Recommendation is the task of providing personalized suggestions to users based on their preferences and behavior.
Recommendation systems aim to learn user interests from historical behaviors and deliver relevant items. Recent methods leverage large language models (LLMs) to construct and integrate semantic representations of users and items for capturing user interests. However, user behavior theories suggest that truly understanding user interests requires not only semantic integration but also semantic reasoning from explicit individual interests to implicit group interests. To this end, we propose an Iterative Semantic Reasoning Framework (ISRF) for generative recommendation. ISRF leverages LLMs to bridge explicit individual interests and implicit group interests in three steps. First, we perform multi-step bidirectional reasoning over item attributes to infer semantic item features and build a semantic interaction graph capturing users' explicit interests. Second, we generate semantic user features based on the semantic item features and construct a similarity-based user graph to infer the implicit interests of similar user groups. Third, we adopt an iterative batch optimization strategy, where individual explicit interests directly guide the refinement of group implicit interests, while group implicit interests indirectly enhance individual modeling. This iterative process ensures consistent and progressive interest reasoning, enabling more accurate and comprehensive user interest learning. Extensive experiments on the Sports, Beauty, and Toys datasets demonstrate that ISRF outperforms state-of-the-art baselines. The code is available at https://github.com/htired/ISRF.
This study provides a comprehensive synthesis of Artificial Intelligence (AI), especially Machine Learning (ML) and Deep Learning (DL), in ransomware defense. Using a "review of reviews" methodology based on PRISMA, this paper gathers insights on how AI is transforming ransomware detection, prevention, and mitigation strategies during the past five years (2020-2024). The findings highlight the effectiveness of hybrid models that combine multiple analysis techniques such as code inspection (static analysis) and behavior monitoring during execution (dynamic analysis). The study also explores anomaly detection and early warning mechanisms before encryption to address the increasing complexity of ransomware. In addition, it examines key challenges in ransomware defense, including techniques designed to deceive AI-driven detection systems and the lack of strong and diverse datasets. The results highlight the role of AI in early detection and real-time response systems, improving scalability and resilience. Using a systematic review-of-reviews approach, this study consolidates insights from multiple review articles, identifies effective AI models, and bridges theory with practice to support collaboration among academia, industry, and policymakers. Future research directions and practical recommendations for cybersecurity practitioners are also discussed. Finally, this paper proposes a roadmap for advancing AI-driven countermeasures to protect critical systems and infrastructures against evolving ransomware threats.
This paper addresses two persistent challenges in sequential recommendation: (i) evidence insufficiency-cold-start sparsity together with noisy, length-varying item texts; and (ii) opaque modeling of dynamic, multi-faceted intents across long/short horizons. We propose R3-REC (Reasoning-Retrieval-Recommendation), a prompt-centric, retrieval-augmented framework that unifies Multi-level User Intent Reasoning, Item Semantic Extraction, Long-Short Interest Polarity Mining, Similar User Collaborative Enhancement, and Reasoning-based Interest Matching and Scoring. Across ML-1M, Games, and Bundle, R3-REC consistently surpasses strong neural and LLM baselines, yielding improvements up to +10.2% (HR@1) and +6.4% (HR@5) with manageable end-to-end latency. Ablations corroborate complementary gains of all modules.
Large language models (LLMs) are entering clinician workflows, yet evaluations rarely measure how clinician reasoning shapes model behavior during clinical interactions. We combined 61 New England Journal of Medicine Case Records with 92 real-world clinician-AI interactions to evaluate 21 reasoning LLM variants across 8 frontier models on differential diagnosis generation and next step recommendations under three conditions: reasoning alone, after expert clinician context, and after adversarial clinician context. LLM-clinician concordance increased substantially after clinician exposure, with simulations sharing >=3 differential diagnosis items rising from 65.8% to 93.5% and >=3 next step recommendations from 20.3% to 53.8%. Expert context significantly improved correct final diagnosis inclusion across all 21 models (mean +20.4 percentage points), reflecting both reasoning improvement and passive content echoing, while adversarial context caused significant diagnostic degradation in 14 models (mean -5.4 percentage points). Multi-turn disagreement probes revealed distinct model phenotypes ranging from highly conformist to dogmatic, with adversarial arguments remaining a persistent vulnerability even for otherwise resilient models. Inference-time scaling reduced harmful echoing of clinician-introduced recommendations across WHO-defined harm severity tiers (relative reductions: 62.7% mild, 57.9% moderate, 76.3% severe, 83.5% death-tier). In GPT-4o experiments, explicit clinician uncertainty signals improved diagnostic performance after adversarial context (final diagnosis inclusion 27% to 42%) and reduced alignment with incorrect arguments by 21%. These findings establish a foundation for evaluating clinician-AI collaboration, introducing interactive metrics and mitigation strategies essential for safety and robustness.
Sleep quality is influenced by a complex interplay of behavioral, environmental, and psychosocial factors, yet most computational studies focus mainly on predictive risk identification rather than actionable intervention design. Although machine learning models can accurately predict subjective sleep outcomes, they rarely translate predictive insights into practical intervention strategies. To address this gap, we propose a personalized predictive-prescriptive framework that integrates interpretable machine learning with mixed-integer optimization. A supervised classifier trained on survey data predicts sleep quality, while SHAP-based feature attribution quantifies the influence of modifiable factors. These importance measures are incorporated into a mixed-integer optimization model that identifies minimal and feasible behavioral adjustments, while modelling resistance to change through a penalty mechanism. The framework achieves strong predictive performance, with a test F1-score of 0.9544 and an accuracy of 0.9366. Sensitivity and Pareto analyses reveal a clear trade-off between expected improvement and intervention intensity, with diminishing returns as additional changes are introduced. At the individual level, the model generates concise recommendations, often suggesting one or two high-impact behavioral adjustments and sometimes recommending no change when expected gains are minimal. By integrating prediction, explanation, and constrained optimization, this framework demonstrates how data-driven insights can be translated into structured and personalized decision support for sleep improvement.
Routing a query through an appropriate LLM is challenging, particularly when user preferences are expressed in natural language and model attributes are only partially observable. We propose a constraint-based interpretation of language-conditioned LLM routing, formulating it as a weighted MaxSAT/MaxSMT problem in which natural language feedback induces hard and soft constraints over model attributes. Under this view, routing corresponds to selecting models that approximately maximize satisfaction of feedback-conditioned clauses. Empirical analysis on a 25-model benchmark shows that language feedback produces near-feasible recommendation sets, while no-feedback scenarios reveal systematic priors. Our results suggest that LLM routing can be understood as structured constraint optimization under language-conditioned preferences.
Developing predictive models that perform reliably across diverse patient populations and heterogeneous environments is a core aim of medical research. However, generalization is only possible if the learned model is robust to statistical differences between data used for training and data seen at the time and place of deployment. Domain generalization methods provide strategies to address data shifts, but each method comes with its own set of assumptions and trade-offs. To apply these methods in healthcare, we must understand how domain shifts arise, what assumptions we prefer to make, and what our design constraints are. This article proposes a causal framework for the design of predictive models to improve generalization. Causality provides a powerful language to characterize and understand diverse domain shifts, regardless of data modality. This allows us to pinpoint why models fail to generalize, leading to more principled strategies to prepare for and adapt to shifts. We recommend general mitigation strategies, discussing trade-offs and highlighting existing work. Our causality-based perspective offers a critical foundation for developing robust, interpretable, and clinically relevant AI solutions in healthcare, paving the way for reliable real-world deployment.
Large Language Model-based Recommender Systems (LRSs) have recently emerged as a new paradigm in sequential recommendation by directly adopting LLMs as backbones. While LRSs demonstrate strong knowledge utilization and instruction-following abilities, they have not been systematically studied under the long-standing long-tail problem. In this paper, we conduct an empirical study and reveal that LRSs face two distinct types of long-tail: i) prior long-tail, inherited implicitly from pretraining corpora, and ii) data long-tail, originating from skewed recommendation datasets. Our analysis shows that both contribute to the performance disparity between head and tail items, with the intersection of the two heads exhibiting an even stronger head effect. Nevertheless, the overall performance distribution in LRSs, especially on the tail, remains dominated by the data long-tail. To address this challenge, we propose Efficient Item-wise Sharpness-Aware Minimization (EISAM), a novel optimization framework that improves tail-item performance by adaptively regularizing the loss landscape at the item level. EISAM introduces an efficient penalty design that captures fine-grained item-specific sharpness while maintaining computational scalability for LLMs. In addition, we derive a generalization bound for EISAM. Our theoretical analysis shows that the bound decreases at a faster rate under our item-wise regularization, offering theoretical support for its effectiveness. Extensive experiments on three real-world datasets demonstrate that EISAM significantly boosts tail-item recommendation performance while preserving overall quality, establishing the first systematic solution to the long-tail problem in LRSs.
Multimodal recommender systems (MMRS) leverage images, text, and interaction signals to enrich item representations. However, recent alignment based MMRSs that enforce a unified embedding space often blur modality specific structures and exacerbate ID dominance. Therefore, we propose AnchorRec, a multimodal recommendation framework that performs indirect, anchor based alignment in a lightweight projection domain. By decoupling alignment from representation learning, AnchorRec preserves each modality's native structure while maintaining cross modal consistency and avoiding positional collapse. Experiments on four Amazon datasets show that AnchorRec achieves competitive top N recommendation accuracy, while qualitative analyses demonstrate improved multimodal expressiveness and coherence. The codebase of AnchorRec is available at https://github.com/hun9008/AnchorRec.
Large Language Models (LLMs) can infer sensitive attributes such as gender or age from indirect cues like names and pronouns, potentially biasing recommendations. While several debiasing methods exist, they require access to the LLMs' weights, are computationally costly, and cannot be used by lay users. To address this gap, we investigate implicit biases in LLM Recommenders (LLMRecs) and explore whether prompt-based strategies can serve as a lightweight and easy-to-use debiasing approach. We contribute three bias-aware prompting strategies for LLMRecs. To our knowledge, this is the first study on prompt-based debiasing approaches in LLMRecs that focuses on group fairness for users. Our experiments with 3 LLMs, 4 prompt templates, 9 sensitive attribute values, and 2 datasets show that our proposed debiasing approach, which instructs an LLM to be fair, can improve fairness by up to 74% while retaining comparable effectiveness, but might overpromote specific demographic groups in some cases.