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@ -65,7 +65,7 @@ Washington State University \\ % Your institution for the title page
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\vspace{12pt}
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This research investigates the ways by which market conditions
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My research investigates the ways by which competing compounds
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affect clinical trial completion.
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\end{frame}
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%--------------------------------
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@ -140,7 +140,7 @@ Washington State University \\ % Your institution for the title page
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\frametitle{This research, in context}
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In contrast to previous work looking at multiple phases of trials,
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I seek to figure out what causes individual trials to fail.
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I seek to figure out what causes individual (phase 3) trials to fail.
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% \vspace{12pt}
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%
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@ -199,7 +199,7 @@ Washington State University \\ % Your institution for the title page
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\end{enumerate}
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\end{column}
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\begin{column}{0.5\textwidth}
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What does an \textbf{Terminated} trial look like?
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What does a \textbf{Terminated} trial look like?
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\begin{enumerate}
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\item Study sponsor comes up with design
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\item Apply for NCT ID from ClinicalTrials.gov
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@ -381,8 +381,7 @@ Washington State University \\ % Your institution for the title page
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\begin{enumerate}
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\item Population Effects
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\item Fundamental Safety and Efficacy of compound/dosage/route
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\item How long the trial is taking
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\item the total effects
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\item How long the trial is taking.
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\end{enumerate}
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\end{frame}
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%-------------------------------
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@ -426,6 +425,20 @@ Washington State University \\ % Your institution for the title page
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\cite{pearl_causality_2000}
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\end{frame}
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%-------------------------------
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\begin{frame}
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\frametitle{Complete graph - Joint}
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%introduce backdoor criterion
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\begin{figure}
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\scalebox{0.6}{
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\tikzfig{../assets/tikzit/CausalGraph_joint}
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}
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\label{FIG:CausalGraphJoint}
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\caption{Causal Graph with Joint RV}
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\end{figure}
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\end{frame}
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%-------------------------------
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\begin{frame}
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\frametitle{Sufficent Adjustment Set}
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%introduce backdoor criterion
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@ -438,7 +451,6 @@ Washington State University \\ % Your institution for the title page
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\item Condition
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\item Population
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\end{itemize}
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Discuss Regime Switching
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For the direct effect these are controls for:
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\begin{itemize}
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@ -447,32 +459,30 @@ Washington State University \\ % Your institution for the title page
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\item Population (optional)
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\item Enrollment
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\end{itemize}
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Not causally identified due to Regime Switching
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\end{frame}
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%-------------------------------
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\begin{frame}
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\frametitle{Other testable hypotheses}
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One advantage of this approach is that there are tools that can automatically
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\begin{itemize}
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\item verify causal identification
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\item generate hypotheses to verify model
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\end{itemize}
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In this case, the following are testable hyptheses
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\begin{itemize}
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\item Decision to continue Phase III $\perp$ Elapsed Duration
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\item Decision to continue Phase III $\perp$ Market Conditions $\Vert$ Condition
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\item Decision to continue Phase III $\perp$ Population $\Vert$ Condition
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\item Elapsed Duration $\perp$ Market Conditions
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\item Elapsed Duration $\perp$ Condition
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\item Elapsed Duration $\perp$ Population
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\item Population $\perp$ Terminated $\Vert$ Condition, Decision to continue Phase III, Elapsed Duration, Enrollment Status, Market Conditions
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\end{itemize}
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\href{http://dagitty.net/mLyFuc5}{Dagitty.net model}
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\end{frame}
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%\begin{frame}
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% \frametitle{Other testable hypotheses}
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% One advantage of this approach is that there are tools that can automatically
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% \begin{itemize}
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% \item verify causal identification
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% \item generate hypotheses to verify model
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% \end{itemize}
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%
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% In this case, the following are testable hyptheses
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% \begin{itemize}
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% \item Decision to continue Phase III $\perp$ Elapsed Duration
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% \item Decision to continue Phase III $\perp$ Market Conditions $\Vert$ Condition
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% \item Decision to continue Phase III $\perp$ Population $\Vert$ Condition
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% \item Elapsed Duration $\perp$ Market Conditions
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% \item Elapsed Duration $\perp$ Condition
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% \item Elapsed Duration $\perp$ Population
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% \item Population $\perp$ Terminated $\Vert$ Condition, Decision to continue Phase III, Elapsed Duration, Enrollment Status, Market Conditions
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% \end{itemize}
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%
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% \href{http://dagitty.net/mLyFuc5}{Dagitty.net model}
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%\end{frame}
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%-------------------------------
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\begin{frame}
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\frametitle{Questions?}
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@ -524,7 +534,8 @@ Washington State University \\ % Your institution for the title page
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\begin{itemize}
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\item USP Drug Classification (2023)
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\begin{itemize}
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\item Used to measure which drugs
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\item A list of drugs that have certain effects.
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\item Required manual matching between trials and categories.
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\end{itemize}
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\item NSDE Files (New drug code Structured product labels Data Element)
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\begin{itemize}
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@ -532,9 +543,8 @@ Washington State University \\ % Your institution for the title page
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\end{itemize}
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\item RxNorm
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\begin{itemize}
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\item Links pharmaceuticals between MeSH standardized terms and
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NSDE files.
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\item Used to find brand names that share active ingredients with those from trial.
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\item Links pharmaceuticals between MeSH standardized terms,
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NSDE files, and USP Files.
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\end{itemize}
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\end{itemize}
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\end{frame}
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@ -545,7 +555,6 @@ Washington State University \\ % Your institution for the title page
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\item Global Disease Burden Survey (2019)
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\begin{itemize}
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\item Estimates of DALYs for categories of disease
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\item Links of Categories to ICD-10 Codes
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\end{itemize}
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\item ICD-10 (2019)
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\begin{itemize}
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@ -556,14 +565,13 @@ Washington State University \\ % Your institution for the title page
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\item Unified Medical Language System Thesaurus
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\begin{itemize}
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\item Used to link MeSH standardized terms and ICD-10 conditions
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\item Manual matching process
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\end{itemize}
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\end{itemize}
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\end{frame}
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%-------------------------------
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\begin{frame}
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\frametitle{Linking data}
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%
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The following linking process was used:
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\begin{enumerate}
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\item AACT trials to snapshots (internal ID)
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@ -627,7 +635,7 @@ Washington State University \\ % Your institution for the title page
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Note the implicit conditioning on trials treating diseases with IHME data\footnote{
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IHME does not track data for W61.62XD: Struck by duck, subsequent encounter
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}.
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} or easily matched to codes and categories.
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\end{frame}
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%-------------------------------
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@ -713,16 +721,25 @@ Washington State University \\ % Your institution for the title page
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\end{itemize}
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\end{itemize}
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\begin{align}
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y_i &\sim \text{Bernoulli}(p_i) \\
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p_i &= \text{logistic}(X_i \vec\beta_{c(i)}) \\
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\vec\beta_{c(i)} &\sim \text{MvNormal}(\vec\mu,\vec\sigma I)\\
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\mu_c &\sim \text{Normal}(0, 0.05) \\
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\sigma_c &\sim \text{Gamma}(4,20)
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\end{align}
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Gamma is using the shape and rate parameterization
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\end{frame}
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%-------------------------------
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\begin{frame}
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\frametitle{Total Effects Model}
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\begin{align}
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y_i &\sim \text{Bernoulli}(p_i) \\
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p_i &= \text{logistic}(X_i \vec\beta_{c(i)}) \\
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\vec\beta_{c(i)} &\sim \text{MvNormal}(\vec\mu,\vec\sigma I)
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\end{align}
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%TODO: describe X\beta
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\end{frame}
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%-------------------------------
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\begin{frame}
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\frametitle{Direct Effects Model}
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%TODO: describe X\beta
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\end{frame}
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@ -748,6 +765,33 @@ Washington State University \\ % Your institution for the title page
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%%%%%%%%%%%%%%%%%%%% Results
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\subsection{Results}
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%--------------------------------
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%-------------------------------
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\begin{frame}
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\frametitle{Priors - Mu}
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\begin{figure}
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% \includegraphics[height=0.8\textheight]{../assets/img/Images/}
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\label{FIG:Prior:Mu}
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\caption{Prior - Mu}
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\end{figure}
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\end{frame}
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%-------------------------------
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\begin{frame}
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\frametitle{Priors - Sigma}
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\begin{figure}
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% \includegraphics[height=0.8\textheight]{../assets/img/Images/}
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\label{FIG:Prior:Sigma}
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\caption{Prior - Sigma}
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\end{figure}
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\end{frame}
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%-------------------------------
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\begin{frame}
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\frametitle{Priors - $p$}
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\begin{figure}
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% \includegraphics[height=0.8\textheight]{../assets/img/Images/}
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\label{FIG:Prior:p}
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\caption{Prior - $p$}
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\end{figure}
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\end{frame}
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%--------------------------------
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\subsubsection{Total Effect}
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% - Review Parameter Values
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@ -781,35 +825,35 @@ Washington State University \\ % Your institution for the title page
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\frametitle{Questions?}
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\end{frame}
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%%-------------------------------
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%%--------------------------------
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%%\subsubsection{Direct Effects}
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%%% - Review Parameter Values
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%%% - hyperparameters
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%%% - Table of MLE
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%%% - Distributions
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%%% - betas
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%%% - Table of MLE
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%%% - Distributions
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%%% - Review Posterior Prediction for interventions
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%%%--------------------------------
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%%%-------------------------------
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%%\begin{frame}
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%% \frametitle{Convergence}
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%% Sampling details
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%% %TODO: UPDATE
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%% \begin{itemize}
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%% \item 6 chains
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%% \item 2,500 warm-up, 2,500 sampling runs
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%% \item seed = 11021585
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%% \end{itemize}
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%%\end{frame}
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%%%-------------------------------
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%%\begin{frame}
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%% \frametitle{Questions?}
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%%
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%%\end{frame}
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%%-------------------------------
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%-------------------------------
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%--------------------------------
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\subsubsection{Direct Effects}
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% - Review Parameter Values
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% - hyperparameters
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% - Table of MLE
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% - Distributions
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% - betas
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% - Table of MLE
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% - Distributions
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% - Review Posterior Prediction for interventions
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%--------------------------------
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%-------------------------------
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\begin{frame}
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\frametitle{Convergence}
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|
Sampling details
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%TODO: UPDATE
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\begin{itemize}
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\item 6 chains
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\item 2,500 warm-up, 2,500 sampling runs
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\item seed = 11021585
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\end{itemize}
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\end{frame}
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|
%-------------------------------
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\begin{frame}
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\frametitle{Questions?}
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\end{frame}
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%-------------------------------
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%-------------------------------------------------------------------------------------
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%%%%%%%%%%%%%%%%%%%% Conclusion %%%%%%%%%%%%%%%%%%%%%%%%
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\section{Conclusion}
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