To Reason or Not to: Selective Chain-of-Thought in Medical Question Answering

Objective: To improve the efficiency of medical question answering (MedQA) with large language models (LLMs) by avoiding unnecessary reasoning while maintaining accuracy. Methods: We propose Selective Chain-of-Thought (Selective CoT), an inference-time strategy that first predicts whether a question requires reasoning and generates a rationale only when needed. Two open-source LLMs (Llama-3.1-8B and Qwen-2.5-7B) were evaluated on four biomedical QA benchmarks-HeadQA, MedQA-USMLE, MedMCQA, and PubMedQA. Metrics included accuracy, total generated tokens, and inference time. Results: Selective CoT reduced inference time by 13-45% and token usage by 8-47% with minimal accuracy loss ($\leq$4\%). In some model-task pairs, it achieved both higher accuracy and greater efficiency than standard CoT. Compared with fixed-length CoT, Selective CoT reached similar or superior accuracy at substantially lower computational cost. Discussion: Selective CoT dynamically balances reasoning depth and efficiency by invoking explicit reasoning only when beneficial, reducing redundancy on recall-type questions while preserving interpretability. Conclusion: Selective CoT provides a simple, model-agnostic, and cost-effective approach for medical QA, aligning reasoning effort with question complexity to enhance real-world deployability of LLM-based clinical systems.

Learning Transferability: A Two-Stage Reinforcement Learning Approach for Enhancing Quadruped Robots' Performance in U-Shaped Stair Climbing

Quadruped robots are employed in various scenarios in building construction. However, autonomous stair climbing across different indoor staircases remains a major challenge for robot dogs to complete building construction tasks. In this project, we employed a two-stage end-to-end deep reinforcement learning (RL) approach to optimize a robot's performance on U-shaped stairs. The training robot-dog modality, Unitree Go2, was first trained to climb stairs on Isaac Lab's pyramid-stair terrain, and then to climb a U-shaped indoor staircase using the learned policies. This project explores end-to-end RL methods that enable robot dogs to autonomously climb stairs. The results showed (1) the successful goal reached for robot dogs climbing U-shaped stairs with a stall penalty, and (2) the transferability from the policy trained on U-shaped stairs to deployment on straight, L-shaped, and spiral stair terrains, and transferability from other stair models to deployment on U-shaped terrain.

Time-to-Event Transformer to Capture Timing Attention of Events in EHR Time Series

Automatically discovering personalized sequential events from large-scale time-series data is crucial for enabling precision medicine in clinical research, yet it remains a formidable challenge even for contemporary AI models. For example, while transformers capture rich associations, they are mostly agnostic to event timing and ordering, thereby bypassing potential causal reasoning. Intuitively, we need a method capable of evaluating the "degree of alignment" among patient-specific trajectories and identifying their shared patterns, i.e., the significant events in a consistent sequence. This necessitates treating timing as a true \emph{computable} dimension, allowing models to assign ``relative timestamps'' to candidate events beyond their observed physical times. In this work, we introduce LITT, a novel Timing-Transformer architecture that enables temporary alignment of sequential events on a virtual ``relative timeline'', thereby enabling \emph{event-timing-focused attention} and personalized interpretations of clinical trajectories. Its interpretability and effectiveness are validated on real-world longitudinal EHR data from 3,276 breast cancer patients to predict the onset timing of cardiotoxicity-induced heart disease. Furthermore, LITT outperforms both the benchmark and state-of-the-art survival analysis methods on public datasets, positioning it as a significant step forward for precision medicine in clinical AI.

Training and Simulation of Quadrupedal Robot in Adaptive Stair Climbing for Indoor Firefighting: An End-to-End Reinforcement Learning Approach

Quadruped robots are used for primary searches during the early stages of indoor fires. A typical primary search involves quickly and thoroughly looking for victims under hazardous conditions and monitoring flammable materials. However, situational awareness in complex indoor environments and rapid stair climbing across different staircases remain the main challenges for robot-assisted primary searches. In this project, we designed a two-stage end-to-end deep reinforcement learning (RL) approach to optimize both navigation and locomotion. In the first stage, the quadrupeds, Unitree Go2, were trained to climb stairs in Isaac Lab's pyramid-stair terrain. In the second stage, the quadrupeds were trained to climb various realistic indoor staircases in the Isaac Lab engine, with the learned policy transferred from the previous stage. These indoor staircases are straight, L-shaped, and spiral, to support climbing tasks in complex environments. This project explores how to balance navigation and locomotion and how end-to-end RL methods can enable quadrupeds to adapt to different stair shapes. Our main contributions are: (1) A two-stage end-to-end RL framework that transfers stair-climbing skills from abstract pyramid terrain to realistic indoor stair topologies. (2) A centerline-based navigation formulation that enables unified learning of navigation and locomotion without hierarchical planning. (3) Demonstration of policy generalization across diverse staircases using only local height-map perception. (4) An empirical analysis of success, efficiency, and failure modes under increasing stair difficulty.

Tokenize Once, Recommend Anywhere: Unified Item Tokenization for Multi-domain LLM-based Recommendation

Large language model (LLM)-based recommender systems have achieved high-quality performance by bridging the discrepancy between the item space and the language space through item tokenization. However, existing item tokenization methods typically require training separate models for each item domain, limiting generalization. Moreover, the diverse distributions and semantics across item domains make it difficult to construct a unified tokenization that preserves domain-specific information. To address these challenges, we propose UniTok, a Unified item Tokenization framework that integrates our own mixture-of-experts (MoE) architecture with a series of codebooks to convert items into discrete tokens, enabling scalable tokenization while preserving semantic information across multiple item domains. Specifically, items from different domains are first projected into a unified latent space through a shared encoder. They are then routed to domain-specific experts to capture the unique semantics, while a shared expert, which is always active, encodes common knowledge transferable across domains. Additionally, to mitigate semantic imbalance across domains, we present a mutual information calibration mechanism, which guides the model towards retaining similar levels of semantic information for each domain. Comprehensive experiments on wide-ranging real-world datasets demonstrate that the proposed UniTok framework is (a) highly effective: achieving up to 51.89% improvements over strong benchmarks, (b) theoretically sound: showing the analytical validity of our architectural design and optimization; and (c) highly generalizable: demonstrating robust performance across diverse domains without requiring per-domain retraining, a capability not supported by existing baselines.

Fine-Tuning Diffusion-Based Recommender Systems via Reinforcement Learning with Reward Function Optimization

Diffusion models recently emerged as a powerful paradigm for recommender systems, offering state-of-the-art performance by modeling the generative process of user-item interactions. However, training such models from scratch is both computationally expensive and yields diminishing returns once convergence is reached. To remedy these challenges, we propose ReFiT, a new framework that integrates Reinforcement learning (RL)-based Fine-Tuning into diffusion-based recommender systems. In contrast to prior RL approaches for diffusion models depending on external reward models, ReFiT adopts a task-aligned design: it formulates the denoising trajectory as a Markov decision process (MDP) and incorporates a collaborative signal-aware reward function that directly reflects recommendation quality. By tightly coupling the MDP structure with this reward signal, ReFiT empowers the RL agent to exploit high-order connectivity for fine-grained optimization, while avoiding the noisy or uninformative feedback common in naive reward designs. Leveraging policy gradient optimization, ReFiT maximizes exact log-likelihood of observed interactions, thereby enabling effective post hoc fine-tuning of diffusion recommenders. Comprehensive experiments on wide-ranging real-world datasets demonstrate that the proposed ReFiT framework (a) exhibits substantial performance gains over strong competitors (up to 36.3% on sequential recommendation), (b) demonstrates strong efficiency with linear complexity in the number of users or items, and (c) generalizes well across multiple diffusion-based recommendation scenarios. The source code and datasets are publicly available at https://anonymous.4open.science/r/ReFiT-4C60.

Uncertainty-Aware Large Language Models for Explainable Disease Diagnosis

Explainable disease diagnosis, which leverages patient information (e.g., signs and symptoms) and computational models to generate probable diagnoses and reasonings, offers clear clinical values. However, when clinical notes encompass insufficient evidence for a definite diagnosis, such as the absence of definitive symptoms, diagnostic uncertainty usually arises, increasing the risk of misdiagnosis and adverse outcomes. Although explicitly identifying and explaining diagnostic uncertainties is essential for trustworthy diagnostic systems, it remains under-explored. To fill this gap, we introduce ConfiDx, an uncertainty-aware large language model (LLM) created by fine-tuning open-source LLMs with diagnostic criteria. We formalized the task and assembled richly annotated datasets that capture varying degrees of diagnostic ambiguity. Evaluating ConfiDx on real-world datasets demonstrated that it excelled in identifying diagnostic uncertainties, achieving superior diagnostic performance, and generating trustworthy explanations for diagnoses and uncertainties. To our knowledge, this is the first study to jointly address diagnostic uncertainty recognition and explanation, substantially enhancing the reliability of automatic diagnostic systems.

Retrieval-augmented in-context learning for multimodal large language models in disease classification

Objectives: We aim to dynamically retrieve informative demonstrations, enhancing in-context learning in multimodal large language models (MLLMs) for disease classification. Methods: We propose a Retrieval-Augmented In-Context Learning (RAICL) framework, which integrates retrieval-augmented generation (RAG) and in-context learning (ICL) to adaptively select demonstrations with similar disease patterns, enabling more effective ICL in MLLMs. Specifically, RAICL examines embeddings from diverse encoders, including ResNet, BERT, BioBERT, and ClinicalBERT, to retrieve appropriate demonstrations, and constructs conversational prompts optimized for ICL. We evaluated the framework on two real-world multi-modal datasets (TCGA and IU Chest X-ray), assessing its performance across multiple MLLMs (Qwen, Llava, Gemma), embedding strategies, similarity metrics, and varying numbers of demonstrations. Results: RAICL consistently improved classification performance. Accuracy increased from 0.7854 to 0.8368 on TCGA and from 0.7924 to 0.8658 on IU Chest X-ray. Multi-modal inputs outperformed single-modal ones, with text-only inputs being stronger than images alone. The richness of information embedded in each modality will determine which embedding model can be used to get better results. Few-shot experiments showed that increasing the number of retrieved examples further enhanced performance. Across different similarity metrics, Euclidean distance achieved the highest accuracy while cosine similarity yielded better macro-F1 scores. RAICL demonstrated consistent improvements across various MLLMs, confirming its robustness and versatility. Conclusions: RAICL provides an efficient and scalable approach to enhance in-context learning in MLLMs for multimodal disease classification.

Language Models Predict Empathy Gaps Between Social In-groups and Out-groups

Studies of human psychology have demonstrated that people are more motivated to extend empathy to in-group members than out-group members (Cikara et al., 2011). In this study, we investigate how this aspect of intergroup relations in humans is replicated by LLMs in an emotion intensity prediction task. In this task, the LLM is given a short description of an experience a person had that caused them to feel a particular emotion; the LLM is then prompted to predict the intensity of the emotion the person experienced on a numerical scale. By manipulating the group identities assigned to the LLM's persona (the "perceiver") and the person in the narrative (the "experiencer"), we measure how predicted emotion intensities differ between in-group and out-group settings. We observe that LLMs assign higher emotion intensity scores to in-group members than out-group members. This pattern holds across all three types of social groupings we tested: race/ethnicity, nationality, and religion. We perform an in-depth analysis on Llama-3.1-8B, the model which exhibited strongest intergroup bias among those tested.

GRACE: A Granular Benchmark for Evaluating Model Calibration against Human Calibration

Language models are often miscalibrated, leading to confidently incorrect answers. We introduce GRACE, a benchmark for language model calibration that incorporates comparison with human calibration. GRACE consists of question-answer pairs, in which each question contains a series of clues that gradually become easier, all leading to the same answer; models must answer correctly as early as possible as the clues are revealed. This setting permits granular measurement of model calibration based on how early, accurately, and confidently a model answers. After collecting these questions, we host live human vs. model competitions to gather 1,749 data points on human and model teams' timing, accuracy, and confidence. We propose a metric, CalScore, that uses GRACE to analyze model calibration errors and identify types of model miscalibration that differ from human behavior. We find that although humans are less accurate than models, humans are generally better calibrated. Since state-of-the-art models struggle on GRACE, it effectively evaluates progress on improving model calibration.