Breakthroughs, discoveries, and DIY tips sent every weekday. It's been found in ancient human feces . The U.S. government stored 6.4 metric tons of it in mountains . And a big hunk of it played a major role in a presidential farewell party . While too much of the popular dairy product can spell tummy troubles and high cholesterol for some, new research suggests that eating more high-fat cheese and cream could be linked to a lower risk of developing dementia .

Japan is facing a dementia crisis - can technology help? Last year, more than 18,000 older people living with dementia left their homes and wandered off in Japan. Almost 500 were later found dead. Police say such cases have doubled since 2012. Elderly people aged 65 and over now make up nearly 30% of Japan's population - the second-highest proportion in the world after Monaco, according to the World Bank.

Reinforcement Learning (RL) faces significant challenges in adaptive healthcare interventions, such as dementia care, where data is scarce, decisions require interpretability, and underlying patient-state dynamic are complex and causal in nature. In this work, we present a novel framework called Causal structure-aware Reinforcement Learning (CRL) that explicitly integrates causal discovery and reasoning into policy optimization. This method enables an agent to learn and exploit a directed acyclic graph (DAG) that describes the causal dependencies between human behavioral states and robot actions, facilitating more efficient, interpretable, and robust decision-making. We validate our approach in a simulated robot-assisted cognitive care scenario, where the agent interacts with a virtual patient exhibiting dynamic emotional, cognitive, and engagement states. The experimental results show that CRL agents outperform conventional model-free RL baselines by achieving higher cumulative rewards, maintaining desirable patient states more consistently, and exhibiting interpretable, clinically-aligned behavior. We further demonstrate that CRL's performance advantage remains robust across different weighting strategies and hyperparameter settings. In addition, we demonstrate a lightweight LLM-based deployment: a fixed policy is embedded into a system prompt that maps inferred states to actions, producing consistent, supportive dialogue without LLM finetuning. Our work illustrates the promise of causal reinforcement learning for human-robot interaction applications, where interpretability, adaptiveness, and data efficiency are paramount.

Background: Impairment of visual spatial cognitive function is the most common early clinical manifestation of Alzheimer's Disease (AD). When the Montreal Cognitive Assessment (MoCA) uses the "0/1" binary method ("pass/fail") to evaluate the visual spatial cognitive ability represented by the Cube Copying Test(CCT), the elder with less formal education generally score 0 point, resulting in serious bias in the evaluation results. Therefore, this study proposes a fine evaluation method for CCT based on dynamic handwriting feature extraction of DH-SCSM-BLA. method : The Cogni-CareV3.0 software independently developed by our team was used to collect dynamic handwriting data of CCT. Then, the spatial and motion features of segmented dynamic handwriting were extracted, and feature matrix with unequal dimensions were normalized. Finally, a bidirectional long short-term memory network model combined with attention mechanism (BiLSTM-Attention) was adopted for classification. Result: The experimental results showed that: The proposed method has significant superiority compared to similar studies, with a classification accuracy of 86.69%. The distribution of cube drawing ability scores has significant regularity for three aspects such as MCI patients and healthy control group, age, and levels of education. It was also found that score for each cognitive task including cube drawing ability score is negatively correlated with age. Score for each cognitive task including cube drawing ability score, but positively correlated with levels of education significantly. Conclusion: This study provides a relatively objective and comprehensive evaluation method for early screening and personalized intervention of visual spatial cognitive impairment.

Alzheimer's Disease and Related Dementias (AD/ADRD) are progressive neurodegenerative conditions that impair memory, thought processes, and functioning. Family caregivers of individuals with AD/ADRD face significant mental health challenges due to long-term caregiving responsibilities. Yet, current support systems often overlook the evolving nature of their mental wellbeing needs. Our study examines caregivers' mental wellbeing concerns, focusing on the practices they adopt to manage the burden of caregiving and the technologies they use for support. Through semi-structured interviews with 25 family caregivers of individuals with AD/ADRD, we identified the key causes and effects of mental health challenges, and developed a temporal mapping of how caregivers' mental wellbeing evolves across three distinct stages of the caregiving journey. Additionally, our participants shared insights into improvements for existing mental health technologies, emphasizing the need for accessible, scalable, and personalized solutions that adapt to caregivers' changing needs over time. These findings offer a foundation for designing dynamic, stage-sensitive interventions that holistically support caregivers' mental wellbeing, benefiting both caregivers and care recipients.

Faithful reasoning in medical vision-language models (VLMs) requires not only accurate predictions but also transparent alignment between textual rationales and visual evidence. While Chain-of-Thought (CoT) prompting has shown promise in medical visual question answering (VQA), no large-scale expert-level dataset has captured stepwise reasoning with precise visual grounding. We introduce S-Chain, the first large-scale dataset of 12,000 expert-annotated medical images with bounding boxes and structured visual CoT (SV-CoT), explicitly linking visual regions to reasoning steps. The dataset further supports 16 languages, totaling over 700k VQA pairs for broad multilingual applicability. Using S-Chain, we benchmark state-of-the-art medical VLMs (ExGra-Med, LLaVA-Med) and general-purpose VLMs (Qwen2.5-VL, InternVL2.5), showing that SV-CoT supervision significantly improves interpretability, grounding fidelity, and robustness. Beyond benchmarking, we study its synergy with retrieval-augmented generation, revealing how domain knowledge and visual grounding interact during autoregressive reasoning. Finally, we propose a new mechanism that strengthens the alignment between visual evidence and reasoning, improving both reliability and efficiency. S-Chain establishes a new benchmark for grounded medical reasoning and paves the way toward more trustworthy and explainable medical VLMs.

Early detection of Alzheimer's disease (AD) is crucial because its neurodegenerative effects are irreversible, and neuropathologic and social-behavioral risk factors accumulate years before diagnosis. Identifying higher-risk individuals earlier enables prevention, timely care, and equitable resource allocation. We predict cognitive performance from social determinants of health (SDOH) using the NIH NIA-supported PREPARE Challenge Phase 2 dataset derived from the nationally representative Mex-Cog cohort of the 2003 and 2012 Mexican Health and Aging Study (MHAS). Data: The target is a validated composite cognitive score across seven domains-orientation, memory, attention, language, constructional praxis, and executive function-derived from the 2016 and 2021 MHAS waves. Predictors span demographic, socioeconomic, health, lifestyle, psychosocial, and healthcare access factors. Methodology: Missingness was addressed with a singular value decomposition (SVD)-based imputation pipeline treating continuous and categorical variables separately. This approach leverages latent feature correlations to recover missing values while balancing reliability and scalability. After evaluating multiple methods, XGBoost was chosen for its superior predictive performance. Results and Discussion: The framework outperformed existing methods and the data challenge leaderboard, demonstrating high accuracy, robustness, and interpretability. SHAP-based post hoc analysis identified top contributing SDOH factors and age-specific feature patterns. Notably, flooring material emerged as a strong predictor, reflecting socioeconomic and environmental disparities. Other influential factors, age, SES, lifestyle, social interaction, sleep, stress, and BMI, underscore the multifactorial nature of cognitive aging and the value of interpretable, data-driven SDOH modeling.

People living with dementia (PLWDs) face progressively declining abilities in medication management-from simple forgetfulness to complete task breakdown-yet most assistive technologies fail to adapt to these changing needs. This one-size-fits-all approach undermines autonomy, accelerates dependence, and increases caregiver burden. Occupational therapy principles emphasize matching assistance levels to individual capabilities: minimal reminders for those who merely forget, spatial guidance for those who misplace items, and comprehensive multimodal support for those requiring step-by-step instruction. However, existing robotic systems lack this adaptive, graduated response framework essential for maintaining PLWD independence. We present an adaptive multimodal robotic framework using the Pepper robot that dynamically adjusts assistance based on real-time assessment of user needs. Our system implements a hierarchical intervention model progressing from (1) simple verbal reminders, to (2) verbal + gestural cues, to (3) full multimodal guidance combining physical navigation to medication locations with step-by-step verbal and gestural instructions. Powered by LLM-driven interaction strategies and multimodal sensing, the system continuously evaluates task states to provide just-enough assistance-preserving autonomy while ensuring medication adherence. We conducted a preliminary study with healthy adults and dementia care stakeholders in a controlled lab setting, evaluating the system's usability, comprehensibility, and appropriateness of adaptive feedback mechanisms. This work contributes: (1) a theoretically grounded adaptive assistance framework translating occupational therapy principles into HRI design, (2) a multimodal robotic implementation that preserves PLWD dignity through graduated support, and (3) empirical insights into stakeholder perceptions of adaptive robotic care.

Early and accurate diagnosis of Alzheimer Disease is critical for effective clinical intervention, particularly in distinguishing it from Mild Cognitive Impairment, a prodromal stage marked by subtle structural changes. In this study, we propose a hybrid deep learning ensemble framework for Alzheimer Disease classification using structural magnetic resonance imaging. Gray and white matter slices are used as inputs to three pretrained convolutional neural networks such as ResNet50, NASNet, and MobileNet, each fine tuned through an end to end process. To further enhance performance, we incorporate a stacked ensemble learning strategy with a meta learner and weighted averaging to optimally combine the base models. Evaluated on the Alzheimer Disease Neuroimaging Initiative dataset, the proposed method achieves state of the art accuracy of 99.21% for Alzheimer Disease vs. Mild Cognitive Impairment and 91.0% for Mild Cognitive Impairment vs. Normal Controls, outperforming conventional transfer learning and baseline ensemble methods. To improve interpretability in image based diagnostics, we integrate Explainable AI techniques by Gradient weighted Class Activation, which generates heatmaps and attribution maps that highlight critical regions in gray and white matter slices, revealing structural biomarkers that influence model decisions. These results highlight the frameworks potential for robust and scalable clinical decision support in neurodegenerative disease diagnostics.

Early detection of Alzheimer's Dementia (AD) and Mild Cognitive Impairment (MCI) is critical for timely intervention, yet current diagnostic approaches remain resource-intensive and invasive. Speech, encompassing both acoustic and linguistic dimensions, offers a promising non-invasive biomarker for cognitive decline. In this study, we present a machine learning framework for the PROCESS Challenge, leveraging both audio embeddings and linguistic features derived from spontaneous speech recordings. Audio representations were extracted using Whisper embeddings from the Cookie Theft description task, while linguistic features-spanning pronoun usage, syntactic complexity, filler words, and clause structure-were obtained from transcriptions across Semantic Fluency, Phonemic Fluency, and Cookie Theft picture description. Classification models aimed to distinguish between Healthy Controls (HC), MCI, and AD participants, while regression models predicted Mini-Mental State Examination (MMSE) scores. Results demonstrated that voted ensemble models trained on concatenated linguistic features achieved the best classification performance (F1 = 0.497), while Whisper embedding-based ensemble regressors yielded the lowest MMSE prediction error (RMSE = 2.843). Comparative evaluation within the PROCESS Challenge placed our models among the top submissions in regression task, and mid-range for classification, highlighting the complementary strengths of linguistic and audio embeddings. These findings reinforce the potential of multimodal speech-based approaches for scalable, non-invasive cognitive assessment and underline the importance of integrating task-specific linguistic and acoustic markers in dementia detection.