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In the evolving field of machine learning, ensuring fairness has become a critical concern, prompting the development of algorithms designed to mitigate discriminatory outcomes in decision-making processes. However, achieving fairness in the presence of group-specific concept drift remains an unexplored frontier, and our research represents pioneering efforts in this regard. Group-specific concept drift refers to situations where one group experiences concept drift over time while another does not, leading to a decrease in fairness even if accuracy remains fairly stable. Within the framework of federated learning, where clients collaboratively train models, its distributed nature further amplifies these challenges since each client can experience group-specific concept drift independently while still sharing the same underlying concept, creating a complex and dynamic environment for maintaining fairness. One of the significant contributions of our research is the formalization and introduction of the problem of group-specific concept drift and its distributed counterpart, shedding light on its critical importance in the realm of fairness. In addition, leveraging insights from prior research, we adapt an existing distributed concept drift adaptation algorithm to tackle group-specific distributed concept drift which utilizes a multi-model approach, a local group-specific drift detection mechanism, and continuous clustering of models over time. The findings from our experiments highlight the importance of addressing group-specific concept drift and its distributed counterpart to advance fairness in machine learning.

A large fraction of total healthcare expenditure occurs due to end-of-life (EOL) care, which means it is important to study the problem of more carefully incentivizing necessary versus unnecessary EOL care because this has the potential to reduce overall healthcare spending. This paper introduces a principal-agent model that integrates a mixed payment system of fee-for-service and pay-for-performance in order to analyze whether it is possible to better align healthcare provider incentives with patient outcomes and cost-efficiency in EOL care. The primary contributions are to derive optimal contracts for EOL care payments using a principal-agent framework under three separate models for the healthcare provider, where each model considers a different level of risk tolerance for the provider. We derive these optimal contracts by converting the underlying principal-agent models from a bilevel optimization problem into a single-level optimization problem that can be analytically solved. Our results are demonstrated using a simulation where an optimal contract is used to price intracranial pressure monitoring for traumatic brain injuries.

In clinical applications that involve ultrasound-guided intervention, the visibility of the needle can be severely impeded due to steep insertion and strong distractors such as speckle noise and anatomical occlusion. To address this challenge, we propose VibNet, a learning-based framework tailored to enhance the robustness and accuracy of needle detection in ultrasound images, even when the target becomes invisible to the naked eye. Inspired by Eulerian Video Magnification techniques, we utilize an external step motor to induce low-amplitude periodic motion on the needle. These subtle vibrations offer the potential to generate robust frequency features for detecting the motion patterns around the needle. To robustly and precisely detect the needle leveraging these vibrations, VibNet integrates learning-based Short-Time-Fourier-Transform and Hough-Transform modules to achieve successive sub-goals, including motion feature extraction in the spatiotemporal space, frequency feature aggregation, and needle detection in the Hough space. Based on the results obtained on distinct ex vivo porcine and bovine tissue samples, the proposed algorithm exhibits superior detection performance with efficient computation and generalization capability.

Poor sleep health is an increasingly concerning public healthcare crisis, especially when coupled with a dwindling number of health professionals qualified to combat it. However, there is a growing body of scientific literature on the use of digital technologies in supporting and sustaining individuals' healthy sleep habits. Social robots are a relatively recent technology that has been used to facilitate health care interventions and may have potential in improving sleep health outcomes, as well. Social robots' unique characteristics -- such as anthropomorphic physical embodiment or effective communication methods -- help to engage users and motivate them to comply with specific interventions, thus improving the interventions' outcomes. This scoping review aims to evaluate current scientific evidence for employing social robots in sleep health interventions, identify critical research gaps, and suggest future directions for developing and using social robots to improve people's sleep health. Our analysis of the reviewed studies found them limited due to a singular focus on the older adult population, use of small sample sizes, limited intervention durations, and other compounding factors. Nevertheless, the reviewed studies reported several positive outcomes, highlighting the potential social robots hold in this field. Although our review found limited clinical evidence for the efficacy of social robots as purveyors of sleep health interventions, it did elucidate the potential for a successful future in this domain if current limitations are addressed and more research is conducted.

Automatic coding patient behaviors is essential to support decision making for psychotherapists during the motivational interviewing (MI), a collaborative communication intervention approach to address psychiatric issues, such as alcohol and drug addiction. While the behavior coding task has rapidly adapted machine learning to predict patient states during the MI sessions, lacking of domain-specific knowledge and overlooking patient-therapist interactions are major challenges in developing and deploying those models in real practice. To encounter those challenges, we introduce the Chain-of-Interaction (CoI) prompting method aiming to contextualize large language models (LLMs) for psychiatric decision support by the dyadic interactions. The CoI prompting approach systematically breaks down the coding task into three key reasoning steps, extract patient engagement, learn therapist question strategies, and integrates dyadic interactions between patients and therapists. This approach enables large language models to leverage the coding scheme, patient state, and domain knowledge for patient behavioral coding. Experiments on real-world datasets can prove the effectiveness and flexibility of our prompting method with multiple state-of-the-art LLMs over existing prompting baselines. We have conducted extensive ablation analysis and demonstrate the critical role of dyadic interactions in applying LLMs for psychotherapy behavior understanding.

Detecting damage in critical structures using monitored data is a fundamental task of structural health monitoring, which is extremely important for maintaining structures' safety and life-cycle management. Based on statistical pattern recognition paradigm, damage detection can be conducted by assessing changes in the distribution of properly extracted damage-sensitive features (DSFs). This can be naturally formulated as a distributional change-point detection problem. A good change-point detector for damage detection should be scalable to large DSF datasets, applicable to different types of changes, and capable of controlling for false-positive indications. This study proposes a new distributional change-point detection method for damage detection to address these challenges. We embed the elements of a DSF distributional sequence into the Wasserstein space and construct a moving sum (MOSUM) multiple change-point detector based on Fr\'echet statistics and establish theoretical properties. Extensive simulation studies demonstrate the superiority of our proposed approach against other competitors to address the aforementioned practical requirements. We apply our method to the cable-tension measurements monitored from a long-span cable-stayed bridge for cable damage detection. We conduct a comprehensive change-point analysis for the extracted DSF data, and reveal interesting patterns from the detected changes, which provides valuable insights into cable system damage.

Reasoning is a fundamental aspect of human intelligence that plays a crucial role in activities such as problem solving, decision making, and critical thinking. In recent years, large language models (LLMs) have made significant progress in natural language processing, and there is observation that these models may exhibit reasoning abilities when they are sufficiently large. However, it is not yet clear to what extent LLMs are capable of reasoning. This paper provides a comprehensive overview of the current state of knowledge on reasoning in LLMs, including techniques for improving and eliciting reasoning in these models, methods and benchmarks for evaluating reasoning abilities, findings and implications of previous research in this field, and suggestions on future directions. Our aim is to provide a detailed and up-to-date review of this topic and stimulate meaningful discussion and future work.

With the breakthrough of AlphaGo, deep reinforcement learning becomes a recognized technique for solving sequential decision-making problems. Despite its reputation, data inefficiency caused by its trial and error learning mechanism makes deep reinforcement learning hard to be practical in a wide range of areas. Plenty of methods have been developed for sample efficient deep reinforcement learning, such as environment modeling, experience transfer, and distributed modifications, amongst which, distributed deep reinforcement learning has shown its potential in various applications, such as human-computer gaming, and intelligent transportation. In this paper, we conclude the state of this exciting field, by comparing the classical distributed deep reinforcement learning methods, and studying important components to achieve efficient distributed learning, covering single player single agent distributed deep reinforcement learning to the most complex multiple players multiple agents distributed deep reinforcement learning. Furthermore, we review recently released toolboxes that help to realize distributed deep reinforcement learning without many modifications of their non-distributed versions. By analyzing their strengths and weaknesses, a multi-player multi-agent distributed deep reinforcement learning toolbox is developed and released, which is further validated on Wargame, a complex environment, showing usability of the proposed toolbox for multiple players and multiple agents distributed deep reinforcement learning under complex games. Finally, we try to point out challenges and future trends, hoping this brief review can provide a guide or a spark for researchers who are interested in distributed deep reinforcement learning.

Inspired by the human cognitive system, attention is a mechanism that imitates the human cognitive awareness about specific information, amplifying critical details to focus more on the essential aspects of data. Deep learning has employed attention to boost performance for many applications. Interestingly, the same attention design can suit processing different data modalities and can easily be incorporated into large networks. Furthermore, multiple complementary attention mechanisms can be incorporated in one network. Hence, attention techniques have become extremely attractive. However, the literature lacks a comprehensive survey specific to attention techniques to guide researchers in employing attention in their deep models. Note that, besides being demanding in terms of training data and computational resources, transformers only cover a single category in self-attention out of the many categories available. We fill this gap and provide an in-depth survey of 50 attention techniques categorizing them by their most prominent features. We initiate our discussion by introducing the fundamental concepts behind the success of attention mechanism. Next, we furnish some essentials such as the strengths and limitations of each attention category, describe their fundamental building blocks, basic formulations with primary usage, and applications specifically for computer vision. We also discuss the challenges and open questions related to attention mechanism in general. Finally, we recommend possible future research directions for deep attention.

Human doctors with well-structured medical knowledge can diagnose a disease merely via a few conversations with patients about symptoms. In contrast, existing knowledge-grounded dialogue systems often require a large number of dialogue instances to learn as they fail to capture the correlations between different diseases and neglect the diagnostic experience shared among them. To address this issue, we propose a more natural and practical paradigm, i.e., low-resource medical dialogue generation, which can transfer the diagnostic experience from source diseases to target ones with a handful of data for adaptation. It is capitalized on a commonsense knowledge graph to characterize the prior disease-symptom relations. Besides, we develop a Graph-Evolving Meta-Learning (GEML) framework that learns to evolve the commonsense graph for reasoning disease-symptom correlations in a new disease, which effectively alleviates the needs of a large number of dialogues. More importantly, by dynamically evolving disease-symptom graphs, GEML also well addresses the real-world challenges that the disease-symptom correlations of each disease may vary or evolve along with more diagnostic cases. Extensive experiment results on the CMDD dataset and our newly-collected Chunyu dataset testify the superiority of our approach over state-of-the-art approaches. Besides, our GEML can generate an enriched dialogue-sensitive knowledge graph in an online manner, which could benefit other tasks grounded on knowledge graph.