Hypertension remains a global health concern with a rising prevalence, necessitating effective monitoring and understanding of blood pressure (BP) dynamics. This study delves into the wealth of information derived from BP measurement, a crucial approach in informing our understanding of hypertensive trends. Numerous studies have reported on the relationship between BP variation and various factors. In this research, we leveraged an extensive dataset comprising 75 million records spanning two decades, offering a unique opportunity to explore and analyze BP variations across demographic features such as age, race, and gender. Our findings revealed that gender-based BP variation was not statistically significant, challenging conventional assumptions. Interestingly, systolic blood pressure (SBP) consistently increased with age, while diastolic blood pressure (DBP) displayed a distinctive peak in the forties age group. Moreover, our analysis uncovered intriguing similarities in the distribution of BP among some of the racial groups. This comprehensive investigation contributes to the ongoing discourse on hypertension and underscores the importance of considering diverse demographic factors in understanding BP variations. Our results provide valuable insights that may inform personalized healthcare approaches tailored to specific demographic profiles.
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Research into the detection of human activities from wearable sensors is a highly active field, benefiting numerous applications, from ambulatory monitoring of healthcare patients via fitness coaching to streamlining manual work processes. We present an empirical study that compares 4 different commonly used annotation methods utilized in user studies that focus on in-the-wild data. These methods can be grouped in user-driven, in situ annotations - which are performed before or during the activity is recorded - and recall methods - where participants annotate their data in hindsight at the end of the day. Our study illustrates that different labeling methodologies directly impact the annotations' quality, as well as the capabilities of a deep learning classifier trained with the data respectively. We noticed that in situ methods produce less but more precise labels than recall methods. Furthermore, we combined an activity diary with a visualization tool that enables the participant to inspect and label their activity data. Due to the introduction of such a tool were able to decrease missing annotations and increase the annotation consistency, and therefore the F1-score of the deep learning model by up to 8% (ranging between 82.1 and 90.4% F1-score). Furthermore, we discuss the advantages and disadvantages of the methods compared in our study, the biases they may could introduce and the consequences of their usage on human activity recognition studies and as well as possible solutions.
Electronic health records include information on patients' status and medical history, which could cover the history of diseases and disorders that could be hereditary. One important use of family history information is in precision health, where the goal is to keep the population healthy with preventative measures. Natural Language Processing (NLP) and machine learning techniques can assist with identifying information that could assist health professionals in identifying health risks before a condition is developed in their later years, saving lives and reducing healthcare costs. We survey the literature on the techniques from the NLP field that have been developed to utilise digital health records to identify risks of familial diseases. We highlight that rule-based methods are heavily investigated and are still actively used for family history extraction. Still, more recent efforts have been put into building neural models based on large-scale pre-trained language models. In addition to the areas where NLP has successfully been utilised, we also identify the areas where more research is needed to unlock the value of patients' records regarding data collection, task formulation and downstream applications.
People increasingly rely on online sources for health information seeking due to their convenience and timeliness, traditionally using search engines like Google as the primary search agent. Recently, the emergence of generative Artificial Intelligence (AI) has made Large Language Model (LLM) powered conversational agents such as ChatGPT a viable alternative for health information search. However, while trust is crucial for adopting the online health advice, the factors influencing people's trust judgments in health information provided by LLM-powered conversational agents remain unclear. To address this, we conducted a mixed-methods, within-subjects lab study (N=21) to explore how interactions with different agents (ChatGPT vs. Google) across three health search tasks influence participants' trust judgments of the search results as well as the search agents themselves. Our key findings showed that: (a) participants' trust levels in ChatGPT were significantly higher than Google in the context of health information seeking; (b) there is a significant correlation between trust in health-related information and trust in the search agent, however only for Google; (c) the type of search tasks did not affect participants' perceived trust; and (d) participants' prior knowledge, the style of information presentation, and the interactive manner of using search agents were key determinants of trust in the health-related information. Our study taps into differences in trust perceptions when using traditional search engines compared to LLM-powered conversational agents. We highlight the potential role LLMs play in health-related information-seeking contexts, where they excel as stepping stones for further search. We contribute key factors and considerations for ensuring effective and reliable personal health information seeking in the age of generative AI.
Sparsely activated Mixture-of-Experts (SMoE) has shown promise to scale up the learning capacity of neural networks, however, they have issues like (a) High Memory Usage, due to duplication of the network layers into multiple copies as experts; and (b) Redundancy in Experts, as common learning-based routing policies suffer from representational collapse. Therefore, vanilla SMoE models are memory inefficient and non-scalable, especially for resource-constrained downstream scenarios. In this paper, we ask: Can we craft a compact SMoE model by consolidating expert information? What is the best recipe to merge multiple experts into fewer but more knowledgeable experts? Our pilot investigation reveals that conventional model merging methods fail to be effective in such expert merging for SMoE. The potential reasons are: (1) redundant information overshadows critical experts; (2) appropriate neuron permutation for each expert is missing to bring all of them in alignment. To address this, we propose M-SMoE, which leverages routing statistics to guide expert merging. Specifically, it starts with neuron permutation alignment for experts; then, dominant experts and their "group members" are formed; lastly, every expert group is merged into a single expert by utilizing each expert's activation frequency as their weight for merging, thus diminishing the impact of insignificant experts. Moreover, we observed that our proposed merging promotes a low dimensionality in the merged expert's weight space, naturally paving the way for additional compression. Hence, our final method, MC-SMoE (i.e., Merge, then Compress SMoE), further decomposes the merged experts into low-rank and structural sparse alternatives. Extensive experiments across 8 benchmarks validate the effectiveness of MC-SMoE. For instance, our MC-SMoE achieves up to 80% memory and a 20% FLOPs reduction, with virtually no loss in performance.
Adversarial training (AT) is currently one of the most effective ways to obtain the robustness of deep neural networks against adversarial attacks. However, most AT methods suffer from robust overfitting, i.e., a significant generalization gap in adversarial robustness between the training and testing curves. In this paper, we first identify a connection between robust overfitting and the excessive memorization of noisy labels in AT from a view of gradient norm. As such label noise is mainly caused by a distribution mismatch and improper label assignments, we are motivated to propose a label refinement approach for AT. Specifically, our Self-Guided Label Refinement first self-refines a more accurate and informative label distribution from over-confident hard labels, and then it calibrates the training by dynamically incorporating knowledge from self-distilled models into the current model and thus requiring no external teachers. Empirical results demonstrate that our method can simultaneously boost the standard accuracy and robust performance across multiple benchmark datasets, attack types, and architectures. In addition, we also provide a set of analyses from the perspectives of information theory to dive into our method and suggest the importance of soft labels for robust generalization.
As digital healthcare evolves, the security of electronic health records (EHR) becomes increasingly crucial. This study presents the GPT-Onto-CAABAC framework, integrating Generative Pretrained Transformer (GPT), medical-legal ontologies and Context-Aware Attribute-Based Access Control (CAABAC) to enhance EHR access security. Unlike traditional models, GPT-Onto-CAABAC dynamically interprets policies and adapts to changing healthcare and legal environments, offering customized access control solutions. Through empirical evaluation, this framework is shown to be effective in improving EHR security by accurately aligning access decisions with complex regulatory and situational requirements. The findings suggest its broader applicability in sectors where access control must meet stringent compliance and adaptability standards.
With the growing humanlike nature of dialog agents, people are now engaging in extended conversations that can stretch from brief moments to substantial periods of time. Understanding the factors that contribute to sustaining these interactions is crucial, yet existing studies primarily focusing on short-term simulations that rarely explore such prolonged and real conversations. In this paper, we investigate the factors influencing retention rates in real interactions with roleplaying models. By analyzing a large dataset of interactions between real users and thousands of characters, we systematically examine multiple factors and assess their impact on user retention rate. Surprisingly, we find that the degree to which the bot embodies the roles it plays has limited influence on retention rates, while the length of each turn it speaks significantly affects retention rates. This study sheds light on the critical aspects of user engagement with role-playing models and provides valuable insights for future improvements in the development of large language models for role-playing purposes.
Background: Acute kidney injury (AKI) is a clinical syndrome affecting almost one fifth of hospitalized patients, as well as more than half of the patients who are admitted to the intensive care unit (ICU). Stratifying AKI patients into groups based on severity and duration would facilitate more targeted efforts for treating AKI. Methods: In a retrospective, multicenter and longitudinal cohort study of 935,679 patients who were admitted between 2012 and 2020 to health centers included in OneFlorida+ Network, we analyzed the impact of AKI trajectories which are rapidly reversed AKI, persistent AKI with renal recovery, and persistent AKI without renal recovery on patients' clinical outcomes, including hospital, 30-day, 1-year, and 3-year mortality, kidney replacement therapy, new chronic kidney disease (CKD) within 90 days or 1-year of discharge, CKD progression within 1-year of discharge, resource utilization, hospital disposition, and major complications during hospitalization. As analytical approaches, Kaplan-Meier estimators and survival curves, Cox proportional-hazards regression model, logistic regression model, Kruskal-Wallis test, analysis of variance, chi-square, Fisher's exact test were used. Results: Among 2,187,254 encounters, 14% had AKI, of which 63%, 21%, and 16% had Stage 1, 2, and 3, respectively, as the worst AKI stage. Fraction of patients with persistent AKI was 31%. Patients with AKI had worse clinical outcomes and increased resource utilization compared to patients without the condition. One-year mortality was 5 times greater for patients with persistent AKI compared to those without AKI. Conclusions: Persistent AKI was associated with prolonged hospitalization, increased ICU admission and mortality compared to the other groups. This may emphasize the critical need for devising strategies targeting effective management of AKI and prevention of persisting AKI.
In pace with developments in the research field of artificial intelligence, knowledge graphs (KGs) have attracted a surge of interest from both academia and industry. As a representation of semantic relations between entities, KGs have proven to be particularly relevant for natural language processing (NLP), experiencing a rapid spread and wide adoption within recent years. Given the increasing amount of research work in this area, several KG-related approaches have been surveyed in the NLP research community. However, a comprehensive study that categorizes established topics and reviews the maturity of individual research streams remains absent to this day. Contributing to closing this gap, we systematically analyzed 507 papers from the literature on KGs in NLP. Our survey encompasses a multifaceted review of tasks, research types, and contributions. As a result, we present a structured overview of the research landscape, provide a taxonomy of tasks, summarize our findings, and highlight directions for future work.
Small data challenges have emerged in many learning problems, since the success of deep neural networks often relies on the availability of a huge amount of labeled data that is expensive to collect. To address it, many efforts have been made on training complex models with small data in an unsupervised and semi-supervised fashion. In this paper, we will review the recent progresses on these two major categories of methods. A wide spectrum of small data models will be categorized in a big picture, where we will show how they interplay with each other to motivate explorations of new ideas. We will review the criteria of learning the transformation equivariant, disentangled, self-supervised and semi-supervised representations, which underpin the foundations of recent developments. Many instantiations of unsupervised and semi-supervised generative models have been developed on the basis of these criteria, greatly expanding the territory of existing autoencoders, generative adversarial nets (GANs) and other deep networks by exploring the distribution of unlabeled data for more powerful representations. While we focus on the unsupervised and semi-supervised methods, we will also provide a broader review of other emerging topics, from unsupervised and semi-supervised domain adaptation to the fundamental roles of transformation equivariance and invariance in training a wide spectrum of deep networks. It is impossible for us to write an exclusive encyclopedia to include all related works. Instead, we aim at exploring the main ideas, principles and methods in this area to reveal where we are heading on the journey towards addressing the small data challenges in this big data era.
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