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In the field of lung cancer research, particularly in the analysis of overall survival (OS), artificial intelligence (AI) serves crucial roles with specific aims. Given the prevalent issue of missing data in the medical domain, our primary objective is to develop an AI model capable of dynamically handling this missing data. Additionally, we aim to leverage all accessible data, effectively analyzing both uncensored patients who have experienced the event of interest and censored patients who have not, by embedding a specialized technique within our AI model, not commonly utilized in other AI tasks. Through the realization of these objectives, our model aims to provide precise OS predictions for non-small cell lung cancer (NSCLC) patients, thus overcoming these significant challenges. We present a novel approach to survival analysis with missing values in the context of NSCLC, which exploits the strengths of the transformer architecture to account only for available features without requiring any imputation strategy. More specifically, this model tailors the transformer architecture to tabular data by adapting its feature embedding and masked self-attention to mask missing data and fully exploit the available ones. By making use of ad-hoc designed losses for OS, it is able to account for both censored and uncensored patients, as well as changes in risks over time. We compared our method with state-of-the-art models for survival analysis coupled with different imputation strategies. We evaluated the results obtained over a period of 6 years using different time granularities obtaining a Ct-index, a time-dependent variant of the C-index, of 71.97, 77.58 and 80.72 for time units of 1 month, 1 year and 2 years, respectively, outperforming all state-of-the-art methods regardless of the imputation method used.

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Despite extensive research on adversarial training strategies to improve robustness, the decisions of even the most robust deep learning models can still be quite sensitive to imperceptible perturbations, creating serious risks when deploying them for high-stakes real-world applications. While detecting such cases may be critical, evaluating a model's vulnerability at a per-instance level using adversarial attacks is computationally too intensive and unsuitable for real-time deployment scenarios. The input space margin is the exact score to detect non-robust samples and is intractable for deep neural networks. This paper introduces the concept of margin consistency -- a property that links the input space margins and the logit margins in robust models -- for efficient detection of vulnerable samples. First, we establish that margin consistency is a necessary and sufficient condition to use a model's logit margin as a score for identifying non-robust samples. Next, through comprehensive empirical analysis of various robustly trained models on CIFAR10 and CIFAR100 datasets, we show that they indicate strong margin consistency with a strong correlation between their input space margins and the logit margins. Then, we show that we can effectively use the logit margin to confidently detect brittle decisions with such models and accurately estimate robust accuracy on an arbitrarily large test set by estimating the input margins only on a small subset. Finally, we address cases where the model is not sufficiently margin-consistent by learning a pseudo-margin from the feature representation. Our findings highlight the potential of leveraging deep representations to efficiently assess adversarial vulnerability in deployment scenarios.

Targeted protein degradation (TPD) is a rapidly growing field in modern drug discovery that aims to regulate the intracellular levels of proteins by harnessing the cell's innate degradation pathways to selectively target and degrade disease-related proteins. This strategy creates new opportunities for therapeutic intervention in cases where occupancy-based inhibitors have not been successful. Proteolysis-targeting chimeras (PROTACs) are at the heart of TPD strategies, which leverage the ubiquitin-proteasome system for the selective targeting and proteasomal degradation of pathogenic proteins. As the field evolves, it becomes increasingly apparent that the traditional methodologies for designing such complex molecules have limitations. This has led to the use of machine learning (ML) and generative modeling to improve and accelerate the development process. In this review, we explore the impact of ML on de novo PROTAC design $-$ an aspect of molecular design that has not been comprehensively reviewed despite its significance. We delve into the distinct characteristics of PROTAC linker design, underscoring the complexities required to create effective bifunctional molecules capable of TPD. We then examine how ML in the context of fragment-based drug design (FBDD), honed in the realm of small-molecule drug discovery, is paving the way for PROTAC linker design. Our review provides a critical evaluation of the limitations inherent in applying this method to the complex field of PROTAC development. Moreover, we review existing ML works applied to PROTAC design, highlighting pioneering efforts and, importantly, the limitations these studies face. By offering insights into the current state of PROTAC development and the integral role of ML in PROTAC design, we aim to provide valuable perspectives for researchers in their pursuit of better design strategies for this new modality.

One of the fundamental challenges in drawing causal inferences from observational studies is that the assumption of no unmeasured confounding is not testable from observed data. Therefore, assessing sensitivity to this assumption's violation is important to obtain valid causal conclusions in observational studies. Although several sensitivity analysis frameworks are available in the casual inference literature, very few of them are applicable to observational studies with multivalued treatments. To address this issue, we propose a sensitivity analysis framework for performing sensitivity analysis in multivalued treatment settings. Within this framework, a general class of additive causal estimands has been proposed. We demonstrate that the estimation of the causal estimands under the proposed sensitivity model can be performed very efficiently. Simulation results show that the proposed framework performs well in terms of bias of the point estimates and coverage of the confidence intervals when there is sufficient overlap in the covariate distributions. We illustrate the application of our proposed method by conducting an observational study that estimates the causal effect of fish consumption on blood mercury levels.

In many observational studies in social science and medicine, subjects or units are connected, and one unit's treatment and attributes may affect another's treatment and outcome, violating the stable unit treatment value assumption (SUTVA) and resulting in interference. To enable feasible estimation and inference, many previous works assume exchangeability of interfering units (neighbors). However, in many applications with distinctive units, interference is heterogeneous and needs to be modeled explicitly. In this paper, we focus on the partial interference setting, and only restrict units to be exchangeable conditional on observable characteristics. Under this framework, we propose generalized augmented inverse propensity weighted (AIPW) estimators for general causal estimands that include heterogeneous direct and spillover effects. We show that they are semiparametric efficient and robust to heterogeneous interference as well as model misspecifications. We apply our methods to the Add Health dataset to study the direct effects of alcohol consumption on academic performance and the spillover effects of parental incarceration on adolescent well-being.

Schizophrenia is a debilitating, chronic mental disorder that significantly impacts an individual's cognitive abilities, behavior, and social interactions. It is characterized by subtle morphological changes in the brain, particularly in the gray matter. These changes are often imperceptible through manual observation, demanding an automated approach to diagnosis. This study introduces a deep learning methodology for the classification of individuals with Schizophrenia. We achieve this by implementing a diversified attention mechanism known as Spatial Sequence Attention (SSA) which is designed to extract and emphasize significant feature representations from structural MRI (sMRI). Initially, we employ the transfer learning paradigm by leveraging pre-trained DenseNet to extract initial feature maps from the final convolutional block which contains morphological alterations associated with Schizophrenia. These features are further processed by the proposed SSA to capture and emphasize intricate spatial interactions and relationships across volumes within the brain. Our experimental studies conducted on a clinical dataset have revealed that the proposed attention mechanism outperforms the existing Squeeze & Excitation Network for Schizophrenia classification.

Ultrasonography has revolutionized non-invasive diagnostic methodologies, significantly enhancing patient outcomes across various medical domains. Despite its advancements, integrating ultrasound technology with robotic systems for automated scans presents challenges, including limited command understanding and dynamic execution capabilities. To address these challenges, this paper introduces a novel Ultrasound Embodied Intelligence system that synergistically combines ultrasound robots with large language models (LLMs) and domain-specific knowledge augmentation, enhancing ultrasound robots' intelligence and operational efficiency. Our approach employs a dual strategy: firstly, integrating LLMs with ultrasound robots to interpret doctors' verbal instructions into precise motion planning through a comprehensive understanding of ultrasound domain knowledge, including APIs and operational manuals; secondly, incorporating a dynamic execution mechanism, allowing for real-time adjustments to scanning plans based on patient movements or procedural errors. We demonstrate the effectiveness of our system through extensive experiments, including ablation studies and comparisons across various models, showcasing significant improvements in executing medical procedures from verbal commands. Our findings suggest that the proposed system improves the efficiency and quality of ultrasound scans and paves the way for further advancements in autonomous medical scanning technologies, with the potential to transform non-invasive diagnostics and streamline medical workflows.

Recent strides in automatic speech recognition (ASR) have accelerated their application in the medical domain where their performance on accented medical named entities (NE) such as drug names, diagnoses, and lab results, is largely unknown. We rigorously evaluate multiple ASR models on a clinical English dataset of 93 African accents. Our analysis reveals that despite some models achieving low overall word error rates (WER), errors in clinical entities are higher, potentially posing substantial risks to patient safety. To empirically demonstrate this, we extract clinical entities from transcripts, develop a novel algorithm to align ASR predictions with these entities, and compute medical NE Recall, medical WER, and character error rate. Our results show that fine-tuning on accented clinical speech improves medical WER by a wide margin (25-34 % relative), improving their practical applicability in healthcare environments.

We propose the Compact Coupling Interface Method (CCIM), a finite difference method capable of obtaining second-order accurate approximations of not only solution values but their gradients, for elliptic complex interface problems with interfacial jump conditions. Such elliptic interface boundary value problems with interfacial jump conditions are a critical part of numerous applications in fields such as heat conduction, fluid flow, materials science, and protein docking, to name a few. A typical example involves the construction of biomolecular shapes, where such elliptic interface problems are in the form of linearized Poisson-Boltzmann equations, involving discontinuous dielectric constants across the interface, that govern electrostatic contributions. Additionally, when interface dynamics are involved, the normal velocity of the interface might be comprised of the normal derivatives of solution, which can be approximated to second-order by our method, resulting in accurate interface dynamics. Our method, which can be formulated in arbitrary spatial dimensions, combines elements of the highly-regarded Coupling Interface Method, for such elliptic interface problems, and Smereka's second-order accurate discrete delta function. The result is a variation and hybrid with a more compact stencil than that found in the Coupling Interface Method, and with advantages, borne out in numerical experiments involving both geometric model problems and complex biomolecular surfaces, in more robust error profiles.

In recent years, many estimation problems in robotics have been shown to be solvable to global optimality using their semidefinite relaxations. However, the runtime complexity of off-the-shelf semidefinite programming solvers is up to cubic in problem size, which inhibits real-time solutions of problems involving large state dimensions. We show that for a large class of problems, namely those with chordal sparsity, we can reduce the complexity of these solvers to linear in problem size. In particular, we show how to replace the large positive-semidefinite variable by a number of smaller interconnected ones using the well-known chordal decomposition. This formulation also allows for the straightforward application of the alternating direction method of multipliers (ADMM), which can exploit parallelism for increased scalability. We show in simulation that the algorithms provide a significant speed up for two example problems: matrix-weighted and range-only localization.

Given the high cost of collecting robotic data in the real world, sample efficiency is a consistently compelling pursuit in robotics. In this paper, we introduce SGRv2, an imitation learning framework that enhances sample efficiency through improved visual and action representations. Central to the design of SGRv2 is the incorporation of a critical inductive bias-action locality, which posits that robot's actions are predominantly influenced by the target object and its interactions with the local environment. Extensive experiments in both simulated and real-world settings demonstrate that action locality is essential for boosting sample efficiency. SGRv2 excels in RLBench tasks with keyframe control using merely 5 demonstrations and surpasses the RVT baseline in 23 of 26 tasks. Furthermore, when evaluated on ManiSkill2 and MimicGen using dense control, SGRv2's success rate is 2.54 times that of SGR. In real-world environments, with only eight demonstrations, SGRv2 can perform a variety of tasks at a markedly higher success rate compared to baseline models. Project website: //sgrv2-robot.github.io

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