Use of Serial Smartphone-Based Assessments to Characterize Diverse Neuropsychiatric Symptom Trajectories in a Large Trauma Survivor Cohort

The authors sought to characterize adverse posttraumatic neuropsychiatric sequelae (APNS) symptom trajectories across ten symptom domains (pain, depression, sleep, nightmares, avoidance, re-experiencing, anxiety, hyperarousal, somatic, and mental/fatigue symptoms) in a large, diverse, understudied sample of motor vehicle collision (MVC) survivors. More than two thousand MVC survivors were enrolled in the emergency department (ED) and completed a rotating battery of brief smartphone-based surveys over a 2-month period. Measurement models developed from survey item responses were used in latent growth curve/mixture modeling to characterize homogeneous symptom trajectories. Associations between individual trajectories and pre-trauma and peritraumatic characteristics and traditional outcomes were compared, along with associations within and between trajectories. APNS across all ten symptom domains were common in the first two months after trauma. Many risk factors and associations with high symptom burden trajectories were shared across domains. Both across and within traditional diagnostic boundaries, APNS trajectory intercepts, and slopes were substantially correlated. Across all domains, symptom severity in the immediate aftermath of trauma (trajectory intercepts) had the greatest influence on the outcome. An interactive data visualization tool was developed to allow readers to explore relationships of interest between individual characteristics, symptom trajectories, and traditional outcomes ( http://itr.med.unc.edu/aurora/parcoord/ ). Individuals presenting to the ED after MVC commonly experience a broad constellation of adverse posttraumatic symptoms. Many risk factors for diverse APNS are shared. Individuals diagnosed with a single traditional outcome should be screened for others. The utility of multidimensional categorizations that characterize individuals across traditional diagnostic domains should be explored

Measures of crowding in the emergency department: A systematic review.

OBJECTIVES: Despite consensus regarding the conceptual foundation of crowding, and increasing research on factors and outcomes associated with crowding, there is no criterion standard measure of crowding. The objective was to conduct a systematic review of crowding measures and compare them in conceptual foundation and validity. METHODS: This was a systematic, comprehensive review of four medical and health care citation databases to identify studies related to crowding in the emergency department (ED). Publications that describe the theory, development, implementation, evaluation, or any other aspect of a \u27crowding measurement/definition\u27 instrument (qualitative or quantitative) were included. A measurement/definition instrument is anything that assigns a value to the phenomenon of crowding in the ED. Data collected from papers meeting inclusion criteria were: study design, objective, crowding measure, and evidence of validity. All measures were categorized into five measure types (clinician opinion, input factors, throughput factors, output factors, and multidimensional scales). All measures were then indexed to six validation criteria (clinician opinion, ambulance diversion, left without being seen (LWBS), times to care, forecasting or predictions of future crowding, and other). RESULTS: There were 2,660 papers identified by databases; 46 of these papers met inclusion criteria, were original research studies, and were abstracted by reviewers. A total of 71 unique crowding measures were identified. The least commonly used type of crowding measure was clinician opinion, and the most commonly used were numerical counts (number or percentage) of patients and process times associated with patient care. Many measures had moderate to good correlation with validation criteria. CONCLUSIONS: Time intervals and patient counts are emerging as the most promising tools for measuring flow and nonflow (i.e., crowding), respectively. Standardized definitions of time intervals (flow) and numerical counts (nonflow) will assist with validation of these metrics across multiple sites and clarify which options emerge as the metrics of choice in this crowded field of measure

Use of serial smartphone-based assessments to characterize diverse neuropsychiatric symptom trajectories in a large trauma survivor cohort

The authors sought to characterize adverse posttraumatic neuropsychiatric sequelae (APNS) symptom trajectories across ten symptom domains (pain, depression, sleep, nightmares, avoidance, re-experiencing, anxiety, hyperarousal, somatic, and mental/fatigue symptoms) in a large, diverse, understudied sample of motor vehicle collision (MVC) survivors. More than two thousand MVC survivors were enrolled in the emergency department (ED) and completed a rotating battery of brief smartphone-based surveys over a 2-month period. Measurement models developed from survey item responses were used in latent growth curve/mixture modeling to characterize homogeneous symptom trajectories. Associations between individual trajectories and pre-trauma and peritraumatic characteristics and traditional outcomes were compared, along with associations within and between trajectories. APNS across all ten symptom domains were common in the first two months after trauma. Many risk factors and associations with high symptom burden trajectories were shared across domains. Both across and within traditional diagnostic boundaries, APNS trajectory intercepts, and slopes were substantially correlated. Across all domains, symptom severity in the immediate aftermath of trauma (trajectory intercepts) had the greatest influence on the outcome. An interactive data visualization tool was developed to allow readers to explore relationships of interest between individual characteristics, symptom trajectories, and traditional outcomes ( http://itr.med.unc.edu/aurora/parcoord/ ). Individuals presenting to the ED after MVC commonly experience a broad constellation of adverse posttraumatic symptoms. Many risk factors for diverse APNS are shared. Individuals diagnosed with a single traditional outcome should be screened for others. The utility of multidimensional categorizations that characterize individuals across traditional diagnostic domains should be explored

CSES Module 2 Full Release

The module was administered as a post-election interview. The resulting data are provided along with voting, demographic, district and macro variables in a single dataset. CSES Variable List The list of variables is being provided on the CSES Website to help in understanding what content is available from CSES, and to compare the content available in each module. Themes: MICRO-LEVEL DATA: Identification and study administration variables: mode of interview; gender of interviewer; date questionnaire administered; election type; weighting factors; if multiple rounds: percent of vote selected parties received in first round; selection of head of state; direct election of head of state and process of direct election; threshold for first-round victory; selection of candidates for the final round; simple majority or absolute majority for 2nd round victory; primary electoral district of respondent; number of days the interview was conducted after the election Demography: age; gender; education; marital status; union membership; union membership of others in household; business association membership, farmers´ association membership; professional association membership; current employment status; main occupation; socio economic status; employment type - public or private; industrial sector; current employment status, occupation, socio economic status, employment type - public or private and industrial sector of spouse; household income; number of persons in household; number of children in household under the age of 18; attendance at religious services; race; ethnicity; religiosity; religious denomination; language usually spoken at home; region of residence; rural or urban residence Survey variables: political participation during the recent election campaign (persuade others, campaign activities) and frequency of political participation; contacted by candidate or party during the campaign; respondent cast a ballot at the current and the previous election; vote choice (presidential, lower house and upper house elections) at the current and the previous election; respondent cast candidate preference vote at the current election; most important issue; evaluation of governments performance concerning the most important issue and in general; satisfaction with the democratic process in the country; attitude towards selected statements: it makes a difference who is in power and who people vote for; democracy is better than any other form of government; respondent cast candidate preference vote at the previous election; judgement of the performance of the party the respondent voted for in the previous election; judgement how well voters´ views are represented in elections; party and leader that represent respondent´s view best; form of questionnaire (long or short); party identification; intensity of party identification; sympathy scale for selected parties; assessment of parties and political leaders on a left-right-scale; political participation during the last 5 years: contacted a politician or government, protest or demonstration, work with others who share the same concern; respect for individual freedom and human rights; assessment how much corruption is widespread in the country; self-placement on a left-right-scale; political information items DISTRICT-LEVEL DATA: number of seats contested in electoral district, number of candidates, number of party lists, percent vote of different parties, official voter turnout in electoral district MACRO-LEVEL DATA: percent of popular vote received by parties in current (lower house/upper house) legislative election; percent of seats in lower house received by parties in current lower house/upper house election; percentage of official voter turnout; number of portfolios held by each party in cabinet, prior to and after the most recent election; year of party foundation; ideological family the parties are closest to; European parliament political group and international organization the parties belong to; significant parties not represented before and after the election; left-right position of parties; general concensus on these left-right placements among informed observers in the country; alternative dimension placements; consensus on the alternative dimension placements; most salient factors in the election; consensus on the salience ranking; electoral alliances permitted during the election campaign; name of alliance and participant parties; number of elected legislative chambers; for lower house and upper house was asked: number of electoral segments; number of primary districts; number of seats; district magnitude (number of members elected from each district); number of secondary and tertiary electoral districts; compulsory voting; votes cast; voting procedure; transferrable votes; cumulated votes if more than one can be cast; party threshold; used electoral formula; party lists close, open, or flexible; parties can run joint lists; possibility of apparentement; multi-party endorsements; ally party support; requirements for joint party lists; types of apparentement agreements; multi-party endorsements on ballot; head of state (regime type); year of presidential election (before or after this legislative election); process if indirect election; if by electoral college: selection of electors, deliberates, and voting procedure; if by legislature: chambers of the legislature, voting procedure; power of the head of state (introduce legislation, expedited action, package veto, partial veto, legislate by decree, emergency powers, negotiate agreements, commander of forces, introduce referenda, refer legislation to judiciary, legislative sessions); head of government (elected independently, is the head of state, selection method if not elected independently); authorities of the head of government concerning the composition of the cabinet (name ministers, nominate ministers, review ministerial nominations, dismiss ministers); authorities of the head of government concerning the policy making process (chair cabinet meetings, legislature schedules, policy alternatives, refers policy to committee, votes of confidence); methods of cabinet dismissal (head of state acting alone, by head of government alone, majority of legislature, plurality of legislature, combination); dissolution of legislature prior to regularly scheduled elections; dissolution of legislature by: head of state, head of government, majority of legislature, combination; restrictions on dissolving legislature (on the timing, as a response to action/inaction by the legislature); second chamber of the legislature (method of election, composition, exclusive legislative powers, power over the cabinet); constitutional federal structure; central power over peripheryDas Modul wurde als Nachwahl-Befragung durchgeführt. Die daraus resultierenden Daten werden mit Daten über das Abstimmungsverhalten, demographischen Daten, und Variablen auf Wahlkreis- und Länderebene in einem einzelnen Datensatz bereitgestellt. CSES Variable List Eine Liste aller Variablen wird auf der Webseite des CSES bereitgestellt. Sie verdeutlicht, welche Inhalte über das CSES verfügbar sind und erlaubt es die Inhalte über verschiedene Module des CSES zu vergleichen. Themen: INDIVIDUALDATEN: Technische Variablen: Gewichtungsvariablen; Art der Wahl; Erhebungsmodus; Geschlecht des Interviewers; Datum der Datenerhebung; Wahlkreis des Befragten; Anzahl der Tage zwischen Wahltag und Interview. Demographie: Alter; Geschlecht; Bildung; Familienstand; Gewerkschaftsmitgliedschaft; Gewerkschaftsmitgliedschaft anderer Haushaltsmitglieder; Mitgliedschaft in einem Berufsverband; Erwerbsstatus; Beruf; sozioökonomischer Status; Beschäftigungsform (öffentlicher oder privater Sektor, industrieller Sektor); Erwerbsstatus des Partners; Beruf des Partners; sozioökonomischer Status des Partners; Beschäftigungsform (öffentlicher oder privater Sektor, industrieller Sektor) des Partners; Haushaltseinkommen; Anzahl Personen im Haushalt; Anzahl Kinder unter 18 im Haushalt; Kirchgangshäufigkeit; Religiosität; Konfessionsmitgliedschaft; Haushaltssprache; Rasse; ethnische Zugehörigkeit; Wohnort; ländliches oder städtisches Wohnumfeld. Befragungsvariablen: Politische Partizipation während des letzten Wahlkampfes (Überzeugungsarbeit, Wahlkampfaktivitäten) und Häufigkeit politischer Partizipation; Kontakt zu einem Kandidaten oder einer Partei während des Wahlkampfes; Wahlbeteiligung bei der aktuellen und der letzten Wahl; Wahlentscheidung (Präsidentschafts-, Unterhaus und Oberhauswahlen ) in der aktuellen und der letzten Wahl; Befragter hat bei der aktuellen und der letzten Wahl Stimme für bevorzugten Kandidaten abgegeben; wichtigste Themen der Wahl; Beurteilung der Problemlösungskompetenz der Regierung; Demokratiezufriedenheit; Einstellung zu ausgewählten Aussagen: Es macht einen Unterschied, wer an der Macht ist und für wen die Menschen stimmen, Demokratie ist besser als andere Regierungsformen; Beurteilung der Leistung der vom Befragten bei der letzten Wahl gewählten Partei; Beurteilung der Vertretung von Wähleransichten bei den Wahlen; Partei und Spitzenpolitiker, die am besten für die Meinung des Befragten stehen; Parteiidentifikation; Intensität der Parteiidentifikation; Sympathie–Skalometer für ausgewählte Parteien; Einstufung von Parteien und Spitzenpolitikern auf einem Links-Rechts-Kontinuum; politische Partizipation während der letzten fünf Jahre (Politikerkontakte, Teilnahme an einer Demonstration, Zusammenarbeit mit Gleichgesinnten); Respektieren von individueller Freiheit und Menschenrechten; Einschätzung der Verbreitung von Korruption im Land; Selbsteinstufung auf einem Links-Rechts-Kontinuum; politische Informiertheit. WAHLKREISDATEN: Anzahl der zu vergebenden Sitze im Wahlkreis; Anzahl der Kandidaten im Wahlkreis; Anzahl der Parteilisten; Prozentanteil der Parteien (Wahlergebnis); Wahlbeteiligung im Wahlkreis. LÄNDERDATEN: Wahlergebnisse der Parteien bei der aktuellen Parlamentswahl (Unterhaus / Oberhaus); Anteil der von den Parteien erhaltenen Sitze im Unterhaus; Anteil der von den Parteien erhaltenen Sitze im Oberhaus; Wahlbeteiligung; Anzahl der von jeder Partei gehalten Kabinettsposten vor und nach der letzten Wahl; Gründungsjahr der Parteien; ideologische Parteifamilien; Fraktionszugehörigkeit der Parteien im Europäischen Parlament und Zugehörigkeit zu einer internationalen Organisation; vor und nach der Wahl nicht repräsentierte bedeutende Parteien; Links-Rechts- Position der Parteien; durch Experten zugeordnete Links-Rechts-Position der Parteien und alternative Dimensionen des Parteienwettbewerbs; Konsens über Platzierung auf weiteren Dimensionen des Parteienwettbewerbs; bedeutendste Faktoren bei der Wahl; Konsens über das Ranking der Einflussfaktoren; Möglichkeit zu Wahlbündnissen im Wahlkampf; existierende Wahlbündnisse; Zahl der gewählten gesetzgebenden Kammern, für Unter- und Oberhäuser wurde codiert: Anzahl der Wahlsegmente, Anzahl der Hautwahlbezirke, Anzahl der Sitze, Größenordnung des Bezirks (Anzahl der aus jedem Bezirk gewählten Mitglieder), Anzahl der sekundären und tertiären Wahlkreise, Wahlpflicht; Anzahl abgegebener Stimmen; Abstimmungsverfahren; Stimmen übertragbar; Stimmen kumulierbar; Parteischwelle; Wahlformel; Parteilisten geschlossen, offen oder flexibel; Möglichkeit von Koalitionen; Mehrparteien-Vermerke auf Stimmzetteln; Unterstützung der verbündeten Partei; gemeinsame Parteilisten; Anforderungen für gemeinsame Parteilisten; Art der Koalitionsvereinbarungen; Staatsoberhaupt (Regimetyp); im Falle mehrerer Runden: Auswahl des Staatsoberhauptes; Direktwahl des Staatsoberhauptes und Verfahren der direkten Wahl; Schwelle für Erstrundensieg; Verfahren der Kandidatenauswahl in der Finalrunde; einfache Mehrheit oder absolute Mehrheit für den Wahlsieg in der 2. Runde; Jahr der Präsidentschaftswahl (vor oder nach den Parlamentswahlen); Prozess bei indirekter Wahl des Staatsoberhauptes; im Falle eines Wahlmänner-Gremiums: Auswahl der Wahlmänner, Beratungs- und Abstimmungsverfahren; wenn durch Gesetzgeber: gesetzgebende Kammern; Abstimmungsverfahren; verfassungsrechtliche Befugnisse des Staatoberhauptes; Stellung des Regierungsoberhauptes; Befugnisse des Ministerpräsidenten; Methoden der Auflösung des Kabinetts; Auflösung der Legislative vor den planmäßigen Wahlen; Auflösung der Legislative durch: Staatsoberhaupt, Regierungschef, Mehrheit der Legislative, Kombination; Einschränkungen bei der Auflösung der Legislative; die zweite Kammer der Legislative (Wahlverfahren, Zusammensetzung, ausschließliche Gesetzgebungsbefugnisse, Machtbefugnisse über das Kabinett); föderale Verfassungsstruktur, zentralstaatliche Macht über Peripherie

CSES Module 1-3 Harmonized Trend File

For further information on the Variable List see the Documentation ( Codebook ) of the CSES Module 1-3 Harmonized Trend File. For content information see study numbers ZA5179 CSES Module 1 Full Release, ZA5180 CSES Module 2 Full Release, and ZA5181 CSES Module 3 Full Release.Für weitere Informationen zur Variablenliste siehe die Dokumentation ( Codebook ) des CSES Module 1-3 Harmonized Trend File. Informationen zum Inhalt können den Studiennummern ZA5179 CSES Module 1 Full Release, ZA5180 CSES Module 2 Full Release, und ZA5181 CSES Module 3 Full Release entnommen werden

Comparative Study of Electoral Systems (2001-2006)

The module was administered as a post-election interview. The resulting data are provided along with voting, demographic, district and macro variables in a single dataset. CSES Variable List The list of variables is being provided on the CSES Website to help in understanding what content is available from CSES, and to compare the content available in each module. Themes: MICRO-LEVEL DATA: Identification and study administration variables: mode of interview; gender of interviewer; date questionnaire administered; election type; weighting factors; if multiple rounds: percent of vote selected parties received in first round; selection of head of state; direct election of head of state and process of direct election; threshold for first-round victory; selection of candidates for the final round; simple majority or absolute majority for 2nd round victory; primary electoral district of respondent; number of days the interview was conducted after the election Demography: age; gender; education; marital status; union membership; union membership of others in household; business association membership, farmers´ association membership; professional association membership; current employment status; main occupation; socio economic status; employment type - public or private; industrial sector; current employment status, occupation, socio economic status, employment type - public or private and industrial sector of spouse; household income; number of persons in household; number of children in household under the age of 18; attendance at religious services; race; ethnicity; religiosity; religious denomination; language usually spoken at home; region of residence; rural or urban residence Survey variables: political participation during the recent election campaign (persuade others, campaign activities) and frequency of political participation; contacted by candidate or party during the campaign; respondent cast a ballot at the current and the previous election; vote choice (presidential, lower house and upper house elections) at the current and the previous election; respondent cast candidate preference vote at the current election; most important issue; evaluation of governments performance concerning the most important issue and in general; satisfaction with the democratic process in the country; attitude towards selected statements: it makes a difference who is in power and who people vote for; democracy is better than any other form of government; respondent cast candidate preference vote at the previous election; judgement of the performance of the party the respondent voted for in the previous election; judgement how well voters´ views are represented in elections; party and leader that represent respondent´s view best; form of questionnaire (long or short); party identification; intensity of party identification; sympathy scale for selected parties; assessment of parties and political leaders on a left-right-scale; political participation during the last 5 years: contacted a politician or government, protest or demonstration, work with others who share the same concern; respect for individual freedom and human rights; assessment how much corruption is widespread in the country; self-placement on a left-right-scale; political information items DISTRICT-LEVEL DATA: number of seats contested in electoral district, number of candidates, number of party lists, percent vote of different parties, official voter turnout in electoral district MACRO-LEVEL DATA: percent of popular vote received by parties in current (lower house/upper house) legislative election; percent of seats in lower house received by parties in current lower house/upper house election; percentage of official voter turnout; number of portfolios held by each party in cabinet, prior to and after the most recent election; year of party foundation; ideological family the parties are closest to; European parliament political group and international organization the parties belong to; significant parties not represented before and after the election; left-right position of parties; general concensus on these left-right placements among informed observers in the country; alternative dimension placements; consensus on the alternative dimension placements; most salient factors in the election; consensus on the salience ranking; electoral alliances permitted during the election campaign; name of alliance and participant parties; number of elected legislative chambers; for lower house and upper house was asked: number of electoral segments; number of primary districts; number of seats; district magnitude (number of members elected from each district); number of secondary and tertiary electoral districts; compulsory voting; votes cast; voting procedure; transferrable votes; cumulated votes if more than one can be cast; party threshold; used electoral formula; party lists close, open, or flexible; parties can run joint lists; possibility of apparentement; multi-party endorsements; ally party support; requirements for joint party lists; types of apparentement agreements; multi-party endorsements on ballot; head of state (regime type); year of presidential election (before or after this legislative election); process if indirect election; if by electoral college: selection of electors, deliberates, and voting procedure; if by legislature: chambers of the legislature, voting procedure; power of the head of state (introduce legislation, expedited action, package veto, partial veto, legislate by decree, emergency powers, negotiate agreements, commander of forces, introduce referenda, refer legislation to judiciary, legislative sessions); head of government (elected independently, is the head of state, selection method if not elected independently); authorities of the head of government concerning the composition of the cabinet (name ministers, nominate ministers, review ministerial nominations, dismiss ministers); authorities of the head of government concerning the policy making process (chair cabinet meetings, legislature schedules, policy alternatives, refers policy to committee, votes of confidence); methods of cabinet dismissal (head of state acting alone, by head of government alone, majority of legislature, plurality of legislature, combination); dissolution of legislature prior to regularly scheduled elections; dissolution of legislature by: head of state, head of government, majority of legislature, combination; restrictions on dissolving legislature (on the timing, as a response to action/inaction by the legislature); second chamber of the legislature (method of election, composition, exclusive legislative powers, power over the cabinet); constitutional federal structure; central power over peripher

CSES Module 1-3 Harmonized Trend File

Für weitere Informationen zur Variablenliste siehe die Dokumentation (Codebook) des CSES Module 1-3 Harmonized Trend File. Informationen zum Inhalt können den Studiennummern ZA5179 CSES Module 1 Full Release, ZA5180 CSES Module 2 Full Release, und ZA5181 CSES Module 3 Full Release entnommen werden