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PALLM: Evaluating and Enhancing PALLiative Care Conversations with Large Language Models

arXiv.org Artificial Intelligence

Effective patient-provider communication is crucial in clinical care, directly impacting patient outcomes and quality of life. Traditional evaluation methods, such as human ratings, patient feedback, and provider self-assessments, are often limited by high costs and scalability issues. Although existing natural language processing (NLP) techniques show promise, they struggle with the nuances of clinical communication and require sensitive clinical data for training, reducing their effectiveness in real-world applications. Emerging large language models (LLMs) offer a new approach to assessing complex communication metrics, with the potential to advance the field through integration into passive sensing and just-in-time intervention systems. This study explores LLMs as evaluators of palliative care communication quality, leveraging their linguistic, in-context learning, and reasoning capabilities. Specifically, using simulated scripts crafted and labeled by healthcare professionals, we test proprietary models (e.g., GPT-4) and fine-tune open-source LLMs (e.g., LLaMA2) with a synthetic dataset generated by GPT-4 to evaluate clinical conversations, to identify key metrics such as `understanding' and `empathy'. Our findings demonstrated LLMs' superior performance in evaluating clinical communication, providing actionable feedback with reasoning, and demonstrating the feasibility and practical viability of developing in-house LLMs. This research highlights LLMs' potential to enhance patient-provider interactions and lays the groundwork for downstream steps in developing LLM-empowered clinical health systems.


More Consideration for the Perceptron

arXiv.org Artificial Intelligence

In this paper, we introduce the gated perceptron, an enhancement of the conventional perceptron, which incorporates an additional input computed as the product of the existing inputs. This allows the perceptron to capture non-linear interactions between features, significantly improving its ability to classify and regress on complex datasets. We explore its application in both linear and non-linear regression tasks using the Iris dataset, as well as binary and multi-class classification problems, including the PIMA Indian dataset and Breast Cancer Wisconsin dataset. Our results demonstrate that the gated perceptron can generate more distinct decision regions compared to traditional perceptrons, enhancing its classification capabilities, particularly in handling non-linear data. Performance comparisons show that the gated perceptron competes with state-of-the-art classifiers while maintaining a simple architecture.


Towards Representation Learning for Weighting Problems in Design-Based Causal Inference

arXiv.org Machine Learning

Reweighting a distribution to minimize a distance to a target distribution is a powerful and flexible strategy for estimating a wide range of causal effects, but can be challenging in practice because optimal weights typically depend on knowledge of the underlying data generating process. In this paper, we focus on design-based weights, which do not incorporate outcome information; prominent examples include prospective cohort studies, survey weighting, and the weighting portion of augmented weighting estimators. In such applications, we explore the central role of representation learning in finding desirable weights in practice. Unlike the common approach of assuming a well-specified representation, we highlight the error due to the choice of a representation and outline a general framework for finding suitable representations that minimize this error. Building on recent work that combines balancing weights and neural networks, we propose an end-to-end estimation procedure that learns a flexible representation, while retaining promising theoretical properties. We show that this approach is competitive in a range of common causal inference tasks.


Embedding Knowledge Graph in Function Spaces

arXiv.org Machine Learning

We introduce a novel embedding method diverging from conventional approaches by operating within function spaces of finite dimension rather than finite vector space, thus departing significantly from standard knowledge graph embedding techniques. Initially employing polynomial functions to compute embeddings, we progress to more intricate representations using neural networks with varying layer complexities. We argue that employing functions for embedding computation enhances expressiveness and allows for more degrees of freedom, enabling operations such as composition, derivatives and primitive of entities representation. Additionally, we meticulously outline the step-by-step construction of our approach and provide code for reproducibility, thereby facilitating further exploration and application in the field.


The UN Charter needs rewriting

Al Jazeera

On Sunday, the world's governments made a series of commitments to transform global governance at the United Nations Summit of the Future in New York. The ambitiously named summit was described as a "once-in-a-generation opportunity" to "forge a new global consensus on what our future should look like". Indeed, we are at a critical time when change is urgently needed. The world faces "a moment of historic danger", with increasingly imminent risks – from nuclear war to a planetary emergency, from persistent poverty and widening inequality to the unhindered advancement of artificial intelligence – threatening humanity's very existence. These are global challenges that cannot be solved purely at the national level: The people of the world need – and deserve – better coordinated global action.


Temporal Graph Memory Networks For Knowledge Tracing

arXiv.org Artificial Intelligence

Tracing a student's knowledge growth given the past exercise answering is a vital objective in automatic tutoring systems to customize the learning experience. Yet, achieving this objective is a non-trivial task as it involves modeling the knowledge state across multiple knowledge components (KCs) while considering their temporal and relational dynamics during the learning process. Knowledge tracing methods have tackled this task by either modeling KCs' temporal dynamics using recurrent models or relational dynamics across KCs and questions using graph models. Albeit, there is a lack of methods that could learn joint embedding between relational and temporal dynamics of the task. Moreover, many methods that count for the impact of a student's forgetting behavior during the learning process use hand-crafted features, limiting their generalization on different scenarios. In this paper, we propose a novel method that jointly models the relational and temporal dynamics of the knowledge state using a deep temporal graph memory network. In addition, we propose a generic technique for representing a student's forgetting behavior using temporal decay constraints on the graph memory module. We demonstrate the effectiveness of our proposed method using multiple knowledge tracing benchmarks while comparing it to state-of-the-art methods.


Lost in the Logic: An Evaluation of Large Language Models' Reasoning Capabilities on LSAT Logic Games

arXiv.org Artificial Intelligence

In this thesis, I evaluate the performance of Large Language Models (LLMs) on the Law School Admissions Test (LSAT), specifically the Logic Games section of the test. I focus on this section because it presents a complex logical reasoning task and thus is a valuable source of data for evaluating how modern, increasingly capable LLMs can handle hard logical reasoning tasks. I construct a dataset of LSAT logic games and their associated metadata, and extensively evaluate LLMs' performance in a Chain-of-Thought prompting setting. Given the weak performance in this setting, I explore other prompting frameworks on a smaller subset of the dataset, adapting ideas from Reflexion to this task. This results in a substantially improved accuracy of 70 percent for GPT-4 and 46 percent for GPT-3.5 on this data subset, highlighting the capacity of LLMs to revise their logical errors, despite initially weak performance. Finally, I analyze the types of logic games that models perform better or worse on, as well as the types of logical errors I observe from human annotation, providing detailed insights on the logical reasoning capabilities of LLMs.


Steward: Natural Language Web Automation

arXiv.org Artificial Intelligence

Recently, large language models (LLMs) have demonstrated exceptional capabilities in serving as the foundation for AI assistants. One emerging application of LLMs, navigating through websites and interacting with UI elements across various web pages, remains somewhat underexplored. We introduce Steward, a novel LLM-powered web automation tool designed to serve as a cost-effective, scalable, end-to-end solution for automating web interactions. Traditional browser automation frameworks like Selenium, Puppeteer, and Playwright are not scalable for extensive web interaction tasks, such as studying recommendation algorithms on platforms like YouTube and Twitter. These frameworks require manual coding of interactions, limiting their utility in large-scale or dynamic contexts. Steward addresses these limitations by integrating LLM capabilities with browser automation, allowing for natural language-driven interaction with websites. Steward operates by receiving natural language instructions and reactively planning and executing a sequence of actions on websites, looping until completion, making it a practical tool for developers and researchers to use. It achieves high efficiency, completing actions in 8.52 to 10.14 seconds at a cost of $0.028 per action or an average of $0.18 per task, which is further reduced to 4.8 seconds and $0.022 through a caching mechanism. It runs tasks on real websites with a 40% completion success rate. We discuss various design and implementation challenges, including state representation, action sequence selection, system responsiveness, detecting task completion, and caching implementation.


Fully automatic extraction of morphological traits from the Web: utopia or reality?

arXiv.org Artificial Intelligence

Plant morphological traits, their observable characteristics, are fundamental to understand the role played by each species within their ecosystem. However, compiling trait information for even a moderate number of species is a demanding task that may take experts years to accomplish. At the same time, massive amounts of information about species descriptions is available online in the form of text, although the lack of structure makes this source of data impossible to use at scale. To overcome this, we propose to leverage recent advances in large language models (LLMs) and devise a mechanism for gathering and processing information on plant traits in the form of unstructured textual descriptions, without manual curation. We evaluate our approach by automatically replicating three manually created species-trait matrices. Our method managed to find values for over half of all species-trait pairs, with an F1-score of over 75%. Our results suggest that large-scale creation of structured trait databases from unstructured online text is currently feasible thanks to the information extraction capabilities of LLMs, being limited by the availability of textual descriptions covering all the traits of interest.


A Comprehensive Evaluation of Large Language Models on Mental Illnesses

arXiv.org Artificial Intelligence

Large language models have shown promise in various domains, including healthcare. In this study, we conduct a comprehensive evaluation of LLMs in the context of mental health tasks using social media data. We explore the zero-shot (ZS) and few-shot (FS) capabilities of various LLMs, including GPT-4, Llama 3, Gemini, and others, on tasks such as binary disorder detection, disorder severity evaluation, and psychiatric knowledge assessment. Our evaluation involved 33 models testing 9 main prompt templates across the tasks. Key findings revealed that models like GPT-4 and Llama 3 exhibited superior performance in binary disorder detection, with accuracies reaching up to 85% on certain datasets. Moreover, prompt engineering played a crucial role in enhancing model performance. Notably, the Mixtral 8x22b model showed an improvement of over 20%, while Gemma 7b experienced a similar boost in performance. In the task of disorder severity evaluation, we observed that FS learning significantly improved the model's accuracy, highlighting the importance of contextual examples in complex assessments. Notably, the Phi-3-mini model exhibited a substantial increase in performance, with balanced accuracy improving by over 6.80% and mean average error dropping by nearly 1.3 when moving from ZS to FS learning. In the psychiatric knowledge task, recent models generally outperformed older, larger counterparts, with the Llama 3.1 405b achieving an accuracy of 91.2%. Despite promising results, our analysis identified several challenges, including variability in performance across datasets and the need for careful prompt engineering. Furthermore, the ethical guards imposed by many LLM providers hamper the ability to accurately evaluate their performance, due to tendency to not respond to potentially sensitive queries.