Endocrinology
How Turkey Hacked the Hair Transplant Industry
From specialized motors to the use of machine-learning algorithms, Turkey's billion-dollar hair-transplant industry is the result of a constant process of innovation. The astounding growth of the hair-transplant industry in Turkey is not just a medical tourism success story; it's also a tale of "hacked" medical equipment and algorithmic craftsmanship. From a biological and evolutionary perspective, human hair is often viewed as an unremarkable mass of keratin that still plays some important functions--protecting our scalps from the sun's harmful ultraviolet rays and regulating our body temperatures--but, for the most part, is no longer essential to our survival. Yet, since ancient times, our subconscious perceptions of whether another person is healthy, young, or fertile have been based on visual cues such as skin radiance, the integrity of teeth, and hair density. Deep within our perceptions, hair has become one of the most powerful representations of our identity and self-confidence. Today, the global hair-transplant and restoration industry, which has evolved around this deep psychological and evolutionary need, has grown into a massive, multibillion-dollar industry. Various research firms have estimated the total size of the global hair-transplant market as sitting somewhere between $7.33 billion and $11.61 billion in 2024. And those figures don't include the underground economy.
Deep Optimal Individualized Treatment Rules for Bivariate Survival Outcomes via Adaptive Prediction-Powered Learning
In randomized trials involving multiple treatments, bivariate survival outcomes present significant analytical challenges for making decisions. This paper addresses the problem of deriving optimal individualized treatment rules to maximize the joint survival probability beyond fixed time points $(t_1, t_2)$ through deep neural networks, while accounting for right censoring. We propose a novel approach that models treatment rules via stochastic policies, coupling marginal accelerated failure time models via link function to capture bivariate dependence. To enhance robustness and effectiveness of decision making, we introduce an adaptive prediction-powered method that leverages auxiliary predictions from machine learning models.
Amazon Thinks the Future of Data Centers Depends on a Technical Problem It Just Solved
The tech giant says a breakthrough in data-center networking has dramatically accelerated the flow of information through its massive cloud infrastructure. Amazon says it recently achieved a major breakthrough in networking design--and has been quietly deploying the new technology in its data centers since late last year. The company claims it has significantly increased data speeds while reducing energy use, potentially giving the tech giant an edge as companies race to build ever-faster systems in the cloud. The new technology hinges on a "quasi-random" design that combines elements of traditional, structured data networks with the performance advantages of more random architectures. Researchers have explored random networks for decades, but the technology has never been successfully scaled.
Scientists discover a third eye hidden in the human body and the reason it's there
Kyle Busch's widow revealed haunting plan to have his baby if he ever died - six months before NASCAR great's shock passing Wife goes scorched earth on cop husband with divorce filings so scandalous he has now lost his job, as family's perfect life is shattered These billion-dollar projects were sold as a green revolution for struggling communities. Megyn Kelly is torched by MAGA after she issued direct hit at Trump for'cheating on every wife he's had' I got addicted to the stimulant that Trump insiders are secretly using... it can obliterate your sexual performance and ruined my life Scientists discover a third eye hidden in the human body and the reason it's there Mother who abandoned her children blindfolded in Portuguese woods is sent to the country's toughest women's prison - as videos of her partner decrying'end of the world' emerge Harrowing map shows cancer explosion that'll make you put down your favorite drink... have you left it too late? Ozempic and Wegovy can lead to devastating muscle and bone loss... now experts reveal exactly how to fight it Fans go wild as Kyle Richards' forgotten role in ER resurfaces... and it's a long way from RHOBH I lost five pounds in six weeks when I discovered'Nature's Ozempic': All the benefits of the jabs with NONE of the side effects - and I just stir it into my morning coffee... by BEATRICE AIDIN The dangerously overdue Northeast hurricane we can't ignore: Catastrophic damage and biggest New England danger zone revealed by top forecaster China's answer to the Rolls-Royce: Self-parking, £130,000 18ft-long beast is packed with gadgets, a 40-inch screen and gold trim Tiger Woods breaks his silence after his'return to rehab' in Switzerland following brief reunion with Vanessa Trump America's best kept sex secret. This unassuming hotspot has women going wild for untamed lovers who know EXACTLY what they're doing: 'It's sex central. Watermelon is more than just a hot-weather treat... it may help fight one of the most common cancers and aid weight loss, according to research Devastating new details about Beartooth frontman's marriage as he comes out as'proudly' gay: Wife's heartbreak revealed by insiders and red flag that was overlooked Scientists discover a third eye hidden in the human body and the reason it's there MORE: Four species of aliens recovered from crashed UFOs according to CIA scientist... here's what they look like Scientists have found a third eye buried in the middle of the human head and say it still plays a key role after millions of years of evolution.
When Individually Calibrated Models Become Collectively Miscalibrated
A natural assumption is that if each model is individually calibrated, the aggregate prediction will also be well calibrated. We show that this assumption fails in multi-agent settings: individually calibrated predictors can become collectively miscalibrated when their predictions interact strategically--where "strategically" refers to the game-theoretic sense of Brier-optimal local response, not deliberate gaming or collusion, and arises naturally whenever agents are independently trained on overlapping data. This phenomenon affects multiple independent agents in federated healthcare, multi-vendor intrusion detection, and crowdsourced forecasting, where agents optimize their own objectives. Specifically, we prove that under Brier-score-based aggregation with positively correlated beliefs each agent's individually optimal report systematically underestimates the positive-class probability, yielding a Price of Anarchy strictly greater than one whenever Cov(bi,bj) > 0. At our canonical setting (n=5 agents, pairwise correlation ρ=0.5, base rate µ=0.3, threshold τ=0.3) the empirically measured PoA in false-negative rate is 7.25 (mean aggregate bias 0.375). In contrast, VCG-based aggregation, which rewards each agent's marginal contribution to aggregate accuracy, achieves dominant-strategy incentive compatibility and the lowest empirical PoA among all mechanisms studied (PoA 1.0). On three real-world datasets (NSL-KDD, UNSW-NB15, Credit Card Fraud) with featurepartitioned agents, VCG provides the strongest robustness guarantees among the aggregation methods we evaluate, while maintaining comparable accuracy. In data-sparse regimes (n 500), VCG consistently outperforms stacking and majority voting; under adversarial agents, VCG maintains substantially lower false-negative rates than robust aggregation baselines. Adaptive weight updates further reduce false negatives by 20-22% under distribution shift, with O( T) online regret guarantees. These results establish that how probabilistic predictions are aggregated matters as much as how well individual models are calibrated.
Precision Physical Activity Prescription via Reinforcement Learning for Functional Actions
Lin, Gefei, Miao, Rui, Sacheck, Jennifer, Zhang, Xiaoke
Physical activity (PA) plays an important role in maintaining and improving health. Daily steps have been a key PA measure that is easily accessible with common wearable devices. However, methods are lacking to recommend a personalized optimal distribution of daily steps over a period of time for the best of certain health biomarkers. In this paper, we fill this void based on the data from the All of Us Research Program which includes months of step counts as well as repeated measurements of key health biomarkers. We develop a new offline reinforcement learning (RL) algorithm to learn personalized and optimal PA distributions associated with cardiometabolic risk, where the action is a function representing the daily step distribution over a period of time. Simulation studies demonstrate the advantage of the proposed approach over existing continuous-action RL methods. The learned optimal policy from the All of Us data generally suggests people take more daily steps and also follow a more consistent pattern of PA over time while offering tailored recommendations for subgroups in blood glucose level, body mass index, blood pressure, age, and sex.
Application of Deep Reinforcement Learning to Event-Triggered Control for Networked Artificial Pancreas Systems
Ikemoto, Junya, Maruyama, Satoshi, Hashimoto, Kazumune
This paper proposes a deep reinforcement learning (DRL)-based event-triggered controller design for networked artificial pancreas (AP) systems. Although existing DRL-based AP controllers typically assume periodic control updates, networked control systems (NCSs) require a reduction in communication frequency to achieve energy-efficient operation, which is directly tied to control updates. However, jointly learning both insulin dosing and update timing significantly increases the complexity of the learning problem. To alleviate this complexity, we develop a practical DRL-based controller design that avoids explicitly learning update timing by introducing a rule-based criterion defined by changes in blood glucose. As a result, decision-making occurs at irregular intervals, and the problem is naturally formulated as a semi-Markov decision process (SMDP), for which we extend a standard DRL algorithm. Numerical experiments demonstrate that the proposed method improves communication efficiency while maintaining control performance.
Improving the Efficiency of Subgroup Analysis in Randomized Controlled Trials with TMLE
Qiu, Sky, Nance, Nerissa, Phillips, Rachael, Tarp, Jens, Petersen, Maya, van der Laan, Mark
Subgroup analyses within randomized controlled trials are often underpowered due to limited sample sizes. We address this challenge by leveraging trial participants outside the subgroup of interest to augment estimation within the subgroup. Specifically, we study two Targeted Maximum Likelihood Estimators (TMLEs) that borrow information from non-subgroup participants within the same trial: a TMLE with pooled regression (TMLE-PR) and an Adaptive Targeted Maximum Likelihood Estimator (A-TMLE). Both estimators enable information sharing without relying on any external real-world data, thereby capitalizing on key strengths of the trial: most importantly, the protection against bias afforded by the randomized treatment, but also harmonized data collection, and consistent treatment and outcome definitions. The general strategy proposed here directly advances the priorities of key regulatory agencies, including the FDA, by improving the precision of subgroup-specific treatment effect estimates without introducing external sources of bias, thereby facilitating rigorous inference to support equitable labeling, access, and post-market evaluation. In a case study based on analysis of data from a cardiovascular outcome trial (LEADER, NCT01179048), we estimate the risk reduction of major adverse cardiac events (MACE) under liraglutide treatment among Black and Asian subgroups -- each comprising less than 10\% of the trial population -- using the proposed estimators that borrow information from the remainder of the trial. Using A-TMLE, in particular, we find estimated absolute MACE risk reductions of 1.6, 1.5, and 1.5 percentage points among Asian participants and 2.1, 2.0, and 2.1 percentage points among Black participants at 365, 540, and 730 days, respectively, with 95\% confidence intervals excluding the null at each time point.
True purpose of Egypt's Great Pyramid challenged by new theory ancient wonder is a 'planetary beacon'
Popular megachurch in crisis as senior pastor suddenly quits... while bosses furiously DENY sex scandal Missing scientist's shattered car sparks chilling mystery in remote New Mexico mountains Two small airlines join forces to create America's newest budget carrier after Spirit collapse leaves millions scrambling Horrifying final days of killer dad Chris Watts' pregnant wife before she was slaughtered alongside their daughters. Read all the chilling texts and receipts in full for first time: 'My eyes burn from crying' I'm a pastor who attended a secret UFO disclosure meeting. We saw images of'translucent beings' that chilled me to the bone... the files could fulfil a dark biblical prophecy Cheerful Christian mom is pillar of Florida community and loves going on TV... but she has a childhood secret so evil that she stuttered with shock when confronted with it Taxpayers to foot Trump's $1.7 BILLION bill as President sues his own government: 'I'm paying myself' How I lost 3 STONE in 3 WEEKS. I've reversed pre-diabetes and no longer need a knee op: DONAL MACINTYRE's extraordinary investigation Former NFL player Josh Mauro's tragic cause of death revealed after league was left'devastated' by ex-Cardinals and Giants man's sudden passing at 35 Husband of doomed dive group leader says'something must have happened down there' as mystery surrounds why the five attempted to explore'cave so deep even divers with best equipment don't try' Greeks savage Kimberly Guilfoyle as Trump's ambassador opens McDonald's in country celebrated for world-class food I'm godfather to Candace Owens' daughter and Charlie Kirk was my friend... so I know the real reason she's attacking Erika - and I'll never publicly condemn her Death of Alabama woman, 22, 'accidentally' shot in chest by boyfriend's dad is ruled a HOMICIDE Reese Witherspoon and Ryan Phillippe reunite for son's NYU graduation... as Kate Hudson cheers on her boy at same ceremony with Goldie Hawn and Kurt Russell'How do you live with that?' Disgraced Eric Swalwell's'blindsided' wife dresses for revenge... as friends reveal brutal toll sex assault scandal has had on young mom Judge declares another mistrial in disgraced Hollywood mogul Harvey Weinstein's rape case Can't lose weight no matter what you do? These are the 7 surprising reasons why, including'healthy' hacks actually making you put on pounds.
Scientists have discovered a SHORTCUT to the moon - and it could slash the cost of future missions
Popular megachurch in crisis as senior pastor suddenly quits... while bosses furiously DENY sex scandal Missing scientist's shattered car sparks chilling mystery in remote New Mexico mountains Two small airlines join forces to create America's newest budget carrier after Spirit collapse leaves millions scrambling Horrifying final days of killer dad Chris Watts' pregnant wife before she was slaughtered alongside their daughters. Read all the chilling texts and receipts in full for first time: 'My eyes burn from crying' I'm a pastor who attended a secret UFO disclosure meeting. We saw images of'translucent beings' that chilled me to the bone... the files could fulfil a dark biblical prophecy Cheerful Christian mom is pillar of Florida community and loves going on TV... but she has a childhood secret so evil that she stuttered with shock when confronted with it Taxpayers to foot Trump's $1.7 BILLION bill as President sues his own government: 'I'm paying myself' How I lost 3 STONE in 3 WEEKS. I've reversed pre-diabetes and no longer need a knee op: DONAL MACINTYRE's extraordinary investigation Former NFL player Josh Mauro's tragic cause of death revealed after league was left'devastated' by ex-Cardinals and Giants man's sudden passing at 35 Husband of doomed dive group leader says'something must have happened down there' as mystery surrounds why the five attempted to explore'cave so deep even divers with best equipment don't try' Greeks savage Kimberly Guilfoyle as Trump's ambassador opens McDonald's in country celebrated for world-class food I'm godfather to Candace Owens' daughter and Charlie Kirk was my friend... so I know the real reason she's attacking Erika - and I'll never publicly condemn her Death of Alabama woman, 22, 'accidentally' shot in chest by boyfriend's dad is ruled a HOMICIDE Reese Witherspoon and Ryan Phillippe reunite for son's NYU graduation... as Kate Hudson cheers on her boy at same ceremony with Goldie Hawn and Kurt Russell'How do you live with that?' Disgraced Eric Swalwell's'blindsided' wife dresses for revenge... as friends reveal brutal toll sex assault scandal has had on young mom Judge declares another mistrial in disgraced Hollywood mogul Harvey Weinstein's rape case Can't lose weight no matter what you do? These are the 7 surprising reasons why, including'healthy' hacks actually making you put on pounds.