Educational practices are complex and value-laden, shaped through the interplay of societal expectations, pedagogical commitments, organisational arrangements, and everyday interactions between teachers, pupils, and colleagues. Teachers do not act as neutral implementers of external prescriptions; rather, …

Planning of container terminal operations is a complex task, which requires the accurate scheduling of operations that are highly interrelated and uncertain. This study aims to investigate the integration of quayside operational planning functions under uncertain parameters by applying a reactive approach. …

Background and aim. To improve the indoor environmental quality (IEQ) in schools, the Dutch government issued a program of requirements (PoR) “Fresh Schools”. This study aims to determine the effect of adopting class A (high IEQ) or B (moderate IEQ) of this PoR on students’ comfort and performance. Requirements …

Traditional non-linear models offer Dutch municipalities limited insight into the social behaviour of local stakeholders, even though this behaviour largely determines the success of policies in complex sociotechnical systems. This study addresses the following research question: “How can an agent-based …

Background To examine the relationship between health literacy and self-care (maintenance, monitoring, and management) in people with chronic diseases. Methods A multicenter cross-sectional study was conducted in six hospitals (one academic, four teaching, and one general) in the Netherlands among 536 …

Background Diet-related morbidity is high in kidney transplant recipients (KTR), but detailed dietary assessments are limited. In this study, we evaluated diet and dietary guideline adherence in KTR compared to the general population, and identified KTR-specific dietary determinants. Methods Cross-sectional …

BACKGROUND: Sarcopenic obesity (SO) is a clinical condition defined by the coexistence of high body fat mass and low muscle function and mass, which increases the risk of adverse health outcomes, including disability and mortality. Early detection and frequent monitoring of SO are essential for preventive …

Background&aims Obesity and sarcopenia are major health concerns, particularly among older populations. Dietary protein may help preserve muscle mass and function, but high-protein diets, especially from animal sources, may also increase adipose mass. We investigated associations of total, animal, and …

Introduction The cardiovascular biomarkers troponin T, N-terminal pro-B-type natriuretic peptide, and fibroblast growth factor 23 are elevated in hemodialysis patients and associated with an increased cardiovascular mortality risk. Nocturnal hemodialysis improves the fluid status in hemodialysis patients. …

Global economic growth and its associated challenges, particularly those related to environmental impact, vulnerabilities in various global regions, inclusivity, and sustainability, prompt serious reflections on the types of economic and business models capable of achieving such growth, while addressing …