Introduction Around 25% of metastatic breast cancer (mBC) patients develop brain metastases, which vastly affects their overall survival and quality of life. According to the current clinical guidelines, regular magnetic resonance imaging screening is not recommended unless patients have recognized central …

Dorpen in het Nationaal Park Drentsche Aa zijn zich bewust van de kwaliteit van hun omgeving. Tegelijkertijd werken deze dorpen aan lokale energieplannen. Daarbij worden veel resultaten gerealiseerd en lessen gedaan. Met zeven dorpen terug- en vooruitgekeken naar hun initiatieven zodat motieven, doelen, …

Objectives To assess if nutritional interventions informed by indirect calorimetry (IC), compared to predictive equations, show greater improvements in achieving weight goals, muscle mass, strength, physical and functional performance. Design Quasi-experimental study. Setting and Participants Geriatric …

Supplemental Instruction (SI) is a form of structured peer guidance attached to a specific course, provided by an experienced and trained student to a group of students. Previous studies show a positive effect of SI on learning outcomes, some found effects on well-being, and sense of belonging. However, …

Even though classroom discussion is considered an essential element of citizenship education, research indicates that pre-vocational students have fewer opportunities to practice with these discussions than their pre-academic peers. To provide more insight into pre-vocational teaching strategies to facilitate …

Electric vehicles have penetrated the Dutch market, which increases the potential for decreased local emissions, the use and storage of sustainable energy, and the roll-out and use of electric car-sharing business models. This development also raises new potential issues such as increased electricity …

Introduction: The association between obesity and outcome in critical illness is unclear. Since the amount of visceral adipose tissue(VAT) rather than BMI mediates the health effects of obesity we aimed to investigate the association between visceral obesity, BMI and 90-day mortality in critically ill …