José Geraldo Fernandes

Jose Geraldo Fernandes, Luiz Facury, Pedro Robles Dutenhefner et al.

Self-supervised learning in healthcare has largely relied on invariance-based objectives, which maximize similarity between different views of the same patient. While effective for static anatomy, this paradigm is fundamentally misaligned with clinical diagnosis, as it mathematically compels the model to suppress the transient pathological changes it is intended to detect. We propose a shift towards Action-Conditioned World Models that learn to simulate the dynamics of disease progression, or Event-Conditioned. Adapting the LeJEPA framework to physiological time-series, we define pathology not as a static label, but as a transition vector acting on a patient's latent state. By predicting the future electrophysiological state of the heart given a disease onset, our model explicitly disentangles stable anatomical features from dynamic pathological forces. Evaluated on the MIMIC-IV-ECG dataset, our approach outperforms fully supervised baselines on the critical triage task. Crucially, we demonstrate superior sample efficiency: in low-resource regimes, our world model outperforms supervised learning by over 0.05 AUROC. These results suggest that modeling biological dynamics provides a dense supervision signal that is far more robust than static classification. Source code is available at https://github.com/cljosegfer/lesaude-dynamics

Flavio Figueiredo, José Geraldo Fernandes, Jackson Silva et al.

Copulas are powerful statistical tools for capturing dependencies across data dimensions. Applying Copulas involves estimating independent marginals, a straightforward task, followed by the much more challenging task of determining a single copulating function, $C$, that links these marginals. For bivariate data, a copula takes the form of a two-increasing function $C: (u,v)\in \mathbb{I}^2 \rightarrow \mathbb{I}$, where $\mathbb{I} = [0, 1]$. This paper proposes 2-Cats, a Neural Network (NN) model that learns two-dimensional Copulas without relying on specific Copula families (e.g., Archimedean). Furthermore, via both theoretical properties of the model and a Lagrangian training approach, we show that 2-Cats meets the desiderata of Copula properties. Moreover, inspired by the literature on Physics-Informed Neural Networks and Sobolev Training, we further extend our training strategy to learn not only the output of a Copula but also its derivatives. Our proposed method exhibits superior performance compared to the state-of-the-art across various datasets while respecting (provably for most and approximately for a single other) properties of C.