Dementia-R1: Reinforced Pretraining and Reasoning from Unstructured Clinical Notes for Real-World Dementia Prognosis

While Large Language Models (LLMs) have shown strong performance on clinical text understanding, they struggle with longitudinal prediction tasks such as dementia prognosis, which require reasoning over complex, non-monotonic symptom trajectories across multiple visits. Standard supervised training lacks explicit annotations for symptom evolution, while direct Reinforcement Learning (RL) is hindered by sparse binary rewards. To address this challenge, we introduce Dementia-R1, an RL-based framework for longitudinal dementia prognosis from unstructured clinical notes. Our approach adopts a Cold-Start RL strategy that pre-trains the model to predict verifiable clinical indices extracted from patient histories, enhancing the capability to reason about disease progression before determining the final clinical status. Extensive experiments demonstrate that Dementia-R1 achieves an F1 score of 77.03% on real-world unstructured clinical datasets. Notably, on the ADNI benchmark, our 7B model rivals GPT-4o, effectively capturing fluctuating cognitive trajectories. Code is available at https://anonymous.4open.science/r/dementiar1-CDB5

Universal Reasoner: A Single, Composable Plug-and-Play Reasoner for Frozen LLMs

Large Language Models (LLMs) have demonstrated remarkable general capabilities, but enhancing skills such as reasoning often demands substantial computational resources and may compromise their generalization. While Parameter-Efficient Fine-Tuning (PEFT) methods offer a more resource-conscious alternative, they typically requires retraining for each LLM backbone due to architectural dependencies. To address these challenges, here we propose Universal Reasoner (UniR) - a single, lightweight, composable, and plug-and-play reasoning module that can be used with any frozen LLM to endow it with specialized reasoning capabilities. Specifically, UniR decomposes the reward into a standalone reasoning module that is trained independently using predefined rewards, effectively translating trajectory-level signals into token-level guidance. Once trained, UniR can be combined with any frozen LLM at inference time by simply adding its output logits to those of the LLM backbone. This additive structure naturally enables modular composition: multiple UniR modules trained for different tasks can be jointly applied by summing their logits, enabling complex reasoning via composition. Experimental results on mathematical reasoning and machine translation tasks show that UniR significantly outperforms \add{existing baseline fine-tuning methods using the Llama3.2 model}. Furthermore, UniR demonstrates strong weak-to-strong generalization: reasoning modules trained on smaller models effectively guide much larger LLMs. This makes UniR a cost-efficient, adaptable, and robust solution for enhancing reasoning in LLMs without compromising their core capabilities. Code is open-sourced at https://github.com/hangeol/UniR

Ground-A-Score: Scaling Up the Score Distillation for Multi-Attribute Editing

Despite recent advancements in text-to-image diffusion models facilitating various image editing techniques, complex text prompts often lead to an oversight of some requests due to a bottleneck in processing text information. To tackle this challenge, we present Ground-A-Score, a simple yet powerful model-agnostic image editing method by incorporating grounding during score distillation. This approach ensures a precise reflection of intricate prompt requirements in the editing outcomes, taking into account the prior knowledge of the object locations within the image. Moreover, the selective application with a new penalty coefficient and contrastive loss helps to precisely target editing areas while preserving the integrity of the objects in the source image. Both qualitative assessments and quantitative analyses confirm that Ground-A-Score successfully adheres to the intricate details of extended and multifaceted prompts, ensuring high-quality outcomes that respect the original image attributes.