Concepts of GLP and ISO 9000. The Good Laboratory Practices Guideline (GLP) is an FDA regulation. Good Laboratory Practices (GLP) embodies a set of principles that provides a framework within which laboratory studies are planned, performed, monitored, recorded and reported. National Good Laboratory Practice (GLP) Compliance Monitoring Authority (NGCMA). NGCMA was established by the Department of Science & Technology (DST), Government of India, with the approval of the Union Cabinet on April 24, 2002.
ISO 9000 is a series of standards, developed and published by the International Organization for Standardization (ISO), which is an independent, non-governmental organization made up of members from over 160 countries.
The ISO 9000 family of standards is related to Quality Management Systems and designed to help organizations ensure that they meet the needs of customers and other stakeholders while meeting statutory and regulatory requirements. ISO 9000 deals with the fundamentals of quality management systems, including the 7 Quality Management Principles on which the family of standards is based.
ICH: Introduction, objectives & guidelines: A brief insight.RxVichuZ
This is my 44th powerpoint........deals with ICH guidelines.....
Deals with brief introduction, precise objectives, organization(in short) & guidelines (in precise), based on SAFETY, EFFICACY, QUALITY & MULTIDISCIPLINARY guidelines.
Happy reading!!
:)
EU and US Procedures for API Registration - Commonalities and DifferencesMerck Life Sciences
View the interactive recording here: https://bit.ly/2PB0VZo
Abstract:
This webinar will review the current requirements for the active substance registration in the European Union and the USA. First, we will summarize the authority regulations for APIs in the EU and USA and show the similarities and differences of procedures such as CEP, AMSF, and US-DMF. Secondly, we’ll cover new trends and requirements for API-dossiers such as the control of elemental impurities according to the new international guideline ICH Q3D and related watchouts for CEPs. At the end of the presentation, we’ll discuss the eCTD roadmap for the future and the end of paper submissions.
ICH: Introduction, objectives & guidelines: A brief insight.RxVichuZ
This is my 44th powerpoint........deals with ICH guidelines.....
Deals with brief introduction, precise objectives, organization(in short) & guidelines (in precise), based on SAFETY, EFFICACY, QUALITY & MULTIDISCIPLINARY guidelines.
Happy reading!!
:)
EU and US Procedures for API Registration - Commonalities and DifferencesMerck Life Sciences
View the interactive recording here: https://bit.ly/2PB0VZo
Abstract:
This webinar will review the current requirements for the active substance registration in the European Union and the USA. First, we will summarize the authority regulations for APIs in the EU and USA and show the similarities and differences of procedures such as CEP, AMSF, and US-DMF. Secondly, we’ll cover new trends and requirements for API-dossiers such as the control of elemental impurities according to the new international guideline ICH Q3D and related watchouts for CEPs. At the end of the presentation, we’ll discuss the eCTD roadmap for the future and the end of paper submissions.
Good Laboratory Practices (GLP)
History
Reason behind GLP created
Advantages and disadvantages of GLP
Objectives of GLP
Practice of GLP
b pharma 6th sem
pharmaceutical quality assurance
Brief information about iso,iso22000,iso9000 which explaining with some examples, pictures, charts. Here you can gain some information about the topic.
In a welcome move, the Pharmacy Council of India has recently re-structured the syllabus of the
Bachelor of Pharmacy course. In the effort to make the content more relevant to the practice of
pharmacy in its current form, we now find new, important subjects introduced, and Pharmaceutical
Quality Assurance is one of them.
Good Laboratory Practices (GLPs) are standard regulatory programs that assure the quality and integrity of nonclinical safety test data submitted to regulatory agencies worldwide.
Good Laboratory Practices (GLPs) are standard regulatory programs that assure the quality and integrity of nonclinical safety test data submitted to regulatory agencies worldwide.
quality assurance, quality control, total quality management UNIT 1, b pharma 6th sem
Quality management in the drug industry
Why quality is important in pharmaceuticals?
Impacts of ignorance on quality
Quality control
Role of quality control in pharmaceutical industry
Objectives of quality control
Components of quality control
Functions of qc in pharmaceutical industry
Quality assurance
Total quality management
Characteristics of tqm
Benefits of tqm:
Quality management systems - INDUSTRIAL PHARMACY llJafarali Masi
syllabus
Quality management & Certifications: Concept of Quality, Total Quality Management, Quality by Design (QbD), Six Sigma concept, Out of Specifications (OOS), Change control, Introduction to ISO 9000 series of quality systems standards, ISO 14000, NABL, GLP
Good Laborarory Practices. Good Laboratory Practices (GLP) covers the organizational process and conditions under which clinical field studies are conducted, monitored, recorded and reported. GLP is carried out to improve quality of data for its international acceptance.
Indian Systems of Medicine Aromatherapy.pptxShruti Salve
Aromatherapy as the name itself indicates it involves the use of natural herb oils that are aromatic (have pleasant smell) for the treatment of pain or may be used for massage, it is said to be one of the oldest or ancient method of treatment and mitigation.
The Aromatherapy is based on the concept of Osphresiology.
Osphresiology is the study of physiology and other aspects of olfaction.
Olfaction is defined as the sense of smell that detects and differentiate between the smells.
Osphresiology is an inter-disciplinary science that involves molecular physics, as well as psychology.
Aromatherapy is not just limited to basics of olfaction.
The aromatic substances are found to have tremendous potential in treatment of :
Wounds, Skin acne problems, Arthritis, Stress.
The Aromatherapist not only selects how to initiate the treatment but also chooses the oils that are necessary in the treatment.
After the selection of specific oils for treatment the way of the treatments are decided.
The types of treatment in aromatherapy are as follows:
Massage by aromatic oils, essential oils
Inhalation of steam
Bath
Miscellaneous
1. Massage by Aromatic oils, Essential oils:
In massage technique the aromatherapist concentrates on massaging specific pressure points.
This massaging leads to working on lymph nodes(Part of WBC’s present in whole body).
The oils that are used during the massage are carefully selected from the diagnosis of the aromatherapist.
These oils thus work internally while the massage relaxes the body externally.
2. Inhalation :
6-8 drops of aromatic oil is required to be sprinkled on the tissue paper or clean cloth.
The inhalation can be done by sprinkling the drops of oils in hot water and inhaled for 10-15 minutes.
Inhalation technique is generally recommended for the patients that have problems relating to breathing, Asthmatic patients, disease of lungs.
3. Bath :
Baths can be for hand, foot, or for full body.
4-8 drops of essential oil / aromatic oil is recommended in bowl of warm water used for soaking arms or foots for 10 minutes.
In case of full body baths 5-10 drops of aroma oil are added to warm bath water and the whole body is immersed in it for 10-20 minutes.
Aromatherapy benefits:
1. Manage pain
2. Improves sleep quality
3. Reduces stress and anxiety
4. Soothe sore joints
5. Treat headache and migraines
6. Alleviate side effects of chemotherapy
7. Improves digestion
8. Boosts circulation
Commonly used Aroma oils and their details:
Lavender oil :
Best for: Stress relief, improves sleep, use in headache, refreshes mind.
Peppermint oil :
Best for: Reduces stress, improves mental function, reduces pain, Relieve IBS symptoms.
The carrier oil is simply defined as the base oil which is used to dilute an essential oil/ aromatic oil in the treatment of Aromatherapy.
The carrier oil is also known as base oil or vegetable oil.
Various examples of Carrier oils are :
Coconut oil
Black cumin seed oil
Jojoba oil
Evening Primrose oil
Herbal cosmetic Design of herbal formulation shruti.pptxShruti Salve
Herbal cosmetics are defined as the products which prepared by or included plants and/or herbal components which are combination of many natural molecules or compounds.
Alteration in pharmacological activity of one drug by the concomitant(drug having same action) use of another drug or other substances.
The concurrent use of herbs may increase or decrease or mimic the effect of other drugs.
Possibilities of interactions between chemicals and herbal products:
1.There is no direct chemical reaction between herb and drug but few components of herb may affect the effect of drugs.
2.Herbal drugs when taken with other synthetic preparation may show harmful and toxic effects on body.
3.The interactions may be due to presence of impurities present in excipients of the synthetic drugs or it can be due to impurities from natural source viz. Heavy metals, incorrect species etc.
Herbal drug interactions can affect health and efficiency of treatments.
Herbal drug interactions might lead to side effects. Interaction may lead to failure of formulation.
Unexpected effects may be observed after application of the cosmetic.
Types of drug-herb interactions as per Ayurveda:
1.Herb-Herb Interaction: Eg. Piper betal should not be administered with Garcinia Morella (Indian gamboge)
2.Herb-Food Interaction: Eg. Sesame seed with black cumin cause diarrhea.
3.Herb & drug of animal origin: Eg. Meat is contraindicated with Brassica alba (White mustard)
4.Interactions related to diseases: Eg. Haritaki cannot be administered in pregnancy.
Design of herbal cosmetic formulation is an important part in preparation of herbal cosmetics, it is done on the basis of type of the cosmetics according to the site of application as follows:
1.Skin
2.Hair
3.Dentifrice
4.Nails
5.Eyes
Herbal cosmetics for skin care are based on 3 important approaches/ Steps:
Cleanse (To clean).
a. Nourish (To take care)
b. Moisture (To keep skin
c. hydrated/ Prevent Dryness)
Herbal cosmetics are classified depending upon:
a. Type of the skin
b. Type of the cream
c. Type of the lotions
Herbal cosmetics classification depending upon Type of Cream:
Cold cream: It is Water-in-oil (W/O) type of emulsion which produces cooling effect after application.
Example: Cold cream containing Mentha oil, aloevera.
Vanishing cream: As the name itself indicates this type of cream vanishes after it is applied on the skin by rubbing. It is Oil-in-water (O/W) type of emulsion and are useful for removing make-ups.
Example: Vanishing creams containing Sweet almond oil.
Cleansing cream: It is Water in Oil (W/O) type of cream that melts over the body temperature and spreads easily over the skin.
Example: Cream containing chamomile flower
Herbal cosmetics classification depending upon Type of Lotion:
Face lotion: Also known as bleaching lotions which mask the face and produce brightening effects on the skin after washing.
Eg. Face lotion containing Almond and saffron.
Many herbal medicinal products have been found to contain synthetic prescription drugs as chemical adulterants.
This is become evident by the number of toxicity cases and adverse reactions reported in which casualties were reported via analytical techniques that detected the presence of chemical adulterants in them, which could be responsible for their toxicity.
The adulteration of herbal medicinal products with synthetic drugs continues to be a serious problem for regulatory agencies.
The quality control standards of various medicinal plants used in indigenous system of medicine are becoming more relevant today in view of commercialization of formulations based on medicinal plants.
For standardization and quality assurance purposes, following 3 attributes are desirable i) Authenticity, ii) Purity and iii) Assay.
Authenticity relates to proving that the material is true.
Authentication in itself involves many parameters including gross morphology, microscopy, chemical analysis and DNA fingerprinting.
Purity pertains to evaluating that there are no adulterants present in the plant material.
Assay part of standardization is chemical and biological profiling which could assess the chemical effects.
What is Adulteration?
Adulteration is a process/practice of substituting the original drug/herb with completely or partially similar looking substance.
The substance may be inferior in quality or may be therapeutically inactive.
What is Deterioration?
It is the process of degradation or destruction of herbs which leads to loss of therapeutic activity of the drug/herb.
Deterioration & Adulteration are inter-related and deterioration is the main effect of adulteration.
Adulteration is classified into 2 types:
Intentional Adulteration:
As the name itself indicates the intentional adulteration is the process where the substitution of drug/herb is done in full awareness this type of adulteration is commonly done by suppliers/manufacturers.
Un-intentional Adulteration:
This is the second type of adulteration where the substitution of drug/ herbs happens without the knowledge of manufacturer/supplier.
Reasons for Intentional adulteration:
1. Due to high prices of original herb/ drugs.
2. Due to lack of availability of the drug/herbs.
3. To earn more profits by substituting the herbs by the herb of lesser price.
Types of Intentional adulteration:
1. Substitution with inferior varieties.
2. Adulteration by artificially manufactured substance.
3. Usage of vegetative part of same plant.
4. Substitution with superficially similar but cheaper natural drug substance.
The presence of vegetative parts of the same plant with the drug in excessive amount is also an adulteration. For example, epiphytes, such as mosses, liverworts and lichens that grow over the barks also may occur in unusual amounts with the drugs, e.g. cascara or cinchona.
ICAR Indian Council of Agricultural Research.pptxShruti Salve
ICAR is an autonomous body responsible for agricultural education and research in India.
ICAR comes under the Department of Agricultural Research and Education (DARE), Ministry of Agriculture and Farmers Welfare, Government of India.
The ICAR has its headquarters at New Delhi.
The Council is responsible for co-ordinating, guiding and managing research and education in agriculture including horticulture, fisheries and animal sciences in the entire country.
The Indian Council of Agricultural Research (ICAR) is an autonomous body responsible for co-ordinating agricultural education and research in India. It reports to the Department of Agricultural Research and Education, Ministry of Agriculture.
The Union Minister of Agriculture serves as its president.
It is the largest network of agricultural research and education institutes in the world.
The committee to Advise on Renovation and Rejuvenation of Higher Education (Yashpal Committee, 2009) has recommended setting up of a constitutional body – the National Commission for Higher Education and Research – which would be a unified supreme body to regulate all branches of higher education including agricultural education.
Presently, regulation of agricultural education is the mandate of ICAR, Veterinary Council of India (Veterinary sub-discipline) and Indian Council of Forestry Research and Education (Forestry sub-discipline).
A number of natural resource management institutes of India also come under the ICAR.
The Indian Agricultural Research Institute (IARI), popularly known as Pusa Institute, began in 1905 at Pusa (Bihar).
The institute was then known as Agricultural Research Institute (ARI) which functioned with five departments, namely Agriculture, Cattle Breeding, Chemistry, Mycology and Bacteriology.
In 1919, it was renamed as Imperial Agricultural Research Institute.
The institute was shifted from Pusa (Bihar) to Delhi on 29th July 1936
Post independence, the institute has been renamed as Indian Agricultural Research Institute (IARI).
The Indian Agricultural Research Institute (IARI), New Delhi, played a great role in Green Revolution and Human Resource Management.
IARI continues its efforts to bring Evergreen Revolution for sustainable food and nutrition of the country.
Nutraceutical is any substance that is a food or a part of food and provides medical or health benefits.
The term “nutraceutical” is used to describe these medicinally or nutritionally functional foods.
Nutraceuticals, which have also been called medical foods, designer foods, phytochemicals, functional foods and nutritional supplements, include such everyday products as “bio” yoghurts and fortified breakfast cereals, as well as vitamins, herbal remedies and even genetically modified foods and supplements. Many different terms and definitions are used in different countries, which can result in confusion.
The term “nutraceutical” was coined in 1989 by Stephen De Felice, founder and chairman of the Foundation for Innovation in Medicine, an American organization which encourages medical health research.
He defined a nutraceutical as a “food, or parts of a food, that provide medical or health benefits, including the prevention and treatment of disease”.
Cyanobacteria are aquatic and phytosynthetic organisms known for their rich contents of proteins.
Spirulina (arthrospira) shows anticancer and antimicrobial (antibacterial, antifungal and antiviral) activities via the production of phycocyanin, phycocyanobilin, allophycocyanin and other valuable products.
Spirulina can lower triglycerides, LDL Cholesterol and sometimes may raise HDL Cholesterol.
Spirulina may have some anti-cancer properties, especially against a type of precancerous lesions of the mouth.
Soybean is most important edible plant known for its seeds as a source of protein, oil and nutraceuticals.
It contains essential amino acids and secondary metabolites such as isoflavaone, saponins, phytic acid, phytosterol.
The presence of folic acid is an additional attraction, since the deficiency of this nutrient is a serious concern globally.
Soya beans contain essential minerals like Copper and Iron that aid in RBC production. Due to its high dietary fibers, protein and low sugar amounts soya bean helps in controlling blood sugars and managing diabetes.
Adding soya bean to your diet may help relieve you from prolonged episodes of insomnia as it contains Magnesium.
Ginseng, as dietary supplement, plays a key role in disease prevention by modulating the immune function of human body.
Extracts and bioactive compounds isolated from ginseng are studied for their various health promoting activities like antioxidant, antitumor, anti-hyperglycemic, skin protecting, anti-osteoporotic, anticancer, anti-infective and respiratory problems.
Ginseng extracts and ginsenoside compounds from ginseng has beneficial antioxidant and anti-inflammatory properties.
It possesses potent antibacterial, antifungal and antiviral properties and may enhance the function of the immune system. Ginseng could help improve brain functions like memory, behavior and mood.
The terpenoids sometimes called isoprenoids, are a large and diverse class of naturally occurring organic chemicals derived from terpenoids. Terpenoids are hydrocarbons of plant origin of the general formula (C5H8)n as well as their originated, hydrogen and dehydrogenated derivatives. Plant terpenoids are used for their aromatic qualities and play a role in traditional herbals remedies.
Cucurbitacin is a bitter-tasting principle that can be isolated from members of family Cucurbitaceae, such as cucumber (Cucumis sativus) and melon (Cucumis melo).
In particular, cucurbitacin and momordicine, which have an intensly bitter taste, are content abundantly in Momordica charantia.
There are more than 18 kinds of cucurbitacin and among them cucurbitacin B is a typical component.
Glycyrrhiza glabra Linn is a plant used in traditional medicine across the world for its ethnopharmacological value. It contain important phytoconstituents such as glycyrrhizin, glycyrhizinic acid, glabrin A and B and isoflavones. It is effectively used as anti-inflammatory, anti-bacterial, anti-fungal, anti-diabetic, anti- viral, anti-ulcer, anti-oxidant, skin whitening agent. Glycyrrizin is a plant glycoside extracted from roots of liquorice plant. It is 30-50 times sweeter than sucrose. Glycyrrhiza glabra Linn is one of the most extensively used medicinal herb. The word Glycyrrhiza is derived from the Greek term glykos (meaning sweet) and rhiza (meaning root). Glycyrrhizin have a long history of medicinal value and are used in the treatment of peptic ulcer, especially glycyrrhetinic acid (triterpene derivative).
Clove (Syzygium aromaticum) is medicinally powerful herb. Cloves are also known as Clovos, Lavang, Laung. In india, cloves are grown in Nilgiries, Tensaki Hills of Tamil Nadu state, Kottayam and Kollam district of kerala. It holds several phytochemicals. Major phytochemicals includes Eugenol, Eugenyl acetate and Beta-caryophyllene. Clove contains essential oils in its buds, leaves, stem and fruits. Clove owns major pharmacological activities like antioxidant, antimicrobial, anti-inflammatory, anticarcinogenic, antibacterial, antipyretic and analgesic, etc.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
1. CONCEPTS OF
GLP & ISO 9000
Presented by:
Miss Shruti Ashok Salve
1st Year M.Pharmacy
Dept. of Pharmacognosy
Submitted to:
Miss B. R. Gupta
Dept. of
Pharmacognosy
Department of Pharmacognosy
MGV’s Pharmacy College, Panchavati, Nashik
2. List of content
1. Concepts of Good Laboratory Practices (GLP)
2. GLP Principles
3. General Rules of GLP
4. Concepts of ISO 9000
5. Quality Management System
6. ISO 9000 Certification
7. Benefits of ISO 9001:2015
8. References
3. Review of Literature
Alatgi AC, Chougule SB., “Good laboratory practice”, Journal of
Evolution of Medical and Dental Sciences 2015; Vol. 4, Issue 103,
December 24
In the present era of rapidly evolving technology and evidence
based medicine, Good Laboratory Practice (GLP) shall play an
important role in ensuring, consistency, reliability, reproducibility
and quality of laboratory tests. It provides a frame work for
laboratories to plan, perform, monitor, record and report their
activities. It also reflects the quality of laboratory services during
any assessments and accreditation process.
4. Review of Literature
Sanjiv Kumar Jain and Inderpreet Singh Ahuja, ISO 9000
Quality Management System: Literature review, International
Journal of Technology, Policy and Management, Vol. 12, No. 4
ISO 9000 is a management system that outlines the
minimum requirements for organizations to follow for Quality
Management Systems (QMS) and, hence, helps to ensure that a
company provides a consistent quality product or service. The
purpose of this paper is to review the literature on the ISO 9000
and to present an overview of ISO implementation practices
adopted by manufacturing organizations.
5. Concepts Of Good Laboratory
Practices (GLP)
The Good Laboratory Practices Guideline (GLP) is an FDA
regulation.
Good Laboratory Practices (GLP) embodies a set of principles that
provides a framework within which laboratory studies are planned,
performed, monitored, recorded and reported.
The Good Laboratory Practice Guidelines (GLP) has been in
existence for non-clinical safety studies since 1976.
GLP helps assure regulatory authorities that the data submitted are
true reflection of the results obtained during the study.
6. Concepts Of Good Laboratory
Practices (GLP)
GLP is a requirement in regulatory non-clinical safety testing of
the following test items:
1. Pharmaceutical products
2. Pesticide products
3. Cosmetic products
4. Veterinary products
5. Food additives
6. Industrial chemicals.
7. National Good Laboratory Practice (GLP) Compliance Monitoring
Authority (NGCMA)
NGCMA was established by the Department of Science & Technology
(DST), Government of India, with the approval of the Union Cabinet on
April 24, 2002
The National GLP Programme functions through an Apex Body,
represented by Secretaries of concerned Ministries.
The Apex Body is supported by Technical Committee on GLP, which
is a recommending body of NGCMA on cases of GLP certification and
various technical matters concerning GLP.
8. Good Laboratory Practices Principles
1. Test Facility Organisation and Personnel.
2. Quality Assurance Programme (QAP).
3. Facilities
4. Apparatus, Material and Reagents
5. Test and Reference Substances
6. Standard Operating Procedures (SOP)
7. Performance of The Study
8. Reporting of Study Results
9. Storage and Retention of Records and materials.
9. 1. Test Facility Organization and
Personnel
Study Personnel Responsibilities
Should have the Knowledge of the GLP principles.
Access to the study plan and appropriate SOP's
Comply with the instructions of the SOP's
Record raw data.
Study personnel are responsible for the quality of their data.
Exercise health precautions to minimize risk
Ensure the integrity of the study.
10. 2. Quality Assurance Program
Responsibilities of the QA Personnel
Access to the updated study plans and SOP's.
Documented verification (Analytical worksheet) of the compliance of
study plan to the GLP principles.
Inspections to determine compliance of the study with GLP principles.
Three types of inspections are Study, Facility and Process based
inspections
Inspection of the final reports should accurate and in full description.
Report the inspection results to the management.
11. 3. Facilities
Suitable size, construction and location of laboratory.
Adequate degree of separation of the different activities.
Isolation of test systems and individual projects to protect from
biological hazards.
Suitable rooms for the diagnosis, treatment and control of
diseases.
Storage rooms.
12. 4. Apparatus, Materials and Reagents
Apparatus of appropriate design and adequate capacity.
Documented Inspection, cleaning, maintenance and calibration
of apparatus.
Apparatus and materials not to interfere with the test systems.
Chemicals, reagent and solutions should be labeled to indicate
identity, expiry and specific storage instructions.
13. Standard Operating Procedures
(SOP’s)
Written procedures for a laboratories program.
They define how to carry out protocol-specified activities.
Most often written in a chronological listing of action steps.
They are written to explain how the procedures are suppose to work.
Routine inspection, cleaning, maintenance, testing and calibration.
Actions to be taken in response to equipment failure.
Keeping records, reporting, storage, mixing, and retrieval of data.
Analytical methods.
14. General Rules
Safety data sheets must be available to staff before testing is carried
out.
Smoking, eating and drinking in the laboratory must be prohibited.
Staff must be familiar with the use of fire-fighting equipment, i.e. fire
extinguishers, gas masks.
Staff must wear laboratory coats or other protective clothing, including
eye protection.
Special care must be taken in handling, e.g. highly potent, infectious or
volatile substances.
15. General Rules
All containers of chemicals must be fully labelled and include
prominent warnings (e.g. "Poison", "Flammable", "Radiation", etc.)
whenever appropriate.
Staff must be aware of the need to avoid working alone in the
laboratory.
First-aid materials must be provided and staff instructed in first-aid
techniques, emergency care and the use of antidotes.
Highly toxic and/or carcinogenic samples should be handled in a
specially designed facility to avoid the risk of contamination.
16. Concepts of ISO 9000
ISO 9000 is a series of standards, developed and published by the
International Organization for Standardization (ISO), which is an
independent, non-governmental organization made up of members from
over 160 countries.
The ISO 9000 family of standards is related to Quality Management
Systems and designed to help organizations ensure that they meet the
needs of customers and other stakeholders while meeting statutory and
regulatory requirements.
ISO 9000 deals with the fundamentals of quality management systems,
including the 7 Quality Management Principles on which the family of
standards is based.
17. Concepts of ISO 9000
International standards promote international trade by providing
one consistent set of requirements recognized around the world.
ISO 9000 can help a company satisfy its customers, meet regulatory
requirements and achieve continual improvement.
It provides the base level of a quality system, not a complete
guarantee of quality.
It is originally published in 1987 by the International Organization
for Standardization (ISO)
18. Quality Management System
A quality management system (QMS) defines and establishes an
organization's quality policy and objectives.
A properly implemented QMS ensures that procedures are carried
out consistently, so that problems can be identified and resolved, and
the organization can continuously review and improve its procedures,
products and services.
It is a mechanism for maintaining and improving the quality of
products or services so that they consistently meet or exceed the
customer's needs and fulfill their quality objectives.
19.
20. The 7 Quality Management Principles
1. Customer focus - Quality management primarily focuses on meeting
customer requirements and striving to exceed customer expectations.
2. Leadership - Helping leaders to establish unity of purpose and
direction at all levels and to create conditions to engage members of
the organization in achieving the organization's quality objectives.
3. Engagement of people - Obtaining and maintaining (at all levels
throughout the organization) competent, empowered, and engaged
people to enhance the organization's capability to create and deliver
value
21. The 7 Quality Management Principles
4. Process approach - Delivering consistent and predictable results
through the use of effective and efficient activities that are understood
and managed as interrelated processes.
5. Improvement - Maintaining an ongoing, organization-wide focus on
improvement.
6. Evidence-based decision making - Using the analysis and evaluation of
data and information in the decision making process to produce
desired results.
7. Relationship management - Managing the organization's relationships
with related parties, such as partners or vendors, for sustained
success.
22. ISO 9000 Series
ISO 9000 gives fundamental quality concepts and principles for
quality management system.
ISO 9001 is defined as the International standard that specifies
requirements for a Quality Management System (QMS)
ISO 9002 is a model for quality assurance in production and
installation.
ISO 9003 for quality assurance in final inspection and test.
ISO 9004 gives guidance on achieving sustained organizational success.
23. ISO 9001:2015
ISO 9001 is the requirement standard of the ISO 9000 family of
standards.
The latest version of ISO 9001 standard was introduced in the
month of September 2015
Hence, it is referred to as ISO 9001:2015
It outlines the guidelines that an organization must follow in
order to implement and maintain a Quality Management System.
24. How is the ISO 9001:2015
Standard Structured?
ISO 9001:2015 Quality Management Systems Requirements is
a document of approximately 30 pages, which is available from
the national standards organization in each country.
ISO 9001:2015 (the most recent version of the standard) is
made up of a different clauses, each concentrating on the
requirements involved in different aspects of a quality
management system.
The requirements of the standards are specified in different
clauses. There are 8 clauses in ISO 9001:2015
25. Clauses
The requirements of the standards are specified in following
clauses of the standard:
Clause 1-3 : Introduction and Scope of Standard
Clause 4 : Quality Management System (QMS)
Clause 5 : Management responsibility
Clause 6 : Resource management
Clause 7 : Product realization
Clause 8 : Measurement, analysis and improvement
26. ISO 9000 Certification
International Organization for Standardization (ISO) does not
certify organizations itself.
Numerous certification bodies exist, which audit organizations and,
upon success, issue ISO 9001 compliance certificates.
Although commonly referred to as ISO 9000 certification, the actual
standard to which an organization's quality management system can
be certified is ISO 9001:2015.
Many countries have formed accreditation bodies to authorize the
certification bodies. In India, we have MSME.
27. ISO 9000 Certification
An organization applying for ISO 9001 certification is audited based
on an extensive sample of its sites, functions, products, services and
processes.
The auditor presents a list of problems (defined as non-conformities)
to management.
If there are no major non-conformities, the certification body will
issue a certificate.
An ISO 9001 certificate is not a once-and-for-all award, but must be
renewed at regular intervals recommended by the certification body,
usually once every 3 years.
28. Benefits of ISO 9001:2015
Quality is maintained.
ISO registration has significant bearing on market credibility as
well.
Opportunity to compete with larger companies.
More time spent on customer focus.
Confirmation that your company is committed to quality.
May facilitate trade and increased market opportunities.
Can increase customer confidence and satisfaction.
29. Conclusion
Good Laboratory Practices (GLP) provides a frame work
for laboratories to plan, perform, monitor, record and report
their activities. It also reflects the quality of laboratory services
during any assessments.
ISO 9000 is a series of Quality Management System (QMS)
Standards that provides guidance and tools, minimum
requirements for companies and organizations, to ensure that
their products and serives consistently meet customer’s
requirements, for consistent improvement in quality.
30. References
1. Sanjiv Kumar Jain and Inderpreet Singh Ahuja, ISO 9000 Quality
Management System: Literature review, International Journal of
Technology, Policy and Management, Vol. 12, No. 4
2. Amar Pal Singh, Quality management systems & ISO 9000
effectiveness: A review, Indian Journal of Pharmacy and
Pharmacology, Vol. 9, Issue 4, Oct-Dec 2022
3. Richard A. Becker, Erik R. Janus, and Robert E. Brackett, Good
Laboratory Practices and Safety Assessments, Environmental
Health Perspectives, volume 117, number 11, November 2009
31. 4. Herbal Drug Analysis, Analytical Pharma. & Extraction
Technology, PV Publications, Page 62-81
5. Alatgi AC, Chougule SB., “Good laboratory practice”, Journal of
Evolution of Medical and Dental Sciences 2015; Vol. 4, Issue 103,
December 24; Page: 16901-16906
6. Good Laboratory Practice, by European Chemical Industry
Ecology and Toxicology Centre (ECETOC), Monograph No. 1,
Brussels October 1979Good Laboratory Practice. by G.E. Paget,
MTP Press Limited, Lancaster 1979
References