Point-wise mutual information-based video segmentation with high temporal consistency

In this paper, we tackle the problem of temporally consistent boundary detection and hierarchical segmentation in videos. While finding the best high-level reasoning of region assignments in videos is the focus of much recent research, temporal consistency in boundary detection has so far only rarely been tackled. We argue that temporally consistent boundaries are a key component to temporally consistent region assignment. The proposed method is based on the point-wise mutual information (PMI) of spatio-temporal voxels. Temporal consistency is established by an evaluation of PMI-based point affinities in the spectral domain over space and time. Thus, the proposed method is independent of any optical flow computation or previously learned motion models. The proposed low-level video segmentation method outperforms the learning-based state of the art in terms of standard region metrics

Local, Early, and Precise: Designing a Clinical Decision Support System for Child and Adolescent Mental Health Services

Mental health disorders often develop during childhood and adolescence, causing long term and debilitating impacts at individual and societal levels. Local, early, and precise assessment and evidence-based treatment are key to achieve positive mental health outcomes and to avoid long-term care. Technological advancements, such as computerized Clinical Decision Support Systems (CDSSs), can support practitioners in providing evidence-based care. While previous studies have found CDSS implementation helps to improve aspects of medical care, evidence is limited on its use for child and adolescent mental health care. This paper presents challenges and opportunities for adapting CDSS design and implementation to child and adolescent mental health services (CAMHS). To highlight the complexity of incorporating CDSSs within local CAMHS, we have structured the paper around four components to consider before designing and implementing the CDSS: supporting collaboration among multiple stakeholders involved in care; optimally using health data; accounting for comorbidities; and addressing the temporality of patient care. The proposed perspective is presented within the context of the child and adolescent mental health services in Norway and an ongoing Norwegian innovative research project, the Individualized Digital DEcision Assist System (IDDEAS), for child and adolescent mental health disorders. Attention deficit hyperactivity disorder (ADHD) among children and adolescents serves as the case example. The integration of IDDEAS in Norway intends to yield significantly improved outcomes for children and adolescents with enduring mental health disorders, and ultimately serve as an educational opportunity for future international approaches to such CDSS design and implementation

GameUp: Exergames for mobility – a project to keep elderly active

A big challenge for Europe is the demographic shift towards an aging population. Resources in the health care sector are limited, so it is important that the seniors of tomorrow will be able to stay healthy and manage themselves as long as possible, preferably also with a good quality of life. Physical activity is very important both for mobility and for the general well-being, but it can be hard to find motivation to exercise alone at home. Also in rehabilitation there is a need for a more engaging approach than a sheet of paper describing exercises that should be performed. In the GameUp project we developed fun and motivational exergames particularly targeting elderly in a user centred approach. Physiotherapists ensured that the movements and exercises were good for flexibility, leg strength and balance. In addition to seven Kinect games, a walking app and a professional portal were developed. The Kinect games can be played in several levels, and those who are at risk of falling are able to play while seated. The professional portal ensures that the results of the project also can be used as a tool in rehabilitation. Test results from 20 elderly aged 65-95 as well as clinical trials of adherence to the exercises are encouraging, and the international and multidisciplinary team behind the project is now looking for ways to commercialize the project outcomes

Tensor field interpolation with PDEs

We present a unified framework for interpolation and regularisation of scalar- and tensor-valued images. This framework is based on elliptic partial differential equations (PDEs) and allows rotationally invariant models. Since it does not require a regular grid, it can also be used for tensor-valued scattered data interpolation and for tensor field inpainting. By choosing suitable differential operators, interpolation methods using radial basis functions are covered. Our experiments show that a novel interpolation technique based on anisotropic diffusion with a diffusion tensor should be favoured: It outperforms interpolants with radial basis functions, it allows discontinuity-preserving interpolation with no additional oscillations, and it respects positive semidefiniteness of the input tensor data

Complementary geometric and optical information for match-propagation-based 3D reconstruction

International audienceIn this work, we consider the problem of propagation-based matching for 3D reconstruction, which deals with expanding a limited set of correspondences towards a quasi-dense map across two views. In general, propagation based methods capture well the scene structure. However, the recovered geometry often presents an overall choppy na-ture which can be attributed to matching errors and abrupt variations in the estimated local affine transformations. We propose to control the reconstructed geometry by means of a local patch fitting which corrects both the matching locations and affine transformations throughout the propagation process. In this way, matchings that propagate from geo-metrically consolidated locations bring coherence to both positions and affine transformations. Results of our approach are not only more visu-ally appealing but also more accurate and complete as substantiated by results on standard benchmarks

Costs of shoulder pain and resource use in primary health care: a cost-of-illness study in Sweden

<p>Abstract</p> <p>Background</p> <p>Painful shoulders pose a substantial socioeconomic burden. A prospective cost-of-illness study was performed to assess the costs associated with healthcare use and loss of productivity in patients with shoulder pain in primary health care in Sweden.</p> <p>Methods</p> <p>The study was performed in western Sweden, in a region with 24 000 inhabitants. Data were collected during six months from electronic patient records at three primary healthcare centres in two municipalities. All patients between 20 and 64 years of age who presented with shoulder pain to a general practitioner or a physiotherapist were included. Diagnostic codes were used for selection, and the cases were manually controlled. The cost for sick leave was calculated according to the human capital approach. Sensitivity analysis was used to explore uncertainty in various factors used in the model.</p> <p>Results</p> <p>204 (103 women) patients, mean age 48 (SD 11) years, were registered. Half of the cases were closed within six weeks, whereas 32 patients (16%) remained in the system for more than six months. A fifth of the patients were responsible for 91% of the total costs, and for 44% of the healthcare costs. The mean healthcare cost per patient was €326 (SD 389) during six months. Physiotherapy treatments accounted for 60%. The costs for sick leave contributed to 84% of the total costs. The mean annual total cost was €4139 per patient. Estimated costs for secondary care increased the total costs by one third.</p> <p>Conclusions</p> <p>The model applied in this study provides valuable information that can be used in cost evaluations. Costs for secondary care and particularly for sick leave have a major influence on total costs and interventions that can reduce long periods of sick leave are warranted.</p

Industrial Structure and Political Outcomes: The Case of the 2016 US Presidential Election

This paper analyzes the US presidential election of 2016, examining the patterns of industrial structure and party competition in both the major party primaries and the general election. It attempts to identify the new, historically specific factors that led to the upheavals, especially the steady growth of a “dual economy” that locks more and more Americans out of the middle class. It draws extensively on a newly assembled, more comprehensive database to identify the specific political forces that coalesced around each candidate, including the various stages of the Trump campaign

Do Bankart lesions heal better in shoulders immobilized in external rotation?: A randomized single-blind study of 55 patients examined with MRI

Background and purpose Immobilization in external rotation (ER) for shoulder dislocation has been reported to improve the coaptation of Bankart lesions to the glenoid. We compared the position of the labrum in patients treated with immobilization in ER or internal rotation (IR). A secondary aim was to evaluate the rate of Bankart lesions

Clinical and arthroscopic findings in recreationally active patients

<p>Abstract</p> <p>Objective</p> <p>To examine the diagnostic accuracy of standard clinical tests for the shoulder in recreational athletes with activity related pain.</p> <p>Design</p> <p>Cohort study with index test of clinical examination and reference standard of arthroscopy.</p> <p>Setting</p> <p>Sports Medicine clinic in Sheffield, U.K.</p> <p>Participants</p> <p>101 recreational athletes (82 male, 19 female; mean age 40.8 ± 14.6 years) over a six year period.</p> <p>Interventions</p> <p>Bilateral evaluation of movements of the shoulder followed by standardized shoulder tests, formulation of clinical diagnosis and shoulder arthroscopy conducted by the same surgeon.</p> <p>Main Outcome Measurements</p> <p>Sensitivity, specificity, likelihood ratio for a positive test and over-all accuracy of clinical examination was examined retrospectively and compared with arthroscopy.</p> <p>Results</p> <p>Isolated pathology was rare, most patients (72%) having more than one injury recorded. O'Brien's clinical test had a mediocre sensitivity (64%) and over-all accuracy (54%) for diagnosing SLAP lesions. Hawkins test and Jobe's test had the highest but still not impressive over-all accuracy (67%) and sensitivity (67%) for rotator cuff pathology respectively. External and internal impingement tests showed similar levels of accuracy. When a positive test was observed in one of a combination of shoulder tests used for diagnosing SLAP lesions or rotator cuff disease, sensitivity increased substantially whilst specificity decreased.</p> <p>Conclusions</p> <p>The diagnostic accuracy of isolated standard shoulder tests in recreational athletes was over-all very poor, potentially due to the majority of athletes (71%) having concomitant shoulder injuries. Most likely, this means that many of these injuries are missed in general practice and treatment is therefore delayed. Clinical examination of the shoulder should involve a combination of clinical tests in order to identify likely intra articular pathology which may warrant referral to specialist for surgery.</p