R. Praveen Jain

Mahyar Abbasian, Elahe Khatibi, Saba A. Farahani et al.

Healthcare is essential, expert, and episodic by design - built around the roughly one hour per year a person spends with a clinician. The 8,759 hours outside clinical settings, where eating, sleeping, movement, medication, and stress actually shape long-term health, have no comparable infrastructure. The bottleneck for personalized health is not raw data or reasoning capability; it is the absence of that infrastructure layer. This paper introduces the Personal Care Utility (PCU): a layered, event-driven architecture proposed as the missing utility for everyday health, in the way that payments, networks, and power are utilities for their domains. PCU organizes continuous personal signals into semantically meaningful life events through a Personicle, estimates dynamic health state against personal baselines, reasons about cause and context, and routes guidance through an orchestrator that separates clinical decision logic, behavioral strategy selection, and natural-language expression. This separation lets large language models support reasoning and communication while keeping safety-critical clinical decisions grounded in validated evidence. We instantiate PCU for Type 2 Diabetes - turning CGM, meal, activity, medication, sleep, stress, and clinical data into glycemic events, individualized state estimates, causal explanations, and knowledge-grounded interventions. A day-in-the-life scenario shows the same infrastructure producing real-time nudges, weekly summaries, medication check-ins, silence, or deterministic safety alerts depending on context and risk. We close with how PCU generalizes to other chronic conditions and the governance questions any always-on personal health utility must address. The result is a blueprint that treats personalization not as a final messaging layer, but as an architectural property of everyday health guidance.

Maty Bohacek, Rishub Jain, Nicholas Dufour et al.

Interpreting and controlling model behaviors through activation steering methods requires many pairs of contrastive samples that clearly exhibit desired or undesired behavior. These data pairs determine the degree to which interpretability frameworks can reliably detect model features responsible for a behavior, and therefore the ability to steer models toward or away from such behavior. In this work, we present an iterative data generation pipeline that isolates cascading linear features responsible for a behavior. Specifically, we show how moving beyond simple binary pairs of samples, and instead isolating samples that show degrees of features that scale linearly with behavior, allows for better disentanglement of features. We focus on detecting and steering away from sycophancy -- the tendency of language models to prioritize user validation. We demonstrate that sycophancy features discovered through cascading samples form linearly separable subspaces, and allow for selection of model activations that more clearly correspond to the desired behavior than baseline approaches. We also evaluate their ability to enable detection, deterministic scoring, and robust steering, and see that they either match or outperform LLM-as-a-judge and system prompting baselines while providing lower computational demand and more interpretability guarantees. Code & Data: https://cascading-feats.github.io/

Saba A. Farahani, Hung Cao, Ramesh Jain et al.

Large language models (LLMs) can produce clinically fluent recommendations for type 2 diabetes while failing to satisfy guideline constraints or explicitly justify lifestyle-related glycemic claims. We present T2D-Bench, a reproducible benchmark and evidence-gated evaluation framework for testing whether LLM outputs satisfy explicit, graph-checkable evidence requirements. T2D-Bench is built on a multi-layer clinical-lifestyle knowledge graph that combines a biomedical spine (UMLS, DrugBank, SIDER), computable ADA Standards of Care rules, and lifestyle knowledge connected through a mechanistic bridge to glycemic laboratory effects. Across 100 structured vignettes spanning diagnosis, medication safety, and adversarial lifestyle conflicts, baseline outputs failed benchmark-defined evidence-path checks in 35% of cases for GPT-4o-mini and 33% for GPT-4o. The evidence gate detects unsupported omissions and uses constrained revision to bring outputs into verifier-level compliance with benchmark-defined evidence requirements. These results show that computable evidence constraints can make unsupported clinical omissions explicit, measurable, and correctable in diabetes-focused LLM outputs.

Jiamian Wang, Ruiyi Zhang, Tong Yu et al.

Recent methods train search agents via reinforcement learning from (question, answer, evidence) tuples without requiring expert trajectories. The tuples serve as the training environment, and whose properties directly shape what search strategies and generalization abilities the agent can develop. While prior works have made encouraging progress in improving training data quality, existing environments remain predominantly text-based and existing approaches can struggle to construct training environments that are controllable, scalable, and account for multimodal data. Given this, we propose DocArena, a fully automated data curation pipeline building on the practical need for multimodal document search and question-answering. It transforms raw document collections into training environments for search agents without any human annotation. The pipeline first structures and indexes documents through MLLM-based visual perception, then profiles and leverage the cross-page information distribution to construct reasoning-intensive QA pairs, as well as performs cascaded quality assurance operations via MLLM. We introduce DocArena-79K with QA pairs from 8,336 documents spanning 16 domains and 49 languages. We further design a Doc-Search agent infrastructure that decouples visual perception from the policy model, allowing text-based LLMs to serve as the reasoning backbone for multimodal document retrieval and QA. Under a unified evaluation framework where only the policy model differs, experiments on six multimodal document scenarios and seven text-based QA benchmarks show that agents trained on DocArena data achieve the best performance on both retrieval accuracy and QA quality. Further analysis on agent search behaviors confirms the effectiveness and controllability of the constructed training environment.