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Online mental health support communities have grown in recent years for providing accessible mental and emotional health support through volunteer counselors. Despite millions of people participating in chat support on these platforms, the clinical effectiveness of these communities on mental health symptoms remains unknown. Furthermore, although volunteers receive some training based on established therapeutic skills studied in face-to-face environments such as active listening and motivational interviewing, it remains understudied how the usage of these skills in this online context affects people's mental health status. In our work, we collaborate with one of the largest online peer support platforms and use both natural language processing and machine learning techniques to measure how one-on-one support chats affect depression and anxiety symptoms. We measure how the techniques and characteristics of support providers, such as using affirmation, empathy, and past experience on the platform, affect support-seekers' mental health changes. We find that online peer support chats improve both depression and anxiety symptoms with a statistically significant but relatively small effect size. Additionally, support providers' techniques such as emphasizing the autonomy of the client lead to better mental health outcomes. However, we also found that some behaviors (e.g. persuading) are actually harmful to depression and anxiety outcomes. Our work provides key understanding for mental health care in the online setting and designing training systems for online support providers.

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Sensor devices have been increasingly used in engineering and health studies recently, and the captured multi-dimensional activity and vital sign signals can be studied in association with health outcomes to inform public health. The common approach is the scalar-on-function regression model, in which health outcomes are the scalar responses while high-dimensional sensor signals are the functional covariates, but how to effectively interpret results becomes difficult. In this study, we propose a new Functional Adaptive Double-Sparsity (FadDoS) estimator based on functional regularization of sparse group lasso with multiple functional predictors, which can achieve global sparsity via functional variable selection and local sparsity via zero-subinterval identification within coefficient functions. We prove that the FadDoS estimator converges at a bounded rate and satisfies the oracle property under mild conditions. Extensive simulation studies confirm the theoretical properties and exhibit excellent performances compared to existing approaches. Application to a Kinect sensor study that utilized an advanced motion sensing device tracking human multiple joint movements and conducted among community-dwelling elderly demonstrates how the FadDoS estimator can effectively characterize the detailed association between joint movements and physical health assessments. The proposed method is not only effective in Kinect sensor analysis but also applicable to broader fields, where multi-dimensional sensor signals are collected simultaneously, to expand the use of sensor devices in health studies and facilitate sensor data analysis.

Most advances in medical image recognition supporting clinical auxiliary diagnosis meet challenges due to the low-resource situation in the medical field, where annotations are highly expensive and professional. This low-resource problem can be alleviated by leveraging the transferable representations of large-scale pre-trained vision-language models via relevant medical text prompts. However, existing pre-trained vision-language models require domain experts to carefully design the medical prompts, which greatly increases the burden on clinicians. To address this problem, we propose a weakly supervised prompt learning method MedPrompt to automatically generate medical prompts, which includes an unsupervised pre-trained vision-language model and a weakly supervised prompt learning model. The unsupervised pre-trained vision-language model utilizes the natural correlation between medical images and corresponding medical texts for pre-training, without any manual annotations. The weakly supervised prompt learning model only utilizes the classes of images in the dataset to guide the learning of the specific class vector in the prompt, while the learning of other context vectors in the prompt requires no manual annotations for guidance. To the best of our knowledge, this is the first model to automatically generate medical prompts. With these prompts, the pre-trained vision-language model can be freed from the strong expert dependency of manual annotation and manual prompt design. Experimental results show that the model using our automatically generated prompts outperforms its full-shot learning hand-crafted prompts counterparts with only a minimal number of labeled samples for few-shot learning, and reaches superior or comparable accuracy on zero-shot image classification. The proposed prompt generator is lightweight and therefore can be embedded into any network architecture.

The increasing rate at which scientific knowledge is discovered and health claims shared online has highlighted the importance of developing efficient fact-checking systems for scientific claims. The usual setting for this task in the literature assumes that the documents containing the evidence for claims are already provided and annotated or contained in a limited corpus. This renders the systems unrealistic for real-world settings where knowledge sources with potentially millions of documents need to be queried to find relevant evidence. In this paper, we perform an array of experiments to test the performance of open-domain claim verification systems. We test the final verdict prediction of systems on four datasets of biomedical and health claims in different settings. While keeping the pipeline's evidence selection and verdict prediction parts constant, document retrieval is performed over three common knowledge sources (PubMed, Wikipedia, Google) and using two different information retrieval techniques. We show that PubMed works better with specialized biomedical claims, while Wikipedia is more suited for everyday health concerns. Likewise, BM25 excels in retrieval precision, while semantic search in recall of relevant evidence. We discuss the results, outline frequent retrieval patterns and challenges, and provide promising future directions.

The recommendation of medication is a vital aspect of intelligent healthcare systems, as it involves prescribing the most suitable drugs based on a patient's specific health needs. Unfortunately, many sophisticated models currently in use tend to overlook the nuanced semantics of medical data, while only relying heavily on identities. Furthermore, these models face significant challenges in handling cases involving patients who are visiting the hospital for the first time, as they lack prior prescription histories to draw upon. To tackle these issues, we harness the powerful semantic comprehension and input-agnostic characteristics of Large Language Models (LLMs). Our research aims to transform existing medication recommendation methodologies using LLMs. In this paper, we introduce a novel approach called Large Language Model Distilling Medication Recommendation (LEADER). We begin by creating appropriate prompt templates that enable LLMs to suggest medications effectively. However, the straightforward integration of LLMs into recommender systems leads to an out-of-corpus issue specific to drugs. We handle it by adapting the LLMs with a novel output layer and a refined tuning loss function. Although LLM-based models exhibit remarkable capabilities, they are plagued by high computational costs during inference, which is impractical for the healthcare sector. To mitigate this, we have developed a feature-level knowledge distillation technique, which transfers the LLM's proficiency to a more compact model. Extensive experiments conducted on two real-world datasets, MIMIC-III and MIMIC-IV, demonstrate that our proposed model not only delivers effective results but also is efficient. To ease the reproducibility of our experiments, we release the implementation code online.

Synthesizing healthy brain scans from diseased brain scans offers a potential solution to address the limitations of general-purpose algorithms, such as tissue segmentation and brain extraction algorithms, which may not effectively handle diseased images. We consider this a 3D inpainting task and investigate the adaptation of 2D inpainting methods to meet the requirements of 3D magnetic resonance imaging(MRI) data. Our contributions encompass potential modifications tailored to MRI-specific needs, and we conducted evaluations of multiple inpainting techniques using the BraTS2023 Inpainting datasets to assess their efficacy and limitations.

Artificial intelligence (AI) in healthcare, especially in medical imaging, faces challenges due to data scarcity and privacy concerns. Addressing these, we introduce Med-DDPM, a diffusion model designed for 3D semantic brain MRI synthesis. This model effectively tackles data scarcity and privacy issues by integrating semantic conditioning. This involves the channel-wise concatenation of a conditioning image to the model input, enabling control in image generation. Med-DDPM demonstrates superior stability and performance compared to existing 3D brain imaging synthesis methods. It generates diverse, anatomically coherent images with high visual fidelity. In terms of dice score accuracy in the tumor segmentation task, Med-DDPM achieves 0.6207, close to the 0.6531 accuracy of real images, and outperforms baseline models. Combined with real images, it further increases segmentation accuracy to 0.6675, showing the potential of our proposed method for data augmentation. This model represents the first use of a diffusion model in 3D semantic brain MRI synthesis, producing high-quality images. Its semantic conditioning feature also shows potential for image anonymization in biomedical imaging, addressing data and privacy issues. We provide the code and model weights for Med-DDPM on our GitHub repository (//github.com/mobaidoctor/med-ddpm/) to support reproducibility.

In recent years, microservices have gained widespread adoption in IT operations due to their scalability, maintenance, and flexibility. However, it becomes challenging for site reliability engineers (SREs) to pinpoint the root cause due to the complex relationships in microservices when facing system malfunctions. Previous research employed structured learning methods (e.g., PC-algorithm) to establish causal relationships and derive root causes from causal graphs. Nevertheless, they ignored the temporal order of time series data and failed to leverage the rich information inherent in the temporal relationships. For instance, in cases where there is a sudden spike in CPU utilization, it can lead to an increase in latency for other microservices. However, in this scenario, the anomaly in CPU utilization occurs before the latency increase, rather than simultaneously. As a result, the PC-algorithm fails to capture such characteristics. To address these challenges, we propose RUN, a novel approach for root cause analysis using neural Granger causal discovery with contrastive learning. RUN enhances the backbone encoder by integrating contextual information from time series, and leverages a time series forecasting model to conduct neural Granger causal discovery. In addition, RUN incorporates Pagerank with a personalization vector to efficiently recommend the top-k root causes. Extensive experiments conducted on the synthetic and real-world microservice-based datasets demonstrate that RUN noticeably outperforms the state-of-the-art root cause analysis methods. Moreover, we provide an analysis scenario for the sock-shop case to showcase the practicality and efficacy of RUN in microservice-based applications. Our code is publicly available at //github.com/zmlin1998/RUN.

Providing explanations within the recommendation system would boost user satisfaction and foster trust, especially by elaborating on the reasons for selecting recommended items tailored to the user. The predominant approach in this domain revolves around generating text-based explanations, with a notable emphasis on applying large language models (LLMs). However, refining LLMs for explainable recommendations proves impractical due to time constraints and computing resource limitations. As an alternative, the current approach involves training the prompt rather than the LLM. In this study, we developed a model that utilizes the ID vectors of user and item inputs as prompts for GPT-2. We employed a joint training mechanism within a multi-task learning framework to optimize both the recommendation task and explanation task. This strategy enables a more effective exploration of users' interests, improving recommendation effectiveness and user satisfaction. Through the experiments, our method achieving 1.59 DIV, 0.57 USR and 0.41 FCR on the Yelp, TripAdvisor and Amazon dataset respectively, demonstrates superior performance over four SOTA methods in terms of explainability evaluation metric. In addition, we identified that the proposed model is able to ensure stable textual quality on the three public datasets.

In semi-supervised domain adaptation, a few labeled samples per class in the target domain guide features of the remaining target samples to aggregate around them. However, the trained model cannot produce a highly discriminative feature representation for the target domain because the training data is dominated by labeled samples from the source domain. This could lead to disconnection between the labeled and unlabeled target samples as well as misalignment between unlabeled target samples and the source domain. In this paper, we propose a novel approach called Cross-domain Adaptive Clustering to address this problem. To achieve both inter-domain and intra-domain adaptation, we first introduce an adversarial adaptive clustering loss to group features of unlabeled target data into clusters and perform cluster-wise feature alignment across the source and target domains. We further apply pseudo labeling to unlabeled samples in the target domain and retain pseudo-labels with high confidence. Pseudo labeling expands the number of ``labeled" samples in each class in the target domain, and thus produces a more robust and powerful cluster core for each class to facilitate adversarial learning. Extensive experiments on benchmark datasets, including DomainNet, Office-Home and Office, demonstrate that our proposed approach achieves the state-of-the-art performance in semi-supervised domain adaptation.

Approaches based on deep neural networks have achieved striking performance when testing data and training data share similar distribution, but can significantly fail otherwise. Therefore, eliminating the impact of distribution shifts between training and testing data is crucial for building performance-promising deep models. Conventional methods assume either the known heterogeneity of training data (e.g. domain labels) or the approximately equal capacities of different domains. In this paper, we consider a more challenging case where neither of the above assumptions holds. We propose to address this problem by removing the dependencies between features via learning weights for training samples, which helps deep models get rid of spurious correlations and, in turn, concentrate more on the true connection between discriminative features and labels. Extensive experiments clearly demonstrate the effectiveness of our method on multiple distribution generalization benchmarks compared with state-of-the-art counterparts. Through extensive experiments on distribution generalization benchmarks including PACS, VLCS, MNIST-M, and NICO, we show the effectiveness of our method compared with state-of-the-art counterparts.

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