Two-layer retrieval augmented generation framework for low-resource medical question-answering: proof of concept using Reddit data

Retrieval augmented generation (RAG) provides the capability to constrain generative model outputs, and mitigate the possibility of hallucination, by providing relevant in-context text. The number of tokens a generative large language model (LLM) can incorporate as context is finite, thus limiting the volume of knowledge from which to generate an answer. We propose a two-layer RAG framework for query-focused answer generation and evaluate a proof-of-concept for this framework in the context of query-focused summary generation from social media forums, focusing on emerging drug-related information. The evaluations demonstrate the effectiveness of the two-layer framework in resource constrained settings to enable researchers in obtaining near real-time data from users.

Evaluating Large Language Models for Health-Related Text Classification Tasks with Public Social Media Data

Large language models (LLMs) have demonstrated remarkable success in NLP tasks. However, there is a paucity of studies that attempt to evaluate their performances on social media-based health-related natural language processing tasks, which have traditionally been difficult to achieve high scores in. We benchmarked one supervised classic machine learning model based on Support Vector Machines (SVMs), three supervised pretrained language models (PLMs) based on RoBERTa, BERTweet, and SocBERT, and two LLM based classifiers (GPT3.5 and GPT4), across 6 text classification tasks. We developed three approaches for leveraging LLMs for text classification: employing LLMs as zero-shot classifiers, us-ing LLMs as annotators to annotate training data for supervised classifiers, and utilizing LLMs with few-shot examples for augmentation of manually annotated data. Our comprehensive experiments demonstrate that employ-ing data augmentation using LLMs (GPT-4) with relatively small human-annotated data to train lightweight supervised classification models achieves superior results compared to training with human-annotated data alone. Supervised learners also outperform GPT-4 and GPT-3.5 in zero-shot settings. By leveraging this data augmentation strategy, we can harness the power of LLMs to develop smaller, more effective domain-specific NLP models. LLM-annotated data without human guidance for training light-weight supervised classification models is an ineffective strategy. However, LLM, as a zero-shot classifier, shows promise in excluding false negatives and potentially reducing the human effort required for data annotation. Future investigations are imperative to explore optimal training data sizes and the optimal amounts of augmented data.

Learning from Two Decades of Blood Pressure Data: Demography-Specific Patterns Across 75 Million Patient Encounters

Hypertension remains a global health concern with a rising prevalence, necessitating effective monitoring and understanding of blood pressure (BP) dynamics. This study delves into the wealth of information derived from BP measurement, a crucial approach in informing our understanding of hypertensive trends. Numerous studies have reported on the relationship between BP variation and various factors. In this research, we leveraged an extensive dataset comprising 75 million records spanning two decades, offering a unique opportunity to explore and analyze BP variations across demographic features such as age, race, and gender. Our findings revealed that gender-based BP variation was not statistically significant, challenging conventional assumptions. Interestingly, systolic blood pressure (SBP) consistently increased with age, while diastolic blood pressure (DBP) displayed a distinctive peak in the forties age group. Moreover, our analysis uncovered intriguing similarities in the distribution of BP among some of the racial groups. This comprehensive investigation contributes to the ongoing discourse on hypertension and underscores the importance of considering diverse demographic factors in understanding BP variations. Our results provide valuable insights that may inform personalized healthcare approaches tailored to specific demographic profiles.

Leveraging Large Language Models for Analyzing Blood Pressure Variations Across Biological Sex from Scientific Literature

Hypertension, defined as blood pressure (BP) that is above normal, holds paramount significance in the realm of public health, as it serves as a critical precursor to various cardiovascular diseases (CVDs) and significantly contributes to elevated mortality rates worldwide. However, many existing BP measurement technologies and standards might be biased because they do not consider clinical outcomes, comorbidities, or demographic factors, making them inconclusive for diagnostic purposes. There is limited data-driven research focused on studying the variance in BP measurements across these variables. In this work, we employed GPT-35-turbo, a large language model (LLM), to automatically extract the mean and standard deviation values of BP for both males and females from a dataset comprising 25 million abstracts sourced from PubMed. 993 article abstracts met our predefined inclusion criteria (i.e., presence of references to blood pressure, units of blood pressure such as mmHg, and mention of biological sex). Based on the automatically-extracted information from these articles, we conducted an analysis of the variations of BP values across biological sex. Our results showed the viability of utilizing LLMs to study the BP variations across different demographic factors.

Few-Shot Recognition and Classification of Jamming Signal via CGAN-Based Fusion CNN Algorithm

The precise classification of jamming signals holds paramount significance in the effective implementation of anti-jamming strategies within communication systems subject to intricate environmental variables. In light of this imperative, we propose an innovative fusion algorithm based on conditional generative adversarial network (CGAN) and convolutional neural network (CNN) to solve the problem of difficulty in applying deep learning (DL) algorithms due to the instantaneous nature of jamming signals in practical communication systems. Compared with previous methods, our algorithm achieved an 8% improvement in accuracy even when working with a limited dataset. Unlike previous research, we have simulated real-world satellite communication scenarios using a hardware platform and validated our algorithm using the resulting time-domain waveform data. The experimental results indicate that our algorithm still performs extremely well, which demonstrates significant potential for practical application in real-world communication scenarios.

Generalizable Natural Language Processing Framework for Migraine Reporting from Social Media

Migraine is a high-prevalence and disabling neurological disorder. However, information migraine management in real-world settings could be limited to traditional health information sources. In this paper, we (i) verify that there is substantial migraine-related chatter available on social media (Twitter and Reddit), self-reported by migraine sufferers; (ii) develop a platform-independent text classification system for automatically detecting self-reported migraine-related posts, and (iii) conduct analyses of the self-reported posts to assess the utility of social media for studying this problem. We manually annotated 5750 Twitter posts and 302 Reddit posts. Our system achieved an F1 score of 0.90 on Twitter and 0.93 on Reddit. Analysis of information posted by our 'migraine cohort' revealed the presence of a plethora of relevant information about migraine therapies and patient sentiments associated with them. Our study forms the foundation for conducting an in-depth analysis of migraine-related information using social media data.

Few-shot learning for medical text: A systematic review

Objective: Few-shot learning (FSL) methods require small numbers of labeled instances for training. As many medical topics have limited annotated textual data in practical settings, FSL-based natural language processing (NLP) methods hold substantial promise. We aimed to conduct a systematic review to explore the state of FSL methods for medical NLP. Materials and Methods: We searched for articles published between January 2016 and August 2021 using PubMed/Medline, Embase, ACL Anthology, and IEEE Xplore Digital Library. To identify the latest relevant methods, we also searched other sources such as preprint servers (eg., medRxiv) via Google Scholar. We included all articles that involved FSL and any type of medical text. We abstracted articles based on data source(s), aim(s), training set size(s), primary method(s)/approach(es), and evaluation method(s). Results: 31 studies met our inclusion criteria-all published after 2018; 22 (71%) since 2020. Concept extraction/named entity recognition was the most frequently addressed task (13/31; 42%), followed by text classification (10/31; 32%). Twenty-one (68%) studies reconstructed existing datasets to create few-shot scenarios synthetically, and MIMIC-III was the most frequently used dataset (7/31; 23%). Common methods included FSL with attention mechanisms (12/31; 39%), prototypical networks (8/31; 26%), and meta-learning (6/31; 19%). Discussion: Despite the potential for FSL in biomedical NLP, progress has been limited compared to domain-independent FSL. This may be due to the paucity of standardized, public datasets, and the relative underperformance of FSL methods on biomedical topics. Creation and release of specialized datasets for biomedical FSL may aid method development by enabling comparative analyses.

Enhancing Cognitive Models of Emotions with Representation Learning

We present a novel deep learning-based framework to generate embedding representations of fine-grained emotions that can be used to computationally describe psychological models of emotions. Our framework integrates a contextualized embedding encoder with a multi-head probing model that enables to interpret dynamically learned representations optimized for an emotion classification task. Our model is evaluated on the Empathetic Dialogue dataset and shows the state-of-the-art result for classifying 32 emotions. Our layer analysis can derive an emotion graph to depict hierarchical relations among the emotions. Our emotion representations can be used to generate an emotion wheel directly comparable to the one from Plutchik's\LN model, and also augment the values of missing emotions in the PAD emotional state model.