The evaluation of nursing homes and the assessment of the quality of the health care provided to their patients are usually based on the administration of questionnaires made of a large number of polytomous items. In applications involving data collected by questionnaires of this type, the...

This paper presents the R package MitISEM, which provides an automatic and flexible method to approximate a non-elliptical target density using adaptive mixtures of Student-t densities, where only a kernel of the target density is required. The approximation can be used as a candidate density in...