Clinical Research Environment in India: Challenges and Proposed Solutions.

India has compelling need and keen aspirations for indigenous clinical research. Notwithstanding this need and previously reported growth the expected expansion of Indian clinical research has not materialized. We reviewed the scientific literature, lay press reports, and ClinicalTrials.gov data for information and commentary on projections, progress, and impediments associated with clinical trials in India. We also propose targeted solutions to identified challenges. The Indian clinical trial sector grew by (+) 20.3% CAGR (compound annual growth rate) between 2005 and 2010 and contracted by (-) 14.6% CAGR between 2010 and 2013. Phase-1 trials grew by (+) 43.5% CAGR from 2005-2013, phase-2 trials grew by (+) 19.8% CAGR from 2005-2009 and contracted by (-) 12.6% CAGR from 2009-2013, and phase-3 trials grew by (+) 13.0% CAGR from 2005-2010 and contracted by (-) 28.8% CAGR from 2010-2013. This was associated with a slowing of the regulatory approval process, increased media coverage and activist engagement, and accelerated development of regulatory guidelines and recuperative initiatives. We propose the following as potential targets for restorative interventions: Regulatory overhaul (leadership and enforcement of regulations, resolution of ambiguity in regulations, staffing, training, guidelines, and ethical principles [e.g., compensation]).Education and training of research professionals, clinicians, and regulators.Public awareness and empowerment. After a peak in 2009-2010, the clinical research sector in India appears to be experiencing a contraction. There are indications of challenges in regulatory enforcement of guidelines; training of clinical research professionals; and awareness, participation, partnership, and the general image amongst the non-professional media and public. Preventative and corrective principles and interventions are outlined with the goal of realizing the clinical research potential in India.

Deposition of silver nanoparticles in geochemically heterogeneous porous media: predicting affinity from surface composition analysis.

The transport of uncoated silver nanoparticles (AgNPs) in a porous medium composed of silica glass beads modified with a partial coverage of iron oxide (hematite) was studied and compared to that in a porous medium composed of unmodified glass beads (GB). At a pH lower than the point of zero charge (PZC) of hematite, the affinity of AgNPs for a hematite-coated glass bead (FeO-GB) surface was significantly higher than that for an uncoated surface. There was a linear correlation between the average nanoparticle affinity for media composed of mixtures of FeO-GB and GB collectors and the relative composition of those media as quantified by the attachment efficiency over a range of mixing mass ratios of the two types of collectors, so that the average AgNPs affinity for these media is readily predicted from the mass (or surface) weighted average of affinities for each of the surface types. X-ray photoelectron spectroscopy (XPS) was used to quantify the composition of the collector surface as a basis for predicting the affinity between the nanoparticles for a heterogeneous collector surface. A correlation was also observed between the local abundances of AgNPs and FeO on the collector surface.

King Democracy: Do Democratic Nations Mitigate Conflict Over Transboundary Freshwater Resources Better Than Other Nations?

The prospect of water wars and conflict over water are ideas that are frequently dramatized in media and also studied by scholars. It is well-established that bona fide wars are not started over water resources, but conflict over water does exist and is not well understood. One would suppose, as scholars often do, that dyads composed of two democratic nations would be the best at mitigating conflict and promoting cooperation over freshwater resources. General conflict research supports that supposition, as does the argument that democracies must be best at avoiding conflicts over resources because they excel at distributing public goods. This study provides empirical evidence showing how interstate dyads composed of various governance types conflict and cooperate over general water and water quantity issues relative to each other. After evaluating the water conflict mitigating ability of democratic-democratic, democratic-autocratic, and autocratic-autocratic dyads, this study found that democracy-autocracy dyads are less likely to cooperate over general water issues and water quantity issues than the other two dyad types. Nothing certain can be said about how the three dyad types compare to each other in terms of likelihood to conflict over water quantity issues. However, two-autocracy dyads seem to be most likely to cooperate over water quantity issues. These findings support the established belief that democratic-autocratic pairs struggle to cooperate while also encouraging greater scrutiny of the belief that democracies must be best at cooperating over water resources.