Objective To determine the effect of a multidisciplinary lifestyle program in patients with RA with low–moderate disease activity. Methods In the ‘Plants for Joints’ (PFJ) parallel-arm, assessor-blind randomized controlled trial, patients with RA and 28-joint DAS (DAS28) ≥2.6 and ≤5.1 were randomized …

Aim: To explore which factors, influencing dietary behaviour change support among patients by Dutch community nurses (CNs; nurses), are key focal points in training programmes. Background: Nurses have an important role in counselling patients towards healthier dietary behaviour to prevent or delay long-term …

In Europe, green hydrogen and biogas/green gas are considered important renewable energy carriers, besides renewable electricity and heat. Still, incentives proceed slowly, and the feasibility of local green gas is questioned. A supply chain of decentralised green hydrogen production from locally generated …

The aim of this analysis was to compare ventilation management and outcomes in invasively ventilated patients with acute hypoxemic respiratory failure due to coronavirus disease 2019 (COVID-19) between the first and second wave in the Netherlands. This is a post hoc analysis of two nationwide observational …

This is a summary of this problem-solving research to gain a quick insight into all key findings and discussions. This research aims to answer the main question which is "How to reduce the order picking process time in the fulfillment center of Asyad Express in Muscat with 30% compared to the current …

IMPORTANCE People with a severe mental illness (SMI) have a life expectancy reduced by 10 to 20 years compared with the general population, primarily attributable to cardiometabolic disorders. Lifestyle interventions for people with SMI can improve health and reduce cardiometabolic risk. OBJECTIVE To …

This paper presents challenges in city logistics for circular supply chains of e-e-waste. Efficient e-waste management is one of the strategies to save materials, critical minerals, and precious metals. E-waste collection and recycling have gained attention recently due to lower collection and recycling …

De Nederlandse melkveehouderij bevindt zich momenteel in een transitie naar een duurzame agrarische sector. Zaken als kringlooplandbouw, het tegengaan van voedselverspilling, de reductie van emissies, milieu en dierwelzijn spelen een grote rol in deze transitie. Deze transitie zal alleen succesvol kunnen …

Aim: We aim to gain insight into the interaction between challenging behavior as shown by individuals with an intellectual impairment, and space, and to explore the possibilities of using routinely collected data to this end. Background: Research on challenging behavior shown by intellectually impaired …

Background: Ventilation with lower positive end–expiratory pressure (PEEP) may cause loss of lung aeration in critically ill invasively ventilated patients. This study investigated whether a systematic lung ultrasound (LUS) scoring system can detect such changes in lung aeration in a study comparing …