Mohammad Saleem

Abdulaziz Ahmed, Mohammad Saleem, Mohammed Alzeen et al.

Importance: Emergency department (ED) returns for mental health conditions pose a major healthcare burden, with 24-27% of patients returning within 30 days. Traditional machine learning models for predicting these returns often lack interpretability for clinical use. Objective: To assess whether integrating large language models (LLMs) with machine learning improves predictive accuracy and clinical interpretability of ED mental health return risk models. Methods: This retrospective cohort study analyzed 42,464 ED visits for 27,904 unique mental health patients at an academic medical center in the Deep South from January 2018 to December 2022. Main Outcomes and Measures: Two primary outcomes were evaluated: (1) 30-day ED return prediction accuracy and (2) model interpretability using a novel LLM-enhanced framework integrating SHAP (SHapley Additive exPlanations) values with clinical knowledge. Results: For chief complaint classification, LLaMA 3 (8B) with 10-shot learning outperformed traditional models (accuracy: 0.882, F1-score: 0.86). In SDoH classification, LLM-based models achieved 0.95 accuracy and 0.96 F1-score, with Alcohol, Tobacco, and Substance Abuse performing best (F1: 0.96-0.89), while Exercise and Home Environment showed lower performance (F1: 0.70-0.67). The LLM-based interpretability framework achieved 99% accuracy in translating model predictions into clinically relevant explanations. LLM-extracted features improved XGBoost AUC from 0.74 to 0.76 and AUC-PR from 0.58 to 0.61. Conclusions and Relevance: Integrating LLMs with machine learning models yielded modest but consistent accuracy gains while significantly enhancing interpretability through automated, clinically relevant explanations. This approach provides a framework for translating predictive analytics into actionable clinical insights.

Mohammad Saleem, Bence Kovari

Online signatures are one of the most commonly used biometrics. Several verification systems and public databases were presented in this field. This paper presents a combination of k-nearest neighbor and dynamic time warping algorithms as a verification system using the recently published DeepSignDB database. Our algorithm was applied on both finger and stylus input signatures which represent both office and mobile scenarios. The system was first tested on the development set of the database. It achieved an error rate of 6.04% for the stylus input signatures, 5.20% for the finger input signatures, and 6.00% for a combination of both types. The system was also applied to the evaluation set of the database and achieved very promising results, especially for finger input signatures.

Ruben Tolosana, Ruben Vera-Rodriguez, Carlos Gonzalez-Garcia et al.

This article presents SVC-onGoing, an on-going competition for on-line signature verification where researchers can easily benchmark their systems against the state of the art in an open common platform using large-scale public databases, such as DeepSignDB and SVC2021_EvalDB, and standard experimental protocols. SVC-onGoing is based on the ICDAR 2021 Competition on On-Line Signature Verification (SVC 2021), which has been extended to allow participants anytime. The goal of SVC-onGoing is to evaluate the limits of on-line signature verification systems on popular scenarios (office/mobile) and writing inputs (stylus/finger) through large-scale public databases. Three different tasks are considered in the competition, simulating realistic scenarios as both random and skilled forgeries are simultaneously considered on each task. The results obtained in SVC-onGoing prove the high potential of deep learning methods in comparison with traditional methods. In particular, the best signature verification system has obtained Equal Error Rate (EER) values of 3.33% (Task 1), 7.41% (Task 2), and 6.04% (Task 3). Future studies in the field should be oriented to improve the performance of signature verification systems on the challenging mobile scenarios of SVC-onGoing in which several mobile devices and the finger are used during the signature acquisition.

Ruben Tolosana, Ruben Vera-Rodriguez, Carlos Gonzalez-Garcia et al.

This paper describes the experimental framework and results of the ICDAR 2021 Competition on On-Line Signature Verification (SVC 2021). The goal of SVC 2021 is to evaluate the limits of on-line signature verification systems on popular scenarios (office/mobile) and writing inputs (stylus/finger) through large-scale public databases. Three different tasks are considered in the competition, simulating realistic scenarios as both random and skilled forgeries are simultaneously considered on each task. The results obtained in SVC 2021 prove the high potential of deep learning methods. In particular, the best on-line signature verification system of SVC 2021 obtained Equal Error Rate (EER) values of 3.33% (Task 1), 7.41% (Task 2), and 6.04% (Task 3). SVC 2021 will be established as an on-going competition, where researchers can easily benchmark their systems against the state of the art in an open common platform using large-scale public databases such as DeepSignDB and SVC2021_EvalDB, and standard experimental protocols.