9 research outputs found

    Novel min-max reformulations of Linear Inverse Problems

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    In this article, we dwell into the class of so-called ill-posed Linear Inverse Problems (LIP) which simply refers to the task of recovering the entire signal from its relatively few random linear measurements. Such problems arise in a variety of settings with applications ranging from medical image processing, recommender systems, etc. We propose a slightly generalized version of the error constrained linear inverse problem and obtain a novel and equivalent convex-concave min-max reformulation by providing an exposition to its convex geometry. Saddle points of the min-max problem are completely characterized in terms of a solution to the LIP, and vice versa. Applying simple saddle point seeking ascend-descent type algorithms to solve the min-max problems provides novel and simple algorithms to find a solution to the LIP. Moreover, the reformulation of an LIP as the min-max problem provided in this article is crucial in developing methods to solve the dictionary learning problem with almost sure recovery constraints

    Fast Algorithm for Constrained Linear Inverse Problems

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    We consider the constrained Linear Inverse Problem (LIP), where a certain atomic norm (like the 1\ell_1 norm) is minimized subject to a quadratic constraint. Typically, such cost functions are non-differentiable which makes them not amenable to the fast optimization methods existing in practice. We propose two equivalent reformulations of the constrained LIP with improved convex regularity: (i) a smooth convex minimization problem, and (ii) a strongly convex min-max problem. These problems could be solved by applying existing acceleration-based convex optimization methods which provide better O(1k2) O \left( \frac{1}{k^2} \right) theoretical convergence guarantee, improving upon the current best rate of O(1k) O \left( \frac{1}{k} \right) . We also provide a novel algorithm named the Fast Linear Inverse Problem Solver (FLIPS), which is tailored to maximally exploit the structure of the reformulations. We demonstrate the performance of FLIPS on the classical problems of Binary Selection, Compressed Sensing, and Image Denoising. We also provide open source \texttt{MATLAB} package for these three examples, which can be easily adapted to other LIPs

    Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

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    Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely
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