A type checking method for the functional language LFC is presented. A distinct feature of LFC is that it uses Context-Free (CF) languages as data types to represent compound data structures. This makes LFC a dynamica...A type checking method for the functional language LFC is presented. A distinct feature of LFC is that it uses Context-Free (CF) languages as data types to represent compound data structures. This makes LFC a dynamically typed language. To improve efficiency, a practical type checking method is presented, which consists of both static and dynamic type checking. Although the inclusion relation of CF languages is not decidable, a special subset of the relation is decidable, i.e., the sentential form relation, which can be statically checked. Moreover, most of the expressions in actual LFC programs appear to satisfy this relation according to the statistic data of experiments. So, despite that the static type checking is not complete, it undertakes most of the type checking task. Consequently the run-time efficiency is effectively improved. Another feature of the type checking is that it converts the expressions with implicit structures to structured representation. Structure reconstruction technique is presented.展开更多
LFC is a functional language based on recursive functions defined in context-free languages. In this paper, a new pattern matching algorithm for LFC is presented, which can represent a sequence of patterns as an integ...LFC is a functional language based on recursive functions defined in context-free languages. In this paper, a new pattern matching algorithm for LFC is presented, which can represent a sequence of patterns as an integer by an encoding method. It is a rather simple method and produces efficient case-expressions for pattern matching definitions of LFC. The algorithm can also be used for other functional languages, but for nested patterns it may become complicated and further studies are needed.展开更多
Machine translation of low-resource languages(LRLs)has long been hindered by limited corpora and linguistic complexity.This review summarizes key developments,from traditional methods to recent progress with large lan...Machine translation of low-resource languages(LRLs)has long been hindered by limited corpora and linguistic complexity.This review summarizes key developments,from traditional methods to recent progress with large language models(LLMs),while highlighting ongoing challenges such as data bottlenecks,biases,fairness,and computational costs.Finally,it discusses future directions,including efficient parameter fine-tuning,multimodal translation,and community-driven corpus construction,providing insights for advancing LRL translation research.展开更多
The work in this paper is based on primary research on how to obtain informed consent to medical treatment and or procedure among patients;this study was carried out in Papua New Guinea in both urban and rural health ...The work in this paper is based on primary research on how to obtain informed consent to medical treatment and or procedure among patients;this study was carried out in Papua New Guinea in both urban and rural health settings across customs,cultures,and languages in two provinces,on the basis of qualitative interviews with healthcare professionals including doctors,nurses,other healthcare workers,patients,and traditional healers.We emphasize the views of consent with participants of customs,cultural,and languages regarding informed consent.There are factors between peoples of differing circumstances which can greatly alter how they view consent.Some groups would involve people in the decision-making process that may not traditionally be involved in the decision making of a medical decision.Other groups may dislike certain medical procedures as in Papua New Guinea(PNG).And certain people have different views on what should be disclosed of the patient’s condition.Customs,cultures,and languages are common phenomena which continue to affect the daily lives of many thousands of people.It is unclear in PNG about the characteristics of customs,culture,and language on health care because there is no published information on informed consent and issues that affect the making of informed consent.展开更多
Learning programming and using programming languages are the essential aspects of computer science education.Students use programming languages to write their programs.These computer programs(students or practitioners...Learning programming and using programming languages are the essential aspects of computer science education.Students use programming languages to write their programs.These computer programs(students or practitioners written)make computers artificially intelligent and perform the tasks needed by the users.Without these programs,the computer may be visioned as a pointless machine.As the premise of writing programs is situated with specific programming languages,enormous efforts have been made to develop and create programming languages.However,each program-ming language is domain-specific and has its nuances,syntax and seman-tics,with specific pros and cons.These language-specific details,including syntax and semantics,are significant hurdles for novice programmers.Also,the instructors of introductory programming courses find these language specificities as the biggest hurdle in students learning,where more focus is on syntax than logic development and actual implementation of the program.Considering the conceptual difficulty of programming languages and novice students’struggles with the language syntax,this paper describes the design and development of a Context-Free Grammar(CFG)of a programming language for the novice,newcomers and students who do not have computer science as their major.Due to its syntax proximity to daily conversations,this paper hypothesizes that this language will be easy to use and understand by novice programmers.This paper systematically designed the language by identifying themes from various existing programming languages(e.g.,C,Python).Additionally,this paper surveyed computer science experts from industry and academia,where experts self-reported their satisfaction with the newly designed language.The results indicate that 93%of the experts reported satisfaction with the NewBee for novice,newcomer and non-Computer Sci-ence(CS)major students.展开更多
This paper proposes an interdisciplinary talent training model that combines foreign language education with area studies.The model aims to cultivate international ocean affairs professionals with cross-cultural commu...This paper proposes an interdisciplinary talent training model that combines foreign language education with area studies.The model aims to cultivate international ocean affairs professionals with cross-cultural communication skills,in-depth regional and country knowledge,and practical expertise in ocean affairs.Additionally,the paper presents specific training pathways and policy recommendations for implementing this model.展开更多
Model evaluation using benchmark datasets is an important method to measure the capability of large language models(LLMs)in specific domains,and it is mainly used to assess the knowledge and reasoning abilities of LLM...Model evaluation using benchmark datasets is an important method to measure the capability of large language models(LLMs)in specific domains,and it is mainly used to assess the knowledge and reasoning abilities of LLMs.Therefore,in order to better assess the capability of LLMs in the agricultural domain,Agri-Eval was proposed as a benchmark for assessing the knowledge and reasoning ability of LLMs in agriculture.The assessment dataset used in Agri-Eval covered seven major disciplines in the agricultural domain:crop science,horticulture,plant protection,animal husbandry,forest science,aquaculture science,and grass science,and contained a total of 2283 questions.Among domestic general-purpose LLMs,DeepSeek R1 performed best with an accuracy rate of 75.49%.In the realm of international general-purpose LLMs,Gemini 2.0 pro exp 0205 standed out as the top performer,achieving an accuracy rate of 74.28%.As an LLMs in agriculture vertical,Shennong V2.0 outperformed all the LLMs in China,and the answer accuracy rate of agricultural knowledge exceeded that of all the existing general-purpose LLMs.The launch of Agri-Eval helped the LLM developers to comprehensively evaluate the model's capability in the field of agriculture through a variety of tasks and tests to promote the development of the LLMs in the field of agriculture.展开更多
Covert timing channels(CTC)exploit network resources to establish hidden communication pathways,posing signi cant risks to data security and policy compliance.erefore,detecting such hidden and dangerous threats remain...Covert timing channels(CTC)exploit network resources to establish hidden communication pathways,posing signi cant risks to data security and policy compliance.erefore,detecting such hidden and dangerous threats remains one of the security challenges. is paper proposes LinguTimeX,a new framework that combines natural language processing with arti cial intelligence,along with explainable Arti cial Intelligence(AI)not only to detect CTC but also to provide insights into the decision process.LinguTimeX performs multidimensional feature extraction by fusing linguistic attributes with temporal network patterns to identify covert channels precisely.LinguTimeX demonstrates strong e ectiveness in detecting CTC across multiple languages;namely English,Arabic,and Chinese.Speci cally,the LSTM and RNN models achieved F1 scores of 90%on the English dataset,89%on the Arabic dataset,and 88%on the Chinese dataset,showcasing their superior performance and ability to generalize across multiple languages. is highlights their robustness in detecting CTCs within security systems,regardless of the language or cultural context of the data.In contrast,the DeepForest model produced F1-scores ranging from 86%to 87%across the same datasets,further con rming its e ectiveness in CTC detection.Although other algorithms also showed reasonable accuracy,the LSTM and RNN models consistently outperformed them in multilingual settings,suggesting that deep learning models might be better suited for this particular problem.展开更多
As an ordinary Yunnan local,I never imagined becoming so closely connected to the exotic land of Laos.The luckiest event of my life was probably my choice to tick a box on a 2007 college entrance examination applicati...As an ordinary Yunnan local,I never imagined becoming so closely connected to the exotic land of Laos.The luckiest event of my life was probably my choice to tick a box on a 2007 college entrance examination application form,indicating my willingness to enrollin a major other than my preference,which led me into the world of the Lao language.展开更多
Recommendation systems are key to boosting user engagement,satisfaction,and retention,particularly on media platforms where personalized content is vital.Sequential recommendation systems learn from user-item interact...Recommendation systems are key to boosting user engagement,satisfaction,and retention,particularly on media platforms where personalized content is vital.Sequential recommendation systems learn from user-item interactions to predict future items of interest.However,many current methods rely on unique user and item IDs,limiting their ability to represent users and items effectively,especially in zero-shot learning scenarios where training data is scarce.With the rapid development of Large Language Models(LLMs),researchers are exploring their potential to enhance recommendation systems.However,there is a semantic gap between the linguistic semantics of LLMs and the collaborative semantics of recommendation systems,where items are typically indexed by IDs.Moreover,most research focuses on item representations,neglecting personalized user modeling.To address these issues,we propose a sequential recommendation framework using LLMs,called CIT-Rec,a model that integrates Collaborative semantics for user representation and Image and Text information for item representation to enhance Recommendations.Specifically,by aligning intuitive image information with text containing semantic features,we can more accurately represent items,improving item representation quality.We focus not only on item representations but also on user representations.To more precisely capture users’personalized preferences,we use traditional sequential recommendation models to train on users’historical interaction data,effectively capturing behavioral patterns.Finally,by combining LLMs and traditional sequential recommendation models,we allow the LLM to understand linguistic semantics while capturing collaborative semantics.Extensive evaluations on real-world datasets show that our model outperforms baseline methods,effectively combining user interaction history with item visual and textual modalities to provide personalized recommendations.展开更多
The outstanding growth in the applications of large language models(LLMs)demonstrates the significance of adaptive and efficient prompt engineering tactics.The existing methods may not be variable,vigorous and streaml...The outstanding growth in the applications of large language models(LLMs)demonstrates the significance of adaptive and efficient prompt engineering tactics.The existing methods may not be variable,vigorous and streamlined in different domains.The offered study introduces an immediate optimization outline,named PROMPTx-PE,that is going to yield a greater level of precision and strength when it comes to the assignments that are premised on LLM.The proposed systemfeatures a timely selection schemewhich is informed by reinforcement learning,a contextual layer and a dynamic weighting module which is regulated by Lyapunov-based stability guidelines.The PROMPTx-PE dynamically varies the exploration and exploitation of the prompt space,depending on real-time feedback and multi-objective reward development.Extensive testing on both benchmark(GLUE,SuperGLUE)and domain-specific data(Healthcare-QA and Industrial-NER)demonstrates a large best performance to be 89.4%and a strong robustness disconnect with under 3%computation expense.The results confirm the effectiveness,consistency,and scalability of PROMPTx-PE as a platform of adaptive prompt engineering based on recent uses of LLMs.展开更多
Objective To develop a clinical decision and prescription generation system(CDPGS)specifically for diarrhea in traditional Chinese medicine(TCM),utilizing a specialized large language model(LLM),Qwen-TCM-Dia,to standa...Objective To develop a clinical decision and prescription generation system(CDPGS)specifically for diarrhea in traditional Chinese medicine(TCM),utilizing a specialized large language model(LLM),Qwen-TCM-Dia,to standardize diagnostic processes and prescription generation.Methods Two primary datasets were constructed:an evaluation benchmark and a fine-tuning dataset consisting of fundamental diarrhea knowledge,medical records,and chain-ofthought(CoT)reasoning datasets.After an initial evaluation of 16 open-source LLMs across inference time,accuracy,and output quality,Qwen2.5 was selected as the base model due to its superior overall performance.We then employed a two-stage low-rank adaptation(LoRA)fine-tuning strategy,integrating continued pre-training on domain-specific knowledge with instruction fine-tuning using CoT-enriched medical records.This approach was designed to embed the clinical logic(symptoms→pathogenesis→therapeutic principles→prescriptions)into the model’s reasoning capabilities.The resulting fine-tuned model,specialized for TCM diarrhea,was designated as Qwen-TCM-Dia.Model performance was evaluated for disease diagnosis and syndrome type differentiation using accuracy,precision,recall,and F1-score.Furthermore,the quality of the generated prescriptions was compared with that of established open-source TCM LLMs.Results Qwen-TCM-Dia achieved peak performance compared to both the base Qwen2.5 model and five other open-source TCM LLMs.It achieved 97.05%accuracy and 91.48%F1-score in disease diagnosis,and 74.54%accuracy and 74.21%F1-score in syndrome type differentiation.Compared with existing open-source TCM LLMs(BianCang,HuangDi,LingDan,TCMLLM-PR,and ZhongJing),Qwen-TCM-Dia exhibited higher fidelity in reconstructing the“symptoms→pathogenesis→therapeutic principles→prescriptions”logic chain.It provided complete prescriptions,whereas other models often omitted dosages or generated mismatched prescriptions.Conclusion By integrating continued pre-training,CoT reasoning,and a two-stage fine-tuning strategy,this study establishes a CDPGS for diarrhea in TCM.The results demonstrate the synergistic effect of strengthening domain representation through pre-training and activating logical reasoning via CoT.This research not only provides critical technical support for the standardized diagnosis and treatment of diarrhea but also offers a scalable paradigm for the digital inheritance of expert TCM experience and the intelligent transformation of TCM.展开更多
The malicious dissemination of hate speech via compromised accounts,automated bot networks and malware-driven social media campaigns has become a growing cybersecurity concern.Automatically detecting such content in S...The malicious dissemination of hate speech via compromised accounts,automated bot networks and malware-driven social media campaigns has become a growing cybersecurity concern.Automatically detecting such content in Spanish is challenging due to linguistic complexity and the scarcity of annotated resources.In this paper,we compare two predominant AI-based approaches for the forensic detection of malicious hate speech:(1)finetuning encoder-only models that have been trained in Spanish and(2)In-Context Learning techniques(Zero-and Few-Shot Learning)with large-scale language models.Our approach goes beyond binary classification,proposing a comprehensive,multidimensional evaluation that labels each text by:(1)type of speech,(2)recipient,(3)level of intensity(ordinal)and(4)targeted group(multi-label).Performance is evaluated using an annotated Spanish corpus,standard metrics such as precision,recall and F1-score and stability-oriented metrics to evaluate the stability of the transition from zero-shot to few-shot prompting(Zero-to-Few Shot Retention and Zero-to-Few Shot Gain)are applied.The results indicate that fine-tuned encoder-only models(notably MarIA and BETO variants)consistently deliver the strongest and most reliable performance:in our experiments their macro F1-scores lie roughly in the range of approximately 46%–66%depending on the task.Zero-shot approaches are much less stable and typically yield substantially lower performance(observed F1-scores range approximately 0%–39%),often producing invalid outputs in practice.Few-shot prompting(e.g.,Qwen 38B,Mistral 7B)generally improves stability and recall relative to pure zero-shot,bringing F1-scores into a moderate range of approximately 20%–51%but still falling short of fully fine-tuned models.These findings highlight the importance of supervised adaptation and discuss the potential of both paradigms as components in AI-powered cybersecurity and malware forensics systems designed to identify and mitigate coordinated online hate campaigns.展开更多
This study evaluated the accuracy,completeness,and comprehensibility of responses from mainstream large language models(LLMs)to hepatitis C virus(HCV)-related questions,aiming to assess their performance in addressing...This study evaluated the accuracy,completeness,and comprehensibility of responses from mainstream large language models(LLMs)to hepatitis C virus(HCV)-related questions,aiming to assess their performance in addressing patient queries about disease and lifestyle behaviors.The models selected were ChatGPT-4o,Gemini 2.0 Pro,Claude 3.5 Sonnet,and DeepSeek V3,with 12 questions chosen by two HCV experts from the domains of prevention,diagnosis,and treatment.展开更多
Building reliable intent-based,task-oriented dialog systems typically requires substantial manual effort:designers must derive intents,entities,responses,and control logic from raw conversational data,then iterate unt...Building reliable intent-based,task-oriented dialog systems typically requires substantial manual effort:designers must derive intents,entities,responses,and control logic from raw conversational data,then iterate until the assistant behaves consistently.This paper investigates how far large language models(LLMs)can automate this development.In this paper,we use two reference corpora,Let’s Go(English,public transport)and MEDIA(French,hotel booking),to prompt four LLM families(GPT-4o,Claude,Gemini,Mistral Small)and generate the core specifications required by the rasa platform.These include intent sets with example utterances,entity definitions with slot mappings,response templates,and basic dialog flows.To structure this process,we introduce a model-and platform-agnostic pipelinewith two phases.The first normalizes and validates LLM-generated artifacts,enforcing crossfile consistency andmaking slot usage explicit.The second uses a lightweight dialog harness that runs scripted tests and incrementally patches failure points until conversations complete reliably.Across eight projects,all models required some targeted repairs before training.After applying our pipeline,all reached≥70%task completion(many above 84%),while NLU performance ranged from mid-0.6 to 1.0 macro-F1 depending on domain breadth.These results show that,with modest guidance,current LLMs can produce workable end-to-end dialog prototypes directly fromraw transcripts.Our main contributions are:(i)a reusable bootstrap method aligned with industry domain-specific languages(DSLs),(ii)a small set of high-impact corrective patterns,and(iii)a simple but effective harness for closed-loop refinement across conversational platforms.展开更多
It is known that correlation does not imply causality.Some relationships identified in the analysis of data are coincidental or unknown,and some are produced by real-world causality of the situation,which is problemat...It is known that correlation does not imply causality.Some relationships identified in the analysis of data are coincidental or unknown,and some are produced by real-world causality of the situation,which is problematic,since there is a need to differentiate between these two scenarios.Until recently,the proper−semantic−causality of the relationship could have been determined only by human experts from the area of expertise of the studied data.This has changed with the advance of large language models,which are often utilized as surrogates for such human experts,making the process automated and readily available to all data analysts.This motivates the main objective of this work,which is to introduce the design and implementation of a large language model-based semantic causality evaluator based on correlation analysis,together with its visual analysis model called Causal heatmap.After the implementation itself,the model is evaluated from the point of view of the quality of the visual model,from the point of view of the quality of causal evaluation based on large language models,and from the point of view of comparative analysis,while the results reached in the study highlight the usability of large language models in the task and the potential of the proposed approach in the analysis of unknown datasets.The results of the experimental evaluation demonstrate the usefulness of the Causal heatmap method,supported by the evident highlighting of interesting relationships,while suppressing irrelevant ones.展开更多
Background:Large language models(LLMs)have shown considerable promise in supporting clinical decision-making.However,their adoption and evaluation in dermatology remains limited.This study aimed to explore the prefere...Background:Large language models(LLMs)have shown considerable promise in supporting clinical decision-making.However,their adoption and evaluation in dermatology remains limited.This study aimed to explore the preferences of Chinese dermatologists regarding LLM-generated responses in clinical psoriasis scenarios and to assess how they prioritize key quality dimensions,including accuracy,traceability,and logicality.Methods:A cross-sectional,web-based survey was conducted between December 25,2024,and January 22,2025,following the Checklist for Reporting Results of Internet E-Surveys guidelines.A total of 1247 valid responses were collected from practicing dermatologists across 33 of China's provincial-level administrative divisions.Participants evaluated responses to five categories of clinical questions(etiology,clinical presentation,differential diagnosis,treatment,and case study)generated by five LLMs:ChatGPT-4o,Kimi.ai,Doubao,ZuoYiGPT,and Lingyi-agent.Statistical associations between participant characteristics and model preferences were examined using chi-square tests.Results:ChatGPT-4o(Model 1)emerged as the most preferred model across all clinical tasks,consistently receiving the highest number of votes in case study(n=740),clinical presentation(n=666),differential diagnosis(n=707),etiology(n=602),and treatment(n=656).Significant variation in model preference by professional title was observed only for the differential diagnosis task(χ^(2)=21.13,df=12,p=0.0485),while no significant differences were found across hospital tiers(p>0.05).In terms of evaluation dimensions,accuracy was most frequently rated as“very important”(n=635).A significant association existed between hospital tier and the most valued dimension(χ^(2)=27.667,df=9,p=0.0011),with dermatologists in primary hospitals prioritizing traceability more than their peers in higher-tier hospitals.No significant associations were found across professional titles(p=0.127).Conclusions:Chinese dermatologists suggest a strong preference for ChatGPT-4o over domestic LLMs in psoriasis-related clinical tasks.While accuracy remains the primary criterion,traceability and logicality are also critical,particularly for clinicians in lower-tier hospitals.These findings suggest that future clinical LLMs should prioritize not only content accuracy but also source transparency and structural clarity to meet the diverse needs of different clinical settings.展开更多
This paper undertakes a systematic combing of the development of research on integrating Chinese culture into foreign language education in China from the 1980s to 2025,dividing it into three stages:cultural attachmen...This paper undertakes a systematic combing of the development of research on integrating Chinese culture into foreign language education in China from the 1980s to 2025,dividing it into three stages:cultural attachment,cultural compensation,and cultural symbiosis,and reveals the logical shift of the research from the dominance of target language culture to the construction of the subjectivity of Chinese culture.Through quantitative and qualitative analysis of 435 CSSCI papers,three core themes are extracted:what to integrate,why to integrate,and how to integrate.This paper critically analyzes three pairs of contradictions:the imbalance between instrumentality and humanism,the separation of national narrative and individual expression,and the disconnection between traditional inheritance and modern transformation.It is proposed that future research should reconstruct the educational logic based on the Chinese context,integrate the national and individual dimensions,and build a dialogue mechanism between tradition and modernity,so as to provide theoretical and practical reference for the construction of a foreign language education system with Chinese characteristics.展开更多
In materials science and engineering design,high-fidelity and high-efficiency numerical simulation has become a driving force for innovation and practical implementation.To address longstanding bottlenecks in the deve...In materials science and engineering design,high-fidelity and high-efficiency numerical simulation has become a driving force for innovation and practical implementation.To address longstanding bottlenecks in the development of conventional material constitutive models—such as lengthy modeling cycles and difficulties in numerical implementation—this study proposes an intelligent modeling and code generation approach powered by large languagemodels.A structured knowledge base integrating constitutive theory,numerical algorithms,and UMAT(User Material)interface specifications is constructed,and a retrieval-augmented generation strategy is employed to establish an end-to-end workflow spanning experimental data parsing,constitutive model formulation,and automatic UMAT subroutine generation.Experimental results show that the method achieves high accuracy for both a classical Johnson–Cookmodel and a physics-informed neural network(PINN)model,with key parameter identification errors below 5%.Moreover,the automatically generated UMAT subroutines yield finite element simulation results in Abaqus that are highly consistent with theoretical predictions(coefficient of determination R2>0.98)while maintaining good numerical stability.This framework is currently focused on the automatic construction of rate-dependent elastoplastic material models,and its core method also provides a clear path for extending to other constitutive categories such as hyperelasticity and viscoelasticity.This work provides an effective technical route for the rapid development and reliable numerical implementation of material constitutive models,significantly advancing the intelligence level of computational mechanics research and improving engineering application efficiency.展开更多
Background:Despite the promise shown by large language models(LLMs)for standardized tasks,their multidimensional performance in real-world oncology decision-making remains unevaluated.This study aims to introduce a fr...Background:Despite the promise shown by large language models(LLMs)for standardized tasks,their multidimensional performance in real-world oncology decision-making remains unevaluated.This study aims to introduce a framework for evaluating LLMs and physician decisions in challenging lung cancer cases.Methods:We curated 50 challenging lung cancer cases(25 local and 25 published)classified as complex,rare,or refractory.Blinded three-dimensional,five-point Likert evaluations(1–5 for comprehensiveness,specificity,and readability)compared standalone LLMs(DeepSeek R1,Claude 3.5,Gemini 1.5,and GPT-4o),physicians by experience level(junior,intermediate,and senior),and AI-assisted juniors;intergroup differences and augmentation effects were analyzed statistically.Results:Of 50 challenging cases(18 complex,17 rare,and 15 refractory)rated by three experts,DeepSeek R1 achieved scores of 3.95±0.33,3.71±0.53,and 4.26±0.18 for comprehensiveness,specificity,and readability,respectively,positioning it between intermediate(3.68,3.68,3.75)and senior(4.50,4.64,4.53)physicians.GPT-4o and Claude 3.5 reached intermediate physician–level comprehensiveness(3.76±0.39,3.60±0.39)but junior-to-intermediate physician–level specificity(3.39±0.39,3.39±0.49).All LLMs scored higher on rare cases than intermediate physicians but fell below junior physicians in refractory-case specificity.AIassisted junior physicians showed marked gains in rare cases,with comprehensiveness rising from 2.32 to 4.29(84.8%),specificity from 2.24 to 4.26(90.8%),and readability from 2.76 to 4.59(66.0%),while specificity declined by 3.2%(3.17 to 3.07)in refractory cases.Error analysis showed complementary strengths,with physicians demonstrating reasoning stability and LLMs excelling in knowledge updating and risk management.Conclusions:LLMs performed variably in clinical decision-making tasks depending on case type,performing better in rare cases and worse in refractory cases requiring longitudinal reasoning.Complementary strengths between LLMs and physicians support case-and task-tailored human–AI collaboration.展开更多
文摘A type checking method for the functional language LFC is presented. A distinct feature of LFC is that it uses Context-Free (CF) languages as data types to represent compound data structures. This makes LFC a dynamically typed language. To improve efficiency, a practical type checking method is presented, which consists of both static and dynamic type checking. Although the inclusion relation of CF languages is not decidable, a special subset of the relation is decidable, i.e., the sentential form relation, which can be statically checked. Moreover, most of the expressions in actual LFC programs appear to satisfy this relation according to the statistic data of experiments. So, despite that the static type checking is not complete, it undertakes most of the type checking task. Consequently the run-time efficiency is effectively improved. Another feature of the type checking is that it converts the expressions with implicit structures to structured representation. Structure reconstruction technique is presented.
基金the National Natural Science Foundation (No.69873042), the National'863' High-Tech Programme (No. 863- 306- 05-04- 1 ), and th
文摘LFC is a functional language based on recursive functions defined in context-free languages. In this paper, a new pattern matching algorithm for LFC is presented, which can represent a sequence of patterns as an integer by an encoding method. It is a rather simple method and produces efficient case-expressions for pattern matching definitions of LFC. The algorithm can also be used for other functional languages, but for nested patterns it may become complicated and further studies are needed.
基金supported by China Undergraduate Innovation Training Program[Grant No.202410699184]Humanities and Social Sciences Research Project funded by the Ministry of Education of China[Grant No.23YJAZH139].
文摘Machine translation of low-resource languages(LRLs)has long been hindered by limited corpora and linguistic complexity.This review summarizes key developments,from traditional methods to recent progress with large language models(LLMs),while highlighting ongoing challenges such as data bottlenecks,biases,fairness,and computational costs.Finally,it discusses future directions,including efficient parameter fine-tuning,multimodal translation,and community-driven corpus construction,providing insights for advancing LRL translation research.
文摘The work in this paper is based on primary research on how to obtain informed consent to medical treatment and or procedure among patients;this study was carried out in Papua New Guinea in both urban and rural health settings across customs,cultures,and languages in two provinces,on the basis of qualitative interviews with healthcare professionals including doctors,nurses,other healthcare workers,patients,and traditional healers.We emphasize the views of consent with participants of customs,cultural,and languages regarding informed consent.There are factors between peoples of differing circumstances which can greatly alter how they view consent.Some groups would involve people in the decision-making process that may not traditionally be involved in the decision making of a medical decision.Other groups may dislike certain medical procedures as in Papua New Guinea(PNG).And certain people have different views on what should be disclosed of the patient’s condition.Customs,cultures,and languages are common phenomena which continue to affect the daily lives of many thousands of people.It is unclear in PNG about the characteristics of customs,culture,and language on health care because there is no published information on informed consent and issues that affect the making of informed consent.
基金supported by the startup fund provided to Dr.Saira Anwar by Texas A&M University,College Station,USA.Any opinions,findings,conclusion,or recommendations expressed in this material do not necessarily reflect those of Texas A&M University。
文摘Learning programming and using programming languages are the essential aspects of computer science education.Students use programming languages to write their programs.These computer programs(students or practitioners written)make computers artificially intelligent and perform the tasks needed by the users.Without these programs,the computer may be visioned as a pointless machine.As the premise of writing programs is situated with specific programming languages,enormous efforts have been made to develop and create programming languages.However,each program-ming language is domain-specific and has its nuances,syntax and seman-tics,with specific pros and cons.These language-specific details,including syntax and semantics,are significant hurdles for novice programmers.Also,the instructors of introductory programming courses find these language specificities as the biggest hurdle in students learning,where more focus is on syntax than logic development and actual implementation of the program.Considering the conceptual difficulty of programming languages and novice students’struggles with the language syntax,this paper describes the design and development of a Context-Free Grammar(CFG)of a programming language for the novice,newcomers and students who do not have computer science as their major.Due to its syntax proximity to daily conversations,this paper hypothesizes that this language will be easy to use and understand by novice programmers.This paper systematically designed the language by identifying themes from various existing programming languages(e.g.,C,Python).Additionally,this paper surveyed computer science experts from industry and academia,where experts self-reported their satisfaction with the newly designed language.The results indicate that 93%of the experts reported satisfaction with the NewBee for novice,newcomer and non-Computer Sci-ence(CS)major students.
基金supported by“Dalian Maritime University Teaching Reform Research Fund 2022 Annual Project”(Fund No.XJG2022-96).
文摘This paper proposes an interdisciplinary talent training model that combines foreign language education with area studies.The model aims to cultivate international ocean affairs professionals with cross-cultural communication skills,in-depth regional and country knowledge,and practical expertise in ocean affairs.Additionally,the paper presents specific training pathways and policy recommendations for implementing this model.
文摘Model evaluation using benchmark datasets is an important method to measure the capability of large language models(LLMs)in specific domains,and it is mainly used to assess the knowledge and reasoning abilities of LLMs.Therefore,in order to better assess the capability of LLMs in the agricultural domain,Agri-Eval was proposed as a benchmark for assessing the knowledge and reasoning ability of LLMs in agriculture.The assessment dataset used in Agri-Eval covered seven major disciplines in the agricultural domain:crop science,horticulture,plant protection,animal husbandry,forest science,aquaculture science,and grass science,and contained a total of 2283 questions.Among domestic general-purpose LLMs,DeepSeek R1 performed best with an accuracy rate of 75.49%.In the realm of international general-purpose LLMs,Gemini 2.0 pro exp 0205 standed out as the top performer,achieving an accuracy rate of 74.28%.As an LLMs in agriculture vertical,Shennong V2.0 outperformed all the LLMs in China,and the answer accuracy rate of agricultural knowledge exceeded that of all the existing general-purpose LLMs.The launch of Agri-Eval helped the LLM developers to comprehensively evaluate the model's capability in the field of agriculture through a variety of tasks and tests to promote the development of the LLMs in the field of agriculture.
基金This study is financed by the European Union-NextGenerationEU,through the National Recovery and Resilience Plan of the Republic of Bulgaria,Project No.BG-RRP-2.013-0001.
文摘Covert timing channels(CTC)exploit network resources to establish hidden communication pathways,posing signi cant risks to data security and policy compliance.erefore,detecting such hidden and dangerous threats remains one of the security challenges. is paper proposes LinguTimeX,a new framework that combines natural language processing with arti cial intelligence,along with explainable Arti cial Intelligence(AI)not only to detect CTC but also to provide insights into the decision process.LinguTimeX performs multidimensional feature extraction by fusing linguistic attributes with temporal network patterns to identify covert channels precisely.LinguTimeX demonstrates strong e ectiveness in detecting CTC across multiple languages;namely English,Arabic,and Chinese.Speci cally,the LSTM and RNN models achieved F1 scores of 90%on the English dataset,89%on the Arabic dataset,and 88%on the Chinese dataset,showcasing their superior performance and ability to generalize across multiple languages. is highlights their robustness in detecting CTCs within security systems,regardless of the language or cultural context of the data.In contrast,the DeepForest model produced F1-scores ranging from 86%to 87%across the same datasets,further con rming its e ectiveness in CTC detection.Although other algorithms also showed reasonable accuracy,the LSTM and RNN models consistently outperformed them in multilingual settings,suggesting that deep learning models might be better suited for this particular problem.
文摘As an ordinary Yunnan local,I never imagined becoming so closely connected to the exotic land of Laos.The luckiest event of my life was probably my choice to tick a box on a 2007 college entrance examination application form,indicating my willingness to enrollin a major other than my preference,which led me into the world of the Lao language.
基金supported by the National Key R&D Program of China[2022YFF0902703]the State Administration for Market Regulation Science and Technology Plan Project(2024MK033).
文摘Recommendation systems are key to boosting user engagement,satisfaction,and retention,particularly on media platforms where personalized content is vital.Sequential recommendation systems learn from user-item interactions to predict future items of interest.However,many current methods rely on unique user and item IDs,limiting their ability to represent users and items effectively,especially in zero-shot learning scenarios where training data is scarce.With the rapid development of Large Language Models(LLMs),researchers are exploring their potential to enhance recommendation systems.However,there is a semantic gap between the linguistic semantics of LLMs and the collaborative semantics of recommendation systems,where items are typically indexed by IDs.Moreover,most research focuses on item representations,neglecting personalized user modeling.To address these issues,we propose a sequential recommendation framework using LLMs,called CIT-Rec,a model that integrates Collaborative semantics for user representation and Image and Text information for item representation to enhance Recommendations.Specifically,by aligning intuitive image information with text containing semantic features,we can more accurately represent items,improving item representation quality.We focus not only on item representations but also on user representations.To more precisely capture users’personalized preferences,we use traditional sequential recommendation models to train on users’historical interaction data,effectively capturing behavioral patterns.Finally,by combining LLMs and traditional sequential recommendation models,we allow the LLM to understand linguistic semantics while capturing collaborative semantics.Extensive evaluations on real-world datasets show that our model outperforms baseline methods,effectively combining user interaction history with item visual and textual modalities to provide personalized recommendations.
基金supported by the National Science and Technology Council(NSTC),Taiwan,under grant number 114-2221-E-182-041-MY3by Chang Gung University and Chang Gung Memorial Hospital under project number NERPD4Q0021.
文摘The outstanding growth in the applications of large language models(LLMs)demonstrates the significance of adaptive and efficient prompt engineering tactics.The existing methods may not be variable,vigorous and streamlined in different domains.The offered study introduces an immediate optimization outline,named PROMPTx-PE,that is going to yield a greater level of precision and strength when it comes to the assignments that are premised on LLM.The proposed systemfeatures a timely selection schemewhich is informed by reinforcement learning,a contextual layer and a dynamic weighting module which is regulated by Lyapunov-based stability guidelines.The PROMPTx-PE dynamically varies the exploration and exploitation of the prompt space,depending on real-time feedback and multi-objective reward development.Extensive testing on both benchmark(GLUE,SuperGLUE)and domain-specific data(Healthcare-QA and Industrial-NER)demonstrates a large best performance to be 89.4%and a strong robustness disconnect with under 3%computation expense.The results confirm the effectiveness,consistency,and scalability of PROMPTx-PE as a platform of adaptive prompt engineering based on recent uses of LLMs.
基金National Key Research and Development Program of China(2024YFC3505400)Capital Clinical Project of Beijing Municipal Science&Technology Commission(Z221100007422092)Capital’s Funds for Health Improvement and Research(2024-1-2231).
文摘Objective To develop a clinical decision and prescription generation system(CDPGS)specifically for diarrhea in traditional Chinese medicine(TCM),utilizing a specialized large language model(LLM),Qwen-TCM-Dia,to standardize diagnostic processes and prescription generation.Methods Two primary datasets were constructed:an evaluation benchmark and a fine-tuning dataset consisting of fundamental diarrhea knowledge,medical records,and chain-ofthought(CoT)reasoning datasets.After an initial evaluation of 16 open-source LLMs across inference time,accuracy,and output quality,Qwen2.5 was selected as the base model due to its superior overall performance.We then employed a two-stage low-rank adaptation(LoRA)fine-tuning strategy,integrating continued pre-training on domain-specific knowledge with instruction fine-tuning using CoT-enriched medical records.This approach was designed to embed the clinical logic(symptoms→pathogenesis→therapeutic principles→prescriptions)into the model’s reasoning capabilities.The resulting fine-tuned model,specialized for TCM diarrhea,was designated as Qwen-TCM-Dia.Model performance was evaluated for disease diagnosis and syndrome type differentiation using accuracy,precision,recall,and F1-score.Furthermore,the quality of the generated prescriptions was compared with that of established open-source TCM LLMs.Results Qwen-TCM-Dia achieved peak performance compared to both the base Qwen2.5 model and five other open-source TCM LLMs.It achieved 97.05%accuracy and 91.48%F1-score in disease diagnosis,and 74.54%accuracy and 74.21%F1-score in syndrome type differentiation.Compared with existing open-source TCM LLMs(BianCang,HuangDi,LingDan,TCMLLM-PR,and ZhongJing),Qwen-TCM-Dia exhibited higher fidelity in reconstructing the“symptoms→pathogenesis→therapeutic principles→prescriptions”logic chain.It provided complete prescriptions,whereas other models often omitted dosages or generated mismatched prescriptions.Conclusion By integrating continued pre-training,CoT reasoning,and a two-stage fine-tuning strategy,this study establishes a CDPGS for diarrhea in TCM.The results demonstrate the synergistic effect of strengthening domain representation through pre-training and activating logical reasoning via CoT.This research not only provides critical technical support for the standardized diagnosis and treatment of diarrhea but also offers a scalable paradigm for the digital inheritance of expert TCM experience and the intelligent transformation of TCM.
基金the research project LaTe4PoliticES(PID2022-138099OB-I00)funded by MCIN/AEI/10.13039/501100011033 and the European Fund for Regional Development(ERDF)-a way to make Europe.Tomás Bernal-Beltrán is supported by University of Murcia through the predoctoral programme.
文摘The malicious dissemination of hate speech via compromised accounts,automated bot networks and malware-driven social media campaigns has become a growing cybersecurity concern.Automatically detecting such content in Spanish is challenging due to linguistic complexity and the scarcity of annotated resources.In this paper,we compare two predominant AI-based approaches for the forensic detection of malicious hate speech:(1)finetuning encoder-only models that have been trained in Spanish and(2)In-Context Learning techniques(Zero-and Few-Shot Learning)with large-scale language models.Our approach goes beyond binary classification,proposing a comprehensive,multidimensional evaluation that labels each text by:(1)type of speech,(2)recipient,(3)level of intensity(ordinal)and(4)targeted group(multi-label).Performance is evaluated using an annotated Spanish corpus,standard metrics such as precision,recall and F1-score and stability-oriented metrics to evaluate the stability of the transition from zero-shot to few-shot prompting(Zero-to-Few Shot Retention and Zero-to-Few Shot Gain)are applied.The results indicate that fine-tuned encoder-only models(notably MarIA and BETO variants)consistently deliver the strongest and most reliable performance:in our experiments their macro F1-scores lie roughly in the range of approximately 46%–66%depending on the task.Zero-shot approaches are much less stable and typically yield substantially lower performance(observed F1-scores range approximately 0%–39%),often producing invalid outputs in practice.Few-shot prompting(e.g.,Qwen 38B,Mistral 7B)generally improves stability and recall relative to pure zero-shot,bringing F1-scores into a moderate range of approximately 20%–51%but still falling short of fully fine-tuned models.These findings highlight the importance of supervised adaptation and discuss the potential of both paradigms as components in AI-powered cybersecurity and malware forensics systems designed to identify and mitigate coordinated online hate campaigns.
基金funded by the National Key Research and Development Program of China(No.2021YFA1100500)the National Natural Science Foundation of China(No.82370662)the Key Research&Development Plan of Zhejiang Province(No.2024C03051).
文摘This study evaluated the accuracy,completeness,and comprehensibility of responses from mainstream large language models(LLMs)to hepatitis C virus(HCV)-related questions,aiming to assess their performance in addressing patient queries about disease and lifestyle behaviors.The models selected were ChatGPT-4o,Gemini 2.0 Pro,Claude 3.5 Sonnet,and DeepSeek V3,with 12 questions chosen by two HCV experts from the domains of prevention,diagnosis,and treatment.
基金This publication is part of the TrustBoost project,that has received funding from MICIU/AEI/10.13039/501100011033,from FEDER,UEIt is a coordinated project by a multidisciplinary team from the Universidad Politécnica de Madrid(UPM)and University of Granada(UGR),with two subprojects that address TrustBoost’s objectives:“Enhancing Trustworthiness in Conversational AI through Multimodal Affective Awareness”(Trust Boost-UPM,ref.PID2023-150584OB-C21)“Breaking the Duality of Conversational AI:Going beyond Guided Conversations While Ensuring Compliance with Domain Rules and Constraints”(Trust Boost-UGR,ref.PID2023-150584OB-C22).
文摘Building reliable intent-based,task-oriented dialog systems typically requires substantial manual effort:designers must derive intents,entities,responses,and control logic from raw conversational data,then iterate until the assistant behaves consistently.This paper investigates how far large language models(LLMs)can automate this development.In this paper,we use two reference corpora,Let’s Go(English,public transport)and MEDIA(French,hotel booking),to prompt four LLM families(GPT-4o,Claude,Gemini,Mistral Small)and generate the core specifications required by the rasa platform.These include intent sets with example utterances,entity definitions with slot mappings,response templates,and basic dialog flows.To structure this process,we introduce a model-and platform-agnostic pipelinewith two phases.The first normalizes and validates LLM-generated artifacts,enforcing crossfile consistency andmaking slot usage explicit.The second uses a lightweight dialog harness that runs scripted tests and incrementally patches failure points until conversations complete reliably.Across eight projects,all models required some targeted repairs before training.After applying our pipeline,all reached≥70%task completion(many above 84%),while NLU performance ranged from mid-0.6 to 1.0 macro-F1 depending on domain breadth.These results show that,with modest guidance,current LLMs can produce workable end-to-end dialog prototypes directly fromraw transcripts.Our main contributions are:(i)a reusable bootstrap method aligned with industry domain-specific languages(DSLs),(ii)a small set of high-impact corrective patterns,and(iii)a simple but effective harness for closed-loop refinement across conversational platforms.
基金supported by University Grant Agency of Matej Bel University in Banská Bystrica project number UGA-14-PDS-2025.
文摘It is known that correlation does not imply causality.Some relationships identified in the analysis of data are coincidental or unknown,and some are produced by real-world causality of the situation,which is problematic,since there is a need to differentiate between these two scenarios.Until recently,the proper−semantic−causality of the relationship could have been determined only by human experts from the area of expertise of the studied data.This has changed with the advance of large language models,which are often utilized as surrogates for such human experts,making the process automated and readily available to all data analysts.This motivates the main objective of this work,which is to introduce the design and implementation of a large language model-based semantic causality evaluator based on correlation analysis,together with its visual analysis model called Causal heatmap.After the implementation itself,the model is evaluated from the point of view of the quality of the visual model,from the point of view of the quality of causal evaluation based on large language models,and from the point of view of comparative analysis,while the results reached in the study highlight the usability of large language models in the task and the potential of the proposed approach in the analysis of unknown datasets.The results of the experimental evaluation demonstrate the usefulness of the Causal heatmap method,supported by the evident highlighting of interesting relationships,while suppressing irrelevant ones.
基金National Key Research and Development Program of China,Grant/Award Number:2024YFF0507404Special Clinical Business Fund for High-Level Hospitals of China-Japan Friendship Hospital,Grant/Award Number:2024-NHLHCRF-TS-01。
文摘Background:Large language models(LLMs)have shown considerable promise in supporting clinical decision-making.However,their adoption and evaluation in dermatology remains limited.This study aimed to explore the preferences of Chinese dermatologists regarding LLM-generated responses in clinical psoriasis scenarios and to assess how they prioritize key quality dimensions,including accuracy,traceability,and logicality.Methods:A cross-sectional,web-based survey was conducted between December 25,2024,and January 22,2025,following the Checklist for Reporting Results of Internet E-Surveys guidelines.A total of 1247 valid responses were collected from practicing dermatologists across 33 of China's provincial-level administrative divisions.Participants evaluated responses to five categories of clinical questions(etiology,clinical presentation,differential diagnosis,treatment,and case study)generated by five LLMs:ChatGPT-4o,Kimi.ai,Doubao,ZuoYiGPT,and Lingyi-agent.Statistical associations between participant characteristics and model preferences were examined using chi-square tests.Results:ChatGPT-4o(Model 1)emerged as the most preferred model across all clinical tasks,consistently receiving the highest number of votes in case study(n=740),clinical presentation(n=666),differential diagnosis(n=707),etiology(n=602),and treatment(n=656).Significant variation in model preference by professional title was observed only for the differential diagnosis task(χ^(2)=21.13,df=12,p=0.0485),while no significant differences were found across hospital tiers(p>0.05).In terms of evaluation dimensions,accuracy was most frequently rated as“very important”(n=635).A significant association existed between hospital tier and the most valued dimension(χ^(2)=27.667,df=9,p=0.0011),with dermatologists in primary hospitals prioritizing traceability more than their peers in higher-tier hospitals.No significant associations were found across professional titles(p=0.127).Conclusions:Chinese dermatologists suggest a strong preference for ChatGPT-4o over domestic LLMs in psoriasis-related clinical tasks.While accuracy remains the primary criterion,traceability and logicality are also critical,particularly for clinicians in lower-tier hospitals.These findings suggest that future clinical LLMs should prioritize not only content accuracy but also source transparency and structural clarity to meet the diverse needs of different clinical settings.
基金“A Study on the Value and Path of Integrating Excellent Traditional Chinese Culture Into Intercultural Communication Courses”(ZD2024)a project by the Beijing Higher Education Association,as well as“A Study on the Path of Empowering the Integration of Excellent Traditional Chinese Culture Into Intercultural Communication Courses With Generative AI”(2024),an institutional project of Beijing International Studies University.
文摘This paper undertakes a systematic combing of the development of research on integrating Chinese culture into foreign language education in China from the 1980s to 2025,dividing it into three stages:cultural attachment,cultural compensation,and cultural symbiosis,and reveals the logical shift of the research from the dominance of target language culture to the construction of the subjectivity of Chinese culture.Through quantitative and qualitative analysis of 435 CSSCI papers,three core themes are extracted:what to integrate,why to integrate,and how to integrate.This paper critically analyzes three pairs of contradictions:the imbalance between instrumentality and humanism,the separation of national narrative and individual expression,and the disconnection between traditional inheritance and modern transformation.It is proposed that future research should reconstruct the educational logic based on the Chinese context,integrate the national and individual dimensions,and build a dialogue mechanism between tradition and modernity,so as to provide theoretical and practical reference for the construction of a foreign language education system with Chinese characteristics.
基金funded by the National Natural Science Foundation of China,grant number 52405341Foundation of National Key Laboratory of Computational Physics,grant number 6142A05QN24012+1 种基金Chongqing Science and Technology Committee,grant number CSTB2023NSCQ-MSX0363The Science and Technology Research Program of Chongqing Municipal Education Commission,grant number KJQN202301117.
文摘In materials science and engineering design,high-fidelity and high-efficiency numerical simulation has become a driving force for innovation and practical implementation.To address longstanding bottlenecks in the development of conventional material constitutive models—such as lengthy modeling cycles and difficulties in numerical implementation—this study proposes an intelligent modeling and code generation approach powered by large languagemodels.A structured knowledge base integrating constitutive theory,numerical algorithms,and UMAT(User Material)interface specifications is constructed,and a retrieval-augmented generation strategy is employed to establish an end-to-end workflow spanning experimental data parsing,constitutive model formulation,and automatic UMAT subroutine generation.Experimental results show that the method achieves high accuracy for both a classical Johnson–Cookmodel and a physics-informed neural network(PINN)model,with key parameter identification errors below 5%.Moreover,the automatically generated UMAT subroutines yield finite element simulation results in Abaqus that are highly consistent with theoretical predictions(coefficient of determination R2>0.98)while maintaining good numerical stability.This framework is currently focused on the automatic construction of rate-dependent elastoplastic material models,and its core method also provides a clear path for extending to other constitutive categories such as hyperelasticity and viscoelasticity.This work provides an effective technical route for the rapid development and reliable numerical implementation of material constitutive models,significantly advancing the intelligence level of computational mechanics research and improving engineering application efficiency.
文摘Background:Despite the promise shown by large language models(LLMs)for standardized tasks,their multidimensional performance in real-world oncology decision-making remains unevaluated.This study aims to introduce a framework for evaluating LLMs and physician decisions in challenging lung cancer cases.Methods:We curated 50 challenging lung cancer cases(25 local and 25 published)classified as complex,rare,or refractory.Blinded three-dimensional,five-point Likert evaluations(1–5 for comprehensiveness,specificity,and readability)compared standalone LLMs(DeepSeek R1,Claude 3.5,Gemini 1.5,and GPT-4o),physicians by experience level(junior,intermediate,and senior),and AI-assisted juniors;intergroup differences and augmentation effects were analyzed statistically.Results:Of 50 challenging cases(18 complex,17 rare,and 15 refractory)rated by three experts,DeepSeek R1 achieved scores of 3.95±0.33,3.71±0.53,and 4.26±0.18 for comprehensiveness,specificity,and readability,respectively,positioning it between intermediate(3.68,3.68,3.75)and senior(4.50,4.64,4.53)physicians.GPT-4o and Claude 3.5 reached intermediate physician–level comprehensiveness(3.76±0.39,3.60±0.39)but junior-to-intermediate physician–level specificity(3.39±0.39,3.39±0.49).All LLMs scored higher on rare cases than intermediate physicians but fell below junior physicians in refractory-case specificity.AIassisted junior physicians showed marked gains in rare cases,with comprehensiveness rising from 2.32 to 4.29(84.8%),specificity from 2.24 to 4.26(90.8%),and readability from 2.76 to 4.59(66.0%),while specificity declined by 3.2%(3.17 to 3.07)in refractory cases.Error analysis showed complementary strengths,with physicians demonstrating reasoning stability and LLMs excelling in knowledge updating and risk management.Conclusions:LLMs performed variably in clinical decision-making tasks depending on case type,performing better in rare cases and worse in refractory cases requiring longitudinal reasoning.Complementary strengths between LLMs and physicians support case-and task-tailored human–AI collaboration.
