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Performance of weakly-supervised electronic health record-based phenotyping methods in rare-outcome settings
Hong, Yunjing, Nelson, Jennifer C., Williamson, Brian D.
Accurately identifying patients with specific medical conditions is a key challenge when using clinical data from electronic health records. Our objective was to comprehensively assess when weakly-supervised prediction methods, which use silver-standard labels (proxy measures of the true outcome) rather than gold-standard true labels, perform well in rare-outcome settings like vaccine safety studies. We compared three methods (PheNorm, MAP, and sureLDA) that combine structured features and features derived from clinical text using natural language processing, through an extensive simulation study with data-generating mechanisms ranging from simple to complex, varying outcome rates, and varying degrees of informative silver labels. We also considered using predicted probabilities to design a chart review validation study. No single method dominated the other across all prediction performance metrics. Probability-guided sampling selected a cohort enriched for patients with more mentions of important concepts in chart notes. SureLDA, the most complex of the three algorithms we considered, often performed well in simulations. Performance depended greatly on selected tuning parameters. Care should be taken when using weakly-supervised prediction methods in rare-outcome settings, particularly if the probabilities will be used in downstream analysis, but these methods can work well when silver labels are strong predictors of true outcomes.
Inferring Change Points in Regression via Sample Weighting
Arpino, Gabriel, Venkataramanan, Ramji
We study the problem of identifying change points in high-dimensional generalized linear models, and propose an approach based on sample-weighted empirical risk minimization. Our method, Weighted ERM, encodes priors on the change points via weights assigned to each sample, to obtain weighted versions of standard estimators such as M-estimators and maximum-likelihood estimators. Under mild assumptions on the data, we obtain a precise asymptotic characterization of the performance of our method for general Gaussian designs, in the high-dimensional limit where the number of samples and covariate dimension grow proportionally. We show how this characterization can be used to efficiently construct a posterior distribution over change points. Numerical experiments on both simulated and real data illustrate the efficacy of Weighted ERM compared to existing approaches, demonstrating that sample weights constructed with weakly informative priors can yield accurate change point estimators. Our method is implemented as an open-source package, weightederm, available in Python and R.
fastml: Guarded Resampling Workflows for Safer Automated Machine Learning in R
Korkmaz, Selcuk, Goksuluk, Dincer, Karaismailoglu, Eda
Preprocessing leakage arises when scaling, imputation, or other data-dependent transformations are estimated before resampling, inflating apparent performance while remaining hard to detect. We present fastml, an R package that provides a single-call interface for leakage-aware machine learning through guarded resampling, where preprocessing is re-estimated inside each resample and applied to the corresponding assessment data. The package supports grouped and time-ordered resampling, blocks high-risk configurations, audits recipes for external dependencies, and includes sandboxed execution and integrated model explanation. We evaluate fastml with a Monte Carlo simulation contrasting global and fold-local normalization, a usability comparison with tidymodels under matched specifications, and survival benchmarks across datasets of different sizes. The simulation demonstrates that global preprocessing substantially inflates apparent performance relative to guarded resampling. fastml matched held-out performance obtained with tidymodels while reducing workflow orchestration, and it supported consistent benchmarking of multiple survival model classes through a unified interface.
Orthogonal machine learning for conditional odds and risk ratios
Conditional effects are commonly used measures for understanding how treatment effects vary across different groups, and are often used to target treatments/interventions to groups who benefit most. In this work we review existing methods and propose novel ones, focusing on the odds ratio (OR) and the risk ratio (RR). While estimation of the conditional average treatment effect (ATE) has been widely studied, estimators for the OR and RR lag behind, and cutting edge estimators such as those based on doubly robust transformations or orthogonal risk functions have not been generalized to these parameters. We propose such a generalization here, focusing on the DR-learner and the R-learner. We derive orthogonal risk functions for the OR and RR and show that the associated pseudo-outcomes satisfy second-order conditional-mean remainder properties analogous to the ATE case. We also evaluate estimators for the conditional ATE, OR, and RR in a comprehensive nonparametric Monte Carlo simulation study to compare them with common alternatives under hundreds of different data-generating distributions. Our numerical studies provide empirical guidance for choosing an estimator. For instance, they show that while parametric models are useful in very simple settings, the proposed nonparametric estimators significantly reduce bias and mean squared error in the more complex settings expected in the real world. We illustrate the methods in the analysis of physical activity and sleep trouble in U.S. adults using data from the National Health and Nutrition Examination Survey (NHANES). The results demonstrate that our estimators uncover substantial treatment effect heterogeneity that is obscured by traditional regression approaches and lead to improved treatment decision rules, highlighting the importance of data-adaptive methods for advancing precision health research.
Deep Learning for Sequential Decision Making under Uncertainty: Foundations, Frameworks, and Frontiers
Artificial intelligence (AI) is moving increasingly beyond prediction to support decisions in complex, uncertain, and dynamic environments. This shift creates a natural intersection with operations research and management sciences (OR/MS), which have long offered conceptual and methodological foundations for sequential decision-making under uncertainty. At the same time, recent advances in deep learning, including feedforward neural networks, LSTMs, transformers, and deep reinforcement learning, have expanded the scope of data-driven modeling and opened new possibilities for large-scale decision systems. This tutorial presents an OR/MS-centered perspective on deep learning for sequential decision-making under uncertainty. Its central premise is that deep learning is valuable not as a replacement for optimization, but as a complement to it. Deep learning brings adaptability and scalable approximation, whereas OR/MS provides the structural rigor needed to represent constraints, recourse, and uncertainty. The tutorial reviews key decision-making foundations, connects them to the major neural architectures in modern AI, and discusses leading approaches to integrating learning and optimization. It also highlights emerging impact in domains such as supply chains, healthcare and epidemic response, agriculture, energy, and autonomous operations. More broadly, it frames these developments as part of a wider transition from predictive AI toward decision-capable AI and highlights the role of OR/MS in shaping the next generation of integrated learning--optimization systems.
Cross-Spectral Witness for Hidden Nonequilibrium Beyond the Scalar Ceiling
Partial observation is a pervasive obstacle in nonequilibrium physics: coarse graining may absorb hidden forcing into an apparently equilibrium-like reduced description, so a driven system can look reversible through the only variables one can measure. For scalar Gaussian observables of linear stochastic systems, no time-irreversibility statistic can detect the underlying drive. The Lucente--Crisanti ceiling constrains what one channel carries; what two channels carry is a different question, with a sharp closed-form answer. Two simultaneously observed channels retain an off-diagonal cross-spectral sector inaccessible to any scalar reduction; under channel-separable multiplicative structure the observed-channel response factors cancel identically, leaving a closed-form cross-spectral witness controlled only by the hidden spectrum, the loadings, and the innovation scales, strictly positive at every nonzero cross-coupling including at exact timescale coalescence where every scalar reduction is blind. Within general CSM this certifies shared hidden-sector drive; under the additional one-way coupling assumption the witness identifies the total entropy production rate at leading order with a square-root scaling.
Neural Generalized Mixed-Effects Models
Slavutsky, Yuli, Salazar, Sebastian, Blei, David M.
Generalized linear mixed-effects models (GLMMs) are widely used to analyze grouped and hierarchical data. In a GLMM, each response is assumed to follow an exponential-family distribution where the natural parameter is given by a linear function of observed covariates and a latent group-specific random effect. Since exact marginalization over the random effects is typically intractable, model parameters are estimated by maximizing an approximate marginal likelihood. In this paper, we replace the linear function with neural networks. The result is a more flexible model, the neural generalized mixed-effects model (NGMM), which captures complex relationships between covariates and responses. To fit NGMM to data, we introduce an efficient optimization procedure that maximizes the approximate marginal likelihood and is differentiable with respect to network parameters. We show that the approximation error of our objective decays at a Gaussian-tail rate in a user-chosen parameter. On synthetic data, NGMM improves over GLMMs when covariate-response relationships are nonlinear, and on real-world datasets it outperforms prior methods. Finally, we analyze a large dataset of student proficiency to demonstrate how NGMM can be extended to more complex latent-variable models.
'Space worms' are en route to the International Space Station
Studying these nematodes will help scientists plan for a long-term human presence on the moon. 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. Breakthroughs, discoveries, and DIY tips sent six days a week. The Artemis II astronauts were back on Earth for less than a day before worms took their place in space. The space worms launched from Cape Canaveral, Florida, on April 11, aboard NASA's Commercial Resupply Services 24 mission (CRS-24) and are on a journey to the International Space Station (ISS).
Jackie and Shadow's 2026 babies: Everything you need to know about the new eaglets
Environment Animals Wildlife Birds Jackie and Shadow's 2026 babies: Everything you need to know about the new eaglets The two new chicks hatched in early April and are eating lots of fish, sleeping, and acting like siblings. 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 chicks are currently figuring out their "pecking order," or who gets first dibs on food. Breakthroughs, discoveries, and DIY tips sent six days a week. It's been another roller coaster nesting season for Jackie and Shadow, a pair of internet-famous bald eagle parents living in San Bernardino National Forest in Southern California.
Mystery item spotted in 2,000-year-old Egyptian child mummy
Critical information about this unknown boy was destroyed during World War II. 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. CT scanning and X-ray imaging allowed archaeologists to examine the mummy in extreme detail. Breakthroughs, discoveries, and DIY tips sent six days a week. Archaeologists in Poland are finally solving an over 2,000-year-old mummy mystery.