Purpose Treatment for locally advanced cervical cancer (LACC), and especially brachytherapy, can be physically and psychologically demanding for patients. The IMPRaCC study (Impact of primary Radiotherapy on the psychosocial well-being of patients with LACC) aimed to investigate risk factors, peak moments …

Background and aim. To improve the indoor environmental quality (IEQ) in schools, the Dutch government issued a program of requirements (PoR) “Fresh Schools”. This study aims to determine the effect of adopting class A (high IEQ) or B (moderate IEQ) of this PoR on students’ comfort and performance. Requirements …

Background To examine the relationship between health literacy and self-care (maintenance, monitoring, and management) in people with chronic diseases. Methods A multicenter cross-sectional study was conducted in six hospitals (one academic, four teaching, and one general) in the Netherlands among 536 …

Background&aims Obesity and sarcopenia are major health concerns, particularly among older populations. Dietary protein may help preserve muscle mass and function, but high-protein diets, especially from animal sources, may also increase adipose mass. We investigated associations of total, animal, and …

Introduction The cardiovascular biomarkers troponin T, N-terminal pro-B-type natriuretic peptide, and fibroblast growth factor 23 are elevated in hemodialysis patients and associated with an increased cardiovascular mortality risk. Nocturnal hemodialysis improves the fluid status in hemodialysis patients. …

BACKGROUND: Sarcopenic obesity (SO) is a clinical condition defined by the coexistence of high body fat mass and low muscle function and mass, which increases the risk of adverse health outcomes, including disability and mortality. Early detection and frequent monitoring of SO are essential for preventive …

OBJECTIVES:  To counteract sarcopenia in non-Western migrant older adults, lifestyle interventions with increased physical activity and adequate dietary protein intake are promising. However, regular community-based lifestyle interventions often lack a culture-sensitive approach. The aim of this study …

In daily interaction with horses, humans primarily rely on facial expression as a non-verbal equine cue for emotional information. Difficulties in correctly recognizing these signals might arise due to the species-specificity of facial cues, possibly leading to diminished equine welfare and health. This …

Prior research on network attacks is predominantly technical, yet little is known about behavioral patterns of attackers inside computer systems. This study adopts a criminological perspective to examine these patterns, with a particular focus on data thieves targeting organizational networks. By conducting …

The shift from linear to circular business models is critical for sustainability in the construction and manufacturing sectors in the Netherlands. However, many companies face significant challenges in making this transition, including financial constraints, cultural resistance, and regulatory hurdles, …