arXiv subjects

Hong Yu

Publications and source records attributed to Hong Yu.

At least 37 records · Page 2Linked to original sources

arXiv2026

Enhancing LLMs for Identifying and Prioritizing Important Medical Jargons from Electronic Health Record Notes Utilizing Data Augmentation: A Comparative Study

OpenNotes gives patients access to their EHR notes, but dense medical jargon limits comprehension. We evaluate closed-source and open-source LLMs for extracting and prioritizing the jargon terms most relevant to individual patients, using 90 expert-annotated EHR notes. We test combinations of general vs. structured prompts, zero-shot vs. few-shot prompting, fine-tuning, and GPT-4o-based data augmentation, the last paired with a ranking technique to refine training in low-resource settings. To assess the effect of dataset size, we fine-tune on augmented datasets scaled from 10 to 9,995 examples. All settings are evaluated with 10-fold cross-validation, reporting F1 and Mean Reciprocal Rank (MRR) under two string-matching criteria (relaxed matching and Jaccard Index), followed by an error analysis of model outputs. Open-source models performed best when fine-tuned on the gold-standard dataset: under Jaccard-based matching, DeepSeek 8B achieved the top F1 (0.431, SD 0.046) and BioMistral 7B the top MRR (0.577, SD 0.109). Under relaxed matching, however, open-source models did not match closed-source performance even with augmentation or fine-tuning. Few-shot prompting offered no advantage over zero-shot in vanilla models; prompting style substantially affected results; fine-tuning on a small gold-standard set improved performance; and data augmentation matched or exceeded fine-tuning, though its benefit depended heavily on augmented-data quality. These findings show that prompting strategy, fine-tuning, and data augmentation each meaningfully improve LLM performance on patient-centered jargon extraction in low-resource clinical settings.

cs.CL↗

arXiv2026

Towards a General Intelligence and Interface for Wearable Health Data

While ubiquitous wearable sensors capture a wealth of behavioral and physiological information, effectively transforming these signals into personalized health insights is challenging. Specifically, converting low-level sensor data into representations capable of characterizing higher-level states is difficult due to high phenotypic diversity and variation in individual baseline health, physiology, and lifestyle factors. Moreover, collecting wearable data paired with health outcome annotations is laborious and expensive, and retrospective annotation remains practically unfeasible, contributing to a scarcity of data with high-quality labels. To overcome these limitations, we propose a foundation model for wearable health that is pretrained on more than one trillion minutes of unlabeled sensor signals drawn from a large cohort of five million participants. We demonstrate that the joint scaling of model capacity and pretraining data volume leads to systematic improvements in performance, as evaluated on a diverse set of 35 health prediction tasks, spanning cardiovascular, metabolic, sleep, and mental health, as well as lifestyle choices and demographic factors. We find that this population scale representation unlocks label-efficient few-shot learning and generative capabilities for robust daily metric estimation. To further leverage this learned representation, we deploy a classroom of LLM agents to autonomously search the space of downstream predictive heads built on the model embeddings, showing broad performance improvements that increase with LLM model capacity. Finally, we show how integrating these downstream predictors into a Personal Health Agent can support model responses that are more relevant, contextually aware, and safe, and we validate this via 1,860 ratings from a cohort of clinicians.

cs.AI↗

arXiv2026

An AI Co-Data-Scientist for Prioritizing Candidate Biomarkers from Wearable Sensor Data

Wearable devices generate continuous physiological and behavioral data, but converting these signals into clinically reviewable biomarker hypotheses remains labor-intensive. We introduce CoDaS, an AI co-data-scientist that integrates multi-agent hypothesis generation, deterministic statistical analysis, adversarial validation and literature-grounded interpretation under human oversight. Across three wearable cohorts comprising 9,279 participant-observations, CoDaS prioritized candidate associations for mental-health and metabolic endpoints after internal checks for replication, stability, robustness and leakage. The system identified related circadian-instability signals associated with depression, including sleep-duration variability in DWB ($ρ$ = 0.252, $p$ < 0.001) and sleep-onset variability in GLOBEM ($ρ$ = 0.126, $p$ < 0.001), and derived a wearable cardiovascular-fitness index associated with insulin resistance (steps/resting heart rate; $ρ$ = -0.374, $p$ < 0.001). Adding these features to demographic models produced modest gains ($ΔR^2$ = 0.040 for depression, 0.021 for insulin resistance). In a 12-clinician review totaling approximately 25 active hours, clinician validity judgments aligned with CoDaS confidence tiers ($ρ$ = 0.67, $p$ = 0.005), whereas added clinical value and confidence to act were rated lower. CoDaS supports traceable, hypothesis-generating prioritization of wearable candidate biomarkers.

cs.AI↗

arXiv2026

Scalable Counterfactual Risk Estimation for Rare Events in Longitudinal Data

Estimating the causal effect of time-varying treatments on survival outcomes in large observational studies is computationally demanding, particularly when outcomes are rare. While g-formula-based methods such as the iterative conditional expectation (ICE) estimator provide a principled framework for longitudinal causal inference, they become computationally expensive, especially when bootstrap-based variance estimation is required. In addition, outcome rarity at each time point induces severe class imbalance, leading to instability and convergence issues in logistic regression and related models. To address these challenges, we propose a principled subsampling and reweighting strategy for longitudinal survival data that can be applied to a range of existing causal effect estimators in this setting, including the ICE estimator. The proposed method substantially reduces computational burden while preserving consistency and improving estimation stability in rare-outcome settings. We evaluate the method through simulations and validate it using a large-scale EHR cohort study on social and behavioral determinants of health (SBDH) and suicide risk, demonstrating its effectiveness for modeling rare outcomes in longitudinal data.

stat.ME↗

arXiv2026

Counterfactual Graph for Multi-Agent LLM Calibration

Multi-agent LLM systems often treat agreement as evidence: when many agents in a panel give the same answer, that answer is assumed to be more reliable. We show that this assumption can fail after agents communicate. Communication can induce correlated failures and false consensus, so the same vote share may reflect reliable agreement in one topology but over-confidence in another. We propose CAGE-CAL, a counterfactual agent-graph calibration framework for multi-agent LLMs. For each query, CAGE-CAL compares an observed post-communication agent graph with a matched counterfactual no-communication graph, capturing both pairwise failure correlations and group-level dependencies. Rather than simply counting how many agents agree, CAGE-CAL estimates the counterfactual shift between observed and no-communication dependence, and calibrates confidence accordingly. Across five benchmarks, CAGE-CAL improves reliability discrimination with competitive ECE, and its calibrated confidence further improves topology selection over the best fixed-topology strategy.

cs.CL↗

arXiv2026

In-Context Optimization for Retrieval-Augmented Generation: A Gradient-Descent Perspective

In-context learning has recently been linked to implicit gradient descent in linear self-attention models, suggesting that context can induce a forward-pass update. Retrieval-augmented generation (RAG) also relies on context, but retrieved documents are usually treated as static evidence rather than signals for adaptation. We study RAG as an in-context optimization process. First, we show that one linear self-attention layer can implement one gradient-descent step on a unified linearized RAG objective covering both projection-based and dot-product retrieval interfaces. This gives an exact regime where retrieval-augmented prediction and in-context optimization coincide. We use this result not as a literal model of LLM computation, but as a guide for adapting the interaction between queries and retrieved evidence. We then test the boundary of this correspondence: it remains stable under controlled linear extensions, but becomes feature-distribution dependent under nonlinear architectures. Finally, we turn this view into a lightweight method for frozen RAG LLMs. The method keeps the retriever and backbone fixed, and predicts a context-conditioned update to a generator-side evidence-use interface. Across seven QA benchmarks, two retrievers, and two frozen LLM backbones, this forward-only update improves a shared-interface baseline, transfers to held-out tasks, and approaches test-time gradient adaptation at much lower per-query cost.

cs.CL↗

arXiv2026

SEP-Attack: A Simple and Effective Paradigm for Transfer-Based Textual Adversarial Attack

Despite the strong performance of deep neural networks in modern Web and language applications, they remain vulnerable to adversarial attacks, especially transferable attacks that generate adversarial examples using surrogate models without accessing the victim model. Transferable attacks in the text domain are still under-explored, with only a few studies addressing this challenging issue, often with suboptimal results due to equal treatment of submodels or inaccurate estimation of importance scores. To address these challenges, we propose a simple yet effective paradigm for transfer-based textual adversarial attack, named SEP-Attack. Specifically, we employ the Determinantal Point Process (DPP) to generate diverse surrogate ensemble weights, representing the transferability of submodels. Using these weights, we introduce a new metric to evaluate prediction confidence scores, which in turn are used to calculate word importance scores and generate adversarial candidates. Finally, we quantify the transferability score for each candidate and select the top ones as the final transferable adversarial examples. Experiments conducted on four datasets and two real-world APIs validate the efficacy of SEP-Attack, significantly outperforming state-of-the-art baselines.

cs.CL↗

arXiv2026

Bridging Knowledge Gaps in Clinical AI: An Activity Theory Perspective on Interdisciplinary Data Work for Telehealth

Advanced AI technologies are increasingly integrated into clinical domains to advance patient care. The design and development of clinical AI technologies necessitate seamless collaboration between clinical and technical experts. However, such interdisciplinary teams are often unsuccessful, with a lack of systematic analysis of collaboration barriers and coping strategies. This work examines two clinical AI collaborations in the context of speech-language pathology via semi-structured interviews with six clinical and seven technical experts. Using Activity Theory (AT) as our analytical lens, we examine persistent knowledge gaps and collaboration tensions across clinical and technical workflows, and show how clinical data can function as boundary objects while interdisciplinary collaborators may act as knowledge brokers to help address these challenges. Our findings contribute to CSCW research on interdisciplinary teams' data work by showing how shared clinical data, boundary objects, and broker roles shape coordination in early-stage clinical AI collaboration, and by providing insights into best practices for future collaboration.

cs.HC↗

arXiv2026

Medical thinking with multiple images

Large language models perform well on many medical QA benchmarks, but real clinical reasoning often requires integrating evidence across multiple images rather than interpreting a single view. We introduce MedThinkVQA, an expert-annotated benchmark for thinking with multiple images, where models must interpret each image, combine cross-view evidence, and answer diagnostic questions with intermediate supervision and step-level evaluation. The dataset contains 8,067 cases, including 720 test cases, with an average of 6.62 images per case, substantially denser than prior work, whose expert-level benchmarks use at most 1.43 images per case. On the test set, the best closed-source models, Claude-4.6-Opus, Gemini-3-Pro, and GPT-5.2-xhigh, reach only 57.2%, 55.3%, and 54.9% accuracy, while GPT-5-mini and GPT-5-nano reach 39.7% and 30.8%. Strong open-source models lag behind, led by Qwen3.5-397B-A17B at 52.2% and Qwen3.5-27B at 50.6%. Further analysis identifies grounded multi-image reasoning as the main bottleneck: models often fail to extract, align, and compose evidence across views before higher-level inference can help. Providing expert single-image cues and cross-image summaries improves performance, whereas replacing them with self-generated intermediates reduces accuracy. Step-level analysis shows that over 70% of errors arise from image reading and cross-view integration. Scaling results further show that additional inference-time computation helps only when visual grounding is already reliable; when early evidence extraction is weak, longer reasoning yields limited or unstable gains and can amplify misread cues. These results suggest that the key challenge is not reasoning length alone, but reliable mechanisms for grounding, aligning, and composing distributed evidence across real-world multimodal clinical inputs.

cs.CV↗

arXiv2026

From Where Things Are to What They Are For: Benchmarking Spatial-Functional Intelligence in Multimodal LLMs

Human-level agentic intelligence extends beyond low-level geometric perception, evolving from recognizing where things are to understanding what they are for. While existing benchmarks effectively evaluate the geometric perception capabilities of multimodal large language models (MLLMs), they fall short of probing the higher-order cognitive abilities required for grounded intelligence. To address this gap, we introduce the Spatial-Functional Intelligence Benchmark (SFI-Bench), a video-based benchmark with over 1,500 expert-annotated questions derived from diverse egocentric indoor video scans. SFI-Bench systematically evaluates two complementary dimensions of advanced reasoning: (1) Structured Spatial Reasoning, which requires understanding complex layouts and forming coherent spatial representations, and (2) Functional Reasoning, which involves inferring object affordances and their context-dependent utility. The benchmark includes tasks such as conditional counting, multi-hop relational reasoning, functional pairing, and knowledge-grounded troubleshooting, directly challenging models to integrate perception, memory, and inference. Our experiments reveal that current MLLMs consistently struggle to combine spatial memory with functional reasoning and external knowledge, highlighting a critical bottleneck in achieving grounded intelligence. SFI-Bench therefore provides a diagnostic tool for measuring progress toward more cognitively capable and truly grounded multimodal agents.

cs.CV↗

arXiv2026

Rethinking Patient Education as Multi-turn Multi-modal Interaction

Most medical multimodal benchmarks focus on static tasks such as image question answering, report generation, and plain-language rewriting. Patient education is more demanding: systems must identify relevant evidence across images, show patients where to look, explain findings in accessible language, and handle confusion or distress. Yet most patient education work remains text-only, even though combined image-and-text explanations may better support understanding. We introduce MedImageEdu, a benchmark for multi-turn, evidence-grounded radiology patient education. Each case provides a radiology report with report text and case images. A DoctorAgent interacts with a PatientAgent, conditioned on a hidden profile that captures factors such as education level, health literacy, and personality. When a patient question would benefit from visual support, the DoctorAgent can issue drawing instructions grounded in the report, case images, and the current question to a benchmark-provided drawing tool. The tool returns image(s), after which the DoctorAgent produces a final multimodal response consisting of the image(s) and a grounded plain-language explanation. MedImageEdu contains 150 cases from three sources and evaluates both the consultation process and the final multimodal response along five dimensions: Consultation, Safety and Scope, Language Quality, Drawing Quality, and Image-Text Response Quality. Across representative open- and closed-source vision-language model agents, we find three consistent gaps: fluent language often outpaces faithful visual grounding, safety is the weakest dimension across disease categories, and emotionally tense interactions are harder than low education or low health literacy. MedImageEdu provides a controlled testbed for assessing whether multimodal agents can teach from evidence rather than merely answer from text.

cs.AI↗

arXiv2026

HQA-VLAttack: Towards High Quality Adversarial Attack on Vision-Language Pre-Trained Models

Black-box adversarial attack on vision-language pre-trained models is a practical and challenging task, as text and image perturbations need to be considered simultaneously, and only the predicted results are accessible. Research on this problem is in its infancy, and only a handful of methods are available. Nevertheless, existing methods either rely on a complex iterative cross-search strategy, which inevitably consumes numerous queries, or only consider reducing the similarity of positive image-text pairs but ignore that of negative ones, which will also be implicitly diminished, thus inevitably affecting the attack performance. To alleviate the above issues, we propose a simple yet effective framework to generate high-quality adversarial examples on vision-language pre-trained models, named HQA-VLAttack, which consists of text and image attack stages. For text perturbation generation, it leverages the counter-fitting word vector to generate the substitute word set, thus guaranteeing the semantic consistency between the substitute word and the original word. For image perturbation generation, it first initializes the image adversarial example via the layer-importance guided strategy, and then utilizes contrastive learning to optimize the image adversarial perturbation, which ensures that the similarity of positive image-text pairs is decreased while that of negative image-text pairs is increased. In this way, the optimized adversarial images and texts are more likely to retrieve negative examples, thereby enhancing the attack success rate. Experimental results on three benchmark datasets demonstrate that HQA-VLAttack significantly outperforms strong baselines in terms of attack success rate.

cs.CV↗

arXiv2026

RiTeK: A Dataset for Large Language Models Complex Reasoning over Textual Knowledge Graphs in Medicine

Answering complex real-world questions in the medical domain often requires accurate retrieval from medical Textual Knowledge Graphs (medical TKGs), as the relational path information from TKGs could enhance the inference ability of Large Language Models (LLMs). However, the main bottlenecks lie in the scarcity of existing medical TKGs, the limited expressiveness of their topological structures, and the lack of comprehensive evaluations of current retrievers for medical TKGs. To address these challenges, we first develop a Dataset1 for LLMs Complex Reasoning over medical Textual Knowledge Graphs (RiTeK), covering a broad range of topological structures. Specifically, we synthesize realistic user queries integrating diverse topological structures, relational information, and complex textual descriptions. We conduct a rigorous medical expert evaluation process to assess and validate the quality of our synthesized queries. RiTeK also serves as a comprehensive benchmark dataset for evaluating the capabilities of retrieval systems built upon LLMs. By assessing 11 representative retrievers on this benchmark, we observe that existing methods struggle to perform well, revealing notable limitations in current LLM-driven retrieval approaches. These findings highlight the pressing need for more effective retrieval systems tailored for semi-structured data in the medical domain.

cs.CL↗

arXiv2026

SEPTQ: A Simple and Effective Post-Training Quantization Paradigm for Large Language Models

Large language models (LLMs) have shown remarkable performance in various domains, but they are constrained by massive computational and storage costs. Quantization, an effective technique for compressing models to fit resource-limited devices while preserving generative quality, encompasses two primary methods: quantization aware training (QAT) and post-training quantization (PTQ). QAT involves additional retraining or fine-tuning, thus inevitably resulting in high training cost and making it unsuitable for LLMs. Consequently, PTQ has become the research hotspot in recent quantization methods. However, existing PTQ methods usually rely on various complex computation procedures and suffer from considerable performance degradation under low-bit quantization settings. To alleviate the above issues, we propose a simple and effective post-training quantization paradigm for LLMs, named SEPTQ. Specifically, SEPTQ first calculates the importance score for each element in the weight matrix and determines the quantization locations in a static global manner. Then it utilizes the mask matrix which represents the important locations to quantize and update the associated weights column-by-column until the appropriate quantized weight matrix is obtained. Compared with previous methods, SEPTQ simplifies the post-training quantization procedure into only two steps, and considers the effectiveness and efficiency simultaneously. Experimental results on various datasets across a suite of models ranging from millions to billions in different quantization bit-levels demonstrate that SEPTQ significantly outperforms other strong baselines, especially in low-bit quantization scenarios.

cs.CL↗

arXiv2026

ChatCLIDS: Simulating Persuasive AI Dialogues to Promote Closed-Loop Insulin Adoption in Type 1 Diabetes Care

Real-world adoption of closed-loop insulin delivery systems (CLIDS) in type 1 diabetes remains low, driven not by technical failure, but by diverse behavioral, psychosocial, and social barriers. We introduce ChatCLIDS, the first benchmark to rigorously evaluate LLM-driven persuasive dialogue for health behavior change. Our framework features a library of expert-validated virtual patients, each with clinically grounded, heterogeneous profiles and realistic adoption barriers, and simulates multi-turn interactions with nurse agents equipped with a diverse set of evidence-based persuasive strategies. ChatCLIDS uniquely supports longitudinal counseling and adversarial social influence scenarios, enabling robust, multi-dimensional evaluation. Our findings reveal that while larger and more reflective LLMs adapt strategies over time, all models struggle to overcome resistance, especially under realistic social pressure. These results highlight critical limitations of current LLMs for behavior change, and offer a high-fidelity, scalable testbed for advancing trustworthy persuasive AI in healthcare and beyond.

cs.AI↗

arXiv2026

RUQuant: Towards Refining Uniform Quantization for Large Language Models

The increasing size and complexity of large language models (LLMs) have raised significant challenges in deployment efficiency, particularly under resource constraints. Post-training quantization (PTQ) has emerged as a practical solution by compressing models without requiring retraining. While existing methods focus on uniform quantization schemes for both weights and activations, they often suffer from substantial accuracy degradation due to the non-uniform nature of activation distributions. In this work, we revisit the activation quantization problem from a theoretical perspective grounded in the Lloyd-Max optimality conditions. We identify the core issue as the non-uniform distribution of activations within the quantization interval, which causes the optimal quantization point under the Lloyd-Max criterion to shift away from the midpoint of the interval. To address this issue, we propose a two-stage orthogonal transformation method, RUQuant. In the first stage, activations are divided into blocks. Each block is mapped to uniformly sampled target vectors using composite orthogonal matrices, which are constructed from Householder reflections and Givens rotations. In the second stage, a global Householder reflection is fine-tuned to further minimize quantization error using Transformer output discrepancies. Empirical results show that our method achieves near-optimal quantization performance without requiring model fine-tuning: RUQuant achieves 99.8% of full-precision accuracy with W6A6 and 97% with W4A4 quantization for a 13B LLM, within approximately one minute. A fine-tuned variant yields even higher accuracy, demonstrating the effectiveness and scalability of our approach.

cs.CL↗

arXiv2026

KG-CMI: Knowledge graph enhanced cross-Mamba interaction for medical visual question answering

Medical visual question answering (Med-VQA) is a crucial multimodal task in clinical decision support and telemedicine. Recent methods fail to fully leverage domain-specific medical knowledge, making it difficult to accurately associate lesion features in medical images with key diagnostic criteria. Additionally, classification-based approaches typically rely on predefined answer sets. Treating Med-VQA as a simple classification problem limits its ability to adapt to the diversity of free-form answers and may overlook detailed semantic information in those answers. To address these challenges, we propose a knowledge graph enhanced cross-Mamba interaction (KG-CMI) framework, which consists of a fine-grained cross-modal feature alignment (FCFA) module, a knowledge graph embedding (KGE) module, a cross-modal interaction representation (CMIR) module, and a free-form answer enhanced multi-task learning (FAMT) module. The KG-CMI learns cross-modal feature representations for images and texts by effectively integrating professional medical knowledge through a graph, establishing associations between lesion features and disease knowledge. Moreover, FAMT leverages auxiliary knowledge from open-ended questions, improving the model's capability for open-ended Med-VQA. Experimental results demonstrate that KG-CMI outperforms existing state-of-the-art methods on three Med-VQA datasets, i.e., VQA-RAD, SLAKE, and OVQA. Additionally, we conduct interpretability experiments to further validate the framework's effectiveness.

cs.CV↗

arXiv2026

Mastering the Minority: An Uncertainty-guided Multi-Expert Framework for Challenging-tailed Sequence Learning

Imbalanced data distribution remains a critical challenge in sequential learning, leading models to easily recognize frequent categories while failing to detect minority classes adequately. The Mixture-of-Experts model offers a scalable solution, yet its application is often hindered by parameter inefficiency, poor expert specialization, and difficulty in resolving prediction conflicts. To Master the Minority classes effectively, we propose the Uncertainty-based Multi-Expert fusion network (UME) framework. UME is designed with three core innovations: First, we employ Ensemble LoRA for parameter-efficient modeling, significantly reducing the trainable parameter count. Second, we introduce Sequential Specialization guided by Dempster-Shafer Theory (DST), which ensures effective specialization on the challenging-tailed classes. Finally, an Uncertainty-Guided Fusion mechanism uses DST's certainty measures to dynamically weigh expert opinions, resolving conflicts by prioritizing the most confident expert for reliable final predictions. Extensive experiments across four public hierarchical text classification datasets demonstrate that UME achieves state-of-the-art performance. We achieve a performance gain of up to 17.97\% over the best baseline on individual categories, while reducing trainable parameters by up to 10.32\%. The findings highlight that uncertainty-guided expert coordination is a principled strategy for addressing challenging-tailed sequence learning. Our code is available at https://github.com/CQUPTWZX/Multi-experts.

cs.LG↗