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First, let us understand the need for making a group decision in the healthcare setting. A single person making healthcare decisions is likely to offer more liabilities than strengths. Group decision-making can reduce this risk. One advantage of group decision-making is that it brings in different perspectives. Because group members have different orientations and interests, the group decision-making process is chaotic with conflicts and contradictions. Strategies can be employed to rectify these difficulties.
The Delphi approach increases the chance for reaching a consensus by utilizing qualitative techniques as well as descriptive and inferential concepts. The Delphi procedure is appropriate when several criteria are to be met and hence gets the name multi-criteria decision analysis (MCDA) (Aires and Ferreira, 2018). The MCDA functions based on five components: goal, criteria, alternatives, decision makers, and outcomes (Kumar et al., 2017). The MCDA builds consensus using the analytic hierarchy process (AHP).
A model is a description of the system that generates data. Box commented that some models are useful, but many are wrong. A reason exists for such a belief (Box, 2013). Nature functions in accordance with mysterious principles. Do such principles precisely fit the mathematical system humans have created? An example of such a mathematical system is the calendar. Over millennia, astronomers, scientists, and philosophers have struggled to redefine and refine the calendar. Different Tamil, Greek, Egyptian, and Sumerian calendars exist, but scholars realized an adjustment is necessary every four years to the number of days in the month of February. The current Gregorian calendar was introduced as an improvement on the Julian calendar in 1582. In a similar way to developing the calendar, modeling the chance-oriented healthcare system is a formidable task even for experts.
What is a model value? In general, values are depictions of a decision maker’s priorities. Model values are not unique to the healthcare field. Model values originated in finance. Swiss mathematician and physicist Daniel Bernoulli (1738) states money’s value decreases over time.
Risk is a measure of vulnerability and is defined, assessed, and rectified in several ways. For example, national security describes the protection of a nation and its assets, resources, or people. Risk analysis and the consequent preventive actions in a hospital or clinic aim to protect safety, to keep unauthorized persons from providing healthcare and authorized healthcare providers from abusing their privileges, to preserve confidentiality, and to safeguard advanced medical technologies, among others. Stored records need to be secured and a website, processed information, or data collected in a computer system are vulnerable to insecurity.
We investigate structural features and processes associated with the onset of systemic conflict using an approach which integrates complex systems theory with network modeling and analysis. We present a signed network model of cooperation and conflict dynamics in the context of international relations between states. The model evolves ties between nodes under the influence of a structural balance force and a dyad-specific force. Model simulations exhibit a sharp bifurcation from peace to systemic war as structural balance pressures increase, a bistable regime in which both peace and war stable equilibria exist, and a hysteretic reverse bifurcation from war to peace. We show how the analytical expression we derive for the peace-to-war bifurcation condition implies that polarized network structure increases susceptibility to systemic war. We develop a framework for identifying patterns of relationship perturbations that are most destabilizing and apply it to the network of European great powers before World War I. We also show that the model exhibits critical slowing down, in which perturbations to the peace equilibrium take longer to decay as the system draws closer to the bifurcation. We discuss how our results relate to international relations theories on the causes and catalysts of systemic war.
We show how convergence to the Gumbel distribution in an extreme value setting can be understood in an information-theoretic sense. We introduce a new type of score function which behaves well under the maximum operation, and which implies simple expressions for entropy and relative entropy. We show that, assuming certain properties of the von Mises representation, convergence to the Gumbel distribution can be proved in the strong sense of relative entropy.
Test anxiety refers to maladaptive cognitive and physiological reactions that interfere with optimal performance. Self-regulatory models suggest test anxiety occurs when there is a perceived discrepancy between current functioning and mental representations of desired academic goals. Interestingly, prior investigations have demonstrated those with greater interhemispheric communication are better able to detect discrepancies between current functioning and preexisting mental representations. Thus, the current study was designed to investigate the relationship between test anxiety and handedness—a commonly used proxy variable for interhemispheric communication. Undergraduate and graduate students (N = 277, 85.20% female, 68.19% Caucasian, $ \overline{\chi} $age = 29.88) (SD = 9.53) completed the FRIEDBEN Test Anxiety Scale and Edinburgh Handedness Inventory – Short Form. A series of Mann–Whitney U tests were used to test for differences in the cognitive, physiological, and social components of test anxiety between mixed- and consistent-handers. The results indicated that mixed-handers had significantly higher levels of cognitive test anxiety than consistent-handers. We believe this information has important implications for our understanding of the role of discrepancy detection and interhemispheric communication in eliciting and maintaining test-anxious responses.
We adapt the classical definition of locally stationary processes in discrete time (see e.g. Dahlhaus, ‘Locally stationary processes’, in Time Series Analysis: Methods and Applications (2012)) to the continuous-time setting and obtain equivalent representations in the time and frequency domains. From this, a unique time-varying spectral density is derived using the Wigner–Ville spectrum. As an example, we investigate time-varying Lévy-driven state space processes, including the class of time-varying Lévy-driven CARMA processes. First, the connection between these two classes of processes is examined. Considering a sequence of time-varying Lévy-driven state space processes, we then give sufficient conditions on the coefficient functions that ensure local stationarity with respect to the given definition.
Although Africa is home to about 14% of the global population (1.14 billion people), it is growing three times faster than the global average [1]. The continent carries a high burden of disease, but there has been real progress in eradication, elimination, and control since 2015. Examples are the eradication of wild polio in 2020 [2] and the eradication or elimination of neglected tropical diseases, such as dracunculiasis in Kenya in 2018; Human African trypanosomiasis in Togo in 2022; and trachoma in Togo, Gambia, Ghana, and Malawi in 2022 [3]. New HIV infections reduced by 44% in 2021 compared to 2010 [4], and in 2021 the African region passed the 2020 milestone of the End TB Strategy, with a 22% reduction in new infections compared with 2015 [5].
We define and study properties of implied volatility for American perpetual put options. In particular, we show that if the market prices are derived from a local volatility model with a monotone volatility function, then the corresponding implied volatility is also monotone as a function of the strike price.
We analysed the transmission of the human mpox virus in Spain by estimating the effective reproduction number of the disease from official surveillance data. Our computations show that this decreased steadily after an initial burst phase, dropping below 1 on July 12, and thus the outbreak was expected to reduce in the following weeks. Differences in trends were found across geographical regions of the country and across MSM and heterosexual populations.
This paper investigates properties of the class of graphs based on exchangeable point processes. We provide asymptotic expressions for the number of edges, number of nodes, and degree distributions, identifying four regimes: (i) a dense regime, (ii) a sparse, almost dense regime, (iii) a sparse regime with power-law behaviour, and (iv) an almost extremely sparse regime. We show that, under mild assumptions, both the global and local clustering coefficients converge to constants which may or may not be the same. We also derive a central limit theorem for subgraph counts and for the number of nodes. Finally, we propose a class of models within this framework where one can separately control the latent structure and the global sparsity/power-law properties of the graph.
This work explores the use of Trusted Research Environments for the secure analysis of sensitive, record-level data on local coronavirus disease-2019 (COVID-19) inequalities and economic vulnerabilities. The Local Data Spaces (LDS) project was a targeted rapid response and cross-disciplinary collaborative initiative using the Office for National Statistics’ Secure Research Service for localized comparison and analysis of health and economic outcomes over the course of the COVID-19 pandemic. Embedded researchers worked on co-producing a range of locally focused insights and reports built on secure secondary data and made appropriately open and available to the public and all local stakeholders for wider use. With secure infrastructure and overall data governance practices in place, accredited researchers were able to access a wealth of detailed data and resources to facilitate more targeted local policy analysis. Working with data within such infrastructure as part of a larger research project involved advanced planning and coordination to be efficient. As new and novel granular data resources become securely available (e.g., record-level administrative digital health records or consumer data), a range of local policy insights can be gained across issues of public health or local economic vitality. Many of these new forms of data however often come with a large degree of sensitivity around issues of personal identifiability and how the data is used for public-facing research and require secure and responsible use. Learning to work appropriately with secure data and research environments can open up many avenues for collaboration and analysis.