Parents in north London have been told their children could be excluded from school if they are not fully vaccinated against measles amid an outbreak of the highly-contagious disease. Unvaccinated pupils identified as close contacts of people with measles could be excluded for 21 days in accordance with national guidelines, Enfield Council said in a letter to all parents in the borough in late January. At least 34 children have contracted measles in Enfield so far this year, the UK Health Security Agency (UKHSA) has said, and a number sent to hospital. A local health chief meanwhile told the BBC: We are worried because actually, this is a significantly increased number than what we're used to. Asking unvaccinated, close contacts of measles cases to stay off school is fairly standard practice when there are local outbreaks.

In this work we explored the use of patient specific reinforced learning to generate 3D activity maps from two 2D planar images (anterior and posterior). The solution of this problem remains unachievable using conventional methodologies and is of particular interest for dosimetry in nuclear medicine where approaches for post-therapy distribution of radiopharmaceuticals such as 177Lu-PSMA are typically done via either expensive and long 3D SPECT acquisitions or fast, yet only 2D, planar scintigraphy. Being able to generate 3D activity maps from planar scintigraphy opens the gate for new dosimetry applications removing the need for SPECT and facilitating multi-time point dosimetry studies. Our solution comprises the generation of a patient specific dataset with possible 3D uptake maps of the radiopharmaceuticals withing the anatomy of the individual followed by an AI approach (we explored both the use of 3DUnet and diffusion models) able to generate 3D activity maps from 2D planar images. We have validated our method both in simulation and real planar acquisitions. We observed enhanced results using patient specific reinforcement learning (~20% reduction on MAE and ~5% increase in SSIM) and better organ delineation and patient anatomy especially when combining diffusion models with patient specific training yielding a SSIM=0.89 compared to the ground truth for simulations and 0.73 when compared to a SPECT acquisition performed half an hour after the planar. We believe that our methodology can set a change of paradigm for nuclear medicine dosimetry allowing for 3D quantification using only planar scintigraphy without the need of expensive and time-consuming SPECT leveraging the pre-therapy information of the patients.

This paper explores the use of large language models (LLMs) to assist in the development of new disease modules for Synthea, an open-source synthetic health data generator. Incorporating LLMs into the module development process has the potential to reduce development time, reduce required expertise, expand model diversity, and improve the overall quality of synthetic patient data. We demonstrate four ways that LLMs can support Synthea module creation: generating a disease profile, generating a disease module from a disease profile, evaluating an existing Synthea module, and refining an existing module. We introduce the concept of progressive refinement, which involves iteratively evaluating the LLM-generated module by checking its syntactic correctness and clinical accuracy, and then using that information to modify the module. While the use of LLMs in this context shows promise, we also acknowledge the challenges and limitations, such as the need for human oversight, the importance of rigorous testing and validation, and the potential for inaccuracies in LLM-generated content. The paper concludes with recommendations for future research and development to fully realize the potential of LLM-aided synthetic data creation.

The alteration of the climate in various areas of the world is of increasing concern since climate stability is a necessary condition for human survival as well as every living organism. The main reason of climate change is the greenhouse effect caused by the accumulation of carbon dioxide in the atmosphere. In this paper, we design a networked system underpinned by compartmental dynamical thermodynamics to circulate the atmospheric carbon dioxide. Specifically, in the carbon dioxide emitter compartment, we develop an initial-condition-dependent finite-time stabilizing controller that guarantees stability within a desired time leveraging the system property of affinity in the control. Then, to compensate for carbon emissions we show that a cultivation of microalgae with a volume 625 times bigger than the one of the carbon emitter is required. To increase the carbon uptake of the microalgae, we implement the nonaffine-in-the-control microalgae dynamical equations as an environment of a state-of-the-art library for reinforcement learning (RL), namely, Stable-Baselines3, and then, through the library, we test the performance of eight RL algorithms for training a controller that maximizes the microalgae absorption of carbon through the light intensity. All the eight controllers increased the carbon absorption of the cultivation during a training of 200,000 time steps with a maximum episode length of 200 time steps and with no termination conditions. This work is a first step towards approaching net zero as a classical and learning-based network control problem. The source code is publicly available.

Bacterial cells use run-and-tumble motion to climb up attractant concentration gradient in their environment. By extending the uphill runs and shortening the downhill runs the cells migrate towards the higher attractant zones. Motivated by this, we formulate a reinforcement learning (RL) algorithm where an agent moves in one dimension in the presence of an attractant gradient. The agent can perform two actions: either persistent motion in the same direction or reversal of direction. We assign costs for these actions based on the recent history of the agent's trajectory. We ask the question: which RL strategy works best in different types of attractant environment. We quantify efficiency of the RL strategy by the ability of the agent (a) to localize in the favorable zones after large times, and (b) to learn about its complete environment. Depending on the attractant profile and the initial condition, we find an optimum balance is needed between exploration and exploitation to ensure the most efficient performance.

For the last three years, the AutoPET competition gathered the medical imaging community around a hot topic: lesion segmentation on Positron Emitting Tomography (PET) scans. Each year a different aspect of the problem is presented; in 2024 the multiplicity of existing and used tracers was at the core of the challenge. Specifically, this year's edition aims to develop a fully automatic algorithm capable of performing lesion segmentation on a PET/CT scan, without knowing the tracer, which can either be a FDG or PSMA-based tracer. In this paper we describe how we used the nnUNetv2[1] framework to train two sets of 6 fold ensembles of models to perform fully automatic PET/CT lesion segmentation as well as a MIP-CNN to choose which set of models to use for segmentation.

In this study, we explore the potential of using quantum natural language processing (QNLP) to inverse design metal-organic frameworks (MOFs) with targeted properties. Specifically, by analyzing 150 hypothetical MOF structures consisting of 10 metal nodes and 15 organic ligands, we categorize these structures into four distinct classes for pore volume and $H_{2}$ uptake values. We then compare various QNLP models (i.e. the bag-of-words, DisCoCat (Distributional Compositional Categorical), and sequence-based models) to identify the most effective approach to process the MOF dataset. Using a classical simulator provided by the IBM Qiskit, the bag-of-words model is identified to be the optimum model, achieving validation accuracies of 85.7% and 86.7% for binary classification tasks on pore volume and $H_{2}$ uptake, respectively. Further, we developed multi-class classification models tailored to the probabilistic nature of quantum circuits, with average test accuracies of 88.4% and 80.7% across different classes for pore volume and $H_{2}$ uptake datasets. Finally, the performance of generating MOF with target properties showed accuracies of 93.5% for pore volume and 89% for $H_{2}$ uptake, respectively. Although our investigation covers only a fraction of the vast MOF search space, it marks a promising first step towards using quantum computing for materials design, offering a new perspective through which to explore the complex landscape of MOFs.

With the rapid growth of cloud computing, a variety of software services have been deployed in the cloud. To ensure the reliability of cloud services, prior studies focus on failure instance (disk, node, and switch, etc.) prediction. Once the output of prediction is positive, mitigation actions are taken to rapidly resolve the underlying failure. According to our real-world practice in Microsoft Azure, we find that the prediction accuracy may decrease by about 9% after retraining the models. Considering that the mitigation actions may result in uncertain positive instances since they cannot be verified after mitigation, which may introduce more noise while updating the prediction model. To the best of our knowledge, we are the first to identify this Uncertain Positive Learning (UPLearning) issue in the real-world cloud failure prediction scenario. To tackle this problem, we design an Uncertain Positive Learning Risk Estimator (Uptake) approach. Using two real-world datasets of disk failure prediction and conducting node prediction experiments in Microsoft Azure, which is a top-tier cloud provider that serves millions of users, we demonstrate Uptake can significantly improve the failure prediction accuracy by 5% on average.

ChatMOF is an autonomous Artificial Intelligence (AI) system that is built to predict and generate metal-organic frameworks (MOFs). By leveraging a large-scale language model (GPT-4 and GPT-3.5-turbo), ChatMOF extracts key details from textual inputs and delivers appropriate responses, thus eliminating the necessity for rigid structured queries. The system is comprised of three core components (i.e. an agent, a toolkit, and an evaluator) and it forms a robust pipeline that manages a variety of tasks, including data retrieval, property prediction, and structure generations. The study further explores the merits and constraints of using large language models (LLMs) AI system in material sciences using and showcases its transformative potential for future advancements.

Classroom discourse is a core medium of instruction - analyzing it can provide a window into teaching and learning as well as driving the development of new tools for improving instruction. We introduce the largest dataset of mathematics classroom transcripts available to researchers, and demonstrate how this data can help improve instruction. The dataset consists of 1,660 45-60 minute long 4th and 5th grade elementary mathematics observations collected by the National Center for Teacher Effectiveness (NCTE) between 2010-2013. The anonymized transcripts represent data from 317 teachers across 4 school districts that serve largely historically marginalized students. The transcripts come with rich metadata, including turn-level annotations for dialogic discourse moves, classroom observation scores, demographic information, survey responses and student test scores. We demonstrate that our natural language processing model, trained on our turn-level annotations, can learn to identify dialogic discourse moves and these moves are correlated with better classroom observation scores and learning outcomes. This dataset opens up several possibilities for researchers, educators and policymakers to learn about and improve K-12 instruction. The dataset can be found at https://github.com/ddemszky/classroom-transcript-analysis.