Large language models (LLMs) can extract information from veterinary electronic health records (EHRs), but performance differences between models, the effect of temperature settings, and the influence of text ambiguity have not been previously evaluated. This study addresses these gaps by comparing the performance of GPT-4 omni (GPT-4o) and GPT-3.5 Turbo under different conditions and investigating the relationship between human interobserver agreement and LLM errors. The LLMs and five humans were tasked with identifying six clinical signs associated with Feline chronic enteropathy in 250 EHRs from a veterinary referral hospital. At temperature 0, the performance of GPT-4o compared to the majority opinion of human respondents, achieved 96.9% sensitivity (interquartile range [IQR] 92.9-99.3%), 97.6% specificity (IQR 96.5-98.5%), 80.7% positive predictive value (IQR 70.8-84.6%), 99.5% negative predictive value (IQR 99.0-99.9%), 84.4% F1 score (IQR 77.3-90.4%), and 96.3% balanced accuracy (IQR 95.0-97.9%). The performance of GPT-4o was significantly better than that of its predecessor, GPT-3.5 Turbo, particularly with respect to sensitivity where GPT-3.5 Turbo only achieved 81.7% (IQR 78.9-84.8%). Adjusting the temperature for GPT-4o did not significantly impact classification performance. GPT-4o demonstrated greater reproducibility than human pairs regardless of temperature, with an average Cohen's kappa of 0.98 (IQR 0.98-0.99) at temperature 0 compared to 0.8 (IQR 0.78-0.81) for humans. Most GPT-4o errors occurred in instances where humans disagreed (35/43 errors, 81.4%), suggesting that these errors were more likely caused by ambiguity of the EHR than explicit model faults. Using GPT-4o to automate information extraction from veterinary EHRs is a viable alternative to manual extraction.

Keywords: animal behavior, dairy cattle, digital dermatitis, sensor data, machine learning Abstract The aim of this study was to employ machine learning algorithms based on sensor behavior data for (1) early-onset detection of digital dermatitis (DD); and (2) DD prediction in dairy cows. With the ultimate goal to set-up early warning tools for DD prediction, which would than allow a better monitoring and management of DD under commercial settings, resulting in a decrease of DD prevalence and severity, while improving animal welfare. A machine learning model that is capable of predicting and detecting digital dermatitis in cows housed under free-stall conditions based on behavior sensor data has been purposed and tested in this exploratory study. The model for DD detection on day 0 of the appearance of the clinical signs has reached an accuracy of 79%, while the model for prediction of DD 2 days prior to the appearance of the first clinical signs has reached an accuracy of 64%. The proposed machine learning models could help to develop a real-time automated tool for monitoring and diagnostic of DD in lactating dairy cows, based on behavior sensor data under conventional dairy environments. Results showed that alterations in behavioral patterns at individual levels can be used as inputs in an early warning system for herd management in order to detect variances in health of individual cows.

Ten years ago, 12-year-old Rory Staunton dove for a ball in gym class and scraped his arm. He woke up the next day with a 104 F fever, so his parents took him to the pediatrician and eventually the emergency room. It was just the stomach flu, they were told. Three days later, Rory died of sepsis after bacteria from the scrape infiltrated his blood and triggered organ failure. "How does that happen in a modern society?" his father, Ciaran Staunton, said in a recent interview with Undark.

Existing approaches and datasets for face aging produce results skewed towards the mean, with individual variations and expression wrinkles often invisible or overlooked in favor of global patterns such as the fattening of the face. Moreover, they offer little to no control over the way the faces are aged and can difficultly be scaled to large images, thus preventing their usage in many real-world applications. To address these limitations, we present an approach to change the appearance of a high-resolution image using ethnicity-specific aging information and weak spatial supervision to guide the aging process. We demonstrate the advantage of our proposed method in terms of quality, control, and how it can be used on high-definition images while limiting the computational overhead.