由于存在抗抗,因此仅由于例如损失跟踪而仅部分已知的抗抗,因此仅存在抗抗,因此存在于回归建模的具有挑战性。这些问题经常在医疗应用中出现,使生存分析成为医疗保健的生物统计学和机器学习的关键努力,Cox回归模型是最常用的模型。我们描述了一种基于COX回归的学习混合物来模拟各个生存分布的生存分析回归模型的新方法。我们提出了对该模型的预期最大化算法的近似,该算法对混合组进行了艰难的分配,以进行优化效率。在每个组分配中,我们使用深神经网络的每个组内的危险比以及每个混合物组分非参数的基线危害。我们对多个现实世界数据集进行实验,并查看种族和性别患者的死亡率。我们强调了校准在医疗保健环境中的重要性,并证明我们的方法在鉴别性能和校准方面表明了古典和现代生存分析基线,在少数人口统计数据上具有大的收益。
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Large language models (LLMs) have demonstrated impressive capabilities in natural language understanding and generation, but the quality bar for medical and clinical applications is high. Today, attempts to assess models' clinical knowledge typically rely on automated evaluations on limited benchmarks. There is no standard to evaluate model predictions and reasoning across a breadth of tasks. To address this, we present MultiMedQA, a benchmark combining six existing open question answering datasets spanning professional medical exams, research, and consumer queries; and HealthSearchQA, a new free-response dataset of medical questions searched online. We propose a framework for human evaluation of model answers along multiple axes including factuality, precision, possible harm, and bias. In addition, we evaluate PaLM (a 540-billion parameter LLM) and its instruction-tuned variant, Flan-PaLM, on MultiMedQA. Using a combination of prompting strategies, Flan-PaLM achieves state-of-the-art accuracy on every MultiMedQA multiple-choice dataset (MedQA, MedMCQA, PubMedQA, MMLU clinical topics), including 67.6% accuracy on MedQA (US Medical License Exam questions), surpassing prior state-of-the-art by over 17%. However, human evaluation reveals key gaps in Flan-PaLM responses. To resolve this we introduce instruction prompt tuning, a parameter-efficient approach for aligning LLMs to new domains using a few exemplars. The resulting model, Med-PaLM, performs encouragingly, but remains inferior to clinicians. We show that comprehension, recall of knowledge, and medical reasoning improve with model scale and instruction prompt tuning, suggesting the potential utility of LLMs in medicine. Our human evaluations reveal important limitations of today's models, reinforcing the importance of both evaluation frameworks and method development in creating safe, helpful LLM models for clinical applications.
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We address the problem of unsupervised domain adaptation when the source domain differs from the target domain because of a shift in the distribution of a latent subgroup. When this subgroup confounds all observed data, neither covariate shift nor label shift assumptions apply. We show that the optimal target predictor can be non-parametrically identified with the help of concept and proxy variables available only in the source domain, and unlabeled data from the target. The identification results are constructive, immediately suggesting an algorithm for estimating the optimal predictor in the target. For continuous observations, when this algorithm becomes impractical, we propose a latent variable model specific to the data generation process at hand. We show how the approach degrades as the size of the shift changes, and verify that it outperforms both covariate and label shift adjustment.
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Scholarly text is often laden with jargon, or specialized language that divides disciplines. We extend past work that characterizes science at the level of word types, by using BERT-based word sense induction to find additional words that are widespread but overloaded with different uses across fields. We define scholarly jargon as discipline-specific word types and senses, and estimate its prevalence across hundreds of fields using interpretable, information-theoretic metrics. We demonstrate the utility of our approach for science of science and computational sociolinguistics by highlighting two key social implications. First, we measure audience design, and find that most fields reduce jargon when publishing in general-purpose journals, but some do so more than others. Second, though jargon has varying correlation with articles' citation rates within fields, it nearly always impedes interdisciplinary impact. Broadly, our measurements can inform ways in which language could be revised to serve as a bridge rather than a barrier in science.
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The number of international benchmarking competitions is steadily increasing in various fields of machine learning (ML) research and practice. So far, however, little is known about the common practice as well as bottlenecks faced by the community in tackling the research questions posed. To shed light on the status quo of algorithm development in the specific field of biomedical imaging analysis, we designed an international survey that was issued to all participants of challenges conducted in conjunction with the IEEE ISBI 2021 and MICCAI 2021 conferences (80 competitions in total). The survey covered participants' expertise and working environments, their chosen strategies, as well as algorithm characteristics. A median of 72% challenge participants took part in the survey. According to our results, knowledge exchange was the primary incentive (70%) for participation, while the reception of prize money played only a minor role (16%). While a median of 80 working hours was spent on method development, a large portion of participants stated that they did not have enough time for method development (32%). 25% perceived the infrastructure to be a bottleneck. Overall, 94% of all solutions were deep learning-based. Of these, 84% were based on standard architectures. 43% of the respondents reported that the data samples (e.g., images) were too large to be processed at once. This was most commonly addressed by patch-based training (69%), downsampling (37%), and solving 3D analysis tasks as a series of 2D tasks. K-fold cross-validation on the training set was performed by only 37% of the participants and only 50% of the participants performed ensembling based on multiple identical models (61%) or heterogeneous models (39%). 48% of the respondents applied postprocessing steps.
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Compact and accurate representations of 3D shapes are central to many perception and robotics tasks. State-of-the-art learning-based methods can reconstruct single objects but scale poorly to large datasets. We present a novel recursive implicit representation to efficiently and accurately encode large datasets of complex 3D shapes by recursively traversing an implicit octree in latent space. Our implicit Recursive Octree Auto-Decoder (ROAD) learns a hierarchically structured latent space enabling state-of-the-art reconstruction results at a compression ratio above 99%. We also propose an efficient curriculum learning scheme that naturally exploits the coarse-to-fine properties of the underlying octree spatial representation. We explore the scaling law relating latent space dimension, dataset size, and reconstruction accuracy, showing that increasing the latent space dimension is enough to scale to large shape datasets. Finally, we show that our learned latent space encodes a coarse-to-fine hierarchical structure yielding reusable latents across different levels of details, and we provide qualitative evidence of generalization to novel shapes outside the training set.
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Efficient characterization of highly entangled multi-particle systems is an outstanding challenge in quantum science. Recent developments have shown that a modest number of randomized measurements suffices to learn many properties of a quantum many-body system. However, implementing such measurements requires complete control over individual particles, which is unavailable in many experimental platforms. In this work, we present rigorous and efficient algorithms for learning quantum many-body states in systems with any degree of control over individual particles, including when every particle is subject to the same global field and no additional ancilla particles are available. We numerically demonstrate the effectiveness of our algorithms for estimating energy densities in a U(1) lattice gauge theory and classifying topological order using very limited measurement capabilities.
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Importance: Social determinants of health (SDOH) are known to be associated with increased risk of suicidal behaviors, but few studies utilized SDOH from unstructured electronic health record (EHR) notes. Objective: To investigate associations between suicide and recent SDOH, identified using structured and unstructured data. Design: Nested case-control study. Setting: EHR data from the US Veterans Health Administration (VHA). Participants: 6,122,785 Veterans who received care in the US VHA between October 1, 2010, and September 30, 2015. Exposures: Occurrence of SDOH over a maximum span of two years compared with no occurrence of SDOH. Main Outcomes and Measures: Cases of suicide deaths were matched with 4 controls on birth year, cohort entry date, sex, and duration of follow-up. We developed an NLP system to extract SDOH from unstructured notes. Structured data, NLP on unstructured data, and combining them yielded seven, eight and nine SDOH respectively. Adjusted odds ratios (aORs) and 95% confidence intervals (CIs) were estimated using conditional logistic regression. Results: In our cohort, 8,821 Veterans committed suicide during 23,725,382 person-years of follow-up (incidence rate 37.18 /100,000 person-years). Our cohort was mostly male (92.23%) and white (76.99%). Across the six common SDOH as covariates, NLP-extracted SDOH, on average, covered 84.38% of all SDOH occurrences. All SDOH, measured by structured data and NLP, were significantly associated with increased risk of suicide. The SDOH with the largest effects was legal problems (aOR=2.67, 95% CI=2.46-2.89), followed by violence (aOR=2.26, 95% CI=2.11-2.43). NLP-extracted and structured SDOH were also associated with suicide. Conclusions and Relevance: NLP-extracted SDOH were always significantly associated with increased risk of suicide among Veterans, suggesting the potential of NLP in public health studies.
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Many scientific fields -- including biology, health, education, and the social sciences -- use machine learning (ML) to help them analyze data at an unprecedented scale. However, ML researchers who develop advanced methods rarely provide detailed tutorials showing how to apply these methods. Existing tutorials are often costly to participants, presume extensive programming knowledge, and are not tailored to specific application fields. In an attempt to democratize ML methods, we organized a year-long, free, online tutorial series targeted at teaching advanced natural language processing (NLP) methods to computational social science (CSS) scholars. Two organizers worked with fifteen subject matter experts to develop one-hour presentations with hands-on Python code for a range of ML methods and use cases, from data pre-processing to analyzing temporal variation of language change. Although live participation was more limited than expected, a comparison of pre- and post-tutorial surveys showed an increase in participants' perceived knowledge of almost one point on a 7-point Likert scale. Furthermore, participants asked thoughtful questions during tutorials and engaged readily with tutorial content afterwards, as demonstrated by 10K~total views of posted tutorial recordings. In this report, we summarize our organizational efforts and distill five principles for democratizing ML+X tutorials. We hope future organizers improve upon these principles and continue to lower barriers to developing ML skills for researchers of all fields.
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In this technical note, we introduce an improved variant of nearest neighbors for counterfactual inference in panel data settings where multiple units are assigned multiple treatments over multiple time points, each sampled with constant probabilities. We call this estimator a doubly robust nearest neighbor estimator and provide a high probability non-asymptotic error bound for the mean parameter corresponding to each unit at each time. Our guarantee shows that the doubly robust estimator provides a (near-)quadratic improvement in the error compared to nearest neighbor estimators analyzed in prior work for these settings.
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