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Training and Evaluation of Guideline-Based Medical Reasoning in LLMs

Staniek, Michael, Sokolov, Artem, Riezler, Stefan

arXiv.org Artificial Intelligence

Machine learning for early prediction in medicine has recently shown breakthrough performance, however, the focus on improving prediction accuracy has led to a neglect of faithful explanations that are required to gain the trust of medical practitioners. The goal of this paper is to teach LLMs to follow medical consensus guidelines step-by-step in their reasoning and prediction process. Since consensus guidelines are ubiquitous in medicine, instantiations of verbalized medical inference rules to electronic health records provide data for fine-tuning LLMs to learn consensus rules and possible exceptions thereof for many medical areas. Consensus rules also enable an automatic evaluation of the model's inference process regarding its derivation correctness (evaluating correct and faithful deduction of a conclusion from given premises) and value correctness (comparing predicted values against real-world measurements). We exemplify our work using the complex Sepsis-3 consensus definition. Our experiments show that small fine-tuned models outperform one-shot learning of considerably larger LLMs that are prompted with the explicit definition and models that are trained on medical texts including consensus definitions. Since fine-tuning on verbalized rule instantiations of a specific medical area yields nearly perfect derivation correctness for rules (and exceptions) on unseen patient data in that area, the bottleneck for early prediction is not out-of-distribution generalization, but the orthogonal problem of generalization into the future by forecasting sparsely and irregularly sampled clinical variables. We show that the latter results can be improved by integrating the output representations of a time series forecasting model with the LLM in a multimodal setup.


The Impact of Artificial Intelligence on Enterprise Decision-Making Process

Górka, Ernest, Baran, Dariusz, Wojak, Gabriela, Ćwiąkała, Michał, Zupok, Sebastian, Starkowski, Dariusz, Reśko, Dariusz, Okrasa, Oliwia

arXiv.org Artificial Intelligence

Artificial intelligence improves enterprise decision-making by accelerating data analysis, reducing human error, and supporting evidence-based choices. A quantitative survey of 92 companies across multiple industries examines how AI adoption influences managerial performance, decision efficiency, and organizational barriers. Results show that 93 percent of firms use AI, primarily in customer service, data forecasting, and decision support. AI systems increase the speed and clarity of managerial decisions, yet implementation faces challenges. The most frequent barriers include employee resistance, high costs, and regulatory ambiguity. Respondents indicate that organizational factors are more significant than technological limitations. Critical competencies for successful AI use include understanding algorithmic mechanisms and change management. Technical skills such as programming play a smaller role. Employees report difficulties in adapting to AI tools, especially when formulating prompts or accepting system outputs. The study highlights the importance of integrating AI with human judgment and communication practices. When supported by adaptive leadership and transparent processes, AI adoption enhances organizational agility and strengthens decision-making performance. These findings contribute to ongoing research on how digital technologies reshape management and the evolution of hybrid human-machine decision environments.



At least 19 killed in Russian attacks across Ukraine

Al Jazeera

Is the fall of Pokrovsk inevitable? Is Trump losing patience with Putin? At least 19 people have been killed and dozens wounded in Russian drone and missile attacks across Ukraine, according to the country's emergency service. The attack came overnight on Wednesday, as President Volodymyr Zelenskyy was due to arrive in Turkiye, where he hopes to revive talks over ending the war caused by Russia's full-scale invasion two years ago. Effective sanctions and assistance to Ukraine can change this," the president said in a social media post on Wednesday, calling for air defence missile aid from allies.


NATO member accuses Russian intelligence of railway line 'sabotage'

FOX News

Prime Minister Donald Tusk calls the Warsaw-Lublin railway explosion an "unprecedented act of sabotage" as Poland accuses Russian intelligence of the attack.




Protecting De-identified Documents from Search-based Linkage Attacks

Lison, Pierre, Anderson, Mark

arXiv.org Artificial Intelligence

While de-identification models can help conceal the identity of the individual(s) mentioned in a document, they fail to address linkage risks, defined as the potential to map the de-identified text back to its source. One straightforward way to perform such linkages is to extract phrases from the de-identified document and then check their presence in the original dataset. This paper presents a method to counter search-based linkage attacks while preserving the semantic integrity of the text. The method proceeds in two steps. We first construct an inverted index of the N-grams occurring in the document collection, making it possible to efficiently determine which N-grams appear in less than $k$ documents (either alone or in combination with other N-grams). An LLM-based rewriter is then iteratively queried to reformulate those spans until linkage is no longer possible. Experimental results on a collection of court cases show that the method is able to effectively prevent search-based linkages while remaining faithful to the original content.


A Survey of Pun Generation: Datasets, Evaluations and Methodologies

Su, Yuchen, Zhu, Yonghua, Wang, Ruofan, Huang, Zijian, Benavides-Prado, Diana, Witbrock, Michael

arXiv.org Artificial Intelligence

Pun generation seeks to creatively modify linguistic elements in text to produce humour or evoke double meanings. It also aims to preserve coherence and contextual appropriateness, making it useful in creative writing and entertainment across various media and contexts. Although pun generation has received considerable attention in computational linguistics, there is currently no dedicated survey that systematically reviews this specific area. To bridge this gap, this paper provides a comprehensive review of pun generation datasets and methods across different stages, including conventional approaches, deep learning techniques, and pre-trained language models. Additionally, we summarise both automated and human evaluation metrics used to assess the quality of pun generation. Finally, we discuss the research challenges and propose promising directions for future work.


Poland briefly closes airspace as NATO increases presence in the Baltic Sea

Al Jazeera

Can Ukraine restore its pre-war borders? Is Russia testing NATO with aerial incursions in Europe? Poland has briefly closed part of its airspace southeast of capital Warsaw, citing "unplanned military activity", as Russia launches a new wave of strikes against Ukraine. The deployment on Sunday of Polish and allied aircraft in the country's airspace comes as the transatlantic security bloc NATO announced that it is upgrading its mission in the Baltic Sea in response to drone incursions in Denmark and reported drone sightings in Norway. In the latest incident, the Polish armed forces said it scrambled aircraft to ensure the security of its airspace after Russia launched strikes on Ukraine.