Abstract
Medical image captioning is an essential tool to produce descriptive text reports of medical images. One of the central problems of medical image captioning is their poor domain description generation because large pre-trained language models are primarily trained in non-medical text domains with different semantics of medical text. To overcome this limitation, we explore improvements in contrastive learning for X-ray images complemented with soft prompt engineering for medical image captioning and conditional text decoding for caption generation. The main objective is to develop a softprompt model to improve the accuracy and clinical relevance of the automatically generated captions while guaranteeing their complete linguistic accuracy without corrupting the models' performance. Experiments on the MIMIC-CXR and ROCO datasets showed that the inclusion of tailored soft-prompts improved accuracy and efficiency, while ensuring a more cohesive medical context for captions, aiding medical diagnosis and encouraging more accurate reporting.

Abstract
Evaluating diffusion properties of novel optical clearing (OC) agents is critical for advancing medical imaging. Tartrazine (TTZ), a strong absorbing dye, has shown promise in enhancing tissue transparency, yet its diffusion properties remain uncharacterized. In this work, OC treatments with TTZ-water solutions with varying osmolarities were performed, and the diffusion times (tau) that characterize the tissue dehydration and the RI matching mechanisms were estimated. From kinetic T-c measurements during treatment, tau values of water and TTZ were estimated in muscles as 60.0 s and 416.0 s, respectively. Corresponding diffusion coefficients (D) were derived from sample thickness data measured during treatments where the unique fluxes of TTZ and water occur. The respective D values were then calculated as 1.9 x 10(-6) cm(2)/s for water and 3.6 x 10(-7) cm(2)/s for TTZ. These findings provide key insights into TTZ diffusion in skeletal muscle and support its potential as an effective OC agent.

Abstract
Background and objectives: Timely treatment of pediatric obstructive sleep apnea (OSA) can prevent or reverse neurocognitive and cardiovascular morbidities. However, whether distinct phenotypes exist and account for divergent treatment effectiveness remains unknown. In this study, our goal is threefold: i) to define new data-driven pediatric OSA phenotypes, ii) to evaluate possible treatment effectiveness differences among them, and iii) to assess phenotypic information in predicting OSA resolution. Methods: We involved 22 sociodemographic, anthropometric, and clinical data from 464 children (5-10 years old) from the Childhood Adenotonsillectomy Trial (CHAT) database. Baseline information was used to automatically define pediatric OSA phenotypes using a new unsupervised subject-based association network. Follow-up data (7 months later) were used to evaluate the effects of the therapeutic intervention in terms of changes in the obstructive apnea-hypopnea index (OAHI) and the resolution of OSA (OAHI < 1 event per hour). An explainable artificial intelligence (XAI) approach was also developed to assess phenotypic information as OSA resolution predictor at baseline. Results: Our approach identified three OSA phenotypes (PHOSA1-PHOSA3), with PHOSA2 showing significantly lower odds of OSA recovery than PHOSA1 and PHOSA3 when treatment information was not considered (odds ratios, OR: 1.64 and 1.66, 95 % confidence intervals, CI: 1.03-2.62 and 1.01-2.69, respectively). The odds of OSA recovery were also significantly lower in PHOSA2 than in PHOSA3 when adenotonsillectomy was adopted as treatment (OR: 2.60, 95 % CI: 1.26-5.39). Our XAI approach identified 79.4 % (CI: 69.9-88.0 %) of children reaching OSA resolution after adenotonsillectomy, with a positive predictive value of 77.8 % (CI: 70.3 %-86.0 %). Conclusions: Our new subject-based association network successfully identified three clinically useful pediatric OSA phenotypes with different odds of therapeutic intervention effectiveness. Specifically, we found that children of any sex, >6 years old, overweight or obese, and with enlarged neck and waist circumference (PHOSA2) have less odds of recovering from OSA. Similarly, younger female children with no enlarged neck (PHOSA3) have higher odds of benefiting from adenotonsillectomy.

Abstract
This paper proposes an optimized Reconfigurable Internet of Things (RIoT) framework that integrates optical and radio wireless technologies with a focus on energy efficiency, scalability, and adaptability. To address the inherent complexity of hybrid optical-radio environments, a high-fidelity Digital Twin (DT) is developed within the Network Simulator 3 (NS-3) platform. The DT models deploy subsystems of the RIoT architecture, including radio frequency (RF) communication, optical wireless communication (OWC), and energy harvesting and consumption mechanisms that enable autonomous operation. Real-time energy and power measurements from target hardware platforms are also incorporated to ensure accurate representation of physical behavior and enable runtime analysis and optimization. Building on this foundation, a proactive cross-layer optimization strategy is devised to balance energy efficiency and quality of service (QoS). The strategy dynamically reconfigures RIoT nodes by adapting transmission rates, wake/sleep scheduling, and access technology selection. Results demonstrate that the proposed framework, combining digital twin technology, hybrid optical-radio integration, and data-driven energy modeling, substantially enhances the performance, resilience, and sustainability of 6G IoT networks.

Abstract
Optical Wireless Communications (OWC) has recently emerged as a viable alternative to radio-frequency technology, especially for the Internet of Things (IoT) domain. However, current simulation tools primarily focus on physical layer modelling, ignoring network-level issues and energy-constrained environments. This paper presents an energy-aware OWC module for ns-3 that addresses these limitations. The module includes specific PHY and MAC layers and integrates an energy model, a mobility model, and models of monochromatic transceivers and photodetectors, supporting both visible light and infrared (IR) communications. Verification against MATLAB simulations confirms the accuracy of our implementation. Additionally, mobility tests demonstrate that an energy-restricted end device transmitting via IR can maintain a stable connection with a gateway at distances up to 2.5 m, provided the SNR is above 10 dB. These results confirm the capabilities of our module and its potential to facilitate the development of energy-efficient OWC-based IoT systems.

Abstract
This work studies the influence of an Erbium-Doped Fiber Amplifier (EDFA) on the phase variation of light in an optical fiber. To this end, the state of polarization (SOP) was measured as a function of optical power by adjusting the EDFA amplification, for two different laser output powers (2 dBm and 5 dBm). Results show that phase variation correlates with changes in optical power in both cases.