Investigating the Relationship Between Design-for-Reliability/Design-for-the-Environment Investment, and Field Warranty and End-of-Life Costs

2007 ◽  
Vol 4 (2) ◽  
pp. 251-263 ◽  
Author(s):  
John Sheehan ◽  
John Sheil
Keyword(s):  
End Of Life ◽  
Reliability Design ◽  
Design For Reliability ◽  
Design For The Environment ◽  
The Relationship

scholarly journals Last Place of Care and End-of-Life Quality of Life in the United States: Evidence From a National Representative Data Set

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 17-17
Author(s):  
Yifan Lou ◽  
Nan Jiang ◽  
Katherine Ornstein
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
End Of Life ◽  
End Of Life Care ◽  
The United States ◽  
Life Care ◽  
Person Centered Care ◽  
Centered Care ◽  
The Relationship

Abstract Background: Quality of life (QoL) during last stage of life has raised expanded interests as an important aspect of person-centered care. Last place of care (LPC), refer to the last place decedents received their formal end-of-life care (EOLC), has been identified as a key indicator of older adults’ end-of-life QoL, but the relationship was understudied. This study explores the association between LPC and end-of-life QoL among American older adults. Methods: Data used seven waves of Last Month of Life data with a total sample of 3068 Medicare decedents in NHATS. Outcome is end-of-life QoL assessed by eleven measures on four domains: pain and symptoms management (SP), quality of healthcare encounter (HE), person-centered care (PC), and overall quality of care (QC). LPC was categorized into home, hospital, nursing home, and residential hospice. Multivariate logistic regression analyses were used to examine the relationship with covariates. Results: LPC varied by most demographic characteristics, except immigration status and education. Older adults whose LPC is hospital, compared to those who had home-care, were less likely to have great experiences on HE, PC, and QC. People dying at nursing homes are more likely to receive care meeting their dyspnea and spiritual needs. Residential hospice is negatively related to respected care, clear coordination, and keeping family informed, but are more likely to provide PS and spiritual care. Discussion: Home-based end-of-life care has certain advantages but still has room to improve on SP and religious concerns. Hospitals should keep reforming their service delivery structure to improve patients’ QoL.

Gender and Legitimacy in Personal Service Occupations: The Case of End-of-Life Doulas and Death Midwives

2021 ◽  
pp. 089124162110489
Author(s):  
Ara A. Francis
Keyword(s):  
Middle Class ◽  
End Of Life ◽  
Occupational Identity ◽  
Paid Work ◽  
Personal Service ◽  
Unpaid Labor ◽  
Marginalized Women ◽  
Service Jobs ◽  
The Relationship

The emerging occupations of end-of-life doula and death midwife are part of a growing sector of personal service jobs. Designed to support, educate, and empower dying people and their loved ones, these new roles entail both the commodification of women’s unpaid labor and a repositioning of the paid work typically done by marginalized women. This study examines the identity talk of 19 occupational pioneers and focuses on the relationship between gender, class, race, and efforts to secure occupational legitimacy. Findings suggest that, in an effort to mitigate tensions stemming from the professionalization of feminized work, these pioneers strategically embrace a feminine occupational identity in ways that code their labor as White and middle class.

Ettore’s song: The hero who had the courage to fight Achilles

2020 ◽  
pp. 135910532096814
Author(s):  
Filippo Giordano ◽  
Chiara Rutigliano ◽  
Paola Muggeo ◽  
Tommaso Fusaro ◽  
Nicola Santoro
Keyword(s):  
Quality Of Life ◽  
End Of Life ◽  
Psychological Needs ◽  
Spiritual Needs ◽  
Complementary Approach ◽  
The Relationship ◽  
Multi Disciplinary Team

End-of-life accompaniment requires even greater care of the patient and their family by the multi-disciplinary team, which requires a clear, wellorganized interdisciplinary and interprofessional approach. Musictherapy (MT) is often use as a complementary approach to improve a person’s quality of life by helping to relieve symptoms, addressing psychological needs, offering support and comfort, facilitating communication, and meeting spiritual needs. Through songwriting, Ettore, a teenager was able to make choices and act on his own will. Songwriting represented a channel for effective and powerful communication and expression. The song became the means by which the relationship with the team was maintained and deepened; it became something tangible, a product with its own consistency, a further bond that unites Ettore to his family to this day.

Clergy religious beliefs and ICU utilization at the end of life.

2015 ◽  
Vol 33 (29_suppl) ◽  
pp. 223-223
Author(s):  
Michael Balboni ◽  
Adam Sullivan ◽  
Rebecca Quinones ◽  
Tyler J. Vanderweele ◽  
Tracy A. Balboni
Keyword(s):  
End Of Life ◽  
Religious Beliefs ◽  
Religious Community ◽  
Medical Decisions ◽  
Divine Sovereignty ◽  
Sanctity Of Life ◽  
Aggressive Interventions ◽  
Relationship Of ◽  
Eol Care ◽  
The Relationship

223 Background: High religious community spiritual support is associated with greater aggressive interventions at the end of life (EOL). At EOL, half of U.S. patients are visited by clergy. The relationship of clergy religious beliefs about EOL care to dying congregants’ EOL medical decisions is unknown. Methods: This is an NCI-funded study of 1,665 U.S. clergy randomly-selected from a comprehensive database of 368,408 U.S. congregations and administered a survey 8/2014-2/2015; 1,005 responded (60%). Clergy reported endorsement of religious beliefs about congregants’ EOL care (RBEC), including miracles, sanctity of life, divine sovereignty, and redemptive suffering. Clergy reported on their last experience in spiritual caregiving to a dying congregant, including congregant’s care location in the final week. The primary outcome was any ICU care in the final week of life. Multivariable analyses (MVA), controlling for clergy age, gender, race, region, and congregational income, assessed the relationship of clergy RBEC to any congregant ICU care in the last week. Results: Most (86%) clergy affirmed belief in a miraculous cure; 54% agreed that the congregant should accept every medical treatment out of religious obligations. A minority of clergy affirmed that belief in divine sovereignty relieved congregants of future medical decisions (28%) and that they should endure medical procedures because suffering is God’s test (27%). In MVA, higher RBEC scores were associated with a greater likelihood of any ICU utilization in the last week (AOR=1.28, p=.02), with belief in divine sovereignty being the strongest predictor (AOR 2.1, p=.005). Predictors of having greater RBEC scores included being Hispanic (AOR=3.35, p<.001) or black (AOR=3.0, p<.001), as compared to white, and being Pentecostal (AOR=3.54, p<.001) or Evangelical (AOR=2.12, p<.001) as compared to clergy self-identified as liberal. Conclusions: A majority of clergy endorse religious beliefs regarding their dying congregants’ EOL medical care; these beliefs are associated with greater ICU care in the final days of life for congregants. Future research is needed to determine religiously-consistent approaches to clergy EOL education to mitigate aggressive interventions at the EOL.

Design for Component Reliability: A New Challenge for the Control Systems Analyst?

1974 ◽  
Vol 96 (1) ◽  
pp. 41-48
Author(s):  
J. W. Brewer ◽  
L. M. Gordon
Keyword(s):  
Feedback Control ◽  
Control Systems ◽  
Fast Response ◽  
Design Criteria ◽  
Modal Control ◽  
Probabilistic Design ◽  
Component Reliability ◽  
Reliability Design ◽  
Design For Reliability ◽  
Systems Analyst

The authors demonstrate that if feedback control and component reliability design criteria are considered simultaneously, significant gains in reliability may result. The discussion begins with a tutorial introduction to probabilistic design for reliability. Simple examples are employed to illustrate the analytical tie between feedback control and component reliability. In the case of modal control, it is demonstrated that fast response and component reliability are competing criteria. The question of system (as opposed to component) reliability is discussed in a succeeding paper.

scholarly journals Low NOx Combustor for Automotive Ceramic Gas Turbine: II — Reliability Assurance

1992 ◽  
Author(s):  
Hirotaka Kumakura ◽  
Masafumi Sasaki ◽  
Daishi Suzuki
Keyword(s):  
Service Life ◽  
Gas Turbine ◽  
Life Prediction ◽  
Exhaust Emission ◽  
Variation Pattern ◽  
Transient Conditions ◽  
Reliability Design ◽  
Ceramic Liner ◽  
Simulation Results ◽  
The Relationship

Two aspects of reliability assurance are discussed. First, This paper deals with the reliability design of the emissions under transient conditions. The optimization was made from the simulation results of the relationship between the response of the variable combustor geometry to follow load changes and the resulting exhaust emission levels. The load variation pattern used in this investigation was that of the Japanese 10-mode regulation. Second, this paper describes the validity of the reliability design prepared for the ceramic liner of the combustor. A service life prediction was made for the liner on the basis of stress analysis results and fatigue parameters.

A New Approach for the Study of Reliability for MEMS Magnetic Actuator

2007 ◽  
Author(s):  
E. Berkcan ◽  
S. Chandrasekaran
Keyword(s):  
Magnetic Actuator ◽  
Test Procedures ◽  
Device Structure ◽  
Reliability Design ◽  
Design For Reliability ◽  
Testing Procedures ◽  
Time Period ◽  
Device Reliability ◽  
Mems Device

This paper presents a summary of the design for reliability and the reliability test procedures used for the design, fabrication and testing of a MEMS magnetic actuator. The MEMS device reliability is determined incorporating device structure, its fabrication process, the packaging, & their interacting contributions. The goal of the MEMS actuator reliability design task is to increase the probability of failure free operation of a MEMS based system for a specified time period and the use environment. The design for reliability and the subsequent reliability testing procedures are used to determine the reliability of the MEMS actuator and enable the determination of the reliability of the final product that the MEMS device is becoming part of.

scholarly journals A Novel Ontology Approach to Support Design for Reliability considering Environmental Effects

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Bo Sun ◽  
Yu Li ◽  
Tianyuan Ye ◽  
Yi Ren
Keyword(s):  
Product Design ◽  
Environmental Effects ◽  
Domain Knowledge ◽  
Product Reliability ◽  
Support Design ◽  
Model Application ◽  
Reliability Design ◽  
Ontological Model ◽  
Relationship Of ◽  
The Relationship

Environmental effects are not considered sufficiently in product design. Reliability problems caused by environmental effects are very prominent. This paper proposes a method to apply ontology approach in product design. During product reliability design and analysis, environmental effects knowledge reusing is achieved. First, the relationship of environmental effects and product reliability is analyzed. Then environmental effects ontology to describe environmental effects domain knowledge is designed. Related concepts of environmental effects are formally defined by using the ontology approach. This model can be applied to arrange environmental effects knowledge in different environments. Finally, rubber seals used in the subhumid acid rain environment are taken as an example to illustrate ontological model application on reliability design and analysis.

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