Purpose: To present a new Value Adding Management model in order to support decision makers in identifying appropriate interventions to add value to the organisation, to manage its implementation, and to measure the output and outcomes. Theory: The paper builds on value adding management theories and …

Background: In patients with burns, an early accurate diagnosis of burn depth facilitates optimal treatment. Laser Doppler imaging combined with clinical assessment leads to an accurate estimate of burn depth. However, the actual effects of the introduction of laser Doppler imaging on therapeutic decisions, …

This study analyses the determinants of cycling expenditure by means of a Tobit regression analysis, based on a dataset of 5,157 cyclists. Using a heterodox economic framework, 23 different variables are combined into two commonly used variable groups (socio-demographics, sports intensity variables) …

Background: The pressure in out-of-hours primary care is high due to an increasing demand for care and rising health-care costs. During the daytime, substituting general practitioners (GPs) with nurse practitioners (NPs) shows positive results to contribute to these challenges. However, there is a lack …

Background: Screening and brief interventions (SBI) in primary healthcare are cost-effective in risky drinkers, yet they are not offered to all eligible patients. This qualitative study aimed to provide more insight into the factors and mechanisms of why, how, for whom and under what circumstances implementation …

1. Summary The goal of the graduation thesis is to develop a method to analyze the energy losses through pipe shoe supports. The end result will be an excel file that can be used by any of the engineers within Jacobs. Therefore all calculation and fundamental data must be included. To achieve this goal …

Road and City Mobility (RCM) is a business unit of Siemens Netherlands. RCM’s core business is to provide infrastructure solutions for its customers. Generally, 80% of RCM’s revenue is generated by projects; the other 20% of the overall revenue is generated by the sales of products (e.g. electronic variable …

Biogas produced through Anaerobic Digestion can be seen as a flexible and storable energy carrier. However, the environmental sustainability and efficiency of biogas production is not fully understood. Within this article the use, operation, structure, validation, and results of a model for the environmental …

For long flights, the cruise is the longest phase and where the largest amount of fuel is consumed. An in-cruise optimization method has been implemented to calculate the optimal trajectory that reduces the flight cost. A three-dimensional grid has been created, coupling lateral navigation and vertical …

Abstract Background: Currently, health care and medical decision-making at the end of life for older people are often insufficiently patient-centred. In this trial we study the effects of Advance Care Planning (ACP), a formalised process of timely communication about care preferences at the end of life, …