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Biomedical subjects

William J Long

Publications and source records attributed to William J Long.

4 recordsLinked to original sources

Automatic analysis of medical dialogue in the home hemodialysis domain: structure induction and summarization.

Spoken medical dialogue is a valuable source of information for patients and caregivers. This work presents a first step towards automatic analysis and summarization of spoken medical dialogue. We first abstract a dialogue into a sequence of semantic categories using linguistic and contextual features integrated in a supervised machine-learning framework. Our model has a classification accuracy of 73%, compared to 33% achieved by a majority baseline (p<0.01). We then describe and implement a summarizer that utilizes this automatically induced structure. Our evaluation results indicate that automatically generated summaries exhibit high resemblance to summaries written by humans. In addition, task-based evaluation shows that physicians can reasonably answer questions related to patient care by looking at the automatically generated summaries alone, in contrast to the physicians' performance when they were given summaries from a naïve summarizer (p<0.05). This work demonstrates the feasibility of automatically structuring and summarizing spoken medical dialogue.

Artificial Intelligence↗

Evaluation of a cardiac diagnostic program in a typical clinical setting.

CONTEXT: The Heart Disease Program (HDP) is a novel computerized diagnosis program incorporating a computer model of cardiovascular physiology. Physicians can enter standard clinical data and receive a differential diagnosis with explanations. OBJECTIVE: To evaluate the diagnostic performance of the HDP and its usability by physicians in a typical clinical setting. DESIGN: A prospective observational study of the HDP in use by physicians in departments of medicine and cardiology of a teaching hospital. Data came from 114 patients with a broad range of cardiac disorders, entered by six physicians. MEASUREMENTS: Sensitivity, specificity, and positive predictive value (PPV). Comprehensiveness: the proportion of final diagnoses suggested by the HDP or physicians for each case. RELEVANCE: the proportion of HDP or physicians' diagnoses that are correct. Area under the receiver operating characteristic (ROC) curve (AUC) for the HDP and the physicians. Performance was compared with a final diagnosis based on follow-up and further investigations. RESULTS: Compared with the final diagnoses, the HDP had a higher sensitivity (53.0% vs. 34.8%) and significantly higher comprehensiveness (57.2% vs. 39.5%, p < 0.0001) than the physicians. Physicians' PPV and relevance (56.2%, 56.0%) were higher than the HDP (25.4%, 28.1%). Combining the diagnoses of the physicians and the HDPs, sensitivity was 61.3% and comprehensiveness was 65.7%. These findings were significant in the two collection cohorts and for subanalysis of the most serious diagnoses. The AUCs were similar for the HDP and the physicians. CONCLUSIONS: The heart disease program has the potential to improve the differential diagnoses of physicians in a typical clinical setting.

Adult↗

The emotive causes of recurrent international conflicts.

Many international conflicts are recurrent, and many of these are characterized by periods of violence, including wars, that are hard to describe as planned products of rational decision-making. Analysis of these conflicts according to rational-choice international-relations theory or constructivist approaches has been less revealing than might have been hoped. We consider the possibility that emotive causes could better explain, or at least improve the explanation of, observed patterns. We offer three emotive models of recurrent conflict and we outline a method by which the reliability of emotive explanations derived from these models could be tested prospectively.

Journal Article↗

Parsing free text nursing notes.

Parsing nursing notes requires tokenization, recognition of special forms, abbreviation expansion, and classification in the context of identified sections

Abbreviations as Topic↗