A little over thirty years ago, when he was in his mid-forties, my friend David Howorth lost all hearing in his left ear, a calamity known as single-sided deafness. "It happened literally overnight," he said. "My doctor told me, 'We really don't understand why.' " At the time, he was working as a litigator in the Portland, Oregon, office of a large law firm. His hearing loss had no impact on his job--"In a courtroom, you can get along fine with one ear"--but other parts of his life were upended. The brain pinpoints sound sources in part by analyzing minute differences between left-ear and right-ear arrival times, the same process that helps bats and owls find prey they can't see.

The absence of effective communication the deaf population represents the main social gap in this community. Furthermore, the sign language, main deaf communication tool, is unlettered, i.e., there is no formal written representation. In consequence, main challenge today is the automatic translation among spatiotemporal sign representation and natural text language. Recent approaches are based on encoder-decoder architectures, where the most relevant strategies integrate attention modules to enhance non-linear correspondences, besides, many of these approximations require complex training and architectural schemes to achieve reasonable predictions, because of the absence of intermediate text projections. However, they are still limited by the redundant background information of the video sequences. This work introduces a multitask transformer architecture that includes a gloss learning representation to achieve a more suitable translation. The proposed approach also includes a dense motion representation that enhances gestures and includes kinematic information, a key component in sign language. From this representation it is possible to avoid background information and exploit the geometry of the signs, in addition, it includes spatiotemporal representations that facilitate the alignment between gestures and glosses as an intermediate textual representation. Keywords: Sign language translation, gloss, transformer, deep learning representations 2010 MSC: 00-01, 99-00 1. Introduction Approximately 1 .5 billion people have some associated degree of hearing loss worldwide. These languages are composed of visio-spatial gestural movements and expressions, together with complex manual and non-manual interactions. Today there are more than 150 official SLs with multiple variations in each country. Like any language, there is an intrinsic grammatical richness with multiple gestural and expressive variations. These aspects make the modeling of SLs a very challenging task, even for the most advanced computer vision and representation learning methodologies. In fact, signs do not have a direct written representation, which makes it more difficult to structure the language, implying major challenges to find correspondence with other textual languages.

Artificial intelligence has shown the potential to improve diagnostic accuracy through medical image analysis for pneumonia diagnosis. However, traditional multimodal approaches often fail to address real-world challenges such as incomplete data and modality loss. In this study, a Flexible Multimodal Transformer (FMT) was proposed, which uses ResNet-50 and BERT for joint representation learning, followed by a dynamic masked attention strategy that simulates clinical modality loss to improve robustness; finally, a sequential mixture of experts (MOE) architecture was used to achieve multi-level decision refinement. After evaluation on a small multimodal pneumonia dataset, FMT achieved state-of-the-art performance with 94% accuracy, 95% recall, and 93% F1 score, outperforming single-modal baselines (ResNet: 89%; BERT: 79%) and the medical benchmark CheXMed (90%), providing a scalable solution for multimodal diagnosis of pneumonia in resource-constrained medical settings.

According to the World Health Organization (WHO), pneumonia is a disease that causes a significant number of deaths each year. In response to this issue, the development of a decision support system for the classification of patients into those without pneumonia and those with viral or bacterial pneumonia is proposed. This is achieved by implementing transfer learning (TL) using pre-trained convolutional neural network (CNN) models on chest x-ray (CXR) images. The system is further enhanced by integrating Relief and Chi-square methods as dimensionality reduction techniques, along with support vector machines (SVM) for classification. The performance of a series of experiments was evaluated to build a model capable of distinguishing between patients without pneumonia and those with viral or bacterial pneumonia. The obtained results include an accuracy of 91.02%, precision of 97.73%, recall of 98.03%, and an F1 Score of 97.88% for discriminating between patients without pneumonia and those with pneumonia. In addition, accuracy of 93.66%, precision of 94.26%, recall of 92.66%, and an F1 Score of 93.45% were achieved for discriminating between patients with viral pneumonia and those with bacterial pneumonia.

Speech-comprehension difficulties are common among older people. Standard speech tests do not fully capture such difficulties because the tests poorly resemble the context-rich, story-like nature of ongoing conversation and are typically available only in a country's dominant/official language (e.g., English), leading to inaccurate scores for native speakers of other languages. Assessments for naturalistic, story speech in multiple languages require accurate, time-efficient scoring. The current research leverages modern large language models (LLMs) in native English speakers and native speakers of 10 other languages to automate the generation of high-quality, spoken stories and scoring of speech recall in different languages. Participants listened to and freely recalled short stories (in quiet/clear and in babble noise) in their native language. LLM text-embeddings and LLM prompt engineering with semantic similarity analyses to score speech recall revealed sensitivity to known effects of temporal order, primacy/recency, and background noise, and high similarity of recall scores across languages. The work overcomes limitations associated with simple speech materials and testing of closed native-speaker groups because recall data of varying length and details can be mapped across languages with high accuracy. The full automation of speech generation and recall scoring provides an important step towards comprehension assessments of naturalistic speech with clinical applicability.

Medical language models (MLMs) have become pivotal in advancing medical natural language processing. However, prior models that rely on pre-training or supervised fine-tuning often exhibit low data efficiency and limited practicality in real-world clinical applications. While OpenAI's o1 highlights test-time scaling in mathematics, attempts to replicate this approach in medicine typically distill responses from GPT-series models to open-source models, focusing primarily on multiple-choice tasks. This strategy, though straightforward, neglects critical concerns like data privacy and realistic deployment in clinical settings. In this work, we present a deployable, small-scale medical reasoning system, MedS3, designed for long-chain reasoning in clinical tasks using a self-evolution paradigm. Starting with a seed dataset of around 8,000 instances spanning five domains and 16 datasets, we prompt a base policy model to perform Monte Carlo Tree Search (MCTS) to construct rule-verifiable reasoning chains. Each reasoning step is assigned an evolution rollout value, allowing verified trajectories to train the policy model and the process reward model (PRM). During inference, the policy model generates multiple responses, and the reward model selects the one with a newly proposed PRM-guided Vote-Sum (P-VS) strategy. Experiments on eleven evaluation datasets demonstrate that MedS3 outperforms not only the prior strongest medical model by 6.59, but also 32B-level general reasoning models by 8.71 points. Code and data are available at https://github.com/pixas/MedSSS.

Cochlear implants (CIs) are surgically implanted hearing devices, which allow to restore a sense of hearing in people suffering from profound hearing loss. Wireless streaming of audio from external devices to CI signal processors has become common place. Specialized compression based on the stimulation patterns of a CI by deep recurrent autoencoders can decrease the power consumption in such a wireless streaming application through bit-rate reduction at zero latency. While previous research achieved considerable bit-rate reductions, model sizes were ignored, which can be of crucial importance in hearing-aids due to their limited computational resources. This work investigates maximizing objective speech intelligibility of the coded stimulation patterns of deep recurrent autoencoders while minimizing model size. For this purpose, a pruning-aware loss is proposed, which captures the impact of pruning during training. This training with a pruning-aware loss is compared to conventional magnitude-informed pruning and is found to yield considerable improvements in objective intelligibility, especially at higher pruning rates. After fine-tuning, little to no degradation of objective intelligibility is observed up to a pruning rate of about 55\,\%. The proposed pruning-aware loss yields substantial gains in objective speech intelligibility scores after pruning compared to the magnitude-informed baseline for pruning rates above 45\,\%.

Pneumonia is a leading cause of illness and death in children, underscoring the need for early and accurate detection. In this study, we propose a novel lightweight ensemble model for detecting pneumonia in children using chest X-ray images. This ensemble model integrates two pre-trained convolutional neural networks (CNNs), MobileNetV2 and NASNetMobile, selected for their balance of computational efficiency and accuracy. These models were fine-tuned on a pediatric chest X-ray dataset and combined to enhance classification performance. Our proposed ensemble model achieved a classification accuracy of 98.63%, significantly outperforming individual models such as MobileNetV2 (97.10%) and NASNetMobile(96.25%) in terms of accuracy, precision, recall, and F1 score. Moreover, the ensemble model outperformed state-of-the-art architectures, including ResNet50, InceptionV3, and DenseNet201, while maintaining computational efficiency. The proposed lightweight ensemble model presents a highly effective and resource-efficient solution for pneumonia detection, making it particularly suitable for deployment in resource-constrained settings.

Speech separation approaches for single-channel, dry speech mixtures have significantly improved. However, real-world spatial and reverberant acoustic environments remain challenging, limiting the effectiveness of these approaches for assistive hearing devices like cochlear implants (CIs). To address this, we quantify the impact of real-world acoustic scenes on speech separation and explore how spatial cues can enhance separation quality efficiently. We analyze performance based on implicit spatial cues (inherent in the acoustic input and learned by the model) and explicit spatial cues (manually calculated spatial features added as auxiliary inputs). Our findings show that spatial cues (both implicit and explicit) improve separation for mixtures with spatially separated and nearby talkers. Furthermore, spatial cues enhance separation when spectral cues are ambiguous, such as when voices are similar. Explicit spatial cues are particularly beneficial when implicit spatial cues are weak. For instance, single CI microphone recordings provide weaker implicit spatial cues than bilateral CIs, but even single CIs benefit from explicit cues. These results emphasize the importance of training models on real-world data to improve generalizability in everyday listening scenarios. Additionally, our statistical analyses offer insights into how data properties influence model performance, supporting the development of efficient speech separation approaches for CIs and other assistive devices in real-world settings.

In this paper, we elaborate on how AI can support diversity and inclusion and exemplify research projects conducted in that direction. We start by looking at the challenges and progress in making large language models (LLMs) more transparent, inclusive, and aware of social biases. Even though LLMs like ChatGPT have impressive abilities, they struggle to understand different cultural contexts and engage in meaningful, human like conversations. A key issue is that biases in language processing, especially in machine translation, can reinforce inequality. Tackling these biases requires a multidisciplinary approach to ensure AI promotes diversity, fairness, and inclusion. We also highlight AI's role in identifying biased content in media, which is important for improving representation. By detecting unequal portrayals of social groups, AI can help challenge stereotypes and create more inclusive technologies. Transparent AI algorithms, which clearly explain their decisions, are essential for building trust and reducing bias in AI systems. We also stress AI systems need diverse and inclusive training data. Projects like the Child Growth Monitor show how using a wide range of data can help address real world problems like malnutrition and poverty. We present a project that demonstrates how AI can be applied to monitor the role of search engines in spreading disinformation about the LGBTQ+ community. Moreover, we discuss the SignON project as an example of how technology can bridge communication gaps between hearing and deaf people, emphasizing the importance of collaboration and mutual trust in developing inclusive AI. Overall, with this paper, we advocate for AI systems that are not only effective but also socially responsible, promoting fair and inclusive interactions between humans and machines.