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Ettersom flere mennesker lever lenger, trenger vi flere helsetjenester, spesielt for akutte helseproblemer. Dette legger mye press på helsesystemet vårt, som inkluderer hjemmeomsorg, sykehjem, lokale klinikker og sykehus. For å sikre at vi kan ta vare på alle i fremtiden, må vi finne måter å hjelpe eldre mennesker med å holde seg sunne og unngå å trenge mye omsorg.
PAI-prosjektet jobber med dette problemet. Prosjektet bruker kunstig intelligens (KI) for å forutsi hvilken type omsorg eldre mennesker kan trenge ved å se på helsedata. Ved å oppdage helseproblemer tidlig, kan vi ta skritt for å forhindre at de blir verre. Dette kan bety at vi forhindrer fall i sykehjem eller endrer en persons medisinering på deres lokale klinikk. Dette bidrar til å unngå sykehusopphold, som kan være dyre og stressende.
Imidlertid er det vanskelig å forutsi helsebehov fordi dataene vi har kan variere mye. Det kan være forskjellig avhengig av hvor personen bor, og hvilke helseproblemer de har. For å håndtere dette, jobber PAI-prosjektet med mennesker som mottar omsorg og helsearbeidere for å utvikle KI-verktøy. Prosjektet tester disse verktøyene i virkelige situasjoner i Spania, Sverige og Norge.
Prosjektet bruker en blanding av metoder for å samle inn og analysere data. Dette inkluderer både tall (kvantitative data) og folks erfaringer og meninger (kvalitative data). Målet er å hjelpe eldre mennesker ved å gi dem riktig omsorg til rett tid, forhindre at skader og sykdommer blir verre. Det hjelper også helsearbeidere ved å sørge for at ressursene brukes effektivt og skaper et godt arbeidsmiljø. Løsningene de finner kan brukes på mange forskjellige steder.

As the population ages, the demand for healthcare services increases, including acute care. This puts a strain on healthcare resources, making efficient care management crucial at all levels - home, nursing homes, primary care, and hospitals.
The PAI project aims to address this challenge by using artificial intelligence (AI) to predict the care needs of older individuals. By analyzing patient monitoring data, the project can detect early signs of health or functional decline. This allows for preventive measures to be taken, reducing the need for costly acute care and aftercare. For example, hospitalizations can be prevented by avoiding falls in nursing homes or adjusting medication in primary care.
However, predicting the care needs of older patients is not straightforward. It involves dealing with varying data availability, quality, and potential interventions across different care levels and diagnoses. To tackle this, the PAI project uses a design science approach and a multiple case study design. It develops analytics in collaboration with care recipients and healthcare practitioners and implements them in real-life settings in Spain, Sweden, and Norway.
The project uses a mixed-methods strategy for data collection and analysis, combining quantitative and qualitative elements. This includes the thematic interpretative analysis of meeting notes, interviews, and observations, as well as the statistical longitudinal trend analysis of Key Performance Indicators in the respective healthcare systems.
The benefits of the PAI project are twofold. Older individuals receive adequate early care, preventing injuries and the worsening of diseases. Healthcare staff can use their resources more effectively, creating a sustainable and satisfying work environment. The outcomes of the project are scalable and can be applied in various contexts, making it a valuable contribution to the future of European healthcare.

Predicting Care Needs of Older Adults in the Healthcare System through AI-enabled Analysis of Patient-Monitoring Data

mSpider: a universal “digital adaptor” to extract physical activity and health data from wearable sensors

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

Commercialisation of a beast cancer detection model developed for BreastScreen Norway

Developing Gene Therapy for Brain Diseases

Exploring ebselen Derivatives for Parkinson's Disease Therapy

Forecasting of bipolar episodes

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

OpenAR - Rammeverk for utvidet virkelighet i avanserte maritime operasjoner

Midlene fra MAROFF-2-Maritim virksomhet og offshore operasjoner 2 fordelt på år

Midlene fra MAROFF-2-Maritim virksomhet og offshore operasjoner 2 fordelt på fylker

Midlene fra MAROFF-2-Maritim virksomhet og offshore operasjoner 2 fordelt på fagområde

Professor

Augmented reality technology (AR), makes it possible to enter digital information into your physical environment using digital glasses or information overlays over video. In maritime operations, a user must control advanced equipment at the same time as he or she monitors what is happening outside the ship's bridge. It is likely that AR technology can make such operations safer by reducing the time a user needs to look away from their environment to use digital systems. 

AR is developing rapidly, but the technology is still immature in the maritime sector and there is a lack of knowledge about how AR can be safely used by industry. To solve this problem, we are exploring how to develop user-friendly, secure and efficient AR support for advanced maritime operations. 

OpenAR has established infrastructure to design augmented reality user interfaces on a distributed platform for VR collaboration. The platform is based on results from the OpenVR research project. The platform has been expanded to make it possible to connect 2D design tools directly to display surfaces in a VR representation of maritime operations. We have established a VR twin of several ships where we can sketch AR interfaces in many workplaces. An AR navigation demonstrator has also been established which has been tested on a ship. 

During the project OpenAR released the first open-source design guideline for AR supported navigation. It has been released as an extension of the OpenBridge maritime design guideline, which is in use all over the world. The guidelines have already been taken up by industry and are currently used in development for video overlays in remote operation centers, head up displays, projected displays on ships windows and video overlays on ships. The current solutions cover navigation. Further releases will cover support for maneuvering.

Augmented reality (AR) can reduce risk and improve efficiency in advanced maritime operation (AMO) workplaces by superimposing relevant numerical and graphical information on a mariner’s field of view using head-mounted displays (HMD). However, due to the lack of frameworks for adapting AR technology to the maritime context and specific industrial requirements and regulations, the full potential of AR has not yet been realised. OpenAR is a collaboration project that will improve this situation by delivering open source design frameworks for the realization of AR applications in AMO. To achieve this, it is necessary to implement a user-centred, field-driven, iterative and open research strategy with specific, world class industrial and academic partners. OpenAR brings together operators Equinor and Technip FMC (FMC Kongsberg Subsea AS); ship and ship system designers Vard Electro, Blue CTRL and Kongsberg Maritime, regulatory bodies Norwegian Coastal Administration and Norwegian Maritime Authority, and academic AR and operation specialists The Oslo School of Architecture and Design, University of South East Norway and University of Bergen. OpenAR will expand the OpenBridge design system with AR-based user interface (UI) components that are compatible with traditional screen-based UIs. In doing so, OpenAR will benefit from, and build upon OpenBridge´s innovation community composed of more than 250 organisations to accelerate technology exploration, prototype generation and evaluation, and regulatory development. As a result, OpenAR will develop significant knowledge and build research competences to address the following critical challenges: (1) digitalization of the maritime industry, (2) improving safety at sea, (3) generating cost-effective, new opportunities in the ocean industries, (4) supporting the safe and efficient design of autonomous and semi-autonomous systems and their future workplaces.

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