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Ming-Jun Chen

Publications and source records attributed to Ming-Jun Chen.

6 recordsLinked to original sources

Ultrahigh-Energy Gamma-ray Emission Associated with Black Hole-Jet Systems

Black holes (BH), one of the most intriguing objects in the universe, can manifest themselves through electromagnetic radiation initiated by the accretion flow. Some stellar-mass BHs drive relativistic jets when accreting matter from their companion stars, forming microquasars. Non-thermal emission from the radio to tera-electronvolt (TeV) gamma-ray band has been observed from microquasars, indicating the acceleration of relativistic particles. Here we report detection of four microquasars (SS 433, V4641 Sgr, GRS 1915+105, MAXI J1820+070) of spectrum extending to the ultrahigh-energy (UHE; photon energy $E>100$ TeV) band and one microquasar (Cygnus X-1) of spectrum approaching 100 TeV, using the Large High Altitude Air Shower Observatory (LHAASO). Notably, the total emission associated with SS 433 cannot be interpreted with a single leptonic component. In the UHE band, its emission is in spatial coincidence with a giant atomic cloud, which is consistent with a hadronic origin. An elongated source is discovered from V4641 Sgr with the spectrum continuing up to 800 TeV. The detection of UHE gamma rays demonstrates that accreting BHs and their environments can operate as extremely efficient accelerators of particles out of 1 peta-electronvolt (PeV), suggesting microquasars to be important contributors to Galactic cosmic rays especially around the `knee' region.

astro-ph.HE

SDOH-NLI: a Dataset for Inferring Social Determinants of Health from Clinical Notes

Social and behavioral determinants of health (SDOH) play a significant role in shaping health outcomes, and extracting these determinants from clinical notes is a first step to help healthcare providers systematically identify opportunities to provide appropriate care and address disparities. Progress on using NLP methods for this task has been hindered by the lack of high-quality publicly available labeled data, largely due to the privacy and regulatory constraints on the use of real patients' information. This paper introduces a new dataset, SDOH-NLI, that is based on publicly available notes and which we release publicly. We formulate SDOH extraction as a natural language inference (NLI) task, and provide binary textual entailment labels obtained from human raters for a cross product of a set of social history snippets as premises and SDOH factors as hypotheses. Our dataset differs from standard NLI benchmarks in that our premises and hypotheses are obtained independently. We evaluate both "off-the-shelf" entailment models as well as models fine-tuned on our data, and highlight the ways in which our dataset appears more challenging than commonly used NLI datasets.

cs.CL

Instability in clinical risk stratification models using deep learning

While it has been well known in the ML community that deep learning models suffer from instability, the consequences for healthcare deployments are under characterised. We study the stability of different model architectures trained on electronic health records, using a set of outpatient prediction tasks as a case study. We show that repeated training runs of the same deep learning model on the same training data can result in significantly different outcomes at a patient level even though global performance metrics remain stable. We propose two stability metrics for measuring the effect of randomness of model training, as well as mitigation strategies for improving model stability.

cs.LG

Machine learning for dynamically predicting the onset of renal replacement therapy in chronic kidney disease patients using claims data

Chronic kidney disease (CKD) represents a slowly progressive disorder that can eventually require renal replacement therapy (RRT) including dialysis or renal transplantation. Early identification of patients who will require RRT (as much as 1 year in advance) improves patient outcomes, for example by allowing higher-quality vascular access for dialysis. Therefore, early recognition of the need for RRT by care teams is key to successfully managing the disease. Unfortunately, there is currently no commonly used predictive tool for RRT initiation. In this work, we present a machine learning model that dynamically identifies CKD patients at risk of requiring RRT up to one year in advance using only claims data. To evaluate the model, we studied approximately 3 million Medicare beneficiaries for which we made over 8 million predictions. We showed that the model can identify at risk patients with over 90% sensitivity and specificity. Although additional work is required before this approach is ready for clinical use, this study provides a basis for a screening tool to identify patients at risk within a time window that enables early proactive interventions intended to improve RRT outcomes.

cs.LG

Boosting the interpretability of clinical risk scores with intervention predictions

Machine learning systems show significant promise for forecasting patient adverse events via risk scores. However, these risk scores implicitly encode assumptions about future interventions that the patient is likely to receive, based on the intervention policy present in the training data. Without this important context, predictions from such systems are less interpretable for clinicians. We propose a joint model of intervention policy and adverse event risk as a means to explicitly communicate the model's assumptions about future interventions. We develop such an intervention policy model on MIMIC-III, a real world de-identified ICU dataset, and discuss some use cases that highlight the utility of this approach. We show how combining typical risk scores, such as the likelihood of mortality, with future intervention probability scores leads to more interpretable clinical predictions.

cs.LG

A way to measure the water quality of the LHAASO-WCDA with cosmic muon signals

The Large High Altitude Air Shower Observatory (LHAASO) is to be built at Daocheng, Sichuan Province, China. As one of the major components of the LHAASO project, a Water Cherenkov Detector Array (WCDA), with an area of 78,000~$\rm m^{2}$, contains 350,000~tons of purified water. The water transparency and its stability are critical for successful long-term operation of this project. To gain full knowledge of the water Cherenkov technique and investigate the engineering issues, a 9-cell detector array has been built at the Yangbajing site, Tibet, China. With the help of the distribution of single cosmic muon signals, the monitoring and measurement of water transparency are studied. The results show that a precision of several percent can be obtained for the attenuation length measurement, which satisfies the requirements of the experiment. In the near future, this method could be applied to the LHAASO-WCDA project.

physics.ins-det