arXiv:2601.04234v1 Announce Type: new Abstract: Artificial General Intelligence (AGI) may face a confrontation question: under what conditions would a rationally self-interested AGI choose to seize power or eliminate human control (a confrontation) rather than remain cooperative? We formalize this in a Markov decision process with a stochastic human-initiated shutdown event. Building on results on convergent instrumental incentives, we show that for almost all reward functions a misaligned agent has an incentive to avoid shutdown. We then derive closed-form thresholds for when confronting humans yields higher expected utility than compliant behavior, as a function of the discount factor $\gamma$, shutdown probability $p$, and confrontation cost $C$. For example, a far-sighted agent ($\gamma=0.99$) facing $p=0.01$ can have a strong takeover incentive unless $C$ is sufficiently large. We contrast this with aligned objectives that impose large negative utility for harming humans, which makes confrontation suboptimal. In a strategic 2-player model (human policymaker vs AGI), we prove that if the AGI's confrontation incentive satisfies $\Delta \ge 0$, no stable cooperative equilibrium exists: anticipating this, a rational human will shut down or preempt the system, leading to conflict. If $\Delta

arXiv:2601.04269v1 Announce Type: new Abstract: This paper proposes a conceptual framework in which intelligence and consciousness emerge from relational structure rather than from prediction or domain-specific mechanisms. Intelligence is defined as the capacity to form and integrate causal connections between signals, actions, and internal states. Through context enrichment, systems interpret incoming information using learned relational structure that provides essential context in an efficient representation that the raw input itself does not contain, enabling efficient processing under metabolic constraints. Building on this foundation, we introduce the systems-explaining-systems principle, where consciousness emerges when recursive architectures allow higher-order systems to learn and interpret the relational patterns of lower-order systems across time. These interpretations are integrated into a dynamically stabilized meta-state and fed back through context enrichment, transforming internal models from representations of the external world into models of the system's own cognitive processes. The framework reframes predictive processing as an emergent consequence of contextual interpretation rather than explicit forecasting and suggests that recursive multi-system architectures may be necessary for more human-like artificial intelligence.

arXiv:2601.04274v1 Announce Type: new Abstract: This paper presents an Answer Set Programming (ASP)-based framework for medical appointment scheduling, aimed at improving efficiency, reducing administrative overhead, and enhancing patient-centered care. The framework personalizes scheduling for vulnerable populations by integrating Blueprint Personas. It ensures real-time availability updates, conflict-free assignments, and seamless interoperability with existing healthcare platforms by centralizing planning operations within an ASP logic model.

arXiv:2601.04577v1 Announce Type: new Abstract: While AI innovation accelerates rapidly, the intellectual process behind breakthroughs -- how researchers identify gaps, synthesize prior work, and generate insights -- remains poorly understood. The lack of structured data on scientific reasoning hinders systematic analysis and development of AI research agents. We introduce Sci-Reasoning, the first dataset capturing the intellectual synthesis behind high-quality AI research. Using community-validated quality signals and an LLM-accelerated, human-verified pipeline, we trace Oral and Spotlight papers across NeurIPS, ICML, and ICLR (2023-2025) to its key predecessors, articulating specific reasoning links in a structured format. Our analysis identifies 15 distinct thinking patterns, with three dominant strategies accounting for 52.7%: Gap-Driven Reframing (24.2%), Cross-Domain Synthesis (18.0%), and Representation Shift (10.5%). The most powerful innovation recipes combine multiple patterns: Gap-Driven Reframing + Representation Shift, Cross-Domain Synthesis + Representation Shift, and Gap-Driven Reframing + Cross-Domain Synthesis. This dataset enables quantitative studies of scientific progress and provides structured reasoning trajectories for training the next generation AI research agents.

arXiv:2601.04583v1 Announce Type: new Abstract: 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.

arXiv:2601.04694v1 Announce Type: new Abstract: Large Language Model-based Multi-Agent Systems (LLM-based MAS), where multiple LLM agents collaborate to solve complex tasks, have shown impressive performance in many areas. However, MAS are typically distributed across different devices or environments, making them vulnerable to perturbations such as agent failures. While existing works have studied the adversarial attacks and corresponding defense strategies, they mainly focus on reactively detecting and mitigating attacks after they occur rather than proactively designing inherently resilient systems. In this work, we study the resilience of LLM-based MAS under perturbations and find that both the communication topology and prompt design significantly influence system resilience. Motivated by these findings, we propose ResMAS: a two-stage framework for enhancing MAS resilience. First, we train a reward model to predict the MAS's resilience, based on which we train a topology generator to automatically design resilient topology for specific tasks through reinforcement learning. Second, we introduce a topology-aware prompt optimization method that refines each agent's prompt based on its connections and interactions with other agents. Extensive experiments across a range of tasks show that our approach substantially improves MAS resilience under various constraints. Moreover, our framework demonstrates strong generalization ability to new tasks and models, highlighting its potential for building resilient MASs.

arXiv:2601.04703v1 Announce Type: new Abstract: Agentic search has emerged as a promising paradigm for complex information seeking by enabling Large Language Models (LLMs) to interleave reasoning with tool use. However, prevailing systems rely on monolithic agents that suffer from structural bottlenecks, including unconstrained reasoning outputs that inflate trajectories, sparse outcome-level rewards that complicate credit assignment, and stochastic search noise that destabilizes learning. To address these challenges, we propose \textbf{M-ASK} (Multi-Agent Search and Knowledge), a framework that explicitly decouples agentic search into two complementary roles: Search Behavior Agents, which plan and execute search actions, and Knowledge Management Agents, which aggregate, filter, and maintain a compact internal context. This decomposition allows each agent to focus on a well-defined subtask and reduces interference between search and context construction. Furthermore, to enable stable coordination, M-ASK employs turn-level rewards to provide granular supervision for both search decisions and knowledge updates. Experiments on multi-hop QA benchmarks demonstrate that M-ASK outperforms strong baselines, achieving not only superior answer accuracy but also significantly more stable training dynamics.\footnote{The source code for M-ASK is available at https://github.com/chenyiqun/M-ASK.}

arXiv:2601.04403v1 Announce Type: cross Abstract: This paper investigates the privacy and usability of AI-enabled smart devices commonly used by youth, focusing on Google Home Mini, Amazon Alexa, and Apple Siri. While these devices provide convenience and efficiency, they also raise privacy and transparency concerns due to their always-listening design and complex data management processes. The study proposes and applies a combined framework of Heuristic Evaluation, Personal Information Protection and Electronic Documents Act (PIPEDA) Compliance Assessment, and Youth-Centered Usability Testing to assess whether these devices align with Privacy-by-Design principles and support meaningful user control. Results show that Google Home achieved the highest usability score, while Siri scored highest in regulatory compliance, indicating a trade-off between user convenience and privacy protection. Alexa demonstrated clearer task navigation but weaker transparency in data retention. Findings suggest that although youth may feel capable of managing their data, their privacy self-efficacy remains limited by technical design, complex settings, and unclear data policies. The paper concludes that enhancing transparency, embedding privacy guidance during onboarding, and improving policy alignment are critical steps toward ensuring that smart devices are both usable and compliant with privacy standards that protect young users.

arXiv:2601.04506v1 Announce Type: cross Abstract: Therapeutic peptides show promise in targeting previously undruggable binding sites, with recent advancements in deep generative models enabling full-atom peptide co-design for specific protein receptors. However, the critical role of molecular surfaces in protein-protein interactions (PPIs) has been underexplored. To bridge this gap, we propose an omni-design peptides generation paradigm, called SurfFlow, a novel surface-based generative algorithm that enables comprehensive co-design of sequence, structure, and surface for peptides. SurfFlow employs a multi-modality conditional flow matching (CFM) architecture to learn distributions of surface geometries and biochemical properties, enhancing peptide binding accuracy. Evaluated on the comprehensive PepMerge benchmark, SurfFlow consistently outperforms full-atom baselines across all metrics. These results highlight the advantages of considering molecular surfaces in de novo peptide discovery and demonstrate the potential of integrating multiple protein modalities for more effective therapeutic peptide discovery.

arXiv:2601.04531v1 Announce Type: cross Abstract: Large Language Models (LLMs) have demonstrated significant potential in medical Question Answering (QA), yet they remain prone to hallucinations and ungrounded reasoning, limiting their reliability in high-stakes clinical scenarios. While Retrieval-Augmented Generation (RAG) mitigates these issues by incorporating external knowledge, conventional single-shot retrieval often fails to resolve complex biomedical queries requiring multi-step inference. To address this, we propose Self-MedRAG, a self-reflective hybrid framework designed to mimic the iterative hypothesis-verification process of clinical reasoning. Self-MedRAG integrates a hybrid retrieval strategy, combining sparse (BM25) and dense (Contriever) retrievers via Reciprocal Rank Fusion (RRF) to maximize evidence coverage. It employs a generator to produce answers with supporting rationales, which are then assessed by a lightweight self-reflection module using Natural Language Inference (NLI) or LLM-based verification. If the rationale lacks sufficient evidentiary support, the system autonomously reformulates the query and iterates to refine the context. We evaluated Self-MedRAG on the MedQA and PubMedQA benchmarks. The results demonstrate that our hybrid retrieval approach significantly outperforms single-retriever baselines. Furthermore, the inclusion of the self-reflective loop yielded substantial gains, increasing accuracy on MedQA from 80.00% to 83.33% and on PubMedQA from 69.10% to 79.82%. These findings confirm that integrating hybrid retrieval with iterative, evidence-based self-reflection effectively reduces unsupported claims and enhances the clinical reliability of LLM-based systems.

arXiv:2601.04563v1 Announce Type: cross Abstract: Our experience of the world is multisensory, spanning a synthesis of language, sight, sound, touch, taste, and smell. Yet, artificial intelligence has primarily advanced in digital modalities like text, vision, and audio. This paper outlines a research vision for multisensory artificial intelligence over the next decade. This new set of technologies can change how humans and AI experience and interact with one another, by connecting AI to the human senses and a rich spectrum of signals from physiological and tactile cues on the body, to physical and social signals in homes, cities, and the environment. We outline how this field must advance through three interrelated themes of sensing, science, and synergy. Firstly, research in sensing should extend how AI captures the world in richer ways beyond the digital medium. Secondly, developing a principled science for quantifying multimodal heterogeneity and interactions, developing unified modeling architectures and representations, and understanding cross-modal transfer. Finally, we present new technical challenges to learn synergy between modalities and between humans and AI, covering multisensory integration, alignment, reasoning, generation, generalization, and experience. Accompanying this vision paper are a series of projects, resources, and demos of latest advances from the Multisensory Intelligence group at the MIT Media Lab, see https://mit-mi.github.io/.

arXiv:2601.04758v1 Announce Type: cross Abstract: The Patent Trial and Appeal Board (PTAB) of the USPTO adjudicates thousands of ex parte appeals each year, requiring the integration of technical understanding and legal reasoning. While large language models (LLMs) are increasingly applied in patent and legal practice, their use has remained limited to lightweight tasks, with no established means of systematically evaluating their capacity for structured legal reasoning in the patent domain. In this work, we introduce PILOT-Bench, the first PTAB-centric benchmark that aligns PTAB decisions with USPTO patent data at the case-level and formalizes three IRAC-aligned classification tasks: Issue Type, Board Authorities, and Subdecision. We evaluate a diverse set of closed-source (commercial) and open-source LLMs and conduct analyses across multiple perspectives, including input-variation settings, model families, and error tendencies. Notably, on the Issue Type task, closed-source models consistently exceed 0.75 in Micro-F1 score, whereas the strongest open-source model (Qwen-8B) achieves performance around 0.56, highlighting a substantial gap in reasoning capabilities. PILOT-Bench establishes a foundation for the systematic evaluation of patent-domain legal reasoning and points toward future directions for improving LLMs through dataset design and model alignment. All data, code, and benchmark resources are available at https://github.com/TeamLab/pilot-bench.

arXiv:2601.05148v1 Announce Type: cross Abstract: Pathology foundation models substantially advanced the possibilities in computational pathology -- yet tradeoffs in terms of performance, robustness, and computational requirements remained, which limited their clinical deployment. In this report, we present Atlas 2, Atlas 2-B, and Atlas 2-S, three pathology vision foundation models which bridge these shortcomings by showing state-of-the-art performance in prediction performance, robustness, and resource efficiency in a comprehensive evaluation across eighty public benchmarks. Our models were trained on the largest pathology foundation model dataset to date comprising 5.5 million histopathology whole slide images, collected from three medical institutions Charit\'e - Universt\"atsmedizin Berlin, LMU Munich, and Mayo Clinic.

arXiv:2601.01802v3 Announce Type: replace Abstract: To develop a reliable AI for psychological assessment, we introduce \texttt{PsychEval}, a multi-session, multi-therapy, and highly realistic benchmark designed to address three key challenges: \textbf{1) Can we train a highly realistic AI counselor?} Realistic counseling is a longitudinal task requiring sustained memory and dynamic goal tracking. We propose a multi-session benchmark (spanning 6-10 sessions across three distinct stages) that demands critical capabilities such as memory continuity, adaptive reasoning, and longitudinal planning. The dataset is annotated with extensive professional skills, comprising over 677 meta-skills and 4577 atomic skills. \textbf{2) How to train a multi-therapy AI counselor?} While existing models often focus on a single therapy, complex cases frequently require flexible strategies among various therapies. We construct a diverse dataset covering five therapeutic modalities (Psychodynamic, Behaviorism, CBT, Humanistic Existentialist, and Postmodernist) alongside an integrative therapy with a unified three-stage clinical framework across six core psychological topics. \textbf{3) How to systematically evaluate an AI counselor?} We establish a holistic evaluation framework with 18 therapy-specific and therapy-shared metrics across Client-Level and Counselor-Level dimensions. To support this, we also construct over 2,000 diverse client profiles. Extensive experimental analysis fully validates the superior quality and clinical fidelity of our dataset. Crucially, \texttt{PsychEval} transcends static benchmarking to serve as a high-fidelity reinforcement learning environment that enables the self-evolutionary training of clinically responsible and adaptive AI counselors.

arXiv:2503.04739v2 Announce Type: replace-cross Abstract: Responsible Artificial Intelligence (RAI) addresses the ethical and regulatory challenges of deploying AI systems in high-risk scenarios. This paper proposes a comprehensive framework for the design of an RAI system (RAIS) that integrates five key dimensions: domain definition, trustworthy AI design, auditability, accountability, and governance. Unlike prior work that treats these components in isolation, our proposal emphasizes their inter-dependencies and iterative feedback loops, enabling proactive and reactive accountability throughout the AI lifecycle. Beyond presenting the framework, we synthesize recent developments in global AI governance and analyze limitations in existing principles-based approaches, highlighting fragmentation, implementation gaps, and the need for participatory governance. The paper also identifies critical challenges and research directions for the RAIS framework, including sector-specific adaptation and operationalization, to support certification, post-deployment monitoring, and risk-based auditing. By bridging technical design and institutional responsibility, this work offers a practical blueprint for embedding responsibility throughout the AI lifecycle, enabling transparent, ethically aligned, and legally compliant AI-based systems.

arXiv:2503.18526v2 Announce Type: replace-cross Abstract: We present SciClaims, an interactive web-based system for end-to-end scientific claim analysis in the biomedical domain. Designed for high-stakes use cases such as systematic literature reviews and patent validation, SciClaims extracts claims from text, retrieves relevant evidence from PubMed, and verifies their veracity. The system features a user-friendly interface where users can input scientific text and view extracted claims, predictions, supporting or refuting evidence, and justifications in natural language. Unlike prior approaches, SciClaims seamlessly integrates the entire scientific claim analysis process using a single large language model, without requiring additional fine-tuning. SciClaims is optimized to run efficiently on a single GPU and is publicly available for live interaction.

arXiv:2512.00949v2 Announce Type: replace-cross Abstract: For patients undergoing systemic cancer therapy, the time between clinic visits is full of uncertainties and risks of unmonitored side effects. To bridge this gap in care, we developed and prospectively trialed a multi-modal AI framework for remote patient monitoring (RPM). This system integrates multi-modal data from the HALO-X platform, such as demographics, wearable sensors, daily surveys, and clinical events. Our observational trial is one of the largest of its kind and has collected over 2.1 million data points (6,080 patient-days) of monitoring from 84 patients. We developed and adapted a multi-modal AI model to handle the asynchronous and incomplete nature of real-world RPM data, forecasting a continuous risk of future adverse events. The model achieved an accuracy of 83.9% (AUROC=0.70). Notably, the model identified previous treatments, wellness check-ins, and daily maximum heart rate as key predictive features. A case study demonstrated the model's ability to provide early warnings by outputting escalating risk profiles prior to the event. This work establishes the feasibility of multi-modal AI RPM for cancer care and offers a path toward more proactive patient support.(Accepted at Europe NeurIPS 2025 Multimodal Representation Learning for Healthcare Workshop. Best Paper Poster Award.)

Background: Structured medication reviews (SMRs) are an essential component of medication optimization, especially for patients with multimorbidity and polypharmacy. However, the process remains challenging due to the complexities of patient data, time constraints, and the need for coordination among health care professionals (HCPs). This study explores HCPs’ perspectives on the integration of artificial intelligence (AI)–assisted tools to enhance the SMR process, with a focus on the potential benefits of and barriers to adoption. Objective: This study aims to identify the key user requirements for AI-assisted tools to improve the efficiency and effectiveness of SMRs, specifically for patients with multimorbidity, complex polypharmacy, and frailty. Methods: A qualitative study was conducted involving focus groups and semistructured interviews with HCPs and patients in the United Kingdom. Participants included physicians, pharmacists, clinical pharmacologists, psychiatrists from primary and secondary care, a policy maker, and patients with multimorbidity. Data were analyzed using a hybrid inductive and deductive thematic analysis approach to identify themes related to AI-assisted tool functionality, workflow integration, user-interface visualization, and usability in the SMR process. Results: Four major themes emerged from the analysis: innovative AI potential, optimizing electronic patient record visualization, functionality of the AI tool for SMRs, and facilitators of and barriers to AI tool implementation. HCPs identified the potential of AI to support patient identification and prioritizing those at risk of medication-related harm. AI-assisted tools were viewed as essential in detecting prescribing gaps, drug interactions, and patient risk trajectories over time. Participants emphasized the importance of presenting patient data in an intuitive format, with a patient interface for shared decision-making. Suggestions included color-coding blood results, highlighting critical medication reviews, and providing timelines of patient medical histories. HCPs stressed the need for AI tools to integrate seamlessly with existing electronic patient record systems and provide actionable insights without overwhelming users with excessive notifications or “pop-up” alerts. Factors influencing the uptake of AI-assisted tools included the need for user-friendly design, evidence of tool effectiveness (though some were skeptical about the predictive accuracy of AI models), and addressing concerns around digital exclusion. Conclusions: The findings highlight the potential for AI-assisted tools to streamline and optimize the SMR process, particularly for patients with multimorbidity and complex polypharmacy. However, successful implementation depends on addressing concerns related to workflow integration, user acceptance, and evidence of effectiveness. User-centered design is crucial to ensure that AI-assisted tools support HCPs in delivering high-quality, patient-centered care while minimizing cognitive overload and alert fatigue.

Background: The rapid growth of social media as an information channel has enabled the swift spread of inaccurate or false health information, significantly impacting public health. This widespread dissemination of misinformation has caused confusion, eroded trust in health authorities, led to noncompliance with health guidelines, and encouraged risky health behaviors. Understanding the dynamics of misinformation on social media is essential for devising effective public health communication strategies. Objective: This study aims to present a comprehensive and automated approach that leverages Large Language Models (LLMs) and Machine Learning (ML) techniques to detect misinformation on social media, uncover the underlying causes and themes, and generate refutation arguments, facilitating control of its spread and promoting public health outcomes by inoculating people against health misinformation. Methods: We use two datasets to train three LLMs, namely BERT, T5, and GPT-2, to classify documents into two categories: misinformation and non-misinformation. Additionally, we employ a separate dataset to identify misinformation topics. To analyze these topics, we applied three topic modeling algorithms—Latent Dirichlet Allocation (LDA), Top2Vec, and BERTopic—and selected the optimal model based on performance evaluated across three metrics. Using a prompting approach, we extract sentence-level representations for the topics to uncover their underlying themes. Finally, we design a prompt text capable of identifying misinformation themes effectively. Codes are available at https://github.com/SamiraMalek/MDIP-MDIS. Results: The trained BERT model demonstrated exceptional performance, achieving 98% accuracy in classifying misinformation and non-misinformation, with a 44% reduction in false positive rates for AI-generated misinformation. Among the three topic modeling approaches employed, BERTopic outperformed the others, achieving the highest metrics with a Coherence Value (CV) of 0.41, Normalized Pointwise Mutual Information (NPMI) of -0.086, and Inverted RBO (IRBO) of 0.99. To address the issue of unclassified documents, we developed an algorithm to assign each document to its closest topic. Additionally, we proposed a novel method using prompt engineering to generate sentence-level representations for each topic, achieving a 99.6% approval rate as "appropriate" or "somewhat appropriate" by three independent raters. We further designed a prompt text to identify themes of misinformation topics and developed another prompt capable of detecting misinformation themes with 82% accuracy. Conclusions: This study presents a comprehensive and automated approach to addressing health misinformation on social media using advanced machine learning and natural language processing techniques. By leveraging large language models (LLMs) and prompt engineering, the system effectively detects misinformation, identifies underlying themes, and provides explanatory responses to combat its spread. The proposed method was tested on an English-language COVID-19–related dataset and has not been evaluated on real-world online social media data; the experiments were conducted offline.

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Millions of people, including me and possibly you, are already asking ChatGPT questions about health. Still others are dumping otherwise inscrutable medical records downloaded from patient portals into the generative AI bot, hoping to glean new insights. 

Now, OpenAI will encourage this behavior with a new health specific tab in the service that the company says has better security and privacy protections so users feel safe pouring sensitive medical data into the bot. In addition to uploading files, users can hook up data from products like Apple Health and Weight Watchers or obtain medical records from providers through b.well’s network. OpenAI promises that it won’t train its models on the data you put into ChatGPT Health. (Reminder: Data that you upload to a consumer service is not covered by HIPAA.)

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