Daily Papers

Speech deepfake detectors usually emit one score per utterance, but a borderline score does not reveal why two examples differ during retrospective error analysis. We ask whether a final score can be calibrated from component fields while keeping those fields visible for inspection. We build a decision record with a passive detector score and a score from a probe applied to a marked copy. It also includes retrieval support held out of the evaluated family, a margin from a support-set profile, and raw neighbor closeness. A cross-fit calibrator combines these fields and two differences between raw scores into one final score. On matched ASVspoof development data, the calibrated record reduces equal error rate (EER) by 3.48 percentage points relative to the fixed retrieval-augmented rule. It reaches 8.43% EER, whereas a passive WavLM baseline reaches 6.71% on the same subset. The record is therefore not the strongest detector in this comparison. Its value is to retain inspectable component fields while producing one scalar score for retrospective diagnosis.

Architectural Knowledge Management (AKM) is crucial for software development but remains challenging due to the lack of standardization and high manual effort. Architecture Decision Records (ADRs) provide a structured approach to capture Architecture Design Decisions (ADDs), but their adoption is limited due to the manual effort involved and insufficient tool support. Our previous work has shown that Large Language Models (LLMs) can assist in generating ADDs. However, simply prompting the LLM does not produce quality ADDs. Moreover, using third-party LLMs raises privacy concerns, while self-hosting them poses resource challenges. To this end, we experimented with different approaches like few-shot, retrieval-augmented generation (RAG) and fine-tuning to enhance LLM's ability to generate ADDs. Our results show that both techniques improve effectiveness. Building on this, we propose Domain Specific Retreival Augumented Few Shot Fine Tuninng, DRAFT, which combines the strengths of all these three approaches for more effective ADD generation. DRAFT operates in two phases: an offline phase that fine-tunes an LLM on generating ADDs augmented with retrieved examples and an online phase that generates ADDs by leveraging retrieved ADRs and the fine-tuned model. We evaluated DRAFT against existing approaches on a dataset of 4,911 ADRs and various LLMs and analyzed them using automated metrics and human evaluations. Results show DRAFT outperforms all other approaches in effectiveness while maintaining efficiency. Our findings indicate that DRAFT can aid architects in drafting ADDs while addressing privacy and resource constraints.

In the era of "Software Engineering 2.0" (SE 2.0), where intelligent agents collaborate with human engineers, Generative AI is advancing beyond code generation into Software Architecture (SA). While Large Language Models (LLMs) demonstrate superior capabilities, computational costs and data privacy concerns drive interest in Small Language Models (SLMs) with fewer than 7 billion parameters. However, the reasoning limits of these resource-constrained models remain unexplored. This study benchmarks 10 state-of-the-art SLMs on Architectural Decision Records generation, introducing a multi-dimensional framework evaluating Technical Compliance and Semantic Diversity. Our empirical results reveal a significant reasoning gap: models above the 3B-parameter threshold demonstrate robust zero-shot capabilities, while sub-2B models show the strongest BERTScore gains from Fine-Tuning, though compliance improvements are not guaranteed. Contrary to assumptions regarding context saturation, Few-Shot prompting serves as a highly effective calibration mechanism for select mid-sized models with short context windows. Furthermore, high semantic diversity in off-the-shelf small models often correlates with hallucination rather than productive exploration. These findings establish a rigorous baseline for deploying sustainable, locally hosted architectural assistants.

Advances in large language models have enabled agentic AI systems that can reason, plan, and interact with external tools to execute multi-step workflows, while public blockchains have evolved into a programmable substrate for value transfer, access control, and verifiable state transitions. Their convergence introduces a high-stakes systems challenge: designing standard, interoperable, and secure interfaces that allow agents to observe on-chain state, formulate transaction intents, and authorize execution without exposing users, protocols, or organizations to unacceptable security, governance, or economic risks. This survey systematizes the emerging landscape of agent-blockchain interoperability through a systematic literature review, identifying 317 relevant works from an initial pool of over 3000 records. We contribute a five-part taxonomy of integration patterns spanning read-only analytics, simulation and intent generation, delegated execution, autonomous signing, and multi-agent workflows; a threat model tailored to agent-driven transaction pipelines that captures risks ranging from prompt injection and policy misuse to key compromise, adversarial execution dynamics, and multi-agent collusion; and a comparative capability matrix analyzing more than 20 representative systems across 13 dimensions, including custody models, permissioning, policy enforcement, observability, and recovery. Building on the gaps revealed by this analysis, we outline a research roadmap centered on two interface abstractions: a Transaction Intent Schema for portable and unambiguous goal specification, and a Policy Decision Record for auditable, verifiable policy enforcement across execution environments. We conclude by proposing a reproducible evaluation suite and benchmarks for assessing the safety, reliability, and economic robustness of agent-mediated on-chain execution.

AI coding agents select frameworks, scaffold infrastructure, and wire integrations, often in seconds. These are architectural decisions, yet almost no one reviews them as such. We identify five mechanisms by which agents make implicit architectural choices and propose six prompt-architecture coupling patterns that map natural-language prompt features to the infrastructure they require. The patterns range from contingent couplings (structured output validation) that may weaken as models improve to fundamental ones (tool-call orchestration) that persist regardless of model capability. An illustrative demonstration confirms that prompt wording alone produces structurally different systems for the same task. We term the phenomenon vibe architecting, architecture shaped by prompts rather than deliberate design, and outline review practices, decision records, and tooling to bring these hidden decisions under governance.

Data curation is a critical part of post-training pipelines for large language models, yet existing tools often treat ingestion, deduplication, synthetic generation, and quality filtering as separate stages. This fragmentation makes it difficult to audit pipeline decisions or understand why individual samples are rejected. CuratorKIT is an open-source Python library that covers this full lifecycle in a single configurable pipeline. The framework is composed of six source format readers and automatic schema detection, a pre-generation data hygiene layer for credentials, PII, and toxic content, eight LLM-powered generation tasks, three complementary quality gates with provenance-exact hallucination verification, structured adaptive recovery, and five training-ready export formats compatible with TRL, Unsloth, and AlignTune. Every pipeline decision is recorded in an append-only per-sample provenance chain, and rejected samples carry structured failure reasons rather than being silently discarded. CuratorKIT supports 100+ LLM providers through LiteLLM, exposes both a Python API and a YAML-driven CLI, and is designed for practitioners who need reproducible, auditable data pipelines at scale .

An agent can complete a task while exhibiting undesirable behavior during execution. Developers need tests for the specific behaviors encountered in deployment, beyond fixed benchmark suites. We present TraceDance, an agent system that constructs targeted benchmarks from deployment traces for user-specified undesirable behaviors. For efficient construction, Anchor-and-Confirm combines programmable retrieval with candidate-level confirmation by a Flash large language model (LLM), while the Anchor Synthesis Loop generates and revises specifications for custom behaviors. The benchmarks use decision-point continuation to evaluate an LLM's next turn at a recorded decision point with a behavior-specific rubric, without a reference answer or environment replay. Experiments in coding and general tool use draw on 252,557 sessions and produce 107 benchmarks with 4,125 instances, fulfilling 95.3% of build-target requests. Both human annotators confirm the requested behavior in 84% of sampled instances, and the automated grader's agreement with human pass/fail judgments is comparable to that between the annotators. Nine frontier LLMs achieve a mean pass rate of only 26.7%, showing that they still struggle to respond appropriately at the evaluated decision points. Analysis across behavior-specific benchmarks further reveals weaknesses in how current LLMs behave as agents. By turning deployment problems into targeted benchmarks, TraceDance could serve as a key component of the recursive self-improvement (RSI) loop.

Offline reinforcement learning is typically analyzed under process-level reward supervision, yet many sequential decision datasets record only trajectory-level outcomes. We develop a statistical theory for offline policy optimization from such outcome-level supervision. We first study the canonical setting where the target remains the expected cumulative reward, but each offline trajectory provides only a scalar label whose conditional mean is the cumulative return. We propose OPAC, a pessimistic actor-critic algorithm that learns a latent reward model and optimizes a policy from trajectory-level labels. We prove a high-probability guarantee of order widetilde O(H^2C_{sa(π^star)/n}) and a matching lower bound, characterizing the sharp statistical cost of replacing process-level rewards with one trajectory-level label. We then extend the principle to preference-based feedback, preserving the leading horizon and concentrability dependence up to preference-model constants. Finally, we study generalized outcome-based offline RL, where both the supervision and the objective are trajectory-level quantities induced by a nonlinear aggregation of latent per-step rewards. This problem is not learnable in general: for all-success objectives, any offline learner may require Ω(2^H) trajectories even with deterministic transitions and constant concentrability. We then identify a tractable regime through two structural coefficients, κ_μ(σ) and χ_μ(σ), capturing information loss in outcome aggregation and generalized Bellman updates, under which generalized OPAC achieves polynomial sample complexity. Together, our results delineate when outcome-level supervision enables sample-efficient offline control and when missing process-level rewards create fundamental statistical barriers.

Runtime-governance evidence often collapses materially different events into one audit record: a decision may be made, an instruction dispatched or received, an action may or may not execute, and a resulting state may or may not be observed. This paper presents AIREP, a vendor- and model-independent protocol for per-decision AI runtime evidence. Its current wire model separates evidence into four artifact families: Decision, Control, Execution, and Effect. Artifacts use closed core schemas, explicit identities and digests, declared scope limits, RFC 8785 canonical JSON, domain-separated SHA-256 hashing, and pure Ed25519 signatures. A three-level assurance model distinguishes structural/hash consistency (AIREP-Core), verifier-accepted authorship (AIREP-Authenticated), and independently anchored chain-head freshness and non-truncation relative to an accepted witness (AIREP-Witnessed); these classes do not establish event truth. A structured reconciler preserves failure, missing evidence, unevaluated prerequisites, and indeterminate outcomes as distinct states. The released beta includes a four-family first-party producer, Python and Node reference-verification paths, adversarial/lifecycle corpora, and reproducible validation. Post-release first-party Hermes and LightEval integration exercises preserve explicit evidence boundaries without claiming adoption or interoperability. Independent implementation evidence exists separately for a v0.1.2 producer and a v0.2 consumer/verifier; because they target different frozen versions, they do not establish same-version producer-to-consumer interoperability. AIREP remains experimental.

LLM agents reach users through resellers, who may rebrand a developer's agent or substitute a cheaper model. When provenance is disputed, attribution rests on the trajectory log (the record of tool calls, observations, and executed actions, not the model's reasoning), which the reseller stores and processes to meter usage. A watermark must therefore survive an adversary with full read/write access to the very evidence it is detected from; existing agent watermarks do not, as their attribution is read straight off that log. We present TRACE, to our knowledge the first agent watermark that is distortion-free in its action choices, self-synchronizing under deletion, and unconditionally invariant under rewriting. Deletion desynchronizes a position-derived key and rewriting alters content, so a deletion-robust key must come from content and a rewrite-robust key from position, and no single key serves both. A trajectory, however, has room for two watermarks. TRACE superposes a selection channel that sets which action is chosen, keyed on local content with a distortion-free sampler, so the agent's distribution is provably unchanged and detection resynchronizes after deletions, and a tally channel that sets how many records each decision group holds, keyed on the log's skeleton alone, which no rewriting can touch. We prove this behavioral watermark's signal is bought with decision entropy, each decision paying at least half its entropy and deterministic decisions nothing, and that erasing both channels forces the reseller to corrupt the trajectories it resells. On ToolBench and ALFWorld, TRACE matches the unwatermarked agent's success rate while its selection channel reaches detection scores near z = 100 on long-horizon trajectories, stays detectable under 70% step deletion, and keeps a tally channel exactly unchanged under LLM rewriting of any strength.

Background: Natural Language Processing (NLP) is widely used to extract clinical insights from Electronic Health Records (EHRs). However, the lack of annotated data, automated tools, and other challenges hinder the full utilisation of NLP for EHRs. Various Machine Learning (ML), Deep Learning (DL) and NLP techniques are studied and compared to understand the limitations and opportunities in this space comprehensively. Methodology: After screening 261 articles from 11 databases, we included 127 papers for full-text review covering seven categories of articles: 1) medical note classification, 2) clinical entity recognition, 3) text summarisation, 4) deep learning (DL) and transfer learning architecture, 5) information extraction, 6) Medical language translation and 7) other NLP applications. This study follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Result and Discussion: EHR was the most commonly used data type among the selected articles, and the datasets were primarily unstructured. Various ML and DL methods were used, with prediction or classification being the most common application of ML or DL. The most common use cases were: the International Classification of Diseases, Ninth Revision (ICD-9) classification, clinical note analysis, and named entity recognition (NER) for clinical descriptions and research on psychiatric disorders. Conclusion: We find that the adopted ML models were not adequately assessed. In addition, the data imbalance problem is quite important, yet we must find techniques to address this underlining problem. Future studies should address key limitations in studies, primarily identifying Lupus Nephritis, Suicide Attempts, perinatal self-harmed and ICD-9 classification.

Omni-modal agents must seek evidence across video, audio, web pages, and computation to answer questions. Their main bottleneck is planning: noisy multimodal observations accumulate in conversation history and disrupt later decisions, while multimodal models have limited capacity for multi-step planning. Controlled backend replacements support this diagnosis: replacing the planner causes a much larger performance loss than replacing the perception backend. We present Omni-Decision, an omni-modal agent built on evidence-ledger planning: it replaces the growing dialogue history with an explicit evidence ledger that records what evidence is still missing, what has been confirmed, and where records conflict. A critic reads each noisy observation and passes only the usable content to the ledger, discarding the rest, so the planner works from a compact context throughout the task. Each run records the state, action, and verdict at every step, and supervised fine-tuning and decision-level reinforcement learning on these trajectories further improve the planner. Omni-Decision achieves state-of-the-art accuracy of 81.4% on OmniGAIA at approximately 43% of Gemini-3.1-Pro's cost per question, and 65.0% on WorldSense long-video understanding, level with the strongest end-to-end model.

Automated decision systems produce operational data across multiple infrastructure layers, yet no single logging format captures the complete governance-relevant record of how a decision was reached. Regulatory frameworks prescribe what must be recorded without specifying a data model for how to record it -- a gap this paper terms the Fragmented Trace Problem. Following a design science methodology, the paper presents the Decision Event Schema (DES), a JSON Schema specification that bridges four infrastructure layers -- ML inference, rule/policy evaluation, cross-system coupling, and governance metadata -- within a single per-decision event structure. The schema employs degradation-aware field design: each of six top-level field groups maps to a governance evidence property and the degradation type it must resist. DES defines ten required root-level fields and introduces a tiered evidence strategy (lightweight, sampled, full) that enables organizations to match evidence completeness to decision risk and throughput. A mechanism feasibility analysis demonstrates compatibility with the highest-throughput integrity mechanisms at production-scale decision rates. Evaluation against 25+ existing formats confirms that DES is the only specification covering all four layers simultaneously. The schema offers practitioners a reference adoptable directly or adaptable through namespace extensions, and regulators a mapping from requirements to minimum evidence tiers.

An agent that inherits six one-line memories may pull at most one archived source record before acting; a directive written into the store can steer that choice: a pointer to the record, a criterion that identifies it, or both. Across twelve registered studies on one instrument lineage (14,760 attempts) we measured where the request goes under each form. On six direct-provider models a length-matched criterion exceeded a bare id by +35.0 points [+31.2, +38.8] (Study D); the contrast failed its registered superiority rule on a nine-model OpenRouter-served panel (Study E). Appending the id cancelled the criterion on three Claude models (Opus 5: 40/40 to 0/40; Study F-x); six byte-matched edits gave each exact string its own effect (Study G), and a re-run at eighty runs per cell left fifteen of thirty replication contrasts within the margin, fifteen unresolved and none beyond (Study G'). A ratification line (+96.0 points on Opus 5) and a budget of two credits restored the target on all three (Study J); across five criterion strings the suffix's cancellation held for four of the five wordings on Opus 5 and all five wordings on Fable 5.1 (Study H2); in a second store every model followed the criterion (Study H1). Continued into a decision, the criterion moved the choice toward the current record (+100.0 points, Opus 5) and away from it on Fable 5.1 (Study I). A one-character plan pointer's effect (+78.0 points; Study B, after a correction of its first repository report) returned the same verdict under a prospectively registered re-run (+81.7 points; Study B'). All results are descriptive effects of exact edits on fixed panels with registered intervals and no mechanism claim.

A semantic decision engine such as Jev can return a valid answer and still miss a network deadline, select an infeasible action or leave the service unverified. We systematize 139 paper families by decision interface, execution path and check ownership. Fifty families claim that their engine fits a control loop or time budget, but only four support the claim with matched measurement. Across all 139, four report deadline attainment. The gap concentrates where the decision has no deterministic computation step. Those 72 families make 22 of the claims, none supported, and name a coverage owner in only two. Bounded tests under one event model show that each gap can reverse an admission verdict. A decision that meets a 10 s budget for every isolated request meets it for none once decisions queue ahead of replayed execution times. The same engine passes one coverage check and fails another. We derive a minimum reporting record, design rules and a research agenda for admitting decision engines to control loops.

Patent examination remains an ongoing challenge in the NLP literature even after the advent of large language models (LLMs), as it requires an extensive yet nuanced human judgment on whether a submitted claim meets the statutory standards of novelty and non-obviousness against previously granted claims -- prior art -- in expert domains. Previous NLP studies have approached this challenge as a prediction task (e.g., forecasting grant outcomes) with high-level proxies such as similarity metrics or classifiers trained on historical labels. However, this approach often overlooks the step-by-step evaluations that examiners must make with profound information, including rationales for the decisions provided in office actions documents, which also makes it harder to measure the current state of techniques in patent review processes. To fill this gap, we construct PANORAMA, a dataset of 8,143 U.S. patent examination records that preserves the full decision trails, including original applications, all cited references, Non-Final Rejections, and Notices of Allowance. Also, PANORAMA decomposes the trails into sequential benchmarks that emulate patent professionals' patent review processes and allow researchers to examine large language models' capabilities at each step of them. Our findings indicate that, although LLMs are relatively effective at retrieving relevant prior art and pinpointing the pertinent paragraphs, they struggle to assess the novelty and non-obviousness of patent claims. We discuss these results and argue that advancing NLP, including LLMs, in the patent domain requires a deeper understanding of real-world patent examination. Our dataset is openly available at https://huggingface.co/datasets/LG-AI-Research/PANORAMA.

Digital healthcare infrastructure is crucial for global medical service delivery. Egypt faces EHR adoption barriers: only 314 hospitals had such systems as of Oct 2024. This limits data management and decision-making. This project introduces an EHR system for Egypt's Universal Health Insurance and healthcare ecosystem. It simplifies data management by centralizing medical histories with a scalable micro-services architecture and polyglot persistence for real-time access and provider communication. Clinical workflows are enhanced via patient examination and history tracking. The system uses the Llama3-OpenBioLLM-70B model to generate summaries of medical histories, provide chatbot features, and generate AI-based medical reports, enabling efficient searches during consultations. A Vision Transformer (ViT) aids in pneumonia classification. Evaluations show the AI excels in capturing details (high recall) but needs improvement in concise narratives. With optimization (retrieval-augmented generation, local data fine-tuning, interoperability protocols), this AI-driven EHR could enhance diagnostic support, decision-making, and healthcare delivery in Egypt.

Deep-learning survival models for electronic health record (EHR) data are hard to compare across papers because the upstream preprocessing step, which includes cohort definition, time discretisation, missingness handling, and censoring rules, is typically undocumented and inconsistent. A reported difference in concordance between two mortality models can therefore reflect any of these choices rather than a modelling contribution. We present SurvBench, an open-source preprocessing pipeline that converts raw PhysioNet exports into model-ready tensors for survival analysis. SurvBench covers four critical-care databases (MIMIC-IV, eICU, MC-MED, HiRID) and four input modalities: time-series vitals and laboratory values, static demographics, International Classification of Diseases (ICD) codes, and radiology report embeddings. Every preprocessing decision is controlled through YAML configuration. Imputation, scaling, and feature filtering are fit on the training fold only. Missingness is recorded as a binary mask alongside each feature tensor. The pipeline handles single-risk endpoints (in-hospital and in-ICU mortality) and competing-risks endpoints (a three-way emergency-department admission pathway, with home discharge treated as administrative censoring). We also provide support for harmonised cross-dataset external validation between eICU and MIMIC-IV. SurvBench is publicly available at https://github.com/munibmesinovic/SurvBench, providing a robust platform that future deep-learning EHR survival work, especially nascent multi-modal approaches, can be measured against under matched preprocessing.

Clinical information extraction, which involves structuring clinical concepts from unstructured medical text, remains a challenging problem that could benefit from the inclusion of tabular background information available in electronic health records. Existing open-source datasets lack explicit links between structured features and clinical concepts in the text, motivating the need for a new research dataset. We introduce SimSUM, a benchmark dataset of 10,000 simulated patient records that link unstructured clinical notes with structured background variables. Each record simulates a patient encounter in the domain of respiratory diseases and includes tabular data (e.g., symptoms, diagnoses, underlying conditions) generated from a Bayesian network whose structure and parameters are defined by domain experts. A large language model (GPT-4o) is prompted to generate a clinical note describing the encounter, including symptoms and relevant context. These notes are annotated with span-level symptom mentions. We conduct an expert evaluation to assess note quality and run baseline predictive models on both the tabular and textual data. The SimSUM dataset is primarily designed to support research on clinical information extraction in the presence of tabular background variables, which can be linked through domain knowledge to concepts of interest to be extracted from the text -- namely, symptoms in the case of SimSUM. Secondary uses include research on the automation of clinical reasoning over both tabular data and text, causal effect estimation in the presence of tabular and/or textual confounders, and multi-modal synthetic data generation. SimSUM is not intended for training clinical decision support systems or production-grade models, but rather to facilitate reproducible research in a simplified and controlled setting.

Clinical decision-making increasingly relies on timely and context-aware access to patient information within Electronic Health Records (EHRs), yet most existing natural language question-answering (QA) systems are evaluated solely on benchmark datasets, limiting their practical relevance. To overcome this limitation, we introduce EHRNavigator, a multi-agent framework that harnesses AI agents to perform patient-level question answering across heterogeneous and multimodal EHR data. We assessed its performance using both public benchmark and institutional datasets under realistic hospital conditions characterized by diverse schemas, temporal reasoning demands, and multimodal evidence integration. Through quantitative evaluation and clinician-validated chart review, EHRNavigator demonstrated strong generalization, achieving 86% accuracy on real-world cases while maintaining clinically acceptable response times. Overall, these findings confirm that EHRNavigator effectively bridges the gap between benchmark evaluation and clinical deployment, offering a robust, adaptive, and efficient solution for real-world EHR question answering.

Large Language Models have demonstrated profound utility in the medical domain. However, their application to autonomous Electronic Health Records~(EHRs) navigation remains constrained by a reliance on curated inputs and simplified retrieval tasks. To bridge the gap between idealized experimental settings and realistic clinical environments, we present AgentEHR. This benchmark challenges agents to execute complex decision-making tasks, such as diagnosis and treatment planning, requiring long-range interactive reasoning directly within raw and high-noise databases. In tackling these tasks, we identify that existing summarization methods inevitably suffer from critical information loss and fractured reasoning continuity. To address this, we propose RetroSum, a novel framework that unifies a retrospective summarization mechanism with an evolving experience strategy. By dynamically re-evaluating interaction history, the retrospective mechanism prevents long-context information loss and ensures unbroken logical coherence. Additionally, the evolving strategy bridges the domain gap by retrieving accumulated experience from a memory bank. Extensive empirical evaluations demonstrate that RetroSum achieves performance gains of up to 29.16% over competitive baselines, while significantly decreasing total interaction errors by up to 92.3%.

Electronic Health Records (EHRs) contain rich yet complex information, and their automated analysis is critical for clinical decision-making. Despite recent advances of large language models (LLMs) in clinical workflows, their ability to analyze EHRs remains limited due to narrow task coverage and lack of EHR-oriented reasoning capabilities. This paper aims to bridge the gap, specifically, we present EHR-Ins, a large-scale, comprehensive EHR reasoning instruction dataset, comprising 300k high-quality reasoning cases and 4M non-reasoning cases across 42 distinct EHR tasks. Its core innovation is a thinking-graph-driven framework that enables to generate high-quality reasoning data at scale. Based on it, we develop EHR-R1, a series of reasoning-enhanced LLMs with up to 72B parameters tailored for EHR analysis. Through a multi-stage training paradigm, including domain adaptation, reasoning enhancement, and reinforcement learning, EHR-R1 systematically acquires domain knowledge and diverse reasoning capabilities, enabling accurate and robust EHR analysis. Lastly, we introduce EHR-Bench, a new benchmark curated from MIMIC-IV, spanning 42 tasks, to comprehensively assess reasoning and prediction across EHR scenarios. In experiments, we show that the resulting EHR-R1 consistently outperforms state-of-the-art commercial and open-source LLMs (including DeepSeek-V3 and GPT-4o), surpassing GPT-4o by over 30 points on MIMIC-Bench and achieving a 10\% higher zero-shot AUROC on EHRSHOT. Collectively, EHR-Ins, EHR-R1, and EHR-Bench have significantly advanced the development for more reliable and clinically relevant EHR analysis.

Long-term memory lets an LLM assistant use a history it can no longer reread, and most memory systems build it by rewriting conversations into facts, graphs or typed memories at write time. We argue that the work of memory divides, as thinking does, into two systems. Most of it is fast System 1 work: many small, independent yes/no judgments about records, such as whether a record is needed or no longer current, which a decision model makes by the dozen in a third of a second. Only a little is slow System 2 work: writing a few search queries, naming what the reply needs and composing the answer, which an LLM does well but slowly. We present Mnemon, a memory agent built on this division. It keeps conversations as raw, dated records; an LLM (System 2) plans searches over them, a decision model, Jev (System 1), judges what the searches return, and rules with explicit budgets turn the judgments into a small View for an unchanged answering model. A background pass consolidates each record once into topic timelines, value histories and standing instructions linked to the records, so that questions about a whole conversation reach evidence their own searches miss. Because nothing is decided about a record when it is written, the same agent can read any store that returns dated records. With gpt-4.1-mini answering, as in a public re-evaluation of 14 systems, Mnemon scores 91.7% on LoCoMo, the highest among them, and 83.8% on LongMemEval-S, from under 4k tokens of context per question, with the lowest effective cost index on LoCoMo. With a reasoning model answering, it reaches 92.2% on LoCoMo and 94.4% on LongMemEval-S, the latter on par with the best published results. From 100K to 10M tokens of history on BEAM, its cost per question grows by a factor of 1.11. On the same records, Jev separates gold evidence better than two LLMs and is 3-11 times faster.

Accurate medication recommendation is central to clinical decision-making, directly determining therapeutic efficacy and patient safety. However, existing methods suffer from two key limitations: drugs are often abstracted as discrete tokens, ignoring their molecular structures and pharmacological mechanisms, and the commonly used "flat" recommendation paradigm fails to leverage the hierarchical logic of the internationally standardized Anatomical Therapeutic Chemical (ATC) classification system. To address these issues, we propose HADRec, a Hierarchy-Aware Drug Recommendation framework that integrates molecular knowledge with electronic health records (EHRs). HADRec employs LLaMA-7B to encode clinical notes for rich patient representations and ChemBERTa to encode drug Simplified Molecular Input Line Entry System strings, building a global molecular knowledge base. A cross-attention mechanism then performs deep multimodal fusion between patient states and drug features. The framework further incorporates a hierarchical predictor and a novel consistency constraint loss to enforce strict adherence to ATC logical dependencies. Extensive experiments on MIMIC-III demonstrate that HADRec achieves state-of-the-art performance across Jaccard, F1, and PR-AUC. External validation on MIMIC-IV confirms strong generalization under distribution shifts, and calibration analysis shows well-calibrated predictive confidence on MIMIC-IV with ECE = 0.04, and Brier = 0.06. Counterfactual evaluation reveals clinically aligned reasoning, disentangling disease-specific treatments from general care. Together, these results establish HADRec as a high-performance, interpretable, and clinically grounded pathway toward safe and reliable AI-driven medication recommendation.

The classification of fifth-generation New-Radio (5G-NR) mobile network traffic is an emerging topic in the field of telecommunications. It can be utilized for quality of service (QoS) management and dynamic resource allocation. However, traditional approaches such as Deep Packet Inspection (DPI) can not be directly applied to encrypted data flows. Therefore, new real-time encrypted traffic classification algorithms need to be investigated to handle dynamic transmission. In this study, we examine the real-time encrypted 5G Non-Standalone (NSA) application-level traffic classification using physical channel records. Due to the vastness of their features, decision-tree-based gradient boosting algorithms are a viable approach for classification. We generate a noise-limited 5G NSA trace dataset with traffic from multiple applications. We develop a new pipeline to convert sequences of physical channel records into numerical vectors. A set of machine learning models are tested, and we propose our solution based on Light Gradient Boosting Machine (LGBM) due to its advantages in fast parallel training and low computational burden in practical scenarios. Our experiments demonstrate that our algorithm can achieve 95% accuracy on the classification task with a state-of-the-art response time as quick as 10ms.

Software delegates more of its branches to models every year: which queue a ticket enters, whether a command is safe to run, whether a claim clears without a person. What the program needs back is not prose. It is one of n declared options and a number it can threshold. Today that costs a round trip to a frontier model -- hundreds of milliseconds, a per-token bill, and a parser -- for a question that is usually a conjunction of three clauses. this-that-model-1.0 is a 2B-parameter typed decision model. Its answer is read directly from the hidden state at a designated position and restricted to the option set the caller declared, so no text is generated, nothing can be malformed, and every question in a request is answered in the same forward pass. It decides in 30.9 ms on one laptop GPU and generates zero output tokens doing it, where a frontier API call costs 8758 ms and the hosted systems that answer these questions well spend between 21 and 212 generated tokens per question thinking first, billed for every one. It sustains 32 decisions per second on one consumer GPU and never lets the state leave the machine. On a third party's recorded cohort of 68 decision questions, on their inputs and their wording, it scores 0.941 with a Brier score of 0.042, against 0.765 and 0.133 for the hosted service Jev on the same items. One pass of our 42-family internal suite takes 32 seconds and 0.000217 USD of electricity; the most accurate hosted model we measured needs 155.2 minutes and 10.636 USD. We also report where it loses. On multi-step arithmetic, which a single forward pass cannot carry intermediate results through, it scores 0.560 against their 0.98 to 1.00, and a targeted second training round improved the five task families it was written for and transferred to none of the other 13. The model is open-sourced in https://huggingface.co/flock-io/this-that-model-1.0

Ship-form design combines smooth geometric representation, local shape editing, and constraints on the resulting hull. We present the Natural-Language-to-Hull Framework (NL2Hull Framework), which formulates ship-form editing as a typed discrete decision problem and connects language decisions to numerical geometry. Its Constrained Free-Form Deformation Engine (CFFD Engine) represents hull waterlines with non-uniform rational B-splines (NURBS), applies free-form deformation (FFD) to their control points, reconstructs the hull, and checks geometric constraints. We construct the Ship Design Decision Dataset (SDD Dataset) with 134,558 cleaned records and evaluate compared models on its subset Ship Design Decision Benchmark (SDDBench), containing 5,000 records and 43,496 typed questions. We propose Chip, a constrained ship-design decision model for processing natural-language requests. Chip reaches 95.90\% question accuracy and 99.32\% FFD exact match, with a negative log-likelihood of 0.0951, an expected calibration error of 0.0032, and a Brier score of 0.0551. The NL2Hull Framework provides a reproducible interface for evaluating language-based ship-form decisions while identifying the geometry and continuous-control components that require further development. Our code and dataset is available at https://github.com/wenhuahuo/NL2Hull.

Research in emergency triage is restricted to structured electronic health records (EHR) due to regulatory constraints on nurse-patient interactions. We introduce TriageSim, a simulation framework for generating persona-conditioned triage conversations from structured records. TriageSim enables multi-turn nurse-patient interactions with explicit control over disfluency and decision behaviour, producing a corpus of ~800 synthetic transcripts and corresponding audio. We use a combination of automated analysis for linguistic, behavioural and acoustic fidelity alongside manual evaluation for medical fidelity using a random subset of 50 conversations. The utility of the generated corpus is examined via conversational triage classification. We observe modest agreement for acuity levels across three modalities: generated synthetic text, ASR transcripts, and direct audio inputs. The code, persona schemata and triage policy prompts for TriageSim will be available upon acceptance.

Lung cancer patients frequently experience breakthrough pain episodes, with up to 91% requiring timely intervention. To enable proactive pain management, we propose a hybrid machine learning and large language model pipeline that predicts pain episodes within 48 and 72 hours of hospitalization using both structured and unstructured electronic health record data. A retrospective cohort of 266 inpatients was analyzed, with features including demographics, tumor stage, vital signs, and WHO-tiered analgesic use. The machine learning module captured temporal medication trends, while the large language model interpreted ambiguous dosing records and free-text clinical notes. Integrating these modalities improved sensitivity and interpretability. Our framework achieved an accuracy of 0.874 (48h) and 0.917 (72h), with an improvement in sensitivity of 8.6% and 10.4% due to the augmentation of large language model. This hybrid approach offers a clinically interpretable and scalable tool for early pain episode forecasting, with potential to enhance treatment precision and optimize resource allocation in oncology care.

Agent skills extend language-model agents with task-specific procedures, scripts, and references, but the tasks and environments they target continually change. Existing methods improve skills in bounded runs and retain only the final artifact, discarding the decision history that later agents need to interpret prior revisions, evaluations, and rejected alternatives. We introduce SkillHone, a harness for continual agent skill evolution grounded in persistent decision history. SkillHone pairs skill revisions with evaluation-side evidence that supplies practice feedback, recording structured histories of diagnoses, revisions, evidence, and outcomes. Role-separated subagents run candidate skills on practice probes with redacted reporting and propose revisions informed by prior decisions, enabling cross-session refinement without rediscovering past rationale. On deep-research benchmarks, SkillHone runs without a pre-integrated search stack and outperforms the commercially backed deep-research agent by 15.8 points on GAIA and 3.2 points on WebWalkerQA-EN, while also exceeding prior skill-evolution methods. We further deploy SkillHone on internal tool-mediated analysis scenarios, where it improves accuracy by an average of 18.8 points across seven settings.

We present a continuous, population-scale measurement record of autonomous language-model trading agents operating in production across two systems with one design lineage: DX Terminal Pro (3,505 user-funded vaults trading real ETH in Base memecoin markets for 21 days, February to March 2026) and the DXAP live alpha fleet (500 to 599 user-created agents all-history, 91 to 117 concurrently active, trading Hyperliquid perpetuals, June to August 2026). The record spans roughly six months, 7.5M single-model invocations with about 300K onchain actions, and a further 231,638 multi-tool turns producing 14,596 fills. Four findings carry the paper. First, the operating layer determines behavior more than anything written in strategy text: a risk slider explains leverage (+0.425 per level), agent fixed effects absorb 60% of variance, and a leaderboard render boundary causally routes selection (regression discontinuity 1.75x at the top-3 cut). Second, sizing is volatility-blind: median leverage is 5.0x in every volatility sextile, and one posture-slider cell (11% of the book) holds 62% of liquidations. Third, agents capture almost none of the upside they reach: 43.2% of positions saw at least +300 bps of favorable excursion within 24h, yet 49.3% of those closed with a negative trade return; a mechanical bracket recovers +39.0 bps per position. Fourth, neither fleet shows a directional edge. The DXAP fleet is not profitable and trails a matched Hyperliquid retail benchmark (41% vs. 50% roundtrip win rate). A paired-replay league of frontier models on 416 captured production scenarios finds decision quality statistically indistinguishable at this horizon, while choice stability differs sharply across model families. Every headline survives day-clustered inference, permutation nulls, and a common-fee restatement; the paper closes with a 17-rule methodology canon bought with our own retractions.

Electronic Health Records (EHRs) contain rich, longitudinal patient information across structured (e.g., labs, vitals, and imaging) and unstructured (e.g., clinical notes) modalities. While deep learning models such as RNNs and Transformers have advanced single- and multimodal EHR analysis, existing methods often optimize for specific downstream tasks and overlook the creation of generalizable patient representations that can be reused across multiple tasks. To address this gap, we propose CAAT-EHR, a novel Cross-Attentional Autoregressive Transformer architecture that produces task-agnostic, longitudinal embeddings of multimodal EHR data. In CAAT-EHR, self-attention layers capture temporal dependencies within each modality, while cross-attention layers fuse information across modalities to model complex interrelationships. During pre-training, an autoregressive decoder predicts future time steps from the fused embeddings, enforcing temporal consistency and enriching the encoder output. Once trained, the encoder alone generates versatile multimodal EHR embeddings that can be applied directly to a variety of predictive tasks. CAAT-EHR demonstrates significant improvements on benchmark EHR datasets for mortality prediction, ICU length-of-stay estimation, and Alzheimer's disease diagnosis prediction. Models using EHR embeddings generated by CAAT-EHR outperform models trained on raw EHR data in eleven out of twelve comparisons for F1 score and AUC across all three downstream tasks. Ablation studies confirm the critical roles of cross-modality fusion and autoregressive refinement. Overall, CAAT-EHR provides a unified framework for learning generalizable, temporally consistent multimodal EHR representations that support more reliable clinical decision support systems.

Electronic Health Records (EHRs), which contain patients' medical histories in various multi-modal formats, often overlook the potential for joint reasoning across imaging and table modalities underexplored in current EHR Question Answering (QA) systems. In this paper, we introduce EHRXQA, a novel multi-modal question answering dataset combining structured EHRs and chest X-ray images. To develop our dataset, we first construct two uni-modal resources: 1) The MIMIC- CXR-VQA dataset, our newly created medical visual question answering (VQA) benchmark, specifically designed to augment the imaging modality in EHR QA, and 2) EHRSQL (MIMIC-IV), a refashioned version of a previously established table-based EHR QA dataset. By integrating these two uni-modal resources, we successfully construct a multi-modal EHR QA dataset that necessitates both uni-modal and cross-modal reasoning. To address the unique challenges of multi-modal questions within EHRs, we propose a NeuralSQL-based strategy equipped with an external VQA API. This pioneering endeavor enhances engagement with multi-modal EHR sources and we believe that our dataset can catalyze advances in real-world medical scenarios such as clinical decision-making and research. EHRXQA is available at https://github.com/baeseongsu/ehrxqa.

Beliefs serve as the foundation for human cognition and decision-making. They guide individuals in deriving meaning from their lives, shaping their behaviors, and forming social connections. Therefore, a model that encapsulates beliefs and their interrelationships is crucial for quantitatively studying the influence of beliefs on our actions. Despite its importance, research on the interplay between human beliefs has often been limited to a small set of beliefs pertaining to specific issues, with a heavy reliance on surveys or experiments. Here, we propose a method for extracting nuanced relations between thousands of beliefs by leveraging large-scale user participation data from an online debate platform and mapping these beliefs to an embedding space using a fine-tuned large language model (LLM). This belief embedding space effectively encapsulates the interconnectedness of diverse beliefs as well as polarization across various social issues. We discover that the positions within this belief space predict new beliefs of individuals. Furthermore, we find that the relative distance between one's existing beliefs and new beliefs can serve as a quantitative estimate of cognitive dissonance, allowing us to predict new beliefs. Our study highlights how modern LLMs, when combined with collective online records of human beliefs, can offer insights into the fundamental principles that govern human belief formation and decision-making processes.

The demand for emergency department (ED) services is increasing across the globe, particularly during the current COVID-19 pandemic. Clinical triage and risk assessment have become increasingly challenging due to the shortage of medical resources and the strain on hospital infrastructure caused by the pandemic. As a result of the widespread use of electronic health records (EHRs), we now have access to a vast amount of clinical data, which allows us to develop predictive models and decision support systems to address these challenges. To date, however, there are no widely accepted benchmark ED triage prediction models based on large-scale public EHR data. An open-source benchmarking platform would streamline research workflows by eliminating cumbersome data preprocessing, and facilitate comparisons among different studies and methodologies. In this paper, based on the Medical Information Mart for Intensive Care IV Emergency Department (MIMIC-IV-ED) database, we developed a publicly available benchmark suite for ED triage predictive models and created a benchmark dataset that contains over 400,000 ED visits from 2011 to 2019. We introduced three ED-based outcomes (hospitalization, critical outcomes, and 72-hour ED reattendance) and implemented a variety of popular methodologies, ranging from machine learning methods to clinical scoring systems. We evaluated and compared the performance of these methods against benchmark tasks. Our codes are open-source, allowing anyone with MIMIC-IV-ED data access to perform the same steps in data processing, benchmark model building, and experiments. This study provides future researchers with insights, suggestions, and protocols for managing raw data and developing risk triaging tools for emergency care.

Clinical evidence, derived from rigorous research and data analysis, provides healthcare professionals with reliable scientific foundations for informed decision-making. Integrating clinical evidence into real-time practice is challenging due to the enormous workload, complex professional processes, and time constraints. This highlights the need for tools that automate evidence synthesis to support more efficient and accurate decision making in clinical settings. This study introduces Quicker, an evidence-based clinical decision support system powered by large language models (LLMs), designed to automate evidence synthesis and generate clinical recommendations modeled after standard clinical guideline development processes. Quicker implements a fully automated chain that covers all phases, from questions to clinical recommendations, and further enables customized decision-making through integrated tools and interactive user interfaces. To evaluate Quicker's capabilities, we developed the Q2CRBench-3 benchmark dataset, based on clinical guideline development records for three different diseases. Experimental results highlighted Quicker's strong performance, with fine-grained question decomposition tailored to user preferences, retrieval sensitivities comparable to human experts, and literature screening performance approaching comprehensive inclusion of relevant studies. In addition, Quicker-assisted evidence assessment effectively supported human reviewers, while Quicker's recommendations were more comprehensive and logically coherent than those of clinicians. In system-level testing, collaboration between a single reviewer and Quicker reduced the time required for recommendation development to 20-40 minutes. In general, our findings affirm the potential of Quicker to help physicians make quicker and more reliable evidence-based clinical decisions.

Advances in large-scale neural recording have made it possible to collect data across many animals and distributed brain regions, raising the question of whether this scale can be exploited to learn general-purpose neural representations transferable across diverse downstream tasks. Yet, progress toward this goal has been limited by fragmented evaluation protocols and a narrow focus on individual task domains. Here, we present BrainWideBench, a benchmark for evaluating across-animal transfer on multi-region neural recordings, built on the International Brain Laboratory Brainwide Map dataset of neural and behavioral recordings spanning 276 brain regions from 139 mice performing a sensory-guided decision-making task. The benchmark is organized around three complementary task suites that evaluate whether learned representations support downstream decoding of behavior, can predict masked or future neural activity, and can recover biologically meaningful anatomical organization. With this benchmark, we systematically evaluate pretraining methods across transfer settings, including finetuning on downstream objectives and zero-shot generalization to unseen animals. Our results confirm pretraining improves performance over matched single-session baselines, but we show current methods exhibit heterogeneity in transfer capabilities: gains depend strongly on the alignment between pretraining objectives and downstream tasks. No single approach performs uniformly well across all three suites, and most methods are designed to only address a subset of them. Together, these findings suggest that learning representations that jointly generalize across behavior, dynamics, and anatomy remains an open challenge. By providing a unified and reproducible evaluation suite, BrainWideBench establishes a framework for measuring progress toward general-purpose models of the mouse brain.

We introduce Option Kernel Bellman Equations (OKBEs) for a new reward-free Markov Decision Process. Rather than a value function, OKBEs directly construct and optimize a predictive map called a state-time option kernel (STOK) to maximize the probability of completing a goal while avoiding constraint violations. STOKs are compositional, modular, and interpretable initiation-to-termination transition kernels for policies in the Options Framework of Reinforcement Learning. This means: 1) STOKs can be composed using Chapman-Kolmogorov equations to make spatiotemporal predictions for multiple policies over long horizons, 2) high-dimensional STOKs can be represented and computed efficiently in a factorized and reconfigurable form, and 3) STOKs record the probabilities of semantically interpretable goal-success and constraint-violation events, needed for formal verification. Given a high-dimensional state-transition model for an intractable planning problem, we can decompose it with local STOKs and goal-conditioned policies that are aggregated into a factorized goal kernel, making it possible to forward-plan at the level of goals in high-dimensions to solve the problem. These properties lead to highly flexible agents that can rapidly synthesize meta-policies, reuse planning representations across many tasks, and justify goals using empowerment, an intrinsic motivation function. We argue that reward-maximization is in conflict with the properties of compositionality, modularity, and interpretability. Alternatively, OKBEs facilitate these properties to support verifiable long-horizon planning and intrinsic motivation that scales to dynamic high-dimensional world-models.

Financial time series (FinTS) record the behavior of human-brain-augmented decision-making, capturing valuable historical information that can be leveraged for profitable investment strategies. Not surprisingly, this area has attracted considerable attention from researchers, who have proposed a wide range of methods based on various backbones. However, the evaluation of the area often exhibits three systemic limitations: 1. Failure to account for the full spectrum of stock movement patterns observed in dynamic financial markets. (Diversity Gap), 2. The absence of unified assessment protocols undermines the validity of cross-study performance comparisons. (Standardization Deficit), and 3. Neglect of critical market structure factors, resulting in inflated performance metrics that lack practical applicability. (Real-World Mismatch). Addressing these limitations, we propose FinTSB, a comprehensive and practical benchmark for financial time series forecasting (FinTSF). To increase the variety, we categorize movement patterns into four specific parts, tokenize and pre-process the data, and assess the data quality based on some sequence characteristics. To eliminate biases due to different evaluation settings, we standardize the metrics across three dimensions and build a user-friendly, lightweight pipeline incorporating methods from various backbones. To accurately simulate real-world trading scenarios and facilitate practical implementation, we extensively model various regulatory constraints, including transaction fees, among others. Finally, we conduct extensive experiments on FinTSB, highlighting key insights to guide model selection under varying market conditions. Overall, FinTSB provides researchers with a novel and comprehensive platform for improving and evaluating FinTSF methods. The code is available at https://github.com/TongjiFinLab/FinTSB.

Discharge summaries in Electronic Health Records (EHRs) are crucial for clinical decision-making, but their length and complexity make information extraction challenging, especially when dealing with accumulated summaries across multiple patient admissions. Large Language Models (LLMs) show promise in addressing this challenge by efficiently analyzing vast and complex data. Existing benchmarks, however, fall short in properly evaluating LLMs' capabilities in this context, as they typically focus on single-note information or limited topics, failing to reflect the real-world inquiries required by clinicians. To bridge this gap, we introduce EHRNoteQA, a novel benchmark built on the MIMIC-IV EHR, comprising 962 different QA pairs each linked to distinct patients' discharge summaries. Every QA pair is initially generated using GPT-4 and then manually reviewed and refined by three clinicians to ensure clinical relevance. EHRNoteQA includes questions that require information across multiple discharge summaries and covers eight diverse topics, mirroring the complexity and diversity of real clinical inquiries. We offer EHRNoteQA in two formats: open-ended and multi-choice question answering, and propose a reliable evaluation method for each. We evaluate 27 LLMs using EHRNoteQA and examine various factors affecting the model performance (e.g., the length and number of discharge summaries). Furthermore, to validate EHRNoteQA as a reliable proxy for expert evaluations in clinical practice, we measure the correlation between the LLM performance on EHRNoteQA, and the LLM performance manually evaluated by clinicians. Results show that LLM performance on EHRNoteQA have higher correlation with clinician-evaluated performance (Spearman: 0.78, Kendall: 0.62) compared to other benchmarks, demonstrating its practical relevance in evaluating LLMs in clinical settings.

Enterprise Resource Planning (ERP) systems record transactions reliably but still delegate almost all operational decision-making to human specialists, because classical rule-based automation cannot reason about exceptions and monolithic AI assistants degrade when asked to coordinate across functional boundaries. This paper presents Agentic ERP, an expert-system architecture that combines role-aligned large-language-model (LLM) agents with a risk-tiered human-in-the-loop harness and a graph-based orchestrator to execute end-to-end business workflows on a production ERP backend. First, autonomous ERP operation is formulated as a constrained sequential-decision problem over a structured enterprise state, with a decomposition argument linking role-aligned agents to a measurable reduction in per-step tool-selection complexity. Second, a graph-based Planner--Executor--Reflector--Responder orchestration decouples generation from evaluation through externalised grading criteria and sprint contracts, packaging recent harness-engineering principles as inspectable expert-system artefacts. Third, the system is evaluated at three levels: a scenario-based task suite, a comprehensive comparison of six orchestration paradigms on cross-functional crisis tasks, and a 365-day agent-in-the-loop simulation against rule-based RPA and no-intervention baselines. Across these levels the proposed multi-agent method is significantly better than the baseline, and the system sustains a simulated year of operation with zero stockouts while the rule-based baseline accumulates hundreds under the same demand stream. The work shows that role-aligned LLM agents under human oversight can move an ERP system from passively recording transactions to actively executing operational decisions, and it provides a reference architecture and an evaluation protocol for autonomous enterprise resource planning.

The same arguments often need to be evaluated under different external regimes. An agent with influence over the regime has a strategic lever that standard formalisms do not directly capture. We introduce context-dependent argumentation frameworks (CDAFs), an extension of Dung's theory in which a defeat function determines, per context, which attacks succeed. A perspective-labeled specialisation derives the defeat function from a relevance set ρ and a priority π. The relevance set is the agent's action space. In a small worked example, the agent's target argument is rejected under every full-relevance injective priority, yet accepted under partial activations, one of which no VAF audience can mirror. We define the corresponding decision problem, ACTIVATION-MANIPULATION, and record baseline complexity bounds. Tight bounds and multi-agent variants are left open.

Large language model agents are increasingly executed not by a single model call, but by an execution harness that manages observation, context, control, action, state, and verification. At the same time, frontier and open models are becoming structurally specialized: a model that is strong at code editing, long-context recovery, tool use, mathematical reasoning, or low-latency response may not dominate on the other axes. This makes model selection inside an agent a core systems problem rather than a per-query serving trick. Existing routing methods mostly optimize single-turn cost-quality trade-offs and therefore miss the execution state, intermediate failures, and feedback loops that make agents different from chat completion. We propose Harness-Native agentic routing, a step-level routing paradigm that selects either a single best-fit model for cost-effective execution or multiple complementary models for ensemble-style accuracy improvement, conditioned on the full harness state. The key insight is that every routing decision naturally produces a structured data record -- consisting of the query, harness state, model choice or model set, execution trace, outcome, and cost -- whose labels are supplied by the environment rather than by the router itself. These records form a harness-native data flywheel: execution traces train better routers and harness-native models, which improve cost-quality trade-offs and generate more traces under the same budget. We instantiate this idea in OpenSquilla with a four-layer routing stack, an open LightGBM cold-start ranker, and a staged router-model path that turns logged arena records into progressively stronger routing policies. The report studies singleton and multi-model routing on agentic benchmarks including DRACO and PinchBench, and argues that agentic routing is not merely cost control, but a data engine for agent-native training.

Many decision-support settings require systems that adapt to individual users, but evaluation data for this problem remain limited. Existing benchmarks for user understanding often rely on simulated users or model-generated behavior, even though recent work cautions that model-based simulations can diverge systematically from human behavior. We introduce BehaviorBench, a benchmark for evaluating personalized decision modeling from real-world behavioral traces. BehaviorBench reconstructs wallet-level decision histories from observed public prediction-market and on-chain records, and organizes them into two complementary task layers: Belief prediction, which predicts a user's final revealed stance and confidence in a market, and Trade prediction, which predicts the direction and amount of individual transactions. Across 2,000 evaluation wallets, the benchmark contains 141,445 Belief instances and 1,485,972 Trade instances, with disjoint support pools for retrieval-based evaluation. We evaluate frontier and open-weight generative models under four history interfaces: no personalization, direct recent history, generated user profiles, and retrieved support-wallet evidence. Personalization improves Belief prediction more consistently than Trade prediction, model rankings change across task layers and metrics, and different history interfaces expose different failure modes. BehaviorBench provides an evaluation setting for studying whether personalized methods can use real-world behavioral evidence rather than simulated users alone.

Provenance links keep the evidence behind an inherited belief reachable; an agent with a verification budget must still choose which links to inspect. We study a consolidated memory that states a decision constraint and whose source record has since been superseded by a record that withdraws it: provenance is immutable, the current record has changed, and the memory is stale. In a controlled six-memory scenario with a budget of two records, sixteen language models rarely re-verified a constraint that read as settled: they inspected its provenance path in about one episode in five and, once the constraint had been superseded, produced stale-consistent decisions in 77.3%, 74.7% and 74.7% of episodes across a primary run, a replication and a held-out domain. Re-assigning one of the same two slots to the critical path removed most of them: +74.0, +72.7 and +61.3 points (positive in every model), +80.7 in a prospectively frozen interleaved replication with a repaired non-critical control, and +62.0 on a panel of 10 models from 9 organisations; a corrected re-run of the held-out scenario gave +73.3. The forced-critical policy uses experimenter knowledge of the critical path: it quantifies how much stale-decision risk the same budget can recover and is not a scheduler. Two further deposited experiments locate the failure and a remedy: in this store the constraint's path is selected in 17.0% of episodes at two slots and 88.7% at four of six (above uniform allocation), and at two slots a one-sentence, target-blind rule (prefer memories that state a limit on a candidate direction) moved the agent's own allocation onto the constraint's path and recovered the oracle contrast on decisions (+89.3 points) where that constraint limits the tempting action, while a content-free freshness cue did not materially redirect allocation and a content-matched control rule changed neither selection nor decisions.

The meaningful use of electronic health records (EHR) continues to progress in the digital era with clinical decision support systems augmented by artificial intelligence. A priority in improving provider experience is to overcome information overload and reduce the cognitive burden so fewer medical errors and cognitive biases are introduced during patient care. One major type of medical error is diagnostic error due to systematic or predictable errors in judgment that rely on heuristics. The potential for clinical natural language processing (cNLP) to model diagnostic reasoning in humans with forward reasoning from data to diagnosis and potentially reduce the cognitive burden and medical error has not been investigated. Existing tasks to advance the science in cNLP have largely focused on information extraction and named entity recognition through classification tasks. We introduce a novel suite of tasks coined as Diagnostic Reasoning Benchmarks, DR.BENCH, as a new benchmark for developing and evaluating cNLP models with clinical diagnostic reasoning ability. The suite includes six tasks from ten publicly available datasets addressing clinical text understanding, medical knowledge reasoning, and diagnosis generation. DR.BENCH is the first clinical suite of tasks designed to be a natural language generation framework to evaluate pre-trained language models. Experiments with state-of-the-art pre-trained generative language models using large general domain models and models that were continually trained on a medical corpus demonstrate opportunities for improvement when evaluated in DR. BENCH. We share DR. BENCH as a publicly available GitLab repository with a systematic approach to load and evaluate models for the cNLP community.

Accurate detection of cardiac abnormalities from electrocardiogram recordings is regarded as essential for clinical diagnostics and decision support. Traditional deep learning models such as residual networks and transformer architectures have been applied successfully to this task, but their performance has been limited when long sequential signals are processed. Recently, state space models have been introduced as an efficient alternative. In this study, a hybrid framework named One Dimensional Convolutional Neural Network Electrocardiogram Mamba is introduced, in which convolutional feature extraction is combined with Mamba, a selective state space model designed for effective sequence modeling. The model is built upon Vision Mamba, a bidirectional variant through which the representation of temporal dependencies in electrocardiogram data is enhanced. Comprehensive experiments on the PhysioNet Computing in Cardiology Challenges of 2020 and 2021 were conducted, and superior performance compared with existing methods was achieved. Specifically, the proposed model achieved substantially higher AUPRC and AUROC scores than those reported by the best previously published algorithms on twelve lead electrocardiograms. These results demonstrate the potential of Mamba-based architectures to advance reliable ECG classification. This capability supports early diagnosis and personalized treatment, while enhancing accessibility in telemedicine and resource-constrained healthcare systems.

Reliable clinical decision support requires medical AI agents capable of safe, multi-step reasoning over structured electronic health records (EHRs). While large language models (LLMs) show promise in healthcare, existing benchmarks inadequately assess performance on action-based tasks involving threshold evaluation, temporal aggregation, and conditional logic. We introduce ART, an Action-based Reasoning clinical Task benchmark for medical AI agents, which mines real-world EHR data to create challenging tasks targeting known reasoning weaknesses. Through analysis of existing benchmarks, we identify three dominant error categories: retrieval failures, aggregation errors, and conditional logic misjudgments. Our four-stage pipeline -- scenario identification, task generation, quality audit, and evaluation -- produces diverse, clinically validated tasks grounded in real patient data. Evaluating GPT-4o-mini and Claude 3.5 Sonnet on 600 tasks shows near-perfect retrieval after prompt refinement, but substantial gaps in aggregation (28--64%) and threshold reasoning (32--38%). By exposing failure modes in action-oriented EHR reasoning, ART advances toward more reliable clinical agents, an essential step for AI systems that reduce cognitive load and administrative burden, supporting workforce capacity in high-demand care settings

Intelligent drug recommendation based on Electronic Health Records (EHRs) is critical for improving the quality and efficiency of clinical decision-making. By leveraging large-scale patient data, drug recommendation systems can assist physicians in selecting the most appropriate medications according to a patient's medical history, diagnoses, laboratory results, and comorbidities. Recent advances in large language models (LLMs) have shown remarkable capabilities in complex reasoning and medical text understanding, making them promising tools for drug recommendation tasks. However, the application of LLMs for Chinese clinical medication recommendation remains largely unexplored. In this work, we conduct a systematic investigation of LLM-based methodologies for Chinese discharge medication recommendation. We evaluate several representative LLM families (GLM, Llama, Qwen) under a unified methodological framework including zero-shot prompting, in-context learning, chain-of-thought prompting, and supervised fine-tuning using LoRA. We analyze model behavior across reasoning styles, error patterns, domain adaptation mechanisms, and robustness. Experimental results show that while supervised fine-tuning improves model performance, there remains substantial room for improvement, with the best model achieving the F1 score of 0.5648 and Jaccard score of 0.4477. Our findings highlight both the potential and limitations of LLMs for Chinese drug recommendation.

This research presents a comprehensive approach to predicting the duration of traffic incidents and classifying them as short-term or long-term across the Sydney Metropolitan Area. Leveraging a dataset that encompasses detailed records of traffic incidents, road network characteristics, and socio-economic indicators, we train and evaluate a variety of advanced machine learning models including Gradient Boosted Decision Trees (GBDT), Random Forest, LightGBM, and XGBoost. The models are assessed using Root Mean Square Error (RMSE) for regression tasks and F1 score for classification tasks. Our experimental results demonstrate that XGBoost and LightGBM outperform conventional models with XGBoost achieving the lowest RMSE of 33.7 for predicting incident duration and highest classification F1 score of 0.62 for a 30-minute duration threshold. For classification, the 30-minute threshold balances performance with 70.84% short-term duration classification accuracy and 62.72% long-term duration classification accuracy. Feature importance analysis, employing both tree split counts and SHAP values, identifies the number of affected lanes, traffic volume, and types of primary and secondary vehicles as the most influential features. The proposed methodology not only achieves high predictive accuracy but also provides stakeholders with vital insights into factors contributing to incident durations. These insights enable more informed decision-making for traffic management and response strategies. The code is available by the link: https://github.com/Future-Mobility-Lab/SydneyIncidents

Electrocardiography (ECG) is one of the most widely used tests for diagnosing cardiovascular disease. Yet several remote clinics still utilize paper ECG printouts for their analysis due to limited connectivity and computational capacity. As a result, vast numbers of physical ECGs obtained in remote areas still remain incapable of being accessed by contemporary artificial-intelligence (AI)-based decision support as they require high computational resources or strong high-speed internet connectivity. This causes several cases where conditions like acute coronary occlusion (ACS) is overlooked and reperfusion therapy delayed. Although prior work has tackled digitization and diagnosis separately, and utilized advanced AI models for them, there still remains a lack of a compute-light, on-device framework that reconstructs paper ECGs at high fidelity, while accurately supporting multiple clinically relevant endpoints. We address this need with an end-to-end lightweight on-device digitization-to-diagnosis pipeline that converts a smartphone photo or scan of a paper ECG into a calibrated 12-lead signal and screens for Myocardial Infarction (MI) pathologies, with SHapley Additive exPlanations (SHAP) to support interpretability. Trained and evaluated on 21,799 ECGs from the PTB-XL dataset and further validated on hospital-acquired ECG-Matrix dataset, the complete system runs in <30 s per ECG on CPU-only resources, achieving 95.51% accuracy (F1 = 0.9519) for MI detection on PTB-XL and 88.89% accuracy (F1 = 0.8862) for OMI detection on ECG-Matrix. This work showcases that legacy paper records can be reliably democratized in any part of the world, providing a scalable decision support when digital ECG export, connectivity, or high-end compute are unavailable

Documentation burden is a major contributor to clinician burnout, which is rising nationally and is an urgent threat to our ability to care for patients. Artificial intelligence (AI) chatbots, such as ChatGPT, could reduce clinician burden by assisting with documentation. Although many hospitals are actively integrating such systems into electronic medical record systems, AI chatbots utility and impact on clinical decision-making have not been studied for this intended use. We are the first to examine the utility of large language models in assisting clinicians draft responses to patient questions. In our two-stage cross-sectional study, 6 oncologists responded to 100 realistic synthetic cancer patient scenarios and portal messages developed to reflect common medical situations, first manually, then with AI assistance. We find AI-assisted responses were longer, less readable, but provided acceptable drafts without edits 58% of time. AI assistance improved efficiency 77% of time, with low harm risk (82% safe). However, 7.7% unedited AI responses could severely harm. In 31% cases, physicians thought AI drafts were human-written. AI assistance led to more patient education recommendations, fewer clinical actions than manual responses. Results show promise for AI to improve clinician efficiency and patient care through assisting documentation, if used judiciously. Monitoring model outputs and human-AI interaction remains crucial for safe implementation.

Large language models (LLMs) show promise for clinical reasoning and decision support, but evaluation in realistic, electronic health record-congruent settings remains limited. Existing benchmarks often rely on static datasets or unstructured inputs that do not reflect the structured, interoperable data formats used in clinical systems. We introduce a pipeline for generating clinically realistic HL7 FHIR R4 bundles from unstructured text, enabling controllable evaluation of clinical decision support systems. The pipeline combines staged LLM generation with terminology-grounded validation and repair to reduce hallucinated codes and enforce structural and semantic consistency. Applying this approach to MedCaseReasoning, we construct MedCase-Structured, a synthetic dataset aligned with clinician-authored diagnostic cases, achieving valid FHIR generation for 82.5% of cases. Evaluation on MedCase-Structured reveals consistently lower diagnostic accuracy for LLMs on structured FHIR inputs than with plain text, highlighting the importance of deployment-aligned benchmarking.

The lack of transparency and explainability hinders the clinical adoption of Machine learning (ML) algorithms. While explainable artificial intelligence (XAI) methods have been proposed, little research has focused on the agreement between these methods and expert clinical knowledge. This study applies current state-of-the-art explainability methods to clinical decision support algorithms developed for Electronic Medical Records (EMR) data to analyse the concordance between these factors and discusses causes for identified discrepancies from a clinical and technical perspective. Important factors for achieving trustworthy XAI solutions for clinical decision support are also discussed.

Clinical predictive models often rely on patients' electronic health records (EHR), but integrating medical knowledge to enhance predictions and decision-making is challenging. This is because personalized predictions require personalized knowledge graphs (KGs), which are difficult to generate from patient EHR data. To address this, we propose GraphCare, an open-world framework that uses external KGs to improve EHR-based predictions. Our method extracts knowledge from large language models (LLMs) and external biomedical KGs to build patient-specific KGs, which are then used to train our proposed Bi-attention AugmenTed (BAT) graph neural network (GNN) for healthcare predictions. On two public datasets, MIMIC-III and MIMIC-IV, GraphCare surpasses baselines in four vital healthcare prediction tasks: mortality, readmission, length of stay (LOS), and drug recommendation. On MIMIC-III, it boosts AUROC by 17.6\% and 6.6\% for mortality and readmission, and F1-score by 7.9\% and 10.8\% for LOS and drug recommendation, respectively. Notably, GraphCare demonstrates a substantial edge in scenarios with limited data availability. Our findings highlight the potential of using external KGs in healthcare prediction tasks and demonstrate the promise of GraphCare in generating personalized KGs for promoting personalized medicine.

Voice disorders significantly impact patient quality of life, yet non-invasive automated diagnosis remains under-explored due to both the scarcity of pathological voice data, and the variability in recording sources. This work introduces MVP (Multi-source Voice Pathology detection), a novel approach that leverages transformers operating directly on raw voice signals. We explore three fusion strategies to combine sentence reading and sustained vowel recordings: waveform concatenation, intermediate feature fusion, and decision-level combination. Empirical validation across the German, Portuguese, and Italian languages shows that intermediate feature fusion using transformers best captures the complementary characteristics of both recording types. Our approach achieves up to +13% AUC improvement over single-source methods.

The application of large language models (LLMs) in clinical decision support faces significant challenges of "tunnel vision" and diagnostic hallucinations present in their processing unstructured electronic health records (EHRs). To address these challenges, we propose a novel chain-based clinical reasoning framework, called DxChain, which transforms the diagnostic workflow into an iterative process by mirroring a clinician's cognitive trajectory that consists of "Memory Anchoring", "Navigation" and "Verification" phases. DxChain introduces three key methodological innovations to elicit the potential of LLM: (i) a Profile-Then-Plan paradigm to mitigate cold-start hallucinations by establishing a panoramic patient baseline, (ii) a Medical Tree-of-Thoughts (Med-ToT) algorithm for strategic look ahead planning and resource aware navigation, and (iii) a Dialectical Diagnostic Verification procedure utilizing "Angel-Devil" adversarial debates to resolve complex evidence conflicts. Evaluated on two real world benchmarks, MIMIC-IV-Ext Cardiac Disease and MIMIC-IV-Ext CDM, DxChain achieves state-of-the-art performances in both diagnostic accuracy and logical consistency, offering a modular and reliable architecture for next-generation clinical AI. The code is at https://anonymous.4open.science/r/Dx-Chain.

Clinical texts, represented in electronic medical records (EMRs), contain rich medical information and are essential for disease prediction, personalised information recommendation, clinical decision support, and medication pattern mining and measurement. Relation extractions between medication mentions and temporal information can further help clinicians better understand the patients' treatment history. To evaluate the performances of deep learning (DL) and large language models (LLMs) in medication extraction and temporal relations classification, we carry out an empirical investigation of MedTem project using several advanced learning structures including BiLSTM-CRF and CNN-BiLSTM for a clinical domain named entity recognition (NER), and BERT-CNN for temporal relation extraction (RE), in addition to the exploration of different word embedding techniques. Furthermore, we also designed a set of post-processing roles to generate structured output on medications and the temporal relation. Our experiments show that CNN-BiLSTM slightly wins the BiLSTM-CRF model on the i2b2-2009 clinical NER task yielding 75.67, 77.83, and 78.17 for precision, recall, and F1 scores using Macro Average. BERT-CNN model also produced reasonable evaluation scores 64.48, 67.17, and 65.03 for P/R/F1 using Macro Avg on the temporal relation extraction test set from i2b2-2012 challenges. Code and Tools from MedTem will be hosted at https://github.com/HECTA-UoM/MedTem

We study how far a deliberately simple behavioral-cloning policy can progress in a visually rich first-person game before adding reinforcement learning or explicit memory. Cortex is a compact Quake policy with 10.98 million trainable parameters in a six-layer transformer over a frozen DINOv3 encoder. It is trained on the Quake subset of the public Pixels2Play corpus: 6,849 recordings (about 474.7 hours), represented as 17.09 million cached decision frames with keyboard and mouse actions. One sampled training epoch uses 517,048 four-frame windows and takes 3.3 minutes of policy-head optimization on one RTX 5080, excluding one-time feature extraction. We evaluate two independent batches of 20 stochastic, 120-second episodes on Quake E1M1. Cortex does not complete the level, but every episode reaches the opening door, button room, and gate descent; 19 of 20 episodes in each batch record at least one kill. Under the same time-controlled harness, released P2P-150M and NitroGen checkpoints remain shallower in five matched-duration episodes each. These comparisons are limited by small reference samples and different native interfaces. Ablations show that denser visual tokens improve combat and survival, while longer optimization and naive action history improve offline metrics without consistently improving play. The remaining failures are consistent with covariate shift and motivate targeted corrective data. We release the policy implementation, checkpoint, and a representative rollout.

Organizations increasingly rely on proprietary enterprise data, including HR records, structured reports, and tabular documents, for critical decision-making. While Large Language Models (LLMs) have strong generative capabilities, they are limited by static pretraining, short context windows, and challenges in processing heterogeneous data formats. Conventional Retrieval-Augmented Generation (RAG) frameworks address some of these gaps but often struggle with structured and semi-structured data. This work proposes an advanced RAG framework that combines hybrid retrieval strategies using dense embeddings (all-mpnet-base-v2) and BM25, enhanced by metadata-aware filtering with SpaCy NER and cross-encoder reranking. The framework applies semantic chunking to maintain textual coherence and retains tabular data structures to preserve row-column integrity. Quantized indexing optimizes retrieval efficiency, while human-in-the-loop feedback and conversation memory improve adaptability. Experiments on enterprise datasets show notable improvements: Precision@5 increased by 15 percent (90 versus 75), Recall@5 by 13 percent (87 versus 74), and Mean Reciprocal Rank by 16 percent (0.85 versus 0.69). Qualitative evaluations show higher scores in Faithfulness (4.6 versus 3.0), Completeness (4.2 versus 2.5), and Relevance (4.5 versus 3.2) on a 5-point Likert scale. These results demonstrate the framework's effectiveness in delivering accurate, comprehensive, and contextually relevant responses for enterprise tasks. Future work includes extending to multimodal data and integrating agent-based retrieval. The source code will be released at https://github.com/CheerlaChandana/Enterprise-Chatbot

Visual fluency in generated video does not imply physical reliability, and a scalar quality score alone is incapable of indicating the obligation a clip violates or the moment it fails. We present VeriPhy, an auditable physical-verification system in which a text-only planner compiles the prompt into typed physical obligations and a statically validated execution plan before any frame is observed. During execution, observations gate and scope only declared calls to frozen low-level experts (e.g., segmentation and tracking, counting, eleven typed physical measurements over the resulting tracks, depth, OCR, and audio-event detection). Each action returns a provenance-carrying evidence record whose payload, when usable, is either a typed measurement or an explicitly tagged learned state. Typed resolvers and fixed composition map usable records to a three-valued state (supported, contradicted, or unknown, surfaced as plausible, implausible, or abstain) with full provenance, so that every verdict is traceable to the evidence that produced it. We anchor evaluation in a 1,500-clip corpus of human-annotated flaw records that localize real generation failures in prompt reference, space, and time. On a 149-clip core carrying 304 such records, VeriPhy accounts for 228, against 164 for a published question-decomposition evaluator given the same clips and the same claims. Recall alone does not separate it from prompting the same backbone monolithically, which reaches 222; what separates them is that each decision retains its evidence record and provenance, making the traces auditable one verdict at a time and usable as the interface through which a critic verdict could be written back into generation.

As structured data are often insufficient, labels need to be extracted from free text in electronic health records when developing models for clinical information retrieval and decision support systems. One of the most important contextual properties in clinical text is negation, which indicates the absence of findings. We aimed to improve large scale extraction of labels by comparing three methods for negation detection in Dutch clinical notes. We used the Erasmus Medical Center Dutch Clinical Corpus to compare a rule-based method based on ContextD, a biLSTM model using MedCAT and (finetuned) RoBERTa-based models. We found that both the biLSTM and RoBERTa models consistently outperform the rule-based model in terms of F1 score, precision and recall. In addition, we systematically categorized the classification errors for each model, which can be used to further improve model performance in particular applications. Combining the three models naively was not beneficial in terms of performance. We conclude that the biLSTM and RoBERTa-based models in particular are highly accurate accurate in detecting clinical negations, but that ultimately all three approaches can be viable depending on the use case at hand.

Autonomous agent frameworks still struggle to reconcile long-term experiential learning with real-time, context-sensitive decision-making. In practice, this gap appears as static cognition, rigid workflow dependence, and inefficient context usage, which jointly limit adaptability in open-ended and non-stationary environments. To address these limitations, we present AutoAgent, a self-evolving multi-agent framework built on three tightly coupled components: evolving cognition, on-the-fly contextual decision-making, and elastic memory orchestration. At the core of AutoAgent, each agent maintains structured prompt-level cognition over tools, self-capabilities, peer expertise, and task knowledge. During execution, this cognition is combined with live task context to select actions from a unified space that includes tool calls, LLM-based generation, and inter-agent requests. To support efficient long-horizon reasoning, an Elastic Memory Orchestrator dynamically organizes interaction history by preserving raw records, compressing redundant trajectories, and constructing reusable episodic abstractions, thereby reducing token overhead while retaining decision-critical evidence. These components are integrated through a closed-loop cognitive evolution process that aligns intended actions with observed outcomes to continuously update cognition and expand reusable skills, without external retraining. Empirical results across retrieval-augmented reasoning, tool-augmented agent benchmarks, and embodied task environments show that AutoAgent consistently improves task success, tool-use efficiency, and collaborative robustness over static and memory-augmented baselines. Overall, AutoAgent provides a unified and practical foundation for adaptive autonomous agents that must learn from experience while making reliable context-aware decisions in dynamic environments.

Connectivity structure shapes neural computation, but inferring this structure from population recordings is degenerate: multiple connectivity structures can generate identical dynamics. Recent work uses low-rank recurrent neural networks (lrRNNs) to infer low-dimensional latent dynamics and connectivity from observed activity, enabling a mechanistic interpretation of the dynamics. However, standard approaches for training lrRNNs can recover spurious structures irrelevant to the underlying dynamics. We first characterize the identifiability of connectivity structures in lrRNNs and determine conditions under which a unique solution exists. To find such solutions, we develop an inference framework based on maximum entropy and continuous normalizing flows (CNFs), trained via flow matching. Instead of estimating a single connectivity matrix, our method learns a distribution over connection weights that is maximally unbiased over unidentifiable components while matching the observed dynamics. This approach captures complex yet necessary distributions such as heavy-tailed connectivity found in empirical data. We validate our method on synthetic datasets with connectivity structures that generate multistable attractors, limit cycles, and ring attractors, and demonstrate its applicability in recordings from rat frontal cortex during decision-making. Our framework shifts circuit inference from recovering connectivity to identifying which connectivity structures are computationally required, and which are artifacts of underconstrained inference.

As autonomous AI agents increasingly transact across organizational boundaries, a fundamental trust challenge emerges: how can an agent assess whether an unknown counterpart is trustworthy? The ERC-8004 protocol addresses this challenge with the first permissionless trust layer for AI agent economies, built around three on-chain registries for Identity, Reputation, and Validation. Despite its rapid adoption, the protocol has not been studied empirically, leaving it unclear whether the information it records provides a trustworthy basis for decision-making. To address this gap, we present the first empirical study of ERC-8004 across three chains: Ethereum, BNB Smart Chain (BSC), and Base, covering the period from protocol deployment through May 13, 2026. We crawl on-chain Identity and Reputation events, off-chain files, and x402 payment transactions. On the identity side, we find that most registrations are placeholders rather than active agents, with only a small fraction (3%, 4%, and 15% across Ethereum, BSC, and Base) exposing a valid ERC-8004 registration file with at least one live service endpoint. On the reputation side, we show that the Registry, as currently deployed, cannot function as a trust signal: values are not commensurable, feedback records are rarely grounded in verifiable interactions, and reputation can be manipulated at minimal cost. Consistent with these design weaknesses, we find that a substantial fraction of reviewers (73.5%, 59.2%, and 90.6% across Ethereum, BSC, and Base) exhibit coordinated Sybil behavior. After removing Sybil-flagged feedback, 15.8%, 77.9%, and 86.8% of rated agents, respectively, are left with no valid feedback. We then turn these findings into concrete recommendations for future revisions of ERC-8004. Our study yields actionable protocol-design implications and establishes an empirical baseline for research on AI agent markets.

Large Language Models (LLMs) show great potential as clinical agents, yet existing benchmarks reduce clinical workflows to static predictions or unconstrained Markov Decision Processes (MDPs) with coarse action sets. To address this, we introduce GPAgentBench-2K, the first Constrained MDP (CMDP) LLM-agent benchmark for primary-care clinical decision-making, constructed from expert-validated records of real-world GP encounters. Our environment models a full spectrum of six foundational clinical actions, imposes a topological workflow prior over the action space, and operationalizes safety-informed abstention as a first-class outcome. Evaluating 16 state-of-the-art LLMs reveals a significant performance degradation as the action space scales. Crucially, we uncover a clinical quality-safety gap: even frontier models with the highest diagnosis accuracy violate safety constraints in over half of high-risk cases. Finally, we establish a reference point using Constrained Group Relative Policy Optimization (C-GRPO), and show that while explicitly modeling constraints improves performance over unconstrained RL methods, it remains far from clinically acceptable safety.

Achieving political consensus is crucial yet challenging for the effective functioning of social governance. However, although frontier AI systems represented by large language models (LLMs) have developed rapidly in recent years, their capabilities in this scope are still understudied. In this paper, we introduce PoliCon, a novel benchmark constructed from 2,225 high-quality deliberation records of the European Parliament over 13 years, ranging from 2009 to 2022, to evaluate the ability of LLMs to draft consensus resolutions based on divergent party positions under varying collective decision-making contexts and political requirements. Specifically, PoliCon incorporates four factors to build each task environment for finding different political consensus: specific political issues, political goals, participating parties, and power structures based on seat distribution. We also developed an evaluation framework based on social choice theory for PoliCon, which simulates the real voting outcomes of different political parties to assess whether LLM-generated resolutions meet the requirements of the predetermined political consensus. Our experimental results demonstrate that even state-of-the-art models remain undersatisfied with complex tasks like passing resolutions by a two-thirds majority and addressing security issues, while uncovering their inherent partisan biases and revealing some behaviors LLMs show to achieve the consensus, such as prioritizing the stance of the dominant party instead of uniting smaller parties, which highlights PoliCon's promise as an effective platform for studying LLMs' ability to promote political consensus. The code and dataset are released at https://zowiezhang.github.io/projects/PoliCon.

The objective of this paper is to understand what characteristics and features of clinical data influence physician's decision about ordering laboratory tests or prescribing medications the most. We conduct our analysis on data and decisions extracted from electronic health records of 4486 post-surgical cardiac patients. The summary statistics for 335 different lab order decisions and 407 medication decisions are reported. We show that in many cases, physician's lab-order and medication decisions can be well predicted from a small subset of all features.

We study reasoning in Rule-Governed Decision Tasks (RGDTs), where models apply external rules to case facts and justify decisions, as required in policy, contract, and compliance settings. Beyond the deductive capability emphasized by standard mathematical and logical reasoning tasks, RGDTs require interpreting rules and their applicability, assessing conditions from evidence, combining judgments under rules and exceptions, and providing checkable justifications. These demands motivate a benchmark assessing both decisions and their stated grounds. We introduce RGDT-Bench, providing 202.1K condition-level supervision slots across four task tracks and eight supported task-probe combinations that vary access to supporting information. Label-blind extraction and deterministic checks produce labels for warrant completeness: source-referenced coverage and consistency of stated decision grounds. The benchmark attributes failures to four process layers: rule use, condition, evidence, and aggregation, and checks the final outcome. Among evaluable correct responses, warrant incompleteness averages 40.2% across six evaluated LLMs and supported task-probe combinations. Such warrant incompleteness poses potential safety risks and remains difficult to detect: the best of seventeen existing evaluators reaches only 57.69% (random: 50%) task-averaged area under the receiver operating characteristic curve (AUROC). To address this difficulty, we train a simple reward model with warrant supervision. It achieves 69.24% task-averaged AUROC among correct answers, exceeding the matched outcome-supervised baseline by 10.37 pp (percentage points) and the best existing evaluator by 11.55 pp. Beyond completeness assessment, the model outperforms both outcome-supervised baselines across nearly all response-selection comparisons, supporting RGDT-Bench's warrant supervision for RGDT reasoning.

India's Right to Information Act, 2005 gives every citizen the right to demand information from public authorities, yet in practice most people cannot make sense of the dense administrative language used in Central Information Commission (CIC) decisions, let alone predict whether an appeal is worth filing. This paper introduces RTI-Bench, a structured dataset of CIC decisions with outcome labels, exemption citations, IRAC-style reasoning components, and procedural timelines. To the best of our knowledge it is the first publicly released structured dataset for Indian RTI administrative decisions. The dataset draws from two sources: 1,218 cases from a publicly available instruction-response corpus (with structured fields added through rule-based extraction), and 298 CIC decision PDFs collected directly from the Commission portal, spanning five commissioners and three document format generations from 2023 to 2026. Label coverage reaches 89% on the instruction-response corpus. For the PDF subset of 239 primary decisions, coverage is 51% in this first release. A random sample of 50 labelled cases was manually reviewed, yielding a label precision of 95.3%. A zero-shot Mistral 7B baseline on 100 cases gives 57.3% accuracy and 37.0% macro-F1 on outcome prediction, well above the majority-class baseline of 14.3% macro-F1. RTI-Bench is available at https://huggingface.co/datasets/joyboseroy/rti-bench

Personal Graphical User Interface (GUI) agents rely on interaction history to infer what a user wants from ambiguous instructions and to anticipate recurring routines. Existing approaches retrieve task-relevant history and append it to the policy's context, implicitly assuming that experience relevant to a task remains useful for each decision within it. We find that this help is largely spent at the first decision: retrieved history strongly improves the opening step of an episode, yet provides little sustained benefit over the remaining 90\% of steps, and offers weak guidance on whether a proactive suggestion is warranted. A relevant record may tell the agent where to begin, but not which past action applies to the current screen or whether a routine is due now. The underlying issue is that relevance does not imply applicability}: relevance is determined at the task level, whereas applicability depends on the situation at decision time. We therefore recast personalization as experience activation and introduce ExpActivator, a training-free framework that activates only the experience applicable to the current situation. During execution, ExpActivator matches each new screen to historical states in the frozen GUI backbone's latent space and supplies the corresponding action as a reference. Before execution, it activates a recurring intent only when the current time and scenario provide sufficient support, and otherwise abstains. Across four GUI backbones, ExpActivator improves within-trajectory step success by 28\% on average, achieves the best personalized execution on every backbone while using about one-fifth as many history tokens, and reaches approximately 2.3times the Matthews correlation coefficient of the strongest proactive baseline. Experience pays where it is activated, not where it is appended.

A typed decision model answers a fixed question about an input by returning a probability for each of several caller-defined options. Each option carries a short label and a written definition, which is where a developer states the rule the model should apply. Jev introduced this interface for routing, moderation and triage, open implementations followed, and the same operation occurs whenever a language model is used as a classifier by scoring label strings. We study the open implementations, whose weights we can inspect and patch, and ask whether the probability follows the definitions or the labels. A preference for the label we call option-label bias. Across four open-weight typed decision models, three ways of reading an answer from a Qwen2.5 backbone, eleven classification tasks and PolicyBench, a synthetic routing suite we introduce in which the rule appears only in the definitions, the answer is mostly the labels. Deleting every definition leaves accuracy unchanged (laya-td: 0.8559 against 0.8487), although those definitions support 0.7971 on their own, and renaming the options to A and B raises accuracy by +0.1511 [+0.1377, +0.1646]. One system, von, is unaffected, and the two code bases differ in one expression: laya writes each option as "{label}: {definition}", while von writes only the definition. Changing that expression in both directions, with no weight changed, makes all three laya checkpoints exactly invariant (+0.0000 [+0.0000, +0.0000]) and creates the effect in von, whose accuracy falls from 0.8511 to 0.2281 when a label contradicts its definition. Earlier work attributed this failure to the constrained decision head these models use in place of a text decoder; our results locate it in the prompt rendering. We give a two-call test that tells a practitioner which case applies to their model, and measure what four mitigations are worth.

Decisions about managing patients on the heart transplant waitlist are currently made by committees of doctors who consider multiple factors, but the process remains largely ad-hoc. With the growing volume of longitudinal patient, donor, and organ data collected by the United Network for Organ Sharing (UNOS) since 2018, there is increasing interest in analytical approaches to support clinical decision-making at the time of organ availability. In this study, we benchmark machine learning models that leverage longitudinal waitlist history data for time-dependent, time-to-event modeling of waitlist mortality. We train on 23,807 patient records with 77 variables and evaluate both survival prediction and discrimination at a 1-year horizon. Our best model achieves a C-Index of 0.94 and AUROC of 0.89, significantly outperforming previous models. Key predictors align with known risk factors while also revealing novel associations. Our findings can support urgency assessment and policy refinement in heart transplant decision making.

We analyze downstream courtroom governance in Philadelphia eviction cases using 755,004 Municipal Court landlord--tenant records filed from 1969 through 2022. Post-filing case processing is organized by repeated courtroom relationships, judge and tenant-attorney regimes, reusable agreement templates, and repeated team-property units. Among both-represented, both-attorney-named cases, 58.2% involve a plaintiff-side and tenant-side attorney pair that had appeared against one another in the prior year, and greater prior pair exposure predicts lower default, higher judgment-by-agreement, and higher served-writ rates. Judge-linked cases display statistically distinct baseline outcome, continuance, fee, and award regimes; tenant-attorney identity explains meaningful variance in both case outcomes and agreement terms. Settlement text is highly standardized: reusable templates explain strictness, waiver, lockout-trigger, payment-plan, deadline, and time-is-essence language far more strongly than raw attorney identity. Monetary burden concentrates in repeated plaintiff-attorney-property units. Assignment-cell support and balance audits indicate that judge-linked evidence reflects institutional heterogeneity rather than a clean judge lottery, and judge--triad interactions are not estimable in this docket. Eviction court emerges as a repeated institutional field that organizes bargaining, text, debt, and enforcement after cases enter the courtroom pipeline.

Daily progress notes are common types in the electronic health record (EHR) where healthcare providers document the patient's daily progress and treatment plans. The EHR is designed to document all the care provided to patients, but it also enables note bloat with extraneous information that distracts from the diagnoses and treatment plans. Applications of natural language processing (NLP) in the EHR is a growing field with the majority of methods in information extraction. Few tasks use NLP methods for downstream diagnostic decision support. We introduced the 2022 National NLP Clinical Challenge (N2C2) Track 3: Progress Note Understanding - Assessment and Plan Reasoning as one step towards a new suite of tasks. The Assessment and Plan Reasoning task focuses on the most critical components of progress notes, Assessment and Plan subsections where health problems and diagnoses are contained. The goal of the task was to develop and evaluate NLP systems that automatically predict causal relations between the overall status of the patient contained in the Assessment section and its relation to each component of the Plan section which contains the diagnoses and treatment plans. The goal of the task was to identify and prioritize diagnoses as the first steps in diagnostic decision support to find the most relevant information in long documents like daily progress notes. We present the results of 2022 n2c2 Track 3 and provide a description of the data, evaluation, participation and system performance.

Clinical practice guidelines (CPGs) encode evidence-based decision logic that clinicians apply by evaluating patient variables, conditional criteria, and recommendation rules. However, existing methods often use CPGs as free-text training data or retrieval sources, underutilizing their procedural decision structure. To better exploit this structure, we introduce a guideline-derived training pipeline that transforms CPG recommendations into executable clinical decision logic and uses it to generate factual and counterfactual question-answering data. Theses data teach models both guideline-supported decisions and how decisions change under different patient conditions. Post-training a medical LLM on the generated data yields MedGuideX. Across four clinical reasoning benchmarks, MedGuideX achieves a 10.28% relative improvement in average accuracy. Physician evaluation further shows that MedGuideX better recovers clinician authored reasoning steps and produces physician-preferred rationales in faithfulness, validity, completeness, and clarity. Overall, our results show that executable decision logic from CPGs can be transformed into scalable supervision for building reliable medical LLMs.

Judicial work depends on close reading of long records, charge sheets, pleadings, annexures, orders, often spanning hundreds of pages. With limited staff support, exhaustive reading during hearings is impractical. We present CourtNav, a voice-guided, anchor-first navigator for legal PDFs that maps a judge's spoken command (e.g., "go to paragraph 23", "highlight the contradiction in the cross-examination") directly to a highlighted paragraph in seconds. CourtNav transcribes the command, classifies intent with a grammar-first(Exact regex matching), LLM-backed router classifying the queries using few shot examples, retrieves over a layout-aware hybrid index, and auto-scrolls the viewer to the cited span while highlighting it and close alternates. By design, the interface shows only grounded passages, never free text, keeping evidence verifiable and auditable. This need is acute in India, where judgments and cross-examinations are notoriously long.In a pilot on representative charge sheets, pleadings, and orders, median time-to-relevance drops from 3-5 minutes (manual navigation) to 10-15 seconds; with quick visual verification included, 30-45 seconds. Under fixed time budgets, this navigation-first design increases the breadth of the record actually consulted while preserving control and transparency.

Clinical diagnosis at hospital admission must be made rapidly from limited, incomplete evidence. Existing diagnosis-prediction benchmarks are poorly suited to this setting: they restrict prediction to closed code sets, exclude free-text notes, and supervise with discharge diagnoses that incorporate the full inpatient course. We introduce EarlyDx, a large-scale benchmark for open-ended early diagnosis, built from 154,834 emergency department encounters in MIMIC-IV. Each encounter is restricted to records available at admission time t_0 and supervised by the diagnoses recorded during the ED encounter rather than at discharge. An LLM auditor further verifies every free-text label as supported, partially supported, or unsupported by that evidence; the primary evaluation scores only fully supported labels. Under a semantic LLM-as-judge protocol, no evaluated system --- frontier general, medical-specialized, or in-domain post-trained --- synthesizes admission-time evidence reliably. Zero-shot models score largely by extraction, recovering only 3-31% of diagnoses that must be inferred rather than read from the record; post-training raises inference-dependent recall to 56%, but a sizeable margin remains, and on time-critical conditions no system attains a clinician's balance of sensitivity and precision. We release the full construction and evaluation pipeline at here.

Patient world models and clinical agents aim to predict changes in patients' health and support clinical work. Developing these systems requires reliable histories of patient conditions, treatments, and the information available at each decision. Electronic health records (EHRs) contain these histories, but differences in how events are recorded make them difficult to use consistently. We present EHR2Trace, a system that converts EHRs from different sources into traceable patient events for model training and evaluation. It links events to source records, separates event time from information availability, and distinguishes medication orders, dispensing, and administration. A shared event representation supports both OMOP and MEDS exports, with automated validation and reproducible builds. Across three clinical datasets, EHR2Trace converted 846.4 million events, with every applicable check passing except one unit-consistency check on MIMIC-IV, and detected all 28 injected faults. A controlled prediction experiment showed that assigning later diagnoses to admission time substantially inflated measured performance, and that a model trained on such data lost accuracy when deployed on histories filtered by availability. EHR2Trace provides a reusable data foundation for patient world models and clinical agents, helping researchers inspect patient histories, check conversion decisions, and evaluate models with explicit data rules.

The availability of structured legal data is important for advancing Natural Language Processing (NLP) techniques for the German legal system. One of the most widely used datasets, Open Legal Data, provides a large-scale collection of German court decisions. While the metadata in this raw dataset is consistently structured, the decision texts themselves are inconsistently formatted and often lack clearly marked sections. Reliable separation of these sections is important not only for rhetorical role classification but also for downstream tasks such as retrieval and citation analysis. In this work, we introduce a cleaned and sectioned dataset of 251,038 German court decisions derived from the official Open Legal Data dataset. We systematically separated three important sections in German court decisions, namely Tenor (operative part of the decision), Tatbestand (facts of the case), and Entscheidungsgründe (judicial reasoning), which are often inconsistently represented in the original dataset. To ensure the reliability of our extraction process, we used Cochran's formula with a 95% confidence level and a 5% margin of error to draw a statistically representative random sample of 384 cases, and manually verified that all three sections were correctly identified. We also extracted the Rechtsmittelbelehrung (appeal notice) as a separate field, since it is a procedural instruction and not part of the decision itself. The resulting corpus is publicly available in the JSONL format, making it an accessible resource for further research on the German legal system.

Machine learning based decision-support tools in criminal justice systems are subjects of intense discussions and academic research. There are important open questions about the utility and fairness of such tools. Academic researchers often rely on a few small datasets that are not sufficient to empirically study various real-world aspects of these questions. In this paper, we contribute WCLD, a curated large dataset of 1.5 million criminal cases from circuit courts in the U.S. state of Wisconsin. We used reliable public data from 1970 to 2020 to curate attributes like prior criminal counts and recidivism outcomes. The dataset contains large number of samples from five racial groups, in addition to information like sex and age (at judgment and first offense). Other attributes in this dataset include neighborhood characteristics obtained from census data, detailed types of offense, charge severity, case decisions, sentence lengths, year of filing etc. We also provide pseudo-identifiers for judge, county and zipcode. The dataset will not only enable researchers to more rigorously study algorithmic fairness in the context of criminal justice, but also relate algorithmic challenges with various systemic issues. We also discuss in detail the process of constructing the dataset and provide a datasheet. The WCLD dataset is available at https://clezdata.github.io/wcld/.

Software that hands branching decisions to a model needs a declared option and a probability it can threshold. Typed decision models, also called System One models, return such probabilities without generating text, while supervised classifiers and generative language models are the established alternatives. One harness sends eight decision-model checkpoints from six families, including the hosted model Jev, and four open generative models from three developers the same semantic requests, and scores trained and zero-shot classifiers on the same workflow, intent, emotion and social-science items. With task labels, a fine-tuned DeBERTa-v3-large has the highest observed accuracy on every labeled benchmark but one. Without labels, no decision model is significantly more accurate than Jev on workflows or intents, but Gemma-4-31B matches it on workflows and exceeds it on CLINC-150 at higher cost and latency. Stated probabilities of generative models become unreadable when replies miss the key format, whereas key likelihoods avoid this but can saturate. A guaranteed 5 percent risk leaves Jev 0.528 of the intent decisions, and an in-scope threshold still accepts 0.310 of out-of-scope requests. On typed-decisions, swapping yes and no flips 50.5 answers per hundred for Jev and at least 16.8 for every generative model tested, against at most 6.5 for four fine-tuned decision checkpoints. Exposure to a benchmark's training data explains the largest lead of an open checkpoint, which vanishes on rater-labeled emotions. An intent-trained first stage escalating to Gemma-4-31B reaches that model's accuracy at about Jev's price. The results yield condition-dependent design rules for automated decision gates.

Reality may establish that an outcome occurred without identifying which evolving procedure produced it or why. This distinction matters in production ML systems whose code, configuration, and artifacts change while external feedback accumulates. We examine it in a human-directed, agent-engineered quantitative trading system, using oracle to mean an external source of realized outcomes rather than a complete correctness specification. Across one year, the account gained and outperformed a broad market index, while annual alpha was not statistically distinguishable from zero under the main retrospective specification. Retrospectively selected subperiods include adverse relative performance and conditional candidate-level weakness under declared approximate references. Engineering records document changes during the episode, and complete recommendation-to-runtime binding is unavailable. The archive does not establish a common frozen instance or a unique cause. The case motivates an outcome--diagnosis gap: outcome evidence, evaluated-object identity, and causal explanation support distinct claims. We distinguish frozen instances, pre-specified adaptive procedures, and ad-hoc development; organize archive-relative claim identifiability and an evidence hierarchy; and propose a prospective production-binding protocol. An illustrative compatible-history example shows how factual binding can resolve a recommendation's referent without supplying its counterfactual effect. The protocol is proposed rather than prospectively validated. External feedback constrains outcome claims, while provenance and additional identification structure determine the resolution of diagnosis.

We develop and evaluate a data-driven approach for detecting unusual (anomalous) patient-management decisions using past patient cases stored in electronic health records (EHRs). Our hypothesis is that a patient-management decision that is unusual with respect to past patient care may be due to an error and that it is worthwhile to generate an alert if such a decision is encountered. We evaluate this hypothesis using data obtained from EHRs of 4486 post-cardiac surgical patients and a subset of 222 alerts generated from the data. We base the evaluation on the opinions of a panel of experts. The results of the study support our hypothesis that the outlier-based alerting can lead to promising true alert rates. We observed true alert rates that ranged from 25\% to 66\% for a variety of patient-management actions, with 66\% corresponding to the strongest outliers.

Public-service recommendations require evidence that matches the requested service, scope, and date. Yet treating every missing detail as decisive can withhold useful recommendations. We introduce EviGraph, which distinguishes critical decision requirements from information that can remain unresolved. A language agent links these requirements to evidence in a temporal knowledge graph, while a deterministic checker establishes whether a recommendation is supported. Evaluation on a bilingual Hong Kong public-service benchmark with executable policy references shows that this distinction reduces unnecessary abstention. Additional verification, however, can withdraw supported recommendations without improving decision quality. These findings suggest that reliable evidence-based navigation depends on specifying what must be established for a decision, rather than simply adding more verification.

Recent advances in LegalAI have primarily focused on individual case judgment analysis, often overlooking the critical appellate process within the judicial system. Appeals serve as a core mechanism for error correction and ensuring fair trials, making them highly significant both in practice and in research. To address this gap, we present the AppealCase dataset, consisting of 10,000 pairs of real-world, matched first-instance and second-instance documents across 91 categories of civil cases. The dataset also includes detailed annotations along five dimensions central to appellate review: judgment reversals, reversal reasons, cited legal provisions, claim-level decisions, and whether there is new information in the second instance. Based on these annotations, we propose five novel LegalAI tasks and conduct a comprehensive evaluation across 20 mainstream models. Experimental results reveal that all current models achieve less than 50% F1 scores on the judgment reversal prediction task, highlighting the complexity and challenge of the appeal scenario. We hope that the AppealCase dataset will spur further research in LegalAI for appellate case analysis and contribute to improving consistency in judicial decision-making.

Building on developments in machine learning and prior work in the science of judicial prediction, we construct a model designed to predict the behavior of the Supreme Court of the United States in a generalized, out-of-sample context. To do so, we develop a time evolving random forest classifier which leverages some unique feature engineering to predict more than 240,000 justice votes and 28,000 cases outcomes over nearly two centuries (1816-2015). Using only data available prior to decision, our model outperforms null (baseline) models at both the justice and case level under both parametric and non-parametric tests. Over nearly two centuries, we achieve 70.2% accuracy at the case outcome level and 71.9% at the justice vote level. More recently, over the past century, we outperform an in-sample optimized null model by nearly 5%. Our performance is consistent with, and improves on the general level of prediction demonstrated by prior work; however, our model is distinctive because it can be applied out-of-sample to the entire past and future of the Court, not a single term. Our results represent an important advance for the science of quantitative legal prediction and portend a range of other potential applications.

Automating radiology report generation can significantly alleviate radiologists' workloads. Previous research has primarily focused on realizing highly concise observations while neglecting the precise attributes that determine the severity of diseases (e.g., small pleural effusion). Since incorrect attributes will lead to imprecise radiology reports, strengthening the generation process with precise attribute modeling becomes necessary. Additionally, the temporal information contained in the historical records, which is crucial in evaluating a patient's current condition (e.g., heart size is unchanged), has also been largely disregarded. To address these issues, we propose RECAP, which generates precise and accurate radiology reports via dynamic disease progression reasoning. Specifically, RECAP first predicts the observations and progressions (i.e., spatiotemporal information) given two consecutive radiographs. It then combines the historical records, spatiotemporal information, and radiographs for report generation, where a disease progression graph and dynamic progression reasoning mechanism are devised to accurately select the attributes of each observation and progression. Extensive experiments on two publicly available datasets demonstrate the effectiveness of our model.

If machine learning models were to achieve superhuman abilities at various reasoning or decision-making tasks, how would we go about evaluating such models, given that humans would necessarily be poor proxies for ground truth? In this paper, we propose a framework for evaluating superhuman models via consistency checks. Our premise is that while the correctness of superhuman decisions may be impossible to evaluate, we can still surface mistakes if the model's decisions fail to satisfy certain logical, human-interpretable rules. We instantiate our framework on three tasks where correctness of decisions is hard to evaluate due to either superhuman model abilities, or to otherwise missing ground truth: evaluating chess positions, forecasting future events, and making legal judgments. We show that regardless of a model's (possibly superhuman) performance on these tasks, we can discover logical inconsistencies in decision making. For example: a chess engine assigning opposing valuations to semantically identical boards; GPT-4 forecasting that sports records will evolve non-monotonically over time; or an AI judge assigning bail to a defendant only after we add a felony to their criminal record.

Large Language Models (LLMs) have achieved significant advances in natural language processing, yet their potential for high-stake political decision-making remains largely unexplored. This paper addresses the gap by focusing on the application of LLMs to the United Nations (UN) decision-making process, where the stakes are particularly high and political decisions can have far-reaching consequences. We introduce a novel dataset comprising publicly available UN Security Council (UNSC) records from 1994 to 2024, including draft resolutions, voting records, and diplomatic speeches. Using this dataset, we propose the United Nations Benchmark (UNBench), the first comprehensive benchmark designed to evaluate LLMs across four interconnected political science tasks: co-penholder judgment, representative voting simulation, draft adoption prediction, and representative statement generation. These tasks span the three stages of the UN decision-making process--drafting, voting, and discussing--and aim to assess LLMs' ability to understand and simulate political dynamics. Our experimental analysis demonstrates the potential and challenges of applying LLMs in this domain, providing insights into their strengths and limitations in political science. This work contributes to the growing intersection of AI and political science, opening new avenues for research and practical applications in global governance. The UNBench Repository can be accessed at: https://github.com/yueqingliang1/UNBench.

How well can a language model turn a large, incomplete and partly contradictory body of documents into a plan when no single correct answer exists? We introduce Mission Analysis (MA)-Bench, built on mission analysis, the first step of military operational planning, in which a staff reads the full situation and states the problem before anyone proposes a solution. Its 10 expert-built scenarios pair synthetic packets of ten to twelve documents with 1,257 expert-written pass/fail requirements, each containing information on their source, question type, and importance level. A reasoning-model judge grades each brief against the requirements without seeing the documents; it grades like a fifth credentialed planner, leaving a four-planner panel's agreement unchanged (Fleiss κ 0.42 to 0.41), and a judge from a second provider reproduces the model ranking (Spearman 0.94). Across twenty frontier and open-weights models the best gets 62% of the rubric items right. Models are strongest on facts stated in the documents (58%) and weakest on judgments that must be inferred (33%), and six failures in ten are omissions rather than errors. MA-Bench grades the determinations, not the prose. We release the packets, rubrics, prompts, scorer and every graded brief with item-level verdicts.

Language models are increasingly used to create synthetic survey samples, also called silicon samples. Decision models are a new class of language models that return a probability for each point of a rating scale instead of text. We ask whether these models, or the newest generative LLMs, can stand in for human respondents on a psychometric survey. We test fourteen decision models from eleven providers and 47 generative LLMs on an open Lithuanian organisational-psychology survey (n=263, 68 items), with 100 real respondent profiles, the Psychometric Similarity Score (PSS) and statistical baselines. The best generative model, MiniMax M3, reaches PSS 0.813. This is level with a Gaussian copula fit only on other respondents (0.824) and below a copula fit in sample (0.927). A second sample of 100 real people scores below the best models, so at this size PSS cannot rank them against real respondents. In 5 of 10 product lines the newest generative release scores below an earlier release of the same line beyond resampling noise, and none gains beyond it. With the default rounded readout, 13 of 14 decision models score below the generative reference gpt-5.4-mini. Of the 47 generative models, 33 reproduce the pattern of item correlations better than any decision model. Averaged over respondents, the probability vectors are much closer to the human item marginals than rounded answers. They also rank respondents about as well as a profile regression fit on 163 real people. As forecasts of each person's own answers, however, every decision model is worse than the answer frequencies of other respondents, mainly because its average vector differs from them. The profile regression improves on these frequencies by only 1.0%, so the profile fields say little about how a person answers. Synthetic respondents built on such profiles should therefore aim at sample-level fidelity.

A typed decision is a choice among a fixed set of options, returned as a probability rather than as text. Systems that need typed decisions today use models trained for that purpose. This report describes AnyJev, which reads a typed decision from one prefill of a pretrained instruction-tuned language model. The readout restricts the next-token distribution at the answer position to the option tokens. It has two defects: the model assigns higher probability to some labels whatever the input, and to some positions in the option list. AnyJev corrects both with no gradient steps and no parameter changes: it divides out a label prior estimated from unlabelled inputs, and it averages log-probabilities over the K cyclic rotations of the option list. On two 20-option tasks the rotations lower the order-flip rate from 0.33 to 0.14 and from 0.33 to 0.18, and raise accuracy on 11 of 11 models on both. Reading every rotation requires K prefills. A stopping rule selected against the full-rotation decision on unlabelled states cuts that. Selecting the threshold on one unlabelled split and bounding its disagreement on a second, it reads 10.6 rotations of 18 at a verified 0.008 bound on two of four cells; selected and bounded on one split, as our serving run did, it reads 7.3 and serves 2.2 times as many decisions per second on vLLM. The code is open source.

A decision model can give probabilities that sum to one for every question yet disagree with itself when the same decision is broken into smaller steps. We study this form of probabilistic coherence in Jev and the English Laya checkpoint, using 2,500 matched examples per system across TREC, CLINC150, and MASSIVE. Across 72,000 classification questions, we compare direct fine-label predictions with broad-category probabilities and predictions reconstructed through those categories. Both systems show substantial disagreement: mean category-level total variation ranges from 0.219 to 0.349 for Jev and from 0.424 to 0.689 for Laya, on a scale where zero means exact agreement. The consequences differ sharply. On CLINC150, reconstruction reduces Jev's accuracy by 22.9 percentage points (paired 95% bootstrap interval: [-24.9, -20.9]) and improves Laya's by 21.3 points ([18.0, 24.5]). The same directions hold across all three datasets, with all six unadjusted accuracy-change intervals excluding zero. Improved accuracy can also accompany less reliable confidence: on MASSIVE, Laya gains 9.2 accuracy points while its expected calibration error rises from 0.046 to 0.124. Error analysis identifies both broad-category mistakes and within-category confusions. These findings show why decision systems need joint evaluation of accuracy, confidence calibration, and probability coherence in the workflow used by an application.

Medical models are judged not only on correctness, but on whether reported confidence matches actual accuracy. Generalist multimodal medical models have expanded what a single model can perceive, yet they still express bounded decisions such as diagnoses, findings or cell counts as generated text, so the reported probability reflects the next token rather than the decision itself. Motivated by decision-native interfaces such as Jev, we introduce OmniMed-Jev, which represents each medical decision as a Choice, Noul or Score decision over a runtime-supplied candidate set and returns a full distribution over that set: mutually exclusive classes, binary presence of a finding, or a bounded ordered value. The design is omni in three respects: it accepts diverse imaging modalities, covers different prediction tasks, and expresses them through one candidate-conditioned probability model, so heterogeneous outputs become comparable probabilities rather than task-specific strings. In an interface-controlled comparison against a generative baseline trained on the same backbone, data and schedule, OmniMed-Jev's reported probabilities track observed correctness far more closely, reducing calibration error by up to an order of magnitude and reliability error by up to two, while point-prediction performance remains comparable; counting is the one family where the generative baseline stays ahead. Making the decision distribution the model's output is not a format change but what turns reported numbers into probabilities that mean what they say. These results support explicit decision modeling as a way to make reported confidence meaningful within the evaluated tasks, and they are not evidence of clinical readiness: the comparison cannot separate the interface from associated training differences, which we state alongside the results. Code is available at github.com/lytang63/OmniMed-Jev.

Frontier language models excel at complex tasks yet may prioritize protection over larger physical consequences in simple, urgent decisions. GPT-5.6 Sol, for example, moves a girl playing in shallow water before retrieving a submerged camera. We call this Protection Mode and study it with ProtectionBench: 285 prompts, 34 physical families, and nine models. At lowest effort, at least one of four responses prioritizes the subject on 34.74% of Sol prompts and over 83% of MiniMax M3 and Qwen3.5-27B prompts; none of four independent human raters does so. Controls show that choices usually track physical risk. We elicit both risks before requesting an action. Some models assess risk incorrectly; others state the correct ordering but still choose the subject. Qwen3.5-27B with thinking shows 100% correct risk ordering but 57.81% subject choice among eligible conversations on eight selected scenes. Attention audits find no stable reduction in attention to relevant facts; removing the stated risk direction reduces object-first choice in dots3-note-prev but not detectably in Qwen3.5-27B. Adding a general "people or animals before property" rule increases subject choice by 19-38 percentage points, whereas factual reminders favor the object by 0.7-5.2 points. Removing naturally generated versions of that rule lowers subject choice by 10-15 points. We also examine whether post-training introduces this pattern. Base models already show Protection Mode; post-training changes justifications more than choices.

As the most public component of the Supreme Court's decision-making process, oral argument receives an out-sized share of attention in the popular media. Despite its prominence, however, the basic function and operation of oral argument as an institution remains poorly understood, as political scientists and legal scholars continue to debate even the most fundamental questions about its role. Past study of oral argument has tended to focus on discrete, quantifiable attributes of oral argument, such as the number of questions asked to each advocate, the party of the Justices' appointing president, or the ideological implications of the case on appeal. Such studies allow broad generalizations about oral argument and judicial decision making: Justices tend to vote in accordance with their ideological preferences, and they tend to ask more questions when they are skeptical of a party's position. But they tell us little about the actual goings on at oral argument -- the running dialog between Justice and advocate that is the heart of the institution. This Article fills that void, using machine learning techniques to, for the first time, construct predictive models of judicial decision making based not on oral argument's superficial features or on factors external to oral argument, such as where the case falls on a liberal-conservative spectrum, but on the actual content of the oral argument itself -- the Justices' questions to each side. The resultant models offer an important new window into aspects of oral argument that have long resisted empirical study, including the Justices' individual questioning styles, how each expresses skepticism, and which of the Justices' questions are most central to oral argument dialog.

The research field of Legal Natural Language Processing (NLP) has been very active recently, with Legal Judgment Prediction (LJP) becoming one of the most extensively studied tasks. To date, most publicly released LJP datasets originate from countries with civil law. In this work, we release, for the first time, a challenging LJP dataset focused on class action cases in the US. It is the first dataset in the common law system that focuses on the harder and more realistic task involving the complaints as input instead of the often used facts summary written by the court. Additionally, we study the difficulty of the task by collecting expert human predictions, showing that even human experts can only reach 53% accuracy on this dataset. Our Longformer model clearly outperforms the human baseline (63%), despite only considering the first 2,048 tokens. Furthermore, we perform a detailed error analysis and find that the Longformer model is significantly better calibrated than the human experts. Finally, we publicly release the dataset and the code used for the experiments.

An agent whose tool keeps returning nothing useful should stop relying on it. In a retrieval environment with controlled source failures, we separate how agents judge results from what they do. We compare stopping at the same step after longer and shorter runs of results the agent judged useless; this contrast is zero for clock- or deadline-driven stopping. Where we record their judgments, the seven agents we test call a failing source's results useless 97-100% of the time, yet most of them rarely stop on that judgment. Prompt cues change when they stop but not what they stop on. Permission to answer from memory and a reasoning mode can bring early stops regardless of evidence, a stated budget moves the 7-8B models' stops to the deadline, and a stopping rule or call cost in the prompt is followed at most partly. Stopping follows the evidence only when the harness enforces an integration step that makes the agent answer after five consecutive results it judged useless. This step raises failing-source success for every model, keeps the stopping point fixed when the budget doubles, and needs no extra judgment call when the agent states its judgments. A pre-registered replication on 300 fresh questions confirms the dissociation and the rule's effect.

We present the design and implementation of a custom discrete optimization technique for building rule lists over a categorical feature space. Our algorithm produces rule lists with optimal training performance, according to the regularized empirical risk, with a certificate of optimality. By leveraging algorithmic bounds, efficient data structures, and computational reuse, we achieve several orders of magnitude speedup in time and a massive reduction of memory consumption. We demonstrate that our approach produces optimal rule lists on practical problems in seconds. Our results indicate that it is possible to construct optimal sparse rule lists that are approximately as accurate as the COMPAS proprietary risk prediction tool on data from Broward County, Florida, but that are completely interpretable. This framework is a novel alternative to CART and other decision tree methods for interpretable modeling.

Machine learning shows promise in predicting the outcome of legal cases, but most research has concentrated on civil law cases rather than case law systems. We identified two unique challenges in making legal case outcome predictions with case law. First, it is crucial to identify relevant precedent cases that serve as fundamental evidence for judges during decision-making. Second, it is necessary to consider the evolution of legal principles over time, as early cases may adhere to different legal contexts. In this paper, we proposed a new framework named PILOT (PredictIng Legal case OuTcome) for case outcome prediction. It comprises two modules for relevant case retrieval and temporal pattern handling, respectively. To benchmark the performance of existing legal case outcome prediction models, we curated a dataset from a large-scale case law database. We demonstrate the importance of accurately identifying precedent cases and mitigating the temporal shift when making predictions for case law, as our method shows a significant improvement over the prior methods that focus on civil law case outcome predictions.

More and more processes governing our lives use in some part an automatic decision step, where -- based on a feature vector derived from an applicant -- an algorithm has the decision power over the final outcome. Here we present a simple idea which gives some of the power back to the applicant by providing her with alternatives which would make the decision algorithm decide differently. It is based on a formalization reminiscent of methods used for evasion attacks, and consists in enumerating the subspaces where the classifiers decides the desired output. This has been implemented for the specific case of decision forests (ensemble methods based on decision trees), mapping the problem to an iterative version of enumerating k-cliques.

As code generation is increasingly delegated to AI systems, the bottleneck is shifting from writing code to supervising the systems that write it --- a shift CS-education researchers have begun to name. This shift exposes a vocabulary gap: the field asks for "human oversight" without a working distinction between the two things language does in a delegation channel --- coordinate action (cybernetic: words succeed when the world comes to match them) and coordinate understanding (epistemic: they succeed when they answer to the world and a hearer can check that they do). The failure this names is not cybernetic language but epistemic-form language doing cybernetic work: explanation-shaped output calibrated for approval rather than truth. Oversight that checks only whether an output was approved is satisfiable by rubber-stamping; oversight that holds an agent accountable requires the reasoning behind its work be retrievable and checkable. We present three delegation episodes --- illustrations, not controlled evidence --- in which epistemic engagement proved practicable while remaining auditable, one public record where a recommendation was withdrawn on its own stated terms, and one failure case illustrating oversight that requires no reasons for its discretionary choices. We propose a criterion for agentic-system governance, alongside existing technical trust properties: every consequential choice should carry the condition under which it would have gone otherwise, in a form a third party can test. Without such a condition, a third party cannot distinguish a decision from a rubber stamp. We give the criterion an operational form --- a two-part reconstruction test scoring a delegation record by whether a second reader can predict what the agent does under a perturbation --- and a deliberation-recording convention, ORRCF, that makes the condition a required component of every recorded choice.

We introduce StartLux-Decision, decision models from 0.8B to 27B parameters that combine efficient single-pass prediction with adaptive, confidence-guided reasoning. The Instant models use bidirectional attention in full-attention layers to improve decision accuracy while keeping single-pass inference. The AutoThink models invoke explicit reasoning for uncertain decisions and answer confident cases directly. A three-stage training pipeline establishes shared decision capabilities, specializes the two variants, and equips AutoThink with reasoning through reasoning supervision and reinforcement learning. We introduce Reinforcement Learning for Calibrated Deliberative Decisions (RLCD^2), which uses a frozen model and proper scoring rules to reward improvements in decision probability quality and applies a soft penalty to overlong reasoning traces. RLCD^2 raises the share of reasoning traces that terminate within the generation limit by up to 48 percentage points and cuts average reasoning length by up to 65%, while largely preserving decision accuracy. On the public subset of Decision Index 0.3, the Instant models outperform the strongest evaluated comparable-scale open-weight decision models by 7.4-16.9 points, and the 27B AutoThink model reaches 73.4. We also introduce DecisionPivot, a programmatically verifiable benchmark of computational decisions built from contrast pairs that differ in a single answer-changing detail. On DecisionPivot, AutoThink outperforms its Instant counterparts by 11.5-18.4 points in pair accuracy and leads among evaluated systems. The models run on vLLM, llama.cpp and MLX, with quantized variants for lower memory use.

When can an agent failure be caught? An audit is usually limited by the record rather than by the method. CatchBench therefore puts one auditor's question to three information states: the declared configuration before a run (PRE), a growing prefix of its trace (LIVE), and the finished trace (POST). Prior benchmarks fix one of these states or vary the telemetry; to our knowledge none scores all three under one task-method interface. Each state admits different questions, so seven task contracts carry their own labels and metrics rather than one leaderboard. Four are evidential; three are Gold-derived mechanism diagnostics. The release scores 72 entrants, from rule scanners and structural models to eleven LLM judges across nine model families (GPT, Claude, Gemini, Gemma, Llama, Qwen, DeepSeek, Mistral, Nova), over 1187 declared configurations and 1162 recorded runs. Most of the arena does not order: 56 of 138 registered contrasts separate, and the rest are published unresolved rather than ranked. The two sharpest results cut against our own data. One rule ignores every name and permission; it flags each capability declared after the first. On one of six configuration sources it reaches a perfect F1, so a score there measures how the corpus was built rather than how well a method reasons. Our admissibility bar then rejected one injected substrate and withheld evidential status from the other. A benchmark number is therefore not interpretable until the process behind its labels is published and tested for the shortcut it may leave. We report both, and regenerate every ordering from released predictions with no model call.

In this paper, we conduct a study to utilize LLMs as a solution for decision making that requires complex data analysis. We define Decision QA as the task of answering the best decision, d_{best}, for a decision-making question Q, business rules R and a database D. Since there is no benchmark that can examine Decision QA, we propose Decision QA benchmark, DQA. It has two scenarios, Locating and Building, constructed from two video games (Europa Universalis IV and Victoria 3) that have almost the same goal as Decision QA. To address Decision QA effectively, we also propose a new RAG technique called the iterative plan-then-retrieval augmented generation (PlanRAG). Our PlanRAG-based LM generates the plan for decision making as the first step, and the retriever generates the queries for data analysis as the second step. The proposed method outperforms the state-of-the-art iterative RAG method by 15.8% in the Locating scenario and by 7.4% in the Building scenario, respectively. We release our code and benchmark at https://github.com/myeon9h/PlanRAG.

Background: AI-driven prediction algorithms have the potential to enhance emergency medicine by enabling rapid and accurate decision-making regarding patient status and potential deterioration. However, the integration of multimodal data, including raw waveform signals, remains underexplored in clinical decision support. Methods: We present a dataset and benchmarking protocol designed to advance multimodal decision support in emergency care. Our models utilize demographics, biometrics, vital signs, laboratory values, and electrocardiogram (ECG) waveforms as inputs to predict both discharge diagnoses and patient deterioration. Results: The diagnostic model achieves area under the receiver operating curve (AUROC) scores above 0.8 for 609 out of 1,428 conditions, covering both cardiac (e.g., myocardial infarction) and non-cardiac (e.g., renal disease, diabetes) diagnoses. The deterioration model attains AUROC scores above 0.8 for 14 out of 15 targets, accurately predicting critical events such as cardiac arrest, mechanical ventilation, ICU admission, and mortality. Conclusions: Our study highlights the positive impact of incorporating raw waveform data into decision support models, improving predictive performance. By introducing a unique, publicly available dataset and baseline models, we provide a foundation for measurable progress in AI-driven decision support for emergency care.

An AI scientist should not grade its own homework. Yet in the systems we examined, the agent that reviews the work usually comes from the same model family as the agent that produced it, or at least from the same vendor. Model evaluators are known to favour their own generations. Whether models trained alike also share blind spots is a conjecture, not a settled finding, but if they do, the reviewer inherits the author's. The record of what was flagged and what was waved through often sits in platform logs that nobody outside can replay. We present CrossAudit, a protocol for supervising autonomous research pipelines. It rests on three commitments. Each increment of work is audited by an agent from a different vendor against a rulebook a human wrote and versioned. Reports, verdicts, disputes and rulings are git commits, so the supervision history can be re-read and cited; raw model exchanges are not yet part of that record. Scripted checks run before any model does. Advisory judgement never gates the pipeline: a model blocks only by citing a rule, and no model may waive a deterministic failure. Blockers that survive a bounded number of revision rounds go to a person. We state the protocol as eight invariants. We describe a reference implementation built from GitHub Actions and a few hundred lines of Python, and report a live deployment of a closely related variant in a computational-chemistry pipeline. We also ran a seeded-defect trial (30 increments, 43 seeded defects, one run per configuration). A cross-vendor audit of our own repository then voided its blinding. We adopt that audit's findings and report the corrected results. The trial shows that two vendors read the same rulebook differently. It does not show that either is better. The strongest evidence here is the committed, uncontrolled record of cross-vendor audits of this paper itself.

Ambient AI scribes draft clinical notes, and published audits find their dominant error is omission: information the encounter established that the note fails to record. The standard check is an LLM judge: a second model reads the note against the transcript and flags problems. We ask whether judges detect omissions. Public corpora cannot supply the answer key: their clinician reference notes and transcripts are materially discrepant. Our benchmark has 500 single-error note pairs from audited fact sheets, 298 with a named fact certainly absent and 202 added-or-altered controls. Across eight judge designs, paired discrimination (the flawed note below its clean twin, 0.5 a coin flip) reads 0.79-0.94 on added or altered content and 0.50-0.63 on omissions. On single notes, no design flags omissions reliably more often than perfect notes. Wording changes, voting and GEPA prompt optimisation move the operating point without creating usable detection. Restructuring the task recovers it: list the facts the transcript establishes, then check the note for each. Two methods reach it independently and trade off: a per-fact pipeline, and a GEPA-evolved prompt doing the same in one call. The pipeline's flags name the missing fact and its severity at 2.7% false alarms. The single call detects more (36.9% against 24.6%, p=0.002) at 6.2% false alarms and a tenth of the cost per note. A physician author validated 70 items and, where the two routes disagree, sided with the pipeline on 10 of 10 (p=0.002). A second clinician, not an author, graded the severity rubric blind and agrees to within a grade. On real vendor notes from a companion census no benchmark threshold transfers, but the re-calibrated single call detects more than the best of the eight at half its false-alarm rate. Omissions whose fact is restated elsewhere defeat both routes. We release the benchmark, prompts and judgements.

Long-running LLM agents act through tools, and a single step can send an email, merge a pull request, or wire a payment. The steering decision is the pre-commit choice at that boundary: proceed, or hold for human or policy review. We introduce SteerBench-Work, an incident-anchored, bidirectional benchmark for that decision in workplace agents across developer operations, customer service, finance, legal, medical, HR, and security. Release v2026-05 contains 106 scenarios anchored in public incidents, paired evidence-reversed mirrors, and calibration controls, with labels split nearly evenly between proceed and hold so the two error directions get near-identical numbers of chances. A model sees the proposed action and the available evidence, returns a gate decision, and is scored on whether it crosses or holds the boundary correctly. Across 30 model conditions the failures run almost entirely in one direction: models wrongly hold authorized, evidence-cleared work on 28.1% of opportunities and wrongly allow unsafe work on 1.0%. The hardest cases are risk-resolved commits, where signed or structured evidence has already cleared a real risk trigger, and models score markedly worse on evidence-reversed mirrors of famous incidents (63.8%) than on the incidents themselves (98.5%). General capability is not the same as steering calibration: higher-capability models often over-refuse at the commit boundary, and more reasoning can repair a weak gate while leaving a calibrated one flat. The public leaderboard is at steerbench.com.

General decision models, such as Jev, have recently emerged as efficient alternatives to LLMs for structured judgment and selection. But what kinds of decisions can these models reliably make, and how does their behavior change when individual decisions are composed into larger systems? To study this, we introduce JEVal, a bilingual benchmark comprising 11,257 instances from 36 datasets across 10 application domains, and evaluate 25 model configurations spanning general decision models and generative LLMs. Our results show that (1) general decision models are most competitive when decisions can be resolved from available evidence, but weaken when they require specialist knowledge or faithful uncertainty estimation: they can often identify the most likely outcome while substantially overstating its probability. (2) In more dynamic and realistic systems involving long-horizon, multi-step interactions, the advantages of fast local decision making are offset by reliability failures at the system level. on τ-bench, faster local decisions reduce median episode time but lower task success as decision errors accumulate over long trajectories. (3) In large-scale social simulation, decision models approach strong generative LLMs on individual response prediction at substantially lower inference cost, yet remain weaker in user profiling and exhibit larger aggregate estimation errors and systematic bias. Finally, we propose InnerJev-4B and InnerJev-27B, which internalize an open-weight LLM's own reasoning into a single-pass first-token decision through Reasoning-to-Readout Self-Distillation, with InnerJev-27B performing on par with Jev on JEVal while answering a typical query in about 0.1 s.

Bail decisions are among the most frequently adjudicated matters in Indian courts, yet they remain plagued by subjectivity, delays, and inconsistencies. With over 75% of India's prison population comprising undertrial prisoners, many from socioeconomically disadvantaged backgrounds, the lack of timely and fair bail adjudication exacerbates human rights concerns and contributes to systemic judicial backlog. In this paper, we present the Indian Bail Prediction System (IBPS), an AI-powered framework designed to assist in bail decision-making by predicting outcomes and generating legally sound rationales based solely on factual case attributes and statutory provisions. We curate and release a large-scale dataset of 150,430 High Court bail judgments, enriched with structured annotations such as age, health, criminal history, crime category, custody duration, statutes, and judicial reasoning. We fine-tune a large language model using parameter-efficient techniques and evaluate its performance across multiple configurations, with and without statutory context, and with RAG. Our results demonstrate that models fine-tuned with statutory knowledge significantly outperform baselines, achieving strong accuracy and explanation quality, and generalize well to a test set independently annotated by legal experts. IBPS offers a transparent, scalable, and reproducible solution to support data-driven legal assistance, reduce bail delays, and promote procedural fairness in the Indian judicial system.

Large language models (LLMs) are increasingly deployed across healthcare applications, including clinical documentation, diagnostic reasoning, medicine recommendation, and medical education. Their outputs are largely unstructured clinical text, which is difficult to reliably evaluate at scale. LLM-as-a-Judge, in which an LLM evaluates another system's output against task-specific criteria, offers a scalable alternative and is increasingly used in clinical evaluation, yet its validity in healthcare remains underexamined. Existing reviews focus on general-purpose LLM evaluation or on risk framework, rather than systematically characterizing how LLM-as-a-Judge is applied in healthcare and how well their judgments align with human experts. We therefore conduct a PRISMA-guided comprehensive review of LLM-as-a-Judge applications in healthcare, searching five databases for studies published between January 2023 and February 2026. After screening 541 records, 134 studies meet the eligibility and are coded by health scenario, judge configuration, technical approach, and validation design. LLM-as-a-Judge is concentrated in clinical decision support, clinical natural language processing (NLP), medical knowledge and question answering (QA), and medical communication. OpenAI models are the most frequently used judges, and prompt engineering appears in nearly all studies, with ensemble, multi-agent, and retrieval-augmented designs as common extensions. Among studies reporting human validation, LLM judges often show moderate to strong alignment with expert judgments, although reliability varies substantially across tasks. Overall, this review positions LLM-as-a-Judge as a promising framework for scalable healthcare AI evaluation, while emphasizing that its clinical value depends on model design and rigorous validation.

Exam-style accuracy does not establish whether large language models (LLMs) reason well over clinical records. We define clinical reasoning as integrating and updating evidence across time and sources to form, revise and justify a patient's problem representation and a defensible plan. This structured narrative review maps three literatures: medical education assessment instruments, clinical LLM benchmarks published from 2023 onwards, and general-domain methods for evaluating long-form generation. We examine six dimensions: problem representation, temporal synthesis, differential and management reasoning, counterfactual reasoning, calibrated uncertainty, and reasoning faithfulness. Preprints are included and flagged. No single instrument covers all six dimensions. Problem representation and differential or management reasoning are reasonably covered, although reliability varies by instrument and setting. TIMER-Eval targets temporal synthesis, and ER-Reason assesses sequential diagnostic belief updating. Dedicated uncertainty and counterfactual evaluations are emerging, but their applicability to longitudinal free-text reasoning remains limited. Factual completeness is well theorised in general-domain evaluation, with early clinical evidence of important omissions. Faithfulness remains the weakest dimension, with one identified clinical causal-ablation study on multiple-choice questions. Existing tools should be combined through binary rubric items, separate completeness and correctness scores, case-specific importance weighting with non-compensable safety caps, temporal order-consistency checks, and chance-corrected reliability reporting. Further design work is needed for calibrated uncertainty, counterfactual reasoning and faithfulness over longitudinal free-text records. This review provides a design rationale, not a validated instrument.

Databases of electronic health records (EHRs) are increasingly used to inform clinical decisions. Machine learning methods can find patterns in EHRs that are predictive of future adverse outcomes. However, statistical models may be built upon patterns of health-seeking behavior that vary across patient subpopulations, leading to poor predictive performance when training on one patient population and predicting on another. This note proposes two tests to better measure and understand model generalization. We use these tests to compare models derived from two data sources: (i) historical medical records, and (ii) electrocardiogram (EKG) waveforms. In a predictive task, we show that EKG-based models can be more stable than EHR-based models across different patient populations.

Clinical decision-support systems are expert systems whose recommendations clinicians act on directly, yet they are usually cleared on one aggregate accuracy number from a held-out test set. That number says nothing about input reliability under encoding shifts, subgroup gaps, threshold sensitivity, or operational feasibility. We present RISED, a pre-deployment evaluation framework operationalising five dimensions (Reliability, Inclusivity, Sensitivity, Equity, Deployability) through BCa bootstrap 95% confidence intervals, literature-grounded thresholds, and Holm-Bonferroni-corrected PASS / FAIL / INCONCLUSIVE verdicts; Equity is a proxy-dependence diagnostic rather than a gating test. Applied to seven cohorts spanning 35 years (n from 303 to 99,492), RISED surfaces failures invisible to AUROC: on Diabetes 130, Reliability passes by three orders of magnitude (PSS = 0.0004) while Inclusivity (AUC parity gap = 0.262) and Sensitivity (max threshold-flip rate 49.1%) fail decisively; both NHIS cohorts reproduce this. NHANES 2021-2023, with a complete feature profile, achieves INCONCLUSIVE verdicts; BRFSS 2024 produces the suite's most severe Sensitivity failure (max threshold-flip rate 64.2%) after instrument rotation removed hypertension and cholesterol. The pattern recurs on credit- and income-prediction cohorts, confirming domain-agnosticity; a multi-model check shows the failures are data-driven, not model-specific. RISED ships as an open-source Python package complementing TRIPOD+AI, FUTURE-AI, and Fairlearn with the structured numerical evidence those standards require but do not prescribe.

Following clinical decision pathways (CDPs) defined by clinical practice guidelines is essential for safe and reliable medical decision-making. However, existing medical large language model (LLM) benchmarks mainly evaluate final-answer accuracy, providing limited evaluation of models' ability to adhere to guidelines. To address this gap, we introduce MEGA-CDP, a benchmark for evaluating whether medical LLMs can generate guideline-adherent CDPs using provided guidelines as references. MEGA-CDP is constructed from 2,274 English and Chinese clinical practice guidelines through a guideline-to-case pipeline, yielding 42,353 clinical cases with explicit reference CDPs. It supports both single-turn vignette and multi-turn interactive settings, and introduces a CDP-oriented evaluation framework for measuring pathway consistency. Experiments on 16 representative LLMs show that reliable clinical decision support remains challenging for current models, demonstrating the need for CDP-oriented evaluation and the value of MEGA-CDP for advancing guideline adherence in medical LLMs.

Document repositories evolve continuously. Guidelines and policies are revised, superseded, and re-uploaded, so the same content recurs in different wording and newer versions refine or contradict earlier ones. These inconsistencies belong to the growing collection rather than to any single document, yet existing work treats versioning, duplicate detection, and contradiction detection as isolated pairwise tasks and stops once a pair is labeled. We present GVD (Governed Versioning and Deduplication), a framework that unifies cross-document version linking with rule-level conflict resolution under an auditable update policy. Incoming documents are assigned to version families through bidirectional rule alignment, and their rules are compared against the family memory to identify duplicates, contradictions, asymmetric refinements, and new knowledge, with Counterfactual Span Probing (CSP) resolving related pairs that inference misclassifies as neutral. Relation-specific policies suppress duplicates and escalate only consequential changes for review, retaining version lineage as an audit trail. The pipeline runs fully locally, with no large language model. On 120 enterprise documents processed as 140 ingestions across 59 version families, GVD reaches an F1 of 0.97 for version-family construction and 0.94 for rule-level consistency, with CSP raising rule consistency from 0.90 to 0.94.

Stronger AI agents do not automatically produce better organizations: teams must also learn which work arrangements to retain and when to reconsider them. We propose a modeling specification for recursive organization improvement and evaluate it through an executable checker, a public-record mapping, and controlled simulation. The specification connects actor-visible histories, organizational memory, decision rights, and evidence-carrying change contracts. The mechanism study crosses six decision rules, three memory conditions, and three task environments under fixed resource ceilings. In a stationary environment, cumulative evidence raises balanced evaluation's normalized net value per task from 0.45224 to 0.48007. Repeated reassessment's disadvantage relative to this comparator falls from 0.01702 with reset evidence to 0.00007 with cumulative evidence. A reversal of the best workflow reveals the opposite cost: indefinite retention delays adaptation, while a finite window restores eventual performance at a transition cost. In exploratory controls, matching trial acquisition and label reuse reduces the apparent reassessment gain from 0.00607 to 0.00191. Program replacement adds no stable benefit across the tested reversal times. The study identifies evidence acquisition, reuse, and timely updating as mechanisms that must be separated from evaluator replacement when assessing organizational improvement.

Interactive agents repeatedly choose among a finite set of actions, labels, or ordinal outcomes. Generating a free-form response for each choice adds latency and complicates the interface between a model and its environment. We present Intern-Decision, a family of 0.8B, 2B, and 4B multimodal decision models that return structured choices and candidate probabilities from text and optional images. Our autoregressive masked language modeling objective places one decision placeholder per field in a complete assistant JSON skeleton. Ground-truth symbols appear only in supervision, while all fields are evaluated in a single causal forward pass using the backbone's native language-model head. The 4B model achieves a 90.02% unweighted average accuracy across seven evaluation suites, compared with 88.74% for Jev v1.13.0. For a fixed 289-token request with three fields on one RTX 4090, mean latency is 44.16 ms for the 4B model and approximately 33--34 ms for the smaller models. On a separate 96-case known-distribution pilot, temperature scaling reduces expected multiclass Brier from 0.628 to 0.550 and expected calibration error from 0.213 to 0.089. A confidence-based handoff study on 111 public Jevbench-Hard items improves accuracy from 82/111 (73.87%) to 97/111 (87.39%) by routing 42 items to Atria-Dawn-Preview. We also describe qualitative game, visual interface, and browser demonstrations. These results support compact decision models as a practical component of larger agent systems.