Clinical Text Processing with Python

We are seeing a rise of Artificial Intelligence in medicine. This has potential for remarkable improvements in diagnosis, prevention and treatment in healthcare. Many of the existing applications are about rapid image interpretation using AI. We have many open opportunities in leveraging NLP for improving both clinical workflows and patient outcomes.

Python has become the language of choice for Natural Language Processing (NLP) in both research and development: from old school NLTK to PyTorch for building state-of-the-art deep learning models. Libraries such as Gensim and spaCy have also enabled production-ready NLP applications. More recently, Hugging Face has built a business around rapidly making current NLP research quickly accessible.

Yesterday, I presented on processing clinical text using Python at the local Python User Group meeting.

During the talk I discussed some opportunities in clinical NLP, mapped out fundamental NLP tasks, and toured the available programming resources– Python libraries and frameworks. Many of these libraries make it extremely easy to leverage state-of-the-art NLP research for building models on clinical text. Towards end of the talk, I also shared some data resources to explore and start hacking on.

It was a fun experience overall and I received some thoughtful comments and feedback — both during the talk and later also online. Special thanks to Pete Fein for organizing the meetup. It was probably the first time I had so many people put on a waitlist for attending one of my presentations. I am also sharing my slides from the talk in hope that they can be useful…


Kivy wrap for the summer

As I conclude my summer work on Kivy and Plyer, here’s a post to summarize all the contributions I have made. It would also be useful to start from here when I wish to revisit any of this in future.

To draw a comparison to the current state of Plyer development, this table shows a list of supported facades before the summer started:

Platform Android < 4.0 Android > 4.0 iOS Windows OSX Linux
Accelerometer X X X
Camera (taking picture) X X
GPS X X
Notifications X X X X X
Text to speech X X X X X
Email (open mail client) X

If you have been following the updates, you would have come across my weekly progress posts over the last couple of months. Here’s a list of all such posts since mid-summer for easy access (also check out my mid-summer summary post):

  1. I can haz commit access and other updates
  2. Maintenance work in progress
  3. Plyer on iOS
  4. More, more facades

And in comparison to the table above, this is how the Plyer support looks like as of today after all these changes:

Platform Android < 4.0 Android > 4.0 iOS Windows OSX Linux
Accelerometer X X X X X
Camera (taking picture) X X
GPS X X
Notifications X X X X X
Text to speech X X X X X X
Email (open mail client) X X X X X
Vibrator X
Sms (send messages) X X
Compass X X X
Unique ID (IMEI or SN) X X X X X X
Gyroscope X X X
Battery X X X X X X

Of course there’s more than what meets the eye. There has been a lot of background work that went into writing them. This included understanding the individual platforms APIs and working with other Kivy projects — Pyjnius and Pyobjus that support this work. Some of these changes called for a re-write of old facades in order to follow a consistent approach. Since Plyer is at an early stage of development, I also contributed some maintenance code and writing build scripts.

In the beginning of August, I took a break from facade development for two weeks and made recommendations on making Kivy apps more accessible. I looked into existing projects that could be useful for us and pointed at a possible candidate that we could adapt for our purposes. Here are the two posts summarizing my investigations:

  1. Towards Making Kivy Apps Accessible
  2. Towards Making Kivy Apps Accessible – 2

At this point, I would also include a thank you note to everyone on #kivy and #plyer on freenode for helping me out whenever I got stuck. This was the first time I actively participated in IRC discussions over an extended period. I also tried to return the favor by offering help, when I could, to other new users. Apart from getting a chance to work with the Kivy community from all around the world (with so many timezones!), there were couple of other firsts as well that I experienced while working on the project. Those served as good learning experiences and a motivation for making contributions to open source.

Overall, it was a quite a fun experience contributing to kivy over the summer and I hope to continue doing so every now and then. Now as Kivy is gaining more popularity everyday, I hope to see many more users diving into writing code for it and be a part of this community. Hope these posts could also serve to point them to relevant development opportunities.

More, more facades

This week I added many more facade implementations in Plyer. It was only a few days ago that I had started working on iOS and I am happy that the list has grown quite a bit this week.

I also added Plyer in the kivy-ios tool-chain, i.e. it is now a part of the build-all script and would be available for use in apps packaged with Kivy for iOS.

Apart from that I also did a couple of maintenance fixes to close the holes that I noticed with the checked in code and fix style problems with other contributions.

Although this update was a short one, it did involve a considerable amount of coding effort.

As the summer is coming to a close, I will be spending the next week wrapping up my work, polishing the rough edges in the contributions till now, and of course write the “obvious” bits and pieces that I may have ignored from the documentation till now.

Plyer on iOS

I finally had access to an iOS development device this week. Unlike the other platforms, I didn’t have any prior experience developing for it. So I spent some time familiarizing myself with the tools and stuff. This process was mostly painless but did end up consuming some time.

I also setup my kivy-ios tool chain for the first time. After a couple hello-world programs and fixing minor typos in the examples code, I then moved on to further explore pyobjus for writing Plyer facades. I worked on a new version of the accelerometer example that was not dependent on bridge.m supplied with all kivy-ios packages by default. When I am done moving all the sensors we could do away with the classes contained in the bridge (note to self!).

While playing with this code, I also noticed something interesting on the Xcode dashboard:

Turns out that we had a hit a major bug in Pyobjus that was causing the memory allocated for accelerometerData to leak. In fact this would happen everywhere you’d otherwise need to use something like @autoreleasepool in your Objective C code. Pyobjus objects didn’t account for cases like these. Tito suggested a fix for the issue but is still working on finalizing it.

Meanwhile, I also created another iOS facade for retrieving battery status. Although it was a fairly short one to code but I did have to learn many background things before I could finish that. I hope that this will make it easy for me to finish the other facades in the coming weeks.

Towards Making Kivy Apps Accessible, Part – 2

In this second part of my post of on making kivy apps accessible I would like to describe some of the existing libraries and APIs we can model our accessibility features upon. Last week we identified that the main obstacle for creating accessible kivy apps is a missing module that could communicate the widget states to screen-readers. I explored other frameworks that may have tried to solve these problems before us and will discus one such project in particular.

Kivy includes pygame as one of the supported window providers. While looking for accessible apps in Python I found a GUI engine for pygame called OcempGUI. As a part of this project they also worked upon an accessibility module named Papi:

Papi, the Python Accessibility Programming Interface, is a Python wrapper around the GNOME ATK toolkit. It allows a developer to make python objects and applications easily accessibility aware without the need to install PyGTK and the GNOME accessibility components. Instead it only depends on ATK and – on the developers behalf – the ATK/AT-SPI bridge shipped with AT-SPI.

There is also some support for Microsoft Active Accessibility (MSAA) on Microsoft Windows.

Papi is not limited to the apps you can build with OceampGUI graphical user interfaces but can help support accessibility for any python object. Here’s an example accessible app using Papi:


I created a gist as I couldn’t find a way to embed a Sourceforge file but you can find the complete project there. You can also read more about Papi and OcempGUI on their website. Unfortunately, the project looks like that it is no longer in active development. It’s last release was in 2008.

Assuming that we can build upon this module we’d be able to support accessible Kivy apps on Windows and Linux. We are still left with taking care of OS X Accessibility and also on the mobile devices.

MacOS has a very good accessibility support but only when you are writing Cocoa or Carbon apps. In order to provide a similar level of accessibility support you would likely need to hack around a bit. With inputs from our folks at #macdev on freenode, I set out to do just that. They suggested that I could subclass NSApplication and implement the NSAccessibility protocol within the Kivy app. This would involve creating an hierarchy of fake UI objects that provide accessibility implementations as on a Cocoa app. I did make some progress with by using our in-house project — PyObjus to access AppKit frameworks and subclass objective-c classes. But the situation became a little to overwhelming for me to handle within this one week and I haven’t succeeded in creating a working proof of concept as yet.

Fortunately, Apple folks have recently launched a new API starting OS X 10.10 that includes a NSAccesibilityElement class. I am hoping that this would help avoid creating fake UI objects to implement their accessibility protocols. Here are a couple of examples demonstrating that but I haven’t tried them out yet. Need to get access to their beta versions first. You can also watch their WWDC 2014 session videos on Accessibility on OS X describing it.

We are still left with discussing about the mobile platforms. Here are links to the relevant docs pages for Android (http://developer.android.com/guide/topics/ui/accessibility/apps.html#custom-views) and iOS (https://developer.apple.com/library/ios/documentation/UserExperience/Conceptual/iPhoneAccessibility/Accessibility_on_iPhone/Accessibility_on_iPhone.html). I would like use these bookmarks when I dive deeper into exploring mobile accessibility APIs. However this week, I plan to go back to my original plan and continue the Plyer work from where I left off.

 

Towards Making Kivy Apps Accessible

After last week‘s discussion with tshirtman about making making Kivy apps more accessible, I spent this week exploring the accessibility options on the devices I own. The idea was to investigate and plan a set of common features that we could implement for Kivy.

I ended up playing with all the settings I that could find under the accessibility menus on an Android phone and a Macbook. I will soon repeat this exercise with an iPhone as well.

In comparison to my Galaxy running Android 4.4.2, these features were easier to use and more responsive to interact with on my Mac 10.9. Even the tutorials were simpler to follow and avoided statements like:

“When this feature is on, the response time could be slowed down in Phone, Calculator and other apps.”

I will keep my rantings aside for now and would instead like to focus on how we could support these features within Kivy apps. Following Apple’s way of organizing these features, you can group accessibility features into three broad categories:

Here's TalkBack on Android reading out my PIN to me!
TalkBack on Android reading out my PIN to me!

  • Seeing: This includes display settings such as colors and contrast, making text larger and zooming the screen. A lot of these settings come free of cost to the app developers. However, an important feature in this category includes the screen reader app (Example: VoiceOver and TalkBack). This is the main area of interest to us as the onus of making this feature work correctly rests with us and the app developers. I will get back to this after we finish classifying the features.
  • Hearing: We must make sure all our alert widgets in Kivy are accompanied by visual cues (such as a screen flash) along with audio indicators. Another feature that might be of interest to us would be to ensure that we provide a subtitles option along in our video player widget.
  • Interacting: It includes features like the assistant menu on Android to provide easy access to a limited number of commonly accessed functions. Most of these features are again managed and controlled by the operating systems themselves. Apart from a few design choices to make sure that app doesn’t interfere with their functions, there’s nothing that the app developers have to do to support them.

So the most important missing piece in the Kivy framework is to provide support to the screen-reading apps. These apps are designed to provide spoken feedback to what the users select (touch or point) and activate. For example if I hover over a menu-item or select a button on the screen, the app must describe what it is and also say what is does, if possible.

While settings such as zoom, larger font-sizes etc. are already taken care of by the frameworks that Kivy builds upon, we must provide explicit support for the screen readers. Here’s an example of an hello world kivy app and how it is seen by the screen-readers. There is nothing apart from the main windows buttons, i.e. “Close”, “Minimize” and “Zoom” that is available to the VoiceOver program to describe:

There is no meta information available to the screen-readers to describe the interface to the user.

The main challenge here is that none of the Kivy widgets are selectable at this point. Not only that makes it difficult to use them with screen-readers but it is also not possible to navigate them using a keyboard. We must provide a screen-reader support along with our feature on providing focus support for Kivy widgets.

Along with on_focus we must send a descriptive feedback that the screen-readers as a description about the widget. While most of the native OS UI elements have such content descriptors already defined, our kivy widgets lack such information. We must make an effort to make sure that common widgets such as text-inputs, select options etc. have a description consistent with the one natively provided by the platform.

So a major portion of this implementation must be dealt within Kivy itself. While we have previously adopted an approach for implementing the lowest common set of features in other Plyer facades, it would be a good idea to implement the content descriptors (or accessibility attributes) in a way that it covers all our target platforms. Plyer could then take on from there to make the the platform specific calls to support the native screen reading apps. We would need to provide a mechanism to transform these attributes into a form relevant on these platforms separately. We could safely ignore the extra set of attributes at this point.

In this post I have only outlined the first steps that we need to take for making Kivy apps more accessible. I will work on figuring out the finer details about implementing them in the coming weeks. Hopefully this would help in triggering off a meaningful discussion within the community and we can have a chance to listen to other opinions on this as well.

 

This is a two part post. You can continue reading on the topic here — Towards Making Kivy Apps Accessible – 2.

Kivy Idle Week

Bionoid has graciously agreed to ship an iOS development device to my place (Our Kivy community is awesome!). And while I was waiting for it, I had taken a break this week to attend a couple of interesting lectures happening in the city. Although I have been closely sticking with the plan otherwise, I will put in extra effort when that reaches me to cover up for this.

Also, I have decided to work on facades interfacing with accessibility systems on the various platforms. I didn’t have that as a part of my original summer plan but it seems like an interesting idea as suggested by tshirtman. I will investigate the common features and work on a plan to implement this.