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Metadata vocabularies are essential for advancing FAIR and FARR data principles, but their development constrained by limited human resources and inconsistent standardization practices. This paper introduces MatSci-YAMZ, a platform that integrates artificial intelligence (AI) and human-in-the-loop (HILT), including crowdsourcing, to support metadata vocabulary development. The paper reports on a proof-of-concept use case evaluating the AI-HILT model in materials science, a highly interdisciplinary domain Six (6) participants affiliated with the NSF Institute for Data-Driven Dynamical Design (ID4) engaged with the MatSci-YAMZ plaform over several weeks, contributing term definitions and providing examples to prompt the AI-definitions refinement. Nineteen (19) AI-generated definitions were successfully created, with iterative feedback loops demonstrating the feasibility of AI-HILT refinement. Findings confirm the feasibility AI-HILT model highlighting 1) a successful proof of concept, 2) alignment with FAIR and open-science principles, 3) a research protocol to guide future studies, and 4) the potential for scalability across domains. Overall, MatSci-YAMZ's underlying model has the capacity to enhance semantic transparency and reduce time required for consensus building and metadata vocabulary development.

Objective: To develop and evaluate a scalable methodology for harmonizing inconsistent units in large-scale clinical datasets, addressing a key barrier to data interoperability. Materials and Methods: We designed a novel unit harmonization system combining BM25, sentence embeddings, Bayesian optimization, and a bidirectional transformer based binary classifier for retrieving and matching laboratory test entries. The system was evaluated using the Optum Clinformatics Datamart dataset (7.5 billion entries). We implemented a multi-stage pipeline: filtering, identification, harmonization proposal generation, automated re-ranking, and manual validation. Performance was assessed using Mean Reciprocal Rank (MRR) and other standard information retrieval metrics. Results: Our hybrid retrieval approach combining BM25 and sentence embeddings (MRR: 0.8833) significantly outperformed both lexical-only (MRR: 0.7985) and embedding-only (MRR: 0.5277) approaches. The transformer-based reranker further improved performance (absolute MRR improvement: 0.10), bringing the final system MRR to 0.9833. The system achieved 83.39\% precision at rank 1 and 94.66\% recall at rank 5. Discussion: The hybrid architecture effectively leverages the complementary strengths of lexical and semantic approaches. The reranker addresses cases where initial retrieval components make errors due to complex semantic relationships in medical terminology. Conclusion: Our framework provides an efficient, scalable solution for unit harmonization in clinical datasets, reducing manual effort while improving accuracy. Once harmonized, data can be reused seamlessly in different analyses, ensuring consistency across healthcare systems and enabling more reliable multi-institutional studies and meta-analyses.

This paper introduces DuTerm, a novel two-stage architecture for terminology-constrained machine translation. Our system combines a terminology-aware NMT model, adapted via fine-tuning on large-scale synthetic data, with a prompt-based LLM for post-editing. The LLM stage refines NMT output and enforces terminology adherence. We evaluate DuTerm on English-to German, English-to-Spanish, and English-to-Russian with the WMT 2025 Terminology Shared Task corpus. We demonstrate that flexible, context-driven terminology handling by the LLM consistently yields higher quality translations than strict constraint enforcement. Our results highlight a critical trade-off, revealing that an LLM's work best for high-quality translation as context-driven mutators rather than generators.

Low-resource countries represent over 90% of maternal deaths, with Pakistan among the top four countries contributing nearly half in 2023. Since these deaths are mostly preventable, large language models (LLMs) can help address this crisis by automating health communication and risk assessment. However, sexual and reproductive health (SRH) communication in conservative contexts often relies on indirect language that obscures meaning, complicating LLM-based interventions. We conduct a two-stage study in Pakistan: (1) analyzing data from clinical observations, interviews, and focus groups with clinicians and patients, and (2) evaluating the interpretive capabilities of five popular LLMs on this data. Our analysis identifies two axes of communication (referential domain and expression approach) and shows LLMs struggle with semantic drift, myths, and polysemy in clinical interactions. We contribute: (1) empirical themes in SRH communication, (2) a categorization framework for indirect communication, (3) evaluation of LLM performance, and (4) design recommendations for culturally-situated SRH communication.

The critical lack of structured terminological data for South Africa's official languages hampers progress in multilingual NLP, despite the existence of numerous government and academic terminology lists. These valuable assets remain fragmented and locked in non-machine-readable formats, rendering them unusable for computational research and development. Mafoko addresses this challenge by systematically aggregating, cleaning, and standardising these scattered resources into open, interoperable datasets. We introduce the foundational Mafoko dataset, released under the equitable, Africa-centered NOODL framework. To demonstrate its immediate utility, we integrate the terminology into a Retrieval-Augmented Generation (RAG) pipeline. Experiments show substantial improvements in the accuracy and domain-specific consistency of English-to-Tshivenda machine translation for large language models. Mafoko provides a scalable foundation for developing robust and equitable NLP technologies, ensuring South Africa's rich linguistic diversity is represented in the digital age.

Effective biomedical data integration depends on automated term normalization, the mapping of natural language biomedical terms to standardized identifiers. This linking of terms to identifiers is essential for semantic interoperability. Large language models (LLMs) show promise for this task but perform unevenly across terminologies. We evaluated both memorization (training-term performance) and generalization (validation-term performance) across multiple biomedical ontologies. Fine-tuning Llama 3.1 8B revealed marked differences by terminology. GO mappings showed strong memorization gains (up to 77% improvement in term-to-identifier accuracy), whereas HPO showed minimal improvement. Generalization occurred only for protein-gene (GENE) mappings (13.9% gain), while fine-tuning for HPO and GO yielded negligible transfer. Baseline accuracy varied by model scale, with GPT-4o outperforming both Llama variants for all terminologies. Embedding analyses showed tight semantic alignment between gene symbols and protein names but weak alignment between terms and identifiers for GO or HPO, consistent with limited lexicalization. Fine-tuning success depended on two interacting factors: identifier popularity and lexicalization. Popular identifiers were more likely encountered during pretraining, enhancing memorization. Lexicalized identifiers, such as gene symbols, enabled semantic generalization. By contrast, arbitrary identifiers in GO and HPO constrained models to rote learning. These findings provide a predictive framework for when fine-tuning enhances factual recall versus when it fails due to sparse or non-lexicalized identifiers.