Abstract:Online health communities (OHCs) are vital for fostering peer support and improving health outcomes. Support groups within these platforms can provide more personalized and cohesive peer support, yet traditional support group formation methods face challenges related to scalability, static categorization, and insufficient personalization. To overcome these limitations, we propose two novel machine learning models for automated support group formation: the Group specific Dirichlet Multinomial Regression (gDMR) and the Group specific Structured Topic Model (gSTM). These models integrate user generated textual content, demographic profiles, and interaction data represented through node embeddings derived from user networks to systematically automate personalized, semantically coherent support group formation. We evaluate the models on a large scale dataset from MedHelp.org, comprising over 2 million user posts. Both models substantially outperform baseline methods including LDA, DMR, and STM in predictive accuracy (held out log likelihood), semantic coherence (UMass metric), and internal group consistency. The gDMR model yields group covariates that facilitate practical implementation by leveraging relational patterns from network structures and demographic data. In contrast, gSTM emphasizes sparsity constraints to generate more distinct and thematically specific groups. Qualitative analysis further validates the alignment between model generated groups and manually coded themes, showing the practical relevance of the models in informing groups that address diverse health concerns such as chronic illness management, diagnostic uncertainty, and mental health. By reducing reliance on manual curation, these frameworks provide scalable solutions that enhance peer interactions within OHCs, with implications for patient engagement, community resilience, and health outcomes.
Abstract:Online Health Communities connect patients for peer support, but users face a discovery challenge when they have minimal prior interactions to guide personalization. We study recommendation under extreme interaction sparsity in a survey driven setting where each user provides a 16 dimensional intake vector and each support group has a structured feature profile. We extend Neural Collaborative Filtering architectures, including Matrix Factorization, Multi Layer Perceptron, and NeuMF, with an auxiliary pseudo label objective derived from survey group feature alignment using cosine similarity mapped to [0, 1]. The resulting Pseudo Label NCF learns dual embedding spaces: main embeddings for ranking and pseudo label embeddings for semantic alignment. We evaluate on a dataset of 165 users and 498 support groups using a leave one out protocol that reflects cold start conditions. All pseudo label variants improve ranking performance: MLP improves HR@5 from 2.65% to 5.30%, NeuMF from 4.46% to 5.18%, and MF from 4.58% to 5.42%. Pseudo label embedding spaces also show higher cosine silhouette scores than baseline embeddings, with MF improving from 0.0394 to 0.0684 and NeuMF from 0.0263 to 0.0653. We further observe a negative correlation between embedding separability and ranking accuracy, indicating a trade off between interpretability and performance. These results show that survey derived pseudo labels improve recommendation under extreme sparsity while producing interpretable task specific embedding spaces.
Abstract:Automated classification of clinical transcriptions into medical specialties is essential for routing, coding, and clinical decision support, yet prior work on the widely used MTSamples benchmark suffers from severe data leakage caused by applying SMOTE oversampling before train test splitting. We first document this methodological flaw and establish a leakage free benchmark across 40 medical specialties (4966 records), revealing that the true task difficulty is substantially higher than previously reported. We then introduce CLiGNet (Clinical Label Interaction Graph Network), a neural architecture that combines a Bio ClinicalBERT text encoder with a two layer Graph Convolutional Network operating on a specialty label graph constructed from semantic similarity and ICD 10 chapter priors. Per label attention gates fuse document and label graph representations, trained with focal binary cross entropy loss to handle extreme class imbalance (181 to 1 ratio). Across seven baselines ranging from TF IDF classifiers to Clinical Longformer, CLiGNet without calibration achieves the highest macro F1 of 0.279, with an ablation study confirming that the GCN label graph provides the single largest component gain (increase of 0.066 macro F1). Adding per label Platt scaling calibration yields an expected calibration error of 0.007, demonstrating a principled trade off between ranking performance and probability reliability. We provide comprehensive failure analysis covering pairwise specialty confusions, rare class behaviour, document length effects, and token level Integrated Gradients attribution, offering actionable insights for clinical NLP system deployment.
Abstract:Predictive policing systems that direct patrol resources based on algorithmically generated crime forecasts have been widely deployed across US cities, yet their tendency to encode and amplify racial disparities remains poorly understood in quantitative terms. We present a reproducible simulation framework that couples a Generative Adversarial Network GAN with a Noisy OR patrol detection model to measure how racial bias propagates through the full enforcement pipeline from crime occurrence to police contact. Using 145000 plus Part 1 crime records from Baltimore 2017 to 2019 and 233000 plus records from Chicago 2022, augmented with US Census ACS demographic data, we compute four monthly bias metrics across 264 city year mode observations: the Disparate Impact Ratio DIR, Demographic Parity Gap, Gini Coefficient, and a composite Bias Amplification Score. Our experiments reveal extreme and year variant bias in Baltimores detected mode, with mean annual DIR up to 15714 in 2019, moderate under detection of Black residents in Chicago DIR equals 0.22, and persistent Gini coefficients of 0.43 to 0.62 across all conditions. We further demonstrate that a Conditional Tabular GAN CTGAN debiasing approach partially redistributes detection rates but cannot eliminate structural disparity without accompanying policy intervention. Socioeconomic regression analysis confirms strong correlations between neighborhood racial composition and detection likelihood Pearson r equals 0.83 for percent White and r equals negative 0.81 for percent Black. A sensitivity analysis over patrol radius, officer count, and citizen reporting probability reveals that outcomes are most sensitive to officer deployment levels. The code and data are publicly available at this repository.
Abstract:Nowadays, detecting aberrant health issues is a difficult process. Falling, especially among the elderly, is a severe concern worldwide. Falls can result in deadly consequences, including unconsciousness, internal bleeding, and often times, death. A practical and optimal, smart approach of detecting falling is currently a concern. The use of vision-based fall monitoring is becoming more common among scientists as it enables senior citizens and those with other health conditions to live independently. For tracking, surveillance, and rescue, unmanned aerial vehicles use video or image segmentation and object detection methods. The Tello drone is equipped with a camera and with this device we determined normal and abnormal behaviors among our participants. The autonomous falling objects are classified using a convolutional neural network (CNN) classifier. The results demonstrate that the systems can identify falling objects with a precision of 0.9948.