Time Analysis of Patients Seen for Multiple Psychiatric Evaluations of Competency

1981 ◽  
Vol 48 (2) ◽  
pp. 607-610 ◽  
Author(s):  
David Baskin ◽  
Norman Klein

Changes over time for a total of 137 individuals who were referred for multiple psychiatric examinations for competency were analyzed, using data on the evaluation of competency, psychiatric diagnoses, and criminal charges. Despite the fact that most of the subjects were repeatedly diagnosed as mentally ill, most of them were found competent. The only diagnoses which seemed to repeatedly be made were schizophrenia and mental retardation. The recurrence of certain serious criminal charges against the same defendants was reported and discussed. Suggestions for future research were made.

2020 ◽  
pp. 1810-1824
Author(s):  
Kathleen M. Boyer-Wright ◽  
Jeffrey E. Kottemann

The primary United Nations E-Government Index is a composite of three component indices: telecommunications infrastructure, human capital, and online e-government services, where the first two can be seen as enablers of the third. This study investigates the addition of a complementary component index for institutional efficacy, which is hypothesized to be another enabling factor. The institutional efficacy index is operationalized using existing measures gathered and made available by the World Bank. Statistical analysis shows that the institutional efficacy index is indeed a significant, additional predictor of online e-government services across nations. Following the presentation of basic results, qualitative analyses are undertaken to develop an assortment of generic national profiles. Preliminary analyses of changes over time are also presented using data from prior years, and directions for future research are outlined.


2021 ◽  
pp. 095679762097056
Author(s):  
Morgana Lizzio-Wilson ◽  
Emma F. Thomas ◽  
Winnifred R. Louis ◽  
Brittany Wilcockson ◽  
Catherine E. Amiot ◽  
...  

Extensive research has identified factors influencing collective-action participation. However, less is known about how collective-action outcomes (i.e., success and failure) shape engagement in social movements over time. Using data collected before and after the 2017 marriage-equality debate in Australia, we conducted a latent profile analysis that indicated that success unified supporters of change ( n = 420), whereas failure created subgroups among opponents ( n = 419), reflecting four divergent responses: disengagement (resigned acceptors), moderate disengagement and continued investment (moderates), and renewed commitment to the cause using similar strategies (stay-the-course opponents) or new strategies (innovators). Resigned acceptors were least inclined to act following failure, whereas innovators were generally more likely to engage in conventional action and justify using radical action relative to the other profiles. These divergent reactions were predicted by differing baseline levels of social identification, group efficacy, and anger. Collective-action outcomes dynamically shape participation in social movements; this is an important direction for future research.


2018 ◽  
Vol 74 (12) ◽  
pp. 1910-1915 ◽  
Author(s):  
Taeho Greg Rhee

Abstract Background To estimate prescribing trends of and correlates independently associated with coprescribing of benzodiazepines and opioids among adults aged 65 years or older in office-based outpatient visits. Methods I examined a nationally representative sample of office-based physician visits by older adults between 2006 and 2015 (n = 109,149 unweighted) using data from the National Ambulatory Medical Care Surveys (NAMCS). National rates and prescribing trends were estimated. Then, I used multivariable logistic regression analyses to identify demographic and clinical factors associated with coprescriptions of benzodiazepines and opioids. Results From 2006 to 2015, 15,954 (14.6%) out of 109,149 visits, representative of 39.3 million visits nationally, listed benzodiazepine, opioid, or both medications prescribed. The rate of prescription benzodiazepines only increased monotonically from 4.8% in 2006–2007 to 6.2% in 2014–2015 (p < .001), and the rate of prescription opioids only increased monotonically from 5.9% in 2006–2007 to 10.0% in 2014–2015 (p < .001). The coprescribing rate of benzodiazepines and opioids increased over time from 1.1% in 2006–2007 to 2.7% in 2014–2015 (p < .001). Correlates independently associated with a higher likelihood of both benzodiazepine and opioid prescriptions included: female sex, a visit for chronic care, receipt of six or more concomitantly prescribed medications, and clinical diagnoses of anxiety and pain (p < .01 for all). Conclusion The coprescribing rate of benzodiazepines and opioids increased monotonically over time in outpatient care settings. Because couse of benzodiazepines and opioids is associated with medication burdens and potential harms, future research is needed to address medication safety in these vulnerable populations.


Author(s):  
Ghazali Syamni

This paper examines the relationship of behavior trading investor using data detailed transaction history-corporate edition demand and order history in Indonesia Stock Exchange during period of March, April and May 2005. Peculiarly, behavior placing of investor order at trading volume. The result of this paper indicates that trading volume order pattern to have pattern U shape. The pattern happened that investors have strong desires to places order at the opening and close of compared to in trading periods. While the largest orders are of market at the opening indicates that investor is more conservatively when opening, where many orders when opening has not happened transaction to match. In placing order both of investor does similar strategy. By definition, informed investors’ orders more large than uninformed investors. If comparison of order examined hence both investors behavior relatively changes over time. But, statistically shows there is not ratio significant. This implies behavior trading of informed investors and uninformed investors stable relative over time. The result from regression analysis indicates that informed investors to correlate at trading volume in all time intervals, but not all uninformed investors correlates in every time interval. This imply investor order inform is more can explain trading volume pattern compared to uninformed investor order in Indonesia Stock Exchange. Finally, result of regression also finds that order status match has greater role determines trading volume pattern intraday especially informed buy match and informed sale match. While amend, open and withdraw unable to have role to determine intraday trading volume pattern.


Author(s):  
David Chan

Studies of team-level constructs can produce new insights when researchers explicitly take into account several critical conceptual and methodological issues. This article explicates the conceptual bases for multilevel research on team constructs and discusses specific issues relating to conceptual frameworks, measurement, and data analysis. To advance programmatic research involving team-level constructs, several future research directions concerning issues of substantive content (i.e., changes in the nature of work and teams, member-team fit, linking team-level constructs to higher-level constructs) and strategic approaches (i.e., the construct's theoretical roles, dimensionality and specificity, malleability and changes over time, relationships with Big Data) are proposed.


2019 ◽  
Vol 84 (3) ◽  
pp. 545-576 ◽  
Author(s):  
Tim Hallett ◽  
Orla Stapleton ◽  
Michael Sauder

In light of ongoing concerns about the relevance of scholarly activities, we ask, what are public ideas and how do they come to be? More specifically, how do journalists and other mediators between the academy and the public use social science ideas? How do the various uses of these ideas develop over time and shape the public careers of these ideas? How do these processes help us understand public ideas and identify their various types? In addressing these questions, we make the case for a sociology of public social science. Using data from newspaper articles that engage with seven of the most publicly prominent social science ideas over the past 30 years, we make three contributions. First, we advance a pragmatic, cultural approach to understanding public ideas, one that emphasizes fit-making processes and applicative flexibility. Second, we define public ideas: social science ideas become public ideas when they are used as objects of interest (being the news), are used as interpretants (making sense of the news), and ebb and flow between these uses as part of an unfolding career. Third, we construct a typology of public ideas that provides an architecture for future research on public social science.


2017 ◽  
Vol 25 ◽  
pp. 119
Author(s):  
F. Chris Curran

Little research explores the relative influence of various stakeholders on school discipline policy. Using data from the SASS and ordered logistic regression, this study explores such influence while assessing variation across schools types and changes over time. Principals consistently rate themselves and teachers as the most influential stakeholders over setting school discipline policy. The proportion of racial minorities in a school predicts greater influence from higher levels of governance while charter schools report less. Increases in influence of principals and teachers over time are documented. The results may inform both policymakers and practitioners as they work to improve equitable disciplinary outcomes for students.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S579-S579
Author(s):  
Morgan E Levine ◽  
Perry Kuo ◽  
Jennifer Schrack ◽  
Eleanor M Simonsick ◽  
Susan Resnick ◽  
...  

Abstract Aging is associated with numerous changes at all levels of biological organization. Harnessing this information to develop measures that accurately and reliably quantify the biological aging process will require longitudinal modeling and incorporation of systems level approaches. We will describe applications of network modeling for longitudinal multi-system biomarker data. Using data from the Baltimore Longitudinal Study of Aging (BLSA) we are able to generate systems level models of biological and physiological function, and then demonstrate how these networks change with age. We will also link systems-level aging changes to hallmarks of aging, including epigenetic alterations, senescence, mitochondrial dysfunction, and proteostasis. Given the complexity of the biological aging process, modeling of systems dynamics over time will both lead to the development of better biomarkers of aging, and also inform our conceptualization of how alterations at the molecular level propagate up levels of organization to eventually influence morbidity and mortality risk.


Rheumatology ◽  
2020 ◽  
Vol 59 (Supplement_2) ◽  
Author(s):  
Revathi Nishtala ◽  
Rosie Barnett ◽  
Teyuan Chyou ◽  
Anushka Soni ◽  
Raj Sengupta

Abstract Background Chronic pain is an important and debilitating symptom experienced by patients with axial Spondyloarthritis (axSpA). The patterns of pain and their associations in this patient group is poorly understood. The overall aim of the study is to investigate patterns of pain distribution in patients with axSpA using Margolis Pain Diagrams, and any associations with clinical and demographic measures. Methods We analysed data collected from individuals attending the axSpA outpatient clinic at the Royal National Hospital for Rheumatic Diseases in Bath. All participants were asked to record their pain on a pre-printed Margolis Pain diagram at each clinical visit. The number and distribution of painful areas were assessed and then categorised into regional or widespread pain, using pre-defined anatomical criteria. Descriptive analyses and any associations between pain distribution and demographic and clinical variables were assessed. Changes in pain distribution over time, using data from up to four clinic visits, were further investigated using a Sankey diagram. Results Of the 187 participants who had a baseline pain assessment, their mean age at diagnosis was 31.6 (11.9) years and 31.6% were female. 89.3% of patients reported pain at baseline, and of these 21.4%, 29.4 % and 38.5% reported pain in 1-2, 3-4, and 5-6 regions respectively. The most common sites of pain are in the Trunk (68.4%), followed by Head and Cervical (65.8%) and Left lower limb regions (58.8%). Univariate analyses did not reveal any significant associations between the presence of widespread pain and age at diagnosis, sex, smoking or HLA-B27 status. Disease activity, measured using Bath Ankylosing Spondylitis Disease Activity Index, was significantly higher in participants with widespread pain compared to those with regional pain OR 1.60 (1.30-1.96), and a trend towards higher sleep disturbance, was demonstrated OR 1.05 (1.00-1.10). Longitudinal analyses demonstrated considerable flux over time in the number and distribution of pain reported. Conclusion The Margolis Pain diagram is a practical instrument for assessing pain in axSpA patients. Several pain patterns were noted in patients with axSpA, and future research should focus on the potential impact on quality of life measures, response to treatment, and radiological findings. Disclosures R. Nishtala None. R. Barnett None. T. Chyou None. A. Soni None. R. Sengupta None.


2015 ◽  
Vol 14 (3) ◽  
pp. 177-186 ◽  
Author(s):  
Denice Kopchak Sheehan ◽  
M. Murray Mayo ◽  
Grace H. Christ ◽  
Kim Heim ◽  
Stephanie Parish ◽  
...  

ABSTRACTObjective:This study aimed to generate an explanatory model of the coping strategies that adolescents employ to manage the stressors they experience in the final months of their ill parent's life and shortly after their death.Method:The sample included 26 families of adolescents with a parent receiving care in a large hospice program in northeastern Ohio. A semistructured interview was conducted with 14 ill parents, 17 well parents/guardians, and 30 of their adolescent children before the parent's death and, additionally, with 6 of these families after the death. The interviews were audiotaped, transcribed verbatim, and analyzed using a grounded-theory approach.Results:The participants described two worlds that constituted the lives of the adolescents: the well world of normal adolescence and the ill world of having a parent near the end of life. The adolescents experienced a common challenge of living in two worlds and responded to the challenge with a process we labeled “managing two worlds.” Five stages through which adolescents manage their worlds were identified: keeping the ill world and the well world separate; having the ill world intrude into the well world; moving between the ill world and the well world; being immersed in the ill world; and returning to the well world having been changed by the ill world.Significance of results:The explanatory model of “managing two worlds” outlines a complex and nuanced process that changes over time. The model can be used by health professionals who seek to help adolescents navigate this critical time when their parents are dying or have recently died. These results can also be used to inform the development of interventions that assist families with strategies tailored to an adolescent's specific needs. Future research should investigate associations among the process of “managing two worlds” and outcomes related to adolescent bereavement.


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