Bibliographies thématiques / End-of-life choice

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Littérature scientifique sur le sujet « End-of-life choice »

Auteur : Grafiati
Publié le 9 mars 2023
Mis à jour le 10 mars 2023

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Articles de revues sur le sujet "End-of-life choice"

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Kirby, Roger. « Choice at the end of life ? » Trends in Urology & ; Men's Health 9, no 1 (janvier 2018) : 4. http://dx.doi.org/10.1002/tre.612.

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Nasser, Norman, Nadia J. Pruett, Jason Sawyer et Amy E. Nolen. « Supporting patient choice at end of life ». Canadian Medical Association Journal 194, no 28 (24 juillet 2022) : E990—E992. http://dx.doi.org/10.1503/cmaj.220338.

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Drought, Theresa S., et Barbara A. Koenig. « "Choice" in End-of-Life Decision Making ». Gerontologist 42, suppl_3 (1 octobre 2002) : 114–28. http://dx.doi.org/10.1093/geront/42.suppl_3.114.

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Colenda, C. C. « Patient Choice and End-of-Life Decisions ». American Journal of Geriatric Psychiatry 11, no 1 (1 février 2003) : 113–14. http://dx.doi.org/10.1176/appi.ajgp.11.1.113.

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Wilkinson, Dominic. « Safeguarding choice at the end of life ». Journal of Medical Ethics 41, no 8 (24 juillet 2015) : 575–76. http://dx.doi.org/10.1136/medethics-2015-102990.

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Betteley, Adrienne. « Giving people choice at the end of life ». International Journal of Palliative Nursing 18, no 10 (octobre 2012) : 472–73. http://dx.doi.org/10.12968/ijpn.2012.18.10.472.

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Froggatt, Katherine. « ‘Choice over care at the end of life’ ». Journal of Research in Nursing 10, no 2 (mars 2005) : 189–202. http://dx.doi.org/10.1177/174498710501000205.

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Chumbley, Karen. « O-18 Delivering choice in end of life care ». BMJ Supportive & ; Palliative Care 5, Suppl 3 (novembre 2015) : A79.2—A79. http://dx.doi.org/10.1136/bmjspcare-2015-001026.220.

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MacCallum, Annie. « The Ultimate Choice : An end-of-life care conference ». British Journal of Cardiac Nursing 3, no 7 (juillet 2008) : 330–31. http://dx.doi.org/10.12968/bjca.2008.3.7.30505.

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Williams, J. « Ensuring Quality and Choice in End of Life Care ». BMJ Supportive & ; Palliative Care 1, no 1 (1 juin 2011) : 66. http://dx.doi.org/10.1136/bmjspcare-2011-000053.2.

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Thèses sur le sujet "End-of-life choice"

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Borgstrom, Erica. « Planning for death ? : an ethnographic study of choice and English end-of-life care ». Thesis, University of Cambridge, 2014. https://www.repository.cam.ac.uk/handle/1810/245560.

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In 2008 the National End of Life Care Strategy was released in England to create a largescale change in the way dying patients were cared for. This dissertation explores the meaning, practice, and experiences of end-of-life care (EOLC). It is based on ethnographic fieldwork from 2010-2012 that follows policy into and across healthcare practice and the daily lives of those living with life-limiting conditions. The first part of the study analyses the discourse of policy as evident in documents, policy events, and interviews with policy-makers, to understand the core values and motivations within this new field. By emphasising patient choice through advance care planning as a way to facilitate a ‘good death’, these polices have reshaped how persons, as dying patients, could be known and how they are positioned within the healthcare system as autonomous, reflective individuals. Documents like the Preferred Priorities for Care are used to facilitate this process. As observed during clinical visits and expressed in interviews, healthcare professionals selectively use such forms, thereby demonstrating varying professional values, and treat their completion as a task. The layout and use of the forms influences professional-patient interaction and the ‘choices’ that can be made. The second half of the dissertation focuses on the experiences of those who are the subject of EOLC policy and is based on long-term interaction with 10 people (up to 14 months), often in their own homes and involving their daily routines and family; this is supplemented by an additional 43 in-depth interviews and observations of support groups. Being embedded in a social web of relations was a prominent feature of our encounters. Maintaining familial relationships and roles is important to people and they do this by navigating the flow of care and concern within the family. Assumptions about the linear trajectory of dying and the finitude of death are challenged by people’s experiences of prolonged waiting and incomplete endings as they continued to be entangled in social relationships. Consequently a wider notion of personhood beyond individual patienthood should be adopted for understanding living at the ‘end of life’. Shifting the focus from choice as an individual act and object to one of interaction, I demonstrate how a relational approach to the study of end-of-life care challenges the emphasis on the dying individual and the dichotomy between care and choice. Overall, this ethnography demonstrates the difference between how policy conceptualises end of life and choice and the way people, who may be in this category, experience living with life-limiting conditions.
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MAINA, VERONICA. « Scelte di fine vita e diritto penale. Prospettive di riforma ». Doctoral thesis, Università degli Studi di Milano-Bicocca, 2022. http://hdl.handle.net/10281/378976.

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L'elaborato mira ad esplorare eventuali spazi di riforma nella disciplina penalistica delle scelte di fine vita, alla luce delle recenti evoluzioni legislative e giurisprudenziali, italiane e non solo. La ricerca si è focalizzata, in primis, sull’evoluzione della disciplina italiana in tema di omicidio del consenziente ed aiuto al suicidio. Attraverso un’indagine storica, che ha preso le mosse dalla dottrina e dalla legislazione del XVIII secolo e si è snodata soprattutto attraverso i lavori preparatori dei codici Zanardelli e Rocco, si sono evidenziate le ragioni di fondo della politica criminale sul punto ed i punti critici su cui si è soffermata la dottrina. L’analisi delle fattispecie penali vigenti è stata accompagnata dall’esame della giurisprudenza dell’ultimo ventennio, che ha fortemente contribuito ad “attualizzare” la tutela offerta ai c.d. “soggetti deboli” e a risolvere i conflitti tra beni giuridici in gioco, prendendo atto dell’evoluzione delle conoscenze scientifiche e dell’emersione di scenari inimmaginabili per il legislatore del 1930. Ciò nonostante, la ricerca ha evidenziato che, anche dopo la rivoluzionaria sentenza n. 242 del 2019 della Corte costituzionale sull’art. 580 c.p., permangono forti profili di criticità dovuti all’applicazione di norme risalenti, ritenute inadeguate rispetto al contesto sociale odierno, e a formulazioni testuali foriere di dubbi interpretativi. All’esito di queste valutazioni, sono stati identificati alcuni aspetti cruciali per una possibile riforma legislativa e si è ritenuto opportuno esplorare anche le scelte effettuate da altri ordinamenti europei, al fine di identificare buone pratiche da cui trarre spunto. Alla luce delle conoscenze acquisite grazie all’analisi comparata, l’elaborato avanza, infine, alcune proposte di riforma, anche facendo riferimento alle proposte di legge già depositate in Parlamento, e dà atto della pendenza di una proposta di referendum parzialmente abrogativo dell’art. 579 c.p. (sulla cui ammissibilità la Corte costituzionale si pronuncerà il 15 febbraio, ossia dopo la consegna dell’elaborato finale).
The paper aims to explore possible spaces to reform the criminal discipline of end-of-life choices, expecially after the recent legislative and jurisprudential developments, both in Italy and beyond. The research focused, first of all, on the evolution of the Italian discipline in terms of murder with the consent of the victim and contribution to others’ suicide. Through a historical investigation, which begin with an investigation about the legal doctrine and the legislation of the 18th century and developed above all through the preparatory work of the Zanardelli and Rocco codes, the underlying reasons for the criminal policy on this point and the critical points on which the doctrine has focused are highlighted. The analysis of the criminal offenses in force is accompanied by an examination of the jurisprudence of the last twenty years, which has greatly contributed to "updating" the protection offered to the so-called "weak subjects" and to resolve the conflicts between legal assets at stake, taking note of the evolution of scientific knowledge and the emergence of unimaginable scenarios for the legislator of 1930. Nevertheless, research has shown that, even after the revolutionary ruling n. 242/2019 of the Constitutional court about art. 580 of the criminal code, there are still strong critical issues due to the application of outdated rules, deemed inadequate if compared with today's social context, and to textual formulations which may contribute to the emergence of interpretative difficulties. As a result of these assessments, some crucial aspects were identified for a possible legislative reform and it was considered appropriate to also explore the choices made by other European systems, in order to identify good practices from which to draw inspiration. In light of the knowledge acquired thanks to the comparative analysis, the paper finally puts forward some reform proposals, also referring to the bills already filed in Parliament, and acknowledges the pending referendum proposal for the partial abrogation of the art. 579 c.p. (on the admissibility of which the Constitutional Court will rule on February 15, ie after the delivery of the final paper).
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Habib, Aida. « Comparaison médico-économique entre les modalités de prise en charge de l'insuffisance rénale chronique terminale : hémodialyse versus dialyse péritonéale ». Thesis, Aix-Marseille, 2015. http://www.theses.fr/2015AIXM5068.

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Les objectifs sont d’évaluer l’efficience (survie, qualité de vie et le coût) des deux techniques de dialyse de rechercher les déterminants qui orientent le choix vers l’une ou l’autre des techniques de dialyse et d’évaluer le parcours de soins des patients en dialyse. La première partie de ce travail de thèse à analyser les données de la région PACA issues du registre REIN. Cette analyse est descriptive et porte sur le profil des patients démarrent un traitement en dialyse (HD et DP). Une analyse de survie a été réalisée selon la technique de dialyse initiale et selon le parcours de soins. Dans une seconde partie, le coût et sur la qualité de vie ont été évalués selon les différentes techniques de dialyse afin d’évaluer l’efficience de ces modalités à partir des données recueillies dans un PHRC régional. Dans une troisième partie, les facteurs liés au choix initial de la technique de dialyse, DP ou HD ont été recherchés. Ce travail a fait l’objet d’une étude ciblée auprès de patients et de néphrologues au sein de 4 structures de dialyse. La survie et la qualité de vie des patients sont similaires entre HD et DP. Le changement de technique, de la DP vers l'HD, a un impact positif sur la survie. La DP est moins coûteuse que l’HD. Les contre-indications médicales à la DP ne concernaient que 26,7% des patients inclus. En absence de contre-indications, la préférence du patient et les pratiques des professionnelles (information et pratiques de centre) sont les deux principaux facteurs liés au choix initial de la technique de dialyse, notamment par la DP. Une meilleure information pourrait contribuer à augmenter le choix de la DP
The objectives of this work were to assess and compare the efficiency (survival, quality of life and cost) of patients initially treated with peritoneal dialysis (PD) or hemodialysis (HD), to search determinants that guide the initial choice towards either dialysis techniques and to assess the trajectory between dialysis modalities. The first part of this thesis was to analyze the database, from the PACA region (2004 – 2014), issue from the French REIN registry. This analysis was descriptive and focused to analyze main characteristics and outcome (survival) of dialysis patients (initial dialysis and switching) and to identify risk factors. The second part of this thesis was to measure and compare dialysis patient quality of life and health’s care costs between dialysis modalities (HD and PD). Database was issued from PHRC. The third part was to search the factors related to the initial choice of dialysis technique, PD or HD. This work was the subject of a targeted survey of patients and neurologists in a dialysis structure. The survival and the quality of life were similar between hemodialysis and peritoneal dialysis. Switching to HD may improve positively the survival compared to those who remained on PD, whereas, switching to PD was not. The DP is less expensive than HD. Medical contraindications to the PD were for 26.7%. In the absence of contraindications, patient preference and professional practices (information and practical center) are the two main factors related to the initial choice of dialysis technique, in particular to choice of PD. Better information could help to increase the choice of DP
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Lamers, Catharina P. Th. « Older people and end of life choices : an exploration of the options and related discourses ». Thesis, Bangor University, 2012. https://research.bangor.ac.uk/portal/en/theses/older-people-and-end-of-life-choices--an-exploration-of-the-options-and-related-discourses(3b72a301-79da-40d7-aab2-01aaddd9d3f9).html.

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With advance decisions currently being the only legal means of expressing ones wishes about the end of life in the UK, the literature revealed that the assumed benefits of having an advance decision, can be challenged. The process of discussing the choices and wishes for the end of life appeared to be considered more valuable by older people, than the outcome of having an advance decision. With the debates about possible legalisation of euthanasia and assisted suicide ongoing in the UK, seven older people were interviewed to explore their position in this debate. The interviews were analysed using discourse analysis, with reference to the Foucauldian concepts of knowledge, power, subjectification and surveillance. Three main discourses emerged: confused and conflicted, an aged death and voiceless in the debate. A patchy knowledge about the nature of the acts fed into conflicting discourses. A self-determination discourse was eroded by discourses that involved family and physicians in the decision-making process. The medicalisation of dying appeared endorsed at several levels, through the physicians' knowledge, power, subjectification and surveillance processes. An alternative dying discourse emerged where healing and growth in death were considered possible. For this healing and growth to occur, family were present and the medical gaze absent. In the aged death discourse, participants talked about the anticipated changes in their physical and mental health before their death in old age. However, they expressed concern about becoming dependent on professional others and the quality of care they might receive at the end of their life. They appeared to disappear from any 'gaze and surveillance' and were concerned they would be treated like 'objects'. Euthanasia and assisted suicide were considered as options that could provide a sense of control and independence at the end of life. It is possible that the position of older people in society and their worthiness of care and attention might have been internalised by older people and hence contributed to their consideration of euthanasia and assisted suicide. The participants reported feeling voiceless in the debate, as they experienced difficulty engaging others in a debate about euthanasia and assisted suicide, attributing vulnerabilities to debating partners (children, friends, physicians), who would normally be considered as holding powerful positions. They expressed frustration about the fact that it appeared that arguments in favour of euthanasia and assisted suicide had to meet a 'higher standard of rationality', than the arguments presented against euthanasia and assisted suicide. Their confused knowledge about the exact nature of euthanasia and assisted suicide might also hamper their power position in any debate. Psychologists need to remain vigilant about the impact of conflicting discourses the older person might express and critical of the impact societal discourses about ageing may have on the older person as well as the health and social care provision.
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Huang, Ya Ling. « Social ecological influences on preferences for care provided at the end of life amongst Taiwanese city-dwelling adults ». Thesis, Queensland University of Technology, 2014. https://eprints.qut.edu.au/70307/8/Ya%20Ling_Huang_Thesis.pdf.

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Social and cultural elements are an essential part of the contexts within which people understand their word and make end-of-life decisions. A developmental social ecological model was used in this thesis to provide a comprehensive framework for examining influences on end-of-life preferences. The findings support claims made by social ecologists that individual's health-related choices can be influenced by cultural, social contextual and environmental factors over the course of life. The results of this study have implications for health professionals and the practices they can adopt to enhance end-of-life care.
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George, Katrina. « Hard cases : re-conceptualising the legal control of euthanasia and end-of-life choices within a chronic care unit ». Thesis, The University of Sydney, 2013. http://hdl.handle.net/2123/16379.

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This thesis aims to re-conceptualise the law as it relates to end-of-life practices; to defend the law’s prohibition of voluntary euthanasia and physician-assisted suicide; and to examine the perceived need for legal ‘control’ of assisted death. It draws on the results of a small qualitative study with Motor Neurone Disease patients, their families and doctors in a Chronic Care Unit to probe and re-evaluate the law and ethics of end-of-life decisions. It integrates this analysis with an examination of relevant empirical research and published research from a range of disciplines. Part One of this thesis explores the problem of definition: what are euthanasia and physician-assisted suicide and are they legally, ethically and clinically different from other end-of-life practices such as pain relief and treatment refusal? The philosophical tradition which informs my analysis grounds personal moral responsibility in a person's intention. I argue that the intention to cause death must be central to the definition of euthanasia and physician-assisted suicide. I contend that the much-maligned double effect principle is consistent with established criminal law principles. Referring to case studies from my interviews, I demonstrate that double effect reasoning provides practical guidance about the appropriate use of pain relieving medication. I challenge the prevailing meanings of futile and burdensome treatment, with their underlying notion of the ‘worthless life’, and argue that in some circumstances a doctor’s cooperation with a patient’s refusal of life-sustaining treatment amounts to physician-assisted suicide. I suggest how doctors can respond to a suicidal refusal within the bounds of what should be legal. Part Two of the thesis presents a critical examination of two competing claims in the debate about voluntary euthanasia and physician-assisted suicide: first, the claim of autonomy as a basis for seeking access to an assisted death; and secondly, the claim of vulnerability which cautions that assisted death poses special risks to the weak or marginalised. I argue that a patient’s expressed desire for autonomy or control can disguise, rather than explain, the underlying physical and psycho-social drivers of the request for assisted death. Examining women as a case study of a population identified as vulnerable, I point to evidence that certain dimensions of vulnerability, including a patient’s social, economic and cultural circumstances, can operate as controlling influences that subvert genuine autonomy and explain some decisions for assisted death. Part Three of the thesis considers the reality of the so called euthanasia underground, in jurisdictions where assisted death is prohibited. Presenting data from interviews within a Chronic Care Unit, I demonstrate how the prevailing organisational culture facilitates what may amount to illicit euthanasia within the institutional confines of a hospital. Using three key indicators of legal control - voluntariness, visibility and accountability - I provide a comparative analysis of the effectiveness of legal control under prohibition and the Dutch and Belgian regimes which have legalised voluntary euthanasia and physician-assisted suicide. Prohibition has serious shortcomings, but the evidence is that legalisation also fails to achieve effective control. I also examine the dispute about two significant quantitative studies in the Netherlands and Australia, which underscores the complexity of evidence-based analysis. This thesis highlights the limitations of legal control in any form, but argues that the symbolism of criminal prohibition is still an important safeguard of the social norm which forbids intentional killing. On balance my findings support a policy of criminal prohibition of voluntary euthanasia and physician-assisted suicide. I propose a clinical based, ‘non-law’ strategy which both targets the underlying motivators of patient demand and doctor involvement in assisted death, and expands medical education about palliative care. I conclude that requests for physician-assisted suicide and euthanasia can be more effectively and compassionately addressed, not with philosophical or legal arguments, but with practical clinical skills.
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Dobbins, Elizabeth Harder. « Analysis of the end-of-life choices of elderly patients and their healthcare providers at a community hospital in Tennessee ». 2004. http://etd.utk.edu/2004/DobbinsElizabeth.pdf.

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Thesis (Ph. D.)--University of Tennessee, Knoxville, 2004.
Title from title page screen (viewed Feb. 10, 2005). Thesis advisor: James J. Neutens. Document formatted into pages (x, 154 p.). Vita. Includes bibliographical references (p. 120-128).
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Livres sur le sujet "End-of-life choice"

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Terman, Stanley A. The best way to say goodbye : A legal peaceful choice at the end of life. Carlsbad, CA : Life Transitions Publications, 2005.

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1944-, Lindsey Karen, dir. Peaceful dying : The step-by-step guide to preserving your dignity, your choice, and your inner peace at the end of life. Reading, MA : Perseus Books, 1999.

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The end of her innocence. Toronto : Harlequin, 2012.

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National Health Council (U.S.), dir. Whose choice is it anyway ? : Autonomous decison-making at the end of life : a summary report of the National Health Council's seminar on "The Ethics of Health Care" held on December 1, 1987 at The Harvard Club in New York City. New York : National Health Council, inc., 1988.

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Jo, DeMars, dir. Final choices : Making end-of-life decisions. Santa Barbara, Calif : ABC-CLIO, 1992.

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Randall, Fiona. End of life choices : Consensus and controversy. Oxford : Oxford University Press, 2010.

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S, Downie R., dir. End of life choices : Consensus and controversy. Oxford : Oxford University Press, 2010.

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Atkinson, David John. Life and death : Moral choices at the beginning and end of life. Oxford : Oxford University Press, 1985.

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Atkinson, David. Life and death : Moral choices at the beginning and end of life. Oxford : Oxford University Press, 1985.

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Christner, Anne M. End-of-life decisions : Facing the challenges of medical and ethical choices. Providence, RI : Manisses Communications Group, 1995.

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Chapitres de livres sur le sujet "End-of-life choice"

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Wiese, Michele Y., et Irene Tuffrey-Wijne. « End-of-Life Choices ». Dans Choice, Preference, and Disability, 317–35. Cham : Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-35683-5_17.

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Westwood, Sue. « Embodiment, choice and control at the beginning and ending of life ». Dans Regulating the End of Life, 219–36. London : Routledge, 2021. http://dx.doi.org/10.4324/9780429329739-18.

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Jeffrey, Ewan, et David Jeffrey. « Choice : Antigone, Sophocles (441 BC) ». Dans Enhancing Compassion in End-of-Life Care Through Drama, 71–91. London : CRC Press, 2022. http://dx.doi.org/10.1201/9781846199622-5.

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van Nes, Akkelies, et Claudia Yamu. « Analysing Linear Spatial Relationships : The Measures of Connectivity, Integration, and Choice ». Dans Introduction to Space Syntax in Urban Studies, 35–86. Cham : Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-59140-3_2.

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AbstractIn this chapter, we first explain the concept of an axial line and how the axial map is applied in space syntax. We then discuss the static measure of ‘connectivity’ with its ‘one-step’ to ‘n-step’ logic, including its meaning for axialintegration analysis. We further present the segment integration analysis. Using the streetsegment as the basis for analysis allows one to apply three types of distances and three types of radii in space syntax. We then present the most-often used space syntax measures in more depth, namely angularchoice and angular integrationwith metric radius, and introduce the mathematical formulae on how to normalise both measures. Real-life applications illustrate and underpin the usefulness of these measures and their meaning for urban analysis, such as why and how they allow us to identify urban societal processes and their added value at both a citywidescale and a neighbourhoodscale. Finally, we critically reflect on the measures, including their potentials and misfits. Exercises are provided at the end of the chapter.
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Round, Jeff, et Henry Llewellyn. « Living Up to a Good Death : Complexities and Constraints in End of Life Choices ». Dans Care at the End of Life, 193–205. Cham : Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-28267-1_14.

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Somma, Maria. « Towards Regenerative Wasted Landscapes : Index of Attractiveness to Evaluate the Wasted Landscapes of Road Infrastructure ». Dans Regenerative Territories, 297–310. Cham : Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-78536-9_19.

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AbstractIn recent years, the modernisation process has led to a radical transformation of the territory, producing waste in various forms (José Zapata Campos and Michael Hall in Organising waste in the city, Bristol University Press, 2013). Waste, not only in the sense of domestic or industrial waste but also in a broader concept linked to the territory and landscape’s spatial context. The concept relates to the degraded and subsequently abandoned area. Places understood as waste, areas expelled from the city and extraneous as they have no use and are now at the end of their life cycle.These areas, recognised as wastescapes (Amenta and Attademo in CRIOS 12:79–88, 2016) or a waste of land (Berger in Drosscape: Wasting land in urban America, Princeton Architectural Press, 2007), draw the and landscape’s mosaic increasingly fragmented. Also, current mobility requirements lead to a discussion on the design of road infrastructure. While in some cases the tendency is to upgrade existing ones, in others the choice is to design and build new routes. These new routes are causing many problems for the landscape, which is becoming even more devastated. A territory made up of linear elements, and ecosystem networks that physically connect urban space to environmental space create multiple landscapes within which transport networks act as a glue between the different urban poles and as a generator of abandoned areas (Russo in Techne 15:39–44, 2018).With this in mind, the study aims to analyse and assess, through spatial indicators, the potential that abandoned sites close to major road infrastructures can offer to society not only in economic but also in environmental terms.Starting from the Focus Area’s municipalities identified in the Horizon 2020 REPAiR project (Geldermans et al., in REPAiR project: REsource Management in Peri-urban AReas: Going beyond urban metabolism, 2017) for the Neapolitan context, only four of the eleven municipalities identified by the project are considered to make the analyses exhaustive and replicable in other contexts.The methodology defined the relationships between the built environment and abandoned infrastructure spaces, which cross and fragment the city and are devoid of functionality.The study had structured in three main phases: Identification of the abandoned interstitial areas of the road and neighbouring infrastructures in the municipalities of Afragola, Cardito, Casalnuovo di Napoli and Casoria (municipal territories of the metropolitan city of Naples); Analysis of the indexes of proximity to the urbanised areas and connectivity between the abandoned interstitial areas and the urbanised fabric; Evaluate these indices for the suburban areas to identify the attractiveness for future urban regeneration processes. In this sense, the attractiveness potential of abandoned interstitial spaces of road infrastructures had assessed.If included in a decision support system, these analyses and evaluations would support the definition of urban regeneration actions. In this sense, it evaluated the potential for the attractiveness of abandoned interstitial areas of road infrastructure. In this context, particular attention is paid to the environment in which we live and its protection and preservation.
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Randall, Fiona, et R. S. Downie. « Patient choice and consent ». Dans End of Life Choices, 3–22. Oxford University Press, 2009. http://dx.doi.org/10.1093/acprof:oso/9780199547333.003.0001.

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Randall, Fiona, et R. S. Downie. « Choice, assisted suicide and euthanasia ». Dans End of Life Choices, 165–84. Oxford University Press, 2009. http://dx.doi.org/10.1093/acprof:oso/9780199547333.003.0010.

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Randall, Fiona, et R. S. Downie. « Choice and best interests : life-prolonging treatments ». Dans End of Life Choices, 61–84. Oxford University Press, 2009. http://dx.doi.org/10.1093/acprof:oso/9780199547333.003.0004.

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Randall, Fiona, et R. S. Downie. « Choice and Advance Care Planning (ACP) : definition, professional responsibilities ». Dans End of Life Choices, 121–46. Oxford University Press, 2009. http://dx.doi.org/10.1093/acprof:oso/9780199547333.003.0008.

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Actes de conférences sur le sujet "End-of-life choice"

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Schmidt, Albrecht. « The End of Serendipity : Will Artificial Intelligence Remove Chance and Choice in Everyday Life ? » Dans CHItaly '21 : 14th Biannual Conference of the Italian SIGCHI Chapter. New York, NY, USA : ACM, 2021. http://dx.doi.org/10.1145/3464385.3464763.

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Coleman, Kate. « P5 Service use at the end of life : how ethics and values drive choice in ultra orthodox jews ». Dans Crafting the future of qualitative health research in a changing world abstracts. British Medical Journal Publishing Group, 2019. http://dx.doi.org/10.1136/bmjopen-2019-qhrn.40.

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Riley, Lloyd, et Davina Hehir. « P-14 The best death I’ve ever witnessed : examining responses to new narratives around end of life choice ». Dans Dying for change : evolution and revolution in palliative care, Hospice UK 2019 National Conference, 20–22 November 2019, Liverpool. British Medical Journal Publishing Group, 2019. http://dx.doi.org/10.1136/bmjspcare-2019-huknc.38.

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Salleh, Hilman. « Life Extension and Management of Ageing FPSOs ». Dans ASME 2016 35th International Conference on Ocean, Offshore and Arctic Engineering. American Society of Mechanical Engineers, 2016. http://dx.doi.org/10.1115/omae2016-54283.

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FPSOs have been a popular choice for deep water oil and gas production with many installations worldwide. Many of these floating production systems were tanker conversions and they are now approaching their mid-life or end of life hence, facing ageing issues relating to asset integrity. Concurrently, there are also requirements for these floating production systems to operate to operate beyond the design life. As most of this maintenance and refurbishment work is to be done while on station, there needs to be a structured process to ensure that all key areas of concerns are reviewed. This paper outlines the strategy available and addresses the issues and possible solutions to manage the life extension and ageing of FPSOs.
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Madarász, Tibor. « Factors motivating the choice of a military career in Hungary in the 1980s, in the light of life course interviews ». Dans Nové trendy profesijnej prípravy v Ozbrojených silách. Akadémia ozbrojených síl generála Milana Rastislava Štefánika, 2022. http://dx.doi.org/10.52651/ntpp.b.2022.9788080406301.226-231.

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The study deals with this particular form of the career choice decision along the lines of the career motivation of military officers entering the military in the 1980s. In the course of our research, we conducted life course interviews with ten former military officers, whose processing was carried out with the help of the identification of typologizable patterns of behavior in the given life situation. The majority of young people who choose a military career are already attracted to this profession in their elementary school years. However, another part of them only becomes interested in it much later, towards the end of high school. The background of early identification and pattern can often be a pattern carried by family or other close relatives, childhood book or film experiences. In such cases, the young person usually feels an attraction to certain external signs of identity (uniform, weapons).. Before the regime change, however, the social benefit of the career was a particularly important objective factor when choosing a career, as the military career functioned as a social mobility factor with its help.
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Klementyeva, M. V. « The biographic reflection in the structure of personal resources of the self-regulation in students of the higher school ». Dans INTERNATIONAL SCIENTIFIC AND PRACTICAL ONLINE CONFERENCE. Знание-М, 2020. http://dx.doi.org/10.38006/907345-50-8.2020.129.142.

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This article aims to clarify the biographical reflection as a personal resource of the self-regulation in students. The self-regulation at the beginning of professional life is associated with a substantially increased of hardiness and professional competence, but the basis of this reflective mechanism remains unknown. In the mainstream of cultural-historical psychology, the biographical reflection is considered as a type of reflection for making self-analysis of life of the personality and as a personal resource for making control the quality of life in time. To test the hypothesis that biographical reflection increases the positive effects of arbitrary self-regulation, educational and professional achievements in students. This sample of convenience consisted of 500 students (humanitarian and economic, and technical directions of education) at each of the ages of 17–37 years. The study focused on three aspects, which were measured: biographical reflection, and self-regulation, and professional competence. We argue that the resource function of biographical reflection is most in demand in situations of choice of direction of education and academic disciplines, and scientific projects, and internship. Furthermore, the level of biographical reflection in students is higher when a start and end of learning in the higher school. The higher level biographical reflection increased the score on the self-regulation and professional competence in students at the beginning and end of the tertiary education. Therefore, biographical reflective analysis is a good resource of the life management in choice of a professional life.
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Rey, Simon, Ulle Endriss et Ronald de Haan. « Shortlisting Rules and Incentives in an End-to-End Model for Participatory Budgeting ». Dans Thirtieth International Joint Conference on Artificial Intelligence {IJCAI-21}. California : International Joint Conferences on Artificial Intelligence Organization, 2021. http://dx.doi.org/10.24963/ijcai.2021/52.

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We introduce an end-to-end model for participatory budgeting grounded in social choice theory. Our model accounts for the interplay between the two stages commonly encountered in real-life partici- patory budgeting. In the first stage participants pro- pose projects to be shortlisted, while in the second stage they vote on which of the shortlisted projects should be funded. Prior work of a formal nature has focused on analysing the second stage only. We in- troduce several shortlisting rules for the first stage and analyse them in both normative and algorith- mic terms. Our main focus is on the incentives of participants to engage in strategic behaviour during the first stage, in which they need to reason about how their proposals will impact the range of strate- gies available to everyone in the second stage.
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Scano, Lorenzo, et Luca Esposito. « Effects of Secondary Creep Formulation on API 579-1 Residual Life Evaluation ». Dans ASME 2017 Pressure Vessels and Piping Conference. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/pvp2017-65512.

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Although several ad hoc procedures are codified into main international standards, the creep life prediction remains a critical phase of each Fitness-For-Service assessment. Commonly, either a time-fraction or a ductility exhaustion approach can be used. In both cases, conservative predictions within a factor of 2 or 3 are expected [1]. However, since the procedures to determine the creep damage are based upon the results of a stress analysis, the residual life evaluation can be affected by the adopted creep formulation. The choice to use a simple modeling, only accounting for the dislocational creep range, could lead to overestimate the component creep life at low stresses, and this is also subtly true even at concentration points if triaxiality or deformation-controlled loading lead to marked stress relaxation over time. In this paper, the tube to header and the header to hemispherical end joints of a HRSG assembly were assessed by the API 579-1/ASME FFS-1 [2] Level 3 procedure, via inelastic FEA, changing the creep formulation to compare the results. The classical Nortons law was replaced by more sophisticated secondary creep models to account for the complex time-dependent stress-field. In particular, the primary and secondary stress re-distribution/relaxation in the creep range were investigated in order to evaluate the impact of the steady-state creep constitutive equation on the residual life prediction.
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Mekha, Basim, et Robin Gordon. « The Challenges of Data Availability for the Life Extension of Steel Catenary Risers ». Dans ASME 2022 41st International Conference on Ocean, Offshore and Arctic Engineering. American Society of Mechanical Engineers, 2022. http://dx.doi.org/10.1115/omae2022-83455.

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Abstract Many offshore floating production systems including their risers are approaching the end of their original Design Life. Operators are faced with the choice of either decommissioning or demonstrating that the original Design Life can be extended (Life Extension). Life extension requires the Operator to perform detailed engineering analyses to verify that the system can be operated safely over the period of Life Extension. This generally requires detailed fatigue analysis of actual fabrication data to demonstrate that the fatigue damage still within the required design life and the original fabrication flaws or fatigue cracks that may have initiated over the original Design Life will not grow to a critical size resulting in failure. In some cases, the detailed engineering analysis is supplemented by an in-line inspection program. The critical challenge that many operators face nowadays is finding the original design, fabrication and inspection records since they may be more than 20 years old. The use of actual procurement and fabrication data provides more credibility to the life extension engineering. Furthermore, the actual data could support the removal of at least some of the conservatism associated with the design of new risers. This paper will review and discuss specific issues associated with the availability of procurement and fabrication data and how to optimize and use the available knowledge and information in cases where data is not available. Some focus will be placed on the fracture mechanics aspect of the fatigue and the Engineering Criticality Assessment (ECA) approach to determine the riser life extension based on the weld original flaws. Finally, the paper will provide guidance and examples of how to take advantage of in-line inspection to supplement the life extension analysis and provide increased confidence on the predicted life extension.
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de Sousa, José Renato M., George C. Campello, Fernando Jorge M. de Sousa, Alyson G. Vaillant et Gilberto B. Ellwanger. « Fatigue Analyses of a Flexible Riser Considering End Fitting Effects ». Dans ASME 2017 36th International Conference on Ocean, Offshore and Arctic Engineering. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/omae2017-61792.

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During the end fitting (EF) mounting process, the tensile armor wires of flexible pipes are folded and then unfolded. This process usually leaves plastic deformations and generates sharp curvatures on these wires just at the EF entrance. Dissections performed in several flexible risers, which were in operation or subjected to qualification tests, revealed that this region is especially prone to fatigue failure thus affecting the overall performance of these structures. In this work, an analytical approach devoted to predict the stresses induced in the tensile armor wires at the EF entrance is combined with a previously presented methodology to compute the fatigue life of flexible risers in order to account for the EF mounting process. A parametric study is also conducted aiming at evaluating the effect of the folding radius, the stress level induced during pre-operational tests and the contact conditions between the epoxy resin and the tensile armor wires on the fatigue resistance of a free hanging flexible riser. These analyses indicate that the choice of the mean stress correction model, the folding radius and the stress level induced during the pre-operational tests significantly modify the fatigue resistance of the tensile armor wires. The contact conditions also influence the fatigue resistance, but their effect is less significant.
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Rapports d'organisations sur le sujet "End-of-life choice"

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An end of life strategy probably improved choice of where to die for people with severe respiratory disease. National Institute for Health Research, juin 2017. http://dx.doi.org/10.3310/signal-000427.

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