General practitioners (GPs) serve as the cornerstone of primary healthcare systems by providing continuous and comprehensive medical services. However, due to community-oriented nature of their practice, uneven training and resource gaps, the clinical proficiency among GPs can vary significantly across regions and healthcare settings. Currently, Large Language Models (LLMs) have demonstrated great potential in clinical and medical applications, making them a promising tool for supporting general practice. However, most existing benchmarks and evaluation frameworks focus on exam-style assessments-typically multiple-choice question-lack comprehensive assessment sets that accurately mirror the real-world scenarios encountered by GPs. To evaluate how effectively LLMs can make decisions in the daily work of GPs, we designed GPBench, which consists of both test questions from clinical practice and a novel evaluation framework. The test set includes multiple-choice questions that assess fundamental knowledge of general practice, as well as realistic, scenario-based problems. All questions are meticulously annotated by experts, incorporating rich fine-grained information related to clinical management. The proposed LLM evaluation framework is based on the competency model for general practice, providing a comprehensive methodology for assessing LLM performance in real-world settings. As the first large-model evaluation set targeting GP decision-making scenarios, GPBench allows us to evaluate current mainstream LLMs. Expert assessment and evaluation reveal that in areas such as disease staging, complication recognition, treatment detail, and medication usage, these models exhibit at least ten major shortcomings. Overall, existing LLMs are not yet suitable for independent use in real-world GP working scenarios without human oversight.

Resource limitations often constrain the parameter counts of Large Language Models (LLMs), hindering their performance. While existing methods employ parameter sharing to reuse the same parameter set under fixed budgets, such approaches typically force each layer to assume multiple roles with a predetermined number of iterations, restricting efficiency and adaptability. In this work, we propose the Zero Token Transformer (ZTT), which features a head-tail decoupled parameter cycling method. We disentangle the first (head) and last (tail) layers from parameter cycling and iteratively refine only the intermediate layers. Furthermore, we introduce a Zero-Token Mechanism, an internal architectural component rather than an input token, to guide layer-specific computation. At each cycle, the model retrieves a zero token (with trainable key values) from a Zero-Token Pool, integrating it alongside regular tokens in the attention mechanism. The corresponding attention scores not only reflect each layer's computational importance but also enable dynamic early exits without sacrificing overall model accuracy. Our approach achieves superior performance under tight parameter budgets, effectively reduces computational overhead via early exits, and can be readily applied to fine-tune existing pre-trained models for enhanced efficiency and adaptability.

The rapid development of multimodal large language models (MLLMs) has brought significant improvements to a wide range of tasks in real-world applications. However, LLMs still exhibit certain limitations in extracting implicit semantic information. In this paper, we apply MLLMs to the Multi-modal Entity Set Expansion (MESE) task, which aims to expand a handful of seed entities with new entities belonging to the same semantic class, and multi-modal information is provided with each entity. We explore the capabilities of MLLMs to understand implicit semantic information at the entity-level granularity through the MESE task, introducing a listwise ranking method LUSAR that maps local scores to global rankings. Our LUSAR demonstrates significant improvements in MLLM's performance on the MESE task, marking the first use of generative MLLM for ESE tasks and extending the applicability of listwise ranking.

As social changes accelerate, the incidence of psychosomatic disorders has significantly increased, becoming a major challenge in global health issues. This necessitates an innovative knowledge system and analytical methods to aid in diagnosis and treatment. Here, we establish the ontology model and entity types, using the BERT model and LoRA-tuned LLM for named entity recognition, constructing the knowledge graph with 9668 triples. Next, by analyzing the network distances between disease, symptom, and drug modules, it was found that closer network distances among diseases can predict greater similarities in their clinical manifestations, treatment approaches, and psychological mechanisms, and closer distances between symptoms indicate that they are more likely to co-occur. Lastly, by comparing the proximity d and proximity z score, it was shown that symptom-disease pairs in primary diagnostic relationships have a stronger association and are of higher referential value than those in diagnostic relationships. The research results revealed the potential connections between diseases, co-occurring symptoms, and similarities in treatment strategies, providing new perspectives for the diagnosis and treatment of psychosomatic disorders and valuable information for future mental health research and practice.

One way to quantify exposure to air pollution and its constituents in epidemiologic studies is to use an individual's nearest monitor. This strategy results in potential inaccuracy in the actual personal exposure, introducing bias in estimating the health effects of air pollution and its constituents, especially when evaluating the causal effects of correlated multi-pollutant constituents measured with correlated error. This paper addresses estimation and inference for the causal effect of one constituent in the presence of other PM2.5 constituents, accounting for measurement error and correlations. We used a linear regression calibration model, fitted with generalized estimating equations in an external validation study, and extended a double/debiased machine learning (DML) approach to correct for measurement error and estimate the effect of interest in the main study. We demonstrated that the DML estimator with regression calibration is consistent and derived its asymptotic variance. Simulations showed that the proposed estimator reduced bias and attained nominal coverage probability across most simulation settings. We applied this method to assess the causal effects of PM2.5 constituents on cognitive function in the Nurses' Health Study and identified two PM2.5 constituents, Br and Mn, that showed a negative causal effect on cognitive function after measurement error correction.

To tackle the issues of catastrophic forgetting and overfitting in few-shot class-incremental learning (FSCIL), previous work has primarily concentrated on preserving the memory of old knowledge during the incremental phase. The role of pre-trained model in shaping the effectiveness of incremental learning is frequently underestimated in these studies. Therefore, to enhance the generalization ability of the pre-trained model, we propose Learning with Prior Knowledge (LwPK) by introducing nearly free prior knowledge from a few unlabeled data of subsequent incremental classes. We cluster unlabeled incremental class samples to produce pseudo-labels, then jointly train these with labeled base class samples, effectively allocating embedding space for both old and new class data. Experimental results indicate that LwPK effectively enhances the model resilience against catastrophic forgetting, with theoretical analysis based on empirical risk minimization and class distance measurement corroborating its operational principles. The source code of LwPK is publicly available at: \url{https://github.com/StevenJ308/LwPK}.

The video-language (VL) pretraining has achieved remarkable improvement in multiple downstream tasks. However, the current VL pretraining framework is hard to extend to multiple modalities (N modalities, N>=3) beyond vision and language. We thus propose LanguageBind, taking the language as the bind across different modalities because the language modality is well-explored and contains rich semantics. Specifically, we freeze the language encoder acquired by VL pretraining, then train encoders for other modalities with contrastive learning. As a result, all modalities are mapped to a shared feature space, implementing multi-modal semantic alignment. While LanguageBind ensures that we can extend VL modalities to N modalities, we also need a high-quality dataset with alignment data pairs centered on language. We thus propose VIDAL-10M with Video, Infrared, Depth, Audio and their corresponding Language, naming as VIDAL-10M. In our VIDAL-10M, all videos are from short video platforms with complete semantics rather than truncated segments from long videos, and all the video, depth, infrared, and audio modalities are aligned to their textual descriptions. LanguageBind has achieved superior performance on a wide range of 15 benchmarks covering video, audio, depth, and infrared. Moreover, multiple experiments have provided evidence for the effectiveness of LanguageBind in achieving indirect alignment and complementarity among diverse modalities. Code address: https://github.com/PKU-YuanGroup/LanguageBind

Abstract--Sequential processes in real-world often carry a combination of simple subsystems that interact with each other in certain forms. Learning such a modular structure can often improve the robustness against environmental changes. In this paper, we propose recurrent independent Grid LSTM (RigLSTM), composed of a group of independent LSTM cells that cooperate with each other, for exploiting the underlying modular structure of the target task. Our model adopts cell selection, input feature selection, hidden state selection, and soft state updating to achieve a better generalization ability on the basis of the recent Grid LSTM for the tasks where some factors differ between training and evaluation. Specifically, at each time step, only a fraction of cells are activated, and the activated cells select relevant inputs and cells to communicate with. At the end of one time step, the hidden states of the activated cells are updated by considering the relevance between the inputs and the hidden states from the last and current time steps. Extensive experiments on diversified sequential modeling tasks are conducted to show the superior generalization ability when there exist changes in the testing environment. A certain patterns and characterizing real-world dynamic processes, such as component is corresponding to a certain part of the environment. Therefore, models adopt such reinforcement learning for intelligent agents [11], [12].

Unsupervised text style transfer aims at training a generative model that can alter the style of the input sentence while preserving its content without using any parallel data. In this paper, we employ powerful pre-trained large language models and present a new prefix-tuning-based method for unsupervised text style transfer. We construct three different kinds of prefixes, i.e., \textit{shared prefix, style prefix}, and \textit{content prefix}, to encode task-specific information, target style, and the content information of the input sentence, respectively. Compared to embeddings used by previous works, the proposed prefixes can provide richer information for the model. Furthermore, we adopt a recursive way of using language models in the process of style transfer. This strategy provides a more effective way for the interactions between the input sentence and GPT-2, helps the model construct more informative prefixes, and thus, helps improve the performance. Evaluations on the well-known datasets show that our method outperforms the state-of-the-art baselines. Results, analysis of ablation studies, and subjective evaluations from humans are also provided for a deeper understanding of the proposed method.

Decentralized minimax optimization has been actively studied in the past few years due to its application in a wide range of machine learning models. However, the current theoretical understanding of its convergence rate is far from satisfactory since existing works only focus on the nonconvex-strongly-concave problem. This motivates us to study decentralized minimax optimization algorithms for the nonconvex-nonconcave problem. To this end, we develop two novel decentralized stochastic variance-reduced gradient descent ascent algorithms for the finite-sum nonconvex-nonconcave problem that satisfies the Polyak-{\L}ojasiewicz (PL) condition. In particular, our theoretical analyses demonstrate how to conduct local updates and perform communication to achieve the linear convergence rate. To the best of our knowledge, this is the first work achieving linear convergence rates for decentralized nonconvex-nonconcave problems. Finally, we verify the performance of our algorithms on both synthetic and real-world datasets. The experimental results confirm the efficacy of our algorithms.