In the following thesis, research is conducted on the effect of sea-level rise and expected hydraulic load levels for the Scheldt Estuary, currently and in the future. As climate changes advances and the sea-level rises, insight into the effects of the rise on our coastal area's is essential. Rijkswaterstaat …

Athlete impairment level is an important factor in wheelchair mobility performance (WMP) in sports. Classification systems, aimed to compensate impairment level effects on performance, vary between sports. Improved understanding of resemblances and differences in WMP between sports could aid in optimizing …

The fast-fashion industry consistently produces fashionable apparel that are sold at relatively low prices. In this dissertation, the social and environmental issues caused by the fast-fashion industry are explored. Moreover, three fast-fashion companies that use the fast-fashion business model are studied …

A smart charging profile was implemented on 39 public charging stations in Amsterdam on which the current level available for electric vehicle (EV) charging was limited during peak hours on the electricity grid (07:00-08:30 and 17:00-20:00) and was increased during the rest of the day. The impact of …

Background There is little focus on adults with cerebral palsy (CP) in research and health care and insufficient knowledge on how to identify and manage pain in this population. Objectives This systematic review and meta-analysis aimed to determine whether pain prevalence in adults with CP is high …

Background: Patient Reported Experience Measures are promoted to be used as an integrated measurement approach in which outcomes are used to improve individual care (micro level), organisational quality (meso level) and external justification (macro level). However, a deeper understanding of implementation …

Purpose: This article summarizes the shared principles and evidence underpinning methods employed in the three sentence-level (syntactic) grammatical intervention approaches developed by the authors. We discuss associated clinical resources and map a way forward for clinically useful research in this …

Abstract Purpose This mixed-method study aims to contribute to the scholarly debate by outlining an individual-level theoretical framework for public value creation and evaluation that builds upon a social exchange perspective. It provides insights into the normative frames of primary stakeholders in …

Following total knee replacement (TKR), patients often persist in maladaptive motor behavior which they developed before surgery to cope with symptoms of osteoarthritis. An important challenge in physical therapy is to detect, recognize and change such undesired movement behavior. The goal of this study …

Objective: Despite the common occurrence of lower levels of physical activity and physical fitness in youth with spina bifida (SB) who use a wheelchair, there are very few tests available to measure and assess these levels. The purpose of this study was to determine reliability and the physiologic response …