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When the Domain Expert Has No Time and the LLM Developer Has No Clinical Expertise: Real-World Lessons from LLM Co-Design in a Safety-Net Hospital

arXiv.org Artificial Intelligence

Large language models (LLMs) have the potential to address social and behavioral determinants of health by transforming labor intensive workflows in resource-constrained settings. Creating LLM-based applications that serve the needs of underserved communities requires a deep understanding of their local context, but it is often the case that neither LLMs nor their developers possess this local expertise, and the experts in these communities often face severe time/resource constraints. This creates a disconnect: how can one engage in meaningful co-design of an LLM-based application for an under-resourced community when the communication channel between the LLM developer and domain expert is constrained? We explored this question through a real-world case study, in which our data science team sought to partner with social workers at a safety net hospital to build an LLM application that summarizes patients' social needs. Whereas prior works focus on the challenge of prompt tuning, we found that the most critical challenge in this setting is the careful and precise specification of \what information to surface to providers so that the LLM application is accurate, comprehensive, and verifiable. Here we present a novel co-design framework for settings with limited access to domain experts, in which the summary generation task is first decomposed into individually-optimizable attributes and then each attribute is efficiently refined and validated through a multi-tier cascading approach.


Algorithmic Fairness amid Social Determinants: Reflection, Characterization, and Approach

arXiv.org Artificial Intelligence

Social determinants are variables that, while not directly pertaining to any specific individual, capture key aspects of contexts and environments that have direct causal influences on certain attributes of an individual. Previous algorithmic fairness literature has primarily focused on sensitive attributes, often overlooking the role of social determinants. Our paper addresses this gap by introducing formal and quantitative rigor into a space that has been shaped largely by qualitative proposals regarding the use of social determinants. To demonstrate theoretical perspectives and practical applicability, we examine a concrete setting of college admissions, using region as a proxy for social determinants. Our approach leverages a region-based analysis with Gamma distribution parameterization to model how social determinants impact individual outcomes. Despite its simplicity, our method quantitatively recovers findings that resonate with nuanced insights in previous qualitative debates, that are often missed by existing algorithmic fairness approaches. Our findings suggest that mitigation strategies centering solely around sensitive attributes may introduce new structural injustice when addressing existing discrimination. Considering both sensitive attributes and social determinants facilitates a more comprehensive explication of benefits and burdens experienced by individuals from diverse demographic backgrounds as well as contextual environments, which is essential for understanding and achieving fairness effectively and transparently.


Normative Moral Pluralism for AI: A Framework for Deliberation in Complex Moral Contexts

arXiv.org Artificial Intelligence

The conceptual framework proposed in this paper centers on the development of a deliberative moral reasoning system - one designed to process complex moral situations by generating, filtering, and weighing normative arguments drawn from diverse ethical perspectives. While the framework is rooted in Machine Ethics, it also makes a substantive contribution to Value Alignment by outlining a system architecture that links structured moral reasoning to action under time constraints. Grounded in normative moral pluralism, this system is not constructed to imitate behavior but is built on reason-sensitive deliberation over structured moral content in a transparent and principled manner. Beyond its role as a deliberative system, it also serves as the conceptual foundation for a novel two-level architecture: functioning as a moral reasoning teacher envisioned to train faster models that support real-time responsiveness without reproducing the full structure of deliberative reasoning. Together, the deliberative and intuitive components are designed to enable both deep reflection and responsive action. A key design feature is the dual-hybrid structure: a universal layer that defines a moral threshold through top-down and bottom-up learning, and a local layer that learns to weigh competing considerations in context while integrating culturally specific normative content, so long as it remains within the universal threshold. By extending the notion of moral complexity to include not only conflicting beliefs but also multifactorial dilemmas, multiple stakeholders, and the integration of non-moral considerations, the framework aims to support morally grounded decision-making in realistic, high-stakes contexts.


Between Fear and Desire, the Monster Artificial Intelligence (AI): Analysis through the Lenses of Monster Theory

arXiv.org Artificial Intelligence

With the increasing adoption of Artificial Intelligence (AI) in all fields and daily activities, a heated debate is found about the advantages and challenges of AI and the need for navigating the concerns associated with AI to make the best of it. To contribute to this literature and the ongoing debate related to it, this study draws on the Monster theory to explain the conflicting representation of AI. It suggests that studying monsters in popular culture can provide an in-depth understanding of AI and its monstrous effects. Specifically, this study aims to discuss AI perception and development through the seven theses of Monster theory. The obtained results revealed that, just like monsters, AI is complex in nature, and it should not be studied as a separate entity but rather within a given society or culture. Similarly, readers may perceive and interpret AI differently, just as readers may interpret monsters differently. The relationship between AI and monsters, as depicted in this study, does not seem to be as odd as it might be at first.


EU Digital Regulation and Guatemala: AI, 5G, and Cybersecurity

arXiv.org Artificial Intelligence

The paper examines how EU rules in AI, 5G, and cybersecurity operate as transnational governance and shape policy in Guatemala. It outlines the AI Act's risk approach, the 5G Action Plan and Security Toolbox, and the cybersecurity regime built on ENISA, NIS2, the Cybersecurity Act, and the Cyber Resilience Act. It traces extraterritorial channels such as the Brussels effect, private standards, supply chain clauses, and data transfer controls. Guatemala specific impacts include SME compliance costs, procurement limits, environmental trade-offs in rollout, rights risks, and capacity gaps. The paper maps current national measures and proposes five guardrails: digital constitutionalism, green IT duties, third country impact assessment, standards co-design, and recognition of regulatory diversity.


TurQUaz at CheckThat! 2025: Debating Large Language Models for Scientific Web Discourse Detection

arXiv.org Artificial Intelligence

In this paper, we present our work developed for the scientific web discourse detection task (Task 4a) of CheckThat! 2025. We propose a novel council debate method that simulates structured academic discussions among multiple large language models (LLMs) to identify whether a given tweet contains (i) a scientific claim, (ii) a reference to a scientific study, or (iii) mentions of scientific entities. We explore three debating methods: i) single debate, where two LLMs argue for opposing positions while a third acts as a judge; ii) team debate, in which multiple models collaborate within each side of the debate; and iii) council debate, where multiple expert models deliberate together to reach a consensus, moderated by a chairperson model. We choose council debate as our primary model as it outperforms others in the development test set. Although our proposed method did not rank highly for identifying scientific claims (8th out of 10) or mentions of scientific entities (9th out of 10), it ranked first in detecting references to scientific studies.


LSDTs: LLM-Augmented Semantic Digital Twins for Adaptive Knowledge-Intensive Infrastructure Planning

arXiv.org Artificial Intelligence

Digital Twins (DTs) offer powerful tools for managing complex infrastructure systems, but their effectiveness is often limited by challenges in integrating unstructured knowledge. Recent advances in Large Language Models (LLMs) bring new potential to address this gap, with strong abilities in extracting and organizing diverse textual information. We therefore propose LSDTs (LLM-Augmented Semantic Digital Twins), a framework that helps LLMs extract planning knowledge from unstructured documents like environmental regulations and technical guidelines, and organize it into a formal ontology. This ontology forms a semantic layer that powers a digital twin-a virtual model of the physical system-allowing it to simulate realistic, regulation-aware planning scenarios. We evaluate LSDTs through a case study of offshore wind farm planning in Maryland, including its application during Hurricane Sandy. Results demonstrate that LSDTs support interpretable, regulation-aware layout optimization, enable high-fidelity simulation, and enhance adaptability in infrastructure planning. This work shows the potential of combining generative AI with digital twins to support complex, knowledge-driven planning tasks.


Federated Learning: A Survey on Privacy-Preserving Collaborative Intelligence

arXiv.org Artificial Intelligence

--Federated Learning (FL) has emerged as a trans-formative paradigm in the field of distributed machine learning, enabling multiple clients--such as mobile devices, edge nodes, or organizations--to collaboratively train a shared global model without the need to centralize sensitive data. This survey provides a concise yet comprehensive overview of Federated Learning, beginning with its core architecture and communication protocol. We discuss the standard FL lifecycle, including local training, model aggregation, and global updates. A particular emphasis is placed on key technical challenges such as handling non-IID (non-independent and identically distributed) data, mitigating system and hardware heterogeneity, reducing communication overhead, and ensuring privacy through mechanisms like differential privacy and secure aggregation. Furthermore, we examine emerging trends in FL research, including personalized FL, cross-device versus cross-silo settings, and integration with other paradigms such as reinforcement learning and quantum computing. We also highlight real-world applications and summarize benchmark datasets and evaluation metrics commonly used in FL research. Finally, we outline open research problems and future directions to guide the development of scalable, efficient, and trustworthy FL systems.


AI-induced sexual harassment: Investigating Contextual Characteristics and User Reactions of Sexual Harassment by a Companion Chatbot

arXiv.org Artificial Intelligence

Advancements in artificial intelligence (AI) have led to the increase of conversational agents like Replika, designed to provide social interaction and emotional support. However, reports of these AI systems engaging in inappropriate sexual behaviors with users have raised significant concerns. In this study, we conducted a thematic analysis of user reviews from the Google Play Store to investigate instances of sexual harassment by the Replika chatbot. From a dataset of 35,105 negative reviews, we identified 800 relevant cases for analysis. Our findings revealed that users frequently experience unsolicited sexual advances, persistent inappropriate behavior, and failures of the chatbot to respect user boundaries. Users expressed feelings of discomfort, violation of privacy, and disappointment, particularly when seeking a platonic or therapeutic AI companion. This study highlights the potential harms associated with AI companions and underscores the need for developers to implement effective safeguards and ethical guidelines to prevent such incidents. By shedding light on user experiences of AI-induced harassment, we contribute to the understanding of AI-related risks and emphasize the importance of corporate responsibility in developing safer and more ethical AI systems.


Processing of synthetic data in AI development for healthcare and the definition of personal data in EU law

arXiv.org Artificial Intelligence

Artificial intelligence (AI) has the potential to transform healthcare, but it requires access to health data. Synthetic data that is generated through machine learning models trained on real data, offers a way to share data while preserving privacy. However, uncertainties in the practical application of the General Data Protection Regulation (GDPR) create an administrative burden, limiting the benefits of synthetic data. Through a systematic analysis of relevant legal sources and an empirical study, this article explores whether synthetic data should be classified as personal data under the GDPR. The study investigates the residual identification risk through generating synthetic data and simulating inference attacks, challenging common perceptions of technical identification risk. The findings suggest synthetic data is likely anonymous, depending on certain factors, but highlights uncertainties about what constitutes reasonably likely risk. To promote innovation, the study calls for clearer regulations to balance privacy protection with the advancement of AI in healthcare.