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Abstract Early detection of diseases such as COVID-19 could be a critical tool in reducing disease transmission by helping individuals recognize when they should self-isolate, seek testing, and obtain early medical intervention. Consumer wearable devices that continuously measure physiological metrics hold promise as tools for early illness detection. We gathered daily questionnaire data and physiological data using a consumer wearable (Oura Ring) from 63,153 participants, of whom 704 self-reported possible COVID-19 disease. We selected 73 of these 704 participants with reliable confirmation of COVID-19 by PCR testing and high-quality physiological data for algorithm training to identify onset of COVID-19 using machine learning classification. The algorithm identified COVID-19 an average of 2.75 days before participants sought diagnostic testing with a sensitivity of 82% and specificity of 63%. The receiving operating characteristic (ROC) area under the curve (AUC) was 0.819 (95% CI [0.809, 0.830]). Including continuous temperature yielded an AUC 4.9% higher than without this feature. For further validation, we obtained SARS CoV-2 antibody in a subset of participants and identified 10 additional participants who self-reported COVID-19 disease with antibody confirmation. The algorithm had an overall ROC AUC of 0.819 (95% CI [0.809, 0.830]), with a sensitivity of 90% and specificity of 80% in these additional participants. Finally, we observed substantial variation in accuracy based on age and biological sex. Findings highlight the importance of including temperature assessment, using continuous physiological features for alignment, and including diverse populations in algorithm development to optimize accuracy in COVID-19 detection from wearables. 

Measurements are presented of the cross-section for the central exclusive production ofJ/\psi\to\mu^+\mu^- $J/\psi \to {\mu }^{+}{\mu }^{-}$and\psi(2S)\to\mu^+\mu^- $\psi \left(2S\right)\to {\mu }^{+}{\mu }^{-}$processes in proton-proton collisions at\sqrt{s} = 13 \ \mathrm{TeV} $\sqrt{s}=13TeV$with 2016–2018 data. They are performed by requiring both muons to be in the LHCb acceptance (with pseudorapidity2<\eta_{\mu^±} < 4.5 $2<{\eta }_{{\mu }^{\pm }}<4.5$) and mesons in the rapidity range2.0 < y < 4.5 $2.0<y<4.5$. The integrated cross-section results are\sigma_{J/\psi\to\mu^+\mu^-}(2.0 ${\sigma }_{J/\psi \to {\mu }^{+}{\mu }^{-}}(2.0<y_{J/\psi }<4.5,2.0<{\eta }_{{\mu }^{\pm }}<4.5)=400\pm 2\pm 5\pm 12pb,{\sigma }_{\psi \left(2S\right)\to {\mu }^{+}{\mu }^{-}}(2.0<y_{\psi \left(2S\right)}<4.5,2.0<{\eta }_{{\mu }^{\pm }}<4.5)=9.40\pm 0.15\pm 0.13\pm 0.27pb,$where the uncertainties are statistical, systematic and due to the luminosity determination. In addition, a measurement of the ratio of\psi(2S) $\psi \left(2S\right)$andJ/\psi $J/\psi$cross-sections, at an average photon-proton centre-of-mass energy of1\ \mathrm{TeV} $1TeV$, is performed, giving$ = 0.1763 ± 0.0029 ± 0.0008 ± 0.0039,$$ where the first uncertainty is statistical, the second systematic and the third due to the knowledge of the involved branching fractions. For the first time, the dependence of theJ/\psi$ $J/\psi$and\psi(2S) $\psi \left(2S\right)$cross-sections on the total transverse momentum transfer is determined inpp $pp$collisions and is found consistent with the behaviour observed in electron-proton collisions.