Explainable AI for Classifying UTI Risk Groups Using a Real-World Linked EHR and Pathology Lab Dataset

The use of machine learning and AI on electronic health records (EHRs) holds substantial potential for clinical insight. However, this approach faces significant challenges due to data heterogeneity, sparsity, temporal misalignment, and limited labeled outcomes. In this context, we leverage a linked EHR dataset of approximately one million de-identified individuals from Bristol, North Somerset, and South Gloucestershire, UK, to characterize urinary tract infections (UTIs) and develop predictive models focused on data quality, fairness and transparency. A comprehensive data pre-processing and curation pipeline transforms the raw EHR data into a structured format suitable for AI modeling. Given the limited availability and biases of ground truth UTI outcomes, we introduce a UTI risk estimation framework informed by clinical expertise to estimate UTI risk across individual patient timelines. Using this framework, we built pairwise XGBoost models to differentiate UTI risk categories with explainable AI techniques to identify key predictors while ensuring interpretability. Our findings reveal differences in clinical and demographic factors across risk groups, offering insights into UTI risk stratification and progression. This study demonstrates the added value of AI-driven insights into UTI clinical decision-making while prioritizing interpretability, transparency, and fairness, underscoring the importance of sound data practices in advancing health outcomes.

Are you Struggling? Dataset and Baselines for Struggle Determination in Assembly Videos

Determining when people are struggling from video enables a finer-grained understanding of actions and opens opportunities for building intelligent support visual interfaces. In this paper, we present a new dataset with three assembly activities and corresponding performance baselines for the determination of struggle from video. Three real-world problem-solving activities including assembling plumbing pipes (Pipes-Struggle), pitching camping tents (Tent-Struggle) and solving the Tower of Hanoi puzzle (Tower-Struggle) are introduced. Video segments were scored w.r.t. the level of struggle as perceived by annotators using a forced choice 4-point scale. Each video segment was annotated by a single expert annotator in addition to crowd-sourced annotations. The dataset is the first struggle annotation dataset and contains 5.1 hours of video and 725,100 frames from 73 participants in total. We evaluate three decision-making tasks: struggle classification, struggle level regression, and struggle label distribution learning. We provide baseline results for each of the tasks utilising several mainstream deep neural networks, along with an ablation study and visualisation of results. Our work is motivated toward assistive systems that analyze struggle, support users during manual activities and encourage learning, as well as other video understanding competencies.