My life and my occupational identity
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Holly Schreurs identifies several occupations that contribute to her sense of occupational identity, including attending church to strengthen her Christian faith, spending quality time with family, reading for pleasure and sharing stories with others, writing with a goal of becoming a published author, playing pool to build relationships, crocheting as a craftsperson, having played the flute since age 10, collecting and wearing scarves as part of her style, and studying occupational therapy to develop her career identity.
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www.opusdei.nl
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Cell Therapy Expansion and Challenges in Autoimmune Disease
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
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My life and my occupational identity
- 1. MY LIFEHOLLY SCHREURS Occupations that Contribute to My Occupational Identity
- 2. Church ◦ Attending a church and a student fellowship group helps to strengthen my belief in Jesus Christ. This contributes to my identity as I am a Christian.
- 3. Family ◦ Interacting and spending quality time with my family is an important part of my occupational identity as it shapes my view of who I am in a situation I am comfortable in.
- 4. Reading ◦ Reading for pleasure is a large part of my occupational identity as I enjoy both disappearing into the worlds created by other authors and also sharing those worlds with others.
- 5. Writing ◦ Writing stories is something I enjoy doing in my leisure time and I hope one day being a published author will be part of my occupational identity.
- 6. Pool ◦ Playing pool helps contributes to my occupational identity as it helps me to build relationships with family and friends.
- 7. Crochet ◦ Crocheting is a recent occupation that has added to my occupational identity the aspect of being a craftsperson who can take pride in her work.
- 8. Flute ◦ I have played the flute since the age of ten and although I no longer find the time to play I still feel that being a musician is part of my occupational identity.
- 9. Scarf collecting ◦ Collecting and wearing scarves is part of my occupational identity as it contributes to my personal sense of style. Each scarf has a different memory and a different mood attached to it and I like to wear a different one everyday.
- 10. Occupational Therapy Being an Occupational Therapy Student means quite a bit to me as it is me developing the career part of my occupational identity which I hope to carry through for the rest of my life.