This thesis is concerning effective use of fuel on board the ALP STRIKER. The recent transfer from heavy fuel oil, to the more expensive marine gas oil led to ongoing discussions about the effective use of fuel on board. The goal was to find the optimum propulsion configuration on board for any attainable …

Introduction: The original Rainbow Model of Integrated Care Measurement Tool (RMIC-MT) is based on the Rainbow Model of Integrated Care (RMIC), which provides a comprehensive theoretical framework for integrated care. The aim of this paper is to modify the original patient version of the RMIC-MT for …

Background: The support of people with profound intellectual and multiple disabilities (PIMD) rarely focused on motor activity, which might have negative consequences for the quality of life of these people. Evidence-based motor activity programs that present individually tailored and structural motor …

Abstract Managing adverse drug reactions (ADRs) is a challenge, especially because most healthcare professionals are insuf ficiently trained for this task. Since context-based clinical pharmacovigilance training has proven effective, we assessed the feasibility and effect of a creating a team of Junior-Adverse …

Objectives Osteoarthritis (OA) of the foot-ankle complex is understudied. Understanding determinants of pain and activity limitations is necessary to improve management of foot OA. The aim of the present study was to investigate demographic, foot-specific and comorbidity-related factors associated with …

Background: The need for effective continuing education is especially high in in-hospital geriatric care, as older patients have a higher risk of complications, such as falls. It is important that nurses are able to prevent them. However, it remains unknown which interventions change the behavior of …

OBJECTIVES: To determine the number of steps taken by older patients in hospital and 1 week after discharge; to identify factors associated with step numbers after discharge; and to examine the association between functional decline and step numbers after discharge. DESIGN: Prospective observational …

Developing autonomy is a pre-requisite for meaningful participation in society. However, youth leaving secure residential youth care (SRYC) relate that treatment does not prepare them well enough to stand on their own feet. Too often these youth are not involved in decisions regarding their own life …

Moroccan companies face a multitude of risks related to their vulnerability to climate change, in particular operational, supply chain, and financial risks. In recent years, public and private actors have experimented with a number of approaches to facilitate the integration of climate change at different …

Although systematic reviews are considered as central components in evidence-based practice, they currently face an important challenge to keep up with the exponential publication rate of clinical trials. After initial publication, only a minority of the systematic reviews are updated, and it often takes …