E-commerce is transforming urban freight systems and creating challenges for last-mile delivery due to fragmented demand, high stop density, and diverse delivery models. This study examines last-mile e-commerce delivery in five cities, primarily focusing on parcel deliveries, and analyzes how the state …

BACKGROUND: Clinical reasoning is fundamental to safe and effective Emergency Medical Services (EMS) care. EMS providers operate in dynamic, time-pressured environments characterised by diagnostic uncertainty, limited information, and high-stakes decisions. These conditions necessitate rapid yet adaptable …

Healthcare systems face rising costs, aging populations, and increasing chronic conditions, creating a need for personalized, multidisciplinary care. Value-Based Health Care (VBHC) offers a promising approach by shifting focus from volume to value. Burn care is particularly suited for this model due …

The AI Act, effective from August 1, 2024, introduces EU-wide standards to ensure the ethical and safe use of artificial intelligence (AI). Dutch municipalities must be fully compliant by 2026, navigating complex legal and operational challenges. This study assesses their readiness through survey data …

Despite the key roles of circular startups and investors in enabling the transition towards a circular economy, weak connections have been found between the two actors, limiting effective collaboration and the exchange of resources. While previous research demonstrated the beneficial role of intermediaries …

Green hydrogen is increasingly positioned as an important element of Europe's energy transition, particularly for decarbonising sectors that are difficult to electrify directly and for integrating growing shares of renewable electricity. Yet regional hydrogen ecosystems often remain fragmented and immature. …

Shared Service Centers (SSCs) and Global Business Services (GBS) organizations are evolving from transactional, cost-focused units into strategic partners that deliver value through digitalization, analytics, regulatory compliance, and business partnering. Within this context, Purchase-to-Pay (P2P) has …

Background: Body composition and energy metabolism assessments are central to nutrition care but remain underused. This study evaluated dietitians’ access, use, education, and beliefs toward these assessments, and the impact of an educational session. Methods: Dietitians (≥1 year experience) within Alberta …

Meta-analyses on the effectiveness of Montessori education report positive outcomes on both academic and social measures. However, Montessori schools vary considerably, and there is limited empirical literature examining how differences in implementation affect outcomes. To better understand the effectiveness …

This thesis investigates the development of internal shear stresses in stiffened-core deep composite pile foundations, with particular focus on the FUNDEX Combi Pile system. These piles are widely used in urban environments due to their vibration-free installation and ability to perform under challenging …