VitalAgent: A Tool-Augmented Agent for Reactive and Proactive Physiological Monitoring over Wearable Health Data

Wearable devices enable continuous monitoring of physiological signals such as ECG and PPG, but existing mHealth systems are largely limited to task-specific prediction pipelines or reactive question answering over static summaries. They lack the ability to support temporal reasoning, persistent physiological context, and proactive monitoring over long-term signal streams. We propose VitalAgent, a tool-augmented agentic framework for ECG/PPG-based mHealth that supports both reactive question answering and proactive monitoring. VitalAgent is built on a longitudinal physiological memory and a tool-augmented reasoning interface that enables dynamic computation over raw signals. We further introduce VitalBench, a longitudinal physiological monitoring benchmark dataset comprising 1,862 QA pairs for reactive question answering and 90.2 hours of continuous ECG/PPG recordings for proactive monitoring, covering cardiac, physical activity, and stress-related tasks. Experiments demonstrate that VitalAgent achieves over 30% improvement over prompt-based and ReAct baselines in reactive evaluation and supports proactive alert monitoring over long-term physiological signals, highlighting the importance of dynamic tool use and long-term physiological monitoring.

Pocket-Dentist: On-Device Dental Image Understanding via Efficient Multimodal Large Language Models

Evaluations of dental vision-language models remain fragmented across datasets, task definitions and metrics, and often ignore their computational cost. This limits their widespread deployment for dental screening outside specialist centres, where timely inference, limited hardware, and local handling of patient images are vital for practical, privacy-preserving clinical prescreening. Here we present Pocket-Dentist, an efficiency-aware benchmark for dental multimodal question answering that brings together three datasets spanning approximately 1,159 patients, five task types and seven metrics. Across typical 14 VLMs, our results reveals an interesting observation: compact VLMs (e.g., 2B-parameter models) outperform larger VLMs in accuracy while requiring substantially lower computational costs in dental image understanding. Deployed locally on an iPhone 17 Pro, our finetuned compact VLM Pocket-Dentist-2B processed each sample in 4.31 s, reducing latency by 4.9-fold and memory use by 2.3-fold compared with a 7B baseline.

Why Can't They Remember? Uncovering Representation and Retrieval Bottlenecks in Multi-Turn Acoustic Memory

Large audio language models (LALMs) process both speech and environmental acoustic cues, yet struggle to retain non-speech information across multi-turn interactions. The performance gap between semantic (speech) and acoustic (non-speech) understanding remains poorly understood, and the underlying mechanisms of representation and retrieval are still unclear. This work introduces EnvMem, a controlled multi-turn benchmark designed to study this gap and identify the root causes of failures at the representation (i.e., latent embeddings) and retrieval levels (i.e., attention allocation). We further conduct post-hoc interventions to probe representational structure and attention dynamics. Our results reveal representational trajectory drift as the key failure mode, while showing that attention allocation plays a limited role in explaining the observed degradation. Overall, we provide a systematic framework for analyzing and improving non-linguistic memory in long-context LALMs, shedding light on future data and training design for robust acoustic memory modeling.

Rethinking Continual Learning for Speech and Audio: A Representation-Centric Taxonomy and Open Problems

Speech and audio systems operate in inherently non-stationary environments, yet continual learning (CL) research in this domain, especially in the foundation model era, remains fragmented that fail to account for the coupled, geometry-sensitive nature of acoustic representations. Modern speech foundation models operate over highly entangled, continuous representations that jointly encode linguistic, speaker, and paralinguistic factors within a shared latent space. CL is therefore fundamentally about preserving and evolving shared representation structure rather than retaining isolated task knowledge. In this work, we revisit CL for speech from a representation-centered perspective, and introduce a new taxonomy that organizes CL according to how underlying representation geometry evolves under non-stationary acoustic conditions. We further identify key mismatches between current CL assumptions and speech foundation model behavior, and finally outline a set of open challenges and future research directions.

Adaptive Federated Fine-Tuning of Self-Supervised Speech Representations

Integrating Federated Learning (FL) with self-supervised learning (SSL) enables privacy-preserving fine-tuning for speech tasks. However, federated environments exhibit significant heterogeneity: clients differ in computational capacity, causing straggler effects under unified fine-tuning, while diverse downstream tasks require different representation depths, making full-model updates inefficient. To address these challenges, we propose an adaptive federated fine-tuning framework with early exits. Lightweight prediction heads are inserted at intermediate layers of the SSL backbone, allowing clients to terminate computation based on local constraints and task requirements. We further introduce a layer-wise, depth-aware partial aggregation strategy to better utilize representations from different network depths. Experiments show that the framework reduces edge overhead, supports heterogeneous hardware, and maintains competitive performance in resource-constrained federated environments.

Wearable Foundation Models Should Go Beyond Static Encoders

Wearable foundation models (WFMs), trained on large volumes of data collected by affordable, always-on devices, have demonstrated strong performance on short-term, well-defined health monitoring tasks, including activity recognition, fitness tracking, and cardiovascular signal assessment. However, most existing WFMs primarily map short temporal windows to predefined labels via static encoders, emphasizing retrospective prediction rather than reasoning over evolving personal history, context, and future risk trajectories. As a result, they are poorly suited for modeling chronic, progressive, or episodic health conditions that unfold over weeks, months or years. Hence, we argue that WFMs must move beyond static encoders and be explicitly designed for longitudinal, anticipatory health reasoning. We identify three foundational shifts required to enable this transition: (1) Structurally rich data, which goes beyond isolated datasets or outcome-conditioned collection to integrated multimodal, long-term personal trajectories, and contextual metadata, ideally supported by open and interoperable data ecosystems; (2) Longitudinal-aware multimodal modeling, which prioritizes long-context inference, temporal abstraction, and personalization over cross-sectional or population-level prediction; and (3) Agentic inference systems, which move beyond static prediction to support planning, decision-making, and clinically grounded intervention under uncertainty. Together, these shifts reframe wearable health monitoring from retrospective signal interpretation toward continuous, anticipatory, and human-aligned health support.

Localizing and Editing Knowledge in Large Audio-Language Models

Large Audio-Language Models (LALMs) have shown strong performance in speech understanding, making speech a natural interface for accessing factual information. Yet they are trained on static corpora and may encode incorrect facts. Existing model editing methods localize and update facts in text-only LLMs, but do not account for continuous speech representations, or where knowledge is stored across acoustic or language modules, or their cross-modal module. We construct the first audio benchmark for knowledge localization and editing in LALMs and propose a speech-driven locate-then-edit framework. First, we use speech-aware causal tracing to localize layers and modules that support factual retrieval and then apply editing at identified sites. Experiments show that factual knowledge is jointly encoded in audio and text modules, and that audio editing yields more effective updates than text editing or fine-tuning, enabling fine-grained knowledge control in speech AI systems.

Beyond Deep Learning: Speech Segmentation and Phone Classification with Neural Assemblies

Deep learning dominates speech processing but relies on massive datasets, global backpropagation-guided weight updates, and produces entangled representations. Assembly Calculus (AC), which models sparse neuronal assemblies via Hebbian plasticity and winner-take-all competition, offers a biologically grounded alternative, yet prior work focused on discrete symbolic inputs. We introduce an AC-based speech processing framework that operates directly on continuous speech by combining three key contributions:(i) neural encoding that converts speech into assembly-compatible spike patterns using probabilistic mel binarisation and population-coded MFCCs; (ii) a multi-area architecture organising assemblies across hierarchical timescales and classes; and (iii) cross-area update schemes for downstream tasks. Applied to two core tasks of boundary detection and segment classification, our framework detects phone (F1=0.69) and word (F1=0.61) boundaries without any weight training, and achieves 47.5% and 45.1% accuracy on phone and command recognition. These results show that AC-based dynamical systems are a viable alternative to deep learning for speech processing.

Disentangling Reasoning in Large Audio-Language Models for Ambiguous Emotion Prediction

Speech emotion recognition plays an important role in various applications. However, most existing approaches predict a single emotion label, oversimplifying the inherently ambiguous nature of human emotional expression. Recent large audio-language models show promise in generating richer outputs, but their reasoning ability for ambiguous emotional understanding remains limited. In this work, we reformulate ambiguous emotion recognition as a distributional reasoning problem and present the first systematic study of ambiguity-aware reasoning in LALMs. Our framework comprises two complementary components: an ambiguity-aware objective that aligns predictions with human perceptual distributions, and a structured ambiguity-aware chain-of-thought supervision that guides reasoning over emotional cues. Experiments on IEMOCAP and CREMA-D demonstrate consistent improvements across SFT, DPO, and GRPO training strategies.

PolyBench: A Benchmark for Compositional Reasoning in Polyphonic Audio

Large Audio Language Models (LALMs) are increasingly capable of reasoning over audio. However, existing benchmarks provide limited coverage of reasoning in polyphonic audio, where multiple sound events co-occur and induce compositional structure. In this work, we introduce PolyBench, a benchmark designed to evaluate compositional reasoning in polyphonic audio. PolyBench comprises five evaluation subsets covering counting, classification, detection, concurrency, and duration estimation, requiring reasoning over multiple concurrent events and their relations. Evaluation of state-of-the-art LALMs reveals consistent performance degradation in polyphonic audio, indicating a fundamental bottleneck in current LALMs.