MedReadCtrl: Personalizing medical text generation with readability-controlled instruction learning

Generative AI has demonstrated strong potential in healthcare, from clinical decision support to patient-facing chatbots that improve outcomes. A critical challenge for deployment is effective human-AI communication, where content must be both personalized and understandable. We introduce MedReadCtrl, a readability-controlled instruction tuning framework that enables LLMs to adjust output complexity without compromising meaning. Evaluations of nine datasets and three tasks across medical and general domains show that MedReadCtrl achieves significantly lower readability instruction-following errors than GPT-4 (e.g., 1.39 vs. 1.59 on ReadMe, p<0.001) and delivers substantial gains on unseen clinical tasks (e.g., +14.7 ROUGE-L, +6.18 SARI on MTSamples). Experts consistently preferred MedReadCtrl (71.7% vs. 23.3%), especially at low literacy levels. These gains reflect MedReadCtrl's ability to restructure clinical content into accessible, readability-aligned language while preserving medical intent, offering a scalable solution to support patient education and expand equitable access to AI-enabled care.

CLI-RAG: A Retrieval-Augmented Framework for Clinically Structured and Context Aware Text Generation with LLMs

Large language models (LLMs), including zero-shot and few-shot paradigms, have shown promising capabilities in clinical text generation. However, real-world applications face two key challenges: (1) patient data is highly unstructured, heterogeneous, and scattered across multiple note types and (2) clinical notes are often long and semantically dense, making naive prompting infeasible due to context length constraints and the risk of omitting clinically relevant information. We introduce CLI-RAG (Clinically Informed Retrieval-Augmented Generation), a domain-specific framework for structured and clinically grounded text generation using LLMs. It incorporates a novel hierarchical chunking strategy that respects clinical document structure and introduces a task-specific dual-stage retrieval mechanism. The global stage identifies relevant note types using evidence-based queries, while the local stage extracts high-value content within those notes creating relevance at both document and section levels. We apply the system to generate structured progress notes for individual hospital visits using 15 clinical note types from the MIMIC-III dataset. Experiments show that it preserves temporal and semantic alignment across visits, achieving an average alignment score of 87.7%, surpassing the 80.7% baseline from real clinician-authored notes. The generated outputs also demonstrate high consistency across LLMs, reinforcing deterministic behavior essential for reproducibility, reliability, and clinical trust.

KeyKnowledgeRAG (K^2RAG): An Enhanced RAG method for improved LLM question-answering capabilities

Fine-tuning is an immensely resource-intensive process when retraining Large Language Models (LLMs) to incorporate a larger body of knowledge. Although many fine-tuning techniques have been developed to reduce the time and computational cost involved, the challenge persists as LLMs continue to grow in size and complexity. To address this, a new approach to knowledge expansion in LLMs is needed. Retrieval-Augmented Generation (RAG) offers one such alternative by storing external knowledge in a database and retrieving relevant chunks to support question answering. However, naive implementations of RAG face significant limitations in scalability and answer accuracy. This paper introduces KeyKnowledgeRAG (K2RAG), a novel framework designed to overcome these limitations. Inspired by the divide-and-conquer paradigm, K2RAG integrates dense and sparse vector search, knowledge graphs, and text summarization to improve retrieval quality and system efficiency. The framework also includes a preprocessing step that summarizes the training data, significantly reducing the training time. K2RAG was evaluated using the MultiHopRAG dataset, where the proposed pipeline was trained on the document corpus and tested on a separate evaluation set. Results demonstrated notable improvements over common naive RAG implementations. K2RAG achieved the highest mean answer similarity score of 0.57, and reached the highest third quartile (Q3) similarity of 0.82, indicating better alignment with ground-truth answers. In addition to improved accuracy, the framework proved highly efficient. The summarization step reduced the average training time of individual components by 93%, and execution speed was up to 40% faster than traditional knowledge graph-based RAG systems. K2RAG also demonstrated superior scalability, requiring three times less VRAM than several naive RAG implementations tested in this study.

Go to Zero: Towards Zero-shot Motion Generation with Million-scale Data

Generating diverse and natural human motion sequences based on textual descriptions constitutes a fundamental and challenging research area within the domains of computer vision, graphics, and robotics. Despite significant advancements in this field, current methodologies often face challenges regarding zero-shot generalization capabilities, largely attributable to the limited size of training datasets. Moreover, the lack of a comprehensive evaluation framework impedes the advancement of this task by failing to identify directions for improvement. In this work, we aim to push text-to-motion into a new era, that is, to achieve the generalization ability of zero-shot. To this end, firstly, we develop an efficient annotation pipeline and introduce MotionMillion-the largest human motion dataset to date, featuring over 2,000 hours and 2 million high-quality motion sequences. Additionally, we propose MotionMillion-Eval, the most comprehensive benchmark for evaluating zero-shot motion generation. Leveraging a scalable architecture, we scale our model to 7B parameters and validate its performance on MotionMillion-Eval. Our results demonstrate strong generalization to out-of-domain and complex compositional motions, marking a significant step toward zero-shot human motion generation. The code is available at https://github.com/VankouF/MotionMillion-Codes.

Evaluating Attribute Confusion in Fashion Text-to-Image Generation

Despite the rapid advances in Text-to-Image (T2I) generation models, their evaluation remains challenging in domains like fashion, involving complex compositional generation. Recent automated T2I evaluation methods leverage pre-trained vision-language models to measure cross-modal alignment. However, our preliminary study reveals that they are still limited in assessing rich entity-attribute semantics, facing challenges in attribute confusion, i.e., when attributes are correctly depicted but associated to the wrong entities. To address this, we build on a Visual Question Answering (VQA) localization strategy targeting one single entity at a time across both visual and textual modalities. We propose a localized human evaluation protocol and introduce a novel automatic metric, Localized VQAScore (L-VQAScore), that combines visual localization with VQA probing both correct (reflection) and miss-localized (leakage) attribute generation. On a newly curated dataset featuring challenging compositional alignment scenarios, L-VQAScore outperforms state-of-the-art T2I evaluation methods in terms of correlation with human judgments, demonstrating its strength in capturing fine-grained entity-attribute associations. We believe L-VQAScore can be a reliable and scalable alternative to subjective evaluations.

Speak2Sign3D: A Multi-modal Pipeline for English Speech to American Sign Language Animation

Helping deaf and hard-of-hearing people communicate more easily is the main goal of Automatic Sign Language Translation. Although most past research has focused on turning sign language into text, doing the reverse, turning spoken English into sign language animations, has been largely overlooked. That's because it involves multiple steps, such as understanding speech, translating it into sign-friendly grammar, and generating natural human motion. In this work, we introduce a complete pipeline that converts English speech into smooth, realistic 3D sign language animations. Our system starts with Whisper to translate spoken English into text. Then, we use a MarianMT machine translation model to translate that text into American Sign Language (ASL) gloss, a simplified version of sign language that captures meaning without grammar. This model performs well, reaching BLEU scores of 0.7714 and 0.8923. To make the gloss translation more accurate, we also use word embeddings such as Word2Vec and FastText to understand word meanings. Finally, we animate the translated gloss using a 3D keypoint-based motion system trained on Sign3D-WLASL, a dataset we created by extracting body, hand, and face key points from real ASL videos in the WLASL dataset. To support the gloss translation stage, we also built a new dataset called BookGlossCorpus-CG, which turns everyday English sentences from the BookCorpus dataset into ASL gloss using grammar rules. Our system stitches everything together by smoothly interpolating between signs to create natural, continuous animations. Unlike previous works like How2Sign and Phoenix-2014T that focus on recognition or use only one type of data, our pipeline brings together audio, text, and motion in a single framework that goes all the way from spoken English to lifelike 3D sign language animation.

FairHuman: Boosting Hand and Face Quality in Human Image Generation with Minimum Potential Delay Fairness in Diffusion Models

Image generation has achieved remarkable progress with the development of large-scale text-to-image models, especially diffusion-based models. However, generating human images with plausible details, such as faces or hands, remains challenging due to insufficient supervision of local regions during training. To address this issue, we propose FairHuman, a multi-objective fine-tuning approach designed to enhance both global and local generation quality fairly. Specifically, we first construct three learning objectives: a global objective derived from the default diffusion objective function and two local objectives for hands and faces based on pre-annotated positional priors. Subsequently, we derive the optimal parameter updating strategy under the guidance of the Minimum Potential Delay (MPD) criterion, thereby attaining fairness-ware optimization for this multi-objective problem. Based on this, our proposed method can achieve significant improvements in generating challenging local details while maintaining overall quality. Extensive experiments showcase the effectiveness of our method in improving the performance of human image generation under different scenarios.

Requirements Elicitation Follow-Up Question Generation

Interviews are a widely used technique in eliciting requirements to gather stakeholder needs, preferences, and expectations for a software system. Effective interviewing requires skilled interviewers to formulate appropriate interview questions in real time while facing multiple challenges, including lack of familiarity with the domain, excessive cognitive load, and information overload that hinders how humans process stakeholders' speech. Recently, large language models (LLMs) have exhibited state-of-the-art performance in multiple natural language processing tasks, including text summarization and entailment. To support interviewers, we investigate the application of GPT-4o to generate follow-up interview questions during requirements elicitation by building on a framework of common interviewer mistake types. In addition, we describe methods to generate questions based on interviewee speech. We report a controlled experiment to evaluate LLM-generated and human-authored questions with minimal guidance, and a second controlled experiment to evaluate the LLM-generated questions when generation is guided by interviewer mistake types. Our findings demonstrate that, for both experiments, the LLM-generated questions are no worse than the human-authored questions with respect to clarity, relevancy, and informativeness. In addition, LLM-generated questions outperform human-authored questions when guided by common mistakes types. This highlights the potential of using LLMs to help interviewers improve the quality and ease of requirements elicitation interviews in real time.

ONLY: One-Layer Intervention Sufficiently Mitigates Hallucinations in Large Vision-Language Models

Recent Large Vision-Language Models (LVLMs) have introduced a new paradigm for understanding and reasoning about image input through textual responses. Although they have achieved remarkable performance across a range of multi-modal tasks, they face the persistent challenge of hallucination, which introduces practical weaknesses and raises concerns about their reliable deployment in real-world applications. Existing work has explored contrastive decoding approaches to mitigate this issue, where the output of the original LVLM is compared and contrasted with that of a perturbed version. However, these methods require two or more queries that slow down LVLM response generation, making them less suitable for real-time applications. To overcome this limitation, we propose ONLY, a training-free decoding approach that requires only a single query and a one-layer intervention during decoding, enabling efficient real-time deployment. Specifically, we enhance textual outputs by selectively amplifying crucial textual information using a text-to-visual entropy ratio for each token. Extensive experimental results demonstrate that our proposed ONLY consistently outperforms state-of-the-art methods across various benchmarks while requiring minimal implementation effort and computational cost. Code is available at https://github.com/zifuwan/ONLY.

A Multi-Stage Framework for Multimodal Controllable Speech Synthesis

Controllable speech synthesis aims to control the style of generated speech using reference input, which can be of various modalities. Existing face-based methods struggle with robustness and generalization due to data quality constraints, while text prompt methods offer limited diversity and fine-grained control. Although multimodal approaches aim to integrate various modalities, their reliance on fully matched training data significantly constrains their performance and applicability. This paper proposes a 3-stage multimodal controllable speech synthesis framework to address these challenges. For face encoder, we use supervised learning and knowledge distillation to tackle generalization issues. Furthermore, the text encoder is trained on both text-face and text-speech data to enhance the diversity of the generated speech. Experimental results demonstrate that this method outperforms single-modal baseline methods in both face based and text prompt based speech synthesis, highlighting its effectiveness in generating high-quality speech.