Higher titre processes can pose facility fit challenges in legacy biopharmaceutical purification suites with capacities originally matched to lower titre processes. Bottlenecks caused by mismatches in equipment sizes, combined with process fluctuations upon scale-up, can result in discarding expensive product. This paper describes a data mining decisional tool for rapid prediction of facility fit issues and debottlenecking of biomanufacturing facilities exposed to batch-to-batch variability and higher titres. The predictive tool comprised advanced multivariate analysis techniques to interrogate Monte Carlo stochastic simulation datasets that mimicked batch fluctuations in cell culture titres, step yields and chromatography eluate volumes. A decision tree classification method, CART (classification and regression tree) was introduced to explore the impact of these process fluctuations on product mass loss and reveal the root causes of bottlenecks. The resulting pictorial decision tree determined a series of if-then rules for the critical combinations of factors that lead to different mass loss levels. Three different debottlenecking strategies were investigated involving changes to equipment sizes, using higher capacity chromatography resins and elution buffer optimisation. The analysis compared the impact of each strategy on mass output, direct cost of goods per gram and processing time, as well as consideration of extra capital investment and space requirements.
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http://dx.doi.org/10.1016/j.jbiotec.2014.03.004 | DOI Listing |
Accid Anal Prev
March 2025
Intelligent Transportation Systems Research Center, Wuhan University of Technology, Wuhan, Hubei 430063, PR China; Engineering Research Center of Transportation Information and Safety, Ministry of Education, Wuhan University of Technology, Wuhan, Hubei 430063, PR China.
Roundabouts are a unique intersection design for calming traffic and improving vehicle safety without traffic signal control. While a few past studies have examined the impact of the roundabout on bicyclist and pedestrian injury crashes, little is known about its effect on the safety of electric bike (e-bike) riders. This study uses a Bayesian mixed logit model to quantify the impact of roundabout geometry, traffic flow and conflict characteristics on the severity of e-bike-vehicle conflicts.
View Article and Find Full Text PDFCureus
February 2025
Department of Emergency and Critical Care Medicine, University of Tsukuba Hospital, Tsukuba, JPN.
Bromvalerylurea is a sedative-hypnotic agent commonly available in over-the-counter (OTC) medications in Japan and other regions. Although widely used, its prolonged and unsupervised use poses significant risks of dependency and withdrawal. Abrupt discontinuation of bromvalerylurea can lead to severe withdrawal symptoms, including agitation, hallucinations, and seizures.
View Article and Find Full Text PDFBMC Health Serv Res
March 2025
Primary Care Research Unit of Salamanca (APISAL), Salamanca Primary Healthcare Management, Castilla y León Regional Health Authority (Sacyl), Institute of Biomedical Research of Salamanca (IBSAL), Avda. Portugal 83, Salamanca, 37005, Spain.
Background: Organizational variables as perceived organizational justice can influence patients' behaviors. After analyzing the three tenants of patient-centered care (i.e.
View Article and Find Full Text PDFBMC Psychiatry
March 2025
Department of Clinical Medicine, Randers Regional Hospital, Aarhus University, Aarhus, Denmark.
Background: Shared medication coordination (MedCo) is vital yet difficult to manage for residents living with severe mental disorders in residential care, where multidisciplinary teams provide support. A successful Shared MedCo model in one residence included three core components: "shared decision-making," "patient involvement" and "MedCo". This model was effective but transfer to other residential settings needed implementation adaptation.
View Article and Find Full Text PDFMed Klin Intensivmed Notfmed
March 2025
Interdisziplinäre Notaufnahme und Kindernotaufnahme, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Arnold-Heller-Straße 3, 24105, Kiel, Deutschland.
Background: The planned hospital and emergency care reform in Germany aims, among other things, to restructure emergency services towards integrated emergency centers (INZ) and integrated emergency centers for children and adolescents (KINZ). There is a gap in current data on the reasons for presentation and the use of emergency departments by patients under 18 years of age. This study provides a multicenter analysis of the most common reasons for presentation among children and adolescents in German emergency departments.
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