In this paper, we analyzed length of stay (LOS) in hospitals and medical expenditures for type 2 diabetes patients. LOS was analyzed by the power Box-Cox transformation model when variances differed among hospitals. W...In this paper, we analyzed length of stay (LOS) in hospitals and medical expenditures for type 2 diabetes patients. LOS was analyzed by the power Box-Cox transformation model when variances differed among hospitals. We proposed a new test and consistent estimator. We rejected the ho-moscedasticity of variances among hospitals, and then analyzed the LOS of 12,666 type 2 diabetes patients hospitalized for regular medical treatments collected from 60 general hospitals in Japan. The variables found to affect LOS were age, number of comorbidities and complications, introduced by another hospital, one-week hospitalization, 2010 revision, specific-hospitalization-period (SHP), and principal diseases E11.5, E11.6 and E11.7. There were surprisingly large differences in ALOS among hospitals even after eliminating the influence of characteristics and conditions of patients. We then analyzed daily medical expenditure (DME) by the ordinary least squares methods. The variables that affected DME were LOS, number of comorbidities and complications, acute hospitalization, hospital’s own outpatient, season, introduced by another hospital, one-week hospitalization, 2010 revision, SHP, time trend, and principal diseases E11.2, E11.4 and E117. The DME did not decrease after the SHP. After eliminating the influences of characteristics and conditions of patients, the differences among hospitals were relatively small, 12% of the overall average. LOS is the main determinant of medical expenditures, and new incentives to reduce LOS are needed to control Japanese medical expenditures. Since at least 99% of patients require medical care after leaving the hospital, systems that take proper care of patients for long periods of time after hospitalization are absolutely necessary for efficient treatment of diabetes.展开更多
The Japanese medical costs for cataract treatments reached 270 billion yen in fiscal year 2012. Since the length of stay (LOS) in hospital is much longer than other major countries, controlling the medical costs by re...The Japanese medical costs for cataract treatments reached 270 billion yen in fiscal year 2012. Since the length of stay (LOS) in hospital is much longer than other major countries, controlling the medical costs by reducing LOS becomes an important issue in Japan. In this paper, we evaluated the effects of the 2010 revision of the Japanese medical payment system (DPC/PDPS) on LOS for cataract operations. The Box-Cox transformation model, Nawata’s estimators and Hausman tests were used in the analysis. To evaluate the effects, we analyzed a dataset obtained from 34 DPC hospitals (Hp1-34) where one-eye cataract operations were performed both before (April 2008-March 2010) and after (April 2010-March 2012) the 2010 revision and there were more than 500 patients. The dataset contained information from 32,593 patients. We did not admit the effect of the 2010 revision in this study, and there were large differences LOS among hospitals, even after removing the influences of factors such as patient characteristics and types of principal diseases.展开更多
The coherence cube technology has become an important technology for the seismic attribute interpretation, which extracts the discontinuities of the events through analyzing the similarities of adjacent seismic channe...The coherence cube technology has become an important technology for the seismic attribute interpretation, which extracts the discontinuities of the events through analyzing the similarities of adjacent seismic channels to identify the fault form. The coherence cube technology which uses constant time window lengths can not balance the shallow layers and the deep layers, because the frequency band of seismic data varies with time. When analyzing the shallow layers, the time window will crossover a lot of events, which will lead to weak focusing ability and failure to delineate the details. While the time window will not be long enough for analyzing deep layers, which will lead to low accuracy because the coherences near the zero points of the events are heavily influenced by noise. For solving the problem, we should make a research on the coherence cube technology with self-adaptive time window. This paper determines the sample points＆#39; time window lengths in real time by computing the instantaneous frequency bands with Wavelet Transformation, which gives a coherence computing method with the self-adaptive time window lengths. The result shows that the coherence cube technology with self-adaptive time window based on Wavelet Transformation improves the accuracy of fault identification, and supresses the noise effectively. The method combines the advantages of long time window method and short time window method.展开更多
Dedicated experiments are designed to collect the infrared spectra of dissolved gas-in-oil of power transformers. Spectra of diagnostic gases are collected by 3 different laboratorial FTIR spectrometers using 3 differ...Dedicated experiments are designed to collect the infrared spectra of dissolved gas-in-oil of power transformers. Spectra of diagnostic gases are collected by 3 different laboratorial FTIR spectrometers using 3 different gas cells with various sets of equipment parameters. A formula is deduced to calculate the shortest optical length to detect a specific concentration according to measurements on gases with known concentrations near to the minimum detection limit. Collected spectra and calculated results suggested that the optimum optical length of the gas cell should be 150 mm to realize on-line monitoring of diagnostic gases within the required concentration range. At the end, an economic novel design of the gas cell is proposed based on the optimum length.展开更多
Diabetes has become a growing concern in Japan, both medically and financially. The medical cost of diabetes was estimated at 1215 billion yen for fiscal year 2011. We analyzed the length of stay (LOS) in a hospital f...Diabetes has become a growing concern in Japan, both medically and financially. The medical cost of diabetes was estimated at 1215 billion yen for fiscal year 2011. We analyzed the length of stay (LOS) in a hospital for type 2 diabetes mellitus patients who participated in educational programs to determine factors affecting LOS. Data on 991 patients obtained from 28 Red Cross hospitals in 2008 were used. For the analysis, we used the Box-Cox transformation model and Hausman test. The results revealed that patients aged 75 years and above and those with comorbidities and complications were prone to longer LOS. The analysis also revealed significant differences in LOS across the hospitals, even after controlling for patient characteristics. Finally, we applied the least squares method to determine the effects of hospital and regional factors and revealed that patients’ LOS was affected by the region’s average LOS. Regional corporations and networks appeared to be important in improving educational programs.展开更多
In this paper, we propose a new method for very low bit-rate video coding that combines H.264/AVC standard and two-dimensional discrete wavelet transform. In this method, first a two dimensional wavelet transform is a...In this paper, we propose a new method for very low bit-rate video coding that combines H.264/AVC standard and two-dimensional discrete wavelet transform. In this method, first a two dimensional wavelet transform is applied on each video frame independently to extract the low frequency components for each frame and then the low frequency parts of all frames are coded using H.264/AVC codec. On the other hand, the high frequency parts of the video frames are coded by Run Length Coding algorithm, after applying a threshold to neglect the low value coefficients. Experiments show that our proposed method can achieve better rate-distortion performance at very low bit-rate applications below 16 kbits/s compared to applying H.264/AVC standard directly to all frames. Applications of our proposed video coding technique include video telephony, video-conferencing, transmitting or receiving video over half-rate traffic channels of GSM networks.展开更多
It is shown that in Euclidean space with any number of spatial dimensions more than three, the Lorentz transform holds true if the proper time of each elementary particle is proportional to the length of its path in t...It is shown that in Euclidean space with any number of spatial dimensions more than three, the Lorentz transform holds true if the proper time of each elementary particle is proportional to the length of its path in the extra-dimensional subspace, and all elementary particles move at the speed of light in the complete space. The six-dimensional treatment of the Coulomb force of interaction between two charges is given. The electric force is due to the motion of charges in the extra-dimensional subspace and is equal to the corresponding Lorentz force.展开更多
文摘In this paper, we analyzed length of stay (LOS) in hospitals and medical expenditures for type 2 diabetes patients. LOS was analyzed by the power Box-Cox transformation model when variances differed among hospitals. We proposed a new test and consistent estimator. We rejected the ho-moscedasticity of variances among hospitals, and then analyzed the LOS of 12,666 type 2 diabetes patients hospitalized for regular medical treatments collected from 60 general hospitals in Japan. The variables found to affect LOS were age, number of comorbidities and complications, introduced by another hospital, one-week hospitalization, 2010 revision, specific-hospitalization-period (SHP), and principal diseases E11.5, E11.6 and E11.7. There were surprisingly large differences in ALOS among hospitals even after eliminating the influence of characteristics and conditions of patients. We then analyzed daily medical expenditure (DME) by the ordinary least squares methods. The variables that affected DME were LOS, number of comorbidities and complications, acute hospitalization, hospital’s own outpatient, season, introduced by another hospital, one-week hospitalization, 2010 revision, SHP, time trend, and principal diseases E11.2, E11.4 and E117. The DME did not decrease after the SHP. After eliminating the influences of characteristics and conditions of patients, the differences among hospitals were relatively small, 12% of the overall average. LOS is the main determinant of medical expenditures, and new incentives to reduce LOS are needed to control Japanese medical expenditures. Since at least 99% of patients require medical care after leaving the hospital, systems that take proper care of patients for long periods of time after hospitalization are absolutely necessary for efficient treatment of diabetes.
文摘The Japanese medical costs for cataract treatments reached 270 billion yen in fiscal year 2012. Since the length of stay (LOS) in hospital is much longer than other major countries, controlling the medical costs by reducing LOS becomes an important issue in Japan. In this paper, we evaluated the effects of the 2010 revision of the Japanese medical payment system (DPC/PDPS) on LOS for cataract operations. The Box-Cox transformation model, Nawata’s estimators and Hausman tests were used in the analysis. To evaluate the effects, we analyzed a dataset obtained from 34 DPC hospitals (Hp1-34) where one-eye cataract operations were performed both before (April 2008-March 2010) and after (April 2010-March 2012) the 2010 revision and there were more than 500 patients. The dataset contained information from 32,593 patients. We did not admit the effect of the 2010 revision in this study, and there were large differences LOS among hospitals, even after removing the influences of factors such as patient characteristics and types of principal diseases.
文摘The coherence cube technology has become an important technology for the seismic attribute interpretation, which extracts the discontinuities of the events through analyzing the similarities of adjacent seismic channels to identify the fault form. The coherence cube technology which uses constant time window lengths can not balance the shallow layers and the deep layers, because the frequency band of seismic data varies with time. When analyzing the shallow layers, the time window will crossover a lot of events, which will lead to weak focusing ability and failure to delineate the details. While the time window will not be long enough for analyzing deep layers, which will lead to low accuracy because the coherences near the zero points of the events are heavily influenced by noise. For solving the problem, we should make a research on the coherence cube technology with self-adaptive time window. This paper determines the sample points＆#39; time window lengths in real time by computing the instantaneous frequency bands with Wavelet Transformation, which gives a coherence computing method with the self-adaptive time window lengths. The result shows that the coherence cube technology with self-adaptive time window based on Wavelet Transformation improves the accuracy of fault identification, and supresses the noise effectively. The method combines the advantages of long time window method and short time window method.
文摘Dedicated experiments are designed to collect the infrared spectra of dissolved gas-in-oil of power transformers. Spectra of diagnostic gases are collected by 3 different laboratorial FTIR spectrometers using 3 different gas cells with various sets of equipment parameters. A formula is deduced to calculate the shortest optical length to detect a specific concentration according to measurements on gases with known concentrations near to the minimum detection limit. Collected spectra and calculated results suggested that the optimum optical length of the gas cell should be 150 mm to realize on-line monitoring of diagnostic gases within the required concentration range. At the end, an economic novel design of the gas cell is proposed based on the optimum length.
基金Sponsored by the National Natural Science Foundation of China (Grant No. 50378041) the Specialized Research Fund for the Doctoral Program ofHigher Education (Grant No. 20030487016).
文摘Diabetes has become a growing concern in Japan, both medically and financially. The medical cost of diabetes was estimated at 1215 billion yen for fiscal year 2011. We analyzed the length of stay (LOS) in a hospital for type 2 diabetes mellitus patients who participated in educational programs to determine factors affecting LOS. Data on 991 patients obtained from 28 Red Cross hospitals in 2008 were used. For the analysis, we used the Box-Cox transformation model and Hausman test. The results revealed that patients aged 75 years and above and those with comorbidities and complications were prone to longer LOS. The analysis also revealed significant differences in LOS across the hospitals, even after controlling for patient characteristics. Finally, we applied the least squares method to determine the effects of hospital and regional factors and revealed that patients’ LOS was affected by the region’s average LOS. Regional corporations and networks appeared to be important in improving educational programs.
文摘In this paper, we propose a new method for very low bit-rate video coding that combines H.264/AVC standard and two-dimensional discrete wavelet transform. In this method, first a two dimensional wavelet transform is applied on each video frame independently to extract the low frequency components for each frame and then the low frequency parts of all frames are coded using H.264/AVC codec. On the other hand, the high frequency parts of the video frames are coded by Run Length Coding algorithm, after applying a threshold to neglect the low value coefficients. Experiments show that our proposed method can achieve better rate-distortion performance at very low bit-rate applications below 16 kbits/s compared to applying H.264/AVC standard directly to all frames. Applications of our proposed video coding technique include video telephony, video-conferencing, transmitting or receiving video over half-rate traffic channels of GSM networks.
文摘It is shown that in Euclidean space with any number of spatial dimensions more than three, the Lorentz transform holds true if the proper time of each elementary particle is proportional to the length of its path in the extra-dimensional subspace, and all elementary particles move at the speed of light in the complete space. The six-dimensional treatment of the Coulomb force of interaction between two charges is given. The electric force is due to the motion of charges in the extra-dimensional subspace and is equal to the corresponding Lorentz force.
