arXiv subjects

Paulo de Carvalho

Publications and source records attributed to Paulo de Carvalho.

5 recordsLinked to original sources

arXiv2025

NRevisit: A Cognitive Behavioral Metric for Code Understandability Assessment

Measuring code understandability is both highly relevant and exceptionally challenging. This paper proposes a dynamic code understandability assessment method, which estimates a personalized code understandability score from the perspective of the specific programmer handling the code. The method consists of dynamically dividing the code unit under development or review in code regions (invisible to the programmer) and using the number of revisits (NRevisit) to each region as the primary feature for estimating the code understandability score. This approach removes the uncertainty related to the concept of a "typical programmer" assumed by static software code complexity metrics and can be easily implemented using a simple, low-cost, and non-intrusive desktop eye tracker or even a standard computer camera. This metric was evaluated using cognitive load measured through electroencephalography (EEG) in a controlled experiment with 35 programmers. Results show a very high correlation ranging from rs = 0.9067 to rs = 0.9860 (with p nearly 0) between the scores obtained with different alternatives of NRevisit and the ground truth represented by the EEG measurements of programmers' cognitive load, demonstrating the effectiveness of our approach in reflecting the cognitive effort required for code comprehension. The paper also discusses possible practical applications of NRevisit, including its use in the context of AI-generated code, which is already widely used today.

cs.SE↗

arXiv2021

Improving the compromise between accuracy, interpretability and personalization of rule-based machine learning in medical problems

One of the key challenges when developing a predictive model is the capability to describe the domain knowledge and the cause-effect relationships in a simple way. Decision rules are a useful and important methodology in this context, justifying their application in several areas, particularly in clinical practice. Several machine-learning classifiers have exploited the advantageous properties of decision rules to build intelligent prediction models, namely decision trees and ensembles of trees (ETs). However, such methodologies usually suffer from a trade-off between interpretability and predictive performance. Some procedures consider a simplification of ETs, using heuristic approaches to select an optimal reduced set of decision rules. In this paper, we introduce a novel step to those methodologies. We create a new component to predict if a given rule will be correct or not for a particular patient, which introduces personalization into the procedure. Furthermore, the validation results using three public clinical datasets suggest that it also allows to increase the predictive performance of the selected set of rules, improving the mentioned trade-off.

cs.LG↗

arXiv2021

A New Approach for Interpretability and Reliability in Clinical Risk Prediction: Acute Coronary Syndrome Scenario

We intend to create a new risk assessment methodology that combines the best characteristics of both risk score and machine learning models. More specifically, we aim to develop a method that, besides having a good performance, offers a personalized model and outcome for each patient, presents high interpretability, and incorporates an estimation of the prediction reliability which is not usually available. By combining these features in the same approach we expect that it can boost the confidence of physicians to use such a tool in their daily activity. In order to achieve the mentioned goals, a three-step methodology was developed: several rules were created by dichotomizing risk factors; such rules were trained with a machine learning classifier to predict the acceptance degree of each rule (the probability that the rule is correct) for each patient; that information was combined and used to compute the risk of mortality and the reliability of such prediction. The methodology was applied to a dataset of patients admitted with any type of acute coronary syndromes (ACS), to assess the 30-days all-cause mortality risk. The performance was compared with state-of-the-art approaches: logistic regression (LR), artificial neural network (ANN), and clinical risk score model (Global Registry of Acute Coronary Events - GRACE). The proposed approach achieved testing results identical to the standard LR, but offers superior interpretability and personalization; it also significantly outperforms the GRACE risk model and the standard ANN model. The calibration curve also suggests a very good generalization ability of the obtained model as it approaches the ideal curve. Finally, the reliability estimation of individual predictions presented a great correlation with the misclassifications rate. Those properties may have a beneficial application in other clinical scenarios as well. [abridged]

cs.LG↗

arXiv2021

Classification of Electrical Impedance Tomography Data Using Machine Learning

Patients suffering from pulmonary diseases typically exhibit pathological lung ventilation in terms of homogeneity. Electrical Impedance Tomography (EIT) is a non-invasive imaging method that allows to analyze and quantify the distribution of ventilation in the lungs. In this article, we present a new approach to promote the use of EIT data and the implementation of new clinical applications for differential diagnosis, with the development of several machine learning models to discriminate between EIT data from healthy and non-healthy subjects. EIT data from 16 subjects were acquired: 5 healthy and 11 non-healthy subjects (with multiple pulmonary conditions). Preliminary results have shown accuracy percentages of 66\% in challenging evaluation scenarios. The results suggest that the pairing of EIT feature engineering methods with machine learning methods could be further explored and applied in the diagnostic and monitoring of patients suffering from lung diseases. Also, we introduce the use of a new feature in the context of EIT data analysis (Impedance Curve Correlation).

eess.IV↗

arXiv2021

Detection of squawks in respiratory sounds of mechanically ventilated COVID-19 patients

Mechanically ventilated patients typically exhibit abnormal respiratory sounds. Squawks are short inspiratory adventitious sounds that may occur in patients with pneumonia, such as COVID-19 patients. In this work we devised a method for squawk detection in mechanically ventilated patients by developing algorithms for respiratory cycle estimation, squawk candidate identification, feature extraction, and clustering. The best classifier reached an F1 of 0.48 at the sound file level and an F1 of 0.66 at the recording session level. These preliminary results are promising, as they were obtained in noisy environments. This method will give health professionals a new feature to assess the potential deterioration of critically ill patients.

physics.med-ph↗