Excessive caregiver workload in hospital nurses has been implicated in poorer patient care and increased worker burnout. Measurement of this workload in the Intensive Care Unit (ICU) is often done using the Nursing Activities Score (NAS), but this is usually recorded manually and sporadically. Previous work has made use of Ambient Intelligence (AmI) by using computer vision to passively derive caregiver-patient interaction times to monitor staff workload. In this letter, we propose using a Multiscale Vision Transformer (MViT) to passively predict the NAS from low-resolution thermal videos recorded in an ICU. 458 videos were obtained from an ICU in Melbourne, Australia and used to train a MViTv2 model using an indirect prediction and a direct prediction method. The indirect method predicted 1 of 8 potentially identifiable NAS activities from the video before inferring the NAS. The direct method predicted the NAS score immediately from the video. The indirect method yielded an average 5-fold accuracy of 57.21%, an area under the receiver operating characteristic curve (ROC AUC) of 0.865, a F1 score of 0.570 and a mean squared error (MSE) of 28.16. The direct method yielded a MSE of 18.16. We also showed that the MViTv2 outperforms similar models such as R(2+1)D and ResNet50-LSTM under identical settings. This study shows the feasibility of using a MViTv2 to passively predict the NAS in an ICU and monitor staff workload automatically. Our results above also show an increased accuracy in predicting NAS directly versus predicting NAS indirectly. We hope that our study can provide a direction for future work and further improve the accuracy of passive NAS monitoring.

Deep learning is currently extensively employed across a range of research domains. The continuous advancements in deep learning techniques contribute to solving intricate challenges. Activation functions (AF) are fundamental components within neural networks, enabling them to capture complex patterns and relationships in the data. By introducing non-linearities, AF empowers neural networks to model and adapt to the diverse and nuanced nature of real-world data, enhancing their ability to make accurate predictions across various tasks. In the context of intrusion detection, the Mish, a recent AF, was implemented in the CNN-BiGRU model, using three datasets: ASNM-TUN, ASNM-CDX, and HOGZILLA. The comparison with Rectified Linear Unit (ReLU), a widely used AF, revealed that Mish outperforms ReLU, showcasing superior performance across the evaluated datasets. This study illuminates the effectiveness of AF in elevating the performance of intrusion detection systems.

In challenging environments where traditional sensing modalities struggle, in-air sonar offers resilience to optical interference. Placing a priori known landmarks in these environments can eliminate accumulated errors in autonomous mobile systems such as Simultaneous Localization and Mapping (SLAM) and autonomous navigation. We present a novel approach using a convolutional neural network to detect and classify ten different reflector landmarks with varying radii using in-air 3D sonar. Additionally, the network predicts the orientation angle of the detected landmarks. The neural network is trained on cochleograms, representing echoes received by the sensor in a time-frequency domain. Experimental results in cluttered indoor settings show promising performance. The CNN achieves a 97.3% classification accuracy on the test dataset, accurately detecting both the presence and absence of landmarks. Moreover, the network predicts landmark orientation angles with an RMSE lower than 10 degrees, enhancing the utility in SLAM and autonomous navigation applications. This advancement improves the robustness and accuracy of autonomous systems in challenging environments.

As a multitude of capable machine learning (ML) models become widely available in forms such as open-source software and public APIs, central questions remain regarding their use in real-world applications, especially in high-stakes decision-making. Is there always one best model that should be used? When are the models likely to be error-prone? Should a black-box or interpretable model be used? In this work, we develop a prescriptive methodology to address these key questions, introducing a tree-based approach, Optimal Predictive-Policy Trees (OP2T), that yields interpretable policies for adaptively selecting a predictive model or ensemble, along with a parameterized option to reject making a prediction. We base our methods on learning globally optimized prescriptive trees. Our approach enables interpretable and adaptive model selection and rejection while only assuming access to model outputs. By learning policies over different feature spaces, including the model outputs, our approach works with both structured and unstructured datasets. We evaluate our approach on real-world datasets, including regression and classification tasks with both structured and unstructured data. We demonstrate that our approach provides both strong performance against baseline methods while yielding insights that help answer critical questions about which models to use, and when.

Cardiovascular disease is one of the chronic diseases that is on the rise. The complications occur when cardiovascular disease is not discovered early and correctly diagnosed at the right time. Various machine learning approaches, including ontology-based Machine Learning techniques, have lately played an essential role in medical science by building an automated system that can identify heart illness. This paper compares and reviews the most prominent machine learning algorithms, as well as ontology-based Machine Learning classification. Random Forest, Logistic regression, Decision Tree, Naive Bayes, k-Nearest Neighbours, Artificial Neural Network, and Support Vector Machine were among the classification methods explored. The dataset used consists of 70000 instances and can be downloaded from the Kaggle website. The findings are assessed using performance measures generated from the confusion matrix, such as F-Measure, Accuracy, Recall, and Precision. The results showed that the ontology outperformed all the machine learning algorithms.

The Large Language Model (LLM) watermark is a newly emerging technique that shows promise in addressing concerns surrounding LLM copyright, monitoring AI-generated text, and preventing its misuse. The LLM watermark scheme commonly includes generating secret keys to partition the vocabulary into green and red lists, applying a perturbation to the logits of tokens in the green list to increase their sampling likelihood, thus facilitating watermark detection to identify AI-generated text if the proportion of green tokens exceeds a threshold. However, recent research indicates that watermarking methods using numerous keys are susceptible to removal attacks, such as token editing, synonym substitution, and paraphrasing, with robustness declining as the number of keys increases. Therefore, the state-of-the-art watermark schemes that employ fewer or single keys have been demonstrated to be more robust against text editing and paraphrasing. In this paper, we propose a novel green list stealing attack against the state-of-the-art LLM watermark scheme and systematically examine its vulnerability to this attack. We formalize the attack as a mixed integer programming problem with constraints. We evaluate our attack under a comprehensive threat model, including an extreme scenario where the attacker has no prior knowledge, lacks access to the watermark detector API, and possesses no information about the LLM's parameter settings or watermark injection/detection scheme. Extensive experiments on LLMs, such as OPT and LLaMA, demonstrate that our attack can successfully steal the green list and remove the watermark across all settings.

In the realm of globalized financial markets, commercial banks are confronted with an escalating magnitude of credit risk, thereby imposing heightened requisites upon the security of bank assets and financial stability. This study harnesses advanced neural network techniques, notably the Backpropagation (BP) neural network, to pioneer a novel model for preempting credit risk in commercial banks. The discourse initially scrutinizes conventional financial risk preemptive models, such as ARMA, ARCH, and Logistic regression models, critically analyzing their real-world applications. Subsequently, the exposition elaborates on the construction process of the BP neural network model, encompassing network architecture design, activation function selection, parameter initialization, and objective function construction. Through comparative analysis, the superiority of neural network models in preempting credit risk in commercial banks is elucidated. The experimental segment selects specific bank data, validating the model's predictive accuracy and practicality. Research findings evince that this model efficaciously enhances the foresight and precision of credit risk management.

Center for Biocomputing and Digital Health, Institute of Computing and Cybersystems, and Health Research Institute, Michigan Technological University, Houghton, MI 49931 # Anjum Shaik and Kristoffer Larsen contribute equally. Abstract Page ABSTRACT Hip fractures present a significant healthcare challenge, especially within aging populations, where they are often caused by falls. These fractures lead to substantial morbidity and mortality, emphasizing the need for timely surgical intervention. Despite advancements in medical care, hip fractures impose a significant burden on individuals and healthcare systems. This paper focuses on the prediction of hip fracture risk in older and middle-aged adults, where falls and compromised bone quality are predominant factors. We propose a novel staged model that combines advanced imaging and clinical data to improve predictive performance. By using convolutional neural networks (CNNs) to extract features from hip DXA images, along with clinical variables, shape measurements, and texture features, our method provides a comprehensive framework for assessing fracture risk. The study cohort included 547 patients, with 94 experiencing hip fracture. A staged machine learning-based model was developed using two ensemble models: Ensemble 1 (clinical variables only) and Ensemble 2 (clinical variables and DXA imaging features). This staged approach used uncertainty quantification from Ensemble 1 to decide if DXA features are necessary for further prediction. Ensemble 2 exhibited the highest performance, achieving an Area Under the Curve (AUC) of 0.9541, an accuracy of 0.9195, a sensitivity of 0.8078, and a specificity of 0.9427.

With the increasing use of Artificial Intelligence in Natural Language Processing, concerns have been raised regarding the detection of AI-generated text in various domains. This study aims to investigate this issue by proposing a methodology to accurately distinguish AI-generated and human-written book reviews. Our approach utilizes transfer learning, enabling the model to identify generated text across different topics while improving its ability to detect variations in writing style and vocabulary. To evaluate the effectiveness of the proposed methodology, we developed a dataset consisting of real book reviews and AI-generated reviews using the recently proposed Vicuna open-source language model. The experimental results demonstrate that it is feasible to detect the original source of text, achieving an accuracy rate of 96.86%. Our efforts are oriented toward the exploration of the capabilities and limitations of Large Language Models in the context of text identification. Expanding our knowledge in these aspects will be valuable for effectively navigating similar models in the future and ensuring the integrity and authenticity of human-generated content.

Deep neural networks (DNNs) can easily be cheated by some imperceptible but purposeful noise added to images, and erroneously classify them. Previous defensive work mostly focused on retraining the models or detecting the noise, but has either shown limited success rates or been attacked by new adversarial examples. Instead of focusing on adversarial images or the interior of DNN models, we observed that adversarial examples generated by different algorithms can be identified based on the output of DNNs (logits). Logit can serve as an exterior feature to train detectors. Then, we propose HOLMES (Hierarchically Organized Light-weight Multiple dEtector System) to reinforce DNNs by detecting potential adversarial examples to minimize the threats they may bring in practical. HOLMES is able to distinguish \textit{unseen} adversarial examples from multiple attacks with high accuracy and low false positive rates than single detector systems even in an adaptive model. To ensure the diversity and randomness of detectors in HOLMES, we use two methods: training dedicated detectors for each label and training detectors with top-k logits. Our effective and inexpensive strategies neither modify original DNN models nor require its internal parameters. HOLMES is not only compatible with all kinds of learning models (even only with external APIs), but also complementary to other defenses to achieve higher detection rates (may also fully protect the system against various adversarial examples).