A foundation model for medical time series, pretrained on ethically approved clinical datasets, can substantially reduce annotation burdens, minimize the need for task-specific tuning, and promote reliable transferability across healthcare institutions, data modalities, and clinical tasks, especially in data-scarce or privacysensitive environments. However, existing generalist time series foundation models struggle to handle medical time series data due to their inherent challenges, including irregular intervals, heterogeneous sampling rates, and frequent missing values. To address these challenges, we introduce MIRA, a unified foundation model specifically designed for medical time series forecasting. MIRA incorporates a Continuous-Time Rotary Positional Encoding that enables fine-grained modeling of variable time intervals, a frequency-specific mixture-of-experts layer that routes computation across latent frequency regimes to further promote temporal specialization, and a Continuous Dynamics Extrapolation Block based on Neural ODE that models the continuous trajectory of latent states, enabling accurate forecasting at arbitrary target timestamps. Pretrained on a large-scale and diverse medical corpus comprising over 454 billion time points collect from publicly available datasets, MIRA achieves reductions in forecasting errors by an average of 8% and 6% in out-of-distribution and in-distribution scenarios, respectively, when compared to other zero-shot and fine-tuned baselines. We also introduce a comprehensive benchmark spanning multiple downstream clinical tasks, establishing a foundation for future research in medical time series modeling. Our code is available at Microsoft/MIRA.

Time series data in real-world applications such as healthcare, climate modeling, and finance are often irregular, multimodal, and messy, with varying sampling rates, asynchronous modalities, and pervasive missingness. However, existing benchmarks typically assume clean, regularly sampled, unimodal data, creating a significant gap between research and real-world deployment. We introduce TIME-IMM, a dataset specifically designed to capture cause-driven irregularity in multimodal multivariate time series. TIME-IMM represents nine distinct types of time series irregularity, categorized into trigger-based, constraint-based, and artifact-based mechanisms. Complementing the dataset, we introduce IMM-TSF, a benchmark library for forecasting on irregular multimodal time series, enabling asynchronous integration and realistic evaluation. IMM-TSF includes specialized fusion modules, including a timestamp-to-text fusion module and a multimodality fusion module, which support both recency-aware averaging and attention-based integration strategies. Empirical results demonstrate that explicitly modeling multimodality on irregular time series data leads to substantial gains in forecasting performance. TIME-IMM and IMM-TSF provide a foundation for advancing time series analysis under real-world conditions.

Model editing has become a de-facto practice to address hallucinations and outdated knowledge of large language models (LLMs). However, existing methods are predominantly evaluated in isolation, i.e., one edit at a time, failing to consider a critical scenario of compositional model editing, where multiple edits must be integrated and jointly utilized to answer real-world multifaceted questions. For instance, in medical domains, if one edit informs LLMs that COVID-19 causes "fever" and another that it causes "loss of taste", a qualified compositional editor should enable LLMs to answer the question "What are the symptoms of COVID-19?" with both "fever" and "loss of taste" (and potentially more). In this work, we define and systematically benchmark this compositional model editing (CME) task, identifying three key undesirable issues that existing methods struggle with: knowledge loss, incorrect preceding and knowledge sinking. To overcome these issues, we propose A3E, a novel compositional editor that (1) adaptively combines and adaptively regularizes pre-trained foundation knowledge in LLMs in the stage of edit training and (2) adaptively merges multiple edits to better meet compositional needs in the stage of edit composing. Extensive experiments demonstrate that A3E improves the composability by at least 22.45% without sacrificing the performance of non-compositional model editing.

Computational epidemiology is crucial in understanding and controlling infectious diseases, as highlighted by large-scale outbreaks such as COVID-19. Given the inherent uncertainty and variability of disease spread, Monte Carlo (MC) simulations are widely used to predict infection peaks, estimate reproduction numbers, and evaluate the impact of non-pharmaceutical interventions (NPIs). While effective, MC-based methods require numerous runs to achieve statistically reliable estimates and variance, which suffer from high computational costs. In this work, we present a unified theoretical framework for analyzing disease spread dynamics on both directed and undirected contact networks, and propose an algorithm, RAPID, that significantly improves computational efficiency.

Model editing has become a *de-facto* practice to address hallucinations and outdated knowledge of large language models (LLMs). However, existing methods are predominantly evaluated in isolation, i.e., one edit at a time, failing to consider a critical scenario of compositional model editing, where multiple edits must be integrated and jointly utilized to answer real-world multifaceted questions. For instance, in medical domains, if one edit informs LLMs that COVID-19 causes fever and another that it causes loss of taste, a qualified compositional editor should enable LLMs to answer the question What are the symptoms of COVID-19?

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In the era of precision medicine, genome-wide epigenetic modifications offer rich data that could inform risk prediction. However, these data are high-dimensional and exhibit complex dependence structures, which makes it difficult to jointly model them with low-dimensional covariates when the goal is to obtain interpretable effect estimates for covariate adjustment. Standard Bayesian additive regression trees (BART) provide strong predictive performance but treat all predictors uniformly within the tree ensemble, obscuring the contributions of significant covariates and complicating variable selection in high-dimensional settings. We propose a semi-parametric BART model (spBART) that addresses this limitation by modeling low-dimensional covariates through a parametric component with interpretable coefficients, while capturing complex nonlinear associations among high-dimensional predictors through the tree ensemble. To perform stable variable selection, we develop a cross-validation-based procedure that aggregates posterior inclusion probabilities across folds and applies Bayesian false discovery rate control. We apply the proposed method to a pooled case--control analysis of high-dimensional genome-wide 5-hydroxymethylcytosine profiles derived from circulating cell-free DNA in two multiple myeloma studies ($N = 869$). The approach identifies a parsimonious set of candidate loci and achieves strong out-of-sample discrimination (AUC $= 0.96$) in a held-out validation set. Overall, spBART provides a unified framework for combining interpretable covariate inference with flexible modeling and variable selection in high-dimensional biomedical studies.

Survival analysis provides a powerful statistical framework for modeling time-to-event outcomes in the presence of censoring. However, selecting an appropriate estimator from the many specialized survival approaches often requires substantial methodological and domain expertise. We introduce SurvivalPFN, a prior-data fitted network that amortizes Bayesian inference for censored observations through in-context learning. SurvivalPFN is pretrained on a diverse family of synthetic, identifiable, and right-censored data-generating processes, enabling it to amortize survival analysis in a single forward pass during inference. As a result, the model adapts to the effective complexity of each dataset without task-specific training or hyperparameter tuning, avoids restrictive parametric assumptions, and produces calibrated survival distributions. In a large-scale benchmark spanning 61 datasets, 21 methods, and 5 evaluation metrics, SurvivalPFN achieves strong predictive performance and often improves upon established survival models. These results suggest that SurvivalPFN offers a principled and practical foundation model for survival analysis, with potential applications in high-impact domains such as healthcare, finance, and engineering (https://github.com/rgklab/SurvivalPFN).

There are no confirmed cases in the US, but 41 people who were potentially exposed to the Andes virus are in quarantine or being monitored for symptoms. The US Centers for Disease Control and Prevention is monitoring 41 people in the US for the Andes hantavirus after a cruise ship was hit with a rare outbreak, but the risk to the public remains low, according to health officials. This includes a group of 18 passengers from the cruise ship who are now in quarantine facilities in Nebraska and Georgia. The agency is also monitoring passengers who returned home before the outbreak was identified and others who were exposed during travel, specifically on flights where a symptomatic case was present. "Most people under monitoring are considered high-risk exposures, and CDC recommends that everyone under monitoring stay at home and avoid being around people during their 42-day monitoring period," David Fitter, incident manager for the CDC's hantavirus response, told reporters during a media briefing on Thursday.

Mediation analysis (Robins & Greenland 1992, Pearl 2001, Imai, Keele & Tingley 2010, Tchetgen Tchetgen & Shpitser 2012) provides a principled framework for investigating causal mechanisms by decomposing the effect of a treatment A on an outcome Y into pathways operating through a mediator of interest M. Classical mediation analysis focuses on the natural indirect effect, corresponding to the pathway from Ato Y through M, and the natural direct effect, corresponding to pathways not through M. These estimands are well understood when a single mediator is present and strong identification assumptions hold. However, in many applications, there exist multiple intermediate variables between treatment and outcome. In such settings, conventional mediation analysis typically requires the absence of treatment-induced mediator-outcome confounders--often referred to as recanting witnesses--as well as the absence of unmeasured confounding. Under these circumstances, commonly used identification assumptions such as sequential ignorability (Imai, Keele & Yamamoto 2010) or nonparametric structural equation models with independent errors (NPSEM-IE) (Pearl 2009) no longer suffice to identify natural indirect effects (Avin et al. 2005, Tchetgen Tchetgen & VanderWeele 2014). Figure 1 illustrates this issue: the recanting witness D is directly affected by A and simultaneously confounds the relationship between M and Y. Such treatment-induced confounding is common in epidemiologic studies, particularly when the mediator of interest occurs long after the treatment initiation (Robins 1999). A motivating example arises in studies of preterm birth. Mediation analysis has been widely used to explore whether adequate prenatal care (A) reduces the risk of preterm birth (Y) through preeclampsia (M) (Vansteelandt & VanderWeele 2012, VanderWeele et al. 2014, Xia & Chan 2023).