Infections in Diabetic Foot Ulcers (DFUs) can cause severe complications, including tissue death and limb amputation, highlighting the need for accurate, timely diagnosis. Previous machine learning methods have focused on identifying infections by analyzing wound images alone, without utilizing additional metadata such as medical notes. In this study, we aim to improve infection detection by introducing Synthetic Caption Augmented Retrieval for Wound Infection Detection (SCARWID), a novel deep learning framework that leverages synthetic textual descriptions to augment DFU images. SCARWID consists of two components: (1) Wound-BLIP, a Vision-Language Model (VLM) fine-tuned on GPT-4o-generated descriptions to synthesize consistent captions from images; and (2) an Image-Text Fusion module that uses cross-attention to extract cross-modal embeddings from an image and its corresponding Wound-BLIP caption. Infection status is determined by retrieving the top-k similar items from a labeled support set. To enhance the diversity of training data, we utilized a latent diffusion model to generate additional wound images. As a result, SCARWID outperformed state-of-the-art models, achieving average sensitivity, specificity, and accuracy of 0.85, 0.78, and 0.81, respectively, for wound infection classification. Displaying the generated captions alongside the wound images and infection detection results enhances interpretability and trust, enabling nurses to align SCARWID outputs with their medical knowledge. This is particularly valuable when wound notes are unavailable or when assisting novice nurses who may find it difficult to identify visual attributes of wound infection.

India is a diverse society with unique challenges in developing AI systems, including linguistic diversity, oral traditions, data accessibility, and scalability. Existing foundation models are primarily trained on English, limiting their effectiveness for India's population. Indic languages comprise only 1 percent of Common Crawl corpora despite India representing 18 percent of the global population, leading to linguistic biases. Thousands of regional languages, dialects, and code mixing create additional representation challenges due to sparse training data. We introduce Krutrim LLM, a 2 trillion token multilingual model designed for India's linguistic landscape. It incorporates the largest known Indic dataset, mitigating data scarcity and ensuring balanced performance across dialects. Krutrim outperforms or matches state-of-the-art models on Indic benchmarks while maintaining competitive English performance. Despite being significantly smaller in training flops, Krutrim LLM matches or exceeds models like LLAMA-2 on 10 out of 16 tasks, with an average score of 0.57 versus 0.55. This evidences Krutrim's flexible multilingual fluency across diverse linguistic contexts. Krutrim is integrated with real-time search to improve factual accuracy in conversational AI applications. This enhances accessibility for over 1 billion users worldwide. Through intentional design choices addressing data imbalances, Krutrim LLM signifies meaningful progress in building ethical, globally representative AI models.

Chronic wounds affect 8.5 million Americans, particularly the elderly and patients with diabetes. These wounds can take up to nine months to heal, making regular care essential to ensure healing and prevent severe outcomes like limb amputations. Many patients receive care at home from visiting nurses with varying levels of wound expertise, leading to inconsistent care. Problematic, non-healing wounds should be referred to wound specialists, but referral decisions in non-clinical settings are often erroneous, delayed, or unnecessary. This paper introduces the Deep Multimodal Wound Assessment Tool (DM-WAT), a machine learning framework designed to assist visiting nurses in deciding whether to refer chronic wound patients. DM-WAT analyzes smartphone-captured wound images and clinical notes from Electronic Health Records (EHRs). It uses DeiT-Base-Distilled, a Vision Transformer (ViT), to extract visual features from images and DeBERTa-base to extract text features from clinical notes. DM-WAT combines visual and text features using an intermediate fusion approach. To address challenges posed by a small and imbalanced dataset, it integrates image and text augmentation with transfer learning to achieve high performance. In evaluations, DM-WAT achieved 77% with std 3% accuracy and a 70% with std 2% F1 score, outperforming prior approaches. Score-CAM and Captum interpretation algorithms provide insights into specific parts of image and text inputs that influence recommendations, enhancing interpretability and trust.

Neural networks are a group of neurons stacked together in multiple layers to mimic the biological neurons in a human brain. Neural networks have been trained using the backpropagation algorithm based on gradient descent strategy for several decades. Several variants have been developed to improve the backpropagation algorithm. The loss function for the neural network is optimized through backpropagation, but several local minima exist in the manifold of the constructed neural network. We obtain several solutions matching the minima. The gradient descent strategy cannot avoid the problem of local minima and gets stuck in the minima due to the initialization. Particle swarm optimization (PSO) was proposed to select the best local minima among the search space of the loss function. The search space is limited to the instantiated particles in the PSO algorithm, and sometimes it cannot select the best solution. In the proposed approach, we overcome the problem of gradient descent and the limitation of the PSO algorithm by training individual neurons separately, capable of collectively solving the problem as a group of neurons forming a network.

We present a novel approach to data preparation for developing multilingual Indic large language model. Our meticulous data acquisition spans open-source and proprietary sources, including Common Crawl, Indic books, news articles, and Wikipedia, ensuring a diverse and rich linguistic representation. For each Indic language, we design a custom preprocessing pipeline to effectively eliminate redundant and low-quality text content. Additionally, we perform deduplication on Common Crawl data to address the redundancy present in 70% of the crawled web pages. This study focuses on developing high-quality data, optimizing tokenization for our multilingual dataset for Indic large language models with 3B and 7B parameters, engineered for superior performance in Indic languages. We introduce a novel multilingual tokenizer training strategy, demonstrating our custom-trained Indic tokenizer outperforms the state-of-the-art OpenAI Tiktoken tokenizer, achieving a superior token-to-word ratio for Indic languages.

Misinformation, propaganda, and outright lies proliferate on the web, with some narratives having dangerous real-world consequences on public health, elections, and individual safety. However, despite the impact of misinformation, the research community largely lacks automated and programmatic approaches for tracking news narratives across online platforms. In this work, utilizing daily scrapes of 1,334 unreliable news websites, the large-language model MPNet, and DP-Means clustering, we introduce a system to automatically identify and track the narratives spread within online ecosystems. Identifying 52,036 narratives on these 1,334 websites, we describe the most prevalent narratives spread in 2022 and identify the most influential websites that originate and amplify narratives. Finally, we show how our system can be utilized to detect new narratives originating from unreliable news websites and to aid fact-checkers in more quickly addressing misinformation. We release code and data at https://github.com/hanshanley/specious-sites.

Large language models (LLMs) have exploded in popularity due to their ability to perform a wide array of natural language tasks. Text-based content moderation is one LLM use case that has received recent enthusiasm, however, there is little research investigating how LLMs perform in content moderation settings. In this work, we evaluate a suite of commodity LLMs on two common content moderation tasks: rule-based community moderation and toxic content detection. For rule-based community moderation, we instantiate 95 subcommunity specific LLMs by prompting GPT-3.5 with rules from 95 Reddit subcommunities. We find that GPT-3.5 is effective at rule-based moderation for many communities, achieving a median accuracy of 64% and a median precision of 83%. For toxicity detection, we evaluate a suite of commodity LLMs (GPT-3, GPT-3.5, GPT-4, Gemini Pro, LLAMA 2) and show that LLMs significantly outperform currently widespread toxicity classifiers. However, recent increases in model size add only marginal benefit to toxicity detection, suggesting a potential performance plateau for LLMs on toxicity detection tasks. We conclude by outlining avenues for future work in studying LLMs and content moderation.

Large pre-trained language models contain societal biases and carry along these biases to downstream tasks. Current in-processing bias mitigation approaches (like adversarial training) impose debiasing by updating a model's parameters, effectively transferring the model to a new, irreversible debiased state. In this work, we propose a novel approach to develop stand-alone debiasing functionalities separate from the model, which can be integrated into the model on-demand, while keeping the core model untouched. Drawing from the concept of AdapterFusion in multi-task learning, we introduce DAM (Debiasing with Adapter Modules) - a debiasing approach to first encapsulate arbitrary bias mitigation functionalities into separate adapters, and then add them to the model on-demand in order to deliver fairness qualities. We conduct a large set of experiments on three classification tasks with gender, race, and age as protected attributes. Our results show that DAM improves or maintains the effectiveness of bias mitigation, avoids catastrophic forgetting in a multi-attribute scenario, and maintains on-par task performance, while granting parameter-efficiency and easy switching between the original and debiased models.

Societal biases are reflected in large pre-trained language models and their fine-tuned versions on downstream tasks. Common in-processing bias mitigation approaches, such as adversarial training and mutual information removal, introduce additional optimization criteria, and update the model to reach a new debiased state. However, in practice, end-users and practitioners might prefer to switch back to the original model, or apply debiasing only on a specific subset of protected attributes. To enable this, we propose a novel modular bias mitigation approach, consisting of stand-alone highly sparse debiasing subnetworks, where each debiasing module can be integrated into the core model on-demand at inference time. Our approach draws from the concept of \emph{diff} pruning, and proposes a novel training regime adaptable to various representation disentanglement optimizations. We conduct experiments on three classification tasks with gender, race, and age as protected attributes. The results show that our modular approach, while maintaining task performance, improves (or at least remains on-par with) the effectiveness of bias mitigation in comparison with baseline finetuning. Particularly on a two-attribute dataset, our approach with separately learned debiasing subnetworks shows effective utilization of either or both the subnetworks for selective bias mitigation.

In the buildup to and in the weeks following the Russian Federation's invasion of Ukraine, Russian state media outlets output torrents of misleading and outright false information. In this work, we study this coordinated information campaign in order to understand the most prominent state media narratives touted by the Russian government to English-speaking audiences. To do this, we first perform sentence-level topic analysis using the large-language model MPNet on articles published by ten different pro-Russian propaganda websites including the new Russian "fact-checking" website waronfakes.com. Within this ecosystem, we show that smaller websites like katehon.com were highly effective at publishing topics that were later echoed by other Russian sites. After analyzing this set of Russian information narratives, we then analyze their correspondence with narratives and topics of discussion on the r/Russia and 10 other political subreddits. Using MPNet and a semantic search algorithm, we map these subreddits' comments to the set of topics extracted from our set of Russian websites, finding that 39.6% of r/Russia comments corresponded to narratives from pro-Russian propaganda websites compared to 8.86% on r/politics.