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Description
In a healthcare setting, the Sterile Processing Department (SPD) provides ancillary services to the Operating Room (OR), Emergency Room, Labor & Delivery, and off-site clinics. SPD's function is to reprocess reusable surgical instruments and return them to their home departments. The management of surgical instruments and medical devices can impact

In a healthcare setting, the Sterile Processing Department (SPD) provides ancillary services to the Operating Room (OR), Emergency Room, Labor & Delivery, and off-site clinics. SPD's function is to reprocess reusable surgical instruments and return them to their home departments. The management of surgical instruments and medical devices can impact patient safety and hospital revenue. Any time instrumentation or devices are not available or are not fit for use, patient safety and revenue can be negatively impacted. One step of the instrument reprocessing cycle is sterilization. Steam sterilization is the sterilization method used for the majority of surgical instruments and is preferred to immediate use steam sterilization (IUSS) because terminally sterilized items can be stored until needed. IUSS Items must be used promptly and cannot be stored for later use. IUSS is intended for emergency situations and not as regular course of action. Unfortunately, IUSS is used to compensate for inadequate inventory levels, scheduling conflicts, and miscommunications. If IUSS is viewed as an adverse event, then monitoring IUSS incidences can help healthcare organizations meet patient safety goals and financial goals along with aiding in process improvement efforts. This work recommends statistical process control methods to IUSS incidents and illustrates the use of control charts for IUSS occurrences through a case study and analysis of the control charts for data from a health care provider. Furthermore, this work considers the application of data mining methods to IUSS occurrences and presents a representative example of data mining to the IUSS occurrences. This extends the application of statistical process control and data mining in healthcare applications.
ContributorsWeart, Gail (Author) / Runger, George C. (Thesis advisor) / Li, Jing (Committee member) / Shunk, Dan (Committee member) / Arizona State University (Publisher)
Created2014
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Description
Data imbalance and data noise often coexist in real world datasets. Data imbalance affects the learning classifier by degrading the recognition power of the classifier on the minority class, while data noise affects the learning classifier by providing inaccurate information and thus misleads the classifier. Because of these differences, data

Data imbalance and data noise often coexist in real world datasets. Data imbalance affects the learning classifier by degrading the recognition power of the classifier on the minority class, while data noise affects the learning classifier by providing inaccurate information and thus misleads the classifier. Because of these differences, data imbalance and data noise have been treated separately in the data mining field. Yet, such approach ignores the mutual effects and as a result may lead to new problems. A desirable solution is to tackle these two issues jointly. Noting the complementary nature of generative and discriminative models, this research proposes a unified model fusion based framework to handle the imbalanced classification with noisy dataset.

The phase I study focuses on the imbalanced classification problem. A generative classifier, Gaussian Mixture Model (GMM) is studied which can learn the distribution of the imbalance data to improve the discrimination power on imbalanced classes. By fusing this knowledge into cost SVM (cSVM), a CSG method is proposed. Experimental results show the effectiveness of CSG in dealing with imbalanced classification problems.

The phase II study expands the research scope to include the noisy dataset into the imbalanced classification problem. A model fusion based framework, K Nearest Gaussian (KNG) is proposed. KNG employs a generative modeling method, GMM, to model the training data as Gaussian mixtures and form adjustable confidence regions which are less sensitive to data imbalance and noise. Motivated by the K-nearest neighbor algorithm, the neighboring Gaussians are used to classify the testing instances. Experimental results show KNG method greatly outperforms traditional classification methods in dealing with imbalanced classification problems with noisy dataset.

The phase III study addresses the issues of feature selection and parameter tuning of KNG algorithm. To further improve the performance of KNG algorithm, a Particle Swarm Optimization based method (PSO-KNG) is proposed. PSO-KNG formulates model parameters and data features into the same particle vector and thus can search the best feature and parameter combination jointly. The experimental results show that PSO can greatly improve the performance of KNG with better accuracy and much lower computational cost.
ContributorsHe, Miao (Author) / Wu, Teresa (Thesis advisor) / Li, Jing (Committee member) / Silva, Alvin (Committee member) / Borror, Connie (Committee member) / Arizona State University (Publisher)
Created2014
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Description
The technology expansion seen in the last decade for genomics research has permitted the generation of large-scale data sources pertaining to molecular biological assays, genomics, proteomics, transcriptomics and other modern omics catalogs. New methods to analyze, integrate and visualize these data types are essential to unveil relevant disease mechanisms. Towards

The technology expansion seen in the last decade for genomics research has permitted the generation of large-scale data sources pertaining to molecular biological assays, genomics, proteomics, transcriptomics and other modern omics catalogs. New methods to analyze, integrate and visualize these data types are essential to unveil relevant disease mechanisms. Towards these objectives, this research focuses on data integration within two scenarios: (1) transcriptomic, proteomic and functional information and (2) real-time sensor-based measurements motivated by single-cell technology. To assess relationships between protein abundance, transcriptomic and functional data, a nonlinear model was explored at static and temporal levels. The successful integration of these heterogeneous data sources through the stochastic gradient boosted tree approach and its improved predictability are some highlights of this work. Through the development of an innovative validation subroutine based on a permutation approach and the use of external information (i.e., operons), lack of a priori knowledge for undetected proteins was overcome. The integrative methodologies allowed for the identification of undetected proteins for Desulfovibrio vulgaris and Shewanella oneidensis for further biological exploration in laboratories towards finding functional relationships. In an effort to better understand diseases such as cancer at different developmental stages, the Microscale Life Science Center headquartered at the Arizona State University is pursuing single-cell studies by developing novel technologies. This research arranged and applied a statistical framework that tackled the following challenges: random noise, heterogeneous dynamic systems with multiple states, and understanding cell behavior within and across different Barrett's esophageal epithelial cell lines using oxygen consumption curves. These curves were characterized with good empirical fit using nonlinear models with simple structures which allowed extraction of a large number of features. Application of a supervised classification model to these features and the integration of experimental factors allowed for identification of subtle patterns among different cell types visualized through multidimensional scaling. Motivated by the challenges of analyzing real-time measurements, we further explored a unique two-dimensional representation of multiple time series using a wavelet approach which showcased promising results towards less complex approximations. Also, the benefits of external information were explored to improve the image representation.
ContributorsTorres Garcia, Wandaliz (Author) / Meldrum, Deirdre R. (Thesis advisor) / Runger, George C. (Thesis advisor) / Gel, Esma S. (Committee member) / Li, Jing (Committee member) / Zhang, Weiwen (Committee member) / Arizona State University (Publisher)
Created2011