Background: We developed an Internet-based physical activity (PA) support program (IPAS), which is embedded in a patient portal. We evaluated the effectiveness and costs of IPAS alone (online only) or IPAS combined with physiotherapist telephone counselling (blended care), compared to a control group. …

Over the past year and a half, the pandemic has posed serious challenges to many professions, including education in general and teacher education in particular. COVID19 created an unprecedented and unimagined disruption without preparation. As in schools, in teacher education daily routines were challenged …

Since the Industrial Revolution, human activity has reinforced climate change to alarming rates and has introduced new stressors such as plastic pollution to the environment. Currently, 4.8 - 12.7 million tons of plastic litters enter the oceans every year. Globally alternatives to replace synthetic-based …

Purpose: This study aimed to evaluate the implementation of a physical activity counseling program in rehabilitation and to study heterogeneity in received counseling and investigate its association with changes in patients' physical activity outcomes. Methods: This prospective cohort study was conducted …

Aim The aim of this study is to explore patients’ and (in)formal caregivers’ perspectives on their role(s) and contributing factors in the course of unplanned hospital readmission of older cardiac patients in the Cardiac Care Bridge (CCB) program. Design This study is a qualitative multiple case study …

This thesis is concerning effective use of fuel on board the ALP STRIKER. The recent transfer from heavy fuel oil, to the more expensive marine gas oil led to ongoing discussions about the effective use of fuel on board. The goal was to find the optimum propulsion configuration on board for any attainable …

OBJECTIVES: Acute hospitalization may lead to a decrease in muscle measures, but limited studies are reporting on the changes after discharge. The aim of this study was to determine longitudinal changes in muscle mass, muscle strength, and physical performance in acutely hospitalized older adults from …

At the end of 2019, the Municipality of Rotterdam commissioned Humanitas ESSM to research the situation of male sex workers in the area of Rotterdam. This demographic often goes unnoticed in sex work-related policies and interventions by public authorities. The Municipality spotted their knowledge gap …

Swallowing muscle strength exercises are effective in restoring swallowing function. In order to perform the exercises with progressive load, the swallow exercise aid (SEA) was developed. Precise knowledge on which muscles are activated with swallowing exercises, especially with the SEA, is lacking. …

Optimizing protein intake is a novel strategy to prevent age associated loss of muscle mass and strength in older adults. Such a strategy is still missing for older adults from ethnic minority populations. Protein intake in these populations is expected to be different in comparison to the majority of …