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1.
J Clin Monit Comput ; 33(1): 95-105, 2019 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-29556884

RESUMEN

To develop and validate a prediction model for delayed cerebral ischemia (DCI) after subarachnoid hemorrhage (SAH) using a temporal unsupervised feature engineering approach, demonstrating improved precision over standard features. 488 consecutive SAH admissions from 2006 to 2014 to a tertiary care hospital were included. Models were trained on 80%, while 20% were set aside for validation testing. Baseline information and standard grading scales were evaluated: age, sex, Hunt Hess grade, modified Fisher Scale (mFS), and Glasgow Coma Scale (GCS). An unsupervised approach applying random kernels was used to extract features from physiological time series (systolic and diastolic blood pressure, heart rate, respiratory rate, and oxygen saturation). Classifiers (Partial Least Squares, linear and kernel Support Vector Machines) were trained on feature subsets of the derivation dataset. Models were applied to the validation dataset. The performances of the best classifiers on the validation dataset are reported by feature subset. Standard grading scale (mFS): AUC 0.58. Combined demographics and grading scales: AUC 0.60. Random kernel derived physiologic features: AUC 0.74. Combined baseline and physiologic features with redundant feature reduction: AUC 0.77. Current DCI prediction tools rely on admission imaging and are advantageously simple to employ. However, using an agnostic and computationally inexpensive learning approach for high-frequency physiologic time series data, we demonstrated that our models achieve higher classification accuracy.


Asunto(s)
Isquemia Encefálica/diagnóstico por imagen , Diagnóstico por Computador/métodos , Hemorragia Subaracnoidea/diagnóstico por imagen , Anciano , Área Bajo la Curva , Cuidados Críticos , Reacciones Falso Positivas , Femenino , Escala de Coma de Glasgow , Humanos , Análisis de los Mínimos Cuadrados , Masculino , Persona de Mediana Edad , Admisión del Paciente , Valor Predictivo de las Pruebas , Reproducibilidad de los Resultados , Factores de Riesgo , Índice de Severidad de la Enfermedad , Máquina de Vectores de Soporte , Centros de Atención Terciaria , Factores de Tiempo
2.
J Biomed Inform ; 69: 1-9, 2017 05.
Artículo en Inglés | MEDLINE | ID: mdl-28323113

RESUMEN

Identifying topics of discussions in online health communities (OHC) is critical to various information extraction applications, but can be difficult because topics of OHC content are usually heterogeneous and domain-dependent. In this paper, we provide a multi-class schema, an annotated dataset, and supervised classifiers based on convolutional neural network (CNN) and other models for the task of classifying discussion topics. We apply the CNN classifier to the most popular breast cancer online community, and carry out cross-sectional and longitudinal analyses to show topic distributions and topic dynamics throughout members' participation. Our experimental results suggest that CNN outperforms other classifiers in the task of topic classification and identify several patterns and trajectories. For example, although members discuss mainly disease-related topics, their interest may change through time and vary with their disease severities.


Asunto(s)
Neoplasias de la Mama , Internet , Redes Neurales de la Computación , Estudios Transversales , Femenino , Humanos , Participación del Paciente
3.
J Biomed Inform ; 58: 156-165, 2015 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-26464024

RESUMEN

We present the Unsupervised Phenome Model (UPhenome), a probabilistic graphical model for large-scale discovery of computational models of disease, or phenotypes. We tackle this challenge through the joint modeling of a large set of diseases and a large set of clinical observations. The observations are drawn directly from heterogeneous patient record data (notes, laboratory tests, medications, and diagnosis codes), and the diseases are modeled in an unsupervised fashion. We apply UPhenome to two qualitatively different mixtures of patients and diseases: records of extremely sick patients in the intensive care unit with constant monitoring, and records of outpatients regularly followed by care providers over multiple years. We demonstrate that the UPhenome model can learn from these different care settings, without any additional adaptation. Our experiments show that (i) the learned phenotypes combine the heterogeneous data types more coherently than baseline LDA-based phenotypes; (ii) they each represent single diseases rather than a mix of diseases more often than the baseline ones; and (iii) when applied to unseen patient records, they are correlated with the patients' ground-truth disorders. Code for training, inference, and quantitative evaluation is made available to the research community.


Asunto(s)
Registros Electrónicos de Salud , Aprendizaje , Probabilidad , Humanos , Fenotipo
4.
IEEE Trans Pattern Anal Mach Intell ; 45(4): 5314-5321, 2023 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-36094972

RESUMEN

We present ResMLP, an architecture built entirely upon multi-layer perceptrons for image classification. It is a simple residual network that alternates (i) a linear layer in which image patches interact, independently and identically across channels, and (ii) a two-layer feed-forward network in which channels interact independently per patch. When trained with a modern training strategy using heavy data-augmentation and optionally distillation, it attains surprisingly good accuracy/complexity trade-offs on ImageNet. We also train ResMLP models in a self-supervised setup, to further remove priors from employing a labelled dataset. Finally, by adapting our model to machine translation we achieve surprisingly good results. We share pre-trained models and our code based on the Timm library.

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