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Robot-Assisted Therapy for Upper Limb Rehabilitation After Stroke: Umbrella Review

Background: Stroke is a leading cause of long-term upper limb disability, severely impacting patients’ independence and quality of life. Robot-assisted therapy (RAT) has emerged as a promising, high-intensity rehabilitation alternative. However, conclusions from existing systematic reviews on its efficacy are inconsistent and often lack a holistic framework, limiting their use for guiding personalized clinical decisions. Objective: This study aims to systematically synthesize recent evidence on RAT for upper limb rehabilitation after stroke. Guided by the International Classification of Functioning, Disability and Health framework, it moves beyond singular outcomes to provide a multidimensional evaluation across body function, activity, and participation levels. The review aims to provide stratified guidance for clinical decision-making based on patient- and intervention-specific characteristics, thereby supporting evidence-based practice and informing future research. Methods: This study included systematic reviews and meta-analyses published from January 1, 2019, to December 26, 2025, comparing RAT with conventional therapy for upper limb rehabilitation after stroke. Overall, 6 databases, including PubMed, Web of Science, and Embase, were searched. Two reviewers (XZ and LZ) independently performed study selection, data extraction, and quality assessment using the AMSTAR 2 tool. The synthesis integrated outcome measures and subgroup analyses derived from the included studies. Results: This umbrella review included 21 meta-analyses encompassing 535 randomized controlled trials and 27,598 patients across acute, subacute, and chronic stroke stages. According to AMSTAR 2, 17 reviews were high quality, 3 moderate, and 1 critically low. The synthesis demonstrated that RAT was superior in improving upper limb motor function, but no statistically significant advantages were observed in activities of daily living compared to conventional therapy. Subgroup analyses revealed that treatment effects were influenced by stroke stage, upper limb motor impairment level, and robot type. Conclusions: RAT is an effective intervention for improving upper limb motor function after stroke. However, its benefits are primarily observed at the level of body function, with limited evidence for long-term maintenance. The current evidence is constrained by significant outcome heterogeneity and methodological limitations inherent to umbrella reviews. Future research should validate these findings in broader clinical practice, focus on translating functional gains into sustained improvements in daily activities and participation, and include cost-effectiveness evaluations. Trial Registration: PROSPERO CRD42024497183; https://www.crd.york.ac.uk/PROSPERO/view/CRD42024497183
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FAAR: Format-Aware Adaptive Rounding for NVFP4

arXiv:2603.22370v1 Announce Type: cross Abstract: Deploying large language models (LLMs) on edge devices requires extremely low-bit quantization. Ultra-low precision formats such as NVFP4 offer a promising solution for reducing memory footprint and accelerating computation. However, existing quantization methods typically rely on conventional rounding strategies and fail to account for the non-uniformity of the NVFP4 numerical grid, resulting in suboptimal rounding decisions and amplified quantization errors. To address this, we propose Format-Aware Adaptive Rounding (FAAR), a learnable rounding strategy tailored for the NVFP4 format. Unlike conventional quantization paradigms, FAAR explicitly incorporates the non-uniform NVFP4 grid into the optimization process. By adaptively adjusting rounding decisions guided by loss gradients, our method effectively approximates the theoretically optimal quantization. To complement FAAR, we introduce a 2-stages Format Alignment (2FA) fine-tuning scheme that aligns LLM parameters layer-by-layer to the NVFP4 numerical space, further narrowing the performance gap. Remarkably, this learnable optimization incurs a minimal training overhead of only 4 GPU hours on Llama3-1B. Extensive experiments demonstrate the effectiveness of our approach. Compared with Round-to-Nearest (RTN), our method reduces perplexity on WikiText-2 from 14.28 to 12.60 on Llama3-1B and from 23.06 to 21.27 on Qwen3-1.7B. Additionally, our method consistently outperforms state-of-the-art approaches across various zero-shot downstream tasks.
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An Accurate and Interpretable Framework for Trustworthy Process Monitoring

arXiv:2302.10426v3 Announce Type: replace Abstract: Trustworthy process monitoring seeks to build an accurate and interpretable monitoring framework, which is critical for ensuring the safety of energy conversion plant (ECP) that operates under extreme working conditions such as high pressure and temperature. Contemporary self-attentive models, however, fall short in this domain for two main reasons. First, they rely on step-wise correlations that fail to involve physically meaningful semantics in ECP logs, resulting in suboptimal accuracy and interpretability. Second, attention matrices are frequently cluttered with spurious correlations that obscure physically meaningful ones, further impeding effective interpretation. To overcome these issues, we propose AttentionMixer, a framework aimed at improving both accuracy and interpretability of existing methods and establish a trustworthy ECP monitoring framework. Specifically, to tackle the first issue, we employ a spatial adaptive message passing block to capture variate-wise correlations. This block is coupled with a temporal adaptive message passing block through an \textit{mixing} operator, yielding a multi-faceted representation of ECP logs accounting for both step-wise and variate-wise correlations. Concurrently, to tackle the second issue, we employ a sparse message passing regularizer to filter out spurious correlations. We validate the efficacy of AttentionMixer using two real-world datasets from the radiation monitoring network for Chinese nuclear power plants.
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From Context to Intent: Reasoning-Guided Function-Level Code Completion

arXiv:2508.09537v2 Announce Type: replace-cross Abstract: The growing capabilities of Large Language Models (LLMs) have led to their widespread adoption for function completion within code repositories. Recent studies on such tasks show promising results when explicit instructions, often in the form of docstrings, are available to guide the completion. However, in real-world scenarios, clear docstrings are frequently absent. Under such conditions, LLMs typically fail to produce accurate completions. To enable more automated and accurate function completion in such settings, we aim to enable LLMs to accurately infer the developer's intent prior to code completion. Our key insight is that the preceding code, namely the code context before the function to be completed, often contains valuable cues that help the model understand the intended functionality. However, inferring intent from such implicit context is non-trivial and constitutes a core challenge in function-level code completion. To tackle this challenge, inspired by how humans interpret context, we propose a reasoning-based prompting framework that guides LLMs to utilize these contextual cues to infer intent step by step. To incentivize LLMs to reason through the preceding code and infer intent, we further curate a dataset of 40k examples, each annotated with intermediate reasoning traces and corresponding docstrings. Extensive experiments on DevEval and ComplexCodeEval demonstrate consistent performance improvements across multiple models, achieving over 25% relative gains in pass@1 for both DeepSeekCoder and CodeLLaMA families. Building upon our framework, we further develop an intent-interactive platform that supports lightweight human feedback. This platform allows developers to select from a set of candidate intentions or edit the intent to better guide the model. Our experiments show that this interactive approach leads to further performance improvements.
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19-Hydroxybufalin Inhibits Gastric Cancer Cell Proliferation by Modulating Metabolic Reprogramming

J Proteome Res. 2026 Apr 3;25(4):2014-2023. doi: 10.1021/acs.jproteome.5c00983. Epub 2026 Mar 17.

ABSTRACT

OBJECTIVE: 19-Hydroxybufalin (19-H) is a natural bioactive compound with anticancer potential, but its molecular target and mechanism of action remain unclear. This study aimed to systematically evaluate its antigastric cancer activity and identify potential molecular targets.

METHODS: The antitumor effect of 19-H was evaluated in both in vitro and in vivo models. Multiomics analysis, thermal proteome profiling, molecular docking, and molecular dynamics simulations were employed to elucidate the mechanism of action. Functional assays were further conducted to validate the key target.

RESULTS: 19-H exhibited nanomolar-level inhibitory activity against various gastric cancer cell lines, significantly suppressing tumor growth in subcutaneous xenograft and patient-derived xenograft models. Multiomics analysis revealed that 19-H reshaped metabolic pathways in gastric cancer. TPP screening identified PLPP2 as a potential target with significantly increased thermal stability upon 19-H treatment. Molecular simulations further revealed that 19-H binds stably to the Ξ±-helical region of PLPP2.

CONCLUSIONS: 19-H exerts its antigastric cancer effect by targeting PLPP2 and remodeling the metabolic network. PLPP2 may represent a novel therapeutic target for gastric cancer.

PMID:41842934 | DOI:10.1021/acs.jproteome.5c00983

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