BackgroundPrognostic models can help to identify patients at risk for end-stage kidney disease (ESKD) at an earlier stage to provide preventive medical interventions. Previous studies mostly applied the Cox proportional hazards model. The aim of this study is to present a resampling method, which can deal with imbalanced data structure for the prognostic model and help to improve predictive performance.MethodsThe electronic health records of patients with chronic kidney disease (CKD) older than 50 years during 2005–2015 collected from primary care in Belgium were used (n = 11,645). Both the Cox proportional hazards model and the logistic regression analysis were applied as reference model. Then, the resampling method, the Synthetic Minority Over-Sampling Technique-Edited Nearest Neighbor (SMOTE-ENN), was applied as a preprocessing procedure followed by the logistic regression analysis. The performance was evaluated by accuracy, the area under the curve (AUC), confusion matrix, and F3 score.ResultsThe C statistics for the Cox proportional hazards model was 0.807, while the AUC for the logistic regression analysis was 0.700, both on a comparable level to previous studies. With the model trained on the resampled set, 86.3% of patients with ESKD were correctly identified, although it was at the cost of the high misclassification rate of negative cases. The F3 score was 0.245, much higher than 0.043 for the logistic regression analysis and 0.022 for the Cox proportional hazards model.ConclusionThis study pointed out the imbalanced data structure and its effects on prediction accuracy, which were not thoroughly discussed in previous studies. We were able to identify patients with high risk for ESKD better from a clinical perspective by using the resampling method. But, it has the limitation of the high misclassification of negative cases. The technique can be widely used in other clinical topics when imbalanced data structure should be considered.
We revisit the weakly supervised cross-modal face-name alignment task; that is, given an image and a caption, we label the faces in the image with the names occurring in the caption. Whereas past approaches have learned the latent alignment between names and faces by uncertainty reasoning over a set of images and their respective captions, in this paper, we rely on appropriate loss functions to learn the alignments in a neural network setting and propose SECLA and SECLA-B. SECLA is a Symmetry-Enhanced Contrastive Learning-based Alignment model that can effectively maximize the similarity scores between corresponding faces and names in a weakly supervised fashion. A variation of the model, SECLA-B, learns to align names and faces as humans do, that is, learning from easy to hard cases to further increase the performance of SECLA. More specifically, SECLA-B applies a two-stage learning framework: (1) Training the model on an easy subset with a few names and faces in each image-caption pair.(2) Leveraging the known pairs of names and faces from the easy cases using a bootstrapping strategy with additional loss to prevent forgetting and learning new alignments at the same time. We achieve state-of-the-art results for both the augmented Labeled Faces in the Wild dataset and the Celebrity Together dataset. In addition, we believe that our methods can be adapted to other multimodal news understanding tasks.* We acknowledge the support from China Scholarship Council, CELSA/19/018, and MACCHINA project (KU Leuven C14/18/065).
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