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.
Physical reasoning underpins how embodied systems understand and act in the physical world, yet vision-language models (VLMs) remain unreliable on questions about dynamics and physical causality. Progress is critically constrained by the scarcity of grounded counterfactual training data, as observational videos capture only the factual trajectory that occurred. The self-evolving paradigm offers a route beyond fixed datasets by enabling models to construct their own training problems. Extending this paradigm to physics, however, requires an external source of truth that can both validate model-proposed environments and verify alternative physical outcomes under intervention. We introduce \physevolve{}, a verifier-grounded self-evolving framework that trains VLMs for causal physical reasoning from model-proposed executable worlds and simulation-authored tasks. At each round, a shared VLM proposes executable world programs and evidence schemas; a deterministic physics engine freezes each valid world, simulates matched baseline and body-elided counterfactual branches, and synthesizes discrete, answer-bound visual tasks. Exact verifier feedback from task solving updates both the shared policy via GRPO and an adaptive curriculum over physical intents. Starting from Qwen3-VL-8B-Instruct, \physevolve{} achieves targeted gains across PhysBench, CausalPhys, and ContPhy without human intervention data, improving PhysBench Throwing by $8.8$ points and ContPhy Counterfactual Removal and Goal-Pit by $7.4$ and $24.4$ points. These gains concentrate on interaction-sensitive and altered-world questions, demonstrating zero-shot transfer of causal principles to unseen complex dynamics (cloth, fluid, soft bodies) and real-world video.