Mitigating these biases relies on exposing and removingnuisance components.

Although some simple models with unobserved con-founders are known to produce correct results [Angrist et al., 1996, Pearl et al., 2016, Miao et al.,

Randomized trials are widely considered as the gold standard for evaluating the effects of decision policies.

High-resolution estimates of population health indicators are critical for precision public health. We propose a method for high-resolution estimation that fuses distinct data sources: an unbiased, low-resolution data source (e.g. aggregated administrative data) and a potentially biased, high-resolution data source (e.g. individual-level online survey responses). We assume that the potentially biased, high-resolution data source is generated from the population under a model of sampling bias where observables can have arbitrary impact on the probability of response but the difference in the log probabilities of response between units with the same observables is linear in the difference between sufficient statistics of their observables and outcomes. Our data fusion method learns a distribution that is closest (in the sense of KL divergence) to the online survey distribution and consistent with the aggregated administrative data and our model of sampling bias. This method outperforms baselines that rely on either data source alone on a testbed that includes repeated measurements of three indicators measured by both the (online) Household Pulse Survey and ground-truth data sources at two geographic resolutions over the same time period.

In many cases, treatments are naturally structured .

Clinicians spend large amounts of time on clinical documentation, and inefficiencies impact quality of care and increase clinician burnout. Despite the promise of electronic medical records (EMR), the transition from paper-based records has been negatively associated with clinician wellness, in part due to poor user experience, increased burden of documentation, and alert fatigue. In this study, we present Almanac Copilot, an autonomous agent capable of assisting clinicians with EMR-specific tasks such as information retrieval and order placement. On EHR-QA, a synthetic evaluation dataset of 300 common EHR queries based on real patient data, Almanac Copilot obtains a successful task completion rate of 74% (n = 221 tasks) with a mean score of 2.45 over 3 (95% CI:2.34-2.56). By automating routine tasks and streamlining the documentation process, our findings highlight the significant potential of autonomous agents to mitigate the cognitive load imposed on clinicians by current EMR systems.

Machine-learning algorithms can facilitate low-cost, user-guided visual diagnostic platforms for addressing disparities in access to sexual health services. We developed a clinical image dataset using original and augmented images for five penile diseases: herpes eruption, syphilitic chancres, penile candidiasis, penile cancer, and genital warts. We used a U-net architecture model for semantic pixel segmentation into background or subject image, the Inception-ResNet version 2 neural architecture to classify each pixel as diseased or non-diseased, and a salience map using GradCAM++. We trained the model on a random 91% sample of the image database using 150 epochs per image, and evaluated the model on the remaining 9% of images, assessing recall (or sensitivity), precision, specificity, and F1-score (accuracy). Of the 239 images in the validation dataset, 45 (18.8%) were of genital warts, 43 (18.0%) were of HSV infection, 29 (12.1%) were of penile cancer, 40 (16.7%) were of penile candidiasis, 37 (15.5%) were of syphilitic chancres, and 45 (18.8%) were of non-diseased penises. The overall accuracy of the model for correctly classifying the diseased image was 0.944. Between July 1st and October 1st 2023, there were 2,640 unique users of the mobile platform. Among a random sample of submissions (n=437), 271 (62.0%) were from the United States, 64 (14.6%) from Singapore, 41 (9.4%) from Candia, 40 (9.2%) from the United Kingdom, and 21 (4.8%) from Vietnam. The majority (n=277 [63.4%]) were between 18 and 30 years old. We report on the development of a machine-learning model for classifying five penile diseases, which demonstrated excellent performance on a validation dataset. That model is currently in use globally and has the potential to improve access to diagnostic services for penile diseases.