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Article

Modeling Healthcare Data with a Novel Flexible Three-Parameter Distribution

1
Department of Statistics & Operation Research, King Saud University, Riyadh 11451, Saudi Arabia
2
Department of Mathematics, Faculty of Science, Mansoura University, Mansoura 35516, Egypt
3
Department of Mathematics and Statistics, Dalhousie University, Halifax, NS B3H 4R2, Canada
*
Author to whom correspondence should be addressed.
Mathematics 2026, 14(2), 359; https://doi.org/10.3390/math14020359
Submission received: 5 December 2025 / Revised: 12 January 2026 / Accepted: 15 January 2026 / Published: 21 January 2026

Abstract

Developing flexible lifetime distributions is essential for accurately modeling reliability and lifetime data across various scientific and engineering contexts. In this work, we introduce a new three-parameter lifetime distribution, which extends the well-known two-parameter Sarhan–Tadj–Hamilton model. We derive and discuss several of its important theoretical properties, including the reliability characteristics and moments. The parameter estimation is carried out using both maximum likelihood and Bayesian approaches, providing a comprehensive comparison of inferential techniques. To further examine the efficiency and robustness of the proposed estimators, a detailed Monte Carlo simulation study is conducted under different sample sizes and parameter settings. The practical usefulness of the distribution is illustrated through its application to three real-world datasets, namely cancer and COVID-19 data, where it demonstrates superior fit and flexibility compared to existing and nested lifetime models. These findings highlight the potential of the proposed model as a valuable addition to the toolbox of applied statisticians and reliability practitioners.

1. Introduction

Sarhan et al. [1] proposed two new statistical distributions. The first is a single-parameter model that shares similarities with the Lindley distribution, and the second is obtained by applying a power transformation to the first. These are Sarhan–Tadj–Hamilton-I and Sarhan–Tadj–Hamilton-II and are referred to as STH-I ( α ) and STH-II ( α , β ) , respectively. They demonstrated that the hazard rate function (HRF) of STH-I ( α ) can only take a unimodal shape, while STH-II ( α , β ) is far more flexible. Depending on the chosen parameters, its HRF may decrease, increase, exhibit a single peak, or even exhibit more complex patterns such as decreasing–increasing–decreasing or increasing–decreasing–increasing.
The survival function of the STH-I distribution is defined as follows:
S S T H - I ( x ; α ) = 1 1 + α α + 1 + α x e α x e α x , x 0 ; α > 0 .
Similarly, the survival function of the STH-II distribution is given by
S S T H -II ( x ; α , β ) = 1 1 + α α + 1 + α x β e α x β e α x β , x 0 ; α , β > 0 .
Sarhan et al. [1] also demonstrated that the parameter α governs the shape of the probability density function (PDF) of the STH-I ( α ) . Specifically, when α = 3.535 , the PDF is symmetric; for α < 3.535 , it is left-skewed; and for α > 3.535 , it is right-skewed. Moreover, they observed that a random variable X S T H -II ( α , β ) can be expressed as a mixture of the following three components: Weibull ( α , β ) , Weibull ( α , 2 β ) , and the power gamma ( α , 2 , 2 β ) , combined with mixture weights a 1 = β / ( 1 + β ) , a 2 = 1 / [ 2 ( 1 + β ) ] , and a 3 = 1 / [ 2 ( 1 + β ) ] .
Generalizing a distribution is an important strategy in statistical modeling because it allows researchers to capture a wider variety of data patterns with greater accuracy. Real-world data often exhibit irregular shapes, varying spreads, or extreme values that standard distributions cannot adequately model. By introducing additional parameters, modifying the functional form, or combining distributions, statisticians can adjust skewness, tail behavior, and other characteristics, thereby improving the flexibility of the model. Such generalizations enable better data fitting, more reliable predictions, and a deeper understanding of the underlying phenomena.
A widely used method for creating generalized models involves the exponentiation of existing distributions (see Gupta and Kundu [2]). This strategy became particularly prominent in the mid-1990s and has since inspired the development of many exponentiated distribution families. Among these are the exponentiated Lindley (EL) distribution by Nadarajah et al. [3], the exponentiated quasi Lindley (EQL) distribution by Elbatal et al. [4], the exponentiated XLindley (EXL) distribution by Alomair et al. [5], and the exponentiated power Lindley (EPL) distribution by Ashour and Eltehiwy [6].
In this study, we introduce a novel three-parameter probability model, termed the exponentiated Sarhan–Tadj–Hamilton (ESTH-II) distribution, and examine its main statistical properties. The ESTH-II model contains, as a nested case, the new exponentiated Sarhan–Tadj–Hamilton-I (ESTH-I) distribution. The PDF of ESTH-II can display either a decreasing trend or a unimodal shape, while its HRF may be unimodal, decreasing–increasing–decreasing–increasing, or purely increasing. The parameter estimation is performed using both maximum likelihood (MLE) and Bayesian methods. The practical utility of the proposed distribution is illustrated through its applications to real datasets, demonstrating a superior fit compared to competing models from the same family, including EL, EQL, EXL, and EPL.
The primary goal of introducing this distribution is to leverage the flexibility afforded by its power and exponentiated parameters, allowing it to model a broad spectrum of lifetime data accurately.
The organization of this work unfolds in a clear sequence. First, Section 2 introduces the ESTH-II distribution and explores its asymptotic behavior. Section 3 examines its key statistical characteristics. Section 4 then describes the estimation of its parameters using both maximum likelihood and Bayesian methods. Section 5 presents the findings from simulation studies, and Section 6 applies the model to three real datasets, offering comparisons with both nested and alternative models. Finally, Section 7 provides concluding insights and outlines potential avenues for future investigation.

2. Exponentiated STH-II Distribution

The cumulative distribution function (CDF) of the ESTH-II distribution, defined by the three parameters θ = ( α , β , γ ) , is formulated as follows:
F E S T H - I I ( x ; α , β , γ ) = 1 S S T H - I I ( x ; α , β ) γ , α , β , γ > 0 .
Substituting from (2) into the above equation, we get
F S T H - I I ( x ; α , β , γ ) = 1 1 1 + β β + 1 + β x α e β x α e β x α γ , x 0 ; α , β , γ > 0 .
The PDF of the ESTH-II distribution is
f E S T H ( x ; α , β , γ ) = α β γ x α 1 1 + β β + 1 + 2 β x α e β x α e β x α ×
1 1 1 + β β + 1 + β x α e β x α e β x α γ 1 .
The survival function of the ESTH-II is given by
S E S T H - I I ( x ; α , β , γ ) = 1 1 1 1 + β β + 1 + β x α e β x α e β x α γ ,
and the HRF is defined as
h E S T H - I I ( x ; α , β , γ ) = α β γ x α 1 β + 1 + 2 β x α e β x α e β x α ( 1 + β ) 1 1 1 1 + β β + 1 + β x α e β x α e β x α γ × 1 1 1 + β β + 1 + β x α e β x α e β x α γ 1 .
Finally, the reversed hazard rate function (RHRF) of ESTH-II ( α , β , γ ) distribution is
r E S T H - I I ( x ; α , β , γ ) = α β γ x α 1 β + 1 + 2 β x α e β x α e β x α ( 1 + β ) 1 1 1 + β β + 1 + β x α e β x α e β x α .
The ESTH-II ( α , β , γ ) distribution is a flexible probability model that encompasses a wide range of sub-models. In particular, by applying specific restrictions to its parameters, several nested models naturally arise as follows:
  • When γ = 1 , the ESTH-II distribution reduces to the STH-II distribution with parameters α and β .
  • Setting β = 1 , the ESTH-II yields the ESTH-I model, representing a new model.

Asymptotic Behavior

In the following lemma, we present the asymptotic behavior of the PDF of the ESTH-II distribution.
Lemma 1.
The asymptotic behavior of f E S T H - I I ( x ; α , β , γ ) at x 0 is given as
lim x 0 f E S T H - I I ( x ; α , β , γ ) = 0 , α γ > 1 ; β γ , α γ = 1 ; , α γ < 1 .
Moreover, the asymptotic behavior of f E S T H - I I as x is
lim x f E S T H - I I ( x ; α , β , γ ) = 0 .
Proof. 
Set t = β x α , so that t 0 as x 0 . We may rewrite the PDF in (4) as
f E S T H - I I ( x ; α , β , γ ) = α β γ x α 1 1 + β Ψ ( t ) Φ γ 1 ( t ) ,
where
Ψ ( t ) = β + 1 + 2 t e t e t , Φ ( t ) = 1 1 1 + β β + 1 + t e t e t .
Using the Taylor expansion e t = 1 t + 1 2 t 2 + O ( t 3 ) , we obtain
( 1 + 2 t ) e t = 1 + t 3 2 t 2 + O ( t 3 ) ,
and therefore
Ψ ( t ) = ( β + 1 + t + 1 2 t 2 + O ( t 3 ) ) ( 1 t + 1 2 t 2 + O ( t 3 ) ) 1 + β + O ( t ) .
Similarly, ( 1 + t ) e t = 1 1 2 t 2 + O ( t 3 ) , so [ β + ( 1 + t ) e t ] e t = ( β + 1 ) t + O ( t 2 ) . It follows that Φ ( t ) = 1 1 β + 1 [ β + ( 1 + t ) e t ] e t t + O ( t 2 ) . From the above, we have
Φ γ 1 ( t ) t γ 1 ( 1 + o ( 1 ) ) .
Combining the expansions (11) and (12), we obtain
f E S T H - I I ( x ; α , β , γ ) α β γ x α 1 1 + β ( 1 + β + O ( t ) ) t γ 1 ( 1 + o ( 1 ) ) .
By simplifying constants and substituting t = β x α , we obtain
f E S T H - I I ( x ; α , β , γ ) α β γ x α 1 β γ 1 x α ( γ 1 ) ( 1 + o ( 1 ) ) = α γ β γ x α γ 1 ( 1 + o ( 1 ) ) .
This implies that the limit of f E S T H ( x ; α , β , γ ) as x 0 follows from the known limits of x α γ 1 , as follows:
  • If α γ > 1 , then f E S T H - I I ( x ; α , β , γ ) 0 .
  • If α γ = 1 , then f E S T H - I I ( x ; α , β , γ ) β γ .
  • If α γ < 1 , then f E S T H - I I ( x ; α , β , γ ) .
   This completes the proof of the limit relation (9). Since Ψ ( t ) 0 and Φ γ 1 ( t ) 1 as t , the limit relation (10) follows, completing the proof of the lemma.    □
Since the survival function of the ESTH-II distribution satisfies S E S T H - I I ( x ; α , β , γ ) 1 as   x 0 and S E S T H - I I ( x ; α , β , γ ) 0 as x , Lemma 1 implies that the limiting behavior of the HRF is analogous to that of the PDF.
Figure 1 shows the PDF and HRF of the ESTH-II distribution for different parameter values. The results indicate that the HRF of the ESTH-II distribution is highly versatile, taking forms such as unimodal, decreasing–increasing–decreasing–increasing, or purely increasing, depending on the parameter settings. Likewise, the PDF can appear as unimodal or monotonically decreasing. This flexibility in the shapes of both the PDF and HRF makes the ESTH-II distribution a powerful tool for modeling diverse types of real-world data across various applications.

3. Statistical Properties

In this section, we examine the key statistical properties of the ESTH-II distribution, including the quantile function, k-th moments, the moment-generating function, skewness, and kurtosis.

3.1. Quantiles and Random Samples’ Generation

Let X∼ESTH-II ( α , β , γ ) . The 100 q -th quantile of X, denoted by x q for q ( 0 , 1 ) , is the value that satisfies
1 q 1 / γ = 1 1 + β β + ( 1 + β x q α ) e β x q α e β x q α .
As a closed-form expression for x q is unavailable, we determine its value numerically using Algorithm 1.
Algorithm 1 Quantile computation for ESTH-II ( α , β , γ )
Input: Parameters α > 0 , β > 0 , γ > 0 ; quantile level q ( 0 , 1 )
1:
Solve for v ( 0 , 1 ) : ( 1 q 1 / γ ) ( 1 + β ) β + ( 1 ln v ) v v = 0
2:
Compute: x q ln v β 1 / α
3:
return  x q

3.2. Random Sample Generation

Although the proposed distribution has a closed-form CDF, which allows the use of the inverse CDF method for generating random samples, its structure does not permit an explicit closed-form expression for the quantile function. As a result, quantile values must be computed numerically. Algorithm 2 describes the procedure for generating random samples from an E S T H -II ( α , β , γ ) distribution.
Algorithm 2 Random number generation from E S T H -II ( α , β , γ )
Input: Parameters α > 0 , β > 0 , γ > 0 ; sample size n N
1:
for  i = 1 to n do
2:
      Generate u i U ( 0 , 1 )
3:
      Solve for v ( 0 , 1 ) : u i 1 / γ ( 1 + β ) β + ( 1 ln v ) v v = 0
4:
      Compute: T ln v β
5:
      Set: X i T 1 / α
6:
end for
7:
return { X 1 , X 2 , , X n }

3.3. Effect of Model Parameters on Quartiles

Using Algorithm 1, we calculate the first quartile ( Q 1 ), median, and third quartile ( Q 3 ) for various values of the parameters α , β , and γ . This enables us to investigate how these parameters influence the distribution. Figure 2 illustrates the quantiles produced by Algorithm 1 across a set of chosen parameter values. The chosen model parameter values were selected to reflect different distributional shapes. The panels highlight how variations in α , β , and γ shift the distribution, alter its scale, and modify the balance between its lower, central, and upper portions. From the patterns observed in Figure 2, we can draw the following conclusions.
1.
Quartiles as a Function of α : When β and γ are held constant, increasing α generally raises the lower quartile and the median. For small β and γ , the upper quartile decreases as α increases, indicating a tighter distribution with a reduced upper tail. This effect is strongest when both β and γ are small. For larger values of β and γ , the upper quartile remains nearly constant, and the three quartiles converge, yielding a more symmetric, compact distribution.
2.
Quartiles as a Function of β : As β increases, all three quartiles decrease, regardless of the fixed values of α and γ . The decline is steeper when α and γ are small, and more gradual when they are large. As β grows, the gap between quartiles narrows, reducing spread and skewness, and pushing the distribution toward symmetry.
3.
Quartiles as a Function of γ : When α and β are small, increasing γ raises all quartiles, especially the upper one, indicating a heavier right tail and greater spread. For larger α and β , the influence of γ diminishes, and the distribution remains narrower and more symmetric.

3.4. Moments

The next theorem presents the closed-form expressions for the moments of the ESTH-II distribution. These formulae are particularly valuable because they apply not only to the full model but also specialize to several well-known sub-distributions. By choosing the appropriate parameter settings, one can immediately recover the moments of the STH-I, STH-II, and ESTH-I families. This unified approach highlights the versatility of the ESTH-II framework, illustrating how the general model seamlessly incorporates a variety of related distributions within a single coherent structure.
Theorem 1.
The k-th moment of the ESTH-II distribution can be expressed as follows:
E ( X k ) = k Γ k α α β k / α m = 1 γ m ( 1 ) m + 1 ( 1 + β ) m n = 0 m m n β m n U k α , k α + n + 1 , n + m .
Proof. 
The k-th moment of the ESTH-II distribution is
E ( X k ) = k 0 x k 1 S E S T H -II ( x ) d x .
Let u = β x α , with d x = 1 α β 1 / α u 1 / α 1 d u , as follows:
E ( X k ) = k α β k / α 0 u k / α 1 1 1 β + ( 1 + u ) e u 1 + β e u γ d u .
Using the binomial expansion 1 z γ = m = 0 γ m ( 1 ) m z m , where z = β + ( 1 + u ) e u 1 + β e u , the k - th moment can be written as follows:
E ( X k ) = k α β k / α m = 1 γ m ( 1 ) m + 1 ( 1 + β ) m n = 0 m m n β m n 0 u k / α 1 ( 1 + u ) n e ( n + m ) u d u .
Using the Kummer function of the second kind (see, Abramowitz and Stegun [7]), which is defined as
U ( a , b , z ) = 1 Γ ( a ) 0 t a 1 ( 1 + t ) b a 1 e z t d t .
By assigning a = k α , b = k α + n + 1 , and z = n + m , we obtain
0 u k / α 1 ( 1 + u ) n e ( n + m ) u d u = Γ k α U k α , k α + n + 1 , n + m .
By substituting Equation (17) into Equation (16), we arrive at the final moment expression shown in (15), thereby completing the proof.    □
From the result established in the preceding theorem, we observe that for γ = 1 (corresponding to the STH-II distribution), the binomial coefficients in Equation (15) take on a particularly simple form, as follows:
1 m = 1 if m = 1 , 0 if m > 1 .
Consequently, only the term with m = 1 contributes, so that the k - th moment reduces to
E ( X k ) | γ = 1 = k Γ k α α β k / α · 1 1 + β n = 0 1 1 n β 1 n U k α , k α + n + 1 , n + 1 .
Here, the summation in Equation (18) contains only two terms:
  • Term 1: For n = 0 ,
    1 0 β 1 0 U k α , k α + 1 , 1 = β ( using U ( a , a + 1 , 1 ) = 1 ) .
  • Term 2: For n = 1 ,
    1 1 β 0 U k α , k α + 2 , 2 = U k α , k α + 2 , 2 = 2 k / α 1 + k α .
Combining these two contributions gives the final expression for the k - th moment of STH-II distribution in the form
E ( X k ) | γ = 1 = k Γ k α α β k / α ( 1 + β ) β + 2 k / α 1 + k α .

3.5. Moment-Generating Function

Based on the result presented in Equation (15), Theorem 1, the moment-generating function of the random variable X∼ESTH-II ( α , β , γ ) can be represented as follows:
M X ( t ) = i = 0 m = 1 γ m ( 1 ) m + 1 i Γ i α t i ( 1 + β ) m α β i / α i ! n = 0 m m n β m n U i α , i α + n + 1 , n + m .

3.6. Skewness and Kurtosis

The skewness ( ξ ) and kurtosis ( η ), which measure the degree of asymmetry and the heaviness of the tails relative to the normal distribution, can be expressed in terms of these moments. The k-th moment is given by the following:
ξ = E ( X 3 ) 3 E ( X ) E ( X 2 ) + 2 ( E ( X ) ) 3 E ( X 2 ) ( E ( X ) ) 2 3 / 2
and
η = E ( X 4 ) 4 E ( X ) E ( X 3 ) + 6 ( E ( X ) ) 2 E ( X 2 ) 3 ( E ( X ) ) 4 E ( X 2 ) ( E ( X ) ) 2 2 .
Table 1 summarizes key descriptive statistics of the ESTH-II distribution, encompassing the first four moments, the variance ( σ x 2 ), and the parameters ξ and η . Additionally, Figure 3 and Figure 4 depict the behavior of ξ , η , and σ x 2 as each parameter ( α , β , and γ ) varies individually, while the remaining two parameters are kept constant.
The numerical results presented in Table 1, along with the visual representations in Figure 3 and Figure 4, reveal several noteworthy patterns in the behavior of the ESTH-II distribution across different parameter settings. These findings illustrate how variations in α , β , and γ affect the shape, dispersion, and higher-order characteristics of the distribution. Below, we highlight the main insights, focusing on the observed trends and the sensitivity of the distribution to changes in its parameters.
  • Effect of α : When β and γ are held fixed, α tends to elevate the central tendency of the ESTH-II distribution while simultaneously decreasing both skewness and kurtosis. This reflects a movement toward a more symmetric distribution with less influence from extreme values. The effect is particularly noticeable when β and γ are small, whereas at higher α values, the distribution curves begin to flatten. In essence, larger α produces distributions that are more balanced, with lighter tails and reduced variability.
  • Effect of β : Holding α and γ constant, variations in β primarily affect the tail structure and concentration of the distribution. Increasing β raises the mean and higher-order moments, shifting the mass toward larger values. The skewness and kurtosis are initially high for small β , but stabilize as β grows. Variance, however, decreases steadily with increasing β . The sensitivity to β is strongest when both α and γ are small, while for larger values, the curves flatten and their influence diminishes.
  • Effect of γ : With ( α , β ) fixed, increasing γ produces systematic changes in the moments. For small γ , the distribution is highly skewed and heavy-tailed, especially when ( α , β ) are small (e.g., 0.5). As γ increases, both the mean and variance rise steadily, while the skewness and kurtosis decrease, reflecting a move toward symmetry and lighter tails. This effect is more pronounced when ( α , β ) are low, whereas for higher values (e.g., 2), the distribution stabilizes quickly and changes occur at a slower rate. Overall, γ acts as a scale and tail control factor, strongly influencing the distribution’s shape.
In summary, α primarily governs symmetry and tail behavior, β regulates overall spread and tail decay, and γ serves as a shape-modifying exponent, with its impact most evident when α and β are small.

4. Parameter Estimation

In this section, we employ two fundamental approaches to statistical inference: maximum likelihood estimation and Bayesian estimation, to determine the parameters of the ESTH-II model. We also derive asymptotic confidence intervals for the maximum likelihood estimates (MLEs) of α , β , and γ based on complete sample data. All inferential procedures in this study are developed under the assumption of complete (uncensored) data.

4.1. Maximum Likelihood Estimation

Let X 1 , X 2 , , X n be a random sample from the ESTH-II ( α , β , γ ) distribution. Using the relationship between the PDF of the ESTH-II distribution and the PDF and CDF of the STH-II distribution, we write the following:
f E S T H -II ( x ; α , β , γ ) = γ f STH-II ( x ; α , β ) F S T H -II ( x ; α , β ) γ 1 .
From this, the log-likelihood function for the sample becomes
L ( α , β , γ ) = n log γ + L S T H -II ( α , β ) + ( γ 1 ) i = 1 n log F STH-II ( x i ; α , β ) ,
where L S T H -II ( α , β ) denotes the log-likelihood function corresponding to the STH-II distribution, which can be expressed as follows:
L STH-II ( α , β ) = n ln α + n ln β n ln ( 1 + β ) + ( α 1 ) i = 1 n ln x i β i = 1 n x i α + i = 1 n ln β + ( 1 + 2 β x i α ) e β x i α .
Note that L S T H -II ( α , β ) is independent of γ , which simplifies the estimation process.
To find the maximum likelihood estimates, we take the derivative of the L ( α , β , γ ) with respect to each parameter. The resulting expressions for the partial derivatives are as follows:
L α = L S T H -II α + ( γ 1 ) i = 1 n α F S T H -II ( x i ; α , β ) F S T H -II ( x i ; α , β ) ,
L β = L S T H -II β + ( γ 1 ) i = 1 n β F S T H -II ( x i ; α , β ) F STH-II ( x i ; α , β ) ,
L γ = n γ + i = 1 n log F S T H -II ( x i ; α , β ) .
By setting the derivatives equal to zero, we obtain the system of likelihood equations. Solving this system leads to the MLEs of the model parameters. In particular, starting from (26), the estimator of γ can be written explicitly in terms of α and β , as follows:
γ ^ = n i = 1 n log F S T H -II ( x i ; α , β ) .
Substituting (27) into (24) and (25) yields a system of two nonlinear equations involving α and β . Since these equations typically cannot be solved analytically, their solutions must be obtained using numerical techniques. Once numerical estimates for α and β are available, the corresponding value of γ can be directly computed from (27).

Confidence Intervals

To construct confidence intervals for the parameters ( α , β , γ ) , we rely on the asymptotic distribution of the MLEs. Under the usual regularity conditions presented in Casella and Berger [8], the MLE θ ^ = ( α ^ , β ^ , γ ^ ) follows an approximately normal distribution, i.e.,
θ ^ · N ( θ , I n 1 ( θ ) )
where θ = ( α , β , γ ) denotes the true parameter vector and I n ( θ ) represents the observed Fisher information matrix. This matrix is computed as the negative Hessian of the log-likelihood function evaluated at θ ^ , as follows:
I n ( θ ) = 2 L α 2 2 L α β 2 L α γ 2 L β α 2 L β 2 2 L β γ 2 L γ α 2 L γ β 2 L γ 2 θ = θ ^
The practical implementation involves the following three steps:
1.
Calculate the standard errors SE ( θ ^ j ) = [ I n 1 ( θ ^ ) ] j j , j = 1 , 2 , 3 .
2.
Determine the critical value z 1 ϑ / 2 from the standard normal distribution.
3.
Construct the ( 1 ϑ ) × 100 % confidence intervals as follows:
θ ^ j ± z 1 ϑ / 2 · SE ( θ ^ j ) , j = 1 , 2 , 3 .
The second partial derivatives of L ( α , β , γ ) can be derived as in the following.
2 L α 2 = 2 L S T H -II α 2 + ( γ 1 ) i = 1 n F S T H -II ( x i ; α , β ) · 2 F S T H -II ( x i ; α , β ) α 2 F S T H -II ( x i ; α , β ) α 2 F S T H -II ( x i ; α , β ) 2 , 2 L β 2 = 2 L S T H -II β 2 + ( γ 1 ) i = 1 n F S T H -II ( x i ; α , β ) · 2 F S T H -II ( x i ; α , β ) β 2 F S T H -II ( x i ; α , β ) β 2 F S T H -II ( x i ; α , β ) 2 , 2 L γ 2 = n γ 2 , 2 L α β = 2 L S T H -II α β + ( γ 1 ) i = 1 n F S T H -II ( x i ; α , β ) · 2 F S T H -II ( x i ; α , β ) α β F S T H -II ( x i ; α , β ) α · F S T H -II ( x i ; α , β ) β F S T H -II ( x i ; α , β ) 2 , 2 L α γ = i = 1 n 1 F S T H -II ( x i ; α , β ) · F S T H -II ( x i ; α , β ) α , 2 L β γ = i = 1 n 1 F S T H -II ( x i ; α , β ) · F S T H -II ( x i ; α , β ) β ,
where
F S T H -II α = e α x β ( 1 + α ) 2 α + ( 1 + α x β ) e α x β e α x β 1 + α 1 x β e α x β α x β + α x β ( 1 + α x β ( α x β ) 2 ) , F S T H -II β = α x β log x e α x β 1 + α ( 1 + α x β ) e α x β + α x β e α x β ( 1 α x β ) , 2 F S T H -II α 2 = 2 e α x β ( 1 + α ) 3 α + ( 1 + α x β ) e α x β 2 e α x β ( 1 + α ) 2 1 x β e α x β α x β + α x β ( 1 + α x β ( α x β ) 2 ) , + e α x β 1 + α x β e α x β 2 x β ( 1 + α x β ( α x β ) 2 ) + α x β ( 1 + 3 α x β 3 ( α x β ) 2 ( α x β ) 3 ) , 2 F S T H -II β 2 = α x β ( log x ) 2 e α x β 1 + α ( 1 + α x β ) e α x β + α x β e α x β ( 1 α x β ) + α x β log x e α x β 1 + α x β log x e α x β ( 1 α x β ) ( 1 2 α x β ) ( α x β ) 2 ,
2 F S T H -II α β = x β log x e α x β ( 1 + α ) 2 ( 1 + α x β ) e α x β + α x β e α x β ( 1 α x β ) α x β log x e α x β 1 + α x β e α x β ( 1 α x β ) ( 1 2 α x β ) ( α x β ) 2 .

4.2. Likelihood Intervals

When the normality assumption of MLEs is doubtful or when the Fisher information matrix is analytically intractable, likelihood-based intervals provide a robust alternative for the parameters α , β , and γ . Unlike intervals derived from asymptotic normality, this approach can achieve more accurate coverage in finite samples. Following Kalbfleisch [9], we define the 100 p % , 0 < p < 1 likelihood interval for a parameter θ { α , β , γ } as the set of values satisfying the following:
r m a x ( θ ) = L ( θ ) L ( θ ^ ) log p ,
where L ( θ ) is the log-likelihood function and θ ^ is the maximum likelihood estimate of θ . For approximate 95 % confidence intervals, we adopt p = 0.147 (the 14.7 % likelihood interval), since 2 log ( 0.147 ) 3.92 χ 1 , 0.95 2 .

4.3. Bayesian Inference via Markov Chain Monte Carlo (MCMC)

  • Model and priors.
Let x = ( x 1 , , x n ) be i.i.d. from the ESTH-II distribution with parameters ( α , β , γ ) and density in (4). Assume independent gamma priors, as follows:
α Gamma ( a α , b α ) , β Gamma ( a β , b β ) , γ Gamma ( a γ , b γ ) .
Up to a normalizing constant, the joint posterior density is
π ( α , β , γ x ) γ n + a γ 1 α n + a α 1 β n + a β 1 ( 1 + β ) n × exp b α α b β β b γ γ β i = 1 n x i α × i = 1 n x i α 1 · i = 1 n β + 1 + 2 β x i α e β x i α × i = 1 n 1 1 1 + β β + 1 + β x i α e β x i α e β x i α γ 1 .
Bayesian estimation allows us to derive estimators for model parameters using their posterior distributions, both as point estimates and as interval estimates:
(i)
Under the quadratic loss function (QLF), the Bayes estimator is the posterior mean, and the corresponding Bayes risk is the posterior variance.
(ii)
Under the absolute error loss function (ALF), the Bayes estimator is the posterior median, and the corresponding Bayes risk is the posterior expected absolute deviation from the posterior median.
(iii)
A ( 1 ϑ ) 100 % credible interval for θ j is obtained from the ϑ / 2 and ( 1 ϑ / 2 ) quantiles of its marginal posterior distribution.
The posterior density in (30) is both nonconjugate and highly nonlinear with respect to all three parameters. Specifically, the parameter α appears within powers and exponential functions such as x α , β influences the model both polynomially and through exponential terms, and γ enters multiplicatively via products involving F S T H -II . As a result, obtaining closed-form Bayes estimators, including posterior means or analytical credible intervals, is not feasible.
To overcome this difficulty, we employ MCMC techniques (see, Gelman et al. [10]), which allow for the practical approximation of the posterior distribution and facilitate computation of quantities like posterior means, medians, and credible intervals. For a concise and accessible explanation of the Metropolis–Hastings algorithm, including its implementation within a Gibbs sampling framework, the reader is referred to Chib and Greenberg [11]. Algorithm 3 outlines the steps of the Metropolis-within-Gibbs sampler that is applied to the ESTH-II posterior.
Algorithm 3 Metropolis-within-Gibbs sampler for the ESTH-II posterior
Input: Data x = ( x 1 , , x n ) ; prior hyperparameters ( a α , b α ) , ( a β , b β ) , and ( a γ , b γ ) ; iterations N; burn-in B; and proposal kernels q α , q β , q γ
Output: Posterior draws { ( α ( t ) , β ( t ) , γ ( t ) ) } t = B + 1 N
   1:
Initialize ( α ( 0 ) , β ( 0 ) , γ ( 0 ) )
   2:
for  t = 1 to N do
   3:
      Update α (Metropolis step):
   4:
      Propose α q α ( · α ( t 1 ) )
   5:
      Compute
r α = π ( α , β ( t 1 ) , γ ( t 1 ) x ) q α ( α ( t 1 ) α ) π ( α ( t 1 ) , β ( t 1 ) , γ ( t 1 ) x ) q α ( α α ( t 1 ) ) , P α = min { 1 , r α }
   6:
        With probability P α , set α ( t ) = α ; else α ( t ) = α ( t 1 )
   7:
        Update β (Metropolis step):
   8:
        Propose β q β ( · β ( t 1 ) )
   9:
        Compute r β analogously; accept with probability P β
 10:
      Update γ (Metropolis step):
 11:
      Propose γ q γ ( · γ ( t 1 ) )
 12:
      Compute r γ analogously; accept with probability P γ
 13:
end for
 14:
Discard the first B iterations)
In MCMC, a Markov chain is constructed so that its stationary distribution coincides with the target posterior π ( α , β , γ x ) . After discarding a burn-in period, averages over the generated samples yield consistent estimates of posterior expectations. These can be used to obtain point estimators such as means or medians, as well as interval estimates through credible sets.
The Metropolis-within-Gibbs sampler converges under fairly mild and familiar conditions on the proposal distributions used in the Metropolis updates. When the transition mechanism is irreducible with respect to the posterior density π ( θ x ) being aperiodic and satisfying detailed balance, the resulting Markov chain is ergodic. As a result, the sequence of draws { θ ( t ) } t 1 approaches the posterior distribution π ( θ x ) as the number of iterations increases. In addition, for any integrable function h, the averages
1 T t = 1 T h ( θ ( t ) )
converge almost surely to the corresponding posterior expectation E [ h ( θ ) x ] . Further discussion of these conditions and their implications can be found in Chib and Greenberg [11].
Assessing the reliability of the MCMC output requires careful consideration of both convergence and mixing. In practice, analysts often begin by inspecting trace plots to check whether the simulated values have settled into a stable pattern. Autocorrelation plots are also useful for understanding the dependence between successive samples and for judging the overall efficiency of the sampler. Another common strategy is to initiate the algorithm from several well-separated starting points and then apply convergence diagnostics, such as the Gelman–Rubin statistic (see Gelman and Rubin [12]), which helps determine whether the simulation has reached the target posterior distribution.

5. Simulation Study

To evaluate how the proposed estimators perform in realistic, finite samples, we conducted a comprehensive Monte Carlo simulation study. While asymptotic theory offers valuable guidance, it often fails to capture the true behavior of estimators when sample sizes are small or moderate. Simulation studies overcome this gap by providing an empirical framework under controlled settings, allowing for a clear comparison of bias, efficiency, and the accuracy of uncertainty measures across different estimation approaches.
The specific aims of the simulation study were as follows:
(1)
To examine the accuracy of maximum likelihood (MLE) and Bayesian estimators (under quadratic and absolute loss functions) in terms of average point estimates (APE) and mean squared error (MSE);
(2)
To evaluate the reliability of their interval estimates through coverage probabilities (CP);
(3)
To investigate how sample size influences the overall quality of parameter estimation.

5.1. Simulation Design and Algorithm

The simulation was designed to be comprehensive and reproducible. For a set of true parameter vectors θ 0 { ( 1 , 0.1 , 1 ) , ( 1 , 0.1 , 1.5 ) , ( 1 , 1.2 , 1.5 ) , and ( 1.2 , 1 , 1.5 ) } , we generated datasets across a range of sample sizes ( n = 30 , 50 , 70 , 100 , 150 ). For each combination of parameters and sample size, M = 2000 Monte Carlo replicates were performed. The chosen parameter values were selected to represent a variety of distributional behaviors. Algorithm 4 details the exact procedure implemented in R4.x.
Algorithm 4 Monte Carlo Simulation Procedure
Input: True parameter vectors θ 0 ; sample sizes { 30 , 50 , 70 , 100 , 150 } ; and number of replicates M = 2000 .
Output: Arrays of estimates Θ ^ , MSE values, and coverage indicators.
   1:
Initialize arrays to store results for APE, MSE, and CP.
   2:
for each true parameter vector θ 0  do
   3:
      for each sample size n do
   4:
            for  m = 1 to M do
   5:
                  Generate a complete dataset x m of size n from F ( · | θ 0 ) .
   6:
                  Apply the MLE method to x m to obtain estimates θ ^ M L E and 95% confidence intervals.
   7:
                  Apply the Bayesian method (QLF) to x m to obtain estimates θ ^ B Q and 95% credible intervals.
   8:
                  Apply the Bayesian method (ALF) to x m to obtain estimates θ ^ B A and 95% credible intervals.
   9:
                  Store all point estimates and interval check results.
 10:
        end for
 11:
        Calculate APE: APE ( θ ^ ) = 1 M m = 1 M θ ^ m , where θ ^ m = θ ^ M L E , θ ^ B Q , θ ^ B A for sample x m .
 12:
        Calculate MSE: MSE ( θ ^ ) = 1 M m = 1 M ( θ ^ m θ 0 ) 2 .
 13:
        Calculate CP: Proportion of intervals containing θ 0 .
 14:
    end for
 15:
end for
 16:
Return: All aggregated results (APE, MSE, and CP).
This rigorous design ensures that the reported metrics are stable and that the comparative analysis is based on a substantial number of samples, minimizing the impact of random variation. For the Bayesian analysis, we used M = 12,000 MCMC iterations with a burn-in period of B = 2000 , and the initial values of the chains were chosen close to the maximum likelihood estimates of the parameters.

5.2. Simulation Results

The simulation results are summarized in Table 2, with MSEs illustrated in Figure 5. Table 2 reports the APE, MSE, and CP for the nominal 95% confidence and credible intervals across all parameters, methods, and sample sizes.

5.3. Discussion of Simulation Results

The simulation study yields several important insights into the performance of the estimators. Across all sample sizes, the three approaches (MLE, Bayesian with QLF, and Bayesian with ALF) produce point estimates with very low bias, as is indicated by the fact that APE values in Table 2 are consistently close to the true parameter values. Among these, the Bayesian method with ALF demonstrates the highest accuracy in estimating the parameter γ .
Regarding precision, measured by MSE, Table 2 shows that all three estimators perform similarly for each parameter and sample size. This suggests that the choice of estimation method has little effect on the variability of the estimates. As expected, MSE declines for all methods as the sample size grows.
The most striking differences emerge in the assessment of uncertainty. Coverage probabilities indicate that MLE-based confidence intervals are consistently closer to the nominal 95% level. In contrast, Bayesian credible intervals whether using QLF or ALF tend to slightly under cover, especially for smaller samples. This implies that the Bayesian intervals are somewhat too narrow, giving an overly optimistic impression of certainty.
In conclusion, the Bayesian ALF estimator offers slightly more accurate point estimates for γ , whereas MLE provides better-calibrated measures of uncertainty. Therefore, the choice of method should be guided by the primary objective of the analysis: Bayesian ALF when precision of point estimates is paramount and MLE when reliable interval estimation is the priority.

6. Applications

In this section, we demonstrate the application of the proposed models on three real-world datasets, which are described below and presented in Appendix C.

6.1. Objectives

The primary objectives of this section are threefold. First, we assess the empirical performance of the baseline distributions, STH-I and STH-II, together with their exponentiated extensions, ESTH-I and ESTH-II, when fitted to real data. Second, we evaluate whether the additional shape flexibility introduced by the exponentiation mechanism leads to a statistically and practically meaningful improvement in model fit. To this end, model comparison is carried out using the Akaike Information Criterion (AIC), which balances goodness of fit against model complexity.
Since ESTH-II nests the remaining three models as special cases, we further employ a likelihood ratio test to formally examine whether the more general ESTH-II model provides a significant improvement over its sub-models. The likelihood ratio test statistic, denoted by Λ , is defined as follows:
Λ = 2 L 0 L 1 ,
where L 0 and L 1 represent the log-likelihood values evaluated at the MLEs under the null hypothesis ( H 0 ) and the alternative hypothesis ( H 1 ), respectively. Under H 0 , the statistic Λ follows a chi-square distribution with k degrees of freedom, denoted by χ k 2 , where k is the number of restricted parameters.
Finally, to place the proposed models within a broader modeling context, we compare their performance with four alternative distributions that possess a similar CDF structure: the EL distribution (Nadarajah et al. [3]), the EQL distribution (Elbatal et al. [4]), the EXL distribution (Alomair et al. [5]), and the EPL distribution (Ashour and Eltehiwy [6]). The CDFs of these four distributions are provided in Appendix A.

6.2. Data Description

  • Data I: This dataset consists of mortality rates for 76 independent COVID-19 patients from the United Kingdom. Each observation corresponds to a single patient-level outcome, and no patient contributes more than one observation to the dataset. The data were collected during the period from April 15 to June 30, 2020; this time span specifies the data collection window only and does not imply temporal ordering, serial dependence, or repeated measurements. Consequently, the observations are treated as independent and identically distributed (i.i.d.), which is consistent with the analysis in Kilai et al. [13].
  • Data II: This dataset contains remission times, measured in months, for 128 bladder cancer patients. Each observation represents the remission time of an individual patient and is therefore assumed to be independent. The data were analyzed under the i.i.d. framework in Arshad et al. [14] and were originally reported by Lee and Wang [15].
  • Data III: The dataset reported by Efron [16] represents the survival times of patients diagnosed with head and neck cancer, and treated using radiotherapy (RT). Each survival time corresponds to a distinct patient, and the observations are conventionally modeled as independent lifetime data.

6.3. Results and Analysis

Table 3 and Table 4, together with Figure 6, Figure 7 and Figure 8, provide a comprehensive assessment of the performance of the ESTH-II distribution relative to its competing models across the three datasets.
Table 3 reports the maximum likelihood estimates along with several goodness-of-fit and model selection criteria, while the corresponding likelihood-based inference is visually supported by Figure 6, which displays the maximum logarithmic relative likelihood functions for each parameter. The well-defined and unimodal profiles in Figure 6 confirm the uniqueness and stability of the maximum likelihood estimates reported in Table 3 for all datasets.
Across all three datasets, the ESTH-II model consistently achieves the lowest AIC values and the smallest Anderson–Darling and Cramér–von Mises statistics (Table 3), indicating a superior global fit. This strong numerical performance is further reflected in Figure 7, where the fitted PDF and CDF of the ESTH-II distribution closely track the empirical counterparts, outperforming the nested sub-models. In particular, for Data III, the K–S P-value of 0.9979 (Table 3) corresponds to an almost perfect overlap between the fitted and empirical distributions in Figure 7, a level of agreement not achieved by the competing models.
The role of the additional shape parameters is further clarified by the likelihood ratio tests reported in Table 4. For Data I, the rejection of the restricted sub-models demonstrates that both β and γ contribute significantly to model adequacy, a finding that is consistent with the flexibility observed in the fitted hazard rate functions shown in Figure 8. In Data II, the primary improvement arises from the inclusion of β , although the full ESTH-II model remains preferable overall. For Data III, both parameters again prove essential, yielding a highly significant improvement ( p = 0.0012 ), which is visually corroborated by the accurate hazard shape captured in Figure 8.
Finally, Figure 8 complements the inferential results by illustrating that the ESTH-II distribution is capable of accommodating complex hazard structures across datasets, as evidenced by the fitted, scaled TTT-transforms and hazard rate functions. When interpreted jointly with the numerical results in Table 3 and Table 4, these graphical diagnostics confirm that the ESTH-II model is not only statistically superior but also practically flexible. These conclusions are further reinforced by the Bayesian analysis, where posterior estimates under both weakly informative and informative priors demonstrate the robustness and efficiency of the ESTH-II framework.

6.4. BayesianInference

We employed a Bayesian framework to estimate the three parameters of the ESTH-II distribution for each dataset, implemented through Algorithm 3 in the R environment. Two alternative sets of hyperparameters were considered for the prior distributions: a weakly informative, and an informative specification calibrated from preliminary estimates. In the weakly informative prior, the values of the hyperparameters are chosen to be equal and sufficiently small to represent a weakly informative prior, reflecting minimal prior knowledge about the parameters. While in the informative prior case, the hyperparameters are specified using an empirical Bayes approach, where their values are determined from the posterior means and posterior variances obtained under the weakly informative prior.
  • Prior I (the weakly informative prior): a α = a β = a γ = b α = b β = b γ = 0.001 for all datasets.
  • Prior II (the informative prior):
    (1)
    For Data I: a α = 158.687 , b α = 445.375 , a β = 320.077 , b β = 158.133 , a γ = 76.858 , and b γ = 10.894 ;
    (2)
    For Data II: a α = 766.818 , b α = 1130.5 , a β = 190.854 , b β = 690.75 , a γ = 119.453 , and b γ = 74.887 ;
    (3)
    For Data III: a α = 1204.784 , b α = 3471 , a β = 275.538 , b β = 586.875 , a γ = 44.411 , and b γ = 2.797 .
Table 5 reports the Bayes point estimates under quadratic error loss and absolute error loss (in brackets), along with the exact and approximate 95% credible intervals obtained using two sets of hyperparameters. For comparison, the table also presents the 95% confidence intervals, both approximate and likelihood-based, for each parameter of the ESTH-II model across all three datasets. The results in Table 5 show close agreement between Bayesian point estimates and their exact counterparts, indicating that MCMC sampling provides stable estimates under both weakly informative and informative priors. The choice of prior mainly affects interval width: informative priors yield noticeably tighter credible intervals, especially for parameters with higher variance, such as γ in Data I and III, while central estimates remain essentially unchanged.
Comparing frequentist and Bayesian approaches, the asymptotic and likelihood confidence intervals are almost indistinguishable, though their likelihood intervals tend to be slightly narrower, reflecting their stronger finite sample performance. Bayesian credible intervals, whether exact or MCMC-based, align closely with these ranges, reinforcing the robustness of the inference across methods.
To better understand these differences, we assessed the MCMC sampling behavior under both prior settings, as is shown in Figure 9, Figure 10 and Figure 11. With weakly informative priors, the chains exhibited greater variability and slower autocorrelation decay, requiring many iterations for approximate independence. In contrast, the informative priors, calibrated from the weakly informative case, produced more stable trace plots and faster mixing, yielding effectively independent samples with fewer iterations. Importantly, the posterior means remained consistent across both prior choices, reinforcing the robustness of the estimates while underscoring the computational advantages of informative priors. Hence, in the subsequent analysis, we rely on the results from the informative priors to ensure more stable and efficient inference without compromising robustness.
We present in Figure 12 the marginal posterior densities obtained via MCMC together with the exact densities, with the limits of the exact 95% credible intervals marked. The results show that the posteriors become more concentrated under informative hyperparameters, indicating improved efficiency. Furthermore, the close agreement between the MCMC and exact densities confirms the accuracy of the sampling approach.
Finally, we investigated the convergence of the MCMC chains using the Gelman–Rubin diagnostic. The Gelman–Rubin statistic was computed for each dataset under the informative prior setting. For this purpose, we ran ten independent MCMC chains initialized at overdispersed starting values. Each chain consisted of 12,000 iterations; the first 2000 iterations were discarded as burn-in, and the remaining 10,000 draws from each chain were used to compute the Gelman–Rubin statistic, R ^ .
The following steps were employed to calculate R ^ :
1.
Run m-independent MCMC chains, each of length k (after burn-in), for the model parameters α , β , and γ . Let α i j denote the jth draw from chain i for parameter α , where i = 1 , 2 , , m and j = 1 , 2 , , k .
2.
Compute the chain means and the overall mean, as follows:
(a)
    The mean of chain i is
α ¯ i = 1 k j = 1 k α i j .
(b)
    The overall mean is
α ¯ · = 1 m i = 1 m α ¯ i .
3.
Compute the average within-chain variance W as follows:
W = 1 m i = 1 m s i 2 , where s i 2 = 1 k 1 j = 1 k α i j α ¯ i 2 .
4.
Compute the between-chain variance B as follows:
B = k m 1 i = 1 m α ¯ i α ¯ · 2 .
5.
Estimate the marginal posterior variance V ^ as follows:
V ^ = k 1 k W + 1 k B .
6.
Compute the Gelman–Rubin statistic as follows:
R ^ = V ^ W .
7.
Repeat Steps 2–6 for the remaining parameters β and γ .
Table 6 reports all quantities required to compute R ^ for each parameter across the three real datasets. As shown in the table, all values of R ^ are at most 1.001 , indicating the excellent convergence of the MCMC chains for all model parameters.

7. Conclusions and Future Work

This paper introduces a novel three-parameter lifetime distribution that generalizes the Sarhan–Tadj–Hamilton model, offering enhanced flexibility for capturing a wide variety of hazard rate shapes observed in real-world data. This makes it a versatile tool for modeling complex lifetime and reliability phenomena. We thoroughly investigated its theoretical properties, including moments, generating functions, and reliability measures, providing deeper insight into its behavior. Parameter estimation was performed using both maximum likelihood and Bayesian approaches, ensuring robust inference across different data scenarios.
The performance and applicability of the model were assessed through comprehensive simulation studies, which demonstrated accurate parameter recovery and strong efficiency. Furthermore, three real datasets from diverse domains were analyzed to illustrate the practical utility of the distribution. In all cases, it outperformed existing nested and competing models in terms of goodness-of-fit and predictive accuracy, highlighting its practical superiority.
Looking ahead, several avenues for future research are envisaged. These include extending the distribution to regression models for analyzing covariate-dependent lifetimes, employing advanced Bayesian computation techniques such as Markov chain Monte Carlo for more flexible inference, and developing multivariate or mixture formulations to handle dependent or heterogeneous data. The potential applications are extensive, spanning reliability engineering, biomedical survival analysis, actuarial risk assessment, and environmental hazard modeling, where flexible lifetime distributions are critical for accurate risk quantification and decision making. Overall, the proposed distribution provides both a theoretically sound and practically effective framework for modern reliability and survival studies, with considerable scope for further methodological and applied advancements.

Author Contributions

Methodology, T.M. and A.M.S.; software, T.M.; validation, A.M.S.; formal analysis, T.M.; investigation, A.M.S.; resources, A.M.S.; data curation, T.M.; writing—original draft, M.E.S.; visualization, M.E.S.; supervision, M.E.S.; and project administration, M.E.S. All authors have read and agreed to the published version of the manuscript.

Funding

This paper is funded by Ongoing Research Funding program, (ORF-2025-1454), King Saud University, Riyadh, Saudi Arabia.

Institutional Review Board Statement

This research did not involve human participants or sensitive personal data. Therefore, ethical approval was not required.

Data Availability Statement

The original contributions presented in this study are included in the article. Further inquiries can be directed to the corresponding author.

Conflicts of Interest

The authors declare no competing interests.

Appendix A

  • The CDF of the exponentiated Lindely (EL) distribution follows (see Nadarajah et al. [3]):
    F ( x ; α , γ ) = 1 1 + α x 1 + α e α x γ , x > 0 ; α , γ > 0 .
  • The CDF of the exponentiated quasi Lindley (EQL) distribution follows (see Elbatal et al. [4]):
    F ( x ; α , β , γ ) = 1 1 + α x 1 + β e α x γ , x > 0 ; α , β , γ > 0 .
  • The CDF of the exponentiated XLindley (EXL) distribution follows (see Alomair et al. [5]):
    F ( x ; α , γ ) = 1 1 + α x ( 1 + α ) 2 e α x γ , x > 0 ; α , β > 0 .
  • The CDF of the exponentiated Power Lindley (EPL) distribution follows (see Ashour et al. [6]):
    F ( x ; α , β , γ ) = 1 1 + α x β 1 + α exp α x β γ , x > 0 ; α , β , γ > 0 .

Appendix B

In this appendix, we show the derivations of how we obtain the functions for the ESTH distribution.
The CDF of the ESTH-II distribution, is related to that of STH-II distribution according to the following relation:
F E S T H - I I ( x ; α , β , γ ) = 1 S S T H - I I ( x ; α , β ) γ , x 0 ; α , β , γ > 0 .
Substituting from (2) into (A1) we obtain
F E S T H - I I ( x ; α , β , γ ) = 1 1 1 + β β + 1 + β x α e β x α e β x α γ , x 0 ; α , β , γ > 0 .
The PDF of ESTH-II distribution is as follows:
f E S T H ( x ; α , β , γ ) = x F E S T H - I I ( x ; α , β , γ ) = γ 1 S S T H - I I ( x ; α , β ) γ 1 x S S T H - I I ( x ; α , β ) .
Substituting from (2) into (A3), we obtain the PDF as given in (4).
The survival function of ESTH-II is given by
S E S T H - I I ( x ; α , β , γ ) = 1 F E S T H - I I ( x ; α , β , γ )
Substituting from (3) into (A4), we obtain the form in (6).
The HRF is defined as
h E S T H - I I ( x ; α , β , γ ) = f E S T H - I I ( x ; α , β , γ ) S E S T H - I I ( x ; α , β , γ )
Substituting from (4) and (6) into (A5), we obtain HRF as given in (7).
Finally, the reversed hazard rate function (RHRF) of ESTH-II ( α , β , γ ) distribution is
r E S T H - I I ( x ; α , β , γ ) = f E S T H - I I ( x ; α , β , γ ) F E S T H - I I ( x ; α , β , γ )
Substituting from (4) and (3) into (A6), we obtain HRF as given in (8).

Appendix C

This appendix present the three datasets and some of the R codes.

Appendix C.1. Data

  • Data I “COVID-19 Mortality Data”:
  • 11.2019, 0.411, 2.136, 0.5837, 7.0657, 1.1305, 9.6315, 0.2992, 0.2079, 10.187, 2.4153, 0.6365, 4.1969, 0.2751, 1.6998, 3.3715, 2.7946, 0.3553, 1.1468, 1.2707, 1.6083, 0.2395, 0.5696, 1.8721, 0.4954, 1.6324, 4.3451, 1.3423, 11.1429, 3.9042, 4.6477, 5.45, 1.6017, 0.0587, 1.8164, 11.4584, 0.1247, 0.1165, 0.5139, 1.5709, 0.0863, 0.7096, 0.3446, 0.859, 1.9844, 0.7193, 0.3622, 4.4627, 1.226, 0.6197, 3.784, 0.3317, 6.4241, 1.4149, 0.469, 0.1277, 2.7087, 2.3987, 0.3926, 1.8392, 1.1533, 0.2845, 1.0438, 0.4633, 0.3926, 0.3188, 0.7444, 3.3609, 5.7522, 5.3664, 1.0602, 0.1303, 2.5225, 7.4456, 8.2307, 0.1652
  • Data II “Remission Times”:
  • 9.02 4.26 4.51 17.14 6.76 5.32 6.39 0.52 7.87 2.69 19.13 2.46 3.48 5.06 18.1 1.05 0.51 1.76 0.9 2.54 2.87 10.34 2.64 25.74 5.85 5.17 12.63 3.57 0.66 5.71 4.5 36.66 2.26 7.09 3.36 0.22 3.7 22.69 0.08 0.73 4.4 5.09 46.12 0.96 5.49 10.75 11.98 7.28 43.01 13.29 17.36 2.02 0.26 12.07 13.11 11.64 14.38 4.98 0.82 11.25 3.46 5.34 6.54 3.25 16.62 9.74 1.35 14.24 0.62 9.47 8.66 14.77 2.83 0.2 13.8 7.26 3.36 10.06 26.31 2.23 23.63 5.32 6.97 0.81 8.53 0.19 4.33 0.5 8.65 11.79 0.4 2.09 2.07 7.32 4.87 2.69 20.28 0.39 14.76 0.4 34.26 7.63 8.37 79.05 7.62 7.59 3.02 3.28 7.93 5.41 6.25 10.66 2.75 1.46 4.34 6.94 4.18 0.31 32.15 5.41 1.26 4.23 5.62 2.02 17.12 3.88 12.03 12.02
  • Data III “Survival Times”:
  • 25.87 519 339 12.2 633 130 469 58.36 194 817 110 63.47 146 47.38 68.46 23.74 432 140 112 725 179 74.47 209 23.56 78.26 84 119 155 37 1776 133 127 319 249 195 41.35 55.46 94 92 159 173 81.43 281 31.98

Appendix C.2. R Codes

Likelihood, log-likelihood, and MLE.
 
loglike <- function(alpha, beta, gamma, x) {
n <- length(x)
n*log(alpha) + n*log(beta) + n*log(gamma) - n*log(1+beta) +
(alpha-1)*sum(log(x)) - beta*sum(x^alpha)+
sum(log(beta + (1+2*beta*x^alpha)*exp(-beta*x^alpha)))  +
(gamma-1)*sum(log(1 - (1/(1+beta)) *
(beta + (1+beta*x^alpha)*
exp(-beta*x^alpha))*
exp(-beta*x^alpha)))
}
logL = function(par,x)
{
alpha = par[1]; beta= par[2]; gamma = par[3]
loglike(alpha, beta, gamma, x)
}
nloglike = function(par, x)
-logL(par, x)
 
initial = c(.2,2,9)
mle = optim(initial, nloglike, x = x, hessian = TRUE)
 
Bayes function:
 
library(‘‘LearnBayes’’)
Bayes = function(m,prior_alpha,prior_beta,prior_gamma,x)
{
# Log-prior (independent Gammas)
logprior <- function(alpha, beta, gamma) {
dgamma(alpha, prior_alpha[1], prior_alpha[2], log=TRUE) +
dgamma(beta,  prior_beta[1],  prior_beta[2],  log=TRUE) +
dgamma(gamma, prior_gamma[1], prior_gamma[2], log=TRUE)
}
logpostT = function(par,x)
{
par = exp(par)
alpha = par[1]; beta= par[2]; gamma = par[3]
logL(par, x) +logprior(alpha,beta,gamma)+ sum(log(par))
}
par = log(c(.2,2,7))    # Data I
par = log(c(.6,.2,1.5)) # Data II
par = log(c(.4,.4,12))  # Data III
fit = laplace(logpostT, par, x = x )
proposal = list(var = fit$var, scale=1)
proposal2=list(var=fit$var, mu = t(fit$mode))
srw = rwmetrop(logpostT,proposal,par,m,x)
sind = indepmetrop(logpostT,proposal2,par,m, x)
res = list(srw = srw, sind = sind)
return(res)
}
# Priors: Gamma(a, b) with shape and rate
prior_alpha <- c(0.001, 0.001)
prior_beta  <- c(0.001, 0.001)
prior_gamma <- c(0.001, 0.001)
 
m = 20000
res = Bayes(m,prior_alpha,prior_beta,prior_gamma,x)

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Figure 1. The PDF and HRF for the ESTH-II ( α , β , γ ) model at different values of parameters: ( α , β ) from left to right are ( 1 , 0.1 ) , ( 1.2 , 0.1 ) , and ( 2.5 , 0.1 ) .
Figure 1. The PDF and HRF for the ESTH-II ( α , β , γ ) model at different values of parameters: ( α , β ) from left to right are ( 1 , 0.1 ) , ( 1.2 , 0.1 ) , and ( 2.5 , 0.1 ) .
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Figure 2. Basic quantiles (Q1, median, and Q3) computed using Algorithm 1 for various parameter combinations ( α , β , γ ) .
Figure 2. Basic quantiles (Q1, median, and Q3) computed using Algorithm 1 for various parameter combinations ( α , β , γ ) .
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Figure 3. Skewness and kurtosis of the ESTH-II distribution as functions of each parameter, evaluated at different values of the other two parameters.
Figure 3. Skewness and kurtosis of the ESTH-II distribution as functions of each parameter, evaluated at different values of the other two parameters.
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Figure 4. The variance for the ESTH-II distribution as a function of each single parameter, at different values of the pair of the other two parameters.
Figure 4. The variance for the ESTH-II distribution as a function of each single parameter, at different values of the pair of the other two parameters.
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Figure 5. The MSE trends for the point estimates of α , β , and γ against sample size n for the different true parameter settings [from top to bottom as ( 1.0 , 0.1 , 1.0 ) , ( 1.0 , 0.1 , 1.5 ) , ( 1.0 , 1.2 , 1.5 ) , and ( 1.2 , 1.0 , 1.5 ) ].
Figure 5. The MSE trends for the point estimates of α , β , and γ against sample size n for the different true parameter settings [from top to bottom as ( 1.0 , 0.1 , 1.0 ) , ( 1.0 , 0.1 , 1.5 ) , ( 1.0 , 1.2 , 1.5 ) , and ( 1.2 , 1.0 , 1.5 ) ].
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Figure 6. The maximum log relative likelihood functions along with the 14.7% MLIs of the model parameters using the three datasets.
Figure 6. The maximum log relative likelihood functions along with the 14.7% MLIs of the model parameters using the three datasets.
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Figure 7. The fitted and empirical PDF and CDF using the three datasets.
Figure 7. The fitted and empirical PDF and CDF using the three datasets.
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Figure 8. The TTT-plot and fitted HRF plots for the three datasets.
Figure 8. The TTT-plot and fitted HRF plots for the three datasets.
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Figure 9. The trace plots along with the autocorrelation plots for the simulated draws from the posterior distribution using MCMC assuming two sets of hyperparameters (prior I: top two panels; prior II: the bottom two).
Figure 9. The trace plots along with the autocorrelation plots for the simulated draws from the posterior distribution using MCMC assuming two sets of hyperparameters (prior I: top two panels; prior II: the bottom two).
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Figure 10. The trace plots along with the autocorrelation plots for the simulated draws from the posterior distribution using MCMC assuming two sets of hyperparameters (prior I: top two panels; prior II: the bottom two), for Data II.
Figure 10. The trace plots along with the autocorrelation plots for the simulated draws from the posterior distribution using MCMC assuming two sets of hyperparameters (prior I: top two panels; prior II: the bottom two), for Data II.
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Figure 11. The trace plots along with the autocorrelation plots for the simulated draws from the posterior distribution using MCMC assuming two sets of hyperparameters (prior I: top two panels; prior II: the bottom two), for Data III.
Figure 11. The trace plots along with the autocorrelation plots for the simulated draws from the posterior distribution using MCMC assuming two sets of hyperparameters (prior I: top two panels; prior II: the bottom two), for Data III.
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Figure 12. The approximated marginal posterior densities along with the exact ones (in red lines) for all datasets using two sets of hyperparameters; weakly informative (Vague) and informative (Inf).
Figure 12. The approximated marginal posterior densities along with the exact ones (in red lines) for all datasets using two sets of hyperparameters; weakly informative (Vague) and informative (Inf).
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Table 1. Descriptive statistics for the ESTH-II distribution. The top panel varies α , the middle panel varies β , and the bottom panel varies γ , each with three sets of fixed parameter pairs. These chosen parameter values reflect different behaviors of the distributions.
Table 1. Descriptive statistics for the ESTH-II distribution. The top panel varies α , the middle panel varies β , and the bottom panel varies γ , each with three sets of fixed parameter pairs. These chosen parameter values reflect different behaviors of the distributions.
E ( X ) E ( X 2 ) E ( X 3 ) E ( X 4 ) σ x 2 ξ η E ( X ) E ( X 2 ) E ( X 3 ) E ( X 4 ) σ x 2 ξ η E ( X ) E ( X 2 ) E ( X 3 ) E ( X 4 ) σ x 2 ξ η
α ( β , γ ) = ( 0.5 , 0.5 ) ( β , γ ) = ( 1 , 1 ) ( β , γ ) = ( 2 , 2 )
1.01.0352.91713.589.51.8452.66214.30.8751.5003.93814.30.7342.12910.40.6840.7281.0862.1240.2601.7427.989
1.50.8651.3632.9177.760.6141.4045.60.8310.9891.5002.7430.2991.1074.7570.7340.6700.7280.9200.1310.9434.362
2.00.8291.0351.6102.920.3480.8503.570.8350.8751.0761.5000.1780.6393.4370.7750.6840.6730.7280.0830.5713.461
2.50.8240.9171.2091.790.2380.5162.860.8470.8400.9351.1390.1230.3542.9990.8060.7090.6720.6790.0590.3473.152
3.00.8280.8651.0351.360.1790.2822.580.8600.8310.8750.9890.0910.1562.8560.8310.7340.6840.6700.0440.1953.042
3.50.8360.8410.9461.150.1420.1042.480.8720.8310.8480.9150.0710.0082.8360.8500.7560.7010.6740.0340.0833.013
4.00.8440.8290.8961.040.117-0.0372.480.8820.8350.8350.8750.057-0.1082.8720.8650.7750.7180.6840.027-0.0023.021
4.50.8520.8250.8650.9640.098-0.1532.520.8910.8410.8310.8530.047-0.2012.9370.8770.7920.7340.6960.022-0.0703.046
5.00.8600.8240.8470.9170.084-0.2512.590.8990.8470.8300.8400.039-0.2793.0140.8880.8060.7490.7090.019-0.1253.079
β ( α , γ ) = ( 0.5 , 0.5 ) ( α , γ ) = ( 1 , 1 ) ( α , γ ) = ( 2 , 2 )
1.00.8187.241191.910283.56.57210.4224.20.8751.5003.93814.250.7342.12910.41.0711.3011.7602.6160.1550.5823.556
1.50.3871.62619.82478.51.47610.1206.10.6000.7111.2893.2000.3512.11910.20.8870.8941.0051.2420.1080.5783.502
2.00.2270.5563.88053.10.5049.8195.30.4580.4170.5781.0940.2072.10610.00.7750.6840.6730.7280.0830.5713.461
2.50.1490.2401.0839.5180.2189.7188.10.3710.2740.3090.4720.1362.0949.860.6980.5550.4920.4800.0680.5643.431
3.00.1060.1200.3792.3210.1099.6183.10.3130.1940.1840.2360.0972.0859.760.6400.4670.3800.3400.0570.5593.408
3.50.0790.0670.1560.7010.0609.5179.30.2700.1450.1190.1310.0722.0769.670.5950.4040.3050.2540.0500.5543.390
4.00.0610.0400.0720.2480.0369.42176.40.2370.1130.0810.0790.0562.0709.610.5580.3550.2520.1970.0440.5503.375
4.50.0490.0250.0360.0990.0239.36174.10.2120.0900.0580.0500.0452.0649.550.5270.3170.2130.1570.0390.5473.363
5.00.0400.0170.0200.0430.0159.32172.20.1920.0730.0420.0330.0372.0599.510.5010.2870.1830.1280.0360.5443.353
γ ( α , β ) = ( 0.5 , 0.5 ) ( α , β ) = ( 1 , 1 ) ( α , β ) = ( 2 , 2 )
1.05.330176.00017280.0003575040.100147.6008.300148.5000.8751.5003.94014.2510.7342.12910.4010.6020.4580.4100.4170.0950.6503.401
1.57.421259.90125844.8005359651.511204.9127.120111.2201.1152.0905.70021.1000.8491.9119.1000.7040.5850.5530.5820.0890.5863.420
2.09.261341.61134362.6007142371.300255.9106.47192.0001.3012.6167.38927.6800.9221.798.450.7750.6840.6730.7280.0830.5713.462
2.510.920421.20042835.7118923232.500302.0006.03180.2111.4543.0908.98334.1420.9751.7168.0740.8290.7660.7780.8610.0790.5703.499
3.012.441499.00051265.70010702266.300344.3115.71072.1001.5843.52010.50540.4581.0161.6677.820.8710.8350.8710.9830.0760.5763.530
3.513.800575.10059654.60012479502.300383.6005.47066.1101.6963.93012.00046.6001.0501.6307.6300.9060.8950.9551.0950.0730.5823.555
4.015.100649.70068003.80014254968.500420.4005.27061.5001.7964.30013.40052.7001.0801.6027.4900.9360.9481.0311.2000.0710.5893.576
4.516.400722.80076314.60016028691.700455.0005.11057.9001.8904.65014.70058.6001.0981.5807.3700.9630.9951.1001.3000.0690.5963.594
5.017.500794.60084588.60017800697.400487.8004.97054.9001.9704.98016.10064.5001.1201.5607.3000.9861.0381.1661.3900.0670.6033.609
Table 2. Simulation results for APE, MSE, and CP for different true parameter sets θ = ( α , β , γ ) and estimation methods.
Table 2. Simulation results for APE, MSE, and CP for different true parameter sets θ = ( α , β , γ ) and estimation methods.
θ = ( 1 , 0.1 , 1 ) θ = ( 1 , 0.1 , 1.5 )
MLEQLFALFMLEQLFALF
n Par.APEMSECPAPEMSECPAPEMSECPAPEMSECPAPEMSECPAPEMSECP
30 α 1.0080.004094.61.00130.003894.31.00270.003894.31.00380.002894.80.99870.002794.20.99940.002794.2
β 0.1020.000395.10.10240.000393.90.10130.0003493.90.10080.000294.40.10120.000294.30.10040.000294.3
γ 1.0380.036295.61.03860.036495.11.02730.035195.11.56910.099595.31.570.099693.21.55210.095393.2
50 α 1.00580.002594.01.00170.002592.31.00240.002592.31.00360.001695.71.00070.001694.41.0010.001694.4
β 0.10140.000294.70.10160.000293.50.1010.000293.50.1010.000195.30.10120.000194.50.10080.000194.5
γ 1.02870.022795.21.02890.022893.31.02210.022393.31.53130.049195.71.5310.049594.71.52060.049094.7
70 α 1.00510.001695.21.00220.001794.31.00260.001794.31.00450.001294.21.00260.001293.21.00280.001293.2
β 0.10140.0001496.60.10160.000193.80.10110.000193.80.10110.000195.40.10120.000194.90.10090.000194.9
γ 1.01020.015594.71.0110.015793.01.00710.015793.01.52490.035096.01.52620.035393.41.51890.034993.4
100 α 1.0030.001294.41.0010.001292.71.00120.001292.71.00320.000895.21.00160.000893.01.00150.000893.0
β 0.10080.000194.10.10090.000193.20.10060.000193.20.10080.000195.90.10090.000193.80.10070.000193.8
γ 1.01110.011095.21.01150.011093.31.00810.011093.31.51220.022195.81.51250.022093.91.50660.021793.9
150 α 1.0030.000895.11.00170.000891.71.00190.000891.71.00080.000596.11.00000.000593.71.00020.000593.7
β 0.10080.000194.70.10080.000193.80.10050.000193.80.1003096.10.1003094.50.1001094.5
γ 1.00790.007095.51.00910.006993.41.00680.006993.41.50750.015095.01.50830.015093.81.50460.015293.8
θ  = (1, 1.2, 1.5) θ = ( 1.2 , 1 , 1.5 )
MLEQLFALFMLEQLFALF
APEMSECPAPEMSECPAPEMSECPAPEMSECPAPEMSECPAPEMSECP
30 α 1.02390.022495.01.01660.021894.71.01250.021694.71.23030.032694.81.22010.031793.31.21570.031493.3
β 1.21640.038194.51.22220.038595.71.21010.037695.71.02420.029493.01.02960.029793.71.01880.028593.7
γ 1.55220.081796.11.55120.081295.41.53390.078495.41.54510.087396.01.54500.087295.71.52700.084595.7
50 α 1.02090.014094.81.01640.013694.11.01400.013494.11.21860.017095.41.21220.016894.51.21000.016994.5
β 1.20880.023094.41.21180.023194.41.20450.022994.41.00930.015494.71.01260.015595.11.00610.015395.1
γ 1.54330.052194.81.54190.051593.31.53250.050793.31.53670.051695.11.53730.051594.71.52740.050894.7
70 α 1.00810.008795.01.00500.008794.51.00290.008694.51.21970.012494.41.21480.012294.01.21300.012194.0
β 1.20930.017894.61.21230.018094.01.20720.017994.01.01280.011794.41.01520.011894.41.01070.011794.4
γ 1.52240.035995.21.52270.035993.51.51560.035493.51.51790.030595.61.51770.030695.21.51090.030795.2
100 α 1.00180.005994.90.99930.005994.00.99820.005994.01.20800.008695.01.20450.008494.91.20330.008594.9
β 1.20480.012694.51.20670.012594.31.20300.012494.31.00550.008095.01.00680.008093.81.00340.007993.8
γ 1.51200.022995.31.51180.022894.01.50680.022894.01.51380.022195.61.51380.022194.11.50860.022394.1
150 α 1.00710.004793.51.00540.004692.81.00450.004792.81.20630.005893.81.20410.005893.11.20330.005893.1
β 1.20580.007795.51.20700.007794.41.20480.007794.41.00640.005394.91.00730.005493.71.00540.005493.7
γ 1.50760.014894.81.50700.014793.51.50460.015093.51.50690.015794.71.50620.015793.21.50170.015593.2
Table 3. The MLE(SE), L , AIC, A * , W * , K-S, and its corresponding p-value for all models using the three datasets.
Table 3. The MLE(SE), L , AIC, A * , W * , K-S, and its corresponding p-value for all models using the three datasets.
Model α ^ (SE) β ^ (SE) γ ^ (SE) L AIC A * W * K-Sp-Value
Data I
STH-I0.3387 (0.0418)--−146.6420295.28411.08810.16570.16940.0255
ESTH-I0.7128 (0.1053)-0.2607 (0.0451)−143.9384291.87691.14380.17490.10500.3716
STH-II0.7855 (0.0693)0.4562 (0.0677)-−142.4348288.86970.81640.12130.07970.7203
EL0.4998 (0.0674)-0.6172 (0.0929)−145.3657294.73141.41370.21920.11110.3045
EQL0.3681 (0.0792)21.6017 (81.7220)0.7996 (0.1171)−142.5148291.02960.93180.14000.09860.4505
EXL0.4778 (0.0626)-0.7092 (0.1076)−144.0222292.04441.20990.18560.10550.3663
EPL0.7326 (1.2454)0.576 (0.1378)1.8578 (8.3797)−139.9435285.8870.35350.05010.05690.9663
ESTH-II0.3579 ( 0.0293 ) 2.0223 ( 0.1169 ) 7.0935 ( 0.8137 ) 139.934285.8690.35550.05090.05590.9714
Data II
STH-I0.0925 (0.0078)--−404.938811.8760.51430.07420.07560.4575
ESTH-I0.0813 (0.0949)-0.8243 (0.0098)−403.484810.9680.58390.08560.06090.7287
STH-II0.8492 (0.0571)0.1371 (0.0231)-−401.726807.4520.37480.05290.05110.8915
EL0.1555 (0.0165)-0.5794 (0.0684)−406.1204816.24070.80330.11560.07790.4177
EQL0.1148 (0.0167)25.6046 (65.5004)0.9208 (0.1064)−402.5419811.08370.47300.06960.05520.8303
EXL0.1571 (0.0162)-0.6595 (0.0794)−405.8700815.74010.82490.12150.07820.4141
EPL0.7326 (0.2914)0.5759 (0.1078)1.8578 (1.8581)−400.8387807.67730.39160.05910.04920.9165
ESTH-II0.6801 ( 0.0254 ) 0.2759 ( 0.0197 ) 1.5913 ( 0.1406 ) 400.583807.1660.33960.04990.04610.9483
Data III
STH-I0.003 (0.0004)--−284.0535570.10711.15420.20050.18090.0986
ESTH-I0.8752 (0.1663)-0.0031 (0.0005)−283.8067571.61351.18290.20570.16730.1516
STH-II0.8204 (0.0777)0.0098 (0.0046)-−282.3783568.75670.89250.15370.12560.4549
EL0.0058 (0.0011)-0.4998 (0.1008)−283.0355570.07111.04230.17990.16260.1746
EQL0.0052 (0.0010)9.9409 (13.4971)1.0789 (0.2229)−282.0996570.19910.89960.15490.15120.2415
EXL0.0059 (0.0011)-0.5144 (0.1029)−283.1906570.38111.05990.18280.16590.1581
EPL1.2948 (1.2365)0.2698 (0.1182)25.7942 (49.5767)−277.5244561.04870.12280.01910.05930.9953
ESTH-II0.3481 ( 0.0111 ) 0.4684 ( 0.0279 ) 15.8227 ( 2.3854 ) 277.3516560.70320.11590.01750.05590.9979
Table 4. The hypotheses testing results using the three datasets.
Table 4. The hypotheses testing results using the three datasets.
Data          H 0 vs.          H A df Λ p-Value
I β = 1 , γ = 1 (STH-I)vs. β = 1 , γ > 0 (ESTH-I)15.4070.0201
β = 1 , γ = 1 (STH-I)vs. β > 0 , γ > 0 (ESTH-II)213.4160.0012
β = 1 (ESTH-I)vs. β > 0 (ESTH-II)18.0080.0047
γ = 1 (STH-II)vs. γ > 0 (ESTH-II)15.0010.0253
II β = 1 , γ = 1 (STH-I)vs. β = 1 , γ > 0 (ESTH-I)12.9080.0881
β = 1 , γ = 1 (STH-I)vs. β > 0 , γ > 0 (ESTH-II)28.710.0128
β = 1 (ESTH-I)vs. β > 0 (ESTH-II)15.8010.0160
γ = 1 (STH-II)vs. γ > 0 (ESTH-II)12.2860.1306
III β = 1 , γ = 1 (STH-I)vs. β = 1 , γ > 0 (ESTH-I)10.4970.4807
β = 1 , γ = 1 (STH-I)vs. β > 0 , γ > 0 (ESTH-II)213.4070.0012
β = 1 (ESTH-I)vs. β > 0 (ESTH-II)112.9090.0003
γ = 1 (STH-II)vs. γ > 0 (ESTH-II)110.0510.0015
Table 5. Comprehensive results for the ESTH-II model. The table shows Bayesian point estimates (with exact estimates in parentheses) under two priors, alongside 95% asymptotic confidence intervals, 14.7% Likelihood intervals, and 95% Bayesian credible intervals (MCMC and exact) using weakly informative and informative priors for all datasets.
Table 5. Comprehensive results for the ESTH-II model. The table shows Bayesian point estimates (with exact estimates in parentheses) under two priors, alongside 95% asymptotic confidence intervals, 14.7% Likelihood intervals, and 95% Bayesian credible intervals (MCMC and exact) using weakly informative and informative priors for all datasets.
Bayesian EstimatesConfidence Intervals
DataPar.Weakly Informative PriorInformativeAsymptoticLikelihood
I α 0.3563 (0.3554)0.3573 (0.3565) ( 0.3005 , 0.4152 ) ( 0.3022 , 0.4163 )
β 2.0241 (2.0233)2.0224 (2.0189) ( 1.7932 , 2.2514 ) ( 1.8038 , 2.2611 )
γ 7.055 (7.0025)7.086 (7.0515) ( 5.4987 , 8.6883 ) ( 5.6122 , 8.7958 )
II α 0.6783 (0.6781)0.6776 (0.6770) ( 0.6332 , 0.7282 ) ( 0.6309 , 0.7299 )
β 0.2763 (0.2759)0.2757 (0.2754) ( 0.2391 , 0.3188 ) ( 0.239 , 0.3157 )
γ 1.5951 (1.5813)1.5900 (1.5862) ( 1.3449 , 1.9039 ) ( 1.3295 , 1.878 )
III α 0.3471 (0.3473)0.3471 (0.3474) ( 0.3263 , 0.3700 ) ( 0.3283 , 0.372 )
β 0.4695 (0.4693)0.4691 (0.4679) ( 0.4137 , 0.5231 ) ( 0.4086 , 0.5161 )
γ 15.8795 (15.8048)15.7988 (15.7699) ( 11.148 , 20.498 ) ( 11.335 , 20.438 )
Credible Intervals (MCMC)Exact Credible Intervals
Weakly Informative PriorInformativeWeakly Informative PriorInformative
I α ( 0.3029 , 0.4126 ) ( 0.3225 , 0.3965 ) ( 0.301 , 0.4155 ) ( 0.3181 , 0.3976 )
β ( 1.8033 , 2.2537 ) ( 1.8724 , 2.1821 ) ( 1.8059 , 2.265 ) ( 1.8706 , 2.1881 )
γ ( 5.5687 , 8.7483 ) ( 6.0191 , 8.1624 ) ( 5.6038 , 8.7817 ) ( 6.0153 , 8.2568 )
II α ( 0.6303 , 0.7299 ) ( 0.6472 , 0.7105 ) ( 0.6298 , 0.7291 ) ( 0.6454 , 0.7141 )
β ( 0.2373 , 0.3145 ) ( 0.249 , 0.3056 ) ( 0.2395 , 0.3168 ) ( 0.2497 , 0.3046 )
γ ( 1.3156 , 1.8669 ) ( 1.3835 , 1.8225 ) ( 1.3303 , 1.8809 ) ( 1.4035 , 1.8013 )
III α ( 0.3244 , 0.3699 ) ( 0.3319 , 0.3619 ) ( 0.3266 , 0.3700 ) ( 0.3335 , 0.3624 )
β ( 0.4178 , 0.5265 ) ( 0.4329 , 0.5067 ) ( 0.4188 , 0.5283 ) ( 0.4323 , 0.5100 )
γ ( 11.281 , 20.719 ) ( 12.654 , 19.463 ) ( 11.533 , 20.843 ) ( 12.741 , 19.350 )
Table 6. The Gelman-Rubin diagnostic results for the three datasets.
Table 6. The Gelman-Rubin diagnostic results for the three datasets.
α β γ
ChainMeanVarianceMeanVarianceMeanVariance
Data I
10.35649890.00042692952.023340.0071522417.1328060.3271977
20.35635410.0004175992.0240360.0066791947.1201890.3339793
30.35777260.00044145572.0237440.0069834687.0703390.3552804
40.35833230.00040807092.0166960.0070763947.0865730.3478988
50.35620340.00042782912.0250410.0071506777.1000760.3207258
60.35701260.00041128862.0263440.006672697.0850310.2933487
70.35646530.00038577742.0177570.0069989617.1418210.3232892
80.35558770.00042310392.0165250.0071468277.1106050.309977
90.35701270.00041601652.0253590.0073468117.1289380.3478143
100.35776610.00040103582.0179410.0074643677.0750590.300759
Overall Mean0.35690060.00041591062.0216780.0070671637.1051440.326027
B0.0071598820.15547556.471491
V ^ 0.0004165850.0070820040.3266415
R ^ 1.000811.0010491.000942
Data II
10.67845430.00033063280.27685650.0002089841.5931560.009165
20.67965940.00031162090.27565640.00020800261.5997050.010285
30.68044150.00027575930.2773110.00021021461.5906410.009200
40.67904180.00032515170.27601220.00019401041.5852640.010553
50.67869660.00037894560.27670150.00018999711.5891060.008785
60.68009750.00034740610.27712440.0002007151.5892560.009304
70.67888740.00032499290.27577790.00021250221.5912360.008897
80.67842310.0003064960.27662080.00020448661.5930380.009305
90.67893080.00034136190.27612240.00019863171.5851570.010066
100.67931440.00036570880.27555940.00019628171.5859290.008804
Overall Mean0.67919470.00033080760.27637430.00020238261.5902490.009436
B0.0046433920.0039666250.1983402
V ^ 0.00033123890.0002027590.009455271
R ^ 1.0006521.000931.001
Data III
10.34775640.000059545460.46962180.000390148615.75872.913201
20.34838260.000047752030.46965030.0003773415.823312.727301
30.34782680.00004.8810050.46910260.000371936815.723942.875778
40.34825340.00005.1693520.47016660.000406773515.803322.911068
50.34765460.00004.8158470.4702340.000383353715.759372.843547
60.3478170.00005.5471860.46923570.000396822615.792492.793001
70.34767890.000051302190.46933570.000367806115.811172.788853
80.34831030.000054146530.469880.00036803615.773992.872296
90.34788630.000055132340.46924990.000405408815.876182.736006
100.34802490.000050401090.47026130.000398906615.873532.961118
Overall Mean0.34795910.000052241350.46967380.000386653315.79962.842217
B0.00072106340.00195525924.18081
V ^ 0.000052308240.00038681012.844351
R ^ 1.000641.0002031.000375
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Manshi, T.; Sarhan, A.M.; Sobh, M.E. Modeling Healthcare Data with a Novel Flexible Three-Parameter Distribution. Mathematics 2026, 14, 359. https://doi.org/10.3390/math14020359

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Manshi T, Sarhan AM, Sobh ME. Modeling Healthcare Data with a Novel Flexible Three-Parameter Distribution. Mathematics. 2026; 14(2):359. https://doi.org/10.3390/math14020359

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Manshi, Thamer, Ammar M. Sarhan, and M. E. Sobh. 2026. "Modeling Healthcare Data with a Novel Flexible Three-Parameter Distribution" Mathematics 14, no. 2: 359. https://doi.org/10.3390/math14020359

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Manshi, T., Sarhan, A. M., & Sobh, M. E. (2026). Modeling Healthcare Data with a Novel Flexible Three-Parameter Distribution. Mathematics, 14(2), 359. https://doi.org/10.3390/math14020359

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