Abstract:Whether or not a country is at war, or experiencing escalating or deescalating levels of conflict, has massive ramifications on a country's national and foreign policy. Given a country's history of conflict, or lack thereof, future predictions about the war-status of a country are valuable information. In this paper, we present the use of conformal prediction on temporally-dependent data to obtain prediction sets of possible future conflict state-sequences. More specifically, we compare the results of conformal prediction to a likelihood-based prediction strategy when the data are assumed to come from a discrete-state Markov process. A point-prediction may not supply sufficient information because the penalty for a wrong prediction is extreme, and so we consider a machine learning alternative that gives valid uncertainty quantification and is robust to model misspecification. In the data analysis, we present real forecasts of conflict dynamics across multiple countries. Lastly, we comment on the possible limitations of existing approaches for applying conformal prediction to Markovian data, where the exchangeability assumption is violated.
Abstract:Detection of occult hemorrhage (i.e., internal bleeding) in patients in intensive care units (ICUs) can pose significant challenges for critical care workers. Because blood loss may not always be clinically apparent, clinicians rely on monitoring vital signs for specific trends indicative of a hemorrhage event. The inherent difficulties of diagnosing such an event can lead to late intervention by clinicians which has catastrophic consequences. Therefore, a methodology for early detection of hemorrhage has wide utility. We develop a Bayesian regime switching model (RSM) that analyzes trends in patients' vitals and labs to provide a probabilistic assessment of the underlying physiological state that a patient is in at any given time. This article is motivated by a comprehensive dataset we curated from Mayo Clinic of 33,924 real ICU patient encounters. Longitudinal response measurements are modeled as a vector autoregressive process conditional on all latent states up to the current time point, and the latent states follow a Markov process. We present a novel Bayesian sampling routine to learn the posterior probability distribution of the latent physiological states, as well as develop an approach to account for pre-ICU-admission physiological changes. A simulation and real case study illustrate the effectiveness of our approach.