Background: In the Netherlands, general practitioners (GPs) play a key role in provider-initiated HIV testing, but opportunities for timely diagnosis are regularly missed. We implemented an educational intervention to improve HIV testing by GPs from 2015 to 2020, and observed a 7% increase in testing …

Learner metacognition is one of the most influential factors that positively affects learning. Previous work shows that game-based learning can contribute to supporting and developing metacognitive knowledge and skills of learners. While there are many specific examples of such games, it remains unclear …

This paper introduces a novel distributed algorithm designed to optimize the deployment of access points within Mobile Ad Hoc Networks (MANETs) for better service quality in infrastructure less environments. The algorithm operates based on local, independent execution by each network node, thus ensuring …

We zagen een 73-jarige vrouw met een recidiefdepressie en gegeneraliseerde angststoornis. Zeven weken geleden was hiervoor escitalopram door de huisarts gestart. Het middel bleek niet effectief en werd afgebouwd met als doel een ander antidepressivum te starten. Tijdens de afbouw was er sprake van acute …

De meeste mensen kennen de robotstofzuiger wel. Dit apparaat lijkt een ideale oplossing bij de hulp in het huishouden. Maar welke uitdagingen brengt een robotstofzuiger met zich mee als deze door thuiszorgorganisaties wordt gebruikt in de ondersteuning die zij bij cliënten leveren? Iedereen weet dat …

Green gas is an attractive option for a local energy transition to combat climate change, notably in rural communities. As local initiatives require local acceptance, the study used a questionnaire methodology to capture opinions and intentions toward green gas in a panel of rural respondents (N = 403) …

Patients who are critically ill and receiving invasivemechanical ventilation are at increased risk for accumula-tion of secretions in the lower airways. Such accumula-tion of airway mucus can induce atelectasis and contributeto ventilator-associated pneumonia. Preventive airwaycare interventions, including …

Highlights What is the primary question addressed by this study? What is the accuracy of DeltaScan;a portable brain state monitor that offers real-time automated artifact rejection and analysis, delivering a probability score for both acute encephalopathy and delirium in both ICU and non-ICU patients? …

Context Retirement is an opportune time for people to establish new healthy routines. Exercise and nutritional interventions are promising in the prevention and treatment of sarcopenic obesity. Objective This systematic review aimed to assess the effectiveness of nutritional and exercise interventions …

Ecosystems shaped by habitat-modifying organisms such as reefs, vegetated coastal systems and peatlands, provide valuable ecosystem services, such as carbon storage and coastal protection. However, they are declining worldwide. Ecosystem restoration is a key tool for mitigating these losses but has proven …