Dark patterns have emerged as a set of methods to exploit cognitive biases to trick users to make decisions that are more aligned with a third party than to their own. These patterns can have consequences that might range from inconvenience to global disasters. We present a case of a drug company and an electronic medical record vendor who colluded to modify the medical record's interface to induce clinicians to increase the prescription of extended-release opioids, a class of drugs that has a high potential for addiction and has caused almost half a million additional deaths in the past two decades. Through this case, we present the use and effects of dark patterns in healthcare, discuss the current challenges, and offer some recommendations on how to address this pressing issue.
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The objective of electrical impedance tomography (EIT) is to reconstruct the internal conductivity of a physical body based on current and voltage measurements at the boundary of the body. In many medical applications the exact shape of the domain boundary and contact impedances are not available. This is problematic as even small errors in the boundary shape of the computation domain or in the contact impedance values can produce large artifacts in the reconstructed images which results in a loss of relevant information. A method is proposed that simultaneously reconstructs the conductivity, the contact impedances and the boundary shape from EIT data. The approach consists of three steps: first, the unknown contact impedances and an anisotropic conductivity reproducing the measured EIT data in a model domain are computed. Second, using isothermal coordinates, a deformation is constructed that makes the conductivity isotropic. The final step minimizes the error of true and reconstructed known geometric properties (like the electrode lengths) using conformal deformations. The feasibility of the method is illustrated with experimental EIT data, with robust and accurate reconstructions of both conductivity and boundary shape.
The data available in Electronic Health Records (EHRs) provides the opportunity to transform care, and the best way to provide better care for one patient is through learning from the data available on all other patients. Temporal modelling of a patient's medical history, which takes into account the sequence of past events, can be used to predict future events such as a diagnosis of a new disorder or complication of a previous or existing disorder. While most prediction approaches use mostly the structured data in EHRs or a subset of single-domain predictions and outcomes, we present MedGPT a novel transformer-based pipeline that uses Named Entity Recognition and Linking tools (i.e. MedCAT) to structure and organize the free text portion of EHRs and anticipate a range of future medical events (initially disorders). Since a large portion of EHR data is in text form, such an approach benefits from a granular and detailed view of a patient while introducing modest additional noise. MedGPT effectively deals with the noise and the added granularity, and achieves a precision of 0.344, 0.552 and 0.640 (vs LSTM 0.329, 0.538 and 0.633) when predicting the top 1, 3 and 5 candidate future disorders on real world hospital data from King's College Hospital, London, UK (\textasciitilde600k patients). We also show that our model captures medical knowledge by testing it on an experimental medical multiple choice question answering task, and by examining the attentional focus of the model using gradient-based saliency methods.
Electronic health records (EHRs), digital collections of patient healthcare events and observations, are ubiquitous in medicine and critical to healthcare delivery, operations, and research. Despite this central role, EHRs are notoriously difficult to process automatically. Well over half of the information stored within EHRs is in the form of unstructured text (e.g. provider notes, operation reports) and remains largely untapped for secondary use. Recently, however, newer neural network and deep learning approaches to Natural Language Processing (NLP) have made considerable advances, outperforming traditional statistical and rule-based systems on a variety of tasks. In this survey paper, we summarize current neural NLP methods for EHR applications. We focus on a broad scope of tasks, namely, classification and prediction, word embeddings, extraction, generation, and other topics such as question answering, phenotyping, knowledge graphs, medical dialogue, multilinguality, interpretability, etc.
Research and development in computer science and statistics have produced increasingly sophisticated software interfaces for interactive and exploratory analysis, optimized for easy pattern finding and data exposure. But design philosophies that emphasize exploration over other phases of analysis risk confusing a need for flexibility with a conclusion that exploratory visual analysis is inherently model-free and cannot be formalized. We describe how without a grounding in theories of human statistical inference, research in exploratory visual analysis can lead to contradictory interface objectives and representations of uncertainty that can discourage users from drawing valid inferences. We discuss how the concept of a model check in a Bayesian statistical framework unites exploratory and confirmatory analysis, and how this understanding relates to other proposed theories of graphical inference. Viewing interactive analysis as driven by model checks suggests new directions for software and empirical research around exploratory and visual analysis. For example, systems should enable specifying and explicitly comparing data to null and other reference distributions and better representations of uncertainty. Implications of Bayesian and other theories of graphical inference should be tested against outcomes of interactive analysis by people to drive theory development.
The significant increase in the number of individuals with chronic ailments (including the elderly and disabled) has dictated an urgent need for an innovative model for healthcare systems. The evolved model will be more personalized and less reliant on traditional brick-and-mortar healthcare institutions such as hospitals, nursing homes, and long-term healthcare centers. The smart healthcare system is a topic of recently growing interest and has become increasingly required due to major developments in modern technologies, especially in artificial intelligence (AI) and machine learning (ML). This paper is aimed to discuss the current state-of-the-art smart healthcare systems highlighting major areas like wearable and smartphone devices for health monitoring, machine learning for disease diagnosis, and the assistive frameworks, including social robots developed for the ambient assisted living environment. Additionally, the paper demonstrates software integration architectures that are very significant to create smart healthcare systems, integrating seamlessly the benefit of data analytics and other tools of AI. The explained developed systems focus on several facets: the contribution of each developed framework, the detailed working procedure, the performance as outcomes, and the comparative merits and limitations. The current research challenges with potential future directions are addressed to highlight the drawbacks of existing systems and the possible methods to introduce novel frameworks, respectively. This review aims at providing comprehensive insights into the recent developments of smart healthcare systems to equip experts to contribute to the field.
With the advances of data-driven machine learning research, a wide variety of prediction problems have been tackled. It has become critical to explore how machine learning and specifically deep learning methods can be exploited to analyse healthcare data. A major limitation of existing methods has been the focus on grid-like data; however, the structure of physiological recordings are often irregular and unordered which makes it difficult to conceptualise them as a matrix. As such, graph neural networks have attracted significant attention by exploiting implicit information that resides in a biological system, with interactive nodes connected by edges whose weights can be either temporal associations or anatomical junctions. In this survey, we thoroughly review the different types of graph architectures and their applications in healthcare. We provide an overview of these methods in a systematic manner, organized by their domain of application including functional connectivity, anatomical structure and electrical-based analysis. We also outline the limitations of existing techniques and discuss potential directions for future research.
Point cloud is point sets defined in 3D metric space. Point cloud has become one of the most significant data format for 3D representation. Its gaining increased popularity as a result of increased availability of acquisition devices, such as LiDAR, as well as increased application in areas such as robotics, autonomous driving, augmented and virtual reality. Deep learning is now the most powerful tool for data processing in computer vision, becoming the most preferred technique for tasks such as classification, segmentation, and detection. While deep learning techniques are mainly applied to data with a structured grid, point cloud, on the other hand, is unstructured. The unstructuredness of point clouds makes use of deep learning for its processing directly very challenging. Earlier approaches overcome this challenge by preprocessing the point cloud into a structured grid format at the cost of increased computational cost or lost of depth information. Recently, however, many state-of-the-arts deep learning techniques that directly operate on point cloud are being developed. This paper contains a survey of the recent state-of-the-art deep learning techniques that mainly focused on point cloud data. We first briefly discussed the major challenges faced when using deep learning directly on point cloud, we also briefly discussed earlier approaches which overcome the challenges by preprocessing the point cloud into a structured grid. We then give the review of the various state-of-the-art deep learning approaches that directly process point cloud in its unstructured form. We introduced the popular 3D point cloud benchmark datasets. And we also further discussed the application of deep learning in popular 3D vision tasks including classification, segmentation and detection.
In recent years, disinformation including fake news, has became a global phenomenon due to its explosive growth, particularly on social media. The wide spread of disinformation and fake news can cause detrimental societal effects. Despite the recent progress in detecting disinformation and fake news, it is still non-trivial due to its complexity, diversity, multi-modality, and costs of fact-checking or annotation. The goal of this chapter is to pave the way for appreciating the challenges and advancements via: (1) introducing the types of information disorder on social media and examine their differences and connections; (2) describing important and emerging tasks to combat disinformation for characterization, detection and attribution; and (3) discussing a weak supervision approach to detect disinformation with limited labeled data. We then provide an overview of the chapters in this book that represent the recent advancements in three related parts: (1) user engagements in the dissemination of information disorder; (2) techniques on detecting and mitigating disinformation; and (3) trending issues such as ethics, blockchain, clickbaits, etc. We hope this book to be a convenient entry point for researchers, practitioners, and students to understand the problems and challenges, learn state-of-the-art solutions for their specific needs, and quickly identify new research problems in their domains.
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.
ASR (automatic speech recognition) systems like Siri, Alexa, Google Voice or Cortana has become quite popular recently. One of the key techniques enabling the practical use of such systems in people's daily life is deep learning. Though deep learning in computer vision is known to be vulnerable to adversarial perturbations, little is known whether such perturbations are still valid on the practical speech recognition. In this paper, we not only demonstrate such attacks can happen in reality, but also show that the attacks can be systematically conducted. To minimize users' attention, we choose to embed the voice commands into a song, called CommandSong. In this way, the song carrying the command can spread through radio, TV or even any media player installed in the portable devices like smartphones, potentially impacting millions of users in long distance. In particular, we overcome two major challenges: minimizing the revision of a song in the process of embedding commands, and letting the CommandSong spread through the air without losing the voice "command". Our evaluation demonstrates that we can craft random songs to "carry" any commands and the modify is extremely difficult to be noticed. Specially, the physical attack that we play the CommandSongs over the air and record them can success with 94 percentage.
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