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 Large Language Model


Standardization of Neuromuscular Reflex Analysis -- Role of Fine-Tuned Vision-Language Model Consortium and OpenAI gpt-oss Reasoning LLM Enabled Decision Support System

arXiv.org Artificial Intelligence

Accurate assessment of neuromuscular reflexes, such as the H-reflex, plays a critical role in sports science, rehabilitation, and clinical neurology. Traditional analysis of H-reflex EMG waveforms is subject to variability and interpretation bias among clinicians and researchers, limiting reliability and standardization. To address these challenges, we propose a Fine-Tuned Vision-Language Model (VLM) Consortium and a reasoning Large-Language Model (LLM)-enabled Decision Support System for automated H-reflex waveform interpretation and diagnosis. Our approach leverages multiple VLMs, each fine-tuned on curated datasets of H-reflex EMG waveform images annotated with clinical observations, recovery timelines, and athlete metadata. These models are capable of extracting key electrophysiological features and predicting neuromuscular states, including fatigue, injury, and recovery, directly from EMG images and contextual metadata. Diagnostic outputs from the VLM consortium are aggregated using a consensus-based method and refined by a specialized reasoning LLM, which ensures robust, transparent, and explainable decision support for clinicians and sports scientists. The end-to-end platform orchestrates seamless communication between the VLM ensemble and the reasoning LLM, integrating prompt engineering strategies and automated reasoning workflows using LLM Agents. Experimental results demonstrate that this hybrid system delivers highly accurate, consistent, and interpretable H-reflex assessments, significantly advancing the automation and standardization of neuromuscular diagnostics. To our knowledge, this work represents the first integration of a fine-tuned VLM consortium with a reasoning LLM for image-based H-reflex analysis, laying the foundation for next-generation AI-assisted neuromuscular assessment and athlete monitoring platforms.


GALA: Can Graph-Augmented Large Language Model Agentic Workflows Elevate Root Cause Analysis?

arXiv.org Artificial Intelligence

Root cause analysis (RCA) in microservice systems is challenging, requiring on-call engineers to rapidly diagnose failures across heterogeneous telemetry such as metrics, logs, and traces. Traditional RCA methods often focus on single modalities or merely rank suspect services, falling short of providing actionable diagnostic insights with remediation guidance. This paper introduces GALA, a novel multi-modal framework that combines statistical causal inference with LLM-driven iterative reasoning for enhanced RCA. Evaluated on an open-source benchmark, GALA achieves substantial improvements over state-of-the-art methods of up to 42.22% accuracy. Our novel human-guided LLM evaluation score shows GALA generates significantly more causally sound and actionable diagnostic outputs than existing methods. Through comprehensive experiments and a case study, we show that GALA bridges the gap between automated failure diagnosis and practical incident resolution by providing both accurate root cause identification and human-interpretable remediation guidance.


Inverse-LLaVA: Eliminating Alignment Pre-training Through Text-to-Vision Mapping

arXiv.org Artificial Intelligence

Traditional multimodal learning approaches require expensive alignment pre-training to bridge vision and language modalities, typically projecting visual features into discrete text token spaces. We challenge both fundamental assumptions underlying this paradigm by proposing Inverse-LLaVA, a novel approach that eliminates alignment pre-training entirely while inverting the conventional mapping direction. Rather than projecting visual features to text space, our method maps text embeddings into continuous visual representation space and performs fusion within transformer intermediate layers. Through selective additive components in attention mechanisms, we enable dynamic integration of visual and textual representations without requiring massive image-text alignment datasets. Comprehensive experiments across nine multimodal benchmarks demonstrate nuanced performance trade-offs: Inverse-LLaVA achieves notable improvements on reasoning-intensive and cognitive tasks (MM-VET: +0.2%, VizWiz: +1.8%, ScienceQA: +0.2%, cognitive reasoning: +27.2%), while showing expected decreases in perception tasks requiring memorized visual-text associations (celebrity recognition: -49.5%, OCR: -21.3%). These results provide the first empirical evidence that alignment pre-training is not necessary for effective multimodal learning, particularly for complex reasoning tasks. Our work establishes the feasibility of a new paradigm that reduces computational requirements by 45%, challenges conventional wisdom about modality fusion, and opens new research directions for efficient multimodal architectures that preserve modality-specific characteristics. Our project website with code and additional resources is available at https://inverse-llava.github.io.


LoraxBench: A Multitask, Multilingual Benchmark Suite for 20 Indonesian Languages

arXiv.org Artificial Intelligence

As one of the world's most populous countries, with 700 languages spoken, Indonesia is behind in terms of NLP progress. We introduce LoraxBench, a benchmark that focuses on low-resource languages of Indonesia and covers 6 diverse tasks: reading comprehension, open-domain QA, language inference, causal reasoning, translation, and cultural QA. Our dataset covers 20 languages, with the addition of two formality registers for three languages. We evaluate a diverse set of multilingual and region-focused LLMs and found that this benchmark is challenging. We note a visible discrepancy between performance in Indonesian and other languages, especially the low-resource ones. There is no clear lead when using a region-specific model as opposed to the general multilingual model. Lastly, we show that a change in register affects model performance, especially with registers not commonly found in social media, such as high-level politeness `Krama' Javanese.


ZigzagAttention: Efficient Long-Context Inference with Exclusive Retrieval and Streaming Heads

arXiv.org Artificial Intelligence

With the rapid development of large language models (LLMs), handling long context has become one of the vital abilities in LLMs. Such long-context ability is accompanied by difficulties in deployment, especially due to the increased consumption of KV cache. There is certain work aiming to optimize the memory footprint of KV cache, inspired by the observation that attention heads can be categorized into retrieval heads that are of great significance and streaming heads that are of less significance. Typically, identifying the streaming heads and and waiving the KV cache in the streaming heads would largely reduce the overhead without hurting the performance that much. However, since employing both retrieval and streaming heads in one layer decomposes one large round of attention computation into two small ones, it may unexpectedly bring extra latency on accessing and indexing tensors. Based on this intuition, we impose an important improvement to the identification process of retrieval and streaming heads, in which we design a criterion that enforces exclusively retrieval or streaming heads gathered in one unique layer. In this way, we further eliminate the extra latency and only incur negligible performance degradation. Our method named \textsc{ZigzagAttention} is competitive among considered baselines owing to reduced latency and comparable performance.


Extracting Post-Acute Sequelae of SARS-CoV-2 Infection Symptoms from Clinical Notes via Hybrid Natural Language Processing

arXiv.org Artificial Intelligence

Accurately and efficiently diagnosing Post-Acute Sequelae of COVID-19 (PASC) remains challenging due to its myriad symptoms that evolve over long- and variable-time intervals. To address this issue, we developed a hybrid natural language processing pipeline that integrates rule-based named entity recognition with BERT-based assertion detection modules for PASC-symptom extraction and assertion detection from clinical notes. We developed a comprehensive PASC lexicon with clinical specialists. From 11 health systems of the RECOVER initiative network across the U.S., we curated 160 intake progress notes for model development and evaluation, and collected 47,654 progress notes for a population-level prevalence study. We achieved an average F1 score of 0.82 in one-site internal validation and 0.76 in 10-site external validation for assertion detection. Our pipeline processed each note at $2.448\pm 0.812$ seconds on average. Spearman correlation tests showed $ฯ>0.83$ for positive mentions and $ฯ>0.72$ for negative ones, both with $P <0.0001$. These demonstrate the effectiveness and efficiency of our models and their potential for improving PASC diagnosis.


ReaLM: Reflection-Enhanced Autonomous Reasoning with Small Language Models

arXiv.org Artificial Intelligence

Small Language Models (SLMs) are a cost-effective alternative to Large Language Models (LLMs), but often struggle with complex reasoning due to their limited capacity and a tendency to produce mistakes or inconsistent answers during multi-step reasoning. Existing efforts have improved SLM performance, but typically at the cost of one or more of three key aspects: (1) reasoning capability, due to biased supervision that filters out negative reasoning paths and limits learning from errors; (2) autonomy, due to over-reliance on externally generated reasoning signals; and (3) generalization, which suffers when models overfit to teacher-specific patterns. In this paper, we introduce ReaLM, a reinforcement learning framework for robust and self-sufficient reasoning in vertical domains. To enhance reasoning capability, we propose Multi-Route Process Verification (MRPV), which contrasts both positive and negative reasoning paths to extract decisive patterns. To reduce reliance on external guidance and improve autonomy, we introduce Enabling Autonomy via Asymptotic Induction (EAAI), a training strategy that gradually fades external signals. To improve generalization, we apply guided chain-of-thought distillation to encode domain-specific rules and expert knowledge into SLM parameters, making them part of what the model has learned. Extensive experiments on both vertical and general reasoning tasks demonstrate that ReaLM significantly improves SLM performance across aspects (1)-(3) above.


Uncovering Systematic Failures of LLMs in Verifying Code Against Natural Language Specifications

arXiv.org Artificial Intelligence

Large language models (LLMs) have become essential tools in software development, widely used for requirements engineering, code generation and review tasks. Software engineers often rely on LLMs to assess whether system code implementation satisfy task requirements, thereby enhancing code robustness and accuracy. However, it remains unclear whether LLMs can reliably determine whether the code complies fully with the given task descriptions, which is usually natural language specifications. In this paper, we uncover a systematic failure of LLMs in evaluating whether code aligns with natural language requirements. Specifically, with widely used benchmarks, we employ unified prompts to judge code correctness. Our results reveal that LLMs frequently misclassify correct code implementations as either ``not satisfying requirements'' or containing potential defects. Surprisingly, more complex prompting, especially when leveraging prompt engineering techniques involving explanations and proposed corrections, leads to higher misjudgment rate, which highlights the critical reliability issues in using LLMs as code review assistants. We further analyze the root causes of these misjudgments, and propose two improved prompting strategies for mitigation. For the first time, our findings reveals unrecognized limitations in LLMs to match code with requirements. We also offer novel insights and practical guidance for effective use of LLMs in automated code review and task-oriented agent scenarios.


Consensus or Conflict? Fine-Grained Evaluation of Conflicting Answers in Question-Answering

arXiv.org Artificial Intelligence

Large Language Models (LLMs) have demonstrated strong performance in question answering (QA) tasks. However, Multi-Answer Question Answering (MAQA), where a question may have several valid answers, remains challenging. Traditional QA settings often assume consistency across evidences, but MAQA can involve conflicting answers. Constructing datasets that reflect such conflicts is costly and labor-intensive, while existing benchmarks often rely on synthetic data, restrict the task to yes/no questions, or apply unverified automated annotation. To advance research in this area, we extend the conflict-aware MAQA setting to require models not only to identify all valid answers, but also to detect specific conflicting answer pairs, if any. To support this task, we introduce a novel cost-effective methodology for leveraging fact-checking datasets to construct NATCONFQA, a new benchmark for realistic, conflict-aware MAQA, enriched with detailed conflict labels, for all answer pairs. We evaluate eight high-end LLMs on NATCONFQA, revealing their fragility in handling various types of conflicts and the flawed strategies they employ to resolve them.


Wisdom of the Crowd: Reinforcement Learning from Coevolutionary Collective Feedback

arXiv.org Artificial Intelligence

Reinforcement learning (RL) has significantly enhanced the reasoning capabilities of large language models (LLMs), but its reliance on expensive human-labeled data or complex reward models severely limits scalability. While existing self-feedback methods aim to address this problem, they are constrained by the capabilities of a single model, which can lead to overconfidence in incorrect answers, reward hacking, and even training collapse. To this end, we propose Reinforcement Learning from Coevolutionary Collective Feedback (RLCCF), a novel RL framework that enables multi-model collaborative evolution without external supervision. Specifically, RLCCF optimizes the ability of a model collective by maximizing its Collective Consistency (CC), which jointly trains a diverse ensemble of LLMs and provides reward signals by voting on collective outputs. Moreover, each model's vote is weighted by its Self-Consistency (SC) score, ensuring that more confident models contribute more to the collective decision. Benefiting from the diverse output distributions and complementary abilities of multiple LLMs, RL-CCF enables the model collective to continuously enhance its reasoning ability through coevolution. Experiments on four mainstream open-source LLMs across four mathematical reasoning benchmarks demonstrate that our framework yields significant performance gains, achieving an average relative improvement of 16.72% in accuracy. Notably, RL-CCF not only improves the performance of individual models but also enhances the group's majority-voting accuracy by 4.51%, demonstrating its ability to extend the collective capability boundary of the model collective.