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Enhancing Public Health Surveillance: Development And Validation Of Machine Learning Models For Suspected Opioid Overdose Detection In Emergency Medical Services Data, Peter J. Rock 2025 University of Kentucky

Enhancing Public Health Surveillance: Development And Validation Of Machine Learning Models For Suspected Opioid Overdose Detection In Emergency Medical Services Data, Peter J. Rock

Theses and Dissertations--Clinical and Translational Science

The ongoing opioid overdose crisis in the United States requires timely and accurate surveillance systems to inform public health responses. Traditional public health surveillance methods rely on hospital discharge data and death certificates, which suffer from significant reporting delays and miss cases where patients refuse hospital transportation. Emergency Medical Services (EMS) data presents a promising alternative with advantages in timeliness and case ascertainment but lacks validated definitions for suspected opioid overdose (SOO).

This dissertation addresses this critical gap through the development, validation, and fairness assessment of machine learning models with natural language processing (ML-NLP) for identifying SOOs in EMS data. …


Utilizing Artificial Intelligence As A Strategic Risk Management Tool For Public Sector Operations And Auditing Processes, Oğuz Ümit Tamer, Bruce D. McDonald III, Farouk Hemici, Georgia Kontogeorga 2025 Turkish Court of Accounts

Utilizing Artificial Intelligence As A Strategic Risk Management Tool For Public Sector Operations And Auditing Processes, Oğuz Ümit Tamer, Bruce D. Mcdonald Iii, Farouk Hemici, Georgia Kontogeorga

School of Public Service Faculty Publications

Symbolizing a significant turning point in the historical landscape, AI is becoming an effective tool in today's public administration, not only for increasing capacity, quality, and speed in services, but also for strategic risk management. Regulators and algorithmic auditing play a central role in implementing fairness, transparency, and persistent controls against risks in AI systems. Discussing modern applications of AI, such as anomaly-based fraud detection, resource estimation, and continuous auditing, and their respective strengths and weaknesses, this study concludes that AI significantly enhances efficiency and oversight but also poses the risk of enshrining bias, opacity, and accountability gaps. By considering …


Argue With Your Ai: Critically Engaging With Copilot, James Day 2025 Embry-Riddle Aeronautical University

Argue With Your Ai: Critically Engaging With Copilot, James Day

Publications

By now, you probably have some experience interacting with an AI chatbot. You might even have taken some training courses to learn about “prompt engineering” methods such as CO-STAR (Context, Objective, Style, Tone, Audience, Response)1 and RICCE (Relevance, Intent, Context, Clarity, Examples).2 In taking advantage of generative artificial intelligence, the focus is generally on writing that initial query. For this paper, let’s ignore advanced prompts asking for a complex analysis and consider the case where you’re simply looking for factual information.


Cultivating Confidence, Leila Halawi, Mark Miller, Sam Holley 2025 Embry-Riddle Aeronautical University

Cultivating Confidence, Leila Halawi, Mark Miller, Sam Holley

Publications

Artificial intelligence (AI) is pervasive in scholarly publications, internet sites, and public discourse. AI is a term with broad scope that refers to machines that can learn and perform tasks that typically require human intelligence. The specter of AI intruding into many aspects of aviation has raised alarms, concerns, and prodigious misunderstanding of potential and contemplated applications in systems and processes. The EASA AI Roadmap (EASA, 2023 ), a linear projection with three levels EASA, 2023 extending into 2050, places the human-AI teaming period (through 2035) at Level 2. This suggests a ten-year span to develop the interactive issues to …


Embracing Ai In Higher Education: Redefining Teaching And Learning In The Digital Era, Najem Tala, Leila Halawi 2025 Oglethorpe University

Embracing Ai In Higher Education: Redefining Teaching And Learning In The Digital Era, Najem Tala, Leila Halawi

Publications

This research explores the transformative potential of Artificial Intelligence (AI) in education, focusing on its ability to address emerging challenges and revolutionize teaching practices. We critically assess the current educational landscape, evaluate AI's role as a catalyst for educational reform, and examine implementation challenges. Our analysis emphasizes the evolving impact of AI on personalized learning, student engagement, and administrative efficiency and contributes to the growing body of literature on educational technology. The discussion highlights both the opportunities and limitations of AI in education, pointing to critical areas that remain underexplored.


A Hybrid Soft Voting And Stacking-Based Meta-Learning Approach For Sentiment Analysis Of Bangkalan Batik, Moh. Imron Wahyudi, Lailil Muflikhah, Rizal Setya Perdana 2025 Brawijaya University

A Hybrid Soft Voting And Stacking-Based Meta-Learning Approach For Sentiment Analysis Of Bangkalan Batik, Moh. Imron Wahyudi, Lailil Muflikhah, Rizal Setya Perdana

Knowledge Engineering and Data Science

Sentiment analysis is an important field in Natural Language Processing (NLP) that focuses on processing consumer opinions to gain useful insights. The information generated from sentiment analysis can be used as a basis for business decision-making, service quality evaluation, and the formulation of more effective marketing strategies. In the local context, Bangkalan Batik, as one of Madura's distinctive cultural products, has high economic value and cultural identity. However, consumer reviews available online, for example through Google Maps, are still rarely utilized optimally by MSMEs as a source of strategic information. Therefore, this study was conducted to develop a sentiment classification …


Survey-Weighted Ordinal Modeling Of Alcohol-Associated Liver Disease Severity Through Social Determinants Of Health, Jaylene Viveros Cruz 2025 Long Island University

Survey-Weighted Ordinal Modeling Of Alcohol-Associated Liver Disease Severity Through Social Determinants Of Health, Jaylene Viveros Cruz

Selected Full-Text Master Theses 2021-

Alcohol-associated liver disease (ALD) is a condition that describes the spectrum of disease and liver injury attributed to the consumption of alcohol. ALD diagnosis is heavily dependent on alcohol use, making it challenging to test for, as alcohol use is often self-reported, and early-stage ALD can present asymptomatically. This study aims to explore how social determinants of health associated with alcohol use behaviors predict ALD-related liver stress risk. MEC participants included in the two two-year cycles of the National Health and Nutrition Examination Survey (NHANES), 2014-2014 and 2015-2016, were assigned liver stress labels based on clinical thresholds for ALD diagnosis. …


Ai And Tribal Court Practice, Matthew L.M. Fletcher 2025 University of Michigan Law School

Ai And Tribal Court Practice, Matthew L.M. Fletcher

Articles

American Indian tribal court practice resides at the intersection of two difficult legal problems. First, because tribal justice systems are usually very young and dynamic, awareness and analysis of tribal law is underdeveloped. Second, because tribal nations are not governed by state or federal law, tribal law is culturally unique. Tribal court practitioners often find that even routine legal matters will involve questions of first impression in the jurisdiction. All of this is to say tribal court jurisprudence is intensely jurisgenerative.

Because tribal law is often unsettled or indeterminate, the costs of discovering and applying this law are occasionally high. …


Environment Scan Of Generative Ai Infrastructure For Clinical And Translational Science, Hua Xu, Jiang Bian, Chunhua Weng, Yifan Peng, Betina Idnay, Zihan Xu, William G. Adams, Mohammad Adibuzzaman, Nicholas R. Anderson, Neil Bahroos, Douglas S. Bell, Cody Bumgardner, Thomas Campion, Mario Castro, James J. Cimino, I. Glenn Cohen, David Dorr, Peter L. Elkin, Jungwei W. Fan, Todd Ferris, David J. Foran, David Hanauer, Mike Hogarth, Kun Huang, Jayashree Kalpathy-Cramer, Manoj Kandpal, Niranjan S. Karnik, Avnish Katoch, Albert M. Lai, Christophe G. Lambert, Lang Li, Christopher Lindsell, Jinze Liu, Zhiyong Lu, Yuan Luo, Peter McGarvey, Eneida A. Mendonca, Parsa Mirhaji, Shawn Murphy, John D. Osborne, Ioannis C. Paschalidis, Paul A. Harris, Fred Prior, Nicholas J. Shaheen, Nawar Shara, Ida Sim, Umberto Tachinardi, Lemuel R. Waitman, Rosalind J. Wright, Adrian H. Zai, Kai Zheng, Sandra Soo-Jin Lee, Bradley A. Malin, Karthik Natarajan, Nicholson Price, Rui Zhang, Yiye Zhang 2025 Yale University

Environment Scan Of Generative Ai Infrastructure For Clinical And Translational Science, Hua Xu, Jiang Bian, Chunhua Weng, Yifan Peng, Betina Idnay, Zihan Xu, William G. Adams, Mohammad Adibuzzaman, Nicholas R. Anderson, Neil Bahroos, Douglas S. Bell, Cody Bumgardner, Thomas Campion, Mario Castro, James J. Cimino, I. Glenn Cohen, David Dorr, Peter L. Elkin, Jungwei W. Fan, Todd Ferris, David J. Foran, David Hanauer, Mike Hogarth, Kun Huang, Jayashree Kalpathy-Cramer, Manoj Kandpal, Niranjan S. Karnik, Avnish Katoch, Albert M. Lai, Christophe G. Lambert, Lang Li, Christopher Lindsell, Jinze Liu, Zhiyong Lu, Yuan Luo, Peter Mcgarvey, Eneida A. Mendonca, Parsa Mirhaji, Shawn Murphy, John D. Osborne, Ioannis C. Paschalidis, Paul A. Harris, Fred Prior, Nicholas J. Shaheen, Nawar Shara, Ida Sim, Umberto Tachinardi, Lemuel R. Waitman, Rosalind J. Wright, Adrian H. Zai, Kai Zheng, Sandra Soo-Jin Lee, Bradley A. Malin, Karthik Natarajan, Nicholson Price, Rui Zhang, Yiye Zhang

Articles

This study reports a comprehensive environmental scan of the generative AI (GenAI) infrastructure in the national network for clinical and translational science across 36 institutions supported by the CTSA Program led by the National Center for Advancing Translational Sciences (NCATS) of the National Institutes of Health (NIH) at the United States. Key findings indicate a diverse range of institutional strategies, with most organizations in the experimental phase of GenAI deployment. The results underscore the need for a more coordinated approach to GenAI governance, emphasizing collaboration among senior leaders, clinicians, information technology staff, and researchers. Our analysis reveals that 53% of …


Clinicians In The Loop Of Medical Ai, W. Nicholson Price II 2025 University of Michigan Law School

Clinicians In The Loop Of Medical Ai, W. Nicholson Price Ii

Articles

As medical AI begins to mature as a health-care tool, the task of governance grows increasingly important. Ensuring that medical AI works, works where it’s used, and works for the patient in the moment is a challenging, multifaceted task. Some of this governance can be centralized—in review by FDA or by national accreditation labs, for instance. Some must be local, performed by the hospital or health system about to use the product in their own, unique environment. But a large amount of governance is left to the individual provider in the room, the human in the loop who presumably knows …


Do Specialized Medical Llms Demand A Radically New Approach Under The Eu's Medical Device Regulation, Hannah Louise Smith, W. Nicholson Price II 2025 University of Copenhagen

Do Specialized Medical Llms Demand A Radically New Approach Under The Eu's Medical Device Regulation, Hannah Louise Smith, W. Nicholson Price Ii

Articles

We examine the arguments made by Onitiu and colleagues concerning the need to adopt a “backward-walking logic” to manage the risks arising from the use of Large Language Models (LLMs) adapted for a medical purpose. We examine what lessons can be learned from existing multi-use technologies and applied to specialized LLMs, notwithstanding their novelty, and explore the appropriate respective roles of device providers and regulators within the ecosystem of technological oversight.


Boden Lecture: Taxation Of Autonomous Artificial Intelligence, Reuven S. Avi-Yonah, Lucas Brasil Salama, Herbert Snitz, W. Robert Thomas 2025 University of Michigan Law School

Boden Lecture: Taxation Of Autonomous Artificial Intelligence, Reuven S. Avi-Yonah, Lucas Brasil Salama, Herbert Snitz, W. Robert Thomas

Articles

This Article proposes that tax can be a useful supplement to other measures to regulate Autonomous Artificial Intelligence (AAI) and limit its potential harmful effects. This proposal differs from command-and-control regulation of AAI along the lines of European Union legislation that may unduly limit the development of AAI. It also differs from existing proposals to tax AAI to generate revenue to help workers displaced by AAI programs, or to tax the data used by AAI The proposal is based on granting AAI programs like ChatGPT separate legal personhood, like corporate personhood, while incentivizing or requiring their corporate owner to place …


Synthetic Data Generation Of Health And Demographic Surveillance Systems Data: A Case Study In A Low- And Middle-Income Country, Dorcas G. Mwigereri, Nigel T. Kamotho, Akbar K. Waljee, Ryan T. Rego, Eileen M. Weinheimer-Haus, Farhana Alarakhiya, Anthony K. Ngugi, W. Nicholson Price, Ji Zhu, Stephen Peter Wong, Geoffrey H. Siwo 2025 Department of Population Health, Aga Khan University

Synthetic Data Generation Of Health And Demographic Surveillance Systems Data: A Case Study In A Low- And Middle-Income Country, Dorcas G. Mwigereri, Nigel T. Kamotho, Akbar K. Waljee, Ryan T. Rego, Eileen M. Weinheimer-Haus, Farhana Alarakhiya, Anthony K. Ngugi, W. Nicholson Price, Ji Zhu, Stephen Peter Wong, Geoffrey H. Siwo

Articles

Objective: To evaluate effectiveness of open-source generative models in producing high-quality tabular synthetic data using a Health and Demographic Surveillance System (HDSS) dataset from rural Kenya, as a proof of concept in a low- and middle-income (LMIC) setting.

Materials and Methods: Three open-source models (CTGAN, TableGAN, and CopulaGAN) were used to generate synthetic data from the Kaloleni/ Rabai HDSS dataset. To assess the quality of the synthetic datasets generated by each model, we performed fidelity, utility, and privacy tests.

Results: CTGAN outperformed the other models, producing synthetic data that closely mirrored the statistical properties of the real dataset while preserving …


The Future Of Ai Regulation In Drug Development: A Comparative Analysis, Gabriela Lenarczyk, Timo Minssen, W. Nicholson Price II, Arti Rai 2025 University of Copenhagen

The Future Of Ai Regulation In Drug Development: A Comparative Analysis, Gabriela Lenarczyk, Timo Minssen, W. Nicholson Price Ii, Arti Rai

Articles

As artificial intelligence (AI) transforms drug development, regulatory frameworks are evolving to oversee its implementation, particularly at the US Food and Drug Administration (FDA) and the European Medicines Agency (EMA). This paper makes three contributions to understanding emerging regulatory approaches. First, we offer a comparative analysis of how these agencies have responded to AI-driven advances, incorporating new US executive orders and the European Union (EU)’s AI Act. Second, we propose a novel analytical framework to understand regulatory divergence: the FDA’s flexible, dialog-driven model contrasts with the EMA’s structured, risk-tiered approach, reflecting broader institutional and political-economic differences. While the former encourages …


Using Visual Prompts To Analyze Ejection Fraction In Echocardiograms, Kevin Reisch 2025 West Virginia University

Using Visual Prompts To Analyze Ejection Fraction In Echocardiograms, Kevin Reisch

Graduate Theses, Dissertations, and Problem Reports (ETD)

Left ventricular ejection fraction (LVEF) is a critical biomarker for heart failure, but manual estimation from echocardiograms is time-consuming. Artificial intelligence can be used to accelerate this process, allowing clinicians to focus on other critical tasks. Current methods typically train models from scratch on echocardiogram datasets; however, this approach is limited by the scarcity of large medical imaging datasets, which are expensive and difficult to acquire. We present a transfer learning approach that leverages pretrained models from massive datasets, enabling continuous improvement as foundation models advance. Our method employs visual prompting to generate trainable masks for echocardiogram videos, transforming the …


Generalizing Medical Image Segmentation Task With Efficient Deep Learning Models, Abel A. Reyes-Angulo 2025 Michigan Technological University

Generalizing Medical Image Segmentation Task With Efficient Deep Learning Models, Abel A. Reyes-Angulo

Dissertations, Master's Theses and Master's Reports

Medical Image Segmentation is a critical task in the field of medical imaging, playing a crucial role in diagnostics, treatment planning, and disease monitoring. The emergence of Deep Learning (DL) has ushered in a new era in Artificial Intelligence (AI), propelling remarkable advancements in key domains like language translation, object recognition, and recommendation systems. This evolution has been accompanied by continuous enhancements in computational efficiency and improvements in predictive accuracy. The introduction of sophisticated algorithms, such as convolutional neural networks (CNNs) and transformers, exemplifies these advancements. DL algorithms have demonstrated exceptional efficacy in medical image segmentation tasks, showcasing the potential …


Digital Platform Transitions In The Finance Industry: Three Essays, Cheryll-Ann Wilson 2025 Bentley University

Digital Platform Transitions In The Finance Industry: Three Essays, Cheryll-Ann Wilson

2025

This three-paper dissertation is motivated by an emerging dichotomy in the financial sector: an increasing use of an open-source digital platform—the Python platform—in an industry that historically has been wedded to proprietary systems.

Chapter 1 is a qualitative pilot study to ascertain which factors are likely to motivate investment professionals to select Python versus other tools and/or technologies. I find that efficiency and access to industry-specific libraries—notably Pandas and NumPy—are significant motivators in their selection of Python over Excel. Chapters 2 and 3 examine the issues through a sequential, exploratory mixed methods approach.

Chapter 2—the qualitative field study—investigates how and …


Tiered Coalition Formation Game Variants, Stability, And Simulation, Nathan Arnold 2025 University of Kentucky

Tiered Coalition Formation Game Variants, Stability, And Simulation, Nathan Arnold

Theses and Dissertations--Computer Science

Tiered coalition formation games (TCFGs) have been proposed for modeling the ordering of power in intransitive structures. Furthering our understanding of the usefulness of this concept requires a close examination of this game and its variants, as well as the delineation between stability concepts and methods of finding stable outcomes. Derived from a simulation of the performance of characters in the games Pokémon Red and Blue Versions, we present an approximation of its power structure found via machine learning. We compare our findings to the community consensus ranking presented on a fan-run website, and further comment on the stability of …


Information-Theoretic Methods For Efficient Training And Robust Evaluations In Self-Supervised Learning, Oscar Skean 2025 University of Kentucky

Information-Theoretic Methods For Efficient Training And Robust Evaluations In Self-Supervised Learning, Oscar Skean

Theses and Dissertations--Computer Science

Self-supervised learning (SSL) has become a cornerstone of modern machine learning, offering a scalable alternative to costly human annotation by constructing pretext tasks directly from raw data. While SSL has delivered strong results across vision, language, and multimodal domains, two major limitations persist: (1) SSL methods are often significantly slower to train than supervised counterparts, and (2) evaluation protocols remain narrow, with most studies relying on linear probing accuracy on the pretraining dataset. . These challenges are particularly acute for large language models (LLMs), where training costs and interpretability of intermediate representations are critical concerns.

In this work, we propose …


Predicting Mental Health Disparities Using Machine Learning For African Americans In Southeastern Virginia, Ismail El Moudden, Michael C. Bittner, Matvey V. Karpov, Isaac O. Osunmakinde, Akosua Acheamponmaa, Breshell J. Nevels, Mamadou T. Mbaye, Tonya L. Fields, Karthiga Jordan, Messaoud Bahoura 2025 Macon & Joan Brock Virginia Health Sciences at Old Dominion University

Predicting Mental Health Disparities Using Machine Learning For African Americans In Southeastern Virginia, Ismail El Moudden, Michael C. Bittner, Matvey V. Karpov, Isaac O. Osunmakinde, Akosua Acheamponmaa, Breshell J. Nevels, Mamadou T. Mbaye, Tonya L. Fields, Karthiga Jordan, Messaoud Bahoura

Department of Obstetrics & Gynecology Faculty Publications

This study examined mental health disparities among African Americans using AI and machine learning for outcome prediction. Analyzing data from African American adults (18–85) in Southeastern Virginia (2016–2020), we found Mood Affective Disorders were most prevalent (41.66%), followed by Schizophrenia Spectrum and Other Psychotic Disorders. Females predominantly experienced mood disorders, with patient ages typically ranging from late thirties to mid-forties. Medicare coverage was notably high among schizophrenia patients, while emergency admissions and comorbidities significantly impacted total healthcare charges. Machine learning models, including gradient boosting, random forest, neural networks, logistic regression, and Naive Bayes, were validated through 100 repeated 5-fold cross-validations. …


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