IMPORTANCE: Older patients hospitalized for cardiovascular disease (CVD) are at risk of physical function decline and adverse health outcomes. Cardiac rehabilitation (CR) improves physical functioning but is underutilized by older patients. Home-based CR potentially improves utilization, yet its effectiveness …

Het NO-GIZMOS-project heeft aangetoond dat gedecentraliseerde energiebronnen in het laagspanningsnet congestieproblemen op middenspanningsniveau (MV) effectief kunnen oplossen. Onze pilot in Ansen heeft aangetoond dat een gemeenschapsgebaseerde en algoritmisch aangestuurde virtuele energiecentrale, bestaande …

To broaden the application of biomethanation for energy storage and renewable integration, this study investigates the performance of a trickle-bed reactor (TBR) for hydrogen (H2) utilisation in biogas upgrading, using both pure Carbon dioxide (CO2) and biogas-derived CO2 as substrates for methane (CH4) …

The Developmental Model of Intercultural Sensitivity (DMIS) has been widely used to conceptualise changes in how individuals experience cultural difference, typically described as a progression from ethnocentric toward ethnorelative orientations. While the model’s value is considerable, its common interpretation …

Intercultural literature often treats ethnocentrism and ethnorelativism as opposite ends of a single continuum. This paper challenges that assumption by adapting Herzberg’s two-factor theory to propose a dual-spectrum model: (1) a “hygiene” axis (ethnocentrism ↔ absence of ethnocentrism) that prevents …

Recent debates in rural development suggest a growing interest in integrating landscape-based knowledge into participatory decision-making. This study contributes to this discussion by examining how landscape—understood as the interplay between human actions, natural processes, and soil systems—can be …

This report analyzes the different legal aspects when establishing a hydrogen hub in the region of Delfzijl. It focuses on hydrogen networks, transport, production, renewable targets, mass balancing and hydrogen distribution, from an European level as well as a Dutch level.

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 …

This paper introduces an integrated guideline for designing public spaces in the Het Hogeland municipality that brings together climate adaptation, cultural heritage, and social well‑being. The guideline applies the “Analyse – Ambition – Action” framework and four ambition levels: maintain, optimize, …

The approach to homelessness in the Netherlands is currently undergoing a paradigm shift, moving away from shelter-based systems toward direct and unconditional housing, as articulated in the National Action Plan on Homelessness Eerst een Thuis. However, the regular housing supply often fails to meet …