arXiv:2605.24912v1 Announce Type: cross Abstract: Background: Type 2 diabetes mellitus (T2DM) is increasingly recognised as a systemic disease characterised by coordinated dysfunction across metabolic, renal, lipid, and inflammatory pathways. Existing clinical assessments often fail to capture this multi-dimensional burden. Methods: We conducted a retrospective study of 1,195 patients using routinely collected laboratory biomarkers. System-level abnormality indices were constructed to quantify organ-specific dysfunction, and multi-system involvement was defined as abnormalities in two or more systems. Supervised machine learning models, including logistic regression, random forest, and gradient boosting, were trained to predict multi-system dysregulation. Model interpretability was achieved using SHapley Additive exPlanations (SHAP). Results: The gradient boosting model demonstrated near-perfect discrimination (AUC = 1.000), significantly outperforming logistic regression (AUC = 0.925). Feature attribution analysis revealed that hyperglycaemia, renal impairment, dyslipidaemia, and inflammation were the dominant drivers of multi-system risk. Dose-response relationships observed in partial dependence analyses further supported the biological plausibility of model predictions. Conclusion: This study presents an interpretable, data-driven framework for quantifying systemic disease burden in T2DM. By linking routine biomarkers to multi-organ dysfunction, our approach provides both predictive accuracy and mechanistic insight, offering potential for improved risk stratification and precision medicine in diabetes care. The data and code used in this study are openly available on GitHub at: https://github.com/MiniHanWang/Type-2-Diabetes-1.git

arXiv:2605.24913v1 Announce Type: cross Abstract: Retinal imaging provides a non-invasive window into systemic microvascular health and has emerged as a potential biomarker for systemic diseases. However, whether retinal features encode biologically meaningful systemic signals that can be reliably interpreted using explainable artificial intelligence (XAI) remains unclear. An explainable multi-task deep learning framework was developed to investigate associations between retinal microvascular features and systemic abnormalities in Type 2 Diabetes Mellitus. A total of 11,011 fundus images from 2,719 individuals were analysed using a shared neural network with task-specific heads for glycaemic status, kidney abnormality, and multi-system involvement. Model interpretability was evaluated using Gradient-weighted Class Activation Mapping (Grad-CAM), anatomical masking, and vessel alignment analysis. The framework demonstrated task-dependent predictive performance, with the best discrimination observed for kidney abnormality (AUC up to 0.63), whereas glycaemic status prediction showed limited performance (AUC = 0.49-0.61). Explainability analyses consistently localized model attention to retinal vessels and peripapillary regions. Masking experiments showed that occlusion of vascular regions caused the greatest performance decline, indicating that retinal vessels were the primary predictive source. Different architectures exhibited heterogeneous attention patterns, suggesting multiple representational pathways for systemic signal encoding. This pilot study demonstrates that retinal microvascular features contain measurable signals associated with systemic abnormalities, particularly microvascular damage. By integrating multi-task learning with quantitative XAI validation, this framework advances retinal imaging toward interpretable digital biomarkers for systemic risk stratification in diabetes.

arXiv:2604.04373v1 Announce Type: new Abstract: There is growing interest in improving LLMs without updating model parameters. One well-established direction is test-time scaling, where increased inference-time computation (e.g., longer reasoning, sampling, or search) is used to improve performance. However, for complex reasoning and agentic tasks, naively scaling test-time compute can substantially increase cost and still lead to wasted budget on suboptimal exploration. In this paper, we explore \emph{context} as a complementary scaling axis for improving LLM performance, and systematically study how to construct better inputs that guide reasoning through \emph{experience}. We show that effective context construction critically depends on \emph{decocted experience}. We present a detailed analysis of experience-augmented agents, studying how to derive context from experience, how performance scales with accumulated experience, what characterizes good context, and which data structures best support context construction. We identify \emph{decocted experience} as a key mechanism for effective context construction: extracting essence from experience, organizing it coherently, and retrieving salient information to build effective context. We validate our findings across reasoning and agentic tasks, including math reasoning, web browsing, and software engineering.

arXiv:2602.14770v1 Announce Type: cross Abstract: Prior work has explored multi-turn interaction and feedback for LLM writing, but evaluations still largely center on prompts and localized feedback, leaving persistent public reception in online communities underexamined. We test whether broadcast community discussion improves stand-up comedy writing in a controlled multi-agent sandbox: in the discussion condition, critic and audience threads are recorded, filtered, stored as social memory, and later retrieved to condition subsequent generations, whereas the baseline omits discussion. Across 50 rounds (250 paired monologues) judged by five expert annotators using A/B preference and a 15-item rubric, discussion wins 75.6% of instances and improves Craft/Clarity ({\Delta} = 0.440) and Social Response ({\Delta} = 0.422), with occasional increases in aggressive humor.