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Large reasoning models (LRMs) improve task performance by generating longer intermediate reasoning traces, but this substantially increases inference costs and makes low-precision quantization increasingly important. However, aggressively quantized models often perform poorly on reasoning tasks. We observe larger activation fluctuations during the first decoding steps of reasoning. Calibration that omits these early states may miss their activation fluctuations. To address these reasoning-specific quantization challenges, we propose \textbf{CodeQuant2}, a clustering-based LUT quantization framework for low-precision large reasoning models. CodeQuant2 mitigates activation outliers with rotation and scaling, uses clustering to represent non-uniform weight distributions, and adapts codebook sizes to the quantization difficulty of each layer. Guided by our observation of reasoning-time activation behavior, CodeQuant2 further improves calibration sample selection to better match actual decoding statistics. Combined with our customized LUT CUDA kernel, CodeQuant2 delivers substantial accuracy improvements on reasoning benchmarks while achieving up to $2.85\times$ speedup over BF16.

Designing healthcare strategies requires anticipating their clinical and operational consequences before implementation, a task that often relies on health system simulation. Such a simulation necessitates modeling how patient states evolve and generate care demands. However, conventional approaches typically tailor compact state transitions to a single policy question and omit history-dependent dynamics, thus requiring the redefinition of states and transitions when there is a new question that entails different clinical information. We propose to learn a patient world model from longitudinal EHRs using a neural network to provide a shared clinical representation of patient trajectories that can serve simulation questions across scenarios. Taking ICU operations as an example, we train the model on MIMIC-IV, freeze it, and couple its time-queryable predictions to shared ICU calendars, resources, and queues via scenario-specific mappings, so that one model renders admission demand, care tasks, and discharge proposals across simulations evaluating ICU bed capacity, care dispatch, and post-ICU transfer capacity. Experiments show that our model matches Markov and semi-Markov comparators in aggregate occupancy and directional responses to capacity and dispatch policies. It also reproduces policy gains from replayed observed trajectories. For patients entering the same support state from different prior trajectories, the learned representation captures a 24-h recovery difference (-6.4 predicted versus -6.7 observed percentage points), a contrast missed by compact state models, which propagates into distinct simulated care demand, queue burden, and bed use. These results indicate that a learned world model of patient dynamics has the potential to replace question-specific state models, allowing new care policies to be evaluated by reconfiguring the scenario without model rebuilding.

Current medical benchmarks typically break down clinical competence into isolated factual questions, single-image tasks, or static case vignettes. These tests score individual answers, but reveal less about whether a model can integrate subspecialty knowledge with multimodal evidence and track a patient's condition throughout a course of care. To close this gap, we introduce NPCBench, a clinical apprenticeship benchmark for nasopharyngeal carcinoma (NPC). NPCBench mirrors specialist training, from guideline and foundational knowledge to case planning, longitudinal review, CarePath integration, and open-ended consultation. It contains 4,777 component and consultation items and a 100-patient CarePath cohort with 417 scored diagnostic and care tasks. The episode-level evaluation tests whether diagnostic and care answers are jointly correct within a care pathway. By linking stepwise tasks to patient-level care trajectories, NPCBench evaluates whether models ground decisions in visual evidence, interpret changes in patient state, and meet clinical requirements in consultation. Across 30 evaluated models, we observe a composition gap: strong performance on individual tasks does not ensure jointly correct diagnostic and care answers for the same patient. Among 21 multimodal models, strict CarePath success reaches at most 23%. Paired controls and physician calibration further examine evidence grounding, longitudinal revision, and consultation judging. Overall, NPCBench broadens the evaluation of medical artificial intelligence beyond static question-answering paradigms to an apprenticeship-oriented assessment of clinical workflows, thereby offering a testbed for evidence-based and temporally coherent reasoning in oncology care.

As one of the most important underwater sensing technologies, forward-looking sonar exhibits unique imaging characteristics. Sonar images are often affected by severe speckle noise, low texture contrast, acoustic shadows, and geometric distortions. These factors make it difficult for traditional teacher-student frameworks to achieve satisfactory performance in sonar semantic segmentation tasks under extremely limited labeled data conditions. To address this issue, we propose a Collaborative Teacher Semantic Segmentation Framework for forward-looking sonar images. This framework introduces a multi-teacher collaborative mechanism composed of one general teacher and multiple sonar-specific teachers. By adopting a multi-teacher alternating guidance strategy, the student model can learn general semantic representations while simultaneously capturing the unique characteristics of sonar images, thereby achieving more comprehensive and robust feature modeling. Considering the challenges of sonar images, which can lead teachers to generate a large number of noisy pseudo-labels, we further design a cross-teacher reliability assessment mechanism. This mechanism dynamically quantifies the reliability of pseudo-labels by evaluating the consistency and stability of predictions across multiple views and multiple teachers, thereby mitigating the negative impact caused by noisy pseudo-labels. Notably, on the FLSMD dataset, when only 2% of the data is labeled, our method achieves a 5.08% improvement in mIoU compared to other state-of-the-art approaches.

AI agents are playing an increasingly important role in physics research. However, existing physics benchmarks only evaluate fixed questions, isolated sub-tasks, or paper reproduction with given solutions, and rarely check research quality alongside correctness. We introduce FrontierPhysics, an end-to-end benchmark with 56 tasks made by 42 physicists based on their own research, covering nine domains across theoretical, computational, and experimental physics. Each task requires agents to review the literature, develop a research plan, conduct research and experiments, and produce structured outputs and scientific manuscripts. Combining deterministic verifiers with expert-authored rubrics, FrontierPhysics evaluates whether agents' research is correct and publishable. Across 22 models in 26 configurations, no configuration passes more than 46 of its 168 rollouts. Manual review of agent trajectories shows that frontier agents' main weaknesses are insufficiently rigorous reasoning and limited expert intuition, rather than gaps in physics knowledge or execution errors.

Autoregressive image generation has recently emerged as a competitive visual generation paradigm, yet its generation order is often predefined or heuristic, such as next-patch prediction, random-order prediction, or one-step generation for specific scales. We observe that these strategies can cause models to overlook important structural dependencies in images, thereby limiting both structural robustness and reasoning capability. In this work, we propose a context-aware autoregressive generation framework, where the model dynamically determines the next token location based on global context and current local information. Rather than following a fixed or random order, our method allows the generation process to adapt to image structure and semantic dependencies. Extensive experiments show that context-aware generation significantly improves structural robustness across different image AR paradigms, including masked autoregressive and scale-wise autoregressive models. Beyond quantitative improvements, we further observe emerging reasoning properties: the model can better understand complex semantic instructions and generate images that more faithfully follow the given guidance. These findings suggest that generation order is a critical yet underexplored factor in image autoregressive modeling, and that context-aware decoding can unlock stronger reasoning-aware visual generation capabilities. Code is available at https://github.com/Hpesojyjx/Saccades-AR.