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Cognitive bias in LLM reasoning compromises interpretation of clinical oncology notes
Kenaston, Matthew W., Ayub, Umair, Parmar, Mihir, Anjum, Muhammad Umair, Naqvi, Syed Arsalan Ahmed, Kumar, Priya, Rawal, Samarth, Chaudhuri, Aadel A., Zakharia, Yousef, Heath, Elizabeth I., Bekaii-Saab, Tanios S., Tao, Cui, Van Allen, Eliezer M., Zhou, Ben, Choi, YooJung, Baral, Chitta, Riaz, Irbaz Bin
Despite high performance on clinical benchmarks, large language models may reach correct conclusions through faulty reasoning, a failure mode with safety implications for oncology decision support that is not captured by accuracy-based evaluation. In this two-cohort retrospective study, we developed a hierarchical taxonomy of reasoning errors from GPT-4 chain-of-thought responses to real oncology notes and tested its clinical relevance. Using breast and pancreatic cancer notes from the CORAL dataset, we annotated 600 reasoning traces to define a three-tier taxonomy mapping computational failures to cognitive bias frameworks. We validated the taxonomy on 822 responses from prostate cancer consult notes spanning localized through metastatic disease, simulating extraction, analysis, and clinical recommendation tasks. Reasoning errors occurred in 23 percent of interpretations and dominated overall errors, with confirmation bias and anchoring bias most common. Reasoning failures were associated with guideline-discordant and potentially harmful recommendations, particularly in advanced disease management. Automated evaluators using state-of-the-art language models detected error presence but could not reliably classify subtypes. These findings show that large language models may provide fluent but clinically unsafe recommendations when reasoning is flawed. The taxonomy provides a generalizable framework for evaluating and improving reasoning fidelity before clinical deployment.
MindSET: Advancing Mental Health Benchmarking through Large-Scale Social Media Data
Mankarious, Saad, Zirikly, Ayah, Wiechmann, Daniel, Kerz, Elma, Kempa, Edward, Qiao, Yu
Social media data has become a vital resource for studying mental health, offering real-time insights into thoughts, emotions, and behaviors that traditional methods often miss. Progress in this area has been facilitated by benchmark datasets for mental health analysis; however, most existing benchmarks have become outdated due to limited data availability, inadequate cleaning, and the inherently diverse nature of social media content (e.g., multilingual and harmful material). We present a new benchmark dataset, \textbf{MindSET}, curated from Reddit using self-reported diagnoses to address these limitations. The annotated dataset contains over \textbf{13M} annotated posts across seven mental health conditions, more than twice the size of previous benchmarks. To ensure data quality, we applied rigorous preprocessing steps, including language filtering, and removal of Not Safe for Work (NSFW) and duplicate content. We further performed a linguistic analysis using LIWC to examine psychological term frequencies across the eight groups represented in the dataset. To demonstrate the dataset utility, we conducted binary classification experiments for diagnosis detection using both fine-tuned language models and Bag-of-Words (BoW) features. Models trained on MindSET consistently outperformed those trained on previous benchmarks, achieving up to an \textbf{18-point} improvement in F1 for Autism detection. Overall, MindSET provides a robust foundation for researchers exploring the intersection of social media and mental health, supporting both early risk detection and deeper analysis of emerging psychological trends.
Structured Definitions and Segmentations for Legal Reasoning in LLMs: A Study on Indian Legal Data
Khatri, Mann, Yusuf, Mirza, Shah, Rajiv Ratn, Kumaraguru, Ponnurangam
Large Language Models (LLMs), trained on extensive datasets from the web, exhibit remarkable general reasoning skills. Despite this, they often struggle in specialized areas like law, mainly because they lack domain-specific pretraining. The legal field presents unique challenges, as legal documents are generally long and intricate, making it hard for models to process the full text efficiently. Previous studies have examined in-context approaches to address the knowledge gap, boosting model performance in new domains without full domain alignment. In our paper, we analyze model behavior on legal tasks by conducting experiments in three areas: (i) reorganizing documents based on rhetorical roles to assess how structured information affects long context processing and model decisions, (ii) defining rhetorical roles to familiarize the model with legal terminology, and (iii) emulating the step-by-step reasoning of courts regarding rhetorical roles to enhance model reasoning. These experiments are conducted in a zero-shot setting across three Indian legal judgment prediction datasets. Our results reveal that organizing data or explaining key legal terms significantly boosts model performance, with a minimum increase of ~1.5% and a maximum improvement of 4.36% in F1 score compared to the baseline.
A centroid based framework for text classification in itsm environments
Mohanna, Hossein, Ait-Bachir, Ali
Text classification with hierarchical taxonomies is a fundamental requirement in IT Service Management (ITSM) systems, where support tickets must be categorized into tree-structured taxonomies. We present a dual-embedding centroid-based classification framework that maintains separate semantic and lexical centroid representations per category, combining them through reciprocal rank fusion at inference time. The framework achieves performance competitive with Support Vector Machines (hierarchical F1: 0.731 vs 0.727) while providing interpretability through centroid representations. Evaluated on 8,968 ITSM tickets across 123 categories, this method achieves 5.9 times faster training and up to 152 times faster incremental updates. With 8.6-8.8 times speedup across batch sizes (100-1000 samples) when excluding embedding computation. These results make the method suitable for production ITSM environments prioritizing interpretability and operational efficiency.
Democratizing LLM Efficiency: From Hyperscale Optimizations to Universal Deployability
Large language models (LLMs) have become indispensable, but the most celebrated efficiency methods -- mixture-of-experts (MoE), speculative decoding, and complex retrieval-augmented generation (RAG) -- were built for hyperscale providers with vast infrastructure and elite teams. Outside that context, their benefits collapse into overhead, fragility, and wasted carbon. The result is that a handful of Big Tech companies benefit, while thousands of hospitals, schools, governments, and enterprises are left without viable options. We argue that the next frontier is not greater sophistication at scale, but robust simplicity: efficiency that thrives under modest resources and minimal expertise. We propose a new research agenda: retrofitting pretrained models with more efficient architectures without retraining, inventing lightweight fine-tuning that preserves alignment, making reasoning economical despite long chains of thought, enabling dynamic knowledge management without heavy RAG pipelines, and adopting Overhead-Aware Efficiency (OAE) as a standard benchmark. By redefining efficiency to include adoption cost, sustainability, and fairness, we can democratize LLM deployment -- ensuring that optimization reduces inequality and carbon waste rather than amplifying them.
Transforming Higher Education with AI-Powered Video Lectures
The integration of artificial intelligence (AI) into video lecture production has the potential to transform higher education by streamlining content creation and enhancing accessibility. This paper investigates a semi -automated workflow that combines Google Gemini for script generation, Amazon Polly for voice synthesis, and Microsoft PowerPoint for video assembly. Unlike fully automated text -to -video platforms, this hybrid approach preserves pedagogical intent while ensuring script -slide synchronization, narrative coherence, and customization. Case studies demonstrate the effectiveness of Gemini in generating accurate and context - sensitive scripts for visually rich academic presentations, while Polly provides natural - sounding narration with controllable pac ing. A two-course pilot study was conducted to evaluate AI -generated instructional videos (AIIV) against human instructional videos (HIV). Both qualitative and quantitative results indicate that AIIVs are comparable to HIVs in terms of learning outcomes, w ith students reporting high levels of clarity, coherence, and usability. However, limitations remain, particularly regarding audio quality and the absence of human - like avatars. The findings suggest that AI - assisted video production can reduce instructor workload, improve scalability, and deliver effective learning resources, while future improvements in synthetic voices and avatars may further enhance learner engagement.
Intelligent Agents with Emotional Intelligence: Current Trends, Challenges, and Future Prospects
Zall, Raziyeh, Kheyrkhah, Alireza, Cambria, Erik, Naseri, Zahra, Kangavari, M. Reza
Developing intelligent agents that possess human-level intelligence is a key goal in the field of human-computer interaction (HCI) and general artificial intelligence[2]. A crucial aspect of achieving this goal is the incorporation of emotional intelligence, which is essential for human cognition and social interaction, into these intelligent agents. Emotional intelligence encompasses three interrelated capabilities: 1) emotion understanding, which involves accurately detecting and understanding affective signals, such as recognizing individuals' emotional states during interactions; 2) emotion elicitation and experiences, which refers to interpreting the causes, context, and implications of emotions for both the individual and the interaction; and 3) emotion expression, which encompasses the capacity to generate, modulate, and convey appropriate emotional responses in a socially meaningful manner. Affective Computing, coined by Rosalind Picard [1], emerged as a discipline dedicated to equipping machines with emotional intelligence, enabling them to recognize, interpret, and respond to human emotions. By embedding emotional intelligence into intelligent agents, affective computing facilitates more naturalistic, adaptive, and socially competent interactions, which in turn enhances user trust, engagement, and satisfaction [209]. Such emotionally intelligent systems not only improve usability but also enable advanced functionalities, including personalized assistance, empathetic dialogue, and context-aware decision-making. In Figure 1, an overview of the emotional intelligence capabilities in intelligent agents is presented. The process of emotional intelligence begins with analyzing the emotional aspects of the user input, enabling the agent to identify the user's affective state during interactions [259][306]. The next step is affective cognition, where the agent evaluates the observed emotional events using cognitive mental states to ensure accurate interpretation.
Context-Aware Visual Prompting: Automating Geospatial Web Dashboards with Large Language Models and Agent Self-Validation for Decision Support
Xu, Haowen, Tupayachi, Jose, Yu, Xiao-Ying
The development of web-based geospatial dashboards for risk analysis and decision support is often challenged by the difficulty in visualization of big, multi-dimensional environmental data, implementation complexity, and limited automation. We introduce a generative AI framework that harnesses Large Language Models (LLMs) to automate the creation of interactive geospatial dashboards from user-defined inputs including UI wireframes, requirements, and data sources. By incorporating a structured knowledge graph, the workflow embeds domain knowledge into the generation process and enable accurate and context-aware code completions. A key component of our approach is the Context-Aware Visual Prompting (CAVP) mechanism, which extracts encodes and interface semantics from visual layouts to guide LLM driven generation of codes. The new framework also integrates a self-validation mechanism that uses an agent-based LLM and Pass@k evaluation alongside semantic metrics to assure output reliability. Dashboard snippets are paired with data visualization codebases and ontological representations, enabling a pipeline that produces scalable React-based completions using the MVVM architectural pattern. Our results demonstrate improved performance over baseline approaches and expanded functionality over third party platforms, while incorporating multi-page, fully functional interfaces. We successfully developed a framework to implement LLMs, demonstrated the pipeline for automated code generation, deployment, and performed chain-of-thought AI agents in self-validation. This integrative approach is guided by structured knowledge and visual prompts, providing an innovative geospatial solution in enhancing risk analysis and decision making.
CodeVaani: A Multilingual, Voice-Based Code Learning Assistant
Havare, Jayant, Tamilselvam, Srikanth, Mittal, Ashish, Thorat, Shalaka, Jadia, Soham, Apte, Varsha, Ramakrishnan, Ganesh
Programming education often assumes English proficiency and text-based interaction, creating barriers for students from multilingual regions such as India. We present CodeVaani, a multilingual speech-driven assistant for understanding code, built into Bodhitree [1], a Learning Management System developed at IIT Bombay. It is a voice-enabled assistant that helps learners explore programming concepts in their native languages. The system integrates Indic ASR, a codeaware transcription refinement module, and a code model for generating relevant answers. Responses are provided in both text and audio for natural interaction. In a study with 28 beginner programmers, CodeVaani achieved 75% response accuracy, with over 80% of participants rating the experience positively. Compared to classroom assistance, our framework offers ondemand availability, scalability to support many learners, and multilingual support that lowers the entry barrier for students with limited English proficiency. The demo will illustrate these capabilities and highlight how voice-based AI systems can make programming education more inclusive. Supplementary artifacts and demo video are also made available.
Domain-Grounded Evaluation of LLMs in International Student Knowledge
Daitx, Claudinei, Amar, Haitham
Large language models (LLMs) are increasingly used to answer high-stakes study-abroad questions about admissions, visas, scholarships, and eligibility. Yet it remains unclear how reliably they advise students, and how often otherwise helpful answers drift into unsupported claims (``hallucinations''). This work provides a clear, domain-grounded overview of how current LLMs behave in this setting. Using realistic questions set drawn from ApplyBoard's advising workflows -- an EdTech platform that supports students from discovery to enrolment -- we evaluate two essentials side by side: accuracy (is the information correct and complete?) and hallucination (does the model add content not supported by the question or domain evidence). These questions are categorized by domain scope which can be a single-domain or multi-domain -- when it must integrate evidence across areas such as admissions, visas, and scholarships. To reflect real advising quality, we grade answers with a simple rubric which is correct, partial, or wrong. The rubric is domain-coverage-aware: an answer can be partial if it addresses only a subset of the required domains, and it can be over-scoped if it introduces extra, unnecessary domains; both patterns are captured in our scoring as under-coverage or reduced relevance/hallucination. We also report measures of faithfulness and answer relevance, alongside an aggregate hallucination score, to capture relevance and usefulness. All models are tested with the same questions for a fair, head-to-head comparison. Our goals are to: (1) give a clear picture of which models are most dependable for study-abroad advising, (2) surface common failure modes -- where answers are incomplete, off-topic, or unsupported, and (3) offer a practical, reusable protocol for auditing LLMs before deployment in education and advising contexts.