This thesis centres on the Railway Viaduct at Kloetinge (Zeeland), a critical infrastructure element in operation since 1938. As of 2024, with its technical lifespan nearing its end at 86 years, the viaduct's longevity demands attention for its future viability. Situated on Viaduct Road, linking Kloetinge …

This study presents a methodology designed to optimize various parameters of each access point within a Multiple-Input Single-Output (MISO) Visible Light Communication (VLC) system. The primary objective is to enhance both power and spectral efficiencies. A MISO-VLC model is presented based on experimental …

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 …

In an era of rapidly escalating teacher shortages, primary school administrators are increasingly confronted with the dual challenge of maintaining operational efficiency and upholding educational standards. In response to this new reality, many school administrators across Europe have devised innovative …

Integrated science-and-literacy programs have proven to positively affect both language proficiency and science knowledge. Because making connections is important in both text comprehension and understanding the disciplinary core ideas taught in science, it seems worthwhile to explore the potential of …

We explore how pre-service teachers experience and deal with professional identity tensions during internships in diverse urban primary schools in the Netherlands. The research focuses on the challenges that arise when these teachers’ normative beliefs conflict with those of their pupils, parents, or …

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 …

The circular economy (CE) is heralded as reducing material use and emissions while providing more jobs and growth. We explored this narrative in a series of expert workshops, basing ourselves on theories, methods and findings from science fields such as global environmental input-output analysis, business …

This study examines the reasons of people with dementia request euthanasia and how these reasons change over time with a special focus on reasons related to family. In addition, it examines how family relates to their loved one’s euthanasia wish. Seven people with dementia and a euthanasia wish in the …

The paper aims to identify customers' preferences toward last-mile delivery in e-commerce in Poland and Brazil and diagnoses the drivers and barriers to implement solutions for sustainable last-mile delivery. In order to achieve this aim, a survey was conducted among e-customers in Poland and Brazil, …