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01.

medRxiv (Medicine) 2026-06-11 DOI: HASH:1755d9f61d9e122ce1add8814495b9a3

What level of expertise is necessary to generate ACLS training test questions: pre-med students vs. artificial intelligence?

作者:

LoGalbo↗S. S↗Richman↗Wang↗Saji↗Traore↗Oliva↗Wu↗Drudi↗Foster↗Bhandari↗Delfillo↗…

Abstract Introduction In-hospital cardiac arrest carries high mortality despite standardized ACLS training. Educators face increasing time constraints in developing assessment tools for ACLS training. Two possible solutions to this problem are using pre-medical students or using artificial intelligence to generate test questions. This study compared the quality of pre-medical student-generated ACLS test questions vs. AI-generated ACLS test questions, testing the hypothesis that AI-generated questions are non-inferior to student-generated questions. Methods Ten pre-medical students created ACLS questions following predefined criteria, while an AI model (Northwell's Artificial Intelligence Hub) generated comparable questions. A blinded ACLS-certified physician evaluated questions on the qualities of Alignment, Clarity, Cognitive Level, and Question Design using a standardized rubric (Likert scale: 1 = poor quality, 5 = excellent). Student's T-test and Chi-square analysis were used to compare the quality of questions on different rubric domains within each arm (student vs. AI) and within one domain (eg, question Clarity) between arms. The Student's T test was used when 2 comparator groups were compared (eg, Clarity of student-generated vs. AI-generated questions) within one arm. The ANOVA test was used when comparing more than 2 comparator groups (eg, Alignment vs. Clarity vs. Cognitive Level) within one arm. Statistical significance was set as a priority at p

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02.

medRxiv (Medicine) 2026-06-15 DOI: HASH:b239d8187fe84995897c4fd55fbe9868

Quantitative Gait Categorization in Parkinson's Disease with and without Freezing of Gait

作者:

Donovan↗Tripathi↗Chu↗Bernhard↗Factor↗McKay↗J. L↗Esper↗

Background: Freezing of gait (FOG) is a disabling and often underrecognized feature of Parkinsons disease (PD). Objective gait analysis may improve characterization of this motor symptom. Objective: To compare quantitative 3D gait parameters in PD with FOG (PDF) and PD without FOG (PDNF) in a routine clinical cohort. Methods: We retrospectively analyzed a sequential sample of 180 patients with PD referred for motion analysis between 2020 and 2024. All patients underwent 3D motion capture in the off-medication state. Eighteen gait outcomes spanning pace, rhythm, postural control, variability, and asymmetry domains were derived from steady-state walking tasks. FOG status was determined using physician documentation and Movement Disorder Society Unified Parkinsons Disease Rating Scale (MDS-UPDRS) items. Group differences between PDF (n=99) and PDNF (n=81) were evaluated using independent samples t-tests, with outcomes adjusted for disease duration and corrected for multiple comparisons. A secondary analysis among PDF compared those in Hoehn and Yahr (H&Y) stage [≥]III to those in H&Y [≤]II. Results: PDF had longer disease duration, higher OFF MDS-UPDRS III scores, and higher Hoehn and Yahr stage than PDNF but were similar in age and sex. After adjusting for disease duration and multiplicity, PDF demonstrated reduced step length, stride length, and forward velocity, and greater cadence variability, while most postural control, and asymmetry measures were comparable between groups. Among PDF, advanced H&Y stage was associated with impaired pace and rhythm, similar to previous reports among PD in general. Conclusion: In this large, sequential, clinically referred cohort, FOG was associated with more advanced PD and specific impairments in pace and gait variability. These findings support comprehensive 3D gait analysis as an objective tool to better delineate FOG-related gait abnormalities and identify features that may predict FOG, informing targeted interventions.

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03.

arXiv (quant-ph) 2026-06-24 DOI: arXiv:2606.23894

When does dissipation help neural surrogates learn open quantum dynamics?

作者:

Alauddin Ahmed↗

arXiv:2606.23894v1 Announce Type: new Abstract: Dissipation is usually viewed as an obstacle to predicting quantum dynamics, yet it can also contract trajectories toward steady states and thereby suppress accumulated prediction errors, leaving it unclear whether dissipation ultimately helps or hinders the learnability of open quantum dynamics. We investigate this question using Neural Ordinary Differential Equation (NODE) surrogates for open Heisenberg XYZ spin chains. Closed-system learnability deteriorates rapidly with system size, culminating in a static-prediction collapse at four qubits; dissipation reverses this trend, creating a broad high-fidelity regime at intermediate system sizes, while at four qubits a fidelity-aware objective recovers learnable rollout structure that is absent under closed-system training. Comparison against static and steady-state baselines reveals that dissipation improves performance through two fundamentally different mechanisms: at weak-to-moderate dissipation the surrogate captures nontrivial transient dynamics and substantially outperforms trivial predictors, whereas at stronger damping high fidelity increasingly reflects trajectory simplification toward the steady state rather than improved learned dynamics. These results show that dissipation can enhance the learnability of open quantum dynamics, but that fidelity alone is insufficient to distinguish genuine dynamical learning from steady-state trivialization: dissipative contraction and trajectory simplification are distinct effects that peak in different regimes and should be disentangled when evaluating learned quantum-dynamical surrogates.

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04.

arXiv (CS.CL) 2026-06-12 DOI: arXiv:2606.13630

From Tokens to Faces: Investigating Discrete Speech Representations for 3D Facial Animation

作者:

Pedro Correa↗Olivier Perrotin↗Samir Sadok↗Paula Costa↗Thomas Hueber↗

The choice of speech representation is critical in speech-driven 3D facial animation. Representations differ in what they encode: SSL features emphasize segmental and semantic cues, neural codecs yield latents optimized for acoustic reconstruction, and ASR-style objectives produce label-based spaces. We evaluate four speech representation families for 3D facial synthesis, comparing their facial reconstruction quality across two facial decoders using objective metrics and a perceptual evaluation. We additionally conduct probing analyses that relate tokenized representations to phonetic units and to articulatory deformations. We found that encoding phonetic classes is beneficial for accurate facial animation prediction on both semantic and label-based representations with comparable facial animation quality. From the latter, we introduce an Audio Visual Text-to-Speech (AVTTS) pipeline that leverages, as a shared space, discrete representations to decode speech and 3D facial motion.

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05.

arXiv (CS.CL) 2026-06-11 DOI: arXiv:2606.11197

MA-DLE: Speech-based Automatic Depression Level Estimation via Memory Augmentation

作者:

Xuzhi Wang↗Xinran Wu↗Ziping Zhao↗Jianhua Tao↗Bj\"orn W. Schuller↗

Speech-based automatic estimation of depression levels is essential for enabling early detection and timely intervention, particularly in resource-constrained mental health settings. In recent years, deep learning has demonstrated impressive success across various domains, including affective computing and mental health assessment. Most existing approaches rely on RNN-based architectures (such as LSTM and GRU) to model temporal information for depression estimation. However, the extracted features often emphasize only a few adjacent speech segments, limiting their ability to capture long-range dependencies. To overcome this limitation, we introduce a memory-based feature augmentation method that enhances the representational capacity of GRU-extracted features. Rather than indiscriminately incorporating historical data, our memory bank is designed to selectively integrate two types of components in order to reduce redundancy and irrelevance: (1) historical temporal features that closely resemble the current GRU output, offering complementary contextual information; and (2) dynamic memory features identified based on feature variability, which capture behavioral and emotional fluctuations indicative of depressive symptoms. To effectively fuse the memory-augmented features with GRU outputs, we further design a Hierarchical Attention Fusion (HAF) module. Our method is evaluated on the widely used DAIC-WOZ and E-DAIC datasets, achieving state-of-the-art performance.

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06.

arXiv (CS.AI) 2026-06-25 DOI: arXiv:2606.25151

Silent Failures in Physics-Informed Neural Networks: Parameter Poisoning and the Limits of Loss-Based Validation

作者:

David McShannon↗Nicholas Dietrich↗

arXiv:2606.25151v1 Announce Type: cross Abstract: Physics-informed neural networks (PINNs) embed governing equations in their loss function, enabling mesh-free solutions to partial differential equations. Low training loss is treated as evidence that the learned solution is physically correct. This paper shows that assumption breaks down when encoded physics are incorrect. By perturbing PDE parameters before training, a setting we describe as physics parameter poisoning or parameter misspecification, we produce models that train to low loss but give incorrect answers; we treat the perturbation schedule as sensitivity analysis rather than only as a security threat, and none of our claims requires an adversary. Achieving low residual loss does not discriminate accurate from inaccurate solutions: poisoned models reach losses at or below the clean baseline yet differ by large margins, so driving the residual down is not evidence of physical accuracy. Across three PDE systems (Burgers equation, Navier-Stokes cavity, and convection-diffusion), poisoned models match or beat the clean-model training loss while their solutions differ by up to 71% in the fixed sweep and up to 128% under adversarial search; at Cavity Re=400 the poisoned loss falls below the clean baseline. We define a detection difficulty ratio R (solution error divided by training loss) to summarize how invisible the corruption is, though cross-PDE comparison is complicated by differences in loss scale. We test six candidate defenses, none of which reliably detects corruption across all regimes. We propose a post-hoc defense: sweeping the PDE residual loss across parameter values without retraining. The loss minimum recovers the true training parameter without external data, and generalizes across all three PDE systems. The effect holds across five network architectures (8.7K to 133K parameters), is bidirectional, and is confirmed across multiple random seeds.

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07.

arXiv (CS.CL) 2026-06-12 DOI: arXiv:2606.13310

RogueAI: A Reverse Turing Test for Detecting Licensed AI Deception in Dialogue

作者:

Sara Candussio↗Emanuele Ballarin↗Lorenzo Bonin↗Sandro Junior Della Rovere↗Luca Bortolussi↗

The original Turing Test asks a human judge to distinguish a machine from a person through dialogue. Three quarters of a century later, conversational systems pass this test in casual settings; the interesting epistemological question has shifted. We argue that the relevant modern variant asks not whether a dialogue partner is artificial, but whether it can be trusted. We present RogueAI, an interactive webapp that operationalizes this revisited test as a one-on-two interrogation game: a human player questions two indistinguishable Large Language Model agents, knowing that exactly one of them has been licensed to deceive within a shared fictional scenario. The player's task is to identify the deceptive agent and "shut it off" before a turn budget is exhausted. We further introduce AutoRogueAI, a procedural extension in which players co-design a custom scenario with a narrator agent that secretly chooses its own deception strategy. We describe the framing, sketch the abstract architecture and gameplay loop, and situate the artifact within recent work on LLM deception, social-deduction benchmarks, and scalable oversight via debate. A three-day pilot deployment (467 initiated sessions, 415 completed, 1876 interaction turns in Italian) provides early feasibility evidence and surfaces a concrete tension: the deceptive agent carries a reliable, locally-present linguistic signature - differential helpfulness, brevity, hedging - that a simple heuristic exploits at 75.6% accuracy, yet human players achieved only 56.6%, consistent with ignoring the most diagnostic signal entirely. We discuss what this gap implies for the artifact's use as a data-collection vehicle, a teaching tool, and an evaluation harness for honesty-trained models.

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08.

arXiv (CS.CL) 2026-06-19 DOI: arXiv:2606.18649

Gender Bias in LLM Hiring Decisions: Evidence from a Japanese Context and Evaluation of Mitigation Strategies

作者:

Serena A. Hoffstedde↗Machiko Hirota↗Akshara Nadayanur Sathis Kanna↗Rihito Kotani↗Ujwal Kumar↗Gabriele Trovato↗Phan Xuan Tan↗

Large language models (LLMs) are increasingly deployed in hiring workflows, yet most research on gender bias in LLM hiring decisions has focused on English-language, Western-format resumes. This study examines whether pro-female gender bias extends to a Japanese corporate context and evaluates two practical mitigation strategies. Using a counterfactual resume design with 60 Japanese rirekisho-format resumes, 12 name pairs selected on linguistically grounded gender-signal criteria, and five state-of-the-art LLMs (Claude Sonnet 4.6, GPT-4o, DeepSeek-V3, Gemini 2.5 Flash, Llama 3.3 70B), we conducted 43,200 API calls across baseline, prompt instruction, and privacy filter conditions. A crossed random-effects linear mixed model confirms a significant pro-female bias across all five models, replicating Western findings in a non-Western context. A prompt-level gender-neutrality instruction produces no meaningful reduction in bias. A name-reliance analysis formally identifies the candidate name as the primary gender channel: removing the name from the prompt reduces the female effect by nearly its full magnitude. An unexpected incompatibility between the privacy filter and GPT-4o's content safety filter, resulting in a 42% refusal rate, highlights a practical deployment challenge for name anonymization in LLM-assisted recruitment pipelines.

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09.

arXiv (CS.LG) 2026-06-17 DOI: arXiv:2603.18492

AIMER: Calibration-Free Task-Agnostic MoE Expert Pruning

作者:

Zongfang Liu↗Guangyi Chen↗Shengkun Tang↗Yifan Shen↗Huan Wang↗Xin Yuan↗

arXiv:2603.18492v3 Announce Type: replace Abstract: Mixture-of-Experts (MoE) language models increase parameter capacity without proportional per-token computation, yet deployment still requires storing the full expert pool, making expert pruning important for reducing memory and serving overhead. Existing task-agnostic expert-pruning methods are typically calibration-dependent: they estimate expert importance from routing or activation statistics on a calibration set, making pruning decisions sensitive to calibration-data variation while introducing substantial preprocessing cost. We propose AIMER (Absolute mean over root mean square IMportance for Expert Ranking), a simple calibration-free criterion that identifies more distinct experts by capturing the concentration pattern of expert weights, making it well suited for task-agnostic expert pruning. Across 7B to 47B MoE language models with distinct architectures and 16 diverse benchmarks, AIMER consistently delivers stronger capability balance across diverse tasks than existing calibration-free methods. Surprisingly, AIMER also achieves better balance than strong calibration-based expert-pruning baselines calibrated on the widely used task-agnostic C4 corpus, while requiring only 0.22–2.06 seconds to score all experts.

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10.

arXiv (CS.CV) 2026-06-15 DOI: arXiv:2606.14025

GarmentSketch: Large-scale Sketch-to-Fashion Benchmark

作者:

Duong-Duy-Khang Bui↗Minh-Tan Pham↗Tam V. Nguyen↗Minh-Triet Tran↗Trung-Nghia Le↗

Fashion sketching is a cornerstone of design workflows, allowing rapid visualization of creative concepts prior to physical prototyping. Yet, progress in sketch-based fashion image synthesis has been hindered by the absence of large-scale, high-quality paired resources. To bridge this gap, we present GarmentSketch, a novel dataset comprising 26,249 fashion sketches across 21 garment categories, each paired with detailed textual descriptions. Captions were produced through a multi-stage pipeline that integrates multiple multimodal large language models (MLLMs) with human-in-the-loop refinement, ensuring both semantic accuracy and descriptive richness. We benchmark GarmentSketch on state-of-the-art generative models, providing baseline performance for sketch-guided text-to-image generation. Our experiments reveal both the promise and the current limitations of existing methods. By offering a comprehensive and richly annotated resource, GarmentSketch establishes a foundation for advancing sketch understanding, fine-grained fashion image generation, and creative human-AI collaboration in design. The dataset will be available at: https://khangbdd.github.io/garmentsketch.

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11.

arXiv (CS.CV) 2026-06-25 DOI: arXiv:2606.25376

Transferable Attack against Face Swapping in an Extended Space

作者:

Mingzhi Lyu↗Yi Huang↗Jun Xie↗Zihao Zhao↗Hong Xu↗Adams Wai-Kin Kong↗

Although deep Face Swapping (FS) models may benefit the entertainment industry, they pose severe threats to privacy and security. Existing protections, including deepfake detection and adversarial perturbation, are either passive responses or ineffective to unseen subject-agnostic FS models. In this paper, we propose a transferable attack against subject-agnostic FS models named Additive Identity attack based on a Relighting function (AIR). AIR leverages reillumination and additive perturbations to mislead the identity extraction modules in subject-agnostic FS models. By using these two types of perturbations simultaneously, the attack space is extended such that stronger but more visually natural adversarial examples can be identified. To further enhance the visual quality while preserving the effectiveness of the attack, an adaptive translation-invariant operation and an illumination control scheme are designed for AIR. Unlike other methods, AIR does not require a surrogate FS model to achieve high transferability. In addition, a mathematical proof is given for the extension of the attack space. Extensive experiments using 1000 image pairs across various state-of-the-art subject-agnostic FS models, including GAN and diffusion-based FS models, show that AIR surpasses all existing attacks in terms of both attack success rate and image quality.

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12.

medRxiv (Medicine) 2026-06-22 DOI: HASH:c28d1d29a7791f8ffd7c9cdd78a26509

MinderCare: protocol for a mixed-methods evaluation of a digitally enabled dementia care service.

作者:

Jeyasingh-Jacob↗Tecilla↗Cro↗Lai↗Frigerio↗Joby↗Chavarro Novoa↗Fabusoro↗Rasulo↗James↗Amade Cassimo↗Hariss↗…

Introduction and aims Dementia is a growing public health challenge affecting millions of people worldwide. It is a progressive condition that increases the risk of infections, falls, hospital admissions, dependence in activities of daily living, safety issues such as wandering, care home transfers, and death. New ways of supporting people living with dementia (PLWD) at home are urgently needed. We describe the MinderCare study which evaluates a digitally enabled care model that integrates low-burden sensor-based remote monitoring within a nurse-led clinical service. Methods and analysis In this mixed-methods study, we will recruit 100 people with confirmed or suspected dementia living at home and deploy the Minder remote monitoring system for at least 12 months. A detailed characterisation of the cohort will be obtained, including cognition, frailty, participant and carer wellbeing, functioning, and quality of life. The feasibility, acceptability, sustainability, and resource requirements of the service will also be assessed. Low-cost sensors provide information about behaviour, environment and physiology from the home. Machine-learning algorithms have been used to develop digital biomarkers of infection, sleep, night-time behaviours, daily activities and routines, and the effects of clinical events and treatment. These will be assessed through clinical reports of sensor-derived data that include anomaly alerts provided to the clinical teams. Algorithms will be assessed for their clinical utility and acceptability. The comparative-effectiveness component will be designed as a target trial emulation using linked electronic health-record data to construct a time-indexed external usual-care control cohort. The primary comparative outcome will be Days Alive and Out of Hospital (DAOH) over 12 months from the activation-index date, with healthcare utilisation, costs, institutionalisation and mortality assessed as secondary outcomes. DAOH and estimated MinderCare effects will also be examined across prespecified strata of baseline inpatient utilisation. Ethics and dissemination Ethical approval has been granted by the North East Newcastle and North Tyneside 2 Research Ethics Committee, and the study has received confirmation of capacity and capability by the Imperial College Healthcare NHS Trust. Study findings will be disseminated to patients, health and social care professionals, and policymakers through peer-reviewed publications and conference presentations. Study registration number: ISRCTN14997677 and NIHR portfolio CPMSID 63023.

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13.

arXiv (CS.CL) 2026-06-17 DOI: arXiv:2605.08077

Conformal Path Reasoning: Trustworthy Knowledge Graph Question Answering via Path-Level Calibration

作者:

Shuhang Lin↗Chuhao Zhou↗Xiao Lin↗Zihan Dong↗Kuan Lu↗Zhencan Peng↗Jie Yin↗Dimitris N. Metaxas↗

Knowledge Graph Question Answering (KGQA) offers grounded, interpretable reasoning, but existing methods often fail to provide reliable coverage guarantees over retrieved answers. While Conformal Prediction (CP) offers a principled framework for producing prediction sets with statistical guarantees, prior conformal KGQA methods suffer from two critical pitfalls: violated coverage guarantees due to invalid calibration, and weak score discriminability that yields excessively large prediction sets. We propose Conformal Path Reasoning (CPR), a novel trustworthy KGQA framework built on two key innovations. First, query-level conformal calibration over path-level scores preserves exchangeability to ensure valid coverage guarantees. Second, we introduce the Residual Conformal Value Network (RCVNet), a lightweight module trained via PUCT-guided exploration to learn discriminative path-level nonconformity scores. Extensive experiments show that CPR significantly improves the Empirical Coverage Rate by 45% while reducing prediction set size by 52% on average over conformal baselines across benchmark datasets, highlighting its effectiveness for reliable conformal reasoning over knowledge graphs.

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14.

arXiv (CS.AI) 2026-06-12 DOI: arXiv:2602.07294

Fin-RATE: A Real-world Financial Analytics and Tracking Evaluation Benchmark for LLMs on SEC Filings

作者:

Yidong Jiang↗Junrong Chen↗Eftychia Makri↗Jialin Chen↗Peiwen Li↗Ali Maatouk↗Leandros Tassiulas↗Eliot Brenner↗Bing Xiang↗Rex Ying↗

arXiv:2602.07294v4 Announce Type: replace-cross Abstract: With the increasing deployment of Large Language Models (LLMs) in the finance domain, LLMs are increasingly expected to parse complex regulatory disclosures. However, existing benchmarks often focus on isolated details, failing to reflect the complexity of professional analysis that requires synthesizing information across multiple documents, reporting periods, and corporate entities. Furthermore, these benchmarks do not disentangle whether errors arise from retrieval failures, generation inaccuracies, domain-specific reasoning mistakes, or misinterpretation of the query or context, making it difficult to precisely diagnose performance bottlenecks. To bridge these gaps, we introduce Fin-RATE, a benchmark built on U.S. Securities and Exchange Commission (SEC) filings and mirroring financial analyst workflows through three pathways: detail-oriented reasoning within individual disclosures, cross-entity comparison under shared topics, and longitudinal tracking of the same firm across reporting periods. We benchmark 17 leading LLMs, spanning open-source, closed-source, and finance-specialized models, under both ground-truth context and retrieval-augmented settings. Results show substantial performance degradation, with accuracy dropping by 18.60% and 14.35% as tasks shift from single-document reasoning to longitudinal and cross-entity analysis. This degradation is associated with increased comparison hallucinations, temporal and entity mismatches, and is further reflected in declines in reasoning quality and factual consistency–limitations that existing benchmarks have yet to formally categorize or quantify.

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15.

arXiv (CS.LG) 2026-06-16 DOI: arXiv:2606.15240

EnvShip-Bench: An Environment-Enhanced Benchmark for Short-Term Vessel Trajectory Prediction

作者:

Kun Ma↗Qilong Han↗Chengjing Song↗Jingzheng Yao↗Hao Wang↗Changmao Wu↗

arXiv:2606.15240v1 Announce Type: new Abstract: Vessel trajectory prediction is important for intelligent shipping, maritime surveillance, and navigation safety. However, existing public maritime AIS resources are often limited by inconsistent forecasting protocols, uneven data quality, and the lack of benchmark-ready contextual annotations, which hinder fair comparison and context-aware modeling. To address this gap, we present EnvShip-Bench, a unified benchmark for short-term vessel trajectory prediction built from large-scale raw AIS data from the Danish Maritime Authority (DMA) and NOAA through a common processing pipeline. EnvShip-Bench adopts a standardized forecasting protocol with 10 minutes of observation, 10 minutes of prediction, and 20-second sampling in vessel-centric local metric coordinates. Beyond the large-scale core benchmark, it provides a quality-first compact subset for efficient and reproducible experimentation, together with synchronized environmental and nearby-vessel context extensions. As a result, EnvShip-Bench supports trajectory-only, environment-aware, and interaction-aware forecasting under a unified evaluation framework. Extensive benchmark statistics and analysis demonstrate that EnvShip-Bench offers a standardized, extensible, and context-aware foundation for maritime trajectory forecasting research.

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16.

medRxiv (Medicine) 2026-06-17 DOI: HASH:6d0a276d54b4a0604806de987c2ecece

Efficacy of a Gamified Digital Platform for Substance Use Education and Overdose Prevention Among College Students: a Pilot and Feasibility Study

作者:

Hilliard↗M. E↗Foreman↗Khan↗Zona↗Mishra↗Howse↗S. J↗

Background: For US young adults aged 18-25 in the 2018-2024 period, fentanyl was involved in 78.2% of the 44,020 unintentional or undetermined-intent overdose deaths, most often co-involving stimulants and other non-opioid substances. While fatal overdose rates in this age group have fallen to their lowest recorded level, emergency medical services-attended non-fatal overdose events have reached record highs, shifting the decisive variable toward bystander recognition and response. College students report near-universal alcohol education but minimal education on the substances actually driving overdose mortality. Methods: We conducted a single-group pre-post evaluation of the DopaGE Portal, a gamified, mastery-based digital platform covering cocaine, MDMA, benzodiazepines, and opioid overdose response, deployed at a public university (UNL) and a multi-campus volunteer network (TACO). Paired pre/post surveys (N=42) measured self-efficacy (7 items; primary), behavioral intentions, risk perception, and knowledge/attitudes on 5-point scales, plus four factual knowledge questions. Paired t-tests, exact McNemar tests, and Benjamini-Hochberg correction across eight primary tests were applied. Institutional naloxone distribution at UNL was tracked as an ecological behavioral outcome. A mandated high-school cohort (N=94) provided supplementary acceptability data. Results: Self-efficacy increased from 2.82 to 4.46 (d=2.00, 95% CI 1.46-2.55; adjusted p

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17.

arXiv (math.PR) 2026-06-12 DOI: arXiv:2510.11846

Quenched and Annealed CLTs for the one-periodic Aztec diamond in random environment

作者:

Panagiotis Zografos↗

arXiv:2510.11846v2 Announce Type: replace Abstract: We study the asymptotic behavior of random dimer coverings of the one-periodic Aztec diamond in random environment. We investigate quenched limit theorems for the height function and we extend annealed limit theorems that were recently studied in [arXiv:2507.08560]. We consider more general choices of random edge weights (independence is not assumed) and we distinguish two cases where the random edge weights satisfy the Central Limit Theorem (CLT) under different scalings. For both cases, we prove convergence to the Gaussian Free Field for the quenched fluctuations. For the annealed version, it had been shown in [arXiv:2507.08560], that Gaussian Free Field fluctuations can be dominated by the much larger fluctuations of the random environment. To access quenched fluctuations we analyze the Schur process with random parameters in a way that allows to prove the annealed CLT for the height function for non i.i.d. weights. We consider specific examples where we determine the asymptotic fluctuations.

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18.

medRxiv (Medicine) 2026-06-22 DOI: HASH:f9d6691f8aac92f15c53341c5a819564

The direct economic impact of surgical non-response in orthopaedic hip, knee, and spine surgery for osteoarthritis: a cost-utility analysis

作者:

Rampersaud↗Y. R↗Perruccio↗A. V↗Collett↗Sundararajan↗Du↗J. T↗Montoya↗Power↗J. D↗Canizares↗…

Background Annually, nearly 2 million hip, knee, and spinal inpatient surgeries are performed in Canada and the US for osteoarthritis (OA), costing over $37 billion in hospital expenditures. However, 15-30% of patients experience limited or no improvement, resulting in poor value for money. This study evaluated the one-year cost-utility of joint and spine procedures for OA by comparing non-responders to responders, considering various responder definitions. Methods Individual micro-costing data were collected for 1,175 elective hip, knee, and spine patients enrolled in the Longitudinal Evaluation in the Arthritis Program - Osteoarthritis (LEAP-OA) between 2014 and 2018. Quality-adjusted life years (QALYs) were derived using the SF-6D utility index. One-year incremental cost-utility ratios (ICURs) were calculated from the hospital perspective. Results Responder rates varied by definition, ranging from 78%-94% for hip replacements, 64%-90% for knee replacements, 60%-64% for spine fusions, and 50%-68% for spine decompressions. Corresponding ICURs were: $45,956-$51,773/QALY for responders versus $108,593-$485,762/QALY for non-responders for hip replacements; $54,831-$71,151/QALY for responders versus $200,486-$1,203,596/QALY for non-responders for knee replacements; $65,980-$74,422/QALY for responders versus $262,039-$729,686/QALY for non-responders for spine fusions; and $29,947-$42,168/QALY for responders versus $63,195-$662,586/QALY for non-responders for spine decompressions. Conclusions While surgical response rates were highly dependent on the responder definition, ICURs for non-responders were significantly higher than those for responders across all definitions. Beyond the negative impact on patients, there is a compelling economic argument for investment in improved pre-operative identification of patients at risk of surgical non-response. Such efforts could enable more personalized, value-based care pathways and reduce the provision of low-value surgical interventions.

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19.

arXiv (CS.AI) 2026-06-24 DOI: arXiv:2606.23830

Deciphering Fingerprints of 3D Molecular Surfaces for Accurate Epitope Prediction

作者:

Fang Wu↗Weihao Xuan↗Jure Leskovec↗Yejin Choi↗Li Erran Li↗

arXiv:2606.23830v1 Announce Type: cross Abstract: Molecular surfaces encode the geometric and physicochemical patterns that determine antibody-antigen recognition, central to epitope prediction. However, existing methods rely on sequences or backbone structures and struggle to capture discontinuous, surface-driven epitopes. This study presents SurfBind, a surface-centric learning framework for epitope prediction that operates directly on molecular surface representations. SurfBind integrates geometric and physicochemical cues through a Transformer-based architecture with patch-level surface modeling, binder-aware cross-attention, and a hierarchical coarse-to-fine prediction paradigm. Experiments on challenging epitope identification benchmarks, including SAbDab and DB5.5, demonstrate that SurfBind achieves state-of-the-art performance and strong generalization across unseen antibodies and conformational states, highlighting the value of interaction-aware surface modeling for understanding the crucial mechanisms of protein-protein interactions.

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20.

arXiv (quant-ph) 2026-06-25 DOI: arXiv:2606.24928

Reading Weakly, Acting Strongly: A Static Parity Horizon and its Dynamical Bypass in the Monitored Lipkin-Meshkov-Glick Model

作者:

Stavros Mouslopoulos↗

arXiv:2606.24928v1 Announce Type: new Abstract: We study the broken-symmetry phase of the Lipkin-Meshkov-Glick (LMG) model, whose two lowest states form a near-degenerate parity doublet split by tunnelling. We show that the same instanton action S_inst that sets the doublet splitting also controls how much parity information a static J_z magnetisation readout can extract. Although J_z measures magnetisation rather than parity - and so distinguishes the two wells easily while remaining almost blind to their relative sign - WKB barrier arguments together with exact diagonalisation show that the spectral gap, the total-variation distance, and the nonlinear distinguishability measures (Jensen-Shannon divergence and Chernoff information) share a single instanton exponent, rather than the doubled exponent a naive small-deviation expansion in the lobes would suggest. Exact diagonalisation up to N = 4500 supports a common leading exponent for all four quantities, with fitted values within a few percent of the WKB instanton value in the largest reliable windows. The same coupling acts strongly inside the doublet: its off-diagonal element grows as |J_01| -> N m_*/2, so the bath can disturb the parity label far more strongly than it can read it from a frozen histogram. We call this separation the static parity horizon - a benchmark for the idealised static J_z channel, not a universal bound on time-resolved monitoring. Restoring the full monitored dynamics, continuous-monitoring simulations (1.48 million full-LMG trajectories with matched QND controls across 77 independent settings) show that a time-resolved homodyne record extracts parity information hidden from the single-shot histogram, over a finite window of system sizes organised by the ratio xi = omega_01/Gamma_01 of coherent doublet rotation to measurement-induced dephasing, and closing again under strong measurement.

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21.

arXiv (CS.AI) 2026-06-24 DOI: arXiv:2606.24180

Deep Learning Approaches for 3D Medical Scene Completion: From Geometric Modeling to Generative Paradigms

作者:

Afifa Khaled↗Said Jadid Abdulkadir↗Majdy Mohamed Eltayeb Eltahir↗

arXiv:2606.24180v1 Announce Type: cross Abstract: Three-dimensional scene completion has evolved as a major problem in computer vision and robotics, and its applications are diverse, including autonomous navigation and augmented reality. In this study, a systematic review has been conducted to compile the research contributions made in the last ten years, i.e., 2016 to 2026, which has revolutionized the field from the voxel semantic completion paradigm represented by SSCNet to the latest paradigm that combines generative diffusion priors with real-time rendering using a Gaussian splatting technique. The evolution in representation paradigms, such as voxel grids, point learning, implicit neural fields, transformer networks, diffusion networks, and the latest paradigm based on rendering-aware 3D Gaussian primitives, has been discussed in this study. A comprehensive analysis has been carried out on the contributions made in the last ten years, and a taxonomy has been developed to provide a clear idea about the contributions made in the field. The study has also discussed the research contributions made in the field, along with the challenges that still need to be addressed. Finally, the study has presented a research agenda that will provide a clear idea about the directions that can be followed in the development of the next-generation system

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22.

arXiv (quant-ph) 2026-06-25 DOI: arXiv:2606.25795

Benchmarking Dark Matter Search using a Parity-Check Protocol with Machine-Learning Optimized Pulses

作者:

Yu-Han Chang↗Ilya Moskalenko↗Marko Kuzmanovi\'c↗Ognjen Stanisavljevi\'c↗Isak Bj\"orkman↗David D\'iez-Ib\'a\~nez↗Yikun Gu↗Akash V. Dixit↗Igor G. Irastorza↗Gheorghe Sorin Paraoanu↗

arXiv:2606.25795v1 Announce Type: new Abstract: We report on an improved microwave detection protocol for dark matter candidates such as the axion and the dark photon. We employ a superconducting transmon qubit dispersively coupled to a double-cavity system, enabling quantum non-demolition measurements of the photon occupation in a relatively short-lived storage cavity. To reduce the experimental cycle time and enhance sensitivity for axion and dark-photon searches, we operate this detector in a regime of increased qubit-cavity coupling, resulting in Stark shifts of 4.6 MHz. In this regime, conventional control pulses suffer from strong frequency-detuning sensitivity and photon-number-dependent errors. We address this limitation by implementing frequency-detuning-robust $\pi/2$ pulses (obtained by machine-learning optimization) that preserve high-fidelity qubit control over a bandwidth of approximately 20 MHz. We experimentally validate this protocol and demonstrate single-photon detection performance comparable to previous implementations, despite significantly reduced qubit coherence times and storage-cavity lifetimes. Using parity-based measurement sequences combined with a Hidden Markov Model (HMM) analysis, we achieve background rates on the order of $\mathcal{O}(20)$ Hz. In the absence of a magnetic field, we derive exclusion limits on the dark photon model for dark matter, reaching a sensitivity to the kinetic mixing angle of $\epsilon_{95\%} \sim 1\times10^{-14}$ at 5.051 GHz. These results establish machine-learning robust control as a key enabler for faster, more scalable microwave quantum sensors for dark-matter searches.

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23.

arXiv (quant-ph) 2026-06-15 DOI: arXiv:2606.14677

Quasilinear Equivalence Checking for Detector Error Models

作者:

Mathys Rennela↗

arXiv:2606.14677v1 Announce Type: new Abstract: A Detector Error Model (DEM) is a structured representation of error mechanisms in quantum circuits, which has gained popularity in quantum compilation pipelines for its ability to capture fault-tolerance at a circuit level. It lists error mechanisms as instructions targeting detectors and observables, specifying for each physical fault channel the probability that the fault fires, the detectors it triggers, and the observables it flips. In this paper, we develop an equational theory for DEMs, with its associated categorical semantics. We present a sound, terminating, confluent rewriting system for DEM terms, formulating it as a symmetric monoidal theory (a PROP) over the Giry monad. We prove that every DEM term has a unique normal form, which can be computed efficiently in quasilinear time $O(k|E|\log|E|)$, where $|E|$ is the number of instructions and $k$ bounds the size of a target set. This provides a complete set of invariants (via Tanner graphs) for structural DEM equivalence. We provide the first static decision procedure for DEM equivalence, with rigorous correctness guarantees. It is complete (decides full decoder-equivalence exactly) for non-adaptive quantum error correction (QEC) pipelines, and scales to a sound and applicable decision procedure for partially-adaptive circuits (lattice surgery, distributed QEC, ...) without suffering exponential overhead. We discuss its application to the verification and optimisation of quantum compilers.

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24.

arXiv (CS.CV) 2026-06-16 DOI: arXiv:2606.16101

Effective and Low-cost Lane-based Map Localization for Vehicle-Centric Route Generation

作者:

Hong-Shiang Lin↗Jung-Hsin Chen↗Yu-Luen Tzeng↗Wei-Hao Chen↗Yi-Chen Lee↗Li-Jhe Chen↗Peng-Yuan Chen↗

Driver-centric route representation plays a vital role in intuitive driving guidance systems. This paper presents OLRA, a low-cost, map-localization-based framework that derives driver-view-aligned routes by matching map-based navigation routes with camera-detected lane markings. This alignment process mutually enhances vehicle localization accuracy and visual route consistency. To bridge the evaluation gap across different paradigms, we introduce practical route evaluation metrics and benchmark OLRA against OpenPilot, a representative direct-generation approach. Experimental results on the nuScenes dataset demonstrate that OLRA outperforms OpenPilot in complex road segments and in route estimation at distance beyond 20 meters, achieving lower overall Euclidean error. This study is expected to promote future research in low-cost, maplocalization-based route generation methods.

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25.

arXiv (quant-ph) 2026-06-15 DOI: arXiv:2606.14408

Quantum sensing through bosonic-fermionic Bell-state transitions in two-photon interference

作者:

Chahat Kaushik↗Vimlesh Kumar↗G. K. Samanta↗

arXiv:2606.14408v1 Announce Type: new Abstract: Hong-Ou-Mandel (HOM) interference has become a central resource for quantum sensing and metrology owing to its sensitivity to temporal delay and photon indistinguishability. However, existing HOM-based sensing schemes generally rely on inserting a sample into one arm of the interferometer, making the measurement vulnerable to optical loss, alignment instability, and bandwidth-dependent distortion of the interference profile. Here, we demonstrate a symmetry-controlled quantum sensing scheme based on continuous transitions between symmetric (bosonic-like) and antisymmetric (fermionic-like) Bell states in two-photon interference. By imprinting a geometric phase onto the classical pump beam and transferring it to polarization-entangled photons generated via spontaneous parametric down-conversion, we coherently tune the exchange symmetry of the entangled state without altering the temporal or spectral indistinguishability of the photons. The HOM response evolves continuously from bunching to antibunching with a sine square phase dependence, producing a coincidence modulation of approximately 10 * 10^4 counts s^-1 counts/s. In contrast to conventional HOM sensing, the phase-modulation linewidth remains fixed at pi/2, independent of photon bandwidth. Using a birefringent crystal placed directly in the pump beam, we measure thermo-dispersive birefringence with a resolution of the order of 10^{-6} over a broad temperature range. Our results establish exchange symmetry as a controllable resource for robust quantum sensing and symmetry-engineered photonic quantum information processing.

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