Recently, the Image Prompt Adapter (IP-Adapter) has been increasingly integrated into text-to-image diffusion models (T2I-DMs) to improve controllability. However, in this paper, we reveal that T2I-DMs equipped with the IP-Adapter (T2I-IP-DMs) enable a new jailbreak attack named the hijacking attack. W e demonstrate that, by uploading imperceptible image-space adversarial examples (AEs), the adversary can hijack massive benign users to jailbreak an Image Generation Service (IGS) driven by T2I-IP-DMs and mislead the public to discredit the service provider . W orse still, the IP-Adapter's dependency on open-source image encoders reduces the knowledge required to craft AEs. Extensive experiments verify the technical feasibility of the hijacking attack. In light of the revealed threat, we investigate several existing defenses and explore combining the IP-Adapter with adversarially trained models to overcome existing defenses' limitations. Our code is available at https://github.com/fhdnskfbeuv/

Recent research has shown that representation learning models may accidentally memorize their training data. For example, the déjà vu method shows that for certain representation learning models and training images, it is sometimes possible to correctly predict the foreground label given only the representation of the background - better than through dataset-level correlations. However, their measurement method requires training two models - one to estimate dataset-level correlations and the other to estimate memorization. This multiple model setup becomes infeasible for large open-source models. In this work, we propose alternative simple methods to estimate dataset-level correlations, and show that these can be used to approximate an off-the-shelf model's memorization ability without any retraining. This enables, for the first time, the measurement of memorization in pre-trained open-source image representation and vision-language representation models. Our results show that different ways of measuring memorization yield very similar aggregate results. We also find that open-source models typically have lower aggregate memorization than similar models trained on a subset of the data. The code is available both for vision and vision language models.

Service and assistive robots are increasingly being deployed in dynamic social environments; however, ensuring transparent and explainable interactions remains a significant challenge. This paper presents a multimodal explainability module that integrates vision language models and heat maps to improve transparency during navigation. The proposed system enables robots to perceive, analyze, and articulate their observations through natural language summaries. User studies (n=30) showed a preference of majority for real-time explanations, indicating improved trust and understanding. Our experiments were validated through confusion matrix analysis to assess the level of agreement with human expectations. Our experimental and simulation results emphasize the effectiveness of explainability in autonomous navigation, enhancing trust and interpretability.

Type 2 Diabetes Mellitus (T2DM) remains a global health challenge, underscoring the need for early and accurate risk prediction. This study presents ECG-DiaNet, a multimodal deep learning model that integrates electrocardiogram (ECG) features with clinical risk factors (CRFs) to enhance T2DM onset prediction. Using data from Qatar Biobank (QBB), we trained and validated models on a development cohort (n=2043) and evaluated performance on a longitudinal test set (n=395) with five-year follow-up. ECG-DiaNet outperformed unimodal ECG-only and CRF-only models, achieving a higher AUROC (0.845 vs 0.8217) than the CRF-only model, with statistical significance (DeLong p<0.001). Reclassification metrics further confirmed improvements: Net Reclassification Improvement (NRI=0.0153) and Integrated Discrimination Improvement (IDI=0.0482). Risk stratification into low-, medium-, and high-risk groups showed ECG-DiaNet achieved superior positive predictive value (PPV) in high-risk individuals. The model's reliance on non-invasive and widely available ECG signals supports its feasibility in clinical and community health settings. By combining cardiac electrophysiology and systemic risk profiles, ECG-DiaNet addresses the multifactorial nature of T2DM and supports precision prevention. These findings highlight the value of multimodal AI in advancing early detection and prevention strategies for T2DM, particularly in underrepresented Middle Eastern populations.

Generative diffusion models have emerged as powerful tools to synthetically produce training data, offering potential solutions to data scarcity and reducing labelling costs for downstream supervised deep learning applications. However, effectively leveraging text-conditioned image generation for building classifier training sets requires addressing key issues: constructing informative textual prompts, adapting generative models to specific domains, and ensuring robust performance. This paper proposes the Text-Conditioned Knowledge Recycling (TCKR) pipeline to tackle these challenges. TCKR combines dynamic image captioning, parameter-efficient diffusion model fine-tuning, and Generative Knowledge Distillation techniques to create synthetic datasets tailored for image classification. The pipeline is rigorously evaluated on ten diverse image classification benchmarks. The results demonstrate that models trained solely on TCKR-generated data achieve classification accuracies on par with (and in several cases exceeding) models trained on real images. Furthermore, the evaluation reveals that these synthetic-data-trained models exhibit substantially enhanced privacy characteristics: their vulnerability to Membership Inference Attacks is significantly reduced, with the membership inference AUC lowered by 5.49 points on average compared to using real training data, demonstrating a substantial improvement in the performance-privacy trade-off. These findings indicate that high-fidelity synthetic data can effectively replace real data for training classifiers, yielding strong performance whilst simultaneously providing improved privacy protection as a valuable emergent property. The code and trained models are available in the accompanying open-source repository.

Objective: Electronic health records (EHR) are widely available to complement administrative data-based disease surveillance and healthcare performance evaluation. Defining conditions from EHR is labour-intensive and requires extensive manual labelling of disease outcomes. This study developed an efficient strategy based on advanced large language models to identify multiple conditions from EHR clinical notes. Methods: We linked a cardiac registry cohort in 2015 with an EHR system in Alberta, Canada. We developed a pipeline that leveraged a generative large language model (LLM) to analyze, understand, and interpret EHR notes by prompts based on specific diagnosis, treatment management, and clinical guidelines. The pipeline was applied to detect acute myocardial infarction (AMI), diabetes, and hypertension. The performance was compared against clinician-validated diagnoses as the reference standard and widely adopted International Classification of Diseases (ICD) codes-based methods. Results: The study cohort accounted for 3,088 patients and 551,095 clinical notes. The prevalence was 55.4%, 27.7%, 65.9% and for AMI, diabetes, and hypertension, respectively. The performance of the LLM-based pipeline for detecting conditions varied: AMI had 88% sensitivity, 63% specificity, and 77% positive predictive value (PPV); diabetes had 91% sensitivity, 86% specificity, and 71% PPV; and hypertension had 94% sensitivity, 32% specificity, and 72% PPV. Compared with ICD codes, the LLM-based method demonstrated improved sensitivity and negative predictive value across all conditions. The monthly percentage trends from the detected cases by LLM and reference standard showed consistent patterns.

Ensuring fairness in machine learning is a critical and challenging task, as biased data representations often lead to unfair predictions. To address this, we propose Deep Fair Learning, a framework that integrates nonlinear sufficient dimension reduction with deep learning to construct fair and informative representations. By introducing a novel penalty term during fine-tuning, our method enforces conditional independence between sensitive attributes and learned representations, addressing bias at its source while preserving predictive performance. Unlike prior methods, it supports diverse sensitive attributes, including continuous, discrete, binary, or multi-group types. Experiments on various types of data structure show that our approach achieves a superior balance between fairness and utility, significantly outperforming state-of-the-art baselines.

Computational phenotyping is essential for biomedical research but often requires significant time and resources, especially since traditional methods typically involve extensive manual data review. While machine learning and natural language processing advancements have helped, further improvements are needed. Few studies have explored using Large Language Models (LLMs) for these tasks despite known advantages of LLMs for text-based tasks. T o facilitate further research in this area, we developed an evaluation framework, Evaluation of PHEnotyping for Observational Health Data (PHEONA), that outlines context-specific considerations. W e applied and demonstrated PHEONA on concept classification, a specific task within a broader phenotyping process for Acute Respiratory Failure (ARF) respiratory support therapies. From the sample concepts tested, we achieved high classification accuracy, suggesting the potential for LLM-based methods to improve computational phenotyping processes.

We propose a neural-network based survival model (SurvSurf) specifically designed for direct and simultaneous probabilistic prediction of the first hitting time of sequential events from baseline. Unlike existing models, SurvSurf is theoretically guaranteed to never violate the monotonic relationship between the cumulative incidence functions of sequential events, while allowing nonlinear influence from predictors. It also incorporates implicit truths for unobserved intermediate events in model fitting, and supports both discrete and continuous time and events. We also identified a variant of the Integrated Brier Score (IBS) that showed robust correlation with the mean squared error (MSE) between the true and predicted probabilities by accounting for implied truths about the missing intermediate events. We demonstrated the superiority of SurvSurf compared to modern and traditional predictive survival models in two simulated datasets and two real-world datasets, using MSE, the more robust IBS and by measuring the extent of monotonicity violation.

This paper explores transfer learning in heterogeneous multi-source environments with distributional divergence between target and auxiliary domains. To address challenges in statistical bias and computational efficiency, we propose a Sparse Optimization for Transfer Learning (SOTL) framework based on L0-regularization. The method extends the Joint Estimation Transferred from Strata (JETS) paradigm with two key innovations: (1) L0-constrained exact sparsity for parameter space compression and complexity reduction, and (2) refining optimization focus to emphasize target parameters over redundant ones. Simulations show that SOTL significantly improves both estimation accuracy and computational speed, especially under adversarial auxiliary domain conditions. Empirical validation on the Community and Crime benchmarks demonstrates the statistical robustness of the SOTL method in cross-domain transfer.