Transforming to Yoked Neural Networks to Improve ANN Structure

Most existing classical artificial neural networks (ANN) are designed as a tree structure to imitate neural networks. In this paper, we argue that the connectivity of a tree is not sufficient to characterize a neural network. The nodes of the same level of a tree cannot be connected with each other, i.e., these neural unit cannot share information with each other, which is a major drawback of ANN. Although ANN has been significantly improved in recent years to more complex structures, such as the directed acyclic graph (DAG), these methods also have unidirectional and acyclic bias for ANN. In this paper, we propose a method to build a bidirectional complete graph for the nodes in the same level of an ANN, which yokes the nodes of the same level to formulate a neural module. We call our model as YNN in short. YNN promotes the information transfer significantly which obviously helps in improving the performance of the method. Our YNN can imitate neural networks much better compared with the traditional ANN. In this paper, we analyze the existing structural bias of ANN and propose a model YNN to efficiently eliminate such structural bias. In our model, nodes also carry out aggregation and transformation of features, and edges determine the flow of information. We further impose auxiliary sparsity constraint to the distribution of connectedness, which promotes the learned structure to focus on critical connections. Finally, based on the optimized structure, we also design small neural module structure based on the minimum cut technique to reduce the computational burden of the YNN model. This learning process is compatible with the existing networks and different tasks. The obtained quantitative experimental results reflect that the learned connectivity is superior to the traditional NN structure.Comment: arXiv admin note: text overlap with arXiv:2008.08261 by other authors. arXiv admin note: text overlap with arXiv:2008.08261 by other author

People Talking and AI Listening: How Stigmatizing Language in EHR Notes Affect AI Performance

Electronic health records (EHRs) serve as an essential data source for the envisioned artificial intelligence (AI)-driven transformation in healthcare. However, clinician biases reflected in EHR notes can lead to AI models inheriting and amplifying these biases, perpetuating health disparities. This study investigates the impact of stigmatizing language (SL) in EHR notes on mortality prediction using a Transformer-based deep learning model and explainable AI (XAI) techniques. Our findings demonstrate that SL written by clinicians adversely affects AI performance, particularly so for black patients, highlighting SL as a source of racial disparity in AI model development. To explore an operationally efficient way to mitigate SL's impact, we investigate patterns in the generation of SL through a clinicians' collaborative network, identifying central clinicians as having a stronger impact on racial disparity in the AI model. We find that removing SL written by central clinicians is a more efficient bias reduction strategy than eliminating all SL in the entire corpus of data. This study provides actionable insights for responsible AI development and contributes to understanding clinician behavior and EHR note writing in healthcare.Comment: 54 pages, 9 figure