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Early in the COVID-19 pandemic, the World Health Organization stressed the importance of daily clinical assessments of infected patients, yet current approaches frequently consider cross-sectional timepoints, cumulative summary measures, or time-to-event analyses. Statistical methods are available that make use of the rich information content of longitudinal assessments. We demonstrate the use of a multistate transition model to assess the dynamic nature of COVID-19-associated critical illness using daily evaluations of COVID-19 patients from 9 academic hospitals. We describe the accessibility and utility of methods that consider the clinical trajectory of critically ill COVID-19 patients.
International relations scholarship concerns dyads, yet standard modeling approaches fail to adequately capture the data generating process behind dyadic events and processes. As a result, they suffer from biased coefficients and poorly calibrated standard errors. We show how a regression-based approach, the Additive and Multiplicative Effects (AME) model, can be used to account for the inherent dependencies in dyadic data and glean substantive insights in the interrelations between actors. First, we conduct a simulation to highlight how the model captures dependencies and show that accounting for these processes improves our ability to conduct inference on dyadic data. Second, we compare the AME model to approaches used in three prominent studies from recent international relations scholarship. For each study, we find that compared to AME, the modeling approach used performs notably worse at capturing the data generating process. Further, conventional methods misstate the effect of key variables and the uncertainty in these effects. Finally, AME outperforms standard approaches in terms of out-of-sample fit. In sum, our work shows the consequences of failing to take the dependencies inherent to dyadic data seriously. Most importantly, by better modeling the data generating process underlying political phenomena, the AME framework improves scholars’ ability to conduct inferential analyses on dyadic data.
Otitis media (OM) is a common reason for children to be prescribed antibiotics and undergo surgery but a thorough understanding of disease mechanisms is lacking. We evaluate the evidence of a dysregulated immune response in the pathogenesis of OM.
Methods
A comprehensive systematic review of the literature using search terms [otitis media OR glue ear OR AOM OR OME] OR [middle ear AND (infection OR inflammation)] which were run through Medline and Embase via Ovid, including both human and animal studies. In total, 82 955 studies underwent automated filtering followed by manual screening. One hundred studies were included in the review.
Results
Most studies were based on in vitro or animal work. Abnormalities in pathogen detection pathways, such as Toll-like receptors, have confirmed roles in OM. The aetiology of OM, its chronic subgroups (chronic OM, persistent OM with effusion) and recurrent acute OM is complex; however, inflammatory signalling mechanisms are frequently implicated. Host epithelium likely plays a crucial role, but the characterisation of human middle ear tissue lags behind that of other anatomical subsites.
Conclusions
Translational research for OM presently falls far behind its clinical importance. This has likely hindered the development of new diagnostic and treatment modalities. Further work is urgently required; particularly to disentangle the respective immune pathologies in the clinically observed phenotypes and thereby work towards more personalised treatments.
We introduce a Bayesian approach to conduct inferential analyses on dyadic data while accounting for interdependencies between observations through a set of additive and multiplicative effects (AME). The AME model is built on a generalized linear modeling framework and is thus flexible enough to be applied to a variety of contexts. We contrast the AME model to two prominent approaches in the literature: the latent space model (LSM) and the exponential random graph model (ERGM). Relative to these approaches, we show that the AME approach is (a) to be easy to implement; (b) interpretable in a general linear model framework; (c) computationally straightforward; (d) not prone to degeneracy; (e) captures first-, second-, and third-order network dependencies; and (f) notably outperforms ERGMs and LSMs on a variety of metrics and in an out-of-sample context. In summary, AME offers a straightforward way to undertake nuanced, principled inferential network analysis for a wide range of social science questions.
Explains why model evaluation and selection must occur prior to inference and then develops the out-of-sample prediction heuristic for model evaluation. Specific attention paid to cross-validation.
Discusses problems induced by missing data and the multiple imputation strategies for dealing with it. Introduces and compares EM and Gaussian copula imputation methods.
Discusses the mechanics and computation for effectively interpreting theoutput of likelihood-based models in ways that are easy to understand and communicate.
Builds likelihood-based models for binary data and describes how we can evaluate the model and use sampling tools to generate meaningful interpretations of model quantities
Applies the GLM framework to modeling ordered categorical responses. Discusses the assumptions underlying the ordered logit/probit and provides diagnostics. Discusses categorical regressors.
Provides some of the details of numerical optimization as applied to likelihood functions and discusses possible problems, both computational and data-generated.
An overview of the basic concepts and components of likelihood-based modelling and introduces the process of maximizing a likelihood. We show that the OLS model can be derived in a likelihood framework.
Introduces the notion of dependence across observations in the context of teporal duration models. Describes BTSCS, parametric, and the Cox model. Introduces split population duration models.
Applies the GLM framework to modeling unorded categorical responses. Discusses the IIA assumption for the mutinomial logit and the many tools developed for times when it fails.
Applies the GLM framework to modeling event count data. Discusses the common problem of overdispersion and the methods for extending the model to account for it.