Endocrinology
eri
There is growing interest in using machine learning (ML) to support clinical diagnosis, but most approaches rely on static, fully observed datasets and fail to reflect the sequential, resource-aware reasoning clinicians use in practice. Diagnosis remains complex and error prone, especially in high-pressure or resource-limited settings, underscoring the need for frameworks that help clinicians make timely and cost-effective decisions. We propose ACTMED(Adaptive Clinical Test selection via Model-based Experimental Design), a diagnostic framework that integrates Bayesian Experimental Design (BED) with large language models (LLMs) to better emulate real-world diagnostic reasoning. At each step, ACTMED selects the test expected to yield the greatest reduction in diagnostic uncertainty for a given patient. LLMs act as flexible simulators, generating plausible patient state distributions and supporting belief updates without requiring structured, task-specific training data. Clinicians can remain in the loop; reviewing test suggestions, interpreting intermediate outputs, and applying clinical judgment throughout. We evaluate ACTMEDon real-world datasets and show it can optimize test selection to improve diagnostic accuracy, interpretability, and resource use. This represents a step toward transparent, adaptive, and clinician-aligned diagnostic systems that generalize across settings with reduced reliance on domain-specific data.
Simultaneous Statistical Inference for Off-Policy Evaluation in Reinforcement Learning
This work presents the first theoretically justified simultaneous inference framework for off-policy evaluation (OPE). In contrast to existing methods that focus on point estimates or pointwise confidence intervals (CIs), the new framework quantifies global uncertainty across an infinite or continuous initial state space, offering valid inference over the entire state space.
The real woman behind Botticelli's 'Birth of Venus' died at only 23
Science The real woman behind Botticelli's'Birth of Venus' died at only 23 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. 'The Birth of Venus' was painted by Sandro Boticelli around 1485. Breakthroughs, discoveries, and DIY tips sent six days a week. By signing up, you confirm you are 16+, will receive newsletters and promotional content and agree to our Terms of Use and acknowledge the data practices in our Privacy Policy . The "Birth of Venus" by Sandro Botticelli is easily among the most well-known paintings from the Renaissance .
Robust Satisficing Gaussian Process Bandits Under Adversarial Attacks
We address the problem of Gaussian Process (GP) optimization in the presence of unknown and potentially varying adversarial perturbations. Unlike traditional robust optimization approaches that focus on maximizing performance under worstcase scenarios, we consider a robust satisficing objective, where the goal is to consistently achieve a predefined performance threshold τ, even under adversarial conditions. We propose two novel algorithms based on distinct formulations of robust satisficing, and show that they are instances of a general robust satisficing framework. Further, each algorithm offers different guarantees depending on the nature of the adversary. Specifically, we derive two regret bounds: one that is sublinear over time, assuming certain conditions on the adversary and the satisficing threshold τ, and another that scales with the perturbation magnitude but requires no assumptions on the adversary. Through extensive experiments, we demonstrate that our approach outperforms the established robust optimization methods in achieving the satisficing objective, particularly when the ambiguity set of the robust optimization framework is inaccurately specified.
PanTS: The Pancreatic Tumor Segmentation Dataset
PanTS is a large-scale, multi-institutional dataset curated to advance research in pancreatic CT analysis. It contains 36,390 CT scans from 145 medical centers, with expert-validated, voxel-wise annotations of over 993,000 anatomical structures, covering pancreatic tumors, pancreas head, body, and tail, and 24 surrounding anatomical structures such as vascular/skeletal structures and abdominal/thoracic organs. Each scan includes metadata such as patient age, sex, diagnosis, contrast phase, in-plane spacing, slice thickness, etc. AI models trained on PanTS achieve significantly better performance in pancreatic tumor detection, localization, and segmentation than those trained on existing public datasets. Our analysis indicates that these gains are directly attributable to the 16 larger-scale tumor annotations and indirectly supported by the 24 additional surrounding anatomical structures. As the largest and most comprehensive resource of its kind, PanTS offers a new benchmark for developing and evaluating AI models in pancreatic CT analysis.
LLM-Driven Treatment Effect Estimation Under Inference Time Text Confounding
Estimating treatment effects is crucial for personalized decision-making in medicine, but this task faces unique challenges in clinical practice. At training time, models for estimating treatment effects are typically trained on well-structured medical datasets that contain detailed patient information. However, at inference time, predictions are often made using textual descriptions (e.g., descriptions with self-reported symptoms), which are incomplete representations of the original patient information. In this work, we make three contributions.
Reliably Detecting Model Failures in Deployment Without Labels
The distribution of data changes over time; models operating in dynamic environments need retraining. But knowing when to retrain, without access to labels, is an open challenge since some, but not all shifts degrade model performance. This paper formalizes and addresses the problem of post-deployment deterioration (PDD) monitoring. We propose D3M, a practical and efficient monitoring algorithm based on the disagreement of predictive models, achieving low false positive rates under non-deteriorating shifts and provides sample complexity bounds for high true positive rates under deteriorating shifts. Empirical results on both standard benchmark and a real-world large-scale internal medicine dataset demonstrate the effectiveness of the framework and highlight its viability as an alert mechanism for high-stakes machine learning pipelines.
Job titles of the future: Nature's drug designer
Chemist Tim Cernak is using two decades of experience in Big Pharma to try to save Gila monsters, loggerhead sea turtles, and many more creatures. In 2018, after nearly two decades working in Big Pharma, chemist Tim Cernak was ready to put his skills to a new use. For Merck, he'd developed precision therapies for cancer, HIV, and diabetes that could target disease while minimizing harm to healthy cells. But as a lifelong nature lover, he was increasingly concerned about the health of ecosystems and wondered whether his expertise could transfer. Animals, he learned, are often treated with pharmaceuticals formulated for humans, which affect them like old-school cancer drugs: Though intended to kill abnormal cells, they're indiscriminate in the harm they cause. For instance, the standard of care for frogs infected with a deadly skin infection is itraconazole, an antifungal that is often lethal for the amphibian.
How just a spoonful a day of the German-favourite sauerkraut can boost gut health and lower cholesterol
Quivering Karmelo Anthony is convicted of murdering Austin Metcalf, 17... but now prosecutors have granted him Hail Mary that could see him jailed for as little as TWO YEARS Trump's $70B immigration crackdown passes the House as sneaky loophole allows $1.8B weaponization'slush fund' to survive I watched footage of the race crime that split America. She's always by Trump's side, trusted with the White House's biggest secrets... and she influences millions Trump ERUPTS behind closed doors as top Republican pleads with him to axe Tulsi Gabbard's spy-chief replacement Leaked transcript of UNAIRED 60 Minutes interview exposes REAL reason'callous' CBS star Scott Pelley'deserved to be fired' Epstein's massage fixer looks PETRIFIED as she's dragged into explosive congressional grilling - and reveals jaw-dropping'blackmail' theory Caitlyn Jenner biographer and Robin Riker's ex William Hasley found dead on hiking trail at 78 Eva Longoria reunites with ex Tony Parker 15 years after cheating scandal split... as shocked fans react Shamed ex mayor Misty Roberts is sentenced to 90 DAYS as she's branded a'predator with hair extensions' by enraged mother of 17-year-old sex assault victim My compulsive bathroom habit that so many are guilty of left me in excruciating pain. DR STUART reveals early signs... cures that work in days... and when to worry Inside Travis Kelce's plan to become'the Shaq of the NFL' after wedding Taylor Swift Moment Real Housewives star Lenny Hochstein's sexual assault accuser'dances' as she leaves Star Island mansion - before filing $100k civil lawsuit Madonna's wild sex claim about JFK Jr now draws surprising response from his outspoken nephew Jack Schlossberg Zodiac killer case takes bombshell turn as unsolved cipher is CRACKED... and America's top codebreakers say evidence is all pointing to one man Kennedy heir Jack Schlossberg concedes Trump is a'genius' as aspiring congressman reveals what he'deeply respects' about president'Great' mom, 32, tried to gas herself and her three young kids to death after inviting them to'popcorn sleepover' in car, prosecutors allege Want to lose up to a stone in six weeks, plus boost your mood and energy levels? Fermented foods from kefir to kombucha are having a moment, hailed for their gut health benefits. But experts say we could be overlooking one of the healthiest ferments out there: sauerkraut.
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.