Cancer staging is critical for patient prognosis and treatment planning, yet extracting pathologic TNM staging from unstructured pathology reports poses a persistent challenge. Existing natural language processing (NLP) and machine learning (ML) strategies often depend on large annotated datasets, limiting their scalability and adaptability. In this study, we introduce two Knowledge Elicitation methods designed to overcome these limitations by enabling large language models (LLMs) to induce and apply domain-specific rules for cancer staging. The first, Knowledge Elicitation with Long-Term Memory (KEwLTM), uses an iterative prompting strategy to derive staging rules directly from unannotated pathology reports, without requiring ground-truth labels. The second, Knowledge Elicitation with Retrieval-Augmented Generation (KEwRAG), employs a variation of RAG where rules are pre-extracted from relevant guidelines in a single step and then applied, enhancing interpretability and avoiding repeated retrieval overhead. We leverage the ability of LLMs to apply broad knowledge learned during pre-training to new tasks. Using breast cancer pathology reports from the TCGA dataset, we evaluate their performance in identifying T and N stages, comparing them against various baseline approaches on two open-source LLMs. Our results indicate that KEwLTM outperforms KEwRAG when Zero-Shot Chain-of-Thought (ZSCOT) inference is effective, whereas KEwRAG achieves better performance when ZSCOT inference is less effective. Both methods offer transparent, interpretable interfaces by making the induced rules explicit. These findings highlight the promise of our Knowledge Elicitation methods as scalable, high-performing solutions for automated cancer staging with enhanced interpretability, particularly in clinical settings with limited annotated data.

Clinical decision support systems (CDSS) are used to improve clinical and service outcomes, yet evidence from low- and middle-income countries (LMICs) is dispersed. This protocol outlines methods to quantify the impact of CDSS on patient and healthcare delivery outcomes in LMICs. We will include comparative quantitative designs (randomized trials, controlled before-after, interrupted time series, comparative cohorts) evaluating CDSS in World Bank-defined LMICs. Standalone qualitative studies are excluded; mixed-methods studies are eligible only if they report comparative quantitative outcomes, for which we will extract the quantitative component. Searches (from inception to 30 September 2024) will cover MEDLINE, Embase, CINAHL, CENTRAL, Web of Science, Global Health, Scopus, IEEE Xplore, LILACS, African Index Medicus, and IndMED, plus grey sources. Screening and extraction will be performed in duplicate. Risk of bias will be assessed with RoB 2 (randomized trials) and ROBINS-I (non-randomized). Random-effects meta-analysis will be performed where outcomes are conceptually or statistically comparable; otherwise, a structured narrative synthesis will be presented. Heterogeneity will be explored using relative and absolute metrics and a priori subgroups or meta-regression (condition area, care level, CDSS type, readiness proxies, study design).

Abductive Learning (ABL) integrates machine learning with logical reasoning in a loop: a learning model predicts symbolic concept labels from raw inputs, which are revised through abduction using domain knowledge and then fed back for retraining. However, due to the nondeterminism of abduction, the training process often suffers from instability, especially when the knowledge base is large and complex, resulting in a prohibitively large abduction space. While prior works focus on improving candidate selection within this space, they typically treat the knowledge base as a static black box. In this work, we propose Curriculum Abductive Learning (C-ABL), a method that explicitly leverages the internal structure of the knowledge base to address the ABL training challenges. C-ABL partitions the knowledge base into a sequence of sub-bases, progressively introduced during training. This reduces the abduction space throughout training and enables the model to incorporate logic in a stepwise, smooth way. Experiments across multiple tasks show that C-ABL outperforms previous ABL implementations, significantly improves training stability, convergence speed, and final accuracy, especially under complex knowledge setting.

Privacy concerns have become increasingly critical in modern AI and data science applications, where sensitive information is collected, analyzed, and shared across diverse domains such as healthcare, finance, and mobility. While prior research has focused on protecting privacy in a single data release, many real-world systems operate under sequential or continuous data publishing, where the same or related data are released over time. Such sequential disclosures introduce new vulnerabilities, as temporal correlations across releases may enable adversaries to infer sensitive information that remains hidden in any individual release. In this paper, we investigate whether an attacker can compromise privacy in sequential data releases by exploiting dependencies between consecutive publications, even when each individual release satisfies standard privacy guarantees. To this end, we propose a novel attack model that captures these sequential dependencies by integrating a Hidden Markov Model with a reinforcement learning-based bi-directional inference mechanism. This enables the attacker to leverage both earlier and later observations in the sequence to infer private information. We instantiate our framework in the context of trajectory data, demonstrating how an adversary can recover sensitive locations from sequential mobility datasets. Extensive experiments on Geolife, Porto Taxi, and SynMob datasets show that our model consistently outperforms baseline approaches that treat each release independently. The results reveal a fundamental privacy risk inherent to sequential data publishing, where individually protected releases can collectively leak sensitive information when analyzed temporally. These findings underscore the need for new privacy-preserving frameworks that explicitly model temporal dependencies, such as time-aware differential privacy or sequential data obfuscation strategies.

Deep learning methods have shown promising performance in fault diagnosis for multimode process. Most existing studies assume that the collected health state categories from different operating modes are identical. However, in real industrial scenarios, these categories typically exhibit only partial overlap. The incompleteness of the available data and the large distributional differences between the operating modes pose a significant challenge to existing fault diagnosis methods. To address this problem, a novel fault diagnosis model named self-adaptive temporal-spatial attention network (TSA-SAN) is proposed. First, inter-mode mappings are constructed using healthy category data to generate multimode samples. To enrich the diversity of the fault data, interpolation is performed between healthy and fault samples. Subsequently, the fault diagnosis model is trained using real and generated data. The self-adaptive instance normalization is established to suppress irrelevant information while retaining essential statistical features for diagnosis. In addition, a temporal-spatial attention mechanism is constructed to focus on the key features, thus enhancing the generalization ability of the model. The extensive experiments demonstrate that the proposed model significantly outperforms the state-of-the-art methods. The code will be available on Github at https://github.com/GuangqiangLi/TSA-SAN.

Agentic AI represents a transformative shift in artificial intelligence, but its rapid advancement has led to a fragmented understanding, often conflating modern neural systems with outdated symbolic models -- a practice known as conceptual retrofitting. This survey cuts through this confusion by introducing a novel dual-paradigm framework that categorizes agentic systems into two distinct lineages: the Symbolic/Classical (relying on algorithmic planning and persistent state) and the Neural/Generative (leveraging stochastic generation and prompt-driven orchestration). Through a systematic PRISMA-based review of 90 studies (2018--2025), we provide a comprehensive analysis structured around this framework across three dimensions: (1) the theoretical foundations and architectural principles defining each paradigm; (2) domain-specific implementations in healthcare, finance, and robotics, demonstrating how application constraints dictate paradigm selection; and (3) paradigm-specific ethical and governance challenges, revealing divergent risks and mitigation strategies. Our analysis reveals that the choice of paradigm is strategic: symbolic systems dominate safety-critical domains (e.g., healthcare), while neural systems prevail in adaptive, data-rich environments (e.g., finance). Furthermore, we identify critical research gaps, including a significant deficit in governance models for symbolic systems and a pressing need for hybrid neuro-symbolic architectures. The findings culminate in a strategic roadmap arguing that the future of Agentic AI lies not in the dominance of one paradigm, but in their intentional integration to create systems that are both adaptable and reliable. This work provides the essential conceptual toolkit to guide future research, development, and policy toward robust and trustworthy hybrid intelligent systems.

Interpreting and communicating electrocardiogram (ECG) findings are crucial yet challenging tasks in cardiovascular diagnosis, traditionally requiring significant expertise and precise clinical communication. This paper introduces Cardi-GPT, an advanced expert system designed to streamline ECG interpretation and enhance clinical communication through deep learning and natural language interaction. Cardi-GPT employs a 16-residual-block convolutional neural network (CNN) to process 12-lead ECG data, achieving a weighted accuracy of 0.6194 across 24 cardiac conditions. A novel fuzzification layer converts complex numerical outputs into clinically meaningful linguistic categories, while an integrated chatbot interface facilitates intuitive exploration of diagnostic insights and seamless communication between healthcare providers. The system was evaluated on a diverse dataset spanning six hospitals across four countries, demonstrating superior performance compared to baseline models. Additionally, Cardi-GPT achieved an impressive overall response quality score of 73\%, assessed using a comprehensive evaluation framework that measures coverage, grounding, and coherence. By bridging the gap between intricate ECG data interpretation and actionable clinical insights, Cardi-GPT represents a transformative innovation in cardiovascular healthcare, promising to improve diagnostic accuracy, clinical workflows, and patient outcomes across diverse medical settings.

Large Language Models (LLMs) generate fluent, plausible text that can mislead users into mistaking simulated coherence for genuine understanding. This paper introduces the Epistemic Suite, a post-foundational diagnostic methodology for surfacing the epistemic conditions under which AI outputs are produced and received. Rather than determining truth or falsity, the Suite operates through twenty diagnostic lenses, applied by practitioners as context warrants, to reveal patterns such as confidence laundering, narrative compression, displaced authority, and temporal drift. It is grounded in three design principles: diagnosing production before evaluating claims, preferring diagnostic traction over foundational settlement, and embedding reflexivity as a structural requirement rather than an ethical ornament. When enacted, the Suite shifts language models into a diagnostic stance, producing inspectable artifacts-flags, annotations, contradiction maps, and suspension logs (the FACS bundle)-that create an intermediary layer between AI output and human judgment. A key innovation is epistemic suspension, a practitioner-enacted circuit breaker that halts continuation when warrant is exceeded, with resumption based on judgment rather than rule. The methodology also includes an Epistemic Triage Protocol and a Meta-Governance Layer to manage proportionality and link activation to relational accountability, consent, historical context, and pluralism safeguards. Unlike internalist approaches that embed alignment into model architectures (e.g., RLHF or epistemic-integrity proposals), the Suite operates externally as scaffolding, preserving expendability and refusal as safeguards rather than failures. It preserves the distinction between performance and understanding, enabling accountable deliberation while maintaining epistemic modesty.

A large class of Neural-Symbolic (NeSy) methods employs a machine learner to process the input entities, while relying on a reasoner based on First-Order Logic to represent and process more complex relationships among the entities. A fundamental role for these methods is played by the process of logic grounding, which determines the relevant substitutions for the logic rules using a (sub)set of entities. Some NeSy methods use an exhaustive derivation of all possible substitutions, preserving the full expressive power of the logic knowledge. This leads to a combinatorial explosion in the number of ground formulas to consider and, therefore, strongly limits their scalability. Other methods rely on heuristic-based selective derivations, which are generally more computationally efficient, but lack a justification and provide no guarantees of preserving the information provided to and returned by the reasoner. Taking inspiration from multi-hop symbolic reasoning, this paper proposes a parametrized family of grounding methods generalizing classic Backward Chaining. Different selections within this family allow us to obtain commonly employed grounding methods as special cases, and to control the trade-off between expressiveness and scalability of the reasoner. The experimental results show that the selection of the grounding criterion is often as important as the NeSy method itself.

Relation extraction between drugs plays a crucial role in identifying drug drug interactions and predicting side effects. The advancement of machine learning methods in relation extraction, along with the development of large medical text databases, has enabled the low cost extraction of such relations compared to other approaches that typically require expert knowledge. However, to the best of our knowledge, there are limited datasets specifically designed for drug drug relation extraction currently available. Therefore, employing transfer learning becomes necessary to apply machine learning methods in this domain. In this study, we propose DREAM, a method that first employs a trained relation extraction model to discover relations between entities and then applies this model to a corpus of medical texts to construct an ontology of drug relationships. The extracted relations are subsequently validated using a large language model. Quantitative results indicate that the LLM agreed with 71 of the relations extracted from a subset of PubMed abstracts. Furthermore, our qualitative analysis indicates that this approach can uncover ambiguities in the medical domain, highlighting the challenges inherent in relation extraction in this field.