Electrocardiogram (ECG) diagnosis aims to automatically classify ECG recordings into clinically meaningful categories, playing a vital role in medical decision-making. Deep learning methods, while promising, demand extensive annotated data and lack interpretability. Large Language Models (LLMs) offer potential in low-data scenarios and generating interpretable outputs, yet their application to ECG diagnosis, especially leveraging multimodal data (e.g., raw signals, derived features, and clinical knowledge), remains underexplored. To address these challenges, we propose ECG-Doctor, an interpretable and multimodal ECG diagnosis framework based on LLMs. ECG-Doctor comprises four key components: (1) ECG Knowledge Acquisition Module, which integrates external medical knowledge and Chain-of-Thought (CoT) reasoning to address the inability of LLMs to follow standardized ECG diagnostic procedures; (2) ECG Feature Extraction Module, which incorporates domain knowledge to overcome LLMs' limitations in comprehensively understanding structured ECG features; (3) ECG Waveform Analysis Module, which introduces time-series ECG models to equip LLMs with the capability to interpret and reason over raw ECG signal morphologies; (4) KNN-based ECG Retrieval Module, which retrieves the top-k most similar ECG samples and guides LLMs through in-context learning (ICL), enabling them to differentiate and learn from variations across ECGs. The outputs of these modules are aggregated and provided to the LLM as diagnostic context, enabling ICL to perform comprehensive ECG diagnosis. This design effectively simulates the diagnostic reasoning process of experienced electrocardiologists. Extensive experiments on the PTB-XL dataset demonstrate that ECG-Doctor is compatible with various LLMs and consistently outperforms existing baselines at both 100 Hz and 500 Hz sampling rates, showcasing its strong versatility and robustness. Furthermore, ECG-Doctor provides well-grounded diagnostic explanations, highlighting its superior interpretability.

Modern recommender systems face a critical challenge in modeling the intricate interplay between multi-behavior interactions of users (e.g., clicks, adds-to-cart and purchases) and temporal dynamics that drive evolving preferences. While existing multi-behavior sequential recommendation methods attempt to capture these signals, they often suffer from fragmented modeling, such as decoupling behaviors and items into separate sequences, neglecting time-aware transitions, or relying on computationally intensive architectures that hinder real-world scalability. To address these limitations, we propose GEneralized Alternating Regressor (GEAR), a novel framework that unifies behaviors, items, and temporal contexts into a single autoregressive sequence through an alternating architecture. At its core, GEAR represents user interactions as triplets and processes them through a modular transformer architecture. In this architecture, each triplet is alternately modeled at lower layers to disentangle fine-grained patterns, while upper layers jointly learn cross-signal dependencies. This design mimics the interlocking mechanism of gears, enabling the seamless transitions between multi-behavior dynamics and item transitions. Additionally, we incorporate a time-bias term to quantify the decay of behavioral influence across both short- and long-term horizons. Extensive experiments on real-world datasets validate the effectiveness, generalizability, and computational efficiency of the proposed framework.

Chinese Spelling Check (CSC) aims to identify and correct spelling errors in Chinese texts, where enhanced semantic understanding of a sentence can significantly improve correction accuracy.Recently, Large Language Models (LLMs) have demonstrated exceptional mastery of world knowledge and semantic understanding, rendering them more robust against spelling errors.However, the application of LLMs in CSC is a double-edged sword, as they tend to unnecessarily alter sentence length and modify rare but correctly used phrases.In this paper, by leveraging the capabilities of LLMs while mitigating their limitations, we propose a novel plug-and-play Alignment-and-Replacement Module (ARM) that enhances the performance of existing CSC models and without the need for retraining or fine-tuning.Experiment results and analysis on three benchmark datasets demonstrate the effectiveness and competitiveness of the proposed module.