The document discusses the process of industrialization, which is the stage of product development where prototypes are transformed into commercial products ready for mass production. Industrialization involves developing manufacturing methods, processes, and ensuring production specifications accurately translate functional requirements. It is a complex stage that requires coordination between design, manufacturing, and quality teams. The resources and time needed for industrialization are often underestimated. The document provides several rules of thumb for successful industrialization, including following quality management systems, documenting a manufacturing strategy plan, involving manufacturing teams early in the design process, and focusing on high-risk components.
How To Manage and Mitigate Risk in Medical Device New Product DevelopmentGreenlight Guru
A company’s ability to understand and manage risk can mean the difference between financial success and disaster.
(You can view the full webinar here: http://www.greenlight.guru/risk-in-medical-device-new-product-development-webinar)
In this webinar you'll learn:
- How to understand the true nature and impact of project and product risk
- How to effectively measure risk quantitatively
- How to use risk management as a tool to accelerate NPD
- What you need to know about the upcoming risk-based changes to ISO 13485 to ensure compliance
Design controls are not an easy subject to address during and after the design of medical devices and manufacturing processes. Design controls should drive the device design process, not be an afterthought. This session focuses on treating design as a separate entity within the quality management system, user needs vs. design inputs, continuation of design controls after the transfer process, design review and more.
Change Control Description PowerPoint Presentation Slides SlideTeam
Deal with transition and transformation of an organization’s goals, processes or technologies using professionally designed content-ready Change Control Description PowerPoint Presentation Slides. Implement strategies and help people to adapt organizational change with the help of easy-to-understand change control description PPT presentation templates. Work on projects, undertake initiatives, improve performances, seize opportunities and solve key issues which require certain changes. Get access to the change control description PowerPoint presentation deck to execute the required change. This deck covers various topics to help you bring the transition successfully such as change management strategy key objectives, change management implement drivers, identify the change, types of change management, forces for change, gap analysis, organization change readiness checklist, etc. Grab change management PowerPoint deck which is customizable. Edit color, text, icon and font size of the templates as per your need. Add or remove content, if needed. Download ready-to-use change control description PPT presentation templates to manage projects, people, and guide an organization through a transitional change. Enjoy the convenience of our Change Control Description Powerpoint Presentation Slides. Convey your ideas exactly as you imagined,
Standard Operating Procedure (SOP) for Information Technology (IT) OperationsRonald Bartels
Title of SOP
Dates
Issue date
Effective date
Document history
Approvals
Description
Purpose and background
Scope
Definitions
Operations
Maintenance
Projects
Business justification and project request form
Project Lite methodology (mini projects)
Large projects
Fulfilment
Example - Video conferencing
Quality and targets
Vital functions affected by this SOP
Lessons learned
Record and Document Management
References
Standards
Images
Diagrams
Equipment, hardware and software lists
Labelling and naming standards
Checklists
Installation
Configuration
Testing
Financial
Budget exception / deviation
Risk
The CRAMM Risk management methodology
Meerkat Risk Methodology
Information Security
Physical security
Service Continuity
Risk evaluation and control
Business impact analysis
Develop continuity strategies
Emergency response and operations
Developing and implementing the BCP
Awareness and training program
Maintaining and exercising the BCP
Standards and guidelines
Escalations
Roles and responsibilities
The Uberfingers team leaders dashboard
Shifts
Training
Monitoring requirements
Change
Stakeholders
Request for change
Apply for testing
Configuration management database
Impact and risk assessment
Change Advisory Board (CAB)
Installation in testing
Test installation review
Testing in progress
Operational acceptance phase
Ready for live
Implementation in live
Go Live acceptance
Live
Integration with Service Desk
Change types
Vendors
Review and evaluation of vendors
Maintenance
Warranty
Handling Incidents and Troubleshooting procedures
The Expanded Incident Lifecycle
Service review
Meetings
Previous period
Performance review
Current issues
Peripheral issues
Grading of service desk interaction
Grading of service desk escalation
Checklist for SOP
Addendum
Service catalogue
Change Control Process PowerPoint Presentation SlidesSlideTeam
Change control process PowerPoint presentation slides help change management teams to focus on objective and results. This organization change management PowerPoint template contains visual graphics on types of change management, forces for change, gap analysis, vision statement, organizational change readiness, change management agents, role of leadership in CM, role of team members, role of key stakeholders, Lewin’s three-stage change model, ADKAR model, bridge transition model, Szpekman’s communication framework, Roger’s technology adoption curve, risk and barriers, risk assessment etc. Further our business process reengineering PPT presentation helps to present extensive planning through professionally designed slides such as risk matrix, resistance assessment survey, resistance to change, resistance management plan, implementation strategies, change transition plan, change transition curve, communication plan, CM training, and timeline, sustaining momentum, change management cost, evaluation, results, performance dashboard etc. Download this self-explanatory business transformation process presentation template to adopt new methods without difficulty. Climb away with our Change Control Process PowerPoint Presentation Slides. Get to the crest with complete ease.
Daily Production Management - 5 Tips to Maintain Stability & Exclusion of Abn...Antonius Pompi Bramono
5 tips to maintain stability & exclusion of abnormality in your daily production management by implementing 5S, Visual Control, Observing & Enforcement of Standard, Failsafe Devices and Abnormality Control.
How To Manage and Mitigate Risk in Medical Device New Product DevelopmentGreenlight Guru
A company’s ability to understand and manage risk can mean the difference between financial success and disaster.
(You can view the full webinar here: http://www.greenlight.guru/risk-in-medical-device-new-product-development-webinar)
In this webinar you'll learn:
- How to understand the true nature and impact of project and product risk
- How to effectively measure risk quantitatively
- How to use risk management as a tool to accelerate NPD
- What you need to know about the upcoming risk-based changes to ISO 13485 to ensure compliance
Design controls are not an easy subject to address during and after the design of medical devices and manufacturing processes. Design controls should drive the device design process, not be an afterthought. This session focuses on treating design as a separate entity within the quality management system, user needs vs. design inputs, continuation of design controls after the transfer process, design review and more.
Change Control Description PowerPoint Presentation Slides SlideTeam
Deal with transition and transformation of an organization’s goals, processes or technologies using professionally designed content-ready Change Control Description PowerPoint Presentation Slides. Implement strategies and help people to adapt organizational change with the help of easy-to-understand change control description PPT presentation templates. Work on projects, undertake initiatives, improve performances, seize opportunities and solve key issues which require certain changes. Get access to the change control description PowerPoint presentation deck to execute the required change. This deck covers various topics to help you bring the transition successfully such as change management strategy key objectives, change management implement drivers, identify the change, types of change management, forces for change, gap analysis, organization change readiness checklist, etc. Grab change management PowerPoint deck which is customizable. Edit color, text, icon and font size of the templates as per your need. Add or remove content, if needed. Download ready-to-use change control description PPT presentation templates to manage projects, people, and guide an organization through a transitional change. Enjoy the convenience of our Change Control Description Powerpoint Presentation Slides. Convey your ideas exactly as you imagined,
Standard Operating Procedure (SOP) for Information Technology (IT) OperationsRonald Bartels
Title of SOP
Dates
Issue date
Effective date
Document history
Approvals
Description
Purpose and background
Scope
Definitions
Operations
Maintenance
Projects
Business justification and project request form
Project Lite methodology (mini projects)
Large projects
Fulfilment
Example - Video conferencing
Quality and targets
Vital functions affected by this SOP
Lessons learned
Record and Document Management
References
Standards
Images
Diagrams
Equipment, hardware and software lists
Labelling and naming standards
Checklists
Installation
Configuration
Testing
Financial
Budget exception / deviation
Risk
The CRAMM Risk management methodology
Meerkat Risk Methodology
Information Security
Physical security
Service Continuity
Risk evaluation and control
Business impact analysis
Develop continuity strategies
Emergency response and operations
Developing and implementing the BCP
Awareness and training program
Maintaining and exercising the BCP
Standards and guidelines
Escalations
Roles and responsibilities
The Uberfingers team leaders dashboard
Shifts
Training
Monitoring requirements
Change
Stakeholders
Request for change
Apply for testing
Configuration management database
Impact and risk assessment
Change Advisory Board (CAB)
Installation in testing
Test installation review
Testing in progress
Operational acceptance phase
Ready for live
Implementation in live
Go Live acceptance
Live
Integration with Service Desk
Change types
Vendors
Review and evaluation of vendors
Maintenance
Warranty
Handling Incidents and Troubleshooting procedures
The Expanded Incident Lifecycle
Service review
Meetings
Previous period
Performance review
Current issues
Peripheral issues
Grading of service desk interaction
Grading of service desk escalation
Checklist for SOP
Addendum
Service catalogue
Change Control Process PowerPoint Presentation SlidesSlideTeam
Change control process PowerPoint presentation slides help change management teams to focus on objective and results. This organization change management PowerPoint template contains visual graphics on types of change management, forces for change, gap analysis, vision statement, organizational change readiness, change management agents, role of leadership in CM, role of team members, role of key stakeholders, Lewin’s three-stage change model, ADKAR model, bridge transition model, Szpekman’s communication framework, Roger’s technology adoption curve, risk and barriers, risk assessment etc. Further our business process reengineering PPT presentation helps to present extensive planning through professionally designed slides such as risk matrix, resistance assessment survey, resistance to change, resistance management plan, implementation strategies, change transition plan, change transition curve, communication plan, CM training, and timeline, sustaining momentum, change management cost, evaluation, results, performance dashboard etc. Download this self-explanatory business transformation process presentation template to adopt new methods without difficulty. Climb away with our Change Control Process PowerPoint Presentation Slides. Get to the crest with complete ease.
Daily Production Management - 5 Tips to Maintain Stability & Exclusion of Abn...Antonius Pompi Bramono
5 tips to maintain stability & exclusion of abnormality in your daily production management by implementing 5S, Visual Control, Observing & Enforcement of Standard, Failsafe Devices and Abnormality Control.
Packaging Solutions that Improve Time to MarketApril Bright
This session will discuss packaging solutions designed to improve time to market and lower costs for OEMs. Kelly Lucenti will discuss challenges imposed from the research and development phase to production, as well as trending issues with packaging design and validations. The presentation will highlight the importance of OEMs engaging their packaging groups early in the design phase, and ways that leveraging existing validations can speed time to market and cut major costs.
Pharmaceutical Technology Transfer Best PracticesAnthony Grenier
Key Takeaways from the Technology Transfer Guidelines
• Standardize checklist for transferring product development, process development, and analytical method development knowledge
• Requirements are summarized in key deliverables and reports
Predicting an instrument's performance over time is essential to the design phase. This session will cover reliability testing and performance deterioration, including recommendations for tests that should be performed to ensure that an instrument will function through a lifetime of use, and ways to collect measurable outputs of the instrument from initial use to the end of its lifecycle.
21 cfr part 820 quality system regulation applying principles of lean docume...Compliance Trainings
In this webinar, we apply the Theory of Lean documents and its corollary Theory of Lean Configuration to present a fresh approach to following 21 CFR Part 820, yet is based on solid principles and proven practices.
Productivity improvement in generation of so ps for oil & gas equipment manuf...QuEST Global
This white paper enables an SOP publisher to understand the advantages of employing an onsite project lead to accelerate the generation of a high quality SOP in Oil & Gas industry. A publisher can critically understand the success factor of such an engagement and the process of arriving at the new generation factor.
Winning Strategies for Tech Transfer ProjectsAnthony Grenier
Keys to Successful Tech Transfer:
1-Knowledge Management ‐ QbD
2-Project Management
3- Capability and Preparation of CMO/
Receiving Site
4-Planning & Communication
Standard operating procedures for co operativesCo-operatives
In military terminology it is used to describe a procedure or set of procedures to perform a given operation or evolution or in reaction to a given event. In General, SOP is a set of instructions having the force of a directive, covering those features of operations that lend themselves to a definite or standardized procedure without loss of effectiveness. Procedure is a specified way to carry out an activity or a process.
Protecting The Global Supply Chain Through An Effective Audit Program Rev BGerard Pearce
Supplier audits are a critical component of ensuring the integrity of the Pharmaceutical Ingredient Supply Chain. However, evolving supply chains are outpacing traditional audit program methods. Today, effective supplier audit programs require a fresh look at the people, processes and technology involved. The new global standard for supplier audit programs is an agile, multi-faceted model that comprises a disciplined process, optimized key resources, versatile tools and complete stakeholder visibility. This presentation will help business leaders evaluate their supplier quality operations and create a foundation for greater supply chain integrity and improvement.
Manufacturing is a sophisticated function where people try to juggle between the tasks of increasing productivity, managing their inventory, and optimizing their resource utilization. All this has to be done without compromising on the quality of the product and this is why we are talking about - Production Planning and Control strategy. This strategy for manufacturing combines two essential components of manufacturing - #productionplanning and production control.
Read our e-book to know, what the crucial stages in production planning are, some best practices, and how it is important to get a granular understanding of which section needs to do what, along with where, when, and how.
Production Planning Manufacturing inventory E-book
Link: https://www.polestarllp.com/ebook/production-planning-in-manufacturing-industry-e-book
Follow Polestar Solutions for more such content.
Design Controls: Building Objective Evidence and Process Architecture to Mee...April Bright
This session provides detailed examples to demonstrate what objective evidence is important to generate and use during design control compliance but, more importantly, to develop and issue a beneficial design history file meeting the requirements in 21 CFR, Part 820.30 and ISO 13485:2016. Aside from the importance of design controls for compliance, Mr. Gagliardi demonstrates how this section of the QS regulation and the ISO standard can be facilitated as a leading edge business tool.
Packaging Solutions that Improve Time to MarketApril Bright
This session will discuss packaging solutions designed to improve time to market and lower costs for OEMs. Kelly Lucenti will discuss challenges imposed from the research and development phase to production, as well as trending issues with packaging design and validations. The presentation will highlight the importance of OEMs engaging their packaging groups early in the design phase, and ways that leveraging existing validations can speed time to market and cut major costs.
Pharmaceutical Technology Transfer Best PracticesAnthony Grenier
Key Takeaways from the Technology Transfer Guidelines
• Standardize checklist for transferring product development, process development, and analytical method development knowledge
• Requirements are summarized in key deliverables and reports
Predicting an instrument's performance over time is essential to the design phase. This session will cover reliability testing and performance deterioration, including recommendations for tests that should be performed to ensure that an instrument will function through a lifetime of use, and ways to collect measurable outputs of the instrument from initial use to the end of its lifecycle.
21 cfr part 820 quality system regulation applying principles of lean docume...Compliance Trainings
In this webinar, we apply the Theory of Lean documents and its corollary Theory of Lean Configuration to present a fresh approach to following 21 CFR Part 820, yet is based on solid principles and proven practices.
Productivity improvement in generation of so ps for oil & gas equipment manuf...QuEST Global
This white paper enables an SOP publisher to understand the advantages of employing an onsite project lead to accelerate the generation of a high quality SOP in Oil & Gas industry. A publisher can critically understand the success factor of such an engagement and the process of arriving at the new generation factor.
Winning Strategies for Tech Transfer ProjectsAnthony Grenier
Keys to Successful Tech Transfer:
1-Knowledge Management ‐ QbD
2-Project Management
3- Capability and Preparation of CMO/
Receiving Site
4-Planning & Communication
Standard operating procedures for co operativesCo-operatives
In military terminology it is used to describe a procedure or set of procedures to perform a given operation or evolution or in reaction to a given event. In General, SOP is a set of instructions having the force of a directive, covering those features of operations that lend themselves to a definite or standardized procedure without loss of effectiveness. Procedure is a specified way to carry out an activity or a process.
Protecting The Global Supply Chain Through An Effective Audit Program Rev BGerard Pearce
Supplier audits are a critical component of ensuring the integrity of the Pharmaceutical Ingredient Supply Chain. However, evolving supply chains are outpacing traditional audit program methods. Today, effective supplier audit programs require a fresh look at the people, processes and technology involved. The new global standard for supplier audit programs is an agile, multi-faceted model that comprises a disciplined process, optimized key resources, versatile tools and complete stakeholder visibility. This presentation will help business leaders evaluate their supplier quality operations and create a foundation for greater supply chain integrity and improvement.
Manufacturing is a sophisticated function where people try to juggle between the tasks of increasing productivity, managing their inventory, and optimizing their resource utilization. All this has to be done without compromising on the quality of the product and this is why we are talking about - Production Planning and Control strategy. This strategy for manufacturing combines two essential components of manufacturing - #productionplanning and production control.
Read our e-book to know, what the crucial stages in production planning are, some best practices, and how it is important to get a granular understanding of which section needs to do what, along with where, when, and how.
Production Planning Manufacturing inventory E-book
Link: https://www.polestarllp.com/ebook/production-planning-in-manufacturing-industry-e-book
Follow Polestar Solutions for more such content.
Design Controls: Building Objective Evidence and Process Architecture to Mee...April Bright
This session provides detailed examples to demonstrate what objective evidence is important to generate and use during design control compliance but, more importantly, to develop and issue a beneficial design history file meeting the requirements in 21 CFR, Part 820.30 and ISO 13485:2016. Aside from the importance of design controls for compliance, Mr. Gagliardi demonstrates how this section of the QS regulation and the ISO standard can be facilitated as a leading edge business tool.
Infodream Articles about Continuous Improvement, Aerospace, Quality Control a...Infodream
Articles include: 1. Lack of Training to Blame for Slow Up-take of Continuous Improvement Tools in Aerospace -- 2. SPC Vision Reduces Inspection Stages and Empowers Operators at Turbomeca UK -- 3. Real time SPC & Quality Control at Mölnlycke Health Care supports FDA’s PAT
Project Management Plan
Project Management Plan
Introduction
Project management planning involves defining, preparing, and coordinating all other subsidiary plans and integrating them to come up with one comprehensive plan. To make sure that the patient image wands being manufactured by PROVISION Healthcare Technologies is a success both from development, distribution and sales and marketing, the project management should be well consolidated .This will enable the project to be closely monitored. Project execution and controlling would be very much easier when there is a well documented management plan.
Product Development
The design and control process
During the development of the patient wands, the design and control process is very important. It is at this stage that procedures in the project plan are documented and incorporated during design and development of those patient wands.
The design team has the duties of doing the following:
· Identifying the customers’ needs
· Understanding the competitor’s product.
· Meeting essential requirements that is required to achieve a high quality product, from inception through to production.
· Identifying early inconsistencies or discrepancies by comparing what is currently made to the initial concept. This will help reduce redesigning and reworking. On the other hand, it will help improve product design and quality
· The design team should ensure that the end product will meet the customer needs.
Design and development planning process
At this stage, a plan that outlines the development activities while allocating individuals their duties and responsibilities is established and maintained .It is at this stage that the plan is reviewed, updated and approved. The software and hardware designs should be verified and be validated at this point.
Input Design
In order to come up with the best design, external ideas should be borrowed. It is during this phase that a survey of customers and other stakeholders for example nurses and clinicians should be done. Administering of questionnaires or interviewing can be conducted. The information gathered would be used to review, address and develop the specifications of the product.
Output Design
The output design procedures need to clearly refer to the input design that was earlier developed. The output design is expected to highlight the critical measures for proper functioning of the devices and software. Some of the output designs include:
· The hardware component
· user manual
· Specifications
· A risk analysis
· Study results which include validation and biocompatibility studies, storage and shipping tests
· Technical files
Design review
Design review is done to confirm the construction of the design. It is from here that deficiencies are detected and corrected .Hazard analysis review and failure mode analysis are the two common review analyses that can be done to ensure that the design is up to date. The design should be reviewe ...
The challenges facing in pharmaceutical maintenanceMANUEL PACINI
Maintenance strategies for the pharmaceutical industry.
Maintenance and service-related items are often the second-largest budget element in a laboratory after salaries and benefits
Optimizing Product Realization Costs Across the Value ChainCognizant
Across a range of industries, realization of cost optimization requires a holistic approach throughout the product lifecycle - requirements, design, manufacture and post-launch - in order to weed out cost overruns and ensure the highest quality process and products.
The advantages of a connected device can be explored through the different categories of needs, by trialling a range of solutions and considering a framework of manageable steps.
Thinking Human by Julian Dixon, PMPS Inhalation Technology SupplementTeam Consulting Ltd
As medical device companies strive to make their products more user-friendly, it becomes clear that listening to the end user is an important part of the process. Through small-scale studies and human factor analysis, inhalers can be developed that are simple and easy to use.
ONdrugDelivery - The advantages of designing high-resistance swirl chambers f...Team Consulting Ltd
In this article, David Harris, Head of Respiratory Drug Delivery, Team Consulting, taps into a powerful combination of detailed anatomical and functional understanding of the human respiratory system, pulmonary drug delivery technology and formulation expertise, and mathematical modelling techniques, in order to put forward the case for high-resistance swirl chambers in dry-powder inhalers, and a rational strategy for optimising the design and thus maximising therapeutic efficacy.
We think it is important to think ahead and to consider what issues the medical industry will be facing in the future.
As we near 2015 we’ve decided to use this as a half-way point. In this infographic we’ve reflected on significant global changes over the last 15 years and looked at the forecasts for the next 15. The result is a glimpse of what challenges healthcare will face in 2030. Can we do anything today to change the future? Or if we accept this vision of the future what do we need to do now to best prepare?
In an issue of IPT (Innovations in Pharmaceutical Technology) magazine, Team Consulting's David Harris explores the benefits of dry powder inhalers for a range of new therapeutic areas, outside of traditional asthma and COPD treatments.
If you were to tell some people that one of the most frustrating aspects of the development of a drug delivery device would be the little clicks that it makes as part of its operation, they would probably think you had lost your sense of priority.
Device developers know this - whether human factors experts or industrial designers, mechanical engineers, or risk analysis teams - yet this aspect of device design, like many others, is frequently not given the attention it deserves. So why is a click so important?
Designing for battery-powered and battery-packed medical devices, EPD&T, Dec ...Team Consulting Ltd
Team's Jonathan Oakley writes about designing the 'graceful shutdown'. When power starts to run out in a medical device it is important to think about which parts of the system are affected and at what stage.
First published in EPD&T in December 2013 http://www.epdtonthenet.net/
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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
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
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
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
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.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
2. Developing medical products to prepare
them for commercial production is
commonly known as industrialisation.
Officially, regulators call this either
‘Design Transfer’ (US Food and Drug
Administration [FDA]) or ‘Design and
Development Transfer’ (ISO 13485).
These meanings are essentially the
same, which is to ensure that ‘the design
and development outputs are verified as
suitable for manufacturing1
’ and that the
‘device design is correctly translated into
production specifications2
’.
Industrialisation of medical products is a
complex part of the overall development
process. It usually involves a lot of
preparation and coordination among
multiple groups and, as such, the
resources and time needed to complete
this phase are often underestimated.
Even the most capable of medical
companies can, and do, experience
difficulties in turning prototype
technology into a commercial product.
In the early stages of product
development, the responsibility lies
with the design team. Progress at
this stage can be very tangible and
exciting: product concepts are created
rapidly, evaluated and then reiterated;
prototyping methods are often used
to quickly produce early models for
mechanical and user evaluations. As the
design develops, functional models are
necessary to demonstrate and prove the
robustness of the technology. These are
called ‘proof-of-principle’ prototypes
and closely resemble the final product
solution. A typical prototype may include
realistic electronics modules and even
genuine components produced in the
correct materials. These prototypes are
very convincing and can easily lead to a
false sense of the development process
being almost complete. However, it’s
worth remembering that these samples
are still “prototypes” and, in reality, a lot
of work is still required to produce actual
medical products.
“It’s worth remembering
that these samples are
still prototypes and, in
reality, a lot of work is
still required to produce
actual medical products.”
As the process moves towards the
industrialisation stage, the rate of
perceived progress seems to slow down
significantly, which can be less exciting
for those who have been involved from
the beginning. This occurs because the
manufacturing methods and processes
need to be developed, which involves
everything from the design and build of
the production and assembly equipment
to validation of the manufacturing
processes. The objective is to have
systems and processes that are
predictable, consistent, and controllable
to ensure that the end product reaches
the required level of quality to safeguard
patient/user safety. ≥
Industrialisation
of a product
development can be
the trickiest step
FDA
Design Control Guidance for
Medical Device Manufacturers
states that ‘historically,
shortcomings in the production
specifications tend to be
manifested late in the product
life cycle’.
By Brennan Miles
and Nick Salt
33
3. To gain some
insight into the
industrialisation
process, we have put
together a few rules
of thumb to consider
when developing a new
medical product:
Team Consulting
Insight Issue 13
Be sure to follow your quality
management system (QMS)
and the regulation guidance.
This is perhaps the most
obvious rule because adhering
to your QMS is critical to
obtaining regulatory approval
from both the FDA and/or
the ISO;without a QMS it
is not possible to design or
manufacture medical products.
However, sometimes short-
cuts are taken, especially
during development when
milestones can make or break
whether a product continues.
If this happens, these short-
cuts will need to be remedied
before Design Transfer can
be completed. In the worst-
case scenario, this can mean
significant re-working. It’s worth
remembering that any issues
that are deferred will need to be
resolved during this phase and
that the cost of correcting errors
increases exponentially during
development, so gaps should be
filled as soon as possible.
Document and maintain an approach for manufacturing
a new product. At Team we call this a Manufacturing
Strategy Plan (MSP).
The purpose of an MSP is to build on the commercial
production requirements that are usually decided at
the very beginning of the new product programme.
It should contain information that may influence the
design detail, such as the expected production volume,
target product and investment costs, information on
where the production sites will be located, and how/
where the final product inspection and distribution will
take place.
This plan should be created as early as possible and
updated throughout the development phases. It should
be made available to the development teams so there
are no surprises regarding the production scale-up
requirements. Having the basics well defined can help
drive good decision making later in the plan.
Understand the skills and experiences of
manufacturing partners, both internal and contracted
external partners.
The design team should understand the technical
strengths and weaknesses of the selected production
partners. This will help to guide the product design
towards areas of manufacturing strength, making
for a smoother transition during industrialisation,
and to identify whether new skills/processes will be
needed. Questions should be asked, such as: is the
manufacturing equipment already available? Have
similar assembly processes been proven in the past?
What is the expected process capability?
Make sure that input from manufacturing is included
in the design review process from the beginning.
As we have already mentioned, industrialisation really
starts in earnest after the development and design
verification work has been completed. But its worth
remembering that the preparation for manufacturing
needs to overlap the design activities from an early
stage to make sure that the transfer process runs
smoothly. A good technical development team will
find a balance between design creativity whilst also
de-risking potential future production difficulties. For
example, a detailed review of production transfer trays
will probably not be helpful at the design concept stage,
but flagging components that have vulnerable design
features should trigger further activities to identify
product-handling solutions earlier in the program.
34
4. Identify any particularly high-risk or complex
components or sub-assemblies as early as possible.
It is human nature to be drawn to the simpler aspects of
the design detail to ‘get them out of the way’. However,
during industrialisation it is much more efficient
to focus efforts/resources on the most complex
product components, sub-assemblies or production
processes to ensure that the design solutions can be
manufactured (and controlled) as planned. Ultimately,
the difficult parts will determine whether the product
can be manufactured successfully.
Ensure that the product function requirements are
correctly translated into production specifications.
This can be one of the more complex aspects of the
industrialisation process. For some product functions,
it is possible to perform a direct check during
manufacture; for example, the position of a component
during assembly can be inspected using a camera to
compare images of good and bad parts for Quality
Control.
For other product functions, a secondary or inferred
check may be required; for example, if the counter on
an inhaler rotates by one digit in a test actuation this
means that the internal mechanism is functioning
correctly. These types of tests can be very difficult
to establish and validate, so detailed analysis and
preparation are to be expected. Where no functional
tests can be carried out in production to ensure –
directly or indirectly – that input requirements will
be met, a detailed understanding of the design space
becomes essential e.g. through tolerance analysis.
This will allow detailed discussions with commercial
manufacturing partners to take place to ensure that
production design specifications describe a device that
will meet its functional requirements.
Don’t forget about other
ancillary production processes
and items.
Processes such as component
inspection, sub-assembly
handling, labelling and
packaging may seem less
important during the concept
development stages of a new
product, but they soon become
essential for validation of the
manufacturing systems.
Metrology can often be the
bottleneck in a validation
process, so having fixtures
and methods qualified as early
as possible can avoid delays
and the need to repeat work
later on. Prototype moulded
parts manufactured during
detailed design can often prove
very useful in support of such
activities.
At Team we know that pioneering
medical devices change people’s lives
for the better so we understand the
importance of efficiently transferring
a design into commercial product. The
principles that we have listed here are
by no means exhaustive, but we hope
that they give some useful insight into
the planning and expertise needed to
successfully make it ‘off the drawing
board’ and into production in the most
successful way. E N D S
References
1. FDA - Design Control Guidance for Medical Device
Manufacturers
2. ISO 13485:2016 Medical devices – Quality management
systems – Requirements for regulatory purposes
No design team can anticipate all factors bearing on the success of the
design, but procedures for design transfer should address at least the
following basic elements:
‘First, the design and development procedures should include a
qualitative assessment of the completeness and adequacy of the
production specifications.
Second, the procedures should ensure that all documents and articles
which constitute the production specifications are reviewed and
approved.
Third, the procedures should ensure that only approved specifications
are used to manufacture production devices’ – FDA Design Control
Guidance for Medical Device Manufacturers
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