Conventional centralised sewerage systems are increasingly challenged by climate change, population growth and sustainability goals. Decentralised wastewater treatment systems (DWTS) offer an alternative by reducing hydraulic loads, enabling local reuse and supporting resource recovery. This study analyses …

The Netherlands is undergoing a massive (re)construction challenge. In addition to building new housing, a substantial part of the existing building stock of housing corporations is undergoing renovation. This renovation challenge has varying interactions with the energy transition, testified by the …

With more emerging technologies for hydrogen storage, it has become more important than ever to properly evaluate different options to ensure technical feasibility and legal compliance. In this study the technical aspects and legal requirements of two main storage technologies: underground gas cylinders …

Building energy performance is largely determined during the early conceptual design stages. However, energy evaluation is often postponed until after key architectural decisions—such as massing and façade configuration—have been finalized, limiting opportunities for meaningful optimization. This study …

Paratonia is a movement disorder characterized by involuntary muscle stiffening that affects nearly all individuals with advanced dementia, yet it remains poorly recognized in routine clinical practice. Often misinterpreted as intentional resistance to care, untreated paratonia may progress to muscle …

Background and Aims Enjoying food is related to the taste, smell and texture of food, ambience during meals, presentation of the meals, and freedom to choose meals. A decrease in food enjoyment can lead to decreased food intake, undesired weight loss, and reduced quality of life. Cancer and cancer treatment …

This study investigates the integration of biochar production with CCS as a hybrid biomass-based CDR pathway that could enhance net carbon sequestration while reducing pyrolysis-related CO2 emissions. Biochar and BECCS are often treated as separate options, even though they rely on similar biomass supply …

Background/aim Disease-related malnutrition is common in the Netherlands, and its treatment often involves the use of animal-based protein-enriched products. There is a growing trend and increasing ambition towards a more plant-based diet in the Dutch population and within Dutch healthcare institutions. …

Background: Discussing end-of-life care with people with dementia and their family soon after diagnosis is a crucial aspect of professional care. Research in the hospital setting is scarce. Aim: To investigate how often end-of-life issues and euthanasia are discussed during hospital consultations with …

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, …