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Article in English | MEDLINE | ID: mdl-32811343

ABSTRACT

OCCUPATIONAL APPLICATIONS Based on a 45-year career as a practitioner in industrial ergonomics, I offer in this paper a personal memoir on how ergonomics came to the shop floor in North America, involving ordinary workers in an early effort to prevent what was at the time an unknown problem - work-related Musculoskeletal Disorders. The actions included the beginning of a low-tech, practical improvement process that is still effective today. In total, the experience can provide encouragement to everybody to be confident in their ability when trying new endeavors and to remember that small initial steps can eventually lead to major change.


Subject(s)
Ergonomics/methods , Industrial Development/trends , Manufacturing and Industrial Facilities , Musculoskeletal Diseases , Occupational Diseases/prevention & control , Humans , Kinesiology, Applied/trends , Manufacturing and Industrial Facilities/organization & administration , Manufacturing and Industrial Facilities/standards , Manufacturing and Industrial Facilities/trends , Musculoskeletal Diseases/etiology , Musculoskeletal Diseases/prevention & control , Occupational Health/trends , Occupations , Psychology, Industrial/trends , Workplace/standards
3.
Cytotherapy ; 21(2): 224-233, 2019 02.
Article in English | MEDLINE | ID: mdl-30770285

ABSTRACT

Cell and gene therapies have demonstrated excellent clinical results across a range of indications with chimeric antigen receptor (CAR)-T cell therapies among the first to reach market. Although these therapies are currently manufactured using patient-derived cells, therapies using healthy donor cells are in development, potentially offering avenues toward process improvement and patient access. An allogeneic model could significantly reduce aggregate cost of goods (COGs), potentially improving market penetration of these life-saving treatments. Furthermore, the shift toward offshore production may help reduce manufacturing costs. In this article, we examine production costs of an allogeneic CAR-T cell process and the potential differential manufacturing costs between regions. Two offshore locations are compared with regions within the United States. The critical findings of this article identify the COGs challenges facing manufacturing of allogeneic CAR-T immunotherapies, how these may evolve as production is sent offshore and the wider implication this trend could have.


Subject(s)
Cell- and Tissue-Based Therapy/economics , Genetic Therapy/economics , Immunotherapy, Adoptive/economics , Manufacturing and Industrial Facilities/economics , Receptors, Antigen, T-Cell , Receptors, Chimeric Antigen , Humans , Manufacturing and Industrial Facilities/trends , Mesenchymal Stem Cells , Natural Killer T-Cells , Neoplasms/therapy , Organization and Administration/economics , Specimen Handling/economics , Transportation/economics
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