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Kai Yang

Publications and source records attributed to Kai Yang.

280 records · Page 16Linked to original sources

Predicting patient risk of readmission with frailty models in the Department of Veteran Affairs

Reducing potentially preventable readmissions has been identified as an important issue for decreasing Medicare costs and improving quality of care provided by hospitals. Based on previous research by medical professionals, preventable readmissions are caused by such factors as flawed patient discharging process, inadequate follow-ups after discharging, and noncompliance of patients on discharging and follow up instructions. It is also found that the risk of preventable readmission also may relate to some patient's characteristics, such as age, health condition, diagnosis, and even treatment specialty. In this study, using both general demographic information and individual past history of readmission records, we develop a risk prediction model based on hierarchical nonlinear mixed effect framework to extract significant prognostic factors associated with patient risk of 30-day readmission. The effectiveness of our proposed approach is validated based on a real dataset from four VA facilities in the State of Michigan. Simultaneously explaining both patient and population based variations of readmission process, such an accurate model can be used to recognize patients with high likelihood of discharging non-compliances, and then targeted post-care actions can be designed to reduce further rehospitalization.

stat.AP↗

Estimating Multiple Step Shifts in a Gaussian Process Mean with an Application to Phase I Control Chart Analysis

In preliminary analysis of control charts, one may encounter multiple shifts and/or outliers especially with a large number of observations. The following paper addresses this problem. A statistical model for detecting and estimating multiple change points in a finite batch of retrospective (phase I)data is proposed based on likelihood ratio test. We consider a univariate normal distribution with multiple step shifts occurred in predefined locations of process mean. A numerical example is performed to illustrate the efficiency of our method. Finally, performance comparisons, based on accuracy measures and precision measures, are explored through simulation studies.

stat.AP↗

A multivariate hierarchical Bayesian framework for healthcare predictions with application to medical home study in the Department of Veteran Affairs

Recently the patient centered medical home (PCMH) model has become a popular approach to deliver better care to patients. Current research shows that the most important key for succession of this method is to make balance between healthcare supply and demand. Without such balance in clinical supply and demand, issues such as excessive under and over utilization of physicians, long waiting time for receiving the appropriate treatment, and non continuity of care will eliminate many advantages of the medical home strategy. To reach this end we need to have information about both supply and demand in healthcare system. Healthcare supply can be calculated easily based on head counts and available hours which is offered by professionals for a specific time period while healthcare demand is not easy to calculate, and it is affected by some healthcare, diagnostic and demographic attributes. In this paper, by extending the hierarchical generalized linear model to include multivariate responses, we develop a clinical workload prediction model for care portfolio demands in a Bayesian framework. Our analyses of a recent data from Veteran Health Administration indicate that our prediction model works for clinical data with high performance.

stat.AP↗

Modeling clustered non-stationary Poisson processes for stochastic simulation inputs

A validated simulation model primarily requires performing an appropriate input analysis mainly by determining the behavior of real-world processes using probability distributions. In many practical cases, probability distributions of the random inputs vary over time in such a way that the functional forms of the distributions and/or their parameters depend on time. This paper answers the question whether a sequence of observations from a process follow the same statistical distribution, and if not, where the exact change points are, so that observations within two consecutive change points follow the same distribution. We propose two different methods based on likelihood ratio test and cluster analysis to detect multiple change points when observations follow non-stationary Poisson process with diverse occurrence rates over time. Results from a comprehensive Monte Carlo study indicate satisfactory performance for the proposed methods. A well-known example is also considered to show the application of our findings in real world cases.

stat.AP↗

An analytics approach to designing patient centered medical homes

Recently the patient-centered medical home (PCMH) model has become a popular team-based approach focused on delivering more streamlined care to patients. In current practices of medical homes, a clinical-based prediction frame is recommended because it can help match the portfolio capacity of PCMH teams with the actual load generated by a set of patients. Without such balances in clinical supply and demand, issues such as excessive under and over utilization of physicians, long waiting time for receiving the appropriate treatment, and non-continuity of care will eliminate many advantages of the medical home strategy. In this paper, by extending the hierarchical generalized linear model to include multivariate responses, we develop a clinical workload prediction model for care portfolio demands in a Bayesian framework. The model allows for heterogeneous variances and unstructured covariance matrices for nested random effects that arise through complex hierarchical care systems. We show that using a multivariate approach substantially enhances the precision of workload predictions at both primary and non-primary care levels. We also demonstrate that care demands depend not only on patient demographics but also on other utilization factors, such as length of stay. Our analyses of a recent data from Veteran Health Administration further indicate that risk adjustment for patient health conditions can considerably improve the prediction power of the model.

stat.AP↗

Spatial Imaging of Landé g Factor through Extended Kondo Effect in a Single Magnetic Molecule

A methodology of atomically resolved Landé g factor mapping of a single molecule is reported. Mn(II)-phthalocyanine (MnPc) molecules on Au(111) surface can be dehydrogenated via atomic manipulation with manifestation of tailored extended Kondo effect, which can allow atomically resolved imaging of the Landé g factor inside a molecule for the first time. By employing dehydrogenated MnPc molecules with removal of six H atoms (-6H-MnPc) as an example, Landé g factor of atomic constituents of the molecule can be obtained, therefore offering a unique g factor mapping of single molecule. Our results open up a new avenue to access local spin texture of a single molecule.

cond-mat.mes-hall↗

MIDI-LAB, a Powerful Visual Basic Program for Creating MIDI Music

Creating MIDI music can be a practical challenge. In the past, working with it was difficult and frustrating to all but the most accomplished and determined. Now, however, we are offering a powerful Visual Basic program called MIDI-LAB, that is easy to learn, and instantly rewarding to even the newest users. MIDI-LAB has been developed to give users the ability to quickly create music with a limitless variety of tunes, tempos, speeds, volumes, instruments, rhythms and major scales. This program has a simple, intuitive, and user-friendly interface, which provides a straightforward way to enter musical data with Numbered Musical Notation (NMN) and immediately create MIDI music. The key feature of this program is the digitalization of music input. It vastly simplifies creating, editing, and saving MIDI music. MIDI-LAB can be used virtually anywhere to write music for entertainment, teaching, computer games, and mobile phone ringtones.

cs.SE↗

Suppression of Edge Recombination in InAs/InGaAs DWELL Solar Cells

The InAs/InGaAs DWELL solar cell grown by MBE is a standard pin diode structure with six layers of InAs QDs embedded in InGaAs quantum wells placed within a 200-nm intrinsic GaAs region. The GaAs control wafer consists of the same pin configuration but without the DWELL structure. The typical DWELL solar cell exhibits higher short current density while maintaining nearly the same open-circuit voltage for different scales, and the advantage of higher short current density is more obvious in the smaller cells. In contrast, the smaller size cells, which have a higher perimeter to area ratio, make edge recombination current dominant in the GaAs control cells, and thus their open circuit voltage and efficiency severely degrade. The open-circuit voltage and efficiency under AM1.5G of the GaAs control cell decrease from 0.914V and 8.85% to 0.834V and 7.41%, respectively, as the size shrinks from 5*5mm2 to 2*2mm2, compared to the increase from 0.665V and 7.04% to 0.675V and 8.17%, respectively, in the DWELL solar cells.

cond-mat.mes-hall↗

From Uniform Continuity to Absolute Continuity

Absolute continuity implies uniform continuity, but generally not vice versa. In this short note, we present one sufficient condition for a uniformly continuous function to be absolutely continuous, which is the following theorem: For a uniformly continuous function f defined on an interval of the real line, if it is piecewise convex, then it is also absolutely continuous.

math.CA↗

The structure of self-organized blogosphere

In this paper, a statistical analysis of the structure of one blog community, a kind of social networks, is presented. The quantities such as degree distribution, clustering coefficient, average shortest path length are calculated to capture the features of the blogging network. We demonstrate that the blogging network has small-world property and the in and out degree distributions have power-law forms. The analysis also confirms that blogging networks show in general disassortative mixing pattern. Furthermore, the popularity of the blogs is investigated to have a Zipf's law, namely, the fraction of the number of page views of blogs follows a power law.

math.ST↗