Learning a measure of similarity between pairs of objects is an important generic problem in machine learning. It is particularly useful in large scale applications like searching for an image that is similar to a given image or finding videos that are relevant to a given video. In these tasks, users look for objects that are not only visually similar but also semantically related to a given object. Unfortunately, the approaches that exist today for learning such semantic similarity do not scale to large datasets. This is both because typically their CPU and storage requirements grow quadratically with the sample size, and because many methods impose complex positivity constraints on the space of learned similarity functions.The current paper presents OASIS, an Online Algorithm for Scalable Image Similarity learning that learns a bilinear similarity measure over sparse representations. OASIS is an online dual approach using the passive-aggressive family of learning algorithms with a large margin criterion and an efficient hinge loss cost. Our experiments show that OASIS is both fast and accurate at a wide range of scales: for a dataset with thousands of images, it achieves better results than existing state-of-the-art methods, while being an order of magnitude faster. For large, web scale, datasets, OASIS can be trained on more than two million images from 150K text queries within 3 days on a single CPU. On this large scale dataset, human evaluations showed that 35% of the ten nearest neighbors of a given test image, as found by OASIS, were semantically relevant to that image. This suggests that query independent similarity could be accurately learned even for large scale datasets that could not be handled before.
Statisticians have made great progress in creating methods that reduce our reliance on parametric assumptions. However this explosion in research has resulted in a breadth of inferential strategies that both create opportunities for more reliable inference as well as complicate the choices that an applied researcher has to make and defend. Relatedly, researchers advocating for new methods typically compare their method to at best 2 or 3 other causal inference strategies and test using simulations that may or may not be designed to equally tease out flaws in all the competing methods. The causal inference data analysis challenge, "Is Your SATT Where It's At?", launched as part of the 2016 Atlantic Causal Inference Conference, sought to make progress with respect to both of these issues. The researchers creating the data testing grounds were distinct from the researchers submitting methods whose efficacy would be evaluated. Results from 30 competitors across the two versions of the competition (black box algorithms and do-it-yourself analyses) are presented along with post-hoc analyses that reveal information about the characteristics of causal inference strategies and settings that affect performance. The most consistent conclusion was that methods that flexibly model the response surface perform better overall than methods that fail to do so. Finally new methods are proposed that combine features of several of the top-performing submitted methods.
A n effective and safe vaccination campaign is urgently needed to halt the rapid spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections and the resulting disease, COVID-19. The BNT162b2 vaccine, developed by BioNTech in cooperation with Pfizer, is a lipid nucleoside-modified RNA encoding the SARS-CoV-2 full-length spike protein 1 . Results from a phase 3 randomized placebo-controlled trial demonstrated that a two-dose regimen in a 21-d interval conferred 95% protection against laboratory-confirmed COVID-19 infection in individuals 16 years of age or older 2 . On 11 December 2020, the Food and Drug Administration issued an Emergency Use Authorization for emergency use of the vaccine for the prevention of COVID-19 (ref. 3 ), and, after that, an emergency use of the vaccine was also issued by the Israeli Ministry of Health (MOH).On 20 December 2020, Israel launched a national COVID-19 vaccination campaign 4 , in which BNT162b2 vaccines were administered. The Israeli health system comprises four health maintenance organizations (HMOs), and vaccinations were widely available, according to a prioritization schedule determined by the Israeli MOH. During the early phases of the distribution process, individuals considered as being at high risk for COVID-19 were prioritized for vaccination, including individuals older than 60 years, nursing home residents, healthcare workers and individuals with severe comorbidities. The vaccination campaign was further expanded for individuals aged 55 years and older 5 and 40 years 6 and older on 12 January 2021 and 19 January 2021, respectively. On 21 January, individuals aged 16-18 years were also prioritized for vaccination. On 28 January, the vaccination campaign expanded to those aged 35 and older 7 . On 4 February, all individuals aged 16 years and older were eligible to receive the vaccine. However, the HMOs were still instructed to focus their efforts on those aged 50 years and older 8 .
At the COVID-19 pandemic onset, when individual-level data of COVID-19 patients were not yet available, there was already a need for risk predictors to support prevention and treatment decisions. Here, we report a hybrid strategy to create such a predictor, combining the development of a baseline severe respiratory infection risk predictor and a post-processing method to calibrate the predictions to reported COVID-19 case-fatality rates. With the accumulation of a COVID-19 patient cohort, this predictor is validated to have good discrimination (area under the receiver-operating characteristics curve of 0.943) and calibration (markedly improved compared to that of the baseline predictor). At a 5% risk threshold, 15% of patients are marked as high-risk, achieving a sensitivity of 88%. We thus demonstrate that even at the onset of a pandemic, shrouded in epidemiologic fog of war, it is possible to provide a useful risk predictor, now widely used in a large healthcare organization.
The spread of Coronavirus disease 19 (COVID-19) has led to many healthcare systems being overwhelmed by the rapid emergence of new cases. Here, we study the ramifications of hospital load due to COVID-19 morbidity on in-hospital mortality of patients with COVID-19 by analyzing records of all 22,636 COVID-19 patients hospitalized in Israel from mid-July 2020 to mid-January 2021. We show that even under moderately heavy patient load (>500 countrywide hospitalized severely-ill patients; the Israeli Ministry of Health defined 800 severely-ill patients as the maximum capacity allowing adequate treatment), in-hospital mortality rate of patients with COVID-19 significantly increased compared to periods of lower patient load (250–500 severely-ill patients): 14-day mortality rates were 22.1% (Standard Error 3.1%) higher (mid-September to mid-October) and 27.2% (Standard Error 3.3%) higher (mid-December to mid-January). We further show this higher mortality rate cannot be attributed to changes in the patient population during periods of heavier load.
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