Objective To develop an LLM based realtime compound diagnostic medical AI interface and performed a clinical trial comparing this interface and physicians for common internal medicine cases based on the United States Medical License Exam (USMLE) Step 2 Clinical Skill (CS) style exams. Methods A nonrandomized clinical trial was conducted on August 20, 2024. We recruited one general physician, two internal medicine residents (2nd and 3rd year), and five simulated patients. The clinical vignettes were adapted from the USMLE Step 2 CS style exams. We developed 10 representative internal medicine cases based on actual patients and included information available on initial diagnostic evaluation. Primary outcome was the accuracy of the first differential diagnosis. Repeatability was evaluated based on the proportion of agreement. Results The accuracy of the physicians' first differential diagnosis ranged from 50% to 70%, whereas the realtime compound diagnostic medical AI interface achieved an accuracy of 80%. The proportion of agreement for the first differential diagnosis was 0.7. The accuracy of the first and second differential diagnoses ranged from 70% to 90% for physicians, whereas the AI interface achieved an accuracy rate of 100%. The average time for the AI interface (557 sec) was 44.6% shorter than that of the physicians (1006 sec). The AI interface ($0.08) also reduced costs by 98.1% compared to the physicians' average ($4.2). Patient satisfaction scores ranged from 4.2 to 4.3 for care by physicians and were 3.9 for the AI interface Conclusion An LLM based realtime compound diagnostic medical AI interface demonstrated diagnostic accuracy and patient satisfaction comparable to those of a physician, while requiring less time and lower costs. These findings suggest that AI interfaces may have the potential to assist primary care consultations for common internal medicine cases.

Generative image editing using diffusion models has become a prevalent application in today's AI cloud services. In production environments, image editing typically involves a mask that specifies the regions of an image template to be edited. The use of masks provides direct control over the editing process and introduces sparsity in the model inference. In this paper, we present InstGenIE, a system that efficiently serves image editing requests. The key insight behind InstGenIE is that image editing only modifies the masked regions of image templates while preserving the original content in the unmasked areas. Driven by this insight, InstGenIE judiciously skips redundant computations associated with the unmasked areas by reusing cached intermediate activations from previous inferences. To mitigate the high cache loading overhead, InstGenIE employs a bubble-free pipeline scheme that overlaps computation with cache loading. Additionally, to reduce queuing latency in online serving while improving the GPU utilization, InstGenIE proposes a novel continuous batching strategy for diffusion model serving, allowing newly arrived requests to join the running batch in just one step of denoising computation, without waiting for the entire batch to complete. As heterogeneous masks induce imbalanced loads, InstGenIE also develops a load balancing strategy that takes into account the loads of both computation and cache loading. Collectively, InstGenIE outperforms state-of-the-art diffusion serving systems for image editing, achieving up to 3x higher throughput and reducing average request latency by up to 14.7x while ensuring image quality.

NL2SQL approaches have greatly benefited from the impressive capabilities of large language models (LLMs). In particular, bootstrapping an NL2SQL system for a specific domain can be as simple as instructing an LLM with sufficient contextual information, such as schema details and translation demonstrations. However, building an accurate system still requires the rigorous task of selecting the right context for each query-including identifying relevant schema elements, cell values, and suitable exemplars that help the LLM understand domain-specific nuances. Retrieval-based methods have become the go-to approach for identifying such context. While effective, these methods introduce additional inference-time costs due to the retrieval process. In this paper, we argue that production scenarios demand high-precision, high-performance NL2SQL systems, rather than simply high-quality SQL generation, which is the focus of most current NL2SQL approaches. In such scenarios, the careful selection of a static set of exemplars-capturing the intricacies of the query log, target database, SQL constructs, and execution latencies-plays a more crucial role than exemplar selection based solely on similarity. The key challenge, however, lies in identifying a representative set of exemplars for a given production setting. To this end, we propose a prompt optimization framework that not only addresses the high-precision requirement but also optimizes the performance of the generated SQL through multi-objective optimization. Preliminary empirical analysis demonstrates the effectiveness of the proposed framework.

We introduce ArV oice, a multi-speaker Modern Standard Arabic (MSA) speech corpus with diacritized transcriptions, intended for multi-speaker speech synthesis, and can be useful for other tasks such as speech-based diacritic restoration, voice conversion, and deepfake detection. ArV oice comprises: (1) a new professionally recorded set from six voice talents with diverse demographics, (2) a modified subset of the Arabic Speech Corpus; and (3) high-quality synthetic speech from two commercial systems. The complete corpus consists of a total of 83.52 hours of speech across 11 voices; around 10 hours consist of human voices from 7 speakers. We train three open-source TTS and two voice conversion systems to illustrate the use cases of the dataset. The corpus is available for research use.

LLMs show promise in code generation, yet their effectiveness for IT automation tasks, particularly for tools like Ansible, remains understudied. Existing benchmarks rely primarily on synthetic tasks that fail to capture the needs of practitioners who use IT automation tools, such as Ansible. We present ITAB (IT Automation Task Benchmark), a benchmark of 126 diverse tasks (e.g., configuring servers, managing files) where each task accounts for state reconciliation: a property unique to IT automation tools. ITAB evaluates LLMs' ability to generate functional Ansible automation scripts via dynamic execution in controlled environments. We evaluate 14 open-source LLMs, none of which accomplish pass@10 at a rate beyond 12%. To explain these low scores, we analyze 1,411 execution failures across the evaluated LLMs and identify two main categories of prevalent semantic errors: failures in state reconciliation related reasoning (44.87% combined from variable (11.43%), host (11.84%), path(11.63%), and template (9.97%) issues) and deficiencies in module-specific execution knowledge (24.37% combined from Attribute and parameter (14.44%) and module (9.93%) errors). Our findings reveal key limitations in open-source LLMs' ability to track state changes and apply specialized module knowledge, indicating that reliable IT automation will require major advances in state reasoning and domain-specific execution understanding.

Large language models (LLMs) are increasingly used in decision-making tasks like résumé screening and content moderation, giving them the power to amplify or suppress certain perspectives. While previous research has identified disability-related biases in LLMs, little is known about how they conceptualize ableism or detect it in text. We evaluate the ability of four LLMs to identify nuanced ableism directed at autistic individuals. We examine the gap between their understanding of relevant terminology and their effectiveness in recognizing ableist content in context. Our results reveal that LLMs can identify autism-related language but often miss harmful or offensive connotations. Further, we conduct a qualitative comparison of human and LLM explanations. We find that LLMs tend to rely on surface-level keyword matching, leading to context misinterpretations, in contrast to human annotators who consider context, speaker identity, and potential impact. On the other hand, both LLMs and humans agree on the annotation scheme, suggesting that a binary classification is adequate for evaluating LLM performance, which is consistent with findings from prior studies involving human annotators.

Factual completeness is a general term that captures how detailed and informative a factually correct text is. For instance, the factual sentence ``Barack Obama was born in the United States'' is factually correct, though less informative than the factual sentence ``Barack Obama was born in Honolulu, Hawaii, United States''. Despite the known fact that LLMs tend to hallucinate and generate factually incorrect text, they might also tend to choose to generate factual text that is indeed factually correct and yet less informative than other, more informative choices. In this work, we tackle this problem by proposing an informativeness alignment mechanism. This mechanism takes advantage of recent factual benchmarks to propose an informativeness alignment objective. This objective prioritizes answers that are both correct and informative. A key finding of our work is that when training a model to maximize this objective or optimize its preference, we can improve not just informativeness but also factuality.

Understanding online conversations has attracted research attention with the growth of social networks and online discussion forums. Content analysis of posts and replies in online conversations is difficult because each individual utterance is usually short and may implicitly refer to other posts within the same conversation. Thus, understanding individual posts requires capturing the conversational context and dependencies between different parts of a conversation tree and then encoding the context dependencies between posts and comments/replies into the language model. To this end, we propose a general-purpose mechanism to discover appropriate conversational context for various aspects about an online post in a conversation, such as whether it is informative, insightful, interesting or funny. Specifically, we design two families of Conversation Kernels, which explore different parts of the neighborhood of a post in the tree representing the conversation and through this, build relevant conversational context that is appropriate for each task being considered. We apply our developed method to conversations crawled from slashdot.org,

Today, large language models are widely used as judges to evaluate responses from other language models. Hence, it is imperative to benchmark and improve these LLM-judges on real-world language model usage: a typical human-assistant conversation is lengthy, and shows significant diversity in topics, intents, and requirements across turns, e.g. social interactions, task requests, feedback. We present Amulet, a framework that leverages pertinent linguistic concepts of dialog-acts and maxims to improve the accuracy of LLM-judges on preference data with complex, multi-turn conversational context. Amulet presents valuable insights about (a) the communicative structures and intents present in the conversation (dialog acts), and (b) the satisfaction of conversational principles (maxims) by the preference responses, and uses them to make judgments. On four challenging datasets, Amulet shows that (a) humans frequently (60 to 70 percent of the time) change their intents from one turn of the conversation to the next, and (b) in 75 percent of instances, the preference responses can be differentiated via dialog acts and/or maxims, reiterating the latter's significance in judging such data. Amulet can be used either as a judge by applying the framework to a single LLM, or integrated into a jury with different LLM judges; our judges and juries show strong improvements on relevant baselines for all four datasets.

The growing demand for efficient Large Language Model (LLM) inference requires a holistic optimization on algorithms, systems, and hardware. However, very few works have fundamentally changed the generation pattern: each token needs one forward pass and one KV cache. This can be sub-optimal because we found that LLMs are extremely capable of self-identifying the exact dose of information that a single KV cache can store, and many tokens can be generated confidently without global context. Based on this insight, we introduce HAMburger, a Hierarchically Auto-regressive Model that redefines resource allocation in LLMs by moving beyond uniform computation and storage per token during inference. Stacking a compositional embedder and a micro-step decoder in between a base LLM, HAMburger smashes multiple tokens into a single KV and generates several tokens per step. Additionally, HAMburger functions as a speculative decoding framework where it can blindly trust self-drafted tokens. As a result, HAMburger shifts the growth of KV cache and forward FLOPs from linear to sub-linear with respect to output length, and adjusts its inference speed based on query perplexity and output structure. Extensive evaluations show that HAMburger reduces the KV cache computation by up to 2$\times$ and achieves up to 2$\times$ TPS, while maintaining quality in both short- and long-context tasks. Our method explores an extremely challenging inference regime that requires both computation- and memory-efficiency with a hardware-agnostic design.