Daily Papers

This study evaluates the performance of large language models (LLMs) as medical agents in Portuguese, aiming to develop a reliable and relevant virtual assistant for healthcare professionals. The HealthCareMagic-100k-en and MedQuAD datasets, translated from English using GPT-3.5, were used to fine-tune the ChatBode-7B model using the PEFT-QLoRA method. The InternLM2 model, with initial training on medical data, presented the best overall performance, with high precision and adequacy in metrics such as accuracy, completeness and safety. However, DrBode models, derived from ChatBode, exhibited a phenomenon of catastrophic forgetting of acquired medical knowledge. Despite this, these models performed frequently or even better in aspects such as grammaticality and coherence. A significant challenge was low inter-rater agreement, highlighting the need for more robust assessment protocols. This work paves the way for future research, such as evaluating multilingual models specific to the medical field, improving the quality of training data, and developing more consistent evaluation methodologies for the medical field.

Qualitative research faces a critical reliability challenge: traditional inter-rater agreement methods require multiple human coders, are time-intensive, and often yield moderate consistency. We present a multi-perspective validation framework for LLM-based thematic analysis that combines ensemble validation with dual reliability metrics: Cohen's Kappa (κ) for inter-rater agreement and cosine similarity for semantic consistency. Our framework enables configurable analysis parameters (1-6 seeds, temperature 0.0-2.0), supports custom prompt structures with variable substitution, and provides consensus theme extraction across any JSON format. As proof-of-concept, we evaluate three leading LLMs (Gemini 2.5 Pro, GPT-4o, Claude 3.5 Sonnet) on a psychedelic art therapy interview transcript, conducting six independent runs per model. Results demonstrate Gemini achieves highest reliability (κ= 0.907, cosine=95.3%), followed by GPT-4o (κ= 0.853, cosine=92.6%) and Claude (κ= 0.842, cosine=92.1%). All three models achieve a high agreement (κ> 0.80), validating the multi-run ensemble approach. The framework successfully extracts consensus themes across runs, with Gemini identifying 6 consensus themes (50-83% consistency), GPT-4o identifying 5 themes, and Claude 4 themes. Our open-source implementation provides researchers with transparent reliability metrics, flexible configuration, and structure-agnostic consensus extraction, establishing methodological foundations for reliable AI-assisted qualitative research.

Large language models (LLMs) exhibit degraded performance under prompt compression, but the mechanisms remain poorly understood. We introduce the Compression-Decay Comprehension Test (CDCT), a benchmark that independently measures constraint compliance (CC) and semantic accuracy (SA) across compression levels. We evaluate 9 frontier LLMs across 8 concepts using 5 compression levels from extreme (c=0.0, ~2 words) to none (c=1.0, ~135 words). A three-judge LLM jury achieves almost perfect inter-rater agreement on CC (Fleiss' appa=0.90). We observe a universal U-curve pattern in constraint compliance (97.2% prevalence), with violations peaking at medium compression (c=0.5, ~27 words). Counterintuitively, models perform better at extreme compression than medium lengths. The dimensions are statistically orthogonal (r=0.193, p=0.084), with constraint effects 2.9x larger than semantic effects. Experimental validation via RLHF ablation confirms our constraint salience hypothesis: removing "helpfulness" signals improves CC by 598% on average (71/72 trials, p<0.001), with 79% achieving perfect compliance. This demonstrates that RLHF-trained helpfulness behaviors are the dominant cause of constraint violations at medium compression. Reasoning models outperform efficient models by 27.5% (Cohen's d=0.96). Our findings reveal a fundamental tension between RLHF alignment and instruction-following, providing actionable guidelines for improving deployed systems.

Large language models (LLMs) have emerged as powerful tools for analyzing complex datasets. Recent studies demonstrate their potential to generate useful, personalized responses when provided with patient-specific health information that encompasses lifestyle, biomarkers, and context. As LLM-driven health applications are increasingly adopted, rigorous and efficient one-sided evaluation methodologies are crucial to ensure response quality across multiple dimensions, including accuracy, personalization and safety. Current evaluation practices for open-ended text responses heavily rely on human experts. This approach introduces human factors and is often cost-prohibitive, labor-intensive, and hinders scalability, especially in complex domains like healthcare where response assessment necessitates domain expertise and considers multifaceted patient data. In this work, we introduce Adaptive Precise Boolean rubrics: an evaluation framework that streamlines human and automated evaluation of open-ended questions by identifying gaps in model responses using a minimal set of targeted rubrics questions. Our approach is based on recent work in more general evaluation settings that contrasts a smaller set of complex evaluation targets with a larger set of more precise, granular targets answerable with simple boolean responses. We validate this approach in metabolic health, a domain encompassing diabetes, cardiovascular disease, and obesity. Our results demonstrate that Adaptive Precise Boolean rubrics yield higher inter-rater agreement among expert and non-expert human evaluators, and in automated assessments, compared to traditional Likert scales, while requiring approximately half the evaluation time of Likert-based methods. This enhanced efficiency, particularly in automated evaluation and non-expert contributions, paves the way for more extensive and cost-effective evaluation of LLMs in health.

This paper presents synthetic Preference Optimization (PO) datasets generated using multi-agent workflows and evaluates the effectiveness and potential of these workflows in the dataset generation process. PO dataset generation requires two modules: (1) response evaluation, and (2) response generation. In the response evaluation module, the responses from Large Language Models (LLMs) are evaluated and ranked - a task typically carried out by human annotators that we automate using LLMs. We assess the response evaluation module in a 2 step process. In step 1, we assess LLMs as evaluators using three distinct prompting strategies. In step 2, we apply the winning prompting strategy to compare the performance of LLM-as-a-Judge, LLMs-as-a-Jury, and LLM Debate. In each step, we use inter-rater agreement using Cohen's Kappa between human annotators and LLMs. For the response generation module, we compare different configurations for the LLM Feedback Loop using the identified LLM evaluator configuration. We use the win rate (the fraction of times a generation framework is selected as the best by an LLM evaluator) to determine the best multi-agent configuration for generation. After identifying the best configurations for both modules, we use models from the GPT, Gemma, and Llama families to generate our PO datasets using the above pipeline. We generate two types of PO datasets, one to improve the generation capabilities of individual LLM and the other to improve the multi-agent workflow. Our evaluation shows that GPT-4o-as-a-Judge is more consistent across datasets when the candidate responses do not include responses from the GPT family. Additionally, we find that the LLM Feedback Loop, with Llama as the generator and Gemma as the reviewer, achieves a notable 71.8% and 73.8% win rate over single-agent Llama and Gemma, respectively.

This paper addresses the challenge of learning to recite the Quran for non-Arabic speakers. We explore the possibility of crowdsourcing a carefully annotated Quranic dataset, on top of which AI models can be built to simplify the learning process. In particular, we use the volunteer-based crowdsourcing genre and implement a crowdsourcing API to gather audio assets. We integrated the API into an existing mobile application called NamazApp to collect audio recitations. We developed a crowdsourcing platform called Quran Voice for annotating the gathered audio assets. As a result, we have collected around 7000 Quranic recitations from a pool of 1287 participants across more than 11 non-Arabic countries, and we have annotated 1166 recitations from the dataset in six categories. We have achieved a crowd accuracy of 0.77, an inter-rater agreement of 0.63 between the annotators, and 0.89 between the labels assigned by the algorithm and the expert judgments.

Under a unified operational definition, we define LLM memory as a persistent state written during pretraining, finetuning, or inference that can later be addressed and that stably influences outputs. We propose a four-part taxonomy (parametric, contextual, external, procedural/episodic) and a memory quadruple (location, persistence, write/access path, controllability). We link mechanism, evaluation, and governance via the chain write -> read -> inhibit/update. To avoid distorted comparisons across heterogeneous setups, we adopt a three-setting protocol (parametric only, offline retrieval, online retrieval) that decouples capability from information availability on the same data and timeline. On this basis we build a layered evaluation: parametric (closed-book recall, edit differential, memorization/privacy), contextual (position curves and the mid-sequence drop), external (answer correctness vs snippet attribution/faithfulness), and procedural/episodic (cross-session consistency and timeline replay, E MARS+). The framework integrates temporal governance and leakage auditing (freshness hits, outdated answers, refusal slices) and uncertainty reporting via inter-rater agreement plus paired tests with multiple-comparison correction. For updating and forgetting, we present DMM Gov: coordinating DAPT/TAPT, PEFT, model editing (ROME, MEND, MEMIT, SERAC), and RAG to form an auditable loop covering admission thresholds, rollout, monitoring, rollback, and change audits, with specs for timeliness, conflict handling, and long-horizon consistency. Finally, we give four testable propositions: minimum identifiability; a minimal evaluation card; causally constrained editing with verifiable forgetting; and when retrieval with small-window replay outperforms ultra-long-context reading. This yields a reproducible, comparable, and governable coordinate system for research and deployment.

The rapid expansion of medical literature presents growing challenges for structuring and integrating domain knowledge at scale. Knowledge Graphs (KGs) offer a promising solution by enabling efficient retrieval, automated reasoning, and knowledge discovery. However, current KG construction methods often rely on supervised pipelines with limited generalizability or naively aggregate outputs from Large Language Models (LLMs), treating biomedical corpora as static and ignoring the temporal dynamics and contextual uncertainty of evolving knowledge. To address these limitations, we introduce MedKGent, a LLM agent framework for constructing temporally evolving medical KGs. Leveraging over 10 million PubMed abstracts published between 1975 and 2023, we simulate the emergence of biomedical knowledge via a fine-grained daily time series. MedKGent incrementally builds the KG in a day-by-day manner using two specialized agents powered by the Qwen2.5-32B-Instruct model. The Extractor Agent identifies knowledge triples and assigns confidence scores via sampling-based estimation, which are used to filter low-confidence extractions and inform downstream processing. The Constructor Agent incrementally integrates the retained triples into a temporally evolving graph, guided by confidence scores and timestamps to reinforce recurring knowledge and resolve conflicts. The resulting KG contains 156,275 entities and 2,971,384 relational triples. Quality assessments by two SOTA LLMs and three domain experts demonstrate an accuracy approaching 90%, with strong inter-rater agreement. To evaluate downstream utility, we conduct RAG across seven medical question answering benchmarks using five leading LLMs, consistently observing significant improvements over non-augmented baselines. Case studies further demonstrate the KG's value in literature-based drug repurposing via confidence-aware causal inference.

Lectures are a learning experience for both students and teachers. Students learn from teachers about the subject material, while teachers learn from students about how to refine their instruction. However, online student feedback is unstructured and abundant, making it challenging for teachers to learn and improve. We take a step towards tackling this challenge. First, we contribute a dataset for studying this problem: SIGHT is a large dataset of 288 math lecture transcripts and 15,784 comments collected from the Massachusetts Institute of Technology OpenCourseWare (MIT OCW) YouTube channel. Second, we develop a rubric for categorizing feedback types using qualitative analysis. Qualitative analysis methods are powerful in uncovering domain-specific insights, however they are costly to apply to large data sources. To overcome this challenge, we propose a set of best practices for using large language models (LLMs) to cheaply classify the comments at scale. We observe a striking correlation between the model's and humans' annotation: Categories with consistent human annotations (>0.9 inter-rater reliability, IRR) also display higher human-model agreement (>0.7), while categories with less consistent human annotations (0.7-0.8 IRR) correspondingly demonstrate lower human-model agreement (0.3-0.5). These techniques uncover useful student feedback from thousands of comments, costing around 0.002$ per comment. We conclude by discussing exciting future directions on using online student feedback and improving automated annotation techniques for qualitative research.

This paper provides a detailed analysis of the NeuroPiano dataset, which comprise 104 audio recordings of student piano performances accompanied with 2255 textual feedback and ratings given by professional pianists. We offer a statistical overview of the dataset, focusing on the standardization of annotations and inter-annotator agreement across 12 evaluative questions concerning performance quality. We also explore the predictive relationship between audio features and teacher ratings via machine learning, as well as annotations provided for text analysis of the responses.

In this paper, we explore the ability to model and infer personality types of opponents, predict their responses, and use this information to adapt a dialog agent's high-level strategy in negotiation tasks. Inspired by the idea of incorporating a theory of mind (ToM) into machines, we introduce a probabilistic formulation to encapsulate the opponent's personality type during both learning and inference. We test our approach on the CraigslistBargain dataset and show that our method using ToM inference achieves a 20% higher dialog agreement rate compared to baselines on a mixed population of opponents. We also find that our model displays diverse negotiation behavior with different types of opponents.