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eHealth Literacy and Type 2 Diabetes Prevention Among At-Risk Populations: Mechanistic Systematic Review Using Theory-Driven Thematic Analysis

Background: Type 2 diabetes (T2D) is emerging as a growing global public health crisis. Early and effective interventions can reduce T2D incidence among at-risk populations. Compared with traditional approaches, digital health technologies offer promising opportunities for prevention, with eHealth literacy (eHL) emerging as a critical determinant of digital prevention outcomes. Objective: This systematic review aims to synthesize and explain the pathways and mechanisms through which eHL supports T2D prevention among at-risk populations. Methods: We searched Scopus, Web of Science, and PubMed databases for English-language original research published between January 1, 2000, and August 14, 2025. Studies included were prevention research involving eHL engagement among populations at risk for T2D. Nonoriginal literature, such as editorials and abstracts, as well as research protocols, was excluded. The findings were synthesized using a thematic analysis approach, integrating the Theoretical Domains Framework with the eHL model. Two reviewers independently screened literature and extracted data, and discrepancies were resolved by a third reviewer. The Mixed Methods Appraisal Tool was used to assess risk of bias. Results: This review included 28 studies (n=13,100), mostly quantitative and published within the past decade, targeting people with prediabetes, prior gestational diabetes, and overweight/metabolic risk. Study quality was moderate to high (Mixed Methods Appraisal Tool 60%‐100%) with no high risk of bias. eHL supported prevention mainly through knowledge (28/28), behavioral regulation (16/28), social influences (15/28), environmental resources (12/28), and goals (11/28), while emotions, memory, attention, decision process, and beliefs about competence were rarely addressed. Health literacy (27/28), information literacy (20/28), and communicative eHL (20/28) were most common; critical eHL and media literacy were not addressed. Studies reported positive outcomes: high engagement, weight loss (≥5%), improved glycemic markers, and enhanced lifestyle behaviors. Conclusions: This is the first systematic exploration of eHL mechanism pathways in T2D prevention via theoretical mapping. We found interventions yield positive effects despite highly uneven mechanism application: extant research relies excessively on knowledge and behavioral pathways while underemphasizing emotional support, autonomy, and critical evaluation—factors linked to long-term adherence. We provide a mechanism-based framework and identify critical gaps, including the absence of focus on critical eHL and media literacy. This review is limited by substantial variation across studies that did not allow for meta-analysis and by the limited evidence base on eHL. Future interventions should explore and test emotional and autonomy support, information discernment training, and accessibility optimization in T2D prevention. These comprehensive, equity-focused intervention approaches will help ensure that eHL becomes a truly effective public health tool that benefits everyone, especially at-risk and vulnerable populations. Trial Registration: PROSPERO CRD42025630395; https://www.crd.york.ac.uk/PROSPERO/view/CRD42025630395

Multi-Agent DRL for V2X Resource Allocation: Disentangling Challenges and Benchmarking Solutions

arXiv:2603.06607v1 Announce Type: cross Abstract: Multi-agent deep reinforcement learning (DRL) has emerged as a promising approach for radio resource allocation (RRA) in cellular vehicle-to-everything (C-V2X) networks. However, the multifaceted challenges inherent to multi-agent reinforcement learning (MARL) - including non-stationarity, coordination difficulty, large action spaces, partial observability, and limited robustness and generalization - are often intertwined, making it difficult to understand their individual impact on performance in vehicular environments. Moreover, existing studies typically rely on different baseline MARL algorithms, and a systematic comparison of their capabilities in addressing specific challenges in C-V2X RRA remains lacking. In this paper, we bridge this gap by formulating C-V2X RRA as a sequence of multi-agent interference games with progressively increasing complexity, each designed to isolate a key MARL challenge. Based on these formulations, we construct a suite of learning tasks that enable controlled evaluation of performance degradation attributable to each challenge. We further develop large-scale, diverse training and testing datasets using SUMO-generated highway traces to capture a wide range of vehicular topologies and corresponding interference patterns. Through extensive benchmarking of representative MARL algorithms, we identify policy robustness and generalization across diverse vehicular topologies as the dominant challenge in C-V2X RRA. We further show that, on the most challenging task, the best-performing actor-critic method outperforms the value-based approach by 42%. By emphasizing the need for zero-shot policy transfer to both seen and unseen topologies at runtime, and by open-sourcing the code, datasets, and interference-game benchmark suite, this work provides a systematic and reproducible foundation for evaluating and advancing MARL algorithms in vehicular networks.

\$OneMillion-Bench: How Far are Language Agents from Human Experts?

arXiv:2603.07980v1 Announce Type: cross Abstract: As language models (LMs) evolve from chat assistants to long-horizon agents capable of multi-step reasoning and tool use, existing benchmarks remain largely confined to structured or exam-style tasks that fall short of real-world professional demands. To this end, we introduce \$OneMillion-Bench \$OneMillion-Bench, a benchmark of 400 expert-curated tasks spanning Law, Finance, Industry, Healthcare, and Natural Science, built to evaluate agents across economically consequential scenarios. Unlike prior work, the benchmark requires retrieving authoritative sources, resolving conflicting evidence, applying domain-specific rules, and making constraint decisions, where correctness depends as much on the reasoning process as the final answer. We adopt a rubric-based evaluation protocol scoring factual accuracy, logical coherence, practical feasibility, and professional compliance, focused on expert-level problems to ensure meaningful differentiation across agents. Together, \$OneMillion-Bench provides a unified testbed for assessing agentic reliability, professional depth, and practical readiness in domain-intensive scenarios.

Solution to the 10th ABAW Expression Recognition Challenge: A Robust Multimodal Framework with Safe Cross-Attention and Modality Dropout

arXiv:2603.08034v1 Announce Type: cross Abstract: Emotion recognition in real-world environments is hindered by partial occlusions, missing modalities, and severe class imbalance. To address these issues, particularly for the Affective Behavior Analysis in-the-wild (ABAW) Expression challenge, we propose a multimodal framework that dynamically fuses visual and audio representations. Our approach uses a dual-branch Transformer architecture featuring a safe cross-attention mechanism and a modality dropout strategy. This design allows the network to rely on audio-based predictions when visual cues are absent. To mitigate the long-tail distribution of the Aff-Wild2 dataset, we apply focal loss optimization, combined with a sliding-window soft voting strategy to capture dynamic emotional transitions and reduce frame-level classification jitter. Experiments demonstrate that our framework effectively handles missing modalities and complex spatiotemporal dependencies, achieving an accuracy of 60.79% and an F1-score of 0.5029 on the Aff-Wild2 validation set.

OCN: Effectively Utilizing Higher-Order Common Neighbors for Better Link Prediction

arXiv:2505.19719v2 Announce Type: replace-cross Abstract: Common Neighbors (CNs) and their higher-order variants are important pairwise features widely used in state-of-the-art link prediction methods. However, existing methods often struggle with the repetition across different orders of CNs and fail to fully leverage their potential. We identify that these limitations stem from two key issues: redundancy and over-smoothing in high-order common neighbors. To address these challenges, we design orthogonalization to eliminate redundancy between different-order CNs and normalization to mitigate over-smoothing. By combining these two techniques, we propose Orthogonal Common Neighbor (OCN), a novel approach that significantly outperforms the strongest baselines by an average of 7.7\% on popular link prediction benchmarks. A thorough theoretical analysis is provided to support our method. Ablation studies also verify the effectiveness of our orthogonalization and normalization techniques. Code is available at: https://github.com/qingpingmo/OCN.
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