scholarly journals Using natural language processing to explore heterogeneity in moral terminology in palliative care consultations

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Eline van den Broek-Altenburg ◽  
Robert Gramling ◽  
Kelly Gothard ◽  
Maarten Kroesen ◽  
Caspar Chorus
Keyword(s):  
Palliative Care ◽  
Natural Language Processing ◽  
Natural Language ◽  
Language Processing ◽  
Latent Class ◽  
The United States ◽  
Individual Characteristics ◽  
Text Data ◽  
Palliative Care Consultation ◽  
Values And Beliefs

Abstract Background High quality serious illness communication requires good understanding of patients’ values and beliefs for their treatment at end of life. Natural Language Processing (NLP) offers a reliable and scalable method for measuring and analyzing value- and belief-related features of conversations in the natural clinical setting. We use a validated NLP corpus and a series of statistical analyses to capture and explain conversation features that characterize the complex domain of moral values and beliefs. The objective of this study was to examine the frequency, distribution and clustering of morality lexicon expressed by patients during palliative care consultation using the Moral Foundations NLP Dictionary. Methods We used text data from 231 audio-recorded and transcribed inpatient PC consultations and data from baseline and follow-up patient questionnaires at two large academic medical centers in the United States. With these data, we identified different moral expressions in patients using text mining techniques. We used latent class analysis to explore if there were qualitatively different underlying patterns in the PC patient population. We used Poisson regressions to analyze if individual patient characteristics, EOL preferences, religion and spiritual beliefs were associated with use of moral terminology. Results We found two latent classes: a class in which patients did not use many expressions of morality in their PC consultations and one in which patients did. Age, race (white), education, spiritual needs, and whether a patient was affiliated with Christianity or another religion were all associated with membership of the first class. Gender, financial security and preference for longevity-focused over comfort focused treatment near EOL did not affect class membership. Conclusions This study is among the first to use text data from a real-world situation to extract information regarding individual foundations of morality. It is the first to test empirically if individual moral expressions are associated with individual characteristics, attitudes and emotions.

scholarly journals Exploring Heterogeneity in Moral Terminology in Palliative Care Consultations

2020 ◽  
Author(s):  
Eline van den Broek-Altenburg ◽  
Robert Gramling ◽  
Kelly Gothard ◽  
Maarten Kroesen ◽  
Caspar Chorus
Keyword(s):  
Palliative Care ◽  
Language Processing ◽  
Latent Class ◽  
Patient Characteristics ◽  
The United States ◽  
Individual Characteristics ◽  
Moral Foundations ◽  
Text Data ◽  
Palliative Care Consultation ◽  
Values And Beliefs

Abstract Background High quality serious illness communication requires good understanding of patients' values and beliefs for their treatment at end of life. Natural Language Processing (NLP) offers a reliable and scalable method for measuring and analyzing value- and belief-related features of conversations in the natural clinical setting. We use a validated NLP corpus and a series of statistical analyses to capture and explain conversation features that characterize the complex domain of moral values and beliefs. The objective of this study was to examine the frequency, distribution and clustering of morality lexicon expressed by patients during palliative care consultation using the Moral Foundations NLP Dictionary.Methods We used text data from 231 audio-recorded and transcribed inpatient PC consultations and data from baseline and follow-up patient questionnaires at two large academic medical centers in the United States. With these data, we identified different moral expressions in patients using text mining techniques. We used latent class analysis to explore if there were qualitatively different underlying patterns in the PC patient population. We used Poisson regressions to analyze if individual patient characteristics, EOL preferences, religion and spiritual beliefs were associated with use of moral terminology.Results We found two latent classes: a class in which patients did not use many expressions of morality in their PC consultations and one in which patients did. Age, race (white), education, spiritual needs, and whether a patient was affiliated with Christianity or another religion were all associated with membership of the first class. Gender, financial security and preference for longevity-focused over comfort focused treatment near EOL did not affect class membership.Conclusions This study is among the first to use text data from a real-world situation to extract information regarding individual foundations of morality. It is the first to test empirically if individual moral expressions are associated with individual characteristics, attitudes and emotions.

scholarly journals A Study of the Effects of the COVID-19 Pandemic on the Experience of Back Pain Reported on Twitter® in the United States: A Natural Language Processing Approach

2021 ◽  
Vol 18 (9) ◽  
pp. 4543
Author(s):  
Krzysztof Fiok ◽  
Waldemar Karwowski ◽  
Edgar Gutierrez ◽  
Maham Saeidi ◽  
Awad M. Aljuaid ◽  
...  
Keyword(s):  
United States ◽  
Natural Language Processing ◽  
Back Pain ◽  
Natural Language ◽  
Language Processing ◽  
The United States ◽  
Daily Routine ◽  
Body Movements ◽  
Data Source ◽  
Twitter Users

The COVID-19 pandemic has changed our lifestyles, habits, and daily routine. Some of the impacts of COVID-19 have been widely reported already. However, many effects of the COVID-19 pandemic are still to be discovered. The main objective of this study was to assess the changes in the frequency of reported physical back pain complaints reported during the COVID-19 pandemic. In contrast to other published studies, we target the general population using Twitter as a data source. Specifically, we aim to investigate differences in the number of back pain complaints between the pre-pandemic and during the pandemic. A total of 53,234 and 78,559 tweets were analyzed for November 2019 and November 2020, respectively. Because Twitter users do not always complain explicitly when they tweet about the experience of back pain, we have designed an intelligent filter based on natural language processing (NLP) to automatically classify the examined tweets into the back pain complaining class and other tweets. Analysis of filtered tweets indicated an 84% increase in the back pain complaints reported in November 2020 compared to November 2019. These results might indicate significant changes in lifestyle during the COVID-19 pandemic, including restrictions in daily body movements and reduced exposure to routine physical exercise.

A Natural-Language-Processing-Based Procedure for Generating Distractors for Multiple-Choice Questions

2021 ◽  
pp. 016327872110469
Author(s):  
Peter Baldwin ◽  
Janet Mee ◽  
Victoria Yaneva ◽  
Miguel Paniagua ◽  
Jean D’Angelo ◽  
...  
Keyword(s):  
Natural Language Processing ◽  
Natural Language ◽  
Language Processing ◽  
Multiple Choice ◽  
Incorrect Response ◽  
The United States ◽  
Choice Test ◽  
Multiple Choice Questions ◽  
Response Options ◽  
Medical Licensing

One of the most challenging aspects of writing multiple-choice test questions is identifying plausible incorrect response options—i.e., distractors. To help with this task, a procedure is introduced that can mine existing item banks for potential distractors by considering the similarities between a new item’s stem and answer and the stems and response options for items in the bank. This approach uses natural language processing to measure similarity and requires a substantial pool of items for constructing the generating model. The procedure is demonstrated with data from the United States Medical Licensing Examination (USMLE®). For about half the items in the study, at least one of the top three system-produced candidates matched a human-produced distractor exactly; and for about one quarter of the items, two of the top three candidates matched human-produced distractors. A study was conducted in which a sample of system-produced candidates were shown to 10 experienced item writers. Overall, participants thought about 81% of the candidates were on topic and 56% would help human item writers with the task of writing distractors.

Identifying and intercepting health misinformation on Reddit dermatology forums with artificially intelligent bots using natural language processing (Preprint)

2021 ◽  
Author(s):  
Monique B. Sager ◽  
Aditya M. Kashyap ◽  
Mila Tamminga ◽  
Sadhana Ravoori ◽  
Christopher Callison-Burch ◽  
...  
Keyword(s):  
Natural Language Processing ◽  
Natural Language ◽  
Language Processing ◽  
The United States ◽  
Test Accuracy ◽  
Limited Data ◽  
Test Environment ◽  
Data Set ◽  
Inappropriate Care ◽  
Processing Techniques

BACKGROUND Reddit, the fifth most popular website in the United States, boasts a large and engaged user base on its dermatology forums where users crowdsource free medical opinions. Unfortunately, much of the advice provided is unvalidated and could lead to inappropriate care. Initial testing has shown that artificially intelligent bots can detect misinformation on Reddit forums and may be able to produce responses to posts containing misinformation. OBJECTIVE To analyze the ability of bots to find and respond to health misinformation on Reddit’s dermatology forums in a controlled test environment. METHODS Using natural language processing techniques, we trained bots to target misinformation using relevant keywords and to post pre-fabricated responses. By evaluating different model architectures across a held-out test set, we compared performances. RESULTS Our models yielded data test accuracies ranging from 95%-100%, with a BERT fine-tuned model resulting in the highest level of test accuracy. Bots were then able to post corrective pre-fabricated responses to misinformation. CONCLUSIONS Using a limited data set, bots had near-perfect ability to detect these examples of health misinformation within Reddit dermatology forums. Given that these bots can then post pre-fabricated responses, this technique may allow for interception of misinformation. Providing correct information, even instantly, however, does not mean users will be receptive or find such interventions persuasive. Further work should investigate this strategy’s effectiveness to inform future deployment of bots as a technique in combating health misinformation. CLINICALTRIAL N/A

scholarly journals How Language Shapes Prejudice Against Women: An Examination Across 45 World Languages

2020 ◽  
Author(s):  
David DeFranza ◽  
Himanshu Mishra ◽  
Arul Mishra
Keyword(s):  
Natural Language Processing ◽  
Natural Language ◽  
Language Processing ◽  
Ongoing Debate ◽  
Text Data ◽  
Gender Prejudice ◽  
World Languages ◽  
The World ◽  
Present Context ◽  
The Common

Language provides an ever-present context for our cognitions and has the ability to shape them. Languages across the world can be gendered (language in which the form of noun, verb, or pronoun is presented as female or male) versus genderless. In an ongoing debate, one stream of research suggests that gendered languages are more likely to display gender prejudice than genderless languages. However, another stream of research suggests that language does not have the ability to shape gender prejudice. In this research, we contribute to the debate by using a Natural Language Processing (NLP) method which captures the meaning of a word from the context in which it occurs. Using text data from Wikipedia and the Common Crawl project (which contains text from billions of publicly facing websites) across 45 world languages, covering the majority of the world’s population, we test for gender prejudice in gendered and genderless languages. We find that gender prejudice occurs more in gendered rather than genderless languages. Moreover, we examine whether genderedness of language influences the stereotypic dimensions of warmth and competence utilizing the same NLP method.

scholarly journals Sentiment of App with Word Vectors

2019 ◽  
Vol 8 (6S3) ◽  
pp. 2156-2159
Keyword(s):  
Natural Language Processing ◽  
Natural Language ◽  
Sentiment Analysis ◽  
Language Processing ◽  
Text Data ◽  
Vector Representations ◽  
Text Sentiment Analysis

Vector representations for language have been shown to be useful in a number of Natural Language Processing tasks. In this paper, we aim to investigate the effectiveness of word vector representations for the problem of Sentiment Analysis. In particular, we target three sub-tasks namely sentiment words extraction, polarity of sentiment words detection, and text sentiment prediction. We investigate the effectiveness of vector representations over different text data and evaluate the quality of domain-dependent vectors. Vector representations has been used to compute various vector-based features and conduct systematically experiments to demonstrate their effectiveness. Using simple vector based features can achieve better results for text sentiment analysis of APP.

scholarly journals Natural language processing based advanced method of unnecessary video detection

2021 ◽  
Vol 11 (6) ◽  
pp. 5411
Author(s):  
Nazmun Nessa Moon ◽  
Imrus Salehin ◽  
Masuma Parvin ◽  
Md. Mehedi Hasan ◽  
Iftakhar Mohammad Talha ◽  
...  
Keyword(s):  
Natural Language Processing ◽  
Natural Language ◽  
Language Processing ◽  
Detection System ◽  
Video Content ◽  
Text Data ◽  
Data Set ◽  
Plain Text ◽  
Video Detection ◽  
Library Function

<span>In this study we have described the process of identifying unnecessary video using an advanced combined method of natural language processing and machine learning. The system also includes a framework that contains analytics databases and which helps to find statistical accuracy and can detect, accept or reject unnecessary and unethical video content. In our video detection system, we extract text data from video content in two steps, first from video to MPEG-1 audio layer 3 (MP3) and then from MP3 to WAV format. We have used the text part of natural language processing to analyze and prepare the data set. We use both Naive Bayes and logistic regression classification algorithms in this detection system to determine the best accuracy for our system. In our research, our video MP4 data has converted to plain text data using the python advance library function. This brief study discusses the identification of unauthorized, unsocial, unnecessary, unfinished, and malicious videos when using oral video record data. By analyzing our data sets through this advanced model, we can decide which videos should be accepted or rejected for the further actions.</span>

scholarly journals Extracting Clinical Features From Dictated Ambulatory Consult Notes Using a Commercially Available Natural Language Processing Tool: Pilot, Retrospective, Cross-Sectional Validation Study (Preprint)

2018 ◽  
Author(s):  
Jeremy Petch ◽  
Jane Batt ◽  
Joshua Murray ◽  
Muhammad Mamdani
Keyword(s):  
Natural Language Processing ◽  
Natural Language ◽  
Clinical Features ◽  
Language Processing ◽  
A Priori ◽  
Cross Sectional Study ◽  
Free Text ◽  
Cross Sectional ◽  
Text Data ◽  
Complex Features

BACKGROUND The increasing adoption of electronic health records (EHRs) in clinical practice holds the promise of improving care and advancing research by serving as a rich source of data, but most EHRs allow clinicians to enter data in a text format without much structure. Natural language processing (NLP) may reduce reliance on manual abstraction of these text data by extracting clinical features directly from unstructured clinical digital text data and converting them into structured data. OBJECTIVE This study aimed to assess the performance of a commercially available NLP tool for extracting clinical features from free-text consult notes. METHODS We conducted a pilot, retrospective, cross-sectional study of the accuracy of NLP from dictated consult notes from our tuberculosis clinic with manual chart abstraction as the reference standard. Consult notes for 130 patients were extracted and processed using NLP. We extracted 15 clinical features from these consult notes and grouped them a priori into categories of simple, moderate, and complex for analysis. RESULTS For the primary outcome of overall accuracy, NLP performed best for features classified as simple, achieving an overall accuracy of 96% (95% CI 94.3-97.6). Performance was slightly lower for features of moderate clinical and linguistic complexity at 93% (95% CI 91.1-94.4), and lowest for complex features at 91% (95% CI 87.3-93.1). CONCLUSIONS The findings of this study support the use of NLP for extracting clinical features from dictated consult notes in the setting of a tuberculosis clinic. Further research is needed to fully establish the validity of NLP for this and other purposes.

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