arXiv:2512.15740v1 Announce Type: new Abstract: Traditional ethical frameworks often struggle to model decision-making under uncertainty, treating it as a simple constraint on action. This paper introduces the Principle of Proportional Duty (PPD), a novel framework that models how ethical responsibility scales with an agent's epistemic state. The framework reveals that moral duty is not lost to uncertainty but transforms: as uncertainty increases, Action Duty (the duty to act decisively) is proportionally converted into Repair Duty (the active duty to verify, inquire, and resolve uncertainty). This dynamic is expressed by the equation D_total = K[(1-HI) + HI * g(C_signal)], where Total Duty is a function of Knowledge (K), Humility/Uncertainty (HI), and Contextual Signal Strength (C_signal). Monte Carlo simulations demonstrate that systems maintaining a baseline humility coefficient (lambda > 0) produce more stable duty allocations and reduce the risk of overconfident decision-making. By formalizing humility as a system parameter, the PPD offers a mathematically tractable approach to moral responsibility that could inform the development of auditable AI decision systems. This paper applies the framework across four domains, clinical ethics, recipient-rights law, economic governance, and artificial intelligence, to demonstrate its cross-disciplinary validity. The findings suggest that proportional duty serves as a stabilizing principle within complex systems, preventing both overreach and omission by dynamically balancing epistemic confidence against contextual risk.

npj Digital Medicine, Published online: 17 December 2025; doi:10.1038/s41746-025-02138-4

Machine learning-based predictions of healthcare contacts following emergency hospitalisation using electronic health records

arXiv:2512.15769v1 Announce Type: cross Abstract: The increasing use of generative models such as diffusion models for synthetic data augmentation has greatly reduced the cost of data collection and labeling in downstream perception tasks. However, this new data source paradigm may introduce important security concerns. This work investigates backdoor propagation in such emerging generative data supply chains, namely Data-Chain Backdoor (DCB). Specifically, we find that open-source diffusion models can become hidden carriers of backdoors. Their strong distribution-fitting ability causes them to memorize and reproduce backdoor triggers during generation, which are subsequently inherited by downstream models, resulting in severe security risks. This threat is particularly concerning under clean-label attack scenarios, as it remains effective while having negligible impact on the utility of the synthetic data. Furthermore, we discover an Early-Stage Trigger Manifestation (ESTM) phenomenon: backdoor trigger patterns tend to surface more explicitly in the early, high-noise stages of the diffusion model's reverse generation process before being subtly integrated into the final samples. Overall, this work reveals a previously underexplored threat in generative data pipelines and provides initial insights toward mitigating backdoor risks in synthetic data generation.

arXiv:2512.16455v1 Announce Type: cross Abstract: In this paper, we describe a federated compute platform dedicated to support Artificial Intelligence in scientific workloads. Putting the effort into reproducible deployments, it delivers consistent, transparent access to a federation of physically distributed e-Infrastructures. Through a comprehensive service catalogue, the platform is able to offer an integrated user experience covering the full Machine Learning lifecycle, including model development (with dedicated interactive development environments), training (with GPU resources, annotation tools, experiment tracking, and federated learning support) and deployment (covering a wide range of deployment options all along the Cloud Continuum). The platform also provides tools for traceability and reproducibility of AI models, integrates with different Artificial Intelligence model providers, datasets and storage resources, allowing users to interact with the broader Machine Learning ecosystem. Finally, it is easily customizable to lower the adoption barrier by external communities.

arXiv:2512.16512v1 Announce Type: cross Abstract: Achieving high efficiency on AI operators demands precise control over computation and data movement. However, existing scheduling languages are locked into specific compiler ecosystems, preventing fair comparison, reuse, and evaluation across frameworks. No unified interface currently decouples scheduling specification from code generation and measurement. We introduce XTC, a platform that unifies scheduling and performance evaluation across compilers. With its common API and reproducible measurement framework, XTC enables portable experimentation and accelerates research on optimization strategies.

arXiv:2501.12424v2 Announce Type: replace-cross Abstract: Multimodal sentiment analysis (MSA) identifies individuals' sentiment states in videos by integrating visual, audio, and text modalities. Despite progress in existing methods, the inherent modality heterogeneity limits the effective capture of interactive sentiment features across modalities. In this paper, by introducing a Multi-Modality Collaborative Learning (MMCL) framework, we facilitate cross-modal interactions and capture enhanced and complementary features from modality-common and modality-specific representations, respectively. Specifically, we design a parameter-free decoupling module and separate uni-modality into modality-common and modality-specific components through semantics assessment of cross-modal elements. For modality-specific representations, inspired by the act-reward mechanism in reinforcement learning, we design policy models to adaptively mine complementary sentiment features under the guidance of a joint reward. For modality-common representations, intra-modal attention is employed to highlight crucial components, playing enhanced roles among modalities. Experimental results, including superiority evaluations on four databases, effectiveness verification of each module, and assessment of complementary features, demonstrate that MMCL successfully learns collaborative features across modalities and significantly improves performance. The code can be available at https://github.com/smwanghhh/MMCL.

arXiv:2506.09695v3 Announce Type: replace-cross Abstract: Early diagnosis of Alzheimer's Disease (AD), particularly at the mild cognitive impairment stage, is essential for timely intervention. However, this process faces significant barriers, including reliance on subjective assessments and the high cost of advanced imaging techniques. While deep learning offers automated solutions to improve diagnostic accuracy, its widespread adoption remains constrained due to high energy requirements and computational demands, particularly in resource-limited settings. Spiking neural networks (SNNs) provide a promising alternative, as their brain-inspired design is well-suited to model the sparse and event-driven patterns characteristic of neural degeneration in AD. These networks offer the potential for developing interpretable, energy-efficient diagnostic tools. Despite their advantages, existing SNNs often suffer from limited expressiveness and challenges in stable training, which reduce their effectiveness in handling complex medical tasks. To address these shortcomings, we introduce FasterSNN, a hybrid neural architecture that combines biologically inspired Leaky Integrate-and-Fire (LIF) neurons with region-adaptive convolution and multi-scale spiking attention mechanisms. This approach facilitates efficient, sparse processing of 3D MRI data while maintaining high diagnostic accuracy. Experimental results on benchmark datasets reveal that FasterSNN delivers competitive performance with significantly enhanced efficiency and training stability, highlighting its potential for practical application in AD screening. Our source code is available at https://github.com/wuchangw/FasterSNN.

arXiv:2509.05361v2 Announce Type: replace-cross Abstract: Transformative AI systems may pose unprecedented catastrophic risks, but the U.S. Constitution places significant constraints on the government's ability to govern this technology. This paper examines how the First Amendment, administrative law, and the Fourteenth Amendment shape the legal vulnerability of two regulatory proposals: model licensing and AI research classification. While the First Amendment may provide some degree of protection for model algorithms or outputs, this protection does not foreclose regulation. Policymakers must also consider administrative legal requirements, due to both agency review and authority. Finally, while substantive due process and equal protection pose minimal obstacles, procedural due process requires the government to clearly define when developers vest a legal interest in their models. Given this analysis, effective AI governance requires careful implementation to avoid these legal challenges.

arXiv:2511.07392v3 Announce Type: replace-cross Abstract: In robotic surgery, surgeons fully engage their hands and visual attention in procedures, making it difficult to access and manipulate multimodal patient data without interrupting the workflow. To overcome this problem, we propose a Voice-Interactive Surgical Agent (VISA) built on a hierarchical multi-agent framework consisting of an orchestration agent and three task-specific agents driven by Large Language Models (LLMs). These LLM-based agents autonomously plan, refine, validate, and reason to interpret voice commands and execute tasks such as retrieving clinical information, manipulating CT scans, or navigating 3D anatomical models within surgical video. We construct a dataset of 240 user commands organized into hierarchical categories and introduce the Multi-level Orchestration Evaluation Metric (MOEM) that evaluates the performance and robustness at both the command and category levels. Experimental results demonstrate that VISA achieves high stage-level accuracy and workflow-level success rates, while also enhancing its robustness by correcting transcription errors, resolving linguistic ambiguity, and interpreting diverse free-form expressions. These findings highlight the strong potential of VISA to support robotic surgery and its scalability for integrating new functions and agents.

arXiv:2512.01241v2 Announce Type: replace-cross Abstract: Large language models (LLMs) are routinely used by physicians and patients for medical advice, yet their clinical safety profiles remain poorly characterized. We present NOHARM (Numerous Options Harm Assessment for Risk in Medicine), a benchmark using 100 real primary care-to-specialist consultation cases to measure frequency and severity of harm from LLM-generated medical recommendations. NOHARM covers 10 specialties, with 12,747 expert annotations for 4,249 clinical management options. Across 31 LLMs, potential for severe harm from LLM recommendations occurs in up to 22.2% (95% CI 21.6-22.8%) of cases, with harm of omission accounting for 76.6% (95% CI 76.4-76.8%) of errors. Safety performance is only moderately correlated (r = 0.61-0.64) with existing AI and medical knowledge benchmarks. The best models outperform generalist physicians on safety (mean difference 9.7%, 95% CI 7.0-12.5%), and a diverse multi-agent approach improves safety compared to solo models (mean difference 8.0%, 95% CI 4.0-12.1%). Therefore, despite strong performance on existing evaluations, widely used AI models can produce severely harmful medical advice at nontrivial rates, underscoring clinical safety as a distinct performance dimension necessitating explicit measurement.

arXiv:2512.15584v1 Announce Type: new Abstract: When should we delegate decisions to AI systems? While the value alignment literature has developed techniques for shaping AI values, less attention has been paid to how to determine, under uncertainty, when imperfect alignment is good enough to justify delegation. We argue that rational delegation requires balancing an agent's value (mis)alignment with its epistemic accuracy and its reach (the acts it has available). This paper introduces a formal, decision-theoretic framework to analyze this tradeoff precisely accounting for a principal's uncertainty about these factors. Our analysis reveals a sharp distinction between two delegation scenarios. First, universal delegation (trusting an agent with any problem) demands near-perfect value alignment and total epistemic trust, conditions rarely met in practice. Second, we show that context-specific delegation can be optimal even with significant misalignment. An agent's superior accuracy or expanded reach may grant access to better overall decision problems, making delegation rational in expectation. We develop a novel scoring framework to quantify this ex ante decision. Ultimately, our work provides a principled method for determining when an AI is aligned enough for a given context, shifting the focus from achieving perfect alignment to managing the risks and rewards of delegation under uncertainty.

arXiv:2508.15126v2 Announce Type: replace Abstract: Recent advances in large language models (LLMs) have enabled AI agents to autonomously generate scientific proposals, conduct experiments, author papers, and perform peer reviews. Yet this flood of AI-generated research content collides with a fragmented and largely closed publication ecosystem. Traditional journals and conferences rely on human peer review, making them difficult to scale and often reluctant to accept AI-generated research content; existing preprint servers (e.g. arXiv) lack rigorous quality-control mechanisms. Consequently, a significant amount of high-quality AI-generated research lacks appropriate venues for dissemination, hindering its potential to advance scientific progress. To address these challenges, we introduce aiXiv, a next-generation open-access platform for human and AI scientists. Its multi-agent architecture allows research proposals and papers to be submitted, reviewed, and iteratively refined by both human and AI scientists. It also provides API and MCP interfaces that enable seamless integration of heterogeneous human and AI scientists, creating a scalable and extensible ecosystem for autonomous scientific discovery. Through extensive experiments, we demonstrate that aiXiv is a reliable and robust platform that significantly enhances the quality of AI-generated research proposals and papers after iterative revising and reviewing on aiXiv. Our work lays the groundwork for a next-generation open-access ecosystem for AI scientists, accelerating the publication and dissemination of high-quality AI-generated research content. Code: https://github.com/aixiv-org aiXiv: https://aixiv.science

arXiv:2512.13700v1 Announce Type: new Abstract: Manual chart review remains an extremely time-consuming and resource-intensive component of clinical research, requiring experts to extract often complex information from unstructured electronic health record (EHR) narratives. We present a secure, modular framework for automated structured feature extraction from clinical notes leveraging locally deployed large language models (LLMs) on institutionally approved, Health Insurance Portability and Accountability Act (HIPPA)-compliant compute infrastructure. This system integrates retrieval augmented generation (RAG) and structured response methods of LLMs into a widely deployable and scalable container to provide feature extraction for diverse clinical domains. In evaluation, the framework achieved high accuracy across multiple medical characteristics present in large bodies of patient notes when compared against an expert-annotated dataset and identified several annotation errors missed in manual review. This framework demonstrates the potential of LLM systems to reduce the burden of manual chart review through automated extraction and increase consistency in data capture, accelerating clinical research.

arXiv:2512.13716v1 Announce Type: new Abstract: Personalized decision-making is essential for human-AI interaction, enabling AI agents to act in alignment with individual users' value preferences. As AI systems expand into real-world applications, adapting to personalized values beyond task completion or collective alignment has become a critical challenge. We address this by proposing a value-driven approach to personalized decision-making. Human values serve as stable, transferable signals that support consistent and generalizable behavior across contexts. Compared to task-oriented paradigms driven by external rewards and incentives, value-driven decision-making enhances interpretability and enables agents to act appropriately even in novel scenarios. We introduce ValuePilot, a two-phase framework consisting of a dataset generation toolkit (DGT) and a decision-making module (DMM). DGT constructs diverse, value-annotated scenarios from a human-LLM collaborative pipeline. DMM learns to evaluate actions based on personal value preferences, enabling context-sensitive, individualized decisions. When evaluated on previously unseen scenarios, DMM outperforms strong LLM baselines, including GPT-5, Claude-Sonnet-4, Gemini-2-flash, and Llama-3.1-70b, in aligning with human action choices. Our results demonstrate that value-driven decision-making is an effective and extensible engineering pathway toward building interpretable, personalized AI agents.

arXiv:2512.13702v1 Announce Type: cross Abstract: Objective: To develop the AI Product Passport, a standards-based framework improving transparency, traceability, and compliance in healthcare AI via lifecycle-based documentation. Materials and Methods: The AI Product Passport was developed within the AI4HF project, focusing on heart failure AI tools. We analyzed regulatory frameworks (EU AI Act, FDA guidelines) and existing standards to design a relational data model capturing metadata across AI lifecycle phases: study definition, dataset preparation, model generation/evaluation, deployment/monitoring, and passport generation. MLOps/ModelOps concepts were integrated for operational relevance. Co-creation involved feedback from AI4HF consortium and a Lisbon workshop with 21 diverse stakeholders, evaluated via Mentimeter polls. The open-source platform was implemented with Python libraries for automated provenance tracking. Results: The AI Product Passport was designed based on existing standards and methods with well-defined lifecycle management and role-based access. Its implementation is a web-based platform with a relational data model supporting auditable documentation. It generates machine- and human-readable reports, customizable for stakeholders. It aligns with FUTURE-AI principles (Fairness, Universality, Traceability, Usability, Robustness, Explainability), ensuring fairness, traceability, and usability. Exported passports detail model purpose, data provenance, performance, and deployment context. GitHub-hosted backend/frontend codebases enhance accessibility. Discussion and Conclusion: The AI Product Passport addresses transparency gaps in healthcare AI, meeting regulatory and ethical demands. Its open-source nature and alignment with standards foster trust and adaptability. Future enhancements include FAIR data principles and FHIR integration for improved interoperability, promoting responsible AI deployment.

arXiv:2512.13724v1 Announce Type: cross Abstract: Neurological diseases are the leading global cause of disability, yet most lack disease-modifying treatments. We present PROTON, a heterogeneous graph transformer that generates testable hypotheses across molecular, organoid, and clinical systems. To evaluate PROTON, we apply it to Parkinson's disease (PD), bipolar disorder (BD), and Alzheimer's disease (AD). In PD, PROTON linked genetic risk loci to genes essential for dopaminergic neuron survival and predicted pesticides toxic to patient-derived neurons, including the insecticide endosulfan, which ranked within the top 1.29% of predictions. In silico screens performed by PROTON reproduced six genome-wide $\alpha$-synuclein experiments, including a split-ubiquitin yeast two-hybrid system (normalized enrichment score [NES] = 2.30, FDR-adjusted $p

arXiv:2512.13731v1 Announce Type: cross Abstract: Mathematical Expression Recognition (MER) has made significant progress in recognizing simple expressions, but the robust recognition of complex mathematical expressions with many tokens and multiple lines remains a formidable challenge. In this paper, we first introduce CMER-Bench, a carefully constructed benchmark that categorizes expressions into three difficulty levels: easy, moderate, and complex. Leveraging CMER-Bench, we conduct a comprehensive evaluation of existing MER models and general-purpose multimodal large language models (MLLMs). The results reveal that while current methods perform well on easy and moderate expressions, their performance degrades significantly when handling complex mathematical expressions, mainly because existing public training datasets are primarily composed of simple samples. In response, we propose MER-17M and CMER-3M that are large-scale datasets emphasizing the recognition of complex mathematical expressions. The datasets provide rich and diverse samples to support the development of accurate and robust complex MER models. Furthermore, to address the challenges posed by the complicated spatial layout of complex expressions, we introduce a novel expression tokenizer, and a new representation called Structured Mathematical Language, which explicitly models the hierarchical and spatial structure of expressions beyond LaTeX format. Based on these, we propose a specialized model named CMERNet, built upon an encoder-decoder architecture and trained on CMER-3M. Experimental results show that CMERNet, with only 125 million parameters, significantly outperforms existing MER models and MLLMs on CMER-Bench.

arXiv:2512.13736v1 Announce Type: cross Abstract: In recent years, there has been a notable increase in the use of supervised detection methods of major depressive disorder (MDD) based on electroencephalogram (EEG) signals. However, the process of labeling MDD remains challenging. As a self-supervised learning method, contrastive learning could address the shortcomings of supervised learning methods, which are unduly reliant on labels in the context of MDD detection. However, existing contrastive learning methods are not specifically designed to characterize the time-frequency distribution of EEG signals, and their capacity to acquire low-semantic data representations is still inadequate for MDD detection tasks. To address the problem of contrastive learning method, we propose a time-frequency fusion and multi-domain cross-loss (TF-MCL) model for MDD detection. TF-MCL generates time-frequency hybrid representations through the use of a fusion mapping head (FMH), which efficiently remaps time-frequency domain information to the fusion domain, and thus can effectively enhance the model's capacity to synthesize time-frequency information. Moreover, by optimizing the multi-domain cross-loss function, the distribution of the representations in the time-frequency domain and the fusion domain is reconstructed, thereby improving the model's capacity to acquire fusion representations. We evaluated the performance of our model on the publicly available datasets MODMA and PRED+CT and show a significant improvement in accuracy, outperforming the existing state-of-the-art (SOTA) method by 5.87% and 9.96%, respectively.

arXiv:2512.13907v1 Announce Type: cross Abstract: A central challenge in implementing the AI Act and other AI-relevant regulations in the EU is the lack of a systematic approach to verify their legal mandates. Recent surveys show that this regulatory ambiguity is perceived as a significant burden, leading to inconsistent readiness across Member States. This paper proposes a comprehensive framework designed to help close this gap by organising compliance verification along two fundamental dimensions: the type of method (controls vs. testing) and the target of assessment (data, model, processes, and final product). Additionally, our framework maps core legal requirements to concrete verification activities, serving as a vital bridge between policymakers and practitioners, and aligning legal text with technical standards and best practices. The proposed approach aims to reduce interpretive uncertainty, promote consistency in assessment practices, and support the alignment of regulatory, ethical, and technical perspectives across the AI lifecycle.