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            We propose and test a novel graph learning-based explainable artificial intelligence (XAI) approach to address the challenge of developing explainable predictions of patient length of stay (LoS) in intensive care units (ICUs). Specifically, we address a notable gap in the literature on XAI methods that identify interactions between model input features to predict patient health outcomes. Our model intrinsically constructs a patient-level graph, which identifies the importance of feature interactions for prediction of health outcomes. It demonstrates state-of-the-art explanation capabilities based on identification of salient feature interactions compared with traditional XAI methods for prediction of LoS. We supplement our XAI approach with a small-scale user study, which demonstrates that our model can lead to greater user acceptance of artificial intelligence (AI) model-based decisions by contributing to greater interpretability of model predictions. Our model lays the foundation to develop interpretable, predictive tools that healthcare professionals can utilize to improve ICU resource allocation decisions and enhance the clinical relevance of AI systems in providing effective patient care. Although our primary research setting is the ICU, our graph learning model can be generalized to other healthcare contexts to accurately identify key feature interactions for prediction of other health outcomes, such as mortality, readmission risk, and hospitalizations.more » « lessFree, publicly-accessible full text available December 11, 2025
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            Leadership is evolving dynamically from an individual endeavor to shared efforts. This paper aims to advance our understanding of shared leadership in scientific teams. We define three kinds of leaders, junior (10–15), mid (15–20), and senior (20+) based on career age. By considering the combinations of any two leaders, we distinguish shared leadership as “heterogeneous” when leaders are in different age cohorts and “homogeneous” when leaders are in the same age cohort. Drawing on 1,845,351 CS, 254,039 Sociology, and 193,338 Business teams with two leaders in the OpenAlex dataset, we identify that heterogeneous shared leadership brings higher citation impact for teams than homogeneous shared leadership. Specifically, when junior leaders are paired with senior leaders, it significantly increases team citation ranking by 1–2 %, in comparison with two leaders of similar age. We explore the patterns between homogeneous leaders and heterogeneous leaders from team scale, expertise composition, and knowledge recency perspectives. Compared with homogeneous leaders, heterogeneous leaders are more impactful in large teams, have more diverse expertise, and trace both the newest and oldest references.more » « less
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