Robust selective auditory attention under multilingual interference is critical for reliable LALM deployment. We introduce MUSI, a cocktail party-inspired controlled diagnostic evaluation of source-grounded spokenlanguage understanding and reasoning. Each item pairs an English target dialogue with a plausible distractor in English, Spanish, Korean, or Chinese, and evaluates models under (1) single-stream, (2) separation-based, and (3) end-to-end cocktail party settings across controlled SNRs. Across four open-weight and two closed-source LALMs, we find modeldependent language-conditioned variation and heightened vulnerability at adverse SNRs. Errors are dominated by distractor-grounded source confusion, while separation reduces acoustic overlap but often leaves source attribution unresolved. These findings highlight selective auditory attention as a primary capability for reliable LALM deployment.

Predicting next visit diagnosis using Electronic Health Records (EHR) is an essential task in healthcare, critical for devising proactive future plans for both healthcare providers and patients. Nonetheless, many preceding studies have not sufficiently addressed the heterogeneous and hierarchical characteristics inherent in EHR data, inevitably leading to sub-optimal performance. To this end, we propose NECHO, a novel medical code-centric multimodal contrastive EHR learning framework with hierarchical regularisation. First, we integrate multifaceted information encompassing medical codes, demographics, and clinical notes using a tailored network design and a pair of bimodal contrastive losses, all of which pivot around a medical codes representation. We also regularise modality-specific encoders using a parental level information in medical ontology to learn hierarchical structure of EHR data. A series of experiments on MIMIC-III data demonstrates effectiveness of our approach.