Internal Medicine
Adaptive Frontier Exploration on Graphs with Applications to Network-Based Disease Testing
We study a sequential decision-making problem on a n-node graph G where each node has an unknown label from a finite set โฆ, drawn from a joint distribution P that is Markov with respect to G. At each step, selecting a node reveals its label and yields a label-dependent reward. The goal is to adaptively choose nodes to maximize expected accumulated discounted rewards. We impose a frontier exploration constraint, where actions are limited to neighbors of previously selected nodes, reflecting practical constraints in settings such as contact tracing and robotic exploration. We design a Gittins index-based policy that applies to general graphs and is provably optimal when G is a forest.
Variational Consensus Monte Carlo for Bayesian Mixture
Fendler, Julie, Crowe, Francesca L., Marshall, Tom, Richardson, Sylvia, Kirk, Paul D. W.
Motivated by the privacy, sensitivity and sharing limitations of health data, we present a comprehensive pipeline for inference of Bayesian mixture models within a federated learning setting, i.e. when data cannot be fully shared or pooled across compute nodes. We adopt a Consensus Monte Carlo (CMC) approach, in which an MCMC algorithm is run independently within each data silo to estimate local posterior distributions, which are then aggregated to approximate the posterior over the full data. The variational CMC approach of Rabinovich, Angelino and Jordan (2015) [1] frames the aggregation step as a variational inference problem, but their application to mixtures assumes the number of clusters and key mixture parameters to be known. Our main methodological contributions are: (i) an extension of variational CMC to over-fitted Bayesian mixture models that infer the number of clusters and all model parameters, without requiring conjugacy; (ii) novel cluster-matching algorithms suitable for cross-silo settings in which not every cluster appears in each local dataset; (iii) a number of inference strategies for the aggregation step, matched to different federated learning constraints; and (iv) guidelines for choosing among these in practice. A comprehensive simulation study validates the framework and allows us to compare to state-of-the-art federated learning alternatives. Notably, we show that when the composition of local datasets reflects the underlying clustering structure in the data, our approach can recover small clusters with greater accuracy than standard MCMC applied to the pooled data. We illustrate the framework on large-scale electronic health record data, identifying multi-morbidity patterns in a British geriatric population.
Oldest traces of plague discovered in prehistoric teens buried in Russia
The remains of 42 hunter-gatherers show that the Black Death was already lethal 5,500 years ago. More information Adding us as a Preferred Source in Google by using this link indicates that you would like to see more of our content in Google News results. Ust'Ida I Burial #33; this shared grave contained a boy (aged 12-15 years old) and a girl (aged 13-16 years old) who were found to not be closely related, and plague DNA was obtained from their remains. That they were very close in age but not biologically related, and buried in the same grave, hints at the relationship they might have had when alive. Breakthroughs, discoveries, and DIY tips sent six days a week.
Unlearned but Not Forgotten: Data Extraction after Exact Unlearning in LLM
Large Language Models are typically trained on datasets collected from the web, which may inadvertently contain harmful or sensitive personal information. To address growing privacy concerns, unlearning methods have been proposed to remove the influence of specific data from trained models. Of these, exact unlearning-- which retrains the model from scratch without the target data--is widely regarded as the gold standard for mitigating privacy risks in deployment. In this paper, we revisit this assumption in a practical deployment setting where both the pre-and post-unlearning logits API are exposed, such as in open-weight scenarios. Targeting this setting, we introduce a novel data extraction attack that leverages signals from the pre-unlearning model to guide the post-unlearning model, uncovering patterns that reflect the removed data distribution. Combining model guidance with a token filtering strategy, our attack significantly improves extraction success rates-- doubling performance in some cases--across common benchmarks such as MUSE, TOFU, and WMDP. Furthermore, we demonstrate our attack's effectiveness on a simulated medical diagnosis dataset to highlight real-world privacy risks associated with exact unlearning. In light of our findings, which suggest that unlearning may, in a contradictory way, increase the risk of privacy leakage during realworld deployments, we advocate for evaluation of unlearning methods to consider broader threat models that account not only for post-unlearning models but also for adversarial access to prior checkpoints.
Counterfactually Safe Reinforcement Learning
Li, Jingyi, Wu, Peng, Shi, Chengchun
Reinforcement learning algorithms are generally designed to maximize the expected return across a population. However, a policy that is optimal on average may be suboptimal for certain individuals, leading to potential safety concerns. To address this, we first formalize the notion of individual harm from a counterfactual perspective and define harm as the event in which a chosen action results in a strictly worse outcome than a baseline alternative. We then propose a general two-stage procedure for learning policies that maximize the expected return while accounting for individual harm. We further establish the finite-sample properties of the learned policy, derive an upper bound on its sub-optimality gap, and show that the harm rate remains well-controlled. Numerical experiments on both simulated and real-world datasets demonstrate the effectiveness of the proposed approach.
Supplementary Material Responsibility Statement
Hyponatremia: Predict whether a hyponatremia lab comes back as normal (>=135 mmol/L), mild (>=130 and <135 mmol/L), moderate (>=125 and <130 mmol/L), or severe (<125 mmol/L). We consider all lab results coded as LOINC/LG11363-5, LOINC/2951-2, or LOINC/2947-0. Anemia: Predict whether an anemia lab comes back as normal (>=120 g/L), mild (>=110 and <120 g/L), moderate (>=70 and <110 g/L), or severe (<70 g/L). We consider all lab results coded as LOINC/LP392452-1. Please note that for the results of our baseline experiments in Section 5, we reframe these lab value tasks as binary classification tasks, where a label is "negative" if the result is normal and "positive" otherwise.