Structural equation modeling (SEM) applications routinely employ a trilogy of significance tests that includes the likelihood ratio test, Wald test, and score test or modification index. Researchers use these tests to assess global model fit, evaluate whether individual estimates differ from zero, and identify potential sources of local misfit, respectively. This full cadre of significance testing options is not yet available for multiply imputed data sets, as methodologists have yet to develop a general score test for this context. Thus, the goal of this article is to outline a new score test for multiply imputed data. Consistent with its complete-data counterpart, this imputation-based score test provides an estimate of the familiar expected parameter change statistic. The new procedure is available in the R package semTools and naturally suited for identifying local misfit in SEM applications (i.e., a model modification index). The article uses a simulation study to assess the performance (Type I error rate, power) of the proposed score test relative to the score test produced by full information maximum likelihood (FIML) estimation. Due to the two-stage nature of multiple imputation, the score test exhibited slightly lower power than the corresponding FIML statistic in some situations but was generally well calibrated. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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J Surg Educ
January 2025
Washington University of St. Louis, Department of Orthopaedic Surgery, St. Louis, Missouri.
Objective: Orthopedic residents are tasked with rapidly acquiring clinical and surgical skills, especially during their PGY-1 year. However, resource constraints and other factors frequently cause skills training to fall short of established guidelines. We aimed to design and evaluate a cross-institutional, month-long curriculum aimed at pooling resources to optimize training.
View Article and Find Full Text PDFJ Neurosurg
January 2025
13Department of Neurosurgery, Shimane Prefectural Central Hospital, Shimane, Japan.
Objective: Aneurysmal subarachnoid hemorrhage (SAH) is associated with high morbidity and mortality rates. In particular, functional outcomes of SAH caused by large or giant (≥ 10 mm) ruptured intracranial aneurysms are worsened by high procedure-related complication rates. However, studies describing the risk factors for poor functional outcomes specific to ruptured large/giant aneurysms are sparse.
View Article and Find Full Text PDFJ Occup Environ Med
January 2025
Department of Social Medical Sciences, Graduate School of Medicine, International University of Health and Welfare, Tokyo, Japan.
Objective: Although increasing evidence suggests that depression/distress involves inflammatory processes, its potential sex differences and the temporal directions for this association remain elusive.
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Results: Fully-adjusted partial correlation analyses revealed that in men, a lower IFN-γ predicted subsequent increases in CES-D and K6 scores, while a higher TNF-α predicted increased K6 scores.
Otol Neurotol
February 2025
Department of Otolaryngology-Head and Neck Surgery.
Objective: To compare fall risk scores of hearing aids embedded with inertial measurement units (IMU-HAs) and powered by artificial intelligence (AI) algorithms with scores by trained observers.
Study Design: Prospective, double-blinded, observational study of fall risk scores between trained observers and those of IMU-HAs.
Setting: Tertiary referral center.
PLoS One
January 2025
Department of Biomedical and Health Informatics, Tsui Laboratory, Children's Hospital of Philadelphia, Philadelphia, PA, United States of America.
Semantical text understanding holds significant importance in natural language processing (NLP). Numerous datasets, such as Quora Question Pairs (QQP), have been devised for this purpose. In our previous study, we developed a Siamese Convolutional Neural Network (S-CNN) that achieved an F1 score of 82.
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