Arribadas, a phenomenon of mass nesting behavior of sea turtles, attract millions of olive ridley turtles (Lepidochelys olivacea) to Playa del Ostional, a nesting beach in Costa Rica. The timing and size of these arribadas are influenced by various environmental factors, including temperature, tides, and moon phase [1]. The sea turtles are threatened by a variety of factors, like amongst others climate change. Rising temperatures and sea levels, changes in ocean currents, and more frequent and intense storms are all likely to have negative impacts on sea turtles [2]. Without intervention, climate change could lead to the disappearance or flooding of sea turtle nesting beaches, resulting in a loss of critical habitat for these creatures. To prevent such an outcome, it is imperative to gain a deeper understanding of the morphological and hydrodynamic characteristics of nesting beaches, as well as identify the factors that influence sea turtle nesting behavior. This study aimed to identify and map the critical factors that must be considered to ensure persistence of the olive ridley sea turtle and arribadas at Playa del Ostional, Costa Rica. The objectives of this research were, therefore, (1) to map the seasonal morphological and hydrodynamical differences of the arribada nesting beach, (2) to identify the environmental parameters that have the greatest influence on the occurrence of an arribada, and (3) to map out the stakeholders involved. The study site is the beach that ranges from the northernmost part of Playa del Ostional down to the southernmost part of Playa Nosara, which is located on the northern peninsula at the west coast of Costa Rica. The part at Playa del Ostional where most turtles nest is called ‘Main Nesting Beach’ (MNB). A field investigation was carried out to determine the seasonal morphological and hydrodynamical differences of the nesting beach. This field study comprised of two distinct components: (1) a characterization of the morpho- and hydrodynamics of Playa del Ostional in the dry season, and (2) a comparative analysis of these conditions during the wet and dry season. The morpho- and hydrodynamic beach characteristics consisted of the beach profile, sediment composition, hydrodynamic properties and other general environmental characteristics, such as vegetation and nearby rivers. The beach profile was measured by walking transects perpendicular to the shoreline using RTK-GPS equipment. Moreover, a drone was flown that made an orthophoto and collected 30 million data points. The difference in sediment composition was analyzed by obtaining sediment samples in the dry season, sieving these and comparing the obtained particle size distributions and D50 values of the dry and wet season. The hydrodynamical properties and the other general environmental characteristics are analyzed by means of literature review, observations and photography. In order to identify the environmental parameters that have the greatest influence on the occurrence on an arribada, an autoregressive logistic regression model was used. The model that was made the previous research of 2022, was updated and automated. Also, design choices of the model were made and new data was added. To map out the stakeholders, interviews have been conducted and a stakeholder map was created. Through the use of GPS transects the beach profiles taken in dry season (February 2023) were compared to wet season (October 2022). To tackle normal spacial variance the comparison is done through the calculation of averages on three beach stretches with equal characteristics. Main findings were that beach width is equal in both seasons, slopes are more gradual in dry season, beach plateaus are on average 3.0m wider in wet season. Crossing rivers do not influence the beach profile below waterline in the dry season. For more river characteristic more offshore research is needed. The sediment composition of the beach turned out to show significant differences between the dry and wet season. A significant difference is present in D50 values between the dry and wet season for almost all sediment samples. Moreover, during the wet season, the sediment tends to be coarser compared to the dry season. Additionally, during the dry season, coarser sediment tends to accumulate at the top of the slope, whereas during the wet season, coarser sediment accumulates near the waterline. These observations suggest that coarse sediment may move from areas close to the waterline to the submerged part of the slope over time. This behavior implies that sediment transportation is affected by the seasonal fluctuations in wave energy. The findings altogether indicate that the sediment composition at Playa del Ostional, particularly at Main Nesting Beach, is notably affected by seasonal changes. The impact is more pronounced from the low tide waterline to the high waterline’s end at the top of the slope, with a particular emphasis on the low tide waterline. The wave climate surrounding Playa del Ostional is expected to be less turbulent, with lower wave energy during the dry season. However, the exact distinctions in both wave climate and tidal surroundings between the two seasons cannot be ascertained due to inadequate data availability. The different stretches of Playa del Ostional demonstrate notable differences in environmental characteristics during the wet and dry seasons. The majority of rivers that flow out during the wet season are absent during the dry season. In addition, a beach scarp appeared during the dry season and not during the wet season, and an estuary that was observed in the dry season was not reported during the wet season research. On the other hand, the beach is mostly surrounded by vegetation in both seasons, with comparable grass and trees. Moreover, no significant difference in wildlife presence was observed between the dry and wet seasons at Playa del Ostional. The autoregressive logistic regression model was trained on five year of arribada data and 116 individual environmental parameters. The weights of the parameters were plotted and analysed in multiple groups. This resulted in six parameters with the biggest influence: pdTIDE_P1, pdTIDE_mf, pdVELOCITY_IHC_rho, pdVELOCITY_IHC_rho, Mooncycle_third and Moon_v. The maximum probability of an arribada occurring during a certain day was 80%. By conducting interviews and conducting a stakeholder analysis, the degree of awareness about climate change is assessed and mapped out, which appears to be quite high. The residents of Ostional are aware of the changes and willing to work in new projects. Moreover, the analysis showed that it is important to engage with two key stakeholders: the Refugio Nacional de Vida Silvestre Ostional and CITES.

Palliative care is becoming increasingly important at Erasmus Medical Center (Erasmus MC) as the hospital sees around a thousand annual deaths due to various conditions. However, the hospital environment has not adequately addressed the psychological, spiritual, and social needs of patients and their loved ones during the end-of-life phase. This TU Delft graduation project, in collaboration with Erasmus MC, aims to explore the unique needs of patients, their families, medical staff and the patient environment in the final days of life. The goal is to develop a sustainable, design-driven concept that illustrates enhanced end-of-life care across different hospital departments. This research employed a multi-phase design approach using the Double Diamond framework. The Discover phase involved extensive research, including literature reviews, visits to care facilities, patient room analyses and interviews with healthcare professionals. The Define phase synthesized these insights into a framework for the End of Life journey, analyzing the needs and responsibilities of key stakeholders. This analysis led to a future vision, outlining three design directions for improved palliative care. In the Develop phase, a concept was teratively created and evaluated to align with this vision. The design process focused on the design goal: “To create a patient room that supports stakeholders in the End of Life process in facilitating a dignified end of life experience for all involved.” Finally, the Deliver phase presented a proof of concept to illustrate the possibilities of this research, with recommendations for future implementations at Erasmus MC. The research identified several key findings, categorized into three main design opportunities: improving communication and expectations, enhancing the autonomy of actors involved and balancing the wishes of patients with the resources of the medical team. “De Verhalenhoek" emerged from this process: a cabinet where patients can store meaningful items, facilitating conversations about values and interests between patients, loved ones and medical staff. The concept invites users to personalize the room and serves as a starting point for conversations about the End of Life process. De Verhalenhoek aligns with the goals by creating a welcoming space that encourages discussions about patients' values and the meaning of death, enhancing communication and quality of care. This helps to reveal individual, cultural and religious preferences, allowing medical staff to tailor treatments to patients' whishes and ensuring patients and loved ones feel seen and heard. The research concludes that integrating thoughtful design into patient rooms can improve communication in end-of-life phases and enhance the sense of autonomy for stakeholders involved. Key recommendations include evaluating the interactions through a pilot study to assess the impact in the intended setting. This pilot aims to help patients feel more in control and supported in their final days and to better prepare the loved ones for the grieving process. Future research should focus on implementing these design solutions across various hospital departments to broadly enhance the quality of palliative care at Erasmus MC. This project demonstrates the potential of design to improve End of Life care in patient rooms, making a contribution to the field of palliative care.