The early detection of breast-cancer-related lymphedema and referral for therapy has the potential to reduce lymphedema-related morbidity. Although research shows the benefits, a gap is observed between evidence and daily practice. We aimed to determine whether the early detection of lymphedema and referral …

BACKGROUND: In the last decades, autologous fat grafting has been used to treat adherent dermal scars. The observed regenerative and scar-reducing properties have been mainly ascribed to the tissue-derived stromal vascular fraction (tSVF) in adipose tissue. Adipose tissue's components augment local angiogenesis …

Background Regular physiotherapy with a physiotherapist experienced in the field is not feasible for many patients with haemophilia. We, therefore, developed a blended physiotherapy intervention for persons with haemophilic arthropathy (HA) (e-Exercise HA), integrating face-to-face physiotherapy with …

Several studies have suggested that precision livestock farming (PLF) is a useful tool foranimal welfare management and assessment. Location, posture and movement of an individual are key elements in identifying the animal and recording its behaviour. Currently, multiple technologies are available for …

Nature-based strategies, such as wave attenuation by tidal marshes, are increasingly proposed as a complement to mitigate the risks of failure of engineered flood defense structures such as levees. However, recent analysis of historic coastal storms revealed smaller dike breach dimensions if there were …

Infiltrating pavements are potentially effective climate adaptation measures to counteract arising challenges related to flooding and drought in urban areas. However, they are susceptible to clogging causing premature degradation. As part of the Dutch Delta Plan, Dutch municipalities were encouraged …

Background: With increasing knowledge on the adverse health efects of certain constituents of PM (particulate matter), such as silica, metals, insoluble ions, and black carbon, PM has been under the attention of work safety experts. Previously, we investigated the perceptions of blue-collar workers in …

Background: Lymphedema (LE) is a chronic condition of swelling due to lymphatic impairment and is characterized by edema and fibro-adipose tissue deposition. LE may be caused by an anomalous development of the lymphatic system, known as primary LE, or may develop secondary to traumatic, infectious, or …

The tidal area in the Eastern Scheldt is decreasing because of sand erosion and sea-level rise. Therefore, Rijkswaterstaat has investigated the possibilities to mitigate the consequences of erosion to maintain the intertidal areas. The height of the Galgeplaat tidal flat, the second-largest tidal flat …

Background: Only a few papers are published on the safety and effectiveness of acute burn care in low-income countries. A cohort study was therefore carried out to determine such outcomes. Methods: The study was conducted in a rural Tanzanian hospital in 2017-2018. All patients admitted with burns were …