Retrieval-augmented generation (RAG) is a widely adopted paradigm for enhancing LLMs in medical applications by incorporating expert multi-modal knowledge during generation. However, the underlying retrieval databases may naturally contain, or be intentionally injected with, adversarial knowledge, which can perturb model outputs and undermine system reliability. To investigate this risk, prior studies have explored knowledge poisoning attacks in medical RAG systems. Nevertheless, most of them rely on the strong assumption that adversaries possess prior knowledge of user queries, which is unrealistic in deployments and substantially limits their practical applicability. In this paper, we propose M³Att, a knowledge-poisoning framework designed for medical multimodal RAG systems, assuming only limited distribution knowledge of the underlying database. Our core idea is to inject covert misinformation into textual data while using paired visual data as a query-agnostic trigger to promote retrieval. We first propose a unified framework that introduces imperceptible perturbations to visual inputs to manipulate retrieval probabilities. Besides, due to the prior medical knowledge in LLMs, naively poisoned medical content with explicit factual errors can be corrected during generation. Thus, we leverage the inherent ambiguity of medical diagnosis and design a covert misinformation injection strategy that degrades diagnostic accuracy while evading model self-correction. Experiments on five LLMs and datasets demonstrate that M³Att consistently produces clinically plausible yet incorrect generations. Codes: https://anonymous.4open.science/r/M3Att.

User interest modeling is critical for personalized news recommendation. Existing news recommendation methods usually learn a single user embedding for each user from their previous behaviors to represent their overall interest. However, user interest is usually diverse and multi-grained, which is difficult to be accurately modeled by a single user embedding. In this paper, we propose a news recommendation method with hierarchical user interest modeling, named HieRec. Instead of a single user embedding, in our method each user is represented in a hierarchical interest tree to better capture their diverse and multi-grained interest in news. We use a three-level hierarchy to represent 1) overall user interest; 2) user interest in coarse-grained topics like sports; and 3) user interest in fine-grained topics like football. Moreover, we propose a hierarchical user interest matching framework to match candidate news with different levels of user interest for more accurate user interest targeting. Extensive experiments on two real-world datasets validate our method can effectively improve the performance of user modeling for personalized news recommendation.