Deepr: A Convolutional Net for Medical Records

Feature engineering remains a major bottleneck when creating predictive systems from electronic medical records. At present, an important missing element is detecting predictive regular clinical motifs from irregular episodic records. We present Deepr (short for Deep record), a new end-to-end deep learning system that learns to extract features from medical records and predicts future risk automatically. Deepr transforms a record into a sequence of discrete elements separated by coded time gaps and hospital transfers. On top of the sequence is a convolutional neural net that detects and combines predictive local clinical motifs to stratify the risk. Deepr permits transparent inspection and visualization of its inner working. We validate Deepr on hospital data to predict unplanned readmission after discharge. Deepr achieves superior accuracy compared to traditional techniques, detects meaningful clinical motifs, and uncovers the underlying structure of the disease and intervention space

Chronic-Pain Protective Behavior Detection with Deep Learning

In chronic pain rehabilitation, physiotherapists adapt physical activity to patients' performance based on their expression of protective behavior, gradually exposing them to feared but harmless and essential everyday activities. As rehabilitation moves outside the clinic, technology should automatically detect such behavior to provide similar support. Previous works have shown the feasibility of automatic protective behavior detection (PBD) within a specific activity. In this paper, we investigate the use of deep learning for PBD across activity types, using wearable motion capture and surface electromyography data collected from healthy participants and people with chronic pain. We approach the problem by continuously detecting protective behavior within an activity rather than estimating its overall presence. The best performance reaches mean F1 score of 0.82 with leave-one-subject-out cross validation. When protective behavior is modelled per activity type, performance is mean F1 score of 0.77 for bend-down, 0.81 for one-leg-stand, 0.72 for sit-to-stand, 0.83 for stand-to-sit, and 0.67 for reach-forward. This performance reaches excellent level of agreement with the average experts' rating performance suggesting potential for personalized chronic pain management at home. We analyze various parameters characterizing our approach to understand how the results could generalize to other PBD datasets and different levels of ground truth granularity.Comment: 24 pages, 12 figures, 7 tables. Accepted by ACM Transactions on Computing for Healthcar

Understanding and Measuring Psychological Stress using Social Media

A body of literature has demonstrated that users' mental health conditions, such as depression and anxiety, can be predicted from their social media language. There is still a gap in the scientific understanding of how psychological stress is expressed on social media. Stress is one of the primary underlying causes and correlates of chronic physical illnesses and mental health conditions. In this paper, we explore the language of psychological stress with a dataset of 601 social media users, who answered the Perceived Stress Scale questionnaire and also consented to share their Facebook and Twitter data. Firstly, we find that stressed users post about exhaustion, losing control, increased self-focus and physical pain as compared to posts about breakfast, family-time, and travel by users who are not stressed. Secondly, we find that Facebook language is more predictive of stress than Twitter language. Thirdly, we demonstrate how the language based models thus developed can be adapted and be scaled to measure county-level trends. Since county-level language is easily available on Twitter using the Streaming API, we explore multiple domain adaptation algorithms to adapt user-level Facebook models to Twitter language. We find that domain-adapted and scaled social media-based measurements of stress outperform sociodemographic variables (age, gender, race, education, and income), against ground-truth survey-based stress measurements, both at the user- and the county-level in the U.S. Twitter language that scores higher in stress is also predictive of poorer health, less access to facilities and lower socioeconomic status in counties. We conclude with a discussion of the implications of using social media as a new tool for monitoring stress levels of both individuals and counties.Comment: Accepted for publication in the proceedings of ICWSM 201