Numerous real-world systems, ranging from healthcare to energy grids, involve users competing for finite and potentially scarce resources. Designing policies for repeated resource allocation in such real-world systems is challenging for many reasons, including the changing nature of user types and their (possibly urgent) need for resources. Researchers have developed numerous machine learning solutions for determining repeated resource allocation policies in these challenging settings. However, a key limitation has been the absence of good methods and test-beds for benchmarking these policies; almost all resource allocation policies are benchmarked in environments which are either completely synthetic or do not allow any deviation from historical data. In this paper we introduce AllSim, which is a benchmarking environment for realistically simulating the impact and utility of policies for resource allocation in systems in which users compete for such scarce resources. Building such a benchmarking environment is challenging because it needs to successfully take into account the entire collective of potential users and the impact a resource allocation policy has on all the other users in the system. AllSim's benchmarking environment is modular (each component being parameterized individually), learnable (informed by historical data), and customizable (adaptable to changing conditions). These, when interacting with an allocation policy, produce a dataset of simulated outcomes for evaluation and comparison of such policies. We believe AllSim is an essential step towards a more systematic evaluation of policies for scarce resource allocation compared to current approaches for benchmarking such methods.

Recipient Organ Causeofdeath Name Mean (std.)

Breakthroughs, discoveries, and DIY tips sent six days a week. In Mary Shelley's, a mad scientist creates a monstrous creature with severed body parts. In certain film adaptations, a dismembered head is tacked onto the malformed body. Then, with the help of a lightning storm, a new life is born. From the first successful kidney transplant in 1954, modern organ transplantation has often been linked to the horrors of Frankenstein .

Numerous real-world systems, ranging from healthcare to energy grids, involve users competing for finite and potentially scarce resources.

Numerous real-world systems, ranging from healthcare to energy grids, involve users competing for finite and potentially scarce resources.

Graft-versus-host disease (GVHD) is a rare but often fatal complication in liver transplantation, with a very high mortality rate. By harnessing multi-modal deep learning methods to integrate heterogeneous and imbalanced electronic health records (EHR), we aim to advance early prediction of GVHD, paving the way for timely intervention and improved patient outcomes. In this study, we analyzed pre-transplant electronic health records (EHR) spanning the period before surgery for 2,100 liver transplantation patients, including 42 cases of graft-versus-host disease (GVHD), from a cohort treated at Mayo Clinic between 1992 and 2025. The dataset comprised four major modalities: patient demographics, laboratory tests, diagnoses, and medications. We developed a multi-modal deep learning framework that dynamically fuses these modalities, handles irregular records with missing values, and addresses extreme class imbalance through AUC-based optimization. The developed framework outperforms all single-modal and multi-modal machine learning baselines, achieving an AUC of 0.836, an AUPRC of 0.157, a recall of 0.768, and a specificity of 0.803. It also demonstrates the effectiveness of our approach in capturing complementary information from different modalities, leading to improved performance. Our multi-modal deep learning framework substantially improves existing approaches for early GVHD prediction. By effectively addressing the challenges of heterogeneity and extreme class imbalance in real-world EHR, it achieves accurate early prediction. Our proposed multi-modal deep learning method demonstrates promising results for early prediction of a GVHD in liver transplantation, despite the challenge of extremely imbalanced EHR data.

Thousands of patients worldwide are waiting for a potentially life-saving donor. Thousands of patients worldwide are waiting for a potentially life-saving donor. Doctors have developed an AI tool that could reduce wasted efforts to transplant organs by 60%. Thousands of patients worldwide are waiting for a potentially life-saving donor, and more candidates are stuck on waiting lists than there are available organs. Recently, in cases where people need a liver transplant, access has been expanded by using donors who die after cardiac arrest.