Agentifying Patient Dynamics within LLMs through Interacting with Clinical World Model

Sepsis management in the ICU requires sequential treatment decisions under rapidly evolving patient physiology. Although large language models (LLMs) encode broad clinical knowledge and can reason over guidelines, they are not inherently grounded in action-conditioned patient dynamics. We introduce SepsisAgent, a world model-augmented LLM agent for sepsis treatment recommendation. SepsisAgent uses a learned Clinical World Model to simulate patient responses under candidate fluid--vasopressor interventions, and follows a propose--simulate--refine workflow before committing to a prescription. We first show that world-model access alone yields inconsistent LLM decision performance, motivating agent-specific training. We then train SepsisAgent through a three-stage curriculum: patient-dynamics supervised fine-tuning, propose--simulate--refine behavior cloning, and world-model-based agentic reinforcement learning. On MIMIC-IV sepsis trajectories, SepsisAgent outperforms all traditional RL and LLM-based baselines in off-policy value while achieving the best safety profile under guideline adherence and unsafe-action metrics. Further analysis shows that repeated interaction with the Clinical World Model enables the agent to learn regularities in patient evolution, which remain useful even when simulator access is removed.

EOS-Bench: A Comprehensive Benchmark for Earth Observation Satellite Scheduling

Earth observation satellite imaging scheduling is a challenging NP-hard combinatorial optimisation problem central to space mission operations. While next-generation agile Earth observation satellites (EOS) increase operational flexibility, they also significantly raise scheduling complexity. The lack of a unified, open-source benchmark makes it difficult to compare algorithms across studies. This paper introduces EOS-Bench, a comprehensive framework for systematic and reproducible evaluation of scheduling methods. By integrating high-fidelity orbital dynamics and platform constraints, EOS-Bench generates 1,390 scenarios and 13,900 benchmark instances, spanning from small-scale validation cases to large coordination problems with up to 1,000 satellites and 10,000 requests. We further propose a scenario characterisation scheme to quantify structural difficulty based on factors such as opportunity density, task flexibility, conflict intensity, and satellite congestion. A multidimensional evaluation protocol is introduced, assessing performance across five metrics: task profit, completion rate, workload balance, timeliness, and runtime. The framework is evaluated using mixed-integer programming, heuristics, meta-heuristics, and deep reinforcement learning across both agile and non-agile settings. Results show that EOS-Bench effectively distinguishes solver performance across scales and conditions, revealing trade-offs between solution quality and computational efficiency, and providing deeper insight into scenario complexity. EOS-Bench offers a unified and extensible open testbed for advancing research in Earth observation satellite scheduling. The code and data are available at https://github.com/Ethan19YQ/EOS-Bench.

Learning from Noisy Prompts: Saliency-Guided Prompt Distillation for Robust Segmentation with SAM

Segmentation is central to clinical diagnosis and monitoring, yet the reliability of modern foundation models in medical imaging still depends on the availability of precise prompts. The Segment Anything Model (SAM) offers powerful zero-shot capabilities, although it collapses under the weak, generic, and noisy prompts that dominate real clinical workflows. In practice, annotations such as centerline points are coarse and ambiguous, often drifting across neighboring anatomy and misguiding SAM toward inconsistent or incomplete masks. We introduce SPD, a Saliency-Guided Prompt Distillation framework that converts these unreliable cues into robust guidance. SPD first learns data-driven anatomical priors through a lightweight saliency head to obtain confident localization maps. These priors then drive Contextual Prompt Distillation, which validates and enriches noisy prompts using cues from anatomically adjacent slices, producing a consensus prompt set that matches the behavior of expert reasoning. A Pairwise Slice Consistency objective further enforces local anatomical coherence during segmentation. Experiments on four challenging MRI and CT benchmarks demonstrate that SPD consistently outperforms existing SAM adaptations and supervised baselines, delivering large gains in both region-based and boundary-based metrics. SPD provides a practical and principled path toward reliable foundation model deployment in clinical environments where only imperfect prompts are available.

Gated Memory Policy

Robotic manipulation tasks exhibit varying memory requirements, ranging from Markovian tasks that require no memory to non-Markovian tasks that depend on historical information spanning single or multiple interaction trials. Surprisingly, simply extending observation histories of a visuomotor policy often leads to a significant performance drop due to distribution shift and overfitting. To address these issues, we propose Gated Memory Policy (GMP), a visuomotor policy that learns both when to recall memory and what to recall. To learn when to recall memory, GMP employs a learned memory gate mechanism that selectively activates history context only when necessary, improving robustness and reactivity. To learn what to recall efficiently, GMP introduces a lightweight cross-attention module that constructs effective latent memory representations. To further enhance robustness, GMP injects diffusion noise into historical actions, mitigating sensitivity to noisy or inaccurate histories during both training and inference. On our proposed non-Markovian benchmark MemMimic, GMP achieves a 30.1% average success rate improvement over long-history baselines, while maintaining competitive performance on Markovian tasks in RoboMimic. All code, data and in-the-wild deployment instructions are available on our project website https://gated-memory-policy.github.io/.

A Muon-Accelerated Algorithm for Low Separation Rank Tensor Generalized Linear Models

Tensor-valued data arise naturally in multidimensional signal and imaging problems, such as biomedical imaging. When incorporated into generalized linear models (GLMs), naive vectorization can destroy their multi-way structure and lead to high-dimensional, ill-posed estimation. To address this challenge, Low Separation Rank (LSR) decompositions reduce model complexity by imposing low-rank multilinear structure on the coefficient tensor. A representative approach for estimating LSR-based tensor GLMs (LSR-TGLMs) is the Low Separation Rank Tensor Regression (LSRTR) algorithm, which adopts block coordinate descent and enforces orthogonality of the factor matrices through repeated QR-based projections. However, the repeated projection steps can be computationally demanding and slow convergence. Motivated by the need for scalable estimation and classification from such data, we propose LSRTR-M, which incorporates Muon (MomentUm Orthogonalized by Newton-Schulz) updates into the LSRTR framework. Specifically, LSRTR-M preserves the original block coordinate scheme while replacing the projection-based factor updates with Muon steps. Across synthetic linear, logistic, and Poisson LSR-TGLMs, LSRTR-M converges faster in both iteration count and wall-clock time, while achieving lower normalized estimation and prediction errors. On the Vessel MNIST 3D task, it further improves computational efficiency while maintaining competitive classification performance.

Disentangling to Re-couple: Resolving the Similarity-Controllability Paradox in Subject-Driven Text-to-Image Generation

Subject-Driven Text-to-Image (T2I) Generation aims to preserve a subject's identity while editing its context based on a text prompt. A core challenge in this task is the "similarity-controllability paradox", where enhancing textual control often degrades the subject's fidelity, and vice-versa. We argue this paradox stems from the ambiguous role of text prompts, which are often tasked with describing both the subject and the desired modifications, leading to conflicting signals for the model. To resolve this, we propose DisCo, a novel framework that first Disntangles and then re-Couples visual and textual information. First, our textual-visual decoupling module isolates the sources of information: subject identity is extracted exclusively from the reference image with the entity word of the subject, while the text prompt is simplified to contain only the modification command, where the subject refers to general pronouns, eliminating descriptive ambiguity. However, this strict separation can lead to unnatural compositions between the subject and its contexts. We address this by designing a dedicated reward signal and using reinforcement learning to seamlessly recouple the visually-defined subject and the textually-generated context. Our approach effectively resolves the paradox, enabling simultaneous high-fidelity subject preservation and precise textual control. Extensive experiments demonstrate that our method achieves state-of-the-art performance, producing highly realistic and coherent images.

LaPro-DTA: Latent Dual-View Drug Representations and Salient Protein Feature Extraction for Generalizable Drug--Target Affinity Prediction

Drug--target affinity prediction is pivotal for accelerating drug discovery, yet existing methods suffer from significant performance degradation in realistic cold-start scenarios (unseen drugs/targets/pairs), primarily driven by overfitting to training instances and information loss from irrelevant target sequences. In this paper, we propose LaPro-DTA, a framework designed to achieve robust and generalizable DTA prediction. To tackle overfitting, we devise a latent dual-view drug representation mechanism. It synergizes an instance-level view to capture fine-grained substructures with stochastic perturbation and a distribution-level view to distill generalized chemical scaffolds via semantic remapping, thereby enforcing the model to learn transferable structural rules rather than memorizing specific samples. To mitigate information loss, we introduce a salient protein feature extraction strategy using pattern-aware top-$k$ pooling, which effectively filters background noise and isolates high-response bioactive regions. Furthermore, a cross-view multi-head attention mechanism fuses these purified features to model comprehensive interactions. Extensive experiments on benchmark datasets demonstrate that LaPro-DTA significantly outperforms state-of-the-art methods, achieving an 8\% MSE reduction on the Davis dataset in the challenging unseen-drug setting, while offering interpretable insights into binding mechanisms.

Co-Diffusion: An Affinity-Aware Two-Stage Latent Diffusion Framework for Generalizable Drug-Target Affinity Prediction

Predicting drug-target affinity is fundamental to virtual screening and lead optimization. However, existing deep models often suffer from representation collapse in stringent cold-start regimes, where the scarcity of labels and domain shifts prevent the learning of transferable pharmacophores and binding motifs. In this paper, we propose Co-Diffusion, a novel affinity-aware framework that redefines DTA prediction as a constrained latent denoising process to enhance generalization. Co-Diffusion employs a two-stage paradigm: Stage I establishes an affinity-steered latent manifold by aligning drug and target embeddings under an explicit supervised objective, ensuring that the latent space reflects the intrinsic binding landscape. Stage II introduces modality-specific latent diffusion as a stochastic perturb-and-denoise regularizer, forcing the model to recover consistent affinity semantics from noisy structural representations. This approach effectively mitigates the reconstruction-regression conflict common in generative DTA models. Theoretically, we show that Co-Diffusion maximizes a variational lower bound on the joint likelihood of drug structures, protein sequences, and binding strength. Extensive experiments across multiple benchmarks demonstrate that Co-Diffusion significantly outperforms state-of-the-art baselines, particularly yielding superior zero-shot generalization on unseen molecular scaffolds and novel protein families-paving a robust path for in silico drug prioritization in unexplored chemical spaces.

CORE-Acu: Structured Reasoning Traces and Knowledge Graph Safety Verification for Acupuncture Clinical Decision Support

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.

DSH-Bench: A Difficulty- and Scenario-Aware Benchmark with Hierarchical Subject Taxonomy for Subject-Driven Text-to-Image Generation

Significant progress has been achieved in subject-driven text-to-image (T2I) generation, which aims to synthesize new images depicting target subjects according to user instructions. However, evaluating these models remains a significant challenge. Existing benchmarks exhibit critical limitations: 1) insufficient diversity and comprehensiveness in subject images, 2) inadequate granularity in assessing model performance across different subject difficulty levels and prompt scenarios, and 3) a profound lack of actionable insights and diagnostic guidance for subsequent model refinement. To address these limitations, we propose DSH-Bench, a comprehensive benchmark that enables systematic multi-perspective analysis of subject-driven T2I models through four principal innovations: 1) a hierarchical taxonomy sampling mechanism ensuring comprehensive subject representation across 58 fine-grained categories, 2) an innovative classification scheme categorizing both subject difficulty level and prompt scenario for granular capability assessment, 3) a novel Subject Identity Consistency Score (SICS) metric demonstrating a 9.4\% higher correlation with human evaluation compared to existing measures in quantifying subject preservation, and 4) a comprehensive set of diagnostic insights derived from the benchmark, offering critical guidance for optimizing future model training paradigms and data construction strategies. Through an extensive empirical evaluation of 19 leading models, DSH-Bench uncovers previously obscured limitations in current approaches, establishing concrete directions for future research and development.