Browsing by Author "Villena, F."

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    Generative artificial intelligence in dentistry: Current approaches and future challenges
    (2024) Villena, F.; Véliz, Claudia P.; García-Huidobro Munita, Rosario; Aguayo Paul, Sebastián
    Artificial intelligence (AI) has become a commodity for people because of the advent of generative AI (GenAI) models that bridge the usability gap of AI by providing a natural language interface to interact with complex models. These GenAI models range from text generation - such as two-way chat systems - to the generation of image or video from textual descriptions input by a user. These advancements in AI have impacted Dentistry in multiple aspects. In dental education, the student now has the opportunity to solve a plethora of questions by only prompting a GenAI model and have the answer in a matter of seconds. GenAI models can help us deliver better patient healthcare by helping practitioners gather knowledge quickly and efficiently. Finally, GenAI can also be used in dental research, where the applications range from new drug discovery to assistance in academic writing. In this review, we first define GenAI models and describe their multiple generation modalities; then, we explain and discuss their current and potential applications in Dentistry; and finally, we describe the challenges these new technologies impose in our area.
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    Predicting no-show appointments in a pediatric hospital in Chile using machine learning
    (2023) Dunstan Escudero, Jocelyn; Villena, F.; Riquelme, V.; Ramírez, H.; Hoyos, J.P.; Royer, M.; Peypouquet, J.
    The Chilean public health system serves 74% of the country’s population, and 19% of medical appointments are missed on average because of no-shows. The national goal is 15%, which coincides with the average no-show rate reported in the private healthcare system. Our case study, Doctor Luis Calvo Mackenna Hospital, is a public high-complexity pediatric hospital and teaching center in Santiago, Chile. Historically, it has had high no-show rates, up to 29% in certain medical specialties. Using machine learning algorithms to predict no-shows of pediatric patients in terms of demographic, social, and historical variables. To propose and evaluate metrics to assess these models, accounting for the cost-effective impact of possible intervention strategies to reduce no-shows. We analyze the relationship between a no-show and demographic, social, and historical variables, between 2015 and 2018, through the following traditional machine learning algorithms: Random Forest, Logistic Regression, Support Vector Machines, AdaBoost and algorithms to alleviate the problem of class imbalance, such as RUS Boost, Balanced Random Forest, Balanced Bagging and Easy Ensemble. These class imbalances arise from the relatively low number of no-shows to the total number of appointments. Instead of the default thresholds used by each method, we computed alternative ones via the minimization of a weighted average of type I and II errors based on cost-effectiveness criteria. 20.4% of the 395,963 appointments considered presented no-shows, with ophthalmology showing the highest rate among specialties at 29.1%. Patients in the most deprived socioeconomic group according to their insurance type and commune of residence and those in their second infancy had the highest no-show rate. The history of non-attendance is strongly related to future no-shows. An 8-week experimental design measured a decrease in no-shows of 10.3 percentage points when using our reminder strategy compared to a control group. Among the variables analyzed, those related to patients’ historical behavior, the reservation delay from the creation of the appointment, and variables that can be associated with the most disadvantaged socioeconomic group, are the most relevant to predict a no-show. Moreover, the introduction of new cost-effective metrics significantly impacts the validity of our prediction models. Using a prototype to call patients with the highest risk of no-shows resulted in a noticeable decrease in the overall no-show rate.