Kihyuk Yoon

Kihyuk Yoon, Lingchao Mao, Catherine Chong et al.

Temporal information in structured electronic health records (EHRs) is often lost in sparse one-hot or count-based representations, while sequence models can be costly and data-hungry. We propose PaReGTA, an LLM-based encoding framework that (i) converts longitudinal EHR events into visit-level templated text with explicit temporal cues, (ii) learns domain-adapted visit embeddings via lightweight contrastive fine-tuning of a sentence-embedding model, and (iii) aggregates visit embeddings into a fixed-dimensional patient representation using hybrid temporal pooling that captures both recency and globally informative visits. Because PaReGTA does not require training from scratch but instead utilizes a pre-trained LLM, it can perform well even in data-limited cohorts. Furthermore, PaReGTA is model-agnostic and can benefit from future EHR-specialized sentence-embedding models. For interpretability, we introduce PaReGTA-RSS (Representation Shift Score), which quantifies clinically defined factor importance by recomputing representations after targeted factor removal and projecting representation shifts through a machine learning model. On 39,088 migraine patients from the All of Us Research Program, PaReGTA outperforms sparse baselines for migraine type classification while deep sequential models were unstable in our cohort.

Kihyuk Yoon, Chiehyeon Lim

In this work, we propose a novel activation mechanism called LayerAct for CNNs. This approach is motivated by our theoretical and experimental analyses, which demonstrate that Layer Normalization (LN) can mitigate a limitation of existing activation functions regarding noise robustness. However, LN is known to be disadvantageous in CNNs due to its tendency to make activation outputs homogeneous. The proposed method is designed to be more robust than existing activation functions by reducing the upper bound of influence caused by input shifts without inheriting LN's limitation. We provide analyses and experiments showing that LayerAct functions exhibit superior robustness compared to ElementAct functions. Experimental results on three clean and noisy benchmark datasets for image classification tasks indicate that LayerAct functions outperform other activation functions in handling noisy datasets while achieving superior performance on clean datasets in most cases.