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Semi-Supervised Medical Image Classification Based on Sample Intrinsic Similarity Using Canonical Correlation Analysis
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作者 Kun Liu Chen Bao Sidong Liu 《Computers, Materials & Continua》 2025年第3期4451-4468,共18页
Large amounts of labeled data are usually needed for training deep neural networks in medical image studies,particularly in medical image classification.However,in the field of semi-supervised medical image analysis,l... Large amounts of labeled data are usually needed for training deep neural networks in medical image studies,particularly in medical image classification.However,in the field of semi-supervised medical image analysis,labeled data is very scarce due to patient privacy concerns.For researchers,obtaining high-quality labeled images is exceedingly challenging because it involves manual annotation and clinical understanding.In addition,skin datasets are highly suitable for medical image classification studies due to the inter-class relationships and the inter-class similarities of skin lesions.In this paper,we propose a model called Coalition Sample Relation Consistency(CSRC),a consistency-based method that leverages Canonical Correlation Analysis(CCA)to capture the intrinsic relationships between samples.Considering that traditional consistency-based models only focus on the consistency of prediction,we additionally explore the similarity between features by using CCA.We enforce feature relation consistency based on traditional models,encouraging the model to learn more meaningful information from unlabeled data.Finally,considering that cross-entropy loss is not as suitable as the supervised loss when studying with imbalanced datasets(i.e.,ISIC 2017 and ISIC 2018),we improve the supervised loss to achieve better classification accuracy.Our study shows that this model performs better than many semi-supervised methods. 展开更多
关键词 Semi-supervised learning skin lesion classification sample relation consistency class imbalanced
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Relational Turkish Text Classification Using Distant Supervised Entities and Relations
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作者 Halil Ibrahim Okur Kadir Tohma Ahmet Sertbas 《Computers, Materials & Continua》 SCIE EI 2024年第5期2209-2228,共20页
Text classification,by automatically categorizing texts,is one of the foundational elements of natural language processing applications.This study investigates how text classification performance can be improved throu... Text classification,by automatically categorizing texts,is one of the foundational elements of natural language processing applications.This study investigates how text classification performance can be improved through the integration of entity-relation information obtained from the Wikidata(Wikipedia database)database and BERTbased pre-trained Named Entity Recognition(NER)models.Focusing on a significant challenge in the field of natural language processing(NLP),the research evaluates the potential of using entity and relational information to extract deeper meaning from texts.The adopted methodology encompasses a comprehensive approach that includes text preprocessing,entity detection,and the integration of relational information.Experiments conducted on text datasets in both Turkish and English assess the performance of various classification algorithms,such as Support Vector Machine,Logistic Regression,Deep Neural Network,and Convolutional Neural Network.The results indicate that the integration of entity-relation information can significantly enhance algorithmperformance in text classification tasks and offer new perspectives for information extraction and semantic analysis in NLP applications.Contributions of this work include the utilization of distant supervised entity-relation information in Turkish text classification,the development of a Turkish relational text classification approach,and the creation of a relational database.By demonstrating potential performance improvements through the integration of distant supervised entity-relation information into Turkish text classification,this research aims to support the effectiveness of text-based artificial intelligence(AI)tools.Additionally,it makes significant contributions to the development ofmultilingual text classification systems by adding deeper meaning to text content,thereby providing a valuable addition to current NLP studies and setting an important reference point for future research. 展开更多
关键词 Text classification relation extraction NER distant supervision deep learning machine learning
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Chinese satellite frequency and orbit entity relation extraction method based on dynamic integrated learning
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作者 Yuanzhi He Zhiqiang Li Zheng Dou 《Digital Communications and Networks》 2025年第3期787-794,共8页
Given the scarcity of Satellite Frequency and Orbit(SFO)resources,it holds paramount importance to establish a comprehensive knowledge graph of SFO field(SFO-KG)and employ knowledge reasoning technology to automatical... Given the scarcity of Satellite Frequency and Orbit(SFO)resources,it holds paramount importance to establish a comprehensive knowledge graph of SFO field(SFO-KG)and employ knowledge reasoning technology to automatically mine available SFO resources.An essential aspect of constructing SFO-KG is the extraction of Chinese entity relations.Unfortunately,there is currently no publicly available Chinese SFO entity Relation Extraction(RE)dataset.Moreover,publicly available SFO text data contain numerous NA(representing for“No Answer”)relation category sentences that resemble other relation sentences and pose challenges in accurate classification,resulting in low recall and precision for the NA relation category in entity RE.Consequently,this issue adversely affects both the accuracy of constructing the knowledge graph and the efficiency of RE processes.To address these challenges,this paper proposes a method for extracting Chinese SFO text entity relations based on dynamic integrated learning.This method includes the construction of a manually annotated Chinese SFO entity RE dataset and a classifier combining features of SFO resource data.The proposed approach combines integrated learning and pre-training models,specifically utilizing Bidirectional Encoder Representation from Transformers(BERT).In addition,it incorporates one-class classification,attention mechanisms,and dynamic feedback mechanisms to improve the performance of the RE model.Experimental results show that the proposed method outperforms the traditional methods in terms of F1 value when extracting entity relations from both balanced and long-tailed datasets. 展开更多
关键词 Knowledge graph relation extraction One-class classification Satellite frequency and orbit resources BERT
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Relation Classification via Sequence Features and Bi-Directional LSTMs 被引量:7
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作者 REN Yuanfang TENG Chong +2 位作者 LI Fei CHEN Bo JI Donghong 《Wuhan University Journal of Natural Sciences》 CAS CSCD 2017年第6期489-497,共9页
Structure features need complicated pre-processing, and are probably domain-dependent. To reduce time cost of pre-processing, we propose a novel neural network architecture which is a bi-directional long-short-term-me... Structure features need complicated pre-processing, and are probably domain-dependent. To reduce time cost of pre-processing, we propose a novel neural network architecture which is a bi-directional long-short-term-memory recurrent-neural-network(Bi-LSTM-RNN) model based on low-cost sequence features such as words and part-of-speech(POS) tags, to classify the relation of two entities. First, this model performs bi-directional recurrent computation along the tokens of sentences. Then, the sequence is divided into five parts and standard pooling functions are applied over the token representations of each part. Finally, the token representations are concatenated and fed into a softmax layer for relation classification. We evaluate our model on two standard benchmark datasets in different domains, namely Sem Eval-2010 Task 8 and Bio NLP-ST 2016 Task BB3. In Sem Eval-2010 Task 8, the performance of our model matches those of the state-of-the-art models, achieving 83.0% in F1. In Bio NLP-ST 2016 Task BB3, our model obtains F1 51.3% which is comparable with that of the best system. Moreover, we find that the context between two target entities plays an important role in relation classification and it can be a replacement of the shortest dependency path. 展开更多
关键词 Bi-LSTM-RNN relation classification sequence features structure features
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Multi-relational classification on the basis of the attribute reduction twice
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作者 PAN Cao WANG Hong-yuan 《通讯和计算机(中英文版)》 2009年第11期49-52,共4页
关键词 属性 分类 基础 关系数据挖掘 剪枝策略 实验证明 低品质 作者
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Genetic analysis of morphological index and its related taxonomic traits for classification of indica 被引量:1
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《Chinese Rice Research Newsletter》 1999年第3期1-2,共2页
The Cheng index distinguishes indica andjaponica rice based on six taxonomic traits.This index has been widely used for classifi- cation of indica and japonica varieties in China.In this study,a double haploid(DH)popu... The Cheng index distinguishes indica andjaponica rice based on six taxonomic traits.This index has been widely used for classifi- cation of indica and japonica varieties in China.In this study,a double haploid(DH)popula-tion derived from anther culture of ZYQ8/JX17 F,a typical inter-subspecies hybrid,was used to investigate the six taxonomictraits,i.e.leaf hairiness(LH),color of hullwhen heading(CHH),hairiness of hull(HH),length of the first and second panicle internode(LPI),length/width of grain(L/W),andphenol reaction(PH).The morphological in- dex(MI)was also calculated.Based on themolecular linkage map constructed from this 展开更多
关键词 LPI MI Genetic analysis of morphological index and its related taxonomic traits for classification of indica length
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Classification Study on Relative Permeability Curves
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作者 Pingzhi Gong Bin Liu +2 位作者 Junting Zhang Zheng Lv Guohao Zhang 《World Journal of Engineering and Technology》 2018年第4期723-737,共15页
The classification method of relative permeability curves is rarely reported, when relative permeability curves are applied;if the multiple relative permeability curves are normalized directly, but not classified, the... The classification method of relative permeability curves is rarely reported, when relative permeability curves are applied;if the multiple relative permeability curves are normalized directly, but not classified, the calculated result maybe cause a large error. For example, the relationship curve between oil displacement efficiency and water cut, which derived from the relative permeability curve in LD oilfield is uncertain in the shape of low water cut stage. If being directly normalized, the result of the interpretation of the water flooded zone is very high. In this study, two problems were solved: 1) The mathematical equation of the relationship between oil displacement efficiency and water cut was deduced, and repaired the lost data of oil displacement efficiency and water cut curve, which solve the problem of uncertain curve shape. After analysis, the reason why the curve is not available is that relative permeability curves are not classified and optimized;2) Two kinds of classification and evaluation methods of relative permeability curve were put forward, the direct evaluation method and the analogy method;it can get the typical relative permeability curve by identifying abnormal curve. 展开更多
关键词 relatIVE PERMEABILITY CURVE DISPLACEMENT Efficiency classification CORRECTION
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Factors in Work-Related Musculoskeletal Disorders in Dentists:A Structural Equation Model
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作者 Shunhang Li Jian Li +6 位作者 Xin Xu Yushan Huang Yilin Zhang Xiaoshuang Xu Weizhen Guan Xiaoping Liu Jing Li 《Biomedical and Environmental Sciences》 2025年第5期639-643,共5页
Dentistry is a profession with a high prevalence of work-related musculoskeletal disorders(WMSDs),with symptoms often appearing very early in one’s career[1].WMSDs are conditions affecting the muscles,bones,and nervo... Dentistry is a profession with a high prevalence of work-related musculoskeletal disorders(WMSDs),with symptoms often appearing very early in one’s career[1].WMSDs are conditions affecting the muscles,bones,and nervous system due to occupational factors.In 2002,the International Labor Organization included musculoskeletal diseases in the International List of Occupational Diseases.China’s recently updated Classification and Catalog of Occupational Diseases has introduced two new categories of occupational illnesses,including occupational musculoskeletal disorders.WMSDs significantly impact the health and work of dentists,reducing their quality of life and causing economic losses.These disorders are multifactorial in nature,influenced by personal,psychosocial,biomechanical,and environmental factors.Dentists frequently maintain static or awkward postures during procedures,which leads to musculoskeletal strain and discomfort;additionally,long working hours contribute to psychological stress,further increasing the risk of WMSDs[2]. 展开更多
关键词 DENTISTS occupational factors classification catalog occupational diseases musculoskeletal disorders wmsds awkward postures work related musculoskeletal disorders structural equation model static postures
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Durability classification of red beds rocks in central Yunnan based on particle size distribution and slaking procedure 被引量:3
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作者 ZHU Jun-jie DENG Hui 《Journal of Mountain Science》 SCIE CSCD 2019年第3期714-724,共11页
Moisture induced disintegration of soft rock in Red Beds is common all over the world. The slake durability index test is most useful to quantify durability of the soft rocks. Based on a series of slaking test, this a... Moisture induced disintegration of soft rock in Red Beds is common all over the world. The slake durability index test is most useful to quantify durability of the soft rocks. Based on a series of slaking test, this article aims to develop a durability classification involving particle size and slaking procedure. To describe the slaking procedure in detail,the Relative Slake Durability Index(Id_i) is proposed. The Id_i is the percentage ratio of the i^(th) weight of oven-dry retained portion to the(i-1)^(th) weight of ovendry retained portion. Results show that the Id_i of samples have a large difference in certain slaking procedure, whereas the traditional Durability Slake Index(Id) is almost constant. Considering this limitation of Id in durability classification, an advanced classification by applying the Id_i and disintegration ratio(DR) is further established in this article. Compared to the durability classification based on Slake Durability Index(Id), the new classification accounts for the particle size of the slaked material and the slaking procedure, so it provides a better measure of the degree of slaking. The classification recommended in this article divide the slake durability into three classes(i.e., low, medium and high class). Furthermore, it divides both the low class and the medium class into 3 subclasses. 展开更多
关键词 Slaking test DURABILITY classification relatIVE DURABILITY INDEX DURABILITY INDEX Disintegrate rate
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STRNet:Triple-stream Spatiotemporal Relation Network for Action Recognition 被引量:2
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作者 Zhi-Wei Xu Xiao-Jun Wu Josef Kittler 《International Journal of Automation and computing》 EI CSCD 2021年第5期718-730,共13页
Learning comprehensive spatiotemporal features is crucial for human action recognition. Existing methods tend to model the spatiotemporal feature blocks in an integrate-separate-integrate form, such as appearance-and-... Learning comprehensive spatiotemporal features is crucial for human action recognition. Existing methods tend to model the spatiotemporal feature blocks in an integrate-separate-integrate form, such as appearance-and-relation network(ARTNet) and spatiotemporal and motion network(STM). However, with blocks stacking up, the rear part of the network has poor interpretability. To avoid this problem, we propose a novel architecture called spatial temporal relation network(STRNet), which can learn explicit information of appearance, motion and especially the temporal relation information. Specifically, our STRNet is constructed by three branches,which separates the features into 1) appearance pathway, to obtain spatial semantics, 2) motion pathway, to reinforce the spatiotemporal feature representation, and 3) relation pathway, to focus on capturing temporal relation details of successive frames and to explore long-term representation dependency. In addition, our STRNet does not just simply merge the multi-branch information, but we apply a flexible and effective strategy to fuse the complementary information from multiple pathways. We evaluate our network on four major action recognition benchmarks: Kinetics-400, UCF-101, HMDB-51, and Something-Something v1, demonstrating that the performance of our STRNet achieves the state-of-the-art result on the UCF-101 and HMDB-51 datasets, as well as a comparable accuracy with the state-of-the-art method on Something-Something v1 and Kinetics-400. 展开更多
关键词 Action recognition spatiotemporal relation multi-branch fusion long-term representation video classification
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Mapping of Freshwater Lake Wetlands Using Object-Relations and Rule-based Inference 被引量:1
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作者 RUAN Renzong Susan USTIN 《Chinese Geographical Science》 SCIE CSCD 2012年第4期462-471,共10页
Inland freshwater lake wetlands play an important role in regional ecological balance. Hongze Lake is the fourth biggest freshwater lake in China. In the past three decades, there has been significant loss of freshwat... Inland freshwater lake wetlands play an important role in regional ecological balance. Hongze Lake is the fourth biggest freshwater lake in China. In the past three decades, there has been significant loss of freshwater wet- lands within the lake and at the mouths of neighboring rivers, due to disturbance, primarily from human activities. The main purpose of this paper was to explore a practical technology for differentiating wetlands effectively from upland types in close proximity to them. In the paper, an integrated method, which combined per-pixel and per-field classifi- cation, was used for mapping wetlands of Hongze Lake and their neighboring upland types. Firstly, Landsat ETM+ imagery was segmented and classified by using spectral and textural features. Secondly, ETM+ spectral bands, textural features derived from ETM+ Pan imagery, relative relations between neighboring classes, shape fea^xes, and elevation were used in a decision tree classification. Thirdly, per-pixel classification results from the decision tree classifier were improved by using classification results from object-oriented classification as a context. The results show that the technology has not only overcome the salt-and-pepper effect commonly observed in the past studies, but also has im- proved the accuracy of identification by nearly 5%. 展开更多
关键词 rule-based inferring object-based classification freshwater lake wetland relation feature Hongze Lake
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Landform Classification for Community Siting: A case Study in Quxian County, China
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作者 ZHAO Ke DENG Zhao-hua 《Journal of Mountain Science》 SCIE CSCD 2015年第4期1025-1037,共13页
This study is to explore a suitable method to classify landform, in order to support the decision making for community siting in mountainous areas.It first proposes the landform classification for community siting(LCC... This study is to explore a suitable method to classify landform, in order to support the decision making for community siting in mountainous areas.It first proposes the landform classification for community siting(LCCS) method with detailed discussions on its rationality and the chosen parameters.This method is then tested and verified in Quxian county.The LCCS method entails twograde parameters, which uses relative relief as the first grading parameter, slope as the second, followed by a synthesis process to form a suitable landform classification system.By applying the LCCS method in Quxian county, the result shows that its use of watershed to identify geomorphometric units, and its use of the altitude datum concept, can effectively classify landform according to the local cultural traditions, and the economic and environmental conditions.The verification result shows that comparing to the conventional methods, the LCCS method respects to people's daily experience due to its bottom-up approach.It not only help to minimize the disturbance to the nature when choosing locations for community development, but also helps to prepare more precise land management policies,which maximizes agricultural production and minimizes terrain transformation. 展开更多
关键词 Landform classification Community siting relative relief SLOPE Mountainous areas China
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Exploiting multi-context analysis in semantic image classification
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作者 田永鸿 黄铁军 高文 《Journal of Zhejiang University-Science A(Applied Physics & Engineering)》 SCIE EI CAS CSCD 2005年第11期1268-1283,共16页
As the popularity of digital images is rapidly increasing on the Internet, research on technologies for semantic image classification has become an important research topic. However, the well-known content-based image... As the popularity of digital images is rapidly increasing on the Internet, research on technologies for semantic image classification has become an important research topic. However, the well-known content-based image classification methods do not overcome the so-called semantic gap problem in which low-level visual features cannot represent the high-level semantic content of images. Image classification using visual and textual information often performs poorly since the extracted textual features are often too limited to accurately represent the images. In this paper, we propose a semantic image classification ap- proach using multi-context analysis. For a given image, we model the relevant textual information as its multi-modal context, and regard the related images connected by hyperlinks as its link context. Two kinds of context analysis models, i.e., cross-modal correlation analysis and link-based correlation model, are used to capture the correlation among different modals of features and the topical dependency among images induced by the link structure. We propose a new collective classification model called relational support vector classifier (RSVC) based on the well-known Support Vector Machines (SVMs) and the link-based cor- relation model. Experiments showed that the proposed approach significantly improved classification accuracy over that of SVM classifiers using visual and/or textual features. 展开更多
关键词 Image classification Multi-context analysis Cross-modal correlation analysis Link-based correlation model Linkage semantic kernels relational support vector classifier
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The Power of Group Generators and Relations: An Examination of the Concept and Its Applications
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作者 Tiancheng Zhou 《Journal of Applied Mathematics and Physics》 2018年第11期2425-2444,共20页
This paper investigates the approach of presenting groups by generators and relations from an original angle. It starts by interpreting this familiar concept with the novel notion of “formal words” created by juxtap... This paper investigates the approach of presenting groups by generators and relations from an original angle. It starts by interpreting this familiar concept with the novel notion of “formal words” created by juxtaposing letters in a set. Taking that as basis, several fundamental results related to free groups, such as Dyck’s Theorem, are proven. Then, the paper highlights three creative applications of the concept in classifying finite groups of a fixed order, representing all dihedral groups geometrically, and analyzing knots topologically. All three applications are of considerable significance in their respective topic areas and serve to illustrate the advantages and certain limitations of the approach flexibly and comprehensively. 展开更多
关键词 Generators and relationS Free GROUP Dyck’s Theorem Dihedral GROUP Presentation classification of Finite GROUPS (Application) Realizing Dihedral GROUPS Geometrically (Application) KNOT GROUP (Application)
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Electrical responses and classification of complex waterflooded layers in carbonate reservoirs: A case study of Zananor Oilfield, Kazakhstan
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作者 WANG Fei BIAN Huiyuan +2 位作者 ZHAO Lun YU Jun TAN Chengqian 《Petroleum Exploration and Development》 2020年第6期1299-1306,共8页
Experiments of electrical responses of waterflooded layers were carried out on porous,fractured,porous-fractured and composite cores taken from carbonate reservoirs in the Zananor Oilfield,Kazakhstan to find out the e... Experiments of electrical responses of waterflooded layers were carried out on porous,fractured,porous-fractured and composite cores taken from carbonate reservoirs in the Zananor Oilfield,Kazakhstan to find out the effects of injected water salinity on electrical responses of carbonate reservoirs.On the basis of the experimental results and the mathematical model of calculating oil-water relative permeability of porous reservoirs by resistivity and the relative permeability model of two-phase flow in fractured reservoirs,the classification standards of water-flooded layers suitable for carbonate reservoirs with complex pore structure were established.The results show that the salinity of injected water is the main factor affecting the resistivity of carbonate reservoir.When low salinity water(fresh water)is injected,the relationship curve between resistivity and water saturation is U-shaped.When high salinity water(salt water)is injected,the curve is L-shaped.The classification criteria of water-flooded layers for carbonate reservoirs are as follows:(1)In porous reservoirs,the water cut(fw)is less than or equal to 5%in oil layers,5%–20%in weak water-flooded layers,20%–50%in moderately water-flooded layers,and greater than 50%in strong water-flooded layers.(2)For fractured,porous-fractured and composite reservoirs,the oil layers,weakly water-flooded layers,moderately water-flooded layers,and severely water-flooded layers have a water content of less than or equal to 5%,5%and 10%,10%to 50%,and larger than 50%respectively. 展开更多
关键词 Zananor Oilfield carbonate reservoir water-flooded layer electrical response characteristics relative permeability curve classification criterion of water-flooded level
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Discriminative explicit instance selection for implicit discourse relation classification
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作者 Wei SONG Hongfei HAN +4 位作者 Xu HAN Miaomiao CHENG Jiefu GONG Shijin WANG Ting LIU 《Frontiers of Computer Science》 SCIE EI CSCD 2024年第4期129-138,共10页
Discourse relation classification is a fundamental task for discourse analysis,which is essential for understanding the structure and connection of texts.Implicit discourse relation classification aims to determine th... Discourse relation classification is a fundamental task for discourse analysis,which is essential for understanding the structure and connection of texts.Implicit discourse relation classification aims to determine the relationship between adjacent sentences and is very challenging because it lacks explicit discourse connectives as linguistic cues and sufficient annotated training data.In this paper,we propose a discriminative instance selection method to construct synthetic implicit discourse relation data from easy-to-collect explicit discourse relations.An expanded instance consists of an argument pair and its sense label.We introduce the argument pair type classification task,which aims to distinguish between implicit and explicit argument pairs and select the explicit argument pairs that are most similar to natural implicit argument pairs for data expansion.We also propose a simple label-smoothing technique to assign robust sense labels for the selected argument pairs.We evaluate our method on PDTB 2.0 and PDTB 3.0.The results show that our method can consistently improve the performance of the baseline model,and achieve competitive results with the state-of-the-art models. 展开更多
关键词 discourse analysis PDTB discourse relation implicit discourse relation classification data expansion
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Forecasting relative returns for S&P 500 stocks using machine learning
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作者 Htet Htet Htun Michael Biehl Nicolai Petkov 《Financial Innovation》 2024年第1期1496-1511,共16页
Forecasting changes in stock prices is extremely challenging given that numerous factors cause these prices to fluctuate.The random walk hypothesis and efficient market hypothesis essentially state that it is not poss... Forecasting changes in stock prices is extremely challenging given that numerous factors cause these prices to fluctuate.The random walk hypothesis and efficient market hypothesis essentially state that it is not possible to systematically,reliably predict future stock prices or forecast changes in the stock market overall.Nonetheless,machine learning(ML)techniques that use historical data have been applied to make such predictions.Previous studies focused on a small number of stocks and claimed success with limited statistical confidence.In this study,we construct feature vectors composed of multiple previous relative returns and apply the random forest(RF),support vector machine(SVM),and long short-term memory(LSTM)ML methods as classifiers to predict whether a stock can return 2% more than its index in the following 10 days.We apply this approach to all S&P 500 companies for the period 2017-2022.We assess performance using accuracy,precision,and recall and compare our results with a random choice strategy.We observe that the LSTM classifier outperforms RF and SVM,and the data-driven ML methods outperform the random choice classifier(p=8.46e^(-17) for accuracy of LSTM).Thus,we demonstrate that the probability that the random walk and efficient market hypotheses hold in the considered context is negligibly small. 展开更多
关键词 Stock returns prediction relative returns classification Random forest Support vector machine Long short-term memory Machine learning
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肝脏超声剪切波弹性成像在乙肝肝硬化患者肝纤维化程度评估中的应用价值 被引量:3
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作者 乔旭东 朱照 +1 位作者 骆瑞闯 王玲 《中国现代医学杂志》 2025年第5期60-65,共6页
目的探讨肝脏超声剪切波弹性成像(SWE)在乙肝肝硬化(HBC)患者肝纤维化程度评估中的应用价值。方法选取2023年2月—2024年2月西安交通大学附属西安市第九医院收治的98例HBC患者为观察组,其中Child-Pugh分级A级35例、B级33例、C级30例;另... 目的探讨肝脏超声剪切波弹性成像(SWE)在乙肝肝硬化(HBC)患者肝纤维化程度评估中的应用价值。方法选取2023年2月—2024年2月西安交通大学附属西安市第九医院收治的98例HBC患者为观察组,其中Child-Pugh分级A级35例、B级33例、C级30例;另选取同期该院慢性乙型肝炎患者98例为对照组。比较两者的弹性模量值、肝纤维化程度,以及血清学指标[透明质酸(HA)、Ⅳ型胶原(Ⅳ-C)、层粘连蛋白(LN)]。绘制受试者工作特征(ROC)曲线分析弹性模量值、血清学指标用于诊断HBC的价值。结果观察组弹性模量值、肝纤维化程度、HA水平、Ⅳ-C水平及LN水平均高于对照组(P<0.05)。ROC曲线分析结果显示,弹性模量值、HA、Ⅳ-C、LN用于诊断HBC的敏感性分别为81.6%(95%CI:0.764,0.853)、82.7%(95%CI:0.792,0.886)、75.5%(95%CI:0.671,0.805)、79.6%(95%CI:0.685,0.824);特异性分别为91.8%(95%CI:0.876,0.981)、79.6%(95%CI:0.732,0.843)、75.5%(95%CI:0.705,0.817)、78.6%(95%CI:0.722,0.836);曲线下面积分别为0.886(95%CI:0.832,0.940)、0.844(95%CI:0.785,0.902)、0.815(95%CI:0.755,0.876)、0.791(95%CI:0.724,0.858)。Child-Pugh分级A级患者的弹性模量值、HA水平、Ⅳ-C水平、LN水平均低于B、C级患者(P<0.05);Child-Pugh分级B级患者低于C级患者(P<0.05)。结论肝脏弹性模量值与HBC患者肝纤维化程度关系密切,SWE技术可客观、量化地评估HBC患者肝纤维化程度。 展开更多
关键词 乙肝肝硬化 超声剪切波弹性成像 肝纤维化程度 肝功能分级 弹性模量值
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基于技术劳务指数的DRG病组精细化管理策略研究:以上海某三级甲等医疗机构为例
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作者 张毅 王馨慧 +4 位作者 刘明 李僔逸 王晓影 金文忠 陆文良 《健康发展与政策研究》 北大核心 2025年第2期186-192,共7页
目的本研究以上海市某三级甲等医疗机构为例,对DRG背景下的院内病种进行综合评价,探索精细化管理策略。方法选取上海市某三级甲等医疗机构2021年度DRG结算范围内的病例作为研究对象。研究采用病例组合指数、医保支付率及创新引入的技术... 目的本研究以上海市某三级甲等医疗机构为例,对DRG背景下的院内病种进行综合评价,探索精细化管理策略。方法选取上海市某三级甲等医疗机构2021年度DRG结算范围内的病例作为研究对象。研究采用病例组合指数、医保支付率及创新引入的技术劳务指数3个指标,对各病组的复杂程度、经济效益和资源消耗进行深入分析,并基于这些指标将院内重点病组分为8类,针对每类病组提出具体的管理策略。结果共纳入100个病组、36011例病例。研究发现3个主要问题,样本医院的病案质量有待改善;低难度病种占比偏高;超支规模较大,部分病组费用结构不佳。针对不同类别病组的特点,提出了相应的管理策略,如优势病组应持续给予支持,加强重点专科建设;潜力病组需针对薄弱指标进行优化;弱势病组可优先选择一个较易提升的薄弱指标进行重点优化;劣势病组需重点分析原因、问题并采取整改措施。结论医院应以技术劳务价值为抓手,优化病种结构,严控药品和耗材使用,强化信息化建设和病案管理,同时优化激励约束机制,增强临床科室发展动力,并组建专项工作组,强化职能部门协同配合,以推动DRG管理工作的全面落地,促进医院从规模扩张向提质增效转变,实现内涵式高质量发展。 展开更多
关键词 疾病诊断相关分组 病组管理 精细化管理 病例组合指数
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基于中国药物相关问题分类系统对306例眼科慢病患者药学服务的评价
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作者 陆海 钮昕 +2 位作者 闫瑾 王兴 马一平 《中国医院药学杂志》 北大核心 2025年第1期84-91,共8页
目的:基于中国药物相关问题分类系统(V1.0),对眼科慢病药学服务进行评价。方法:收集2023年1—6月期间,在天津市眼科医院就诊的干眼症、青光眼、糖尿病性视网膜病变的眼科慢病患者,依据中国药物相关问题分类系统(V1.0)分析药物相关问题(d... 目的:基于中国药物相关问题分类系统(V1.0),对眼科慢病药学服务进行评价。方法:收集2023年1—6月期间,在天津市眼科医院就诊的干眼症、青光眼、糖尿病性视网膜病变的眼科慢病患者,依据中国药物相关问题分类系统(V1.0)分析药物相关问题(drug-related problems,DRPs)类型、原因、介入方案及接受结果,提供6个月的眼科药学服务,并从眼科相关临床指标、用药依从性、视力生活质量、疾病及用药知晓程度等8个维度评价眼科药学服务结果。结果:纳入患者306例,其中247例患者出现523条DRPs,其中与治疗有效性相关的DRPs 225条(43.02%)。共识别出543条相关原因,最常见是未正确储存或使用药品141条(19.37%)。药师为患者/家属层面提供接入方案最多为318条(38%),介入方案接受并完全执行392条(74.95%)。经过6个月的眼科药学服务,眼科相关临床指标、用药依从性、视力生活质量、疾病及用药知晓程度及用药相关问题数量等评价指标均改善,且具有统计学意义(P<0.05)。结论:基于中国药物相关问题分类系统(V1.0),可清晰定位眼科慢病患者DRPs,为眼科药学服务规范、标准的开展提供临床依据,有效地降低了眼科DRPs地发生,保障患者合理用药。 展开更多
关键词 中国药物相关问题分类系统 药物相关问题 眼科慢病 眼科药学服务
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