OBJECTIVE: To evaluate if using surface neuromuscular electrical stimulation (NMES) for paralyzed lower-limb muscles results in an increase in energy expenditure and if the number of activated muscles and duty cycle affect the potential increase. DESIGN: Cross-sectional study. RESULTS: Energy expenditure …

Background: Frailty in older adults is an increasing challenge for individuals, health care organizations and public health, both globally and in The Netherlands. To focus on frailty prevention from a public health perspective, understanding of frailty status is needed. To enable measurement of frailty …

Tijdens het volgen van de minor Dieren in Therapie en Coaching heeft de auteur ondervonden dat het welzijn van dieren op een zorgboerderij vaak ondermaats is, specifiek het welzijn van de nietbedrijfsmatig gehouden runderen. Er is voornamelijk personeel in dienst vanuit de zorgsector, waarbij kennis …

There is an increasing interest in how to create an effective and comfortable indoor environment for lecturers and students in higher education. To achieve evidence-based improvements in the indoor environmental quality (IEQ) of higher education learning environments, this research aimed to gain new …

Background The gait modification strategies Trunk Lean and Medial Thrust have been shown to reduce the external knee adduction moment (EKAM) in patients with knee osteoarthritis which could contribute to reduced progression of the disease. Which strategy is most optimal differs between individuals, but …

Background In adolescents with non-pathological and pathological joint hypermobility, gait deviations have been associated with pain and fatigue. It remains unclear what distinguishes the non-pathological form of joint hypermobility (JH) from pathological forms (i.e. hypermobile Ehlers-Danlos syndrome …

A resource optimization methodology is proposed for application in long range wide area networks (LoRaWANs). Using variable neighborhood search (VNS) and a minimum-cost spanning tree algorithm, it reduces the implementation and the maintenance costs of such low power networks. Performance evaluations …

Background: Experienced assessors show good intra-rater reproducibility (within-session and between-session agreement and reliability) when using an algometer to determine pressure pain thresholds (PPT). However, it is unknown whether novice assessors perform equally well. This study aimed to determine …

Most world governments are concerned with waste disposal. The large accumulation of these waste items is causing environmental and monetary issues. According to (Awuchi, 2019), the predicted average daily production of plastic waste is 15.4 billion pieces. Plastic waste is the most prevalent form of …

This study explores if multiple alterations of the classrooms' indoor environmental conditions, which lead to environmental conditions meeting quality class A of Dutch guidelines, result in a positive effect on students' perceptions and performance. A field study, with a between-group experimental design, …