A flame retardant (FR) hexachlorocyclotriphosphazene diethylenetriamine ammonium phosphoric acid (HDAPA) was synthesized. Vertical flammability test and limiting oxygen index (LOI) results showed that cotton samples finished with HDAPA solutions (15 % and 20 %) could pass vertical flame retardancy test, and LOIs reached 30.1 % and 35.4 % even after 50 laundering cycles according to AATCC 61-2013 3A washing standard (3A), performing flame retardancy and washing durability. Meanwhile, Fourier transform infrared and X-ray photoelectron spectroscopy analyses suggested that HDAPA was grafted on cotton fibers through -P(=O)-O-C covalent bond. Total heat release (1.98 MJ/m2) and char residue (16.2 %) of HDAPA treated cotton were much lower than those (4.26 MJ/m2, 3.2 %) of untreated cotton. Thermogravimetry results showed HDAPA changed thermal decomposition pathway of cotton fabric, which was further supported by thermogravimetric-Fourier infrared spectrometer results, revealing HDAPA performed a condensed phase flame retardancy mechanism. Scanning electron microscopy implied HDAPA entered amorphous region of cotton fibers to react with cellulose. Mechanical properties of HDAPA treated cotton decreased a little. Although the synthesis process used formaldehyde but no free formaldehyde released. In consequence, the aforementioned results indicated that the introduction of -N=P-(N)3- and -P(=O)(O-NH4+)2 groups to FR was an viable method to improve flame retardancy and durability.

RésuméLes avortements à risque constituent une problématique majeure de santé publique, responsable de la mortalité et de la morbidité maternelles et absorbant les ressources des systèmes de santé publique à l\'échelle mondiale. Malgré l\'ampleur très probable du problème de l\'avortement non sécurisé au Maroc, peu de données sont accessibles sur cette question. Cette recherche vise à analyser la situation de l\'avortement du point de vue des femmes et des professionnels de santé dans la préfecture d\'Agadir Idaoutanane au Sud du Maroc. Nous avons conduit une étude transversale mixte. De janvier à septembre 2018, 266 femmes ont été recrutées pour répondre à un questionnaire, et 45 entretiens avec les femmes et les professionnels de la santé impliqués dans la santé sexuelle et reproductive (SSR) ont été menés. Nous avons procédé à une analyse descriptive des données quantitatives et à une analyse de contenu thématique des données recueillies par les entretiens individuels. Les résultats de l\'étude révèlent que les avortements sont la conjugaison de plusieurs facteurs multidimensionnels. Le manque d\'informations en SSR et l\'échec de la contraception sont les facteurs majeurs de grossesses non désirées. L\'avortement provoqué est un sujet tabou, fortement stigmatisant, portant à l\'image sociale de la personne. L\'accessibilité aux services d\'avortement est marquée de grandes disparités et de trajectoires différentes. Cette étude apporte une contribution à l\'analyse du phénomène de l\'avortement au Maroc et appelle à une action politique urgente sur plusieurs niveaux: l\'accès aux programmes d\'éducation sexuelle et à la contraception appropriée, l\'élargissement des indications d\'avortement préconisées dans le projet de loi, la mise en place des stratégies de lutte contre la stigmatisation de l\'avortement par les professionnels de santé et l\'accès à des soins post-avortement de haute qualité.

Ankle Brachial Pressure Index (ABPI) measurement has long been considered the gold standard of vascular assessment for people with lower limb ulceration. Despite this, only around 15% of patients in the United Kingdom who require an ABPI measurement undergo the assessment. The Lanarkshire Oximetry Index (LOI) is a cheaper and arguably more accessible approach to vascular assessment and was initially proposed as an alternative to the ABPI in 2000. No synthesis of evidence related to the LOI has been performed since its introduction into the literature. Primary studies were sought to determine the clinimetric properties of the LOI and its level of agreement with ABPI assessments. Systematic searches of MEDLINE, CINAHL, Cochrane Central Register of Controlled Trials, BNI, ProQuest Health and Medicine, Science Direct, Google Scholar and the British Library (online search) were conducted. Reference lists of identified studies were also reviewed to identify additional studies. Three primary studies met the inclusion criteria, reporting data from 307 patients and 584 limbs assessed using both the LOI and ABPI. All three studies reported fair to moderate kappa values for interrater reliability (κ = 0.290-0.747) and statistically significant positive correlation coefficients (r = 0.37, p < 0.001 in two studies) between the LOI and ABPI. The combined data from the three studies indicated a sensitivity of 52% (41.78-62.1, 95% confidence interval [CI]) and specificity of 96.08% (93.4-97.9, 95% CI) for the LOI using the ABPI as a reference. Additional data are required to indicate the safety of the LOI in practice. Data are also required to determine if the LOI is more acceptable to clinicians compared to the ABPI and whether there are any barriers/enablers to its implementation in practice. Given the relatively low specificity of the LOI, it may be beneficial to combine measurement of the LOI with a subjective clinical risk assessment tool to improve the sensitivity of this alternative approach to vascular assessment.

If the obligation to donate as defined by French law (\"we are all donors\") remains in the wake of sociologist Marcel Mauss\'s Essai sur le don (Essay on donation), there the similarity ends. How do you make a counter-donation to a deceased person? In the case of inter vivos organ donation, the act is more akin to mutualization than donation.

As an expression of the general will, the law makes organ removal and transplantation a lawful activity. The legislator makes them conditional on the primacy of the person, the inviolability of the body and the need for consent.

Gender identity is a concept that is both widespread and relatively abstract for most citizens. It seems important to define this notion in its dynamic perspective, by concretely exploring the administrative, legal, therapeutic, surgical and social components of a person\'s transition journey in France in 2023. The major role played by militant lesbian, gay, bisexual and transgender associations and the ethical issues raised by this change of identity must be highlighted.

Health hazards and environmental pollution are major concerns in present world. So, it is high time to think about ecofriendly and sustainable production. In this study, pumpkin juice has been used as an ecofriendly flame retardant finish to enhance the functionality of cotton twill fabric. The pumpkin juice extracted from the fresh pumpkin without any chemicals. The cotton fabric was treated with pumpkin juice in exhaust method. The treated and untreated samples were characterized by TGA, FTIR, SEM, and EDX. The flame-retardant property of the samples were evaluated based on the LOI and vertical flame tester. The result demonstrated that the treated samples exhibited high fire-retardant properties after being finished with pumpkin juice. The LOI value of the treated samples increased to 29 from 19 after treatment. The main reason behind the increased flammability is the dehydration of pumpkin juice-treated fabric which was clarified from the TG analysis. Moreover, the FTIR, SEM, and EDX report ensured the presence of bound and unbound water molecules, different salt, and several atoms in the samples treated with pumpkin juice that enhanced the protection against the spreading of the fire and thus improved fire-retardant properties of the treated samples.

The right to deep and continuous sedation maintained until death was introduced by the law known as the Claeys-Leonetti law. It is no longer a question of reversible sedation, but of maintaining the patient in a deep sleep, without waking, until death. It can be put into care in specific cases. The  borderline between euthanasia and this sedation implemented at the end of life lies in the intentionality of the medical act.

Various definitions have been proposed to describe Medical Nutrition Therapy (MNT). Broadly, MNT encompasses the provision of nutrition information and advice aimed to prevent, treat, and/or manage health conditions. In Canada, the provision of such information and advice is unregulated, thus allowing anyone to provide MNT services regardless of their education and training. This inevitably poses risks of harm such as the provision of unsafe and/or ineffective nutrition advice as well as delayed evidence-based treatment. Canadian research has further demonstrated that the general public is unable to properly differentiate between regulated, evidence-based nutrition providers (registered dietitians) and those who are unregulated. Therefore, the public is at risk. To reduce nutrition misinformation and ultimately improve the health and well-being of the public, the objective of this paper is, first, to propose a standardized definition of MNT for use across Canada and, second, to propose province- and territory-specific legislative amendments for the regulation of MNT throughout the country. We also present an opposing perspective to the proposed viewpoint. Ultimately, health care regulation across the country requires an overhaul before we expect that nutrition information and advice communicated to the public may be consistently evidence based.

In the first part of the study, dyed polyester fabric was treated with a dielectric barrier discharge (DBD) plasma at 1 W/cm2 for 15, 30, 60 and 90 s. The wicking height, tensile strength and color of the control and plasma treated fabrics were measured. Results show that the fabric capillary increases with plasma treatment time up to 90 s. However, plasma treatment time longer than 60 s caused an obvious color change and decrease in tensile strength of fabric. Plasma contact time should be such that plasma can improve the hydrophilicity of the fabric and adversely affect the properties of the fabric as little as possible. Thus, the suitable plasma contact time should be less than 60 s. Based on these results, in the second part of the study, three different time levels (15, 20 and 30 s) were selected for plasma pretreatment of this fabric. The plasma-treated fabric was then padded with the flame retardant (FR) (CETAFLAM PDP 30), dried and finally cured at 190 °C for 120 s. The limited oxygen index (LOI) of FR fabrics and the vertical fire characteristics of FR fabric after being washed 5 times also were measured. Comparison of these results with those of FR fabrics without plasma pretreatment shows that plasma pretreatment improves the fabric\'s flame retardancy and FR durability. Moreover, it also reduces the heat shrinkage of PET fabric due to high temperature curing. The scanning electron microscopy (SEM) images of the fabric after plasma treatment and FR treatment and the energy-dispersive spectroscopy (EDS) spectrum of the fabric are consistent with the above results.