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Deyi Li

Publications and source records attributed to Deyi Li.

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ATHENA: Knowledge-guided agentic neural architecture search for AutoFormer-based electronic health record modeling

Transformer-based models are widely used for clinical prediction from electronic health records (EHRs), yet their architectures require manual tuning, and the optimal configuration may vary across tasks and hospitals. Neural architecture search (NAS) automates architecture design, but conventional methods are computationally costly for Transformer-based EHR models. Recent large language model (LLM)-guided NAS methods reduce manual search design but conduct each search independently, without reusing architecture knowledge across hospitals. In this study, we propose ATHENA (Agentic Transfer across Hospitals for EHR Neural Architecture Search), a knowledge-guided agentic NAS framework for Transformer-based EHR modeling. ATHENA uses a weight-sharing supernet that is pretrained once per hospital, allowing candidate architectures to be instantiated as inherited subnetworks and evaluated through fine-tuning rather than independent pretraining. It incorporates a two-layer cross-hospital architecture prior. The first layer retrieves high-performing architecture examples from source sites based on task descriptors, while the second estimates the effects of architectural components using SHapley Additive exPlanations (SHAP)-based meta-regression. These priors guide a multi-agent LLM search using validation feedback from the target hospital. Across six clinical prediction tasks evaluated at one held-out OneFlorida+ site and one external MIMIC-IV site, ATHENA significantly outperforms all four baselines in 9 of 12 site-task evaluations under a strict equal-compute comparison. Using a common pretrained AutoFormer supernet for candidate evaluation, ATHENA ranks first in 9 of 12 evaluations at a search budget of 30. It also shows more consistent architecture selection across repeated searches. ATHENA provides a practical approach for reducing manual architecture tuning in Transformer-based EHR modeling.

cs.AI

LLM-as-a-Judge in Healthcare: A Scoping Analysis of Applications, Methods, and Human Alignment

Large language models (LLMs) are increasingly deployed across healthcare applications, including clinical documentation, diagnostic reasoning, medicine recommendation, and medical education. Their outputs are largely unstructured clinical text, which is difficult to reliably evaluate at scale. LLM-as-a-Judge, in which an LLM evaluates another system's output against task-specific criteria, offers a scalable alternative and is increasingly used in clinical evaluation, yet its validity in healthcare remains underexamined. Existing reviews focus on general-purpose LLM evaluation or on risk framework, rather than systematically characterizing how LLM-as-a-Judge is applied in healthcare and how well their judgments align with human experts. We therefore conduct a PRISMA-guided comprehensive review of LLM-as-a-Judge applications in healthcare, searching five databases for studies published between January 2023 and February 2026. After screening 541 records, 134 studies meet the eligibility and are coded by health scenario, judge configuration, technical approach, and validation design. LLM-as-a-Judge is concentrated in clinical decision support, clinical natural language processing (NLP), medical knowledge and question answering (QA), and medical communication. OpenAI models are the most frequently used judges, and prompt engineering appears in nearly all studies, with ensemble, multi-agent, and retrieval-augmented designs as common extensions. Among studies reporting human validation, LLM judges often show moderate to strong alignment with expert judgments, although reliability varies substantially across tasks. Overall, this review positions LLM-as-a-Judge as a promising framework for scalable healthcare AI evaluation, while emphasizing that its clinical value depends on model design and rigorous validation.

cs.CY

DT-BEHRT: Disease Trajectory-aware Transformer for Interpretable Patient Representation Learning

The growing adoption of electronic health record (EHR) systems has provided unprecedented opportunities for predictive modeling to guide clinical decision making. Structured EHRs contain longitudinal observations of patients across hospital visits, where each visit is represented by a set of medical codes. While sequence-based, graph-based, and graph-enhanced sequence approaches have been developed to capture rich code interactions over time or within the same visits, they often overlook the inherent heterogeneous roles of medical codes arising from distinct clinical characteristics and contexts. To this end, in this study we propose the Disease Trajectory-aware Transformer for EHR (DT-BEHRT), a graph-enhanced sequential architecture that disentangles disease trajectories by explicitly modeling diagnosis-centric interactions within organ systems and capturing asynchronous progression patterns. To further enhance the representation robustness, we design a tailored pre-training methodology that combines trajectory-level code masking with ontology-informed ancestor prediction, promoting semantic alignment across multiple modeling modules. Extensive experiments on multiple benchmark datasets demonstrate that DT-BEHRT achieves strong predictive performance and provides interpretable patient representations that align with clinicians' disease-centered reasoning. The source code is publicly accessible at https://github.com/GatorAIM/DT-BEHRT.git.

cs.LG

ExoGS: A 4D Real-to-Sim-to-Real Framework for Scalable Manipulation Data Collection

Real-to-Sim-to-Real technique is gaining increasing interest for robotic manipulation, as it can generate scalable data in simulation while having narrower sim-to-real gap. However, previous methods mainly focused on environment-level visual real-to-sim transfer, ignoring the transfer of interactions, which could be challenging and inefficient to obtain purely in simulation especially for contact-rich tasks. We propose ExoGS, a robot-free 4D Real-to-Sim-to-Real framework that captures both static environments and dynamic interactions in the real world and transfers them seamlessly to a simulated environment. It provides a new solution for scalable manipulation data collection and policy learning. ExoGS employs a self-designed robot-isomorphic passive exoskeleton AirExo-3 to capture kinematically consistent trajectories with millimeter-level accuracy and synchronized RGB observations during direct human demonstrations. The robot, objects, and environment are reconstructed as editable 3D Gaussian Splatting assets, enabling geometry-consistent replay and large-scale data augmentation. Additionally, a lightweight Mask Adapter injects instance-level semantics into the policy to enhance robustness under visual domain shifts. Real-world experiments demonstrate that ExoGS significantly improves data efficiency and policy generalization compared to teleoperation-based baselines. Code and hardware files have been released on https://github.com/zaixiabalala/ExoGS.

cs.RO

DeepJ: Graph Convolutional Transformers with Differentiable Pooling for Patient Trajectory Modeling

In recent years, graph learning has gained significant interest for modeling complex interactions among medical events in structured Electronic Health Record (EHR) data. However, existing graph-based approaches often work in a static manner, either restricting interactions within individual encounters or collapsing all historical encounters into a single snapshot. As a result, when it is necessary to identify meaningful groups of medical events spanning longitudinal encounters, existing methods are inadequate in modeling interactions cross encounters while accounting for temporal dependencies. To address this limitation, we introduce Deep Patient Journey (DeepJ), a novel graph convolutional transformer model with differentiable graph pooling to effectively capture intra-encounter and inter-encounter medical event interactions. DeepJ can identify groups of temporally and functionally related medical events, offering valuable insights into key event clusters pertinent to patient outcome prediction. DeepJ significantly outperformed five state-of-the-art baseline models while enhancing interpretability, demonstrating its potential for improved patient risk stratification.

cs.LG

Open-loop Pareto-Nash equilibria in multi-objective interval differential games

The paper explores n-player multi-objective interval differential games, where the terminal payoff function and integral payoff function of players are both interval-vector-valued functions. Firstly, by leveraging the partial order relationship among interval vectors, we establish the concept of (weighted) open-loop Pareto-Nash equilibrium for multi-objective interval differential games and derive two theorems regarding the existence of such equilibria. Secondly, necessary conditions for open-loop Pareto-Nash equilibria in n-player interval differential games are derived through constructing Hamilton functions in an interval form and applying the Pontryagin maximum principle. Subsequently, sufficient conditions for their existence are provided by defining a maximization Hamilton function and utilizing its concavity. Finally, a two-player linear quadratic interval differential game is discussed along with a specific calculation method to determine its open-loop Pareto-Nash equilibrium.

math.OC

Position-enhanced and Time-aware Graph Convolutional Network for Sequential Recommendations

Most of the existing deep learning-based sequential recommendation approaches utilize the recurrent neural network architecture or self-attention to model the sequential patterns and temporal influence among a user's historical behavior and learn the user's preference at a specific time. However, these methods have two main drawbacks. First, they focus on modeling users' dynamic states from a user-centric perspective and always neglect the dynamics of items over time. Second, most of them deal with only the first-order user-item interactions and do not consider the high-order connectivity between users and items, which has recently been proved helpful for the sequential recommendation. To address the above problems, in this article, we attempt to model user-item interactions by a bipartite graph structure and propose a new recommendation approach based on a Position-enhanced and Time-aware Graph Convolutional Network (PTGCN) for the sequential recommendation. PTGCN models the sequential patterns and temporal dynamics between user-item interactions by defining a position-enhanced and time-aware graph convolution operation and learning the dynamic representations of users and items simultaneously on the bipartite graph with a self-attention aggregator. Also, it realizes the high-order connectivity between users and items by stacking multi-layer graph convolutions. To demonstrate the effectiveness of PTGCN, we carried out a comprehensive evaluation of PTGCN on three real-world datasets of different sizes compared with a few competitive baselines. Experimental results indicate that PTGCN outperforms several state-of-the-art models in terms of two commonly-used evaluation metrics for ranking.

cs.IR

A simple model clarifies the complicated relationships of complex networks

Real-world networks such as the Internet and WWW have many common traits. Until now, hundreds of models were proposed to characterize these traits for understanding the networks. Because different models used very different mechanisms, it is widely believed that these traits origin from different causes. However, we find that a simple model based on optimisation can produce many traits, including scale-free, small-world, ultra small-world, Delta-distribution, compact, fractal, regular and random networks. Moreover, by revising the proposed model, the community-structure networks are generated. By this model and the revised versions, the complicated relationships of complex networks are illustrated. The model brings a new universal perspective to the understanding of complex networks and provide a universal method to model complex networks from the viewpoint of optimisation.

cs.SI

A Fractal and Scale-free Model of Complex Networks with Hub Attraction Behaviors

It is widely believed that fractality of complex networks origins from hub repulsion behaviors (anticorrelation or disassortativity), which means large degree nodes tend to connect with small degree nodes. This hypothesis was demonstrated by a dynamical growth model, which evolves as the inverse renormalization procedure proposed by Song et al. Now we find that the dynamical growth model is based on the assumption that all the cross-boxes links has the same probability e to link to the most connected nodes inside each box. Therefore, we modify the growth model by adopting the flexible probability e, which makes hubs have higher probability to connect with hubs than non-hubs. With this model, we find some fractal and scale-free networks have hub attraction behaviors (correlation or assortativity). The results are the counter-examples of former beliefs.

physics.soc-ph

Ranking the Importance of Nodes of Complex Networks by the Equivalence Classes Approach

Identifying the importance of nodes of complex networks is of interest to the research of Social Networks, Biological Networks etc.. Current researchers have proposed several measures or algorithms, such as betweenness, PageRank and HITS etc., to identify the node importance. However, these measures are based on different aspects of properties of nodes, and often conflict with the others. A reasonable, fair standard is needed for evaluating and comparing these algorithms. This paper develops a framework as the standard for ranking the importance of nodes. Four intuitive rules are suggested to measure the node importance, and the equivalence classes approach is employed to resolve the conflicts and aggregate the results of the rules. To quantitatively compare the algorithms, the performance indicators are also proposed based on a similarity measure. Three widely used real-world networks are used as the test-beds. The experimental results illustrate the feasibility of this framework and show that both algorithms, PageRank and HITS, perform well with bias when dealing with the tested networks. Furthermore, this paper uses the proposed approach to analyze the structure of the Internet, and draws out the kernel of the Internet with dense links.

cs.SI

Equalitarian Societies are Economically Impossible

The inequality of wealth distribution is a universal phenomenon in the civilized nations, and it is often imputed to the Matthew effect, that is, the rich get richer and the poor get poorer. Some philosophers unjustified this phenomenon and tried to put the human civilization upon the evenness of wealth. Noticing the facts that 1) the emergence of the centralism is the starting point of human civilization, i.e., people in a society were organized hierarchically, 2) the inequality of wealth emerges simultaneously, this paper proposes a wealth distribution model based on the hidden tree structure from the viewpoint of complex network. This model considers the organized structure of people in a society as a hidden tree, and the cooperations among human beings as the transactions on the hidden tree, thereby explains the distribution of wealth. This model shows that the scale-free phenomenon of wealth distribution can be produced by the cascade controlling of human society, that is, the inequality of wealth can parasitize in the social organizations, such that any actions in eliminating the unequal wealth distribution would lead to the destroy of social or economic structures, resulting in the collapse of the economic system, therefore, would fail in vain.

physics.soc-ph

Some scale-free networks could be robust under the selective node attacks

It is a mainstream idea that scale-free network would be fragile under the selective attacks. Internet is a typical scale-free network in the real world, but it never collapses under the selective attacks of computer viruses and hackers. This phenomenon is different from the deduction of the idea above because this idea assumes the same cost to delete an arbitrary node. Hence this paper discusses the behaviors of the scale-free network under the selective node attack with different cost. Through the experiments on five complex networks, we show that the scale-free network is possibly robust under the selective node attacks; furthermore, the more compact the network is, and the larger the average degree is, then the more robust the network is; With the same average degrees, the more compact the network is, the more robust the network is. This result would enrich the theory of the invulnerability of the network, and can be used to build the robust social, technological and biological networks, and also has the potential to find the target of drugs.

physics.soc-ph

A Kind of Representation of Common Knowledge and its Application in Requirements Analysis

Since the birth of software engineering, it always are recognized as one pure engineering subject, therefore, the foundational scientific problems are not paid much attention. This paper proposes that Requirements Analysis, the kernel process of software engineering, can be modeled based on the concept of "common knowledge". Such a model would make us understand the nature of this process. This paper utilizes the formal language as the tool to characterize the "common knowledge"-based Requirements Analysis model, and theoretically proves that : 1) the precondition of success of software projects regardless of cost would be that the participants in a software project have fully known the requirement specification, if the participants do not understand the meaning of the other participants; 2) the precondition of success of software projects regardless of cost would be that the union set of knowledge of basic facts of the participants in a software project can fully cover the requirement specification, if the participants can always understand the meaning of the other participants. These two theorems may have potential meanings to propose new software engineering methodology.

cs.SE