scholarly journals Low Testosterone on Social Media: Application of Natural Language Processing to Understand Patients’ Perceptions of Hypogonadism and Its Treatment

10.2196/21383 ◽  
2020 ◽  
Vol 22 (10) ◽  
pp. e21383
Author(s):  
Vadim Osadchiy ◽  
Tommy Jiang ◽  
Jesse Nelson Mills ◽  
Sriram Venkata Eleswarapu

Background Despite the results of the Testosterone Trials, physicians remain uncomfortable treating men with hypogonadism. Discouraged, men increasingly turn to social media to discuss medical concerns. Objective The goal of the research was to apply natural language processing (NLP) techniques to social media posts for identification of themes of discussion regarding low testosterone and testosterone replacement therapy (TRT) in order to inform how physicians may better evaluate and counsel patients. Methods We retrospectively extracted posts from the Reddit community r/Testosterone from December 2015 through May 2019. We applied an NLP technique called the meaning extraction method with principal component analysis (MEM/PCA) to computationally derive discussion themes. We then performed a prospective analysis of Twitter data (tweets) that contained the terms low testosterone, low T, and testosterone replacement from June through September 2019. Results A total of 199,335 Reddit posts and 6659 tweets were analyzed. MEM/PCA revealed dominant themes of discussion: symptoms of hypogonadism, seeing a doctor, results of laboratory tests, derogatory comments and insults, TRT medications, and cardiovascular risk. More than 25% of Reddit posts contained the term doctor, and more than 5% urologist. Conclusions This study represents the first NLP evaluation of the social media landscape surrounding hypogonadism and TRT. Although physicians traditionally limit their practices to within their clinic walls, the ubiquity of social media demands that physicians understand what patients discuss online. Physicians may do well to bring up online discussions during clinic consultations for low testosterone to pull back the curtain and dispel myths.

2020 ◽  
Author(s):  
Vadim Osadchiy ◽  
Tommy Jiang ◽  
Jesse Nelson Mills ◽  
Sriram Venkata Eleswarapu

BACKGROUND Despite the results of the Testosterone Trials, physicians remain uncomfortable treating men with hypogonadism. Discouraged, men increasingly turn to social media to discuss medical concerns. OBJECTIVE The goal of the research was to apply natural language processing (NLP) techniques to social media posts for identification of themes of discussion regarding low testosterone and testosterone replacement therapy (TRT) in order to inform how physicians may better evaluate and counsel patients. METHODS We retrospectively extracted posts from the Reddit community r/Testosterone from December 2015 through May 2019. We applied an NLP technique called the meaning extraction method with principal component analysis (MEM/PCA) to computationally derive discussion themes. We then performed a prospective analysis of Twitter data (tweets) that contained the terms low testosterone, low T, and testosterone replacement from June through September 2019. RESULTS A total of 199,335 Reddit posts and 6659 tweets were analyzed. MEM/PCA revealed dominant themes of discussion: symptoms of hypogonadism, seeing a doctor, results of laboratory tests, derogatory comments and insults, TRT medications, and cardiovascular risk. More than 25% of Reddit posts contained the term doctor, and more than 5% urologist. CONCLUSIONS This study represents the first NLP evaluation of the social media landscape surrounding hypogonadism and TRT. Although physicians traditionally limit their practices to within their clinic walls, the ubiquity of social media demands that physicians understand what patients discuss online. Physicians may do well to bring up online discussions during clinic consultations for low testosterone to pull back the curtain and dispel myths.


2020 ◽  
Vol 2 (2) ◽  
pp. 15-30
Author(s):  
Truc D Pham ◽  
Darcy Vo ◽  
Frank Li ◽  
Karen Baker ◽  
Binglan Han ◽  
...  

Higher education institutes are continually looking for new and better ways to support and understand the learning experience of their students. One possible option is to use sentiment analysis tools to investigate the attitudes and emotions of students when they are interacting on social media about their course experience. In this study, we analysed the social media posts, from a closed programme-based community, of more than 300 students in a single programme cohort by processing the dataset with the Google cloud-based Natural Language Processing API for sentiment analysis. The sentiment scores and magnitudes were then visualised to help explore the research question ‘How does a natural language processing tool help analyse student online sentiment in a postgraduate program?’ The results have provided a better understanding of students’ online sentiment relating to the activities and assessments of the programme as well as the variation of that sentiment over the timeline of the programme.


Author(s):  
Sarojini Yarramsetti ◽  
Anvar Shathik J ◽  
Renisha. P.S.

In this digital world, experience sharing, knowledge exploration, taught posting and other related social exploitations are common to every individual as well as social media/network such as FaceBook, Twitter, etc plays a vital role in such kinds of activities. In general, many social network based sentimental feature extraction details and logics are available as well as many researchers work on that domain for last few years. But all those research specification are narrowed in the sense of building a way for estimating the opinions and sentiments with respect to the tweets and posts the user raised on the social network or any other related web interfacing medium. Many social network schemes provides an ability to the users to push the voice tweets and voice messages, so that the voice messages may contain some harmful as well as normal and important contents. In this paper, a new methodology is designed called Intensive Deep Learning based Voice Estimation Principle (IDLVEP), in which it is used to identify the voice message content and extract the features based on the Natural Language Processing (NLP) logic. The association of such Deep Learning and Natural Language Processing provides an efficient approach to build the powerful data processing model to identify the sentimental features from the social networking medium. This hybrid logic provides support for both text based and voice based tweet sentimental feature estimations. The Natural Language Processing principles assists the proposed approach of IDLVEP to extracts the voice content from the input message and provides a raw text content, based on that the deep learning principles classify the messages with respect to the estimation of harmful or normal tweets. The tweets raised by the user are initially sub-divided into two categories such as voice tweets and text tweets. The voice tweets will be taken care by the NLP principles and the text enabled tweets will be handled by means of deep learning principles, in which the voice tweets are also extracted and taken care by the deep learning principle only. The social network has two different faces such as provides support to developments as well as the same it provides a way to access that for harmful things. So, that this approach of IDLVEP identifies the harmful contents from the user tweets and remove that in an intelligent manner by using the proposed approach classification strategies. This paper concentrates on identifying the sentimental features from the user tweets and provides the harm free social network environment to the society.


2021 ◽  
Vol 28 (1) ◽  
pp. e100262
Author(s):  
Mustafa Khanbhai ◽  
Patrick Anyadi ◽  
Joshua Symons ◽  
Kelsey Flott ◽  
Ara Darzi ◽  
...  

ObjectivesUnstructured free-text patient feedback contains rich information, and analysing these data manually would require a lot of personnel resources which are not available in most healthcare organisations.To undertake a systematic review of the literature on the use of natural language processing (NLP) and machine learning (ML) to process and analyse free-text patient experience data.MethodsDatabases were systematically searched to identify articles published between January 2000 and December 2019 examining NLP to analyse free-text patient feedback. Due to the heterogeneous nature of the studies, a narrative synthesis was deemed most appropriate. Data related to the study purpose, corpus, methodology, performance metrics and indicators of quality were recorded.ResultsNineteen articles were included. The majority (80%) of studies applied language analysis techniques on patient feedback from social media sites (unsolicited) followed by structured surveys (solicited). Supervised learning was frequently used (n=9), followed by unsupervised (n=6) and semisupervised (n=3). Comments extracted from social media were analysed using an unsupervised approach, and free-text comments held within structured surveys were analysed using a supervised approach. Reported performance metrics included the precision, recall and F-measure, with support vector machine and Naïve Bayes being the best performing ML classifiers.ConclusionNLP and ML have emerged as an important tool for processing unstructured free text. Both supervised and unsupervised approaches have their role depending on the data source. With the advancement of data analysis tools, these techniques may be useful to healthcare organisations to generate insight from the volumes of unstructured free-text data.


2021 ◽  
Author(s):  
Arash Maghsoudi ◽  
Sara Nowakowski ◽  
Ritwick Agrawal ◽  
Amir Sharafkhaneh ◽  
Sadaf Aram ◽  
...  

BACKGROUND The COVID-19 pandemic has imposed additional stress on population health that may result in a higher incidence of insomnia. In this study, we hypothesized that using natural language processing (NLP) to explore social media would help to identify the mental health condition of the population experiencing insomnia after the outbreak of COVID-19. OBJECTIVE In this study, we hypothesized that using natural language processing (NLP) to explore social media would help to identify the mental health condition of the population experiencing insomnia after the outbreak of COVID-19. METHODS We designed a pre-post retrospective study using public social media content from Twitter. We categorized tweets based on time into two intervals: prepandemic (01/01/2019 to 01/01/2020) and pandemic (01/01/2020 to 01/01/2021). We used NLP to analyze polarity (positive/negative) and intensity of emotions and also users’ tweets psychological states in terms of sadness, anxiety and anger by counting the words related to these categories in each tweet. Additionally, we performed temporal analysis to examine the effect of time on the users’ insomnia experience. RESULTS We extracted 268,803 tweets containing the word insomnia (prepandemic, 123,293 and pandemic, 145,510). The odds of negative tweets (OR, 1.31; 95% CI, 1.29-1.33), anger (OR, 1.19; 95% CI, 1.16-1.21), and anxiety (OR, 1.24; 95% CI: 1.21-1.26) were higher during the pandemic compared to prepandemic. The likelihood of negative tweets after midnight was higher than for other daily intevals, comprising approximately 60% of all negative insomnia-related tweets in 2020 and 2021 collectively. CONCLUSIONS Twitter users shared more negative tweets about insomnia during the pandemic than during the year before. Also, more anger and anxiety-related content were disseminated during the pandemic on the social media platform. Future studies using an NLP framework could assess tweets about other psychological distress, habit changes, weight gain due to inactivity, and the effect of viral infection on sleep.


2021 ◽  
Author(s):  
Abul Hasan ◽  
Mark Levene ◽  
David Weston ◽  
Renate Fromson ◽  
Nicolas Koslover ◽  
...  

BACKGROUND The COVID-19 pandemic has created a pressing need for integrating information from disparate sources, in order to assist decision makers. Social media is important in this respect, however, to make sense of the textual information it provides and be able to automate the processing of large amounts of data, natural language processing methods are needed. Social media posts are often noisy, yet they may provide valuable insights regarding the severity and prevalence of the disease in the population. In particular, machine learning techniques for triage and diagnosis could allow for a better understanding of what social media may offer in this respect. OBJECTIVE This study aims to develop an end-to-end natural language processing pipeline for triage and diagnosis of COVID-19 from patient-authored social media posts, in order to provide researchers and other interested parties with additional information on the symptoms, severity and prevalence of the disease. METHODS The text processing pipeline first extracts COVID-19 symptoms and related concepts such as severity, duration, negations, and body parts from patients’ posts using conditional random fields. An unsupervised rule-based algorithm is then applied to establish relations between concepts in the next step of the pipeline. The extracted concepts and relations are subsequently used to construct two different vector representations of each post. These vectors are applied separately to build support vector machine learning models to triage patients into three categories and diagnose them for COVID-19. RESULTS We report that Macro- and Micro-averaged F_{1\ }scores in the range of 71-96% and 61-87%, respectively, for the triage and diagnosis of COVID-19, when the models are trained on human labelled data. Our experimental results indicate that similar performance can be achieved when the models are trained using predicted labels from concept extraction and rule-based classifiers, thus yielding end-to-end machine learning. Also, we highlight important features uncovered by our diagnostic machine learning models and compare them with the most frequent symptoms revealed in another COVID-19 dataset. In particular, we found that the most important features are not always the most frequent ones. CONCLUSIONS Our preliminary results show that it is possible to automatically triage and diagnose patients for COVID-19 from natural language narratives using a machine learning pipeline, in order to provide additional information on the severity and prevalence of the disease through the eyes of social media.


2021 ◽  
Author(s):  
Vishal Dey ◽  
Peter Krasniak ◽  
Minh Nguyen ◽  
Clara Lee ◽  
Xia Ning

BACKGROUND A new illness can come to public attention through social media before it is medically defined, formally documented, or systematically studied. One example is a condition known as breast implant illness (BII), which has been extensively discussed on social media, although it is vaguely defined in the medical literature. OBJECTIVE The objective of this study is to construct a data analysis pipeline to understand emerging illnesses using social media data and to apply the pipeline to understand the key attributes of BII. METHODS We constructed a pipeline of social media data analysis using natural language processing and topic modeling. Mentions related to signs, symptoms, diseases, disorders, and medical procedures were extracted from social media data using the clinical Text Analysis and Knowledge Extraction System. We mapped the mentions to standard medical concepts and then summarized these mapped concepts as topics using latent Dirichlet allocation. Finally, we applied this pipeline to understand BII from several BII-dedicated social media sites. RESULTS Our pipeline identified topics related to toxicity, cancer, and mental health issues that were highly associated with BII. Our pipeline also showed that cancers, autoimmune disorders, and mental health problems were emerging concerns associated with breast implants, based on social media discussions. Furthermore, the pipeline identified mentions such as rupture, infection, pain, and fatigue as common self-reported issues among the public, as well as concerns about toxicity from silicone implants. CONCLUSIONS Our study could inspire future studies on the suggested symptoms and factors of BII. Our study provides the first analysis and derived knowledge of BII from social media using natural language processing techniques and demonstrates the potential of using social media information to better understand similar emerging illnesses. CLINICALTRIAL


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