Improving Biomedical Entity Linking with Retrieval-enhanced Learning

Biomedical entity linking (BioEL) has achieved remarkable progress with the help of pre-trained language models. However, existing BioEL methods usually struggle to handle rare and difficult entities due to long-tailed distribution. To address this limitation, we introduce a new scheme $k$NN-BioEL, which provides a BioEL model with the ability to reference similar instances from the entire training corpus as clues for prediction, thus improving the generalization capabilities. Moreover, we design a contrastive learning objective with dynamic hard negative sampling (DHNS) that improves the quality of the retrieved neighbors during inference. Extensive experimental results show that $k$NN-BioEL outperforms state-of-the-art baselines on several datasets.

Emerging Drug Interaction Prediction Enabled by Flow-based Graph Neural Network with Biomedical Network

Accurately predicting drug-drug interactions (DDI) for emerging drugs, which offer possibilities for treating and alleviating diseases, with computational methods can improve patient care and contribute to efficient drug development. However, many existing computational methods require large amounts of known DDI information, which is scarce for emerging drugs. In this paper, we propose EmerGNN, a graph neural network (GNN) that can effectively predict interactions for emerging drugs by leveraging the rich information in biomedical networks. EmerGNN learns pairwise representations of drugs by extracting the paths between drug pairs, propagating information from one drug to the other, and incorporating the relevant biomedical concepts on the paths. The different edges on the biomedical network are weighted to indicate the relevance for the target DDI prediction. Overall, EmerGNN has higher accuracy than existing approaches in predicting interactions for emerging drugs and can identify the most relevant information on the biomedical network.

A Survey of Large Language Models in Medicine: Progress, Application, and Challenge

Large language models (LLMs), such as ChatGPT, have achieved substantial attention due to their impressive human language understanding and generation capabilities. Therefore, the application of LLMs in medicine to assist physicians and patient care emerges as a promising research direction in both artificial intelligence and clinical medicine. To this end, this survey provides a comprehensive overview of the current progress, applications, and challenges faced by LLMs in medicine. Specifically, we aim to address the following questions: 1) What are LLMs and how can medical LLMs be built? 2) What are the downstream performances of medical LLMs? 3) How can medical LLMs be utilized in real-world clinical practice? 4) What challenges arise from the use of medical LLMs? 5) How can we better construct and utilize medical LLMs? As a result, this survey aims to provide insights into the opportunities and challenges of LLMs in medicine and serve as a valuable resource for constructing practical and effective medical LLMs. A regularly updated list of practical guide resources of medical LLMs can be found at https://github.com/AI-in-Health/MedLLMsPracticalGuide.

MOELoRA: An MOE-based Parameter Efficient Fine-Tuning Method for Multi-task Medical Applications

The recent surge in the field of Large Language Models (LLMs) has gained significant attention in numerous domains. In order to tailor an LLM to a specific domain such as a web-based healthcare system, fine-tuning with domain knowledge is necessary. However, two issues arise during fine-tuning LLMs for medical applications. The first is the problem of task variety, where there are numerous distinct tasks in real-world medical scenarios. This diversity often results in suboptimal fine-tuning due to data imbalance and seesawing problems. Additionally, the high cost of fine-tuning can be prohibitive, impeding the application of LLMs. The large number of parameters in LLMs results in enormous time and computational consumption during fine-tuning, which is difficult to justify. To address these two issues simultaneously, we propose a novel parameter-efficient fine-tuning framework for multi-task medical applications called MOELoRA. The framework aims to capitalize on the benefits of both MOE for multi-task learning and LoRA for parameter-efficient fine-tuning. To unify MOE and LoRA, we devise multiple experts as the trainable parameters, where each expert consists of a pair of low-rank matrices to maintain a small number of trainable parameters. Additionally, we propose a task-motivated gate function for all MOELoRA layers that can regulate the contributions of each expert and generate distinct parameters for various tasks. To validate the effectiveness and practicality of the proposed method, we conducted comprehensive experiments on a public multi-task Chinese medical dataset. The experimental results demonstrate that MOELoRA outperforms existing parameter-efficient fine-tuning methods. The implementation is available online for convenient reproduction of our experiments.

Relation-aware Ensemble Learning for Knowledge Graph Embedding

Knowledge graph (KG) embedding is a fundamental task in natural language processing, and various methods have been proposed to explore semantic patterns in distinctive ways. In this paper, we propose to learn an ensemble by leveraging existing methods in a relation-aware manner. However, exploring these semantics using relation-aware ensemble leads to a much larger search space than general ensemble methods. To address this issue, we propose a divide-search-combine algorithm RelEns-DSC that searches the relation-wise ensemble weights independently. This algorithm has the same computation cost as general ensemble methods but with much better performance. Experimental results on benchmark datasets demonstrate the effectiveness of the proposed method in efficiently searching relation-aware ensemble weights and achieving state-of-the-art embedding performance. The code is public at https://github.com/LARS-research/RelEns.

JoTR: A Joint Transformer and Reinforcement Learning Framework for Dialog Policy Learning

Dialogue policy learning (DPL) is a crucial component of dialogue modelling. Its primary role is to determine the appropriate abstract response, commonly referred to as the "dialogue action". Traditional DPL methodologies have treated this as a sequential decision problem, using pre-defined action candidates extracted from a corpus. However, these incomplete candidates can significantly limit the diversity of responses and pose challenges when dealing with edge cases, which are scenarios that occur only at extreme operating parameters. To address these limitations, we introduce a novel framework, JoTR. This framework is unique as it leverages a text-to-text Transformer-based model to generate flexible dialogue actions. Unlike traditional methods, JoTR formulates a word-level policy that allows for a more dynamic and adaptable dialogue action generation, without the need for any action templates. This setting enhances the diversity of responses and improves the system's ability to handle edge cases effectively. In addition, JoTR employs reinforcement learning with a reward-shaping mechanism to efficiently finetune the word-level dialogue policy, which allows the model to learn from its interactions, improving its performance over time. We conducted an extensive evaluation of JoTR to assess its effectiveness. Our extensive evaluation shows that JoTR achieves state-of-the-art performance on two benchmark dialogue modelling tasks, as assessed by both user simulators and human evaluators.

MultiCapCLIP: Auto-Encoding Prompts for Zero-Shot Multilingual Visual Captioning

Supervised visual captioning models typically require a large scale of images or videos paired with descriptions in a specific language (i.e., the vision-caption pairs) for training. However, collecting and labeling large-scale datasets is time-consuming and expensive for many scenarios and languages. Therefore, sufficient labeled pairs are usually not available. To deal with the label shortage problem, we present a simple yet effective zero-shot approach MultiCapCLIP that can generate visual captions for different scenarios and languages without any labeled vision-caption pairs of downstream datasets. In the training stage, MultiCapCLIP only requires text data for input. Then it conducts two main steps: 1) retrieving concept prompts that preserve the corresponding domain knowledge of new scenarios; 2) auto-encoding the prompts to learn writing styles to output captions in a desired language. In the testing stage, MultiCapCLIP instead takes visual data as input directly to retrieve the concept prompts to generate the final visual descriptions. The extensive experiments on image and video captioning across four benchmarks and four languages (i.e., English, Chinese, German, and French) confirm the effectiveness of our approach. Compared with state-of-the-art zero-shot and weakly-supervised methods, our method achieves 4.8% and 21.5% absolute improvements in terms of BLEU@4 and CIDEr metrics. Our code is available at https://github.com/yangbang18/MultiCapCLIP.

Qualifying Chinese Medical Licensing Examination with Knowledge Enhanced Generative Pre-training Model

Generative Pre-Training (GPT) models like ChatGPT have demonstrated exceptional performance in various Natural Language Processing (NLP) tasks. Although ChatGPT has been integrated into the overall workflow to boost efficiency in many domains, the lack of flexibility in the finetuning process hinders its applications in areas that demand extensive domain expertise and semantic knowledge, such as healthcare. In this paper, we evaluate ChatGPT on the China National Medical Licensing Examination (CNMLE) and propose a novel approach to improve ChatGPT from two perspectives: integrating medical domain knowledge and enabling few-shot learning. By using a simple but effective retrieval method, medical background knowledge is extracted as semantic instructions to guide the inference of ChatGPT. Similarly, relevant medical questions are identified and fed as demonstrations to ChatGPT. Experimental results show that directly applying ChatGPT fails to qualify the CNMLE at a score of 51 (i.e., only 51\% of questions are answered correctly). While our knowledge-enhanced model achieves a high score of 70 on CNMLE-2022 which not only passes the qualification but also surpasses the average score of humans (61). This research demonstrates the potential of knowledge-enhanced ChatGPT to serve as versatile medical assistants, capable of analyzing real-world medical problems in a more accessible, user-friendly, and adaptable manner.

ZeroNLG: Aligning and Autoencoding Domains for Zero-Shot Multimodal and Multilingual Natural Language Generation

Natural Language Generation (NLG) accepts input data in the form of images, videos, or text and generates corresponding natural language text as output. Existing NLG methods mainly adopt a supervised approach and rely heavily on coupled data-to-text pairs. However, for many targeted scenarios and for non-English languages, sufficient quantities of labeled data are often not available. To relax the dependency on labeled data of downstream tasks, we propose an intuitive and effective zero-shot learning framework, ZeroNLG, which can deal with multiple NLG tasks, including image-to-text (image captioning), video-to-text (video captioning), and text-to-text (neural machine translation), across English, Chinese, German, and French within a unified framework. ZeroNLG does not require any labeled downstream pairs for training. During training, ZeroNLG (i) projects different domains (across modalities and languages) to corresponding coordinates in a shared common latent space; (ii) bridges different domains by aligning their corresponding coordinates in this space; and (iii) builds an unsupervised multilingual auto-encoder to learn to generate text by reconstructing the input text given its coordinate in shared latent space. Consequently, during inference, based on the data-to-text pipeline, ZeroNLG can generate target sentences across different languages given the coordinate of input data in the common space. Within this unified framework, given visual (imaging or video) data as input, ZeroNLG can perform zero-shot visual captioning; given textual sentences as input, ZeroNLG can perform zero-shot machine translation. We present the results of extensive experiments on twelve NLG tasks, showing that, without using any labeled downstream pairs for training, ZeroNLG generates high-quality and believable outputs and significantly outperforms existing zero-shot methods.

Exploring Social Media for Early Detection of Depression in COVID-19 Patients

The COVID-19 pandemic has caused substantial damage to global health. Even though three years have passed, the world continues to struggle with the virus. Concerns are growing about the impact of COVID-19 on the mental health of infected individuals, who are more likely to experience depression, which can have long-lasting consequences for both the affected individuals and the world. Detection and intervention at an early stage can reduce the risk of depression in COVID-19 patients. In this paper, we investigated the relationship between COVID-19 infection and depression through social media analysis. Firstly, we managed a dataset of COVID-19 patients that contains information about their social media activity both before and after infection. Secondly,We conducted an extensive analysis of this dataset to investigate the characteristic of COVID-19 patients with a higher risk of depression. Thirdly, we proposed a deep neural network for early prediction of depression risk. This model considers daily mood swings as a psychiatric signal and incorporates textual and emotional characteristics via knowledge distillation. Experimental results demonstrate that our proposed framework outperforms baselines in detecting depression risk, with an AUROC of 0.9317 and an AUPRC of 0.8116. Our model has the potential to enable public health organizations to initiate prompt intervention with high-risk patients