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- Jacob, Louis, et al.
(författare)
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Predictors of Access to Rehabilitation in the Year Following Traumatic Brain Injury : A European Prospective and Multicenter Study
- 2020
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Ingår i: Neurorehabilitation and Neural Repair. - : Sage Publications. - 1545-9683 .- 1552-6844. ; 34:9, s. 814-830
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Tidskriftsartikel (refereegranskat)abstract
- Background: Although rehabilitation is beneficial for individuals with traumatic brain injury (TBI), a significant proportion of them do not receive adequate rehabilitation after acute care.Objective: Therefore, the goal of this prospective and multicenter study was to investigate predictors of access to rehabilitation in the year following injury in patients with TBI.Methods: Data from a large European study (CENTER-TBI), including TBIs of all severities between December 2014 and December 2017 were used (N = 4498 patients). Participants were dichotomized into those who had and those who did not have access to rehabilitation in the year following TBI. Potential predictors included sociodemographic factors, psychoactive substance use, preinjury medical history, injury-related factors, and factors related to medical care, complications, and discharge.Results: In the year following traumatic injury, 31.4% of patients received rehabilitation services. Access to rehabilitation was positively and significantly predicted by female sex (odds ratio [OR] = 1.50), increased number of years of education completed (OR = 1.05), living in Northern (OR = 1.62; reference: Western Europe) or Southern Europe (OR = 1.74), lower prehospital Glasgow Coma Scale score (OR = 1.03), higher Injury Severity Score (OR = 1.01), intracranial (OR = 1.33) and extracranial (OR = 1.99) surgery, and extracranial complication (OR = 1.75). On contrast, significant negative predictors were lack of preinjury employment (OR = 0.80), living in Central and Eastern Europe (OR = 0.42), and admission to hospital ward (OR = 0.47; reference: admission to intensive care unit) or direct discharge from emergency room (OR = 0.24).Conclusions: Based on these findings, there is an urgent need to implement national and international guidelines and strategies for access to rehabilitation after TBI.
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| 2. |
- Jansson, Nils, et al.
(författare)
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From oil digger to energy transition enabler: the critical role of exploration geosciences education in Europe
- 2020
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Ingår i: European Geologist. - Bruxelles : The European Federation of Geologists. - 1028-267X .- 2294-8813. ; :50, s. 57-61
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Tidskriftsartikel (refereegranskat)abstract
- Recent disruptions of raw material value chains during the COVID-19 pandemic have highlighted Europe’s dependency on imports of metals and minerals. Meanwhile, the European Commission is establishing ambitious policy initiatives, aiming at making Europe climate neutral in 2050. In this contribution, we emphasise the critical role of geosciences education in this energy transition, in forming the next generation of mining professionals. In the Nordic countries, active industry–university collaboration in one of the most active mining hubs in Europe has allowed frequent student–industry interaction, access to real-life learning environments, and development of specialised educational modules. These have been made accessible to exchange students from other European countries via exchange programmes and innovative digipedagogical learning tools.
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