United States

Emergency departments (ED) rely on the Emergency Severity Index (ESI) to assess patient acuity and prioritize care, a process that is largely driven by clinical triage text. Despite recent progress in automated ESI prediction, two fundamental challenges remain: the scarcity of high-quality triage text data due to privacy and regulatory constraints and the lack of a clinically grounded triage framework capable of explicitly capturing the multidimensional structure of triage reasoning. To address these challenges, we draw inspiration from the clinically grounded SOAP paradigm, in which SOAP refers to Subjective, Objective, Assessment, and Plan and captures four complementary aspects of clinical reasoning. Building on this paradigm, we propose SOAPTriage, a SOAP-guided multi-view clinical text modeling framework for automated ESI prediction. To mitigate data scarcity, SOAPTriage introduces a Clinical Note Augmentation (CNA) module that generates natural-language triage notes from structured ED records, resulting in 15,393 augmented clinical notes derived from a real-world dataset. To incorporate clinical structure, SOAPTriage employs a SOAP-Guided Encoding (SGE) module that models patient conditions from four complementary SOAP perspectives, together with an adaptive SOAP-Aware Aggregation and Inference (SAAI) module that performs multi-view reasoning to infer ESI levels. Extensive experiments show that SOAPTriage consistently outperforms strong prompting-based, multi-agent, and encoder-based baselines, demonstrating the effectiveness of SOAP-guided multi-view clinical text modeling for automated emergency triage.

ACL 2026

SOAPTriage: SOAP-Guided Multi-View Clinical Text Modeling Framework for Automated ESI Prediction

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Scientific ideation aims to propose novel solutions within a given scientific context. Existing LLM-based agentic approaches emulate human research workflows, yet inadequately model scientific reasoning, resulting in surface-level conceptual recombinations that lack technical depth and scientific grounding. To address this issue, we propose $\textbf{MoRI}$ ($\textbf{Mo}$tivation-grounded $\textbf{R}$easoning for Scientific $\textbf{I}$deation), a framework that enables LLMs to explicitly learn the reasoning process from research motivations to methodologies. The base LLM is initialized via supervised fine-tuning to generate a research motivation from a given context, and is subsequently trained under a composite reinforcement learning reward that approximates scientific rigor: (1) entropy-aware information gain encourages the model to uncover and elaborate high-complexity technical details grounded in ground-truth methodologies, and (2) contrastive semantic gain constrains the reasoning trajectory to remain conceptually aligned with scientifically valid solutions. Empirical results show that MoRI consistently outperforms strong commercial LLMs and complex agentic baselines across multiple dimensions, including novelty, technical rigor, and feasibility. The code is available on \href{https://github.com/ECNU-Text-Computing/IdeaGeneration}{GitHub}.

MoRI: Learning Motivation-Grounded Reasoning for Scientific Ideation in Large Language Models

Large language model (LLM) agents have exhibited strong problem-solving competence across domains like research and coding. Yet, it remains underexplored whether LLM agents can tackle compounding real-world problems that require a diverse set of tools to complete. 
Given a broad, heterogeneous tool repository, LLM agents must not only select appropriate tools based on task planning analysis but also strategically schedule the execution order to ensure efficiency. This paper introduces TPS-Bench to benchmark the ability of LLM agents in solving such problems that demand Tool Planning and Scheduling. TPS-Bench collects 200 compounding tasks of two difficulty levels, based on a tool repository containing hundreds of model context protocol (MCP) tools. In particular, each task is composed of multiple subtasks, such as web search, map navigation, calendar checking, etc., and each subtask can be completed by a basic tool. Our evaluation emphasizes both task completion rate and efficiency. The empirical studies on popular closed-source and open-source LLMs indicate that most models can perform reasonable tool planning, but differ in scheduling. For example, GLM-4.5 achieves an outperforming task completion rate of 64.72% with extensive sequential tool calls, hence suffering from significantly long execution time. By contrast, GPT-4o prioritizes parallel tool calls but achieves only a 45.08% completion rate. Considering reinforcement learning (RL) can be a viable way to improve the scheduling efficiency without compromising performance, we perform an initial study on Qwen3-1.7B and witness a 14% reduction in execution time alongside a 6% gain in task completion rate based on only 597 RL training samples.

TPS-Bench: Evaluating AI Agents’ Tool Planning & Scheduling Abilities in Compounding Tasks

Large language models (LLMs) used for multiple-choice and pairwise evaluation tasks often exhibit selection bias due to non-semantic factors like option positions and label symbols. Existing inference-time debiasing is costly and may harm reasoning, while pointwise training ignores that the same question should yield consistent answers across permutations. To address this issue, we propose Permutation-Aware Group Relative Policy Optimization (PA-GRPO), which mitigates selection bias by enforcing permutation-consistent semantic reasoning. PA-GRPO constructs a permutation group for each instance by generating multiple candidate permutations, and optimizes the model using two complementary mechanisms: (1) cross-permutation advantage, which computes advantages relative to the mean reward over all permutations of the same instance, and (2) consistency-aware reward, which encourages the model to produce consistent decisions across different permutations. Experimental results demonstrate that PA-GRPO outperforms strong baselines across seven benchmarks, substantially reducing selection bias while maintaining high overall performance. The code is available on github (https://github.com/ECNU-Text-Computing/PA-GRPO).

Mitigating Selection Bias in Large Language Models via Permutation-Aware GRPO

Multi-modal Large Language Models (MLLMs) for Visual Question Answering (VQA) often suffer from dual limitations: knowledge hallucination and insufficient fine-grained visual perception. Crucially, we identify that commonsense graphs and scene graphs provide precisely complementary solutions to these respective deficiencies by providing rich external knowledge and capturing fine-grained visual details. However, prior works typically treat them in isolation, overlooking their synergistic potential. To bridge this gap, we propose KG-ViP, a unified framework that empowers MLLMs by fusing scene graphs and commonsense graphs. The core of the KG-ViP framework is a novel retrieval-and-fusion pipeline that utilizes the query as a semantic bridge to progressively integrate both graphs, synthesizing a unified structured context that facilitates reliable multi-modal reasoning. Extensive experiments on FVQA 2.0+ and MVQA benchmarks demonstrate that KG-ViP significantly outperforms existing VQA methods.

KG-ViP: Bridging Knowledge Grounding and Visual Perception in Multi-modal LLMs for Visual Question Answering

Recent advancements in Vision-Language Models (VLMs) have revolutionized general visual understanding. However, their application in the food domain remains constrained by benchmarks that rely on coarse-grained categories, single-view imagery, and inaccurate metadata. To bridge this gap, we introduce DiningBench, a hierarchical, multi-view benchmark designed to evaluate VLMs across three levels of cognitive complexity: Fine-Grained Classification, Nutrition Estimation, and Visual Question Answering. Unlike previous datasets, DiningBench comprises 3,021 distinct dishes with an average of 5.27 images per entry, incorporating fine-grained "hard" negatives from identical menus and rigorous, verification-based nutritional data. We conduct an extensive evaluation of 29 state-of-the-art open-source and proprietary models. Our experiments reveal that while current VLMs excel at general reasoning, they struggle significantly with fine-grained visual discrimination and precise nutritional reasoning. Furthermore, we systematically investigate the impact of multi-view inputs and Chain-of-Thought reasoning, identifying five primary failure modes. DiningBench serves as a challenging testbed to drive the next generation of food-centric VLM research. All codes are released in https://github.com/meituan/DiningBench.

DiningBench: A Hierarchical Multi-view Benchmark for Perception and Reasoning in the Dietary Domain

Current RLHF methods such as PPO and DPO typically reduce human preferences to binary labels, which are costly to obtain and too coarse to reflect individual variation. We observe that expressions of satisfaction and dissatisfaction follow stable linguistic patterns across users, indicating that more informative supervisory signals can be extracted from free-form feedback. Building on this insight, we introduce Adaptive Reward-Following (ARF), which converts natural feedback into continuous preference trajectories and optimizes them using the novel TraceBias algorithm. Across diverse LLMs and preference domains, ARF consistently outperforms PPO and DPO, improving alignment by up to 7.6%. Our results demonstrate that continuous reward modeling provides a scalable path toward personalized and theoretically grounded RLHF.

ARF-RLHF: Adaptive Reward-Following for RLHF through Emotion-Driven Self-Supervision and Trace-Biased Dynamic Optimization

Deploying large language models (LLMs) in resource-constrained environments is hindered by heavy computational and memory requirements. We present LBLLM, a lightweight binarization framework that achieves effective W(1+1)A4 quantization through a novel three-stage quantization strategy. The framework proceeds as follows: (1) initialize a high-quality quantized model via PTQ; (2) quantize binarized weights, group-wise bitmaps, and quantization parameters through layer-wise distillation while keeping activations in full precision; and (3) training learnable activation quantization factors to dynamically quantize activations to 4 bits. This decoupled design mitigates interference between weight and activation quantization, yielding greater training stability and better inference accuracy. LBLLM, trained only using 0.016B tokens with a single GPU, surpasses existing state-of-the-art binarization methods on W2A4 quantization settings across tasks of language modeling, commonsense QA, and language understanding. These results demonstrate that extreme low-bit quantization of LLMs can be both practical and highly effective without introducing any extra high-precision channels or rotational matrices commonly used in recent PTQ-based works, offering a promising path toward efficient LLM deployment in resource-limited situations.

LBLLM: Lightweight Binarization of Large Language Models via Three-Stage Distillation

Large language models (LLMs) exhibit exceptional performance but pose inherent risks of generating toxic content, restricting their safe deployment. While traditional methods (e.g., alignment) adjust output preferences, they fail to eliminate underlying toxic regions in parameters, leaving models vulnerable to adversarial attacks. Prior mechanistic studies characterize toxic regions as "toxic vectors" or "layer-wise subspaces", yet our analysis identifies critical limitations: i) Removed toxic vectors can be reconstructed via linear combinations of non-toxic vectors, demanding targeting of entire toxic subspace; ii) Contrastive objective over limited samples inject noise into layer-wise subspaces, hindering stable extraction. These highlight the challenge of identifying robust toxic subspace and removing them. Therefore, we propose GLOSS (GLobal tOxic Subspace Suppression), a lightweight method that mitigates toxicity by identifying and eliminating this global subspace from FFN parameters. Experiments on LLMs (e.g., Qwen3) show GLOSS achieves SOTA detoxification while preserving general capabilities without requiring large-scale retraining.

Projecting Out the Malice: A Global Subspace Approach to LLM Detoxification

Scaling multimodal large language models (MLLMs) to long videos is constrained by limited context windows. While retrieval-augmented generation (RAG) is a promising remedy by organizing query-relevant visual evidence into a compact context, most existing methods (i) flatten videos into independent segments, breaking their inherent spatio-temporal structure, and (ii) depend on explicit semantic matching, which can miss cues that are implicitly relevant to the query’s intent. To overcome these limitations, we propose VideoStir, a structured and intent-aware long-video RAG framework. It firstly structures a video as a spatio-temporal graph at clip level, and then performs multi-hop retrieval to aggregate evidence across distant yet contextually related events. Furthermore, it introduces an MLLM-backed intent-relevance scorer that retrieves frames based on their alignment with the query’s reasoning intent. To support this capability, we curate IR-600K, a large-scale dataset tailored for learning frame–query intent alignment. Experiments show that VideoStir is competitive with state-of-the-art baselines without relying on auxiliary information, highlighting the promise of shifting long-video RAG from flattened semantic matching to structured, intent-aware reasoning. Codes and checkpoints are available at https://github.com/RomGai/VideoStir.

VideoStir: Understanding Long Videos via Spatio-Temporally Structured and Intent-Aware RAG

Long Chain-of-Thought (LCoT), achieved by Reinforcement Learning with Verifiable Rewards (RLVR), has proven effective in enhancing the reasoning capabilities of Large Language Models (LLMs). However, reasoning in current LLMs is primarily generated as plain text, where performing semantic evaluation on such unstructured data creates a computational bottleneck during training. Despite RLVR-based optimization, existing methods still suffer from coarse-grained supervision, reward hacking, high training costs, and poor generalization.
To address these issues, we propose the Graph Reasoning Paradigm (GRP), which realizes structured and symbolic reasoning, implemented via graph-structured representations with step-level cognitive labels. Building upon GRP, we further design Process-Aware Stratified Clipping Group Relative Policy Optimization (PASC-GRPO), which leverages structured evaluation to replace semantic evaluation, achieves process-aware verification through graph-structured outcome rewards, and mitigates reward hacking via stratified clipping advantage estimation. Experiments demonstrate significant improvements across mathematical reasoning and code generation tasks. Data, models, and code will be released later.

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MoRI: Learning Motivation-Grounded Reasoning for Scientific Ideation in Large Language Models

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