While great progress in the development of a methodological approach to measure the accessibility of healthcare services has been made, the exclusion of the complex multi-mode travel behavior of urban residents and a rough calculation of travel costs from the origin to the destination limit its potential for making a detailed assessment, especially in urban areas. In this paper, we aim to describe and implement an enhanced method that enables the integration of multiple transportation modes into a two-step floating catchment area (2SFCA) method to estimate accessibility. We used a travel-mode choice survey, based on distance sections, to determine the complex multi-mode travel behavior of urban residents. Taking Nanjing as a study area, we proposed complete door-to-door approaches to determine every aspect of basic transportation modes. Additionally, we processed open data to implement an accurate computing of the origin-destination (OD) time cost. We applied the enhanced method to estimate the accessibility of residents to hospitals and compared it with three single-mode 2SFCA methods. The results showed that the proposed method effectively identified more accessibility details and provided more realistic accessibility values.
Background Laboratory indicator test results in electronic health records have been applied to many clinical big data analysis. However, it is quite common that the same laboratory examination item (i.e., lab indicator) is presented using different names in Chinese due to the translation problem and the habit problem of various hospitals, which results in distortion of analysis results. Methods A framework with a recall model and a binary classification model is proposed, which could reduce the alignment scale and improve the accuracy of lab indicator normalization. To reduce alignment scale, tf-idf is used for candidate selection. To assure the accuracy of output, we utilize enhanced sequential inference model for binary classification. And active learning is applied with a selection strategy which is proposed for reducing annotation cost. Results Since our indicator standardization method mainly focuses on Chinese indicator inconsistency, we perform our experiment on Shanghai Hospital Development Center and select clinical data from 8 hospitals. The method achieves a F1-score 92.08$$\%$$ % in our final binary classification. As for active learning, the new strategy proposed performs better than random baseline and could outperform the result trained on full data with only 43$$\%$$ % training data. A case study on heart failure clinic analysis conducted on the sub-dataset collected from SHDC shows that our proposed method is practical in the application with good performance. Conclusion This work demonstrates that the structure we proposed can be effectively applied to lab indicator normalization. And active learning is also suitable for this task for cost reduction. Such a method is also valuable in data cleaning, data mining, text extracting and entity alignment.
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The answer extraction model has a direct impact on the performance of the Automatic Question Answering System (QA System). In this paper, an answer extraction model based on named entity recognition was presented. It mainly answers specific questions whose answers are related with the named entity. Firstly, it classified the questions according to answer types. And then it identified named entities with suitable types in the fragmented information. Finally, it got the final answer based on scores. The experiments in the paper proved that the model could accurately answer the questions provided by Text REtrieval Conference (TREC). Thus, the proposed model is easy to implement and its performance is good for specific questions.
Motivation Medical terminology normalization aims to map the clinical mention to terminologies coming from a knowledge base, which plays an important role in analyzing Electronic Health Record (EHR) and many downstream tasks. In this paper, we focus on Chinese procedure terminology normalization. The expressions of terminology are various and one medical mention may be linked to multiple terminologies. Existing studies based on Learning To Rank (LTR) does not fully consider the quality of negative samples during model training and the importance of keywords in this domain-specific task. Results We propose a combined recall and rank framework to solve these problems. A pair-wise Bert model with deep metric learning is used to recall candidates. Previous methods either train Bert in a point-wise way or based on a multi-class classification problem, which may lead serious efficiency problems or not be effective enough. During model training, we design a novel online negative sampling algorithm to activate the pair-wise method. To deal with multi-implication scenarios, we train the task of implication number prediction together with the recall task in a multi-task learning setting, since these two tasks are highly complementary. In rank step, we propose a keywords attentive mechanism to focus on domain-specific information such as procedure sites and procedure types. Finally, a fusion block merges the results of the recall and the rank model. Detailed experimental analysis shows our proposed framework has a remarkable improvement on both performance and efficiency. Availability The source code will be available at https://github.com/sxthunder/CMTN upon publication
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