Background: Many patients show deterioration in functioning and increased care needs in the last year of life. End-of-life care needs and health care utilization might differ between groups of acutely hospitalized older patients. Aim: To investigate differences in geriatric conditions, advance care planning, …

Storm sewers are known to significantly contribute to annual pollutant loads to receiving water bodies. The storm sewers of the city of Almere discharge the stormwater of 1384 ha of impervious area via 700 storm sewer outfalls (SSOs) to the local receiving water system. This water system suffers from …

While acute musculoskeletal pain is a frequent complaint, its management is often neglected. An implementation of a nurse-initiated pain protocol based on the algorithm of a Dutch pain management guideline in the emergency department might improve this. A pre-post intervention study was performed as …

Background: Postprocedural complications after elective cardiac interventions include hematomas and infections. Telemedical wound assessment using mobile phones with integrated cameras may improve quality of care and help reduce costs. Aims: We aimed to study the feasibility of telemedical wound assessment …

Purpose: To manage social roles is a challenging part of self-management post-stroke. This study explored how stroke survivors act as role managers with their spouses in the context of everyday activities. Method: Two stroke survivors with a first time stroke living at home with a spouse were included. …

Damen Shipyards is always on the lookout for new emerging niche markets. It appeared one of the most promising emerging niche markets is the offshore oil and gas infrastructure decommissioning industry. Therefore Damen produced a preliminary design of an offshore oil and gas infrastructure decommissioning …

Sustainability challenges are among the most complex and difficult problems facing businesses today. These challenges involve many actors and interests and overlapping concerns, and addressing them requires significant investments and out-of-the-box thinking. Issues such as safety, supplier compliance, …

Patients admitted to an intensive care unit (ICU) comprise of a heterogeneous population with substantial differences in admission diagnosis, length of stay and co-morbidity. Therefore, very often the prognosis for each patient differs. In the Netherlands, over 20% of the more than 80,000 patients treated …

BACKGROUND: In critically ill patients, muscle loss is associated with adverse outcomes. Raw bioelectrical impedance analysis (BIA) parameters (eg, phase angle [PA] and impedance ratio [IR]) have received attention as potential markers of muscularity, nutrition status, and clinical outcomes. Our objective …

Abstract Objective: To describe changes in the health service delivery process experienced by professionals, patients and informal caregivers during implementation of a national programme to improve quality of care of geriatric rehabilitation by improving integration of health service delivery processes. …