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Concerns raised over AI trained on 57 million NHS medical records

New Scientist

An artificial intelligence model trained on the medical data of 57 million people who have used the National Health Service in England could one day assist doctors in predicting disease or forecast hospitalisation rates, its creators have claimed. However, other researchers say there are still significant privacy and data protection concerns around such large-scale use of health data, while even the AI's architects say they can't guarantee that it won't inadvertently reveal sensitive patient data. The model, called Foresight, was first developed in 2023. That initial version used OpenAI's GPT-3, the large language model (LLM) behind the first version of ChatGPT, and trained on 1.5 million real patient records from two London hospitals. Now, Chris Tomlinson at University College London and his colleagues have scaled up Foresight to create what they say is the world's first "national-scale generative AI model of health data" and the largest of its kind.


STORY2GAME: Generating (Almost) Everything in an Interactive Fiction Game

arXiv.org Artificial Intelligence

We introduce STORY2GAME, a novel approach to using Large Language Models to generate text-based interactive fiction games that starts by generating a story, populates the world, and builds the code for actions in a game engine that enables the story to play out interactively. Whereas a given set of hard-coded actions can artificially constrain story generation, the ability to generate actions means the story generation process can be more open-ended but still allow for experiences that are grounded in a game state. The key to successful action generation is to use LLM-generated preconditions and effects of actions in the stories as guides for what aspects of the game state must be tracked and changed by the game engine when a player performs an action. We also introduce a technique for dynamically generating new actions to accommodate the player's desire to perform actions that they think of that are not part of the story. Dynamic action generation may require on-the-fly updates to the game engine's state representation and revision of previously generated actions. We evaluate the success rate of action code generation with respect to whether a player can interactively play through the entire generated story.


Knowledge Graphs for Enhancing Large Language Models in Entity Disambiguation

arXiv.org Artificial Intelligence

Recent advances in Large Language Models (LLMs) have positioned them as a prominent solution for Natural Language Processing tasks. Notably, they can approach these problems in a zero or few-shot manner, thereby eliminating the need for training or fine-tuning task-specific models. However, LLMs face some challenges, including hallucination and the presence of outdated knowledge or missing information from specific domains in the training data. These problems cannot be easily solved by retraining the models with new data as it is a time-consuming and expensive process. To mitigate these issues, Knowledge Graphs (KGs) have been proposed as a structured external source of information to enrich LLMs. With this idea, in this work we use KGs to enhance LLMs for zero-shot Entity Disambiguation (ED). For that purpose, we leverage the hierarchical representation of the entities' classes in a KG to gradually prune the candidate space as well as the entities' descriptions to enrich the input prompt with additional factual knowledge. Our evaluation on popular ED datasets shows that the proposed method outperforms non-enhanced and description-only enhanced LLMs, and has a higher degree of adaptability than task-specific models. Furthermore, we conduct an error analysis and discuss the impact of the leveraged KG's semantic expressivity on the ED performance.


Developing A Framework to Support Human Evaluation of Bias in Generated Free Response Text

arXiv.org Artificial Intelligence

LLM evaluation is challenging even the case of base models. In real world deployments, evaluation is further complicated by th e interplay of task specific prompts and experiential context. A t scale, bias evaluation is often based on short context, fixed choicebench-marks that can be rapidly evaluated, however, these can lose validity when the LLMs' deployed context differs. Large scale h u-man evaluation is often seen as too intractable and costly. H ere we present our journey towards developing a semi-automatedbias evaluation framework for free text responses that has human insights at its core. We discuss how we developed an operational definition of bias that helped us automate our pipeline and a methodology for classifying bias beyond multiple choice. We additionally comment on how human evaluation helped us uncover problematic templates in a bias benchmark.


Lightweight Clinical Decision Support System using QLoRA-Fine-Tuned LLMs and Retrieval-Augmented Generation

arXiv.org Artificial Intelligence

This research paper investigates the application of Large Language Models (LLMs) in healthcare, specifically focusing on enhancing medical decision support through Retrieval-Augmented Generation (RAG) integrated with hospital-specific data and fine-tuning using Quantized Low-Rank Adaptation (QLoRA). The system utilizes Llama 3.2-3B-Instruct as its foundation model. By embedding and retrieving context-relevant healthcare information, the system significantly improves response accuracy. QLoRA facilitates notable parameter efficiency and memory optimization, preserving the integrity of medical information through specialized quantization techniques. Our research also shows that our model performs relatively well on various medical benchmarks, indicating that it can be used to make basic medical suggestions. This paper details the system's technical components, including its architecture, quantization methods, and key healthcare applications such as enhanced disease prediction from patient symptoms and medical history, treatment suggestions, and efficient summarization of complex medical reports. We touch on the ethical considerations-patient privacy, data security, and the need for rigorous clinical validation-as well as the practical challenges of integrating such systems into real-world healthcare workflows. Furthermore, the lightweight quantized weights ensure scalability and ease of deployment even in low-resource hospital environments. Finally, the paper concludes with an analysis of the broader impact of LLMs on healthcare and outlines future directions for LLMs in medical settings.


Evaluating the Impact of AI-Powered Audiovisual Personalization on Learner Emotion, Focus, and Learning Outcomes

arXiv.org Artificial Intelligence

Independent learners often struggle with sustaining focus and emotional regulation in unstructured or distracting settings. Although some rely on ambient aids such as music, ASMR, or visual backgrounds to support concentration, these tools are rarely integrated into cohesive, learner-centered systems. Moreover, existing educational technologies focus primarily on content adaptation and feedback, overlooking the emotional and sensory context in which learning takes place. Large language models have demonstrated powerful multimodal capabilities including the ability to generate and adapt text, audio, and visual content. Educational research has yet to fully explore their potential in creating personalized audiovisual learning environments. To address this gap, we introduce an AI-powered system that uses LLMs to generate personalized multisensory study environments. Users select or generate customized visual themes (e.g., abstract vs. realistic, static vs. animated) and auditory elements (e.g., white noise, ambient ASMR, familiar vs. novel sounds) to create immersive settings aimed at reducing distraction and enhancing emotional stability. Our primary research question investigates how combinations of personalized audiovisual elements affect learner cognitive load and engagement. Using a mixed-methods design that incorporates biometric measures and performance outcomes, this study evaluates the effectiveness of LLM-driven sensory personalization. The findings aim to advance emotionally responsive educational technologies and extend the application of multimodal LLMs into the sensory dimension of self-directed learning.


Artificial Behavior Intelligence: Technology, Challenges, and Future Directions

arXiv.org Artificial Intelligence

--Understanding and predicting human behavior has emerged as a core capability in various AI application domains such as autonomous driving, smart healthcare, surveillance systems, and social robotics. This paper defines the technical framework of Artificial Behavior Intelligence (ABI), which comprehensively analyzes and interprets human posture, facial expressions, emotions, behavioral sequences, and contextual cues. It details the essential components of ABI, including pose estimation, face and emotion recognition, sequential behavior analysis, and context-aware modeling. Furthermore, we highlight the transformative potential of recent advances in large-scale pretrained models, such as large language models (LLMs), vision foundation models, and multimodal integration models, in significantly improving the accuracy and interpretability of behavior recognition. Our research team has a strong interest in the ABI domain and is actively conducting research, particularly focusing on the development of intelligent lightweight models capable of efficiently inferring complex human behaviors. This paper identifies several technical challenges that must be addressed to deploy ABI in real-world applications including learning behavioral intelligence from limited data, quantifying uncertainty in complex behavior prediction, and optimizing model structures for low-power, real-time inference. T o tackle these challenges, our team is exploring various optimization strategies including lightweight transformers, graph-based recognition architectures, energy-aware loss functions, and multimodal knowledge distillation, while validating their applicability in real-time environments. The philosopher Aristotle once described human beings as "social animals." This statement implies that humans do not exist as isolated entities, but rather live in constant interaction and communication with others. Humans intuitively perceive others' emotions, states, and intentions through their tone of voice, facial expressions, gestures, and behavioral patterns. These abilities are fundamental to mutual understanding and empathetic social interaction.


Enhancing tutoring systems by leveraging tailored promptings and domain knowledge with Large Language Models

arXiv.org Artificial Intelligence

Recent advancements in artificial intelligence (AI) and machine learning have reignited interest in their impact on Computer-based Learning (CBL). AI-driven tools like ChatGPT and Intelligent Tutoring Systems (ITS) have enhanced learning experiences through personalisation and flexibility. ITSs can adapt to individual learning needs and provide customised feedback based on a student's performance, cognitive state, and learning path. Despite these advances, challenges remain in accommodating diverse learning styles and delivering real-time, context-aware feedback. Our research aims to address these gaps by integrating skill-aligned feedback via Retrieval Augmented Generation (RAG) into prompt engineering for Large Language Models (LLMs) and developing an application to enhance learning through personalised tutoring in a computer science programming context. The pilot study evaluated a proposed system using three quantitative metrics: readability score, response time, and feedback depth, across three programming tasks of varying complexity. The system successfully sorted simulated students into three skill-level categories and provided context-aware feedback. This targeted approach demonstrated better effectiveness and adaptability compared to general methods.


A Hashgraph-Inspired Consensus Mechanism for Reliable Multi-Model Reasoning

arXiv.org Artificial Intelligence

Inconsistent outputs and hallucinations from large language models (LLMs) are major obstacles to reliable AI systems. When different proprietary reasoning models (RMs), such as those by OpenAI, Google, Anthropic, DeepSeek, and xAI, are given the same complex request, they often produce divergent results due to variations in training and inference. This paper proposes a novel consensus mechanism, inspired by distributed ledger technology, to validate and converge these outputs, treating each RM as a black-box peer. Building on the Hashgraph consensus algorithm, our approach employs gossip-about-gossip communication and virtual voting to achieve agreement among an ensemble of RMs. We present an architectural design for a prototype system in which RMs iteratively exchange and update their answers, using information from each round to improve accuracy and confidence in subsequent rounds. This approach goes beyond simple majority voting by incorporating the knowledge and cross-verification content of every model. We justify the feasibility of this Hashgraph-inspired consensus for AI ensembles and outline its advantages over traditional ensembling techniques in reducing nonfactual outputs. Preliminary considerations for implementation, evaluation criteria for convergence and accuracy, and potential challenges are discussed. The proposed mechanism demonstrates a promising direction for multi-agent AI systems to self-validate and deliver high-fidelity responses in complex tasks.


MORE: Mobile Manipulation Rearrangement Through Grounded Language Reasoning

arXiv.org Artificial Intelligence

Autonomous long-horizon mobile manipulation encompasses a multitude of challenges, including scene dynamics, unexplored areas, and error recovery. Recent works have leveraged foundation models for scene-level robotic reasoning and planning. However, the performance of these methods degrades when dealing with a large number of objects and large-scale environments. To address these limitations, we propose MORE, a novel approach for enhancing the capabilities of language models to solve zero-shot mobile manipulation planning for rearrangement tasks. MORE leverages scene graphs to represent environments, incorporates instance differentiation, and introduces an active filtering scheme that extracts task-relevant subgraphs of object and region instances. These steps yield a bounded planning problem, effectively mitigating hallucinations and improving reliability. Additionally, we introduce several enhancements that enable planning across both indoor and outdoor environments. We evaluate MORE on 81 diverse rearrangement tasks from the BEHAVIOR-1K benchmark, where it becomes the first approach to successfully solve a significant share of the benchmark, outperforming recent foundation model-based approaches. Furthermore, we demonstrate the capabilities of our approach in several complex real-world tasks, mimicking everyday activities. We make the code publicly available at https://more-model.cs.uni-freiburg.de.