The increasing global drug sales over the internet contribute significantly to the dissemination of substandard, often counterfeited products that circumvent regulatory channels.
The existing damage under a severe MS attack may significantly jeopardize the post-MS resilience of substandard bridge piers.
Quinine tablets were more likely to be substandard than other antimalarial types, but not significantly so.
Severe MS-severe AS sequences could significantly reduce the mean structural collapse capacity/maximum drift capacity of substandard bridge piers compared to severe MS only attacks.
Thus, pharmaceutical companies and regulators in developing countries tend to approach the substandard drug problem in ways that overlap, but also differ significantly.
There was no quantitative or qualitative analysis to ascertain whether the substandard care identified in the beginning of audit did not repeat significantly in the latter half of the study period.
Complaints due to substandard care and complaints where disability was the main outcome were significantly associated with the perception of a medical error, whereas complaints due to the adverse effect of a health product were associated with the non-perception of a medical error.
The death was only attributed to substandard care if the management given was judged by the audit team to have contributed significantly to the death of the mother and that the standard treatment may have altered the outcome.
Some have proposed that the millions spent on programs to prevent postpartum hemorrhage have significantly reduced maternal mortality, yet this has not been directly assessed by rigorous research in the settings where there is substandard access to and/or quality of care, where most maternal mortality occurs [ 30].
The proportion of cases involving obstetrics and gynecology departments, in which care was claimed to be substandard at the time of treatment, and that were not argued as breach of a duty to explain, was significantly higher than those of other evaluated departments (p <0.001).
