Large language models (LLMs) are increasingly used in healthcare, but their reliability is heavily influenced by user-driven factors such as question phrasing and the completeness of clinical information. In this study, we examined how misinformation framing, source authority, model persona, and omission of key clinical details affect the diagnostic accuracy and reliability of LLM outputs. We conducted two experiments: one introducing misleading external opinions with varying assertiveness (perturbation test), and another removing specific categories of patient information (ablation test). Using public datasets (MedQA and Medbullets), we evaluated proprietary models (GPT-4o, Claude 3.5 Sonnet, Claude 3.5 Haiku, Gemini 1.5 Pro, Gemini 1.5 Flash) and open-source models (LLaMA 3 8B, LLaMA 3 Med42 8B, DeepSeek R1 8B). All models were vulnerable to user-driven misinformation, with proprietary models especially affected by definitive and authoritative language. Assertive tone had the greatest negative impact on accuracy. In the ablation test, omitting physical exam findings and lab results caused the most significant performance drop. Although proprietary models had higher baseline accuracy, their performance declined sharply under misinformation. These results highlight the need for well-structured prompts and complete clinical context. Users should avoid authoritative framing of misinformation and provide full clinical details, especially for complex cases.

Mitigating Trojans in Large Language Models (LLMs) is one of many tasks where alignment data is LLM specific, as different LLMs have different Trojan triggers and trigger behaviors to be removed. In this paper, we introduce TeleLoRA (Teleporting Low-Rank Adaptation), a novel framework that synergizes model-specific alignment data across multiple LLMs to enable zero-shot Trojan mitigation on unseen LLMs without alignment data. TeleLoRA learns a unified generator of LoRA adapter weights by leveraging local activation information across multiple LLMs. This generator is designed to be permutation symmetric to generalize across models with different architectures and sizes. We optimize the model design for memory efficiency, making it feasible to learn with large-scale LLMs with minimal computational resources. Experiments on LLM Trojan mitigation benchmarks demonstrate that TeleLoRA effectively reduces attack success rates while preserving the benign performance of the models.

Rapid advancements in large language models (LLMs) have increased interest in deploying them on mobile devices for on-device AI applications. Mobile users interact differently with LLMs compared to desktop users, creating unique expectations and data biases. Current benchmark datasets primarily target at server and desktop environments, and there is a notable lack of extensive datasets specifically designed for mobile contexts. Additionally, mobile devices face strict limitations in storage and computing resources, constraining model size and capabilities, thus requiring optimized efficiency and prioritized knowledge. To address these challenges, we introduce Mobile-MMLU, a large-scale benchmark dataset tailored for mobile intelligence. It consists of 16,186 questions across 80 mobile-related fields, designed to evaluate LLM performance in realistic mobile scenarios. A challenging subset, Mobile-MMLU-Pro, provides advanced evaluation similar in size to MMLU-Pro but significantly more difficult than our standard full set. Both benchmarks use multiple-choice, order-invariant questions focused on practical mobile interactions, such as recipe suggestions, travel planning, and essential daily tasks. The dataset emphasizes critical mobile-specific metrics like inference latency, energy consumption, memory usage, and response quality, offering comprehensive insights into model performance under mobile constraints. Moreover, it prioritizes privacy and adaptability, assessing models' ability to perform on-device processing, maintain user privacy, and adapt to personalized usage patterns. Mobile-MMLU family offers a standardized framework for developing and comparing mobile-optimized LLMs, enabling advancements in productivity and decision-making within mobile computing environments. Our code and data are available at: https://github.com/VILA-Lab/Mobile-MMLU.

Behavioral therapy notes are important for both legal compliance and patient care. Unlike progress notes in physical health, quality standards for behavioral therapy notes remain underdeveloped. To address this gap, we collaborated with licensed therapists to design a comprehensive rubric for evaluating therapy notes across key dimensions: completeness, conciseness, and faithfulness. Further, we extend a public dataset of behavioral health conversations with therapist-written notes and LLM-generated notes, and apply our evaluation framework to measure their quality. We find that: (1) A rubric-based manual evaluation protocol offers more reliable and interpretable results than traditional Likert-scale annotations. (2) LLMs can mimic human evaluators in assessing completeness and conciseness but struggle with faithfulness. (3) Therapist-written notes often lack completeness and conciseness, while LLM-generated notes contain hallucination. Surprisingly, in a blind test, therapists prefer and judge LLM-generated notes to be superior to therapist-written notes.

Background: Clinical guidelines are central to safe evidence-based medicine in modern healthcare, providing diagnostic criteria, treatment options and monitoring advice for a wide range of illnesses. LLM-empowered chatbots have shown great promise in Healthcare Q&A tasks, offering the potential to provide quick and accurate responses to medical inquiries. Our main objective was the development and preliminary assessment of an LLM-empowered chatbot software capable of reliably answering clinical guideline questions using University College London Hospital (UCLH) clinical guidelines. Methods: We used the open-weight Llama-3.1-8B LLM to extract relevant information from the UCLH guidelines to answer questions. Our approach highlights the safety and reliability of referencing information over its interpretation and response generation. Seven doctors from the ward assessed the chatbot's performance by comparing its answers to the gold standard. Results: Our chatbot demonstrates promising performance in terms of relevance, with ~73% of its responses rated as very relevant, showcasing a strong understanding of the clinical context. Importantly, our chatbot achieves a recall of 0.98 for extracted guideline lines, substantially minimising the risk of missing critical information. Approximately 78% of responses were rated satisfactory in terms of completeness. A small portion (~14.5%) contained minor unnecessary information, indicating occasional lapses in precision. The chatbot' showed high efficiency, with an average completion time of 10 seconds, compared to 30 seconds for human respondents. Evaluation of clinical reasoning showed that 72% of the chatbot's responses were without flaws. Our chatbot demonstrates significant potential to speed up and improve the process of accessing locally relevant clinical information for healthcare professionals.

In this report, we present Qwen2.5-Omni, an end-to-end multimodal model designed to perceive diverse modalities, including text, images, audio, and video, while simultaneously generating text and natural speech responses in a streaming manner. To enable the streaming of multimodal information inputs, both audio and visual encoders utilize a block-wise processing approach. To synchronize the timestamps of video inputs with audio, we organize the audio and video sequentially in an interleaved manner and propose a novel position embedding approach, named TMRoPE(Time-aligned Multimodal RoPE). To concurrently generate text and speech while avoiding interference between the two modalities, we propose \textbf{Thinker-Talker} architecture. In this framework, Thinker functions as a large language model tasked with text generation, while Talker is a dual-track autoregressive model that directly utilizes the hidden representations from the Thinker to produce audio tokens as output. Both the Thinker and Talker models are designed to be trained and inferred in an end-to-end manner. For decoding audio tokens in a streaming manner, we introduce a sliding-window DiT that restricts the receptive field, aiming to reduce the initial package delay. Qwen2.5-Omni is comparable with the similarly sized Qwen2.5-VL and outperforms Qwen2-Audio. Furthermore, Qwen2.5-Omni achieves state-of-the-art performance on multimodal benchmarks like Omni-Bench. Notably, Qwen2.5-Omni's performance in end-to-end speech instruction following is comparable to its capabilities with text inputs, as evidenced by benchmarks such as MMLU and GSM8K. As for speech generation, Qwen2.5-Omni's streaming Talker outperforms most existing streaming and non-streaming alternatives in robustness and naturalness.

The transition from System 1 to System 2 reasoning in large language models (LLMs) has marked significant advancements in handling complex tasks through deliberate, iterative thinking. However, this progress often comes at the cost of efficiency, as models tend to overthink, generating redundant reasoning steps without proportional improvements in output quality. Long-to-Short (L2S) reasoning has emerged as a promising solution to this challenge, aiming to balance reasoning depth with practical efficiency. While existing approaches, such as supervised fine-tuning (SFT), reinforcement learning (RL), and prompt engineering, have shown potential, they are either computationally expensive or unstable. Model merging, on the other hand, offers a cost-effective and robust alternative by integrating the quick-thinking capabilities of System 1 models with the methodical reasoning of System 2 models. In this work, we present a comprehensive empirical study on model merging for L2S reasoning, exploring diverse methodologies, including task-vector-based, SVD-based, and activation-informed merging. Our experiments reveal that model merging can reduce average response length by up to 55% while preserving or even improving baseline performance. We also identify a strong correlation between model scale and merging efficacy with extensive evaluations on 1.5B/7B/14B/32B models. Furthermore, we investigate the merged model's ability to self-critique and self-correct, as well as its adaptive response length based on task complexity. Our findings highlight model merging as a highly efficient and effective paradigm for L2S reasoning, offering a practical solution to the overthinking problem while maintaining the robustness of System 2 reasoning. This work can be found on Github https://github.com/hahahawu/Long-to-Short-via-Model-Merging.

Thematic analysis (TA) is a widely used qualitative approach for uncovering latent meanings in unstructured text data. TA provides valuable insights in healthcare but is resource-intensive. Large Language Models (LLMs) have been introduced to perform TA, yet their applications in healthcare remain unexplored. Here, we propose TAMA: A Human-AI Collaborative Thematic Analysis framework using Multi-Agent LLMs for clinical interviews. We leverage the scalability and coherence of multi-agent systems through structured conversations between agents and coordinate the expertise of cardiac experts in TA. Using interview transcripts from parents of children with Anomalous Aortic Origin of a Coronary Artery (AAOCA), a rare congenital heart disease, we demonstrate that TAMA outperforms existing LLM-assisted TA approaches, achieving higher thematic hit rate, coverage, and distinctiveness. TAMA demonstrates strong potential for automated TA in clinical settings by leveraging multi-agent LLM systems with human-in-the-loop integration by enhancing quality while significantly reducing manual workload.

In large language model (LLM) serving systems, executing each request consists of two phases: the compute-intensive prefill phase and the memory-intensive decoding phase. To prevent performance interference between the two phases, current LLM serving systems typically adopt prefill-decoding disaggregation, where the two phases are split across separate machines. However, we observe this approach leads to significant resource underutilization. Specifically, prefill instances that are compute-intensive suffer from low memory utilization, while decoding instances that are memory-intensive experience low compute utilization. To address this problem, this paper proposes Adrenaline, an attention disaggregation and offloading mechanism designed to enhance resource utilization and performance in LLM serving systems. Adrenaline's key innovation lies in disaggregating part of the attention computation in the decoding phase and offloading them to prefill instances. The memory-bound nature of decoding-phase attention computation inherently enables an effective offloading strategy, yielding two complementary advantages: 1) improved memory capacity and bandwidth utilization in prefill instances, and 2) increased decoding batch sizes that enhance compute utilization in decoding instances, collectively boosting overall system performance. Adrenaline achieves these gains through three key techniques: low-latency decoding synchronization, resource-efficient prefill colocation, and load-aware offloading scheduling. Experimental results show that Adrenaline achieves 2.28x higher memory capacity and 2.07x better memory bandwidth utilization in prefill instances, up to 1.67x improvements in compute utilization for decoding instances, and 1.68x higher overall inference throughput compared to state-of-the-art systems.

Misgendering is the act of referring to someone by a gender that does not match their chosen identity. It marginalizes and undermines a person's sense of self, causing significant harm. English-based approaches have clear-cut approaches to avoiding misgendering, such as the use of the pronoun ``they''. However, other languages pose unique challenges due to both grammatical and cultural constructs. In this work we develop methodologies to assess and mitigate misgendering across 42 languages and dialects using a participatory-design approach to design effective and appropriate guardrails across all languages. We test these guardrails in a standard large language model-based application (meeting transcript summarization), where both the data generation and the annotation steps followed a human-in-the-loop approach. We find that the proposed guardrails are very effective in reducing misgendering rates across all languages in the summaries generated, and without incurring loss of quality. Our human-in-the-loop approach demonstrates a method to feasibly scale inclusive and responsible AI-based solutions across multiple languages and cultures.