Background: The number of older patients undergoing cardiac surgery is increasing, and a substantial proportion of these patients are frail. Frailty is associated with increased mortality, psychological complications, functional decline, and reduced health-related quality of life, complicating treatment …

Traditional scientific research has produced valuable knowledge, yet its linear, top-down logic often fails to address the complexity of local communities. This results in a gap between knowledge and action, where interventions lack legitimacy and impact. Participatory Action Research (PAR) has emerged …

IMPORTANCE: Older patients hospitalized for cardiovascular disease (CVD) are at risk of physical function decline and adverse health outcomes. Cardiac rehabilitation (CR) improves physical functioning but is underutilized by older patients. Home-based CR potentially improves utilization, yet its effectiveness …

The present study investigated the effectiveness of the RiverScan third mission initiative in Cebu City, Philippines. Universities are increasingly embracing a 'third mission' beyond their core functions of teaching and research—namely, mobilizing knowledge to generate impact and address societal challenges. …

BACKGROUND/AIMS Malnutrition is a common clinical problem causing poor outcomes, including longer hospital stays, complications, functional decline, and mortality. Oral nutritional supplements (ONS) are a key component of medical nutrition therapy for patients who cannot meet their nutritional needs …

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, …

Introduction The cardiovascular biomarkers troponin T, N-terminal pro-B-type natriuretic peptide, and fibroblast growth factor 23 are elevated in hemodialysis patients and associated with an increased cardiovascular mortality risk. Nocturnal hemodialysis improves the fluid status in hemodialysis patients. …

Purpose The Optimal Physical Recovery After Hospitalization (OPRAH) Intervention is a blended intervention, combining a smartphone app for self-monitoring of physical activity and protein intake with coaching from a physiotherapist and dietician, to enhance the functional recovery after gastro-intestinal …

Gili Ketapang is a small island located in East Java, Indonesia. The island is currently experiencing environmental changes due to coastal erosion and the decline of its coral reef ecosystem. At the same time, the population is growing, and economic activities centred around fishing and tourism are expanding. …

Since 2012, the harbor seal (Phoca vitulina) population in the Dutch Wadden Sea has been in decline, raising concerns about the potential role of infectious diseases. Historical outbreaks like those caused by Phocine Distemper Virus (PDV) and Influenza A virus subtype H10N7, have shown that pathogens …