scholarly journals The Influence of Latino Symptom Experience on Participation in Usual Activities and Satisfaction With Participation in Social Roles

2018 ◽  
Vol 16 (3) ◽  
pp. 134-144 ◽  
Author(s):  
Theresa A. Koleck ◽  
Niurka Suero-Tejeda ◽  
Suzanne Bakken
Keyword(s):  
Linear Regression ◽  
Multiple Linear Regression ◽  
Social Roles ◽  
Outcome Measurement ◽  
Secondary Analysis ◽  
Community Setting ◽  
Patient Reported Outcome ◽  
Symptom Experience ◽  
Linear Regression Models ◽  
Patient Reported

Introduction: Little is known about the Latino symptom experience and how symptoms influence participation in usual activities and satisfaction with participation in social roles. Method: Secondary analysis of survey data collected in community and clinic settings was conducted. Data were collected using Health-Related Quality of Life 30-day items and Patient Reported Outcome Measurement System symptom status scales. Descriptive statistics and univariate linear and multiple linear regression models were computed. Results: Participants ( N = 2,974) were primarily female and Dominican. Most surveys were completed in Spanish and in the community setting; and the clinic sample had more symptoms. In the multiple linear regression for participation in usual activities, as the number of days with symptoms increased, the number of days that poor physical or mental health influenced participation in usual activities increased. In addition, for satisfaction with participation in social roles, as the number of days with pain and levels of depression and anxiety increased, the levels of satisfaction decreased. Spanish survey administration was associated with decreased levels of satisfaction; and recruitment setting was not a significant predictor. Conclusion: The study addressed multiple knowledge gaps about the Latino symptom experience.

scholarly journals Heart rate variability and psychosocial symptoms in adolescents and young adults with cancer

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0259385
Author(s):  
Mallory R. Taylor ◽  
Michelle M. Garrison ◽  
Abby R. Rosenberg
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Young Adults ◽  
Linear Regression ◽  
Regression Models ◽  
Secondary Analysis ◽  
Adolescents And Young Adults ◽  
Linear Regression Models ◽  
Common Diagnosis ◽  
Patient Reported

Background Heart Rate Variability (HRV) is a valid, scalable biomarker of stress. We aimed to examine associations between HRV and psychosocial outcomes in adolescents and young adults (AYAs) with cancer. Methods This was a secondary analysis of baseline data from a randomized trial testing a resilience intervention in AYAs with cancer. Two widely used HRV metrics, the standard deviation of normal to normal beats (SDNN) and root mean square of successive differences (RMSSD), were derived from electrocardiograms. Patient-reported outcome (PRO) survey measures included quality of life, anxiety, depression, distress, and resilience. Linear regression models were used to test associations between HRV and PRO scores. The Wilcoxon rank sum test was used to test differences in median HRV values among participant subgroups. Results Among the n = 76 patients with available electrocardiograms, the mean age was 16 years (SD 3y), 63% were white, and leukemia/lymphoma was the most common diagnosis. Compared to healthy adolescents, AYAs with cancer had lower median HRV (SDNN [Females: 31.9 (12.8–50.7) vs 66.4 (46.0–86.8), p<0.01; Males: 29.9 (11.5–47.9) vs 63.2 (48.4–84.6), p<0.01]; RMSSD [Females: 28.2 (11.1–45.5) vs 69.0 (49.1–99.6), p<0.01; Males: 27.9 (8.6–48.6) vs 58.7 (44.8–88.2), p<0.01]). There was no statistically significant association between PRO measures and SDNN or RMSSD in either an unadjusted or adjusted linear regression models. Conclusion In this secondary analysis, we did not find an association between HRV and psychosocial PROs among AYAs with cancer. HRV measures were lower than for healthy adolescents. Larger prospective studies in AYA biopsychosocial research are needed.

Análise da relação entre O3, NO e NO2 usando técnicas de regressão linear múltipla.

GEOgraphia ◽  
2018 ◽  
Vol 20 (43) ◽  
pp. 124
Author(s):  
Amaury De Souza ◽  
Priscilla V Ikefuti ◽  
Ana Paula Garcia ◽  
Debora A.S Santos ◽  
Soetania Oliveira
Keyword(s):  
Time Series ◽  
Linear Regression ◽  
Nitrogen Dioxide ◽  
Multiple Linear Regression ◽  
Quality Parameters ◽  
Environmental Pollutant ◽  
Environmental Research ◽  
Linear Regression Models ◽  
Mato Grosso ◽  
The Impact

Análise e previsão de parâmetros de qualidade do ar são tópicos importantes da pesquisa atmosférica e ambiental atual, devido ao impacto causado pela poluição do ar na saúde humana. Este estudo examina a transformação do dióxido de nitrogênio (NO2) em ozônio (O3) no ambiente urbano, usando o diagrama de séries temporais. Foram utilizados dados de concentração de poluentes ambientais e variáveis meteorológicas para prever a concentração de O3 na atmosfera. Foi testado o emprego de modelos de regressão linear múltipla como ferramenta para a predição da concentração de O3. Os resultados indicam que o valor da temperatura e a presença de NO2 influenciam na concentração de O3 em Campo Grande, capital do Estado do Mato Grosso do Sul. Palavras-chave: Ozônio. Dióxido de nitrogênio. Séries cronológicas. Regressões. ANALYSIS OF THE RELATIONSHIP BETWEEN O3, NO AND NO2 USING MULTIPLE LINEAR REGRESSION TECHNIQUES.Abstract: Analysis and prediction of air quality parameters are important topics of current atmospheric and environmental research due to the impact caused by air pollution on human health. This study examines the transformation of nitrogen dioxide (NO2) into ozone (O3) in the urban environment, using the time series diagram. Environmental pollutant concentration and meteorological variables were used to predict the O3 concentration in the atmosphere. The use of multiple linear regression models was tested as a tool to predict O3 concentration. The results indicate that the temperature value and the presence of NO2 influence the O3 concentration in Campo Grande, capital of the State of Mato Grosso do Sul.Keywords: Ozone. Nitrogen dioxide. Time series. Regressions. ANÁLISIS DE LA RELACIÓN ENTRE O3, NO Y NO2 UTILIZANDO MÚLTIPLES TÉCNICAS DE REGRESIÓN LINEAL.Resumen: Análisis y previsión de los parámetros de calidad del aire son temas importantes de la actual investigación de la atmósfera y el medio ambiente, debido al impacto de la contaminación atmosférica sobre la salud humana. Este estudio examina la transformación del dióxido de nitrógeno (NO2) en ozono (O3) en el entorno urbano, utilizando el diagrama de series de tiempo. Las concentraciones de los contaminantes ambientales de datos y variables climáticas fueron utilizadas para predecir la concentración de O3 en la atmósfera. El uso de múltiples modelos de regresión lineal como herramienta para predecir la concentración de O3 se puso a prueba. Los resultados indican que el valor de la temperatura y la presencia de NO2 influyen en la concentración de O3 en Campo Grande, capital del Estado de Mato Grosso do Sul.Palabras clave: Ozono. Dióxido de nitrógeno. Series de tiempo. Regresiones.

scholarly journals Understanding the patient experience in hepatocellular carcinoma: a qualitative patient interview study

2021 ◽  
Author(s):  
Nikunj Patel ◽  
Joshua Maher ◽  
Xandra Lie ◽  
Chad Gwaltney ◽  
Afsaneh Barzi ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Drug Development ◽  
Conceptual Model ◽  
Patient Experience ◽  
Outcome Measurement ◽  
Qualitative Interviews ◽  
Patient Reported Outcome ◽  
Weight Changes ◽  
Patient Reported ◽  
Pro Instruments

Abstract Purpose This study aimed to elucidate the patient experience of hepatocellular carcinoma (HCC) to guide patient-centered outcome measurement in drug development. Methods Patients with HCC participated in qualitative interviews to elicit disease-related signs/symptoms and impacts, using discussion guides developed from literature searches and discussions with oncologists. Interview participants rated the disturbance of their experiences (0–10 scale). A conceptual model was developed and mapped against patient-reported outcome (PRO) instruments identified from database reviews. Results Interviews were conducted with 25 individuals with HCC (68% were men; median age: 63 years; 12% Barcelona clinic liver cancer (BCLC) stage A; 32% stage B; and 56% stage C) in the USA. Fifty-one HCC-related concepts were identified from the interviews and were grouped into eight sign/symptom categories (eating behavior/weight changes; extremities [arms, legs]; fatigue and strength; gastrointestinal; pain; sensory; skin; other) and four impact categories (emotional; physical; cognitive function; other) for the conceptual model. The most prevalent and disturbing experiences across the disease stages were fatigue/lack of energy and emotional impacts such as frustration, fear, and depression. Abdominal pain and skin-related issues were particularly common and disturbing in individuals with HCC stage C. The EORTC QLQ-C30 and HCC18 were identified as commonly used PRO instruments in HCC studies and captured the relevant signs/symptoms associated with the patient experience. Conclusion Patients with HCC reported a range of signs/symptoms and impacts that negatively affect daily functioning and quality of life. Including PRO measures in HCC clinical trials can provide meaningful patient perspectives during drug development.

scholarly journals Isotonic quadriceps endurance is better associated with daily physical activity than quadriceps strength and power in COPD: an international multicentre cross-sectional trial

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Erik Frykholm ◽  
Sarah Gephine ◽  
Didier Saey ◽  
Arthur Lemson ◽  
Peter Klijn ◽  
...  
Keyword(s):  
Physical Activity ◽  
Linear Regression ◽  
Multiple Linear Regression ◽  
Regression Models ◽  
Sedentary Time ◽  
Quadriceps Strength ◽  
Linear Regression Models ◽  
Cross Sectional ◽  
Quadriceps Function ◽  
Multiple Linear Regression Models

AbstractKnowledge about modifiable determinants of daily physical activity (PA) in patients with chronic obstructive pulmonary disease (COPD) is crucial to design effective PA interventions. The present study aimed to determine the contribution of quadriceps strength, power and endurance to daily PA in COPD. Additionally, for quadriceps endurance, we also aimed to determine to what extent the association varies according to the mode of movement (isotonic, isometric, or isokinetic). Using a multicentre cross-sectional trial design we determined the contribution of quadriceps function to daily PA (steps, sedentary time and time spent doing moderate-to-very-vigorous physical activity [MVPA]) using bivariate and partial Pearson correlation analysis (r) and multiple linear regression models (ΔR2). Pre-determined controlling factors were sex, age, body mass index (BMI), COPD-assessment test, forced expiratory volume in one second in percent of the predicted value (FEV1pred), and distance walked on the 6-minute walk test. Eighty-one patients with COPD (mean ± SD: age 67 ± 8 years, FEV1pred 57 ± 19%, daily steps 4968 ± 3319, daily sedentary time 1016 ± 305 min, and MVPA time 83 ± 45 min) were included. Small to moderate bivariate correlations (r = .225 to .452, p < .05) were found between quadriceps function and measures of PA. The best multiple linear regression models explained 38–49% of the variance in the data. Isotonic endurance was the only muscle contributor that improved all PA models; daily steps (ΔR2 = .04 [relative improvement 13%] p = .026), daily sedentary time (ΔR2 = .07 [23%], p = .005) and MVPA-minutes (ΔR2 = .08 [20%], p = .001). Isotonic endurance was also independently associated with most PA variables, even when controlling for strength, power or isometric-isokinetic endurance properties of the muscle (r = .246 to .384, p < .05). In contrast, neither strength, power, isometric-or isokinetic endurance properties of the muscle was independently associated with PA measures when controlling for isotonic endurance (r = .037 to .219, p > .05). To conclude, strength, power, and endurance properties of the quadriceps were low to moderately associated with PA in patients with COPD. Isotonic quadriceps endurance was the only quadriceps property that was independently associated with the different measures of PA after controlling for a basic set of known determinants of PA, quadriceps strength or power, or isometric or isokinetic quadriceps endurance. Future longitudinal studies should investigate its potential as a modifiable determinant of PA.

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