Selection bias arises when the probability that an observation enters a dataset depends on variables related to the quantities of interest, leading to systematic distortions in estimation and uncertainty quantification. For example, in epidemiological or survey settings, individuals with certain outcomes may be more likely to be included, resulting in biased prevalence estimates with potentially substantial downstream impact. Classical corrections, such as inverse-probability weighting or explicit likelihood-based models of the selection process, rely on tractable likelihoods, which limits their applicability in complex stochastic models with latent dynamics or high-dimensional structure. Simulation-based inference enables Bayesian analysis without tractable likelihoods but typically assumes missingness at random and thus fails when selection depends on unobserved outcomes or covariates. Here, we develop a bias-aware simulation-based inference framework that explicitly incorporates selection into neural posterior estimation. By embedding the selection mechanism directly into the generative simulator, the approach enables amortized Bayesian inference without requiring tractable likelihoods. This recasting of selection bias as part of the simulation process allows us to both obtain debiased estimates and explicitly test for the presence of bias. The framework integrates diagnostics to detect discrepancies between simulated and observed data and to assess posterior calibration. The method recovers well-calibrated posterior distributions across three statistical applications with diverse selection mechanisms, including settings in which likelihood-based approaches yield biased estimates. These results recast the correction of selection bias as a simulation problem and establish simulation-based inference as a practical and testable strategy for parameter estimation under selection bias.

From reducing dementia to speeding up recovery after surgery, music is more powerful than you knew. Listening to music can help your brain, research suggests. Breakthroughs, discoveries, and DIY tips sent six days a week. The oldest known musical instruments-- flutes carved from bones --are over 40,000 years old . And humans were likely making music before that, based on fossils showing our ancestors had the ability to sing over 530,000 years ago.

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.

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.

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.

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.

Things to Do in L.A. Tap to enable a layout that focuses on the article. L.A. County gets a new tool to find and save vulnerable people with cognitive disabilities Jordan Wall, 27, of Chatsworth, -- an athlete, actor and global messenger for the Special Olympics -- wears her new GPS watch from the group L.A. Found on Oct. 15, 2025. The county program L.A. Found offers free tracking devices to residents with cognitive disabilities who are at risk of wandering away from home. Since launching seven years ago, more than 1,800 people have received devices through the program, with 29 successfully located after going missing. Janet Rivera cares for both her 79-year-old mother, who has dementia, and her 25-year-old son, who has a genetic condition called Fragile X syndrome.

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.