Background: Mechanically ventilated patients are at risk of developing inspiratory muscle weakness (IMW), which is associated with failure to wean and poor outcomes. Inspiratory muscle training (IMT) is a recommended intervention during and after extubation but has not been widely adopted in Dutch intensive …

Background: Although principles of the health promoting school (HPS) approach are followed worldwide, differences between countries in the implementation are reported. The aim of the current study was (1) to examine the implementation of the HPS approach in European countries in terms of different implementation …

Many coastal communities worldwide are facing challenges caused by increasing sea levels. However, urban development, population growth and industrialisation in low-lying delta regions persist. This includes the Netherlands and British Columbia, Canada. Both regions explore new and innovative flood risk …

Purpose: To gain a rich understanding of the experiences and opinions of patients, healthcare professionals, and policymakers regarding the design of OGR with structure, process, environment, and outcome components. Methods: Qualitative research based on the constructive grounded theory approach is …

This paper presents the preliminary design of the Horti-database, a digital tool supporting the development of drone-based monitoring systems (DBMS) for greenhouse crops. With increasing demand for sustainable food production and reduced pesticide use, DBMS offers a promising solution for automated, …

Dealing with and maintaining high-quality standards in the design and construction phases is challenging, especially for on-site construction. Issues like improper implementation of building components and poor communication can widen the gap between design specifications and actual conditions. To prevent …

Sand nourishments are crucial to counteract coastal erosion and preserve a variety of coastal functions, including beach recreation and tourism. In the coming decades, an increase in the scale of sand nourishment operations is needed to adapt to sea level rise. This could induce changes to the current …

The effective operation of distributed energy sources relies significantly on the communication systems employed in microgrids. This article explores the fundamental communication requirements, structures, and protocols necessary to establish a secure connection in microgrids. This article examines the …

The recent advancement in the field of information technology has resulted in the proliferation of online education all over the world. Much like traditional classroom education, assessments are an integral component of online education. During the online assessment, evaluation of the learning outcomes …

Background: Dental fear and uncooperative behavior can hinder dental treatment quality. Pediatric Procedural Sedation and Analgesia (PPSA) is used to facilitate treatment when the coping capacity is exceeded. Out-of-hospital PPSA has been associated with more adverse outcomes compared to when it is used …