Electronic health records (EHRs) have become the foundation of machine learning applications in healthcare, while the utility of real patient records is often limited by privacy and security concerns. Synthetic EHR generation provides an additional perspective to compensate for this limitation. Most existing methods synthesize new records based on real EHR data, without consideration of different types of events in EHR data, which cannot control the event combinations in line with medical common sense. In this paper, we propose MSIC, a Multi-visit health Status Inference model for Collaborative EHR synthesis to address these limitations. First, we formulate the synthetic EHR generation process as a probabilistic graphical model and tightly connect different types of events by modeling the latent health states. Then, we derive a health state inference method tailored for the multi-visit scenario to effectively utilize previous records to synthesize current and future records. Furthermore, we propose to generate medical reports to add textual descriptions for each medical event, providing broader applications for synthesized EHR data. For generating different paragraphs in each visit, we incorporate a multi-generator deliberation framework to collaborate the message passing of multiple generators and employ a two-phase decoding strategy to generate high-quality reports. Our extensive experiments on the widely used benchmarks, MIMIC-III and MIMIC-IV, demonstrate that MSIC advances state-of-the-art results on the quality of synthetic data while maintaining low privacy risks.
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Implicit Bias of Policy Gradient in Linear Quadratic Control: Extrapolation to Unseen Initial States
In modern machine learning, models can often fit training data in numerous ways, some of which perform well on unseen (test) data, while others do not. Remarkably, in such cases gradient descent frequently exhibits an implicit bias that leads to excellent performance on unseen data. This implicit bias was extensively studied in supervised learning, but is far less understood in optimal control (reinforcement learning). There, learning a controller applied to a system via gradient descent is known as policy gradient, and a question of prime importance is the extent to which a learned controller extrapolates to unseen initial states. This paper theoretically studies the implicit bias of policy gradient in terms of extrapolation to unseen initial states. Focusing on the fundamental Linear Quadratic Regulator (LQR) problem, we establish that the extent of extrapolation depends on the degree of exploration induced by the system when commencing from initial states included in training. Experiments corroborate our theory, and demonstrate its conclusions on problems beyond LQR, where systems are non-linear and controllers are neural networks. We hypothesize that real-world optimal control may be greatly improved by developing methods for informed selection of initial states to train on.
In the rapidly evolving landscape of medical documentation, transcribing clinical dialogues accurately is increasingly paramount. This study explores the potential of Large Language Models (LLMs) to enhance the accuracy of Automatic Speech Recognition (ASR) systems in medical transcription. Utilizing the PriMock57 dataset, which encompasses a diverse range of primary care consultations, we apply advanced LLMs to refine ASR-generated transcripts. Our research is multifaceted, focusing on improvements in general Word Error Rate (WER), Medical Concept WER (MC-WER) for the accurate transcription of essential medical terms, and speaker diarization accuracy. Additionally, we assess the role of LLM post-processing in improving semantic textual similarity, thereby preserving the contextual integrity of clinical dialogues. Through a series of experiments, we compare the efficacy of zero-shot and Chain-of-Thought (CoT) prompting techniques in enhancing diarization and correction accuracy. Our findings demonstrate that LLMs, particularly through CoT prompting, not only improve the diarization accuracy of existing ASR systems but also achieve state-of-the-art performance in this domain. This improvement extends to more accurately capturing medical concepts and enhancing the overall semantic coherence of the transcribed dialogues. These findings illustrate the dual role of LLMs in augmenting ASR outputs and independently excelling in transcription tasks, holding significant promise for transforming medical ASR systems and leading to more accurate and reliable patient records in healthcare settings.
In machine learning and neural network optimization, algorithms like incremental gradient, and shuffle SGD are popular due to minimizing the number of cache misses and good practical convergence behavior. However, their optimization properties in theory, especially for non-convex smooth functions, remain incompletely explored. This paper delves into the convergence properties of SGD algorithms with arbitrary data ordering, within a broad framework for non-convex smooth functions. Our findings show enhanced convergence guarantees for incremental gradient and single shuffle SGD. Particularly if $n$ is the training set size, we improve $n$ times the optimization term of convergence guarantee to reach accuracy $\varepsilon$ from $O(n / \varepsilon)$ to $O(1 / \varepsilon)$.
A lot of recent machine learning research papers have ``open-ended learning'' in their title. But very few of them attempt to define what they mean when using the term. Even worse, when looking more closely there seems to be no consensus on what distinguishes open-ended learning from related concepts such as continual learning, lifelong learning or autotelic learning. In this paper, we contribute to fixing this situation. After illustrating the genealogy of the concept and more recent perspectives about what it truly means, we outline that open-ended learning is generally conceived as a composite notion encompassing a set of diverse properties. In contrast with previous approaches, we propose to isolate a key elementary property of open-ended processes, which is to produce elements from time to time (e.g., observations, options, reward functions, and goals), over an infinite horizon, that are considered novel from an observer's perspective. From there, we build the notion of open-ended learning problems and focus in particular on the subset of open-ended goal-conditioned reinforcement learning problems in which agents can learn a growing repertoire of goal-driven skills. Finally, we highlight the work that remains to be performed to fill the gap between our elementary definition and the more involved notions of open-ended learning that developmental AI researchers may have in mind.
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.
We present a framework for learning Hamiltonian systems using data. This work is based on a lifting hypothesis, which posits that nonlinear Hamiltonian systems can be written as nonlinear systems with cubic Hamiltonians. By leveraging this, we obtain quadratic dynamics that are Hamiltonian in a transformed coordinate system. To that end, for given generalized position and momentum data, we propose a methodology to learn quadratic dynamical systems, enforcing the Hamiltonian structure in combination with a weakly-enforced symplectic auto-encoder. The obtained Hamiltonian structure exhibits long-term stability of the system, while the cubic Hamiltonian function provides relatively low model complexity. For low-dimensional data, we determine a higher-dimensional transformed coordinate system, whereas for high-dimensional data, we find a lower-dimensional coordinate system with the desired properties. We demonstrate the proposed methodology by means of both low-dimensional and high-dimensional nonlinear Hamiltonian systems.
Learning to Rank (LTR) is one of the most widely used machine learning applications. It is a key component in platforms with profound societal impacts, including job search, healthcare information retrieval, and social media content feeds. Conventional LTR models have been shown to produce biases results, stimulating a discourse on how to address the disparities introduced by ranking systems that solely prioritize user relevance. However, while several models of fair learning to rank have been proposed, they suffer from deficiencies either in accuracy or efficiency, thus limiting their applicability to real-world ranking platforms. This paper shows how efficiently-solvable fair ranking models, based on the optimization of Ordered Weighted Average (OWA) functions, can be integrated into the training loop of an LTR model to achieve favorable balances between fairness, user utility, and runtime efficiency. In particular, this paper is the first to show how to backpropagate through constrained optimizations of OWA objectives, enabling their use in integrated prediction and decision models.
Graph neural networks (GNNs) have been demonstrated to be a powerful algorithmic model in broad application fields for their effectiveness in learning over graphs. To scale GNN training up for large-scale and ever-growing graphs, the most promising solution is distributed training which distributes the workload of training across multiple computing nodes. However, the workflows, computational patterns, communication patterns, and optimization techniques of distributed GNN training remain preliminarily understood. In this paper, we provide a comprehensive survey of distributed GNN training by investigating various optimization techniques used in distributed GNN training. First, distributed GNN training is classified into several categories according to their workflows. In addition, their computational patterns and communication patterns, as well as the optimization techniques proposed by recent work are introduced. Second, the software frameworks and hardware platforms of distributed GNN training are also introduced for a deeper understanding. Third, distributed GNN training is compared with distributed training of deep neural networks, emphasizing the uniqueness of distributed GNN training. Finally, interesting issues and opportunities in this field are discussed.
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.
Neural machine translation (NMT) is a deep learning based approach for machine translation, which yields the state-of-the-art translation performance in scenarios where large-scale parallel corpora are available. Although the high-quality and domain-specific translation is crucial in the real world, domain-specific corpora are usually scarce or nonexistent, and thus vanilla NMT performs poorly in such scenarios. Domain adaptation that leverages both out-of-domain parallel corpora as well as monolingual corpora for in-domain translation, is very important for domain-specific translation. In this paper, we give a comprehensive survey of the state-of-the-art domain adaptation techniques for NMT.
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