Importance: Social determinants of health (SDOH) are known to be associated with increased risk of suicidal behaviors, but few studies utilized SDOH from unstructured electronic health record (EHR) notes. Objective: To investigate associations between suicide and recent SDOH, identified using structured and unstructured data. Design: Nested case-control study. Setting: EHR data from the US Veterans Health Administration (VHA). Participants: 6,122,785 Veterans who received care in the US VHA between October 1, 2010, and September 30, 2015. Exposures: Occurrence of SDOH over a maximum span of two years compared with no occurrence of SDOH. Main Outcomes and Measures: Cases of suicide deaths were matched with 4 controls on birth year, cohort entry date, sex, and duration of follow-up. We developed an NLP system to extract SDOH from unstructured notes. Structured data, NLP on unstructured data, and combining them yielded seven, eight and nine SDOH respectively. Adjusted odds ratios (aORs) and 95% confidence intervals (CIs) were estimated using conditional logistic regression. Results: In our cohort, 8,821 Veterans committed suicide during 23,725,382 person-years of follow-up (incidence rate 37.18 /100,000 person-years). Our cohort was mostly male (92.23%) and white (76.99%). Across the six common SDOH as covariates, NLP-extracted SDOH, on average, covered 84.38% of all SDOH occurrences. All SDOH, measured by structured data and NLP, were significantly associated with increased risk of suicide. The SDOH with the largest effects was legal problems (aOR=2.67, 95% CI=2.46-2.89), followed by violence (aOR=2.26, 95% CI=2.11-2.43). NLP-extracted and structured SDOH were also associated with suicide. Conclusions and Relevance: NLP-extracted SDOH were always significantly associated with increased risk of suicide among Veterans, suggesting the potential of NLP in public health studies.
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Objective: Evictions are involved in a cascade of negative events that can lead to unemployment, homelessness, long-term poverty, and mental health problems. In this study, we developed a natural language processing system to automatically detect eviction incidences and their attributes from electronic health record (EHR) notes. Materials and Methods: We annotated eviction status in 5000 EHR notes from the Veterans Health Administration. We developed a novel model, called Knowledge Injection based on Ripple Effects of Social and Behavioral Determinants of Health (KIRESH), that has shown to substantially outperform other state-of-the-art models such as fine-tuning pre-trained language models like BioBERT and Bio_ClinicalBERT. Moreover, we designed a prompt to further improve the model performance by using the intrinsic connection between the two sub-tasks of eviction presence and period prediction. Finally, we used the Temperature Scaling-based Calibration on our KIRESH-Prompt method to avoid over-confidence issues arising from the imbalance dataset. Results: KIRESH-Prompt achieved a Macro-F1 of 0.6273 (presence) and 0.7115 (period), which was significantly higher than 0.5382 (presence) and 0.67167 (period) for just fine-tuning Bio_ClinicalBERT model. Conclusion and Future Work: KIRESH-Prompt has substantially improved eviction status classification. In future work, we will evaluate the generalizability of the model framework to other applications.
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在许多临床情况下,迫切需要具有自动呼吸声分析能力的可靠,遥远,连续的实时呼吸声监测仪,例如在监测2019年冠状病毒疾病的疾病进展中,以用手持式听觉仪替换常规的听诊。但是,在实际应用中尚未验证强大的计算机呼吸道声音分析算法。 In this study, we developed a lung sound database (HF_Lung_V1) comprising 9,765 audio files of lung sounds (duration of 15 s each), 34,095 inhalation labels, 18,349 exhalation labels, 13,883 continuous adventitious sound (CAS) labels (comprising 8,457 wheeze labels, 686个Stridor标签和4,740个Rhonchi标签)和15,606个不连续的不定声标签(所有crack带)。我们进行了长期短期记忆(LSTM),门控复发单元(GRU),双向LSTM(BILSTM),双向GRU(BIGRU),卷积神经网络(CNN)-LSTM,CNN-GRU,CNN-BILSTM,CNN-BILSTM,CNN-BILSTM,CNN-BILSTM,CNN-GRU,我们进行了基准测试。和CNN-BIGRU模型用于呼气阶段检测和不定声检测。我们还对基于LSTM的模型,单向模型和双向模型以及带有CNN和CNN的模型之间进行了性能比较。结果表明,这些模型在肺部声音分析中表现出足够的性能。在大多数定义任务中,基于GRU的模型在接收器操作特征曲线下的F1分数和区域上优于基于LSTM的模型。此外,所有双向模型的表现都优于其单向对应物。最后,添加CNN提高了肺部声音分析的准确性,尤其是在CAS检测任务中。
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Traditionally, data analysis and theory have been viewed as separate disciplines, each feeding into fundamentally different types of models. Modern deep learning technology is beginning to unify these two disciplines and will produce a new class of predictively powerful space weather models that combine the physical insights gained by data and theory. We call on NASA to invest in the research and infrastructure necessary for the heliophysics' community to take advantage of these advances.
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Regularising the parameter matrices of neural networks is ubiquitous in training deep models. Typical regularisation approaches suggest initialising weights using small random values, and to penalise weights to promote sparsity. However, these widely used techniques may be less effective in certain scenarios. Here, we study the Koopman autoencoder model which includes an encoder, a Koopman operator layer, and a decoder. These models have been designed and dedicated to tackle physics-related problems with interpretable dynamics and an ability to incorporate physics-related constraints. However, the majority of existing work employs standard regularisation practices. In our work, we take a step toward augmenting Koopman autoencoders with initialisation and penalty schemes tailored for physics-related settings. Specifically, we propose the "eigeninit" initialisation scheme that samples initial Koopman operators from specific eigenvalue distributions. In addition, we suggest the "eigenloss" penalty scheme that penalises the eigenvalues of the Koopman operator during training. We demonstrate the utility of these schemes on two synthetic data sets: a driven pendulum and flow past a cylinder; and two real-world problems: ocean surface temperatures and cyclone wind fields. We find on these datasets that eigenloss and eigeninit improves the convergence rate by up to a factor of 5, and that they reduce the cumulative long-term prediction error by up to a factor of 3. Such a finding points to the utility of incorporating similar schemes as an inductive bias in other physics-related deep learning approaches.
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We address the problem of unsupervised domain adaptation when the source domain differs from the target domain because of a shift in the distribution of a latent subgroup. When this subgroup confounds all observed data, neither covariate shift nor label shift assumptions apply. We show that the optimal target predictor can be non-parametrically identified with the help of concept and proxy variables available only in the source domain, and unlabeled data from the target. The identification results are constructive, immediately suggesting an algorithm for estimating the optimal predictor in the target. For continuous observations, when this algorithm becomes impractical, we propose a latent variable model specific to the data generation process at hand. We show how the approach degrades as the size of the shift changes, and verify that it outperforms both covariate and label shift adjustment.
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We introduce camouflaged data poisoning attacks, a new attack vector that arises in the context of machine unlearning and other settings when model retraining may be induced. An adversary first adds a few carefully crafted points to the training dataset such that the impact on the model's predictions is minimal. The adversary subsequently triggers a request to remove a subset of the introduced points at which point the attack is unleashed and the model's predictions are negatively affected. In particular, we consider clean-label targeted attacks (in which the goal is to cause the model to misclassify a specific test point) on datasets including CIFAR-10, Imagenette, and Imagewoof. This attack is realized by constructing camouflage datapoints that mask the effect of a poisoned dataset.
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Large-scale models combining text and images have made incredible progress in recent years. However, they can still fail at tasks requiring compositional knowledge, such as correctly picking out a red cube from a picture of multiple shapes. We examine the ability of CLIP (Radford et al., 2021), to caption images requiring compositional knowledge. We implement five compositional language models to probe the kinds of structure that CLIP may be using, and develop a novel training algorithm, Compositional Skipgram for Images (CoSI), to train these models. We look at performance in attribute-based tasks, requiring the identification of a particular combination of attribute and object (such as "red cube"), and in relational settings, where the spatial relation between two shapes (such as "cube behind sphere") must be identified. We find that in some conditions, CLIP is able to learn attribute-object labellings, and to generalize to unseen attribute-object combinations. However, we also see evidence that CLIP is not able to bind features together reliably. Moreover, CLIP is not able to reliably learn relations between objects, whereas some compositional models are able to learn these perfectly. Of the five models we developed, none were able to generalize to unseen relations.
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We present SODA: the first publicly available, million-scale high-quality social dialogue dataset. Using SODA, we train COSMO: a generalizable conversation agent outperforming previous best-performing agents on both in- and out-of-domain datasets. In contrast to most existing crowdsourced, small-scale dialogue corpora, we distill 1.5M socially-grounded dialogues from a pre-trained language model (InstructGPT; Ouyang et al., 2022). Dialogues are distilled by contextualizing social commonsense knowledge from a knowledge graph (Atomic10x; West et al., 2022). Human evaluation shows that dialogues in SODA are more consistent, specific, and (surprisingly) natural than prior human-authored datasets - e.g., DailyDialog (Li et al., 2017), BlendedSkillTalk (Smith et al., 2020). In addition, extensive evaluations show that COSMO is significantly more natural and consistent on unseen datasets than best-performing dialogue models - e.g., GODEL (Peng et al., 2022), BlenderBot (Roller et al., 2021), DialoGPT (Zhang et al., 2020). Furthermore, it is sometimes even preferred to the original human-written gold responses. We make our data, models, and code public.
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Semi-supervised object detection is important for 3D scene understanding because obtaining large-scale 3D bounding box annotations on point clouds is time-consuming and labor-intensive. Existing semi-supervised methods usually employ teacher-student knowledge distillation together with an augmentation strategy to leverage unlabeled point clouds. However, these methods adopt global augmentation with scene-level transformations and hence are sub-optimal for instance-level object detection. In this work, we propose an object-level point augmentor (OPA) that performs local transformations for semi-supervised 3D object detection. In this way, the resultant augmentor is derived to emphasize object instances rather than irrelevant backgrounds, making the augmented data more useful for object detector training. Extensive experiments on the ScanNet and SUN RGB-D datasets show that the proposed OPA performs favorably against the state-of-the-art methods under various experimental settings. The source code will be available at https://github.com/nomiaro/OPA.
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