arXiv:2603.08448v1 Announce Type: cross Abstract: Large language model (LLM)-based AI systems have shown promise for patient-facing diagnostic and management conversations in simulated settings. Translating these systems into clinical practice requires assessment in real-world workflows with rigorous safety oversight. We report a prospective, single-arm feasibility study of an LLM-based conversational AI, the Articulate Medical Intelligence Explorer (AMIE), conducting clinical history taking and presentation of potential diagnoses for patients to discuss with their provider at urgent care appointments at a leading academic medical center. 100 adult patients completed an AMIE text-chat interaction up to 5 days before their appointment. We sought to assess the conversational safety and quality, patient and clinician experience, and clinical reasoning capabilities compared to primary care providers (PCPs). Human safety supervisors monitored all patient-AMIE interactions in real time and did not need to intervene to stop any consultations based on pre-defined criteria. Patients reported high satisfaction and their attitudes towards AI improved after interacting with AMIE (p

Cell Death Discovery, Published online: 06 March 2026; doi:10.1038/s41420-026-02994-3

Lysophosphatidylcholine acyltransferase 1 promotes head and neck squamous cell carcinoma progression by enhancing COX17-dependent oxidative phosphorylation

arXiv:2601.04205v2 Announce Type: replace-cross Abstract: Diffusion Language Models (DLMs) enable parallel decoding via iterative denoising, where remasking strategies play a critical role in balancing inference speed and output quality. Existing methods predominantly rely on static confidence thresholds, overlooking the spatial-temporal dynamics of token confidence, causing unnecessary remasking. We propose Spatial-Temporal Token-Dynamics-Aware Responsive Remasking (STaRR), a training-free framework that dynamically adapts remasking decisions based on token confidence evolution. STaRR introduces two metrics, temporal variance and spatial deviance, to guide fine-grained, step-wise dynamic thresholding. We further introduce a step-wise dynamic thresholding strategy, further enhanced with responsiveness optimizations for scalability and robustness. Experiments show that STaRR achieves an average speedup of 4.1 and up to 8.9 while maintaining comparable accuracy.

arXiv:2510.04398v3 Announce Type: replace-cross Abstract: Large Language Models (LLMs) are increasingly deployed in high-risk domains. However, state-of-the-art LLMs often exhibit hallucinations, raising serious concerns about their reliability. Prior work has explored adversarial attacks to elicit hallucinations in LLMs, but these methods often rely on unrealistic prompts, either by inserting nonsensical tokens or by altering the original semantic intent. Consequently, such approaches provide limited insight into how hallucinations arise in real-world settings. In contrast, adversarial attacks in computer vision typically involve realistic modifications to input images. However, the problem of identifying realistic adversarial prompts for eliciting LLM hallucinations remains largely underexplored. To address this gap, we propose Semantically Equivalent and Coherent Attacks (SECA), which elicit hallucinations via realistic modifications to the prompt that preserve its meaning while maintaining semantic coherence. Our contributions are threefold: (i) we formulate finding realistic attacks for hallucination elicitation as a constrained optimization problem over the input prompt space under semantic equivalence and coherence constraints; (ii) we introduce a constraint-preserving zeroth-order method to effectively search for adversarial yet feasible prompts; and (iii) we demonstrate through experiments on open-ended multiple-choice question answering tasks that SECA achieves higher attack success rates while incurring almost no semantic equivalence or semantic coherence errors compared to existing methods. SECA highlights the sensitivity of both open-source and commercial gradient-inaccessible LLMs to realistic and plausible prompt variations. Code is available at https://github.com/Buyun-Liang/SECA.