The document discusses the challenges of managing temperature sensitive pharmaceutical products in India and how Agility helps customers overcome these challenges. Agility provides on-the-ground expertise through in-depth market knowledge and understanding local regulations, infrastructure issues, and product needs. They offer customized solutions for low-volume pharmaceutical consolidation and cold chain management that comply with local legislation and save on costs while maintaining cold chain integrity and avoiding airfreight.
Afterburner Webinars | Organizational Alignment - The Foundation of Business ...Afterburner
Afterburner Inc. brings insights on leadership and teamwork learned in the military to your company. We offer programs and training in a wide variety of subjects, including business execution strategy and leadership development.
In this webinar we discuss what Agility actually is and the latest on Agile team practices and frameworks. Learn how Agile competitors are overtaking traditional giants in the Financial Industry and how organizational alignment empowers business Agility.
Organizational Alignment: The Foundation of Business Agility is presented by Joel "Thor" Neeb, President of Afterburner.
Learn more about us at:
http://www.afterburner.com/
Afterburner Webinars | Organizational Alignment - The Foundation of Business ...Afterburner
Afterburner Inc. brings insights on leadership and teamwork learned in the military to your company. We offer programs and training in a wide variety of subjects, including business execution strategy and leadership development.
In this webinar we discuss what Agility actually is and the latest on Agile team practices and frameworks. Learn how Agile competitors are overtaking traditional giants in the Financial Industry and how organizational alignment empowers business Agility.
Organizational Alignment: The Foundation of Business Agility is presented by Joel "Thor" Neeb, President of Afterburner.
Learn more about us at:
http://www.afterburner.com/
11% of worlds total vegetables production is accounted by India but India's share in global vegetable trade is only 1.7%
127 million tonnes of milk was producted in FY11-12, but cold storage capacity is only available of 70,000 - 80,000 tonnes of milk
India transports 104 tonnes of perishable produce across India, but only 4 million tonnes moves in reefer trucks
20% - 30% of fish production is annually wasted in India
25,000 unregisterd slaughter houses are present in India, which lack chilling facilities
Most of the equipments is use is outdated & single commodity based
IQF Frozen Vegetables and Fruits PROJECTS DESIGN AND IMPLEMENTATION
Mazda Speciality Machine Systems, Mumbai, India, a premier destination for expertise and equipment
2017.04.26 Innovation without R&D: the SME secrets of competitive advantageNUI Galway
Dr Lawrence Dooley, UCC, presented this industry seminar entitled "Innovation without R&D: the SME secrets of competitive advantage" as part of the InterTradeIreland All-Island Innovation programme at the Whitaker Institute on the 26th of April 2017.
CoreRx is a contract pharmaceutical development and manufacturing organization that helps get you into the clinic faster, providing a complete spectrum of cGMP solutions for pharmaceutical dosage form development. Our wide range of support services, extensive instrumentation and rigorous quality systems provide timely results communicated in a clear, efficient and consistent manner.
the IUA Administrative Board and General Assembly meetingssuser787e5c1
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Similar to Logipharma 2014 | Agility Logistics | Case study: Innovative sea freight solutions to manage temperature sensitive products in challenging markets
11% of worlds total vegetables production is accounted by India but India's share in global vegetable trade is only 1.7%
127 million tonnes of milk was producted in FY11-12, but cold storage capacity is only available of 70,000 - 80,000 tonnes of milk
India transports 104 tonnes of perishable produce across India, but only 4 million tonnes moves in reefer trucks
20% - 30% of fish production is annually wasted in India
25,000 unregisterd slaughter houses are present in India, which lack chilling facilities
Most of the equipments is use is outdated & single commodity based
IQF Frozen Vegetables and Fruits PROJECTS DESIGN AND IMPLEMENTATION
Mazda Speciality Machine Systems, Mumbai, India, a premier destination for expertise and equipment
2017.04.26 Innovation without R&D: the SME secrets of competitive advantageNUI Galway
Dr Lawrence Dooley, UCC, presented this industry seminar entitled "Innovation without R&D: the SME secrets of competitive advantage" as part of the InterTradeIreland All-Island Innovation programme at the Whitaker Institute on the 26th of April 2017.
CoreRx is a contract pharmaceutical development and manufacturing organization that helps get you into the clinic faster, providing a complete spectrum of cGMP solutions for pharmaceutical dosage form development. Our wide range of support services, extensive instrumentation and rigorous quality systems provide timely results communicated in a clear, efficient and consistent manner.
Similar to Logipharma 2014 | Agility Logistics | Case study: Innovative sea freight solutions to manage temperature sensitive products in challenging markets (20)
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
The Importance of Community Nursing Care.pdfAD Healthcare
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Health Education on prevention of hypertensionRadhika kulvi
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Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
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Good morning everybody – I’m happy to be here and share with you this case study….
Key Message: We do understand the challenge and have what it takes to take it onBeing a service provider to your industry for many year, we do understand the challenges you are facing in your supply chain - especially when it comes to emerging countries where infrastructure, climate and legislation are often adding more complexity and challenges as in other western marketsWhen trying to find solutions to those challenges we all should always consider that there is a patient at the end of your supply chain waiting for cure….
Key Message: Request for freight consolidation across the CMO base – Additional emerging market challengesWhy freight consolidation? - cost savings through consolidationDiversified Contract Manufacturer base spread out through the entire country (+350 sites endorsed by EU for GMP in India)Different shipping volumes (LCL) – No more air shipped aroundlarge tax payer units & small tax payer unitsAvoid Airfreight – Why? – Not only for cost savings – Cold Chain integrity – Less risk exposureIncreased quality focus to verifyproducts storage and distribution into the EU market at 15 – 25 ° CRequirement for a GDP compliant end-to-end solution. What does GDP mean for us? Ensure that medicinal products integrity is ensured throughout the supply chainBut not only GDP compliant as to the EU requirement….obviously compliant to local legislation….just throwing out there terms like small and large tax payer units …. Please keep them in mind.
Key Message: What are the main challenges, what is their impact?Who of you has been in India? I have had the opportunity to be there a couple of times and that was needed to understand this market placeLet me share some facts :Indian Pharmaceutical Industry (IPI) is globally the 3rd largest in terms of volumeThe Exports market being $13 billion in 2012 and expected to grow annually by 15% up to 2017While India’s pharmaceutical industry keeps on showing robust growth the nation’s infrastructure challenges can be a major pain….Distances of +1000 km with a maximum highway speed for trucks of 30-40 km/h – That’s like Basel to Barcelona ( not for a soccer match)With that speed trips like this become easily 30 hours+Reefer equipment heavily utilized for fruit exports (NhavaSheeva Container yard – cleaning procedure – poor fellow - steam jet cleaner – not more pressure then my garden hose at home)Climate: Average temperature in India is 38° - ( I have been a couple of times in India only caught a cold once -Train ride from Delhi to Ahmadabad??)You have to understand those challenges and need to consider them when creating the solution.
Key Message: Understand the challenge – Have the right attitude, approach and commitmentSo what is needed for a freight consolidation concept like: A pharma compliant consolidation facility - Of course – a de-consolidation facility, but that was easierHow did we find it in India then?From Non bonded facility – large & small tax payer unit not possibleTo the Mumbai Free Trade Zone – not accepted in the market placeTo CFS facility (port terminal provider) – no cold room availableDismantling of existing cold room facility in Hyderabad - assembling in MumbaiBelieve me, that was quite a journey and needed a lot of patience from all involved….As we finally had found the right facility we went through a full qualification process…Customs notification - FDA audit and approval - GDP audit and approvalSo what was the winning formula?Dedicated teams of experts at both ends (PCC India & Europe) - strong collaboration between those teams – Seeing is believing ( go to those market to understand them)
Key Message: The solutionfulfills all requirements – WehavewhatittakestoovercomethosechallengesComingtothe end ofourjourneyI’dliketosummarîzewhatwearelookingnow….GDP certified end to end solutionCosteffectivesolution, LCL pricingstructure. Youpayforwhatyouruse.integratedcoldchainmanagement end to endComparabletoairfreighttransitforregularmovementofcargo. Custombondedsolution (small & large taxpayerconsolidation)So as you can see we were looking at serious challenges – but have been able to overcome them….with the right attitude, the right approach and commitment