Yanning Dai

Mengtian Kang, Yansong Hu, Shuo Gao et al.

Childhood myopia constitutes a significant global health concern. It exhibits an escalating prevalence and has the potential to evolve into severe, irreversible conditions that detrimentally impact familial well-being and create substantial economic costs. Contemporary research underscores the importance of precisely predicting myopia progression to enable timely and effective interventions, thereby averting severe visual impairment in children. Such predictions predominantly rely on subjective clinical assessments, which are inherently biased and resource-intensive, thus hindering their widespread application. In this study, we introduce a novel, high-accuracy method for quantitatively predicting the myopic trajectory and myopia risk in children using only fundus images and baseline refraction data. This approach was validated through a six-year longitudinal study of 3,408 children in Henan, utilizing 16,211 fundus images and corresponding refractive data. Our method based on deep learning demonstrated predictive accuracy with an error margin of 0.311D per year and AUC scores of 0.944 and 0.995 for forecasting the risks of developing myopia and high myopia, respectively. These findings confirm the utility of our model in supporting early intervention strategies and in significantly reducing healthcare costs, particularly by obviating the need for additional metadata and repeated consultations. Furthermore, our method was designed to rely only on fundus images and refractive error data, without the need for meta data or multiple inquiries from doctors, strongly reducing the associated medical costs and facilitating large-scale screening. Our model can even provide good predictions based on only a single time measurement. Consequently, the proposed method is an important means to reduce medical inequities caused by economic disparities.

Chenyu Tang, Wentian Yi, Edoardo Occhipinti et al.

A human body digital twin (DT) is a virtual representation of an individual's physiological state, created using real-time data from sensors and medical test devices, with the purpose of simulating, predicting, and optimizing health outcomes through advanced analytics and simulations. The human body DT has the potential to revolutionize healthcare and wellness, but its responsible and effective implementation requires consideration of various factors. This article presents a comprehensive overview of the current status and future prospects of the human body DT and proposes a five-level roadmap for its development. The roadmap covers the development of various components, such as wearable devices, data collection, data analysis, and decision-making systems. The article also highlights the necessary support, security, cost, and ethical considerations that must be addressed in order to ensure responsible and effective implementation of the human body DT. The proposed roadmap provides a framework for guiding future development and offers a unique perspective on the future of the human body DT, facilitating new interdisciplinary research and innovative solutions in this rapidly evolving field.

Qingyuan Wu, Yuhui Wang, Simon Sinong Zhan et al.

Reinforcement Learning with Verified Reward (RLVR) has emerged as a critical paradigm for advancing the reasoning capabilities of Large Language Models (LLMs). Most existing RLVR methods, such as GRPO and its variants, ensure stable updates by constraining policy divergence through clipping likelihood ratios. This paper introduces a unified clipping framework that characterizes existing methods via a general notion of policy divergence, encompassing both likelihood ratios and Kullback-Leibler (KL) divergences and extending to alternative measures. The framework provides a principled foundation for systematically analyzing how different policy divergence measures affect exploration and performance. We further identify the KL3 estimator, a variance-reduced Monte Carlo estimator of the KL divergence, as a key policy divergence constraint. We theoretically demonstrate that the KL3-based constraint is mathematically equivalent to an asymmetric ratio-based clipping that reallocates probability mass toward high-confidence actions, promoting stronger exploration while retaining the simplicity of GRPO-style methods. Empirical results on mathematical reasoning benchmarks demonstrate that incorporating the KL3 estimator into GRPO improves both training stability and final performance, highlighting the importance of principled policy divergence constraints in policy optimization.

Yanning Dai, Yuhui Wang, Dylan R. Ashley et al.

Morphology-control co-design concerns the coupled optimization of an agent's body structure and control policy. This problem exhibits a bi-level structure, where the control dynamically adapts to the morphology to maximize performance. Existing methods typically neglect the control's adaptation dynamics by adopting a single-level formulation that treats the control policy as fixed when optimizing morphology. This can lead to inefficient optimization, as morphology updates may be misaligned with control adaptation. In this paper, we revisit the co-design problem from a game-theoretic perspective, modeling the intrinsic coupling between morphology and control as a novel variant of a Stackelberg game. We propose Stackelberg Proximal Policy Optimization (Stackelberg PPO), which explicitly incorporates the control's adaptation dynamics into morphology optimization. By modeling this intrinsic coupling, our method aligns morphology updates with control adaptation, thereby stabilizing training and improving learning efficiency. Experiments across diverse co-design tasks demonstrate that Stackelberg PPO outperforms standard PPO in both stability and final performance, opening the way for dramatically more efficient robotics designs.

Yanning Dai, Chenyu Tang, Ruizhi Zhang et al.

Dynamic prediction of locomotor capacity after stroke could enable more individualized rehabilitation, yet current assessments largely provide static impairment scores and do not indicate whether patients can perform specific tasks such as slope walking or stair climbing. Here, we present a wearable-informed data-physics hybrid generative framework that reconstructs a stroke survivor's locomotor control from wearable inertial sensing and predicts task-conditioned post-stroke locomotion in new environments. From a single 20 m level-ground walking trial recorded by five IMUs, the framework personalizes a physics-based digital avatar using a healthy-motion prior and hybrid imitation learning, generating dynamically feasible, patient-specific movements for inclined walking and stair negotiation. Across 11 stroke inpatients, predicted postures reached 82.2% similarity for slopes and 69.9% for stairs, substantially exceeding a physics-only baseline. In a multicentre pilot randomized study (n = 21; 28 days), access to scenario-specific locomotion predictions to support task selection and difficulty titration was associated with larger gains in Fugl-Meyer lower-extremity scores than standard care (mean change 6.0 vs 3.7 points; $p < 0.05$). These results suggest that wearable-informed generative digital avatars may augment individualized gait rehabilitation planning and provide a pathway toward dynamically personalized post-stroke motor recovery strategies.

Chenyu Tang, Ruizhi Zhang, Shuo Gao et al.

At-home rehabilitation for post-stroke patients presents significant challenges, as continuous, personalized care is often limited outside clinical settings. Moreover, the lack of integrated solutions capable of simultaneously monitoring motor recovery and providing intelligent assistance in home environments hampers rehabilitation outcomes. Here, we present a multimodal smart home platform designed for continuous, at-home rehabilitation of post-stroke patients, integrating wearable sensing, ambient monitoring, and adaptive automation. A plantar pressure insole equipped with a machine learning pipeline classifies users into motor recovery stages with up to 94\% accuracy, enabling quantitative tracking of walking patterns during daily activities. An optional head-mounted eye-tracking module, together with ambient sensors such as cameras and microphones, supports seamless hands-free control of household devices with a 100\% success rate and sub-second response time. These data streams are fused locally via a hierarchical Internet of Things (IoT) architecture, ensuring low latency and data privacy. An embedded large language model (LLM) agent, Auto-Care, continuously interprets multimodal data to provide real-time interventions -- issuing personalized reminders, adjusting environmental conditions, and notifying caregivers. Implemented in a post-stroke context, this integrated smart home platform increased mean user satisfaction from 3.9 $\pm$ 0.8 in conventional home environments to 8.4 $\pm$ 0.6 with the full system ($n=20$). Beyond stroke, the system offers a scalable, patient-centered framework with potential for long-term use in broader neurorehabilitation and aging-in-place applications.

Mohannad Alhakami, Dylan R. Ashley, Joel Dunham et al.

Advanced machine learning algorithms require platforms that are extremely robust and equipped with rich sensory feedback to handle extensive trial-and-error learning without relying on strong inductive biases. Traditional robotic designs, while well-suited for their specific use cases, are often fragile when used with these algorithms. To address this gap -- and inspired by the vision of enabling curiosity-driven baby robots -- we present a novel robotic limb designed from scratch. Our design has a hybrid soft-hard structure, high redundancy with rich non-contact sensors (exclusively cameras), and easily replaceable failure points. Proof-of-concept experiments using two contemporary reinforcement learning algorithms on a physical prototype demonstrate that our design is able to succeed in a simple target-finding task even under simulated sensor failures, all with minimal human oversight during extended learning periods. We believe this design represents a concrete step toward more tailored robotic designs for achieving general-purpose, generally intelligent robots.