11 research outputs found

    Data from: Undergraduate research experiences broaden diversity in the scientific workforce

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    This file contains a copy of the main data files used for this article. Each data file is associated with a separate outcomes analysis from the manuscript (i.e., one data file per outcome). Each data file contains a person-level unique ID number, cluster ID number, and weighting information. Clustering and weighting information was used in weighted multilevel modeling analysis of these data. The files also contain the set of predictors used for each analysis and the outcomes

    Determinants of bronchodilator responsiveness in forced expiratory volume in one second as % pre-bronchodilator value [%ΔFEV1i] –results from univariate and multivariate analyses of the whole cohort.

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    *<p>Standard estimates allow comparison between variables with different units. It is the expected change in bronchodilator response per 1 SD increase in the variable. After multivariate correction for confounding variables the ‘most powerful’ effect on BDRFEV1 is doctor diagnosis of current-asthma, followed by age, ever-smoking, use of respiratory drugs (any medication for breathing including nasal decongestant), and gender.These values are adjusted for all corivariates including site and for the proportion of Caucasian population in each site.</p

    Population demographics and risk factors of individual sites and for whole cohort.

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    §<p>Doctor Diagnosis of AO = presence of self reported prior diagnosis of either ever-asthma, or asthmatic bronchitis, or allergic bronchitis, or COPD, or emphysema, or chronic bronchitis. Data for Age, BMI, Packyears, and Spirometry results are expressed in mean(SD); All others are expressed as % of group(SE) and are weighted to the local population. BMI = Body-mass index;</p>†<p>% predicted values = maximum values/predicted values(NHANES)*100;</p>*<p>One-Way ANOVA, alpha = 0.05;</p>#<p>Chi-Square Test.</p>&<p>post bronchodilator responses: % change in FEV1 or FVC after bronchodilator relative to pre-bronchodilator value.</p

    Findings on Thoracic Computed Tomography Scans and Respiratory Outcomes in Persons with and without Chronic Obstructive Pulmonary Disease: A Population-Based Cohort Study

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    <div><p>Background</p><p>Thoracic computed tomography (CT) scans are widely performed in clinical practice, often leading to detection of airway or parenchymal abnormalities in asymptomatic or minimally symptomatic individuals. However, clinical relevance of CT abnormalities is uncertain in the general population.</p><p>Methods</p><p>We evaluated data from 1361 participants aged ≥40 years from a Canadian prospective cohort comprising 408 healthy never-smokers, 502 healthy ever-smokers, and 451 individuals with spirometric evidence of chronic obstructive pulmonary disease (COPD) who had thoracic CT scans. CT images of subjects were visually scored for respiratory bronchiolitis(RB), emphysema(E), bronchial-wall thickening(BWT), expiratory air-trapping(AT), and bronchiectasis(B). Multivariable logistic regression models were used to assess associations of CT features with respiratory symptoms, dyspnea, health status as determined by COPD assessment test, and risk of clinically significant exacerbations during 12 months follow-up.</p><p>Results</p><p>About 11% of life-time never-smokers demonstrated emphysema on CT scans. Prevalence increased to 30% among smokers with normal lung function and 36%, 50%, and 57% among individuals with mild, moderate or severe/very severe COPD, respectively. Presence of emphysema on CT was associated with chronic cough (OR,2.11; 95%CI,1.4–3.18); chronic phlegm production (OR,1.87; 95% CI,1.27–2.76); wheeze (OR,1.61; 95% CI,1.05–2.48); dyspnoea (OR,2.90; 95% CI,1.41–5.98); CAT score≥10(OR,2.17; 95%CI,1.42–3.30) and risk of ≥2 exacerbations over 12 months (OR,2.17; 95% CI, 1.42–3.0).</p><p>Conclusions</p><p>Burden of thoracic CT abnormalities is high among Canadians ≥40 years of age, including never-smokers and smokers with normal lung function. Detection of emphysema on CT scans is associated with pulmonary symptoms and increased risk of exacerbations, independent of smoking or lung function.</p></div

    Prevalence of respiratory bronchiolitis; air-trapping; bronchial wall thickening; emphysema; bronchiectasis.

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    <p>Five study subgroups are: Normal (FEV<sub>1</sub>/FVC ≥ LLN and never smoker); At Risk (FEV<sub>1</sub>/FVC ≥ LLN and ever smoker); Mild COPD (FEV<sub>1</sub>/FVC < LLN and FEV<sub>1</sub>%Pred ≥ 80%); Moderate COPD (FEV<sub>1</sub>/FVC < LLN and 50% ≤ FEV<sub>1</sub>%Pred < 80%); Severe to very severe COPD (FEV<sub>1</sub>/FVC < LLN and FEV<sub>1</sub>%Pred < 50%). All P values are corrected by Holm-Bonferroni correction for multiple comparisons. P values<0.05: *ref = Normal; # Ref = At Risk; ϕ Ref = LLN Mild; θ Ref = LLN moderate.</p
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