Iskanje po katalogu digitalne knjižnice

Opis: This review provides a comprehensive Life Cycle Assessment (LCA) of a cosmetic cream to assess the environmental impacts throughout its entire life cycle, from raw material extraction to disposal, using the methodology according to international standards. The LCA was performed using the OpenLCA 2.0.1 software, with data from the Ecoinvent 3.8 database and relevant literature. The assessment focused on multiple impact categories, including climate change, acidification, eutrophication (freshwater, marine and terrestrial), ecotoxicity (freshwater), human toxicity (cancer and non-cancer), ionizing radiation, land use, ozone depletion, photochemical ozone formation, resource use (fossils, minerals and metals), and water use. The LCA of a cosmetic cream containing gold nanoparticles revealed significant environmental impacts across critical categories. The total climate change potential was 2596.95 kg CO2 eq., driven primarily by nanoparticle synthesis (60.7%) and electricity use (31.9%). Eutrophication of freshwater had the highest normalized result (3.000), with nanoparticle synthesis contributing heavily, indicating the need for improved wastewater treatment. The resource use (minerals and metals) scored 1.856, while the freshwater ecotoxicity reached 80,317.23 CTUe, both driven by the nanoparticle production. The human toxicity potentials were 1.39 × 10−6 CTUh (cancer) and 7.45 × 10−5 CTUh (non-cancer), linked to emissions from synthesis and energy use. The LCA of the cosmetic cream revealed several critical areas of environmental impact. The most significant impacts are associated with gold nanoparticle synthesis and electricity use. Addressing these impacts through optimized synthesis processes, improved energy efficiency, and alternative materials can enhance the product’s sustainability profile significantly.
Ključne besede: life cycle assessment, cosmetic cream, environmental impacts, gold nanoparticles
Objavljeno v DKUM: 17.12.2024; Ogledov: 0; Prenosov: 8
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Opis: The importance and value of real-world data in healthcare cannot be overstated because it offers a valuable source of insights into patient experiences. Traditional patient-reported experience and outcomes measures (PREMs/PROMs) often fall short in addressing the complexities of these experiences due to subjectivity and their inability to precisely target the questions asked. In contrast, diary recordings offer a promising solution. They can provide a comprehensive picture of psychological well-being, encompassing both psychological and physiological symptoms. This study explores how using advanced digital technologies, i.e., automatic speech recognition and natural language processing, can efficiently capture patient insights in oncology settings. We introduce the MRAST framework, a simplified way to collect, structure, and understand patient data using questionnaires and diary recordings. The framework was validated in a prospective study with 81 colorectal and 85 breast cancer survivors, of whom 37 were male and 129 were female. Overall, the patients evaluated the solution as well made; they found it easy to use and integrate into their daily routine. The majority (75.3%) of the cancer survivors participating in the study were willing to engage in health monitoring activities using digital wearable devices daily for an extended period. Throughout the study, there was a noticeable increase in the number of participants who perceived the system as having excellent usability. Despite some negative feedback, 44.44% of patients still rated the app’s usability as above satisfactory (i.e., 7.9 on 1–10 scale) and the experience with diary recording as above satisfactory (i.e., 7.0 on 1–10 scale). Overall, these findings also underscore the significance of user testing and continuous improvement in enhancing the usability and user acceptance of solutions like the MRAST framework. Overall, the automated extraction of information from diaries represents a pivotal step toward a more patient-centered approach, where healthcare decisions are based on real-world experiences and tailored to individual needs. The potential usefulness of such data is enormous, as it enables better measurement of everyday experiences and opens new avenues for patient-centered care.
Ključne besede: multilingual framework, risk assessment, symptom tracking, chronic diseases, patient-centered care, real-world data
Objavljeno v DKUM: 12.08.2024; Ogledov: 74; Prenosov: 9
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Opis: In relation to the admissibility of evidence obtained using projective personality tests arose in F v. Bevándorlási és Állampolgársági Hivatam (2018). The Court of Justice of the European Union has held that an expert's report can only be accepted if it is based on the international scientific community's standards, but has refrained from stipulating what these standards are. It appears timely for European psychologists to decide what standards should be applied to determine whether or not a test is appropriate for psycholegal use. We propose standards and then apply them to the Rorschach because it was used in this case and is an exemplar of projective tests. We conclude that the Rorschach does not meet the proposed standards and that psychologists should abstain from using it in legal proceedings even in the absence of a clear judicial prohibition.
Ključne besede: psychology, law, forensic assessment, courts, professional standard, ethics, evidential value, acceptability, projective test, Rorschach
Objavljeno v DKUM: 06.08.2024; Ogledov: 87; Prenosov: 6
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Opis: Whilst CPR training is widely recommended, quality of performance is infrequently explored. We evaluated whether a checklist can be an adequate tool for chest compression quality assessment in schoolchildren, compared with a real-time software. This observational study (March 2019–2020) included 104 schoolchildren with no previous CPR training (11–17 years old, 66 girls, 84 primary schoolchildren, 20 high schoolchildren). Simultaneous evaluations of CPR quality were performed using an observational checklist and real-time software. High-quality CPR was determined as a combination of 70% correct maneuvers in compression rate (100–120/min), depth (5–6 cm), and complete release, using a real-time software and three positive performance in skills using a checklist. We adjusted a multivariate logistic regression model for age, sex, and BMI. We found moderate to high agreement percentages in quality of CPR performance (rate: 68.3%, depth: 79.8%, and complete release: 91.3%) between a checklist and real-time software. Only 38.5% of schoolchildren (~14 years-old, ~54.4 kg, and ~22.1 kg/m2) showed high-quality CPR. High-quality CPR was more often performed by older schoolchildren (OR = 1.43, 95%IC:1.09–1.86), and sex was not an independent factor (OR = 1.26, 95%IC:0.52–3.07). For high-quality CPR in schoolchildren, a checklist showed moderate to high agreement with real-time software. Better performance was associated with age regardless of sex and BMI.
Ključne besede: cardiopulmonary resuscitation, education, assessment, schoolchildren, basic life support
Objavljeno v DKUM: 28.06.2024; Ogledov: 151; Prenosov: 12
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Opis: Objective: To assess the prevalence of unmet needs in post-treatment breast cancer survivors and identify sociodemographic, clinical, and psychosocial variables associated with reported unmet needs during the COVID-19 pandemic. Materials and methods: In this cross-sectional study, 430 post-treatment breast cancer survivors, ranging between 1 and 5 years after the procedure, completed the Cancer Survivors’ Unmet Needs (CaSUN) questionnaire from September 2021 and January 2022. The multivariate logistic analysis identified factors associated with at least one reported unmet need in the total CaSUN scale and specific domains. Results: A total of 67% of survivors reported at least one unmet need. The most frequently reported unmet needs were the lack of accessible hospital parking (43%) and recurrence concerns (39.5%). The majority of reported unmet needs relate to comprehensive care (44%), followed by the psychological and emotional support domain (35.3%). Younger age (OR = 0.95, 95% CI = 0.92–0.99; p < 0.001), three or more comorbidities (OR = 0.27, 95% CI = 0.11–0.71, p < 0.01), a lower quality of life (OR = 0.06, 95% CI = 0.01–0.47, p < 0.01) and low resilience (OR = 0.95, 95% CI = 0.93–0.99) were associated with a high level of unmet needs in the multivariate regression model. Results are presented for factors associated with a high level of unmet needs for comprehensive cancer care and psychological and emotional support domain. Conclusion: A high prevalence found in our study could be attributed to the COVID-19 pandemic, where patients may have missed adequate follow-up care, although comparing to studies done in non-pandemic time is difficult. Family physicians should be more attentive toward younger cancer survivors and those with more comorbidities as both characteristics can be easily recognized in the family practice.
Ključne besede: breast cancer, cancer survivors (MeSH term), needs assessment [MeSH], fear of cancer recurrence, quality of life, psycho-oncology, COVID-19, chemotherapy, unmet needs
Objavljeno v DKUM: 27.06.2024; Ogledov: 129; Prenosov: 4
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