Machine learning in healthcare : an investigation into model stability

Current machine learning algorithms, when directly applied to medical data, often fail to provide a good understanding of prognosis. This study provides three pathways to make predictive models stable and usable for healthcare. When tested on heart failure and diabetes patients from a local hospital, this study demonstrated 20% improvement over existing methods.<br /

A comparison of the CAR and DAGAR spatial random effects models with an application to diabetics rate estimation in Belgium

When hierarchically modelling an epidemiological phenomenon on a finite collection of sites in space, one must always take a latent spatial effect into account in order to capture the correlation structure that links the phenomenon to the territory. In this work, we compare two autoregressive spatial models that can be used for this purpose: the classical CAR model and the more recent DAGAR model. Differently from the former, the latter has a desirable property: its ρ parameter can be naturally interpreted as the average neighbor pair correlation and, in addition, this parameter can be directly estimated when the effect is modelled using a DAGAR rather than a CAR structure. As an application, we model the diabetics rate in Belgium in 2014 and show the adequacy of these models in predicting the response variable when no covariates are available

A Statistical Approach to the Alignment of fMRI Data

Multi-subject functional Magnetic Resonance Image studies are critical. The anatomical and functional structure varies across subjects, so the image alignment is necessary. We define a probabilistic model to describe functional alignment. Imposing a prior distribution, as the matrix Fisher Von Mises distribution, of the orthogonal transformation parameter, the anatomical information is embedded in the estimation of the parameters, i.e., penalizing the combination of spatially distant voxels. Real applications show an improvement in the classification and interpretability of the results compared to various functional alignment methods

Generalised latent variable models for location, scale, and shape parameters

Latent Variable Models (LVM) are widely used in social, behavioural, and educational sciences to uncover underlying associations in multivariate data using a smaller number of latent variables. However, the classical LVM framework has certain assumptions that can be restrictive in empirical applications. In particular, the distribution of the observed variables being from the exponential family and the latent variables influencing only the conditional mean of the observed variables. This thesis addresses these limitations and contributes to the current literature in two ways. First, we propose a novel class of models called Generalised Latent Variable Models for Location, Scale, and Shape parameters (GLVM-LSS). These models use linear functions of latent factors to model location, scale, and shape parameters of the items’ conditional distributions. By doing so, we model higher order moments such as variance, skewness, and kurtosis in terms of the latent variables, providing a more flexible framework compared to classical factor models. The model parameters are estimated using maximum likelihood estimation. Second, we address the challenge of interpreting the GLVM-LSS, which can be complex due to its increased number of parameters. We propose a penalised maximum likelihood estimation approach with automatic selection of tuning parameters. This extends previous work on penalised estimation in the LVM literature to cases without closed-form solutions. Our findings suggest that modelling the entire distribution of items, not just the conditional mean, leads to improved model fit and deeper insights into how the items reflect the latent constructs they are intended to measure. To assess the performance of the proposed methods, we conduct extensive simulation studies and apply it to real-world data from educational testing and public opinion research. The results highlight the efficacy of the GLVM-LSS framework in capturing complex relationships between observed variables and latent factors, providing valuable insights for researchers in various fields

Attitudes towards old age and age of retirement across the world: findings from the future of retirement survey

The 21st century has been described as the first era in human history when the world will no longer be young and there will be drastic changes in many aspects of our lives including socio-demographics, financial and attitudes towards the old age and retirement. This talk will introduce briefly about the Global Ageing Survey (GLAS) 2004 and 2005 which is also popularly known as “The Future of Retirement”. These surveys provide us a unique data source collected in 21 countries and territories that allow researchers for better understanding the individual as well as societal changes as we age with regard to savings, retirement and healthcare. In 2004, approximately 10,000 people aged 18+ were surveyed in nine counties and one territory (Brazil, Canada, China, France, Hong Kong, India, Japan, Mexico, UK and USA). In 2005, the number was increased to twenty-one by adding Egypt, Germany, Indonesia, Malaysia, Poland, Russia, Saudi Arabia, Singapore, Sweden, Turkey and South Korea). Moreover, an additional 6320 private sector employers was surveyed in 2005, some 300 in each country with a view to elucidating the attitudes of employers to issues relating to older workers. The paper aims to examine the attitudes towards the old age and retirement across the world and will indicate some policy implications

Computer modeling and signal analysis of cardiovascular physiology

This dissertation aims to study cardiovascular physiology from the cellular level to the whole heart level to the body level using numerical approaches. A mathematical model was developed to describe electromechanical interaction in the heart. The model integrates cardio-electrophysiology and cardiac mechanics through excitation-induced contraction and deformation-induced currents. A finite element based parallel simulation scheme was developed to investigate coupled electrical and mechanical functions. The developed model and numerical scheme were utilized to study cardiovascular dynamics at cellular, tissue and organ levels. The influence of ion channel blockade on cardiac alternans was investigated. It was found that the channel blocker may significantly change the critical pacing period corresponding to the onset of alternans as well as the alternans’ amplitude. The influence of electro-mechanical coupling on cardiac alternans was also investigated. The study supported the earlier assumptions that discordant alternans is induced by the interaction of conduction velocity and action potential duration restitution at high pacing rates. However, mechanical contraction may influence the spatial pattern and onset of discordant alternans. Computer algorithms were developed for analysis of human physiology. The 12-lead electrocardiography (ECG) is the gold standard for diagnosis of various cardiac abnormalities. However, disturbances and mistakes may modify physiological waves in ECG and lead to wrong diagnoses. This dissertation developed advanced signal analysis techniques and computer software to detect and suppress artifacts and errors in ECG. These algorithms can help to improve the quality of health care when integrated into medical devices or services. Moreover, computer algorithms were developed to predict patient mortality in intensive care units using various physiological measures. Models and analysis techniques developed here may help to improve the quality of health care