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Pill reminder
A pill reminder is any device that reminds users to take medications. Traditional pill reminders are pill containers with electric timers attached, which can be preset for certain times of the day to set off an alarm. More sophisticated pill reminders can also detect when they have been opened, and therefore when the user is away during the time they were supposed to take their medication, they will be reminded of it when they return. This reminder can be in the form of a light, which also helps for deaf or hearing-impaired users. == Mobile app == A newer type of pill reminder is a mobile app that reminds the owner to take the medication. Some of these applications might effectively support adherence to taking medications.
GNU Octave
GNU Octave is a scientific programming language for scientific computing and numerical computation. Among other things, Octave can be used to solve linear and nonlinear problems numerically and to perform other numerical experiments using a language that is mostly compatible with MATLAB. It may also be used as a batch-oriented language. As part of the GNU Project, it is free software under the terms of the GNU General Public License. == History == The project was conceived around 1988. At first it was intended to be a companion to a chemical reactor design course. Full development was started by John W. Eaton in 1992. The first alpha release dates back to 4 January 1993 and on 17 February 1994 version 1.0 was released. Version 9.2.0 was released on 7 June 2024. The program is named after Octave Levenspiel, a former professor of the principal author. Levenspiel was known for his ability to perform quick back-of-the-envelope calculations. == Development history == == Developments == In addition to use on desktops for personal scientific computing, Octave is used in academia and industry. For example, Octave was used on a massive parallel computer at Pittsburgh Supercomputing Center to find vulnerabilities related to guessing social security numbers. Acceleration with OpenCL or CUDA is also possible with use of GPUs. == Technical details == Octave is written in C++ using the C++ standard library. Octave uses an interpreter to execute the Octave scripting language. Octave is extensible using dynamically loadable modules. Octave interpreter has an OpenGL-based graphics engine to create plots, graphs and charts and to save or print them. Alternatively, gnuplot can be used for the same purpose. Octave includes a graphical user interface (GUI) in addition to the traditional command-line interface (CLI); see #User interfaces for details. == Octave, the language == The Octave language is an interpreted programming language. It is a structured programming language (similar to C) and supports many common C standard library functions, and also certain UNIX system calls and functions. However, it does not support passing arguments by reference although function arguments are copy-on-write to avoid unnecessary duplication. Octave programs consist of a list of function calls or a script. The syntax is matrix-based and provides various functions for matrix operations. It supports various data structures and allows object-oriented programming. Its syntax is very similar to MATLAB, and careful programming of a script will allow it to run on both Octave and MATLAB. Because Octave is made available under the GNU General Public License, it may be freely changed, copied and used. The program runs on Microsoft Windows and most Unix and Unix-like operating systems, including Linux, Android, and macOS. == Notable features == === Command and variable name completion === Typing a TAB character on the command line causes Octave to attempt to complete variable, function, and file names (similar to Bash's tab completion). Octave uses the text before the cursor as the initial portion of the name to complete. === Command history === When running interactively, Octave saves the commands typed in an internal buffer so that they can be recalled and edited. === Data structures === Octave includes a limited amount of support for organizing data in structures. In this example, we see a structure x with elements a, b, and c, (an integer, an array, and a string, respectively): === Short-circuit Boolean operators === Octave's && and || logical operators are evaluated in a short-circuit fashion (like the corresponding operators in the C language), in contrast to the element-by-element operators & and |. === Increment and decrement operators === Octave includes the C-like increment and decrement operators ++ and -- in both their prefix and postfix forms. Octave also does augmented assignment, e.g. x += 5. === Unwind-protect === Octave supports a limited form of exception handling modelled after the unwind_protect of Lisp. The general form of an unwind_protect block looks like this: As a general rule, GNU Octave recognizes as termination of a given block either the keyword end (which is compatible with the MATLAB language) or a more specific keyword endblock or, in some cases, end_block. As a consequence, an unwind_protect block can be terminated either with the keyword end_unwind_protect as in the example, or with the more portable keyword end. The cleanup part of the block is always executed. In case an exception is raised by the body part, cleanup is executed immediately before propagating the exception outside the block unwind_protect. GNU Octave also supports another form of exception handling (compatible with the MATLAB language): This latter form differs from an unwind_protect block in two ways. First, exception_handling is only executed when an exception is raised by body. Second, after the execution of exception_handling the exception is not propagated outside the block (unless a rethrow( lasterror ) statement is explicitly inserted within the exception_handling code). === Variable-length argument lists === Octave has a mechanism for handling functions that take an unspecified number of arguments without explicit upper limit. To specify a list of zero or more arguments, use the special argument varargin as the last (or only) argument in the list. varargin is a cell array containing all the input arguments. === Variable-length return lists === A function can be set up to return any number of values by using the special return value varargout. For example: === C++ integration === It is also possible to execute Octave code directly in a C++ program. For example, here is a code snippet for calling rand([10,1]): C and C++ code can be integrated into GNU Octave by creating oct files, or using the MATLAB compatible MEX files. == MATLAB compatibility == Octave has been built with MATLAB compatibility in mind, and shares many features with MATLAB: % Script: myscript.m a = 5; b = a 2 % Function: myfunc.m function result = myfunc(x) result = x^2 + 3; end Matrices as fundamental data type. Built-in support for complex numbers. Powerful built-in math functions and extensive function libraries. Extensibility in the form of user-defined functions. Octave treats incompatibility with MATLAB as a bug; therefore, it could be considered a software clone, which does not infringe software copyright as per Lotus v. Borland court case. MATLAB scripts from the MathWorks' FileExchange repository in principle are compatible with Octave. However, while they are often provided and uploaded by users under an Octave compatible and proper open source BSD license, the FileExchange Terms of use prohibit any usage beside MathWorks' proprietary MATLAB. === Syntax compatibility === There are a few purposeful, albeit minor, syntax additions Archived 2012-04-26 at the Wayback Machine: Comment lines can be prefixed with the # character as well as the % character; Various C-based operators ++, --, +=, =, /= are supported; Elements can be referenced without creating a new variable by cascaded indexing, e.g. [1:10](3); Strings can be defined with the double-quote " character as well as the single-quote ' character; When the variable type is single (a single-precision floating-point number), Octave calculates the "mean" in the single-domain (MATLAB in double-domain) which is faster but gives less accurate results; Blocks can also be terminated with more specific Control structure keywords, i.e., endif, endfor, endwhile, etc.; Functions can be defined within scripts and at the Octave prompt; Presence of a do-until loop (similar to do-while in C). === Function compatibility === Many, but not all, of the numerous MATLAB functions are available in GNU Octave, some of them accessible through packages in Octave Forge. The functions available as part of either core Octave or Forge packages are listed online Archived 2024-03-14 at the Wayback Machine. A list of unavailable functions is included in the Octave function __unimplemented.m__. Unimplemented functions are also listed under many Octave Forge packages in the Octave Wiki. When an unimplemented function is called the following error message is shown: == User interfaces == Octave comes with an official graphical user interface (GUI) and an integrated development environment (IDE) based on Qt. It has been available since Octave 3.8, and has become the default interface (over the command-line interface) with the release of Octave 4.0. It was well-received by an EDN contributor, who wrote "[Octave] now has a very workable GUI" in reviewing the then-new GUI in 2014. Several 3rd-party graphical front-ends have also been developed, like ToolboX for coding education. == GUI applications == With Octave code, the user can create GUI applications. See GUI Development (GNU Octave (version 7.1.0)). Below are some examples: Button, edit control, checkboxTextboxListbox wit
Least-squares support vector machine
Least-squares support-vector machines (LS-SVM) for statistics and in statistical modeling, are least-squares versions of support-vector machines (SVM), which are a set of related supervised learning methods that analyze data and recognize patterns, and which are used for classification and regression analysis. In this version one finds the solution by solving a set of linear equations instead of a convex quadratic programming (QP) problem for classical SVMs. Least-squares SVM classifiers were proposed by Johan Suykens and Joos Vandewalle. LS-SVMs are a class of kernel-based learning methods. == From support-vector machine to least-squares support-vector machine == Given a training set { x i , y i } i = 1 N {\displaystyle \{x_{i},y_{i}\}_{i=1}^{N}} with input data x i ∈ R n {\displaystyle x_{i}\in \mathbb {R} ^{n}} and corresponding binary class labels y i ∈ { − 1 , + 1 } {\displaystyle y_{i}\in \{-1,+1\}} , the SVM classifier, according to Vapnik's original formulation, satisfies the following conditions: { w T ϕ ( x i ) + b ≥ 1 , if y i = + 1 , w T ϕ ( x i ) + b ≤ − 1 , if y i = − 1 , {\displaystyle {\begin{cases}w^{T}\phi (x_{i})+b\geq 1,&{\text{if }}\quad y_{i}=+1,\\w^{T}\phi (x_{i})+b\leq -1,&{\text{if }}\quad y_{i}=-1,\end{cases}}} which is equivalent to y i [ w T ϕ ( x i ) + b ] ≥ 1 , i = 1 , … , N , {\displaystyle y_{i}\left[{w^{T}\phi (x_{i})+b}\right]\geq 1,\quad i=1,\ldots ,N,} where ϕ ( x ) {\displaystyle \phi (x)} is the nonlinear map from original space to the high- or infinite-dimensional space. === Inseparable data === In case such a separating hyperplane does not exist, we introduce so-called slack variables ξ i {\displaystyle \xi _{i}} such that { y i [ w T ϕ ( x i ) + b ] ≥ 1 − ξ i , i = 1 , … , N , ξ i ≥ 0 , i = 1 , … , N . {\displaystyle {\begin{cases}y_{i}\left[{w^{T}\phi (x_{i})+b}\right]\geq 1-\xi _{i},&i=1,\ldots ,N,\\\xi _{i}\geq 0,&i=1,\ldots ,N.\end{cases}}} According to the structural risk minimization principle, the risk bound is minimized by the following minimization problem: min J 1 ( w , ξ ) = 1 2 w T w + c ∑ i = 1 N ξ i , {\displaystyle \min J_{1}(w,\xi )={\frac {1}{2}}w^{T}w+c\sum \limits _{i=1}^{N}\xi _{i},} Subject to { y i [ w T ϕ ( x i ) + b ] ≥ 1 − ξ i , i = 1 , … , N , ξ i ≥ 0 , i = 1 , … , N , {\displaystyle {\text{Subject to }}{\begin{cases}y_{i}\left[{w^{T}\phi (x_{i})+b}\right]\geq 1-\xi _{i},&i=1,\ldots ,N,\\\xi _{i}\geq 0,&i=1,\ldots ,N,\end{cases}}} To solve this problem, we could construct the Lagrangian function: L 1 ( w , b , ξ , α , β ) = 1 2 w T w + c ∑ i = 1 N ξ i − ∑ i = 1 N α i { y i [ w T ϕ ( x i ) + b ] − 1 + ξ i } − ∑ i = 1 N β i ξ i , {\displaystyle L_{1}(w,b,\xi ,\alpha ,\beta )={\frac {1}{2}}w^{T}w+c\sum \limits _{i=1}^{N}{\xi _{i}}-\sum \limits _{i=1}^{N}\alpha _{i}\left\{y_{i}\left[{w^{T}\phi (x_{i})+b}\right]-1+\xi _{i}\right\}-\sum \limits _{i=1}^{N}\beta _{i}\xi _{i},} where α i ≥ 0 , β i ≥ 0 ( i = 1 , … , N ) {\displaystyle \alpha _{i}\geq 0,\ \beta _{i}\geq 0\ (i=1,\ldots ,N)} are the Lagrangian multipliers. The optimal point will be in the saddle point of the Lagrangian function, and then we obtain By substituting w {\displaystyle w} by its expression in the Lagrangian formed from the appropriate objective and constraints, we will get the following quadratic programming problem: max Q 1 ( α ) = − 1 2 ∑ i , j = 1 N α i α j y i y j K ( x i , x j ) + ∑ i = 1 N α i , {\displaystyle \max Q_{1}(\alpha )=-{\frac {1}{2}}\sum \limits _{i,j=1}^{N}{\alpha _{i}\alpha _{j}y_{i}y_{j}K(x_{i},x_{j})}+\sum \limits _{i=1}^{N}\alpha _{i},} where K ( x i , x j ) = ⟨ ϕ ( x i ) , ϕ ( x j ) ⟩ {\displaystyle K(x_{i},x_{j})=\left\langle \phi (x_{i}),\phi (x_{j})\right\rangle } is called the kernel function. Solving this QP problem subject to constraints in (1), we will get the hyperplane in the high-dimensional space and hence the classifier in the original space. === Least-squares SVM formulation === The least-squares version of the SVM classifier is obtained by reformulating the minimization problem as min J 2 ( w , b , e ) = μ 2 w T w + ζ 2 ∑ i = 1 N e i 2 , {\displaystyle \min J_{2}(w,b,e)={\frac {\mu }{2}}w^{T}w+{\frac {\zeta }{2}}\sum \limits _{i=1}^{N}e_{i}^{2},} subject to the equality constraints y i [ w T ϕ ( x i ) + b ] = 1 − e i , i = 1 , … , N . {\displaystyle y_{i}\left[{w^{T}\phi (x_{i})+b}\right]=1-e_{i},\quad i=1,\ldots ,N.} The least-squares SVM (LS-SVM) classifier formulation above implicitly corresponds to a regression interpretation with binary targets y i = ± 1 {\displaystyle y_{i}=\pm 1} . Using y i 2 = 1 {\displaystyle y_{i}^{2}=1} , we have ∑ i = 1 N e i 2 = ∑ i = 1 N ( y i e i ) 2 = ∑ i = 1 N e i 2 = ∑ i = 1 N ( y i − ( w T ϕ ( x i ) + b ) ) 2 , {\displaystyle \sum \limits _{i=1}^{N}e_{i}^{2}=\sum \limits _{i=1}^{N}(y_{i}e_{i})^{2}=\sum \limits _{i=1}^{N}e_{i}^{2}=\sum \limits _{i=1}^{N}\left(y_{i}-(w^{T}\phi (x_{i})+b)\right)^{2},} with e i = y i − ( w T ϕ ( x i ) + b ) . {\displaystyle e_{i}=y_{i}-(w^{T}\phi (x_{i})+b).} Notice, that this error would also make sense for least-squares data fitting, so that the same end results holds for the regression case. Hence the LS-SVM classifier formulation is equivalent to J 2 ( w , b , e ) = μ E W + ζ E D {\displaystyle J_{2}(w,b,e)=\mu E_{W}+\zeta E_{D}} with E W = 1 2 w T w {\displaystyle E_{W}={\frac {1}{2}}w^{T}w} and E D = 1 2 ∑ i = 1 N e i 2 = 1 2 ∑ i = 1 N ( y i − ( w T ϕ ( x i ) + b ) ) 2 . {\displaystyle E_{D}={\frac {1}{2}}\sum \limits _{i=1}^{N}e_{i}^{2}={\frac {1}{2}}\sum \limits _{i=1}^{N}\left(y_{i}-(w^{T}\phi (x_{i})+b)\right)^{2}.} Both μ {\displaystyle \mu } and ζ {\displaystyle \zeta } should be considered as hyperparameters to tune the amount of regularization versus the sum squared error. The solution does only depend on the ratio γ = ζ / μ {\displaystyle \gamma =\zeta /\mu } , therefore the original formulation uses only γ {\displaystyle \gamma } as tuning parameter. We use both μ {\displaystyle \mu } and ζ {\displaystyle \zeta } as parameters in order to provide a Bayesian interpretation to LS-SVM. The solution of LS-SVM regressor will be obtained after we construct the Lagrangian function: { L 2 ( w , b , e , α ) = J 2 ( w , e ) − ∑ i = 1 N α i { [ w T ϕ ( x i ) + b ] + e i − y i } , = 1 2 w T w + γ 2 ∑ i = 1 N e i 2 − ∑ i = 1 N α i { [ w T ϕ ( x i ) + b ] + e i − y i } , {\displaystyle {\begin{cases}L_{2}(w,b,e,\alpha )\;=J_{2}(w,e)-\sum \limits _{i=1}^{N}\alpha _{i}\left\{{\left[{w^{T}\phi (x_{i})+b}\right]+e_{i}-y_{i}}\right\},\\\quad \quad \quad \quad \quad \;={\frac {1}{2}}w^{T}w+{\frac {\gamma }{2}}\sum \limits _{i=1}^{N}e_{i}^{2}-\sum \limits _{i=1}^{N}\alpha _{i}\left\{\left[w^{T}\phi (x_{i})+b\right]+e_{i}-y_{i}\right\},\end{cases}}} where α i ∈ R {\displaystyle \alpha _{i}\in \mathbb {R} } are the Lagrange multipliers. The conditions for optimality are { ∂ L 2 ∂ w = 0 → w = ∑ i = 1 N α i ϕ ( x i ) , ∂ L 2 ∂ b = 0 → ∑ i = 1 N α i = 0 , ∂ L 2 ∂ e i = 0 → α i = γ e i , i = 1 , … , N , ∂ L 2 ∂ α i = 0 → y i = w T ϕ ( x i ) + b + e i , i = 1 , … , N . {\displaystyle {\begin{cases}{\frac {\partial L_{2}}{\partial w}}=0\quad \to \quad w=\sum \limits _{i=1}^{N}\alpha _{i}\phi (x_{i}),\\{\frac {\partial L_{2}}{\partial b}}=0\quad \to \quad \sum \limits _{i=1}^{N}\alpha _{i}=0,\\{\frac {\partial L_{2}}{\partial e_{i}}}=0\quad \to \quad \alpha _{i}=\gamma e_{i},\;i=1,\ldots ,N,\\{\frac {\partial L_{2}}{\partial \alpha _{i}}}=0\quad \to \quad y_{i}=w^{T}\phi (x_{i})+b+e_{i},\,i=1,\ldots ,N.\end{cases}}} Elimination of w {\displaystyle w} and e {\displaystyle e} will yield a linear system instead of a quadratic programming problem: [ 0 1 N T 1 N Ω + γ − 1 I N ] [ b α ] = [ 0 Y ] , {\displaystyle \left[{\begin{matrix}0&1_{N}^{T}\\1_{N}&\Omega +\gamma ^{-1}I_{N}\end{matrix}}\right]\left[{\begin{matrix}b\\\alpha \end{matrix}}\right]=\left[{\begin{matrix}0\\Y\end{matrix}}\right],} with Y = [ y 1 , … , y N ] T {\displaystyle Y=[y_{1},\ldots ,y_{N}]^{T}} , 1 N = [ 1 , … , 1 ] T {\displaystyle 1_{N}=[1,\ldots ,1]^{T}} and α = [ α 1 , … , α N ] T {\displaystyle \alpha =[\alpha _{1},\ldots ,\alpha _{N}]^{T}} . Here, I N {\displaystyle I_{N}} is an N × N {\displaystyle N\times N} identity matrix, and Ω ∈ R N × N {\displaystyle \Omega \in \mathbb {R} ^{N\times N}} is the kernel matrix defined by Ω i j = ϕ ( x i ) T ϕ ( x j ) = K ( x i , x j ) {\displaystyle \Omega _{ij}=\phi (x_{i})^{T}\phi (x_{j})=K(x_{i},x_{j})} . === Kernel function K === For the kernel function K(•, •) one typically has the following choices: Linear kernel : K ( x , x i ) = x i T x , {\displaystyle K(x,x_{i})=x_{i}^{T}x,} Polynomial kernel of degree d {\displaystyle d} : K ( x , x i ) = ( 1 + x i T x / c ) d , {\displaystyle K(x,x_{i})=\left({1+x_{i}^{T}x/c}\right)^{d},} Radial basis function RBF kernel : K ( x , x i ) = exp ( − ‖ x − x i ‖ 2 / σ 2 ) , {\displaystyle K(x,x_{i})=\exp \left({-\left\|{x-x_{i}}\right\|^{2}/\sigma ^{2}}\right),} MLP kernel : K ( x , x i ) = tanh ( k x i T x + θ ) , {\displaystyle K(x,x_{i})=\tanh \left({k
Jackknife variance estimates for random forest
In statistics, jackknife variance estimates for random forest are a way to estimate the variance in random forest models, in order to eliminate the bootstrap effects. == Jackknife variance estimates == The sampling variance of bagged learners is: V ( x ) = V a r [ θ ^ ∞ ( x ) ] {\displaystyle V(x)=Var[{\hat {\theta }}^{\infty }(x)]} Jackknife estimates can be considered to eliminate the bootstrap effects. The jackknife variance estimator is defined as: V ^ j = n − 1 n ∑ i = 1 n ( θ ^ ( − i ) − θ ¯ ) 2 {\displaystyle {\hat {V}}_{j}={\frac {n-1}{n}}\sum _{i=1}^{n}({\hat {\theta }}_{(-i)}-{\overline {\theta }})^{2}} In some classification problems, when random forest is used to fit models, jackknife estimated variance is defined as: V ^ j = n − 1 n ∑ i = 1 n ( t ¯ ( − i ) ⋆ ( x ) − t ¯ ⋆ ( x ) ) 2 {\displaystyle {\hat {V}}_{j}={\frac {n-1}{n}}\sum _{i=1}^{n}({\overline {t}}_{(-i)}^{\star }(x)-{\overline {t}}^{\star }(x))^{2}} Here, t ⋆ {\displaystyle t^{\star }} denotes a decision tree after training, t ( − i ) ⋆ {\displaystyle t_{(-i)}^{\star }} denotes the result based on samples without i t h {\displaystyle ith} observation. == Examples == E-mail spam problem is a common classification problem, in this problem, 57 features are used to classify spam e-mail and non-spam e-mail. Applying IJ-U variance formula to evaluate the accuracy of models with m=15,19 and 57. The results shows in paper( Confidence Intervals for Random Forests: The jackknife and the Infinitesimal Jackknife ) that m = 57 random forest appears to be quite unstable, while predictions made by m=5 random forest appear to be quite stable, this results is corresponding to the evaluation made by error percentage, in which the accuracy of model with m=5 is high and m=57 is low. Here, accuracy is measured by error rate, which is defined as: E r r o r R a t e = 1 N ∑ i = 1 N ∑ j = 1 M y i j , {\displaystyle ErrorRate={\frac {1}{N}}\sum _{i=1}^{N}\sum _{j=1}^{M}y_{ij},} Here N is also the number of samples, M is the number of classes, y i j {\displaystyle y_{ij}} is the indicator function which equals 1 when i t h {\displaystyle ith} observation is in class j, equals 0 when in other classes. No probability is considered here. There is another method which is similar to error rate to measure accuracy: l o g l o s s = 1 N ∑ i = 1 N ∑ j = 1 M y i j l o g ( p i j ) {\displaystyle logloss={\frac {1}{N}}\sum _{i=1}^{N}\sum _{j=1}^{M}y_{ij}log(p_{ij})} Here N is the number of samples, M is the number of classes, y i j {\displaystyle y_{ij}} is the indicator function which equals 1 when i t h {\displaystyle ith} observation is in class j, equals 0 when in other classes. p i j {\displaystyle p_{ij}} is the predicted probability of i t h {\displaystyle ith} observation in class j {\displaystyle j} .This method is used in Kaggle These two methods are very similar. == Modification for bias == When using Monte Carlo MSEs for estimating V I J ∞ {\displaystyle V_{IJ}^{\infty }} and V J ∞ {\displaystyle V_{J}^{\infty }} , a problem about the Monte Carlo bias should be considered, especially when n is large, the bias is getting large: E [ V ^ I J B ] − V ^ I J ∞ ≈ n ∑ b = 1 B ( t b ⋆ − t ¯ ⋆ ) 2 B {\displaystyle E[{\hat {V}}_{IJ}^{B}]-{\hat {V}}_{IJ}^{\infty }\approx {\frac {n\sum _{b=1}^{B}(t_{b}^{\star }-{\bar {t}}^{\star })^{2}}{B}}} To eliminate this influence, bias-corrected modifications are suggested: V ^ I J − U B = V ^ I J B − n ∑ b = 1 B ( t b ⋆ − t ¯ ⋆ ) 2 B {\displaystyle {\hat {V}}_{IJ-U}^{B}={\hat {V}}_{IJ}^{B}-{\frac {n\sum _{b=1}^{B}(t_{b}^{\star }-{\bar {t}}^{\star })^{2}}{B}}} V ^ J − U B = V ^ J B − ( e − 1 ) n ∑ b = 1 B ( t b ⋆ − t ¯ ⋆ ) 2 B {\displaystyle {\hat {V}}_{J-U}^{B}={\hat {V}}_{J}^{B}-(e-1){\frac {n\sum _{b=1}^{B}(t_{b}^{\star }-{\bar {t}}^{\star })^{2}}{B}}}
Automated medical scribe
Automated medical scribes (also called artificial intelligence scribes, AI scribes, digital scribes, virtual scribes, ambient AI scribes, AI documentation assistants, and digital/virtual/smart clinical assistants) are tools for transcribing medical speech, such as patient consultations and dictated medical notes. Many also produce summaries of consultations. Automated medical scribes based on large language models (LLMs, commonly called "AI", short for "artificial intelligence") increased drastically in popularity in 2024. There are privacy and antitrust concerns. Accuracy concerns also exist, and intensify in situations in which tools try to go beyond transcribing and summarizing, and are asked to format information by its meaning, since LLMs do not deal well with meaning (see weak artificial intelligence). Medics using these scribes are generally expected to understand the ethical and legal considerations, and supervise the outputs. The privacy protections of automated medical scribes vary widely. While it is possible to do all the transcription and summarizing locally, with no connection to the internet, most closed-source providers require that data be sent to their own servers over the internet, processed there, and the results sent back (as with digital voice assistants). Some retailers say their tools use zero-knowledge encryption (meaning that the service provider can't access the data). Others explicitly say that they use patient data to train their AIs, or rent or resell it to third parties; the nature of privacy protections used in such situations is unclear, and they are likely not to be fully effective. Most providers have not published any safety or utility data in academic journals, and are not responsive to requests from medical researchers studying their products. == Privacy == Some providers unclear about what happens to user data. Some may sell data to third parties. Some explicitly send user data to for-profit tech companies for secondary purposes, which may not be specified. Some require users to sign consents to such reuse of their data. Some ingest user data to train the software, promising to anonymize it; however, deanonymization may be possible (that is, it may become obvious who the patient is). It is intrinsically impossible to prevent an LLM from correlating its inputs; they work by finding similar patterns across very large data sets. Some information on the patient will be known from other sources (for instance, information that they were injured in an incident on a certain day might be available from the news media; information that they attended specific appointment locations at specific times is probably available to their cellphone provider/apps/data brokers; information about when they had a baby is probably implied by their online shopping records; and they might mention lifestyle changes to their doctor and on a forum or blog). The software may correlate such information with the "anonymized" clinical consultation record, and, asked about the named patient, provide information which they only told their doctor privately. Because a patient's record is all about the same patient, it is all unavoidably linked; in very many cases, medical histories are intrinsically identifiable. Depending on how common a condition and what other data is available, K-anonymity may be useless. Differential privacy could theoretically preserve privacy. Data broker companies like Google, Amazon, Apple and Microsoft have produced or bought up medical scribes, some of which use user data for secondary purposes, which has led to antitrust concerns. Transfer of patient records for AI training has, in the past, prompted legal action. Open-source programs typically do all the transcription locally, on the doctor's own computer. Open-source software is widely used in healthcare, with some national public healthcare bodies holding hack days. === Data resale and commercialization === Several AI medical scribe providers include terms in their service agreements that allow the reuse, sale, or commercialization of de-identified or user-submitted data. Although such data are generally described as anonymized or aggregated, these practices have raised ethical concerns among clinicians and privacy advocates regarding secondary uses of medical information beyond clinical documentation. Freed, an AI transcription and scribe platform, states in its Terms of Use that it may "collect, use, publish, disseminate, sell, transfer, and otherwise exploit" de-identified and aggregated data derived from user inputs. OpenEvidence similarly states that it may "collect, use, transfer, sell, and disclose non-personal information and customer usage data for any purpose including commercial uses." Doximity, which offers an AI-enabled medical scribe as part of its physician platform, grants itself a "nonexclusive, irrevocable, worldwide, perpetual, unlimited, assignable, sublicensable, royalty-free" license to "copy, prepare derivative works from, improve, distribute, publish, ... analyze, index, tag, [and] commercialize" content submitted by users, subject to its privacy policy. Because these terms allow broad secondary use—including sale, licensing, model-training, derivative works, and commercial exploitation of de-identified or user-submitted data—some commentators have recommended that clinicians review data-handling provisions carefully when adopting AI-scribe tools, particularly in clinical environments where patient privacy and regulatory compliance are critical. === Encryption === Multifactor authentication for access to the data is expected practice. Typically, Diffie–Hellman key exchange is used for encryption; this is the standard method commonly used for things like online banking. This encryption is expensive but not impossible to break; it is not generally considered safe against eavesdroppers with the resources of a nation-state. If content is encrypted between the client and the service provider's remote server (transport cryptography), then the server has an unencrypted copy. This is necessary if the data is used by the service provider (for instance, to train the software). Zero-knowledge encryption implies that the only unencrypted copy is at the client, and the server cannot decrypt the data any more easily than a monster-in-the-middle attacker. == Platforms == Scribes may operate on desktops, laptop, or mobile computers, under a variety of operating systems. These vary in their risks; for instance, mobiles can be lost. The underlying mobile or desktop operating systems are also part of the trusted computing base, and if they are not secure, the software relying on them cannot be secure either. Some AI medical scribe platforms are designed to operate as cloud-based applications that generate structured clinical documentation from clinician–patient conversations. These systems may offer features such as real-time transcription, document generation, and integration with electronic health record (EHR) systems. == Confabulation, omissions, and other errors == Like other LLMs, medical-scribe LLMs are prone to hallucinations, where they make up content based on statistically associations between their training data and the transcription audio. LLMs do not distinguish between trying to transcribe the audio and guessing what words will come next, but perform both processes mixed together. They are especially likely to take short silences or non-speech noises and invent some sort of speech to transcribe them as. LLM medical scribes have been known to confabulate racist and otherwise prejudiced content; this is partly because the training datasets of many LLMs contain pseudoscientific texts about medical racism. They may misgender patients. A survey found that most doctors preferred, in principle, that scribes be trained on data reviewed by medical subject experts. Relevant, accurate training data increases the probability of an accurate transcription, but does not guarantee accuracy. Software trained on thousands of real clinical conversations generated transcripts with lower word error rates. Software trained on manually-transcribed training data did better than software trained with automatically transcribed training data such as YouTube captions. Autoscribes omit parts of the conversation classes as irrelevant. The may wrongly classify pertinent information as irrelevant and omit it. They may also confuse historic and current symptoms, or otherwise misclassify information. They may also simply wrongly transcribe the speech, writing something incorrect instead. If clinicians do not carefully check the recording, such mistakes could make their way into their medical records and cause patient harms. == Patient consent == Professional organizations generally require that scribes be used only with patient consent; some bodies may require written consent. Medics must also abide by local surveillance laws, which may criminalize recording pri
Arabic Speech Corpus
The Arabic Speech Corpus is a Modern Standard Arabic (MSA) speech corpus for speech synthesis. The corpus contains phonetic and orthographic transcriptions of more than 3.7 hours of MSA speech aligned with recorded speech on the phoneme level. The annotations include word stress marks on the individual phonemes. The Arabic Speech Corpus was built as part of a doctoral project by Nawar Halabi at the University of Southampton funded by MicroLinkPC who own an exclusive license to commercialise the corpus, but the corpus is available for strictly non-commercial purposes through the official Arabic Speech Corpus website. It is distributed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. == Purpose == The corpus was mainly built for speech synthesis purposes, specifically Speech Synthesis, but the corpus has been used for building HMM based voices in Arabic. It was also used to automatically align other speech corpora with their phonetic transcript and could be used as part of a larger corpus for training speech recognition systems. == Contents == The package contains the following: 1813 .wav files containing spoken utterances. 1813 .lab files containing text utterances. 1813 .TextGrid files containing the phoneme labels with time stamps of the boundaries where these occur in the .wav files. phonetic-transcript.txt which has the form "[wav_filename]" "[Phoneme Sequence]" in every line. orthographic-transcript.txt which has the form "[wav_filename]" "[Orthographic Transcript]" in every line. Orthography is in Buckwalter Format which is friendlier where there is software that does not read Arabic script. It can be easily converted back to Arabic. There is an extra 18 minutes of fully annotated corpus (separate from above but with the same structure as above) which was used to evaluated the corpus (see PhD thesis). The corpus was also used to prove that using automatically extracted, orthography-based stress marks improve the quality of speech synthesis in MSA.