Intubated critically ill patients are susceptible to secretion accumulation because of compromised airway clearance. Various airway clearance interventions are employed to prevent complications arising from mucus retention. This Delphi study aims to collect global opinions in an international expert …

This thesis explores how column placement in a semi-sunken parking garage can be optimised to enhance traffic flow, maximise parking capacity, and reliably transfer structural loads from four residential floors above. The project is based on the Sea & City development in Vlissingen, the Netherlands—a …

Introduction: The optimal pre-participation screening strategy to identify athletes at risk for exercise-induced cardiovascular events is unknown. We therefore aimed to compare the American College of Sports Medicine (ACSM) and European Society of Cardiology (ESC) pre-participation screening strategies …

Context: Up to 90% of pediatric athletes return to sport (RTS) after anterior cruciate ligament reconstruction (ACL-R); however, <50% RTS at the same level and second ACL injury rates are up to 32%. Objectives: (1) Determine which physical and patient-reported outcome measures guide clinical decision-making …

INTRODUCTION: Mechanical Insufflation-Exsufflation (MI-E) is used as an airway clearance intervention in primary care (home ventilation), long-term care (prolonged rehabilitation after intensive care, neuromuscular diseases, and spinal cord injury), and increasingly in acute care in intensive care units …

Campus Greensteel is the answer to the rehaul of the Tata Steel operations in IJmuiden. The change to hydrogen power restores the site as a natural dune area by the combination of architectural and biological strategies. After clearance of the coal and cokes depots and fossil powerplants, a network of …

Dit verantwoordingsdocument, samen met het afstudeerproduct, is uitgevoerd in opdracht van Explosive Clearance Group (ECG). Het product, een mobiele applicatie, is bedoeld voor de veldploeg van ECG en gaat over het herkennen van archeologische stellingen en vondsten uit de Tweede Wereldoorlog (WOII). …

A long time ago, well before the COVID-19 pandemic, a sad, dark thing clawed its way into our social media feeds: depression memes. These memes, shared on social platforms such as Instagram, Twitter, Reddit, 4chan, and TikTok, date back to as early as 2016, although it’s hard to tell precisely. What …

BACKGROUND: Critically ill patients receiving invasive ventilation are at risk of sputum retention. Mechanical insufflation-exsufflation (MI-E) is a technique used to mobilise sputum and optimise airway clearance. Recently, interest has increased in the use of mechanical insufflation-exsufflation for …

BACKGROUND: In critical care patients, reaching optimal β-lactam concentrations poses challenges, as infections are caused more often by microorganisms associated with higher MICs, and critically ill patients typically have an unpredictable pharmacokinetic/pharmacodynamic profile. Conventional intermittent …