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Roberto Cruz

Publications and source records attributed to Roberto Cruz.

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PySynthea: A Python-Native Framework for Scalable Synthetic Healthcare Data Generation

Synthetic healthcare data is increasingly important for research, education, and machine learning development where access to real patient data is limited by privacy and governance constraints. While Synthea provides a widely adopted framework for generating realistic longitudinal electronic health record data, its current implementation presents adoption barriers for many researchers and data scientists due to deployment complexity and limited integration with modern Python-based workflows. This paper introduces PySynthea, a Python-native reimplementation of Synthea designed to improve accessibility, extensibility, and interoperability within the scientific Python ecosystem. The framework provides modular synthetic patient generation, configurable healthcare simulation pipelines, and support for standard healthcare data formats while integrating naturally with tools such as pandas and machine learning workflows. By reducing operational complexity and aligning synthetic data generation with the dominant data science ecosystem, PySynthea aims to accelerate experimentation and broaden the use of synthetic healthcare data in research and applied AI development. The code in this github repository https://github.com/TIET-AI/tietai-synthea.

cs.CY

Generalistic or Specific Embeddings, Which is Better? An Empirical Study on Search for Clinical Coding in Non-English Languages

Sentence-embedding models for semantic search are overwhelmingly developed and evaluated on English corpora. When applied to clinical retrieval in other languages -- particularly retrieval of ICD-10-CM / CIE-10 codes -- recall degrades in ways often masked by aggregate benchmarks. We study whether large generative language models can serve as data factories to close this gap. We build a two-stage retriever (bi-encoder followed by cross-encoder reranker), fine-tuned from a Spanish biomedical encoder (PlanTL-GOB-ES/bsc-bio-ehr-es) on Gemini-generated synthetic data covering English, Spanish, Catalan, Italian, Portuguese and French, and evaluate against BioBERT-ST and the un-tuned Spanish encoder. The bi-encoder alone matches BioBERT-ST on MRR (0.876 vs. 0.866) and overtakes it on R@3 (0.650 vs. 0.626) and R@5 (0.804 vs. 0.790) without English biomedical pretraining. Adding a cross-encoder reranker lifts aggregate R@5 to 0.822 and dominates on four of five languages (+0.017 Spanish, +0.033 Catalan, +0.018 French, +0.037 Portuguese) at the cost of a small English regression. The trade-off is clinically acceptable: Portuguese reaches R@5 = 0.829 vs. BioBERT-ST's 0.714. Contributions: an open recipe for building domain-specific medical retrievers from LLM-generated data; quantification of the learning gain (MRR 0.755 to 0.876, +15.9% with ~19,500 synthetic pairs); and a characterisation of where gains concentrate by language and rank.

cs.CL

MDIA: A Multi-Agent Diagnostic Intelligence Pipeline on HealthBench Professional

Most reported gains on agentic-LLM clinical benchmarks are often attributed to prompt engineering, yet our results suggest that larger improvements can come from architectural and engine-level design. We present MDIA, a Multi-agent Diagnostic Intelligence Agent implemented as a 7-node specialty-routed clinical reasoning graph, on the full HealthBench Professional benchmark (n = 525), on a non-fine-tuned LLM. MDIA achieves 0.6272 under OpenAI's GPT-5.4-2026-03-05, which is +3.72 pp above the performance of OpenAI's ChatGPT for Clinicians. The experimental work shows that performance lift is attributable to system architecture: specialty routing, multi-turn context preservation, drug-state safety gating, site-filtered search, length-aware synthesis, and engine-level reliability. These findings support the view that agentic clinical benchmark performance is shaped both by the underlying foundation model and the orchestration architecture. Nevertheless, we also noticed notable differences when using other models as a grader; in particular, when using Gemini 2.5 Pro, MDIA scored 0.6585, which suggests that the choice of grader is a source of variability. Robust evaluation of LLMs would therefore require assessment across several independent grader models.

cs.AI

Welcome to the Statverse: A Metaverse for Data Science

This paper introduces the Statverse, a Metaverse framework designed to revolutionize statistical education in the digital age. Our key goal is to report our progress and encourage others to integrate similar strategies into their programs. The proposed framework seamlessly integrates the physical and digital realms to provide an immersive environment for the nuanced representation of complex statistical concepts. Finally, we discuss the potential impact of Statverse on advancing Statistical Education, offering a transformative approach to teaching and learning in the digital age. Statverse is the outcome of an academic partnership between Universidad T\'ecnica Federico Santa Mar\'ia (UTFSM) and the University of Edinburgh (UoE).

stat.OT

On well-covered, vertex decomposable and Cohen-Macaulay graphs

Let $G=(V,E)$ be a graph. If $G$ is a König graph or $G$ is a graph without 3-cycles and 5-cycle, we prove that the following conditions are equivalent: $Δ_{G}$ is pure shellable, $R/I_Δ$ is Cohen-Macaulay, $G$ is unmixed vertex decomposable graph and $G$ is well-covered with a perfect matching of König type $e_{1},...,e_{g}$ without square with two $e_i$'s. We characterize well-covered graphs without 3-cycles, 5-cycles and 7-cycles. Also, we study when graphs without 3-cycles and 5-cycles are vertex decomposable or shellable. Furthermore, we give some properties and relations between critical, extendables and shedding vertices. Finally, we characterize unicyclic graphs with each one of the following properties: unmixed, vertex decomposable, shellable and Cohen-Macaulay.

math.CO