Long sequences are critical for applications like RAG, long document summarization, multi-modality, etc., and modern LLMs, like Llama 4 Scout, support max sequence length of up to 10 million tokens. However, outside of enterprise labs, long sequence training is challenging for the AI community with limited system support in the open-source space. Out-of-box, even on a modern NVIDIA H100 80GB GPU cluster, training Llama 8B model with sequence over 32K runs out of memory on a basic Hugging Face (HF) model due to two reasons: i) LLM training workloads are not optimized to fully leverage a single GPU memory, ii) existing solutions for leveraging multiple GPU memory are not easily available to HF models, making long sequence training inaccessible. We address this with Arctic Long Sequence Training (ALST). It offers a combination of attention-agnostic single GPU and multi-GPU memory optimizations, that enables it to support out-of-box training of multi-million sequence length for a wide variety of HF models. ALST supports training Meta's Llama 8B model with 500K sequence length on a single H100 GPU, 3.7M on a single 8xH100 GPU node, and over 15M on a 4 node cluster, an increase of over 400x compared to the 32K baseline for the latter. ALST is fully compatible with HF models and open-sourced via Deepspeed https://www.deepspeed.ai/tutorials/ulysses-alst-sequence-pallellism/ and Arctic Training https://github.com/snowflakedb/ArcticTraining/blob/main/projects/sequence-parallelism/README.md.

Automatic prediction of amyotrophic lateral sclerosis (ALS) disease progression provides a more efficient and objective alternative than manual approaches. We propose ALS longitudinal speech transformer (ALST), a neural network-based automatic predictor of ALS disease progression from longitudinal speech recordings of ALS patients. By taking advantage of high-quality pretrained speech features and longitudinal information in the recordings, our best model achieves 91.0\% AUC, improving upon the previous best model by 5.6\% relative on the ALS TDI dataset. Careful analysis reveals that ALST is capable of fine-grained and interpretable predictions of ALS progression, especially for distinguishing between rarer and more severe cases. Code is publicly available.