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With models and research designs ever increasing in complexity, the foundational question of model identification is more important than ever. The determination of whether or not a model can be fit at all or fit to some particular data set is the essence of model identification. In this article, we pull from previously published work on data-independent model identification applicable to a broad set of structural equation models, and extend it further to include extremely flexible exogenous covariate effects and also to include data-dependent empirical model identification. For illustrative purposes, we apply this model identification solution to several small examples for which the answer is already known, including a real data example from the National Longitudinal Survey of Youth; however, the method applies similarly to models that are far from simple to comprehend. The solution is implemented in the open-source OpenMx package in R.
The new software package OpenMx 2.0 for structural equation and other statistical modeling is introduced and its features are described. OpenMx is evolving in a modular direction and now allows a mix-and-match computational approach that separates model expectations from fit functions and optimizers. Major backend architectural improvements include a move to swappable open-source optimizers such as the newly written CSOLNP. Entire new methodologies such as item factor analysis and state space modeling have been implemented. New model expectation functions including support for the expression of models in LISREL syntax and a simplified multigroup expectation function are available. Ease-of-use improvements include helper functions to standardize model parameters and compute their Jacobian-based standard errors, access to model components through standard R $ mechanisms, and improved tab completion from within the R Graphical User Interface.
A growing number of social scientists have turned to differential equations as a tool for capturing the dynamic interdependence among a system of variables. Current tools for fitting differential equation models do not provide a straightforward mechanism for diagnosing evidence for qualitative shifts in dynamics, nor do they provide ways of identifying the timing and possible determinants of such shifts. In this paper, we discuss regime-switching differential equation models, a novel modeling framework for representing abrupt changes in a system of differential equation models. Estimation was performed by combining the Kim filter (Kim and Nelson State-space models with regime switching: classical and Gibbs-sampling approaches with applications, MIT Press, Cambridge, 1999) and a numerical differential equation solver that can handle both ordinary and stochastic differential equations. The proposed approach was motivated by the need to represent discrete shifts in the movement dynamics of \documentclass[12pt]{minimal}\usepackage{amsmath}\usepackage{wasysym}\usepackage{amsfonts}\usepackage{amssymb}\usepackage{amsbsy}\usepackage{mathrsfs}\usepackage{upgreek}\setlength{\oddsidemargin}{-69pt}\begin{document}$$n= 29$$\end{document} mother–infant dyads during the Strange Situation Procedure (SSP), a behavioral assessment where the infant is separated from and reunited with the mother twice. We illustrate the utility of a novel regime-switching differential equation model in representing children’s tendency to exhibit shifts between the goal of staying close to their mothers and intermittent interest in moving away from their mothers to explore the room during the SSP. Results from empirical model fitting were supplemented with a Monte Carlo simulation study to evaluate the use of information criterion measures to diagnose sudden shifts in dynamics.
With the advent of new data collection technologies, intensive longitudinal data (ILD) are collected more frequently than ever. Along with the increased prevalence of ILD, more methods are being developed to analyze these data. However, relatively few methods have yet been applied for making long- or even short-term predictions from ILD in behavioral settings. Applications of forecasting methods to behavioral ILD are still scant. We first establish a general framework for modeling ILD and then extend that frame to two previously existing forecasting methods: these methods are Kalman prediction and ensemble prediction. After implementing Kalman and ensemble forecasts in free and open-source software, we apply these methods to daily drug and alcohol use data. In doing so, we create a simple, but nonlinear dynamical system model of daily drug and alcohol use and illustrate important differences between the forecasting methods. We further compare the Kalman and ensemble forecasting methods to several simpler forecasts of daily drug and alcohol use. Ensemble forecasts may be more appropriate than Kalman forecasts for nonlinear dynamical systems models, but further forecasting evaluation methods must be put into practice.
Generalized orthogonal linear derivative (GOLD) estimates were proposed to correct a problem of correlated estimation errors in generalized local linear approximation (GLLA). This paper shows that GOLD estimates are related to GLLA estimates by the Gram–Schmidt orthogonalization process. Analytical work suggests that GLLA estimates are derivatives of an approximating polynomial and GOLD estimates are linear combinations of these derivatives. A series of simulation studies then further investigates and tests the analytical properties derived. The first study shows that when approximating or smoothing noisy data, GLLA outperforms GOLD, but when interpolating noisy data GOLD outperforms GLLA. The second study shows that when data are not noisy, GLLA always outperforms GOLD in terms of derivative estimation. Thus, when data can be smoothed or are not noisy, GLLA is preferred whereas when they cannot then GOLD is preferred. The last studies show situations where GOLD can produce biased estimates. In spite of these possible shortcomings of GOLD to produce accurate and unbiased estimates, GOLD may still provide adequate or improved model estimation because of its orthogonal error structure. However, GOLD should not be used purely for derivative estimation because the error covariance structure is irrelevant in this case. Future research should attempt to find orthogonal polynomial derivative estimators that produce accurate and unbiased derivatives with an orthogonal error structure.
Pediatric medical devices lag behind adult devices due to economic barriers, smaller patient populations, changing anatomy and physiology of patients, regulatory hurdles, and especially difficulties in executing clinical trials. We investigated the requirements, challenges, associated timeline, and costs of conducting a multi-site pivotal clinical trial for a Class II pediatric physiologic monitoring device.
Methods:
This case study focused on the negotiation of clinical trial agreements (CTAs), budgets, and Institutional Review Board (IRB) processing times for a pediatric device trial. We identified key factors contributing to delays in clinical trial execution and potential best practices to expedite the process while maintaining safety, ethics, and efficacy.
Results:
The total time from site contact to first patient enrollment averaged 14 months. CTA and budget negotiations were the most time-consuming processes, averaging nearly 10 and 9 months, respectively. Reliance and local IRB processing also contributed significantly to the timeline, overall adding an average of 6.5 months across institutions. Nearly half of all costs were devoted to regulatory oversight. The COVID-19 pandemic caused significant slowdowns and delays at multiple institutions during study enrollment. Despite these pandemic-induced delays, it is important to note that the issues and themes highlighted remain relevant and have post-pandemic applicability.
Conclusions:
Our case study results underscore the importance of establishing efficient and standardized processing of CTAs, budget negotiations, and use of reliance IRBs to expedite clinical trial execution for pediatric devices. The findings also highlight the need for a national clinical trials network to streamline the clinical trial process.
Electroacoustic measurements at 1 MHz, using the Electro-Sonic Amplitude (ESA), on a kaolinite suspension provide a ready method for following the adsorption of hydrolyzable metal ions onto the clay surface. Co2+, Cd2+ and Cu2+ ions show similar behavior: The initially negative surface becomes less negative, approaches zero, and may become positive at pH values around neutral, depending on the initial metal concentration. At higher pH, electrokinetic potential goes through a maximum. If the surface has become positive, it becomes less so; and at still higher pH values it may become negative again, depending on the metal ion concentration. The behavior can be interpreted using the model proposed by James and Healy.
This study describes the local Emergency Medical Services (EMS) response and patient encounters corresponding to the civil unrest occurring over a four-day period in Spring 2020 in Indianapolis, Indiana (USA).
Methods:
This study describes the non-conventional EMS response to civil unrest. The study included patients encountered by EMS in the area of the civil unrest occurring in Indianapolis, Indiana from May 29 through June 1, 2020. The area of civil unrest defined by Indianapolis Metropolitan Police Department covered 15 blocks by 12 blocks (roughly 4.0 square miles) and included central Indianapolis. The study analyzed records and collected demographics, scene times, interventions, dispositions, EMS clinician narratives, transport destinations, and hospital course with outcomes from receiving hospitals for patients extracted from the area of civil unrest by EMS.
Results:
Twenty-nine patients were included with ages ranging from two to sixty-eight years. In total, EMS transported 72.4% (21 of 29) of the patients, with the remainder declining transport. Ballistic injuries from gun violence accounted for 10.3% (3 of 29) of injuries. Two additional fatalities from penetrating trauma occurred among patients without EMS contact within and during the civil unrest. Conditions not involving trauma occurred in 37.9% (11 of 29). Among transported patients, 33.3% (7 of 21) were admitted to the hospital and there was one fatality.
Conclusions:
While most EMS transports did not result in hospitalization, it is important to note that the majority of EMS calls did result in a transport. There was a substantial amount of non-traumatic patient encounters. Trauma in many of the encounters was relatively severe, and the findings imply the need for rapid extraction methods from dangerous areas to facilitate timely in-hospital stabilization.
The uncanny ability of certain individuals to foresee future events had long been regarded as a characteristic of the Scottish Highlands, but in the late seventeenth century interest in the phenomenon came to a head, stimulated by English scientific and philosophical curiosity about magic, particularly second sight.
The natural philosopher Robert Boyle and other English savants investigated these Highland beliefs; they found the region a kind of laboratory, strange yet accessible, where data about unusual beliefs could be collected and theories tested. Scottish authors were also stimulated to write accounts of second sight, notably John Fraser, Dean of the Isles, and the Highland minister, Robert Kirk (1644-92), in his famous work, The Secret Commonwealth. These and other texts are included in this book, making available crucial information about belief systems which might otherwise never have been recorded, and illuminating changing contemporary attitudes towards the relationship between the natural and the supernatural.
Numerous studies have shown longer pre-hospital and in-hospital workflow times and poorer outcomes in women after acute ischemic stroke (AIS) in general and after endovascular treatment (EVT) in particular. We investigated sex differences in acute stroke care of EVT patients over 5 years in a comprehensive Canadian provincial registry.
Methods:
Clinical data of all AIS patients who underwent EVT between January 2017 and December 2022 in the province of Saskatchewan were captured in the Canadian OPTIMISE registry and supplemented with patient data from administrative data sources. Patient baseline characteristics, transport time metrics, and technical EVT outcomes between female and male EVT patients were compared.
Results:
Three-hundred-three patients underwent EVT between 2017 and 2022: 144 (47.5%) women and 159 (52.5%) men. Women were significantly older (median age 77.5 [interquartile range: 66–85] vs.71 [59–78], p < 0.001), while men had more intracranial internal carotid artery occlusions (48/159 [30.2%] vs. 26/142 [18.3%], p = 0.03). Last-known-well to comprehensive stroke center (CSC)-arrival time (median 232 min [interquartile range 90–432] in women vs. 230 min [90–352] in men), CSC-arrival-to-reperfusion time (median 108 min [88–149] in women vs. 102 min [77–141] in men), reperfusion status (successful reperfusion 106/142 [74.7%] in women vs. 117/158 [74.1%] in men) as well as modified Rankin score at 90 days did not differ significantly. This held true after adjusting for baseline variables in multivariable analyses.
Conclusion:
While women undergoing EVT in the province of Saskatchewan were on average older than men, they were treated just as fast and achieved similar technical and clinical outcomes compared to men.
Chapter 2 considers the problem of ‘atheism’ in the period before the Civil War, emphasising the extent to which the concept represented an amalgam of the imaginary and the real, to which justice needs to be done. In many ways the discourse of ‘atheism’ was exaggerated, even fantastic. Yet it overlapped with actual instances of irreligion in ways that are teased out in the course of the chapter. The concept of ‘atheism’ made was possible to express disquiet about tendencies in contemporary thought and mores, such as secularism, naturalism and an undue reliance on ‘wit’ and sarcasm. The supposed overlap between atheism and immorality also provided an opportunity for preachers to draw attention to the spiritual shortcomings of the godly to whom they preached.
Chapter 4 deals with atheism after 1660, including the legacy of the Civil War and particularly the influence of Thomas Hobbes. It offers vignettes of such freethinkers as John Wagstaffe, Daniel Scargill, Charles Blount and the Earl of Rochester before confronting the issue of the continuing scarcity of named examples of actual atheists. It considers the case of ‘The Second Spira’ and finds it of questionable validity; on the other hand, it prints verbatim a supposed statement of atheistical principles made in 1700 by an apostate, George Smith. It ends with the early eighteenth-century case of Richard Burridge, an atheist who was prosecuted for blasphemy but who subsequently reformed and capitalised on his dubious reputation.
Chapter 3 considers the extent to which the godly suffered from ‘atheism’ and what they meant by this, giving particular attention to the experience of Robert Boyle, Richard Baxter and John Bunyan. It is argued that such doubts were experienced privately, in contrast to the public irreligion propagated by the true ‘atheists’ who feature in the other chapters of the book, and it is tentatively suggested that such outspoken irreligion was what Christ had in mind in the gospels when He spoke of the unforgiveable ‘Sin against the Holy Ghost’.
Chapter 7 publishes the text of Pitcairneana, MS Eng 1114 in the Houghton Library, Harvard. In it, a spokesman for atheism, ‘Incredulous’, argues against ‘Credulous’, a spokesman for Christian orthodoxy, and makes various points, notably concerning the relationship between spiritual and non-spiritual bodies and the issue of motion being intrinsic to matter; he also argues in favour of the world’s being eternal rather than the result of a divine act of creation and offers a cyclical rather than progressive view of human development. The authors referred to in the dialogue include Samuel Clarke, Henry More, John Toland and Robert Hooke, while the treatise ends by invoking ‘axioms’ in an essentially Newtonian mode.
Chapter 5 gives a detailed account of the trial and execution of Thomas Aikenhead in Edinburgh in 1696–7. The statements that Aikenhead was accused of making are itemised, and their incendiary and openly blasphemous quality is clear. It is also noteworthy that he made such statements in public and seemed reluctant to retract them. This explains the harsh penalty to which he was subjected, which was the subject of much comment at the time. The case also attracted interest in England, not least from John Locke, who preserved various key documents relating to it. Here, Aikenhead’s sources are investigated, including the dangerous books to which he had access in the university library and elsewhere, and his ingenuity in constructing an irreligious ‘system’ from them is asserted.