Probabilistic model for the analysis of elastic session duration in wireless networks

In wireless networks, the bitrate received by a user session depends not only on the fraction of allocated resources of the base station but also on the number of factors affecting the signal-to-noise ratio. These factors include a distance between a mobile device and the base station, walls, buildings between them, etc. As a result, the bitrate of elastic sessions may differ tenfold. In this paper, we develop a probabilistic model that captures the main specifics of the data transmission through a wireless network by introducing the random serving rate coefficients concept. With the help of the model, we derived the cumulative distribution function of the elastic session duration.

The relationship between objective app engagement and medication adherence in asthma and COPD: a retrospective analysis

Digital health tools can promote disease self-management, but the association of smartphone app engagement and medication adherence is unclear. We assessed the relationship between objective smartphone app engagement and controller medication use in adults with asthma and COPD. We retrospectively analyzed data from participants enrolled in a digital self-management platform for asthma and COPD. Eligible adults had a smartphone and a paired electronic medication monitor (EMM). Longitudinal, mixed-effects logistic regressions estimated the relationship between daily app engagement (app opens, session duration) and daily controller medication use. Data from 2309 participants (71% asthma; 29% COPD) was analyzed. Opening the app (vs. not opening the app) was associated with significantly greater odds (OR (95% CI)) of using controller medications in asthma (2.08 (1.98, 2.19)) and COPD (1.61 (1.49, 1.75). Longer session duration was also associated with greater odds of using controller medications in asthma and COPD, but the odds of use attenuated with longer session duration in COPD. This study presents a novel assessment of the relationship between objectively-measured smartphone app engagement and controller medication use in asthma and COPD. Such insights may help develop targeted digital health tools and interventions.

Single Slow-Paced Breathing Session at Six Cycles per Minute: Investigation of Dose-Response Relationship on Cardiac Vagal Activity

The practice of slow-paced breathing (SPB) has been linked to a range of positive outcomes, such as decreasing symptoms of depression, anxiety, and stress, as well as increasing well-being. Among the suggested mechanisms of action, SPB has been shown to increase cardiac vagal activity (CVA). The present study aimed to investigate whether there is a dose-response relationship modulating the effects of SPB on CVA. A total of 59 participants were involved in this study. In a within-subject design, participants attended the lab five times, and realized SPB at six cycles per minute with different durations (5, 10, 15, and 20 min), as well as a control condition without SPB. CVA was indexed via the root mean square of successive differences (RMSSD). During SPB, findings showed an increase in RMSSD in all conditions compared to the control condition. However, no differences were found in RMSSD among the different session durations, during SPB or during the resting measurement completed immediately after SPB. Noteworthily, session duration showed an influence on the spontaneous respiratory frequency in the resting measurement occurring immediately after SPB. Specifically, respiratory frequency appears to decrease with session duration, thus potentially contributing to additional relaxing effects.

The current landscape of youth multi-sport training: athlete and parent insight data

The intent to improve a youth athlete’s ability is developed through structured focused training in the competencies within their sport. To date there is little evidence around how multi-discipline youth athletes organise their training load (TL) outlook in a multitude of sports. The aim of this study was to analyse the daily TL, distribution and wellness in aspiring 10-15yr old pentathletes (n = 31) over 152 ± 35 days. Athletes completed daily reports documenting sport mode, session duration, session rate of perceived exertion (sRPE) and wellness (sleep, stress, mood, fatigue, muscle soreness). Parental understanding of training periodisation was used to contextualise the athletes training patterns (n = 15) through semi-structured interviews. Weekly training duration was 5 h 59 min ± 3 h 38 min. The swimming discipline dominates the overall time spent training (50.5%). Pentathlon specific TL was significantly higher in the 14–15 yrs (3000 ± 1207 AUT) in comparison to 10–11 yrs (1837 ± 874 AUT). Weekly micro TL fluctuations showed significant peaks on the weekend compared to Tuesday and Friday (p < 0.05). Wellness scores were significantly worse on Monday to Wednesdays (p < 0.05), compared to Fridays. Parent interviews suggest a multitude of coach input from solo disciplines over a typical week, with little inter-coach discussions. In conclusion there is little structure on a micro or macro level in youth pentathletes training showing multiple-coach input with little coach crossover. Implications for the training/competition is based around convenience/holidays/availability of resources rather than overall individual development, which suggests the potential need for an early specialisation approach to support athletes within this style of multi-discipline sport.

Is High-Intensity Speech Intervention Better? A Comparison of High-Intensity Intervention Versus Low-Intensity Intervention in Children With a Cleft Palate

Purpose The purpose of this study was to compare the effect of speech intervention provided with a low intensity with speech intervention provided with a high intensity on the speech and health-related quality of life (HRQoL) in Dutch-speaking children with a cleft palate with or without a cleft lip (CP ± L) between 4 and 12 years. Method A longitudinal, prospective, randomized controlled trial with a multiple baseline design was used. Twelve children with a CP ± L ( M age = 8.0 years, SD = 1.54) were divided into two groups using block randomization stratified by age and gender: One group received low-intensity speech intervention (LISI; n = 6) and one group received high-intensity speech intervention (HISI; n = 6). Children in the LISI group received intervention with a session duration of 1 hr, a dose frequency of 1 session per week, and a total intervention duration of 10 weeks. Children in the HISI group received intervention with a session duration of 1 hr, a dose frequency of 5 sessions per week, and a total intervention duration of 2 weeks. The cumulative intervention intensity was kept constant. Both groups received identical therapy programs provided by the same experienced speech therapist. Perceptual speech assessments were performed on baseline and posttreatment data points. Changes in HRQoL were assessed using the Velopharyngeal Insufficiency Effects on Life Outcomes (VELO) questionnaire. Both groups were compared over time using (generalized) linear mixed models. Results No significant Time × Group interactions were observed for the percentage of correctly produced consonants at the word and sentence levels, indicating no differences in evolution over time among the two groups. The variables speech understandability, speech acceptability, and the total VELO scores significantly improved following HISI, but not following LISI. Conclusions Children in the HISI group made equal and, for some variables, even superior progress in only 2 weeks of therapy compared to children in the LISI group who received 10 weeks of therapy. HISI is a promising strategy to improve speech outcomes and HRQoL in a shorter time period.

A Novel Approach to Training Monotony and Acute-Chronic Workload Index: A Comparative Study in Soccer

Load is a multifactorial construct, but usually reduced to parameters of volume and intensity. In the last decades, other constructs have been proposed for assessing load, but also relying on relationships between volume and intensity. For example, Foster's Training Monotony has been used in athletes' load management simply by computing mean weekly load divided by its standard deviation, often multiplied by session rate of perceived exertion. Meanwhile, the Acute to Chronic Workload Ratio (ACWR) has been debated by the sport scientists as a useful monitoring metric and related to so-called injury prevention. None of these models includes parameters that are representative of training specificity, namely load orientation. The aim of this study is to present broader conceptual approaches translated by new indices for assessing Intraweek Training Monotony (ITM) and Acute to Chronic Workload Index (ACWI) while incorporating load orientation, session duration and weekly density (frequency normalized) in addition to parameters related to proxies of external and/or internal load. Our ITM and Foster's Training Monotony were similar in terms of average values, but very different for individualized analysis, illustrating how average values may be deceiving. While Foster's model provided clusters of values, ITM provided more scattered, individualized data. ACWI and ACWR provided very distinct qualitative information, and the two models were uncorrelated. Therefore, the models incorporating training load orientation presented in this study provide distinct and not redundant information when compared to previous models. More importantly, ITM and ACWI are metrics that are compatible to each other and might fit to coaches' monitoring targets in the short and medium terms, respectively. Because our models include several parameters, including load orientation, we contend that might provide a more complete monitoring tool. However, we suggest they are used for intraindividual comparisons and not so strongly for interindividual comparisons.

Symptoms of depression are associated with reduced leisure-time physical activity in adult individuals with type 1 diabetes

Aims Here, we investigated the association between depressive symptoms and leisure-time physical activity (LTPA) in type 1 diabetes. Methods Data from adult individuals with type 1 diabetes without evidence of diabetic kidney disease or macrovascular complications, participating in the Finnish Diabetic Nephropathy Study, were included. Based on a questionnaire, weekly LTPA as metabolic equivalent of task hour was calculated. Activity levels (inactive, moderately active, active), weekly frequencies (< 1, 1–2, > 2), intensities (low, moderate, high), and single session durations (< 30, 31–60, > 60 min) were assessed. Depressive symptomatology was evaluated using the Beck Depression Inventory (BDI). We calculated a continuous BDI score and divided participants into those with (BDI score ≥ 16) and without (BDI score < 16) symptoms of depression. For sensitivity analyses, we additionally defined symptoms of depression with antidepressant agent purchases within a year from the study visit. Results Of the 1339 participants (41.7% men, median age 41 years), 150 (11.2%) reported symptoms of depression. After adjustments, both higher BDI scores and depressive symptomatology were associated with more inactive lifestyle, and lower frequency and intensity of the LTPA. The BDI score was additionally associated with shorter single session duration. For antidepressant purchases, lower odds were observed in those with higher intensity and longer single session duration of LTPA. Conclusions Depressive mood is harmfully related to LTPA in type 1 diabetes. In order to improve the long-term health of individuals with type 1 diabetes, efforts to increase both mental well-being and physical activity should be taken.

Integration of Web Analytics into Graduate Medical Education: Usability Study (Preprint)

BACKGROUND Web analytics is the measurement, collection, analysis, and reporting of websites’ and web applications’ usage data. While common in the e-commerce arena, web analytics are underutilized in graduate medical education. OBJECTIVE The UAMS Department of Surgery website was revamped with input from in-house surgeons in August 2017. This study investigated the use of web analytics to gauge the impact of our department’s website redesign project. METHODS Google Analytics software was used to measure website performance before and after implementation of the new website. Eight-month matched periods were compared. Factors tracked included total users, new users, total sessions, sessions per user, pages per session, average session duration, total page views, and bounce rate (the percentage of visitors who visit a site then leave [i.e. bounce] without continuing to another page on the same site). RESULTS Analysis using a non-paired Student’s t-test demonstrated a statistically significant increase for total page views (33,065 vs 81,852; p<0.0001) and decrease for bounce rate (50.70% vs 0.23%; p<0.0001). Total users, new users, total sessions, sessions per user, and pages per sessions showed improvement; average session duration was unchanged. Sub-group analysis showed that after the main page, the next three most frequently visited pages relate to GME programs in our department. CONCLUSIONS Web analytics are practical measures of a website’s efficacy. Our data suggest that a modern website significantly improves user engagement. An up-to-date website is essential for contemporary GME recruitment, will likely enhance engagement of residency applicants with our GME programs, and warrants further investigation.