Introduction A quality management system (QMS) in healthcare organisations encompasses not only policies, processes and necessary procedures but also the quality, safety and risk management of medical technology. Tactical and operational decision-making levels should be closely interconnected. Previous …

Samenvatting Behandelbeslissingen voor oudere oncologie patiënten zijn vaak complex. Dit komt door de grote variatie in achtergrond, comorbiditeiten, functionele capaciteiten en de impact van kankerbehandelingen op zowel de levenskwaliteit als de levensverwachting. In deze context is samen beslissen, …

Hard coastal defences along the Dutch–Belgian North Sea coast are nearing the end of their design life and carry significant ecological costs. Salt marsh Nature-Based Solutions (NbS) provide a self-sustaining alternative. However, existing asset-management (AM) standards continue to view them as "nice-to-have" …

Many have suggested that AI-based interventions could enhance learning by personalization, improving teacher effectiveness, or by optimizing educational processes. However, they could also have unintended or unexpected side-effects, such as undermining learning by enabling procrastination, or reducing …

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 …

This dissertation describes the dynamics of motor competence (MC) development from early childhood (EC) to middle childhood (MCD). Being motor competent in early childhood creates a window of opportunity for taking part in physical activities later in childhood and adulthood. However, there is a worrying …

The Sloe area is an unembanked industrial port area in Zeeland. As sea levels rise, this area will experience increased flood risks. This is partly due to climate change, which is causing sea level rise to accelerate, and partly due to the area's vulnerability because it is located outside the dike ring, …

Academic cheating poses a significant challenge to conducting fair online assessments. One common way is collusion, where students unethically share answers during the assessment. While several researchers proposed solutions, there is lack of clarity regarding the specific types they target among the …

Pregnancy and early parenthood mark a transformative period where women become caregivers and assume a new role with new responsibilities. While often portrayed positively, the transition to motherhood can be overwhelming. This is especially true for women living in adverse circumstances, presenting …

Introduction: This study evaluates the course of physical fitness and nutritional status during curative therapy for esophageal cancer, after implementation of a prehabilitation program. Additionally, the impact of baseline physical fitness level and severe postoperative complications on the course of …