This document discusses commissioning, qualification, and maintenance of HVAC systems. It covers:
- Commissioning includes setting up, balancing, adjusting and testing the HVAC system to ensure it meets requirements, and training personnel. Records of installation, design measurements, manuals and reports are maintained.
- Qualification validates the HVAC system meets design specifications. It includes design qualification, installation qualification, operational qualification, and performance qualification based on a risk analysis. Critical parameters and components are tested.
- Maintenance includes inspection of documentation, operating and maintenance procedures, environmental records, and discussion of out of specification actions. Filters are changed and devices calibrated by trained personnel to ensure product quality and continued qualification.
Auditing of critical parameter:- HVAC(heating, ventilation and air conditioning system) 2021; In these presentation includes the requirement of HVAC, Auditing of HVAC components, technical analysis of HVAC components, WHO-GMP audis of HVAC then
Rogert william statement on HVAC, working of HVAC systems and their components Core function of HVAC, Market trends and market analysis of HVAC, WHO guidelines on HVAC system.
Pharmaceutical HVAC (Heating, ventilating, and air conditioning; also heating...Palash Das
This slide is represent the HVAC design,qualification and operational approach. As we know HVAC is important system for maintaining clean room. This presentation is made based on the requirement of Pharmaceutical Industry. All parameter are considered based on the current guidelines aspect.
Auditing of critical parameter:- HVAC(heating, ventilation and air conditioning system) 2021; In these presentation includes the requirement of HVAC, Auditing of HVAC components, technical analysis of HVAC components, WHO-GMP audis of HVAC then
Rogert william statement on HVAC, working of HVAC systems and their components Core function of HVAC, Market trends and market analysis of HVAC, WHO guidelines on HVAC system.
Pharmaceutical HVAC (Heating, ventilating, and air conditioning; also heating...Palash Das
This slide is represent the HVAC design,qualification and operational approach. As we know HVAC is important system for maintaining clean room. This presentation is made based on the requirement of Pharmaceutical Industry. All parameter are considered based on the current guidelines aspect.
Validation Of System For Compressed Air Quality Imtiaz Rastgar
Food, Pharma and several other manufacturing industries need compressed air with precise control on oil-in-air, dust particles and moisture levels. Instruments and standards of compressed air quality are described by Imtiaz Rastgar, Chairman Rastgar Group and Ex CEO of Engineering Development Board, Ministry of Industries, Government of Pakistan, Islamabad.
Qualification of HVAC Systems As Per WHOAditya Sharma
Qualification of HVAC Systems As Per WHO
Documentation requirements to assist in commissioning, qualification and maintenance
Objectives
Commissioning
Qualification
Design conditions and normal operating ranges set to achievable limits
OOS results recorded
Qualification – examples of aspects to consider
Schedule of tests to demonstrate continuing compliance
Cleanroom monitoring program (1)
Cleanroom monitoring program (2)Particles and Microbiological contaminants
Definition of Conditions
examples of aspects to consider in qualification (OQ, PQ)
Maintenance
Inspecting the air handling system
Workshop On Risk Assesment by Palash Ch DasPalash Das
Risk management principles are effectively utilized in many areas of business and government including finance, insurance, occupational safety, public health, pharmacovigilance, and by agencies regulating these industries. Although there are some examples of the use of quality risk management in the pharmaceutical industry today, they are limited and do not represent the full contributions that risk management has to offer. In addition, the importance of quality systems has been recognized in the pharmaceutical industry and it is becoming evident that quality risk management is a valuable component of an effective quality system.
Validation of HVAC pharma geeta TUBE (Utility Systems)Saikat Bagchi
Validation Of HVAC, Heating, Ventilation, Air Conditioning; Utility Systems, Validation Parameters, Air Handling Unit, Work Flow Animation Diagram, Validation Process Tests & Parameters.
Validation Of System For Compressed Air Quality Imtiaz Rastgar
Food, Pharma and several other manufacturing industries need compressed air with precise control on oil-in-air, dust particles and moisture levels. Instruments and standards of compressed air quality are described by Imtiaz Rastgar, Chairman Rastgar Group and Ex CEO of Engineering Development Board, Ministry of Industries, Government of Pakistan, Islamabad.
Qualification of HVAC Systems As Per WHOAditya Sharma
Qualification of HVAC Systems As Per WHO
Documentation requirements to assist in commissioning, qualification and maintenance
Objectives
Commissioning
Qualification
Design conditions and normal operating ranges set to achievable limits
OOS results recorded
Qualification – examples of aspects to consider
Schedule of tests to demonstrate continuing compliance
Cleanroom monitoring program (1)
Cleanroom monitoring program (2)Particles and Microbiological contaminants
Definition of Conditions
examples of aspects to consider in qualification (OQ, PQ)
Maintenance
Inspecting the air handling system
Workshop On Risk Assesment by Palash Ch DasPalash Das
Risk management principles are effectively utilized in many areas of business and government including finance, insurance, occupational safety, public health, pharmacovigilance, and by agencies regulating these industries. Although there are some examples of the use of quality risk management in the pharmaceutical industry today, they are limited and do not represent the full contributions that risk management has to offer. In addition, the importance of quality systems has been recognized in the pharmaceutical industry and it is becoming evident that quality risk management is a valuable component of an effective quality system.
Validation of HVAC pharma geeta TUBE (Utility Systems)Saikat Bagchi
Validation Of HVAC, Heating, Ventilation, Air Conditioning; Utility Systems, Validation Parameters, Air Handling Unit, Work Flow Animation Diagram, Validation Process Tests & Parameters.
Heating and Cooling with Air Source Heat Pump and Air Handling Unit system fo...Marius Lazauskas
Increasing average ambient temperatures, Photovoltaic electricity coverage of heating and cooling demand and Heijmans ONE (Tiny House) lifespan (30 years) all indicate that increased indoor comfort outweighs the 9 year payoff period and Investigated Case is more futureproof (robust) design, when compared with Existing Case.
USP 797/800 Cleanroom Compliance by Terra UniversalTerra Universal
Understand the scope and compliance costs of the most recent CGMP standards and USP
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Dr. Chris Munoz, PharmD and Principle Consultant at ITL Consulting
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Dr. Jesse Martinez, PharmD, FASCP and Vice Dean of the College of Pharmacy,
Western University of Heath Sciences
Dr. Jesse Martinez has 37 years Of experience in compounding, sterile and non-sterile pharmacy operations and administration, and research. He has served on local, state and national pharmacy associations and currently teaches fourth-year pharmacy students in advanced Classes that include pharmacist-in-charge training. Jesse consults for the pharmacy industry and is a recognized expert in USP 795, 797 and 300 compliance.
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Contamination Control in Cleanrooms_Dr.A. AmsavelDr. Amsavel A
Basic’s of Contamination
Sources of Contamination
Environment Specification
Elements of Cleanroom Design and Qualification
Definitions
Control of Contaminations
People, Cleaning, Environment & Material
Operation, Monitoring and Control
Documents and Records
Australian indoor environment rating tools, and the future of building health...Michael Taranto
Presentation to AIRAH 2016 - The Future of HVAC
By Joe Scholz and Mark Graham, QED Environmental Services
Explains the link between indoor environment and productivity of office building occupants, and how this impacts tenants' bottom line.
Compares and contrasts tools for rating indoor environment: NABERS, Green Star Performance and Well Building Standard.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
- 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
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Title: Sense of Taste
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 structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
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
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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2. Heating, Ventilation and Air-Conditioning (HVAC)
Part 3:
Commissioning, Qualification, and maintenance
HVAC
2
3. Objectives
To understand key issues in :
commissioning,
qualification and
maintenance of HVAC systems
HVAC
3
4. Documentation requirements to assist in commissioning,
qualification and maintenance
Description of design, installation and functions
Specifications, requirements
Manuals
Operating procedures
Instructions for performance control, monitoring and records
Maintenance instructions and records
Training of personnel
― programme and records
HVAC
4
5. Commissioning
Precursor to qualification
Includes setting up, balancing, adjustment and testing of entire
HVAC system to ensure it meets requirements in URS and
capacity
Acceptable tolerances for parameters
Training of personnel
5
6. Commissioning (2)
Records and data maintained include:
Installation records – documented evidence of measure
capacities of the system
Data: Design and measurement for, e.g. airflow, system
pressures
O&M manuals, schematic drawings, protocols, reports
HVAC
6
7. Qualification
Validation is an extensive exercise
Qualification of the HVAC system is one component in the
overall approach that covers premises, systems/utilities,
equipment, processes, etc.
See also full guidelines on "Validation" in WHO TRS No 937,
2005, Annex 4.
Risk-based approach for HVAC qualification
HVAC
7
8. Qualification (2)
Described in a Validation Master Plan (VMP)
VMP to include the nature and extent of tests, and
protocols
DQ, IQ, OQ, and PQ
Risk analysis to determine critical and non-critical
parameters, components, subsystems and controls
HVAC
8
10. Qualification (3)
Direct impact components and critical parameters
should be included
Non-critical systems and components are subjected
to Good Engineering Practices (GEP)
Acceptance criteria and limits defined in design
stage
Design conditions, normal operating ranges, alert
and action limits
HVAC
10
12. Qualification – examples of aspects to consider
DQ – Design of the system, URS
(e.g. components, type of air treatment needed, materials
of construction)
IQ – Verify installation
e.g. relevant components, ducting, filters, controls,
monitors, sensors, etc.
includes calibration where relevant
12
13. Qualification (4)
Typical parameters to be included in qualification (based on
risk assessment):
Temperature
Relative humidity
Supply, return and exhaust air quantities
Room air change rates
Room pressures (pressure differentials)
HVAC
13
16. Qualification (5)
Typical parameters to be included in qualification (based
on risk assessment) (2):
Room clean-up rate
Particulate matter, microbial matter (viable and non-viable)
HEPA filter penetration tests
Containment system velocity
Warning/alarm systems
HVAC
16
17. Qualification (6)
Conduct of the tests:
Time intervals and procedure to be defined by the manufacturer
Influenced by the type of facility and level of protection
See also ISO 14644 for methods of testing
Requalification, and change control
HVAC
17
18. Qualification (7)
Tests performed according to protocols and
procedures for the tests
Results recorded and presented in report (source data
kept)
Traceability, e.g. devices and standards used,
calibration records; and conditions specified
HVAC
18
19. HVAC
Schedule of tests to demonstrate continuing
compliance
*Test procedure as per ISO 14644
Test procedure*
and key aspects
Maximum time
interval
ObjectiveTest Parameter
Particle counter.
Readings and
positions
6 months or 12
months depending
on Class
Verifies cleanlinessParticle count test
Measure pressure
difference
12 monthsAbsence of cross-
contamination
Air pressure
difference
Measure supply and
return air, calculate
air change rate
12 monthsVerify air change
rates
Airflow volume
Velocity
measurement
12 monthsVerify unidirectional
airflow and or
containment
condition
Airflow velocity
20. HVAC
Recommended optional strategic tests
*Test procedure as per ISO 14644
Test procedure*
and key aspects
Maximum time
interval
ObjectiveTest Parameter
Filter media and filter
seal integrity
12 monthsVerify filter integrityFilter leakage
Airflow direction and
pressure differential
12 monthsVerify absence of
cross-contamination
Containment leakage
Time taken
maximum 15
minutes
12 monthsVerify clean-up timeRecovery (time)
Airflow direction,
documented
evidence
12 monthsVerify required
airflow patterns
Airflow visualization
21. Clean room monitoring program (1)
Routine monitoring program as part of quality assurance
Additional monitoring and triggers, e.g.
1. Shutdown
2. Replacement of filter elements
3. Maintenance of air-handling systems
4. Exceeding of established limits
21
22. Clean room monitoring programme (2)
Particles and Microbiological contaminants
Number of points/locations for monitoring determined, specified,
documented in procedure and or protocol
Sufficient time for exposure, and suitable sample size
Identification and marking of sampling points
Definition of transport, storage, and incubation conditions
Results to reflect the procedure/protocol followed
Define alert and action limits as a function of cleanliness zone/class
22
23. air
Example of a sampling point
Clean room monitoring program (3)
Clean rooms should be monitored for microorganisms and
particles
HVAC
25. Qualification – examples of aspects to consider in
qualification (OQ, PQ)
Test
Differential pressure on filters
Turbulent / mixed
airflow
Description
Uni-directional airflow
/ LAF
Room differential pressure
Airflow velocity / uniformity
Airflow volume / rate
Parallelism
Airflow pattern
2 2
N/A 2, 3
2, 3 Optional
2 2
2 N/A
2 3
1 := As built (ideally used to perform IQ)
2 = At rest (ideally used to perform OQ)
3 = Operational (ideally used to perform PQ)
HVAC
26. Test
Turbulent / mixed
airflow
Description
Uni-directional
airflow / LAF
Recovery time
Room classification (airborne particle)
Temperature, humidity
N/A 2
2 2,3
N/A 2,3
1 := As built (ideally used to perform IQ)
2 = At rest (ideally used to perform OQ)
3 = Operational (ideally used to perform PQ)
HVAC
Qualification – examples of aspects to consider in
qualification (OQ, PQ)
27. Maintenance
• Procedure, programme and records for planned,
preventative maintenance
• e.g. cleaning of filters, calibration of devices
• Appropriate training for personnel
• Change of HEPA filters by suitably trained persons
• Impact of maintenance on:
• Product quality
• Qualification
HVAC
27
28. Inspecting the air-handling system
Verification of design documentation, including
description of installation and functions
specification of the requirements
Operating procedures
Maintenance instructions
Maintenance records
Training logs
Environmental records
Discussion on actions if OOS values
On site verification (walking around the site)
HVAC
28
29. Conclusion
Air-handling systems:
Play a major role in the quality of pharmaceuticals
Should be designed properly, by professionals
Should be treated as a critical system
HVAC
29