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Risk patterns are crucial in biomedical research and have served as an important factor in precision health and disease prevention. Despite recent development in parallel and high-performance computing, existing risk pattern mining methods still struggle with problems caused by large-scale datasets, such as redundant candidate generation, inability to discover long significant patterns, and prolonged post pattern filtering. In this article, we propose a novel dynamic tree structure, Risk Hierarchical Pattern Tree (RHPTree), and a top-down search method, RHPSearch, which are capable of efficiently analyzing a large volume of data and overcoming the limitations of previous works. The dynamic nature of the RHPTree avoids costly tree reconstruction for the iterative search process and dataset updates. We also introduce two specialized search methods, the extended target search (RHPSearch-TS) and the parallel search approach (RHPSearch-SD), to further speed up the retrieval of certain items of interest. Experiments on both UCI machine learning datasets and sampled datasets of the Simons Foundation Autism Research Initiative (SFARI)—Simon’s Simplex Collection (SSC) datasets demonstrate that our method is not only faster but also more effective in identifying comprehensive long risk patterns than existing works. Moreover, the proposed new tree structure is generic and applicable to other pattern mining problems. 

Recent advances in deep learning have shown many successful stories in smart healthcare applications with data-driven insight into improving clinical institutions’ quality of care. Excellent deep learning models are heavily data-driven. The more data trained, the more robust and more generalizable the performance of the deep learning model. However, pooling the medical data into centralized storage to train a robust deep learning model faces privacy, ownership, and strict regulation challenges. Federated learning resolves the previous challenges with a shared global deep learning model using a central aggregator server. At the same time, patient data remain with the local party, maintaining data anonymity and security. In this study, first, we provide a comprehensive, up-to-date review of research employing federated learning in healthcare applications. Second, we evaluate a set of recent challenges from a data-centric perspective in federated learning, such as data partitioning characteristics, data distributions, data protection mechanisms, and benchmark datasets. Finally, we point out several potential challenges and future research directions in healthcare applications. 

Objective: To identify differences in short-term outcomes of patients with coronavirus disease 2019 (COVID-19) according to various racial/ethnic groups.Design: Analysis of Cerner de-identified COVID-19 dataset.Setting: A total of 62 health care facilities.Participants: The cohort included 49,277 adult COVID-19 patients who were hospitalized from December 1, 2019 to November 13, 2020.Methods: We compared patients’ age, gender, individual components of Charl­son and Elixhauser comorbidities, medical complications, use of do-not-resuscitate, use of palliative care, and socioeconomic status between various racial and/or ethnic groups. We further compared the rates of in-hos­pital mortality and non-routine discharges between various racial and/or ethnic groups.Main Outcome Measures: The primary outcome of interest was in-hospital mortali­ty. The secondary outcome was non-routine discharge (discharge to destinations other than home, such as short-term hospitals or other facilities including intermediate care and skilled nursing homes).Results: Compared with White patients, in-hospital mortality was significantly higher among African American (OR 1.5; 95%CI:1.3-1.6, P<.001), Hispanic (OR1.4; 95%CI:1.3-1.6, P<.001), and Asian or Pacific Islander (OR 1.5; 95%CI: 1.1-1.9, P=.002) patients after adjustment for age and gender, Elixhauser comorbidities, do-not-resuscitate status, palliative care use, and socioeconomic status.Conclusions: Our study found that, among hospitalized patients with COVID-2019, African American, Hispanic, and Asian or Pacific Islander patients had increased mortality compared with White patients after adjusting for sociodemographic factors, comorbidities, and do-not-resuscitate/pallia­tive care status. Our findings add additional perspective to other recent studies. Ethn Dis. 2021;31(3):389-398; doi:10.18865/ed.31.3.389 

Visual reasoning is critical in many complex visual tasks in medicine such as radiology or pathology. It is challenging to explicitly explain reasoning processes due to the dynamic nature of real-time human cognition. A deeper understanding of such reasoning processes is necessary for improving diagnostic accuracy and computational tools. Most computational analysis methods for visual attention utilize black-box algorithms which lack explainability and are therefore limited in understanding the visual reasoning processes. In this paper, we propose a computational method to quantify and dissect visual reasoning. The method characterizes spatial and temporal features and identifies common and contrast visual reasoning patterns to extract significant gaze activities. The visual reasoning patterns are explainable and can be compared among different groups to discover strategy differences. Experiments with radiographers of varied levels of expertise on 10 levels of visual tasks were conducted. Our empirical observations show that the method can capture the temporal and spatial features of human visual attention and distinguish expertise level. The extracted patterns are further examined and interpreted to showcase key differences between expertise levels in the visual reasoning processes. By revealing task-related reasoning processes, this method demonstrates potential for explaining human visual understanding.

 

CAPRI challenges offer a variety of blind tests for protein‐protein interaction prediction. In CAPRI Rounds 38‐45, we generated a set of putative binding modes for each target with an FFT‐based docking algorithm, and then scored and ranked these binding modes with a proprietary scoring function, ITScorePP. We have also developed a novel web server, Rebipp. The algorithm utilizes information retrieval to identify relevant biological information to significantly reduce the search space for a particular protein. In parallel, we have also constructed a GPU‐based docking server, MDockPP, for protein‐protein complex structure prediction. Here, the performance of our protocol in CAPRI rounds 38‐45 is reported, which include 16 docking and scoring targets. Among them, three targets contain multiple interfaces: Targets 124, 125, and 136 have 2, 4, and 3 interfaces, respectively. In the predictor experiments, we predicted correct binding modes for nine targets, including one high‐accuracy interface, six medium‐accuracy binding modes, and six acceptable‐accuracy binding modes. For the docking server prediction experiments, we predicted correct binding modes for eight targets, including one high‐accuracy, three medium‐accuracy, and five acceptable‐accuracy binding modes.