are shown here MARKET AUTHORIZATION PROCEDURESCentralized ProcedureDecentralized ProcedureMutual RecognitionProcedureNationalProcedureInvolves all EU members statesOne or more EU members statesOnly one EU member stateOne or more EU state (Marketingauthorisation, 2015)Centralized Procedure: This procedure involves all the EU members and takes about 210 daysMutual Recognition procedure: This procedure involves one or more members in the EU zone and takes 90 days with 30days additional time for translation review purposeDecentralization Procedure: This procedure includes one or more EU state and takes 210 days with 30 days review timeNational Procedure: this procedure involves only one EU member state takes 210 days (Marketing authorisation, 2015)GOOD MANUFACTURING PRODUCT (GMP)This are checks and measures that ensure medicinal products are produce and controlled in accordance to the quality standard. The goal of GMP is to minimize the risk in biopharmaceutical and pharmaceutical production that cannot be eliminated through testing the final product INITIAL MARKET AUTHORIZATIONPAConclusionPre-applicationSecondary evaluationBasic evaluation First day Day 210 (Nieto-Gutierrez, 2010)PHARMACOVIGILANCEPharmacovigilance is the act of supervising the effect of new medicinal product after they have been certified for patients use AIMSTo enhance patient safety and care of peopleTo publicize clinical training and health awareness to public and professionalPOST MARKET SURVEILLANCE (PMS)This is the method of acquiring information about a medicinal product after the market authorization.Reason for post market surveillanceTo evaluate signs of risk related to drug useTo diagnose and predict the unexpected riskSource of post market informationCustomers scrutinyConsumers complaintsInternetPost CE market clinical trial GUIDELINES FOR MARKET AUTHORIZATION AND POST MARKET AUTHORIZATIONICHE2E: This is the guideline for planning pharmacovigilance activitiesICHE2D: Procedure for post approval safety data managementICHM4: The guideline gives a format for Technical Document applicationICHM4Q REGULATIONS FOR MARKET AUTHORIZATION AND POST MARKET AUTHORIZATIONDirective No 2001/20EC Regulation (EC) No 726/2004: Authorization and supervision of products for human and animal consumption Regulation (EU) No 520/2012Regulation (EU) 712/2012Regulation (EC) No 1768/92 STANDARDS FOR MARKET AUTHORIZATION AND POST MARKET AUTHORIZATIONISO 9001:2015- The standard analyzes the system for quality managementISO 1522:1999 The standards emphasis on documenting procedures for life cycle modelISO 15394:2009 This standard gives a clear detail on labelling and packaging of products (2D barcode)ISO 11239:2012BS EN ISO 15378:2007 RISK MANAGEMENT ACROSS THE LIFE CYCLE phase I phase iii phase iv ApprovalPharmacovigilanceDiscovery toPreclinicalClinical Development Technique to understand the riskEvaluate the benefitDirecting the safety issuesRENEWALSMedicinal products are always renewed after 5 years it was approved. Then application for renewal should always be placed 9 months before the product expiresImportant documents for renewalExpert statementDeclarationVariationGMP compliance certificate VARATIONMeans slightly change in medicinal product. Drug manufacturers are mandated to give details of any key adjustment on the product like company name, address etc. Variation depends on the changes, not all changes will be acknowledged as variation procedure but extensive changes like change in excipients and active ingredients will be submitted as extension of market authorizationPATIENT INFORMATION LEAFLETThis is a booklet that accompanies a medicinal product. This book contains the vital information about a drug like dosage & directions, side effect, warning and precautions, manufacturers address and compositions.COUNTERFEIT MEDICINESThis are fake drugs that are sold to patients as original that may be harmful for patients consumption. The drug may hold unlike ingredients, noxious ingredients, false address etc. Effect of counterfeitHealth hazardReputation deficitGENERIC MEDICINESThis are similar drugs that are in existence but different manufacturer which encloses the same active ingredientsA generic medicine mustHave alike prescription and serve the same purposeAlike API (active ingredients ingredient)Comply with GMP regulationsLABELLING AND PACKAGINGLabelling: This is an identifier (paper or polymer) attached to the body of a product which describes the productFunctions of labellingGives details of a product like ingredients, manufacturing and expiring dateGives details of prescription & dosageSafety warnings and precautions Types of labelManufacturer labelDispensing labelManufacturer label: This is a label from the manufacturer which contains medicinal details, directives to be used by a professional.Labels may containManufacturers name e.g. companies name and addressTotal sum e.g. 50 capsulesPrescription e.g. 2 tablets dailyWarnings e.g. avoid exposure to sunlightPrice tagsDate of manufacturing & expiring dateDose strength e.g. 250mgPackaging: This is the means of protecting and promoting of a new product. It can also serve as an identifier to identify the content of a product.Types of packagingPrimary packagingSecondary packagingTertiary packagingPrimary packaging: This is the type of packaging that grips the content of the product against contamination e.g. blisters, bottlesSecondary packaging: This is the second packaging material that protects the primary content e.g. small cartonsTertiary packaging: This is used for bulky products which protects both the primary and secondary contentsMaterials used in packagingGlassPlasticRubberspapers FALSIFIED MEDICINE Falsified medicine are harmful illegal medicinal products which are been sold as original in the market that maybe harmful to patients. This unauthorized product may contain wrong ingredient and normal ingredients but poor in quality and because they werent evaluated by a competent authority, they could be harmful for human consumption.NEW FALSIFIED MEDICINE REGULATIONS (: REGULATION EU NO 2010/161, DIRECTIVE 2010/83/EC)This regulation was published on February 9th, 2016 which will be implemented on February 2109. The purpose of the regulation is to impede access to both fake and second-rated drugs for the interest of people, they are focused directly on improving the safety of the pharmacotherapy of patients. (Delegated Regulation, 2016)Tamper-evident seal: This method will be used after a new product has been developed to avert manipulation. The seal protects the drug against undesired opening and will not be issued out when tampered with Image of tamper evident seal (The Art of Tamper Evidence from Securikett, 2017) Unique identifier: This is a verification device that determines the authenticity of a product & also differentiates it from another. The regulation requires that product must be coded with an identity number on its body, such number may include expiring date, product serial & batch number. (Delegated Regulation, 2016) Image of 2D barcode Image of unique identifer scanner (Concern among pharmacists over Falsified Medicines Directive, 2017) , (LTD, 2018) QUESTIONS 2IMPORTANCE OF GUIDELINES Guidelines assures consumers safety and well-being unlike counterfeit drugs that did not comply with the guidelinesGuidelines increases ethical awarenessEconomizes resources, development time and minimizes human exposureIMPORTANCE OF STANDARDSAssist regulatory authorities & sponsors in compliance evaluationCertified product gives consumers safety confidence e.g. any product certified by SON (Standard Organization of Nigeria) are seen to be safeProducts manufactured under ISO standards are highly recognized in the international market.Certification body helps in market inspectionsAlso helps in licensing a new product IMPORTANCE OF REGULATIONSHelps manufacturers to improve on their output manufacturing processHelps to protect rights, safety and wellbeing of patientsMonitor advertising and promotion of medicinesSupplies information on products rational use Regulation compliance helps during inspections REFERENCEBleicher, K. et al. (2003) Hit and lead generation: beyond high-throughput screening, Nature Reviews. Drug Discovery, 2(5), pp. 36978. doi: 10.1038/nrd1086.Concern among pharmacists over Falsified Medicines Directive (2017). Available at: https://www.securingindustry.com/pharmaceuticals/concern-among-pharmacists-over-falsified-medicines-directive-/s40/a6402/ (Accessed: 22 November 2018).Cowley, D. and Camp, B. (2015) Clinical Development Drugs, p. 33.Delegated Regulation (2016) OJ L. Available at: http://data.europa.eu/eli/reg_del/2016/161/oj/eng (Accessed: 21 November 2018).LTD, B. T. (2018) What is the Falsified Medicines Directive (FMD)?? | News, Barcode Technologies LTD. Available at: https://www.barcode-uk.com/insight/what-is-the-falsified-medicines-directive-fmd-/News (Accessed: 22 November 2018).Marketing authorisation (2015). Available at: https://www.printfriendly.com/p/g/U5KrG7 (Accessed: 22 November 2018).Nieto-Gutierrez, M. (2010) Non-clinical Assessment Requirements, p. 37.Pre-clinical development (2018) Wikipedia. Available at: https://en.wikipedia.org/w/index.php?title=Pre-clinical_development&oldid=854599404 (Accessed: 30 October 2018).The Art of Tamper Evidence from Securikett (2017) Authentication News. Available at: https://www.reconnaissance.net/authentication-news/issues/april-2017/ (Accessed: 22 November 2018).
Regulatory Landscape of Pharmaceutical Businesses
Mar 17, 2020 | Medical
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- BUSINESS FINANCE, MGT211
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- BUSINESS FINANCE, MIDDLE TENNESSEE STATE UNIVERSITY
- BUSINESS FINANCE, MKT331
- BUSINESS FINANCE, MKT419
- BUSINESS FINANCE, NORTHEAST MONTESSORI INSTITUTE
- BUSINESS FINANCE, OAKLAND UNIVERSITY
- BUSINESS FINANCE, PARK UNIVERSITY
- BUSINESS FINANCE, RASMUSSEN COLLEGE
- BUSINESS FINANCE, SOUTHERN NEW HAMPSHIRE UNIVERSITY
- BUSINESS FINANCE, TRIDENT INTERNATIONAL UNIVERSITY
- Business Strategy
- C11E
- Calculus
- California Baptist University
- California Coast University
- CALIFORNIA STATE UNIVERSITY NORTHRIDGE, OTHER
- can be studied
- can never 21 really be liberating literacies. For a literacy to be liberating it must contain both the Discourse it is going to critique and a set of meta-elements (language
- Capella University
- Capella University, Humanities
- Capital L. George Adams
- CATEGORY
- CE304
- CE445
- CEE792
- CEGR338
- Chamberlain College of Nursing
- Chapter 3
- Charles R Drew University of Medicine and Science
- charles sturt university
- Chaudhary Charan Singh University, Humanities
- CHEM101
- CHEM111
- CHEM1411, Science
- CHEM202, Science
- CHEM210, Science
- CHEM410
- Chemistry
- Chemistry – Chemical Engineering
- Chemistry – Organic chemistry
- Chemistry – Pharmacology
- Chemistry – Physical chemistry
- ChemistryChemistry
- Childcare
- CHMY373, SCIENCE
- Choose three problematic issues that are currently facing older people living in the community?
- CINE286U
- CIS210
- cis273
- CIS359
- CIS510, Other
- CIS524
- CIVL6603, Science
- CJ430, SCIENCE
- CJA444
- CJUS300, Other
- Classics
- CMIT495
- CMSC140
- Colorado Christian University
- COLORADO STATE UNIVERSITY GLOBAL, SCIENCE
- COLORADO STATE UNIVERSITY, SCIENCE
- Colorado State UniversityGlobal
- Colorado Technical University
- COLORADO TECHNICAL UNIVERSITY, OTHER
- Colorado Technical University, Programming
- Columbia Southern University
- COLUMBIA SOUTHERN UNIVERSITY, OTHER
- Columbia Southern University, Science
- COLUMBIA SOUTHERN UNIVERSITY, WRITING
- Commerce
- Communication
- Communications
- COMMUNITY-BASED CORRECTIONS
- COMP1007
- Computer Science
- Computer Science – Java
- Computer Science- Python
- Computer ScienceComputer Science
- Construction
- correctness
- Cosc1437
- counseling chemical dependency adolescents
- Criminology
- CRJ305
- cross-site scripting
- CS101
- CSIT 100, PROGRAMMING
- CSPM326
- CST 610, PROGRAMMING
- Cultural Studies
- culturally appropriate intervention to address childhood obesity in a low-income African American community.
- CUR535
- CUYAMACA COLLEGE, HUMANITIES
- CUYMACA COLLAGE, HUMANITIES
- Data Analysis
- DAVIDSON COLLEGE, OTHER
- defensive programming allows for more efficient processes while also protecting systems from attack.
- DES201
- Describe the difference between glycogenesis and glycogenin ? Explain in 10 to 12 lines.
- Design
- Digital Marketing Plan for Nissan Motor Co. The plan will identify the current marketing opportunity and/or problem(s) and propose digital marketing solutions. Please use header in the attachment."
- Discuss one way in which the Soviet Union fulfilled communist thought, and another way in which it did not with reference to O'Neil's Chapter 9.
- Discuss the pros and cons of free-market based economies and how they impact the modern, globalized economy? What comes to your mind when you hear the term "globalization?"
- Dissertation
- DMM612, Science
- DMM649, SCIENCE
- Draft and essay of 1,000 words minimum, stating the Most Important and Relevant aspects to be considered when carrying on INTERNATIONAL NEGOTIATIONS or MULTI-CULTURAL NEGOTIATIONS.
- Drama
- each time a user extracts the ZIP file
- Earth Science – Geography
- Earth Science – GeographyEarth Science – Geography
- Earth Science – Geology
- EAS1601
- ECD 541, HUMANITIES
- ECE 452
- Ecommerce
- ECON335
- Economics
- ECPI University
- EDUC696
- Education
- EducationEducation
- EEL3472C
- EEL3705
- EET110
- EFFAT UNIVERSITY JEDDAH, HUMANITIES
- elasticity
- ELI2055A
- EMDG 230, SCIENCE
- Emglish
- Emory University
- Employment
- EN106
- EN106, HUMANITIES
- EN109
- EN206, HUMANITIES
- ENC1102, Writing
- eng 100
- ENG100
- ENG101
- ENG101, Humanities
- ENG102
- ENG102, Humanities
- eng106
- ENG1102, WRITING
- ENG124
- ENG124, Humanities
- ENG124, Writing
- ENG1340, HUMANITIES
- ENG200, Humanities
- ENG207
- eng2206
- ENG2211
- ENG305
- ENG812
- Engineering
- Engineering – Chemical Engineering
- Engineering – Civil Engineering
- Engineering – Civil EngineeringEngineering – Civil Engineering
- Engineering – Electrical Engineering
- Engineering – Electrical EngineeringEngineering – Electrical Engineering
- Engineering – Electronic Engineering
- Engineering – Mechanical Engineering
- Engineering – Mechanical EngineeringEngineering – Mechanical Engineering
- Engineering – Telecommunications Engineering
- EngineeringEngineering
- ENGL 120
- ENGL 124, OTHER
- ENGL 124, WRITING
- ENGL 2030, HUMANITIES
- ENGL1102
- ENGL120, HUMANITIES
- ENGL120SP2019, WRITING
- ENGL126
- ENGL1302
- ENGL130E, HUMANITIES
- ENGL147N, HUMANITIES
- ENGL2, Humanities
- English
- English – Article writing
- English – Article writingEnglish – Article writing
- English Language
- English Literature
- EnglishEnglish
- ENGR350
- ENST202CORE274
- ensuring you allocate dedicated time for coursework
- Environment
- Environmental Science
- Environmental Sciences
- Environmental Studies
- especially for a small company
- Essay Writing
- etc¦). Please note at least five organizational activities and be specific when responding.
- ETH321
- ETHC445N
- Ethnic Studies 101
- European Studies
- EXNS6223
- Family
- Fashion
- February 20). What is defensive programming? EasyTechJunkie. Retrieved December 30
- film industry
- FILM INDUSTRY, HUMANITIES
- Film Studies
- FIN 500
- FIN330, MATHEMATICS
- FIN370
- Final Essay
- Find the uniform most powerful level of alpha test and determine sample size with the central limit theorem
- Florida International University
- Florida National University
- Florida State College at Jacksonville
- FoothillDe Anza Community College District
- Foreign Languages
- Foreign Languages – Spanish
- formulations
- from https://www.pcmag.com/news/fat32-vs-ntfs-choose-your-own-format
- G124/enc1101
- Gallaudet University
- General Studies
- General_Business
- GEO1206
- GEOG100, Science
- Geography
- GEOL3200, HUMANITIES
- Geometry
- George Mason University
- GERM1027
- GERO 101, SCIENCE
- GERON101
- GLG101, Science
- GO16
- Government
- GovernmentGovernment
- GOVT2305
- GOVT2305, Humanities
- GOVT2306
- Grand Canyon University, Science
- Grand Canyon University, Writing
- Grantham University
- GRANTHAM UNIVERSITY, PROGRAMMING
- GRANTHAM UNIVERSITY, WRITING
- GROSSMONT COLLEGE, HUMANITIES
- Grossmont-Cuyamaca Community College District
- GROSSMONT-CUYAMACA COMMUNITY COLLEGE DISTRICT, HUMANITIES
- GU299, WRITING
- Hawaii Pacific University
- HC310
- HCA415
- HCA521
- HCM550, SCIENCE
- Hcs370
- HCS446
- he focused on aspects of the U.S. that combined democratic and increasingly capitalist characteristics. THINK ABOUT the points De Tocqueville made.
- Health & Medical
- Healthcare
- HIM 2588, MATHEMATICS
- HIM 500, SCIENCE
- HIM301
- HIS 108
- HIS101
- HIS105
- HIS200
- HIST104A, Humanities
- HIST111
- HIST1301, HUMANITIES
- HIST1302
- HIST1320
- HIST1700
- HIST2620
- HIST350, Humanities
- HIST405N, HUMANITIES
- HIST459, Humanities
- History
- History – American history
- History – American historyHistory – American history
- History – Ancient history
- History – Ancient historyHistory – Ancient history
- History – World history
- History – World historyHistory – World history
- HISTORY4250, Humanities
- HistoryHistory
- HLSS508, OTHER
- HMP403
- Hospitality
- HOST1066, WRITING
- Housing
- How do the changes in ship technology effect port operations? Discuss at least 3 factors contributing to port operations and development. Address cargo and passenger liners.250 words
- How have Mary Calderone, SIECUS and other sex educators changed how sex education is perceived? (100 words minimum)
- HOWARD UNIVERSITY, SCIENCE
- HR Management
- HRM300
- HRT6050, Writing
- HSA305
- HSA535
- HSC3201
- HSN476
- HUM1002
- HUM115
- HUM115, Writing
- Human Resource
- Human Resource Management
- Human Resource ManagementHuman Resource Management
- Human Resources
- HUMAN RESOURCES DEVELOPMENT AND MANAGEMENT, SCIENCE
- Human Rights
- HUMANITIES
- Humanities, Alcorn State University
- HUMANITIES, HY 1110
- Humanities, LMC3225D
- HUMANITIES, LONG BEACH CITY COLLEGE
- HUMANITIES, MUSIC1306
- HUMANITIES, OAKLAND COMMUNITY COLLEGE
- HUMANITIES, PH 100
- HUMANITIES, POINT LOMA NAZARENE UNIVERSITY
- HUMANITIES, PRINCE GEORGE'S COMMUNITY COLLEGE
- Humanities, PSY105
- HUMANITIES, PSY330 THEORIES OF PERSONALITY
- Humanities, PSYC 1101
- HUMANITIES, PSYCH305
- HUMANITIES, PSYCH635 PSYCHOLOGY OF LEARNING
- HUMANITIES, RSCH8110
- HUMANITIES, SAN DIEGO STATE UNIVERSITY
- HUMANITIES, SAN JACINTO COLLEGE
- Humanities, SOC1010
- HUMANITIES, SOC401
- HUMANITIES, SOCIOLOGY OF RELIGION
- HUMANITIES, SOUTHERN NEW HAMPSHIRE UNIVERSITY
- HUMANITIES, STRAYER UNIVERSITY
- HUMANITIES, SWK110
- HUMANITIES, UNIVERSITY OF CALIFORNIA
- HUMANITIES, UNIVERSITY OF CALIFORNIA IRVINE
- HUMANITIES, UNIVERSITY OF HOUSTON-DOWNTOWN
- Humanities, University of Maryland University College
- i need the attached work to look like this. please redo and make it look like this.
- I need these questions answered fully. I have the assignment and the notes attached for it. Do not use chegg or course hero. This is due Wednesday 4/14 at 10:00 pm which is almost 4 full days. Thanks!
- I need to re organize a research paper I attached all my information and I attached you an example how is going to be. Please follow the instruction and the references has to be APA 7edition
- Identify a cardiac or respiratory issue and outline the key steps necessary to include for prevention and health promotion
- identify the leadership theory that best aligns with your personal leadership style
- if you suggest trying to do this
- IGLOBAL UNIVERSITY
- IHS2215
- Iii Mlch
- III nuistery of such superficialities was meant to
- Implement classifiers KMeans, Random Forest and Decision Tree, SVM,XGBoost and Naive Bayes for the given dataset of audio samples to findout top genre for an audio sample(which one fits best)
- In a cardiac issue what are the key steps necessary to include for prevention and health promotion.
- in any other way
- include a paragraph about which side of the case a forensic psychologists might support and why.
- indeed
- India
- INDIANA UNIVERSITY BLOOMINGTON, SCIENCE
- INF690
- INF690, Other
- Information Systems
- Information SystemsInformation Systems
- Information Technology
- INSTITUTE OF PUBLIC ADMINISTRATION SAUDI ARABIA, PROGRAMMING
- INT700, OTHER
- International Business
- International Relations
- International Studies
- Internet
- Introduction to Biology
- Is jury nullification sometimes justifiable? When?
- ISSC351
- It Research
- IT380
- IT550, Business & Finance , Southern New Hampshire University
- ITC3001
- ITP120
- ITS 631, PROGRAMMING
- ITS835, Other
- JEDDAH COLLEGE OF ADVERTISING, WRITING
- Journalism
- KNOWLEDGE IS POWER, OTHER
- Languages
- Law
- Law – Civil
- Law – CivilLaw – Civil
- Law – Criminal
- Law – CriminalLaw – Criminal
- LawLaw
- Leadership
- lecture slides
- Leisure Management
- Liberty University
- LIBERTY UNIVERSITY, WRITING
- lIlgll.Igt· (1II1In·d
- Linguistics
- literacy is always plural: literacies (there are many of them
- Literature
- Literature Review
- Literature review funnel on "cyber security"
- LiteratureLiterature
- MA105
- MAJAN COLLEGE, WRITING
- Management
- Manpower
- Marketing
- Math
- MATH 1030
- MATH144, MATHEMATICS
- Mathematics
- Mathematics – Algebra
- Mathematics – Calculus
- Mathematics – Geometry
- Mathematics – Numerical analysis
- Mathematics – Precalculus
- Mathematics – Probability
- Mathematics – Statistics
- Mathematics – StatisticsMathematics – Statistics
- Mathematics – Trigonometry
- MATHEMATICS, MGT3332
- Mathematics, National American University
- Mathematics, PSY325
- MATHEMATICS, PUBH8545
- Mathematics, QNT275
- MATHEMATICS, STAT 201
- MBA503
- McMaster University
- ME350B, SCIENCE
- MECH4430, SCIENCE
- Mechanics
- Media
- Medical
- Medical Essays
- MGMT2702
- MGMT410
- MGT173, SCIENCE
- MHR6451
- MIAMI UNIVERSITY, WRITING
- Military
- Military Science
- MKT501
- MKT690, OTHER
- MN576
- MN581
- MN610, SCIENCE
- MNGT3711
- Music
- MVC109
- N4685
- NATIONAL INSTITUTES OF HEALTH, SCIENCE
- NATIONAL UNIVERSITY, SCIENCE
- Needs to be at least 300 wordswithin the past five years.No plagiarism! What key aspects do you believe should guide ethical behavior related to health information, technology, and social media?
- no workable ""affirmative action"" for Discourses: you can't 19 Ill' let into the game after missing the apprenticeship and be expected to have a fnir shot at playing it. Social groups will not
- Northcentral University
- not writing)
- nothing can stand in her way once she has her mind set. I will say that she can sometimes be hard headed
- Nova Southeastern University
- NR447, SCIENCE
- NRS429VN
- NRS44V, OTHER
- NRS451VN
- NRSE4540
- NSG426
- NSG486
- NSG6102
- NSG6102, SCIENCE
- Numerical Analysis
- NUR231NUR2349, SCIENCE
- NUR647E
- NURS350
- NURS508
- NURS6640
- Nursing
- NURSING LEADERSHIP AND MANAGEMENT, SCIENCE
- NursingNursing
- Nutrition
- offering learners the flexibility to acquire new skills and knowledge from the comfort of their homes. However
- OHIO UNIVERSITY, SCIENCE
- Online Discussion Forums Grade and Reflection Assignment : Current Topic Artificial Intelligence HR Planning Career and Management Development Labour RelationsForum
- operation security
- Operations Management
- or do those companies have an ethical obligation to protect people? In this assignment
- ORG5800, OTHER
- Organisations
- OTHER
- Other, PAD631
- OTHER, PARK UNIVERSITY
- OTHER, PLA1223
- Other, POLI330N
- OTHER, PROFESSIONAL NURSING NU231 NUR2349
- Other, RTM404
- OTHER, SAINT LEO UNIVERSITY
- OTHER, SOC3210C1
- Other, SOCW6333
- OTHER, SOUTHERN NEW HAMPSHIRE UNIVERSITY
- Other, The University Of Southern Mississippi
- OTHER, TRIDENT UNIVERSITY INTERNATIONAL
- Other, UC
- OTHER, UNIVERSITY OF MARYLAND UNIVERSITY COLLEGE
- OTHER, UNIVERSITY OF SOUTH FLORIDA
- Other, Walden University
- paying attention to grammar and spelling. Actively participate in discussions
- Personal Development
- PhD Dissertation Research
- PHI 413V, SCIENCE
- Philosophy
- Photography
- PHY290
- PHYS204L206
- Physics
- Physics – Astronomy
- Physics – Electromagnetism
- Physics – Geophysics
- Physics – Mechanics
- Physics – Optics
- PhysicsPhysics
- Physiology
- PNGE332, SCIENCE
- Political Science
- Political SciencePolitical Science
- Politics
- PowerPoint slides
- privacy
- PROFESSIONAL NURSING NU231 NUR2349, SCIENCE
- PROFESSIONAL NURSING NU231NUR2349, SCIENCE
- Programming
- Programming , College of Applied Sciences
- PROGRAMMING, STRAYER UNIVERSITY
- PROGRAMMING, WILMINGTON UNIVERSITY
- Project Management
- proper grammar
- Protein
- provide a discussion on what could have been done better to minimize the risk of failure. If you have not yet been involved with a business process redesign
- PSYC8754, WRITING
- Psychology
- PsychologyPsychology
- PUB373, SCIENCE
- Purdue University
- Rasmussen College
- Read a poam and write a paragraph to prove "The table turned".
- Reading
- ReadingReading
- readings
- Reference this
- REL1030
- Religion
- RES861, Science RES861
- Research Methodology
- Research methods
- Research Proposal
- Research questions
- Retail
- Rutgers university
- SAFE4150
- safety statutes
- Santa Clara University
- SCI 220, SCIENCE
- SCI115, SCIENCE
- Science
- Science, Strayer University
- SCIENCE, THOMAS JEFFERSON UNIVERSITY
- SCIENCE, WEST COAST UNIVERSITY
- SCIENCE, WEST TEXAS A & M UNIVERSITY
- Sciences
- SCM371, Writing
- Search in scholarly sources the similarities and difference between PhD and DNP. Post three similarities and three differences found on your research. Do not forget to include your reference.
- Security
- self-actualization
- several things can happen
- Should the government operate public transportation systems?250 words
- so that it is not biased?
- so too
- SOC 450
- Social Policy
- Social Science
- Social Science – Philosophy
- Social Science – PhilosophySocial Science – Philosophy
- Social Science – Sociology
- Social Science – SociologySocial Science – Sociology
- Social Sciences
- Social ScienceSocial Science
- Social Work
- Society
- Sociology
- someone cannot engage in a Discourse in a less than fully fluent manner. You are either in it or you're not. Discourses are connected with displays of
- SP19, WRITING
- SPC2608
- SPD310
- Sports
- Statistics
- succeeding in online courses requires a different approach compared to traditional classroom settings. To help you make the most of your online learning experience
- such as notifications from social media or email. Organize your study materials and have a reliable internet connection to ensure seamless access to course materials.
- Technology
- that personal ethics and organizations ethics are two different and unrelated concepts. Others
- the attribute is useful
- The directions are attached. However you must read the PDF file first in order to answer the questions.
- the role of work and money
- Theatre
- then reply to a minimum of 2 of your classmates' original posts.
- Theology
- Threat of artificial intelligence 800 words.
- to be true of second language acquisition or socially situ ated cognition (Beebe
- to better promote the value and dignity of individuals or groups and to serve others in ways that promote human flourishing.
- to usc a Discourse. The most you can do is III It'! them practice being a linguist with you.
- total fat consumption
- Tourism
- Translation
- Transportation
- U110
- Uncategorized
- University of Central Missouri
- University of South Florida
- UNIVERSITY OF SOUTH FLORIDA, WRITING
- Video Games
- Watch this meditation https://www.youtube.com/watch?v=doQGx4hdF3M&feature=youtu.be and write a one page reflection
- WCWP10B
- we can always ask about how much ten- 12 """""" or conflict is present between any two of a person's Discourses (Rosaldo
- What approaches to the study of poverty does economic sociology offer? More specifically, what might sociologists studying poverty focus on besides poor households, neighborhoods, and individuals?
- What is the philosophical matrices for Behaviorism, Constructivism, and Reconstructivism
- What key aspects do you believe should guide ethical behavior related to health information, technology, and social media?
- what place did government have to improve markets? What does the concept of ""crowding out"" mean in all of this?
- What should be done to maintain optimum stock levels and why is it important to keep accurate and up-to-date records of stock in medical practice?
- whether good or bad. The intent of the short research projects is to dig a little deeper into some of the topics
- which triggers the vulnerability. As soon as the user downloads this shortcut file on Windows 10; windows explorer will
- Would somebody read these quotes and answer those three questions at the bottom for me?Disregard number two I will look for myself in the text.
- Write short essay based on evidence about the 2 cons of Sex Education 250-300 words 2 reference minimum no plagiarism
- WRITING
- writing assignment, you will analyze asymmetric and symmetric encryption. Evaluate the differences between the two of them and which one that you would determine is the most secure.
- Writing, Personal Code of Technology Ethics
- you believe you can provide the CIO with the information he needs.
- you will learn how to search for scholarly
- you will need to read the TCP standard. TCP was first defined in RFC 793. A link to this document is provided. https://tools.ietf.org/html/rfc793
- Young People


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