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 …

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 …

Planning the whole visit, including logistics and thematic agenda of meetings with different organisations within the H2 ecosystem in the Northern Netherlands during the 2 day study visit.

In this paper we describe one aspect of nature-based flood protection by foreshores in hybrid flood defences and discuss how foreshore ecosystem restoration can contribute to flood protection. Flood protection consists of flood prevention, by grey, green or hybrid defences, and flood impact reduction, …

BACKGROUND: Frailty is a predictor of adverse outcomes in elderly patients. The Canadian Study of Health and Aging Clinical Frailty Scale (CFS) is an often-used frailty assessment instrument. However, the CFS's reliability and validity in patients with burn injuries are unknown. This study aimed to assess …

As the year passes, keeping themselves afloat has become more challenging for the Netherlands. Climate change and sea level rise are primary factors influencing the maintenance and reinforcement of the country's dikes system. Therefore, a new Delta Plan has been implemented to make the dikes system climate-proof …

The following paper refers to the final thesis for the curriculum at HZ University of Applied Science and was carried out at the request of the Italian firm Aig Associati and Partner. The structural team of the architecture and engineering firm requested a study on the most effective and least time-consuming …

The evolution of emerging technologies that use Radio Frequency Electromagnetic Field (RF-EMF) has increased the interest of the scientific community and society regarding the possible adverse effects on human health and the environment. This article provides NextGEM’s vision to assure safety for EU …

Objectives There is a broad call for change towards € new era' quality systems in healthcare, in which the focus lies on learning and improving. A promising way to establish this in general practice care is to combine audit and feedback with peer group discussion. However, it is not known what different …

Introduction The driving pressure (ΔP) has an independent association with outcome in patients with acute respiratory distress syndrome (ARDS). INTELLiVENT-Adaptive Support Ventilation (ASV) is a closed-loop mode of ventilation that targets the lowest work and force of breathing. Aim To compare transpulmonary …