Pramesh Kothari has over 25 years of experience in quality control and assurance for pharmaceutical companies, currently serving as Director of Quality Control at Nesher Pharmaceuticals where he oversees daily lab operations and compliance. Previous roles include General Manager of Quality Control at Cadila Healthcare where he managed multiple labs and 300 staff. He has a strong track record of successful FDA inspections and new product launches.
T.Rama Rao is a Sr.Consultant & Promoter of M/s.Saipharma Consultancy with Team Members having rich experience in handlig Project Management, Audits & Compliance Management, Regulatory Affairs, Pharmaceutical Product Development, GxP Training/ Operational Excellence
We work with Micro ,Small ,Medium and Large Enterprises in Pharma Formulations/Intermediates ,APIs,& Chemicals / Medical Devices/ BioTech / AYUSH/ Primary Pkg Mtrs/ Clinical Research Organisation .
Please visit our web site www.saipharmaconsultants.com for further details
T.Rama Rao is a Sr.Consultant & Promoter of M/s.Saipharma Consultancy with Team Members having rich experience in handlig Project Management, Audits & Compliance Management, Regulatory Affairs, Pharmaceutical Product Development, GxP Training/ Operational Excellence
We work with Micro ,Small ,Medium and Large Enterprises in Pharma Formulations/Intermediates ,APIs,& Chemicals / Medical Devices/ BioTech / AYUSH/ Primary Pkg Mtrs/ Clinical Research Organisation .
Please visit our web site www.saipharmaconsultants.com for further details
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!
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
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.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
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.
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.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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
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.
Couples presenting to the infertility clinic- Do they really have infertility...
Resume
1. Pramesh Kothari 1650 Beale Street, MO, 63303 | pramesh_kothari@rediffmail.com |
314.220.2538
Summary of Qualifications
An eminently successful Quality Control professional with more than 25 years of comprehensive analytical, stability and
Microbiology expertise in complex formulations including Aerosol, Nasal, MDIs, DPIs, Injectable, solid-orals, transdermal in
Pharmaceutical industry. More than 7 years of experience as Director/General manager. Skilled in developing and enhancing
Quality Control standards, Compliance, Method Validations and Transfers, Stability and Timely releases. Adept at developing,
enhancing, monitoring sustained quality practices compliant with global compliance and global regulatory standards. Well-
versed in developing and enhancing Quality Control standards; with regulatory guidelines and its implementation. Competent
with conducting quality audits for on-site labs, contract labs, API, and formulation manufacturing. Adroit at managing multiple
labs and its functions. Skilled at developing new laboratories and compliance establishment. Able to cultivate strategic
relationships with employees, peers, managers, directors and stakeholders.
Core Competencies
| Quality Control | Stability | Microbiology | Quality Assurance | Laboratory QA Compliance | Auditing | KPIs | Quality Auditor-
Internal Audits | GLP | Method Validation | LIMS | TRACKWISE |LMS |Chromeleon (Thermo Fisher) / Empower HPLC Software
| OOS/ OOT/OOC Investigation| Deviation | Trending and Analytics | Root Cause Analysis and CAPA | ANDA Submission|
Instrument Qualification per 21 CFR part 11 compliance |Strategic/Analytical Thinking |Multitasking | Decision-Making |Team
Management | Complex Problem-Solving | Client Relation Management | Leadership | Project Oversight | Operational Support
| Communications | CAPEX And Budgeting | Regulatory Impact and Risk Assessments of Proposed Changes | Acting on CMC
Queries from Regulatory |Performing Gap Analyses to Enhance Quality Systems | Annual Product Quality Review | Technology
Transfers | Hiring | Mentoring | Composing Corporate Policies and Procedures for Laboratory|
Professional Experience
NESHER PHARMACEUTICALS, LLC., Bridgeton, MO
Director, Quality Control 09/2018 – Present
Directing the managers for daily operations of laboratory (Chemistry and Microbiology), stability and microbiology to maintain
high degree of performance, compliance and efficiency. Also, responsible for monitoring release targets. Define KPIs and
deliverables for continuous improvements. Overseeing and investigating OOS, OOT, deviations, Change controls, CAPA and
laboratory incidents. Responsible for overseeing the contract laboratory for testing requirements. Working with SME auditors
including LACHMAN for compliance improvements. Responsible for working with senior management for new project
initiation. Composing QC budget and overlooking resource management. Managing FDA audits and compliance of GMP and PAI
audits. Responsible for interviewing potential candidates and collaborating with HR for hiring QC professionals. Responsible
for timely launch of new products. Overseeing the training needs to develop skilled Quality workforce. Actively involved in
Quality Systems Development over site. Responsible for investigating FAR, Recalls and Market Complaint. Overseeing
upgradation of Laboratory instruments, Qualification, Maintenance and Calibration Program. Responsible for participating in
the business and compliance scheduled meetings. Designing more efficient processes to improve Quality and efficiency.
Actively involved in the meetings scheduled with the stakeholders for business development and discussing future aspects and
goals for the company.
Selected Achievement
Successfully leading the Quality Control for two consecutive GMP and PAI FDA audits, resulted as VAI.
Leading and collaborating with responsible stakeholders for the successful and timely launch Levorphanol Tablet.
CADILA HEALTHCARE (Zydus), LTD., India
General Manager, Quality Control 06/2015 – 09/2018
Directing 20 managers and more than 300 Quality Control professionals and managing 7 QC, Stability and Microbiology
laboratories. Responsible for developing the Quality culture by QUEST movement. Responsible for reviewing and approving
the documents including SOPs, OOS, OOT, OOC, Lab incidences, Change Controls, CAPAs and deviations. Work with SME
auditors like 5W, LACHMAN for compliance improvements. To support investigation team for hypothesis plan and root cause
analysis of OOS/OOT/OOC and laboratory incidences. Responsible for installing and maintaining CFR complaint instruments.
Accountable for upgrading quality system as per corporate guidance. Accountable to support mangers for trouble shooting in
case of any failures in the chemical testing. Responsible for achieving the release target and update the supply chain.
Responsible for monitoring and maintaining laboratory expenses per allotted budget. Responsible for timely
commercialization of ANDA products.
2. Pramesh Kothari P a g e | 2
Selected Achievement
Successfully lead the Quality Control for three consecutive GMP and PAI FDA audits, resulted in zero observation after
warning letters.
Awarded as best “Mentor” under QUEST movement.
Leading successful customers audits like Blue point, Helm, Sagant.
Successfully resolved analytical issues at European Facility and saved the products worth 2 million (USD),
Previous Experience
Deputy General Manager, Quality Control (Central Method validation and Complex formulation analytical
laboratory), Sun Pharmaceuticals Industries Ltd. Vadodara, Gujarat India.
Senior Manager- Deputy General Manager, Corporate Quality, Sun Pharmaceuticals Industries Ltd. Vadodara,
Gujarat India
Senior Manager- Head Quality, Unimed Technologies (Group company of Sun Pharmaceuticals Ltd.) Baska, Gujarat
India.
Senior Manager- Officer, Sun Pharmaceuticals Ltd. Halol, Gujarat India (Worked with Representatives of Eli Lily and
Co. for product development)
Education
Master of Science, Chemistry – Madurai Kamraj University, Tamilnadu, India
Bachelor of Science, Chemistry – Gujarat University, Gujarat, India