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The delayed access to specialized psychiatric assessments and care for patients at risk of suicidal tendencies in emergency departments creates a notable gap in timely intervention, hindering the provision of adequate mental health support during critical situations. To address this, we present a non-invasive, speech-based approach for automatic suicide risk assessment. For our study, we collected a novel speech recording dataset from $20$ patients. We extract three sets of features, including wav2vec, interpretable speech and acoustic features, and deep learning-based spectral representations. We proceed by conducting a binary classification to assess suicide risk in a leave-one-subject-out fashion. Our most effective speech model achieves a balanced accuracy of $66.2\,\%$. Moreover, we show that integrating our speech model with a series of patients' metadata, such as the history of suicide attempts or access to firearms, improves the overall result. The metadata integration yields a balanced accuracy of $94.4\,\%$, marking an absolute improvement of $28.2\,\%$, demonstrating the efficacy of our proposed approaches for automatic suicide risk assessment in emergency medicine.

Visual-language models have advanced the development of universal models, yet their application in medical imaging remains constrained by specific functional requirements and the limited data. Current general-purpose models are typically designed with task-specific branches and heads, which restricts the shared feature space and the flexibility of model. To address these challenges, we have developed a decomposed-composed universal medical imaging paradigm (UniMed) that supports tasks at all levels. To this end, we first propose a decomposed decoder that can predict two types of outputs -- pixel and semantic, based on a defined input queue. Additionally, we introduce a composed decoder that unifies the input and output spaces and standardizes task annotations across different levels into a discrete token format. The coupled design of these two components enables the model to flexibly combine tasks and mutual benefits. Moreover, our joint representation learning strategy skilfully leverages large amounts of unlabeled data and unsupervised loss, achieving efficient one-stage pretraining for more robust performance. Experimental results show that UniMed achieves state-of-the-art performance on eight datasets across all three tasks and exhibits strong zero-shot and 100-shot transferability. We will release the code and trained models upon the paper's acceptance.

Classical neural networks with random initialization famously behave as Gaussian processes in the limit of many neurons, which allows one to completely characterize their training and generalization behavior. No such general understanding exists for quantum neural networks (QNNs), which -- outside of certain special cases -- are known to not behave as Gaussian processes when randomly initialized. We here prove that QNNs and their first two derivatives instead generally form what we call "Wishart processes," where certain algebraic properties of the network determine the hyperparameters of the process. This Wishart process description allows us to, for the first time: give necessary and sufficient conditions for a QNN architecture to have a Gaussian process limit; calculate the full gradient distribution, generalizing previously known barren plateau results; and calculate the local minima distribution of algebraically constrained QNNs. Our unified framework suggests a certain simple operational definition for the "trainability" of a given QNN model using a newly introduced, experimentally accessible quantity we call the "degrees of freedom" of the network architecture.

Patient trajectories from electronic health records are widely used to predict potential outcomes of treatments over time, which then allows to personalize care. Yet, existing neural methods for this purpose have a key limitation: while some adjust for time-varying confounding, these methods assume that the time series are recorded in discrete time. In other words, they are constrained to settings where measurements and treatments are conducted at fixed time steps, even though this is unrealistic in medical practice. In this work, we aim to predict potential outcomes in continuous time. The latter is of direct practical relevance because it allows for modeling patient trajectories where measurements and treatments take place at arbitrary, irregular timestamps. We thus propose a new method called stabilized continuous time inverse propensity network (SCIP-Net). For this, we further derive stabilized inverse propensity weights for robust prediction of the potential outcomes. To the best of our knowledge, our SCIP-Net is the first neural method that performs proper adjustments for time-varying confounding in continuous time.

Smart medical devices are an integral component of the healthcare Internet of Things (IoT), providing patients with various healthcare services through an IoT-based application. Ensuring the dependability of such applications through system and integration-level testing mandates the physical integration of numerous medical devices, which is costly and impractical. In this context, digital twins of medical devices play an essential role in facilitating testing automation. Testing with digital twins without accounting for uncertain environmental factors of medical devices leaves many functionalities of IoT-based healthcare applications untested. In addition, digital twins operating without environmental factors remain out of sync and uncalibrated with their corresponding devices functioning in the real environment. To deal with these challenges, in this paper, we propose a model-based approach (EnvDT) for modeling and simulating the environment of medical devices' digital twins under uncertainties. We empirically evaluate the EnvDT using three medicine dispensers, Karie, Medido, and Pilly connected to a real-world IoT-based healthcare application. Our evaluation targets analyzing the coverage of environment models and the diversity of uncertain scenarios generated for digital twins. Results show that EnvDT achieves approximately 61% coverage of environment models and generates diverse uncertain scenarios (with a near-maximum diversity value of 0.62) during multiple environmental simulations.

Recent studies reveal that well-performing reinforcement learning (RL) agents in training often lack resilience against adversarial perturbations during deployment. This highlights the importance of building a robust agent before deploying it in the real world. Most prior works focus on developing robust training-based procedures to tackle this problem, including enhancing the robustness of the deep neural network component itself or adversarially training the agent on strong attacks. In this work, we instead study an input transformation-based defense for RL. Specifically, we propose using a variant of vector quantization (VQ) as a transformation for input observations, which is then used to reduce the space of adversarial attacks during testing, resulting in the transformed observations being less affected by attacks. Our method is computationally efficient and seamlessly integrates with adversarial training, further enhancing the robustness of RL agents against adversarial attacks. Through extensive experiments in multiple environments, we demonstrate that using VQ as the input transformation effectively defends against adversarial attacks on the agent's observations.

The complexity of the cardiovascular system needs to be accurately reproduced in order to promptly acknowledge health conditions; to this aim, advanced multifidelity and multiphysics numerical models are crucial. On one side, Full Order Models (FOMs) deliver accurate hemodynamic assessments, but their high computational demands hinder their real-time clinical application. In contrast, ROMs provide more efficient yet accurate solutions, essential for personalized healthcare and timely clinical decision-making. In this work, we explore the application of computational fluid dynamics (CFD) in cardiovascular medicine by integrating FOMs with ROMs for predicting the risk of aortic aneurysm growth and rupture. Wall Shear Stress (WSS) and the Oscillatory Shear Index (OSI), sampled at different growth stages of the abdominal aortic aneurysm, are predicted by means of Graph Neural Networks (GNNs). GNNs exploit the natural graph structure of the mesh obtained by the Finite Volume (FV) discretization, taking into account the spatial local information, regardless of the dimension of the input graph. Our experimental validation framework yields promising results, confirming our method as a valid alternative that overcomes the curse of dimensionality.

Graph Convolutional Network (GCN) has achieved extraordinary success in learning effective task-specific representations of nodes in graphs. However, regarding Heterogeneous Information Network (HIN), existing HIN-oriented GCN methods still suffer from two deficiencies: (1) they cannot flexibly explore all possible meta-paths and extract the most useful ones for a target object, which hinders both effectiveness and interpretability; (2) they often need to generate intermediate meta-path based dense graphs, which leads to high computational complexity. To address the above issues, we propose an interpretable and efficient Heterogeneous Graph Convolutional Network (ie-HGCN) to learn the representations of objects in HINs. It is designed as a hierarchical aggregation architecture, i.e., object-level aggregation first, followed by type-level aggregation. The novel architecture can automatically extract useful meta-paths for each object from all possible meta-paths (within a length limit), which brings good model interpretability. It can also reduce the computational cost by avoiding intermediate HIN transformation and neighborhood attention. We provide theoretical analysis about the proposed ie-HGCN in terms of evaluating the usefulness of all possible meta-paths, its connection to the spectral graph convolution on HINs, and its quasi-linear time complexity. Extensive experiments on three real network datasets demonstrate the superiority of ie-HGCN over the state-of-the-art methods.

Few-shot Knowledge Graph (KG) completion is a focus of current research, where each task aims at querying unseen facts of a relation given its few-shot reference entity pairs. Recent attempts solve this problem by learning static representations of entities and references, ignoring their dynamic properties, i.e., entities may exhibit diverse roles within task relations, and references may make different contributions to queries. This work proposes an adaptive attentional network for few-shot KG completion by learning adaptive entity and reference representations. Specifically, entities are modeled by an adaptive neighbor encoder to discern their task-oriented roles, while references are modeled by an adaptive query-aware aggregator to differentiate their contributions. Through the attention mechanism, both entities and references can capture their fine-grained semantic meanings, and thus render more expressive representations. This will be more predictive for knowledge acquisition in the few-shot scenario. Evaluation in link prediction on two public datasets shows that our approach achieves new state-of-the-art results with different few-shot sizes.

Deep neural networks (DNNs) have been found to be vulnerable to adversarial examples resulting from adding small-magnitude perturbations to inputs. Such adversarial examples can mislead DNNs to produce adversary-selected results. Different attack strategies have been proposed to generate adversarial examples, but how to produce them with high perceptual quality and more efficiently requires more research efforts. In this paper, we propose AdvGAN to generate adversarial examples with generative adversarial networks (GANs), which can learn and approximate the distribution of original instances. For AdvGAN, once the generator is trained, it can generate adversarial perturbations efficiently for any instance, so as to potentially accelerate adversarial training as defenses. We apply AdvGAN in both semi-whitebox and black-box attack settings. In semi-whitebox attacks, there is no need to access the original target model after the generator is trained, in contrast to traditional white-box attacks. In black-box attacks, we dynamically train a distilled model for the black-box model and optimize the generator accordingly. Adversarial examples generated by AdvGAN on different target models have high attack success rate under state-of-the-art defenses compared to other attacks. Our attack has placed the first with 92.76% accuracy on a public MNIST black-box attack challenge.