Background One way to achieve universal health coverage (UHC) in low- and middle-income countries (LMIC) is the implementation of health insurance schemes. A robust and up to date overview of empirical evidence assessing and substantiating health equity impact of health insurance schemes among specific …

The purpose of this dissertation is to document research conducted at The Hague University of Applied Sciences on the topic of environmental education in secondary schools in the Netherlands. As pointed out by the United Nations in 1977, environmental education is necessary to further sustainability. …

Diese Arbeit beabsichtigt, die klassischen Theorien des europäischen Integrationsprozesses an dem grenzübergreifenden Zusammenarbeiten anzuwenden. Dies wird zweifältig gemacht: einerseits an dem politischen Kontext der grenzübergreifenden Zusammenarbeit, seiend die europäische Kohäsionspolitik und das …

Purpose The purpose of this report is to research the possible effects of the English language in the study program European Studies on the Dutch language proficiency of the Dutch students. European Studies is a four years bachelor program at The Hague University of Applied Sciences. The central question …

Background: Emergency department utilization has increased tremendously over the past years, which is accompanied by an increased necessity for emergency medicine research to support clinical practice. Important sources of evidence are systematic reviews (SRs) and meta-analyses (MAs), but these can only …

Over the years, one disease that is increasingly common in society is the disease “depression”. This disease is often described by people as “it’s in your head and it doesn’t exist”. Previous studies have shown that more than 25 % of seafarers are dealing with symptoms of depression. These symptoms have …

Occasion – The Hanze University and Diponegoro University started a collaboration in 2015, focusing on community health centre ‘Pudak Payung’. It became clear that there is a need for knowledge and experience, relating to health promotion, which focuses on non-communicable diseases (NCD’s) in the community …

Background: Pseudomonas aeruginosa is a nosocomial pathogen that causes severe infections in immunocompromised patients. Biofilm plays a significant role in the resistance of this bacterium and complicates the treatment of its infections. In this study, the effect of lyticase and β-glucosidase enzymes …

Objective Major issues in children with Marfan syndrome (MFS) are pain, fatigue and joint hypermobility which might influence functional ability. We recently studied these aspects in children with Ehlers-Danlos syndrome hypermobility type (EDS-HT) and hypermobility spectrum disorders (HSD). What can …

Background: Osteoarthritis (OA) is the most common rheumatic disease of the musculoskeletal system, with the knee as the most affected joint. The number of people with OA of the knee is likely to increase due to the ageing society and the obesity epidemic. The predominant clinical symptom of knee OA …