We applied machine learning to the unmet medical need of rapid and accurate diagnosis and prognosis of acute infections and sepsis in emergency departments. Our solution consists of a Myrna (TM) Instrument and embedded TriVerity (TM) classifiers. The instrument measures abundances of 29 messenger RNAs in patient's blood, subsequently used as features for machine learning. The classifiers convert the input features to an intuitive test report comprising the separate likelihoods of (1) a bacterial infection (2) a viral infection, and (3) severity (need for Intensive Care Unit-level care). In internal validation, the system achieved AUROC = 0.83 on the three-class disease diagnosis (bacterial, viral, or non-infected) and AUROC = 0.77 on binary prognosis of disease severity. The Myrna, TriVerity system was granted breakthrough device designation by the United States Food and Drug Administration (FDA). This engineering manuscript teaches the standard and novel machine learning methods used to translate an academic research concept to a clinical product aimed at improving patient care, and discusses lessons learned.

Large Language Models have revolutionized numerous tasks with their remarkable efficacy. However, editing these models, crucial for rectifying outdated or erroneous information, often leads to a complex issue known as the ripple effect in the hidden space. While difficult to detect, this effect can significantly impede the efficacy of model editing tasks and deteriorate model performance. This paper addresses this scientific challenge by proposing a novel evaluation methodology, Graphical Impact Evaluation(GIE), which quantitatively evaluates the adaptations of the model and the subsequent impact of editing. Furthermore, we introduce the Selective Impact Revision(SIR), a model editing method designed to mitigate this ripple effect. Our comprehensive evaluations reveal that the ripple effect in the hidden space is a significant issue in all current model editing methods. However, our proposed methods, GIE and SIR, effectively identify and alleviate this issue, contributing to the advancement of LLM editing techniques.

Large Language Models (LLMs) are vulnerable to jailbreaks$\unicode{x2013}$methods to elicit harmful or generally impermissible outputs. Safety measures are developed and assessed on their effectiveness at defending against jailbreak attacks, indicating a belief that safety is equivalent to robustness. We assert that current defense mechanisms, such as output filters and alignment fine-tuning, are, and will remain, fundamentally insufficient for ensuring model safety. These defenses fail to address risks arising from dual-intent queries and the ability to composite innocuous outputs to achieve harmful goals. To address this critical gap, we introduce an information-theoretic threat model called inferential adversaries who exploit impermissible information leakage from model outputs to achieve malicious goals. We distinguish these from commonly studied security adversaries who only seek to force victim models to generate specific impermissible outputs. We demonstrate the feasibility of automating inferential adversaries through question decomposition and response aggregation. To provide safety guarantees, we define an information censorship criterion for censorship mechanisms, bounding the leakage of impermissible information. We propose a defense mechanism which ensures this bound and reveal an intrinsic safety-utility trade-off. Our work provides the first theoretically grounded understanding of the requirements for releasing safe LLMs and the utility costs involved.

Planning in a text-based environment continues to be a major challenge for AI systems. Recent approaches have used language models to predict a planning domain definition (e.g., PDDL) but have only been evaluated in closed-domain simulated environments. To address this, we present Proc2PDDL , the first dataset containing open-domain procedural texts paired with expert-annotated PDDL representations. Using this dataset, we evaluate state-of-the-art models on defining the preconditions and effects of actions. We show that Proc2PDDL is highly challenging, with GPT-3.5's success rate close to 0% and GPT-4's around 35%. Our analysis shows both syntactic and semantic errors, indicating LMs' deficiency in both generating domain-specific prgorams and reasoning about events. We hope this analysis and dataset helps future progress towards integrating the best of LMs and formal planning.

Researchers are increasingly using language models (LMs) for text annotation. These approaches rely only on a prompt telling the model to return a given output according to a set of instructions. The reproducibility of LM outputs may nonetheless be vulnerable to small changes in the prompt design. This calls into question the replicability of classification routines. To tackle this problem, researchers have typically tested a variety of semantically similar prompts to determine what we call "prompt stability." These approaches remain ad-hoc and task specific. In this article, we propose a general framework for diagnosing prompt stability by adapting traditional approaches to intra- and inter-coder reliability scoring. We call the resulting metric the Prompt Stability Score (PSS) and provide a Python package PromptStability for its estimation. Using six different datasets and twelve outcomes, we classify >150k rows of data to: a) diagnose when prompt stability is low; and b) demonstrate the functionality of the package. We conclude by providing best practice recommendations for applied researchers.

Fine-tuning pre-trained Vision-Language Models (VLMs) has shown remarkable capabilities in medical image and textual depiction synergy. Nevertheless, many pre-training datasets are restricted by patient privacy concerns, potentially containing noise that can adversely affect downstream performance. Moreover, the growing reliance on multi-modal generation exacerbates this issue because of its susceptibility to adversarial attacks. To investigate how VLMs trained on adversarial noisy data perform on downstream medical tasks, we first craft noisy upstream datasets using multi-modal adversarial attacks. Through our comprehensive analysis, we unveil that moderate noise enhances model robustness and transferability, but increasing noise levels negatively impact downstream task performance. To mitigate this issue, we propose rectify adversarial noise (RAN) framework, a recipe designed to effectively defend adversarial attacks and rectify the influence of upstream noise during fine-tuning.

Conversational Query Reformulation (CQR) has significantly advanced in addressing the challenges of conversational search, particularly those stemming from the latent user intent and the need for historical context. Recent works aimed to boost the performance of CRQ through alignment. However, they are designed for one specific retrieval system, which potentially results in poor generalization. To overcome this limitation, we present a novel framework AdaCQR. By aligning reformulation models with both term-based and semantic-based retrieval systems, AdaCQR enhances the generalizability of information-seeking queries across diverse retrieval environments through a dual-phase training strategy. We also developed two effective approaches for acquiring superior labels and diverse input candidates, boosting the efficiency and robustness of the framework. Experimental evaluations on the TopiOCQA and QReCC datasets demonstrate that AdaCQR significantly outperforms existing methods, offering both quantitative and qualitative improvements in conversational query reformulation.

Recent work has explored the capability of large language models (LLMs) to identify and correct errors in LLM-generated responses. These refinement approaches frequently evaluate what sizes of models are able to do refinement for what problems, but less attention is paid to what effective feedback for refinement looks like. In this work, we propose looking at refinement with feedback as a composition of three distinct LLM competencies: (1) identification of bad generations; (2) fine-grained natural language feedback generation; (3) refining with fine-grained feedback. The first step can be implemented with a high-performing discriminative model and steps 2 and 3 can be implemented either via prompted or fine-tuned LLMs. A key property of this approach is that the step 2 critique model can give fine-grained feedback about errors, made possible by offloading the discrimination to a separate model in step 1. We show that models of different capabilities benefit from refining with this approach on the task of improving factual consistency of document grounded summaries. Overall, our proposed method consistently outperforms existing end-to-end refinement approaches and current trained models not fine-tuned for factuality critiquing.

The proliferation of Large Language Models (LLMs) has led to an influx of AI-generated content (AIGC) on the internet, transforming the corpus of Information Retrieval (IR) systems from solely human-written to a coexistence with LLM-generated content. The impact of this surge in AIGC on IR systems remains an open question, with the primary challenge being the lack of a dedicated benchmark for researchers. In this paper, we introduce Cocktail, a comprehensive benchmark tailored for evaluating IR models in this mixed-sourced data landscape of the LLM era. Cocktail consists of 16 diverse datasets with mixed human-written and LLM-generated corpora across various text retrieval tasks and domains. Additionally, to avoid the potential bias from previously included dataset information in LLMs, we also introduce an up-to-date dataset, named NQ-UTD, with queries derived from recent events. Through conducting over 1,000 experiments to assess state-of-the-art retrieval models against the benchmarked datasets in Cocktail, we uncover a clear trade-off between ranking performance and source bias in neural retrieval models, highlighting the necessity for a balanced approach in designing future IR systems. We hope Cocktail can serve as a foundational resource for IR research in the LLM era, with all data and code publicly available at \url{https://github.com/KID-22/Cocktail}.

Large language models (LLMs) have achieved remarkable performance on various NLP tasks, yet their potential in more challenging and domain-specific task, such as finance, has not been fully explored. In this paper, we present CFinBench: a meticulously crafted, the most comprehensive evaluation benchmark to date, for assessing the financial knowledge of LLMs under Chinese context. In practice, to better align with the career trajectory of Chinese financial practitioners, we build a systematic evaluation from 4 first-level categories: (1) Financial Subject: whether LLMs can memorize the necessary basic knowledge of financial subjects, such as economics, statistics and auditing. (2) Financial Qualification: whether LLMs can obtain the needed financial qualified certifications, such as certified public accountant, securities qualification and banking qualification. (3) Financial Practice: whether LLMs can fulfill the practical financial jobs, such as tax consultant, junior accountant and securities analyst. (4) Financial Law: whether LLMs can meet the requirement of financial laws and regulations, such as tax law, insurance law and economic law. CFinBench comprises 99,100 questions spanning 43 second-level categories with 3 question types: single-choice, multiple-choice and judgment. We conduct extensive experiments of 50 representative LLMs with various model size on CFinBench. The results show that GPT4 and some Chinese-oriented models lead the benchmark, with the highest average accuracy being 60.16%, highlighting the challenge presented by CFinBench. The dataset and evaluation code are available at https://cfinbench.github.io/.