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The accurate recognition of symptoms in clinical reports is significantly important in the fields of healthcare and biomedical natural language processing. These entities serve as essential building blocks for clinical information extraction, enabling retrieval of critical medical insights from vast amounts of textual data. Furthermore, the ability to identify and categorize these entities is fundamental for developing advanced clinical decision support systems, aiding healthcare professionals in diagnosis and treatment planning. In this study, we participated in SympTEMIST, a shared task on the detection of symptoms, signs and findings in Spanish medical documents. We combine a set of large language models fine-tuned with the data released by the organizers.

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The escalating integration of machine learning in high-stakes fields such as healthcare raises substantial concerns about model fairness. We propose an interpretable framework - Fairness-Aware Interpretable Modeling (FAIM), to improve model fairness without compromising performance, featuring an interactive interface to identify a "fairer" model from a set of high-performing models and promoting the integration of data-driven evidence and clinical expertise to enhance contextualized fairness. We demonstrated FAIM's value in reducing sex and race biases by predicting hospital admission with two real-world databases, MIMIC-IV-ED and SGH-ED. We show that for both datasets, FAIM models not only exhibited satisfactory discriminatory performance but also significantly mitigated biases as measured by well-established fairness metrics, outperforming commonly used bias-mitigation methods. Our approach demonstrates the feasibility of improving fairness without sacrificing performance and provides an a modeling mode that invites domain experts to engage, fostering a multidisciplinary effort toward tailored AI fairness.

Electronic health records (EHR) is an inherently multimodal register of the patient's health status characterized by static data and multivariate time series (MTS). While MTS are a valuable tool for clinical prediction, their fusion with other data modalities can possibly result in more thorough insights and more accurate results. Deep neural networks (DNNs) have emerged as fundamental tools for identifying and defining underlying patterns in the healthcare domain. However, fundamental improvements in interpretability are needed for DNN models to be widely used in the clinical setting. In this study, we present an approach built on a collection of interpretable multimodal data-driven models that may anticipate and understand the emergence of antimicrobial multidrug resistance (AMR) germs in the intensive care unit (ICU) of the University Hospital of Fuenlabrada (Madrid, Spain). The profile and initial health status of the patient are modeled using static variables, while the evolution of the patient's health status during the ICU stay is modeled using several MTS, including mechanical ventilation and antibiotics intake. The multimodal DNNs models proposed in this paper include interpretable principles in addition to being effective at predicting AMR and providing an explainable prediction support system for AMR in the ICU. Furthermore, our proposed methodology based on multimodal models and interpretability schemes can be leveraged in additional clinical problems dealing with EHR data, broadening the impact and applicability of our results.

Individualized treatment rules (ITRs) have been widely applied in many fields such as precision medicine and personalized marketing. Beyond the extensive studies on ITR for binary or multiple treatments, there is considerable interest in applying combination treatments. This paper introduces a novel ITR estimation method for combination treatments incorporating interaction effects among treatments. Specifically, we propose the generalized $\psi$-loss as a non-convex surrogate in the residual weighted learning framework, offering desirable statistical and computational properties. Statistically, the minimizer of the proposed surrogate loss is Fisher-consistent with the optimal decision rules, incorporating interaction effects at any intensity level - a significant improvement over existing methods. Computationally, the proposed method applies the difference-of-convex algorithm for efficient computation. Through simulation studies and real-world data applications, we demonstrate the superior performance of the proposed method in recommending combination treatments.

Abrupt maneuvers by surrounding vehicles (SVs) can typically lead to safety concerns and affect the task efficiency of the ego vehicle (EV), especially with model uncertainties stemming from environmental disturbances. This paper presents a real-time fail-operational controller that ensures the asymptotic convergence of an uncertain EV to a safe state, while preserving task efficiency in dynamic environments. An incremental Bayesian learning approach is developed to facilitate online learning and inference of changing environmental disturbances. Leveraging disturbance quantification and constraint transformation, we develop a stochastic fail-operational barrier based on the control barrier function (CBF). With this development, the uncertain EV is able to converge asymptotically from an unsafe state to a defined safe state with probabilistic stability. Subsequently, the stochastic fail-operational barrier is integrated into an efficient fail-operational controller based on quadratic programming (QP). This controller is tailored for the EV operating under control constraints in the presence of environmental disturbances, with both safety and efficiency objectives taken into consideration. We validate the proposed framework in connected cruise control (CCC) tasks, where SVs perform aggressive driving maneuvers. The simulation results demonstrate that our method empowers the EV to swiftly return to a safe state while upholding task efficiency in real time, even under time-varying environmental disturbances.

Recently, with increasing interest in pet healthcare, the demand for computer-aided diagnosis (CAD) systems in veterinary medicine has increased. The development of veterinary CAD has stagnated due to a lack of sufficient radiology data. To overcome the challenge, we propose a generative active learning framework based on a variational autoencoder. This approach aims to alleviate the scarcity of reliable data for CAD systems in veterinary medicine. This study utilizes datasets comprising cardiomegaly radiograph data. After removing annotations and standardizing images, we employed a framework for data augmentation, which consists of a data generation phase and a query phase for filtering the generated data. The experimental results revealed that as the data generated through this framework was added to the training data of the generative model, the frechet inception distance consistently decreased from 84.14 to 50.75 on the radiograph. Subsequently, when the generated data were incorporated into the training of the classification model, the false positive of the confusion matrix also improved from 0.16 to 0.66 on the radiograph. The proposed framework has the potential to address the challenges of data scarcity in medical CAD, contributing to its advancement.

Social recommendation systems face the problem of social influence bias, which can lead to an overemphasis on recommending items that friends have interacted with. Addressing this problem is crucial, and existing methods often rely on techniques such as weight adjustment or leveraging unbiased data to eliminate this bias. However, we argue that not all biases are detrimental, i.e., some items recommended by friends may align with the user's interests. Blindly eliminating such biases could undermine these positive effects, potentially diminishing recommendation accuracy. In this paper, we propose a Causal Disentanglement-based framework for Regulating Social influence Bias in social recommendation, named CDRSB, to improve recommendation performance. From the perspective of causal inference, we find that the user social network could be regarded as a confounder between the user and item embeddings (treatment) and ratings (outcome). Due to the presence of this social network confounder, two paths exist from user and item embeddings to ratings: a non-causal social influence path and a causal interest path. Building upon this insight, we propose a disentangled encoder that focuses on disentangling user and item embeddings into interest and social influence embeddings. Mutual information-based objectives are designed to enhance the distinctiveness of these disentangled embeddings, eliminating redundant information. Additionally, a regulatory decoder that employs a weight calculation module to dynamically learn the weights of social influence embeddings for effectively regulating social influence bias has been designed. Experimental results on four large-scale real-world datasets Ciao, Epinions, Dianping, and Douban book demonstrate the effectiveness of CDRSB compared to state-of-the-art baselines.

In general, robotic dexterous hands are equipped with various sensors for acquiring multimodal contact information such as position, force, and pose of the grasped object. This multi-sensor-based design adds complexity to the robotic system. In contrast, vision-based tactile sensors employ specialized optical designs to enable the extraction of tactile information across different modalities within a single system. Nonetheless, the decoupling design for different modalities in common systems is often independent. Therefore, as the dimensionality of tactile modalities increases, it poses more complex challenges in data processing and decoupling, thereby limiting its application to some extent. Here, we developed a multimodal sensing system based on a vision-based tactile sensor, which utilizes visual representations of tactile information to perceive the multimodal contact information of the grasped object. The visual representations contain extensive content that can be decoupled by a deep neural network to obtain multimodal contact information such as classification, position, posture, and force of the grasped object. The results show that the tactile sensing system can perceive multimodal tactile information using only one single sensor and without different data decoupling designs for different modal tactile information, which reduces the complexity of the tactile system and demonstrates the potential for multimodal tactile integration in various fields such as biomedicine, biology, and robotics.

The effectiveness of clopidogrel, a widely used antiplatelet medication, varies significantly among individuals, necessitating the development of precise predictive models to optimize patient care. In this study, we leverage federated learning strategies to address clopidogrel treatment failure detection. Our research harnesses the collaborative power of multiple healthcare institutions, allowing them to jointly train machine learning models while safeguarding sensitive patient data. Utilizing the UK Biobank dataset, which encompasses a vast and diverse population, we partitioned the data based on geographic centers and evaluated the performance of federated learning. Our results show that while centralized training achieves higher Area Under the Curve (AUC) values and faster convergence, federated learning approaches can substantially narrow this performance gap. Our findings underscore the potential of federated learning in addressing clopidogrel treatment failure detection, offering a promising avenue for enhancing patient care through personalized treatment strategies while respecting data privacy. This study contributes to the growing body of research on federated learning in healthcare and lays the groundwork for secure and privacy-preserving predictive models for various medical conditions.

The existence of representative datasets is a prerequisite of many successful artificial intelligence and machine learning models. However, the subsequent application of these models often involves scenarios that are inadequately represented in the data used for training. The reasons for this are manifold and range from time and cost constraints to ethical considerations. As a consequence, the reliable use of these models, especially in safety-critical applications, is a huge challenge. Leveraging additional, already existing sources of knowledge is key to overcome the limitations of purely data-driven approaches, and eventually to increase the generalization capability of these models. Furthermore, predictions that conform with knowledge are crucial for making trustworthy and safe decisions even in underrepresented scenarios. This work provides an overview of existing techniques and methods in the literature that combine data-based models with existing knowledge. The identified approaches are structured according to the categories integration, extraction and conformity. Special attention is given to applications in the field of autonomous driving.

Multi-relation Question Answering is a challenging task, due to the requirement of elaborated analysis on questions and reasoning over multiple fact triples in knowledge base. In this paper, we present a novel model called Interpretable Reasoning Network that employs an interpretable, hop-by-hop reasoning process for question answering. The model dynamically decides which part of an input question should be analyzed at each hop; predicts a relation that corresponds to the current parsed results; utilizes the predicted relation to update the question representation and the state of the reasoning process; and then drives the next-hop reasoning. Experiments show that our model yields state-of-the-art results on two datasets. More interestingly, the model can offer traceable and observable intermediate predictions for reasoning analysis and failure diagnosis, thereby allowing manual manipulation in predicting the final answer.

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