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  • Main Subject - Cross-Cultural Communication: Grin and Jump In!

    Multiculturalism is a reality in North America and for those of us who do business globally. The US has more legal immigrants yearly than all the other countries in the world combined. Also there are vast cultural differences among "native" North Americans living in the US and Can
    According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product
    ada for several generations, as you know if you've done business with a New Yorker (better be quick!) or with a Texan (better stand at a 90degree angle to your male companion).

    Culture is not ethnic or racial. It is learned and of course each culture is different. Treat everyone
    ; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

    Examples of combination products may in
    ike a unique individual, as you would like to be treated, don't get hung up on stereotypes. Develop your emotional intelligence so you can be more intuitive about how to communicate with, negotiate with, and provide services and products for people from cultural backgrounds other
    lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

    han your own. I offer some tips below, and yet they are not universal in these cultures.

    1. I repeat, do not expect everyone in a culture to be the same!

    2. In South Texas, if you're talking to a male, they will often stand at a 90 degree angle to you.

    If you move to reorient
    here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
    , a "dance" will begin. This is a markedly non-intimate position, and often the eyes are cast down to the floor or out across the floor. South Texans generally say "Pleased to know you," while Mid Westerners say, "Pleased to meet you" or "Pleased to make your acquaintance." In soc
    d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

    Combination pro
    al settings in South Texas, it is not customary to shake hands with women. Other San Antonio cultural customs -- in San Antonio society, we have the haute hug - two women will parody a hug, not touching any part of their bodies, and just patting one another lightly on the back. As
    ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc
    a sign of affection, when you shake hands, sometimes you cover the other person's hand with your left hand and pat or squeeze with warm eye contact. This is particularly done with respected older people.

    3. Be aware that most of the world does not greet by shaking hands.

    4. Peop
    easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi
    le from Asian cultures bow in greeting, but the bows are different.

    People from Cambodia and Laos bow with both hands together in front of the chest, as if praying. In Japan, the depth of the bow signifies the level of respect for the other party. Many Koreans prefer bowing and i
    nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
    they shake hands, the right hand is supported at the wrist by the left hand to show respect. Thais bow with palms together about chest-high with their fingers outstretched. And, there are exceptions. The Taiwanese usually nod the head in recognition rather than bow.

    5. Some cult
    and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ
    res naturally greet by hugging.

    Native Hawaiians hug each other, exchanging breaths. The custom is called "ha." Ancient Hawaiians, incidentally, actually bumped heads together. Mexicans use the abrazo. Greeks and Italians often hug with or without shaking hands first.

    6. Some cu
    ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
    tures kiss!

    If your Cuban male client kisses you on the cheek, you know you've made the short list. Immigrant men from the Middle East often shake hands with a slight nod or bow and then exchange kisses on both cheeks. Men from the Middle East usually don't shake hands with women
    ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

    Following aspects would a
    , nor do they introduce the woman with them. Do not attempt to shake hands with a Middle Eastern woman unless -- and here's where the EQ comes in -- she extends her hand to you. Men in Eastern Europe, Portugal, Spain and Italy will often kiss male friends on the cheek.

    7. Pakista
    dd to the challenges in developing combination products:

    Which markets to tap where the combination products can do fairly well?
    Which combination prod
    is (largely Muslims) greet with salaam, which is the equivalent of our "hello."

    The salaam is done by bowing with the palm of the right hand on the forehead. Salaam means "peace" or "Peace be with you."

    8. Postures also have meaning.

    Ready to settle in with your Middle Eastern
    cts are meaningful and rational?
    Which therapeutic categories to select?
    Which Combinations can address unmet needs of the patients?
    Do combin
    lient? You may be most comfortable sitting back in your chair and crossing your legs. Well, don't! In the Middle East, one of the most insulting things you can do is sit with your legs crossed so the bottoms of the feet are pointed in the other person's direction. The foot is the
    tions increase the patient compliance?
    What would be the developing cost?
    How to tackle the risks encountered during combination product developmen
    dirtiest part of the body and the sole of the shoe is the dirtiest of the low. To show someone the bottom of your foot or shoe means you're looking for a fight!

    9. Even handshaking cultures do it differently.

    Many Britian’s prefer a brief but firm handshake. The French prefer a
    t?

    As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel
    light grip while sharing a single gentle shake that's quickly withdrawn. Germans will give a very firm handshake -- just one "pump" then quick withdrawal. More than one shake with Germans or French is considered aggressive. Italians will shake hands and then hug friends or kiss th
    ping new procedures for reviewing their safety, efficacy and quality.

    Professional from academic institutions, pharmaceutical industries, health care indust
    m on both cheeks.

    10. Bear in mind the other person may be trying to accommodate your culture, so don't assume they will use their traditional greeting.

    For example, if you start first, for instance bowing, and then see a hand extended for a shake, and switch to that, the other
    y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
    person will then have switched to a bow and this becomes awkward. For many cultures such "awkwardness" will kill the relationship early on, which means the deal is off.

    11. Greetings are critical first moves in relationships.

    Begin with a polite word or two, such as "Mr. and Mrs
    .

    As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de
    Takida, it's so nice to meet you at last," and then hesitate for a moment to see what they want to do and are comfortable with. Then mirror their gesture, be it bow, hand shake, abrazo (hug) or nothing! Use your intuition! When in doubt, err on the side of conservatism.

    I look f
    elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

    Companies that provide selfless information through particip
    rward to the day when we abandon our collective need for safety through homogeneity and reclaim our natural curiosity about what is not like us. We then will no longer need to "manage" diversity, and will have no need other than to engage it and open ourselves to receive its gifts


    tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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