Background Increased protein provision might ameliorate muscle wasting and improve long-term outcomes in critically ill patients. The aim of the PRECISe trial was to assess whether higher enteral protein provision (ie, 2·0 g/kg per day) would improve health-related quality of life and functional outcomes …

BACKGROUND: Endotracheal suctioning causes discomfort, is associated with adverse effects, and is resource-demanding. An artificial secretion removal method, known as an automated cough, has been developed, which applies rapid, automated deflation, and inflation of the endotracheal tube cuff during the …

Background: Ventilation management may differ between COVID–19 ARDS (COVID–ARDS) patients and patients with pre–COVID ARDS (CLASSIC–ARDS); it is uncertain whether associations of ventilation management with outcomes for CLASSIC–ARDS also exist in COVID–ARDS.  Methods: Individual patient data analysis …

Purpose Engineering knowledge continuity is crucial for the life cycle management of long-lived and complex assets, such as nuclear plants, locks and storm surge barriers. At the storm surge barriers in the Netherlands, engineering knowledge continuity is not yet fully assured, despite long-standing …

This paper presents findings on the paradigmatic nature of business model development emerging from embedded, transdisciplinary research in a primarily linear economic context in the Netherlands. Reflecting on the author’s critical ethnographic inputs from long-term operational research in a circular …

Joint value creation plays an important role in the transition to a more sustainable society. During such a process, conflicting interests, powers, speeds and priorities lead to tensions. Participants in the Circular Innovation Program, revolving around circularity focussed collaborative business modelling …

This thesis focuses on optimising the emptying process of water storage facilities in urban areas, and was conducted during my graduate internship at Waterfeit Adviseurs. The study is based on the need to improve the efficiency of the system, as current systems frequently lead to floods and ineffective …

This paper focuses on utilizing the Celciushouse as an escape room in energy education. In a broader context, it also addresses the incorporation of serious gaming in education. The project is part of COVE SEED. SEED - Sustainable Energy Education, aims to develop innovative vocational education and …

In this first English-spoken episode of The Flexpert Podcast, Lonneke Frie interviews her guest Rik Jacobs. They discuss Rik’s career in the light of the Flexpertise theory, to identify what makes Rik a true Flexpert. Rik started his career selling air conditioning and refrigeration units all across …