Through this paper, we introduce a novel driver cognitive load assessment dataset, CL-Drive, which contains Electroencephalogram (EEG) signals along with other physiological signals such as Electrocardiography (ECG) and Electrodermal Activity (EDA) as well as eye tracking data. The data was collected from 21 subjects while driving in an immersive vehicle simulator, in various driving conditions, to induce different levels of cognitive load in the subjects. The tasks consisted of 9 complexity levels for 3 minutes each. Each driver reported their subjective cognitive load every 10 seconds throughout the experiment. The dataset contains the subjective cognitive load recorded as ground truth. In this paper, we also provide benchmark classification results for different machine learning and deep learning models for both binary and ternary label distributions. We followed 2 evaluation criteria namely 10-fold and leave-one-subject-out (LOSO). We have trained our models on both hand-crafted features as well as on raw data. We make our dataset public to contribute to the field.

We propose cross-modal attentive connections, a new dynamic and effective technique for multimodal representation learning from wearable data. Our solution can be integrated into any stage of the pipeline, i.e., after any convolutional layer or block, to create intermediate connections between individual streams responsible for processing each modality. Additionally, our method benefits from two properties. First, it can share information uni-directionally (from one modality to the other) or bi-directionally. Second, it can be integrated into multiple stages at the same time to further allow network gradients to be exchanged in several touch points. We perform extensive experiments on three public multimodal wearable datasets, WESAD, SWELL-KW, and CASE, and demonstrate that our method can effectively regulate and share information between different modalities to learn better representations. Our experiments further demonstrate that once integrated into simple CNN-based multimodal solutions (2, 3, or 4 modalities), our method can result in superior or competitive performance to state-of-the-art and outperform a variety of baseline uni-modal and classical multimodal methods.

We present a novel multimodal dataset for Cognitive Load Assessment in REal-time (CLARE). The dataset contains physiological and Gaze data from 24 participants with self-reported cognitive load scores as ground-truth labels. The dataset includes four modalities: Electrocardiography (ECG), Electrodermal Activity (EDA), Electroencephalogram (EEG), and Gaze tracking. Each participant completed four nine-minute sessions using the MATB-II software, a computer-based mental workload task. The sessions were divided into one-minute segments of varying complexity to induce different levels of cognitive load. During the experiment, participants reported their cognitive load every 10 seconds. For the dataset, we also provide benchmark binary classification results with machine learning and deep learning models on two different evaluation schemes, namely, 10-fold and leave-one-subject-out (LOSO) cross-validation. Benchmark results show that for 10-fold evaluation, the Transformer based deep learning model achieves the best classification performance with ECG, EDA, and Gaze. In contrast, for LOSO, the best performance is achieved by the deep learning model with ECG, EDA, and EEG.

Low-Rank Adaptation (LoRA) is a widely used technique for fine-tuning large pre-trained or foundational models across different modalities and tasks. However, its application to time series data, particularly within foundational models, remains underexplored. This paper examines the impact of LoRA on contemporary time series foundational models: Lag-Llama, MOIRAI, and Chronos. We demonstrate LoRA’s fine-tuning potential for forecasting the vital signs of sepsis patients in intensive care units (ICUs), emphasizing the models’ adaptability to previously unseen, out-of-domain modalities. Integrating LoRA aims to enhance forecasting performance while reducing inefficiencies associated with fine-tuning large models on limited domain-specific data. Our experiments show that LoRA fine-tuning of time series foundational models (TSFMs) significantly improves forecasting over zero-shot TSFMs, achieving results comparable to state-of-the-art models trained from scratch on similar modalities. We conduct comprehensive ablation studies to demonstrate the trade-offs between the number of tunable parameters and forecasting performance and assess the impact of varying LoRA matrix ranks on model performance.

Medical datasets may be imbalanced and contain errors due to subjective test results and clinical variability. The poor quality of original data affects classification accuracy and reliability. Hence, detecting abnormal samples in the dataset can help clinicians make better decisions. In this study, we propose an unsupervised error detection method using patterns discovered by the Pattern Discovery and Disentanglement (PDD) model, developed in our earlier work. Applied to the large data, the eICU Collaborative Research Database for sepsis risk assessment, the proposed algorithm can effectively discover statistically significant association patterns, generate an interpretable knowledge base for interpretability, cluster samples in an unsupervised learning manner, and detect abnormal samples from the dataset. As shown in the experimental result, our method outperformed K-Means by $38\%$ on the full dataset and $47\%$ on the reduced dataset for unsupervised clustering. Multiple supervised classifiers improve accuracy by an average of $4\%$ after removing abnormal samples by the proposed error detection approach. Therefore, the proposed algorithm provides a robust and practical solution for unsupervised clustering and error detection in healthcare data.

Open-source, multilingual medical large language models (LLMs) have the potential to serve linguistically diverse populations across different regions. Adapting generic LLMs for healthcare often requires continual pretraining, but this approach is computationally expensive and sometimes impractical. Instruction fine-tuning on a specific task may not always guarantee optimal performance due to the lack of broader domain knowledge that the model needs to understand and reason effectively in diverse scenarios. To address these challenges, we introduce two multilingual instruction fine-tuning datasets, MMed-IFT and MMed-IFT-MC, containing over 200k high-quality medical samples in six languages. We propose a two-stage training paradigm: the first stage injects general medical knowledge using MMed-IFT, while the second stage fine-tunes task-specific multiple-choice questions with MMed-IFT-MC. Our method achieves competitive results on both English and multilingual benchmarks, striking a balance between computational efficiency and performance. We plan to make our dataset and model weights public at \url{https://github.com/SpassMed/Med-Llama3} in the future.