Search results for "END-OF-LIFE"
showing 10 items of 38 documents
Long-term properties and end-of-life of polymers from renewable resources
2017
[EN] The long-term properties and end-of-life of polymers are not antagonist issues. They actually are inherently linked by the duality between durability and degradation. The control of the service-todisposal pathway at useful performance, along with low-impact disposal represents an added-value. Therefore, the routes of design, production, and discarding of bio-based polymers must be carefully strategized. In this sense, the combination of proper valorisation techniques, i.e. material, energetic and/ or biological at the most appropriate stage should be targeted. Thus, the consideration of the end-of-life of a material for a specific application, instead of the end-of-life of a material s…
Composite Material Recycling Technology—State-of-the-Art and Sustainable Development for the 2020s
2021
Recently, significant events took place that added immensely to the sociotechnical pressure for developing sustainable composite recycling solutions, namely (1) a ban on composite landfilling in Germany in 2009, (2) the first major wave of composite wind turbines reaching their End-of-Life (EoL) and being decommissioned in 2019–2020, (3) the acceleration of aircraft decommissioning due to the COVID-19 pandemic, and (4) the increase of composites in mass production cars, thanks to the development of high volume technologies based on thermoplastic composites. Such sociotechnical pressure will only grow in the upcoming decade of 2020s as other countries are to follow Germany by limiting and ba…
Disposal of green roofs: A contribution to identifying an “Allowed by legislation” end–of–life scenario and facilitating their environmental analysis
2022
The rapid and widespread deployment of green roofs requires the need to address their disposal and to assess the environmental impact of this phase of their life cycle to understand whether their current large-scale application may pose a problem. A review of the literature on green roofs environmental performance (particularly Life Cycle Assessment studies) has highlighted the lack of a standardized, commonly adopted, procedure for determining the treatments, recovery and/or disposal, to be assigned to waste from the removal of green roofs. In this regard, it should be mentioned that there is a lack of ad hoc legislation on the disposal of this technology (to the best of the authors’ knowl…
La morte medicalmente assistita tra regolamentazioni nazionali europee e prospettive legislative italiane
2021
The essay focuses on the different legislative rules which allow seriously ill patients to legally receive euthanasia or assisted suicide in Europe to examine the Italian legislation currently being approved on the same matter from a comparative legal perspective. The research about such an ethical theme involving several fundamental principles, like human dignity, life and solidarity, analyses the approaches of the Belgian, Dutch, Luxembourg and Spanish legal systems. The study will shed light on the essentiality of some preventive safeguards to support patients��� autonomy in consenting or refusing an end-of-life treatment, in line with the Italian Constitutional Court suggestions.
Emotional Distress of Patients at End-of-Life and Their Caregivers: Interrelation and Predictors
2018
Background: Patients at the end of life and their families experience a strong emotional impact. The well-being of these patients and that of their family caregiver are related. Aim: To study the variables related with the emotional well-being of patients with and without cognitive impairment at the end of life and that of their primary family caregivers. Design: Cross- sectional study. Participants: Data was collected from 202 patients at the end of life with different diagnosis (COPD, cancer, and frail elderly) as well as from their respective 202 primary family caregivers. Results: Structural equation models indicated that the emotional state of the patients was best predicted by their f…
Palliative Care Principles and Anesthesiology Clinical Practice: Current Perspectives
2021
Background Palliative care is a person-centered approach aiming to relieve patient's health-related suffering and it is often needed when caring for critically ill patients to manage symptoms and identify goals of care. Aim To describe the integration of palliative care principles in anesthesiology clinical practice, within and outside the ICU and to analyze the additional challenges that COVID-19 pandemic is posing in this context. Methods For the purpose of this review, PubMed database was searched for studies concerning palliative care and end of life care, in contexts involving anesthesiologists and intensivists, published in the last 5 years. Results Anesthesiologists and intensivists …
Analysis of Spanish nursing students' knowledge in palliative care. An online survey in five colleges.
2020
Abstract Along their professional career, nurses can find patients who require palliative care (PC). It is necessary to have at least a basic education in this area, that should be acquired during their university education. The objective of this descriptive online-survey set in five nursing Colleges was to analyze Spanish nursing students’ knowledge in PC, offering an image of the status of education in PC. 619 students took an online questionnaire with the Spanish version of the Palliative Care Quiz for Nurses (PCQN-SV), which also collected information about their education in the field of PC. Univariate and bivariate analyses were performed, and a predictive binary logistic regression m…
What are the ethical aspects surrounding the collegial decisional process in limiting and withdrawing treatment in intensive care?
2017
International audience; The decision to limit or withdraw life-support treatment is an integral part of the job of a physician working in the intensive care unit, and of the approach to care. However, this decision is influenced by a number of factors. It is widely accepted that a medical decision that will ultimate lead to end-of-life in the intensive care unit (ICU) must be shared between all those involved in the care process, and should give precedence to the patient's wishes (either directly expressed by the patient or in written form, such as advance directives), and taking into account the opinion of the patient's family, including the surrogate if the patient is no longer capable of…
HALE-IoT: HArdening LEgacy Internet-of-Things devices by retrofitting defensive firmware modifications and implants
2022
Internet-Of-Things (IoT) devices and their firmware are notorious for their lifelong vulnerabilities. As device infection increases, vendors also fail to release patches at a competitive pace. Despite security in IoT being an active area of research, prior work has mainly focused on vulnerability detection and exploitation, threat modelling, and protocol security. However, these methods are ineffective in preventing attacks against legacy and End-Of-Life devices that are already vulnerable. Current research mainly focuses on implementing and demonstrating the potential of malicious modifications. Hardening emerges as an effective solution to provide IoT devices with an additional layer of d…
The palliative-supportive care unit in a comprehensive cancer center as crossroad for patients' oncological pathway
2016
Aim The aim of this study was to assess how an admission to an acute palliative-supportive care unit (APSCU), may influence the therapeutic trajectory of advanced cancer patients. Methods A consecutive sample of advanced cancer patients admitted to APCU was assessed. The following parameters were collected: patients demographics, including age, gender, primary diagnosis, marital status, and educational level, performance status and reasons for and kind of admission, data about care-givers, recent anticancer treatments, being on/off treatment or uncertain, the previous care setting, who proposed the admission to APSCU. Physical and psychological symptoms were evaluated at admission and at ti…