Six Sigma: A novel approach to pharmaceutical industry

The statistical concept, six sigma is used to define problems systematically, provides tools to measure and influential factors and identifies the improvements that can be implemented easily. It is quality management tool which can be considered as a vision, a philosophy, a symbol, a metric, a goal, a methodology. It simply means a measure of quality that struggle for near perfection. It is a highly disciplined process that focuses on developing and deliveringNear perfect product and services It is based on three element Process improvement, Process. Design/re-design and Process management. When we use this technique for a process then process variation reduced to 3.4 DPMO (Defects per million Opportunities).Six sigma is divided in two sub methods DMAIC (Define, Measure, Analyze, Improve and Control) is improvement system for existing processes that doesnt meet specification. DMADV (Define, Measure, Analyze, Design, Verify) is used to develop new processes at six sigma level

Review: common trouble shooting problems in RP-HPLC

High performance liquid chromatography is one the powerful analytical tool regularly employed for the analysis of the drugs in the pharmaceutical formulations. Day by day advancement in instrumentation is increasing but still the problems have been encountered while performing analysis. Here in this review article different troubleshooting has been described with their causative and preventive parameters during performing the method development for separation and identification by RP-HPLC

Indentation of the Pamirs with respect to the northern margin of Tibet: constraints from the Tarim basin sedimentary record

The Pamirs represent the indented westward continuation of the northern margin of the Tibetan Plateau, dividing the Tarim and Tajik basins. Their evolution may be a key factor influencing aridification of the Asian interior, yet the tectonics of the Pamir Salient are poorly understood. We present a provenance study of the Aertashi section, a Paleogene to late Neogene clastic succession deposited in the Tarim basin to the north of the NW margin of Tibet (the West Kunlun) and to the east of the Pamirs. Our detrital zircon U-Pb ages coupled with zircon fission track, bulk rock Sm-Nd, and petrography data document changes in contributing source terranes during the Oligocene to Miocene, which can be correlated to regional tectonics. We propose a model for the evolution of the Pamir and West Kunlun (WKL), in which the WKL formed topography since at least ~200 Ma. By ~25 Ma, movement along the Pamir-bounding faults such as the Kashgar-Yecheng Transfer System had commenced, marking the onset of Pamir indentation into the Tarim-Tajik basin. This is coincident with basinward expansion of the northern WKL margin, which changed the palaeodrainage pattern within the Kunlun, progressively cutting off the more southerly WKL sources from the Tarim basin. An abrupt change in the provenance and facies of sediments at Aertashi has a maximum age of 14 Ma; this change records when the Pamir indenter had propagated sufficiently far north that the North Pamir was now located proximal to the Aertashi region

Systematic review of the evidence relating FEV1 decline to giving up smoking

<p>Abstract</p> <p>Background</p> <p>The rate of forced expiratory volume in 1 second (FEV₁) decline ("beta") is a marker of chronic obstructive pulmonary disease risk. The reduction in beta after quitting smoking is an upper limit for the reduction achievable from switching to novel nicotine delivery products. We review available evidence to estimate this reduction and quantify the relationship of smoking to beta.</p> <p>Methods</p> <p>Studies were identified, in healthy individuals or patients with respiratory disease, that provided data on beta over at least 2 years of follow-up, separately for those who gave up smoking and other smoking groups. Publications to June 2010 were considered. Independent beta estimates were derived for four main smoking groups: never smokers, ex-smokers (before baseline), quitters (during follow-up) and continuing smokers. Unweighted and inverse variance-weighted regression analyses compared betas in the smoking groups, and in continuing smokers by amount smoked, and estimated whether beta or beta differences between smoking groups varied by age, sex and other factors.</p> <p>Results</p> <p>Forty-seven studies had relevant data, 28 for both sexes and 19 for males. Sixteen studies started before 1970. Mean follow-up was 11 years. On the basis of weighted analysis of 303 betas for the four smoking groups, never smokers had a beta 10.8 mL/yr (95% confidence interval (CI), 8.9 to 12.8) less than continuing smokers. Betas for ex-smokers were 12.4 mL/yr (95% CI, 10.1 to 14.7) less than for continuing smokers, and for quitters, 8.5 mL/yr (95% CI, 5.6 to 11.4) less. These betas were similar to that for never smokers. In continuing smokers, beta increased 0.33 mL/yr per cigarette/day. Beta differences between continuing smokers and those who gave up were greater in patients with respiratory disease or with reduced baseline lung function, but were not clearly related to age or sex.</p> <p>Conclusion</p> <p>The available data have numerous limitations, but clearly show that continuing smokers have a beta that is dose-related and over 10 mL/yr greater than in never smokers, ex-smokers or quitters. The greater decline in those with respiratory disease or reduced lung function is consistent with some smokers having a more rapid rate of FEV₁decline. These results help in designing studies comparing continuing smokers of conventional cigarettes and switchers to novel products.</p

Independent and combined effects of improved water, sanitation, and hygiene, and improved complementary feeding, on child stunting and anaemia in rural Zimbabwe: a cluster-randomised trial.

BACKGROUND: Child stunting reduces survival and impairs neurodevelopment. We tested the independent and combined effects of improved water, sanitation, and hygiene (WASH), and improved infant and young child feeding (IYCF) on stunting and anaemia in in Zimbabwe. METHODS: We did a cluster-randomised, community-based, 2 × 2 factorial trial in two rural districts in Zimbabwe. Clusters were defined as the catchment area of between one and four village health workers employed by the Zimbabwe Ministry of Health and Child Care. Women were eligible for inclusion if they permanently lived in clusters and were confirmed pregnant. Clusters were randomly assigned (1:1:1:1) to standard of care (52 clusters), IYCF (20 g of a small-quantity lipid-based nutrient supplement per day from age 6 to 18 months plus complementary feeding counselling; 53 clusters), WASH (construction of a ventilated improved pit latrine, provision of two handwashing stations, liquid soap, chlorine, and play space plus hygiene counselling; 53 clusters), or IYCF plus WASH (53 clusters). A constrained randomisation technique was used to achieve balance across the groups for 14 variables related to geography, demography, water access, and community-level sanitation coverage. Masking of participants and fieldworkers was not possible. The primary outcomes were infant length-for-age Z score and haemoglobin concentrations at 18 months of age among children born to mothers who were HIV negative during pregnancy. These outcomes were analysed in the intention-to-treat population. We estimated the effects of the interventions by comparing the two IYCF groups with the two non-IYCF groups and the two WASH groups with the two non-WASH groups, except for outcomes that had an important statistical interaction between the interventions. This trial is registered with ClinicalTrials.gov, number NCT01824940. FINDINGS: Between Nov 22, 2012, and March 27, 2015, 5280 pregnant women were enrolled from 211 clusters. 3686 children born to HIV-negative mothers were assessed at age 18 months (884 in the standard of care group from 52 clusters, 893 in the IYCF group from 53 clusters, 918 in the WASH group from 53 clusters, and 991 in the IYCF plus WASH group from 51 clusters). In the IYCF intervention groups, the mean length-for-age Z score was 0·16 (95% CI 0·08-0·23) higher and the mean haemoglobin concentration was 2·03 g/L (1·28-2·79) higher than those in the non-IYCF intervention groups. The IYCF intervention reduced the number of stunted children from 620 (35%) of 1792 to 514 (27%) of 1879, and the number of children with anaemia from 245 (13·9%) of 1759 to 193 (10·5%) of 1845. The WASH intervention had no effect on either primary outcome. Neither intervention reduced the prevalence of diarrhoea at 12 or 18 months. No trial-related serious adverse events, and only three trial-related adverse events, were reported. INTERPRETATION: Household-level elementary WASH interventions implemented in rural areas in low-income countries are unlikely to reduce stunting or anaemia and might not reduce diarrhoea. Implementation of these WASH interventions in combination with IYCF interventions is unlikely to reduce stunting or anaemia more than implementation of IYCF alone. FUNDING: Bill & Melinda Gates Foundation, UK Department for International Development, Wellcome Trust, Swiss Development Cooperation, UNICEF, and US National Institutes of Health.The SHINE trial is funded by the Bill & Melinda Gates Foundation (OPP1021542 and OPP113707); UK Department for International Development; Wellcome Trust, UK (093768/Z/10/Z, 108065/Z/15/Z and 203905/Z/16/Z); Swiss Agency for Development and Cooperation; US National Institutes of Health (2R01HD060338-06); and UNICEF (PCA-2017-0002)

Spanish internal migration: is there anything new to say?

Abstract Spanish internal migration has long been resistant to traditional economic explanations. However, this paper examines the data for the period 1999–2006 after considerable changes in the Spanish economy. Moreover, it examines migration at the disaggregated level of Spanish provinces rather than regions, the usual unit of measurement. Using a spatial error model as well as a spatial autoregression model it finds the differentials in wages and unemployment between provinces to be significant explanatory variables. House prices are also important in accounting for the dynamics of internal migration. Les migrations internes en Espagne: qu'y a-t-il de nouveau? Les migrations internes en Espagne résistent, depuis toujours, à des explications économiques traditionnelles. Cependant, la présente communication examine les données relatives à la période 1999–2006, dans le sillage des changements considérables qui sont survenus dans l’économie espagnole. Elle se penche également sur la migration au niveau désagrégé de provinces espagnoles plutôt que de régions, unité de mesure traditionnelle. En utilisant un modèle d'erreur spatiale ainsi qu'un modèle à autorégression spatiale, elle en conclut que les différences sur le plan des salaires et du chômage entre les différentes provinces constituent des variables explicatives significatives. En outre, le prix de l'immobilier résidentiel joue également un rôle important dans l'examen de la dynamique des migrations internes. Migracin interior espaola: Queda algo nuevo por decir? La migración interior española lleva mucho tiempo resistiéndose a las explicaciones económicas tradicionales. No obstante, este artículo examina los datos de 1999–2006, después de considerables cambios en la economía española. Asimismo, examina la migración al nivel desagregado de provincias españolas, en lugar de regiones, que representa la unidad típica de medida. Utilizando un modelo de error espacial, así como un modelo de autorregresión espacial, se descubre que los diferenciales en salarios y empleo entre las provincias son importantes variables explicativas. Los precios de la vivienda también son importantes a la hora de comprender la dinámica de la migración interior.Internal migration, Spain, spatial error model, J61, O15, R23,