Aims: This systematic review and meta-analysis evaluates the additional effect of exercise to hypocaloric diet on body weight, body composition, glycaemic control and cardio-respiratory fitness in adults with overweight or obesity and type 2 diabetes.  Methods: Embase, Medline, Web of Science and Cochrane …

Background: Postoperative rehabilitation after primary total hip arthroplasty (p-THA) differs between the Netherlands and Germany. Aim is to compare clinical effectiveness and to get a first impression of cost effectiveness of Dutch versus German usual care after p-THA. Methods: A transnational prospective …

Dairy and other animal products play an important role in the diet of the majority of the population. However, there are a lot of sustainability concerns regarding dairy production due to high environmental impacts. Therefore, there is a need to develop a more sustainable dairy substitute. One of the …

This study addresses the challenges facing the City of Praia, the capital of Cape Verde, in adapting to climate changes and reducing the effects of flash floods. Praia is highly vulnerable to these extreme weather events, due to its volcanic scenery, uncontrolled urbanization, and insufficient infrastructure, …

Due to the rise of global temperatures both local and global climate systems are disrupted or altered. This study is about one of the ecosystems that are most affected by climate change, the world’s tropical coral reefs. One way to combat this global decline in coral reefs is the supplementation of natural …

Due to the Covid-19 crisis, higher education was forced to offer online alternatives to their courses. This change drastically increased the number of students partaking in online education. However, the effects of obligatory online education could potentially be harmful and are not yet sufficiently …

The main objectives of this review were to: (1) review different methods/techniques to assess gaseous N-losses from manure (2) review N-gaps, attributed to dinitrogen loss as the difference between directly measured N compounds summed as total N loss and indirectly measured N loss through a mass balance …

BACKGROUND: Optimizing return to work (RTW) after knee arthroplasty (KA) is becoming increasingly important due to a growing incidence of KA and poor RTW outcomes after KA. We developed the Back At work After Surgery (BAAS) clinical pathway for optimized RTW after KA. Since the effectiveness and cost …

Anthropogenic changes to estuaries, usually highly productive systems, may result in increased turbidity levels, suppress pelagic primary production and negatively affect ecosystem functions. The Ems-Dollard estuary, enclosed between the Netherlands and Germany, is such an estuary with a long history …

A large proportion of the global workforce migrated home during the COVID-19 pandemic and subsequent lockdowns. It remains unclear what the exact differences between home workers and non-home workers were, especially during the pandemic when a return to work was imminent. How were building, workplace, …