University College Lillebaelt (Danish: UCL Erhvervsakademi og Professionshøjskole) is one of the eight regional organizations of different study sites in Denmark (Danish: professionshøjskoler) offering Bachelor courses of all kinds in the southwest part of Denmark (Funen and Jutland).UCL Erhvervsakademi og Professionshøjskole is the second-largest university college as known as university of applied sciences in Denmark. The organization was formed in 2008 by merging CVU Fyn, CVU Jelling, CVSU Fyn, and the Social College of Odense. The college is named after Little Belt (Danish: Lillebælt), which is the strait between the Danish island Funen and the Jutland Peninsula.In total there are 10,000 registered students and 1,000 employees. Turnover is 475 million DKK annually.
BackgroundPatient-centered goal-setting is an important part of the rehabilitation process. The guidelines for stroke rehabilitation in adults recommend setting goals that are meaningful and relevant for the patient, focusing on activity and participation, and involving the patient. Patient-centered goal-setting is to improve rehabilitation outcomes. However, patient-centered goal-setting occurs partly or not at all. There is also a lack of continuity in goal-setting across sectors.ObjectiveThis study aimed to identify existing research-based knowledge on procedures used in patient-centered goal-setting processes in stroke rehabilitation.MethodsA scoping review was conducted by searching PubMed, CINAHL Complete, EMBASE, APA PsycINFO, Scopus, and Cochrane databases for studies involving adults receiving or clinicians delivering stroke rehabilitation and focusing on patient-centered goal-setting processes. The included studies were analyzed using inductive content analyses and linked to five domains in goal-setting processes: person-centeredness, collaboration with healthcare professionals and patients, coordination across sectors, monitoring, and evaluation.ResultsEighteen studies were included. Inductive content analysis identified elements related to goal-setting processes, mainly occurring at the beginning of the rehabilitation. Linking the studies to five domains revealed gaps in cross-sectoral coordination, monitoring, and evaluation.ConclusionPatient-centered goal-setting in stroke rehabilitation is practiced variably, and there is no overall agreement about the procedures to ensure that goal-setting is patient-centered. Therapist- and team-led goal-setting processes are used. Evaluation procedures and cross-sectoral coordination are rarely described.
The ACTIVATE consensus aimed to develop recommendations for assessing, prescribing and promoting physical activity when healthcare professionals consult patients with non-communicable diseases in clinical practice. We developed the consensus through a comprehensive, multistep approach including 27 experts with professionally diverse backgrounds from 13 different countries, including three patient representatives. Initially, we conducted a survey at the World Congress for Sport Physical Therapy in 2022 to document the need for a consensus, which was followed up by development of a conceptual framework with guiding principles and research questions at a stakeholder meeting. We subsequently conducted three rapid umbrella reviews, covering the existing scientific literature to inform the statements for a Delphi survey. The Delphi survey involved two voting rounds (email survey) and one face-to-face (online) round. Finally, we identified recommendations on how to assess, prescribe and promote physical activity through consensus. We recommend routine physical activity assessments using quick and easy tools, documenting physical activity levels and providing tailored prescriptions for patients not meeting WHO guidelines for physical activity. Furthermore, the ACTIVATE consensus highlights the necessity for regular follow-ups to facilitate patients' integration of physical activity into their daily routines, to enhance overall well-being and quality of life.
The decarbonisation of heavy-duty road transport is central to European climate policy, yet the economic viability of battery-electric trucks under real-world route conditions remains uncertain. This study presents a route-specific total cost of ownership (TCO) analysis comparing an 18-tonne battery-electric truck with a comparable diesel truck across four Danish distribution routes. An eight-year net present value (NPV) model at 5% discount rate captures acquisition, energy, taxation, and maintenance costs. The analysis incorporates seasonal variation and distinguishes between depot charging (0.75 DKK/kWh) and public fast charging (3.00 DKK/kWh). The electric truck achieves NPV advantages of DKK 1.01–2.14 million across all routes, with break-even periods of 1.8 to 3.3 years. Charging strategy is the most influential economic factor. The findings demonstrate that fleet-averaged TCO estimates are insufficient and route-level analysis is essential for informed electrification decisions, though results are contingent on the specific policy and operational context of this single-operator case study.
The transition from diesel to electric trucks faces a critical adoption gap despite technological maturity and favorable economics. This study identifies multi-dimensional planning complexity, spanning technical, economic, operational, and organizational dimensions, as a primary barrier that existing decision support tools fail to address. Through systematic literature review and analysis of Danish transport sector data, we develop the AI-Readiness Framework for Fleet Electrification (ARFFE), a modular decision support system adapted to different organizational readiness levels. Our secondary data analysis illustrates that two frequently overlooked factors, the CO2-differentiated road tax savings of 430,000–465,000 DKK over five years and charging strategy decisions creating cost differences of 930,000 DKK, have greater economic impact than traditionally emphasized factors. The framework comprises five progressive modules mapped across four readiness stages and four planning dimensions, creating an integrated decision support system for evaluating an estimated 50,000+ scenarios. This research contributes theoretically by proposing AI as a “mediating technology” in socio-technical transitions and practically by providing an actionable framework illustrated through Danish transport sector analysis.
Background/Objectives: Older adults with an LGBT+ identity represent an under-researched population within healthcare systems. Existing evidence suggests that they experience distinct health challenges compared to their heterosexual counterparts, partly shaped by lifelong experiences of stigma and discrimination. Such experiences may contribute to minority stress, which is associated with adverse mental health outcomes and lifestyle-related health issues. This review aims to synthesise the existing literature on how older adults with an LGBT+ identity experience encounters with healthcare. Methods: An integrative literature review was conducted following PRISMA guidelines. A systematic search of multiple databases was performed, and studies were screened using predefined inclusion and exclusion criteria. Data were analysed using systematic text condensation. Results: A total of 18 studies were included, comprising approximately 450 participants. All studies contained a qualitative component. Three overarching themes were identified: (1) double-edged discrimination—experiences of stigma and anticipated fear in healthcare; (2) relational networks as essential yet fragile sources of support in later life; and (3) healthcare practices as shaping inclusion or invisibility—the need for competence and recognition. Conclusions: The findings highlight significant barriers faced by older adults with an LGBT+ identity in healthcare, including fear of discrimination and challenges related to disclosure. Social networks play a crucial role as sources of support, while healthcare professionals’ competencies and practices are central to ensuring inclusive and equitable care.
