Tracing the Heart: An Evidence-Linked Pipeline for Heart-Failure Feature Engineering

Electronic health record (EHR) feature engineering is a major bottleneck in clinical research and AI, accounting for 39-45% of data scientists' workload. This is especially pronounced in heart failure, which affects an estimated 6.7 million U.S. adults and requires integrating fragmented EHR data with disease-specific, guideline-based clinical reasoning. Existing rule-based and large language model (LLM)-based approaches offer only partial automation with limited maintainability and evidence traceability. We developed the Nimblemind Multi-Agent System (nMAS), an evidence-linked, rubric-grounded pipeline for automated heart-failure feature engineering, and evaluated it on 500 dummy patient records from nine EHR source tables. nMAS generated 132 structured and 70 rubric-scored aggregated features, verified for structural integrity, rubric compliance, and provenance, and audited by a restricted LLM. Adding the aggregated features improved held-out AUROC from 0.895 to 0.963 for HFrEF and 0.870 to 0.910 for HFpEF phenotyping, and an independent LLM-based rubric assessment of evidence support and methodological soundness scored the features at 81.5% of maximum points. These results demonstrate the feasibility of automated, auditable feature engineering for complex cardiovascular EHR data, though evaluation was limited to a single-institution cohort and external validation is needed.

Analysis of Autonomic Regulation in Cancer Survivors During Daily Physical Activity: A Real-World Wearable ECG Study

This study investigates heart rate (HR) and heart rate variability (HRV) responses to physical activity in breast cancer survivors using wearable electrocardiogram (ECG) data collected in real-world settings. Reliable HRV analysis in such environments is challenging due to motion artifacts and activity-related signal degradation. To address this, we use an approach that combines accelerometer and gyroscope data for activity intensity segmentation (light, moderate, vigorous) with a robust ECG processing pipeline incorporating R-peak detection and annotation-free signal quality assessment. Because vigorous activity produced unreliable HRV estimates, analyses focused on light and moderate activity levels. Using 30 s, 1 min, and 2 min windows, HR and HRV metrics were computed and compared between breast cancer survivors and healthy controls. Cancer survivors consistently exhibited elevated HR and reduced HRV across activity levels. During light activity, HR increased from 95.7 bpm in controls to 103.4 bpm in cancer survivors. Differences became more pronounced during moderate activity, where RMSSD decreased from 39.7 ms to 22.1 ms and SDNN from 42.6 ms to 25.1 ms. Statistical analyses showed significant group differences with strong and consistent effects across observations. In addition, the proposed ECG quality assessment framework reliably identified high-quality signal segments, achieving near-perfect valid RR ratios (0.99) without manual annotations. Overall, these findings demonstrate impaired and activity-dependent autonomic regulation in cancer survivors and highlight the importance of motion-aware activity segmentation and robust ECG quality control for accurate physiological monitoring in real-world wearable settings.

STEP-PD: Stage-Aware and Explainable Parkinson's Disease Severity Classification Using Multimodal Clinical Assessments

Parkinson's disease (PD) is a progressive disorder in which symptom burden and functional impairment evolve over time, making severity staging essential for clinical monitoring and treatment planning. However, many computational studies emphasize binary PD detection and do not fully use repeated follow-up clinical assessments for stage-aware prediction. This study proposes STEP-PD, a severity-aware machine learning framework to classify PD severity using clinically interpretable boundaries. It leverages all available visits from the Parkinson's Progression Markers Initiative (PPMI) and integrates routinely collected subjective questionnaires and objective clinician-assessed measures. Disease severity is defined using Hoehn and Yahr staging and grouped into three clinically meaningful categories: Healthy, Mild PD (stages 1-2), and Moderate-to-Severe PD (stages 3-5). Three binary classification problems and a three-class severity task were evaluated using stratified cross-validation with imbalance-aware training. To enhance interpretability, SHAP was used to provide global explanations and local patient-level waterfall explanations. Across all tasks, XGBoost achieved the strongest and most stable performance, with accuracies of 95.48% (Healthy vs. Mild), 99.44% (Healthy vs. Moderate-to-Severe), and 96.78% (Mild vs. Moderate-to-Severe), and 94.14% accuracy with 0.8775 Macro-F1 for three-class severity classification. Explainability results highlight a shift from early motor features to progression-related axial and balance impairments. These findings show that multimodal clinical assessments within the PPMI cohort can support accurate and interpretable visit-level PD severity stratification.

SCOPE-PD: Explainable AI on Subjective and Clinical Objective Measurements of Parkinson's Disease for Precision Decision-Making

Parkinson's disease (PD) is a chronic and complex neurodegenerative disorder influenced by genetic, clinical, and lifestyle factors. Predicting this disease early is challenging because it depends on traditional diagnostic methods that face issues of subjectivity, which commonly delay diagnosis. Several objective analyses are currently in practice to help overcome the challenges of subjectivity; however, a proper explanation of these analyses is still lacking. While machine learning (ML) has demonstrated potential in supporting PD diagnosis, existing approaches often rely on subjective reports only and lack interpretability for individualized risk estimation. This study proposes SCOPE-PD, an explainable AI-based prediction framework, by integrating subjective and objective assessments to provide personalized health decisions. Subjective and objective clinical assessment data are collected from the Parkinson's Progression Markers Initiative (PPMI) study to construct a multimodal prediction framework. Several ML techniques are applied to these data, and the best ML model is selected to interpret the results. Model interpretability is examined using SHAP-based analysis. The Random Forest algorithm achieves the highest accuracy of 98.66 percent using combined features from both subjective and objective test data. Tremor, bradykinesia, and facial expression are identified as the top three contributing features from the MDS-UPDRS test in the prediction of PD.

Improving Speech-based Emotion Recognition with Contextual Utterance Analysis and LLMs

Speech Emotion Recognition (SER) focuses on identifying emotional states from spoken language. The 2024 IEEE SLT-GenSEC Challenge on Post Automatic Speech Recognition (ASR) Emotion Recognition tasks participants to explore the capabilities of large language models (LLMs) for emotion recognition using only text data. We propose a novel approach that first refines all available transcriptions to ensure data reliability. We then segment each complete conversation into smaller dialogues and use these dialogues as context to predict the emotion of the target utterance within the dialogue. Finally, we investigated different context lengths and prompting techniques to improve prediction accuracy. Our best submission exceeded the baseline by 20% in unweighted accuracy, achieving the best performance in the challenge. All our experiments' codes, prediction results, and log files are publicly available.

Medication Error Detection Using Contextual Language Models

Medication errors most commonly occur at the ordering or prescribing stage, potentially leading to medical complications and poor health outcomes. While it is possible to catch these errors using different techniques; the focus of this work is on textual and contextual analysis of prescription information to detect and prevent potential medication errors. In this paper, we demonstrate how to use BERT-based contextual language models to detect anomalies in written or spoken text based on a data set extracted from real-world medical data of thousands of patient records. The proposed models are able to learn patterns of text dependency and predict erroneous output based on contextual information such as patient data. The experimental results yield accuracy up to 96.63% for text input and up to 79.55% for speech input, which is satisfactory for most real-world applications.

Detecting Replay Attacks Using Multi-Channel Audio: A Neural Network-Based Method

With the rapidly growing number of security-sensitive systems that use voice as the primary input, it becomes increasingly important to address these systems' potential vulnerability to replay attacks. Previous efforts to address this concern have focused primarily on single-channel audio. In this paper, we introduce a novel neural network-based replay attack detection model that further leverages spatial information of multi-channel audio and is able to significantly improve the replay attack detection performance.

Second-order Non-local Attention Networks for Person Re-identification

Recent efforts have shown promising results for person re-identification by designing part-based architectures to allow a neural network to learn discriminative representations from semantically coherent parts. Some efforts use soft attention to reallocate distant outliers to their most similar parts, while others adjust part granularity to incorporate more distant positions for learning the relationships. Others seek to generalize part-based methods by introducing a dropout mechanism on consecutive regions of the feature map to enhance distant region relationships. However, only few prior efforts model the distant or non-local positions of the feature map directly for the person re-ID task. In this paper, we propose a novel attention mechanism to directly model long-range relationships via second-order feature statistics. When combined with a generalized DropBlock module, our method performs equally to or better than state-of-the-art results for mainstream person re-identification datasets, including Market1501, CUHK03, and DukeMTMC-reID.

The power of dynamic social networks to predict individuals' mental health

Precision medicine has received attention both in and outside the clinic. We focus on the latter, by exploiting the relationship between individuals' social interactions and their mental health to develop a predictive model of one's likelihood to be depressed or anxious from rich dynamic social network data. To our knowledge, we are the first to do this. Existing studies differ from our work in at least one aspect: they do not model social interaction data as a network; they do so but analyze static network data; they examine "correlation" between social networks and health but without developing a predictive model; or they study other individual traits but not mental health. In a systematic and comprehensive evaluation, we show that our predictive model that uses dynamic social network data is superior to its static network as well as non-network equivalents when run on the same data.

Heterogeneous network approach to predict individuals' mental health

Depression and anxiety are critical public health issues affecting millions of people around the world. To identify individuals who are vulnerable to depression and anxiety, predictive models have been built that typically utilize data from one source. Unlike these traditional models, in this study, we leverage a rich heterogeneous data set from the University of Notre Dame's NetHealth study that collected individuals' (student participants') social interaction data via smartphones, health-related behavioral data via wearables (Fitbit), and trait data from surveys. To integrate the different types of information, we model the NetHealth data as a heterogeneous information network (HIN). Then, we redefine the problem of predicting individuals' mental health conditions (depression or anxiety) in a novel manner, as applying to our HIN a popular paradigm of a recommender system (RS), which is typically used to predict the preference that a person would give to an item (e.g., a movie or book). In our case, the items are the individuals' different mental health states. We evaluate three state-of-the-art RS approaches. Also, we model the prediction of individuals' mental health as another problem type -- that of node classification (NC) in our HIN, evaluating in the process four node features under logistic regression as a proof-of-concept classifier. We find that our RS and NC network methods produce more accurate predictions than a logistic regression model using the same NetHealth data in the traditional non-network fashion as well as a random-approach. Also, we find that RS outperforms NC. This is the first study to integrate smartphone, wearable sensor, and survey data in an HIN manner and use RS or NC on the HIN to predict individuals' mental health conditions.