Abstract TMP65: Depth of Hospital Participation in Telestroke is Associated with Faster Door-to-Needle Time for Stroke Patients

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Arianna Moreno ◽  
Khawja A Saddiqui ◽  
Anand Viswanathan ◽  
Cynthia Whitney ◽  
Natalia Rost ◽  
...  
Keyword(s):  
Temporal Trends ◽  
Predictor Variable ◽  
Median Number ◽  
Hospital Level ◽  
Time Data ◽  
Frequent Contact ◽  
Frequent Use ◽  
The Relationship ◽  
Median Hospital ◽  
Primary Predictor

Background: Telestroke increases tPA use at spoke hospitals, yet its effect on door-to-needle (DTN) times is unknown. More frequent use of telestroke may introduce delays in DTN time or may improve it as practice leads to streamlined processes. Hypothesis: We hypothesize that spoke hospitals with more frequent contact to a hub hospital will have shorter DTN times than those with less frequent contact. Methods: We identified 367 patients treated with tPA by conventional or telestroke methods in the MGH Telestroke network for whom date and time data were available. Strength of the spoke-MGH connection was the primary predictor variable, defined as the number of all telestroke consults (tPA and non-tPA) done at each spoke hospital during the year of the patient’s presentation. Patient-level regression analyses examined the relationship between DTN time and spoke-MGH connection. We controlled for hospitals’ tPA volume, temporal trends, and clustering within hospitals. Results: Sixteen spoke hospitals contributed data on 367 tPA-treated patients from 2006-2016. Hospitals treated a median of 12.5 patients with tPA (IQR 7-33.5). Median hospital-level DTN was 78.8 minutes (IQR 71.3-85). Median number of telestroke consults per year was 37 (IQR 15-60). Among all 367 patients, median DTN was 76 minutes (IQR 61-98), and 24.8% of patients were treated within 60 minutes (n=91). Strength of connection between the spoke and hub hospital was significantly associated with faster DTN time for patients (1.8 minute gain per 10 additional consults, p<0.001) and increased likelihood of tPA delivery within 60 minutes (OR 1.01, p<0.001). Conclusion: More frequent contact between a telestroke spoke and its hub was associated with faster tPA delivery for patients, even after accounting for hospitals’ tPA volume and secular trends in DTN improvements. This highlights added benefits of increased utilization of telestroke.

Characterizing the relationship between diagnostic intensity and quality of care

Diagnosis ◽  
2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Michael I. Ellenbogen ◽  
Laura Prichett ◽  
David E. Newman-Toker ◽  
Daniel J. Brotman
Keyword(s):  
Quality Of Care ◽  
Significant Relationship ◽  
Predictor Variable ◽  
Quality Measures ◽  
Quality Metrics ◽  
Hospital Level ◽  
Teaching Status ◽  
Index Value ◽  
The Relationship

Abstract Objectives The relationship between diagnostic intensity and quality of care has not been well-characterized at the hospital level. We performed an exploratory analysis to better delineate this relationship using a hospital-level diagnostic overuse index and accepted hospital quality metrics (readmissions and mortality). Methods We previously developed and published a hospital-level diagnostic overuse index. A hospital’s overuse index value (which ranges from 0 to 0.986, with larger numbers indicating more overuse) was our predictor variable of interest. The outcome variables were excess readmission ratios and mortality rates for common medical conditions, which CMS publicly reports. The model controlled for Elixhauser comorbidity score, hospital bed size, hospital teaching status, and random effects that vary by state. Results We did not find a statistically significant relationship between our overuse index and the quality measures we evaluated. Conclusions The lack of a significant relationship between diagnostic intensity and quality, at least as measured by our overuse index and the tested quality metrics, suggests that well-targeted efforts to reduce diagnostic overuse in hospitals may not adversely impact quality of care.

Identifying Physico-Chemical Laws from the Robotically Collected Data

2019 ◽  
Author(s):  
Liwei Cao ◽  
Danilo Russo ◽  
Vassilios S. Vassiliadis ◽  
Alexei Lapkin
Keyword(s):  
Experimental Data ◽  
Numerical Models ◽  
Predictor Variable ◽  
Physical Models ◽  
Training Data ◽  
Mixed Integer ◽  
Physico Chemical ◽  
Data Points ◽  
Future Work ◽  
The Relationship

<p>A mixed-integer nonlinear programming (MINLP) formulation for symbolic regression was proposed to identify physical models from noisy experimental data. The formulation was tested using numerical models and was found to be more efficient than the previous literature example with respect to the number of predictor variables and training data points. The globally optimal search was extended to identify physical models and to cope with noise in the experimental data predictor variable. The methodology was coupled with the collection of experimental data in an automated fashion, and was proven to be successful in identifying the correct physical models describing the relationship between the shear stress and shear rate for both Newtonian and non-Newtonian fluids, and simple kinetic laws of reactions. Future work will focus on addressing the limitations of the formulation presented in this work, by extending it to be able to address larger complex physical models.</p><p><br></p>

Ozone Concentration Prediction using Artificial Neural Networks

2017 ◽  
Vol 68 (10) ◽  
pp. 2224-2227 ◽  
Author(s):  
Camelia Gavrila
Keyword(s):  
Neural Networks ◽  
Artificial Neural Networks ◽  
Ozone Concentration ◽  
Meteorological Data ◽  
Global Solar Radiation ◽  
Time Data ◽  
Marquardt Algorithm ◽  
Sensitivity Tests ◽  
Artificial Neural ◽  
The Relationship

The aim of this paper is to determine a mathematical model which establishes the relationship between ozone levels together with other meteorological data and air quality. The model is valid for any season and for any area and is based on real-time data measured in Bucharest and its surroundings. This study is based on research using artificial neural networks to model nonlinear relationships between the concentration of immission of ozone and the meteorological factors: relative humidity (RH), global solar radiation (SR), air temperature (TEMP). The ozone concentration depends on following primary pollutants: nitrogen oxides (NO, NO2), carbon monoxide (CO). To achieve this, the Levenberg-Marquardt algorithm was implemented in Scilab, a numerical computation software. Performed sensitivity tests proved the robustness of the model and its applicability in predicting the ozone on short-term.

scholarly journals Sociometric types, behavioral categories and intellectual abilities in adolescents

2017 ◽  
Vol 7 (2) ◽  
pp. 69-85
Author(s):  
Cándido Inglés ◽  
David Aparisi ◽  
José García-Fernández ◽  
Juan Luis Castejón ◽  
María Martínez-Monteagudo
Keyword(s):  
Predictor Variable ◽  
Self Concept ◽  
Intellectual Abilities ◽  
Mental Abilities ◽  
Intellectual Skills ◽  
The Relationship

The aim of this study was to analyze the relationship between sociometric types, behavioral categories, and intellectual abilities in a sample of 1349 (51.7% boys) Spanish adolescents, ranging in age from 12 to 16 years. The students' sociometric nomination was performed by the Programa Socio and academic self-concept was measured by the Primary Mental Abilities Test (PMA; Thurstone, 1938; TEA, 1996). The hypotheses of the study suggest, firstly, that students positively nominated by their peers will present significantly higher scores on different scales of the PMA than students negatively nominated by their peers and, secondly, that intellectual skills will be a predictor variable statistically significant of sociometric types and behavioral categories. Results show that students nominated positively obtained significantly higher scores on the different intellectual abilities that nominees negatively. Intellectual abilities were a significant predictor of sociometric types because with increasing the score on the different intellectual abilities students were more likely to be nominated by their peers positively.

scholarly journals Temporal trends and variation in out-of-pocket expenditures and patient cost sharing: evidence from a Chinese national survey 2011–2015

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Vicky Mengqi Qin ◽  
Yuting Zhang ◽  
Kee Seng Chia ◽  
Barbara McPake ◽  
Yang Zhao ◽  
...  
Keyword(s):  
Prescription Drugs ◽  
Cost Sharing ◽  
Temporal Trends ◽  
Absolute Amount ◽  
Financial Protection ◽  
Patient Cost ◽  
Older Chinese ◽  
Using Data ◽  
Reported Data ◽  
The Relationship

Abstract Objectives This study aims to examine: (1) temporal trends in the percentage of cost-sharing and amount of out-of-pocket expenditure (OOPE) from 2011 to 2015; (2) factors associated with cost-sharing and OOPE; and (3) the relationships between province-level economic development and cost-sharing and OOPE in China. Setting A total of 10,316 adults aged ≥45 years from China followed-up from 2011 to 2015 were included in the analysis. We measured two main outcome variables: (1) patient cost sharing, measured by the percentage of OOPE as total healthcare expenditure, and (2) absolute amount of OOPE. Results Based on self-reported data, we did not find substantial differences in the percentage of cost sharing, but a significant increase in the absolute amount of OOPE among the middle-aged and older Chinese between 2011 and 2015. The percentage of cost-sharing was considerably higher for outpatient than inpatient care, and the majority paid more than 80% of the total cost for prescription drugs. Provinces with higher GDP per capita tend to have lower cost-sharing and a higher OOPE than their counterparts, but the relationship for OOPE became insignificant after adjusting for individual factors. Conclusion Reducing out-of-pocket expenditure and patient cost sharing is required to improve financial protection from illness, especially for those with those with chronic conditions and reside in less developed regions in China. Ongoing monitoring of financial protection using data from various sources is warranted.

scholarly journals Deservingness for "Family 500 +" Benefit in Poland: Qualitative Study of Internet Debates

2021 ◽  
Author(s):  
Piotr Michoń
Keyword(s):  
Future Research ◽  
Online Forums ◽  
Time Data ◽  
Social Surveys ◽  
Cash Benefit ◽  
Internet Forums ◽  
Welfare Attitudes ◽  
New Criterion ◽  
First Time ◽  
The Relationship

AbstractThe need for qualitative research of deservingness perception is strongly emphasised in the literature. This article studies the perception of deservingness for a "Family 500 +"—cash benefit in Poland. For the first time, data from online forums was used in the studies of deservingness and welfare attitudes. It allowed to avoid numerous limitations associated with social surveys. The qualitative analysis showed how participants of Internet debates perceive the criteria of deservingness: control, attitude, reciprocity, identity, need, and what are the relations between the criteria. The impurity of all deservingness criteria was indicated and a new criterion “adequacy” was proposed. Moreover due to the fact that the study concerned a concrete, non-abstract family cash benefit addressed the relationship between the perceived deservingness of children and their parents was pointed out. The vast majority of posts on Internet forums referred to deservingness of parents, not children. This is particularly evident in relation to the criteria of control and reciprocity. Presenting the hypothesis of jealousy and scapegoat strategy, the article also shows the direction of future research on deservingness.

Correlation among Physico-Acoustic Properties of Boscia angustifolia and Albizia adianthifolia Wood

2020 ◽  
Vol 70 (4) ◽  
pp. 396-402
Author(s):  
Kayode Olaoye ◽  
Omolabake Okon-Akan ◽  
Olaoluwa Adegoke ◽  
A. O. Bobadoye
Keyword(s):  
Wood Species ◽  
Scientific Information ◽  
Predictor Variable ◽  
Sound Frequency ◽  
Acoustic Properties ◽  
Damping Factor ◽  
Velocity Of Sound ◽  
Tan Δ ◽  
Albizia Adianthifolia ◽  
The Relationship

Abstract Underutilization of some wood species can be largely attributed to a dearth of scientific information. Therefore, identifying the acoustic characteristics of lesser used wood species such as Boscia angustifolia and Albizia adianthifolia wood is expected to encourage their use in acoustic applications. Thus, studying their acoustic properties and the relationship among these properties will help reveal their use potential for acoustic purposes and also highlight possible predictor variable(s) for other acoustic parameters in wood acoustics. This study aimed at measuring the acoustic properties of B. angustifolia and A. adianthifolia wood and investigating the correlation among these properties. Three trees of each species were felled, and a total of 270 wood samples of 20 by 20 by 300 mm3 were collected. The samples were conditioned before acoustic measurement. The longitudinal free vibration method was adopted to measure the acoustic properties. Some of the mean acoustic results obtained for B. angustifolia and A. adianthifolia wood were 835.89 Hz, 3,657.51 m/s, 0.008, 13.59 GPa, 935.39 m4 kg−1 s−1, and 807.78 Hz, 3,542.66 m/s, 0.009, 12.65 GPa, 731.75 m4 kg−1 s−1, respectively, for fundamental sound frequency (FF), velocity of sound (V), damping factor (tan δ), specific dynamic modulus of elasticity (Es), and acoustic conversion efficiency (ACE). The correlation of FF with tan δ was negatively significant (−0.59), while it was positively significant with Es and ACE (0.99 and 0.74). This study found the two wood species suitable for making frame boards only and highlights sound frequency and velocity of sound as the major predicting acoustic variables for measuring good acoustic wood.

RELATIONS OF MOTOR ABILITY OF BALANCE AND SUCCESS OF PERFORMANCE OF GYMNASTICS ELEMENTS ON THE FLOOR EXERCISE

sportlogia ◽  
2021 ◽  
Vol 17 (1) ◽  
pp. 34-43
Author(s):  
Saša Jovanović ◽  
◽  
Snežana Bijelić ◽  
Adriana Ljubojević ◽  
Dalibor Fulurija ◽  
...  
Keyword(s):  
Physical Education ◽  
Prediction Model ◽  
Motor Skills ◽  
Predictive Value ◽  
Predictor Variable ◽  
The Other ◽  
Motor Ability ◽  
Training Methodology ◽  
Balance Ability ◽  
The Relationship

The purpose of this study is to investigate the relationship between motor ability for balance and the performance of selected gymnastic elements on the floor in students aged 7-8 years, to provide an overview of the current motor status of the respondents at this age, and to develop suggestions for possible changes in the curriculum at this age, and to develop suggestions for supplementing training methodology. Training of selected gymnastics elements was conducted on a sample of 42 subjects who had no previous experience in performing gymnastics elements during regular physical education classes, and the predictor variable was tested using four tests assessing motor balance ability. The tests assessing motor balance ability showed a statistically significant predictive value for the performance of all three gymnastics exercises. It is noticeable that the value of the prediction model increased the more complex an item was derived, indicating the complexity of the motor balance space and the high and stable level of the same in the subjects at the time of testing. Regarding the tests used, it can be noted that the test FLAM was significantly involved in the prediction of performance success in all three gymnastic elements, while the other two tests showed their predictive value in the execution of the hand stand. On the other hand, the study shows that the gymnastic elements used should be used in physical education classes to contribute to the promotion and development of all motor skills of students and as part of the preparation for the execution of more complex elements on the floor and apparatus in higher grades.

scholarly journals Anticholinergics for overactive bladder: Temporal trends in prescription and treatment persistence

2016 ◽  
Vol 10 (7-8) ◽  
pp. 277 ◽  
Author(s):  
Christopher J.D. Wallis ◽  
Colin Lundeen ◽  
Nicole Golda ◽  
Hilary Brotherhood ◽  
Peter Pommerville ◽  
...  
Keyword(s):  
Overactive Bladder ◽  
Temporal Trends ◽  
Population Based ◽  
Current Therapy ◽  
Anticholinergic Medication ◽  
Treatment Persistence ◽  
Anticholinergic Medications ◽  
Single Payer ◽  
Pharmacologic Management ◽  
The Relationship

<p><strong>Introduction:</strong> We sought to understand the contemporary pharmacologic management of overactive bladder (OAB) in a single-payer system. We examined temporal trends in the use of anticholinergic<br />medications and assessed whether the likelihood of patients changing their anticholinergic therapy was predicted by their current therapy.</p><p><strong>Methods:</strong> We conducted a retrospective, population-based analysis of prescription records from the PharmaNet database in BC, Canada. We identified patients treated with one or more anticholinergic<br />prescriptions between 2001 and 2009. We characterized temporal trends in the use of anticholinergic medications. We used generalized estimating equations with a logit wing to assess the relationship between the type of anticholinergic medication and the change in prescription.</p><p><strong>Results:</strong> The 114 325 included patients filled 1 140 296 anticholinergic prescriptions. The number of prescriptions each year increased over the study, both in aggregate and for each individual medication. While oxybutynin was the most commonly prescribed medication (68% of all prescriptions), the proportion of newer anticholinergics (solifenacin, darifenacin, and trospium) prescribed increased over time (p&lt;0.0001). Patients taking tolterodine (odds ratio [OR] 1.03; p=0.01) and darifenacin (OR 1.12; p=0.0006) were significantly more likely to change their prescription than those taking oxybutynin. There was no association seen for patients taking solifenacin (p=0.6) and trospium (p=0.9).</p><p><strong>Conclusions:</strong> There are an increasing number of anticholinergic prescriptions being filled annually. Patients taking newer anticholinergics are at least as likely to change therapy as those taking<br />oxybutynin. The reimbursement environment in BC likely affects these results. Restrictions in the available data limit assessment of other relevant predictors.</p>

scholarly journals PENGARUH KORUPSI, DEMOKRASI DAN POLITIK TERHADAP KEMISKINAN DI DELAPAN NEGARA ASEAN DENGAN PERTUMBUHAN EKONOMI SEBAGAI VARIABEL MODERASI

2019 ◽  
Vol 1 (3) ◽  
pp. 845
Author(s):  
Yolanda Yolanda
Keyword(s):  
Economic Growth ◽  
Time Series Data ◽  
Predictor Variable ◽  
Combination Method ◽  
Annual Reports ◽  
Series Data ◽  
Transparency International ◽  
Negative Effect ◽  
Asean Countries ◽  
The Relationship

This study aims the influence of corruption, democracy and politics on poverty in ASEAN countries with economic growth as a moderating variable. The method used is using the panel regression model. This data uses a combination method between time series data from 2013 - 2016 and a cross section consisting of 8 countries. Data obtained from World Bank annual reports, Transparency International and Freedom House. The results of this study indicate that (1) Corruption Perception Index (CPI) has a significant and negative effect on poverty, meaning that if the CPI increases then poverty will decrease (2) Democracy has no significant and negative effect on poverty. This means that if democracy increases, poverty will decrease (3) Politics has a significant and negative effect on poverty, meaning that if politics increases, poverty will decrease (4) Economic growth has a significant and positive effect on poverty, meaning if economic growth increases then poverty will decline (3) Economic growth unable to moderate the relationship between corruption, democracy and politics towards poverty in 8 ASEAN countries. Economic growth as an interaction variable is a predictor variable (Predictor Moderate Variable), which means that economic growth is only an independent variable.

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