Ziyi Chen

Ziyi Chen, Yiyang Liu, Mattia Prosperi et al.

Objective: To characterize stigma dimensions, social, and related behavioral circumstances in people living with HIV(PLWHs) seeking care, using NLP methods applied to a large collection of EHR clinical notes from a large integrated health system in the southeast United States. Methods: We identified a cohort of PLWHs from the UF Health IDR and performed topic modeling analysis using Latent Dirichlet Allocation to uncover stigma-related dimensions and related social and behavioral contexts. Domain experts created a seed list of HIV-related stigma keywords, then applied a snowball strategy to review notes for additional terms until saturation was reached iteratively. To identify more target topics, we tested three keyword-based filtering strategies. The detected topics were evaluated using three widely used metrics and manually reviewed by specialists. In addition, we conducted word frequency analysis and topic variation analysis among subgroups to examine differences across age and sex-specific demographics. Results: We identified 9140 PLWHs at UF Health and collected 2.9 million clinical notes. Through the iterative keyword approach, we generated a list of 91 keywords associated with HIV-related stigma. Topic modeling on sentences containing at least one keyword uncovered a wide range of topic themes, such as "Mental Health Concern, Stigma", "Treatment Refusal, Isolation", and "Substance Abuse". Topic variation analysis across age subgroups revealed substantial differences. Conclusion: Extracting and understanding the HIV-related stigma and associated social and behavioral circumstances from EHR clinical notes enables scalable, time-efficient assessment and overcoming the limitations of traditional questionnaires. Findings from this research provide actionable insights to inform patient care and interventions to improve HIV-care outcomes.

Ziyi Chen, Jize Jiang, Daqian Zuo et al.

In recent RAG approaches, rerankers play a pivotal role in refining retrieval accuracy with the ability of revealing logical relations for each pair of query and text. However, existing rerankers are required to repeatedly encode the query and a large number of long retrieved text. This results in high computational costs and limits the number of retrieved text, hindering accuracy. As a remedy of the problem, we introduce the Efficient Title Reranker via Broadcasting Query Encoder, a novel technique for title reranking that achieves a 20x-40x speedup over the vanilla passage reranker. Furthermore, we introduce Sigmoid Trick, a novel loss function customized for title reranking. Combining both techniques, we empirically validated their effectiveness, achieving state-of-the-art results on all four datasets we experimented with from the KILT knowledge benchmark.