scholarly journals Evaluating Doctor Performance: Ordinal Regression-Based Approach (Preprint)

2017 ◽  
Author(s):  
Yong Shi ◽  
Peijia Li ◽  
Xiaodan Yu ◽  
Huadong Wang ◽  
Lingfeng Niu

BACKGROUND Doctor’s performance evaluation is an important task in mobile health (mHealth), which aims to evaluate the overall quality of online diagnosis and patient outcomes so that customer satisfaction and loyalty can be attained. However, most patients tend not to rate doctors’ performance, therefore, it is imperative to develop a model to make doctor’s performance evaluation automatic. When evaluating doctors’ performance, we rate it into a score label that is as close as possible to the true one. OBJECTIVE This study aims to perform automatic doctor’s performance evaluation from online textual consultations between doctors and patients by way of a novel machine learning method. METHODS We propose a solution that models doctor’s performance evaluation as an ordinal regression problem. In doing so, a support vector machine combined with an ordinal partitioning model (SVMOP), along with an innovative predictive function will be developed to capture the hidden preferences of the ordering labels over doctor’s performance evaluation. When engineering the basic text features, eight customized features (extracted from over 70,000 medical entries) were added and further boosted by the Gradient Boosting Decision Tree algorithm. RESULTS Real data sets from one of the largest mobile doctor/patient communication platforms in China are used in our study. Statistically, 64% of data on mHealth platforms lack the evaluation labels from patients. Experimental results reveal that our approach can support an automatic doctor performance evaluation. Compared with other auto-evaluation models, SVMOP improves mean absolute error (MAE) by 0.1, mean square error (MSE) by 0.5, pairwise accuracy (PAcc) by 5%; the suggested customized features improve MAE by 0.1, MSE by 0.2, PAcc by 3%. After boosting, performance is further improved. Based on SVMOP, predictive features like politeness and sentiment words can be mined, which can be further applied to guide the development of mHealth platforms. CONCLUSIONS The initial modelling of doctor performance evaluation is an ordinal regression problem. Experiments show that the performance of our proposed model with revised prediction function is better than many other machine learning methods on MAE, MSE, as well as PAcc. With this model, the mHealth platform could not only make an online auto-evaluation of physician performance, but also obtain the most effective features, thereby guiding physician performance and the development of mHealth platforms.

Author(s):  
Sachin Kumar ◽  
Karan Veer

Aims: The objective of this research is to predict the covid-19 cases in India based on the machine learning approaches. Background: Covid-19, a respiratory disease caused by one of the coronavirus family members, has led to a pandemic situation worldwide in 2020. This virus was detected firstly in Wuhan city of China in December 2019. This viral disease has taken less than three months to spread across the globe. Objective: In this paper, we proposed a regression model based on the Support vector machine (SVM) to forecast the number of deaths, the number of recovered cases, and total confirmed cases for the next 30 days. Method: For prediction, the data is collected from Github and the ministry of India's health and family welfare from March 14, 2020, to December 3, 2020. The model has been designed in Python 3.6 in Anaconda to forecast the forecasting value of corona trends until September 21, 2020. The proposed methodology is based on the prediction of values using SVM based regression model with polynomial, linear, rbf kernel. The dataset has been divided into train and test datasets with 40% and 60% test size and verified with real data. The model performance parameters are evaluated as a mean square error, mean absolute error, and percentage accuracy. Results and Conclusion: The results show that the polynomial model has obtained 95 % above accuracy score, linear scored above 90%, and rbf scored above 85% in predicting cumulative death, conformed cases, and recovered cases.


2020 ◽  
Vol 10 (24) ◽  
pp. 8968
Author(s):  
Miguel Martínez-Comesaña ◽  
Lara Febrero-Garrido ◽  
Enrique Granada-Álvarez ◽  
Javier Martínez-Torres ◽  
Sandra Martínez-Mariño

The Heat Loss Coefficient (HLC) characterizes the envelope efficiency of a building under in-use conditions, and it represents one of the main causes of the performance gap between the building design and its real operation. Accurate estimations of the HLC contribute to optimizing the energy consumption of a building. In this context, the application of black-box models in building energy analysis has been consolidated in recent years. The aim of this paper is to estimate the HLC of an existing building through the prediction of building thermal demands using a methodology based on Machine Learning (ML) models. Specifically, three different ML methods are applied to a public library in the northwest of Spain and compared; eXtreme Gradient Boosting (XGBoost), Support Vector Regression (SVR) and Multi-Layer Perceptron (MLP) neural network. Furthermore, the accuracy of the results is measured, on the one hand, using both CV(RMSE) and Normalized Mean Biased Error (NMBE), as advised by AHSRAE, for thermal demand predictions and, on the other, an absolute error for HLC estimations. The main novelty of this paper lies in the estimation of the HLC of a building considering thermal demand predictions reducing the requirement for monitoring. The results show that the most accurate model is capable of estimating the HLC of the building with an absolute error between 4 and 6%.


2019 ◽  
Vol 21 (9) ◽  
pp. 662-669 ◽  
Author(s):  
Junnan Zhao ◽  
Lu Zhu ◽  
Weineng Zhou ◽  
Lingfeng Yin ◽  
Yuchen Wang ◽  
...  

Background: Thrombin is the central protease of the vertebrate blood coagulation cascade, which is closely related to cardiovascular diseases. The inhibitory constant Ki is the most significant property of thrombin inhibitors. Method: This study was carried out to predict Ki values of thrombin inhibitors based on a large data set by using machine learning methods. Taking advantage of finding non-intuitive regularities on high-dimensional datasets, machine learning can be used to build effective predictive models. A total of 6554 descriptors for each compound were collected and an efficient descriptor selection method was chosen to find the appropriate descriptors. Four different methods including multiple linear regression (MLR), K Nearest Neighbors (KNN), Gradient Boosting Regression Tree (GBRT) and Support Vector Machine (SVM) were implemented to build prediction models with these selected descriptors. Results: The SVM model was the best one among these methods with R2=0.84, MSE=0.55 for the training set and R2=0.83, MSE=0.56 for the test set. Several validation methods such as yrandomization test and applicability domain evaluation, were adopted to assess the robustness and generalization ability of the model. The final model shows excellent stability and predictive ability and can be employed for rapid estimation of the inhibitory constant, which is full of help for designing novel thrombin inhibitors.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Moojung Kim ◽  
Young Jae Kim ◽  
Sung Jin Park ◽  
Kwang Gi Kim ◽  
Pyung Chun Oh ◽  
...  

Abstract Background Annual influenza vaccination is an important public health measure to prevent influenza infections and is strongly recommended for cardiovascular disease (CVD) patients, especially in the current coronavirus disease 2019 (COVID-19) pandemic. The aim of this study is to develop a machine learning model to identify Korean adult CVD patients with low adherence to influenza vaccination Methods Adults with CVD (n = 815) from a nationally representative dataset of the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V) were analyzed. Among these adults, 500 (61.4%) had answered "yes" to whether they had received seasonal influenza vaccinations in the past 12 months. The classification process was performed using the logistic regression (LR), random forest (RF), support vector machine (SVM), and extreme gradient boosting (XGB) machine learning techniques. Because the Ministry of Health and Welfare in Korea offers free influenza immunization for the elderly, separate models were developed for the < 65 and ≥ 65 age groups. Results The accuracy of machine learning models using 16 variables as predictors of low influenza vaccination adherence was compared; for the ≥ 65 age group, XGB (84.7%) and RF (84.7%) have the best accuracies, followed by LR (82.7%) and SVM (77.6%). For the < 65 age group, SVM has the best accuracy (68.4%), followed by RF (64.9%), LR (63.2%), and XGB (61.4%). Conclusions The machine leaning models show comparable performance in classifying adult CVD patients with low adherence to influenza vaccination.


Materials ◽  
2021 ◽  
Vol 14 (15) ◽  
pp. 4068
Author(s):  
Xu Huang ◽  
Mirna Wasouf ◽  
Jessada Sresakoolchai ◽  
Sakdirat Kaewunruen

Cracks typically develop in concrete due to shrinkage, loading actions, and weather conditions; and may occur anytime in its life span. Autogenous healing concrete is a type of self-healing concrete that can automatically heal cracks based on physical or chemical reactions in concrete matrix. It is imperative to investigate the healing performance that autogenous healing concrete possesses, to assess the extent of the cracking and to predict the extent of healing. In the research of self-healing concrete, testing the healing performance of concrete in a laboratory is costly, and a mass of instances may be needed to explore reliable concrete design. This study is thus the world’s first to establish six types of machine learning algorithms, which are capable of predicting the healing performance (HP) of self-healing concrete. These algorithms involve an artificial neural network (ANN), a k-nearest neighbours (kNN), a gradient boosting regression (GBR), a decision tree regression (DTR), a support vector regression (SVR) and a random forest (RF). Parameters of these algorithms are tuned utilising grid search algorithm (GSA) and genetic algorithm (GA). The prediction performance indicated by coefficient of determination (R2) and root mean square error (RMSE) measures of these algorithms are evaluated on the basis of 1417 data sets from the open literature. The results show that GSA-GBR performs higher prediction performance (R2GSA-GBR = 0.958) and stronger robustness (RMSEGSA-GBR = 0.202) than the other five types of algorithms employed to predict the healing performance of autogenous healing concrete. Therefore, reliable prediction accuracy of the healing performance and efficient assistance on the design of autogenous healing concrete can be achieved.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Toktam Khatibi ◽  
Elham Hanifi ◽  
Mohammad Mehdi Sepehri ◽  
Leila Allahqoli

Abstract Background Stillbirth is defined as fetal loss in pregnancy beyond 28 weeks by WHO. In this study, a machine-learning based method is proposed to predict stillbirth from livebirth and discriminate stillbirth before and during delivery and rank the features. Method A two-step stack ensemble classifier is proposed for classifying the instances into stillbirth and livebirth at the first step and then, classifying stillbirth before delivery from stillbirth during the labor at the second step. The proposed SE has two consecutive layers including the same classifiers. The base classifiers in each layer are decision tree, Gradient boosting classifier, logistics regression, random forest and support vector machines which are trained independently and aggregated based on Vote boosting method. Moreover, a new feature ranking method is proposed in this study based on mean decrease accuracy, Gini Index and model coefficients to find high-ranked features. Results IMAN registry dataset is used in this study considering all births at or beyond 28th gestational week from 2016/04/01 to 2017/01/01 including 1,415,623 live birth and 5502 stillbirth cases. A combination of maternal demographic features, clinical history, fetal properties, delivery descriptors, environmental features, healthcare service provider descriptors and socio-demographic features are considered. The experimental results show that our proposed SE outperforms the compared classifiers with the average accuracy of 90%, sensitivity of 91%, specificity of 88%. The discrimination of the proposed SE is assessed and the average AUC of ±95%, CI of 90.51% ±1.08 and 90% ±1.12 is obtained on training dataset for model development and test dataset for external validation, respectively. The proposed SE is calibrated using isotopic nonparametric calibration method with the score of 0.07. The process is repeated 10,000 times and AUC of SE classifiers using random different training datasets as null distribution. The obtained p-value to assess the specificity of the proposed SE is 0.0126 which shows the significance of the proposed SE. Conclusions Gestational age and fetal height are two most important features for discriminating livebirth from stillbirth. Moreover, hospital, province, delivery main cause, perinatal abnormality, miscarriage number and maternal age are the most important features for classifying stillbirth before and during delivery.


2021 ◽  
Vol 10 (1) ◽  
pp. 42
Author(s):  
Kieu Anh Nguyen ◽  
Walter Chen ◽  
Bor-Shiun Lin ◽  
Uma Seeboonruang

Although machine learning has been extensively used in various fields, it has only recently been applied to soil erosion pin modeling. To improve upon previous methods of quantifying soil erosion based on erosion pin measurements, this study explored the possible application of ensemble machine learning algorithms to the Shihmen Reservoir watershed in northern Taiwan. Three categories of ensemble methods were considered in this study: (a) Bagging, (b) boosting, and (c) stacking. The bagging method in this study refers to bagged multivariate adaptive regression splines (bagged MARS) and random forest (RF), and the boosting method includes Cubist and gradient boosting machine (GBM). Finally, the stacking method is an ensemble method that uses a meta-model to combine the predictions of base models. This study used RF and GBM as the meta-models, decision tree, linear regression, artificial neural network, and support vector machine as the base models. The dataset used in this study was sampled using stratified random sampling to achieve a 70/30 split for the training and test data, and the process was repeated three times. The performance of six ensemble methods in three categories was analyzed based on the average of three attempts. It was found that GBM performed the best among the ensemble models with the lowest root-mean-square error (RMSE = 1.72 mm/year), the highest Nash-Sutcliffe efficiency (NSE = 0.54), and the highest index of agreement (d = 0.81). This result was confirmed by the spatial comparison of the absolute differences (errors) between model predictions and observations using GBM and RF in the study area. In summary, the results show that as a group, the bagging method and the boosting method performed equally well, and the stacking method was third for the erosion pin dataset considered in this study.


Mathematics ◽  
2021 ◽  
Vol 9 (9) ◽  
pp. 936
Author(s):  
Jianli Shao ◽  
Xin Liu ◽  
Wenqing He

Imbalanced data exist in many classification problems. The classification of imbalanced data has remarkable challenges in machine learning. The support vector machine (SVM) and its variants are popularly used in machine learning among different classifiers thanks to their flexibility and interpretability. However, the performance of SVMs is impacted when the data are imbalanced, which is a typical data structure in the multi-category classification problem. In this paper, we employ the data-adaptive SVM with scaled kernel functions to classify instances for a multi-class population. We propose a multi-class data-dependent kernel function for the SVM by considering class imbalance and the spatial association among instances so that the classification accuracy is enhanced. Simulation studies demonstrate the superb performance of the proposed method, and a real multi-class prostate cancer image dataset is employed as an illustration. Not only does the proposed method outperform the competitor methods in terms of the commonly used accuracy measures such as the F-score and G-means, but also successfully detects more than 60% of instances from the rare class in the real data, while the competitors can only detect less than 20% of the rare class instances. The proposed method will benefit other scientific research fields, such as multiple region boundary detection.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Arturo Moncada-Torres ◽  
Marissa C. van Maaren ◽  
Mathijs P. Hendriks ◽  
Sabine Siesling ◽  
Gijs Geleijnse

AbstractCox Proportional Hazards (CPH) analysis is the standard for survival analysis in oncology. Recently, several machine learning (ML) techniques have been adapted for this task. Although they have shown to yield results at least as good as classical methods, they are often disregarded because of their lack of transparency and little to no explainability, which are key for their adoption in clinical settings. In this paper, we used data from the Netherlands Cancer Registry of 36,658 non-metastatic breast cancer patients to compare the performance of CPH with ML techniques (Random Survival Forests, Survival Support Vector Machines, and Extreme Gradient Boosting [XGB]) in predicting survival using the $$c$$ c -index. We demonstrated that in our dataset, ML-based models can perform at least as good as the classical CPH regression ($$c$$ c -index $$\sim \,0.63$$ ∼ 0.63 ), and in the case of XGB even better ($$c$$ c -index $$\sim 0.73$$ ∼ 0.73 ). Furthermore, we used Shapley Additive Explanation (SHAP) values to explain the models’ predictions. We concluded that the difference in performance can be attributed to XGB’s ability to model nonlinearities and complex interactions. We also investigated the impact of specific features on the models’ predictions as well as their corresponding insights. Lastly, we showed that explainable ML can generate explicit knowledge of how models make their predictions, which is crucial in increasing the trust and adoption of innovative ML techniques in oncology and healthcare overall.


Author(s):  
Gudipally Chandrashakar

In this article, we used historical time series data up to the current day gold price. In this study of predicting gold price, we consider few correlating factors like silver price, copper price, standard, and poor’s 500 value, dollar-rupee exchange rate, Dow Jones Industrial Average Value. Considering the prices of every correlating factor and gold price data where dates ranging from 2008 January to 2021 February. Few algorithms of machine learning are used to analyze the time-series data are Random Forest Regression, Support Vector Regressor, Linear Regressor, ExtraTrees Regressor and Gradient boosting Regression. While seeing the results the Extra Tree Regressor algorithm gives the predicted value of gold prices more accurately.


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