6 research outputs found

    Using Clinical Notes with Time Series Data for ICU Management

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    Monitoring patients in ICU is a challenging and high-cost task. Hence, predicting the condition of patients during their ICU stay can help provide better acute care and plan the hospital's resources. There has been continuous progress in machine learning research for ICU management, and most of this work has focused on using time series signals recorded by ICU instruments. In our work, we show that adding clinical notes as another modality improves the performance of the model for three benchmark tasks: in-hospital mortality prediction, modeling decompensation, and length of stay forecasting that play an important role in ICU management. While the time-series data is measured at regular intervals, doctor notes are charted at irregular times, making it challenging to model them together. We propose a method to model them jointly, achieving considerable improvement across benchmark tasks over baseline time-series model. Our implementation can be found at \url{https://github.com/kaggarwal/ClinicalNotesICU}.Comment: Accepted at EMNLP 201

    Development of an efficient Computational Model for classification of Tissue remodeling

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    Tissue remodeling is one of the most important and crucial biological process. Process in which tissue reorganization and renovation takes place is called tissue remodeling. Mean of recovery in human beings is tissue remodeling in which damaged tissue are replaced completely with new tissue or through tissue repairmen types physiological and pathological tissue remodeling are two derivatives of Tissue remodeling. Normal Tissue remodeling is referred to as Physiological tissue remodeling, however abnormal process which may lead to a disease is known as pathological tissue remodeling. From past till now different techniques like histopathology and chemicals were being used to identify abnormality in tissues. Which is a time taking and costly processes. There is no such computational method which can be used for the identification of the physiological and pathological tissue remodeling. The current article aims to develop a classification model which has ability to classify weather the given sequence is physiological or pathological process. Three classifiers RF, ANN and SVM will be used for practice and evaluation of proposed classification model

    Clinical Screening Prediction in the Portuguese National Health Service: Data Analysis, Machine Learning Models, Explainability and Meta-Evaluation

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    This paper presents an analysis of the calls made to the Portuguese National Health Contact Center (SNS24) during a three years period. The final goal was to develop a system to help nurse attendants select the appropriate clinical pathway (from 59 options) for each call. It examines several aspects of the calls distribution like age and gender of the user, date and time of the call and final referral, among others and presents comparative results for alternative classification models (SVM and CNN) and different data samples (three months, one and two years data models). For the task of selecting the appropriate pathway, the models, learned on the basis of the available data, achieved F1 values that range between 0.642 (3 months CNN model) and 0.783 (2 years CNN model), with SVM having a more stable performance (between 0.743 and 0.768 for the corresponding data samples). These results are discussed regarding error analysis and possibilities for explaining the system decisions. A final meta evaluation, based on a clinical expert overview, compares the different choices: the nurse attendants (reference ground truth), the expert and the automatic decisions (2 models), revealing a higher agreement between the ML models, followed by their agreement with the clinical expert, and minor agreement with the reference.This research work was funded by FCT—Fundação para a Ciência e a Tecnologia, I.P, within the project SNS24.Scout.IA—Aplicação de Metodologias de Inteligência Artificial e Processamento de Linguagem Natural no Serviço de Triagem, Aconselhamento e Encaminhamento do SNS24 (ref. DSAIPA/AI/0040/2019)
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