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Limb wounds in horses are common, however healing is exceedingly slow and fraught with complications. Contrary to body wounds, limb wounds demonstrate only a small amount of wound contraction. The specialist procedure of applying split-thickness skin grafts to limb wounds stimulates wound contraction by unknown mechanisms. The objective of this project is to identify those mechanisms to develop a treatment strategy for equine limb wounds for use in general  practice. Limb wounds are severely impacting animal welfare due to an extended healing/treatment duration, and the risk of euthanasia due to a poor functional outcome. By stimulating wound contraction, healing time will be reduced, and the functional outcome improved, directly benefitting the welfare of wounded horse and reducing treatment cost for the owner. Aim: To identify dermal components stimulating wound contraction, and to develop this knowledge into future state-of-the-art treatment of equine limb wounds for use in general practice. Hypotheses: i) Application of dermal fractions to collagen gels seeded with equine fibroblasts will increase gel contraction in vitro; ii) Application of dermal fractions to experimental limb wounds in vivo, will increase wound contraction resulting in a faster healing time versus wounds treated by conventional methods. Methods: i) The contractile effect of different dermal components will be assessed in a collagen gel/ fibroblast model; ii) Identified dermal components will be tested in a standardized experimental limb wound model in vivo (n=5). Ultimately, results from this project are expected to improve wound treatment in horses, directly impacting animal welfare by reducing healing time and improving the functional outcome of wounded horses. This will also directly benefit horse owners and caretakers and making veterinarians able to offer better treatment solutions.

HESTEFORSK - Raskere og bedre sårheling hos hest med autologe hudkomponenter

The goal of the Bilingual Experiences, Cognitive Ageing and underlying Mechanisms (BECAME) project is to examine the functional neuroplastic mechanisms underlying mitigatory effects of bilingual experience on age-related cognitive decline. While evidence is available for structural brain changes supporting bilingualism-induced effects on cognitive aging (CA), functional mechanisms underlying such effects are not yet well understood. BECAME aims to fill this gap by investigating the trajectory of bilingualism-induced functional neuroplasticity across the adult lifespan (ages 18-85), crucially adopting an individual differences approach related to measurable degree of bilingual engagement. Importantly, although such benefits are thought to be rooted early in the lifespan, evidence for the timeframe and conditions of their early emergence is scarce. The choice of including the whole adult lifespan allows us to investigate these mechanisms and their emergence more directly from a lifespan perspective. I combine behavioral testing with brain recordings via electroencephalography (EEG). EEG is widely used in cognitive neuroscience to assess brain activity and the degree of communication between brain regions (functional connectivity) in response to stimuli and at rest. Combining behavioral and EEG modalities will allow me to test bilingualism’s effect on functional connectivity, as well as its consequences for functional efficiency, the minimum required neural activation to successfully perform a task. This will enable a detailed, evidence-based account of the protective effects observed in older-aged bilinguals, and how they are built from earlier life stages. By illuminating the relationship between multilingualism and resulting neurocognitive adaptations, BECAME will enable to capitalize on it as a health initiative, with manifold societal implications and the potential to be translated into actionable policies exploiting multilingualism to ameliorate effects of CA.

Bilingual Experiences, Cognitive Ageing and underlying Mechanisms

Hovedmålet med kreftbehandling er å eliminere kreftceller og dette er tradisjonelt oppnådd ved kirurgi, bruk av giftige medikamenter (cellegift) og stråling. En ny og betydningsfull tilnærming til kreftbehandling kalt immunterapi, har derimot fått mye oppmerksomhet det siste tiåret; Her forsøker leger og forskere å utnytte immunsystemet vårt for å målrettet  ødelegge kreftceller. En nøkkelaktør i denne banebrytende tilnærmingen er en gruppe «drapsmenn» i immunsystemet kjent som cytotoxiske T-lymfocytter (CTL-er). Disse cellene har en bemerkelsesverdig evne til å oppdage kreftceller ved å gjenkjenne unormale molekyler på overflaten av kreftcellene - molekyler som friske celler ikke har. Når CTL-er gjenkjenner kreftcellene ødelegger de dem ved å frigjøre giftige molekyler som initierer kreftcellenes selvdestruksjon. 
 
Selv om betydelige innsats har blitt dedikert til å forstå hvordan CTL-er aktiveres og hvordan de gjenkjenner kreftceller, vet vi mindre om de påfølgende hendelsene inne i kreftcellene som fører til deres død. Fra før vet vi at CTL-er kan initiere to forskjellige typer celledød i kreft: den første, kalt apoptose, er en stille og ordnet prosess der kreftcellene krymper og brytes opp uten å varsle immunsystemet; den andre, kalt pyroptose, er en mer dramatisk prosess som involverer dannelse av åpninger i cellemembranen, noe som fører til at cellene svulmer opp og sprekker. Under denne cellebristen blir innholdet inne i cellene frigitt i omgivelsene, og dette kan fungere som 'faretegn' som kan stimulere en sterkere immunrespons mot kreftcellene. Betydningen av denne cellebristen for å forsterke anti-tumorresponsene vil bli undersøkt i dette prosjektet. 
 
Videre er vi fascinert av muligheten for å avdekke ytterligere, ennå ukjente, former for celledød indusert av CTL-er. Utforsking av disse dødsrelaterte prosessene i kreftcellene kan potensielt øke effektiviteten av immunterapi og bidra betydelig i den pågående kampen mot kreft.

The primary goal of most cancer therapies is to induce cancer cell death. Immunotherapy relies on the cytotoxic activity of lymphocytes such as natural killer cells (NKs) and cytotoxic T lymphocytes (CTLs) to achieve this. While a significant amount of research in immunotherapy focuses on the events within cytotoxic lymphocytes or at the interface between cytotoxic lymphocytes and cancer cells, less is known about the molecular mechanisms that orchestrate cancer cell death, particularly in the case of CTL-mediated death.
CTLs are known to induce two types of cell death in cancer: non-inflammatory apoptosis and proinflammatory pyroptosis. Pyroptotic cancer cells release proinflammatory signals that attract immune cells to the tumor site, thereby enhancing the anti-tumor response. Cell lysis is a common outcome of pyroptotic cell death. It is unclear whether lysis can be decoupled from pyroptosis in cancer cells and whether the proinflammatory properties of pyroptotic cancer cell death depend on lysis. Moreover, it remains unknown whether CTLs can induce other forms of cell death in cancer, apart from apoptosis and pyroptosis.
Studying the mechanisms of CTL-mediated cancer cell death is challenging because CTLs selectively target cells expressing specific antigens. However, given the critical role of CTLs in immunotherapy, it is essential to deepen our understanding of CTL-induced cancer cell death.
This project aims to develop novel methodologies to investigate the death mechanisms that are initiated by CTLs. In addition, we will identify new pathways and mediators involved in CTL-induced cancer cell death. Furthermore, we will assess the contribution of proinflammatory cell death and lysis in promoting anti-tumor responses in vivo. Overall, this research will improve our knowledge of the molecular mechanisms of CTL-mediated cancer cell death and potentially reveal novel targets to enhance the efficacy of cancer immunotherapy.

T-cell-mediated proinflammatory cell death and lysis in cancer

En av de vanligste, men minst studerte, utfordringene med å bli eldre er problemer med å kommunisere. Mange eldre sliter spesielt med pragmatiske ferdigheter, som å forstå undertekst, eller tilpasse det de sier til personen de snakker med. 

La oss si at en lege må gi en alvorlig beskjed til en pasient. For å gjøre det litt lettere å takle, bruker legen vagere språk, som "kanskje" i stedet for "sannsynligvis". Mens yngre voksne ofte tar hensyn til høflighetsstrategier i måten de tolker det som blir sagt på, har eldre ofte vanskelig for å forstå når noen snakker indirekte. Mange eldre voksne har vanskelig for å forstå ikke-bokstavelig språk og kan misforstå alvorlighetsgraden av diagnosen. Dette kan påvirke beslutningen deres om behandling, noe som kan føre til utilsiktede konsekvenser. 

Siden god kommunikasjon er viktig både i viktige medisinske samtaler og i hverdagen, er det viktig at vi finner ut hva som gjør at eldre kan ha vansker med å forstå og bli forstått. RESILIENCE skal hjelpe til med denne utfordringen ved å samle data om praktiske, kognitive og språklige ferdigheter hos voksne i alderen 18-90 år over tid. Dette vil gi oss en stor mengde data om pragmatiske, kognitive og språk ferdigheter og gjøre det tilgjengelig for forskning. Med denne dataen som grunnlag har vi følgende mål: 

• Forstå hvordan praktiske evner endrer seg generelt gjennom voksenlivet. 
• Finne ut hvilke mekanismer som påvirker pragmatiske evner på forskjellige tidspunkter i livet.
 • Utvikle en teoretisk modell som forklarer hvordan pragmatiske ferdigheter endrer seg med alderen.
 • Lage algoritmer som kan forutsi hvordan pragmatiske evner vil utvikle seg for enkeltpersoner i årene som kommer. 
• Utvikle og teste et verktøy som kan måle pragmatisk helse (både pragmatiske ferdigheter og deres underliggende mekanismer), noe som kan åpne  for å iverksette tiltak. 

Dette vil gi oss muligheten til å forstå bedre hvordan folk kan utvikle pragmatisk resiliens gjennom livsløpet.

A cornerstone of human communication is our reliance on pragmatic skills to guide linguistic interactions (e.g., reasoning about others' mental states to bridge the gap between what is said and intended in conversation). However these skills are highly sensitive to age-related decline, leading to miscommunication and uninformed decision making in the older adult population. This raises an important question, one which has puzzled linguistics and psychologists for decades: if pragmatic competence is fundamental to communication, why do individuals vary so much in this capacity? 

Traditionally, psychologists have approached pragmatic competence from a cognitive angle, reasoning that individual differences in executive functions (i.e., the cognitive skills associated with goal-directed actions) are what underlie effective pragmatic behavior. In a similar vein, language scientists have taken a linguistic approach, reasoning that one’s language background (e.g., the frequency with which individuals shift between languages) shapes pragmatic skills by enhancing sensitivity to the communicative context. This focus on either cognitive or linguistic influences has resulted in two expansive yet disparate areas of research.

RESILIENCE will unite these disciplines to pursue a longstanding debate on what underlies pragmatic resilience and decline using a large-scale, interdisciplinary and longitudinal approach. By gathering data on adults' (ages 18-90) pragmatic, cognitive and language skills over multiple time points, we will develop a comprehensive theoretical model that explains how cognitive and linguistic systems interact to shape pragmatic competence as we age, and create algorithms that predict the trajectory of an individual’s pragmatic abilities in upcoming years. Based on these results we will design a multidimensional tool that detects the earliest signs of pragmatic deficits, leading to future interventions, allowing us to uncover the paths to pragmatic resilience.

Uncovering the paths to pragmatic resilience

Sink er et essensielt mikronæringsstoff som kreves for funksjonen til hundrevis av proteiner involvert i et bredt spekter av biologiske prosesser. Etter inntak av sink fra kosten reguleres nivåene i kroppen nøye gjennom absorpsjon, sekresjon og ekskresjon via spesialiserte proteiner, såkalte sinktransportører, i tarmen. Enhver ubalanse er skadelig for menneskers helse, spesielt er tarmen følsom for sinkfluktuasjoner, hvilket påvirker tarmbarrieren og kan føre til inflammatoriske sykdommer og kreft i tarmen. 
På molekylært nivå er de presise mekanismene som styrer funksjonen til de ulike sinktransportørene fortsatt uklare. Hos mennesker finnes det over tjue slike proteiner, og de fleste inneholder områder rike på aminosyren histidin. Disse histidinene mistenkes å spille en avgjørende rolle i å binde sink. Nylig oppdaget vi et enzym som modifiserer disse områdene ved å sette metylgrupper på histidin, og viste at metylerte histidiner har en lavere affinitet for sink. Dette prosjektet har som mål å identifisere nye mekanismer som regulerer sinknivåer gjennom histidinmetylering av sinktransportører, å utvikle forskningsverktøy for effektiv studie av histidinmetylering, og å legge grunnlaget for nye behandlinger av tarmsykdommer.

The delicate balance of zinc levels in the body is essential for human health. Zinc is absorbed and excreted via intestinal zinc transporter proteins, and perturbations of this process are associated with pathologies, including inflammatory diseases and cancers of the bowel. The precise molecular mechanisms regulating zinc transport, however, remain a major knowledge gap. Based on the recent discovery of an enzyme methylating histidine residues in zinc transporters, and drawing on preliminary findings which demonstrate reduced affinity of methylated histidines to zinc, this project aims to identify novel mechanisms regulating zinc homeostasis through histidine methylation. We will examine the regulation and effect of histidine methylation on zinc transport in intestinal cell culture and organoids, and examine how knockout of the methylhistidine-generating enzyme affects the integrity and pathology of the intestinal tract in mouse models. In addition, we will identify reader proteins specifically recognizing methylhistidines and develop anti-methylhistidine antibodies and inhibitors to use as tools for detection, enrichment, and inhibition of histidine methylation. Such tools are urgently needed by the international research community, as none are currently available commercially. Overall, this project will lead to great advances in the field of protein regulation, and may uncover novel mechanisms in intestinal zinc transport and pathology.

Zinc transport regulation through histidine methylation

Noen av oss tåler stressende livshendelser godt. Andre derimot utvikler vedvarende fysiske og psykiske plager som følger av stress. Hvor godt vi håndterer stress avhenger av et komplekst samspill mellom miljøfaktorer, sosiale forhold, biologisk sårbarhet og indre motstandskraft. Forskning på stressreaksjonene til dyr og pasientgrupper som til vanlig lever under mye stress viser at en gruppe signalstoffer i kroppen som aktiverer det samme hjernesystemet som cannabis – endocannabinoidene – kan begrense styrken på stressreaksjoner og bidra til at man raskere kommer seg til hektene. I dette prosjektet skal vi undersøke hvordan mestring av stress på kort og lang sikt henger sammen med nivåer av endocannabinoider i kroppen for å forstå hvorfor noen personer er mer motstandsdyktige mot stress enn andre. I den ene studien følger vi pasienter som skal gjennomgå en stressende, men veldig vanlig, situasjon: kirurgi. Her måler vi pasientenes opplevelse av stress, samt mentale og fysiske helse, fra tiden før til to år etter operasjonen og undersøker hvordan dette henger sammen med nivåene deres av endocannabinoider og andre stresshormoner. I den andre studien bruker vi data fra et eksperiment hvor deltakerne har blitt utsatt for psykososialt stress til å undersøke om endocannabinoidnivået deres påvirker hvordan de reagerer på stress, og om stresset i seg selv kan påvirke kroppens produksjon av endocannabinoider. Til syvende og sist er målet med studien å vurdere hvorvidt målinger av endocannabinoidnivåer kan brukes til å forebygge helseplager og til å evaluere behovet for økt oppfølging etter alvorlig stressende påkjenninger i livet.

In the face of major life stressors, some individuals cope well whereas others develop ill health and long-term adverse outcomes. Predicting who needs additional support in response to major life stressors is essential for targeted prevention and more efficient allocation of resources. The endocannabinoid system is emerging as a promising target for understanding vulnerability and resilience to stress. This system appears to buffer stress in two ways: by limiting the magnitude of the stress response, and by facilitating recovery after a stressful event. While the early findings are intriguing, they mainly stem from studies in rodents and small clinical groups with high stress burden. What role endocannabinoids have more globally for human resilience, health and well-being remains elusive. 

In this project we address this gap by leveraging comprehensive experimental and clinical data on two potent stress models: psychosocial stress and surgery. Drawing on these unique datasets, which combine experimental control with ecological validity, we will decipher how endocannabinoid levels influence people’s stress response and recovery across minutes, days, weeks and years. The project represents a novel directional shift for endocannabinoid research and will (i) determine the value of endocannabinoid levels as a biomarker to predict outcomes after surgery, (ii) quantify sex differences, (iii) assess endocannabinoid interplay with opioid analgesics, sex hormones and other stress markers (iv) spearhead open and reproducible science practices in endocannabinoid research, and (v) make this fine-grained and novel data available through an interactive web application. 

This project represents an ambitious effort to understand endocannabinoids’ role in stress resilience and will determine the value of endocannabinoids as a predictive biomarker and potential target for individualized treatment.

Deciphering endocannabinoid stress buffering in humans: 
Mechanistic and clinical investigations

WHeelchair Activity Monitoring project (WHAM)

Wheelchair users (WCU) are three to five times more inactive than the general population, leading to a high risk of developing preventable secondary conditions. Although physical activity (PA) guidelines have been specifically developed for WCU, we lack systematic approaches to implement them in practice, as well as valid algorithms to monitor PA change in WCU through sensor-based solutions. Accordingly, the overall scientific aim of the WHeelchair Activity Monitoring project (WHAM) is to advance PA research and practice in WCU by developing valid digital markers for monitoring of and providing feedback on PA, paving the way for implementation and intervention. I will accomplish this through combining the complementary research fields of 1) behavioural intervention studies focusing on increasing PA in WCU (core competence University of British Columbia, UBC; outgoing phase) and 2) sensor-based PA monitoring (core competence Norwegian University of Science and Technology, NTNU; returning phase – consolidated by non-academic placement at Maastricht Instruments, which develop research prototypes including PA monitors). WHAM’s scientific aim is achieved through three objectives: 1) Measure the effect of a pragmatic exercise intervention trial on self-reported physical activity levels and cardio-respiratory fitness, 2) Develop valid algorithms for tracking PA markers in WCU, and 3) Co-create a framework that outlines how PA can be conjointly monitored and provided feedback on in WCU. This fellowship will enable me to become established as an internationally recognized researcher in the field of “physical activity and disability”, while bringing together ongoing national disjointed research activities in this field. Altogether, my overall ambition is to contribute to reducing inequalities in daily-life participation among WCU compared to the rest of the population.

BOLD MINDS aspires to enhance the understanding of vulnerability factors underlying the emergence of borderline personality disorder (BPD), with an ultimate aim of increasing the potential for young individuals to receive early, evidence-based help when their mental health is at risk. BOLD MINDS will achieve this by investigating whether disruptions in two aspects of autobiographical memory (AM), narrative identity (NI) and involuntary AM (IAM), are associated with BPD features and problem behaviours in adolescents concurrently and over time. In doing so, BOLD MINDS will strengthen the understanding of mechanisms underlying the emergence of BPD in adolescence and lay a groundwork for developing evidence-based early interventions for BPD. While currently limited, the study of AM in this field is essential for two reasons. Firstly, because the aspects of AM under investigation, NI and IAM, are known to be involved in identity formation and emotion regulation which represent two key psychological processes that are disrupted in adults with BPD and are linked to problem behaviours such as self-harm and suicidality. Secondly, because promising research is emerging on the use of AM targets in the treatment of emotional disorder in adults, and provides a strong model for future treatment development with vulnerable adolescents. In addition, this timely research program aligns with calls from international organizations to prioritize early interventions to promote adolescent mental health. BOLD MINDS will adopt and adapt state-of-the-art ecological momentary assessment and analytical techniques and work at the crossroads of clinical and cognitive psychological perspectives, allowing for a multidimensional approach to understanding BPD vulnerability. Training-through-research and formalized training of the experienced researcher will prepare her for a permanent academic position and the founding of her own research lab specializing in AM and early interventions for BPD.

Borderline Personality Disorder: Memory and Identity in Adolescence

Per- og polyfluorerte stoffer (PFAS) er en stor gruppe menneskeskapte kjemikalier med høyt fluorinnhold som antas å ha negative helseeffekter. Kilder til PFAS kan være produksjon av vann-, varme- og flekkbestandige produkter og disse kjemikaliene er en del av hverdagen vår. PFAS påvirkning av biologiske systemer er ikke fullstendig forstått. Noen PFAS er antatt å øke risikoen for å utvikling av ikke-alkoholisk fettleversykdom (NAFLD) og øke risikoen for diabetes. 

For å forstå hvordan PFAS påvirker organene våre ønsker vi å bruke små laboratoriedyrkede organmodeller, kalt organoider. Disse miniatyrorganene kan dyrkes fra menneskelige stamceller og tilbyr et kontrollert miljø for å studere hvordan PFAS påvirker f.eks lever og bukspyttkjertelen vår, uten bruk av dyreforsøk.

For å studere helseeffekter må vi kunne måle nivået av biomolekyler som fettstoffer i leveren og hormoner i bukspyttkjertelen. Til dette trenger vi å utvikle analytiske verktøy for å måle effektene. Først vil vi bekrefte at når leverorganoidene eksponeres for enkelte PFAS-forbindelser utvikles det NAFLD-lignende sykdom ved å sammenligne den biokjemiske profilen (proteiner og metabolitter) til organoider av lever med PFAS-eksponerte organoider. Deretter vil vi utvide den analytiske verktøykassen for å undersøke hvilke metabolske veier som påvirkes, og om effekten er den samme i NAFLD-induserte og PFAS-eksponerte organoider. Vi vil også eksponere insulinproduserende bukspyttkjertelorganoider for PFAS for å undersøke effekten av PFAS på hormonproduksjon. Når effektene av PFAS-eksponering på lever- og bukspyttkjertel-organoider er etablert, vil organoidene bli samkultivert i en chip, og effektene av PFAS-eksponering vil bli undersøkt og sammenlignet med individuelle organoider.

Persistent organic pollutants (POPs) are believed to contribute to metabolic diseases, such as non-alcoholic fatty liver disease (NAFLD) and type 1 diabetes. HE-POP aims to investigate the effects of per- and polyfluoroalkyl compounds (PFAS), a type of POPs), on organ function in a controlled environment.

Organoids are multicellular laboratory-grown miniature organs, that are grown from stem cells. HE-POP will use organoids to examine how PFAS affects our organs and develop cutting-edge bioanalytical tools and methodology to measure these effects using liquid chromatography-mass spectrometry. HE-POP hypothesizes that PFAS negatively affects organ function, as evidenced by changes in hormone and lipid levels characteristic of NAFLD and type 1 diabetes. 

Organoids offer a controlled environment to study the effects of PFAS on the liver and pancreas, without the use of animal models. HE-POP aims to gain evidence of the negative effects of PFAS on organ function through controlled experiments on organoids and aid in understanding the biological mechanisms underlying NAFLD and type 1 diabetes.

HE-POP has fundaments in UN sustainable development goals, specifically #3, #12, and #14/15, seeking an understanding of diseases with worldwide prevalence, and understanding how POPs affect our life and surroundings and help enable the right regulatory actions and replacement chemicals.

HE-POP: Studying the Health Effects of Persistent Organic Pollutants, Using Mass Spectrometry, Organoids, and Organ-On-A-Chip

Dette prosjektet, kalt Hukommelse for musikk, fokuserer på det økende antallet mennesker over hele verden som lever med demens, spesielt Alzheimer's sykdom (AD). AD starter typisk med hukommelsesproblemer og påvirker etter hvert daglige aktiviteter. Aktive musikkintervensjoner, spesielt sang, har vist positive effekter på humør, atferd og livskvalitet for personer med demens, men deres innvirkning på kognisjon er ikke godt forstått. Prosjektet har som mål å fylle dette kunnskapsgapet ved å studere effektene av å lære nye sanger på kognitiv, atferdsmessig og hjernemessig funksjon.

Studien vil omfatte hjemmeboende voksne over 65 år med AD fra Argentina, Østerrike og Norge. Deltakerne vil gjennomgå 5 måneder med intensiv musikalsk opplæring (to ganger i uken) og 5 måneder med minimal opplæring (en gang i måneden) i tilfeldig rekkefølge, med en to måneders pause imellom. Intervensjonene inkluderer å lære nye sanger med en personlig musikklærer. Generell kognisjon vil bli målt ved bruk av Alzheimer's Disease Assessment Scale - Cognitive (ADAS-cog), og hukommelse for musikk vil bli vurdert gjennom ulike metoder, inkludert atferdsoppgaver og hjerneaktivitet (EEG). Humør vil også bli evaluert i hver økt.

Målet er å inkludere 113 deltakere for å sikre pålitelig påvisning av meningsfulle effekter. Studien vil utforske hvordan humør og hukommelse for musikk bidrar til endringer i kognitive evner, og om disse effektene varierer basert på faktorer som kjønn, alder, AD-stadium, eller tidligere musikalsk opplæring og generell utdanning. Prosjektet vektlegger samarbeid mellom forskere, tjenesteytere og brukere for å sikre studiens relevans og anvendelighet.

The number of people living with dementia is increasing and is high in low, middle, and high-income countries. Alzheimer’s disease (AD), the most common type of dementia, manifests itself initially with cognitive impairment in memory domains, and later affects all activities of daily living. Active music interventions, particularly singing, can help to improve mood, behaviour problems, and quality of life. Too little is known about their effects on cognition, although some promising studies exist. The M4M project aims to fill this gap by measuring effects of learning new songs on clinical, behavioural and brain functioning. Specifically, M4M aims to examine changes in general cognitive functioning and memory for music in non-musician adults with AD undergoing intensive individual musical training based on singing novel songs, compared to minimal training.
        Home-dwelling adults with AD, 65 years or older, in 3 countries (Argentina, Austria, Norway), will receive 5 months of intensive intervention (2x/week) and 5 months of minimal intervention (1x/month), in random order, with a 2-month break in between. Interventions will entail learning new songs with an individual music teacher. At the end of each intervention period, general cognition will be measured with the Alzheimer's Disease Assessment Scale – Cognitive (ADAS-cog) by a person who is unaware of the intervention received. Memory for music will be tested with observations, behavioural tasks, and brain responses (EEG). Mood will be assessed in each session. We aim to include 113 participants; this will help us to reliably detect clinically meaningful effects. We will also examine how mood and memory for music lead to changes in cognitive abilities, and whether effects depend on sex, age, AD stage, or previous musical training or general education. M4M will be conducted in close collaboration between academic researchers, service providers, and service users to ensure relevance and applicability.

Memory for Music: Effects of individual intensive musical training based on singing in non-musicians with Alzheimer’s disease

Klynge for samskapende tjenestedesign og innovasjon

Midlene fra HELSEVEL-Gode og effektive helse-, omsorgs- og velferdstjenester fordelt på år

Midlene fra HELSEVEL-Gode og effektive helse-, omsorgs- og velferdstjenester fordelt på fylker

Midlene fra HELSEVEL-Gode og effektive helse-, omsorgs- og velferdstjenester fordelt på fagområde

Forskningsleder

Cluster for Co-Creative Service Design and Innovation (CCSDI) has during a five-year period been a multidisciplinary and cross-sector network with an overarching goal of exploring, evaluating and documenting co-creative service design as an approach to service innovation. Sub-goals have been: 1) generate knowledge about how service design and co-creation can facilitate innovation processes ensuring quality of established methods and tools, and further develop these to address current needs, and close knowledge gaps 2) disseminate acquired knowledge to relevant stakeholders locally and nationally.

CCSDI has connected different stakeholders: Research and development participants (university, research institute), public healthcare providers (municipal and specialist healthcare), business partners (design-and consulting agencies, technology companies, service providers) and the voluntary sector (user-and interest org.). By connecting stakeholders from different sectors and fields, the cluster has based the activities on research in addition to experience-based knowledge from practice. The involved stakeholders have contributed to with competence- and knowledge development, and to close knowledge gaps.

CCSDI unites co-creation with service design and service innovation, and since its beginning the involved stakeholders have met for annual workshops to work on central themes to explore, document and evaluate how co-creative service design can lead to successful innovations in health. Early in the project, a semi-systematic literature review was carried out, which has been part of the research-based basis for the various themes that the network has worked on. This has been supplemented with experience-based knowledge from practice that the stakeholders have contributed with. Through this process, the cluster have identified knowledge gaps and the need for methods and tools for use in co-creative and/or innovation processes. Through an iterative and co-creative design process, the cluster developed  "the CoReflect Toolkit", which has been evaluated, revised, and redesigned before the final version which now is available. The toolkit is an easy-to-use tool for evaluating co-creative sessions, and focuses both on process-and project progress, with the aim of improving further processes and activities. The purpose is to ensure that innovation processes are more efficient, productive, and desirable for the parties involved. Self- and collaborative reflection and evaluations are central, but underestimated and de-prioritized parts of the design-and innovation process. The CoReflect toolkit addresses this, as an aid for structured and user-friendly feedback.The toolkit is now available to everyone, and is available in English/Norwegian.

More information about The CoReflect Toolkit can be found at the following resources:
Medium.com: https://medium.com/@ccsdi/raising-the-bar-for-co-design-in-healthcare-introducing-the-coreflect-toolkit-5af48462023b
Release of the CoReflect Toolkit: https://www.youtube.com/watch?v=CuJxihxw3VI
The CoReflect Toolkit, evaluating Co-Creative sessions: https://www.youtube.com/watch?v=HwJpDHEWsxs
The Toolkit in PDF: https://www.ccsdi.no/coreflect
Miro template: https://miro.com/miroverse/coreflect-toolkit/

CCSDI has been an important arena for networking and for multidisciplinary project development. Participants from the cluster have developed projects about service innovation in healthcare that have succeeded in obtaining research funding. The cluster has further created a common conference arena and has organized conferences where various stakeholders have met to share knowledge, research and experiences about methods, co-creation and innovation in health. During the project period, CCSDI has organized three attendance-based/hybrid conferences:

2019 Service design in health - how do we co-create the solutions of the future? Attendance-based conference at Doga, Oslo
2020 From crisis to creativity & innovation: how people, healthcare & societies respond to global disruptions, and the impact for future solutions. Hybrid conference, Dokkhuset, Trondheim/digital live streaming
2022 CoReflection – reflections on service design, methods and innovation in health. Hybrid conference, Doga, Oslo/digital live streaming

2022 Digital inspiration day: Design in healthcare
Digital conference, live streaming globally. Organized by CCSDI with invited contributors from:
• Ara Manawa, Auckland City Hospital, New Zealand
• Helix Centre, London, UK
• AHO, Oslo School of Architecture and Design, Norway
• OCAD University Toronto, Canada

In addition, the network has been a driver for improved and strengthened cooperation regarding educational activities at the Universities involved where other cluster participants e.g. have been guest lecurers, they have contributed with topics for master’s thesis, and have had exchange activities. A number of master's students have written their master's thesis or project

Norway faces an increasing demand for health care services and a shortage of personnel. Service innovation, digitalisation and technology introduction may enable the future provision of high quality health care. Many initiatives do however fail as they never pass the project stage. Successfully transforming health care services requires that innovations and approaches are developed drawing on research as well as different perspectives and experiences. Co-design represents an opportunity for involving a variety of actors in jointly exploring and developing innovations and new practices. 

The Cluster for Co-creative Service Design and Innovation (CCSDI) is an interdisciplinary and inter-sectoral cluster established to build up a nationally leading research and development environment addressing the challenges in the area. The cluster brings representatives from the primary and specialist health care and the service design sector together with researchers from service design, ICT, technology management, nursing science and medicine. This composition, supported by international experts, ensures that what is done is based on state of the art research and experiences from practice, closely related to on-going projects, and that findings can be integrated in practice and study programmes, disseminated to practitioners nationally and published internationally. 

Positioned at the intersection of co-design, service design and service innovation, the cluster makes use of an iterative approach modelled on innovation approaches. It involves cluster members in identifying and iteratively working on six key topics in work-groups to explore, document and evaluate how co-creative service design approaches may lead to successful service innovation in health care services. Through this five-year initiative CCSDI aims to develop new knowledge and competence on co-creative research-based service innovation that can help the health care services tackle the challenges they face.

Cluster for Co-creative Service Design and Innovation

NET4MAT - Building knowledge and tools for the sustainable microbial fighting through sensing and responsive polysaccharide-based materials

The worldwide pollution triggered by non-biodegradable plastics requires alternative sustainable/eco-friendly materials for all applications. On the other hand, pathogenic microbial resistance is demanding the development of materials that accurately detect and actuate against pathogenic microorganisms. To exploit an approach that answer both these issues, NET4MAT will bring together experts with complementary skills, building an interdisciplinary and intersectoral consortium between academia/research institutes/industry. NET4MAT network will explore the feasibility of combining microbial sensing lanthanide-glycoclusters and antimicrobial porphyrinoids with biodegradable and biocompatible polysaccharide-based formulations. With UAveiro focused on synthesizing porphyrinoids and processing 3D structures using the functional polysaccharide-based formulations; CSIC dedicated in extruding bionanocomposites; and DTU focused on electrospinning of NET4MAT materials, it will be created knowledge for developing microbial sensing and responsive biodegradable materials. In a complementary way, UCD will be focused on the synthesis of lanthanide-glycoclusters; GINP, pioneers in using nanocarbohydrates as biocomposites fillers, will improve the materials processability; and HUJI will evaluate the materials antimicrobial activity, biodegradability, and biocompatibility. All together with NOFIMA, SPARTHA, BLAFAR, COLFEED, BEEVC, and COMPONIT will define pathways to scale-up/demonstrate the NET4MAT prototypes, generating skills in different interconnected fields. HISEEDTECH will help NET4MAT partners to create value from knowledge through technology entrepreneurship and open innovation. This is a consortium involving early-stage/senior researchers that by sharing know-how will optimize the best strategies for developing microbial sensing/responsive polysaccharide-based materials, raising up a disruptive breakthrough towards on-demand development antimicrobial biodegradable plastics.

Biogas is a renewable energy source that contributes to carbon-neutrality by reducing GHG emissions. An EU-wide climate policy framework supports a circular economy based on biomethane. Yet, biomethane is largely contaminated with CO2 that must be removed. A promising method for biogas upgrading benefits from the use of solid adsorbents, cutting down 40% in sorbent regeneration costs compared to the use of decades-old liquid amine absorbents, which suffers from poor chemical stability and high regeneration energy costs. How can GRACE contribute to the global effort towards the design of future-generation sorbents with improved CO2/CH4 separation? GRACE aims at providing answers to this end by rationale materials’ design that will help to build an atomic-level understanding of intermolecular interactions at the gas-solid interface governing thermodynamic/kinetic phenomena at sorbent surfaces. The scarcity of atomic-scale studies in gas-sorption mechanisms at porous surfaces has hindered further progresses on the synthesis of better CO2-adsorbent materials. This knowledge gap is thus my major motivation. To tackle this challenge, GRACE encompasses 3 main goals: 1) design sustainable periodic mesoporous organosilica (PMO) sorbents; 2) obtain structure-property relationships studying gas-sorbents at the atomic level; 3) test distinct PMO grain shapes for better biogas upgrading under industrially-relevant operating conditions.
My past expertise in materials’ design and multidisciplinary characterization skills will be a valuable asset not only for the synthesis of viable sorbents with favorable properties for CO2/CH4 separation but also for the tandem use of operando TGA-IR, NMR/DNP spectroscopies and gas adsorption to study confined 13C-enriched CO2 species (using pure CO2 or gas mixtures). This equipment is hosted at CICECO-UAVR, an internationally renowned lab that fosters interdisciplinary research and is committed to support the growth of young researchers.

Rationale design of sustainable porous organosilicas for optimal CO2 uptake from biogas

Blueprint for Atlantic-Arctic Agora on cross-sectoral cooperation for restoration of marine and coastal ecosystems and increased climate resilience through transformative innovation

A-AAgora aims to develop the implementable NbS (Nature based Solutions) through  innovative governance structures and technological architecture. It targets to boost resilience to climate change and mitigating its impacts in coastal areas. It identifies synergies by promoting a deliberative process to complement other priority areas within the EC Mission - by setting a Community of Practice and developing a digital knowledge system. It develops NbS at three replicable demonstrators (Demo-PT, Demo-IE, Demo-NO), which can upscaled. The project seeks improved public engagement and enhanced decision-making processes at different political levels based on scientific knowledge and targeted social and economic awareness, using an EBM approach. It builds on the successful implementation of NbS at the Demo’s to which the necessary socio-technological tools will be produced as required for a realistic EBM planning cycle (up to TRL/SRL 7). The Living Lab concept will foster the exchange synergies at multiple scales between researchers and users, decision-makers and local communities, industry and SMEs. A-AAgora will demonstrate that restoration of aquatic ecosystems is possible at a large scale through reduction of pressures, EBM, and effective NbS including blue reforestation to boost coastal resilience to climate change impacts. As well, the A-AAgora will make the most of cross-Mission synergies, by targeting marine ecosystem restoration in coastal communities particularly vulnerable to the risks of sea level rise that urgently need to adapt to ensure their population and infrastructure are safe, climate-proof and weather-resilient. The design of innovative architecture, enabling interoperability with other systems and will also foster a more ‘digital ocean’.

The need to develop and use products made out of residues or sub-products from industry is creating pressure over fields where more traditional, linear economy concepts prevail. In this project we address one important stage of the life cycle of products, particularly trying to extend its service life, thereby contributing for advances towards circular economy via increase in durability of materials and use of greener materials. In particular, this proposal addresses the problem of protection and monitoring of corrosion of metallic substrates used in different applications. Structured in previous experience with a recently finished MSCA-RISE project SMARCOAT (ref. 645662, 2015-2018), this project aims at developing eco-friendly multifunctional coatings with capacity to protect and detect corrosion based on different mechanisms combining nanostructured inhibiting and sensing additives. Two types of coating systems are intended to be developed, one for temporary protection during storage and transportation based on biodegradable materials and another on thermosetting polymers obtained using raw materials from sustainable sources. A relevant part of this project includes the study of fate and ecotoxicity of different coating components and Life cycle analysis, which will be equaled as a figure of merit with performance factors to select the most promising systems and launch demonstrators for standard and field tests.

0 projects

MSCA-Marie Sklodowska-Curie Actions (MSCA)

NET4MAT - Building knowledge and tools for the sustainable microbial fighting through sensing and responsive polysaccharide-based materials

Awarded: NOK 0.33 mill.

Project Period: 2024-2027

Location: Troms - Romsa - Tromssa

WIDENING-Widening participation and spreading excellence

Rationale design of sustainable porous organosilicas for optimal CO2 uptake from biogas

Awarded: Hidden

Project Period: 2023-2025

Location: Trøndelag - Trööndelage

CL6-Food, Bioeconomy Natural Resources, Agriculture and Environment

Blueprint for Atlantic-Arctic Agora on cross-sectoral cooperation for restoration of marine and coastal ecosystems and increased climate resilience through transformative innovation

Awarded: NOK 19.8 mill.

Project Period: 2022-2026

Location: Troms - Romsa - Tromssa og 5 andre

H20-MSCA-Marie Sklodowska-Curie actions

Eco-friendly corrosion protective coatings based on smart nanotechnology platforms for a circular economy

Awarded: NOK 0.25 mill.

Project Period: 2021-2025

Location: Trøndelag - Trööndelage