-- The ability to predict drug overdose risk from a patient's medical records is crucial for timely intervention and prevention. Traditional machine learning models have shown promise in analyzing longitudinal medical records for this task. However, recent advancements in large language models (LLMs) offer an opportunity to enhance prediction performance by leveraging their ability to process long textual data and their inherent prior knowledge across diverse tasks. In this study, we assess the effectiveness of Open AI's GPT -4o LLM in predicting drug overdose events using patients' longitudinal insurance claims records. We evaluate its performance in both fine-tuned and zero-shot settings, comparing them to strong traditional machine learning methods as baselines. Our results show that LLMs not only outperform traditional models in certain settings but can also predict overdose risk in a zero-shot setting without task-specific training. Drug overdose (OD) is a major public health crisis in the United States, leading to a substantial number of emergency medical interventions and fatalities each year. According to the Centers for Disease Control and Prevention (CDC), drug overdoses claimed approximately 107,941 [1] lives in the U.S. in 2022, highlighting the urgent need for effective prevention and intervention strategies. Besides fatal outcomes and lost quality of life for patients, the misuse of prescription medications, illicit drugs, and polysubstance abuse has placed an immense burden on healthcare systems, emergency responders, and policymakers. Identifying individuals at risk early can facilitate timely interventions, such as targeted clinical assessments, behavioral support, and prescription monitoring, thereby reducing the likelihood of fatal outcomes. Md Sultan Al Nahian is with the Institute for Biomedical Informatics, University of Kentucky, Lexington, KY 40536 USA. Chris Delcher and Daniel Harris are with the Department of Pharmacy Practice and Science, University of Kentucky, Lexington, KY 40536 USA. Peter Akpunonu is with the Department of Emergency Medicine, University of Kentucky, Lexington, KY 40536 USA.

In Agile/Scrum software development, the idea of retrospective meetings (retros) is one of the core elements of the project process. In this paper, we present our work in progress focusing on two aspects: analysis of potential usage of generative AI for information interaction within retrospective meetings, and visualisation of retros' information to software development teams. We also present our prototype tool RetroAI++, focusing on retros-related functionalities.

Medical Visual Question Answering (MVQA) systems can interpret medical images in response to natural language queries. However, linguistic variability in question phrasing often undermines the consistency of these systems. To address this challenge, we propose a Semantically Equivalent Question Augmentation (SEQA) framework, which leverages large language models (LLMs) to generate diverse yet semantically equivalent rephrasings of questions. Specifically, this approach enriches linguistic diversity while preserving semantic meaning. We further introduce an evaluation metric, Total Agreement Rate with Semantically Equivalent Input and Correct Answer (TAR-SC), which assesses a model's capability to generate consistent and correct responses to semantically equivalent linguistic variations. In addition, we also propose three other diversity metrics - average number of QA items per image (ANQI), average number of questions per image with the same answer (ANQA), and average number of open-ended questions per image with the same semantics (ANQS). Using the SEQA framework, we augmented the benchmarked MVQA public datasets of SLAKE, VQA-RAD, and PathVQA. As a result, all three datasets achieved significant improvements by incorporating more semantically equivalent questions: ANQI increased by an average of 86.1, ANQA by 85.1, and ANQS by 46. Subsequent experiments evaluate three MVQA models (M2I2, MUMC, and BiomedGPT) under both zero-shot and fine-tuning settings on the enhanced datasets. Experimental results in MVQA datasets show that fine-tuned models achieve an average accuracy improvement of 19.35%, while our proposed TAR-SC metric shows an average improvement of 11. 61%, indicating a substantial enhancement in model consistency.

Recent large language models (LLMs) face increasing inference latency as input context length and model size continue to grow. In particular, the retrieval-augmented generation (RAG) technique, which enhances LLM responses by incorporating external knowledge, exacerbates this issue by significantly increasing the number of input tokens. This expansion in token length leads to a substantial rise in computational overhead, particularly during the prefill stage, resulting in prolonged time-to-first-token (TTFT). To address this issue, this paper proposes a method to reduce TTFT by leveraging a disk-based key-value (KV) cache to lessen the computational burden during the prefill stage. We also introduce a disk-based shared KV cache management system, called Shared RAG-DCache, for multi-instance LLM RAG service environments. This system, together with an optimal system configuration, improves both throughput and latency under given resource constraints. Shared RAG-DCache exploits the locality of documents related to user queries in RAG, as well as the queueing delay in LLM inference services. It proactively generates and stores disk KV caches for query-related documents and shares them across multiple LLM instances to enhance inference performance. In experiments on a single host equipped with 2 GPUs and 1 CPU, Shared RAG-DCache achieved a 15~71% increase in throughput and up to a 12~65% reduction in latency, depending on the resource configuration.

Large language model (LLM)-based inference workloads increasingly dominate data center costs and resource utilization. Therefore, understanding the inference workload characteristics on evolving CPU-GPU coupled architectures is crucial for optimization. This paper presents an in-depth analysis of LLM inference behavior on loosely-coupled (PCIe A100/H100) and closely-coupled (GH200) systems. We analyze performance dynamics using fine-grained operator-to-kernel trace analysis, facilitated by our novel profiler SKIP and metrics like Total Kernel Launch and Queuing Time (TKLQT). Results show that closely-coupled (CC) GH200 significantly outperforms loosely-coupled (LC) systems at large batch sizes, achieving 1.9x-2.7x faster prefill latency for Llama 3.2-1B. However, our analysis also reveals that GH200 remains CPU-bound up to 4x larger batch sizes than LC systems. In this extended CPU-bound region, we identify the performance characteristics of the Grace CPU as a key factor contributing to higher inference latency at low batch sizes on GH200. We demonstrate that TKLQT accurately identifies this CPU/GPU-bound transition point. Based on this analysis, we further show that kernel fusion offers significant potential to mitigate GH200's low-batch latency bottleneck by reducing kernel launch overhead. This detailed kernel-level characterization provides critical insights for optimizing diverse CPU-GPU coupling strategies. This work is an initial effort, and we plan to explore other major AI/DL workloads that demand different degrees of CPU-GPU heterogeneous architectures.

The rapid development of generative AI facilitates content creation and makes image manipulation easier and more difficult to detect. While multimodal Large Language Models (LLMs) have encoded rich world knowledge, they are not inherently tailored for combating AI-generated Content (AIGC) and struggle to comprehend local forgery details. In this work, we investigate the application of multimodal LLMs in forgery detection. We propose a framework capable of evaluating image authenticity, localizing tampered regions, providing evidence, and tracing generation methods based on semantic tampering clues. Our method demonstrates that the potential of LLMs in forgery analysis can be effectively unlocked through meticulous prompt engineering and the application of few-shot learning techniques. We conduct qualitative and quantitative experiments and show that GPT4V can achieve an accuracy of 92.1% in Autosplice and 86.3% in LaMa, which is competitive with state-of-the-art AIGC detection methods. We further discuss the limitations of multimodal LLMs in such tasks and propose potential improvements.

The fast development of Large Language Models (LLMs) offers growing opportunities to further improve sequential recommendation systems. Yet for some practitioners, integrating LLMs to their existing base recommendation systems raises questions about model interpretability, transparency and related safety. To partly alleviate challenges from these questions, we propose guided embedding refinement, a method that carries out a guided and interpretable usage of LLM to enhance the embeddings associated with the base recommendation system. Instead of directly using LLMs as the backbone of sequential recommendation systems, we utilize them as auxiliary tools to emulate the sales logic of recommendation and generate guided embeddings that capture domain-relevant semantic information on interpretable attributes. Benefiting from the strong generalization capabilities of the guided embedding, we construct refined embedding by using the guided embedding and reduced-dimension version of the base embedding. We then integrate the refined embedding into the recommendation module for training and inference. A range of numerical experiments demonstrate that guided embedding is adaptable to various given existing base embedding models, and generalizes well across different recommendation tasks. The numerical results show that the refined embedding not only improves recommendation performance, achieving approximately $10\%$ to $50\%$ gains in Mean Reciprocal Rank (MRR), Recall rate, and Normalized Discounted Cumulative Gain (NDCG), but also enhances interpretability, as evidenced by case studies.

Large Language Model (LLM)-powered agents have unlocked new possibilities for automating human tasks. While prior work has focused on well-defined tasks with specified goals, the capabilities of agents in creative design tasks with open-ended goals remain underexplored. We introduce GraphicBench, a new planning benchmark for graphic design that covers 1,079 user queries and input images across four design types. We further present GraphicTown, an LLM agent framework with three design experts and 46 actions (tools) to choose from for executing each step of the planned workflows in web environments. Experiments with six LLMs demonstrate their ability to generate workflows that integrate both explicit design constraints from user queries and implicit commonsense constraints. However, these workflows often do not lead to successful execution outcomes, primarily due to challenges in: (1) reasoning about spatial relationships, (2) coordinating global dependencies across experts, and (3) retrieving the most appropriate action per step. We envision GraphicBench as a challenging yet valuable testbed for advancing LLM-agent planning and execution in creative design tasks.

Retrieval-augmented generation (RAG) empowers large language models to access external and private corpus, enabling factually consistent responses in specific domains. By exploiting the inherent structure of the corpus, graph-based RAG methods further enrich this process by building a knowledge graph index and leveraging the structural nature of graphs. However, current graph-based RAG approaches seldom prioritize the design of graph structures. Inadequately designed graph not only impede the seamless integration of diverse graph algorithms but also result in workflow inconsistencies and degraded performance. To further unleash the potential of graph for RAG, we propose NodeRAG, a graph-centric framework introducing heterogeneous graph structures that enable the seamless and holistic integration of graph-based methodologies into the RAG workflow. By aligning closely with the capabilities of LLMs, this framework ensures a fully cohesive and efficient end-to-end process. Through extensive experiments, we demonstrate that NodeRAG exhibits performance advantages over previous methods, including GraphRAG and LightRAG, not only in indexing time, query time, and storage efficiency but also in delivering superior question-answering performance on multi-hop benchmarks and open-ended head-to-head evaluations with minimal retrieval tokens. Our GitHub repository could be seen at https://github.com/Terry-Xu-666/NodeRAG.

There is growing interest in hypothesis generation with large language models (LLMs). However, fundamental questions remain: what makes a good hypothesis, and how can we systematically evaluate methods for hypothesis generation? To address this, we introduce HypoBench, a novel benchmark designed to evaluate LLMs and hypothesis generation methods across multiple aspects, including practical utility, generalizability, and hypothesis discovery rate. HypoBench includes 7 real-world tasks and 5 synthetic tasks with 194 distinct datasets. We evaluate four state-of-the-art LLMs combined with six existing hypothesis-generation methods. Overall, our results suggest that existing methods are capable of discovering valid and novel patterns in the data. However, the results from synthetic datasets indicate that there is still significant room for improvement, as current hypothesis generation methods do not fully uncover all relevant or meaningful patterns. Specifically, in synthetic settings, as task difficulty increases, performance significantly drops, with best models and methods only recovering 38.8% of the ground-truth hypotheses. These findings highlight challenges in hypothesis generation and demonstrate that HypoBench serves as a valuable resource for improving AI systems designed to assist scientific discovery.