Division of Clinical and Translational Cancer Research, University of Puerto Rico Comprehensive Cancer Center, San Juan, PR, 00921, USA Abstract Transformer-based deep learning models have shown promise for disease risk prediction using electronic health records (EHRs), but modeling temporal dependencies remains a key challenge due to irregular visit intervals and lack of uniform structure. We propose a Bi-Positional Embedding Transformer Encoder or BiPETE for single-disease prediction, which integrates rotary positional em-beddings to encode relative visit timing and sinusoidal embeddings to preserve visit order. Without relying on large-scale pretraining, BiPETE is trained on EHR data from two mental health cohorts-depressive disorder and post-traumatic stress disorder (PTSD)-to predict the risk of alcohol and substance use disorders (ASUD). BiPETE outperforms baseline models, improving the area under the precision-recall curve (AUPRC) by 34% and 50% in the depression and PTSD cohorts, respectively. An ablation study further confirms the effectiveness of the dual positional encoding strategy. We apply the Integrated Gradients method to interpret model predictions, identifying key clinical features associated with ASUD risk and protection, such as abnormal inflammatory, hematologic, and metabolic markers, as well as specific medications and comorbidities. Overall, these key clinical features identified by the attribution methods contribute to a deeper understanding of the risk assessment process and offer valuable clues for mitigating potential risks. In summary, our study presents a practical and interpretable framework for disease risk prediction using EHR data, which can achieve strong performance.

This research-to-practice full paper was inspired by the persistent challenge in effective communication among engineering students. Public speaking is a necessary skill for future engineers as they have to communicate technical knowledge with diverse stakeholders. While universities offer courses or workshops, they are unable to offer sustained and personalized training to students. Providing comprehensive feedback on both verbal and non-verbal aspects of public speaking is time-intensive, making consistent and individualized assessment impractical. This study integrates research on verbal and non-verbal cues in public speaking to develop an AI-driven assessment model for engineering students. Our approach combines speech analysis, computer vision, and sentiment detection into a multi-modal AI system that provides assessment and feedback. The model evaluates (1) verbal communication (pitch, loudness, pacing, intonation), (2) non-verbal communication (facial expressions, gestures, posture), and (3) expressive coherence, a novel integration ensuring alignment between speech and body language. Unlike previous systems that assess these aspects separately, our model fuses multiple modalities to deliver personalized, scalable feedback. Preliminary testing demonstrated that our AI-generated feedback was moderately aligned with expert evaluations. Among the state-of-the-art AI models evaluated, all of which were Large Language Models (LLMs), including Gemini and OpenAI models, Gemini Pro emerged as the best-performing, showing the strongest agreement with human annotators. By eliminating reliance on human evaluators, this AI-driven public speaking trainer enables repeated practice, helping students naturally align their speech with body language and emotion, crucial for impactful and professional communication.

Abstract--aintaining system stability and accurate position tracking is imperative in networked robotic systems, particularly for haptics-enabled human-robot interaction. Recent literature have integrated human biomechanics into the stabilizers implemented for teleoperation, enhancing force preservation while guaranteeing convergence and safety. However, position desynchronization due to imperfect communication and non-passive behaviors remains a challenge. We provide the mathematical design synthesis of the stabilizer and the proof of stability. We also conducted a series of grid simulations and systematic experiments and compared the performance with state-of-the-art solutions regarding varying time delays and environmental conditions. The proposed stabilizer is effective for various telerobotic applications requiring precise position synchronization.aintaining Recent literature have integrated human biomechanics into the stabilizers implemented for teleoperation, enhancing force preservation while guaranteeing convergence and safety. However, position desynchronization due to imperfect communication and non-passive behaviors remains a challenge. We provide the mathematical design synthesis of the stabilizer and the proof of stability.

Structure-based drug design has seen significant advancements with the integration of artificial intelligence (AI), particularly in the generation of hit and lead compounds. However, most AI-driven approaches neglect the importance of endogenous protein interactions with peptides, which may result in suboptimal molecule designs. In this work, we present Peptide2Mol, an E(3)-equivariant graph neural network diffusion model that generates small molecules by referencing both the original peptide binders and their surrounding protein pocket environments. Trained on large datasets and leveraging sophisticated modeling techniques, Peptide2Mol not only achieves state-of-the-art performance in non-autoregressive generative tasks, but also produces molecules with similarity to the original peptide binder. Additionally, the model allows for molecule optimization and peptidomimetic design through a partial diffusion process. Our results highlight Peptide2Mol as an effective deep generative model for generating and optimizing bioactive small molecules from protein binding pockets.

Background and Objectives: This paper focuses on using AI to assess the cognitive function of older adults with mild cognitive impairment or mild dementia using physiological data provided by a wearable device. Cognitive screening tools are disruptive, time-consuming, and only capture brief snapshots of activity. Wearable sensors offer an attractive alternative by continuously monitoring physiological signals. This study investigated whether physiological data can accurately predict scores on established cognitive tests. Research Design and Methods: We recorded physiological signals from 23 older adults completing three NIH Toolbox Cognitive Battery tests, which assess working memory, processing speed, and attention. The Empatica EmbracePlus, a wearable device, measured blood volume pulse, skin conductance, temperature, and movement. Statistical features were extracted using wavelet-based and segmentation methods. We then applied supervised learning and validated predictions via cross-validation, hold-out testing, and bootstrapping. Results: Our models showed strong performance with Spearman's ρof 0.73-0.82 and mean absolute errors of 0.14-0.16, significantly outperforming a naive mean predictor. Sensor roles varied: heart-related signals combined with movement and temperature best predicted working memory, movement paired with skin conductance was most informative for processing speed, and heart in tandem with skin conductance worked best for attention. Discussion and Implications: These findings suggest that wearable sensors paired with AI tools such as supervised learning and feature engineering can noninvasively track specific cognitive functions in older adults, enabling continuous monitoring. Our study demonstrates how AI can be leveraged when the data sample is small. This approach may support remote assessments and facilitate clinical interventions.

The financial industry faces a significant challenge modeling and risk portfolios: balancing the predictability of advanced machine learning models, neural network models, and explainability required by regulatory entities (such as Office of the Comptroller of the Currency, Consumer Financial Protection Bureau). This paper intends to fill the gap in the application between these "black box" models and explainability frameworks, such as LIME and SHAP. Authors elaborate on the application of these frameworks on different models and demonstrates the more complex models with better prediction powers could be applied and reach the same level of the explainability, using SHAP and LIME. Beyond the comparison and discussion of performances, this paper proposes a novel five dimensional framework evaluating Inherent Interpretability, Global Explanations, Local Explanations, Consistency, and Complexity to offer a nuanced method for assessing and comparing model explainability beyond simple accuracy metrics. This research demonstrates the feasibility of employing sophisticated, high performing ML models in regulated financial environments by utilizing modern explainability techniques and provides a structured approach to evaluate the crucial trade offs between model performance and interpretability.

Magnetic resonance imaging (MRI), especially functional MRI (fMRI) and diffusion MRI (dMRI), is essential for studying neurodegenerative diseases. However, missing modalities pose a major barrier to their clinical use. Although GAN- and diffusion model-based approaches have shown some promise in modality completion, they remain limited in fMRI-dMRI synthesis due to (1) significant BOLD vs. diffusion-weighted signal differences between fMRI and dMRI in time/gradient axis, and (2) inadequate integration of disease-related neuroanatomical patterns during generation. To address these challenges, we propose PDS, introducing two key innovations: (1) a pattern-aware dual-modal 3D diffusion framework for cross-modality learning, and (2) a tissue refinement network integrated with a efficient microstructure refinement to maintain structural fidelity and fine details. Evaluated on OASIS-3, ADNI, and in-house datasets, our method achieves state-of-the-art results, with PSNR/SSIM scores of 29.83 dB/90.84\% for fMRI synthesis (+1.54 dB/+4.12\% over baselines) and 30.00 dB/77.55\% for dMRI synthesis (+1.02 dB/+2.2\%). In clinical validation, the synthesized data show strong diagnostic performance, achieving 67.92\%/66.02\%/64.15\% accuracy (NC vs. MCI vs. AD) in hybrid real-synthetic experiments. Code is available in \href{https://github.com/SXR3015/PDS}{PDS GitHub Repository}

High-Risk Property (HRP) classification is critical at U.S. Department of Energy (DOE) sites, where inventories include sensitive and often dual-use equipment. Compliance must track evolving rules designated by various export control policies to make transparent and auditable decisions. Traditional expert-only workflows are time-consuming, backlog-prone, and struggle to keep pace with shifting regulatory boundaries. We demo ORCHID, a modular agentic system for HRP classification that pairs retrieval-augmented generation (RAG) with human oversight to produce policy-based outputs that can be audited. Small cooperating agents, retrieval, description refiner, classifier, validator, and feedback logger, coordinate via agent-to-agent messaging and invoke tools through the Model Context Protocol (MCP) for model-agnostic on-premise operation. The interface follows an Item to Evidence to Decision loop with step-by-step reasoning, on-policy citations, and append-only audit bundles (run-cards, prompts, evidence). In preliminary tests on real HRP cases, ORCHID improves accuracy and traceability over a non-agentic baseline while deferring uncertain items to Subject Matter Experts (SMEs). The demonstration shows single item submission, grounded citations, SME feedback capture, and exportable audit artifacts, illustrating a practical path to trustworthy LLM assistance in sensitive DOE compliance workflows.

Rapid advances in generative AI have led to increasingly realistic deepfakes, posing growing challenges for law enforcement and public trust. Existing passive deepfake detectors struggle to keep pace, largely due to their dependence on specific forgery artifacts, which limits their ability to generalize to new deepfake types. Proactive deepfake detection using watermarks has emerged to address the challenge of identifying high-quality synthetic media. However, these methods often struggle to balance robustness against benign distortions with sensitivity to malicious tampering. This paper introduces a novel deep learning framework that harnesses high-dimensional latent space representations and the Multi-Agent Adversarial Reinforcement Learning (MAARL) paradigm to develop a robust and adaptive watermarking approach. Specifically, we develop a learnable watermark embedder that operates in the latent space, capturing high-level image semantics, while offering precise control over message encoding and extraction. The MAARL paradigm empowers the learnable watermarking agent to pursue an optimal balance between robustness and fragility by interacting with a dynamic curriculum of benign and malicious image manipulations simulated by an adversarial attacker agent. Comprehensive evaluations on the CelebA and CelebA-HQ benchmarks reveal that our method consistently outperforms state-of-the-art approaches, achieving improvements of over 4.5% on CelebA and more than 5.3% on CelebA-HQ under challenging manipulation scenarios.

The advancement of artificial intelligence in oral healthcare relies on the availability of large-scale multimodal datasets that capture the complexity of clinical practice. In this paper, we present a comprehensive multimodal dataset, comprising 8775 dental checkups from 4800 patients collected over eight years (2018-2025), with patients ranging from 10 to 90 years of age. The dataset includes 50000 intraoral images, 8056 radiographs, and detailed textual records, including diagnoses, treatment plans, and follow-up notes. The data were collected under standard ethical guidelines and annotated for benchmarking. To demonstrate its utility, we fine-tuned state-of-the-art large vision-language models, Qwen-VL 3B and 7B, and evaluated them on two tasks: classification of six oro-dental anomalies and generation of complete diagnostic reports from multimodal inputs. We compared the fine-tuned models with their base counterparts and GPT-4o. The fine-tuned models achieved substantial gains over these baselines, validating the dataset and underscoring its effectiveness in advancing AI-driven oro-dental healthcare solutions. The dataset is publicly available, providing an essential resource for future research in AI dentistry.