Reaudit of Acute Asthma Admissions Using a Severity Marker Stamp and Determinants of an Outcome Measure

1997 ◽  
Vol 42 (2) ◽  
pp. 49-52 ◽  
Author(s):  
R. Mathur ◽  
R.A. Clark ◽  
D.P. Dhillon ◽  
J.H. Winter ◽  
B.J. Lipworth

Subsequent to the implementation of a severity marker stamp in case notes, an audit was performed in 86 admissions with acute asthma to a specialist centre over a 12 month period. Compared to previous audit the documentation of severity markers was significantly better (PEFR: 52% vs 83%p=0.001, Respiratory rate: 44% vs 81%p=0.001, ABG: 72% vs 80%p=0.04, air entry: 58% vs 86%p=0.001, speech: 27% vs 86%p=0.001, exhaustion: 4% vs 86%p=0.001). In contrast to the previous audit where no patient received Fi02 >0.35, 66% of the cases in the repeat audit received Fi02 0.60 (p=0.001). The mean duration of admission was five days and showed highest partial correlation (r=0.6) to the time in hours for the pulse to fall to 80/min. Multiple linear regression showed that this was the only variable best predicting the duration of admission (R2=0.3). Admission pulse rate (p=0.04) andserum K+(p=0.04) best discriminated between patients admitted for over and under five days. Logistic regression identified only the admission pulse as significant in calculating the odds of the patient staying in the hospital for >5 days.

2020 ◽  
Author(s):  
Akram Kahforoushan ◽  
Shirin Hasanpour ◽  
Mojgan Mirghafourvand

Abstract BackgroundLate preterm infants suffer from many short-term and long-term problems after birth. The key factor in fighting these problems is effective breastfeeding. The present study aimedto determine the breastfeeding self-efficacy and its relationship with the perceived stress and breastfeeding performance in mothers with late preterm infants. MethodsIn this prospective study, 171 nursing mothers with late preterm infants born in Alzahra Medical Center of Tabriz, Iran, who met the conditions of this study were selected through convenience sampling. The Breastfeeding Self-Efficacy Scale-Short Form (BSES- SF) was employed to measure breastfeeding self-efficacy and 14-item Perceived Stress Scale (PSS14) was used to measure the perceived stress during 24 hours after giving birth and when the child was 4 months old the breastfeeding performance was measured by the standard breastfeeding performance questionnaire. The data were analyzed by Pearson and Spearman’s correlation tests, independent t-test, one-way ANOVA, and Multiple Linear Regression.ResultsThe mean (standard deviation) of breastfeeding self-efficacy equaled 50.0 (7.8) from the scores ranging between13-65 and the mean (standard deviation) of the perceived stress equaled to 26.5 (8.8) from the scores ranging between 0-56. The median (25-75 percentiles) of breastfeeding performance score in the mothers equaled 2.0 (1.0 to 3.0) from the scores ranging between 0-6. On the basis of multiple linear regression and through adjusting the personal-social characteristic, by increasing the score of the breastfeeding self-efficacy, the perceived stress was decreased to a statistically significant amount (B=-0.1, 95%CI=-0.3 to 0.0), however, there was no statistically significant relationship between breastfeeding self-efficacy and breastfeeding performance (p=0.418). ConclusionDue to the modifiable variability of breastfeeding self-efficacy and its role in perceived maternal stress, the development of appropriate strategies to further increase breastfeeding self-efficacy and provide more support to these mothers and infants is of particular importance.


2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Guanghao Sun ◽  
Takemi Matsui ◽  
Yasuyuki Watai ◽  
Seokjin Kim ◽  
Tetsuo Kirimoto ◽  
...  

Consistent vital sign monitoring is critically important for early detection of clinical deterioration of patients in hospital settings. Mostly, nurses routinely measure and document the primary vital signs of all patients 2‐3 times daily to assess their condition. To reduce nurse workload and thereby improve quality of patient care, a smart vital sign monitor named “Vital‐SCOPE” for simultaneous measurement of vital signs was developed. Vital-SCOPE consists of multiple sensors, including a reflective photo sensor, thermopile, and medical radar, to be used in simultaneous pulse rate, respiratory rate, and body temperature monitoring within 10 s. It was tested in laboratory and hospital settings. Bland-Altman and Pearson’s correlation analyses were used to compare the Vital-SCOPE results to those of reference measurements. The mean difference of the respiratory rate between respiratory effort belt and Vital-SCOPE was 0.47 breaths per minute with the 95% limit of agreement ranging from −7.4 to 6.5 breaths per minute. The Pearson’s correlation coefficient was 0.63 (P<0.05). Moreover, the mean difference of the pulse rate between electrocardiogram and Vital-SCOPE was 3.4 beats per minute with the 95% limit of agreement ranging from −13 to 5.8 beats per minute; the Pearson’s correlation coefficient was 0.91 (P<0.01), indicating strong linear relationship.


2019 ◽  
Vol 11 (14) ◽  
pp. 216 ◽  
Author(s):  
Bruno V. C. Guimarães ◽  
Sérgio L. R. Donato ◽  
Ignacio Aspiazú ◽  
Alcinei M. Azevedo ◽  
Abner J. de Carvalho

Behavior analysis and plant expression are the answers the researcher needs to construct predictive models that minimize the effects of the uncertainties of field production. The objective of this study was to compare the simple and multiple linear regression methods and the artificial neural networks to allow the maximum security in the prediction of harvest in &lsquo;Gigante&rsquo; cactus pear. The uniformity test was conducted at the Federal Institute of Bahia, Campus Guanambi, Bahia, Brazil, coordinates 14&deg;13&prime;30&Prime; S, 42&deg;46&prime;53&Prime; W and altitude of 525 m. At 930 days after planting, we evaluated 384 basic units, in which were measured the following variables: plant height (PH); cladode length (CL), width (CW) and thickness (CT); cladode number (CN); total cladode area (TCA); cladode area (CA) and cladode yield (Y). For the comparison between the artificial neural networks (ANN) and regression models (single and multiple-SLR and MLR), we considered the mean prediction error (MPE), the mean quadratic error (MQE), the mean square of deviation (MSD) and the coefficient of determination (R2).The values estimated by the ANN 7-5-1 showed the best proximity to the data obtained in field conditions, followed by ANN 6-2-1, MLR (TCA and CT), SLR (TCA) and SLR (CN). In this way, the ANN models with the topologies 7-2-1 and 6-2-1, MLR with the variables total cladode area and cladode thickness and SLR with the isolated descriptors total cladode area and cladode number, explain 85.1; 81.5; 76.3; 74.09 and 65.87%, respectively, of the yield variation. The ANNs were more efficient at predicting the yield of the &lsquo;Gigante&rsquo; cactus pear when compared to the simple and multiple linear regression models.


2021 ◽  
Author(s):  
Jun Wang ◽  
Xin Ye ◽  
Xiangjun She ◽  
Jiahao Xu ◽  
Yiqi Chen ◽  
...  

Abstract Background: The pathogenesis of myopia has been found to be associated with the blood supply of the choroid. This study aimed to determine the relationship between distribution pattern of the choroidal remodeling and the degree of myopia in young patients.Methods: Young patients (age < 18 years) with spherical equivalent of less than -12 diopters (D) were included. Spectral-domain optical coherence tomography (SD-OCT) with enhanced depth imaging (EDI) modality was used to measure the choroidal thickness (CT) and choroidal vascularity index (CVI) in the macular regions. CVI was calculated as the proportion of luminal area to choroidal area and was measured within 1 mm and 3 mm nasal (N1 and N3), temporal (T1 and T3), superior (S1 and S3), and inferior (I1 and I3) to the foveal center. CT and CVI were compared across different ages (i.e., 5~9 years, 10~13 years, and 14~18 years), axial lengths (ALs) (i.e., 21.00~25.00mm and 25.01~29.00mm), and spherical equivalents (SEs) (i.e., SE>-0.5D, -0.5~-3.0D, -3.01~-6.0D, and <-6.0D). Multiple linear regression was applied to examine the associations amongst age, AL, SE, and CVI of different locations.Results: 164 of 172 eyes from 85 volunteers were included. The mean CT in the central foveal was 269.87 ± 63.32µm (ranging from 93.00µm to 443.00µm). The mean sub foveal-CVI was 67.66 ± 2.40% (ranging from 57.84% to 79.60%). Multiple linear regression results revealed significant correlations between SE and T1-CVI (p < 0.05, r2= 0.082, β= 0.194), N1-CVI (p < 0.05, r2= 0.039, β= 0.212). Simple linear regression results revealed that T1-CVI (p < 0.05, r2 = 0.09) and T3-CVI (p < 0.05, r2 = 0.05) were negatively correlated with SE; N1-CVI (p < 0.05, r2 = 0.05) and N3-CVI (p < 0.05, r2 = 0.04) were negatively correlated with SE. Conclusions and Relevance: CVI in the horizontal meridian underwent the largest change as myopia worsened. Temporal and nasal CVIs within the r =1mm and r=3mm sub foveal range were positively associated with degree of myopia in young patients. The CVI value may be used to assess the vascular status of the choroid and be a potential marker of myopic progression.


Author(s):  
O. G. Obadina ◽  
Adedayo Funmi Adedotuun ◽  
O. A. Odusanya

The goal of this research is to compare multiple linear regression coefficient estimations with multicollinearity. In order to quantify the effectiveness of estimations by the mean of average mean square error, the ordinary least squares technique (OLS), modified ridge regression method (MRR), and generalized Liu-Kejian method (LKM) are compared (AMSE). For this study, the simulation scenarios are 3 and 5 independent variables with zero mean normally distributed random error of variance 1, 5, and 10, three correlation coefficient levels; i.e., low (0.2), medium (0.5), and high (0.8) are determined for independent variables, and all combinations are performed with sample sizes 15, 55, and 95 by Monte Carlo simulation technique for 1,000 times in total. As the sample size rose, the AMSE decreased. The MRR and LKM both outperformed the LSM. At random error of variance 10, the MRR is the most suitable for all circumstances.


2013 ◽  
Vol 31 (4_suppl) ◽  
pp. 77-77
Author(s):  
Joshua E. Meyer ◽  
Alan Thomay ◽  
Karen J. Ruth ◽  
Talha Shaikh ◽  
Andre A. Konski ◽  
...  

77 Background: EC is often treated with CRT followed by E. E is typically performed 6 weeks after completion of CRT, but the optimal timing is unknown. Previous work has shown that a longer time interval (TI) between CRT and E resulted in a higher percentage of patients (pts) with pathologic complete response. This study was undertaken to determine whether this improved response comes at the expense of increased surgical Cx. Methods: Complete records were available for 85 pts who underwent CRT and subsequent E at a single academic center from 2001-2011. Surgical Cx were collected. Univariable and multivariable analyses were performed to investigate the association between length of TI from CRT to E and Cx, adjusting for age, gender, and surgery type. Multiple linear regression was performed to examine the association of length of stay (LOS) and estimated blood loss (EBL) with TI, adjusting for covariates. Results: Of 85 patients, 72 were male and the histology was adenocarcinoma in 72. The median age was 61 (range: 36-80), the most common clinical stage was T3N1 and 60% of pts had ECOG performance status of 1 (range 0-2). The median length of CRT (most commonly Cisplatin, 5FU and 50.4 Gy) was 37 days and median TI from initiation of CRT to E was 89 days (range: 64-242). 59 pts (69%) experienced at least 1 complication. The mean TIs for pts with and without Cx were 97 and 87 days (P=0.019). When specific Cx were examined, the mean TI for pulmonary Cx was greater (107 v. 89 days; P=0.018). Patients experiencing anastamotic leaks had shorter mean TIs (83 v. 96 days; P=0.022). Multiple linear regression showed a positive association between LOS and TI (p=0.0027) but none with EBL. On multivariable analysis, increased TI predicted for pulmonary complications (OR 1.05, P=0.0061) and LOS (OR 1.03, P=0.033). Increased TI predicted for decreased risk of anastamotic leak (OR 0.94, P=0.063). Conclusions: In this retrospective data set, we demonstrated an association between longer TI from CRT to E and pulmonary toxicity in EC pts. Longer TI was also associated with increased LOS. In contrast, anastamotic leaks were associated with shorter TIs. These data suggest TI from CRT to E may impact the risk of Cx.


2021 ◽  
Vol 88 (6) ◽  
pp. 933-941
Author(s):  
V. L. Vesnin

The article presents the results of studies of infrared absorption spectra of saturated vapors of alcohols and alcohol-containing mixtures in the range of 1.3—1.5 μm. A method was developed for the quantitative determination of the composition of water-alcohol mixtures based on the use of multiple linear regression, and a range of methanol concentrations was determined, in which the nonlinearity of the dependence of the concentration of alcohols in saturated vapors over a liquid mixture on the concentration of alcohols in this liquid mixture does not significantly affect the results of analysis of the mixture composition. A method for optimizing a set of wavelengths for multiple linear regression, based on minimizing the mean-square error in determining the concentration is proposed and implemented. The developed methods make it possible to determine the presence of small (<1%) amounts of methanol against the background of large amounts of ethanol and water using relatively inexpensive and accessible spectroscopic equipment.


2000 ◽  
Vol 78 (11) ◽  
pp. 1972-1979 ◽  
Author(s):  
William D Boyett ◽  
Mark J Endries ◽  
Gregory H Adler

We studied the distributions and colonization-extinction dynamics of five species of opossums (Didelphis marsupialis, Marmosa robinsoni, Philander opossum, Caluromys derbianus, and Metachirus nudicaudatus) on 12 small islands in Gatun Lake in central Panama. Opossums were censused by monthly livetrapping from 1991 (eight islands) or 1993 (four islands) through 1995. We recorded 75 colonizations over the course of the study. Didelphis marsupialis was the most frequent colonizer and accounted for 56% of all colonizations recorded. However, only four D. marsupialis populations that reproduced successfully resulted from these colonizations, and most populations went extinct. Marmosa robinsoni and P. opossum also frequently colonized these islands but rarely established successful populations. Multiple linear regression was used to relate the mean numbers of colonizations and population establishments per year and mean and standardized persistence times of all five species of opossums to island size and isolation. These four dependent variables were not related to island area or isolation distance. This system, characterized by frequent colonizations and extinctions, fit the mainland-island metapopulation model, and nearby mainland areas that maintained persistent populations of all five species provided colonists to the small islands.


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