Conventional growth models assume that the random effects describing individual trajectories are conditionally normal. In practice, this assumption may often be unrealistic. As an alternative, Nagin (2005) suggested a semiparametric group-based approach (SPGA) which approximates an unknown, continuous distribution of individual trajectories with a mixture of group trajectories. Prior simulations ( Brame, Nagin, & Wasserman, 2006 ; Nagin, 2005 ) indicated that SPGA could generate nearly-unbiased estimates of means and variances of a nonnormal distribution of individual trajectories, as functions of group-trajectory estimates. However, these studies used few random effects-usually only a random intercept. Based on the analytical relationship between SPGA and adaptive quadrature, we hypothesized that SPGA's ability to approximate (a) random effect variances/covariances and (b) effects of time-invariant predictors of growth should deteriorate as the dimensionality of the random effects distribution increases. We expected this problem to be mitigated by correlations among the random effects (highly correlated random effects functioning as fewer dimensions) and sample size (larger N supporting more groups). We tested these hypotheses via simulation, varying the number of random effects (1, 2, or 3), correlation among the random effects (0 or .6), and N (250, 500). Results indicated that, as the number of random effects increased, SPGA approximations remained acceptable for fixed effects, but became increasingly negatively biased for random effect variances. Whereas correlated random effects and larger N reduced this underestimation, correlated random effects sometimes distorted recovery of predictor effects. To illustrate this underestimation, Figure 1 depicts SPGA's approximation of the intercept variance from a three correlated random effect generating model (N < eqid1 > 500). These results suggest SPGA approximations are inadequate for the nonnormal, high-dimensional distributions of individual trajectories often seen in practice.[Figure: see text].
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http://dx.doi.org/10.1080/00273170802640509 | DOI Listing |
Int J Hyg Environ Health
January 2025
Department of Disease Control, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Introduction: Behaviour change interventions have the potential to improve sanitation and hygiene practices in urban settings. However, evidence on which behaviour change interventions have successfully improved sanitation and hygiene practices in urban settings is unclear.
Methods: We performed electronic searches across five databases and one grey literature database to identify relevant studies published between January 1, 1990 and November 20, 2023 in English.
Gynecol Oncol
January 2025
GOG Foundation, Florida Cancer Specialists and Research Institute, West Palm Beach, FL 33401, United States of America. Electronic address:
Objective: Therapeutic interventions for epithelial ovarian cancer (EOC) have increased greatly over the last decade but improvements outside of biomarker selected therapies have been limited. There remains a pressing need for more effective treatment options that can prolong survival and enhance the quality of life of patients with EOC. In contrast to the significant benefits of immunotherapy with immune checkpoint inhibitors (CPI) seen in many solid tumors, initial experience in EOC suggests limited efficacy of CPIs monotherapy.
View Article and Find Full Text PDFAfr J Reprod Health
December 2024
Department of Nursing Obstetrics and Gynaecology Nursing Department, Istanbul-Turkey.
This was a randomised controlled study to investigate the effect of web-based breastfeeding education given to primiparous pregnant women on postpartum breastfeeding. The study included a total of 120 primiparous pregnant women, including control group (n:60) and experimental group (n:60). The study was conducted in a district in northern Turkey.
View Article and Find Full Text PDFAfr J Reprod Health
December 2024
Department of Integrated Oncology(I), HangZhou Cancer Hospital, HangZhou, China.
Nursing interventions play a critical role in enhancing the quality of life (QoL) and therapeutic outcomes for cervical cancer patients undergoing chemotherapy. However, variations in nursing interventions and patient results require a meta-analysis to consolidate evidence on the most effective nursing approaches. This meta-analysis assessed how nursing care interventions influence QoL, adherence to chemotherapy, and the management of symptoms in cervical cancer patients.
View Article and Find Full Text PDFJ Eval Clin Pract
February 2025
Ordos Hospital of Traditional Chinese Medicine, Ordos City, China.
Background: To investigate the effect of Midnight-noon Ebb-flow combined with five-element music therapy in the continuous nursing of patients with chronic wounds.
Methods: From March 2022 to November 2023, we recruited 50 eligible chronic wound patients and randomly divided them into two groups according to a random number table: the experimental group (n = 25) and the control group (n = 25). The control group was treated with conventional nursing measures.
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