Hanyang Liu

Hanyang Liu, Sunny S. Lou, Benjamin C. Warner et al.

Burnout is a significant public health concern affecting nearly half of the healthcare workforce. This paper presents the first end-to-end deep learning framework for predicting physician burnout based on electronic health record (EHR) activity logs, digital traces of physician work activities that are available in any EHR system. In contrast to prior approaches that exclusively relied on surveys for burnout measurement, our framework directly learns deep representations of physician behaviors from large-scale clinician activity logs to predict burnout. We propose the Hierarchical burnout Prediction based on Activity Logs (HiPAL), featuring a pre-trained time-dependent activity embedding mechanism tailored for activity logs and a hierarchical predictive model, which mirrors the natural hierarchical structure of clinician activity logs and captures physicians' evolving burnout risk at both short-term and long-term levels. To utilize the large amount of unlabeled activity logs, we propose a semi-supervised framework that learns to transfer knowledge extracted from unlabeled clinician activities to the HiPAL-based prediction model. The experiment on over 15 million clinician activity logs collected from the EHR at a large academic medical center demonstrates the advantages of our proposed framework in predictive performance of physician burnout and training efficiency over state-of-the-art approaches.

Bing Xue, Ahmed Sameh Said, Ziqi Xu et al.

Extracorporeal membrane oxygenation (ECMO) is an essential life-supporting modality for COVID-19 patients who are refractory to conventional therapies. However, the proper treatment decision has been the subject of significant debate and it remains controversial about who benefits from this scarcely available and technically complex treatment option. To support clinical decisions, it is a critical need to predict the treatment need and the potential treatment and no-treatment responses. Targeting this clinical challenge, we propose Treatment Variational AutoEncoder (TVAE), a novel approach for individualized treatment analysis. TVAE is specifically designed to address the modeling challenges like ECMO with strong treatment selection bias and scarce treatment cases. TVAE conceptualizes the treatment decision as a multi-scale problem. We model a patient's potential treatment assignment and the factual and counterfactual outcomes as part of their intrinsic characteristics that can be represented by a deep latent variable model. The factual and counterfactual prediction errors are alleviated via a reconstruction regularization scheme together with semi-supervision, and the selection bias and the scarcity of treatment cases are mitigated by the disentangled and distribution-matched latent space and the label-balancing generative strategy. We evaluate TVAE on two real-world COVID-19 datasets: an international dataset collected from 1651 hospitals across 63 countries, and a institutional dataset collected from 15 hospitals. The results show that TVAE outperforms state-of-the-art treatment effect models in predicting both the propensity scores and factual outcomes on heterogeneous COVID-19 datasets. Additional experiments also show TVAE outperforms the best existing models in individual treatment effect estimation on the synthesized IHDP benchmark dataset.

Ruiqi Wang, Hanyang Liu, Jiaming Qiu et al.

IoT devices are increasingly the source of data for machine learning (ML) applications running on edge servers. Data transmissions from devices to servers are often over local wireless networks whose bandwidth is not just limited but, more importantly, variable. Furthermore, in cyber-physical systems interacting with the physical environment, image offloading is also commonly subject to timing constraints. It is, therefore, important to develop an adaptive approach that maximizes the inference performance of ML applications under timing constraints and the resource constraints of IoT devices. In this paper, we use image classification as our target application and propose progressive neural compression (PNC) as an efficient solution to this problem. Although neural compression has been used to compress images for different ML applications, existing solutions often produce fixed-size outputs that are unsuitable for timing-constrained offloading over variable bandwidth. To address this limitation, we train a multi-objective rateless autoencoder that optimizes for multiple compression rates via stochastic taildrop to create a compression solution that produces features ordered according to their importance to inference performance. Features are then transmitted in that order based on available bandwidth, with classification ultimately performed using the (sub)set of features received by the deadline. We demonstrate the benefits of PNC over state-of-the-art neural compression approaches and traditional compression methods on a testbed comprising an IoT device and an edge server connected over a wireless network with varying bandwidth.

Hanyang Liu, Shuai Yang, Feng Qi et al.

Recent automated machine learning systems often use learning curves ranking models to inform decisions about when to stop unpromising trials and identify better model configurations. In this paper, we present a novel learning curve ranking model specifically tailored for ranking normalized entropy (NE) learning curves, which are commonly used in online advertising and recommendation systems. Our proposed model, self-Adaptive Curve Transformation augmented Relative curve Ranking (ACTR2), features an adaptive curve transformation layer that transforms raw lifetime NE curves into composite window NE curves with the window sizes adaptively optimized based on both the position on the learning curve and the curve's dynamics. We also introduce a novel differentiable indexing method for the proposed adaptive curve transformation, which allows gradients with respect to the discrete indices to flow freely through the curve transformation layer, enabling the learned window sizes to be updated flexibly during training. Additionally, we propose a pairwise curve ranking architecture that directly models the difference between the two learning curves and is better at capturing subtle changes in relative performance that may not be evident when modeling each curve individually as the existing approaches did. Our extensive experiments on a real-world NE curve dataset demonstrate the effectiveness of each key component of ACTR2 and its improved performance over the state-of-the-art.

Hanyang Liu, Michael C. Montana, Dingwen Li et al.

We present an end-to-end model using streaming physiological time series to predict near-term risk for hypoxemia, a rare, but life-threatening condition known to cause serious patient harm during surgery. Inspired by the fact that a hypoxemia event is defined based on a future sequence of low SpO2 (i.e., blood oxygen saturation) instances, we propose the hybrid inference network (hiNet) that makes hybrid inference on both future low SpO2 instances and hypoxemia outcomes. hiNet integrates 1) a joint sequence autoencoder that simultaneously optimizes a discriminative decoder for label prediction, and 2) two auxiliary decoders trained for data reconstruction and forecast, which seamlessly learn contextual latent representations that capture the transition from present states to future states. All decoders share a memory-based encoder that helps capture the global dynamics of patient measurement. For a large surgical cohort of 72,081 surgeries at a major academic medical center, our model outperforms strong baselines including the model used by the state-of-the-art hypoxemia prediction system. With its capability to make real-time predictions of near-term hypoxemic at clinically acceptable alarm rates, hiNet shows promise in improving clinical decision making and easing burden of perioperative care.

Yuchen Zhao, Hanyang Liu, Honglin Li et al.

Training deep learning models on in-home IoT sensory data is commonly used to recognise human activities. Recently, federated learning systems that use edge devices as clients to support local human activity recognition have emerged as a new paradigm to combine local (individual-level) and global (group-level) models. This approach provides better scalability and generalisability and also offers better privacy compared with the traditional centralised analysis and learning models. The assumption behind federated learning, however, relies on supervised learning on clients. This requires a large volume of labelled data, which is difficult to collect in uncontrolled IoT environments such as remote in-home monitoring. In this paper, we propose an activity recognition system that uses semi-supervised federated learning, wherein clients conduct unsupervised learning on autoencoders with unlabelled local data to learn general representations, and a cloud server conducts supervised learning on an activity classifier with labelled data. Our experimental results show that using a long short-term memory autoencoder and a Softmax classifier, the accuracy of our proposed system is higher than that of both centralised systems and semi-supervised federated learning using data augmentation. The accuracy is also comparable to that of supervised federated learning systems. Meanwhile, we demonstrate that our system can reduce the number of needed labels and the size of local models, and has faster local activity recognition speed than supervised federated learning does.