Background Variations in childbirth interventions may indicate inappropriate use. Most variation studies are limited by the lack of adjustments for maternal characteristics and do not investigate variations in adverse outcomes. This study aims to explore regional variations in the Netherlands and their …

The chapter analyses knowledge management paradigms for the understanding and prioritisation of risks (risk assessment), leading to decision- making amongst policy makers. Studies and approaches on knowledge-based risk assessment, and in general risk management, vary depending on perceptions of risk, …

A goal of K-12 science education is for learners to develop scientific literacy. However, realizing this goal is being complicated by the availability of abundant resources that vary strongly regarding their adherence to the Nature of Science principles, particularly regarding socio-scientific issues, …

Abstract Historically, epidemics and plagues are repeatedly reported to have happened since the ancient civilizations (Egypt, Greece, Rome and imperial China). Most known examples of a devastating global pandemics in recent history are the ‘Black Death’ (14th century) and the global influenza (1918-1919), …

Disability in children diagnosed with hypermobility syndrome (HMS) and Ehlers-Danlos (hypermobility type: EDS-HT) can vary from mild to very severe. This disability can be of temporary nature but for some may persist and become chronic, eventually leading to disablement. Historically it is believed that …

Due to a lack of transparency in both algorithm and validation methodology, it is diffcult for researchers and clinicians to select the appropriate tracker for their application. The aim of this work is to transparently present an adjustable physical activity classification algorithm that discriminates …

The European policy emphasis on providing informal care at home causes caregivers and home care professionals having more contact with each other, which makes it important for them to find satisfying ways to share care. Findings from the literature show that sharing care between caregivers and professionals …

The threat of climate change and the Paris agreement to limit global temperature rise to well below 2?C and to pursue efforts to limit it to 1.5?C has stimulated research on and broad commitment to community energy. We investigate this research. We assess how nine different approaches study community …

Background: Multiple sclerosis often leads to fatigue and changes in physical behavior (PB). Changes in PB are often assumed as a consequence of fatigue, but effects of interventions that aim to reduce fatigue by improving PB are not sufficient. Since the heterogeneous nature of MS related symptoms, …

PURPOSE: In this study we aimed (1) to identify the most prevalent physical symptoms and functional limitations that limit physical activity of patients with palliative treatment for metastatic breast cancer (MBC) and (2) to identify their preferences for exercise-based physical therapy programs, as …