Reasoning post-training draws on offline demonstrations and policy-generated rollouts, yet conventional supervised fine-tuning (SFT) followed by reinforcement learning (RL) separates their objectives and limits continued reuse of collected responses. We propose \textbf{Cross-Behavior Policy Optimization} (CBPO), which makes these sources compatible with one regression loss through a fixed-reference target. Because the generating policy does not enter this target, positive and negative offline completions, reference responses, and current and historical rollouts can share a common reward-labeled record format and replay buffer. As new responses enter the buffer, optimization retains the same regression objective without coordinating separate SFT and RL objectives or requiring stored behavior-policy probabilities, importance weighting, or a learned critic. Restricting the available sources gives offline, on-policy, and off-policy variants, while CBPO-Unified combines them. Across two model scales and four mathematical reasoning benchmarks, CBPO delivers leading \texttt{avg@32} and \texttt{pass@32} performance across benchmarks and data regimes. On Qwen3-1.7B, CBPO-Unified improves benchmark-averaged \texttt{avg@32} and \texttt{pass@32} over SFT DAPO by 2.33 and 4.44 percentage points, respectively. In the replay ablation, retaining historical rollouts improves these metrics by 1.87 and 3.72 percentage points over the no-history configuration.
AI 速览:NECA 是一种与模型无关的方法:它检索早期窗口特征相似的历史患者,并将其后续器官功能障碍事件的发生时间转换为多时间跨度的累积事件曲线特征,再与原始患者表示拼接,供下游预测器使用。
Early prediction of ICU organ dysfunction events supports timely clinical monitoring and intervention, but estimating short-term organ-specific risk from early ICU records remains challenging due to irregular measurements, heterogeneous clinical variables, and the need to predict risk across multiple future horizons. Existing supervised models usually treat each patient as an isolated sample and do not explicitly use the observed event timing of similar historical patients. We propose Neighbor Event-Curve Augmentation (NECA), a model-agnostic method that retrieves training-set patients with similar early-window profiles and converts their subsequent organ dysfunction event onset times into cumulative event-curve features over 6h, 12h, 24h, and 42h. These features are concatenated with the original patient representation and used by standard downstream predictors. On PhysioNet 2012 and a 4,000-stay MIMIC-IV subset, NECA improves average PR-AUC and ROC-AUC across four organ dysfunction event tasks and seven supervised learners. The largest gain appears for neurological dysfunction events, where task-level average PR-AUC increases from 0.461 to 0.557 on PhysioNet 2012. Ablations show that clinically meaningful retrieval and horizon-specific neighbor risk drive most of the improvement, while the full cumulative curve adds task-dependent temporal context. These results support similar-patient event timing as a structured temporal risk signal for ICU organ dysfunction event prediction. The source code will be publicly released upon acceptance of this paper.