Background: Patients with breast cancer during postoperative chemotherapy intervals commonly experience psychological distress and reduced resilience while recovering at home. Digital mindfulness interventions may provide accessible psychological support during this vulnerable period; however, evidence regarding tailored interventions for postoperative patients with breast cancer during chemotherapy intervals remains limited. Objective: This study aimed to examine the effectiveness of a digital intervention on psychological resilience in postoperative patients with breast cancer during chemotherapy intervals. Methods: A quasi-experimental study with repeated measures was conducted from October 2021 to June 2022. A total of 80 eligible participants were recruited from the Department of Breast Surgery at a tertiary hospital in Zhejiang Province, China, and 71 completed the study. The control group received routine discharge instructions and nursing follow-ups, whereas the intervention group additionally received an 8-week digital psychological resilience intervention. Outcomes were assessed at baseline (T0), 3 months post intervention (T1), and 6 months post intervention (T2). The measures included the Connor-Davidson Resilience Scale (CD-RISC), Hospital Anxiety and Depression Scale (HADS), Social Support Rating Scale (SSRS), Breast Cancer Survivor Self-Efficacy Scale (BCSSS), and Functional Assessment of Cancer Therapy-Breast (FACT-B). Independent-samples tests, chi-square tests, and repeated-measures ANOVA were performed using SPSS (version 26.0; IBM Corp). Results: No statistically significant baseline differences were observed between the two groups in the outcome measures. At T1, the intervention group had higher CD-RISC scores than the control group (mean 67.58, SD 11.41 vs mean 62.09, SD 10.18; =.036) and higher BCSSS scores (mean 42.36, SD 3.59 vs mean 39.23, SD 4.90; =.003). However, these between-group differences were no longer statistically significant at T2 (>.05). Significant time effects and group×time interaction effects were observed for both psychological resilience and self-efficacy (.05), although both scales showed significant time effects (

This study developed a multi-layer inducible RNA switch that achieves transient expression of gene-delivery vectors in hepatic and non-hepatic tissues. As an exemplary application, this RNA switch triggers pulsive expression of gene editors that reduces the off-target effects and immunotoxicity of gene editing.

arXiv:2603.12739v1 Announce Type: cross Abstract: Spiking Neural Networks (SNNs) have emerged as a biologically inspired alternative to conventional deep networks, offering event-driven and energy-efficient computation. However, their throughput remains constrained by the serial update of neuron membrane states. While many hardware accelerators and Compute-in-Memory (CIM) architectures efficiently parallelize the synaptic operation (W x I) achieving O(1) complexity for matrix-vector multiplication, the subsequent state update step still requires O(N) time to refresh all neuron membrane potentials. This mismatch makes state update the dominant latency and energy bottleneck in SNN inference. To address this challenge, we propose an SRAM-based CIM for SNN with Linear Decay Leaky Integrate-and-Fire (LD-LIF) Neuron that co-optimizes algorithm and hardware. At the algorithmic level, we replace the conventional exponential membrane decay with a linear decay approximation, converting costly multiplications into simple additions while accuracy drops only around 1%. At the architectural level, we introduce an in-memory parallel update scheme that performs in-place decay directly within the SRAM array, eliminating the need for global sequential updates. Evaluated on benchmark SNN workloads, the proposed method achieves a 1.1 x to 16.7 x reduction of SOP energy consumption, while providing 15.9 x to 69 x more energy efficiency, with negligible accuracy loss relative to original decay models. This work highlights that beyond accelerating the (W x I) computation, optimizing state-update dynamics within CIM architectures is essential for scalable, low-power, and real-time neuromorphic processing.

arXiv:2409.03597v4 Announce Type: replace-cross Abstract: This paper presents the Multimodal Laryngoscopic Video Analyzing System (MLVAS), a novel system that leverages both audio and video data to automatically extract key video segments and metrics from raw laryngeal videostroboscopic videos for assisted clinical assessment. The system integrates video-based glottis detection with an audio keyword spotting method to analyze both video and audio data, identifying patient vocalizations and refining video highlights to ensure optimal inspection of vocal fold movements. Beyond key video segment extraction from the raw laryngeal videos, MLVAS is able to generate effective audio and visual features for Vocal Fold Paralysis (VFP) detection. Pre-trained audio encoders are utilized to encode the patient voice to get the audio features. Visual features are generated by measuring the angle deviation of both the left and right vocal folds to the estimated glottal midline on the segmented glottis masks. To get better masks, we introduce a diffusion-based refinement that follows traditional U-Net segmentation to reduce false positives. We conducted several ablation studies to demonstrate the effectiveness of each module and modalities in the proposed MLVAS. The experimental results on a public segmentation dataset show the effectiveness of our proposed segmentation module. In addition, unilateral VFP classification results on a real-world clinic dataset demonstrate MLVAS's ability of providing reliable and objective metrics as well as visualization for assisted clinical diagnosis.

arXiv:2602.20078v1 Announce Type: cross Abstract: Scaling cooperative multi-agent reinforcement learning (MARL) is fundamentally limited by cross-agent noise: when agents share a common reward, the actions of all $N$ agents jointly determine each agent's learning signal, so cross-agent noise grows with $N$. In the policy gradient setting, per-agent gradient estimate variance scales as $\Theta(N)$, yielding sample complexity $\mathcal{O}(N/\epsilon)$. We observe that many domains -- cloud computing, transportation, power systems -- have differentiable analytical models that prescribe efficient system states. In this work, we propose Descent-Guided Policy Gradient (DG-PG), a framework that constructs noise-free per-agent guidance gradients from these analytical models, decoupling each agent's gradient from the actions of all others. We prove that DG-PG reduces gradient variance from $\Theta(N)$ to $\mathcal{O}(1)$, preserves the equilibria of the cooperative game, and achieves agent-independent sample complexity $\mathcal{O}(1/\epsilon)$. On a heterogeneous cloud scheduling task with up to 200 agents, DG-PG converges within 10 episodes at every tested scale -- from $N=5$ to $N=200$ -- directly confirming the predicted scale-invariant complexity, while MAPPO and IPPO fail to converge under identical architectures.

arXiv:2602.13540v1 Announce Type: cross Abstract: Large language models (LLMs) are widely deployed as general-purpose problem solvers, making accurate confidence estimation critical for reliable use. Prior work on LLM calibration largely focuses on response-level confidence, which estimates the correctness of a single generated output. However, this formulation is misaligned with many practical settings where the central question is how likely a model is to solve a query overall. We show that this mismatch results from the stochastic nature of modern LLM decoding, under which single-response correctness fails to reflect underlying model capability. To address this issue, we introduce capability calibration, which targets the model's expected accuracy on a query. We formally distinguish capability calibration from response calibration and show that the two differ both theoretically and empirically. We establish an empirical evaluation setup and study a range of confidence estimation methods. Our results demonstrate that capability-calibrated confidence improves pass@$k$ prediction and inference budget allocation, establishing a foundation with potential for diverse applications.

arXiv:2602.14968v1 Announce Type: cross Abstract: Automatically generating interactive 3D environments is crucial for scaling up robotic data collection in simulation. While prior work has primarily focused on 3D asset placement, it often overlooks the physical relationships between objects (e.g., contact, support, balance, and containment), which are essential for creating complex and realistic manipulation scenarios such as tabletop arrangements, shelf organization, or box packing. Compared to classical 3D layout generation, producing complex physical scenes introduces additional challenges: (a) higher object density and complexity (e.g., a small shelf may hold dozens of books), (b) richer supporting relationships and compact spatial layouts, and (c) the need to accurately model both spatial placement and physical properties. To address these challenges, we propose PhyScensis, an LLM agent-based framework powered by a physics engine, to produce physically plausible scene configurations with high complexity. Specifically, our framework consists of three main components: an LLM agent iteratively proposes assets with spatial and physical predicates; a solver, equipped with a physics engine, realizes these predicates into a 3D scene; and feedback from the solver informs the agent to refine and enrich the configuration. Moreover, our framework preserves strong controllability over fine-grained textual descriptions and numerical parameters (e.g., relative positions, scene stability), enabled through probabilistic programming for stability and a complementary heuristic that jointly regulates stability and spatial relations. Experimental results show that our method outperforms prior approaches in scene complexity, visual quality, and physical accuracy, offering a unified pipeline for generating complex physical scene layouts for robotic manipulation.