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People today are spending longer hours at work, in front of their computers, just to meet their pressing deadlines and KPIs. As a result, there are more incidents of debilitating back pain, neck ache,

According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product

headaches, RSI and burnout that are reducing productivity and increasing stress leave.

More than half of computer users each year develop neck or shoulder symptoms and just over one-third develop an i

; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

Examples of combination products may in

mpairment or the loss of some function [2] One survey found that backache was the most common complaint, followed by sore eyes and headaches.[1]

In Australia, back problems are the leading specific mu

lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

sculoskeletal cause of health system expenditure, with an estimated total cost of $700 million in 1993-1994 [3].

So what is the answer? By releasing the build up of physical tension, people are able t

here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe

o sustain their working stamina and focus without the physical ailments or a reduction in productivity. Here are 3 ways to protect your productivity from strain:

1. Smart Ergonomics

d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

Combination pro

Sitting at the computer for hours at a time fatigues your muscles and creates physical tension. Using some of the basic ergonomic principles you can avoid a lot of unnecessary strain and maximize your

ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc

productivity. Here are 4 tips:

a. Have a direct line of sight to your monitor - you should not need to look up, down or twist to see your screen. b. Use chairs that have a tilt function. Sit at 110 de

easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi

grees (slight recline) to reduce back strain c. Ensure your wrists are straight when using the keyboard and mouse. d. Keep your feet flat on the floor - use a foot rest if required.

2. Smart S

nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically

tretching

Computer operators who took frequent short stretching breaks, known as micro-stretch breaks (~60-90 seconds) every few hours, reported that it was definitely effective in reducing s

and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ

tiffness and muscle aches associated with long hours at the keyboard, and reported having lower stress levels. Taking stretching breaks were also found to have increased their productivity and enjoymen

ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi

with working at their PC. [4]

Here are 2 stretching tips:

a. Chin Tuck Stretch: Leaning forward and staring at a screen a strains your neck muscles and can be a cause of headaches.

ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

Following aspects would a

Tuck your chin into your neck and feel the back of your neck stretching out. Hold this stretch for 7 seconds and repeat twice.

b. Wrist Stretch: Hold your right hand palm up (fully ex

dd to the challenges in developing combination products:

Which markets to tap where the combination products can do fairly well?
Which combination prod

tend your arm). Place your left hands fingers on top of your right palm. Gently pull your right hand back towards your body and hold for 7 seconds. Repeat this stretch with your other arm.

The challen

cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin

ge is remembering to do the stretches when you are busy. One solution, by www.StretchSmart.com, is to use ergonomic software

tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen

program that reminds you to take stretch breaks and guides you through the process.

3. Smart Activity

Take regular activity breaks throughout your day. a. Rather than sitting in a lu

t?

As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel

ch room, or at your desk, get outside and walk b. Have a coffee club, where you come into work 30 minutes early to go for a brief 10 minute walk to the local caf? for a coffee. c. Initiate a weekly in-

ping new procedures for reviewing their safety, efficacy and quality.

Professional from academic institutions, pharmaceutical industries, health care indust

house Pilates or yoga class d. Sponsor a your own triathlon group and compete in an amateur event

Productivity is not something to 'fix' it requires a cultural shift in thinking and work habits.

[1]

y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products

http://www.vnunet.com/news/1157993

[2] American Journal of Industrial Medicine 2002;41:221-249

[3] Mathers C, Penn R. Health system co

.

As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de

sts of injury, poisoning and musculo-skeletal disorders in Australia 1993-94. Canberra: Australian Institute of Health and Welfare, 1999. AIHW Catalogue No. HWE 12 (Health and Welfare Expenditure Serie

elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

Companies that provide selfless information through particip

s No. 6).

[4] http://www.tifaq.com/articles/excersize_mini-breaks-may98-arthur_saltzman.html

tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

Label print shops everywhere have to deal with artwork received from people who often have very little experience in graphic design. There are many common mistakes that can be avoided that will make working a your label printer so much easier. This is a top 10 list developed from tens of thousands of customer file submissions.

India is producing millions of educated workforce every year. Most of them speak good English. This young workforce is intelligent, enthusiastic and willing to work hard to succeed. They even do not mind night shifts to keep the working pace with their fellow Americans. The key tip is to know your process and costs prior to considering off shoring any project. By being armed with solid information, it's then possible to select the right outsource partner and make a good decision for the business

Mr. Reed, for want of a better name – always made sure that doors were kept closed, windows locked, and everything as organized as could be. He also had a morbid fear of being locked in the cold-room unable to get out; I suppose he’d watched The Shining a few times too many. So the door had no lock or automatic closing mechanism, just a stiff, heavy chrome latch with handles inside and out.

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