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Although the reception history of American influence in Irish musical affairs has sometimes been a negative one (as in the hostile resistance to jazz in the early years of the Irish Free State), the impact of American retrievals and recordings of Irish traditional music is another matter. This chapter examines the entirely positive influence of Francis O’Neill (Chicago) and Michael Coleman (New York) in the recovery and dissemination of traditional dance music in 1900–35, partly through the agency of two cultural paradigms which shaped the revival of this music throughout much of the twentieth century. The first of these paradigms is one of remembrance, in which the ingathering of O’Neill’s published collections defined the repertory and meaning of Irish traditional music to an exceptional degree. The second is that of stylistic authority, effectuated by the influence of Coleman’s recordings on the development of fiddle playing in Ireland. Taken together, these characteristically American agents of recovery and reproduction allow us to reconsider the history, meaning and influence of ‘Americanisation’ in an Irish musical context. They also illuminate the more recent history of traditional music practice, in which the exemplary influence of jazz (as a definitively American art form) is apparent.
Increasing resources are devoted to osteoarthritis surgical care in Australia annually, with significant expenditure attributed to hip and knee arthroplasties. Safe, efficient, and sustainable models of care are required. This study aimed to determine the impact on healthcare costs of implementing an enhanced short-stay model of care (ESS-MOC) for arthroplasty at a national level.
Methods
Budget impact analysis was conducted for hospitals providing arthroplasty surgery over the years 2023 to 2030. Population-based sample projections obtained from clinical registry and administrative datasets of individuals receiving hip or knee arthroplasty for osteoarthritis were applied. The ESS-MOC assigned 30 percent of eligible patients to a shortened acute-ward-stay pathway and outpatient rehabilitation. The remaining 70 percent received a current practice pathway. The primary outcome was total healthcare cost savings post-implementation of the ESS-MOC, with return on investment (ROI) ratio and hospital bed-days utilized also estimated. Costs are presented in Australian dollars (AUD) and United States dollars (USD), at 2023 prices.
Results
Estimated hospital cost savings for the years 2023 to 2030 from implementing the ESS-MOC were AUD641 million (USD427 million) (95% CI: AUD99 million [USD66 million] to AUD1,250 million) [USD834 million]). This corresponds to a ROI ratio of 8.88 (1.3 to 17.9) dollars returned for each dollar invested in implementing the care model. For the period 2023 to 2030, an estimated 337,000 (261,000 to 412,000) acute surgical ward bed-days, and 721,000 (471,000 to 1,028,000) rehabilitation bed-days could be saved. Total implementation costs for the ESS-MOC were estimated at AUD72 million (USD46 million) over eight years.
Conclusions
Implementation of an ESS-MOC for eligible arthroplasty patients in Australia would generate significant cost and healthcare resource savings. This budget impact analysis demonstrates a best practice approach to comprehensively assessing value, at a national level, of implementing sustainable models of care in high-burden healthcare contexts. Findings are relevant to other settings where hospital stay following joint arthroplasty remains excessively long.
Horizon scanning provides timely intelligence about innovative health technologies in clinical development by commercial and non-commercial organizations. The horizon scanning for obesity medicines, carried out by the National Institute for Health and Care Research Innovation Observatory (IO), aimed to identify emerging obesity medicines to inform decision-making by national stakeholders and to shape future research.
Methods
In July 2023, the IO utilized horizon scanning methodology to identify medicines for preventing and treating obesity either primarily or as a comorbidity. The scans included medicines in preclinical and clinical development (phase I, I/II, II, II/III, III, or IV) sponsored by industry and non-industry for all population groups. Trial locations included Australia, Canada, the European Union, the UK, and the USA. Data were collected from the IO’s internal database (the Medicines Innovation Database), ClinicalTrials.gov, the European Union Drug Regulating Authorities Clinical Trials Database, the World Health Organization International Clinical Trials Registry Platform, and the Citeline Pharmaprojects database. The data were systematically screened and analyzed.
Results
A total of 405 clinical trials were identified that evaluated 177 unique medicinal interventions. Among these, 47 unique preclinical interventions were identified from preclinical studies. A total of 256 (63%) trials were sponsored by industry, 139 (34%) by non-industry, and 10 (3%) by industry and non-industry jointly. The top five drug classes included anorectic or anti-obesity medicines (n=75; 42%), antihyperglycemics (n=24; 14%), anti-inflammatories (n=8; 5%), hepatoprotectants (n=7; 4%), and antihyperlipidemics (n=4; 2%). At the time of scanning, 48 (27%) medicines were unlicensed in the UK and 129 (73%) were not. Among the licensed medicines, 37 (77%) were off patent and 11 (23%) were on patent.
Conclusions
The IO’s horizon scanning process can identify and deliver timely intelligence to support decision-making and facilitate adoption of new medicines to target areas of unmet clinical need. The obesity medicines scan identified medicinal interventions in preclinical and clinical development and provides valuable insights into the trends and research gaps in preventing and treating obesity.
Technology is central in supporting older people with their daily tasks and independence at home. This project aimed to identify technologies that can be built into residential environments (e.g., appliances, fixtures, or fittings) to support older people in activities of daily living (ADL) through a horizon scan (HS) informed by public insights on unmet needs and priorities.
Methods
A survey of members of the public was conducted to prioritize outcomes included within an evidence and gap map (EGM) framework. The EGM aimed to illustrate the current landscape of technologies supporting ADL in residential settings (e.g., care homes) and innovation gaps. The EGM results were shared with end users in a workshop discussion on the current range of technologies aimed at supporting ADL in residential settings. This was facilitated using vignettes to elicit views on unmet needs and priorities for technology development. The workshop informed the scope of the HS to identify and prioritize emerging technologies that could address unmet needs.
Results
This project successfully embedded public involvement throughout to identify innovation gaps in technologies supporting ADL, unmet needs among end users, and potential solutions to these needs. The HS identified 190 technologies that were ready to market. All the technologies had potential to address identified unmet needs and could be built into the residential environment to support older people with ADL and to improve their quality of life, independence, and safety at home. Horizon scanning research can meaningfully involve stakeholders and take direction from their insights to enable voices less often heard to drive innovation in areas where it is needed.
Conclusions
Involving stakeholders in research using evidence synthesis and qualitative methods helps to gain a better understanding of gaps in innovation, the related unmet needs, and the technologies that might address these needs. Public involvement in the survey and workshop influenced the conduct and interpretation of the EGM, the scope of the HS, and the interpretation of the findings.
In resolving disputes, the High Court of Australia sometimes has cause to expound upon the relationship between the Australian State and Aboriginal and Torres Strait Islander peoples. This article examines overblown and disingenuous New Right criticism directed towards the High Court in the aftermath of judgments deemed favourable to Indigenous Australians. It finds two themes recur in these attacks: that the High Court’s decision is undemocratic, or that the High Court has acted illegitimately. This article demonstrates that such claims are legally baseless. Drawing on quotes from major players in this debate, the article argues further that beneath this criticism lies a deeper angst over the sovereign foundations of Australia; an anxiety that reappears in arguments against contemporary calls for constitutional reform. As Australia nonetheless inches closer towards constitutional recognition of Aboriginal and Torres Strait Islander peoples, the ferocity of New Right censure suggests that the movement may fear the Australian people do not share their same suspicions.
A method is developed for extending any type of factor solution to new tests. The theoretical basis for this approximating scheme is thoroughly investigated, and then a simplification in the technique is introduced for practical purposes. An example is presented which illustrates the procedure of extending a factor solution to three new tests simultaneously.
A nonparametric test of dispersion with paired replicates data is described which involves jackknifing logarithmic transformations of the ratio of variance estimates for the pre- and post-treatment populations. Results from a Monte Carlo simulation show that the test performs well under Ho and has good power properties. Examples are given of applying the procedure on psychiatric data.
The Doolittle, Wherry-Doolittle, and Summerfield-Lubin methods of multiple correlation are compared theoretically as well as by an application in which a set of predictors is selected. Wherry's method and the Summerfield-Lubin method are shown to be equivalent; the relationship of these methods to the Doolittle method is indicated. The Summerfield-Lubin method, because of its compactness and ease of computation, and because of the meaningfulness of the interim computational values, is recommended as a convenient least squares method of multiple correlation and predictor selection.
A test for multisample sphericity based on the efficient scores criterion is obtained as an alternative to the likelihood ratio test developed by Mendoza.
Two systems of factor analysis—factoring correlations with units in the diagonal cells and factoring correlations with communalities in the diagonal cells—are considered in relation to the commonly used statistical procedure of separating a set of data (scores) into two or more parts. It is shown that both systems of factor analysis imply the separation of the observed data into two orthogonal parts. The matrices used to achieve the separation differ for the two systems of factor analysis.
In the course of developing the minres method of factor analysis the troublesome situation of communalities greater than one arose. This problem—referred to as the generalized Heywood case—is resolved in this paper by means of a process of minimizing the sum of squares of off-diagonal residuals. The resulting solution is superior to the otherwise very efficient original minres method without requiring additional computing time.
This paper describes a method of matrix decomposition which retains the ability of factor analytic techniques to summarize data in terms of a relatively low number of coordinates; but at the same time, does not sacrifice the useful analysis of variance heuristic of partitioning data matrices into independent sources of variation which are relatively simple to interpret. The basic model is essentially a two-way analysis of variance model which requires that the matrix of interaction parameters be decomposed by using factor analytic techniques. Problems of judging statistical significance are discussed; and an illustrative example is presented.
The square root method for the solution of a set of simultaneous linear equations or the reduction of a matrix has been known for some time under a variety of names. Because of its usefulness in statistical work, especially in factor analysis, the square root method is presented in general terms and an example given. Several independently developed “multiple group methods” for factor analysis are compared and synthesized. Their fundamental concepts are set forth and an appropriate system of notation developed. Detailed computational procedures are outlined, and the square root method is emphasized as a computing aid in multiple group analysis.
A simple proof that the squared multiple correlation of a variable with the remaining variables in the set of variables is a lower bound to the communality of that variable is presented.
Maydeu-Olivares and Joe (J. Am. Stat. Assoc. 100:1009–1020, 2005; Psychometrika 71:713–732, 2006) introduced classes of chi-square tests for (sparse) multidimensional multinomial data based on low-order marginal proportions. Our extension provides general conditions under which quadratic forms in linear functions of cell residuals are asymptotically chi-square. The new statistics need not be based on margins, and can be used for one-dimensional multinomials. We also provide theory that explains why limited information statistics have good power, regardless of sparseness. We show how quadratic-form statistics can be constructed that are more powerful than X2 and yet, have approximate chi-square null distribution in finite samples with large models. Examples with models for truncated count data and binary item response data are used to illustrate the theory.
Factor or conditional independence models based on copulas are proposed for multivariate discrete data such as item responses. The factor copula models have interpretations of latent maxima/minima (in comparison with latent means) and can lead to more probability in the joint upper or lower tail compared with factor models based on the discretized multivariate normal distribution (or multidimensional normal ogive model). Details on maximum likelihood estimation of parameters for the factor copula model are given, as well as analysis of the behavior of the log-likelihood. Our general methodology is illustrated with several item response data sets, and it is shown that there is a substantial improvement on existing models both conceptually and in fit to data.