Background Reprocessing single-use medical devices (SUDs) is a common procedure worldwide. However, standardized guidelines are needed to ensure the quality and safety of reprocessed SUDs. Aim This study aimed to examine the factors associated with SUD reprocessing in Taiwanese medical settings. Methods A …

The European Union Artificial Intelligence (AI) Act was adopted in 2024 to protect public interests from AI-related harms. We aimed to determine whether the AI Act captures the most relevant stakeholders’ values for a high-risk AI Clinical Decision Support System (CDSS) for cardiovascular disease. Ethics …

Due to environmental protection efforts, there is a growing number of beavers in the Netherlands. As these animals make their burrows in the levee system they cause damage within it, increasing the risk of flooding. This paper assesses the factors which increase the risk of beaver activity within the …

This thesis focuses on optimizing the structural design and cost efficiency of an industrial electrical room for a large-scale data center located in Eemshaven, Netherlands. The industrial hall is designed to accommodate a 5-ton gantry crane integral to the installation and maintenance of heavy electrical …

Quality improvements (QIs) in dynamic and complex health care contexts require resilience and take variability into account in quality improvement. The Functional Resonance Analysis Method (FRAM) helps us understand resilience and gain insight into (un)desirable variability in the complex system of daily …

Clinical Decision Support Systems (CDSS) are increasingly developed for hospital nursing practice, yet their impact on decision-making, workflow efficiency, and patient outcomes remains complex. This rapid review synthesizes findings from 21 studies, highlighting both the benefits and challenges of CDSS …

Increased climate impacts threaten coastal functions globally, highlighting the need for multifunctional coastal climate adaptation. Sand nourishment can adapt sandy coasts to sea level rise, mitigate erosion, increase flood safety, enhance ecological habitats and expand recreational space. Therefore, …

Objectives Quality improvements (QIs) in dynamic and complex health care contexts require resilience and take variability into account in quality improvement. The Functional Resonance Analysis Method (FRAM) helps us understand resilience and gain insight into (un)desirable variability in the complex …

Background Increased protein provision might ameliorate muscle wasting and improve long-term outcomes in critically ill patients. The aim of the PRECISe trial was to assess whether higher enteral protein provision (ie, 2·0 g/kg per day) would improve health-related quality of life and functional outcomes …

This thesis focuses on optimising the emptying process of water storage facilities in urban areas, and was conducted during my graduate internship at Waterfeit Adviseurs. The study is based on the need to improve the efficiency of the system, as current systems frequently lead to floods and ineffective …