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Recent advancements in large language models (LLMs) have significantly transformed medical systems. However, their potential within specialized domains such as nursing remains largely underexplored. In this work, we introduce NurseLLM, the first nursing-specialized LLM tailored for multiple choice question-answering (MCQ) tasks. We develop a multi-stage data generation pipeline to build the first large scale nursing MCQ dataset to train LLMs on a broad spectrum of nursing topics. We further introduce multiple nursing benchmarks to enable rigorous evaluation. Our extensive experiments demonstrate that NurseLLM outperforms SoTA general-purpose and medical-specialized LLMs of comparable size on different benchmarks, underscoring the importance of a specialized LLM for the nursing domain. Finally, we explore the role of reasoning and multi-agent collaboration systems in nursing, highlighting their promise for future research and applications.
As humans, we are natural any-horizon reasoners, i.e., we can decide whether to iteratively skim long videos or watch short ones in full when necessary for a given task. With this in mind, one would expect video reasoning models to reason flexibly across different durations. However, SOTA models are still trained to predict answers in a single turn while processing a large number of frames, akin to watching an entire long video, requiring significant resources. This raises the question: Is it possible to develop performant any-horizon video reasoning systems? Inspired by human behavior, we first propose SAGE, an agent system that performs multi-turn reasoning on long videos while handling simpler problems in a single turn. Secondly, we introduce an easy synthetic data generation pipeline using Gemini-2.5-Flash to train the orchestrator, SAGE-MM, which lies at the core of SAGE. We further propose an effective RL post-training recipe essential for instilling any-horizon reasoning ability in SAGE-MM. Thirdly, we curate SAGE-Bench with an average duration of greater than 700 seconds for evaluating video reasoning ability in real-world entertainment use cases. Lastly, we empirically val
The significant variability in cell size and shape continues to pose a major obstacle in computer-assisted cancer detection on gigapixel Whole Slide Images (WSIs), due to cellular heterogeneity. Current CNN-Transformer hybrids use static computation graphs with fixed routing. This leads to extra computation and makes it harder to adapt to changes in input. We propose Shape-Adapting Gated Experts (SAGE), an input-adaptive framework that enables dynamic expert routing in heterogeneous visual networks. SAGE reconfigures static backbones into dynamically routed expert architectures via a dual-path design with hierarchical gating and a Shape-Adapting Hub (SA-Hub) that harmonizes feature representations across convolutional and transformer modules. Embodied as SAGE with ConvNeXt and Vision Transformer UNet (SAGE-ConvNeXt+ViT-UNet), our model achieves a Dice score of 95.23% on EBHI, DSC scores of 92.78% and 91.42% on GlaS Test A and Test B, respectively, and 91.26% DSC at the WSI level on DigestPath, while exhibiting robust generalization under distribution shifts by adaptively balancing local refinement and global context. SAGE establishes a scalable foundation for dynamic expert routing
Consistent high-quality nursing care is essential for patient safety, yet current nursing education depends on subjective, time-intensive instructor feedback in training future nurses, which limits scalability and efficiency in their training, and thus hampers nursing competency when they enter the workforce. In this paper, we introduce a video-language model (VLM) based framework to develop the AI capability of automated procedural assessment and feedback for nursing skills training, with the potential of being integrated into existing training programs. Mimicking human skill acquisition, the framework follows a curriculum-inspired progression, advancing from high-level action recognition, fine-grained subaction decomposition, and ultimately to procedural reasoning. This design supports scalable evaluation by reducing instructor workload while preserving assessment quality. The system provides three core capabilities: 1) diagnosing errors by identifying missing or incorrect subactions in nursing skill instruction videos, 2) generating explainable feedback by clarifying why a step is out of order or omitted, and 3) enabling objective, consistent formative evaluation of procedures.
Nursing notes, an important part of Electronic Health Records (EHRs), track a patient's health during a care episode. Summarizing key information in nursing notes can help clinicians quickly understand patients' conditions. However, existing summarization methods in the clinical setting, especially abstractive methods, have overlooked nursing notes and require reference summaries for training. We introduce QGSumm, a novel query-guided self-supervised domain adaptation approach for abstractive nursing note summarization. The method uses patient-related clinical queries for guidance, and hence does not need reference summaries for training. Through automatic experiments and manual evaluation by an expert clinician, we study our approach and other state-of-the-art Large Language Models (LLMs) for nursing note summarization. Our experiments show: 1) GPT-4 is competitive in maintaining information in the original nursing notes, 2) QGSumm can generate high-quality summaries with a good balance between recall of the original content and hallucination rate lower than other top methods. Ultimately, our work offers a new perspective on conditional text summarization, tailored to clinical app
While LLMs have demonstrated medical knowledge and conversational ability, their deployment in clinical practice raises new risks: patients may place greater trust in LLM-generated responses than in nurses' professional judgments, potentially intensifying nurse-patient conflicts. Such risks highlight the urgent need of evaluating whether LLMs align with the core nursing values upheld by human nurses. This work introduces the first benchmark for nursing value alignment, consisting of five core value dimensions distilled from international nursing codes: Altruism, Human Dignity, Integrity, Justice, and Professionalism. We define two-level tasks on the benchmark, considering the two characteristics of emerging nurse-patient conflicts. The Easy-Level dataset consists of 2,200 value-aligned and value-violating instances, which are collected through a five-month longitudinal field study across three hospitals of varying tiers; The Hard-Level dataset is comprised of 2,200 dialogue-based instances that embed contextual cues and subtle misleading signals, which increase adversarial complexity and better reflect the subjectivity and bias of narrators in the context of emerging nurse-patient
Real-world data collection for embodied agents remains costly and unsafe, calling for scalable, realistic, and simulator-ready 3D environments. However, existing scene-generation systems often rely on rule-based or task-specific pipelines, yielding artifacts and physically invalid scenes. We present SAGE, an agentic framework that, given a user-specified embodied task (e.g., "pick up a bowl and place it on the table"), understands the intent and automatically generates simulation-ready environments at scale. The agent couples multiple generators for layout and object composition with critics that evaluate semantic plausibility, visual realism, and physical stability. Through iterative reasoning and adaptive tool selection, it self-refines the scenes until meeting user intent and physical validity. The resulting environments are realistic, diverse, and directly deployable in modern simulators for policy training. Policies trained purely on this data exhibit clear scaling trends and generalize to unseen objects and layouts, demonstrating the promise of simulation-driven scaling for embodied AI. Code, demos, and the SAGE-10k dataset can be found on the project page here: https://resea
As the aging population increases and the shortage of healthcare workers increases, the need to examine other means for caring for the aging population increases. One such means is the use of humanoid robots to care for social, emotional, and physical wellbeing of the people above 65. Understanding skilled and long term care nursing home administrators' perspectives on humanoid robots in caregiving is crucial as their insights shape the implementation of robots and their potential impact on resident well-being and quality of life. This authors surveyed two hundred and sixty nine nursing homes executives to understand their perspectives on the use of humanoid robots in their nursing home facilities. The data was coded and results revealed that the executives were keen on exploring other avenues for care such as robotics that would enhance their nursing homes abilities to care for their residents. Qualitative analysis reveals diverse perspectives on integrating humanoid robots in nursing homes. While acknowledging benefits like improved engagement and staff support, concerns persist about costs, impacts on human interaction, and doubts about robot effectiveness. This highlights compl
This paper examines the state of Open Data in Latvia at the middle of 2014. The study is divided into two parts: (i) a survey of open data situation and (ii) an overview of available open data sets. The first part examines the general open data climate in Latvia according to the guidelines of the OKFN Open Data Index making the results comparable to those of other participants of this index. The second part examines datasets made available on the Latvia Open Data community catalogue, the only open data catalogue available in Latvia at the moment. We conclude that Latvia public sector open data mostly fulfil the basic criteria (e.g., data is available) of the Open Data Index but fail on more advanced criteria: the majority of data considered in the study are not published in machine-readable form, are not available for bulk download and none of the data sources have open license statements.
Nursing homes and other long term-care facilities account for a disproportionate share of COVID-19 cases and fatalities worldwide. Outbreaks in U.S. nursing homes have persisted despite nationwide visitor restrictions beginning in mid-March. An early report issued by the Centers for Disease Control and Prevention identified staff members working in multiple nursing homes as a likely source of spread from the Life Care Center in Kirkland, Washington to other skilled nursing facilities. The full extent of staff connections between nursing homes---and the crucial role these connections serve in spreading a highly contagious respiratory infection---is currently unknown given the lack of centralized data on cross-facility nursing home employment. In this paper, we perform the first large-scale analysis of nursing home connections via shared staff using device-level geolocation data from 30 million smartphones, and find that 7 percent of smartphones appearing in a nursing home also appeared in at least one other facility---even after visitor restrictions were imposed. We construct network measures of nursing home connectedness and estimate that nursing homes have, on average, connections
Latest advances in the field of natural language processing (NLP) enable new use cases for different domains, including the medical sector. In particular, transcription can be used to support automation in the nursing documentation process and give nurses more time to interact with the patients. However, different challenges including (a) data privacy, (b) local languages and dialects, and (c) domain-specific vocabulary need to be addressed. In this case study, we investigate the case of home care nursing documentation in Switzerland. We assessed different transcription tools and models, and conducted several experiments with OpenAI Whisper, involving different variations of German (i.e., dialects, foreign accent) and manually curated example texts by a domain expert of home care nursing. Our results indicate that even the used out-of-the-box model performs sufficiently well to be a good starting point for future research in the field.
This paper explores the application of large language models (LLMs) in nursing and elderly care, focusing on AI-driven patient monitoring and interaction. We introduce a novel Chinese nursing dataset and implement incremental pre-training (IPT) and supervised fine-tuning (SFT) techniques to enhance LLM performance in specialized tasks. Using LangChain, we develop a dynamic nursing assistant capable of real-time care and personalized interventions. Experimental results demonstrate significant improvements, paving the way for AI-driven solutions to meet the growing demands of healthcare in aging populations.
The application of deep learning to nursing procedure activity understanding has the potential to greatly enhance the quality and safety of nurse-patient interactions. By utilizing the technique, we can facilitate training and education, improve quality control, and enable operational compliance monitoring. However, the development of automatic recognition systems in this field is currently hindered by the scarcity of appropriately labeled datasets. The existing video datasets pose several limitations: 1) these datasets are small-scale in size to support comprehensive investigations of nursing activity; 2) they primarily focus on single procedures, lacking expert-level annotations for various nursing procedures and action steps; and 3) they lack temporally localized annotations, which prevents the effective localization of targeted actions within longer video sequences. To mitigate these limitations, we propose NurViD, a large video dataset with expert-level annotation for nursing procedure activity understanding. NurViD consists of over 1.5k videos totaling 144 hours, making it approximately four times longer than the existing largest nursing activity datasets. Notably, it encompa
The Shapley Additive Global Importance (SAGE) value is a theoretically appealing interpretability method that fairly attributes global importance to a model's features. However, its exact calculation requires the computation of the feature's surplus performance contributions over an exponential number of feature sets. This is computationally expensive, particularly because estimating the surplus contributions requires sampling from conditional distributions. Thus, SAGE approximation algorithms only take a fraction of the feature sets into account. We propose $d$-SAGE, a method that accelerates SAGE approximation. $d$-SAGE is motivated by the observation that conditional independencies (CIs) between a feature and the model target imply zero surplus contributions, such that their computation can be skipped. To identify CIs, we leverage causal structure learning (CSL) to infer a graph that encodes (conditional) independencies in the data as $d$-separations. This is computationally more efficient because the expense of the one-time graph inference and the $d$-separation queries is negligible compared to the expense of surplus contribution evaluations. Empirically we demonstrate that $d
To investigate in more details of Stellar Abundance and Galactic Evolution (SAGE) and in a huge sample, we are performing a northern sky photometric survey named SAGES with the SAGE photometric system, which consists of 8 filters: Strömgren-$u$, SAGE-$v$, SDSS $g$, $r$, $i$, DDO-$51$, $Hα_{wide}$, and $Hα_{narrow}$, including three Sloan broadband filters, three intermediate-band filters and two narrow-band filters, and one newly-designed narrow-band filter. SAGES covers $\sim$12,000 square degrees of the northern sky with $δ> -5 ^{\circ}$, excluding the Galactic disk ($|b|<10^{\circ}$) and the sky area of 12 hr $<$ R.A. $<$ 18\,hr. The photometric detection limit depth at signal-to-noise ratio $5σ$ can be as deep as $V\sim$20\,mag. The SAGES will produce a depth-uniformed photometric catalogue for $\sim$500 million stars with atmospheric parameters including effective temperature $T_{\rm eff}$, surface gravity log\,g, and metallicity [Fe/H], as well as interstellar extinction to each individual target. In this work, we will briefly introduce the SAGE photometric system, the SAGE survey, and a preliminary test field of the open cluster NGC\,6791 and around.
The classes of sums of arithmetic-geometric exponentials (SAGE) and of sums of nonnegative circuit polynomials (SONC) provide nonnegativity certificates which are based on the inequality of the arithmetic and geometric means. We study the cones of symmetric SAGE and SONC forms and their relations to the underlying symmetric nonnegative cone. As main results, we provide several symmetric cases where the SAGE or SONC property coincides with nonnegativity and we present quantitative results on the differences in various situations. The results rely on characterizations of the zeroes and the minimizers for symmetric SAGE and SONC forms, which we develop. Finally, we also study symmetric monomial mean inequalities and apply SONC certificates to establish a generalized version of Muirhead's inequality.
With the advancement of the Internet of Things(IoT) and pervasive computing applications, it provides a better opportunity to understand the behavior of the aging population. However, in a nursing home scenario, common sensors and techniques used to track an elderly living alone are not suitable. In this paper, we design a location-based tracking system for a four-story nursing home - The Salvation Army, Peacehaven Nursing Home in Singapore. The main challenge here is to identify the group activity among the nursing home's residents and to detect if they have any deviated activity behavior. We propose a location-based deviated activity behavior detection system to detect deviated activity behavior by leveraging data fusion technique. In order to compute the features for data fusion, an adaptive method is applied for extracting the group and individual activity time and generate daily hybrid norm for each of the residents. Next, deviated activity behavior detection is executed by considering the difference between daily norm patterns and daily input data for each resident. Lastly, the deviated activity behavior among the residents are classified using a rule-based classification app
Remote patient monitoring (RPM) involves the remote collection and transmission of patient health data, serving as a notable application of data-driven healthcare. This technology facilitates clinical monitoring and decision-making, offering benefits like reduced healthcare costs and improved patient outcomes. However, RPM also introduces challenges common to data-driven healthcare, such as additional data work that can disrupt clinician's workflow. This study explores the daily practices, collaboration mechanisms, and sensemaking processes of nurses in RPM through field observations and interviews with six stakeholders. Preliminary results indicate that RPM's scale-up pushes clinicians toward asynchronous collaboration. Data sensemaking is crucial for this type of collaboration, but existing technologies often create friction rather than support. This work provides empirical insights into clinical workflow in nursing practice, especially RPM. We suggest recognizing data sensemaking as a distinct nursing practice within data work and recommend further investigation into its role in the workflow of nurses in RPM.
An emergent challenge in geriatric care is improving the quality of care, which requires insight from stakeholders. Qualitative methods offer detailed insights, but they can be biased and have limited generalizability, while quantitative methods may miss nuances. Network-based approaches, such as quantitative ethnography (QE), can bridge this methodological gap. By leveraging the strengths of both methods, QE provides profound insights into need-finding interviews. In this paper, to better understand geriatric care attitudes, we interviewed ten nursing assistants, used QE to analyze the data, and compared their daily activities in real life with training experiences. A two-sample t-test with a large effect size (Cohen's d=1.63) indicated a significant difference between real-life and training activities. The findings suggested incorporating more empathetic training scenarios into the future design of our geriatric care simulation. The results have implications for human-computer interaction and human factors. This is illustrated by presenting an example of using QE to analyze expert interviews with nursing assistants as caregivers to inform subsequent design processes.
Cloud computing has brought a fundamental transformation in how organizations operate their applications, enabling them to achieve affordable high availability of services. Kubernetes has emerged as the preferred choice for container orchestration and service management across many Cloud computing platforms. The scheduler in Kubernetes plays a crucial role in determining the placement of newly deployed service containers. However, the default scheduler, while fast, often lacks optimization, leading to inefficient service placement or even deployment failures. This paper introduces SAGE, a tool for optimal solutions in Kubernetes clusters that can also assist the Kubernetes default scheduler and any other custom scheduler in application deployment. SAGE computes an optimal deployment plan based on the constraints of the application to be deployed and the available Cloud resources. We show the potential benefits of using SAGE by considering test cases with various characteristics. It turns out that SAGE surpasses other schedulers by comprehensively analyzing the application demand and cluster image. This ability allows it to better understand the needs of the pods, resulting in consi