Health insurance claims data offer a unique opportunity to study disease distribution on a large scale. Challenges arise in the process of accurately analyzing these raw data. One important challenge to overcome is the accurate classification of study outcomes. For example, using claims data, there is no clear way of classifying hospitalizations due to a specific event. This is because of the inherent disjointedness and lack of context that typically come with raw claims data. In this paper, we propose a framework for classifying hospitalizations due to a specific event. We then test this framework in a health insurance claims database with approximately 4 million US adults who tested positive with COVID-19 between March and December 2020. Our claims specific COVID-19 related hospitalizations proportion is then compared to nationally reported rates from the Centers for Disease Control by age and sex.
Internet of things (IoT) devices, such as smart meters, smart speakers and activity monitors, have become highly popular thanks to the services they offer. However, in addition to their many benefits, they raise privacy concerns since they share fine-grained time-series user data with untrusted third parties. In this work, we consider a user releasing her data containing personal information in return of a service from an honest-but-curious service provider (SP). We model user's personal information as two correlated random variables (r.v.'s), one of them, called the secret variable, is to be kept private, while the other, called the useful variable, is to be disclosed for utility. We consider active sequential data release, where at each time step the user chooses from among a finite set of release mechanisms, each revealing some information about the user's personal information, i.e., the true values of the r.v.'s, albeit with different statistics. The user manages data release in an online fashion such that the maximum amount of information is revealed about the latent useful variable as quickly as possible, while the confidence for the sensitive variable is kept below a predefined level. For privacy measure, we consider both the probability of correctly detecting the true value of the secret and the mutual information (MI) between the secret and the released data. We formulate both problems as partially observable Markov decision processes (POMDPs), and numerically solve them by advantage actor-critic (A2C) deep reinforcement learning (DRL). We evaluate the privacy-utility trade-off (PUT) of the proposed policies on both the synthetic data and smoking activity dataset, and show their validity by testing the activity detection accuracy of the SP modeled by a long short-term memory (LSTM) neural network.
The prevalence of chronic non-communicable diseases such as obesity has noticeably increased in the last decade. The study of these diseases in early life is of paramount importance in determining their course in adult life and in supporting clinical interventions. Recently, attention has been drawn on approaches that study the alteration of metabolic pathways in obese children. In this work, we propose a novel joint modelling approach for the analysis of growth biomarkers and metabolite concentrations, to unveil metabolic pathways related to child obesity. Within a Bayesian framework, we flexibly model the temporal evolution of growth trajectories and metabolic associations through the specification of a joint non-parametric random effect distribution which also allows for clustering of the subjects, thus identifying risk sub-groups. Growth profiles as well as patterns of metabolic associations determine the clustering structure. Inclusion of risk factors is straightforward through the specification of a regression term. We demonstrate the proposed approach on data from the Growing Up in Singapore Towards healthy Outcomes (GUSTO) cohort study, based in Singapore. Posterior inference is obtained via a tailored MCMC algorithm, accommodating a nonparametric prior with mixed support. Our analysis has identified potential key pathways in obese children that allows for exploration of possible molecular mechanisms associated with child obesity.
Learning from noisy labels is an important concern because of the lack of accurate ground-truth labels in plenty of real-world scenarios. In practice, various approaches for this concern first make some corrections corresponding to potentially noisy-labeled instances, and then update predictive model with information of the made corrections. However, in specific areas, such as medical histopathology whole slide image analysis (MHWSIA), it is often difficult or even impossible for experts to manually achieve the noisy-free ground-truth labels which leads to labels with complex noise. This situation raises two more difficult problems: 1) the methodology of approaches making corrections corresponding to potentially noisy-labeled instances has limitations due to the complex noise existing in labels; and 2) the appropriate evaluation strategy for validation/testing is unclear because of the great difficulty in collecting the noisy-free ground-truth labels. In this paper, we focus on alleviating these two problems. For the problem 1), we present one-step abductive multi-target learning (OSAMTL) that imposes a one-step logical reasoning upon machine learning via a multi-target learning procedure to constrain the predictions of the learning model to be subject to our prior knowledge about the true target. For the problem 2), we propose a logical assessment formula (LAF) that evaluates the logical rationality of the outputs of an approach by estimating the consistencies between the predictions of the learning model and the logical facts narrated from the results of the one-step logical reasoning of OSAMTL. Applying OSAMTL and LAF to the Helicobacter pylori (H. pylori) segmentation task in MHWSIA, we show that OSAMTL is able to enable the machine learning model achieving logically more rational predictions, which is beyond various state-of-the-art approaches in handling complex noisy labels.
Technology has evolved over the years, making our lives easier. It has impacted the healthcare sector, increasing the average life expectancy of human beings. Still, there are gaps that remain unaddressed. There is a lack of transparency in the healthcare system, which results in inherent trust problems between patients and hospitals. In the present day, a patient does not know whether he or she will get the proper treatment from the hospital for the fee charged. A patient can claim reimbursement of the medical bill from any insurance company. However, today there is minimal scope for the Insurance Company to verify the validity of such bills or medical records. A patient can provide fake details to get financial benefits from the insurance company. Again, there are trust issues between the patient (i.e., the insurance claimer) and the insurance company. Blockchain integrated with the smart contract is a well-known disruptive technology that builds trust by providing transparency to the system. In this paper, we propose a blockchain-enabled Secure and Smart HealthCare System. Fairness of all the entities: patient, hospital, or insurance company involved in the system is guaranteed with no one trusting each other. Privacy and security of patients' medical data are ensured as well. We also propose a method for privacy-preserving sharing of aggregated data with the research community for their own purpose. Shared data must not be personally identifiable, i.e, no one can link the acquired data to the identity of any patient or their medical history. We have implemented the prototype in the Ethereum platform and Ropsten test network, and have included the analysis as well.
Rapid technological advances have allowed for molecular profiling across multiple omics domains from a single sample for clinical decision making in many diseases, especially cancer. As tumor development and progression are dynamic biological processes involving composite genomic aberrations, key challenges are to effectively assimilate information from these domains to identify genomic signatures and biological entities that are druggable, develop accurate risk prediction profiles for future patients, and identify novel patient subgroups for tailored therapy and monitoring. We propose integrative probabilistic frameworks for high-dimensional multiple-domain cancer data that coherently incorporate dependence within and between domains to accurately detect tumor subtypes, thus providing a catalogue of genomic aberrations associated with cancer taxonomy. We propose an innovative, flexible and scalable Bayesian nonparametric framework for simultaneous clustering of both tumor samples and genomic probes. We describe an efficient variable selection procedure to identify relevant genomic aberrations that can potentially reveal underlying drivers of a disease. Although the work is motivated by several investigations related to lung cancer, the proposed methods are broadly applicable in a variety of contexts involving high-dimensional data. The success of the methodology is demonstrated using artificial data and lung cancer omics profiles publicly available from The Cancer Genome Atlas.
Predicative machine learning models are frequently being used by companies, institutes and organizations to make choices about humans. Strategic classification studies learning in settings where self-interested users can strategically modify their features to obtain favorable predictive outcomes. A key working assumption, however, is that 'favorable' always means 'positive'; this may be appropriate in some applications (e.g., loan approval, university admissions and hiring), but reduces to a fairly narrow view what user interests can be. In this work we argue for a broader perspective on what accounts for strategic user behavior, and propose and study a flexible model of generalized strategic classification. Our generalized model subsumes most current models, but includes other novel settings; among these, we identify and target one intriguing sub-class of problems in which the interests of users and the system are aligned. For this cooperative setting, we provide an in-depth analysis, and propose a practical learning approach that is effective and efficient. We compare our approach to existing learning methods and show its statistical and optimization benefits. Returning to our fully generalized model, we show how our results and approach can extend to the most general case. We conclude with a set of experiments that empirically demonstrate the utility of our approach.
We demonstrate from first principles a core fallacy employed by a coterie of authors who claim that data from the Vaccine Adverse Reporting System (VAERS) show that hundreds of thousands of U.S. deaths are attributable to COVID vaccination.
Recent developments in image classification and natural language processing, coupled with the rapid growth in social media usage, have enabled fundamental advances in detecting breaking events around the world in real-time. Emergency response is one such area that stands to gain from these advances. By processing billions of texts and images a minute, events can be automatically detected to enable emergency response workers to better assess rapidly evolving situations and deploy resources accordingly. To date, most event detection techniques in this area have focused on image-only or text-only approaches, limiting detection performance and impacting the quality of information delivered to crisis response teams. In this paper, we present a new multimodal fusion method that leverages both images and texts as input. In particular, we introduce a cross-attention module that can filter uninformative and misleading components from weak modalities on a sample by sample basis. In addition, we employ a multimodal graph-based approach to stochastically transition between embeddings of different multimodal pairs during training to better regularize the learning process as well as dealing with limited training data by constructing new matched pairs from different samples. We show that our method outperforms the unimodal approaches and strong multimodal baselines by a large margin on three crisis-related tasks.
Privacy is a major good for users of personalized services such as recommender systems. When applied to the field of health informatics, privacy concerns of users may be amplified, but the possible utility of such services is also high. Despite availability of technologies such as k-anonymity, differential privacy, privacy-aware recommendation, and personalized privacy trade-offs, little research has been conducted on the users' willingness to share health data for usage in such systems. In two conjoint-decision studies (sample size n=521), we investigate importance and utility of privacy-preserving techniques related to sharing of personal health data for k-anonymity and differential privacy. Users were asked to pick a preferred sharing scenario depending on the recipient of the data, the benefit of sharing data, the type of data, and the parameterized privacy. Users disagreed with sharing data for commercial purposes regarding mental illnesses and with high de-anonymization risks but showed little concern when data is used for scientific purposes and is related to physical illnesses. Suggestions for health recommender system development are derived from the findings.
Content based video retrieval is an approach for facilitating the searching and browsing of large image collections over World Wide Web. In this approach, video analysis is conducted on low level visual properties extracted from video frame. We believed that in order to create an effective video retrieval system, visual perception must be taken into account. We conjectured that a technique which employs multiple features for indexing and retrieval would be more effective in the discrimination and search tasks of videos. In order to validate this claim, content based indexing and retrieval systems were implemented using color histogram, various texture features and other approaches. Videos were stored in Oracle 9i Database and a user study measured correctness of response.