Aggregation into groups may affect performance of individuals through the balance and strength of facilitative versus competitive interactions. We studied in situ how seasonal variation in abiotic environment affects this balance for blue mussels, a semi-sessile species. We hypothesize that seasonal …

Background: In the Netherlands, general practitioners (GPs) play a key role in provider-initiated HIV testing, but opportunities for timely diagnosis are regularly missed. We implemented an educational intervention to improve HIV testing by GPs from 2015 to 2020, and observed a 7% increase in testing …

Purpose: A more dynamic school day that includes less sitting and more physical activity throughout the day may support health in primary school children. In this mixed methodologies study, we assessed which physical activity possibilities are incorporated in the school policies of Dutch primary schools …

Longitudinal Business Process Management (BPM) studies are rare. BPM maturity and process performance can be used to quantify an organization's BPM evolution. This research aims to examine the growth of BPM maturity over time and its impact on process performance inside an organization in continuous …

As the year passes, keeping themselves afloat has become more challenging for the Netherlands. Climate change and sea level rise are primary factors influencing the maintenance and reinforcement of the country's dikes system. Therefore, a new Delta Plan has been implemented to make the dikes system climate-proof …

Objectives: People with intellectual disabilities are more vulnerable to and experience mental health concerns at a higher incidence than their peers without intellectual disabilities. This may be directly related to the aetiology of their intellectual disability but also occur because of negative psychological …

Background: Many international clinical guidelines recommend therapeutic exercise as a core treatment for knee and hip osteoarthritis. We aimed to identify individual patient-level moderators of the effect of therapeutic exercise for reducing pain and improving physical function in people with knee osteoarthritis, …

Concrete made with geopolymer binders instead of conventional Portland cement is called geopolymer concrete. It is an alternative to conventional concrete and has several advantages in terms of material performance and environmental sustainability. In this study, the geopolymer concrete mixtures were …

This study is the first in a wider research programme aiming for more understanding of sustainable business models in the Tourism and Recreation (T&R) industry. By analysing ten cases in the region of Zeeland in the Netherlands, it describes archetypes, patterns of business models, that are typically …

Purpose: In Amsterdam – the Netherlands – we know that children living in low income households have a lower health status and report lower physical activity levels than their peers in middle- or high-income households. Seven primary schools located in neighborhoods with a low social-economic status …