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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
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SkillsBench: Benchmarking How Well Agent Skills Work Across Diverse Tasks

arXiv:2602.12670v2 Announce Type: replace Abstract: Agent Skills are structured packages of procedural knowledge that augment LLM agents at inference time. Despite rapid adoption, there is no standard way to measure whether they actually help. We present SkillsBench, a benchmark of 86 tasks across 11 domains paired with curated Skills and deterministic verifiers. Each task is evaluated under three conditions: no Skills, curated Skills, and self-generated Skills. We test 7 agent-model configurations over 7,308 trajectories. Curated Skills raise average pass rate by 16.2 percentage points(pp), but effects vary widely by domain (+4.5pp for Software Engineering to +51.9pp for Healthcare) and 16 of 84 tasks show negative deltas. Self-generated Skills provide no benefit on average, showing that models cannot reliably author the procedural knowledge they benefit from consuming. Focused Skills with 2--3 modules outperform comprehensive documentation, and smaller models with Skills can match larger models without them.
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MIND: Unified Inquiry and Diagnosis RL with Criteria Grounded Clinical Supports for Psychiatric Consultation

arXiv:2603.03677v1 Announce Type: cross Abstract: Large language models (LLMs) have advanced medical dialogue systems, yet psychiatric consultation poses substantially higher demands due to subjective ambiguity and comorbidity complexity: an agent must continuously extract psychopathological cues from incomplete and inconsistent patient reports in multi-turn interactions and perform rigorous differential diagnostic reasoning. However, existing methods face two fundamental challenges. First, without criteria-grounded clinical supports, they are prone to unsupported clinical assertions when symptoms are atypical or underspecified. Second, in multi-turn interactions, they struggle to mitigate inquiry drift (off-topic or low-yield questioning) and optimize questioning strategies. To address these challenges, we propose MIND, a unified inquiry--diagnosis reinforcement learning framework for psychiatric consultation. Specifically, we build a Criteria-Grounded Psychiatric Reasoning Bank (PRB) that summarizes dialogue context into clinical retrieval states, retrieves semantically similar reference consultations, and distills reusable criteria-grounded clinical supports to guide criteria-aligned inquiry and reasoning. Building on this foundation, MIND enforces explicit clinical reasoning with rubric-based process rewards to provide fine-grained supervision over intermediate decision steps, and incorporates a value-aware trajectory rectification mechanism to jointly improve information acquisition and diagnostic decision-making across turns. Extensive experiments demonstrate that MIND consistently outperforms strong baselines in diagnostic accuracy, empathetic interaction quality, interpretability, and generalization.
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Confidence-Calibrated Small-Large Language Model Collaboration for Cost-Efficient Reasoning

arXiv:2603.03752v1 Announce Type: cross Abstract: Large language models (LLMs) demonstrate superior reasoning capabilities compared to small language models (SLMs), but incur substantially higher costs. We propose COllaborative REAsoner (COREA), a system that cascades an SLM with an LLM to achieve a balance between accuracy and cost in complex reasoning tasks. COREA first attempts to answer questions using the SLM, which outputs both an answer and a verbalized confidence score. Questions with confidence below a predefined threshold are deferred to the LLM for more accurate resolution. We introduce a reinforcement learning-based training algorithm that aligns the SLM's confidence through an additional confidence calibration reward. Extensive experiments demonstrate that our method jointly improves the SLM's reasoning ability and confidence calibration across diverse datasets and model backbones. Compared to using the LLM alone, COREA reduces cost by 21.5% and 16.8% on out-of-domain math and non-math datasets, respectively, with only an absolute pass@1 drop within 2%.
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DisenReason: Behavior Disentanglement and Latent Reasoning for Shared-Account Sequential Recommendation

arXiv:2603.03782v1 Announce Type: cross Abstract: Shared-account usage is common on streaming and e-commerce platforms, where multiple users share one account. Existing shared-account sequential recommendation (SSR) methods often assume a fixed number of latent users per account, limiting their ability to adapt to diverse sharing patterns and reducing recommendation accuracy. Recent latent reasoning technique applied in sequential recommendation (SR) generate intermediate embeddings from the user embedding (e.g, last item embedding) to uncover users' potential interests, which inspires us to treat the problem of inferring the number of latent users as generating a series of intermediate embeddings, shifting from inferring preferences behind user to inferring the users behind account. However, the last item cannot be directly used for reasoning in SSR, as it can only represent the behavior of the most recent latent user, rather than the collective behavior of the entire account. To address this, we propose DisenReason, a two-stage reasoning method tailored to SSR. DisenReason combines behavior disentanglement stage from frequency-domain perspective to create a collective and unified account behavior representation, which serves as a pivot for latent user reasoning stage to infer the number of users behind the account. Experiments on four benchmark datasets show that DisenReason consistently outperforms all state-of-the-art baselines across four benchmark datasets, achieving relative improvements of up to 12.56\% in MRR@5 and 6.06\% in Recall@20.
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VideoTemp-o3: Harmonizing Temporal Grounding and Video Understanding in Agentic Thinking-with-Videos

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.
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CRCC: Contrast-Based Robust Cross-Subject and Cross-Site Representation Learning for EEG

arXiv:2602.19138v1 Announce Type: new Abstract: EEG-based neural decoding models often fail to generalize across acquisition sites due to structured, site-dependent biases implicitly exploited during training. We reformulate cross-site clinical EEG learning as a bias-factorized generalization problem, in which domain shifts arise from multiple interacting sources. We identify three fundamental bias factors and propose a general training framework that mitigates their influence through data standardization and representation-level constraints. We construct a standardized multi-site EEG benchmark for Major Depressive Disorder and introduce CRCC, a two-stage training paradigm combining encoder-decoder pretraining with joint fine-tuning via cross-subject/site contrastive learning and site-adversarial optimization. CRCC consistently outperforms state-of-the-art baselines and achieves a 10.7 percentage-point improvement in balanced accuracy under strict zero-shot site transfer, demonstrating robust generalization to unseen environments.
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FineRef: Fine-Grained Error Reflection and Correction for Long-Form Generation with Citations

arXiv:2602.18437v1 Announce Type: cross Abstract: Generating with citations is crucial for trustworthy Large Language Models (LLMs), yet even advanced LLMs often produce mismatched or irrelevant citations. Existing methods over-optimize citation fidelity while overlooking relevance to the user query, which degrades answer quality and robustness in real-world settings with noisy or irrelevant retrieved content. Moreover, the prevailing single-pass paradigm struggles to deliver optimal answers in long-form generation that requiring multiple citations. To address these limitations, we propose FineRef, a framework based on Fine-grained error Reflection, which explicitly teaches the model to self-identify and correct two key citation errors, mismatch and irrelevance, on a per-citation basis. FineRef follows a two-stage training strategy. The first stage instills an "attempt-reflect-correct" behavioral pattern via supervised fine-tuning, using fine-grained and controllable reflection data constructed by specialized lightweight models. An online self-reflective bootstrapping strategy is designed to improve generalization by iteratively enriching training data with verified, self-improving examples. To further enhance the self-reflection and correction capability, the second stage applies process-level reinforcement learning with a multi-dimensional reward scheme that promotes reflection accuracy, answer quality, and correction gain. Experiments on the ALCE benchmark demonstrate that FineRef significantly improves both citation performance and answer accuracy. Our 7B model outperforms GPT-4 by up to 18% in Citation F1 and 4% in EM Recall, while also surpassing the state-of-the-art model across key evaluation metrics. FineRef also exhibits strong generalization and robustness in domain transfer settings and noisy retrieval scenarios.
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Value Entanglement: Conflation Between Different Kinds of Good In (Some) Large Language Models

arXiv:2602.19101v1 Announce Type: cross Abstract: Value alignment of Large Language Models (LLMs) requires us to empirically measure these models' actual, acquired representation of value. Among the characteristics of value representation in humans is that they distinguish among value of different kinds. We investigate whether LLMs likewise distinguish three different kinds of good: moral, grammatical, and economic. By probing model behavior, embeddings, and residual stream activations, we report pervasive cases of value entanglement: a conflation between these distinct representations of value. Specifically, both grammatical and economic valuation was found to be overly influenced by moral value, relative to human norms. This conflation was repaired by selective ablation of the activation vectors associated with morality.
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Anatomy of Agentic Memory: Taxonomy and Empirical Analysis of Evaluation and System Limitations

arXiv:2602.19320v1 Announce Type: cross Abstract: Agentic memory systems enable large language model (LLM) agents to maintain state across long interactions, supporting long-horizon reasoning and personalization beyond fixed context windows. Despite rapid architectural development, the empirical foundations of these systems remain fragile: existing benchmarks are often underscaled, evaluation metrics are misaligned with semantic utility, performance varies significantly across backbone models, and system-level costs are frequently overlooked. This survey presents a structured analysis of agentic memory from both architectural and system perspectives. We first introduce a concise taxonomy of MAG systems based on four memory structures. Then, we analyze key pain points limiting current systems, including benchmark saturation effects, metric validity and judge sensitivity, backbone-dependent accuracy, and the latency and throughput overhead introduced by memory maintenance. By connecting the memory structure to empirical limitations, this survey clarifies why current agentic memory systems often underperform their theoretical promise and outlines directions for more reliable evaluation and scalable system design.
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A Very Big Video Reasoning Suite

arXiv:2602.20159v1 Announce Type: cross Abstract: Rapid progress in video models has largely focused on visual quality, leaving their reasoning capabilities underexplored. Video reasoning grounds intelligence in spatiotemporally consistent visual environments that go beyond what text can naturally capture, enabling intuitive reasoning over spatiotemporal structure such as continuity, interaction, and causality. However, systematically studying video reasoning and its scaling behavior is hindered by the lack of large-scale training data. To address this gap, we introduce the Very Big Video Reasoning (VBVR) Dataset, an unprecedentedly large-scale resource spanning 200 curated reasoning tasks following a principled taxonomy and over one million video clips, approximately three orders of magnitude larger than existing datasets. We further present VBVR-Bench, a verifiable evaluation framework that moves beyond model-based judging by incorporating rule-based, human-aligned scorers, enabling reproducible and interpretable diagnosis of video reasoning capabilities. Leveraging the VBVR suite, we conduct one of the first large-scale scaling studies of video reasoning and observe early signs of emergent generalization to unseen reasoning tasks. Together, VBVR lays a foundation for the next stage of research in generalizable video reasoning. The data, benchmark toolkit, and models are publicly available at https://video-reason.com/ .
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MAS-on-the-Fly: Dynamic Adaptation of LLM-based Multi-Agent Systems at Test Time

arXiv:2602.13671v1 Announce Type: cross Abstract: Large Language Model (LLM)-based multi-agent systems (MAS) have emerged as a promising paradigm for solving complex tasks. However, existing works often rely on manual designs or "one-size-fits-all" automation, lacking dynamic adaptability after deployment. Inspired by how biological systems adapt, we introduce MASFly, a novel multi-agent framework enabling dynamic adaptation at test time. To adapt system generation, MASFly employs a retrieval-augmented SOP instantiation mechanism that leverages a self-constructed repository of successful collaboration patterns, enabling the LLM to assemble customized MASs for new queries. For adaptive execution, MASFly incorporates an experience-guided supervision mechanism, where a dedicated Watcher agent monitors system behaviors with reference to a personalized experience pool and provides real-time interventions. Extensive experiments demonstrate that MASFly achieves state-of-the-art performance, most notably a 61.7% success rate on the TravelPlanner benchmark, while exhibiting strong task adaptability and robustness.
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DenseMLLM: Standard Multimodal LLMs are Intrinsic Dense Predictors

arXiv:2602.14134v1 Announce Type: cross Abstract: Multimodal Large Language Models (MLLMs) have demonstrated exceptional capabilities in high-level visual understanding. However, extending these models to fine-grained dense prediction tasks, such as semantic segmentation and depth estimation, typically necessitates the incorporation of complex, task-specific decoders and other customizations. This architectural fragmentation increases model complexity and deviates from the generalist design of MLLMs, ultimately limiting their practicality. In this work, we challenge this paradigm by accommodating standard MLLMs to perform dense predictions without requiring additional task-specific decoders. The proposed model is called DenseMLLM, grounded in the standard architecture with a novel vision token supervision strategy for multiple labels and tasks. Despite its minimalist design, our model achieves highly competitive performance across a wide range of dense prediction and vision-language benchmarks, demonstrating that a standard, general-purpose MLLM can effectively support dense perception without architectural specialization.
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AlphaOPT: Formulating Optimization Programs with Self-Improving LLM Experience Library

arXiv:2510.18428v3 Announce Type: replace Abstract: Optimization modeling underlies critical decision-making across industries, yet remains difficult to automate: natural-language problem descriptions must be translated into precise mathematical formulations and executable solver code. Existing LLM-based approaches typically rely on brittle prompting or costly retraining, both of which offer limited generalization. Recent work suggests that large models can improve via experience reuse, but how to systematically acquire, refine, and reuse such experience in structurally constrained settings remains unclear. We present \textbf{AlphaOPT}, a self-improving experience library that enables LLMs to learn optimization modeling knowledge from limited supervision, including answer-only feedback without gold-standard programs, annotated reasoning traces, or parameter updates. AlphaOPT operates in a continual two-phase cycle: a \emph{Library Learning} phase that extracts solver-verified, structured insights from failed attempts, and a \emph{Library Evolution} phase that refines the applicability of stored insights based on aggregate evidence across tasks. This design allows the model to accumulate reusable modeling principles, improve transfer across problem instances, and maintain bounded library growth over time. Evaluated on multiple optimization benchmarks, AlphaOPT steadily improves as more training data become available (65\% $\rightarrow$ 72\% from 100 to 300 training items) and outperforms the strongest baseline by 9.1\% and 8.2\% on two out-of-distribution datasets. These results demonstrate that structured experience learning, grounded in solver feedback, provides a practical alternative to retraining for complex reasoning tasks requiring precise formulation and execution. All code and data are available at: https://github.com/Minw913/AlphaOPT.
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Resource-Efficient Personal Large Language Models Fine-Tuning with Collaborative Edge Computing

arXiv:2408.10746v2 Announce Type: replace-cross Abstract: Large language models (LLMs) have unlocked a plethora of powerful applications at the network edge, such as intelligent personal assistants. Data privacy and security concerns have prompted a shift towards edge-based fine-tuning of personal LLMs, away from cloud reliance. However, this raises issues of computational intensity and resource scarcity, hindering training efficiency and feasibility. While current studies investigate parameter-efficient fine-tuning (PEFT) techniques to mitigate resource constraints, our analysis indicates that these techniques are not sufficiently resource-efficient for edge devices. To tackle these challenges, we propose Pluto and Charon (PAC), a time and memory efficient collaborative edge AI framework for personal LLMs fine-tuning. PAC breaks the resource wall of personal LLMs fine-tuning with a sophisticated algorithm-system co-design. (1) Algorithmically, PAC implements a personal LLMs fine-tuning technique that is efficient in terms of parameters, time, and memory. It utilizes Parallel Adapters to circumvent the need for a full backward pass through the LLM backbone. Additionally, an activation cache mechanism further streamlining the process by negating the necessity for repeated forward passes across multiple epochs. (2) Systematically, PAC leverages edge devices in close proximity, pooling them as a collective resource for in-situ personal LLMs fine-tuning, utilizing a hybrid data and pipeline parallelism to orchestrate distributed training. The use of the activation cache eliminates the need for forward pass through the LLM backbone,enabling exclusive fine-tuning of the Parallel Adapters using data parallelism. Extensive evaluation based on prototype implementation demonstrates that PAC remarkably outperforms state-of-the-art approaches, achieving up to 8.64x end-to-end speedup and up to 88.16% reduction in memory footprint.
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Dataset Distillation via Committee Voting

arXiv:2501.07575v2 Announce Type: replace-cross Abstract: Dataset distillation aims to synthesize a compact yet representative dataset that preserves the essential characteristics of the original data for efficient model training. Existing methods mainly focus on improving data-synthetic alignment or scaling distillation to large datasets. In this work, we propose $\textbf{C}$ommittee $\textbf{V}$oting for $\textbf{D}$ataset $\textbf{D}$istillation ($\textbf{CV-DD}$), an orthogonal approach that leverages the collective knowledge of multiple models to produce higher-quality distilled data. We first establish a strong baseline that achieves state-of-the-art performance through modern architectural and optimization choices. By integrating distributions and predictions from multiple models and generating high-quality soft labels, our method captures a broader range of data characteristics, reduces model-specific bias and the impact of distribution shifts, and significantly improves generalization. This voting-based strategy enhances diversity and robustness, alleviates overfitting, and improves post-evaluation performance. Extensive experiments across multiple datasets and IPC settings demonstrate that CV-DD consistently outperforms single- and multi-model distillation methods and generalizes well to non-training-based frameworks and challenging synthetic-to-real transfer tasks. Code is available at: https://github.com/Jiacheng8/CV-DD.
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Accelerating Scientific Research with Gemini: Case Studies and Common Techniques

arXiv:2602.03837v2 Announce Type: replace-cross Abstract: Recent advances in large language models (LLMs) have opened new avenues for accelerating scientific research. While models are increasingly capable of assisting with routine tasks, their ability to contribute to novel, expert-level mathematical discovery is less understood. We present a collection of case studies demonstrating how researchers have successfully collaborated with advanced AI models, specifically Google's Gemini-based models (in particular Gemini Deep Think and its advanced variants), to solve open problems, refute conjectures, and generate new proofs across diverse areas in theoretical computer science, as well as other areas such as economics, optimization, and physics. Based on these experiences, we extract common techniques for effective human-AI collaboration in theoretical research, such as iterative refinement, problem decomposition, and cross-disciplinary knowledge transfer. While the majority of our results stem from this interactive, conversational methodology, we also highlight specific instances that push beyond standard chat interfaces. These include deploying the model as a rigorous adversarial reviewer to detect subtle flaws in existing proofs, and embedding it within a "neuro-symbolic" loop that autonomously writes and executes code to verify complex derivations. Together, these examples highlight the potential of AI not just as a tool for automation, but as a versatile, genuine partner in the creative process of scientific discovery.
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Kunlun: Establishing Scaling Laws for Massive-Scale Recommendation Systems through Unified Architecture Design

arXiv:2602.10016v2 Announce Type: replace-cross Abstract: Deriving predictable scaling laws that govern the relationship between model performance and computational investment is crucial for designing and allocating resources in massive-scale recommendation systems. While such laws are established for large language models, they remain challenging for recommendation systems, especially those processing both user history and context features. We identify poor scaling efficiency as the main barrier to predictable power-law scaling, stemming from inefficient modules with low Model FLOPs Utilization (MFU) and suboptimal resource allocation. We introduce Kunlun, a scalable architecture that systematically improves model efficiency and resource allocation. Our low-level optimizations include Generalized Dot-Product Attention (GDPA), Hierarchical Seed Pooling (HSP), and Sliding Window Attention. Our high-level innovations feature Computation Skip (CompSkip) and Event-level Personalization. These advances increase MFU from 17% to 37% on NVIDIA B200 GPUs and double scaling efficiency over state-of-the-art methods. Kunlun is now deployed in major Meta Ads models, delivering significant production impact.
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