The commander of Nasa's next mission to the Moon said that he and his crew would see things that no human has ever seen. Reid Wiseman told a news conference that it was likely that his spacecraft would fly over large areas of the Moon that previous Apollo missions had never mapped. Yesterday, Nasa announced it hoped it would be able to launch the first crewed Moon mission in 50 years as early as February 2026 . Mission specialist Christina Koch explained that the astronauts would be able to study the lunar surface in exquisite detail for a full three hours. Believe it or not, human eyes are one of the best scientific instruments that we have, she said.

Brain-computer interfaces (BCIs) read neural signals directly from the brain to infer motor planning and execution. However, the implementation of this technology has been largely limited to laboratory settings, with few real-world applications. We developed a bimanual BCI system to drive a vehicle in both simulated and real-world environments. We demonstrate that an individual with tetraplegia, implanted with intracortical BCI electrodes in the posterior parietal cortex (PPC) and the hand knob region of the motor cortex (MC), reacts at least as fast and precisely as motor intact participants, and drives a simulated vehicle as proficiently as the same control group. This BCI participant, living in California, could also remotely drive a Ford Mustang Mach-E vehicle in Michigan. Our first teledriving task relied on cursor control for speed and steering in a closed urban test facility. However, the final BCI system added click control for full-stop braking and thus enabled bimanual cursor-and-click control for both simulated driving through a virtual town with traffic and teledriving through an obstacle course without traffic in the real world. We also demonstrate the safety and feasibility of BCI-controlled driving. This first-of-its-kind implantable BCI application not only highlights the versatility and innovative potentials of BCIs but also illuminates the promising future for the development of life-changing solutions to restore independence to those who suffer catastrophic neurological injury.

Background: Vancomycin, a key antibiotic for severe Gram-positive infections in ICUs, poses a high nephrotoxicity risk. Early prediction of kidney injury in critically ill patients is challenging. This study aimed to develop a machine learning model to predict vancomycin-related creatinine elevation using routine ICU data. Methods: We analyzed 10,288 ICU patients (aged 18-80) from the MIMIC-IV database who received vancomycin. Kidney injury was defined by KDIGO criteria (creatinine rise >=0.3 mg/dL within 48h or >=50% within 7d). Features were selected via SelectKBest (top 30) and Random Forest ranking (final 15). Six algorithms were tested with 5-fold cross-validation. Interpretability was evaluated using SHAP, Accumulated Local Effects (ALE), and Bayesian posterior sampling. Results: Of 10,288 patients, 2,903 (28.2%) developed creatinine elevation. CatBoost performed best (AUROC 0.818 [95% CI: 0.801-0.834], sensitivity 0.800, specificity 0.681, negative predictive value 0.900). Key predictors were phosphate, total bilirubin, magnesium, Charlson index, and APSIII. SHAP confirmed phosphate as a major risk factor. ALE showed dose-response patterns. Bayesian analysis estimated mean risk 60.5% (95% credible interval: 16.8-89.4%) in high-risk cases. Conclusions: This machine learning model predicts vancomycin-associated creatinine elevation from routine ICU data with strong accuracy and interpretability, enabling early risk detection and supporting timely interventions in critical care.

Human creative ideation involves both exploration of diverse ideas (divergence) and selective synthesis of explored ideas into coherent combinations (convergence). While processes of divergence and convergence are often interleaved and nested, existing AI-powered creativity support tools (CSTs) lack support for sophisticated orchestration of divergence and convergence. We present Reverger, an AI-powered CST that helps users ideate variations of conceptual directions for modifying a story by scaffolding flexible iteration between divergence and convergence. For divergence, our tool enables recursive exploration of alternative high-level directions for modifying a specific part of the original story. For convergence, it allows users to collect explored high-level directions and synthesize them into concrete variations. Users can then iterate between divergence and convergence until they find a satisfactory outcome. A within-subject study revealed that Reverger permitted participants to explore more unexpected and diverse high-level directions than a comparable baseline. Reverger users also felt that they had more fine-grained control and discovered more effort-worthy outcomes.

The co creativity community is making significant progress in developing more sophisticated and tailored systems to support and enhance human creativity. Design considerations from prior work can serve as a valuable and efficient foundation for future systems. To support this effort, we conducted a systematic literature review of 62 papers on co-creative systems. These papers cover a diverse range of applications, including visual arts, design, and writing, where the AI acts not just as a tool but as an active collaborator in the creative process. From this review, we identified several key dimensions relevant to system design: phase of the creative process, creative task, proactive behavior of the system, user control, system embodiment, and AI model type. Our findings suggest that systems offering high user control lead to greater satisfaction, trust, and a stronger sense of ownership over creative outcomes. Furthermore, proactive systems, when adaptive and context sensitive, can enhance collaboration. We also extracted 24 design considerations, highlighting the value of encouraging users to externalize their thoughts and of increasing the system's social presence and transparency to foster trust. Despite recent advancements, important gaps remain, such as limited support for early creative phases like problem clarification, and challenges related to user adaptation to AI systems.

Background: Patients with both diabetes mellitus (DM) and atrial fibrillation (AF) face elevated mortality in intensive care units (ICUs), yet models targeting this high-risk group remain limited. Objective: To develop an interpretable machine learning (ML) model predicting 28-day mortality in ICU patients with concurrent DM and AF using early-phase clinical data. Methods: A retrospective cohort of 1,535 adult ICU patients with DM and AF was extracted from the MIMIC-IV database. Data preprocessing involved median/mode imputation, z-score normalization, and early temporal feature engineering. A two-step feature selection pipeline-univariate filtering (ANOVA F-test) and Random Forest-based multivariate ranking-yielded 19 interpretable features. Seven ML models were trained with stratified 5-fold cross-validation and SMOTE oversampling. Interpretability was assessed via ablation and Accumulated Local Effects (ALE) analysis. Results: Logistic regression achieved the best performance (AUROC: 0.825; 95% CI: 0.779-0.867), surpassing more complex models. Key predictors included RAS, age, bilirubin, and extubation. ALE plots showed intuitive, non-linear effects such as age-related risk acceleration and bilirubin thresholds. Conclusion: This interpretable ML model offers accurate risk prediction and clinical insights for early ICU triage in patients with DM and AF.

Aplastic anemia is a rare, life-threatening hematologic disorder characterized by pancytopenia and bone marrow failure. ICU admission in these patients often signals critical complications or disease progression, making early risk assessment crucial for clinical decision-making and resource allocation. In this study, we used the MIMIC-IV database to identify ICU patients diagnosed with aplastic anemia and extracted clinical features from five domains: demographics, synthetic indicators, laboratory results, comorbidities, and medications. Over 400 variables were reduced to seven key predictors through machine learning-based feature selection. Logistic regression and Cox regression models were constructed to predict 7-, 14-, and 28-day mortality, and their performance was evaluated using AUROC. External validation was conducted using the eICU Collaborative Research Database to assess model generalizability. Among 1,662 included patients, the logistic regression model demonstrated superior performance, with AUROC values of 0.8227, 0.8311, and 0.8298 for 7-, 14-, and 28-day mortality, respectively, compared to the Cox model. External validation yielded AUROCs of 0.7391, 0.7119, and 0.7093. Interactive nomograms were developed based on the logistic regression model to visually estimate individual patient risk. In conclusion, we identified a concise set of seven predictors, led by APS III, to build validated and generalizable nomograms that accurately estimate short-term mortality in ICU patients with aplastic anemia. These tools may aid clinicians in personalized risk stratification and decision-making at the point of care.

Transcription of aviation communications has several applications, from assisting air traffic controllers in identifying the accuracy of read-back errors to search and rescue operations. Recent advances in artificial intelligence have provided unprecedented opportunities for improving aviation communication transcription tasks. OpenAI's Whisper is one of the leading automatic speech recognition models. However, fine-tuning Whisper for aviation communication transcription is not computationally efficient. Thus, this paper aims to use a Parameter-Efficient Fine-tuning method called Low-Rank Adaptation to fine-tune a more computationally efficient version of Whisper, distil-Whisper. To perform the fine-tuning, we used the Air Traffic Control Corpus dataset from the Linguistic Data Consortium, which contains approximately 70 hours of controller and pilot transmissions near three major airports in the US. The objective was to reduce the word error rate to enhance accuracy in the transcription of aviation communication. First, starting with an initial set of hyperparameters for LoRA (Alpha = 64 and Rank = 32), we performed a grid search. We applied a 5-fold cross-validation to find the best combination of distil-Whisper hyperparameters. Then, we fine-tuned the model for LoRA hyperparameters, achieving an impressive average word error rate of 3.86% across five folds. This result highlights the model's potential for use in the cockpit.