Disputas – cand.med. Juan Carlos Aviles Solis (streames)

På grunn av koronautbruddet er auditoriet stengt for publikum. Disputasen vil i stedet bli streamet. Trykk her.

The auditorium will be closed to the public because of the corona outbreak. The defence will be streamed. Click here.

Lenke til avhandlingen trykk her. 

Populærvitenskapelig sammendrag av avhandlingen:

The stethoscope is a well-known diagnostic tool and a symbol of medicine. However, we lack strong evidence to support its use. Therefore we recorded lung sounds from 4033 participants attending the 7th survey of the Tromsø study and compared it to information on symptoms, lung disease, and lung function. We observed that 18 % of the participants had wheezes and 13% had crackles. Age, female sex, asthma, and current smoking predicted the presence of wheezes. Crackles were associated with age, current smoking, low blood oxygen saturation and diminished lung function. 

We also wanted to know how much doctors agree with each other when they classify the same lung sounds.  We asked 28 doctors to classify 120 lung sounds. The agreement for crackles was between 65% and 87%, and for wheezes between 69% and 100%. We also tested if this agreement could improve with the use of visual representation of sounds in the form of spectrograms. We asked 23 medicine students to classify 30 lung sounds with and without the use of spectrograms and measured their agreement with each other and with experts. The results showed that the agreement was better when the students used spectrograms.

Veiledere
Hovedveileder Hasse Melbye, Institutt for samfunnsmedisin, Det helsevitenskapelige fakultet, UiT Norges arktiske universitet

Bedømmelseskomité
Associate Professor Tjard Schemer, Radboud university medical center, Nederland - 1. opponent

Professor Sigurd Steinsheim, NTNU – 2.opponent

Professor Gro Rosvold Berntsen, Institutt for samfunnsmedisin, UiT Norges arktiske universitet – leder av komité

Disputasleder: Professor Mette Beck Risør, Institutt for samfunnsmedisin, Det helsevitenskapelige fakultet, UiT Norges arktiske universitet

Prøveforelesning over oppgitt emne holdes kl. 10.15, samme sted:

«What does lung auscultation add to case history and clinical examination for the GP and the specialist? Present and future perspectives