Background Early identification of older cardiac patients at high risk of readmission or mortality facilitates targeted deployment of preventive interventions. In the Netherlands, the frailty tool of the Dutch Safety Management System (DSMS-tool) consists of (the risk of) delirium, falling, functional …

Effectuation is a theory originating in the literature of entrepreneurship, that focuses on behavioral attitudes of founders of multiple companies with over 15 years of experience and proven superior performance, so-called expert entrepreneurs. It includes a set of decision-making principles that these …

Background: The increase in life expectancy has brought about a higher prevalence of chronic illnesses among older people. Objectives: To identify common chronic illnesses among older adults, to examine the influence of such conditions on their Health-Related Quality of Life (HRQoL), and to determine …

Background: Palliative needs in older patients are often not timely identified. The Surprise Question (SQ) ‘would I be surprised if this patient died in the next year?’ is a well-researched tool that could aid in this effort. Most studies thus far involved physicians or specialist nurses, however the …

Objective: To predict mortality with the Tilburg Frailty Indicator (TFI) in a sample of community-dwelling older people, using a follow-up of 7 years. Setting and Participants: 479 Dutch community-dwelling people aged 75 years or older. Measurements: The TFI, a self-report questionnaire, was used to …

Marine debris is a growing global problem. Due to the wide ocean dynamics worldwide, predicting the transport of floating marine debris, such as plastic, is difficult. Although large-scale distribution patterns and accumulation zones are recognised and reproduced by numerical models, small-scale prediction …

Background: The substitution of healthcare is a way to control rising healthcare costs. The Primary Care Plus (PC+) intervention of the Dutch ‘Blue Care’ pioneer site aims to achieve this feat by facilitating consultations with medical specialists in the primary care setting. One of the specialties involved …

The sensitivity of tropical forest carbon to climate is a key uncertainty in predicting global climate change. Although short-term drying and warming are known to affect forests, it is unknown if such effects translate into long-term responses. Here, we analyze 590 permanent plots measured across the …

Dynamic stall phenomena carry the risk of negative damping and instability in wind turbine blades. It is crucial to model these phenomena accurately to reduce inaccuracies in predicting design driving (fatigue and extreme) loads. Some of the inaccuracies in current dynamic stall models may be due to …

As people age, physiological changes affect their thermal perception, sensitivity and regulation. The ability to respond effectively to temperature fluctuations is compromised with physiological ageing, upsetting the homeostatic balance of health in some. As a result, older people can become vulnerable …