DocTalkBN: A Novel Dataset of Expert Telemedicine Conversations in Bengali

Reliable medical conversational AI requires authentic expert--patient interaction data, yet such datasets remain scarce, especially for low-resource languages such as Bengali. We present DocTalkBN, a large-scale multimodal dataset of real-world expert telemedicine conversations in Bengali, collected from nationally broadcast telemedicine programs featuring board-certified physicians. DocTalkBN contains 557.63 hours of paired audio and text, 1,515 multi-turn patient calls, 10,274 host--doctor question--answer exchanges, totaling 1.7M tokens, spanning 26 medical specialties. Unlike prior resources derived from medical forums, written health content, or synthetic data, our dataset preserves the spontaneity, contextual richness, and spoken characteristics of authentic medical interactions in a low-resource setting. To support benchmark-driven research, we further construct three downstream tasks from the corpus, medical triage classification, advice safety evaluation, and medical named entity recognition, and benchmark a diverse set of large language models and encoder-based baselines. Our results show that DocTalkBN is a practically useful resource, particularly for clinically grounded reasoning tasks. We release this resource to facilitate future research on reliable medical NLP and safer, more culturally grounded healthcare systems for low-resource languages. Our source codes and dataset are publicly available at https://anonymous.4open.science/r/doctalk.

From Pixel to Prognosis: Convolutional and GLCM Feature Fusion for Automated Four-Class Cataract Severity Classification

Objective: To develop a low-cost automated cataract severity classification system operating on standard consumer-grade colour photographs of the eye, without specialised ophthalmic hardware. Methods: A hybrid framework was designed that fuses deep features from a Convolutional Neural Network (CNN) with five handcrafted Grey-Level Co-occurrence Matrix (GLCM) and intensity descriptors - mean intensity, uniformity, standard deviation, contrast, and energy - extracted from a Hough-circle-localised pupil Region of Interest (ROI). A multi-class Support Vector Machine (SVM) with Radial Basis Function (RBF) kernel classifies each image into one of four severity grades: normal, immature, mature, or hypermature cataract. Results: The proposed fused system achieved 95.0% accuracy, 93.8% sensitivity, and 96.1% specificity on an ophthalmologist-labelled test set drawn from 300 images (75 per class) collected at an ophthalmology clinic, outperforming texture-only (88.5%) and CNN-only (91.3%) baselines and surpassing recently published deep learning approaches. Conclusion: The CNN-GLCM-SVM fusion framework provides competitive four-class cataract grading without GPU acceleration or specialised cameras, making it suitable for primary-care and telemedicine deployment in resource-limited settings.

Improving Medical Communication using Rubric-Guided Counterfactual Recommendations

Text-based telemedicine increasingly relies on lightweight patient feedback, however, such feedback primarily reflects perceived communication quality rather than medical accuracy. We introduce an LM-guided counterfactual recommendation pipeline that discovers and refines interpretable communication features such as tone, personalization, actionability and completeness in addressing patient concerns, without interfering with the medical content. These features are used together with patient-doctor interaction metadata to estimate positive feedback. At inference time, the system searches over low-cost ordinal feature changes and recommends minimal communication changes predicted to increase the probability of positive feedback, while independent auditor models test whether these gains generalize beyond the selection model. Across interactions, recommendations yield a mean +6.41% gain in predicted positive feedback probability under independent auditors, and are non-negative for 93.31% of recommendations. These results suggest that small, interpretable communication changes can capture most predicted gains while preserving the doctor's control over medical reasoning and final wording.