Background: Mammography screening uptake in Singapore remains below 40% despite campaigns and subsidies. Natural language processing (NLP) can extract nuanced attitudes from free text that fixed response options miss, revealing latent factors influencing breast cancer (BC) screening behavior. Objective: This study characterized women’s attitudes toward mammography using mixed methods data, examined associations between BC awareness and screening willingness, and identified barriers and facilitators through NLP of free-text responses. Methods: We conducted a cross-sectional study within the multicenter cohort in Singapore (October 2021-December 2023). In total, 4169 women aged 35‐59 years (median 48, IQR 43‐54) were recruited via convenience sampling (3 hospitals and 2 polyclinics). Participants completed online structured questionnaires on demographics and screening history, then a BC education quiz with feedback. Participants answering >80% correctly were classified as “BC-aware.” Posteducation, participants reported screening willingness (motivated or neutral) with optional free-text explanations. Logistic regression models (adjusted for study site, age, ethnicity, marital status, housing, and education) examined the associations with willingness. For 3819 English-language respondents, biterm topic modeling identified themes and sentiment analysis quantified emotional tone. Statistical significance: =.05. Results: Overall, 79% (3287/4169) were BC-aware, and 94% (3908/4169) reported increased motivation posteducation. BC-aware women had higher screening motivation than BC-unaware women (adjusted odds ratio [aOR] 2.88, 95% CI 2.19‐3.80;

Background: Antimicrobial resistance (AMR) poses a critical global health threat, with inappropriate antibiotic use being a major driver. Timely microbiological specimen submission before initiating antibiotic therapy is a cornerstone of antimicrobial stewardship (AMS), enabling pathogen-directed therapy and reducing unnecessary broad-spectrum exposure. However, suboptimal compliance remains common due to workflow interruptions, technological barriers, and behavioral factors. Failure Mode and Effects Analysis (FMEA), a proactive risk-assessment method widely used in health care quality improvement, provides a systematic framework to identify process vulnerabilities and prioritize corrective actions. Despite its increasing application, few studies have integrated FMEA with hospital informatization to optimize microbiological specimen submission workflows in routine AMS practice. Objective: This study aimed to systematically identify workflow risks affecting preantibiotic microbiological specimen submission and to design, implement, and evaluate informatization-enabled interventions using an FMEA-based framework. Methods: FMEA was conducted at a tertiary hospital in China. A multidisciplinary team identified potential failure modes across 4 domains: health information systems, personnel, administration, and external support. Risk Priority Numbers (RPNs) and Action Priority (AP) indices were calculated for each failure mode. Targeted interventions were implemented, including dual-verification barcode scanning, artificial intelligence-driven clinical decision support alerts, EHR-integrated training modules, and automated compliance dashboards. Pre- and postintervention specimen submission rates (January 2024-December 2024) were analyzed using the Mann-Kendall trend test. Results: The top 5 failure modes included PDA barcode scanning failures (RPN=175), inadequate clinical decision support (RPN=140), insufficient clinician awareness (RPN=56), suboptimal oversight mechanisms, and patient-related barriers. Postintervention, significant upward trends were observed in overall specimen submission rates (

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

arXiv:2603.08262v1 Announce Type: new Abstract: The integration of Large Language Models (LLMs) into the financial domain is driving a paradigm shift from passive information retrieval to dynamic, agentic interaction. While general-purpose tool learning has witnessed a surge in benchmarks, the financial sector, characterized by high stakes, strict compliance, and rapid data volatility, remains critically underserved. Existing financial evaluations predominantly focus on static textual analysis or document-based QA, ignoring the complex reality of tool execution. Conversely, general tool benchmarks lack the domain-specific rigor required for finance, often relying on toy environments or a negligible number of financial APIs. To bridge this gap, we introduce FinToolBench, the first real-world, runnable benchmark dedicated to evaluating financial tool learning agents. Unlike prior works limited to a handful of mock tools, FinToolBench establishes a realistic ecosystem coupling 760 executable financial tools with 295 rigorous, tool-required queries. We propose a novel evaluation framework that goes beyond binary execution success, assessing agents on finance-critical dimensions: timeliness, intent type, and regulatory domain alignment. Furthermore, we present FATR, a finance-aware tool retrieval and reasoning baseline that enhances stability and compliance. By providing the first testbed for auditable, agentic financial execution, FinToolBench sets a new standard for trustworthy AI in finance. The tool manifest, execution environment, and evaluation code will be open-sourced to facilitate future research.

arXiv:2603.08291v1 Announce Type: new Abstract: Multimodal Mathematical Reasoning (MMR) has recently attracted increasing attention for its capability to solve mathematical problems that involve both textual and visual modalities. However, current models still face significant challenges in real-world visual math tasks. They often misinterpret diagrams, fail to align mathematical symbols with visual evidence, and produce inconsistent reasoning steps. Moreover, existing evaluations mainly focus on checking final answers rather than verifying the correctness or executability of each intermediate step. To address these limitations, a growing body of recent research addresses these issues by integrating structured perception, explicit alignment, and verifiable reasoning within unified frameworks. To establish a clear roadmap for understanding and comparing different MMR approaches, we systematically study them around four fundamental questions: (1) What to extract from multimodal inputs, (2) How to represent and align textual and visual information, (3) How to perform the reasoning, and (4) How to evaluate the correctness of the overall reasoning process. Finally, we discuss open challenges and offer perspectives on promising directions for future research.

arXiv:2603.08321v1 Announce Type: new Abstract: Large language models (LLMs) show significant potential for clinical decision support (CDS), yet their black-box nature -- characterized by untraceable reasoning and probabilistic hallucinations -- poses severe challenges in acupuncture, a field demanding rigorous interpretability and safety. To address this, we propose CORE-Acu, a neuro-symbolic framework for acupuncture clinical decision support that integrates Structured Chain-of-Thought (S-CoT) with knowledge graph (KG) safety verification. First, we construct the first acupuncture Structured Reasoning Trace dataset and a schema-constrained fine-tuning framework. By enforcing an explicit causal chain from pattern identification to treatment principles, treatment plans, and acupoint selection, we transform implicit Traditional Chinese Medicine (TCM) reasoning into interpretable generation constraints, mitigating the opacity of LLM-based CDS. Furthermore, we construct a TCM safety knowledge graph and establish a ``Generate--Verify--Revise'' closed-loop inference system based on a Symbolic Veto Mechanism, employing deterministic rules to intercept hallucinations and enforce hard safety boundaries. Finally, we introduce the Lexicon-Matched Entity-Reweighted Loss (LMERL), which corrects terminology drift caused by the frequency--importance mismatch in general optimization by adaptively amplifying gradient contributions of high-risk entities during fine-tuning. Experiments on 1,000 held-out cases demonstrate CORE-Acu's superior entity fidelity and reasoning quality. Crucially, CORE-Acu achieved 0/1,000 observed safety violations (95\% CI: 0--0.37\%), whereas GPT-4o exhibited an 8.5\% violation rate under identical rules. These results establish CORE-Acu as a robust neuro-symbolic framework for acupuncture clinical decision support, guaranteeing both reasoning auditability and strict safety compliance.

arXiv:2603.08561v1 Announce Type: new Abstract: Large language model (LLM)-based agents trained with reinforcement learning (RL) have shown strong potential on complex interactive tasks. However, standard RL paradigms favor static problem-solving over continuous adaptation: agents often converge to suboptimal strategies due to insufficient exploration, while learned knowledge remains implicit within parameters rather than explicitly retrievable, limiting effective experiential learning. To address these limitations, we introduce RetroAgent, an online RL framework that empowers agents to master complex interactive environments not just by solving, but by evolving. Concretely, RetroAgent features a hindsight self-reflection mechanism that produces dual intrinsic feedback: (1) intrinsic numerical feedback that that tracks incremental subtask completion relative to prior attempts, rewarding promising explorations, and (2) intrinsic language feedback that distills reusable lessons into a memory buffer, retrieved via our proposed Similarity & Utility-Aware Upper Confidence Bound (SimUtil-UCB) strategy balancing relevance, utility, and exploration to effectively leverage past experiences. Extensive experiments on two model families across four challenging agentic tasks demonstrate that RetroAgent significantly outperforms existing methods, achieving state-of-the-art results -- e.g., surpassing Group Relative Policy Optimization (GRPO)-trained agents by +18.3% on ALFWorld, +15.4% on WebShop, +27.1% on Sokoban, and +8.9% on MineSweeper -- while exhibiting strong test-time adaptation and generalization to out-of-distribution scenarios.

arXiv:2603.08652v1 Announce Type: new Abstract: Recent advancements in Unified Multimodal Models (UMMs) have significantly advanced text-to-image (T2I) generation, particularly through the integration of Chain-of-Thought (CoT) reasoning. However, existing CoT-based T2I methods largely rely on abstract natural-language planning, which lacks the precision required for complex spatial layouts, structured visual elements, and dense textual content. In this work, we propose CoCo (Code-as-CoT), a code-driven reasoning framework that represents the reasoning process as executable code, enabling explicit and verifiable intermediate planning for image generation. Given a text prompt, CoCo first generates executable code that specifies the structural layout of the scene, which is then executed in a sandboxed environment to render a deterministic draft image. The model subsequently refines this draft through fine-grained image editing to produce the final high-fidelity result. To support this training paradigm, we construct CoCo-10K, a curated dataset containing structured draft-final image pairs designed to teach both structured draft construction and corrective visual refinement. Empirical evaluations on StructT2IBench, OneIG-Bench, and LongText-Bench show that CoCo achieves improvements of +68.83%, +54.8%, and +41.23% over direct generation, while also outperforming other generation methods empowered by CoT. These results demonstrate that executable code is an effective and reliable reasoning paradigm for precise, controllable, and structured text-to-image generation. The code is available at: https://github.com/micky-li-hd/CoCo

arXiv:2507.11202v1 Announce Type: cross Abstract: Multimodal Emotion Recognition (MER) often encounters incomplete multimodality in practical applications due to sensor failures or privacy protection requirements. While existing methods attempt to address various incomplete multimodal scenarios by balancing the training of each modality combination through additional gradients, these approaches face a critical limitation: training gradients from different modality combinations conflict with each other, ultimately degrading the performance of the final prediction model. In this paper, we propose a unimodal decoupled dynamic low-rank adaptation method based on modality combinations, named MCULoRA, which is a novel framework for the parameter-efficient training of incomplete multimodal learning models. MCULoRA consists of two key modules, modality combination aware low-rank adaptation (MCLA) and dynamic parameter fine-tuning (DPFT). The MCLA module effectively decouples the shared information from the distinct characteristics of individual modality combinations. The DPFT module adjusts the training ratio of modality combinations based on the separability of each modality's representation space, optimizing the learning efficiency across different modality combinations. Our extensive experimental evaluation in multiple benchmark datasets demonstrates that MCULoRA substantially outperforms previous incomplete multimodal learning approaches in downstream task accuracy.

arXiv:2603.06615v1 Announce Type: cross Abstract: For multivariate co-generation in scientific applications, we advocate pairwise block rather than joint modeling of all variables. This design mitigates the computational burden and data imbalance. To this end, we propose an Annealed Co-Generation (ACG) framework that replaces high-dimensional diffusion modeling with a low-dimensional diffusion model, which enables multivariate co-generation by composing pairwise variable generations. We first train an unconditional diffusion model over causal variables that are disentangled into pairs. At inference time, we recover the joint distribution by coupling these pairwise models through shared common variables, enabling coherent multivariate generation without any additional training. By employing a three-stage annealing process-Consensus, Heating, and Cooling-our method enforces consistency across shared common variables and progressively constrains each pairwise data distribution to lie on a learnable manifold, while maintaining high likelihood within each pair. We demonstrate the framework's flexibility and efficacy on two distinct scientific tasks: flow-field completion and antibody generation. All datasets and code will be made publicly available upon publication.

arXiv:2603.06616v1 Announce Type: cross Abstract: Efficiently routing queries to the optimal large language model (LLM) is crucial for optimizing the cost-performance trade-off in multi-model systems. However, most existing routers rely on single-model selection, making them susceptible to misrouting. In this work, we formulate LLM routing as the $\alpha$-VOR problem to minimize expected set size while controlling the misrouting risk, and propose a novel method -- RACER, extending base routers to output model sets that can be subsequently aggregated for improved output. In particular, RACER constructs nested model sets via augmented scoring and utilizes finite-sample concentration bounds to calibrate a threshold that allows for both variable set sizes and abstention. We theoretically prove that RACER achieves rigorous distribution-free risk control on unseen test data in a post-hoc and model-agnostic manner. Extensive experiments verify our theoretical guarantees and demonstrate that RACER consistently enhances downstream accuracy across a wide range of benchmarks.

arXiv:2603.06617v1 Announce Type: cross Abstract: We introduce \textbf{Evo}, a duality latent trajectory model that bridges autoregressive (AR) and diffusion-based language generation within a continuous evolutionary generative framework. Rather than treating AR decoding and diffusion generation as separate paradigms, Evo reconceptualizes text generation as a latent flow: each token is associated with a vector-valued embedding that evolves over a progression variable $t_i \in [0, 1]$, indicating its semantic maturity. Low $t_i$ values correspond to confident AR-like refinement, while high values invoke diffusion-style planning, allowing the model to adaptively balance AR and diffusion based on uncertainty. Theoretically, we show that both AR and diffusion models emerge as discretizations of a shared probability flow, and we derive Evo's training objective from a unified variational ELBO. The model is implemented as a time-conditioned Transformer governed by a shared vector field, trained end-to-end to jointly infer latent codes and their progression times. During decoding, Evo performs efficient, semantics-aware refinement, achieving high-quality outputs without sacrificing speed. Empirically, Evo 8B achieves state-of-the-art or highly competitive results on 15 diverse benchmarks, including reasoning (GSM8K, ARC-C), code generation (HumanEval, MBPP), and general language understanding, while maintaining fast inference speed. Our results demonstrate that Evo delivers a new paradigm for LLM design with strong generation quality, robust symbolic reasoning, and decoding efficiency.

arXiv:2603.06648v1 Announce Type: cross Abstract: Recent advances in multimodal large language models (MLLMs) offer a promising approach for natural language-based scene change queries in virtual reality (VR). Prior work on applying MLLMs for object state understanding has focused on egocentric videos that capture the camera wearer's interactions with objects. However, object state changes may occur in the background without direct user interaction, lacking explicit motion cues and making them difficult to detect. Moreover, no benchmark exists for evaluating this challenging scenario. To address these challenges, we introduce ObjChangeVR-Dataset, specifically for benchmarking the question-answering task of object state change. We also propose ObjChangeVR, a framework that combines viewpoint-aware and temporal-based retrieval to identify relevant frames, along with cross-view reasoning that reconciles inconsistent evidence from multiple viewpoints. Extensive experiments demonstrate that ObjChangeVR significantly outperforms baseline approaches across multiple MLLMs.

arXiv:2603.06656v1 Announce Type: cross Abstract: Human gameplay is a visually grounded interaction loop in which players act, reflect on failures, and watch tutorials to refine strategies. Can Vision-Language Models (VLMs) also learn from video-based reflection? We present GameVerse, a comprehensive video game benchmark that enables a reflective visual interaction loop. Moving beyond traditional fire-and-forget evaluations, it uses a novel reflect-and-retry paradigm to assess how VLMs internalize visual experience and improve policies. To facilitate systematic and scalable evaluation, we also introduce a cognitive hierarchical taxonomy spanning 15 globally popular games, dual action space for both semantic and GUI control, and milestone evaluation using advanced VLMs to quantify progress. Our experiments show that VLMs benefit from video-based reflection in varied settings, and perform best by combining failure trajectories and expert tutorials-a training-free analogue to reinforcement learning (RL) plus supervised fine-tuning (SFT).

arXiv:2603.06669v1 Announce Type: cross Abstract: Modern edge AI applications increasingly rely on microservice architectures that integrate both AI services and conventional microservices into complex request chains with stringent latency requirements. Effectively orchestrating these heterogeneous services is crucial for ensuring low-latency performance, yet remains challenging due to their diverse resource demands and strong operational interdependencies under resource-constrained edge environments. In particular, frequent interactions between services tightly couple deployment and routing decisions, yet existing approaches optimize them in isolation, leading to fundamentally inadequate system performance.In this paper, we propose SIL-GPO, a reinforcement learning framework that optimizes hybrid orchestration for edge AI microservice systems. SIL-GPO formulates the orchestration problem as a sequential decision-making task and leverages graph attention networks to encode service topologies and routing dependencies within the agent state representation. Moreover, SIL-GPO integrates a self-imitation learning strategy into proximal policy optimization, enabling the agent to prioritize and reuse high-reward trajectories. This guides policy updates towards globally promising solutions that standard RL often fails to discover under sparse rewards and large combinatorial action spaces. We conduct extensive experiments on trace-driven edge AI workloads, demonstrating that SIL-GPO significantly reduces end-to-end service latency and enhances resource utilization compared to state-of-the-art heuristic, metaheuristic, and deep RL baselines. Our framework offers a unified and scalable solution for efficient orchestration of AI services and microservices in the edge, paving the way for low-latency, high-performance edge AI deployments.

arXiv:2603.06672v1 Announce Type: cross Abstract: Semantic noise initialization has been reported to improve robustness and controllability in image diffusion models. Whether these gains transfer to text-to-video (T2V) generation remains unclear, since temporal coupling can introduce extra degrees of freedom and instability. We benchmark semantic noise initialization against standard Gaussian noise using a frozen VideoCrafter-style T2V diffusion backbone and VBench on 100 prompts. Using prompt-level paired tests with bootstrap confidence intervals and a sign-flip permutation test, we observe a small positive trend on temporal-related dimensions; however, the 95 percent confidence interval includes zero (p ~ 0.17) and the overall score remains on par with the baseline. To understand this outcome, we analyze the induced perturbations in noise space and find patterns consistent with weak or unstable signal. We recommend prompt-level paired evaluation and noise-space diagnostics as standard practice when studying initialization schemes for T2V diffusion.

arXiv:2603.06674v1 Announce Type: cross Abstract: High-quality scientific illustrations are essential for communicating complex scientific and technical concepts, yet existing automated systems remain limited in editability, stylistic controllability, and efficiency. We present AutoFigure-Edit, an end-to-end system that generates fully editable scientific illustrations from long-form scientific text while enabling flexible style adaptation through user-provided reference images. By combining long-context understanding, reference-guided styling, and native SVG editing, it enables efficient creation and refinement of high-quality scientific illustrations. To facilitate further progress in this field, we release the video at https://youtu.be/10IH8SyJjAQ, full codebase at https://github.com/ResearAI/AutoFigure-Edit and provide a website for easy access and interactive use at https://deepscientist.cc/.

arXiv:2603.06697v1 Announce Type: cross Abstract: Vision--language models (VLMs) process images as visual tokens, yet their intermediate reasoning is often carried out in text, which can be suboptimal for visually grounded radiology tasks. Radiologists instead diagnose via sequential visual search; eye-tracking captures this process as time-ordered gaze trajectories that reveal how evidence is acquired over time. We use eye-gaze as supervision to guide VLM reasoning by introducing a small set of dedicated gaze tokens. These tokens are trained to predict gaze-selected image patch indices in temporal order, encouraging the model to follow human-like evidence acquisition and integration. Experiments on MIMIC-EYE and multiple external zero-shot benchmarks show consistent gains over baselines, achieving state-of-the-art in-domain performance and improved out-of-domain robustness. These results highlight temporally ordered gaze as an effective supervision signal for learning visually grounded medical reasoning.

arXiv:2603.06723v1 Announce Type: cross Abstract: Invisible watermarks, as an essential technology for image copyright protection, have been widely deployed with the rapid development of social media and AIGC. However, existing invisible watermark detection heavily relies on prior knowledge of specific algorithms, leading to limited detection capabilities for "unknown watermarks" in open environments. To this end, we propose a novel task named Universal Watermark Presence Detection (UWPD), which aims to identify whether an image carries a copyright mark without requiring decoding information. We construct the UniFreq-100K dataset, comprising large-scale samples across various invisible watermark embedding algorithms. Furthermore, we propose the Frequency Shield Network (FSNet). This model deploys an Adaptive Spectral Perception Module (ASPM) in the shallow layers, utilizing learnable frequency gating to dynamically amplify high-frequency watermark signals while suppressing low-frequency semantics. In the deep layers, the network introduces Dynamic Multi-Spectral Attention (DMSA) combined with tri-stream extremum pooling to deeply mine watermark energy anomalies, forcing the model to precisely focus on sensitive frequency bands. Extensive experiments demonstrate that FSNet exhibits superior zero-shot detection capabilities on the UWPD task, outperforming existing baseline models. Code and datasets will be released upon acceptance.

arXiv:2603.06726v1 Announce Type: cross Abstract: Electricity market prices exhibit extreme volatility, nonlinearity, and non-stationarity, making accurate forecasting a significant challenge. While cutting-edge time series foundation models (TSFMs) effectively capture temporal dependencies, they typically underutilize cross-variate correlations and non-periodic patterns that are essential for price forecasting. Conversely, regression models excel at capturing feature interactions but are limited to future-available inputs, ignoring crucial historical drivers that are unavailable at forecast time. To bridge this gap, we propose FutureBoosting, a novel paradigm that enhances regression-based forecasts by integrating forecasted features generated from a frozen TSFM. This approach leverages the TSFM's ability to model historical patterns and injects these insights as enriched inputs into a downstream regression model. We instantiate this paradigm into a lightweight, plug-and-play framework for electricity price forecasting. Extensive evaluations on real-world electricity market data demonstrate that our framework consistently outperforms state-of-the-art TSFMs and regression baselines, achieving reductions in Mean Absolute Error (MAE) of more than 30% at most. Through ablation studies and explainable AI (XAI) techniques, we validate the contribution of forecasted features and elucidate the model's decision-making process. FutureBoosting establishes a robust, interpretable, and effective solution for practical market participation, offering a general framework for enhancing regression models with temporal context.