Simulations constitute a fundamental component of medical and nursing education and traditionally employ standardized patients (SP) and high-fidelity manikins to develop clinical reasoning and communication skills. However, these methods require substantial resources, limiting accessibility and scalability. In this study, we introduce CLiVR, a Conversational Learning system in Virtual Reality that integrates large language models (LLMs), speech processing, and 3D avatars to simulate realistic doctor-patient interactions. Developed in Unity and deployed on the Meta Quest 3 platform, CLiVR enables trainees to engage in natural dialogue with virtual patients. Each simulation is dynamically generated from a syndrome-symptom database and enhanced with sentiment analysis to provide feedback on communication tone. Through an expert user study involving medical school faculty (n=13), we assessed usability, realism, and perceived educational impact. Results demonstrated strong user acceptance, high confidence in educational potential, and valuable feedback for improvement. CLiVR offers a scalable, immersive supplement to SP-based training.

Hostile attribution bias is the tendency to interpret social interactions as intentionally hostile. The Ambiguous Intentions Hostility Questionnaire (AIHQ) is commonly used to measure hostile attribution bias, and includes open-ended questions where participants describe the perceived intentions behind a negative social situation and how they would respond. While these questions provide insights into the contents of hostile attributions, they require time-intensive scoring by human raters. In this study, we assessed whether large language models can automate the scoring of AIHQ open-ended responses. We used a previously collected dataset in which individuals with traumatic brain injury (TBI) and healthy controls (HC) completed the AIHQ and had their open-ended responses rated by trained human raters. We used half of these responses to fine-tune the two models on human-generated ratings, and tested the fine-tuned models on the remaining half of AIHQ responses. Results showed that model-generated ratings aligned with human ratings for both attributions of hostility and aggression responses, with fine-tuned models showing higher alignment. This alignment was consistent across ambiguous, intentional, and accidental scenario types, and replicated previous findings on group differences in attributions of hostility and aggression responses between TBI and HC groups. The fine-tuned models also generalized well to an independent nonclinical dataset. To support broader adoption, we provide an accessible scoring interface that includes both local and cloud-based options. Together, our findings suggest that large language models can streamline AIHQ scoring in both research and clinical contexts, revealing their potential to facilitate psychological assessments across different populations.

Research on autonomous surgery has largely focused on simple task automation in controlled environments. However, real-world surgical applications demand dexterous manipulation over extended durations and generalization to the inherent variability of human tissue. These challenges remain difficult to address using existing logic-based or conventional end-to-end learning approaches. To address this gap, we propose a hierarchical framework for performing dexterous, long-horizon surgical steps. Our approach utilizes a high-level policy for task planning and a low-level policy for generating robot trajectories. The high-level planner plans in language space, generating task-level or corrective instructions that guide the robot through the long-horizon steps and correct for the low-level policy's errors. We validate our framework through ex vivo experiments on cholecystectomy, a commonly-practiced minimally invasive procedure, and conduct ablation studies to evaluate key components of the system. Our method achieves a 100\% success rate across eight unseen ex vivo gallbladders, operating fully autonomously without human intervention. This work demonstrates step-level autonomy in a surgical procedure, marking a milestone toward clinical deployment of autonomous surgical systems.

Referral workflow inefficiencies, including misaligned referrals and delays, contribute to suboptimal patient outcomes and higher healthcare costs. In this study, we investigated the possibility of predicting procedural needs based on primary care diagnostic entries, thereby improving referral accuracy, streamlining workflows, and providing better care to patients. A de-identified dataset of 2,086 orthopedic referrals from the University of Texas Health at Tyler was analyzed using machine learning models built on Base General Embeddings (BGE) for semantic extraction. To ensure real-world applicability, noise tolerance experiments were conducted, and oversampling techniques were employed to mitigate class imbalance. The selected optimum and parsimonious embedding model demonstrated high predictive accuracy (ROC-AUC: 0.874, Matthews Correlation Coefficient (MCC): 0.540), effectively distinguishing patients requiring surgical intervention. Dimensionality reduction techniques confirmed the model's ability to capture meaningful clinical relationships. A threshold sensitivity analysis identified an optimal decision threshold (0.30) to balance precision and recall, maximizing referral efficiency. In the predictive modeling analysis, the procedure rate increased from 11.27% to an optimal 60.1%, representing a 433% improvement with significant implications for operational efficiency and healthcare revenue. The results of our study demonstrate that referral optimization can enhance primary and surgical care integration. Through this approach, precise and timely predictions of procedural requirements can be made, thereby minimizing delays, improving surgical planning, and reducing administrative burdens. In addition, the findings highlight the potential of clinical decision support as a scalable solution for improving patient outcomes and the efficiency of the healthcare system.

Vascular anastomosis, the surgical connection of blood vessels, is essential in procedures such as organ transplants and reconstructive surgeries. The precision required limits accessibility due to the extensive training needed, with manual suturing leading to variable outcomes and revision rates up to 7.9%. Existing robotic systems, while promising, are either fully teleoperated or lack the capabilities necessary for autonomous vascular anastomosis. We present the Micro Smart Tissue Autonomous Robot (micro-STAR), an autonomous robotic system designed to perform vascular anastomosis on small-diameter vessels. The micro-STAR system integrates a novel suturing tool equipped with Optical Coherence Tomography (OCT) fiber-optic sensor and a microcamera, enabling real-time tissue detection and classification. Our system autonomously places sutures and manipulates tissue with minimal human intervention. In an ex vivo study, micro-STAR achieved outcomes competitive with experienced surgeons in terms of leak pressure, lumen reduction, and suture placement variation, completing 90% of sutures without human intervention. This represents the first instance of a robotic system autonomously performing vascular anastomosis on real tissue, offering significant potential for improving surgical precision and expanding access to high-quality care.

Independent Component Analysis (ICA) offers interpretable semantic components of embeddings. While ICA theory assumes that embeddings can be linearly decomposed into independent components, real-world data often do not satisfy this assumption. Consequently, non-independencies remain between the estimated components, which ICA cannot eliminate. We quantified these non-independencies using higher-order correlations and demonstrated that when the higher-order correlation between two components is large, it indicates a strong semantic association between them, along with many words sharing common meanings with both components. The entire structure of non-independencies was visualized using Figure 1: Heatmap visualization of 300-dimensional a maximum spanning tree of semantic components. SGNS embeddings transformed by PCA and ICA, with These findings provide deeper insights axes sorted by variance and skewness, respectively.

The emergence of Large Language Models (LLMs) has significantly impacted the field of Natural Language Processing and has transformed conversational tasks across various domains because of their widespread integration in applications and public access. The discussion surrounding the application of LLMs in education has raised ethical concerns, particularly concerning plagiarism and policy compliance. Despite the prowess of LLMs in conversational tasks, the limitations of reliability and hallucinations exacerbate the need to guardrail conversations, motivating our investigation of RAG in computer science higher education. We developed Retrieval Augmented Generation (RAG) applications for the two tasks of virtual teaching assistants and teaching aids. In our study, we collected the ratings and opinions of faculty members in undergraduate and graduate computer science university courses at various levels, using our personalized RAG systems for each course. This study is the first to gather faculty feedback on the application of LLM-based RAG in education. The investigation revealed that while faculty members acknowledge the potential of RAG systems as virtual teaching assistants and teaching aids, certain barriers and features are suggested for their full-scale deployment. These findings contribute to the ongoing discussion on the integration of advanced language models in educational settings, highlighting the need for careful consideration of ethical implications and the development of appropriate safeguards to ensure responsible and effective implementation.

Advancements in deep learning have generated a large-scale interest in the development of foundational deep learning models. The development of Large Language Models (LLM) has evolved as a transformative paradigm in conversational tasks, which has led to its integration and extension even in the critical domain of healthcare. With LLMs becoming widely popular and their public access through open-source models and integration with other applications, there is a need to investigate their potential and limitations. One such crucial task where LLMs are applied but require a deeper understanding is that of self-diagnosis of medical conditions based on bias-validating symptoms in the interest of public health. The widespread integration of Gemini with Google search and GPT-4.0 with Bing search has led to a shift in the trend of self-diagnosis using search engines to conversational LLM models. Owing to the critical nature of the task, it is prudent to investigate and understand the potential and limitations of public LLMs in the task of self-diagnosis. In this study, we prepare a prompt engineered dataset of 10000 samples and test the performance on the general task of self-diagnosis. We compared the performance of both the state-of-the-art GPT-4.0 and the fee Gemini model on the task of self-diagnosis and recorded contrasting accuracies of 63.07% and 6.01%, respectively. We also discuss the challenges, limitations, and potential of both Gemini and GPT-4.0 for the task of self-diagnosis to facilitate future research and towards the broader impact of general public knowledge. Furthermore, we demonstrate the potential and improvement in performance for the task of self-diagnosis using Retrieval Augmented Generation.

Recently, convolution neural networks (CNNs) have attracted a great deal of attention due to their remarkable performance in various domains, particularly in image and text classification tasks. However, their application to tabular data classification remains underexplored. There are many fields such as bioinformatics, finance, medicine where nonimage data are prevalent. Adaption of CNNs to classify nonimage data remains highly challenging. This paper investigates the efficacy of CNNs for tabular data classification, aiming to bridge the gap between traditional machine learning approaches and deep learning techniques. We propose a novel framework fuzzy convolution neural network (FCNN) tailored specifically for tabular data to capture local patterns within feature vectors. In our approach, we map feature values to fuzzy memberships. The fuzzy membership vectors are converted into images that are used to train the CNN model. The trained CNN model is used to classify unknown feature vectors. To validate our approach, we generated six complex noisy data sets. We used randomly selected seventy percent samples from each data set for training and thirty percent for testing. The data sets were also classified using the state-of-the-art machine learning algorithms such as the decision tree (DT), support vector machine (SVM), fuzzy neural network (FNN), Bayes classifier, and Random Forest (RF). Experimental results demonstrate that our proposed model can effectively learn meaningful representations from tabular data, achieving competitive or superior performance compared to existing methods. Overall, our finding suggests that the proposed FCNN model holds promise as a viable alternative for tabular data classification tasks, offering a fresh prospective and potentially unlocking new opportunities for leveraging deep learning in structured data analysis.

Human tissues are highly organized structures with specific collagen fiber arrangements varying from point to point. The effects of such heterogeneity play an important role for tissue function, and hence it is of critical to discover and understand the distribution of such fiber orientations from experimental measurements, such as the digital image correlation data. To this end, we introduce the heterogeneous peridynamic neural operator (HeteroPNO) approach, for data-driven constitutive modeling of heterogeneous anisotropic materials. The goal is to learn both a nonlocal constitutive law together with the material microstructure, in the form of a heterogeneous fiber orientation field, from loading field-displacement field measurements. To this end, we propose a two-phase learning approach. Firstly, we learn a homogeneous constitutive law in the form of a neural network-based kernel function and a nonlocal bond force, to capture complex homogeneous material responses from data. Then, in the second phase we reinitialize the learnt bond force and the kernel function, and training them together with a fiber orientation field for each material point. Owing to the state-based peridynamic skeleton, our HeteroPNO-learned material models are objective and have the balance of linear and angular momentum guaranteed. Moreover, the effects from heterogeneity and nonlinear constitutive relationship are captured by the kernel function and the bond force respectively, enabling physical interpretability. As a result, our HeteroPNO architecture can learn a constitutive model for a biological tissue with anisotropic heterogeneous response undergoing large deformation regime. Moreover, the framework is capable to provide displacement and stress field predictions for new and unseen loading instances.