arXiv:2605.25854v1 Announce Type: new Abstract: The expansion of data centers (DCs) drives a sustained increase in electricity demand and associated water withdrawals at generation sites. These withdrawals occur at generation sites and are virtually allocated to demand based on network power flows. Consequently, the actual water footprint of a specific load varies dynamically with generation dispatch and network conditions. Existing approaches typically rely on static statistical accounting to quantify these water footprints. However, such static methods fail to capture how dispatch optimization and workload relocation dynamically affect water withdrawals. As a result, static statistical accounting approaches remain decoupled from the optimization process, rendering them incapable of guiding workload relocation or power dispatch to mitigate water stress. To address this limitation, this paper develops an operational electricity-computation-water (ECW) nexus framework that internalizes virtual water impacts directly into power system dispatch. The framework represents dispatch optimization as a differentiable optimization layer embedded within a deep learning architecture, enabling efficient end-to-end learning of coordination policies while preserving operational feasibility. Combined with fixed-point coordination, the framework enforces consistency between virtual water attribution and physical generation-side withdrawals. Case studies on the IEEE 30-bus and 118-bus test systems demonstrate reliable convergence, exact power-water consistency, and reductions of approximately 3-5% in generation-related freshwater withdrawals under water-constrained conditions.

arXiv:2605.21652v2 Announce Type: replace-cross Abstract: Vision-Language Models (VLMs) have significantly advanced medical visual question answering, yet their performance in ultrasound remains suboptimal. In clinical practice, sonographers explicitly focus on lesion regions to formulate reports, though diagnostic interpretations sometimes vary due to inherent subjectivity. However, existing VLMs are not explicitly structured to interactively zoom into lesions prior to diagnosis; moreover, they typically treat annotations as unbiased ground truths, failing to account for their inherent subjectivity and ambiguity. In this paper, we propose a framework specifically designed to consider the sonographer's cognitive workflow. We first introduce a structured Zoom-then-Diagnose paradigm, which replicates the interactive search process to enable lesion-focused reasoning. Furthermore, within the Group Relative Policy Optimization (GRPO) framework, we introduce an uncertainty-aware reward derived from stochastic group-wise rollouts to estimate prediction consistency as a proxy for model confidence. Together, these two components encourage the model to reinforce accurate predictions on clear cases while remaining cautious under ambiguity. Experiments across liver, breast, and thyroid datasets show that our framework improves lesion localization by 39.3\%, demonstrating that our model has learned the ability to actively look closer and diagnose.