Sparse Decomposition and Modeling of Anatomical Shape Variation

Recent advances in statistics have spawned powerful methods for regression and data decomposition that promote sparsity, a property that facilitates interpretation of the results. Sparse models use a small subset of the available variables and may perform as well or better than their full counterparts if constructed carefully. In most medical applications, models are required to have both good statistical performance and a relevant clinical interpretation to be of value. Morphometry of the corpus callosum is one illustrative example. This paper presents a method for relating spatial features to clinical outcome data. A set of parsimonious variables is extracted using sparse principal component analysis, producing simple yet characteristic features. The relation of these variables with clinical data is then established using a regression model. The result may be visualized as patterns of anatomical variation related to clinical outcome. In the present application, landmark-based shape data of the corpus callosum is analyzed in relation to age, gender, and clinical tests of walking speed and verbal fluency. To put the data-driven sparse principal component method into perspective, we consider two alternative techniques, one where features are derived using a model-based wavelet approach, and one where the original variables are regressed directly on the outcome

The association of electronic health literacy with behavioural and psychological coronary artery disease risk factors in patients after percutaneous coronary intervention: a 12-month follow-up study

Aims Fundamental roadblocks, such as non-use and low electronic health (eHealth) literacy, prevent the implementation of eHealth resources. The aims were to study internet usage for health information and eHealth literacy in patients after percutaneous coronary intervention (PCI). Further, we aimed to evaluate temporal changes and determine whether the use of the internet to find health information and eHealth literacy were associated with coronary artery disease (CAD) risk factors at the index admission and 12-month follow-up of the same population. Methods and results This prospective longitudinal study recruited 2924 adult patients with internet access treated by PCI in two Nordic countries. Assessments were made at baseline and 12-month follow-up, including a de novo question Have you used the internet to find information about health?, the eHealth literacy scale, and assessment of clinical, behavioural, and psychological CAD risk factors. Regression analyses were used. Patients’ use of the internet for health information and their eHealth literacy were moderate at baseline but significantly lower at 12-month follow-up. Non-users of the internet for health information were more often smokers and had a lower burden of anxiety symptoms. Lower eHealth literacy was associated with a higher burden of depression symptoms at baseline and lower physical activity and being a smoker at baseline and at 12-month follow-up. Conclusion Non-use of the internet and lower eHealth literacy need to be considered when implementing eHealth resources, as they are associated with behavioural and psychological CAD risk factors. eHealth should therefore be designed and implemented with high-risk CAD patients in mind.publishedVersio

Thromboembolic events after high-intensity training duringcisplatin-based chemotherapy for testicular cancer: Casereports and review of the literature

The randomized “Testicular cancer and Aerobic and Strength Training trial” (TAST‐trial) aimed to evaluate the effect of high‐intensity interval training (HIIT) on cardiorespiratory fitness during cisplatin‐based chemotherapy (CBCT) for testicular cancer (TC). Here, we report on an unexpected high number of thromboembolic (TE) events among patients randomized to the intervention arm, and on a review of the literature on TE events in TC patients undergoing CBCT. Patients aged 18 to 60 years with a diagnosis of metastatic germ cell TC, planned for 3 to 4 CBCT cycles, were randomized to a 9 to 12 weeks exercise intervention, or to a single lifestyle counseling session. The exercise intervention included two weekly HIIT sessions, each with 2 to 4 intervals of 2 to 4 minutes at 85% to 95% of peak heart rate. The study was prematurely discontinued after inclusion of 19 of the planned 94 patients, with nine patients randomized to the intervention arm and 10 to the control arm. Three patients in the intervention arm developed TE complications; two with pulmonary embolism and one with myocardial infarction. All three patients had clinical stage IIA TC. No TE complications were observed among patients in the control arm. Our observations indicate that high‐intensity aerobic training during CBCT might increase the risk of TE events in TC patients, leading to premature closure of the TAST‐trial

Rethinking rehabilitation after percutaneous coronary intervention: a protocol of a multicentre cohort study on continuity of care, health literacy, adherence and costs at all care levels (the CONCARD PCI )

Introduction: Percutaneous coronary intervention (PCI) aims to provide instant relief of symptoms, and improve functional capacity and prognosis in patients with coronary artery disease. Although patients may experience a quick recovery, continuity of care from hospital to home can be challenging. Within a short time span, patients must adjust their lifestyle, incorporate medications and acquire new support. Thus, CONCARDPCI will identify bottlenecks in the patient journey from a patient perspective to lay the groundwork for integrated, coherent pathways with innovative modes of healthcare delivery. The main objective of the CONCARDPCI is to investigate (1) continuity of care, (2) health literacy and self-management, (3) adherence to treatment, and (4) healthcare utilisation and costs, and to determine associations with future short and long-term health outcomes in patients after PCI. Methods and analysis: This prospective multicentre cohort study organised in four thematic projects plans to include 3000 patients. All patients undergoing PCI at seven large PCI centres based in two Nordic countries are prospectively screened for eligibility and included in a cohort with a 1-year follow-up period including data collection of patient-reported outcomes (PRO) and a further 10-year follow-up for adverse events. In addition to PROs, data are collected from patient medical records and national compulsory registries. Ethics and dissemination: Approval has been granted by the Norwegian Regional Committee for Ethics in Medical Research in Western Norway (REK 2015/57), and the Data Protection Agency in the Zealand region (REG-145-2017). Findings will be disseminated widely through peer-reviewed publications and to patients through patient organisations. Trial registration number: NCT03810612

The One Ocean Expedition: Science and Sailing for the Ocean We Want

The One Ocean Expedition (OOE) was a 20-month long circumnavigation of the globe by the Norwegian sail training vessel Statsraad Lehmkuhl, and a recognised part of the UN decade of Ocean Science for Sustainable Development. The ship was equipped with modern instrumentation to collect high-quality data on ocean physics, chemistry, and biology. Many of the data series were available in near real time from an open repository. The scientific programme was executed along the sailing route of Statsraad Lehmkuhl, with occasional stops for stationary work. The aim of the data collection on board the vessel was to improve knowledge about the state of the world's ocean with regards to the distribution and diversity of organisms, environmental status, climate, and human pressures on the marine ecosystem. Another aim of the expedition was to educate ocean scientists and strengthen ocean literacy. The main types of instrumentation are sensors that measure continuously underway including echosounder, hydrophone, temperature and salinity probes, and various instruments that collect and analyse water sampled from an inlet in the ship's hull, including for environmental DNA and microplastic. Here, we describe the scientific instrumentation onboard Statsraad Lehmkuhl and present preliminary results from the Atlantic part of the expedition. While there are many challenges to using a sail ship for scientific purposes, there are also some key benefits as the vessel is quiet and has a low footprint. Furthermore, the use of a common set of instruments and procedures across the ocean also removes an uncertainty factor when comparing data between ocean areas.The One Ocean Expedition: Science and Sailing for the Ocean We WantpublishedVersio

The One Ocean Expedition: Science and Sailing for the Ocean We Want

Source at https://www.hi.no/hi.The One Ocean Expedition (OOE) was a 20-month long circumnavigation of the globe by the Norwegian sail training vessel Statsraad Lehmkuhl, and a recognised part of the UN decade of Ocean Science for Sustainable Development. The ship was equipped with modern instrumentation to collect high-quality data on ocean physics, chemistry, and biology. Many of the data series were available in near real time from an open repository. The scientific programme was executed along the sailing route of Statsraad Lehmkuhl, with occasional stops for stationary work. The aim of the data collection on board the vessel was to improve knowledge about the state of the world's ocean with regards to the distribution and diversity of organisms, environmental status, climate, and human pressures on the marine ecosystem. Another aim of the expedition was to educate ocean scientists and strengthen ocean literacy. The main types of instrumentation are sensors that measure continuously underway including echosounder, hydrophone, temperature and salinity probes, and various instruments that collect and analyse water sampled from an inlet in the ship's hull, including for environmental DNA and microplastic. Here, we describe the scientific instrumentation onboard Statsraad Lehmkuhl and present preliminary results from the Atlantic part of the expedition. While there are many challenges to using a sail ship for scientific purposes, there are also some key benefits as the vessel is quiet and has a low footprint. Furthermore, the use of a common set of instruments and procedures across the ocean also removes an uncertainty factor when comparing data between ocean areas

An analysis of the technology in Frank Herbert’s Dune

Science Fiction har alltid vært en del av literatur, og bøker og romaner kategorisert som science fiction inneholder ofte teknologi. Teknologien introdusert i boken er kanskje kjent for oss, og noe av teknologien kan kanskje være noe som kommer i fremtiden. Teknologi er en stor del av menneskenes liv, selv om teknologi ikke kun er elektriske ting; er det dette folk tenker når de hører ordet teknologi. Denne oppgavn skal se på og analysere noen av teknologien i Dune, ved å bruke begrepet Sosiotekniske forestillinger