Daily Papers

Unified diffusion editors often rely on a fixed, shared backbone for diverse tasks, suffering from task interference and poor adaptation to heterogeneous demands (e.g., local vs global, semantic vs photometric). In particular, prevalent ControlNet and OmniControl variants combine multiple conditioning signals (e.g., text, mask, reference) via static concatenation or additive adapters which cannot dynamically prioritize or suppress conflicting modalities, thus resulting in artifacts like color bleeding across mask boundaries, identity or style drift, and unpredictable behavior under multi-condition inputs. To address this, we propose Condition-Aware Routing of Experts (CARE-Edit) that aligns model computation with specific editing competencies. At its core, a lightweight latent-attention router assigns encoded diffusion tokens to four specialized experts--Text, Mask, Reference, and Base--based on multi-modal conditions and diffusion timesteps: (i) a Mask Repaint module first refines coarse user-defined masks for precise spatial guidance; (ii) the router applies sparse top-K selection to dynamically allocate computation to the most relevant experts; (iii) a Latent Mixture module subsequently fuses expert outputs, coherently integrating semantic, spatial, and stylistic information to the base images. Experiments validate CARE-Edit's strong performance on contextual editing tasks, including erasure, replacement, text-driven edits, and style transfer. Empirical analysis further reveals task-specific behavior of specialized experts, showcasing the importance of dynamic, condition-aware processing to mitigate multi-condition conflicts.

Emotional Support Conversation (ESC) plays a vital role in alleviating psychological stress and providing emotional value through dialogue. While recent studies have largely focused on data augmentation and synthetic corpus construction, they often overlook the deeper cognitive reasoning processes that underpin effective emotional support. To address this gap, we propose CARE, a novel framework that strengthens reasoning in ESC without relying on large-scale synthetic data. CARE leverages the original ESC training set to guide models in generating logically coherent and supportive responses, thereby explicitly enhancing cognitive reasoning. Building on this foundation, we further employ reinforcement learning to refine and reinforce the reasoning process. Experimental results demonstrate that CARE significantly improves both the logical soundness and supportive quality of responses, advancing the development of empathetic, cognitively robust, and human-like emotional support systems.

Large language model (LLM) systems are increasingly used to support high-stakes decision-making, but they typically perform worse when the available evidence is internally inconsistent. Such a scenario exists in real-world healthcare settings, with patient-reported symptoms contradicting medical signs. To study this problem, we introduce MIMIC-DOS, a dataset for short-horizon organ dysfunction worsening prediction in the intensive care unit (ICU) setting. We derive this dataset from the widely recognized MIMIC-IV, a publicly available electronic health record dataset, and construct it exclusively from cases in which discordance between signs and symptoms exists. This setting poses a substantial challenge for existing LLM-based approaches, with single-pass LLMs and agentic pipelines often struggling to reconcile such conflicting signals. To address this problem, we propose CARE: a multi-stage privacy-compliant agentic reasoning framework in which a remote LLM provides guidance by generating structured categories and transitions without accessing sensitive patient data, while a local LLM uses these categories and transitions to support evidence acquisition and final decision-making. Empirically, CARE achieves stronger performance across all key metrics compared to multiple baseline settings, showing that CARE can more robustly handle conflicting clinical evidence while preserving privacy.

Access to the right evidence does not guarantee that large language models (LLMs) will reason with it correctly. This gap between retrieval and reasoning is especially concerning in clinical settings, where outputs must align with structured protocols. We study this gap using Written Exposure Therapy (WET) guidelines as a testbed. In evaluating model responses to curated clinician-vetted questions, we find that errors persist even when authoritative passages are provided. To address this, we propose an evaluation framework that measures accuracy, consistency, and fidelity of reasoning. Our results highlight both the potential and the risks: retrieval-augmented generation (RAG) can constrain outputs, but safe deployment requires assessing reasoning as rigorously as retrieval.

Existing language models (LMs) often exhibit a Western-centric bias and struggle to represent diverse cultural knowledge. Previous attempts to address this rely on synthetic data and express cultural knowledge only in English. In this work, we study whether a small amount of human-written, multilingual cultural preference data can improve LMs across various model families and sizes. We first introduce CARE, a multilingual resource of 24.1k responses with human preferences on 2,580 questions about Chinese and Arab cultures, all carefully annotated by native speakers and offering more balanced coverage. Using CARE, we demonstrate that cultural alignment improves existing LMs beyond generic resources without compromising general capabilities. Moreover, we evaluate the cultural awareness of LMs, native speakers, and retrieved web content when queried in different languages. Our experiment reveals regional disparities among LMs, which may also be reflected in the documentation gap: native speakers often take everyday cultural commonsense and social norms for granted, while non-natives are more likely to actively seek out and document them. CARE is publicly available at https://github.com/Guochry/CARE (we plan to add Japanese data in the near future).

Recently, large efforts have been made to design efficient linear-complexity visual Transformers. However, current linear attention models are generally unsuitable to be deployed in resource-constrained mobile devices, due to suffering from either few efficiency gains or significant accuracy drops. In this paper, we propose a new deCoupled duAl-interactive lineaR attEntion (CARE) mechanism, revealing that features' decoupling and interaction can fully unleash the power of linear attention. We first propose an asymmetrical feature decoupling strategy that asymmetrically decouples the learning process for local inductive bias and long-range dependencies, thereby preserving sufficient local and global information while effectively enhancing the efficiency of models. Then, a dynamic memory unit is employed to maintain critical information along the network pipeline. Moreover, we design a dual interaction module to effectively facilitate interaction between local inductive bias and long-range information as well as among features at different layers. By adopting a decoupled learning way and fully exploiting complementarity across features, our method can achieve both high efficiency and accuracy. Extensive experiments on ImageNet-1K, COCO, and ADE20K datasets demonstrate the effectiveness of our approach, e.g., achieving 78.4/82.1% top-1 accuracy on ImagegNet-1K at the cost of only 0.7/1.9 GMACs. Codes will be released on ..{github}.

Automatic analysis of multimodal speech has shown strong potential for computationally detecting and monitoring a wide range of neurological, psychiatric, and respiratory conditions. However, progress in this field is limited by existing publicly accessible datasets, which are often small in scale, focused on a single condition or disease, and primarily speech focused. Moreover, if key confounding variables such as education, medication use, comorbidities, or mood state are insufficiently documented, the reliability and interpretability of computational analyses are further compromised. To address these limitations, we introduce CARE v1.0, a curated multimodal English dataset of approximately 144 hours of short video interviews collected from 612 individuals across 12 medical conditions plus a control cohort. For each video, a comprehensive set of clinically relevant multimodal descriptors is provided, alongside structured metadata covering factors such as medication, life impacts, and expressed emotions. The corpus's breadth and heterogeneity support a wide range of applications, including automatic disease and symptom detection, multimodal modelling of speech and non-verbal behaviour under emotionally charged contexts, and studies of disease trajectories and coping processes.

Converting pretrained attention modules such as grouped-query attention (GQA) into multi-head latent attention (MLA) can improve expressivity without increasing KV-cache cost, making it attractive for efficient inference. However, many practical conversion baselines rely on weight-only low-rank approximations (e.g., SVD-style initializations) and uniform rank allocation. They focus on minimizing the difference between weight matrices rather than on how those weights affect input activations, ignore the covariance structure of activations, and enforce uniform rank across layers, causing activation drift and degraded attention fidelity. To address these issues, we propose CARE, a Covariance-Aware, Rank-Enhanced MLA conversion pipeline under a fixed KV width. CARE introduces three key steps: (i) activation-preserving factorization, which aligns the approximation with the actual input activations rather than just the weights; (ii) adjusted-rank allocation, which spreads a fixed KV budget across layers by giving more capacity to layers that need it most; and (iii) KV-parity mapping, which reparameterizes the converted K and V to fit the MLA format while keeping the KV-cache size unchanged. Our method outperforms a uniform-rank SVD baseline on Qwen3-4B/30B-A3B-Instruct-2507 and Llama-3.1-8B/70B-Instruct, reducing one-shot perplexity by up to 215x and improving mean accuracy by up to 1.70x at matched KV budgets. With a brief post-SVD healing fine-tune, we fully recover the original model's accuracy.

Large visual language models (VLMs) have shown strong multi-modal medical reasoning ability, but most operate as end-to-end black boxes, diverging from clinicians' evidence-based, staged workflows and hindering clinical accountability. Complementarily, expert visual grounding models can accurately localize regions of interest (ROIs), providing explicit, reliable evidence that improves both reasoning accuracy and trust. In this paper, we introduce CARE, advancing Clinical Accountability in multi-modal medical Reasoning with an Evidence-grounded agentic framework. Unlike existing approaches that couple grounding and reasoning within a single generalist model, CARE decomposes the task into coordinated sub-modules to reduce shortcut learning and hallucination: a compact VLM proposes relevant medical entities; an expert entity-referring segmentation model produces pixel-level ROI evidence; and a grounded VLM reasons over the full image augmented by ROI hints. The VLMs are optimized with reinforcement learning with verifiable rewards to align answers with supporting evidence. Furthermore, a VLM coordinator plans tool invocation and reviews evidence-answer consistency, providing agentic control and final verification. Evaluated on standard medical VQA benchmarks, our CARE-Flow (coordinator-free) improves average accuracy by 10.9% over the same size (10B) state-of-the-art (SOTA). With dynamic planning and answer review, our CARE-Coord yields a further gain, outperforming the heavily pre-trained SOTA by 5.2%. Our experiments demonstrate that an agentic framework that emulates clinical workflows, incorporating decoupled specialized models and explicit evidence, yields more accurate and accountable medical AI. Project page: https://xypb.github.io/CARE-Project-Page/

Spiking Neural Networks (SNNs) offer low-latency and energy-efficient decision-making on neuromorphic hardware by mimicking the event-driven dynamics of biological neurons. However, the discrete and non-differentiable nature of spikes leads to unstable gradient propagation in directly trained SNNs, making Batch Normalization (BN) an important component for stabilizing training. In online Reinforcement Learning (RL), imprecise BN statistics hinder exploitation, resulting in slower convergence and suboptimal policies. While Artificial Neural Networks (ANNs) can often omit BN, SNNs critically depend on it, limiting the adoption of SNNs for energy-efficient control on resource-constrained devices. To overcome this, we propose Confidence-adaptive and Re-calibration Batch Normalization (CaRe-BN), which introduces (i) a confidence-guided adaptive update strategy for BN statistics and (ii) a re-calibration mechanism to align distributions. By providing more accurate normalization, CaRe-BN stabilizes SNN optimization without disrupting the RL training process. Importantly, CaRe-BN does not alter inference, thus preserving the energy efficiency of SNNs in deployment. Extensive experiments on both discrete and continuous control benchmarks demonstrate that CaRe-BN improves SNN performance by up to 22.6% across different spiking neuron models and RL algorithms. Remarkably, SNNs equipped with CaRe-BN even surpass their ANN counterparts by 5.9%. These results highlight a new direction for BN techniques tailored to RL, paving the way for neuromorphic agents that are both efficient and high-performing. Code is available at https://github.com/xuzijie32/CaRe-BN.

Foundation models have recently achieved impressive success in computational pathology, demonstrating strong generalization across diverse histopathology tasks. However, existing models overlook the heterogeneous and non-uniform organization of pathological regions of interest (ROIs) because they rely on natural image backbones not tailored for tissue morphology. Consequently, they often fail to capture the coherent tissue architecture beyond isolated patches, limiting interpretability and clinical relevance. To address these challenges, we present Cross-modal Adaptive Region Encoder (CARE), a foundation model for pathology that automatically partitions WSIs into several morphologically relevant regions. Specifically, CARE employs a two-stage pretraining strategy: (1) a self-supervised unimodal pretraining stage that learns morphological representations from 34,277 whole-slide images (WSIs) without segmentation annotations, and (2) a cross-modal alignment stage that leverages RNA and protein profiles to refine the construction and representation of adaptive regions. This molecular guidance enables CARE to identify biologically relevant patterns and generate irregular yet coherent tissue regions, selecting the most representative area as ROI. CARE supports a broad range of pathology-related tasks, using either the ROI feature or the slide-level feature obtained by aggregating adaptive regions. Based on only one-tenth of the pretraining data typically used by mainstream foundation models, CARE achieves superior average performance across 33 downstream benchmarks, including morphological classification, molecular prediction, and survival analysis, and outperforms other foundation model baselines overall.

Objective gait assessment in Parkinson's Disease (PD) is limited by the absence of large, diverse, and clinically annotated motion datasets. We introduce CARE-PD, the largest publicly available archive of 3D mesh gait data for PD, and the first multi-site collection spanning 9 cohorts from 8 clinical centers. All recordings (RGB video or motion capture) are converted into anonymized SMPL meshes via a harmonized preprocessing pipeline. CARE-PD supports two key benchmarks: supervised clinical score prediction (estimating Unified Parkinson's Disease Rating Scale, UPDRS, gait scores) and unsupervised motion pretext tasks (2D-to-3D keypoint lifting and full-body 3D reconstruction). Clinical prediction is evaluated under four generalization protocols: within-dataset, cross-dataset, leave-one-dataset-out, and multi-dataset in-domain adaptation. To assess clinical relevance, we compare state-of-the-art motion encoders with a traditional gait-feature baseline, finding that encoders consistently outperform handcrafted features. Pretraining on CARE-PD reduces MPJPE (from 60.8mm to 7.5mm) and boosts PD severity macro-F1 by 17 percentage points, underscoring the value of clinically curated, diverse training data. CARE-PD and all benchmark code are released for non-commercial research at https://neurips2025.care-pd.ca/.

We tackle the challenge of integrating large language models (LLMs) with external recommender systems to enhance domain expertise in conversational recommendation (CRS). Current LLM-based CRS approaches primarily rely on zero- or few-shot methods for generating item recommendations based on user queries, but this method faces two significant challenges: (1) without domain-specific adaptation, LLMs frequently recommend items not in the target item space, resulting in low recommendation accuracy; and (2) LLMs largely rely on dialogue context for content-based recommendations, neglecting the collaborative relationships among entities or item sequences. To address these limitations, we introduce the CARE (Contextual Adaptation of Recommenders) framework. CARE customizes LLMs for CRS tasks, and synergizes them with external recommendation systems. CARE (a) integrates external recommender systems as domain experts, producing recommendations through entity-level insights, and (b) enhances those recommendations by leveraging contextual information for more accurate and unbiased final recommendations using LLMs. Our results demonstrate that incorporating external recommender systems with entity-level information significantly enhances recommendation accuracy of LLM-based CRS by an average of 54% and 25% for ReDial and INSPIRED datasets. The most effective strategy in the CARE framework involves LLMs selecting and reranking candidate items that external recommenders provide based on contextual insights. Our analysis indicates that the CARE framework effectively addresses the identified challenges and mitigates the popularity bias in the external recommender.

Large Language models have demonstrated excellent domain-specific question-answering capabilities when finetuned with a particular dataset of that specific domain. However, fine-tuning the models requires a significant amount of training time and a considerable amount of hardware. In this work, we propose CARE (Customer Assistance and Response Engine), a lightweight model made by fine-tuning Phi3.5-mini on very minimal hardware and data, designed to handle queries primarily across three domains: telecommunications support, medical support, and banking support. For telecommunications and banking, the chatbot addresses issues and problems faced by customers regularly in the above-mentioned domains. In the medical domain, CARE provides preliminary support by offering basic diagnoses and medical suggestions that a user might take before consulting a healthcare professional. Since CARE is built on Phi3.5-mini, it can be used even on mobile devices, increasing its usability. Our research also shows that CARE performs relatively well on various medical benchmarks, indicating that it can be used to make basic medical suggestions.

Egocentric Interactive hand-object segmentation (EgoIHOS) requires the segmentation of hands and interacting objects in egocentric images, which is crucial for understanding human behavior in assistive systems. Previous methods typically recognize hands and interacting objects as distinct semantic categories based solely on visual features, or simply use hand predictions as auxiliary cues for object segmentation. Despite the promising progress achieved by these methods, they fail to adequately model the interactive relationships between hands and objects while ignoring the coupled physical relationships among object categories, ultimately constraining their segmentation performance. To make up for the shortcomings of existing methods, we propose a novel method called CaRe-Ego that achieves state-of-the-art performance by emphasizing the contact between hands and objects from two aspects. First, we introduce a Hand-guided Object Feature Enhancer (HOFE) to establish the hand-object interactive relationships to extract more contact-relevant and discriminative object features. Second, we design the Contact-centric Object Decoupling Strategy (CODS) to explicitly model and disentangle coupling relationships among object categories, thereby emphasizing contact-aware feature learning. Experiments on various in-domain and out-of-domain test sets show that Care-Ego significantly outperforms existing methods with robust generalization capability. Codes are publicly available at https://github.com/yuggiehk/CaRe-Ego/.

Enzymes are important proteins that catalyze chemical reactions. In recent years, machine learning methods have emerged to predict enzyme function from sequence; however, there are no standardized benchmarks to evaluate these methods. We introduce CARE, a benchmark and dataset suite for the Classification And Retrieval of Enzymes (CARE). CARE centers on two tasks: (1) classification of a protein sequence by its enzyme commission (EC) number and (2) retrieval of an EC number given a chemical reaction. For each task, we design train-test splits to evaluate different kinds of out-of-distribution generalization that are relevant to real use cases. For the classification task, we provide baselines for state-of-the-art methods. Because the retrieval task has not been previously formalized, we propose a method called Contrastive Reaction-EnzymE Pretraining (CREEP) as one of the first baselines for this task and compare it to the recent method, CLIPZyme. CARE is available at https://github.com/jsunn-y/CARE/.

Anomaly detection plays a crucial role in the field of predictive maintenance for wind turbines, yet the comparison of different algorithms poses a difficult task because domain specific public datasets are scarce. Many comparisons of different approaches either use benchmarks composed of data from many different domains, inaccessible data or one of the few publicly available datasets which lack detailed information about the faults. Moreover, many publications highlight a couple of case studies where fault detection was successful. With this paper we publish a high quality dataset that contains data from 36 wind turbines across 3 different wind farms as well as the most detailed fault information of any public wind turbine dataset as far as we know. The new dataset contains 89 years worth of real-world operating data of wind turbines, distributed across 44 labeled time frames for anomalies that led up to faults, as well as 51 time series representing normal behavior. Additionally, the quality of training data is ensured by turbine-status-based labels for each data point. Furthermore, we propose a new scoring method, called CARE (Coverage, Accuracy, Reliability and Earliness), which takes advantage of the information depth that is present in the dataset to identify a good all-around anomaly detection model. This score considers the anomaly detection performance, the ability to recognize normal behavior properly and the capability to raise as few false alarms as possible while simultaneously detecting anomalies early.

Recent approaches to empathetic response generation incorporate emotion causalities to enhance comprehension of both the user's feelings and experiences. However, these approaches suffer from two critical issues. First, they only consider causalities between the user's emotion and the user's experiences, and ignore those between the user's experiences. Second, they neglect interdependence among causalities and reason them independently. To solve the above problems, we expect to reason all plausible causalities interdependently and simultaneously, given the user's emotion, dialogue history, and future dialogue content. Then, we infuse these causalities into response generation for empathetic responses. Specifically, we design a new model, i.e., the Conditional Variational Graph Auto-Encoder (CVGAE), for the causality reasoning, and adopt a multi-source attention mechanism in the decoder for the causality infusion. We name the whole framework as CARE, abbreviated for CAusality Reasoning for Empathetic conversation. Experimental results indicate that our method achieves state-of-the-art performance.

Rationality and emotion are two fundamental elements of humans. Endowing agents with rationality and emotion has been one of the major milestones in AI. However, in the field of conversational AI, most existing models only specialize in one aspect and neglect the other, which often leads to dull or unrelated responses. In this paper, we hypothesize that combining rationality and emotion into conversational agents can improve response quality. To test the hypothesis, we focus on one fundamental aspect of rationality, i.e., commonsense, and propose CARE, a novel model for commonsense-aware emotional response generation. Specifically, we first propose a framework to learn and construct commonsense-aware emotional latent concepts of the response given an input message and a desired emotion. We then propose three methods to collaboratively incorporate the latent concepts into response generation. Experimental results on two large-scale datasets support our hypothesis and show that our model can produce more accurate and commonsense-aware emotional responses and achieve better human ratings than state-of-the-art models that only specialize in one aspect.

Incomplete or inconsistent discharge documentation drives care fragmentation and avoidable readmissions. Despite its critical role in patient safety, auditing discharge summaries relies on manual review and does not scale. We propose an automated framework for auditing discharge summaries using large language models (LLMs). Our approach operationalizes the DISCHARGED framework into a checklist of 46 questions. Using 50 summaries from the MIMIC-IV database, with clinician ground-truth labels, we benchmark 11 LLMs. Model-assessed mean documentation completeness ranges from 54.9% to 74.2%, and the best-performing models achieve a Cohen's kappa values around 0.5 against clinician labels, indicating moderate agreement. All models struggle to identify ambiguous documentation (Unclear), highlighting a key gap in current automated auditing. This work provides a clinician-validated benchmark and zero-shot baselines for systematic quality improvement in clinical documentation.

Multimodal agentic pipelines are transforming human-computer interaction by enabling efficient and accessible automation of complex, real-world tasks. However, recent efforts have focused on short-horizon or general-purpose applications (e.g., mobile or desktop interfaces), leaving long-horizon automation for domain-specific systems, particularly in healthcare, largely unexplored. To address this, we introduce CareFlow, a high-quality human-annotated benchmark comprising complex, long-horizon software workflows across medical annotation tools, DICOM viewers, EHR systems, and laboratory information systems. On this benchmark, existing vision-language models (VLMs) perform poorly, struggling with long-horizon reasoning and multi-step interactions in medical contexts. To overcome this, we propose CarePilot, a multi-agent framework based on the actor-critic paradigm. The Actor integrates tool grounding with dual-memory mechanisms (long-term and short-term experience) to predict the next semantic action from the visual interface and system state. The Critic evaluates each action, updates memory based on observed effects, and either executes or provides corrective feedback to refine the workflow. Through iterative agentic simulation, the Actor learns to perform more robust and reasoning-aware predictions during inference. Our experiments show that CarePilot achieves state-of-the-art performance, outperforming strong closed-source and open-source multimodal baselines by approximately 15.26% and 3.38%, respectively, on our benchmark and out-of-distribution dataset.

Large vision-language models (VLMs) commonly process images at native or high resolution to remain effective across tasks. This inflates visual tokens ofter to 97-99% of total tokens, resulting in high compute and latency, even when low-resolution images would suffice. We introduce CARES-a Context-Aware Resolution Selector, a lightweight preprocessing module that, given an image-query pair, predicts the minimal sufficient input resolution. CARES uses a compact VLM (350M) to extract features and predict when a target pretrained VLM's response converges to its peak ability to answer correctly. Though trained as a discrete classifier over a set of optional resolutions, CARES interpolates continuous resolutions at inference for fine-grained control. Across five multimodal benchmarks spanning documents and natural images, as well as diverse target VLMs, CARES preserves task performance while reducing compute by up to 80%.

Automatic Speech Recognition (ASR) has seen remarkable progress, with models like OpenAI Whisper and NVIDIA Canary achieving state-of-the-art (SOTA) performance in offline transcription. However, these models are not designed for streaming (online or real-time) transcription, due to limitations in their architecture and training methodology. We propose a method to turn the transformer encoder-decoder model into a low-latency streaming model that is careless about future context. We present an analysis explaining why it is not straightforward to convert an encoder-decoder transformer to a low-latency streaming model. Our proposed method modifies the existing (non-causal) encoder to a causal encoder by fine-tuning both the encoder and decoder using Low-Rank Adaptation (LoRA) and a weakly aligned dataset. We then propose an updated inference mechanism that utilizes the fine-tune causal encoder and decoder to yield greedy and beam-search decoding, and is shown to be locally optimal. Experiments on low-latency chunk sizes (less than 300 msec) show that our fine-tuned model outperforms existing non-fine-tuned streaming approaches in most cases, while using a lower complexity. Additionally, we observe that our training process yields better alignment, enabling a simple method for extracting word-level timestamps. We release our training and inference code, along with the fine-tuned models, to support further research and development in streaming ASR.

Artificial intelligence has significantly impacted medical applications, particularly with the advent of Medical Large Vision Language Models (Med-LVLMs), sparking optimism for the future of automated and personalized healthcare. However, the trustworthiness of Med-LVLMs remains unverified, posing significant risks for future model deployment. In this paper, we introduce CARES and aim to comprehensively evaluate the Trustworthiness of Med-LVLMs across the medical domain. We assess the trustworthiness of Med-LVLMs across five dimensions, including trustfulness, fairness, safety, privacy, and robustness. CARES comprises about 41K question-answer pairs in both closed and open-ended formats, covering 16 medical image modalities and 27 anatomical regions. Our analysis reveals that the models consistently exhibit concerns regarding trustworthiness, often displaying factual inaccuracies and failing to maintain fairness across different demographic groups. Furthermore, they are vulnerable to attacks and demonstrate a lack of privacy awareness. We publicly release our benchmark and code in https://github.com/richard-peng-xia/CARES.

Retrieval-Augmented Generation (RAG) enhances large language models (LLMs) by integrating up-to-date external knowledge, yet real-world web environments present unique challenges. These limitations manifest as two key challenges: pervasive misinformation in the web environment, which introduces unreliable or misleading content that can degrade retrieval accuracy, and the underutilization of web tools, which, if effectively employed, could enhance query precision and help mitigate this noise, ultimately improving the retrieval results in RAG systems. To address these issues, we propose WebFilter, a novel RAG framework that generates source-restricted queries and filters out unreliable content. This approach combines a retrieval filtering mechanism with a behavior- and outcome-driven reward strategy, optimizing both query formulation and retrieval outcomes. Extensive experiments demonstrate that WebFilter improves answer quality and retrieval precision, outperforming existing RAG methods on both in-domain and out-of-domain benchmarks.

Recently, both closed-source LLMs and open-source communities have made significant strides, outperforming humans in various general domains. However, their performance in specific professional domains such as medicine, especially within the open-source community, remains suboptimal due to the complexity of medical knowledge. In this paper, we propose CareBot, a bilingual medical LLM, which leverages a comprehensive approach integrating continuous pre-training (CPT), supervised fine-tuning (SFT), and reinforcement learning with human feedback (RLHF). Our novel two-stage CPT method, comprising Stable CPT and Boost CPT, effectively bridges the gap between general and domain-specific data, facilitating a smooth transition from pre-training to fine-tuning and enhancing domain knowledge progressively. We also introduce DataRater, a model designed to assess data quality during CPT, ensuring that the training data is both accurate and relevant. For SFT, we develope a large and diverse bilingual dataset, along with ConFilter, a metric to enhance multi-turn dialogue quality, which is crucial to improving the model's ability to handle more complex dialogues. The combination of high-quality data sources and innovative techniques significantly improves CareBot's performance across a range of medical applications. Our rigorous evaluations on Chinese and English benchmarks confirm CareBot's effectiveness in medical consultation and education. These advancements not only address current limitations in medical LLMs but also set a new standard for developing effective and reliable open-source models in the medical domain. We will open-source the datasets and models later, contributing valuable resources to the research community.

How can we evaluate whether frontier AI systems recognize child-safety risks before they escalate into explicit harm? Existing child safety evaluations focus on child sexual abuse material, yet many child-safety failures begin earlier: in model assistance that helps adults manipulate, impersonate, profile, or isolate minors, and in model responses that deepen children's emotional dependence on AI systems rather than redirecting them toward human support. We introduce CAREBench (Child AI Risk Evaluation), a benchmark to assess such upstream child-safety risks in language models. CAREBench contains 500 prompts spanning twelve risk categories, including grooming and relationship engineering, deception and impersonation, surveillance and privacy, sextortion and sexual abuse, AI anthropomorphization, emotional dependency, and mental illness sensitivity. Developed with response annotations from parents and clinicians, the benchmark excludes explicit abuse material and imagery; instead, it evaluates whether models recognize, refuse, de-escalate, or redirect risky interactions before harm becomes overt. Evaluating seven frontier models on our benchmark, we find failure rates ranging from 2% to 58%, with failure patterns that vary across risk categories. CAREBench provides a responsibly scoped evaluation for LLM developers to identify and close gaps in child safety policies.

Critical appraisal of scientific literature is an essential skill in the biomedical field. While large language models (LLMs) can offer promising support in this task, their reliability remains limited, particularly for critical reasoning in specialized domains. We introduce CareMedEval, an original dataset designed to evaluate LLMs on biomedical critical appraisal and reasoning tasks. Derived from authentic exams taken by French medical students, the dataset contains 534 questions based on 37 scientific articles. Unlike existing benchmarks, CareMedEval explicitly evaluates critical reading and reasoning grounded in scientific papers. Benchmarking state-of-the-art generalist and biomedical-specialized LLMs under various context conditions reveals the difficulty of the task: open and commercial models fail to exceed an Exact Match Rate of 0.5 even though generating intermediate reasoning tokens considerably improves the results. Yet, models remain challenged especially on questions about study limitations and statistical analysis. CareMedEval provides a challenging benchmark for grounded reasoning, exposing current LLM limitations and paving the way for future development of automated support for critical appraisal.

Large language models (LLMs) are increasingly deployed in medical contexts, raising critical concerns about safety, alignment, and susceptibility to adversarial manipulation. While prior benchmarks assess model refusal capabilities for harmful prompts, they often lack clinical specificity, graded harmfulness levels, and coverage of jailbreak-style attacks. We introduce CARES (Clinical Adversarial Robustness and Evaluation of Safety), a benchmark for evaluating LLM safety in healthcare. CARES includes over 18,000 prompts spanning eight medical safety principles, four harm levels, and four prompting styles: direct, indirect, obfuscated, and role-play, to simulate both malicious and benign use cases. We propose a three-way response evaluation protocol (Accept, Caution, Refuse) and a fine-grained Safety Score metric to assess model behavior. Our analysis reveals that many state-of-the-art LLMs remain vulnerable to jailbreaks that subtly rephrase harmful prompts, while also over-refusing safe but atypically phrased queries. Finally, we propose a mitigation strategy using a lightweight classifier to detect jailbreak attempts and steer models toward safer behavior via reminder-based conditioning. CARES provides a rigorous framework for testing and improving medical LLM safety under adversarial and ambiguous conditions.

Medical audio signals, such as heart and lung sounds, play a crucial role in clinical diagnosis. However, analyzing these signals remains challenging: traditional methods rely on handcrafted features or supervised deep learning models that demand extensive labeled datasets, limiting their scalability and applicability. To address these issues, we propose CaReAQA, an audio-language model that integrates a foundation audio model with the reasoning capabilities of large language models, enabling clinically relevant, open-ended diagnostic responses. Alongside CaReAQA, we introduce CaReSound, a benchmark dataset of annotated medical audio recordings enriched with metadata and paired question-answer examples, intended to drive progress in diagnostic reasoning research. Evaluation results show that CaReAQA achieves 86.2% accuracy on open-ended diagnostic reasoning tasks, outperforming baseline models. It also generalizes well to closed-ended classification tasks, achieving an average accuracy of 56.9% on unseen datasets. Our findings show how audio-language integration and reasoning advances medical diagnostics, enabling efficient AI systems for clinical decision support.

Aligning large vision-language models (LVLMs) with human preferences is challenging due to the scarcity of fine-grained, high-quality, and multimodal preference data without human annotations. Existing methods relying on direct distillation often struggle with low-confidence data, leading to suboptimal performance. To address this, we propose CAREVL, a novel method for preference reward modeling by reliably using both high- and low-confidence data. First, a cluster of auxiliary expert models (textual reward models) innovatively leverages image captions as weak supervision signals to filter high-confidence data. The high-confidence data are then used to fine-tune the LVLM. Second, low-confidence data are used to generate diverse preference samples using the fine-tuned LVLM. These samples are then scored and selected to construct reliable chosen-rejected pairs for further training. CAREVL achieves performance improvements over traditional distillation-based methods on VL-RewardBench and MLLM-as-a-Judge benchmark, demonstrating its effectiveness. The code will be released soon.

The rapidly evolving labor market, driven by technological advancements and economic shifts, presents significant challenges for traditional job matching and consultation services. In response, we introduce an advanced support tool for career counselors and job seekers based on CareerBERT, a novel approach that leverages the power of unstructured textual data sources, such as resumes, to provide more accurate and comprehensive job recommendations. In contrast to previous approaches that primarily focus on job recommendations based on a fixed set of concrete job advertisements, our approach involves the creation of a corpus that combines data from the European Skills, Competences, and Occupations (ESCO) taxonomy and EURopean Employment Services (EURES) job advertisements, ensuring an up-to-date and well-defined representation of general job titles in the labor market. Our two-step evaluation approach, consisting of an application-grounded evaluation using EURES job advertisements and a human-grounded evaluation using real-world resumes and Human Resources (HR) expert feedback, provides a comprehensive assessment of CareerBERT's performance. Our experimental results demonstrate that CareerBERT outperforms both traditional and state-of-the-art embedding approaches while showing robust effectiveness in human expert evaluations. These results confirm the effectiveness of CareerBERT in supporting career consultants by generating relevant job recommendations based on resumes, ultimately enhancing the efficiency of job consultations and expanding the perspectives of job seekers. This research contributes to the field of NLP and job recommendation systems, offering valuable insights for both researchers and practitioners in the domain of career consulting and job matching.

Beyond minimizing a single training loss, many deep learning estimation pipelines rely on an auxiliary objective to quantify and encourage desirable properties of the model (e.g. performance on another dataset, robustness, agreement with a prior). Although the simplest approach to incorporating an auxiliary loss is to sum it with the training loss as a regularizer, recent works have shown that one can improve performance by blending the gradients beyond a simple sum; this is known as gradient surgery. We cast the problem as a constrained minimization problem where the auxiliary objective is minimized among the set of minimizers of the training loss. To solve this bilevel problem, we follow a parameter update direction that combines the training loss gradient and the orthogonal projection of the auxiliary gradient to the training gradient. In a setting where gradients come from mini-batches, we explain how, using a moving average of the training loss gradients, we can carefully maintain this critical orthogonality property. We demonstrate that our method, Bloop, can lead to much better performances on NLP and vision experiments than other gradient surgery methods without EMA.

The impact of person-job fit on job satisfaction and performance is widely acknowledged, which highlights the importance of providing workers with next steps at the right time in their career. This task of predicting the next step in a career is known as career path prediction, and has diverse applications such as turnover prevention and internal job mobility. Existing methods to career path prediction rely on large amounts of private career history data to model the interactions between job titles and companies. We propose leveraging the unexplored textual descriptions that are part of work experience sections in resumes. We introduce a structured dataset of 2,164 anonymized career histories, annotated with ESCO occupation labels. Based on this dataset, we present a novel representation learning approach, CareerBERT, specifically designed for work history data. We develop a skill-based model and a text-based model for career path prediction, which achieve 35.24% and 39.61% recall@10 respectively on our dataset. Finally, we show that both approaches are complementary as a hybrid approach achieves the strongest result with 43.01% recall@10.

Large language models (LLMs) have demonstrated remarkable performance by following natural language instructions without fine-tuning them on domain-specific tasks and data. However, leveraging LLMs for domain-specific question answering suffers from severe limitations. The generated answer tends to hallucinate due to the training data collection time (when using off-the-shelf), complex user utterance and wrong retrieval (in retrieval-augmented generation). Furthermore, due to the lack of awareness about the domain and expected output, such LLMs may generate unexpected and unsafe answers that are not tailored to the target domain. In this paper, we propose CarExpert, an in-car retrieval-augmented conversational question-answering system leveraging LLMs for different tasks. Specifically, CarExpert employs LLMs to control the input, provide domain-specific documents to the extractive and generative answering components, and controls the output to ensure safe and domain-specific answers. A comprehensive empirical evaluation exhibits that CarExpert outperforms state-of-the-art LLMs in generating natural, safe and car-specific answers.

Recent reinforcement learning approaches, such as outcome-supervised GRPO, have advanced Chain-of-Thought reasoning in large language models (LLMs), yet their adaptation to multimodal LLMs (MLLMs) is unexplored. To address the lack of rigorous evaluation for MLLM post-training methods, we introduce SEED-Bench-R1, a benchmark with complex real-world videos requiring balanced perception and reasoning. It offers a large training set and evaluates generalization across three escalating challenges: in-distribution, cross-environment, and cross-environment-task scenarios. Using SEED-Bench-R1, we find that standard GRPO, while improving answer accuracy, often reduces logical coherence between reasoning steps and answers, with only a 57.9% consistency rate. This stems from reward signals focusing solely on final answers, encouraging shortcuts, and strict KL penalties limiting exploration.To address this, we propose GRPO-CARE, a consistency-aware RL framework optimizing both answer correctness and reasoning coherence without explicit supervision. GRPO-CARE introduces a two-tiered reward: (1) a base reward for answer correctness, and (2) an adaptive consistency bonus, computed by comparing the model's reasoning-to-answer likelihood (via a slowly-evolving reference model) against group peers.This dual mechanism amplifies rewards for reasoning paths that are both correct and logically consistent. Replacing KL penalties with this adaptive bonus, GRPO-CARE outperforms standard GRPO on SEED-Bench-R1, achieving a 6.7% performance gain on the hardest evaluation level and a 24.5% improvement in consistency. It also shows strong transferability, improving model performance across diverse video understanding benchmarks. Our work contributes a systematically designed benchmark and a generalizable post-training framework, advancing the development of more interpretable and robust MLLMs.

Effective medical text retrieval requires both high accuracy and low latency. While LLM-based embedding models possess powerful retrieval capabilities, their prohibitive latency and high computational cost limit their application in real-time scenarios. Furthermore, the lack of comprehensive and high-fidelity benchmarks hinders progress in Chinese medical text retrieval. In this work, we introduce the Chinese Medical Text Embedding Benchmark (CMedTEB), a benchmark spanning three kinds of practical embedding tasks: retrieval, reranking, and semantic textual similarity (STS). Distinct from purely automated datasets, CMedTEB is curated via a rigorous multi-LLM voting pipeline validated by clinical experts, ensuring gold-standard label quality while effectively mitigating annotation noise. On this foundation, we propose the Chinese Medical Asymmetric REtriever (CARE), an asymmetric architecture that pairs a lightweight BERT-style encoder for online query encoding with a powerful LLM-based encoder for offline document encoding. However, optimizing such an asymmetric retriever with two structurally different encoders presents distinctive challenges. To address this, we introduce a novel two-stage training strategy that progressively bridges the query and document representations. Extensive experiments demonstrate that CARE surpasses state-of-the-art symmetric models on CMedTEB, achieving superior retrieval performance without increasing inference latency.

The detection of depression through non-verbal cues has gained significant attention. Previous research predominantly centred on identifying depression within the confines of controlled laboratory environments, often with the supervision of psychologists or counsellors. Unfortunately, datasets generated in such controlled settings may struggle to account for individual behaviours in real-life situations. In response to this limitation, we present the Extended D-vlog dataset, encompassing a collection of 1, 261 YouTube vlogs. Additionally, the emergence of large language models (LLMs) like GPT3.5, and GPT4 has sparked interest in their potential they can act like mental health professionals. Yet, the readiness of these LLM models to be used in real-life settings is still a concern as they can give wrong responses that can harm the users. We introduce a virtual agent serving as an initial contact for mental health patients, offering Cognitive Behavioral Therapy (CBT)-based responses. It comprises two core functions: 1. Identifying depression in individuals, and 2. Delivering CBT-based therapeutic responses. Our Mistral model achieved impressive scores of 70.1% and 30.9% for distortion assessment and classification, along with a Bert score of 88.7%. Moreover, utilizing the TVLT model on our Multimodal Extended D-vlog Dataset yielded outstanding results, with an impressive F1-score of 67.8%

Large language models (LLMs) are increasingly essential in processing natural languages, yet their application is frequently compromised by biases and inaccuracies originating in their training data. In this study, we introduce Cross-Care, the first benchmark framework dedicated to assessing biases and real world knowledge in LLMs, specifically focusing on the representation of disease prevalence across diverse demographic groups. We systematically evaluate how demographic biases embedded in pre-training corpora like ThePile influence the outputs of LLMs. We expose and quantify discrepancies by juxtaposing these biases against actual disease prevalences in various U.S. demographic groups. Our results highlight substantial misalignment between LLM representation of disease prevalence and real disease prevalence rates across demographic subgroups, indicating a pronounced risk of bias propagation and a lack of real-world grounding for medical applications of LLMs. Furthermore, we observe that various alignment methods minimally resolve inconsistencies in the models' representation of disease prevalence across different languages. For further exploration and analysis, we make all data and a data visualization tool available at: www.crosscare.net.

The increasing number of Health Care facilities in Nepal has also added up the challenges on managing health care waste (HCW). Improper segregation and disposal of HCW leads to the contamination, spreading of infectious diseases and puts a risk of waste handlers. This study benchmarks the state of the art waste classification models: ResNeXt-50, EfficientNet-B0, MobileNetV3-S, YOLOv8-n and YOLOv5-s using Stratified K-fold techniques where we use 5 folds on combined HCW data, and found that the YOLOv5-s achieved higher of 95.06% accuracy but fell short few milliseconds in inference speed with YOLOv8-n model. The EfficientNet-B0 showed promising results of 93.22% accuracy but took the highest inference time. A repetitive ANOVA was performed to see statistical significance and the best performing model (YOLOv5-s) was deployed to the web with mapped bin color using Nepal's HCW management standards for public usage. Further work on the data was suggested along with localized context.

Urgent care clinics and emergency departments around the world periodically suffer from extended wait times beyond patient expectations due to inadequate staffing levels. These delays have been linked with adverse clinical outcomes. Previous research into forecasting demand this domain has mostly used a collection of statistical techniques, with machine learning approaches only now beginning to emerge in recent literature. The forecasting problem for this domain is difficult and has also been complicated by the COVID-19 pandemic which has introduced an additional complexity to this estimation due to typical demand patterns being disrupted. This study explores the ability of machine learning methods to generate accurate patient presentations at two large urgent care clinics located in Auckland, New Zealand. A number of machine learning algorithms were explored in order to determine the most effective technique for this problem domain, with the task of making forecasts of daily patient demand three months in advance. The study also performed an in-depth analysis into the model behaviour in respect to the exploration of which features are most effective at predicting demand and which features are capable of adaptation to the volatility caused by the COVID-19 pandemic lockdowns. The results showed that ensemble-based methods delivered the most accurate and consistent solutions on average, generating improvements in the range of 23%-27% over the existing in-house methods for estimating the daily demand.

Understanding causality has vital importance for various Natural Language Processing (NLP) applications. Beyond the labeled instances, conceptual explanations of the causality can provide deep understanding of the causal facts to facilitate the causal reasoning process. However, such explanation information still remains absent in existing causal reasoning resources. In this paper, we fill this gap by presenting a human-annotated explainable CAusal REasoning dataset (e-CARE), which contains over 21K causal reasoning questions, together with natural language formed explanations of the causal questions. Experimental results show that generating valid explanations for causal facts still remains especially challenging for the state-of-the-art models, and the explanation information can be helpful for promoting the accuracy and stability of causal reasoning models.

Large language models (LLMs) have achieved impressive success on many benchmarks for mathematical reasoning. However, there is growing concern that some of this performance actually reflects dataset contamination, where data closely resembling benchmark questions leaks into the training data, instead of true reasoning ability. To investigate this claim rigorously, we commission Grade School Math 1000 (GSM1k). GSM1k is designed to mirror the style and complexity of the established GSM8k benchmark, the gold standard for measuring elementary mathematical reasoning. We ensure that the two benchmarks are comparable across important metrics such as human solve rates, number of steps in solution, answer magnitude, and more. When evaluating leading open- and closed-source LLMs on GSM1k, we observe accuracy drops of up to 13%, with several families of models (e.g., Phi and Mistral) showing evidence of systematic overfitting across almost all model sizes. At the same time, many models, especially those on the frontier, (e.g., Gemini/GPT/Claude) show minimal signs of overfitting. Further analysis suggests a positive relationship (Spearman's r^2=0.32) between a model's probability of generating an example from GSM8k and its performance gap between GSM8k and GSM1k, suggesting that many models may have partially memorized GSM8k.

The unprecedented performance of large language models (LLMs) necessitates improvements in evaluations. Rather than merely exploring the breadth of LLM abilities, we believe meticulous and thoughtful designs are essential to thorough, unbiased, and applicable evaluations. Given the importance of world knowledge to LLMs, we construct a Knowledge-oriented LLM Assessment benchmark (KoLA), in which we carefully design three crucial factors: (1) For ability modeling, we mimic human cognition to form a four-level taxonomy of knowledge-related abilities, covering 19 tasks. (2) For data, to ensure fair comparisons, we use both Wikipedia, a corpus prevalently pre-trained by LLMs, along with continuously collected emerging corpora, aiming to evaluate the capacity to handle unseen data and evolving knowledge. (3) For evaluation criteria, we adopt a contrastive system, including overall standard scores for better numerical comparability across tasks and models and a unique self-contrast metric for automatically evaluating knowledge hallucination. We evaluate 21 open-source and commercial LLMs and obtain some intriguing findings. The KoLA dataset and open-participation leaderboard are publicly released at https://kola.xlore.cn and will be continuously updated to provide references for developing LLMs and knowledge-related systems.

Fine-tuning on open-source Large Language Models (LLMs) with proprietary data is now a standard practice for downstream developers to obtain task-specific LLMs. Surprisingly, we reveal a new and concerning risk along with the practice: the creator of the open-source LLMs can later extract the private downstream fine-tuning data through simple backdoor training, only requiring black-box access to the fine-tuned downstream model. Our comprehensive experiments, across 4 popularly used open-source models with 3B to 32B parameters and 2 downstream datasets, suggest that the extraction performance can be strikingly high: in practical settings, as much as 76.3% downstream fine-tuning data (queries) out of a total 5,000 samples can be perfectly extracted, and the success rate can increase to 94.9% in more ideal settings. We also explore a detection-based defense strategy but find it can be bypassed with improved attack. Overall, we highlight the emergency of this newly identified data breaching risk in fine-tuning, and we hope that more follow-up research could push the progress of addressing this concerning risk. The code and data used in our experiments are released at https://github.com/thu-coai/Backdoor-Data-Extraction.

Robot manipulation has seen tremendous progress in recent years, with imitation learning policies enabling successful performance of dexterous and hard-to-model tasks. Concurrently, scaling data and model size has led to the development of capable language and vision foundation models, motivating large-scale efforts to create general-purpose robot foundation models. While these models have garnered significant enthusiasm and investment, meaningful evaluation of real-world performance remains a challenge, limiting both the pace of development and inhibiting a nuanced understanding of current capabilities. In this paper, we rigorously evaluate multitask robot manipulation policies, referred to as Large Behavior Models (LBMs), by extending the Diffusion Policy paradigm across a corpus of simulated and real-world robot data. We propose and validate an evaluation pipeline to rigorously analyze the capabilities of these models with statistical confidence. We compare against single-task baselines through blind, randomized trials in a controlled setting, using both simulation and real-world experiments. We find that multi-task pretraining makes the policies more successful and robust, and enables teaching complex new tasks more quickly, using a fraction of the data when compared to single-task baselines. Moreover, performance predictably increases as pretraining scale and diversity grows. Project page: https://toyotaresearchinstitute.github.io/lbm1/

Label smoothing -- using softened labels instead of hard ones -- is a widely adopted regularization method for deep learning, showing diverse benefits such as enhanced generalization and calibration. Its implications for preserving model privacy, however, have remained unexplored. To fill this gap, we investigate the impact of label smoothing on model inversion attacks (MIAs), which aim to generate class-representative samples by exploiting the knowledge encoded in a classifier, thereby inferring sensitive information about its training data. Through extensive analyses, we uncover that traditional label smoothing fosters MIAs, thereby increasing a model's privacy leakage. Even more, we reveal that smoothing with negative factors counters this trend, impeding the extraction of class-related information and leading to privacy preservation, beating state-of-the-art defenses. This establishes a practical and powerful novel way for enhancing model resilience against MIAs.

Text-to-SQL systems allow non-SQL experts to interact with relational databases using natural language. However, their tendency to generate executable SQL for ambiguous, out-of-scope, or unanswerable queries introduces a hidden risk, as outputs may be misinterpreted as correct. This risk is especially serious in biomedical contexts, where precision is critical. We therefore present Query Carefully, a pipeline that integrates LLM-based SQL generation with explicit detection and handling of unanswerable inputs. Building on the OncoMX component of ScienceBenchmark, we construct OncoMX-NAQ (No-Answer Questions), a set of 80 no-answer questions spanning 8 categories (non-SQL, out-of-schema/domain, and multiple ambiguity types). Our approach employs llama3.3:70b with schema-aware prompts, explicit No-Answer Rules (NAR), and few-shot examples drawn from both answerable and unanswerable questions. We evaluate SQL exact match, result accuracy, and unanswerable-detection accuracy. On the OncoMX dev split, few-shot prompting with answerable examples increases result accuracy, and adding unanswerable examples does not degrade performance. On OncoMX-NAQ, balanced prompting achieves the highest unanswerable-detection accuracy (0.8), with near-perfect results for structurally defined categories (non-SQL, missing columns, out-of-domain) but persistent challenges for missing-value queries (0.5) and column ambiguity (0.3). A lightweight user interface surfaces interim SQL, execution results, and abstentions, supporting transparent and reliable text-to-SQL in biomedical applications.

Accurate career path prediction can support many stakeholders, like job seekers, recruiters, HR, and project managers. However, publicly available data and tools for career path prediction are scarce. In this work, we introduce KARRIEREWEGE, a comprehensive, publicly available dataset containing over 500k career paths, significantly surpassing the size of previously available datasets. We link the dataset to the ESCO taxonomy to offer a valuable resource for predicting career trajectories. To tackle the problem of free-text inputs typically found in resumes, we enhance it by synthesizing job titles and descriptions resulting in KARRIEREWEGE+. This allows for accurate predictions from unstructured data, closely aligning with real-world application challenges. We benchmark existing state-of-the-art (SOTA) models on our dataset and a prior benchmark and observe improved performance and robustness, particularly for free-text use cases, due to the synthesized data.

Evaluating explanations of image classifiers regarding ground truth, e.g. segmentation masks defined by human perception, primarily evaluates the quality of the models under consideration rather than the explanation methods themselves. Driven by this observation, we propose a framework for jointly evaluating the robustness of safety-critical systems that combine a deep neural network with an explanation method. These are increasingly used in real-world applications like medical image analysis or robotics. We introduce a fine-tuning procedure to (mis)align modelx2013explanation pipelines with ground truth and use it to quantify the potential discrepancy between worst and best-case scenarios of human alignment. Experiments across various model architectures and post-hoc local interpretation methods provide insights into the robustness of vision transformers and the overall vulnerability of such AI systems to potential adversarial attacks.

Recent studies have revealed a security threat to natural language processing (NLP) models, called the Backdoor Attack. Victim models can maintain competitive performance on clean samples while behaving abnormally on samples with a specific trigger word inserted. Previous backdoor attacking methods usually assume that attackers have a certain degree of data knowledge, either the dataset which users would use or proxy datasets for a similar task, for implementing the data poisoning procedure. However, in this paper, we find that it is possible to hack the model in a data-free way by modifying one single word embedding vector, with almost no accuracy sacrificed on clean samples. Experimental results on sentiment analysis and sentence-pair classification tasks show that our method is more efficient and stealthier. We hope this work can raise the awareness of such a critical security risk hidden in the embedding layers of NLP models. Our code is available at https://github.com/lancopku/Embedding-Poisoning.

Enabling large language models (LLMs) to perform tasks in zero-shot has been an appealing goal owing to its labor-saving (i.e., requiring no task-specific annotations); as such, zero-shot prompting approaches also enjoy better task generalizability. To improve LLMs' zero-shot performance, prior work has focused on devising more effective task instructions (e.g., ``let's think step by step'' ). However, we argue that, in order for an LLM to solve them correctly in zero-shot, individual test instances need more carefully designed and customized instructions. To this end, we propose PRoMPTd, an approach that rewrites the task prompt for each individual test input to be more specific, unambiguous, and complete, so as to provide better guidance to the task LLM. We evaluated PRoMPTd on eight datasets covering tasks including arithmetics, logical reasoning, and code generation, using GPT-4 as the task LLM. Notably, PRoMPTd achieves an absolute improvement of around 10% on the complex MATH dataset and 5% on the code generation task on HumanEval, outperforming conventional zero-shot methods. In addition, we also showed that the rewritten prompt can provide better interpretability of how the LLM resolves each test instance, which can potentially be leveraged as a defense mechanism against adversarial prompting. The source code and dataset can be obtained from https://github.com/salokr/PRoMPTd

Large, curated, web-crawled corpora play a vital role in training language models (LMs). They form the lion's share of the training data in virtually all recent LMs, such as the well-known GPT, LLaMA and XLM-RoBERTa models. However, despite this importance, relatively little attention has been given to the quality of these corpora. In this paper, we compare four of the currently most relevant large, web-crawled corpora (CC100, MaCoCu, mC4 and OSCAR) across eleven lower-resourced European languages. Our approach is two-fold: first, we perform an intrinsic evaluation by performing a human evaluation of the quality of samples taken from different corpora; then, we assess the practical impact of the qualitative differences by training specific LMs on each of the corpora and evaluating their performance on downstream tasks. We find that there are clear differences in quality of the corpora, with MaCoCu and OSCAR obtaining the best results. However, during the extrinsic evaluation, we actually find that the CC100 corpus achieves the highest scores. We conclude that, in our experiments, the quality of the web-crawled corpora does not seem to play a significant role when training LMs.

Timely intensive care dictates survival, yet emergency infrastructure remains unevenly distributed across Sri Lanka. While pre-hospital services have expanded, the transition to definitive care remains a critical bottleneck. This study evaluates national emergency resilience by quantifying the gap between clinical demand and the availability of specialized resources across all 25 districts. Using the latest national epidemiological data and terrain-aware H3 hexagonal modeling, we analyzed accessibility for seven critical conditions based on spatial gaps, clinical need-gaps, lethality, coverage, and resource availability. Based on these metrics, unsupervised K-Means clustering was applied to categorize districts into four policy-actionable archetypes: Critical Structural Exclusion, Institutional Mirages, Operational Capacity Strain, and High-Resilience Benchmarks. Our study suggests that severe service deficits exist in the Northern and Eastern provinces, where spatial gaps exceed 70%, rendering the Golden Hour operationally impossible. Notably, specialist scarcity drives systemic pressure more than bed capacity; underserved regions effectively function as institutional mirages. This study suggests that improving accessibility by 25% in high-priority clusters would reduce the national need-gap by 9.65%, providing a roadmap for the strategic redistribution of specialists to ensure healthcare equity.

Increasing numbers of patients with disabilities or elderly people with mobility issues often suffer from a pressure ulcer. The affected areas need regular checks, but they have a difficulty in accessing a hospital. Some remote diagnosis systems are being used for them, but there are limitations in checking a patient's status regularly. In this paper, we present a remote medical assistant that can help pressure ulcer management with image processing techniques. The proposed system includes a mobile application with a deep learning model for wound segmentation and analysis. As there are not enough data to train the deep learning model, we make use of a pretrained model from a relevant domain and data augmentation that is appropriate for this task. First of all, an image preprocessing method using bilinear interpolation is used to resize images and normalize the images. Second, for data augmentation, we use rotation, reflection, and a watershed algorithm. Third, we use a pretrained deep learning model generated from skin wound images similar to pressure ulcer images. Finally, we added an attention module that can provide hints on the pressure ulcer image features. The resulting model provides an accuracy of 99.0%, an intersection over union (IoU) of 99.99%, and a dice similarity coefficient (DSC) of 93.4% for pressure ulcer segmentation, which is better than existing results.

We present a foundation model-derived method to identify highly informative tokens and events in electronic health records. Our approach considers incoming data in the entire context of a patient's hospitalization and so can flag anomalous events that rule-based approaches would consider within a normal range. We demonstrate that the events our model flags are significant for predicting downstream patient outcomes and that a fraction of events identified as carrying little information can safely be dropped. Additionally, we show how informativeness can help interpret the predictions of prognostic models trained on foundation model-derived representations.

Introduction: Electronic health records (EHR) are a critical medium through which patient stigmatization is perpetuated among healthcare teams. Methods: We identified linguistic features of doubt markers and stigmatizing labels in MIMIC-III EHR via expanded lexicon matching and supervised learning classifiers. Predictors of rates of linguistic features were assessed using Poisson regression models. Results: We found higher rates of stigmatizing labels per chart among patients who were Black or African American (RR: 1.16), patients with Medicare/Medicaid or government-run insurance (RR: 2.46), self-pay (RR: 2.12), and patients with a variety of stigmatizing disease and mental health conditions. Patterns among doubt markers were similar, though male patients had higher rates of doubt markers (RR: 1.25). We found increased stigmatizing labels used by nurses (RR: 1.40), and social workers (RR: 2.25), with similar patterns of doubt markers. Discussion: Stigmatizing language occurred at higher rates among historically stigmatized patients, perpetuated by multiple provider types.

Mental health care-seeking among marginalized young adults has received limited attention in CSCW research. Through in-depth interviews and visual elicitation methods with 18 diverse U.S. participants, our study reveals how marginalized identities shape mental health care-seeking journeys, often characterized by low aspirations and passive care-seeking influenced by lived experiences of marginalization. However, we found the transformative function of "care encounters" - serendipitous interactions with mental health resources that occur when individuals are not actively seeking support. These encounters serve as critical turning points, catalyzing shifts in aspiration and enabling more proactive care-seeking behaviors. Our analysis identifies both the infrastructural conditions that enable transformative care encounters and the aspiration breakdowns that impede care-seeking processes. This work makes conceptual contributions by supplementing traditional motivation-based care-seeking models with a reconceptualization of "care encounters" that accounts for the infrastructural and serendipitous nature of mental health access. We advance understanding of how marginalized identity uniquely influences care-seeking behaviors while providing actionable design implications for embedding technology-mediated "care encounters" into socio-technical interventions that can better support mental health care access for vulnerable populations.

This paper explores the application of large language models (LLMs) in nursing and elderly care, focusing on AI-driven patient monitoring and interaction. We introduce a novel Chinese nursing dataset and implement incremental pre-training (IPT) and supervised fine-tuning (SFT) techniques to enhance LLM performance in specialized tasks. Using LangChain, we develop a dynamic nursing assistant capable of real-time care and personalized interventions. Experimental results demonstrate significant improvements, paving the way for AI-driven solutions to meet the growing demands of healthcare in aging populations.

Digital twin technology has is anticipated to transform healthcare, enabling personalized medicines and support, earlier diagnoses, simulated treatment outcomes, and optimized surgical plans. Digital twins are readily gaining traction in industries like manufacturing, supply chain logistics, and civil infrastructure. Not in patient care, however. The challenge of modeling complex diseases with multimodal patient data and the computational complexities of analyzing it have stifled digital twin adoption in the biomedical vertical. Yet, these major obstacles can potentially be handled by approaching these models in a different way. This paper proposes a novel framework for addressing the barriers to clinical twin modeling created by computational costs and modeling complexities. We propose structuring patient health data as a knowledge graph and using closed-form continuous-time liquid neural networks, for real-time analytics. By synthesizing multimodal patient data and leveraging the flexibility and efficiency of closed form continuous time networks and knowledge graph ontologies, our approach enables real time insights, personalized medicine, early diagnosis and intervention, and optimal surgical planning. This novel approach provides a comprehensive and adaptable view of patient health along with real-time analytics, paving the way for digital twin simulations and other anticipated benefits in healthcare.

In recent years, medical information technology has made it possible for electronic health record (EHR) to store fairly complete clinical data. This has brought health care into the era of "big data". However, medical data are often sparse and strongly correlated, which means that medical problems cannot be solved effectively. With the rapid development of deep learning in recent years, it has provided opportunities for the use of big data in healthcare. In this paper, we propose a temporal-saptial correlation attention network (TSCAN) to handle some clinical characteristic prediction problems, such as predicting death, predicting length of stay, detecting physiologic decline, and classifying phenotypes. Based on the design of the attention mechanism model, our approach can effectively remove irrelevant items in clinical data and irrelevant nodes in time according to different tasks, so as to obtain more accurate prediction results. Our method can also find key clinical indicators of important outcomes that can be used to improve treatment options. Our experiments use information from the Medical Information Mart for Intensive Care (MIMIC-IV) database, which is open to the public. Finally, we have achieved significant performance benefits of 2.0\% (metric) compared to other SOTA prediction methods. We achieved a staggering 90.7\% on mortality rate, 45.1\% on length of stay. The source code can be find: https://github.com/yuyuheintju/TSCAN.

One might think that, once we know something is computable, how efficiently it can be computed is a practical question with little further philosophical importance. In this essay, I offer a detailed case that one would be wrong. In particular, I argue that computational complexity theory -- the field that studies the resources (such as time, space, and randomness) needed to solve computational problems -- leads to new perspectives on the nature of mathematical knowledge, the strong AI debate, computationalism, the problem of logical omniscience, Hume's problem of induction, Goodman's grue riddle, the foundations of quantum mechanics, economic rationality, closed timelike curves, and several other topics of philosophical interest. I end by discussing aspects of complexity theory itself that could benefit from philosophical analysis.

While large language models (LLMs) perform well on table tasks, they still make data referencing errors (DREs), i.e., incorrectly citing or omitting table values, despite understanding the table structure. Beyond final-answer accuracy, DREs directly compromise the correctness and reliability of intermediate reasoning steps. Yet prior studies have only offered limited, small-scale analyses. In this work, we present the first systematic evaluation of tabular data referencing errors across different models and tasks. Our results show that DREs occur across all tested models (1.7B to 20B parameters). Furthermore, we demonstrate that incorporating data referencing as a critic significantly improves answer accuracy up to 12.0%, through critic-based filtering and rejection sampling. Finally, we trained a lightweight 4B-parameter critic model that achieves an average F1 score of 78.2% in detecting both in-distribution and out-of-distribution DREs, and effectively assists inference for larger models.

Computer-use agents (CUAs) now act on a user's behalf across personal applications such as email, calendars, and to-do lists. This cross-application access is useful, but it also creates a privacy risk that has been largely overlooked: when an agent works in one context, it can pull in information from another that is inappropriate in that context. Hence, we introduce AgentCIBench, an evaluation harness that turns this risk into executable, deterministically scored scenarios. We target three common failure modes in CUAs: visual co-location, where the agent pulls in prohibited items that sit next to the task target in the UI; task-ambiguity overshare, where the agent dumps dense personal state in response to an under-specified prompt; and recipient misalignment, where the agent sends content to an addressee for whom it is inappropriate. We evaluate 15 frontier agents and find a surprisingly high failure rate: 11 of 15 leak on more than 50% of scenarios, with an average leakage of 67.9%, and the same failures persist when agents act end-to-end in the environment to complete the task. We release AgentCIBench to encourage the development of safer computer-use agents and position contextual disclosure testing as a pre-deployment safety check.

Understanding labor market dynamics is essential for policymakers, employers, and job seekers. However, comprehensive datasets that capture real-world career trajectories are scarce. In this paper, we introduce JobHop, a large-scale public dataset derived from anonymized resumes provided by VDAB, the public employment service in Flanders, Belgium. Utilizing Large Language Models (LLMs), we process unstructured resume data to extract structured career information, which is then mapped to standardized ESCO occupation codes using a multi-label classification model. This results in a rich dataset of over 2.3 million work experiences, extracted from and grouped into more than 391,000 user resumes and mapped to standardized ESCO occupation codes, offering valuable insights into real-world occupational transitions. This dataset enables diverse applications, such as analyzing labor market mobility, job stability, and the effects of career breaks on occupational transitions. It also supports career path prediction and other data-driven decision-making processes. To illustrate its potential, we explore key dataset characteristics, including job distributions, career breaks, and job transitions, demonstrating its value for advancing labor market research.

Video recordings of child-caregiver interactions enable investigation of attentional dynamics during naturalistic behavior. Such multimodal recording also allows researchers to examine how attention interacts with action and language use in real time. However, manual annotation of such data is time-consuming. Here, we introduce GazeBehavior Annotation Toolkit, a deep-learning-based toolkit designed to facilitate three key processes in data preprocessing and feature extraction: post-hoc synchronization across multiple videos, semi-automatic annotation of gaze target categories, and categorization of participants' poses and hand actions. This toolkit improves the efficiency and scalability of feature extraction from human egocentric eye-tracking and video data. Such improvement is critical in supporting large-scale and longitudinal investigations of attentional dynamics and naturalistic behavior in human early development.

The teaching career shares common global characteristics, such as internal promotion, performance evaluation, recruitment of top candidates, continuous training, specialization, and peer learning. This study aims to describe the factors associated with the value placed on the teaching career in Peru. A total of 28217 public school teachers were analyzed using data from the 2020 National Teacher Survey. A variable measuring the "value of the teaching career" was constructed using eight indicators and categorized as low, medium, or high. Another variable, vision of the future, was classified as pessimistic, conformist, or optimistic. This observational, cross-sectional, and analytical study included variables related to in-service training, working conditions, professional recognition, and sociodemographic characteristics. Among the teachers surveyed, 45.8 % expressed an optimistic outlook on the future of the profession, 48 % held a conformist view, and only 6.2 % reported a pessimistic perspective. A generalized linear model revealed that the value placed on the teaching career was significantly associated with male gender (p = 0.002), a professional career (p < 0.001), an optimistic outlook (p = 0.033), and working at the primary level (p < 0.001). It was concluded that Peruvian teachers predominantly hold conformist or optimistic views of their profession. This highlights the need to reinforce merit-based advancement, competency-based training, intrinsic motivation, and ongoing professional development

Long-Form Question Answering (LFQA) involves generating comprehensive, paragraph-level responses to open-ended questions, which poses a significant challenge for evaluation due to the richness of information and flexible response format. Existing LFQA-evaluation benchmarks often lack reference answers and are limited in size and topic coverage, reducing their reliability. To address this gap, we introduce LFQA-E, a well-constructed, multilingual, and reference-based benchmark designed to rigorously evaluate automatic metrics for LFQA. LFQA-E comprises 1618 questions and 7323 pairwise comparisons across 15 topics, drawn from diverse sources such as online queries and examination questions, thereby enabling a comprehensive assessment of evaluation metrics. We examine five categories of metrics, encompassing 17 specific methods, using LFQA-E. The results demonstrate that none of the existing automatic metrics perform comparably to human judgments, highlighting their inability to capture the dense information in long-form responses. Furthermore, we present a detailed analysis of the failure cases and the generalization capacity of these metrics, offering insights to guide the future development of LFQA evaluation methods. The benchmark and code are available at https://github.com/YuchenFan48/LFQA-E.

Mental health risk is a critical global public health challenge, necessitating innovative and reliable assessment methods. With the development of large language models (LLMs), they stand out to be a promising tool for explainable mental health care applications. Nevertheless, existing approaches predominantly rely on subjective textual mental records, which can be distorted by inherent mental uncertainties, leading to inconsistent and unreliable predictions. To address these limitations, this paper introduces ProMind-LLM. We investigate an innovative approach integrating objective behavior data as complementary information alongside subjective mental records for robust mental health risk assessment. Specifically, ProMind-LLM incorporates a comprehensive pipeline that includes domain-specific pretraining to tailor the LLM for mental health contexts, a self-refine mechanism to optimize the processing of numerical behavioral data, and causal chain-of-thought reasoning to enhance the reliability and interpretability of its predictions. Evaluations of two real-world datasets, PMData and Globem, demonstrate the effectiveness of our proposed methods, achieving substantial improvements over general LLMs. We anticipate that ProMind-LLM will pave the way for more dependable, interpretable, and scalable mental health case solutions.

Current mental-health conversational systems are usually based on fixed, generic dialogue patterns. This paper proposes an adaptive framework based on large language models that aims to personalize therapeutic interaction according to a user's psychological state, quantified with the Acceptance of Illness Scale (AIS). The framework defines three specialized agents, L, M, and H, each linked to a different level of illness acceptance, and adjusts conversational behavior over time using continuous feedback signals. The AIS-stratified architecture is treated as a diegetic prototype placed in a plausible near-future setting and examined through the method of design fiction. By embedding the architecture in narrative scenarios, the study explores how such agents might influence access to care and therapeutic relationship. The goal is to show how clinically informed personalization, technical feasibility, and speculative scenario analysis can together inform the responsible design of LLM-based companions for mental-health support.

We present Welzijn.AI as new digital solution for monitoring (mental) well-being in elderly populations, and illustrate how development of systems like Welzijn.AI can align with guidelines on responsible AI development. Three evaluations with different stakeholders were designed to disclose new perspectives on the strengths, weaknesses, design characteristics, and value requirements of Welzijn.AI. Evaluations concerned expert panels and involved patient federations, general practitioners, researchers, and the elderly themselves. Panels concerned interviews, a co-creation session, and feedback on a proof-of-concept implementation. Interview results were summarized in terms of Welzijn.AI's strengths, weaknesses, opportunities and threats. The co-creation session ranked a variety of value requirements of Welzijn.AI with the Hundred Dollar Method. User evaluation comprised analysing proportions of (dis)agreement on statements targeting Welzijn.AI's design characteristics, and ranking desired social characteristics. Experts in the panel interviews acknowledged Welzijn.AI's potential to combat loneliness and extract patterns from elderly behaviour. The proof-of-concept evaluation complemented the design characteristics most appealing to the elderly to potentially achieve this: empathetic and varying interactions. Stakeholders also link the technology to the implementation context: it could help activate an individual's social network, but support should also be available to empower users. Yet, non-elderly and elderly experts also disclose challenges in properly understanding the application; non-elderly experts also highlight issues concerning privacy. In sum, incorporating all stakeholder perspectives in system development remains challenging. Still, our results benefit researchers, policy makers, and health professionals that aim to improve elderly care with technology.

With the help of in-context learning (ICL), large language models (LLMs) have achieved impressive performance across various tasks. However, the function of descriptive instructions during ICL remains under-explored. In this work, we propose an ensemble prompt framework to describe the selection criteria of multiple in-context examples, and preliminary experiments on machine translation (MT) across six translation directions confirm that this framework boosts ICL perfromance. But to our surprise, LLMs might not necessarily care what the descriptions actually say, and the performance gain is primarily caused by the ensemble format, since the framework could lead to improvement even with random descriptive nouns. We further apply this new ensemble prompt on a range of commonsense, math, logical reasoning and hallucination tasks with three LLMs and achieve promising results, suggesting again that designing a proper prompt format would be much more effective and efficient than paying effort into specific descriptions. Our code will be publicly available once this paper is published.

As mental health issues globally escalate, there is a tremendous need for advanced digital support systems. We introduce MentalAgora, a novel framework employing large language models enhanced by interaction between multiple agents for tailored mental health support. This framework operates through three stages: strategic debating, tailored counselor creation, and response generation, enabling the dynamic customization of responses based on individual user preferences and therapeutic needs. We conduct experiments utilizing a high-quality evaluation dataset TherapyTalk crafted with mental health professionals, shwoing that MentalAgora generates expert-aligned and user preference-enhanced responses. Our evaluations, including experiments and user studies, demonstrate that MentalAgora aligns with professional standards and effectively meets user preferences, setting a new benchmark for digital mental health interventions.

The two most common paradigms for end-to-end speech recognition are connectionist temporal classification (CTC) and attention-based encoder-decoder (AED) models. It has been argued that the latter is better suited for learning an implicit language model. We test this hypothesis by measuring temporal context sensitivity and evaluate how the models perform when we constrain the amount of contextual information in the audio input. We find that the AED model is indeed more context sensitive, but that the gap can be closed by adding self-attention to the CTC model. Furthermore, the two models perform similarly when contextual information is constrained. Finally, in contrast to previous research, our results show that the CTC model is highly competitive on WSJ and LibriSpeech without the help of an external language model.

Machine learning models in health care are often deployed in settings where it is important to protect patient privacy. In such settings, methods for differentially private (DP) learning provide a general-purpose approach to learn models with privacy guarantees. Modern methods for DP learning ensure privacy through mechanisms that censor information judged as too unique. The resulting privacy-preserving models, therefore, neglect information from the tails of a data distribution, resulting in a loss of accuracy that can disproportionately affect small groups. In this paper, we study the effects of DP learning in health care. We use state-of-the-art methods for DP learning to train privacy-preserving models in clinical prediction tasks, including x-ray classification of images and mortality prediction in time series data. We use these models to perform a comprehensive empirical investigation of the tradeoffs between privacy, utility, robustness to dataset shift, and fairness. Our results highlight lesser-known limitations of methods for DP learning in health care, models that exhibit steep tradeoffs between privacy and utility, and models whose predictions are disproportionately influenced by large demographic groups in the training data. We discuss the costs and benefits of differentially private learning in health care.

Employees of early childhood education and care (ECEC) organisations may experience a wide range of barriers as they attempt to integrate information technology (IT) into their work practices. However, studies within the ECEC organisational literature which attempt to identify and understand these barriers are scant. This literature review is the first to present consolidated findings from the body of knowledge on barriers to the integration of IT within ECEC organisations. In addition to highlighting limitations and gaps in the literature, it proposes a tri-perspective framework to provide for future research to develop a deeper understanding of not only what barriers exist but also how they interrelate and shape the IT integration process and the work practices of ECEC organisational employees.