Conventional centralised sewerage systems are increasingly challenged by climate change, population growth and sustainability goals. Decentralised wastewater treatment systems (DWTS) offer an alternative by reducing hydraulic loads, enabling local reuse and supporting resource recovery. This study analyses …

BACKGROUND: Children with acute abdominal pain pose a diagnostic challenge for general practitioners (GPs), as it can be difficult to distinguish appendicitis from self-limiting conditions due to overlapping symptoms. To support GPs, a diagnostic strategy for appendicitis was developed that integrates …

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 …

Achtergrond: Sedentair gedrag en een lage lichamelijke activiteit kunnen het herstel na een kniearthroplastiek (KA) bij patiënten in de werkzame leeftijd beïnvloeden. Deze hypothesegenererende studie onderzoekt of perioperatieve niveaus van lichamelijke activiteit samenhangen met de tijd tot volledige …

Lignocellulose represents an abundant repository of renewable carbon. Derived from various plant sources, it holds tremendous potential as a renewable and sustainable feedstock for the production of valuable chemicals and fuels. However, its solid fermentable compounds, cellulose and hemicellulose, are …

Traditional scientific research has produced valuable knowledge, yet its linear, top-down logic often fails to address the complexity of local communities. This results in a gap between knowledge and action, where interventions lack legitimacy and impact. Participatory Action Research (PAR) has emerged …

Rationale Up to 60% of patients with head and neck cancer are malnourished upon first presentation. Malnutrition has been associated with a higher risk of adverse events and decreased quality of life and survival. Patients with a high risk of malnutrition often receive pretreatment dietary treatment …

Background & aim Adequate protein intake is essential during recovery from illness to prevent complications such as malnutrition, sarcopenia, and delayed wound healing. Mobile applications may support self-monitoring and early detection of inadequate intake. This study evaluated the concurrent validity …

Purpose To investigate the test-retest reliability and validity of the steep ramp test (SRT), a short and practical maximal exercise test on a cycle ergometer, for assessing CRF in apparently healthy adults aged 25–85 years. Methods To determine test-retest reliability, the reliability group performed …

Cyclophosphamide (CPA) is a commonly used alkylating chemotherapeutic drug that targets rapidly dividing cells causing apoptosis by crosslinking DNA. While effective against neoplasms, CPA can also affect healthy immune cells. This study investigated whether a single dose of CPA alters healthy lymphoid …