Tobacco use remains a leading preventable contributor to serious health conditions in the United States, notably chronic obstructive pulmonary disease (COPD) and severe COVID-19 complications. Within Louisiana's Medicaid population, tobacco use prevalence is particularly high compared to privately insured groups, yet its full impact on long-term outcomes is not fully understood. This study aimed to investigate how tobacco use, in conjunction with demographic and clinical risk factors, influences the incidence of COPD and COVID-19 among Medicaid enrollees over time. We analyzed Louisiana Department of Health data from January 2020 to February 2023. Chi-square tests were conducted to provide descriptive statistics, and multivariate logistic regression models were applied across three discrete waves to assess both cross-sectional and longitudinal associations between risk factors and disease outcomes. Enrollees without baseline diagnoses of COPD or COVID-19 were followed to determine new-onset cases in subsequent waves. Adjusted odds ratios (AOR) were calculated after controlling for socio-demographic variables, comorbidities, and healthcare utilization patterns. Tobacco use emerged a
How are AI assistants being used in the real world? While model providers in theory have a window into this impact via their users' data, both privacy concerns and practical challenges have made analyzing this data difficult. To address these issues, we present Clio (Claude insights and observations), a privacy-preserving platform that uses AI assistants themselves to analyze and surface aggregated usage patterns across millions of conversations, without the need for human reviewers to read raw conversations. We validate this can be done with a high degree of accuracy and privacy by conducting extensive evaluations. We demonstrate Clio's usefulness in two broad ways. First, we share insights about how models are being used in the real world from one million Claude.ai Free and Pro conversations, ranging from providing advice on hairstyles to providing guidance on Git operations and concepts. We also identify the most common high-level use cases on Claude.ai (coding, writing, and research tasks) as well as patterns that differ across languages (e.g., conversations in Japanese discuss elder care and aging populations at higher-than-typical rates). Second, we use Clio to make our syste
Large-scale systems that compute analytics over a fleet of devices must achieve high privacy and security standards while also meeting data quality, usability, and resource efficiency expectations. We present a next-generation federated analytics system that uses Trusted Execution Environments (TEEs) based on technologies like AMD SEV-SNP and Intel TDX to provide verifiable privacy guarantees for all server-side processing. In our system, devices encrypt and upload data, tagging it with a limited set of allowable server-side processing steps. An open source, TEE-hosted key management service guarantees that the data is accessible only to those steps, which are themselves protected by TEE confidentiality and integrity assurance guarantees. The system is designed for flexible workloads, including processing unstructured data with LLMs (for structured summarization) before aggregation into differentially private insights (with automatic parameter tuning). The transparency properties of our system allow any external party to verify that all raw and derived data is processed in TEEs, protecting it from inspection by the system operator, and that differential privacy is applied to all re
The problems that tobacco workshops encounter include poor curing, inconsistencies in supplies, irregular scheduling, and a lack of oversight, all of which drive up expenses and worse quality. Large quantities make manual examination costly, sluggish, and unreliable. Deep convolutional neural networks have recently made strides in capabilities that transcend those of conventional methods. To effectively enhance them, nevertheless, extensive customization is needed to account for subtle variations in tobacco grade. This study introduces InspectionV3, an integrated solution for automated flue-cured tobacco grading that makes use of a customized deep convolutional neural network architecture. A scope that covers color, maturity, and curing subtleties is established via a labelled dataset consisting of 21,113 images spanning 20 quality classes. Expert annotators performed preprocessing on the tobacco leaf images, including cleaning, labelling, and augmentation. Multi-layer CNN factors use batch normalization to describe domain properties like as permeability and moisture spots, and so account for the subtleties of the workshop. Its expertise lies in converting visual patterns into usef
Integrating non-Euclidean brain imaging data with Euclidean tabular data, such as clinical and demographic information, poses a substantial challenge for medical imaging analysis, particularly in forecasting future outcomes. While machine learning and deep learning techniques have been applied successfully to cross-sectional classification and prediction tasks, effectively forecasting outcomes in longitudinal imaging studies remains challenging. To address this challenge, we introduce a time-aware graph neural network model with transformer fusion (GNN-TF). This model flexibly integrates both tabular data and dynamic brain connectivity data, leveraging the temporal order of these variables within a coherent framework. By incorporating non-Euclidean and Euclidean sources of information from a longitudinal resting-state fMRI dataset from the National Consortium on Alcohol and Neurodevelopment in Adolescence (NCANDA), the GNN-TF enables a comprehensive analysis that captures critical aspects of longitudinal imaging data. Comparative analyses against a variety of established machine learning and deep learning models demonstrate that GNN-TF outperforms these state-of-the-art methods, de
Automated data insight mining and visualization have been widely used in various business intelligence applications (e.g., market analysis and product promotion). However, automated insight mining techniques often output the same mining results to different analysts without considering their personal preferences, while interactive insight discovery requires significant manual effort. This paper fills the gap by integrating automated insight mining with interactive data visualization and striking a proper balance between them to facilitate insight discovery and exploration. Specifically, we regard data insights as a special type of data and further present InsightMap, a novel visualization approach that uses the map metaphor to provide a quick overview and in-depth exploration of different data insights, where a metric is proposed to measure the similarity between different insights. The effectiveness and usability of InsightMap are demonstrated through extensive case studies and in-depth user interviews.
This study assesses the impact of tobacco billboard bans on smoking in Switzerland, exploiting their staggered adoption across regions, i.e., the cantons. Based on retrospective smoking histories from the Swiss Health Survey, a panel of individuals' annual smoking status is reconstructed, containing more than one million observations from 1993 to 2017. Estimation relies on staggered difference-in-differences as well as a complementary latent factor model, which relaxes the common trends assumption. The findings indicate that tobacco billboard bans lead to a reduction in smoking rates. Reductions of up to 0.9 percentage points correspond to an approximate 3% decline in the smoking rate. The effect is driven by women and individuals aged 25-44 and 65+. Overall, this evidence suggests that even partial tobacco advertising bans, such as billboard bans, can effectively reduce smoking rates and serve as a valuable policy tool within comprehensive tobacco prevention strategies.
The growing demand for dynamic, user-centric data analysis and visualization is evident across domains like healthcare, finance, and research. Traditional visualization tools often fail to meet individual user needs due to their static and predefined nature. To address this gap, Text2Insight is introduced as an innovative solution that delivers customized data analysis and visualizations based on user-defined natural language requirements. Leveraging a multi-model architecture, Text2Insight transforms user inputs into actionable insights and dynamic visualizations. The methodology begins with analyzing the input dataset to extract structural details such as columns and values. A pre-trained Llama3 model converts the user's natural language query into an SQL query, which is further refined using a Named Entity Recognition (NER) model for accuracy. A chart predictor determines the most suitable visualization type, while the Llama3 model generates insights based on the SQL query's results. The output is a user-friendly and visually informative chart. To enhance analysis capabilities, the system integrates a question-answering model and a predictive model using the BERT framework. Thes
The Public Health Advocacy Dataset (PHAD) is a comprehensive collection of 5,730 videos related to tobacco products sourced from social media platforms like TikTok and YouTube. This dataset encompasses 4.3 million frames and includes detailed metadata such as user engagement metrics, video descriptions, and search keywords. This is the first dataset with these features providing a valuable resource for analyzing tobacco-related content and its impact. Our research employs a two-stage classification approach, incorporating a Vision-Language (VL) Encoder, demonstrating superior performance in accurately categorizing various types of tobacco products and usage scenarios. The analysis reveals significant user engagement trends, particularly with vaping and e-cigarette content, highlighting areas for targeted public health interventions. The PHAD addresses the need for multi-modal data in public health research, offering insights that can inform regulatory policies and public health strategies. This dataset is a crucial step towards understanding and mitigating the impact of tobacco usage, ensuring that public health efforts are more inclusive and effective.
There is literature that questions the veracity of the studies commissioned by the transnational tobacco companies (TTC) to measure the illicit tobacco trade. Furthermore, there are studies that indicate that the Empty Pack Surveys (EPS) ordered by the TTCs are oversized. The novelty of this study is that, in addition to detecting the anomalies analyzed in the EPSs, there are provinces in which cigarette sales are higher than reasonable values, something that the TTCs ignore. This study analyzed simultaneously, firstly, if the EPSs established in each of the 47 Spanish provinces were fulfilled. Second, anomalies observed in provinces where sales exceed expected values are measured. To achieve the objective of the paper, provincial data on cigarette sales, price and GDP per capita are used. These data are modeled with machine learning techniques widely used to detect anomalies in other areas. The results reveal that the provinces in which sales below reasonable values are observed (as detected by the EPSs) present a clear geographical pattern. Furthermore, the values provided by the EPSs in Spain, as indicated in the previous literature, are slightly oversized. Finally, there are re
Sentiment analysis of alternative tobacco products on social media is important for tobacco control research. Large Language Models (LLMs) can help streamline the labor-intensive human sentiment analysis process. This study examined the accuracy of LLMs in replicating human sentiment evaluation of social media messages about heated tobacco products (HTPs). The research used GPT-3.5 and GPT-4 Turbo to classify 500 Facebook and 500 Twitter messages, including anti-HTPs, pro-HTPs, and neutral messages. The models evaluated each message up to 20 times, and their majority label was compared to human evaluators. Results showed that GPT-3.5 accurately replicated human sentiment 61.2% of the time for Facebook messages and 57.0% for Twitter messages. GPT-4 Turbo performed better, with 81.7% accuracy for Facebook and 77.0% for Twitter. Using three response instances, GPT-4 Turbo achieved 99% of the accuracy of twenty instances. GPT-4 Turbo also had higher accuracy for anti- and pro-HTPs messages compared to neutral ones. Misclassifications by GPT-3.5 often involved anti- or pro-HTPs messages being labeled as neutral or irrelevant, while GPT-4 Turbo showed improvements across all categories.
While tobacco advertising innovates at unprecedented speed, traditional surveillance methods remain frozen in time, especially in the context of social media. The lack of large-scale, comprehensive datasets and sophisticated monitoring systems has created a widening gap between industry advancement and public health oversight. This paper addresses this critical challenge by introducing Tobacco-1M, a comprehensive dataset of one million tobacco product images with hierarchical labels spanning 75 product categories, and DEFEND, a novel foundation model for tobacco product understanding. Our approach integrates a Feature Enhancement Module for rich multimodal representation learning, a Local-Global Visual Coherence mechanism for detailed feature discrimination, and an Enhanced Image-Text Alignment strategy for precise product characterization. Experimental results demonstrate DEFEND's superior performance, achieving 83.1% accuracy in product classification and 73.8% in visual question-answering tasks, outperforming existing methods by significant margins. Moreover, the model exhibits robust zero-shot learning capabilities with 45.6% accuracy on novel product categories. This work prov
The proliferation of tobacco-related content on social media platforms poses significant challenges for public health monitoring and intervention. This paper introduces a novel multi-modal deep learning framework named Flow-Attention Adaptive Semantic Hierarchical Fusion (FLAASH) designed to analyze tobacco-related video content comprehensively. FLAASH addresses the complexities of integrating visual and textual information in short-form videos by leveraging a hierarchical fusion mechanism inspired by flow network theory. Our approach incorporates three key innovations, including a flow-attention mechanism that captures nuanced interactions between visual and textual modalities, an adaptive weighting scheme that balances the contribution of different hierarchical levels, and a gating mechanism that selectively emphasizes relevant features. This multi-faceted approach enables FLAASH to effectively process and analyze diverse tobacco-related content, from product showcases to usage scenarios. We evaluate FLAASH on the Multimodal Tobacco Content Analysis Dataset (MTCAD), a large-scale collection of tobacco-related videos from popular social media platforms. Our results demonstrate sig
This paper proposes a graph-augmented reasoning framework for tobacco pest and disease management that integrates structured domain knowledge into large language models. Building on GraphRAG, we construct a domain-specific knowledge graph and retrieve query-relevant subgraphs to provide relational evidence during answer generation. The framework adopts ChatGLM as the Transformer backbone with LoRA-based parameter-efficient fine-tuning, and employs a graph neural network to learn node representations that capture symptom-disease-treatment dependencies. By explicitly modeling diseases, symptoms, pesticides, and control measures as linked entities, the system supports evidence-aware retrieval beyond surface-level text similarity. Retrieved graph evidence is incorporated into the LLM input to guide generation toward domain-consistent recommendations and to mitigate hallucinated or inappropriate treatments. Experimental results show consistent improvements over text-only baselines, with the largest gains observed on multi-hop and comparative reasoning questions that require chaining multiple relations.
We propose a dense insight network framework to encode the relationships between automatically generated insights from a complex dashboard based on their shared characteristics. Our insight network framework includes five high-level categories of relationships (e.g., type, topic, value, metadata, and compound scores). The goal of this insight network framework is to provide a foundation for implementing new insight interpretation and exploration strategies, including both user-driven and automated approaches. To illustrate the complexity and flexibility of our framework, we first describe a visualization playground to directly visualize key network characteristics; this playground also demonstrates potential interactive capabilities for decomposing the dense insight network. Then, we discuss a case study application for ranking insights based on the underlying network characteristics captured by our framework, before prompting a large language model to generate a concise, natural language summary. Finally, we reflect on next steps for leveraging our insight network framework to design and evaluate new systems.
We provide new insights regarding the headline result that Medicaid increased emergency department (ED) use from the Oregon experiment. We find meaningful heterogeneous impacts of Medicaid on ED use using causal machine learning methods. The individualized treatment effect distribution includes a wide range of negative and positive values, suggesting the average effect masks substantial heterogeneity. A small group-about 14% of participants-in the right tail of the distribution drives the overall effect. We identify priority groups with economically significant increases in ED usage based on demographics and previous utilization. Intensive margin effects are an important driver of increases in ED utilization.
External knowledge has played a crucial role in the recent development of computer use agents. We identify a critical knowledge-execution gap: retrieved knowledge often fails to translate into effective real-world task execution. Our analysis shows even 90% correct knowledge yields only 41% execution success rate. To bridge this gap, we propose UI-Evol, a plug-and-play module for autonomous GUI knowledge evolution. UI-Evol consists of two stages: a Retrace Stage that extracts faithful objective action sequences from actual agent-environment interactions, and a Critique Stage that refines existing knowledge by comparing these sequences against external references. We conduct comprehensive experiments on the OSWorld benchmark with the state-of-the-art Agent S2. Our results demonstrate that UI-Evol not only significantly boosts task performance but also addresses a previously overlooked issue of high behavioral standard deviation in computer use agents, leading to superior performance on computer use tasks and substantially improved agent reliability.
Large language models (LLMs) have demonstrated remarkable capabilities in text analysis tasks, yet their evaluation on complex, real-world applications remains challenging. We define a set of tasks, Multi-Insight Multi-Document Extraction (MIMDE) tasks, which involves extracting an optimal set of insights from a document corpus and mapping these insights back to their source documents. This task is fundamental to many practical applications, from analyzing survey responses to processing medical records, where identifying and tracing key insights across documents is crucial. We develop an evaluation framework for MIMDE and introduce a novel set of complementary human and synthetic datasets to examine the potential of synthetic data for LLM evaluation. After establishing optimal metrics for comparing extracted insights, we benchmark 20 state-of-the-art LLMs on both datasets. Our analysis reveals a strong correlation (0.71) between the ability of LLMs to extracts insights on our two datasets but synthetic data fails to capture the complexity of document-level analysis. These findings offer crucial guidance for the use of synthetic data in evaluating text analysis systems, highlighting
The opioid epidemic in the United States claims over 40,000 lives per year, and it is estimated that well over two million Americans have an opioid use disorder. Over-prescription and misuse of prescription opioids play an important role in the epidemic. Individuals who are prescribed opioids, and who are diagnosed with opioid use disorder, have diverse underlying health states. Policy interventions targeting prescription opioid use, opioid use disorder, and overdose often fail to account for this variation. To identify latent health states, or phenotypes, pertinent to opioid use and opioid use disorders, we use probabilistic topic modeling with medical diagnosis histories from a statewide population of individuals who were prescribed opioids. We demonstrate that our learned phenotypes are predictive of future opioid use-related outcomes. In addition, we show how the learned phenotypes can provide important context for variability in opioid prescriptions. Understanding the heterogeneity in individual health states and in prescription opioid use can help identify policy interventions to address this public health crisis.
Robots are the future of every technology where every advanced technology eventually will be used to make robots which are more efficient. The major challenge today is to train the robots exactly and empathetically using knowledge representation. This paper gives you insights of how we can use unstructured knowledge representation and convert them to meaningful structured representation with the help of prompt engineering which can be eventually used in the robots to make help them understand how human brain can make wonders with the minimal data or objects can providing to them.