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The ELEVATE-AI LLMs Framework: An Evaluation Framework for Use of Large Language Models in HEOR: an ISPOR Working Group Report

arXiv.org Artificial Intelligence

Introduction. Generative Artificial Intelligence, particularly large language models (LLMs), offers transformative potential for Health Economics and Outcomes Research (HEOR). However, evaluating the quality, transparency, and rigor of LLM-assisted research lacks standardized guidance. This article introduces the ELEVATE AI LLMs framework and checklist, designed to support researchers and reviewers in assessing LLM use in HEOR. Methods. The ELEVATE AI LLMs framework was developed through a targeted review of existing guidelines and evaluation frameworks. The framework comprises ten evaluation domains, including model characteristics, accuracy, comprehensiveness, and fairness. The accompanying checklist operationalizes the framework. To validate the framework, we applied it to two published studies, demonstrating its usability across different HEOR tasks. Results. The ELEVATE AI LLMs framework provides a comprehensive structure for evaluating LLM-assisted research, while the checklist facilitates practical application. Validation of the framework and checklist on studies of systematic literature reviews and health economic modeling highlighted their ability to identify strengths and gaps in reporting. Limitations. While the ELEVATE AI LLMs framework provides robust guidance, its broader generalizability and applicability to diverse HEOR tasks require further empirical testing. Additionally, several metrics adapted from computer science need further validation in HEOR contexts. Conclusion. The ELEVATE AI LLMs framework and checklist fill a critical gap in HEOR by offering structured guidance for evaluating LLM-assisted research. By promoting transparency, accuracy, and reproducibility, they aim to standardize and improve the integration of LLMs into HEOR, ensuring their outputs meet the field's rigorous standards.


Real-world Deployment and Evaluation of PErioperative AI CHatbot (PEACH) -- a Large Language Model Chatbot for Perioperative Medicine

arXiv.org Artificial Intelligence

Large Language Models (LLMs) are emerging as powerful tools in healthcare, particularly for complex, domain-specific tasks. This study describes the development and evaluation of the PErioperative AI CHatbot (PEACH), a secure LLM-based system integrated with local perioperative guidelines to support preoperative clinical decision-making. PEACH was embedded with 35 institutional perioperative protocols in the secure Claude 3.5 Sonet LLM framework within Pair Chat (developed by Singapore Government) and tested in a silent deployment with real-world data. Accuracy, safety, and usability were assessed. Deviations and hallucinations were categorized based on potential harm, and user feedback was evaluated using the Technology Acceptance Model (TAM). Updates were made after the initial silent deployment to amend one protocol. In 240 real-world clinical iterations, PEACH achieved a first-generation accuracy of 97.5% (78/80) and an overall accuracy of 96.7% (232/240) across three iterations. The updated PEACH demonstrated improved accuracy of 97.9% (235/240), with a statistically significant difference from the null hypothesis of 95% accuracy (p = 0.018, 95% CI: 0.952-0.991). Minimal hallucinations and deviations were observed (both 1/240 and 2/240, respectively). Clinicians reported that PEACH expedited decisions in 95% of cases, and inter-rater reliability ranged from kappa 0.772-0.893 within PEACH and 0.610-0.784 among attendings. PEACH is an accurate, adaptable tool that enhances consistency and efficiency in perioperative decision-making. Future research should explore its scalability across specialties and its impact on clinical outcomes.


Time Series Feature Redundancy Paradox: An Empirical Study Based on Mortgage Default Prediction

arXiv.org Artificial Intelligence

With the widespread application of machine learning in financial risk management, conventional wisdom suggests that longer training periods and more feature variables contribute to improved model performance. This paper, focusing on mortgage default prediction, empirically discovers a phenomenon that contradicts traditional knowledge: in time series prediction, increased training data timespan and additional non-critical features actually lead to significant deterioration in prediction effectiveness. Using Fannie Mae's mortgage data, the study compares predictive performance across different time window lengths (2012-2022) and feature combinations, revealing that shorter time windows (such as single-year periods) paired with carefully selected key features yield superior prediction results. The experimental results indicate that extended time spans may introduce noise from historical data and outdated market patterns, while excessive non-critical features interfere with the model's learning of core default factors. This research not only challenges the traditional "more is better" approach in data modeling but also provides new insights and practical guidance for feature selection and time window optimization in financial risk prediction.


WavePulse: Real-time Content Analytics of Radio Livestreams

arXiv.org Artificial Intelligence

Radio remains a pervasive medium for mass information dissemination, with AM/FM stations reaching more Americans than either smartphone-based social networking or live television. Increasingly, radio broadcasts are also streamed online and accessed over the Internet. We present WavePulse, a framework that records, documents, and analyzes radio content in real-time. While our framework is generally applicable, we showcase the efficacy of WavePulse in a collaborative project with a team of political scientists focusing on the 2024 Presidential Elections. We use WavePulse to monitor livestreams of 396 news radio stations over a period of three months, processing close to 500,000 hours of audio streams. These streams were converted into time-stamped, diarized transcripts and analyzed to track answer key political science questions at both the national and state levels. Our analysis revealed how local issues interacted with national trends, providing insights into information flow. Our results demonstrate WavePulse's efficacy in capturing and analyzing content from radio livestreams sourced from the Web. Code and dataset can be accessed at \url{https://wave-pulse.io}.


Asynchronous Training of Mixed-Role Human Actors in a Partially-Observable Environment

arXiv.org Artificial Intelligence

In cooperative training, humans within a team coordinate on complex tasks, building mental models of their teammates and learning to adapt to teammates' actions in real-time. To reduce the often prohibitive scheduling constraints associated with cooperative training, this article introduces a paradigm for cooperative asynchronous training of human teams in which trainees practice coordination with autonomous teammates rather than humans. We introduce a novel experimental design for evaluating autonomous teammates for use as training partners in cooperative training. We apply the design to a human-subjects experiment where humans are trained with either another human or an autonomous teammate and are evaluated with a new human subject in a new, partially observable, cooperative game developed for this study. Importantly, we employ a method to cluster teammate trajectories from demonstrations performed in the experiment to form a smaller number of training conditions. This results in a simpler experiment design that enabled us to conduct a complex cooperative training human-subjects study in a reasonable amount of time. Through a demonstration of the proposed experimental design, we provide takeaways and design recommendations for future research in the development of cooperative asynchronous training systems utilizing robot surrogates for human teammates.


BenCzechMark : A Czech-centric Multitask and Multimetric Benchmark for Large Language Models with Duel Scoring Mechanism

arXiv.org Artificial Intelligence

We present BenCzechMark (BCM), the first comprehensive Czech language benchmark designed for large language models, offering diverse tasks, multiple task formats, and multiple evaluation metrics. Its scoring system is grounded in statistical significance theory and uses aggregation across tasks inspired by social preference theory. Our benchmark encompasses 50 challenging tasks, with corresponding test datasets, primarily in native Czech, with 11 newly collected ones. These tasks span 8 categories and cover diverse domains, including historical Czech news, essays from pupils or language learners, and spoken word. Furthermore, we collect and clean BUT-Large Czech Collection, the largest publicly available clean Czech language corpus, and use it for (i) contamination analysis, (ii) continuous pretraining of the first Czech-centric 7B language model, with Czech-specific tokenization. We use our model as a baseline for comparison with publicly available multilingual models. Lastly, we release and maintain a leaderboard, with existing 44 model submissions, where new model submissions can be made at https://huggingface.co/spaces/CZLC/BenCzechMark.


Examining Imbalance Effects on Performance and Demographic Fairness of Clinical Language Models

arXiv.org Artificial Intelligence

Data imbalance is a fundamental challenge in applying language models to biomedical applications, particularly in ICD code prediction tasks where label and demographic distributions are uneven. While state-of-the-art language models have been increasingly adopted in biomedical tasks, few studies have systematically examined how data imbalance affects model performance and fairness across demographic groups. This study fills the gap by statistically probing the relationship between data imbalance and model performance in ICD code prediction. We analyze imbalances in a standard benchmark data across gender, age, ethnicity, and social determinants of health by state-of-the-art biomedical language models. By deploying diverse performance metrics and statistical analyses, we explore the influence of data imbalance on performance variations and demographic fairness. Our study shows that data imbalance significantly impacts model performance and fairness, but feature similarity to the majority class may be a more critical factor. We believe this study provides valuable insights for developing more equitable and robust language models in healthcare applications.


ResearchTown: Simulator of Human Research Community

arXiv.org Artificial Intelligence

Large Language Models (LLMs) have demonstrated remarkable potential in scientific domains, yet a fundamental question remains unanswered: Can we simulate human research communities with LLMs? Addressing this question can deepen our understanding of the processes behind idea brainstorming and inspire the automatic discovery of novel scientific insights. In this work, we propose ResearchTown, a multi-agent framework for research community simulation. Within this framework, the human research community is simplified and modeled as an agent-data graph, where researchers and papers are represented as agent-type and data-type nodes, respectively, and connected based on their collaboration relationships. We also introduce TextGNN, a text-based inference framework that models various research activities (e.g., paper reading, paper writing, and review writing) as special forms of a unified message-passing process on the agent-data graph. To evaluate the quality of the research simulation, we present ResearchBench, a benchmark that uses a node-masking prediction task for scalable and objective assessment based on similarity. Our experiments reveal three key findings: (1) ResearchTown can provide a realistic simulation of collaborative research activities, including paper writing and review writing; (2) ResearchTown can maintain robust simulation with multiple researchers and diverse papers; (3) ResearchTown can generate interdisciplinary research ideas that potentially inspire novel research directions.


Large Language Model Safety: A Holistic Survey

arXiv.org Artificial Intelligence

The rapid development and deployment of large language models (LLMs) have introduced a new frontier in artificial intelligence, marked by unprecedented capabilities in natural language understanding and generation. However, the increasing integration of these models into critical applications raises substantial safety concerns, necessitating a thorough examination of their potential risks and associated mitigation strategies. This survey provides a comprehensive overview of the current landscape of LLM safety, covering four major categories: value misalignment, robustness to adversarial attacks, misuse, and autonomous AI risks. In addition to the comprehensive review of the mitigation methodologies and evaluation resources on these four aspects, we further explore four topics related to LLM safety: the safety implications of LLM agents, the role of interpretability in enhancing LLM safety, the technology roadmaps proposed and abided by a list of AI companies and institutes for LLM safety, and AI governance aimed at LLM safety with discussions on international cooperation, policy proposals, and prospective regulatory directions. Our findings underscore the necessity for a proactive, multifaceted approach to LLM safety, emphasizing the integration of technical solutions, ethical considerations, and robust governance frameworks. This survey is intended to serve as a foundational resource for academy researchers, industry practitioners, and policymakers, offering insights into the challenges and opportunities associated with the safe integration of LLMs into society. Ultimately, it seeks to contribute to the safe and beneficial development of LLMs, aligning with the overarching goal of harnessing AI for societal advancement and well-being. A curated list of related papers has been publicly available at a GitHub repository.


A Temporal Convolutional Network-based Approach for Network Intrusion Detection

arXiv.org Artificial Intelligence

Network intrusion detection is critical for securing modern networks, yet the complexity of network traffic poses significant challenges to traditional methods. This study proposes a Temporal Convolutional Network(TCN) model featuring a residual block architecture with dilated convolutions to capture dependencies in network traffic data while ensuring training stability. The TCN's ability to process sequences in parallel enables faster, more accurate sequence modeling than Recurrent Neural Networks. Evaluated on the Edge-IIoTset dataset, which includes 15 classes with normal traffic and 14 cyberattack types, the proposed model achieved an accuracy of 96.72% and a loss of 0.0688, outperforming 1D CNN, CNN-LSTM, CNN-GRU, CNN-BiLSTM, and CNN-GRU-LSTM models. A class-wise classification report, encompassing metrics such as recall, precision, accuracy, and F1-score, demonstrated the TCN model's superior performance across varied attack categories, including Malware, Injection, and DDoS. These results underscore the model's potential in addressing the complexities of network intrusion detection effectively.