Machine learning models are vulnerable to adversarial inputs that induce seemingly unjustifiable errors. As automated classifiers are increasingly used in industrial control systems and machinery, these adversarial errors could grow to be a serious problem. Despite numerous studies over the past few years, the field of adversarial ML is still considered alchemy, with no practical unbroken defenses demonstrated to date, leaving PHM practitioners with few meaningful ways of addressing the problem. We introduce turbidity detection as a practical superset of the adversarial input detection problem, coping with adversarial campaigns rather than statistically invisible one-offs. This perspective is coupled with ROC-theoretic design guidance that prescribes an inexpensive domain adaptation layer at the output of a deep learning model during an attack campaign. The result aims to approximate the Bayes optimal mitigation that ameliorates the detection model's degraded health. A proactively reactive type of prognostics is achieved via Monte Carlo simulation of various adversarial campaign scenarios, by sampling from the model's own turbidity distribution to quickly deploy the correct mitigation during a real-world campaign.
Advancements in sensing and computing technologies, the development of human and computer interaction frameworks, big data storage capabilities, and the emergence of cloud storage and could computing have resulted in an abundance of data in the modern industry. This data availability has encouraged researchers and industry practitioners to rely on data-based machine learning, especially deep learning, models for fault diagnostics and prognostics more than ever. These models provide unique advantages, however, their performance is heavily dependent on the training data and how well that data re…
State University of New York at Binghamton（纽约州立大学宾汉姆顿分校）；Virtua Health（Virtua医疗集团）
Post-discharge care management coordinates patients' referrals to improve their health after being discharged from hospitals, especially elderly and chronically ill patients. In a care management setting, health referrals are processed by a specialized unit in the managed care organization (MCO), which interacts with many other entities including inpatient hospitals, insurance companies, and post-discharge care providers. In this paper, a machine-learning-guided discrete event simulation framework to improve health referrals processing is proposed. Random-forest-based prediction models are dev…
Northeastern University（东北大学）；University of Maryland（马里兰大学）；New York University School of Medicine（纽约大学医学院）；NYU Langone Health（纽约大学朗格尼健康中心）
Comorbid chronic conditions are common among people with type 2 diabetes. We developed an Artificial Intelligence algorithm, based on Reinforcement Learning (RL), for personalized diabetes and multi-morbidity management with strong potential to improve health outcomes relative to current clinical practice. In this paper, we modeled glycemia, blood pressure and cardiovascular disease (CVD) risk as health outcomes using a retrospective cohort of 16,665 patients with type 2 diabetes from New York University Langone Health ambulatory care electronic health records in 2009 to 2017. We trained a RL …
Diabetes is a major public health problem in the United States, affecting roughly 30 million people. Diabetes complications, along with the mental health comorbidities that often co-occur with them, are major drivers of high healthcare costs, poor outcomes, and reduced treatment adherence in diabetes. Here, we evaluate in a large state-wide population whether we can use artificial intelligence (AI) techniques to identify clusters of patient trajectories within the broader diabetes population in order to create cost-effective, narrowly-focused case management intervention strategies to reduce d…
Center for Risk and Reliability, University of Maryland, College Park（马里兰大学帕克分校风险与可靠性中心）；Civil and Environmental Engineering Department & Garrick Institute for the Risk Sciences, University of California, Los Angeles（加州大学洛杉矶分校土木与环境工程系及加里克风险科学研究所）
Sensor monitoring networks and advances in big data analytics have guided the reliability engineering landscape to a new era of big machinery data. Low-cost sensors, along with the evolution of the internet of things and industry 4.0, have resulted in rich databases that can be analyzed through prognostics and health management (PHM) frameworks. Several da-ta-driven models (DDMs) have been proposed and applied for diagnostics and prognostics purposes in complex systems. However, many of these models are developed using simulated or experimental data sets, and there is still a knowledge gap for…
AmarDoctor: An AI-Driven, Multilingual, Voice-Interactive Digital Health Application for Primary Care Triage and Patient Management to Bridge the Digital Health Divide for Bengali Speakers
MedAi Bangladesh Limited（MedAi孟加拉有限公司）；Central Police Hospital, Dhaka, Bangladesh（达卡警察医院）；University of Birmingham, UK（英国伯明翰大学）
Test-Time Learning and Inference-Time Deliberation for Efficiency-First Offline Reinforcement Learning in Care Coordination and Population Health Management
The potential of Reinforcement Learning (RL) has been demonstrated through successful applications to games such as Go and Atari. However, while it is straightforward to evaluate the performance of an RL algorithm in a game setting by simply using it to play the game, evaluation is a major challenge in clinical settings where it could be unsafe to follow RL policies in practice. Thus, understanding sensitivity of RL policies to the host of decisions made during implementation is an important step toward building the type of trust in RL required for eventual clinical uptake. In this work, we pe…
Blue Health Intelligence（蓝健康智能公司）；University of Illinois School of Public Health（伊利诺伊大学公共卫生学院）；Loyola University of Chicago（芝加哥洛约拉大学）
Due to escalating healthcare costs, accurately predicting which patients will incur high costs is an important task for payers and providers of healthcare. High-cost claimants (HiCCs) are patients who have annual costs above $\$250,000$ and who represent just 0.16% of the insured population but currently account for 9% of all healthcare costs. In this study, we aimed to develop a high-performance algorithm to predict HiCCs to inform a novel care management system. Using health insurance claims from 48 million people and augmented with census data, we applied machine learning to train binary cl…
Federated Data Analytics for Cancer Immunotherapy: A Privacy-Preserving Collaborative Platform for Patient Management
Faculty of Computers & Artificial Intelligence, Cairo University（开罗大学计算机与人工智能学院）；Scientific Academy for Service Technology e.V. (ServTech)（服务技术科学学会）；University of New South Wales（新南威尔士大学）；University of Macquarie（麦考瑞大学）；Egypt University of Informatics（埃及信息学大学）
Wearable devices that integrate multiple sensors, processors, and communication technologies have the potential to transform mobile health for remote monitoring of health parameters. However, the small form factor of the wearable devices limits the battery size and operating lifetime. As a result, the devices require frequent recharging, which has limited their widespread adoption. Energy harvesting has emerged as an effective method towards sustainable operation of wearable devices. Unfortunately, energy harvesting alone is not sufficient to fulfill the energy requirements of wearable devices…
Indraprastha Institute of Information Technology Delhi（英迪拉普拉斯塔信息技术学院德里校区）；Shiv Nadar University（希夫纳达尔大学）
The COVID-19 pandemic has put immense pressure on health systems which are further strained due to the misinformation surrounding it. Under such a situation, providing the right information at the right time is crucial. There is a growing demand for the management of information spread using Artificial Intelligence. Hence, we have exploited the potential of Natural Language Processing for identifying relevant information that needs to be disseminated amongst the masses. In this work, we present a novel Cross-lingual Natural Language Processing framework to provide relevant information by match…
Hybrid Adaptive Conformal Offline Reinforcement Learning for Fair Population Health Management
Waymark, San Francisco, CA, USA（Waymark）；San Francisco General Hospital, University of California San Francisco, San Francisco, CA, USA（旧金山通用医院，加州大学旧金山分校）；University of California San Francisco, San Francisco, CA, USA（加州大学旧金山分校）；University of Pennsylvania, Philadelphia, PA, USA（宾夕法尼亚大学）
Alexandria University（亚历山大大学）；Egypt-Japan University of Science and Technology (E-JUST)（埃及日本科学技术大学）
Asset health monitoring continues to be of increasing importance on productivity, reliability, and cost reduction. Early Fault detection is a keystone of health management as part of the emerging Prognostics and Health Management (PHM) philosophy. This paper proposes a Hidden Markov Model (HMM) to assess the machine health degradation. using Principal Component Analysis (PCA) to enhance features extracted from vibration signals is considered. The enhanced features capture the second order structure of the data. The experimental results based on a bearing test bed show the plausibility of the p…
Southampton Business School, University of Southampton（南安普顿大学南安普顿商学院）；Pontificia Universidad Javeriana（哈维里亚那天主教大学）；The University of Western Ontario（西安大略大学）；Mathematical Sciences, University of Southampton（南安普顿大学数学科学学院）
Low attendance levels in medical appointments have been associated with poor health outcomes and efficiency problems for service providers. To address this problem, healthcare managers could aim at improving attendance levels or minimizing the operational impact of no-shows by adapting resource allocation policies. However, given the uncertainty of patient behaviour, generating relevant information regarding no-show probabilities could support the decision-making process for both approaches. In this context many researchers have used multiple regression models to identify patient and appointme…
Departamento de Ciencias de la Computación e Inteligencia Artificial（计算机科学与人工智能系）；Datrik Intelligence, S.A.（Datrik智能股份公司）；Universidad de Sevilla（塞维利亚大学）
The aim of Predictive Maintenance, within the field of Prognostics and Health Management (PHM), is to identify and anticipate potential issues in the equipment before these become critical. The main challenge to be addressed is to assess the amount of time a piece of equipment will function effectively before it fails, which is known as Remaining Useful Life (RUL). Deep Learning (DL) models, such as Deep Convolutional Neural Networks (DCNN) and Long Short-Term Memory (LSTM) networks, have been widely adopted to address the task, with great success. However, it is well known that this kind of b…
