Electric bicycles (e-bikes) are rapidly increasing in use, raising safety concerns due to a rise in accident reports. However, e-bike incident reports often use unstructured narrative formats, which hinders quantitative safety analysis. This study introduces E-bike agents, a framework that uses large language models (LLM) powered agents to classify and extract safety variables from unstructured incident reports. Our framework consists of four LLM agents, handling data classification, information extraction, injury cause determination, and component linkage, to extract the key factors that could lead to E-bike accidents and cause varying severity levels. Furthermore, we used an ordered logit model to examine the relationship between the severity of the incident and the factors retrieved, such as gender, the type of cause, and environmental conditions. Our research shows that equipment issues are slightly more common than human-related ones, but human-related incidents are more often fatal. Specifically, pedals, tires, and brakes are frequent contributors to accidents. The model achieves a high weighted F1 score of 0.87 in classification accuracy, highlighting the potential of using LLMs to extract unstructured data in niche domains, such as transportation. Our method offers a scalable solution to improve e-bike safety analytics and provides actionable information for policy makers, designers, and regulators.
The COVID-19 pandemic, caused by SARS-CoV-2, highlighted the critical need for accurate prediction of disease severity to optimize healthcare resource allocation and patient management. The spike protein, which facilitates viral entry into host cells, exhibits high mutation rates, particularly in the receptor-binding domain, influencing viral pathogenicity. Artificial intelligence approaches, such as deep learning, offer promising solutions for leveraging genomic and clinical data to predict disease outcomes. Objective: This study aimed to develop a hybrid CNN-LSTM deep learning model to predict COVID-19 severity using spike protein sequences and associated clinical metadata from South American patients. Methods: We retrieved 9,570 spike protein sequences from the GISAID database, of which 3,467 met inclusion criteria after standardization. The dataset included 2,313 severe and 1,154 mild cases. A feature engineering pipeline extracted features from sequences, while demographic and clinical variables were one-hot encoded. A hybrid CNN-LSTM architecture was trained, combining CNN layers for local pattern extraction and an LSTM layer for long-term dependency modeling. Results: The model achieved an F1 score of 82.92%, ROC-AUC of 0.9084, precision of 83.56%, and recall of 82.85%, demonstrating robust classification performance. Training stabilized at 85% accuracy with minimal overfitting. The most prevalent lineages (P.1, AY.99.2) and clades (GR, GK) aligned with regional epidemiological trends, suggesting potential associations between viral genetics and clinical outcomes. Conclusion: The CNN-LSTM hybrid model effectively predicted COVID-19 severity using spike protein sequences and clinical data, highlighting the utility of AI in genomic surveillance and precision public health. Despite limitations, this approach provides a framework for early severity prediction in future outbreaks.
The increasing global prevalence of mental disorders, such as depression and PTSD, requires objective and scalable diagnostic tools. Traditional clinical assessments often face limitations in accessibility, objectivity, and consistency. This paper investigates the potential of multimodal machine learning to address these challenges, leveraging the complementary information available in text, audio, and video data. Our approach involves a comprehensive analysis of various data preprocessing techniques, including novel chunking and utterance-based formatting strategies. We systematically evaluate a range of state-of-the-art embedding models for each modality and employ Convolutional Neural Networks (CNNs) and Bidirectional LSTM Networks (BiLSTMs) for feature extraction. We explore data-level, feature-level, and decision-level fusion techniques, including a novel integration of Large Language Model (LLM) predictions. We also investigate the impact of replacing Multilayer Perceptron classifiers with Support Vector Machines. We extend our analysis to severity prediction using PHQ-8 and PCL-C scores and multi-class classification (considering co-occurring conditions). Our results demonstrate that utterance-based chunking significantly improves performance, particularly for text and audio modalities. Decision-level fusion, incorporating LLM predictions, achieves the highest accuracy, with a balanced accuracy of 94.8% for depression and 96.2% for PTSD detection. The combination of CNN-BiLSTM architectures with utterance-level chunking, coupled with the integration of external LLM, provides a powerful and nuanced approach to the detection and assessment of mental health conditions. Our findings highlight the potential of MMML for developing more accurate, accessible, and personalized mental healthcare tools.
The COVID-19 pandemic strained healthcare resources and prompted discussion about how machine learning can alleviate physician burdens and contribute to diagnosis. Chest x-rays (CXRs) are used for diagnosis of COVID-19, but few studies predict the severity of a patient's condition from CXRs. In this study, we produce a large COVID severity dataset by merging three sources and investigate the efficacy of transfer learning using ImageNet- and CXR-pretrained models and vision transformers (ViTs) in both severity regression and classification tasks. A pretrained DenseNet161 model performed the best on the three class severity prediction problem, reaching 80% accuracy overall and 77.3%, 83.9%, and 70% on mild, moderate and severe cases, respectively. The ViT had the best regression results, with a mean absolute error of 0.5676 compared to radiologist-predicted severity scores. The project's source code is publicly available.
Biomedical knowledge graphs (KGs) encode rich, structured information critical for drug discovery tasks, but extracting meaningful insights from large-scale KGs remains challenging due to their complex structure. Existing biomedical subgraph retrieval methods are tailored for graph neural networks (GNNs), limiting compatibility with other paradigms, including large language models (LLMs). We introduce K-Paths, a model-agnostic retrieval framework that extracts structured, diverse, and biologically meaningful multi-hop paths from dense biomedical KGs. These paths enable the prediction of unobserved drug-drug and drug-disease interactions, including those involving entities not seen during training, thus supporting inductive reasoning. K-Paths is training-free and employs a diversity-aware adaptation of Yen's algorithm to extract the K shortest loopless paths between entities in a query, prioritizing biologically relevant and relationally diverse connections. These paths serve as concise, interpretable reasoning chains that can be directly integrated with LLMs or GNNs to improve generalization, accuracy, and enable explainable inference. Experiments on benchmark datasets show that K-Paths improves zero-shot reasoning across state-of-the-art LLMs. For instance, Tx-Gemma 27B improves by 19.8 and 4.0 F1 points on interaction severity prediction and drug repurposing tasks, respectively. Llama 70B achieves gains of 8.5 and 6.2 points on the same tasks. K-Paths also boosts the training efficiency of EmerGNN, a state-of-the-art GNN, by reducing the KG size by 90% while maintaining predictive performance. Beyond efficiency, K-Paths bridges the gap between KGs and LLMs, enabling scalable and explainable LLM-augmented scientific discovery. We release our code and the retrieved paths as a benchmark for inductive reasoning.
Timely and accurate assessment of cognitive impairment is a major unmet need in populations at risk. Alterations in speech and language can be early predictors of Alzheimer's disease and related dementias (ADRD) before clinical signs of neurodegeneration. Voice biomarkers offer a scalable and non-invasive solution for automated screening. However, the clinical applicability of machine learning (ML) remains limited by challenges in generalisability, interpretability, and access to patient data to train clinically applicable predictive models. Using DementiaBank recordings (N=291, 64% female), we evaluated ML techniques for ADRD screening and severity prediction from spoken language. We validated model generalisability with pilot data collected in-residence from older adults (N=22, 59% female). Risk stratification and linguistic feature importance analysis enhanced the interpretability and clinical utility of predictions. For ADRD classification, a Random Forest applied to lexical features achieved a mean sensitivity of 69.4% (95% confidence interval (CI) = 66.4-72.5) and specificity of 83.3% (78.0-88.7). On real-world pilot data, this model achieved a mean sensitivity of 70.0% (58.0-82.0) and specificity of 52.5% (39.3-65.7). For severity prediction using Mini-Mental State Examination (MMSE) scores, a Random Forest Regressor achieved a mean absolute MMSE error of 3.7 (3.7-3.8), with comparable performance of 3.3 (3.1-3.5) on pilot data. Linguistic features associated with higher ADRD risk included increased use of pronouns and adverbs, greater disfluency, reduced analytical thinking, lower lexical diversity and fewer words reflecting a psychological state of completion. Our interpretable predictive modelling offers a novel approach for in-home integration with conversational AI to monitor cognitive health and triage higher-risk individuals, enabling earlier detection and intervention.
Mental health disorders pose a growing public health concern in the Arab world, emphasizing the need for accessible diagnostic and intervention tools. Large language models (LLMs) offer a promising approach, but their application in Arabic contexts faces challenges including limited labeled datasets, linguistic complexity, and translation biases. This study comprehensively evaluates 8 LLMs, including general multi-lingual models, as well as bi-lingual ones, on diverse mental health datasets (such as AraDepSu, Dreaddit, MedMCQA), investigating the impact of prompt design, language configuration (native Arabic vs. translated English, and vice versa), and few-shot prompting on diagnostic performance. We find that prompt engineering significantly influences LLM scores mainly due to reduced instruction following, with our structured prompt outperforming a less structured variant on multi-class datasets, with an average difference of 14.5\%. While language influence on performance was modest, model selection proved crucial: Phi-3.5 MoE excelled in balanced accuracy, particularly for binary classification, while Mistral NeMo showed superior performance in mean absolute error for severity prediction tasks. Few-shot prompting consistently improved performance, with particularly substantial gains observed for GPT-4o Mini on multi-class classification, boosting accuracy by an average factor of 1.58. These findings underscore the importance of prompt optimization, multilingual analysis, and few-shot learning for developing culturally sensitive and effective LLM-based mental health tools for Arabic-speaking populations.
Gradient boosting for decision tree algorithms are increasingly used in actuarial applications as they show superior predictive performance over traditional generalised linear models. Many enhancements to the first gradient boosting machine algorithm exist. We present in a unified notation, and contrast, all the existing point and probabilistic gradient boosting for decision tree algorithms: GBM, XGBoost, DART, LightGBM, CatBoost, EGBM, PGBM, XGBoostLSS, cyclic GBM, and NGBoost. In this comprehensive numerical study, we compare their performance on five publicly available datasets for claim frequency and severity, of various sizes and comprising different numbers of (high cardinality) categorical variables. We explain how varying exposure-to-risk can be handled with boosting in frequency models. We compare the algorithms on the basis of computational efficiency, predictive performance, and model adequacy. LightGBM and XGBoostLSS win in terms of computational efficiency. CatBoost sometimes improves predictive performance, especially in the presence of high cardinality categorical variables, common in actuarial science. The fully interpretable EGBM achieves competitive predictive performance compared to the black box algorithms considered. We find that there is no trade-off between model adequacy and predictive accuracy: both are achievable simultaneously.
Due to the subjective nature of current clinical evaluation, the need for automatic severity evaluation in dysarthric speech has emerged. DNN models outperform ML models but lack user-friendly explainability. ML models offer explainable results at a feature level, but their performance is comparatively lower. Current ML models extract various features from raw waveforms to predict severity. However, existing methods do not encompass all dysarthric features used in clinical evaluation. To address this gap, we propose a feature extraction method that minimizes information loss. We introduce an ASR transcription as a novel feature extraction source. We finetune the ASR model for dysarthric speech, then use this model to transcribe dysarthric speech and extract word segment boundary information. It enables capturing finer pronunciation and broader prosodic features. These features demonstrated an improved severity prediction performance to existing features: balanced accuracy of 83.72%.
Traffic accident prediction is crucial for enhancing road safety and mitigating congestion, and recent Graph Neural Networks (GNNs) have shown promise in modeling the inherent graph-based traffic data. However, existing GNN- based approaches often overlook or do not explicitly exploit geographic position information, which often plays a critical role in understanding spatial dependencies. This is also aligned with our observation, where accident locations are often highly relevant. To address this issue, we propose a plug-in-and-play module for common GNN frameworks, termed Geographic Information Alignment (GIA). This module can efficiently fuse the node feature and geographic position information through a novel Transpose Cross-attention mechanism. Due to the large number of nodes for traffic data, the conventional cross-attention mechanism performing the node-wise alignment may be infeasible in computation-limited resources. Instead, we take the transpose operation for Query, Key, and Value in the Cross-attention mechanism, which substantially reduces the computation cost while maintaining sufficient information. Experimental results for both traffic occurrence prediction and severity prediction (severity levels based on the interval of recorded crash counts) on large-scale city-wise datasets confirm the effectiveness of our proposed method. For example, our method can obtain gains ranging from 1.3% to 10.9% in F1 score and 0.3% to 4.8% in AUC.
This study investigates crash severity risk modeling strategies for work zones involving large vehicles (i.e., trucks, buses, and vans) under crash data imbalance between low-severity (LS) and high-severity (HS) crashes. We utilized crash data involving large vehicles in South Carolina work zones from 2014 to 2018, which included four times more LS crashes than HS crashes. The objective of this study is to evaluate the crash severity prediction performance of various statistical, machine learning, and deep learning models under different feature selection and data balancing techniques. Findings highlight a disparity in LS and HS predictions, with lower accuracy for HS crashes due to class imbalance and feature overlap. Discriminative Mutual Information (DMI) yields the most effective feature set for predicting HS crashes without requiring data balancing, particularly when paired with gradient boosting models and deep neural networks such as CatBoost, NeuralNetTorch, XGBoost, and LightGBM. Data balancing techniques such as NearMiss-1 maximize HS recall when combined with DMI-selected features and certain models such as LightGBM, making them well-suited for HS crash prediction. Conversely, RandomUnderSampler, HS Class Weighting, and RandomOverSampler achieve more balanced performance, which is defined as an equitable trade-off between LS and HS metrics, especially when applied to NeuralNetTorch, NeuralNetFastAI, CatBoost, LightGBM, and Bayesian Mixed Logit (BML) using merged feature sets or models without feature selection. The insights from this study offer safety analysts guidance on selecting models, feature selection, and data balancing techniques aligned with specific safety goals, providing a robust foundation for enhancing work-zone crash severity prediction.
Rolling element bearings are critical components of rotating machinery, with their performance directly influencing the efficiency and reliability of industrial systems. At the same time, bearing faults are a leading cause of machinery failures, often resulting in costly downtime, reduced productivity, and, in extreme cases, catastrophic damage. This study presents a methodology that utilizes Kolmogorov-Arnold Networks to address these challenges through automatic feature selection, hyperparameter tuning and interpretable fault analysis within a unified framework. By training shallow network architectures and minimizing the number of selected features, the framework produces lightweight models that deliver explainable results through feature attribution and symbolic representations of their activation functions. Validated on two widely recognized datasets for bearing fault diagnosis, the framework achieved perfect F1-Scores for fault detection and high performance in fault and severity classification tasks, including 100% F1-Scores in most cases. Notably, it demonstrated adaptability by handling diverse fault types, such as imbalance and misalignment, within the same dataset. The symbolic representations enhanced model interpretability, while feature attribution offered insights into the optimal feature types or signals for each studied task. These results highlight the framework's potential for practical applications, such as real-time machinery monitoring, and for scientific research requiring efficient and explainable models.
Video-based gait analysis can be defined as the task of diagnosing pathologies, such as ataxia, using videos of patients walking in front of a camera. This paper presents a graph convolution network called AtGCN for detecting ataxic gait and identifying its severity using 2D videos. The problem is especially challenging as the deviation of an ataxic gait from a healthy gait is very subtle. The datasets for ataxic gait detection are also quite small, with the largest dataset having only 149 videos. The paper addresses the first problem using special spatiotemporal graph convolution that successfully captures important gait-related features. To handle the small dataset size, a deep spatiotemporal graph convolution network pre-trained on an action recognition dataset is systematically truncated and then fine-tuned on the ataxia dataset to obtain the AtGCN model. The paper also presents an augmentation strategy that segments a video sequence into multiple gait cycles. The proposed AtGCN model then operates on a graph of body part locations belonging to a single gait cycle. The evaluation results support the strength of the proposed AtGCN model, as it outperforms the state-of-the-art in detection and severity prediction with an accuracy of 93.46% and a MAE of 0.4169, respectively.
Large Language Models (LLMs) are increasingly integrated into various medical fields, including mental health support systems. However, there is a gap in research regarding the effectiveness of LLMs in non-English mental health support applications. To address this problem, we present a novel multilingual adaptation of widely-used mental health datasets, translated from English into six languages (Greek, Turkish, French, Portuguese, German, and Finnish). This dataset enables a comprehensive evaluation of LLM performance in detecting mental health conditions and assessing their severity across multiple languages. By experimenting with GPT and Llama, we observe considerable variability in performance across languages, despite being evaluated on the same translated dataset. This inconsistency underscores the complexities inherent in multilingual mental health support, where language-specific nuances and mental health data coverage can affect the accuracy of the models. Through comprehensive error analysis, we emphasize the risks of relying exclusively on large language models (LLMs) in medical settings (e.g., their potential to contribute to misdiagnoses). Moreover, our proposed approach offers significant cost savings for multilingual tasks, presenting a major advantage for broad-scale implementation.
Crash injury severity prediction is a promising area of interest in traffic safety and management. Recently, machine learning approaches are becoming popular due to their ability to enhance the prediction performance through the bias-variance trade-off-technique. However, some of these methods are criticized to perform like a ‘black box’ approach while predicting and analyzing crash injury severity and produce low accuracy. In this study, we propose a novel stacking framework based on a hybrid of Gradient Boosting (GB), Adaptive Boosting (AdaBoost), and Multilayer Perceptron (MLP) to predict accurately crash injury severity. On the traffic collision dataset provided by the Seattle City Department of Transportation from 2004 to 2021, the proposed model has demonstrated superior performance when compared with the base models. Furthermore, SHAP (SHapley Additive exPlanation) is used to interpret the contribution of every feature on model performance and provide recommendations to responsible authorities.
Higher variability in grid conditions, resulting from growing renewable penetration and increased incidence of extreme weather events, has increased the difficulty of screening for scenarios that may lead to catastrophic cascading failures. Traditional power-flow-based tools for assessing cascading blackout risk are too slow to properly explore the space of possible failures and load/generation patterns. We add to the growing literature of faster graph-neural-network (GNN)-based techniques, developing two novel techniques for the estimation of blackout magnitude from initial grid conditions. First we propose several methods for employing an initial classification step to filter out safe "non blackout" scenarios prior to magnitude estimation. Second, using insights from the statistical properties of cascading blackouts, we propose a method for facilitating non-local message passing in our GNN models. We validate these two approaches on a large simulated dataset, and show the potential of both to increase blackout size estimation performance.
Remote sensing and artificial intelligence are pivotal technologies of precision agriculture nowadays. The efficient retrieval of large-scale field imagery combined with machine learning techniques shows success in various tasks like phenotyping, weeding, cropping, and disease control. This work will introduce a machine learning framework for automatized large-scale plant-specific trait annotation for the use case disease severity scoring for Cercospora Leaf Spot (CLS) in sugar beet. With concepts of Deep Label Distribution Learning (DLDL), special loss functions, and a tailored model architecture, we develop an efficient Vision Transformer based model for disease severity scoring called SugarViT. One novelty in this work is the combination of remote sensing data with environmental parameters of the experimental sites for disease severity prediction. Although the model is evaluated on this special use case, it is held as generic as possible to also be applicable to various image-based classification and regression tasks. With our framework, it is even possible to learn models on multi-objective problems as we show by a pretraining on environmental metadata.
In this paper, we propose a novel deep learning method based on a new Hybrid ConvNet-Transformer architecture to detect and stage Parkinson's disease (PD) from gait data. We adopt a two-step approach by dividing the problem into two sub-problems. Our Hybrid ConvNet-Transformer model first distinguishes healthy versus parkinsonian patients. If the patient is parkinsonian, a multi-class Hybrid ConvNet-Transformer model determines the Hoehn and Yahr (H&Y) score to assess the PD severity stage. Our hybrid architecture exploits the strengths of both Convolutional Neural Networks (ConvNets) and Transformers to accurately detect PD and determine the severity stage. In particular, we take advantage of ConvNets to capture local patterns and correlations in the data, while we exploit Transformers for handling long-term dependencies in the input signal. We show that our hybrid method achieves superior performance when compared to other state-of-the-art methods, with a PD detection accuracy of 97% and a severity staging accuracy of 87%. Our source code is available at: https://github.com/SafwenNaimi
Artificial intelligence (AI) is a powerful tool for reshaping healthcare systems. In healthcare, AI is invaluable for its capacity to manage vast amounts of data, which can lead to more accurate and speedy diagnoses, ultimately easing the workload on healthcare professionals. As a result, AI has proven itself to be a power tool across various industries, simplifying complex tasks and pattern recognition that would otherwise be overwhelming for humans or traditional computer algorithms. In this paper, we review the strengths and weaknesses of Bayesian Ridge Regression, an AI model that can be used to bring cutting edge virus analysis to healthcare professionals around the world. The model's accuracy assessment revealed promising results, with room for improvement primarily related to data organization. In addition, the severity index serves as a valuable tool to gain a broad overview of patient care needs, aligning with healthcare professionals' preference for broader categorizations.
Multi-task learning (MTL) is a powerful approach in deep learning that leverages the information from multiple tasks during training to improve model performance. In medical imaging, MTL has shown great potential to solve various tasks. However, existing MTL architectures in medical imaging are limited in sharing information across tasks, reducing the potential performance improvements of MTL. In this study, we introduce a novel attention-based MTL framework to better leverage inter-task interactions for various tasks from pixel-level to image-level predictions. Specifically, we propose a Cross-Task Attention Network (CTAN) which utilizes cross-task attention mechanisms to incorporate information by interacting across tasks. We validated CTAN on four medical imaging datasets that span different domains and tasks including: radiation treatment planning prediction using planning CT images of two different target cancers (Prostate, OpenKBP); pigmented skin lesion segmentation and diagnosis using dermatoscopic images (HAM10000); and COVID-19 diagnosis and severity prediction using chest CT scans (STOIC). Our study demonstrates the effectiveness of CTAN in improving the accuracy of medical imaging tasks. Compared to standard single-task learning (STL), CTAN demonstrated a 4.67% improvement in performance and outperformed both widely used MTL baselines: hard parameter sharing (HPS) with an average performance improvement of 3.22%; and multi-task attention network (MTAN) with a relative decrease of 5.38%. These findings highlight the significance of our proposed MTL framework in solving medical imaging tasks and its potential to improve their accuracy across domains.