npj Digital Medicine, Published online: 24 March 2026; doi:10.1038/s41746-026-02424-9

Evaluating eRAMP telecare for diabetes in outpatient clinics: a hybrid effectiveness-implementation study

arXiv:2601.18113v3 Announce Type: replace-cross Abstract: LLM-based web agents have become increasingly popular for their utility in daily life and work. However, they exhibit critical vulnerabilities when processing malicious URLs: accepting a disguised malicious URL enables subsequent access to unsafe webpages, which can cause severe damage to service providers and users. Despite this risk, no benchmark currently targets this emerging threat. To address this gap, we propose MalURLBench, the first benchmark for evaluating LLMs' vulnerabilities to malicious URLs. MalURLBench contains 61,845 attack instances spanning 10 real-world scenarios and 7 categories of real malicious websites. Experiments with 12 popular LLMs reveal that existing models struggle to detect elaborately disguised malicious URLs. We further identify and analyze key factors that impact attack success rates and propose URLGuard, a lightweight defense module. We believe this work will provide a foundational resource for advancing the security of web agents. Our code is available at https://github.com/JiangYingEr/MalURLBench.

arXiv:2602.07801v3 Announce Type: replace-cross Abstract: In long-video understanding, conventional uniform frame sampling often fails to capture key visual evidence, leading to degraded performance and increased hallucinations. To address this, recent agentic thinking-with-videos paradigms have emerged, adopting a localize-clip-answer pipeline in which the model actively identifies relevant video segments, performs dense sampling within those clips, and then produces answers. However, existing methods remain inefficient, suffer from weak localization, and adhere to rigid workflows. To solve these issues, we propose VideoTemp-o3, a unified agentic thinking-with-videos framework that jointly models video grounding and question answering. VideoTemp-o3 exhibits strong localization capability, supports on-demand clipping, and can refine inaccurate localizations. Specifically, in the supervised fine-tuning stage, we design a unified masking mechanism that encourages exploration while preventing noise. For reinforcement learning, we introduce dedicated rewards to mitigate reward hacking. Besides, from the data perspective, we develop an effective pipeline to construct high-quality long video grounded QA data, along with a corresponding benchmark for systematic evaluation across various video durations. Experimental results demonstrate that our method achieves remarkable performance on both long video understanding and grounding.

arXiv:2603.06748v1 Announce Type: cross Abstract: Protein sequence design must balance designability, defined as the ability to recover a target backbone, with multiple, often competing, developability properties such as solubility, thermostability, and expression. Existing approaches address these properties through post hoc mutation, inference-time biasing, or retraining on property-specific subsets, yet they are target dependent and demand substantial domain expertise or careful hyperparameter tuning. In this paper, we introduce ProtAlign, a multi-objective preference alignment framework that fine-tunes pretrained inverse folding models to satisfy diverse developability objectives while preserving structural fidelity. ProtAlign employs a semi-online Direct Preference Optimization strategy with a flexible preference margin to mitigate conflicts among competing objectives and constructs preference pairs using in silico property predictors. Applied to the widely used ProteinMPNN backbone, the resulting model MoMPNN enhances developability without compromising designability across tasks including sequence design for CATH 4.3 crystal structures, de novo generated backbones, and real-world binder design scenarios, making it an appealing framework for practical protein sequence design.

arXiv:2603.07264v1 Announce Type: cross Abstract: Data-efficient learning remains a central challenge in autonomous driving due to the high cost and safety risks of large-scale real-world interaction. Although world-model-based reinforcement learning enables policy optimization through latent imagination, existing approaches often lack explicit mechanisms to encode spatial and kinematic structure essential for driving tasks. In this work, we build upon the Recurrent State-Space Model (RSSM) and propose a kinematics-aware latent world model framework for autonomous driving. Vehicle kinematic information is incorporated into the observation encoder to ground latent transitions in physically meaningful motion dynamics, while geometry-aware supervision regularizes the RSSM latent state to capture task-relevant spatial structure beyond pixel reconstruction. The resulting structured latent dynamics improve long-horizon imagination fidelity and stabilize policy optimization. Experiments in a driving simulation benchmark demonstrate consistent gains over both model-free and pixel-based world-model baselines in terms of sample efficiency and driving performance. Ablation studies further verify that the proposed design enhances spatial representation quality within the latent space. These results suggest that integrating kinematic grounding into RSSM-based world models provides a scalable and physically grounded paradigm for autonomous driving policy learning.

arXiv:2404.00712v3 Announce Type: replace-cross Abstract: Computerized Adaptive Testing (CAT) offers an efficient and personalized method for assessing examinee proficiency by dynamically adjusting test questions based on individual performance. Compared to traditional, non-personalized testing methods, CAT requires fewer questions and provides more accurate assessments. As a result, CAT has been widely adopted across various fields, including education, healthcare, sports, sociology, and the evaluation of AI models. While traditional methods rely on psychometrics and statistics, the increasing complexity of large-scale testing has spurred the integration of machine learning techniques. This paper aims to provide a machine learning-focused survey on CAT, presenting a fresh perspective on this adaptive testing paradigm. We delve into measurement models, question selection algorithm, bank construction, and test control within CAT, exploring how machine learning can optimize these components. Through an analysis of current methods, strengths, limitations, and challenges, we strive to develop robust, fair, and efficient CAT systems. By bridging psychometric-driven CAT research with machine learning, this survey advocates for a more inclusive and interdisciplinary approach to the future of adaptive testing.

arXiv:2603.02228v1 Announce Type: cross Abstract: The proof that Large Language Models (LLMs) augmented with external read-write memory constitute a computationally universal system has established the theoretical foundation for general-purpose agents. However, existing implementations face a critical bottleneck: the finite and costly Context Window, which functions not as infinite memory but as a scarce semantic cache. In this work, we introduce \textit{Neural Paging}, a hierarchical architecture that decouples symbolic reasoning from information resource management. We formulate the \textit{Context Paging Problem (CPP)} and propose a lightweight, differentiable \textit{Page Controller} designed to approximate ``Semantic Belady's Optimality'' -- retaining tokens with high future utility under explicit assumptions on access patterns. We provide theoretical analysis showing that, under bounded context window size~$K$, Neural Paging reduces the asymptotic complexity of long-horizon reasoning from quadratic $O(N^2)$ to $O(N \cdot K^2)$, and we derive a robustness bound (Theorem~4) that quantifies competitive-ratio degradation under policy-dependent access with bounded sensitivity. We validate these bounds on synthetic paging traces, confirming that the theoretical guarantees hold and identifying significant slack that motivates learned policies.

arXiv:2506.07218v3 Announce Type: replace-cross Abstract: Enhancing the multimodal reasoning capabilities of Multimodal Large Language Models (MLLMs) is a challenging task that has attracted increasing attention in the community. Recently, several studies have applied Reinforcement Learning with Verifiable Rewards (RLVR) to the multimodal domain in order to enhance the reasoning abilities of MLLMs. However, these works largely overlook the enhancement of multimodal perception capabilities in MLLMs, which serve as a core prerequisite and foundational component of complex multimodal reasoning. Through McNemar's test, we find that existing RLVR method fails to effectively enhance the multimodal perception capabilities of MLLMs, thereby limiting their further improvement in multimodal reasoning. To address this limitation, we propose Perception-R1, which introduces a novel visual perception reward that explicitly encourages MLLMs to perceive the visual content accurately, thereby can effectively incentivizing both their multimodal perception and reasoning capabilities. Specifically, we first collect textual visual annotations from the CoT trajectories of multimodal problems, which will serve as visual references for reward assignment. During RLVR training, we employ a judging LLM to assess the consistency between the visual annotations and the responses generated by MLLM, and assign the visual perception reward based on these consistency judgments. Extensive experiments on several multimodal reasoning benchmarks demonstrate the effectiveness of our Perception-R1, which achieves state-of-the-art performance on most benchmarks using only 1,442 training data. Our code and dataset will be available at https://github.com/tongxiao2002/Perception-R1.

arXiv:2602.07801v2 Announce Type: replace-cross Abstract: In long-video understanding, conventional uniform frame sampling often fails to capture key visual evidence, leading to degraded performance and increased hallucinations. To address this, recent agentic thinking-with-videos paradigms have emerged, adopting a localize-clip-answer pipeline in which the model actively identifies relevant video segments, performs dense sampling within those clips, and then produces answers. However, existing methods remain inefficient, suffer from weak localization, and adhere to rigid workflows. To solve these issues, we propose VideoTemp-o3, a unified agentic thinking-with-videos framework that jointly models video grounding and question answering. VideoTemp-o3 exhibits strong localization capability, supports on-demand clipping, and can refine inaccurate localizations. Specifically, in the supervised fine-tuning stage, we design a unified masking mechanism that encourages exploration while preventing noise. For reinforcement learning, we introduce dedicated rewards to mitigate reward hacking. Besides, from the data perspective, we develop an effective pipeline to construct high-quality long video grounded QA data, along with a corresponding benchmark for systematic evaluation across various video durations. Experimental results demonstrate that our method achieves remarkable performance on both long video understanding and grounding.

arXiv:2602.18472v1 Announce Type: cross Abstract: Physiologically Based Pharmacokinetic (PBPK) modeling is a cornerstone of model-informed drug development (MIDD), providing a mechanistic framework to predict drug absorption, distribution, metabolism, and excretion (ADME). Despite its utility, adoption is hindered by high computational costs for large-scale simulations, difficulty in parameter identification for complex biological systems, and uncertainty in interspecies extrapolation. In this work, we propose a unified Scientific Machine Learning (SciML) framework that bridges mechanistic rigor and data-driven flexibility. We introduce three contributions: (1) Foundation PBPK Transformers, which treat pharmacokinetic forecasting as a sequence modeling task; (2) Physiologically Constrained Diffusion Models (PCDM), a generative approach that uses a physics-informed loss to synthesize biologically compliant virtual patient populations; and (3) Neural Allometry, a hybrid architecture combining Graph Neural Networks (GNNs) with Neural ODEs to learn continuous cross-species scaling laws. Experiments on synthetic datasets show that the framework reduces physiological violation rates from 2.00% to 0.50% under constraints while offering a path to faster simulation.

arXiv:2412.04272v4 Announce Type: replace-cross Abstract: In recent years, table reasoning has garnered substantial research interest, particularly regarding its integration with Large Language Models (LLMs), which have revolutionized natural language applications. Existing LLM-based studies typically achieve step-by-step thinking for table reasoning guided by task semantics. While these approaches emphasize autonomous exploration and enhance fine-grained table understanding, they often overlook systematic thinking in the reasoning process. This oversight can lead to omitted steps, disorganized logic and misleading results, especially in complex scenarios. In this paper, we propose PoTable, a novel stage-oriented plan-then-execute approach that incorporates systematic thinking into table reasoning. Specifically, PoTable involves several distinct analytical stages with clear objectives to provide adequate guidance. To accomplish stage-specific goals, PoTable employs a plan-then-execute mechanism: it first plans the operation chain based on the stage objective, and then executes operations sequentially through code generation, real-time running and feedback processing. Consequently, PoTable produces reliable table reasoning results with highly accurate, step-wise commented and completely executable programs. It mirrors the workflow of a professional data analyst, offering advantages in both accuracy and explainability. Finally, we conduct extensive experiments on four datasets from the WikiTQ and TabFact benchmarks, where the results demonstrate the effectiveness, efficiency and explainability of PoTable. Our code is available at: https://github.com/Double680/PoTable.

arXiv:2602.15620v3 Announce Type: replace-cross Abstract: Reinforcement Learning (RL) has significantly improved large language model reasoning, but existing RL fine-tuning methods rely heavily on heuristic techniques such as entropy regularization and reweighting to maintain stability. In practice, they often suffer from late-stage performance collapse, leading to degraded reasoning quality and unstable training. Our analysis shows that the magnitude of token-wise policy gradients in RL is negatively correlated with token probability and local policy entropy. We find that training instability can be caused by a tiny fraction of tokens, approximately 0.01%, which we term spurious tokens. When such tokens appear in correct responses, they contribute little to the reasoning outcome but inherit the full sequence-level reward, leading to abnormally amplified gradient updates. To mitigate this instability, we design an S2T (silencing spurious tokens) mechanism to efficiently identify spurious tokens through characteristic signals with low probability, low entropy, and positive advantage, and then suppress their gradient perturbations during optimization. Incorporating this mechanism into a group-based objective, we propose Spurious-Token-Aware Policy Optimization (STAPO), which promotes stable and effective large-scale model refinement. Across six mathematical reasoning benchmarks using Qwen 1.7B, 8B, and 14B base models, STAPO consistently demonstrates superior entropy stability and achieves an average performance improvement of 7.13% ($\rho_{\mathrm{T}}$=1.0, top-p=1.0) and 3.69% ($\rho_{\mathrm{T}}$=0.7, top-p=0.9) over GRPO, 20-Entropy, and JustRL.