prompt_front: You are given a scientific article and a question. Answer the question as concisely as you can, using a single phrase or sentence if possible. If the question cannot be answered based on the information in the article, write "unanswerable". If the question is a yes/no question, answer "yes", "no", or "unanswerable". Do not provide any explanation.

Please answer the questions based on the text provided below. By how much did they improve?
Context 1: Introduction
Automatic classification of sentiment has mainly focused on categorizing tweets in either two (binary sentiment analysis) or three (ternary sentiment analysis) categories BIBREF0   In this work we study the problem of fine-grained sentiment classification where tweets are classified according to a five-point scale ranging from VeryNegative to VeryPositive  To illustrate this, Table TABREF3 presents examples of tweets associated with each of these categories  Five-point scales are widely adopted in review sites like Amazon and TripAdvisor, where a user's sentiment is ordered with respect to its intensity  From a sentiment analysis perspective, this defines a classification problem with five categories  In particular, Sebastiani et al  BIBREF1 defined such classification problems whose categories are explicitly ordered to be ordinal classification problems  To account for the ordering of the categories, learners are penalized according to how far from the true class their predictions are 
Although considering different scales, the various settings of sentiment classification are related  First, one may use the same feature extraction and engineering approaches to represent the text spans such as word membership in lexicons, morpho-syntactic statistics like punctuation or elongated word counts BIBREF2 , BIBREF3   Second, one would expect that knowledge from one task can be transfered to the others and this would benefit the performance  Knowing that a tweet is “Positive” in the ternary setting narrows the classification decision between the VeryPositive and Positive categories in the fine-grained setting  From a research perspective this raises the question of whether and how one may benefit when tackling such related tasks and how one can transfer knowledge from one task to another during the training phase 
Our focus in this work is to exploit the relation between the sentiment classification settings and demonstrate the benefits stemming from combining them  To this end, we propose to formulate the different classification problems as a multitask learning problem and jointly learn them  Multitask learning BIBREF4 has shown great potential in various domains and its benefits have been empirically validated BIBREF5 , BIBREF6 , BIBREF7 , BIBREF8 using different types of data and learning approaches  An important benefit of multitask learning is that it provides an elegant way to access resources developed for similar tasks  By jointly learning correlated tasks, the amount of usable data increases  For instance, while for ternary classification one can label data using distant supervision with emoticons BIBREF9 , there is no straightforward way to do so for the fine-grained problem  However, the latter can benefit indirectly, if the ternary and fine-grained tasks are learned jointly 
The research question that the paper attempts to answer is the following: Can twitter sentiment classification problems, and fine-grained sentiment classification in particular, benefit from multitask learning? To answer the question, the paper brings the following two main contributions: (i) we show how jointly learning the ternary and fine-grained sentiment classification problems in a multitask setting improves the state-of-the-art performance, and (ii) we demonstrate that recurrent neural networks outperform models previously proposed without access to huge corpora while being flexible to incorporate different sources of data 
Multitask Learning for Twitter Sentiment Classification
In his work, Caruana BIBREF4 proposed a multitask approach in which a learner takes advantage of the multiplicity of interdependent tasks while jointly learning them  The intuition is that if the tasks are correlated, the learner can learn a model jointly for them while taking into account the shared information which is expected to improve its generalization ability  People express their opinions online on various subjects (events, products  ), on several languages and in several styles (tweets, paragraph-sized reviews  ), and it is exactly this variety that motivates the multitask approaches  Specifically for Twitter for instance, the different settings of classification like binary, ternary and fine-grained are correlated since their difference lies in the sentiment granularity of the classes which increases while moving from binary to fine-grained problems 
There are two main decisions to be made in our approach: the learning algorithm, which learns a decision function, and the data representation  With respect to the former, neural networks are particularly suitable as one can design architectures with different properties and arbitrary complexity  Also, as training neural network usually relies on back-propagation of errors, one can have shared parts of the network trained by estimating errors on the joint tasks and others specialized for particular tasks  Concerning the data representation, it strongly depends on the data type available  For the task of sentiment classification of tweets with neural networks, distributed embeddings of words have shown great potential  Embeddings are defined as low-dimensional, dense representations of words that can be obtained in an unsupervised fashion by training on large quantities of text BIBREF10  
Concerning the neural network architecture, we focus on Recurrent Neural Networks (RNNs) that are capable of modeling short-range and long-range dependencies like those exhibited in sequence data of arbitrary length like text  While in the traditional information retrieval paradigm such dependencies are captured using INLINEFORM0 -grams and skip-grams, RNNs learn to capture them automatically BIBREF11   To circumvent the problems with capturing long-range dependencies and preventing gradients from vanishing, the long short-term memory network (LSTM) was proposed BIBREF12   In this work, we use an extended version of LSTM called bidirectional LSTM (biLSTM)  While standard LSTMs access information only from the past (previous words), biLSTMs capture both past and future information effectively BIBREF13 , BIBREF11   They consist of two LSTM networks, for propagating text forward and backwards with the goal being to capture the dependencies better  Indeed, previous work on multitask learning showed the effectiveness of biLSTMs in a variety of problems: BIBREF14 tackled sequence prediction, while BIBREF6 and BIBREF15 used biLSTMs for Named Entity Recognition and dependency parsing respectively 
Figure FIGREF2 presents the architecture we use for multitask learning  In the top-left of the figure a biLSTM network (enclosed by the dashed line) is fed with embeddings INLINEFORM0 that correspond to the INLINEFORM1 words of a tokenized tweet  Notice, as discussed above, the biLSTM consists of two LSTMs that are fed with the word sequence forward and backwards  On top of the biLSTM network one (or more) hidden layers INLINEFORM2 transform its output  The output of INLINEFORM3 is led to the softmax layers for the prediction step  There are INLINEFORM4 softmax layers and each is used for one of the INLINEFORM5 tasks of the multitask setting  In tasks such as sentiment classification, additional features like membership of words in sentiment lexicons or counts of elongated/capitalized words can be used to enrich the representation of tweets before the classification step BIBREF3   The lower part of the network illustrates how such sources of information can be incorporated to the process  A vector “Additional Features” for each tweet is transformed from the hidden layer(s) INLINEFORM6 and then is combined by concatenation with the transformed biLSTM output in the INLINEFORM7 layer 
Experimental setup
Our goal is to demonstrate how multitask learning can be successfully applied on the task of sentiment classification of tweets  The particularities of tweets are to be short and informal text spans  The common use of abbreviations, creative language etc , makes the sentiment classification problem challenging  To validate our hypothesis, that learning the tasks jointly can benefit the performance, we propose an experimental setting where there are data from two different twitter sentiment classification problems: a fine-grained and a ternary  We consider the fine-grained task to be our primary task as it is more challenging and obtaining bigger datasets, e g  by distant supervision, is not straightforward and, hence we report the performance achieved for this task 
Ternary and fine-grained sentiment classification were part of the SemEval-2016 “Sentiment Analysis in Twitter” task BIBREF16   We use the high-quality datasets the challenge organizers released  The dataset for fine-grained classification is split in training, development, development_test and test parts  In the rest, we refer to these splits as train, development and test, where train is composed by the training and the development instances  Table TABREF7 presents an overview of the data  As discussed in BIBREF16 and illustrated in the Table, the fine-grained dataset is highly unbalanced and skewed towards the positive sentiment: only INLINEFORM0 of the training examples are labeled with one of the negative classes 
Feature representation We report results using two different feature sets  The first one, dubbed nbow, is a neural bag-of-words that uses text embeddings to generate low-dimensional, dense representations of the tweets  To construct the nbow representation, given the word embeddings dictionary where each word is associated with a vector, we apply the average compositional function that averages the embeddings of the words that compose a tweet  Simple compositional functions like average were shown to be robust and efficient in previous work BIBREF17   Instead of training embeddings from scratch, we use the pre-trained on tweets GloVe embeddings of BIBREF10   In terms of resources required, using only nbow is efficient as it does not require any domain knowledge  However, previous research on sentiment analysis showed that using extra resources, like sentiment lexicons, can benefit significantly the performance BIBREF3 , BIBREF2   To validate this and examine at which extent neural networks and multitask learning benefit from such features we evaluate the models using an augmented version of nbow, dubbed nbow+  The feature space of the latter, is augmented using 1,368 extra features consisting mostly of counts of punctuation symbols ('!?#@'), emoticons, elongated words and word membership features in several sentiment lexicons  Due to space limitations, for a complete presentation of these features, we refer the interested reader to BIBREF2 , whose open implementation we used to extract them 
Evaluation measure To reproduce the setting of the SemEval challenges BIBREF16 , we optimize our systems using as primary measure the macro-averaged Mean Absolute Error ( INLINEFORM0 ) given by: INLINEFORM1
where INLINEFORM0 is the number of categories, INLINEFORM1 is the set of instances whose true class is INLINEFORM2 , INLINEFORM3 is the true label of the instance INLINEFORM4 and INLINEFORM5 the predicted label  The measure penalizes decisions far from the true ones and is macro-averaged to account for the fact that the data are unbalanced  Complementary to INLINEFORM6 , we report the performance achieved on the micro-averaged INLINEFORM7 measure, which is a commonly used measure for classification 
The models To evaluate the multitask learning approach, we compared it with several other models  Support Vector Machines (SVMs) are maximum margin classification algorithms that have been shown to achieve competitive performance in several text classification problems BIBREF16   SVM INLINEFORM0 stands for an SVM with linear kernel and an one-vs-rest approach for the multi-class problem  Also, SVM INLINEFORM1 is an SVM with linear kernel that employs the crammer-singer strategy BIBREF18 for the multi-class problem  Logistic regression (LR) is another type of linear classification method, with probabilistic motivation  Again, we use two types of Logistic Regression depending on the multi-class strategy: LR INLINEFORM2 that uses an one-vs-rest approach and multinomial Logistic Regression also known as the MaxEnt classifier that uses a multinomial criterion 
Both SVMs and LRs as discussed above treat the problem as a multi-class one, without considering the ordering of the classes  For these four models, we tuned the hyper-parameter INLINEFORM0 that controls the importance of the L INLINEFORM1 regularization part in the optimization problem with grid-search over INLINEFORM2 using 10-fold cross-validation in the union of the training and development data and then retrained the models with the selected values  Also, to account for the unbalanced classification problem we used class weights to penalize more the errors made on the rare classes  These weights were inversely proportional to the frequency of each class  For the four models we used the implementations of Scikit-learn BIBREF19  
For multitask learning we use the architecture shown in Figure FIGREF2 , which we implemented with Keras BIBREF20   The embeddings are initialized with the 50-dimensional GloVe embeddings while the output of the biLSTM network is set to dimension 50  The activation function of the hidden layers is the hyperbolic tangent  The weights of the layers were initialized from a uniform distribution, scaled as described in BIBREF21   We used the Root Mean Square Propagation optimization method  We used dropout for regularizing the network  We trained the network using batches of 128 examples as follows: before selecting the batch, we perform a Bernoulli trial with probability INLINEFORM0 to select the task to train for  With probability INLINEFORM1 we pick a batch for the fine-grained sentiment classification problem, while with probability INLINEFORM2 we pick a batch for the ternary problem  As shown in Figure FIGREF2 , the error is backpropagated until the embeddings, that we fine-tune during the learning process  Notice also that the weights of the network until the layer INLINEFORM3 are shared and therefore affected by both tasks 
To tune the neural network hyper-parameters we used 5-fold cross validation  We tuned the probability INLINEFORM0 of dropout after the hidden layers INLINEFORM1 and for the biLSTM for INLINEFORM2 , the size of the hidden layer INLINEFORM3 and the probability INLINEFORM4 of the Bernoulli trials from INLINEFORM5   During training, we monitor the network's performance on the development set and apply early stopping if the performance on the validation set does not improve for 5 consecutive epochs 
Experimental results Table TABREF9 illustrates the performance of the models for the different data representations  The upper part of the Table summarizes the performance of the baselines  The entry “Balikas et al ” stands for the winning system of the 2016 edition of the challenge BIBREF2 , which to the best of our knowledge holds the state-of-the-art  Due to the stochasticity of training the biLSTM models, we repeat the experiment 10 times and report the average and the standard deviation of the performance achieved 
Several observations can be made from the table  First notice that, overall, the best performance is achieved by the neural network architecture that uses multitask learning  This entails that the system makes use of the available resources efficiently and improves the state-of-the-art performance  In conjunction with the fact that we found the optimal probability INLINEFORM0 , this highlights the benefits of multitask learning over single task learning  Furthermore, as described above, the neural network-based models have only access to the training data as the development are hold for early stopping  On the other hand, the baseline systems were retrained on the union of the train and development sets  Hence, even with fewer resources available for training on the fine-grained problem, the neural networks outperform the baselines  We also highlight the positive effect of the additional features that previous research proposed  Adding the features both in the baselines and in the biLSTM-based architectures improves the INLINEFORM1 scores by several points 
Lastly, we compare the performance of the baseline systems with the performance of the state-of-the-art system of BIBREF2   While BIBREF2 uses n-grams (and character-grams) with INLINEFORM0 , the baseline systems (SVMs, LRs) used in this work use the nbow+ representation, that relies on unigrams  Although they perform on par, the competitive performance of nbow highlights the potential of distributed representations for short-text classification  Further, incorporating structure and distributed representations leads to the gains of the biLSTM network, in the multitask and single task setting 
Similar observations can be drawn from Figure FIGREF10 that presents the INLINEFORM0 scores  Again, the biLSTM network with multitask learning achieves the best performance  It is also to be noted that although the two evaluation measures are correlated in the sense that the ranking of the models is the same, small differences in the INLINEFORM1 have large effect on the scores of the INLINEFORM2 measure 
Conclusion
In this paper, we showed that by jointly learning the tasks of ternary and fine-grained classification with a multitask learning model, one can greatly improve the performance on the second  This opens several avenues for future research  Since sentiment is expressed in different textual types like tweets and paragraph-sized reviews, in different languages (English, German,   ) and in different granularity levels (binary, ternary,  ) one can imagine multitask approaches that could benefit from combining such resources  Also, while we opted for biLSTM networks here, one could use convolutional neural networks or even try to combine different types of networks and tasks to investigate the performance effect of multitask learning  Lastly, while our approach mainly relied on the foundations of BIBREF4 , the internal mechanisms and the theoretical guarantees of multitask learning remain to be better understood 
Acknowledgements
This work is partially supported by the CIFRE N 28/2015 
Context 2: Introduction
To appear in Proceedings of International Workshop on Health Intelligence (W3PHIAI) of the 34th AAAI Conference on Artificial Intelligence, 2020 
Physician burnout is a growing concern, estimated to be experienced by at least 35% of physicians in the developing world and 50% in the United States BIBREF0  BIBREF1 found that for every hour physicians provide direct clinical facetime to patients, nearly two additional hours are spent on EHR (Electronic Health Records) and administrative or desk work  As per the study conducted by Massachusetts General Physicians Organization (MPGO) BIBREF2 and as reported by BIBREF3, the average time spent on administrative tasks increased from 23 7% in 2014 to 27 9% in 2017  Both the surveys found that time spent on administrative tasks was positively associated with higher likelihood of burnout  Top reasons under administrative burden include working on the ambulatory EHR, handling medication reconciliation (sometimes done by aids), medication renewals, and medical billing and coding  The majority of these reasons revolve around documentation of information exchanged between doctors and patients during the clinical encounters  Automatically extracting such clinical information BIBREF4, BIBREF5 can not only help alleviate the documentation burden on the physician, but also allow them to dedicate more time directly with patients 
Among all the clinical information extraction tasks, Medication Regimen (Medication, dosage, and frequency) extraction is particularly interesting due to its ability to help doctors with medication orders cum renewals, medication reconciliation, potentially verifying the reconciliations for errors, and, other medication-centered EHR documentation tasks  In addition, the same information when provided to patients can help them with better recall of doctor instructions which might aid in compliance with the care plan  This is particularly important given that patients forget or wrongly recollect 40-80% BIBREF6 of what is discussed in the clinic, and accessing EHR data has its own challenges 
Spontaneous clinical conversations happening between a doctor and a patient, have several distinguishing characteristics from a normal monologue or prepared speech: it involves multiple speakers with overlapping dialogues, covers a variety of speech patterns, and the vocabulary can range from colloquial to complex domain-specific language  With recent advancements in Conversational Speech Recognition BIBREF7 rendering the systems less prone to errors, the subsequent challenge of understanding and extracting relevant information from the conversations is receiving increasing research focus BIBREF4, BIBREF8 
In this paper, we focus on local information extraction in transcribed clinical conversations  Specifically, we extract dosage (e g  5mg) and frequency (e g  once a day) for the medications (e g  aspirin) from these transcripts, collectively referred to as Medication Regimen (MR) extraction  The information extraction is local as we extract the information from a segment of the transcript and not the entire transcript since doing the latter is difficult owing to the long meandering nature of the conversations often with multiple medication regimens and care plans being discussed 
The challenges associated with the Medication Regimen (MR) extraction task include understanding the spontaneous dialog with clinical vocabulary and understanding the relationship between different entities as the discussion can contain multiple medications and dosages (e g  doctor revising a dosage or reviewing all the current medications) 
We frame this problem as a Question Answering (QA) task by generating questions using templates  We base the QA model on pointer-generator networks BIBREF9 augmented with Co-Attentions BIBREF10  In addition, we develop models combining QA and Information Extraction frameworks using multi-decoder (one each for dosage and frequency) architecture 
Lack of availability of a large volume of data is a typical challenge in healthcare  A conversation corpus by itself is a rare commodity in the healthcare data space because of the cost and difficulty in handing (because of data privacy concerns)  Moreover, transcribing and labeling the conversations is a costly process as it requires domain-specific medical annotation expertise  To address data shortage and improve the model performance, we investigate different high-performance contextual embeddings (ELMO BIBREF11, BERT BIBREF12 and ClinicalBERT BIBREF13), and pretrain the models on a clinical summarization task  We further investigate the effects of training data size on our models 
On the MR extraction task, ELMo with encoder multi-decoder architecture and BERT with encoder-decoder with encoders pretrained on the summarization task perform the best  The best-performing models improve our baseline's dosage and frequency extractions ROUGE-1 F1 scores from 54 28 and 37 13 to 89 57 and 45 94, respectively 
Using our models, we present the first fully automated system to extract MR tags from spontaneous doctor-patient conversations  We evaluate the system (using our best performing models) on the transcripts generated from Automatic Speech Recognition (ASR) APIs offered by Google and IBM  In Google ASR's transcripts, our best model obtained ROUGE-1 F1 of 71 75 for Dosage extraction (which in this specific case equals to the percentage of times dosage is correct, refer Metrics Section for more details) and 40 13 for Frequency extraction tasks  On qualitative evaluation, we find that for 73 58% of the medications the model can find the correct frequency  These results demonstrate that the research on NLP can be used effectively in a real clinical setting to benefit both doctors and patients
Data
Our dataset consists of a total of 6,693 real doctor-patient conversations recorded in a clinical setting using distant microphones of varying quality  The recordings have an average duration of 9min 28s and have a verbatim transcript of 1,500 words on average (written by the experts)  Both the audio and the transcript are de-identified (by removing the identifying information) with digital zeros and [de-identified] tags, respectively  The sentences in the transcript are grounded to the audio with the timestamps of its first and last word 
The transcript of the conversations are annotated with summaries and Medication Regimen tags (MR tags), both grounded using the timestamps of the sentences from the transcript deemed relevant by the expert annotators, refer to Table TABREF1  The transcript for a typical conversation can be quite long, and not easy for many of the high performing deep learning models to act on  Moreover, the medical information about a concept/condition/entity can change during the conversation after a significant time gap  For example, dosage of a medication can be different when discussing current medication the patient is on vs when they are prescribed a different dosage  Hence, we have annotations, that are grounded to a short segment of the transcript 
The summaries (#words - $\mu = 9 7; \sigma = 10 1$) are medically relevant and local  The MR tags are also local and are of the form {Medication Name, Dosage, Frequency}  If dosage ($\mu = 2 0; \sigma = 0$) or frequency ($\mu = 2 1; \sigma = 1 07$) information for a medication is not present in a grounded sentence, the corresponding field in the MR tag will be marked as `none' 
In the MR tags, Medication Name and Dosage (usually a quantity followed by its units) can be relatively easily extracted from the transcript except for the units of the dosage which is sometimes inferred  In contrast, due to high degree of linguistic variation with which Frequency is often expressed, extracting Frequency requires an additional inference step  For example, `take one in the morning and at noon' from the transcript is tagged as `twice a day' in the frequency tag, likewise `take it before sleeping' is tagged as `at night time' 
Out of overall 6,693 files, we set aside a random sample of 423 files (denoted as $\mathcal {D}_{test}$) for final evaluation  The remaining 6,270 files are used for training with 80% train (5016), 10% validation (627), and 10% test (627) split  Overall, the 6,270 files contains 156,186 summaries and 32,000 MR tags out of which 8,654 MR tags contain values for at least one of the Dosage or Frequency, which we used for training to avoid overfitting (the remaining MR tags have both Dosage and Frequency as `none')  Note that we have two test datasets: `10% test' - used to evaluate all the models, and $\mathcal {D}_{test}$ - used to measure the performance of best performing models on ASR transcripts 
Approach
We frame the Medication Regimen extraction problem as a Question Answering (QA) task, which forms the basis for our first approach  It can also be considered as a specific inference or relation extract task, since we extract specific information about an entity (Medication Name), hence our second approach is at the intersection of Question Answering (QA) and Information Extraction (IE) domains  Both the approaches involve using a contiguous segment of the transcript and the Medication Name as input, to find/infer the medication's Dosage and Frequency  When testing the approaches mimicking real-world conditions, we extract Medication Name from the transcript separately using ontology, refer to SECREF19 
In the first approach, we frame the MR task as a QA task and generate questions using the template: “What is the $ <$dosage/frequency$>$ for $<$Medication Name$>$"  Here, we use an abstractive QA model based on pointer-generator networks BIBREF9 augmented with coattention encoder BIBREF10 (QA-PGNet) 
In the second approach, we frame the problem as a conditioned IE task, where the information extracted depends on an entity (Medication Name)  Here, we use a multi-decoder pointer-generator network augmented with coattention encoder (Multi-decoder QA-PGNet)  Instead of using templates to generate questions and using a single decoder to extract different types of information as in the QA approach (which might lead to performance degradation), here we consider separate decoders for extracting specific types of information about an entity $E$ (Medication Name) 
Approach ::: Pointer-generator Network (PGNet)
The network is a sequence-to-sequence attention model that can both copy a word from the input $I$ containing $P$ word tokens or generate a word from its vocabulary $vocab$, to produce the output sequence 
First, the tokens of the $I$ are converted to embeddings and are fed one-by-one to the encoder, a single bi-LSTM layer, which encodes the tokens in $I$ into a sequence of hidden states - $H=encoder(I)$, where $ H=[h_1   h_P]$ 
For each decoder time step $t$, in a loop, we compute, 1) attention $a_t$ (using the last decoder state $s_{t-1}$), over the input tokens $I$, and 2) the decoder state $s_t$ using $a_t$  Then, at each time step, using both $a_t$ and $s_t$ we can find the probability $P_t(w)$, of producing a word $w$ (from both $vocab$ and $I$)  For convenience, we denote the attention and the decoder as $decoder_{pg}(H)=P(w)$, where $P(w)=[P_1(w)   P_T(w)]$  The output can then be decoded from $P(w)$, which is decoded until it produces an `end of output token' or the number of steps reach the maximum allowed limit 
Approach ::: QA PGNet
We first encode both the question - $H_Q = encoder(Q)$, and the input - $H_I = encoder(I)$, separately using encoders (with shared weights)  Then, to condition $I$ on $Q$ (and vice versa), we use the coattention encoder BIBREF10 which attends to both the $I$ and $Q$ simultaneously to generates the coattention context - $C_D = coatt(H_I, H_Q)$  Finally, using the pointer-generator decoder we find the probability distribution of the output sequence - $P(w) = decoder_{pg}([H_I; C_D])$, which is then decoded to generate the answer sequence 
Approach ::: Multi-decoder (MD) QA PGNet
After encoding the inputs into $H_I$ and $H_E$, for extracting $K$ types of information about an entity in an IE fashion, we use the following multi-decoder (MD) setup:
Predictions for each of the $K$ decoders are then decoded using $P^k(w)$ 
All the networks discussed above are trained using a negative log-likelihood loss for the target word at each time step and summed over all the decoder time steps 
Experiments
We initialized MR extraction models' vocabulary from the training dataset after removing words with a frequency lower than 30 in the dataset, resulting in 456 words  Our vocabulary is small because of the size of the dataset, hence we rely on the model's ability to copy words to produce the output effectively  In all our model variations, the embedding and the network's hidden dimension are set to be equal  The networks were trained with a learning rate of 0 0015, dropout of 0 5 on the embedding layer, normal gradient clipping set at 2, batch size of 8, and optimized with Adagrad BIBREF15 and the training was stopped using the $10\%$ validation dataset 
Experiments ::: Data Processing
We did the following basic preprocessing to our data, 1) added `none' to the beginning of the input utterance, so the network could point to it when there was no relevant information in the input, 2) filtered outliers with a large number of grounded transcript sentences ($>$150 words), and 3) converted all text to lower case 
To improve performance, we 1) standardized all numbers (both digits and words) to words concatenated with a hyphen (e g  110 -$>$ one-hundred-ten), in both input and output, 2) removed units from Dosage as sometimes the units were not explicitly mentioned in the transcript segment but were written by the annotators using domain knowledge, 3) prepended all medication mentions with `rx-' tag, as this helps model's performance when multiple medications are discussed in a segment (in both input and output), and 4) when a transcript segment has multiple medications or dosages being discussed we randomly shuffle them (in both input and output) and create a new data point, to increases the number of training data points  Randomly shuffling the entities increases the number of training MR tags from 8,654 to 11,521  Based on the data statistics after data processing, we fixed the maximum encoder steps to 100, dosage decoder steps to 1, and frequency decoder steps to 3 (for both the QA and Multi-decoder QA models) 
Experiments ::: Metrics
For the MR extraction task, we measure the ROUGE-1 scores BIBREF14 for both the Dosage and Frequency extraction tasks  It should be noted that since Dosage is a single word token (after processing), both the reference and hypothesis are a single token, making its ROUGE-1 F1, Precision and Recall scores equal and be equal to percentage of times we find the correct dosage for the medications 
In our annotations, Frequency has conflicting tags (e g  {`Once a day', `twice a day'} and `daily'), hence metrics like Exact Match will be erroneous  To address this issue, we use the ROUGE scores to compare different models on the 10% test dataset and we use qualitative evaluation to measure the top-performing models on $\mathcal {D}_{test}$ 
Experiments ::: Model variations
We consider QA PGNet and Multi-decoder QA PGNet with lookup table embedding as baseline models and improve on the baselines with other variations described below 
Apart from learning-based baselines, we also create two naive baselines, one each for the Dosage and Frequency extraction tasks  For Dosage extraction, the baseline we consider is `Nearest Number', where we take the number nearest to the Medication Name as the prediction, and `none' if no number is mentioned or if the Medication Name is not detected in the input  For Frequency extraction, the baseline we consider is `Random Top-3' where we predict a random Frequency tag, from top-3 most frequent ones from our dataset - {`none', `daily', `twice a day'} 
Embedding: We developed different variations of our models with a simple lookup table embeddings learned from scratch and using high-performance contextual embeddings, which are ELMo BIBREF11, BERT BIBREF16 and ClinicalBERT BIBREF13 (trained and provided by the authors)  Refer to Table TABREF5 for the performance comparisons 
We derive embeddings from ELMo by learning a linear combination of its last three layer's hidden states (task-specific fine-tuning BIBREF11)  Similarly, for BERT-based embeddings, we take a linear combination of the hidden states from its last four layers, as this combination performs best without increasing the size of the embeddings BIBREF16  Since BERT and ClinicalBERT use word-piece vocabulary and computes sub-word embeddings, we compute word-level embedding by averaging the corresponding sub-word tokens  ELMo and BERT embeddings both have 1024 dimensions, ClinicalBERT have 768 as it is based on BERT base model, and the lookup table have 128 – higher dimension models leads to overfitting 
Pertaining Encoder: We trained the PGNet as a summarization task using the clinical summaries and used the trained model to initialize the encoders (and the embeddings) of the corresponding QA models  We use a vocab size of 4073 words, derived from the training dataset with a frequency threshold of 30 for the task  We trained the models using Adagrad optimizer with a learning rate of 0 015, normal gradient clipping set at 2 and trained for around 150000 iterations (stopped using validation dataset)  On the summarization task PGNet obtained ROUGE-1 F1 scores of 41 42 with ELMo and 39 15 with BERT embeddings  We compare the effects of pretraining the model in Table: TABREF5, models with `pretrained encoder' had their encoders and embeddings pretrained with the summarization task 
Results and Discussion ::: Difference in networks and approaches
Embeddings: On Dosage extraction, in general, ELMo obtains better performance than BERT, refer to Table TABREF5  This could be because we concatenated the numbers with a hyphen, and as ELMo uses character-level tokens it can learn the tagging better than BERT, a similar observation is also noted in BIBREF17  On the other hand, on Frequency extraction, without pretraining, ELMo's performance is lagging by a big margin of $\sim $8 5 ROUGE-1 F1 compared to BERT-based embeddings 
Although in cases without encoder pretraining, ClinicalBERT performed the best in the Frequency extraction task (by a small margin), in general, it does not perform as well as BERT  This could also be a reflection of the fact that the language and style of writing used in clinical notes is very different from the way doctors converse with patients and the embedding dimension difference  Lookup table embedding performed decently in the frequency extraction task but lags behind in the Dosage extraction task 
From the metrics and qualitative inspection, we find that the Frequency extraction is an easier task than the Dosage extraction  This is because, in the conversations, frequency information usually occurs in isolation and near the medications, but a medication's dosage can occur 1) near other medication's dosages, 2) with previous dosages (when a dosage for a medication is revised), and 3) after a large number of words from the medication 
Other Variations: Considering various models' performance (without pretraining) and the resource constraint, we choose ELMo and BERT embeddings to analyze the effects of pretraining the encoder  When the network's encoder (and embedding) is pretrained with the summarization task, we 1) see a small decrease in the average number of iterations required for training, 2) improvement in individual performances of all models for both the sub-tasks, and 3) get best performance metrics across all variations, refer to Table TABREF5  Both in terms of performance and the training speed, there is no clear winner between shared and multi-decoder approaches  Medication tagging and data augmentation increase the best-performing model's ROUGE-1 F1 score by $\sim $1 5 for the Dosage extraction task 
We also measure the performance of Multitask Question Answering Network (MQAN) BIBREF18 a QA model trained by the authors on the Decathlon multitask challenge  Since MQAN was not trained to produce the output sequence in our MR tags, it would not be fair to compute ROUGE scores  Instead, we randomly sample the MQAN's predictions from the 10% test dataset and qualitatively evaluate it  From the evaluations, we find that MQAN can not distinguish between frequency and dosage, and mixed the answers  MQAN correctly predicted the dosage for 29 73% and frequency for 24 24% percent of the medications compared to 84 12% and 76 34% for the encoder pretrained BERT QA PGNet model trained on our dataset  This could be because of the difference in the training dataset, domain and the tasks in the Decathlon challenge compared to ours 
Almost all our models perform better than the naive baselines and the ones using lookup table embeddings, and our best performing models outperform them significantly  Among all the variations, the best performing models are ELMo with Multi-decoder (Dosage extraction) and BERT with shared-decoder QA PGNet architecture with pretrained encoder (Frequency extraction)  We choose these two models for our subsequent analysis 
Results and Discussion ::: Breakdown of Performance
We categorize the 10% test dataset into different categories based on the complexity and type of the data and analyze the breakdown of the system's performance in Table TABREF11  We breakdown the Frequency extraction into two categories, 1) None: ground truth Frequency tag is `none', and 2) NN (Not None): ground truth Frequency tag is not `none'  Similarly, the Dosage extraction into 5 categories, 1) None: ground truth dosage tag is `none', 2) MM (Multiple Medicine): input segment has more than one Medication mentioned, 3) MN (Multiple Numbers): input segment has more than one number present, and 4) NBM (Number between correct Dosage and Medicine) : between the Medication Name and the correct Dosage in the input segment there are other numbers present  Note that the categories of the Dosage extraction task are not exhaustive, and one tag can belong to multiple categories 
From the performance breakdown of Dosage extraction task, we see that 1) the models predict `none' better than other categories, i e , the models are correctly able to identify when a medication's dosage is absent, 2) there is performance dip in hard cases (MM, MN, and NBM), 3) the models are able to figure out the correct dosage (decently) for a medication even when there are multiple numbers/dosage present, and 4) the model struggles the most in the NBM category  The models' low performance in NBM could be because we have a comparatively lower number of examples to train in this category  The Frequency extraction task performs equally well when the tag is `none` or not  In most categories, we see an increase in performance when using pretrained encoders 
Results and Discussion ::: Training Dataset Size
We vary the number of MR tags used to train the model and analyze the model's performance when training the networks, using publicly available contextual embeddings, compared to using pretrained embeddings and encoder (pretrained on the summarization task)  Out of the 5,016 files in the 80% train dataset only 2,476 have atleast one MR tag  Therefore, out of the 2476 files, we randomly choose 100, 500, and 1000 files and trained the best performing model variations to observe the performance differences, refer to Figure FIGREF12  For all these experiments we used the same vocabulary size (456), the same hyper/training parameters, and the same 10% test split of 627 files 
As expected, we see that the encoder pretrained models have higher performance on all the different training data sizes, i e , they achieve higher performance on a lower number of data points, refer to Figure FIGREF12  The difference, as expected, shrinks as the training data size increases 
Results and Discussion ::: Evaluating on ASR transcripts
To test the performance of our models on real-world conditions, we use commercially available ASR services (Google and IBM) to transcribe the $\mathcal {D}_{test}$ files and measure the performance of our models without assuming any annotations (except when calculating the metrics)  It should be noted that this is not the case in our previous evaluations using `10% test' dataset where we use the segmentation information  For ground truth annotations on ASR transcripts, we aligned the MR tags from human written transcripts to the ASR transcript using their grounded timing information  Additionally, since ASR is prone to errors, during the alignment, if a medication from an MR tag is not recognized correctly in the ASR transcript, we remove the corresponding MR tag 
In our evaluations, we use Google Cloud Speech-to-Text (G-STT) and IBM Watson Speech to Text (IBM-STT) as these were among the top-performing ASR APIs on medical speech BIBREF19 and were readily available to us  We used G-STT, with the `video model' with punctuation settings  Unlike our human written transcripts, the transcript provided by G-STT is not verbatim and does not have disfluencies  IBM-STT, on the other hand, does not give punctuation so we used the speaker changes to add end-of-sentence punctuation 
In our $\mathcal {D}_{test}$ dataset, on initial study we see a Word Error Rate of $\sim $50% for the ASR APIs and this number is not accurate because, 1) of the de-identification, 2) disfluencies (verbatim) difference between the human written and ASR transcript, and 3) minor alignment differences between the audio and the ground truth transcript 
During this evaluation, we followed the same preprocessing methods we used during training  Then, we auto segment the transcript into small contiguous segments similar to the grounded sentences in the annotations for tags extraction  To segment the transcript, we follow a simple procedure  First, we detected all the medications in a transcript using RxNorm BIBREF20 via string matching  For all the detected medications, we selected $2 \le x \le 5$ nearby sentences as the input to our model  We increased $x$ iteratively until we encountered a quantity entity – detected using spaCy's entity recognizer, and we set $x$ as 2 if we did not detect any entities in the range 
We show the model's performance on ASR transcripts and human written transcripts with automatic segmentation, and human written transcripts with human (defined) segmentation, in Table TABREF18  The number of recognized medications in IBM-STT is only 95 compared to 725 (human written), we mainly consider the models' performance on G-STT's transcripts (343) 
On the Medications that were recognized correctly, the models can perform decently on ASR transcripts in comparison to human transcripts (within 5 points ROUGE-1 F1 for both tasks, refer to Table TABREF18)  This shows that the models are robust to ASR variations discussed above  The lower performance compared to human transcripts is mainly due to incorrect recognition of Dosage and other medications in the same segments (changing the meaning of the text)  By comparing the performance of the model on the human written transcripts with human (defined) segmentation and the same with auto segmentation, we see a 10 point drop in Dosage and 6 point drop in Frequency extraction tasks  This points out the need for more sophisticated segmentation algorithms 
With G-STT, our best model obtained ROUGE-1 F1 of 71 75 (which equals to percentage of times dosage is correct in this case) for Dosage extraction and 40 13 for Frequency extraction tasks  To measure the percentage of times the correct frequency was extracted by the model, we qualitatively compared the extracted and predicted frequency  We find that for 73 58% of the medications the model can find the correct frequency from the transcripts 
Conclusion
In this paper, we explore the Medication Regimen (MR) extraction task of extracting dosage and frequency for the medications mentioned in a doctor-patient conversation transcript  We explore different variations of abstractive QA models and new architecture in the intersection of QA and IE frameworks and provide a comparative performance analysis of the methods along with other techniques like pretraining to improve the overall performance  Finally, we demonstrate the performance of our best-performing models by automatically extracting MR tags from spontaneous doctor-patient conversations (using commercially available ASR)  Our best model can correctly extract the dosage for 71 75% (interpretation of ROUGE-1 score) and frequency for 73 58% (on qualitative evaluation) of the medications discussed in the transcripts generated using Google Speech-To-Text  In summary, we demonstrate that research on NLP can be translated into real-world clinical settings to realize its benefits for both doctors and patients 
Using ASR transcripts in our training process to improve our performance on both the tasks and extending the medication regimen extraction network to extract other important medical information can be interesting lines of future work 
Acknowledgements
We thank: University of Pittsburgh Medical Center (UPMC), and Abridge AI Inc  for providing access to the de-identified data corpus; Dr  Shivdev Rao, a faculty member and practicing cardiologist in UPMC's Heart and Vascular Institute and Prof  Florian Metze, Associate Research Professor, Carnegie Mellon University for helpful discussions; Ben Schloss, Steven Coleman, and Deborah Osakue for data business development and annotation management 
Context 3: Introduction
In recent years, gender has become a hot topic within the political, societal and research spheres  Numerous studies have been conducted in order to evaluate the presence of women in media, often revealing their under-representation, such as the Global Media Monitoring Project BIBREF0  In the French context, the CSA BIBREF1 produces a report on gender representation in media on a yearly basis  The 2017 report shows that women represent 40% of French media speakers, with a significant drop during high-audience hours (6:00-8:00pm) reaching a value of only 29%  Another large scale study confirmed this trend with an automatic analysis of gender in French audiovisuals streams, highlighting a huge variation across type of shows BIBREF2 
Besides the social impact of gender representation, broadcast recordings are also a valuable source of data for the speech processing community  Indeed, automatic speech recognition (ASR) systems require large amount of annotated speech data to be efficiently trained, which leaves us facing the emerging concern about the fact that "AI artifacts tend to reflect the goals, knowledge and experience of their creators" BIBREF3  Since we know that women are under-represented in media and that the AI discipline has retained a male-oriented focus BIBREF4, we can legitimately wonder about the impact of using such data as a training set for ASR technologies  This concern is strengthened by the recent works uncovering gender bias in several natural language processing (NLP) tools such as BIBREF5, BIBREF6, BIBREF7, BIBREF8 
In this paper, we first highlight the importance of TV and radio broadcast as a source of data for ASR, and the potential impact it can have  We then perform a statistical analysis of gender representation in a data set composed of four state-of-the-art corpora of French broadcast, widely used within the speech community  Finally we question the impact of such a representation on the systems developed on this data, through the perspective of an ASR system 
From gender representation in data to gender bias in AI ::: On the importance of data
The ever growing use of machine learning in science has been enabled by several progresses among which the exponential growth of data available  The quality of a system now depends mostly on the quality and quantity of the data it has been trained on  If it does not discard the importance of an appropriate architecture, it reaffirms the fact that rich and large corpora are a valuable resource  Corpora are research contributions which do not only allow to save and observe certain phenomena or validate a hypothesis or model, but are also a mandatory part of the technology development  This trend is notably observable within the NLP field, where industrial technologies, such as Apple, Amazon or Google vocal assistants now reach high performance level partly due to the amount of data possessed by these companies BIBREF9 
Surprisingly, as data is said to be “the new oil", few data sets are available for ASR systems  The best known are corpora like TIMIT BIBREF10, Switchboard BIBREF11 or Fisher BIBREF12 which date back to the early 1990s  The scarceness of available corpora is justified by the fact that gathering and annotating audio data is costly both in terms of money and time  Telephone conversations and broadcast recordings have been the primary source of spontaneous speech used  Out of all the 130 audio resources proposed by LDC to train automatic speech recognition systems in English, approximately 14% of them are based on broadcast news and conversation  For French speech technologies, four corpora containing radio and TV broadcast are the most widely used: ESTER1 BIBREF13, ESTER2 BIBREF14, ETAPE BIBREF15 and REPERE BIBREF16  These four corpora have been built alongside evaluation campaigns and are still, to our knowledge, the largest French ones of their type available to date 
From gender representation in data to gender bias in AI ::: From data to bias
The gender issue has returned to the forefront of the media scene in recent years and with the emergence of AI technologies in our daily lives, gender bias has become a scientific topic that researchers are just beginning to address  Several studies revealed the existence of gender bias in AI technologies such as face recognition (GenderShades BIBREF17), NLP (word embeddings BIBREF5 and semantics BIBREF6) and machine translation (BIBREF18, BIBREF7)  The impact of the training data used within these deep-learning algorithms is therefore questioned 
Bias can be found at different levels as pointed out by BIBREF19  BIBREF20 defines bias as a skew that produces a type of harm  She distinguishes two types of harms that are allocation harm and representation harm  The allocation harm occurs when a system is performing better or worse for a certain group while representational harm contributes to the perpetuation of stereotypes  Both types of harm are the results of bias in machine learning that often comes from the data systems are trained on  Disparities in representation in our social structures is captured and reflected by the training data, through statistical patterns  The GenderShades study is a striking example of what data disparity and lack of representation can produce: the authors tested several gender recognition modules used by facial recognition tools and found difference in error-rate as high as 34 percentage points between recognition of white male and black female faces  The scarce presence of women and colored people in training set resulted in bias in performance towards these two categories, with a strong intersectional bias  As written by BIBREF21 "A data set may have many millions of pieces of data, but this does not mean it is random or representative  To make statistical claims about a data set, we need to know where data is coming from; it is similarly important to know and account for the weaknesses in that data " (p 668) 
Regarding ASR technology, little work has explored the presence of gender bias within the systems and no consensus has been reached  BIBREF22 found that speech recognizers perform better on female voice on a broadcast news and telephone corpus  They proposed several explanations to this observation, such as the larger presence of non-professional male speech in the broadcast data, implying a less prepared speech for these speakers or a more normative language and standard pronunciation for women linked to the traditional role of women in language acquisition and education  The same trend was observed by BIBREF23  More recently, BIBREF24 discovered a gender bias within YouTube's automatic captioning system but this bias was not observed in a second study evaluating Bing Speech system and YouTube Automatic Captions on a larger data set BIBREF8  However race and dialect bias were found  General American speakers and white speakers had the lowest error rate for both systems  If the better performance on General American speakers could be explained by the fact that they are all voice professionals, producing clear and articulated speech, but no explanation is provided for biases towards non-white speakers 
Gender bias in ASR technology is still an open research question as no clear answer has been reached so far  It seems that many parameters are to take into account to achieve a general agreement  As we established the importance of TV and radio broadcast as a source of data for ASR, and the potential impact it can have, the following content of this paper is structured as this: we first describe statistically the gender representation of a data set composed of four state-of-the-art corpora of French broadcast, widely used within the speech community, introducing the notion of speaker's role to refine our analysis in terms of voice professionalism  We then question the impact of such a representation on a ASR system trained on these data  BIBREF25
Methodology
This section is organized as follows: we first present the data we are working on  In a second time we explain how we proceed to describe the gender representation in our corpus and introduce the notion of speaker's role  The third subsection introduces the ASR system and metrics used to evaluate gender bias in performance 
Methodology ::: Data presentation
Our data consists of two sets used to train and evaluate our automatic speech recognition system  Four major evaluation campaigns have enabled the creation of wide corpora of French broadcast speech: ESTER1 BIBREF13, ESTER2 BIBREF14, ETAPE BIBREF15 and REPERE BIBREF16  These four collections contain radio and/or TV broadcasts aired between 1998 and 2013 which are used by most academic researchers in ASR  Show duration varies between 10min and an hour  As years went by and speech processing research was progressing, the difficulty of the tasks augmented and the content of these evaluation corpora changed  ESTER1 and ESTER2 mainly contain prepared speech such as broadcast news, whereas ETAPE and REPERE consists also of debates and entertainment shows, spontaneous speech introducing more difficulty in its recognition 
Our training set contains 27,085 speech utterances produced by 2,506 speakers, accounting for approximately 100 hours of speech  Our evaluation set contains 74,064 speech utterances produced by 1,268 speakers for a total of 70 hours of speech  Training data by show, medium and speech type is summarized in Table and evaluation data in Table   Evaluation data has a higher variety of shows with both prepared (P) and spontaneous (S) speech type (accented speech from African radio broadcast is also included in the evaluation set) 
Methodology ::: Methodology for descriptive analysis of gender representation in training data
We first describe the gender representation in training data  Gender representation is measured in terms of number of speakers, number of utterances (or speech turns), and turn lengths (descriptive statistics are given in Section SECREF16)  Each speech turn was mapped to its speaker in order to associate it with a gender 
As pointed out by the CSA report BIBREF1, women presence tends to be marginal within the high-audience hours, showing that women are represented but less than men and within certain given conditions  It is clear that a small number of speakers is responsible for a large number of speech turns  Most of these speakers are journalists, politicians, presenters and such, who are representative of a show  Therefore, we introduce the notion of speaker's role to refine our exploration of gender disparity, following studies which quantified women's presence in terms of role  Within our work, we define the notion of speaker role by two criteria specifying the speaker's on-air presence, namely the number of speech turns and the cumulative duration of his or her speaking time in a show  Based on the available speech transcriptions and meta-data, we compute for each speaker the number of speech turns uttered as well as their total length  We then use the following criteria to define speaker's role: a speaker is considered as speaking often (respectively seldom) if he/she accumulates a total of turns higher (respectively lower) than 1% of the total number of speech turns in a given show  The same process is applied to identify speakers talking for a long period from those who do not  We end up with two salient roles called Anchors and Punctual speakers:
the Anchor speakers (A) are above the threshold of 1% for both criteria, meaning they are intervening often and for a long time thus holding an important place in interaction;
the Punctual speakers (PS) on the contrary are below the threshold of 1% for both the total number of turns and the total speech time 
These roles are defined at the show level  They could be roughly assimilated to the categorization “host/guest” in radio and TV shows  Anchors could be described as professional speakers, producing mostly prepared speech, whereas Punctual speakers are more likely to be “everyday people"  The concept of speaker's role makes sense at both sociological and technical levels  An Anchor speaker is more likely to be known from the audience (society), but he or she will also likely have a professional (clear) way of speaking (as mentioned by BIBREF22 and BIBREF8), as well as a high number of utterances, augmenting the amount of data available for a given gender category 
Methodology ::: Gender bias evaluation procedure of an ASR system performance ::: ASR system
The ASR system used in this work is described in BIBREF25  It uses the KALDI toolkit BIBREF26, following a standard Kaldi recipe  The acoustic model is based on a hybrid HMM-DNN architecture and trained on the data summarized in Table   Acoustic training data correspond to 100h of non-spontaneous speech type (mostly broadcast news) coming from both radio and TV shows  A 5-gram language model is trained from several French corpora (3,323M words in total) using SRILM toolkit BIBREF27  The pronunciation model is developed using the lexical resource BDLEX BIBREF28 as well as automatic grapheme-to-phoneme (G2P) transcription to find pronunciation variants of our vocabulary (limited to 80K)  It is important to re-specify here, for further analysis, that our Kaldi pipeline follows speaker adaptive training (SAT) where we train and decode using speaker adapted features (fMLLR-adapted features) in per-speaker mode  It is well known that speaker adaptation acts as an effective procedure to reduce mismatch between training and evaluation conditions BIBREF29, BIBREF26 
Methodology ::: Gender bias evaluation procedure of an ASR system performance ::: Evaluation
Word Error Rate (WER) is a common metric to evaluate ASR performance  It is measured as the sum of errors (insertions, deletions and substitutions) divided by the total number of words in the reference transcription  As we are investigating the impact on performance of speaker's gender and role, we computed the WER for each speaker at the episode (show occurrence) level  Analyzing at such granularity allows us to avoid large WER variation that could be observed at utterance level (especially for short speech turns) but also makes possible to get several WER values for a given speaker, one for each occurrence of a show in which he/she appears on  Speaker's gender was provided by the meta-data and role was obtained using the criteria from Section SECREF6 computed for each show

ground_truth: They decrease MAE in 0.34

prompt_front: You are given a scientific article and a question. Answer the question as concisely as you can, using a single phrase or sentence if possible. If the question cannot be answered based on the information in the article, write "unanswerable". If the question is a yes/no question, answer "yes", "no", or "unanswerable". Do not provide any explanation.

Please answer the questions based on the text provided below. Is the data de-identified?
Context 3:  This enables us to analyze our results across gender and role categories which was done using Wilcoxon rank sum tests also called Mann-Whitney U test (with $\alpha $= 0 001) BIBREF30  The choice of a Wilcoxon rank sum test and not the commonly used t-test is motivated by the non-normality of our data 
Results ::: Descriptive analysis of gender representation in training data ::: Gender representation
As expected, we observe a disparity in terms of gender representation in our data (see Table )  Women represent 33 16% of the speakers, confirming the figures given by the GMMP report BIBREF0  However, it is worth noticing that women account for only 22 57% of the total speech time, which leads us to conclude that women also speak less than men 
Results ::: Descriptive analysis of gender representation in training data ::: Speaker's role representation
Table presents roles' representation in training data and shows that despite the small number of Anchor speakers in our data (3 79%), they nevertheless concentrate 35 71 % of the total speech time 
Results ::: Descriptive analysis of gender representation in training data ::: Role and gender interaction
When crossing both parameters, we can observe that the gender distribution is not constant throughout roles  Women represent 29 47% of the speakers within the Anchor category, even less than among the Punctual speakers  Their percentage of speech is also smaller  When calculating the average speech time uttered by a female Anchor, we obtain a value of 15 9 min against 25 2 min for a male Anchor, which suggests that even within the Anchor category men tend to speak more  This confirms the existence of gender disparities within French media  It corroborates with the analysis of the CSA BIBREF1, which shows that women were less present during high-audience hours  Our study shows that they are also less present in important roles  These results legitimate our initial questioning on the impact of gender balance on ASR performance trained on broadcast recordings 
Results ::: Performance (WER) analysis on evaluation data ::: Impact of gender on WER
As explained in Section SECREF13, WER is the sum of errors divided by the number of words in the transcription reference  The higher the WER, the poorer the system performance  Our 70h evaluation data contains a large amount of spontaneous speech and is very challenging for the ASR system trained on prepared speech: we observe an overall average WER of 42 9% for women and 34 3% for men  This difference of WER between men and women is statistically significant (med(M) = 25%; med(F) = 29%; U = 709040; p-value < 0 001) 
However, when observing gender differences across shows, no clear trend can be identified, as shown in Figure FIGREF21  For shows like Africa1 Infos or La Place du Village, we find an average WER lower for women than for men, while the trend is reversed for shows such as Un Temps de Pauchon or Le Masque et la Plume  The disparity of the results depending on the show leads us to believe that other factors may be entangled within the observed phenomenon 
Results ::: Performance (WER) analysis on evaluation data ::: Impact of role on WER
Speaker's role seems to have an impact on WER: we obtain an average WER of 30 8% for the Anchor speakers and 42 23% for the Punctual speakers  This difference is statistically significant with a p-value smaller than $10^{-14}$ (med(A) = 21%; med(P) = 31%; U = 540,430; p-value < 0 001)  
Results ::: Performance (WER) analysis on evaluation data ::: Role and gender interaction
Figure FIGREF25 presents the WER distribution (WER being obtained for each speaker in a show occurrence) according to the speaker's role and gender  It is worth noticing that the gender difference is only significant within the Punctual speakers group  The average WER is of 49 04% for the women and 38 56% for the men with a p-value smaller than $10^{-6}$ (med(F) = 39%; med(M) = 29%; U = 251,450; p-value < 0 001), whereas it is just a trend between male and female Anchors (med(F) = 21%; med(M) = 21%; U = 116,230; p-value = 0 173)  This could be explained by the quantity of data available per speaker 
Results ::: Performance (WER) analysis on evaluation data ::: Speech type as a third entangled factor?
In order to try to explain the observed variation in our results depending on shows and gender (Figure FIGREF21), we add the notion of speech type to shed some light on our results  BIBREF22 and BIBREF24 suggested that the speaker professionalism, associated with clear and hyper-articulated speech could be an explaining factor for better performance 
Based on our categorization in prepared speech (mostly news reports) and spontaneous speech (mostly debates and entertainment shows), we cross this parameter in our performance analysis  As shown on Figure FIGREF26, these results confirm the inherent challenge of spontaneous speech compared to prepared speech  WER scores are similar between men and women when considering prepared speech (med(F) = 18%; med(M) = 21%; U = 217,160; p-value = 0 005) whereas they are worse for women (61 29%) than for men (46 51%) with p-value smaller than $10^{-14}$ for the spontaneous speech type (med(F) = 61%; med(M) = 37%; U = 153,580; p-value < 0 001) 
Discussion
We find a clear disparity in terms of women presence and speech quantity in French media  Our data being recorded between 1998 and 2013, we can expect this disparity to be smaller on more recent broadcast recordings, especially since the French government displays efforts toward parity in media representation  One can also argue that even if our analysis was conducted on a large amount of data it does not reach the exhaustiveness of large-scale studies such as the one of BIBREF2  Nonetheless it does not affect the relevance of our findings, because if real-world gender representation might be more balanced today, these corpora are still used as training data for AI systems 
The performance difference across gender we observed corroborates (on a larger quantity and variety of language data produced by more than 2400 speakers) the results obtained by BIBREF24 on isolated words recognition  However the following study on read speech does not replicate these results  Yet a performance degradation is observed across dialect and race BIBREF8  BIBREF22 found lower WER for women than men on broadcast news and conversational telephone speech for both English and French  The authors suggest that gender stereotypes associated with women role in education and language acquisition induce a more normative elocution  We observed that the higher the degree of normativity of speech the smaller the gender difference  No significant gender bias is observed for prepared speech nor within the Anchor category  Even if we do not find similar results with lower WER for women than men, we obtained a median WER smaller for women on prepared speech and equal to the male median WER for the Anchor speakers 
Another explanation could be the use of adaptation within the pipeline  Most broadcast programs transcription systems have a speaker adaptation step within their decoding pipeline, which is the case for our system  An Anchor speaker intervening more often would have a larger quantity of data to realize such adaptation of the acoustic model  On the contrary, Punctual speakers who appear scarcely in the data are not provided with the same amount of adaptation data  Hence we can hypothesize that gender performance difference observed for Punctual speakers is due to the fact that female speech is further from the (initial non-adapted) acoustic model as it was trained on unbalanced data (as shown in Table )  Considering that Punctual speakers represent 92 78% of the speakers, this explains why gender difference is significant over our entire data set  A way to confirm our hypothesis would be to reproduce our analysis on WER values obtained without using speaker adapted features at the decoding step 
When decoding prepared speech (hence similar to the training data), no significant difference is found in WER between men and women, revealing that the speaker adaptation step could be sufficient to reach same performance for both genders  But when decoding more spontaneous speech, there is a mismatch with the initial acoustic model (trained on prepared speech)  Consequently, the speaker adaptation step might not be enough to recover good ASR performance, especially for women for whom less adaptation data is available (see Section 4 2 3) 
Conclusion
This paper has investigated gender bias in ASR performance through the following research questions: i) what is the proportion of men and women in French radio and TV media data ? ii) what is the impact of the observed disparity on ASR performance ? iii) is this as simple as a problem of gender proportion in the training data or are other factors entangled ? Our contributions are the following:
Descriptive analysis of the broadcast data used to train our ASR system confirms the already known disparity, where 65% of the speakers are men, speaking more than 75% of the time 
When investigating WER scores according to gender, speaker's role and speech type, huge variations are observed  We conclude that gender is clearly a factor of variation in ASR performance, with a WER increase of 24% for women compared to men, exhibiting a clear gender bias 
Gender bias varies across speaker's role and speech spontaneity level  Performance for Punctual speakers respectively spontaneous speech seems to reinforce this gender bias with a WER increase of 27 2% respectively 31 8% between male and female speakers 
We found that an ASR system trained on unbalanced data regarding gender produces gender bias performance  Therefore, in order to create fair systems it is necessary to take into account the representation problems in society that are going to be encapsulated in the data  Understanding how women under-representation in broadcast data can lead to bias in ASR performances is the key to prevent re-implementing and reinforcing discrimination already existing in our societies  This is in line with the concept of “Fairness by Design" proposed by BIBREF31 
Gender, race, religion, nationality are all characteristics that we deem unfair to classify on, and these ethical standpoints needs to be taken into account in systems' design  Characteristics that are not considered as relevant in a given task can be encapsulated in data nonetheless, and lead to bias performance  Being aware of the demographic skews our data set might contain is a first step to track the life cycle of a training data set and a necessary step to control the tools we develop 

ground_truth: Yes

Yes

prompt_front: You are given a scientific article and a question. Answer the question as concisely as you can, using a single phrase or sentence if possible. If the question cannot be answered based on the information in the article, write "unanswerable". If the question is a yes/no question, answer "yes", "no", or "unanswerable". Do not provide any explanation.

Please answer the questions based on the text provided below. How big is imbalance in analyzed corpora?
Context 4: 
Experiments ::: Part-of-Speech Tagging ::: Results
Table presents the experimental results on the POS task  As can be seen, the proposed DSC loss outperforms the best baseline results by a large margin, i e , outperforming BERT-tagger by +1 86 in terms of F1 score on CTB5, +1 80 on CTB6 and +2 19 on UD1 4  As far as we are concerned, we are achieving SOTA performances on the three datasets  Weighted cross entropy and focal loss only gain a little performance improvement on CTB5 and CTB6, and the dice loss obtains huge gain on CTB5 but not on CTB6, which indicates the three losses are not consistently robust in resolving the data imbalance issue  The proposed DSC loss performs robustly on all the three datasets 
Experiments ::: Named Entity Recognition
Named entity recognition (NER) refers to the task of detecting the span and semantic category of entities from a chunk of text  Our implementation uses the current state-of-the-art BERT-MRC model proposed by xiaoya2019ner as a backbone  For English datasets, we use BERT$_\text{Large}$ English checkpoints, while for Chinese we use the official Chinese checkpoints  We report span-level micro-averaged precision, recall and F1-score  Hyperparameters are tuned on the development set of each dataset 
Experiments ::: Named Entity Recognition ::: Datasets
For the NER task, we consider both Chinese datasets, i e , OntoNotes4 0 BIBREF34 and MSRA BIBREF35, and English datasets, i e , CoNLL2003 BIBREF36 and OntoNotes5 0 BIBREF37 
CoNLL2003 is an English dataset with 4 entity types: Location, Organization, Person and Miscellaneous  We followed data processing protocols in BIBREF14 
English OntoNotes5 0 consists of texts from a wide variety of sources and contains 18 entity types  We use the standard train/dev/test split of CoNLL2012 shared task 
Chinese MSRA performs as a Chinese benchmark dataset containing 3 entity types  Data in MSRA is collected from news domain  Since the development set is not provided in the original MSRA dataset, we randomly split the training set into training and development splits by 9:1  We use the official test set for evaluation 
Chinese OntoNotes4 0 is a Chinese dataset and consists of texts from news domain, which has 18 entity types  In this paper, we take the same data split as wu2019glyce did 
Experiments ::: Named Entity Recognition ::: Baselines
We use the following baselines:
ELMo: a tagging model from peters2018deep 
Lattice-LSTM: lattice2018zhang constructs a word-character lattice, only used in Chinese datasets 
CVT: from kevin2018cross, which uses Cross-View Training(CVT) to improve the representations of a Bi-LSTM encoder 
Bert-Tagger: devlin2018bert treats NER as a tagging task 
Glyce-BERT: wu2019glyce combines glyph information with BERT pretraining 
BERT-MRC: The current SOTA model for both Chinese and English NER datasets proposed by xiaoya2019ner, which formulate NER as machine reading comprehension task 
Experiments ::: Named Entity Recognition ::: Results
Table shows experimental results on NER datasets  For English datasets including CoNLL2003 and OntoNotes5 0, our proposed method outperforms BERT-MRCBIBREF38 by +0 29 and +0 96 respectively  We observe huge performance boosts on Chinese datasets, achieving F1 improvements by +0 97 and +2 36 on MSRA and OntoNotes4 0, respectively  As far as we are concerned, we are setting new SOTA performances on all of the four NER datasets 
Experiments ::: Machine Reading Comprehension
Machine reading comprehension (MRC) BIBREF39, BIBREF40, BIBREF41, BIBREF40, BIBREF42, BIBREF15 has become a central task in natural language understanding  MRC in the SQuAD-style is to predict the answer span in the passage given a question and the passage  In this paper, we choose the SQuAD-style MRC task and report Extract Match (EM) in addition to F1 score on validation set  All hyperparameters are tuned on the development set of each dataset 
Experiments ::: Machine Reading Comprehension ::: Datasets
The following five datasets are used for MRC task: SQuAD v1 1, SQuAD v2 0 BIBREF4, BIBREF6 and Quoref BIBREF8 
SQuAD v1 1 and SQuAD v2 0 are the most widely used QA benchmarks  SQuAD1 1 is a collection of 100K crowdsourced question-answer pairs, and SQuAD2 0 extends SQuAD1 1 allowing no short answer exists in the provided passage 
Quoref is a QA dataset which tests the coreferential reasoning capability of reading comprehension systems, containing 24K questions over 4 7K paragraphs from Wikipedia 
Experiments ::: Machine Reading Comprehension ::: Baselines
We use the following baselines:
QANet: qanet2018 builds a model based on convolutions and self-attention  Convolution to model local interactions and self-attention to model global interactions 
BERT: devlin2018bert treats NER as a tagging task 
XLNet: xlnet2019 proposes a generalized autoregressive pretraining method that enables learning bidirectional contexts 
Experiments ::: Machine Reading Comprehension ::: Results
Table shows the experimental results for MRC tasks  With either BERT or XLNet, our proposed DSC loss obtains significant performance boost on both EM and F1  For SQuADv1 1, our proposed method outperforms XLNet by +1 25 in terms of F1 score and +0 84 in terms of EM and achieves 87 65 on EM and 89 51 on F1 for SQuAD v2 0  Moreover, on QuoRef, the proposed method surpasses XLNet results by +1 46 on EM and +1 41 on F1  Another observation is that, XLNet outperforms BERT by a huge margin, and the proposed DSC loss can obtain further performance improvement by an average score above 1 0 in terms of both EM and F1, which indicates the DSC loss is complementary to the model structures 
Experiments ::: Paraphrase Identification
Paraphrases are textual expressions that have the same semantic meaning using different surface words  Paraphrase identification (PI) is the task of identifying whether two sentences have the same meaning or not  We use BERT BIBREF11 and XLNet BIBREF43 as backbones and report F1 score for comparison  Hyperparameters are tuned on the development set of each dataset 
Experiments ::: Paraphrase Identification ::: Datasets
We conduct experiments on two widely used datasets for PI task: MRPC BIBREF44 and QQP 
MRPC is a corpus of sentence pairs automatically extracted from online news sources, with human annotations of whether the sentence pairs are semantically equivalent  The MRPC dataset has imbalanced classes (68% positive, 32% for negative) 
QQP is a collection of question pairs from the community question-answering website Quora  The class distribution in QQP is also unbalanced (37% positive, 63% negative) 
Experiments ::: Paraphrase Identification ::: Results
Table shows the results for PI task  We find that replacing the training objective with DSC introduces performance boost for both BERT and XLNet  Using DSC loss improves the F1 score by +0 58 for MRPC and +0 73 for QQP 
Ablation Studies ::: The Effect of Dice Loss on Accuracy-oriented Tasks
We argue that the most commonly used cross-entropy objective is actually accuracy-oriented, whereas the proposed dice loss (DL) performs as a hard version of F1-score  To explore the effect of the dice loss on accuracy-oriented tasks such as text classification, we conduct experiments on the Stanford Sentiment Treebank sentiment classification datasets including SST-2 and SST-5  We fine-tune BERT$_\text{Large}$ with different training objectives  Experiment results for SST are shown in   For SST-5, BERT with CE achieves 55 57 in terms of accuracy, with DL and DSC losses slightly degrade the accuracy performance and achieve 54 63 and 55 19, respectively  For SST-2, BERT with CE achieves 94 9 in terms of accuracy  The same as SST-5, we observe a slight performance drop with DL and DSC, which means that the dice loss actually works well for F1 but not for accuracy 
Ablation Studies ::: The Effect of Hyperparameters in Tversky index
As mentioned in Section SECREF10, Tversky index (TI) offers the flexibility in controlling the tradeoff between false-negatives and false-positives  In this subsection, we explore the effect of hyperparameters (i e , $\alpha $ and $\beta $) in TI to test how they manipulate the tradeoff  We conduct experiments on the Chinese OntoNotes4 0 NER dataset and English QuoRef MRC dataset to examine the influence of tradeoff between precision and recall  Experiment results are shown in Table   The highest F1 for Chinese OntoNotes4 0 is 84 67 when $\alpha $ is set to 0 6 while for QuoRef, the highest F1 is 68 44 when $\alpha $ is set to 0 4  In addition, we can observe that the performance varies a lot as $\alpha $ changes in distinct datasets, which shows that the hyperparameters $\alpha ,\beta $ play an important role in the proposed method 
Conclusion
In this paper, we alleviate the severe data imbalance issue in NLP tasks  We propose to use dice loss in replacement of the standard cross-entropy loss, which performs as a soft version of F1 score  Using dice loss can help narrow the gap between training objectives and evaluation metrics  Empirically, we show that the proposed training objective leads to significant performance boost for part-of-speech, named entity recognition, machine reading comprehension and paraphrase identification tasks 

ground_truth: Women represent 33.16% of the speakers