Perspectives on antenatal education associated with pregnancy outcomes: Systematic review and meta-analysis

BackgroundMany studies on the relation between maternal health and infant health, including the effect of structured antenatal education, have been published and expanded over the years.AimInvestigate the impact of various antenatal education programmes on pregnancy outcomes to aid the development of future guidelines related to maternal and foetal health.MethodsBibliographic databases (Cochrane, PubMed, EMBASE, CINAHL, Korean Studies Information Service System) were searched up to November 2018, following the PICO criteria: population (pregnant women), intervention (antenatal education), comparison (not specified), and outcome (maternal and foetal outcome including physical or mental health components).FindingsWe included 23 eligible studies consisting of 14 controlled trials and 9 observational studies. The maternal physical outcomes depending on participation in antenatal education were not significantly different; however, the caesarean birth rate was lower in the antenatal education group (relative risk, RR, 0.90; 95% confidence interval, CI, 0.82–0.99), as was the use of epidural anaesthesia (RR, 0.84; 95% CI, 0.74–0.96). The maternal mental health outcomes of stress and self-efficacy significantly improved in the antenatal education group, although there was no difference in anxiety and depression. The foetal outcomes of birth weight or gestational age at birth were also not different between the groups.ConclusionAntenatal education can reduce maternal stress, improve self-efficacy, lower the caesarean birth rate, and decrease the use of epidural anaesthesia; however, there is limited evidence of its effects on maternal or foetal physical outcomes. Therefore, antenatal education should be standardised to elucidate its actual mental and physical health effects.     

An alternative to ratio estimator in post-stratification

This article proposes an alternative to usual ratio estimator of population mean in post-stratified sampling procedure and its properties are analyzed. Both theoretical and empirical findings are encouraging and support the soundness of the proposed procedure for mean estimation over an alternative to ratio estimator in simple random sampling without replacement suggested by Srivenkataramana and Tracy (1980), usual combined ratio estimators suggested by Ige and Tripathi (1989), and usual unbiased estimator in post-stratified sampling scheme. Both theoretical and empirical findings are encouraging and support the soundness of the present study. At the end, a simulation study has been carried out to verify the superiority of the proposed estimator.     

Bias-corrected maximum likelihood estimation of the parameters of the generalized half-normal distribution

Cooray and Ananda introduced a two-parameter generalized Half-Normal distribution which is useful for modelling lifetime data, while its maximum likelihood estimators (MLEs) are biased in finite samples. This motivates us to construct nearly unbiased estimators for the unknown parameters of the model. In this paper, we adopt two approaches for bias reduction of the MLEs of the parameters of generalized Half-Normal distribution. The first approach is the analytical methodology suggested by Cox and Snell and the second is based on parametric Bootstrap resampling method. Additionally, the method of moments (MMEs) is used for comparison purposes. The numerical evidence shows that the analytic bias-corrected estimators significantly outperform their bootstrapped-based counterpart for small and moderate samples as well as for MLEs and MMEs. Also, it is apparent from the results that bias- corrected estimates of shape parameter perform better than that of scale parameter. Further, the results show that bias-correction scheme yields nearly unbiased estimates. Finally, six fracture toughness real data sets illustrate the application of our methods.     

First difference transformation in panel VAR models: Robustness,estimation, and inference

This article considers estimation of Panel Vector Autoregressive Models of order 1 (PVAR(1)) with focus on fixed T consistent estimation methods in First Differences (FD) with additional strictly exogenous regressors. Additional results for the Panel FD ordinary least squares (OLS) estimator and the FDLS type estimator of Han and Phillips (2010 Han, C., Phillips, P. C. B. (2010). Gmm estimation for dynamic panels with fixed effects and strong instruments at unity. Econometric Theory 26:119–151.[Crossref], [Web of Science ®] , [Google Scholar]) are provided. Furthermore, we simplify the analysis of Binder et al. (2005 Binder, M., Hsiao, C., Pesaran, M. H. (2005). Estimation and inference in short panel vector autoregressions with unit root and cointegration. Econometric Theory 21:795–837.[Crossref], [Web of Science ®] , [Google Scholar]) by providing additional analytical results and extend the original model by taking into account possible cross-sectional heteroscedasticity and presence of strictly exogenous regressors. We show that in the three wave panel the log-likelihood function of the unrestricted Transformed Maximum Likelihood (TML) estimator might violate the global identification assumption. The finite-sample performance of the analyzed methods is investigated in a Monte Carlo study.     

Improving the finite sample performance of autoregression estimators in dynamic factor models: A bootstrap approach

We investigate the finite sample properties of the estimator of a persistence parameter of an unobservable common factor when the factor is estimated by the principal components method. When the number of cross-sectional observations is not sufficiently large, relative to the number of time series observations, the autoregressive coefficient estimator of a positively autocorrelated factor is biased downward, and the bias becomes larger for a more persistent factor. Based on theoretical and simulation analyses, we show that bootstrap procedures are effective in reducing the bias, and bootstrap confidence intervals outperform naive asymptotic confidence intervals in terms of the coverage probability.     

Structural Equation Models for Dealing With Spatial Confounding

In regression analyses of spatially structured data, it is common practice to introduce spatially correlated random effects into the regression model to reduce or even avoid unobserved variable bias in the estimation of other covariate effects. If besides the response the covariates are also spatially correlated, the spatial effects may confound the effect of the covariates or vice versa. In this case, the model fails to identify the true covariate effect due to multicollinearity. For highly collinear continuous covariates, path analysis and structural equation modeling techniques prove to be helpful to disentangle direct covariate effects from indirect covariate effects arising from correlation with other variables. This work discusses the applicability of these techniques in regression setups, where spatial and covariate effects coincide at least partly and classical geoadditive models fail to separate these effects. Supplementary materials for this article are available online.     

A Comparison of Selected Artificial Neural Networks that Help Auditors Evaluate Client Financial Viability

This study compares the performance of three artificial neural network (ANN) approaches—backpropagalion, categorical learning, and probabilistic neural network—as classification tools to assist and support auditor's judgment about a client's continued financial viability into the future (going concern status). ANN performance is compared on the basis of overall error rates and estimated relative costs of misclassificaticn (incorrectly classifying an insolvent firm as solvent versus classifying a solvent firm as insolvent). When only the overall error rate is considered, the probabilistic neural network is the most reliable in classification, followed by backpropagation and categorical learning network. When the estimated relative costs of misclassification are considered, the categorical learning network is the least costly, followed by backpropagation and probabilistic neural network.