{"id":6620,"date":"2016-03-25T16:34:36","date_gmt":"2016-03-25T20:34:36","guid":{"rendered":"http:\/\/localhost:10028\/uncategorized\/pharmaceutical-executives-fire-unethical-opioid-business-practices\/"},"modified":"2016-03-25T16:34:36","modified_gmt":"2016-03-25T20:34:36","slug":"ilac-yoneticiler-yangin-etik-disi-opioid-is-uygulamalari","status":"publish","type":"post","link":"https:\/\/napolilaw.lemonadestand.org\/tr\/article\/ilac-yoneticiler-yangin-etik-disi-opioid-is-uygulamalari\/","title":{"rendered":"\u0130la\u00e7 Y\u00f6neticileri, Opioid Ticari Uygulamalar\u0131 Nedeniyle Ate\u015f Alt\u0131nda"},"content":{"rendered":"<p>Son zamanlarda Oregon&#039;da ila\u00e7 \u015firketleri ate\u015f alt\u0131nda kald\u0131; sorun, ila\u00e7 \u015firketlerinin y\u00f6neticilerinin \u015fu anda b\u00fcy\u00fcyen opioid ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 salg\u0131n\u0131yla ilgili olarak ceza almamas\u0131d\u0131r. \u0130\u00e7inde <a href=\"http:\/\/www.statesmanjournal.com\/story\/news\/2016\/02\/23\/drug-company-leaders-should-face-prosecution-oregon-official-says\/80810020\/\" target=\"_blank\" rel=\"noopener\">Devlet Adam\u0131 Dergisi&#039;nden bir makale<\/a>, Oregon sa\u011fl\u0131k doland\u0131r\u0131c\u0131l\u0131\u011f\u0131 birimi ba\u015fsavc\u0131s\u0131 David Hart, Senato Finans Komitesinin bir duru\u015fmas\u0131nda ifade verdi. Komite s\u0131ras\u0131nda, ila\u00e7 y\u00f6neticileriyle u\u011fra\u015f\u0131rken ki\u015fisel sorumlulu\u011fun gerekli oldu\u011funu ve \u00fclke \u00e7ap\u0131nda milyonlarca insan etik olmayan i\u015f uygulamalar\u0131ndan muzdaripken &quot;hisse senedi opsiyonlar\u0131 ve maa\u015flar\u0131yla \u00e7ekip gidememeleri&quot; gerekti\u011fini savundu. Bu uygulamalar, y\u00fcksek oranda ba\u011f\u0131ml\u0131l\u0131k yapan a\u011fr\u0131 kesicilerin uygunsuz pazarlama ve tan\u0131t\u0131m uygulamalar\u0131n\u0131 i\u00e7erir. Hart, bu uygunsuz uygulamalardan elde edilen k\u00e2r\u0131n kaybedilmesini talep etmeye devam etti ve &quot;Bu \u015firketlerin, yapt\u0131klar\u0131 pislikleri temizlemelerine yard\u0131m etmemiz gerekiyor&quot; dedi.<\/p>\n<p>&nbsp;<\/p>\n<p>Milyonlarca Amerikal\u0131n\u0131n hayatlar\u0131n\u0131n bir noktas\u0131nda opioid ba\u011f\u0131ml\u0131l\u0131klar\u0131yla m\u00fccadele etti\u011fi veya \u015fu anda hala bu sava\u015fla m\u00fccadele etti\u011fi bir s\u0131r de\u011fil. Opioid ba\u011f\u0131ml\u0131l\u0131\u011f\u0131, eroin, metamfetaminler ve kokain (t\u00fct\u00fcn ve alkol hari\u00e7) gibi t\u00fcm yasa d\u0131\u015f\u0131 uyu\u015fturucu ba\u011f\u0131ml\u0131l\u0131klar\u0131ndan say\u0131ca fazlad\u0131r. Asl\u0131nda, Drugbuse.gov&#039;a g\u00f6re, 2012&#039;de \u015fu anda opioid a\u011fr\u0131 kesici ila\u00e7 ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 ve k\u00f6t\u00fcye kullan\u0131m bozukluklar\u0131ndan muzdarip 2,1 milyon Amerikal\u0131 vard\u0131. <a href=\"http:\/\/www.everydayhealth.com\/addiction\/painkiller-addiction-worse-than-marijuana-or-cocaine-study-finds-8751.aspx\" target=\"_blank\" rel=\"noopener\">Opioid a\u015f\u0131r\u0131 dozlar\u0131 y\u0131lda 14.000 ki\u015fiyi \u00f6ld\u00fcr\u00fcr<\/a>, Hastal\u0131k Kontrol ve \u00d6nleme Merkezlerinden (CDC) al\u0131nan verilere g\u00f6re. Opioid a\u011fr\u0131 kesici ila\u00e7lar, milyarlarca dolarl\u0131k ila\u00e7 \u015firketleri taraf\u0131ndan zorlan\u0131p gere\u011finden fazla re\u00e7ete edildi\u011finden, bu say\u0131 1999&#039;dan bu yana d\u00f6rt kattan fazla artt\u0131. \u00dcstelik, <a href=\"http:\/\/www.cdc.gov\/drugoverdose\/epidemic\/index.html\" target=\"_blank\" rel=\"noopener\">Her g\u00fcn 7.000 ki\u015fi a\u015f\u0131r\u0131 dozda opioid nedeniyle acil servislere kabul edilmektedir.<\/a>, HKM&#039;ye g\u00f6re. Bu opioidler \u015funlar\u0131 i\u00e7erir:<\/p>\n<ul>\n<li>Hidrokodon (Vicodin)<\/li>\n<li>Oksikodon (OxyContin)<\/li>\n<li>Oksimorfon (Opana) ve<\/li>\n<li>metadon<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2>Travmatik Yaralanmalar ve Ameliyatlar \u0130\u00e7in Gerekli Opioid \u0130la\u00e7lar<\/h2>\n<p>&nbsp;<\/p>\n<p>Y\u00fczbinlerce insan, iyile\u015firken opioidlere ihtiya\u00e7 duyar ve bunlara g\u00fcvenir. <a href=\"\/tr\/article\/araba-kazalari-travmatik-beyin-yaralanmasi\/\">travmatik yaralar<\/a> ve ameliyatlar, y\u00fcz binlercesi daha ihtiya\u00e7 duymad\u0131klar\u0131 halde bu ila\u00e7lar\u0131 re\u00e7ete ediyor. Ayr\u0131ca, uzun s\u00fcreli kullan\u0131m inan\u0131lmaz derecede tehlikelidir, \u00e7\u00fcnk\u00fc bir hasta bu ila\u00e7lar\u0131 ne kadar uzun s\u00fcre kullan\u0131rsa, ba\u011f\u0131ml\u0131 olma olas\u0131l\u0131\u011f\u0131 o kadar artar. Ba\u015fsavc\u0131 Hart, \u015firketin Subsys adl\u0131 opioid ila\u00e7lar\u0131 i\u00e7in fazladan re\u00e7eteler yazan doktorlara uygunsuz mali te\u015fvikler verdi\u011fini tespit eden bir soru\u015fturmaya at\u0131fta bulunarak, sert raporuna ila\u00e7 \u00fcreticisi Insys&#039;i dahil etti. \u015eirket ayr\u0131ca Subsys&#039;i re\u00e7ete yazma yetkisine sahip olmayan ve bu kadar g\u00fc\u00e7l\u00fc bir ilaca ne ihtiya\u00e7 duyan ne de bunu isteyen hastalar olan &quot;hafif&quot; bir a\u011fr\u0131 kesici ila\u00e7 olarak hastalara yan\u0131lt\u0131c\u0131 bir \u015fekilde dayatmalar\u0131 s\u00f6ylenen doktorlara terfi ettirdi. Insys, opioid ba\u011f\u0131ml\u0131l\u0131\u011f\u0131yla sava\u015fmak i\u00e7in kullan\u0131lmak \u00fczere $1,1 milyona karar verdi; bu, Oregon&#039;daki o ilac\u0131n sat\u0131\u015f dolar\u0131n\u0131n iki kat\u0131yd\u0131. Ne yaz\u0131k ki Oregon, federal Madde Ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 ve Ruh Sa\u011fl\u0131\u011f\u0131 Hizmetleri \u0130daresi taraf\u0131ndan 2013-2014 y\u0131llar\u0131 aras\u0131nda yap\u0131lan bir \u00e7al\u0131\u015fmada re\u00e7eteli a\u011fr\u0131 kesicilerin k\u00f6t\u00fcye kullan\u0131lmas\u0131 nedeniyle eyaletlerde d\u00f6rd\u00fcnc\u00fc s\u0131rada yer ald\u0131.<\/p>\n<p>Sorun New York&#039;ta da \u00e7ok yayg\u0131n, bir\u00e7ok New Yorklu re\u00e7eteli a\u011fr\u0131 kesici ila\u00e7lar al\u0131yor. <a href=\"\/tr\/article\/opioid-bagimliligi-salgini-hakkinda-korkutucu-istatistikler\/\">yasad\u0131\u015f\u0131 sokak uyu\u015fturucular\u0131<\/a>, opioidlerin e\u015fit derecede veya daha fazla ba\u011f\u0131ml\u0131l\u0131k yapmas\u0131na ra\u011fmen. Re\u00e7eteli bir opioid ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 ya\u015fad\u0131ysan\u0131z, ila\u00e7 dava avukatlar\u0131 ile ileti\u015fime ge\u00e7in. <a href=\"\/tr\/\">Napoli Shkolnik <\/a> bug\u00fcn <a href=\"tel:+12123971000\">(212) 397-1000<\/a>.<\/p>\n<p>&nbsp;<\/p>","protected":false},"excerpt":{"rendered":"<p>Son zamanlarda Oregon&#039;da ila\u00e7 \u015firketleri ate\u015f alt\u0131nda kald\u0131, mesele, ila\u00e7 \u015firketlerinin y\u00f6neticilerinin \u015fu anda b\u00fcy\u00fcyen salg\u0131nla ilgili olarak cezaland\u0131r\u0131lmamas\u0131\u2026<\/p>","protected":false},"author":3,"featured_media":6621,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[785],"tags":[],"class_list":["post-6620","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-opioid-crisis"],"acf":[],"page_builder_type":"gutenberg","gutenberg_data":[],"_links":{"self":[{"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/posts\/6620","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/comments?post=6620"}],"version-history":[{"count":0,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/posts\/6620\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/media\/6621"}],"wp:attachment":[{"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/media?parent=6620"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/categories?post=6620"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/tags?post=6620"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}