Automatic Coding of Facial Expressions of Pain: Are We There Yet?

Introduction. The experience of pain is regularly accompanied by facial expressions. The gold standard for analyzing these facial expressions is the Facial Action Coding System (FACS), which provides so-called action units (AUs) as parametrical indicators of facial muscular activity. Particular combinations of AUs have appeared to be pain-indicative. The manual coding of AUs is, however, too time- and labor-intensive in clinical practice. New developments in automatic facial expression analysis have promised to enable automatic detection of AUs, which might be used for pain detection. Objective. Our aim is to compare manual with automatic AU coding of facial expressions of pain. Methods. FaceReader7 was used for automatic AU detection. We compared the performance of FaceReader7 using videos of 40 participants (20 younger with a mean age of 25.7 years and 20 older with a mean age of 52.1 years) undergoing experimentally induced heat pain to manually coded AUs as gold standard labeling. Percentages of correctly and falsely classified AUs were calculated, and we computed as indicators of congruency, “sensitivity/recall,” “precision,” and “overall agreement (F1).” Results. The automatic coding of AUs only showed poor to moderate outcomes regarding sensitivity/recall, precision, and F1. The congruency was better for younger compared to older faces and was better for pain-indicative AUs compared to other AUs. Conclusion. At the moment, automatic analyses of genuine facial expressions of pain may qualify at best as semiautomatic systems, which require further validation by human observers before they can be used to validly assess facial expressions of pain.

The dependence of election coverage on political institutions: Political competition and policy framing in Germany and the United Kingdom

Election coverage is often assumed to be different to everyday political coverage. We argue that this depends on political institutions. In majoritarian countries, where elections choose governments, election coverage should decisively move towards political competition and away from policy. In consensual countries, where coalitions are based on policy negotiations, there should be a less pronounced shift towards political competition and away from policy. To test this argument, we use an automatic coding system to study 0.9 billion words in Die Welt for 12 years and in the Financial Times for 30 years. The results support our institutional hypothesis.

An explainable CNN approach for medical codes prediction from clinical text

Background Clinical notes are unstructured text documents generated by clinicians during patient encounters, generally are annotated with International Classification of Diseases (ICD) codes, which give formatted information about the diagnosis and treatment. ICD code has shown its potentials in many fields, but manual coding is labor-intensive and error-prone, lead to researches of automatic coding. Two specific challenges of this task are (1) given an annotated clinical notes, the reasons behind specific diagnoses and treatments are implicit; (2) explainability is important for practical automatic coding method, the method should not only explain its prediction output but also have explainable internal mechanics. This study aims to develop an explainable CNN approach to address these two challenges. Method Our key idea is that for the automatic ICD coding task, the presence of informative snippets in the clinical text that correlated with each code plays an important role in the prediction of codes, and an informative snippet can be considered as a local and low-level feature. We infer that there exists a correspondence between a convolution filter and a local and low-level feature. Base on the inference, we come up with the Shallow and Wide Attention convolutional Mechanism (SWAM) to improve the CNN-based models’ ability to learn local and low-level features for each label. Results We evaluate our approach on MIMIC-III, an open-access dataset of ICU medical records. Our approach substantially outperforms previous results on top-50 medical code prediction on MIMIC-III dataset, the precision of the worst-performing 10% labels in previous works is increased from 0% to 53% on average. We attribute this improvement to SWAM, by which the wide architecture with attention mechanism gives the model ability to more extensively learn the unique features of different codes, and we prove it by an ablation experiment. Besides, we perform manual analysis of the performance imbalance between different codes, and preliminary conclude the characteristics that determine the difficulty of learning specific codes. Conclusions Our main contributions can be summarized into the following three: (1) We present local and low-level features, a.k.a. informative snippets play an important role in the automatic ICD coding task, and the informative snippets extracted from the clinical text provide explanations for each code. (2) We propose that there exists a correspondence between a convolution filter and a local and low-level feature. A combination of wide and shallow convolutional layer and attention layer can help the CNN-based models better learn local and low-level features. (3) We improved the precision of the worst-performing 10% labels from 0 to 53% on average.

Facial Expression

The description of the results of five psychophysiological studies using automatic coding facial expression in adults and children (from 4 to 16 years) in the FaceReader software version 8.0 is presented. The model situations of reading the emotional text and pronouncing emotional phrases and words, natural interaction in mother-child dyads, child and adult (experimenter), and interaction of children with each other were analyzed. The difficulties of applying the program to analyze the behavior of children in natural conditions, to analyze the emotional facial expressions of the children with autism spectrum disorders and children with Down syndrome are described. The ways to solve them are outlined.

An Indoor Positioning Algorithm for Wearable Device Using Deep Learning Regression Prediction Model in IoT Applications

To solve the problem of low positioning accuracy and ease environmental impact of wearable devices in the Internet of things, a wearable device indoor positioning algorithm based on deep learning was proposed. Firstly, a basic model of deep learning composed of an input layer, hidden layer, and output layer is proposed to realize the continuous prediction and positioning with higher accuracy. Secondly, the automatic stacking encoder is trained with signal strength data, and features are extracted from a large number of signal strength samples with noise to build the location fingerprint database. Finally, the stacking automatic coding machine is used to obtain the signal strength characteristics of the points to be measured, which are matched with the signal strength characteristics in the fingerprint database, and the location of the points to be measured is estimated by the nearest neighbor algorithm. The experimental results show that the indoor positioning algorithm based on the stacking automatic coding machine has higher positioning accuracy, and the average error of points on the complete path can reach within 3 m in 93% cases.