Daily Papers

While holding great promise for improving and facilitating healthcare, large language models (LLMs) struggle to produce up-to-date responses on evolving topics due to outdated knowledge or hallucination. Retrieval-augmented generation (RAG) is a pivotal innovation that improves the accuracy and relevance of LLM responses by integrating LLMs with a search engine and external sources of knowledge. However, the quality of RAG responses can be largely impacted by the rank and density of key information in the retrieval results, such as the "lost-in-the-middle" problem. In this work, we aim to improve the robustness and reliability of the RAG workflow in the medical domain. Specifically, we propose a map-reduce strategy, BriefContext, to combat the "lost-in-the-middle" issue without modifying the model weights. We demonstrated the advantage of the workflow with various LLM backbones and on multiple QA datasets. This method promises to improve the safety and reliability of LLMs deployed in healthcare domains.

With the increasing importance of online communities, discussion forums, and customer reviews, Internet "trolls" have proliferated thereby making it difficult for information seekers to find relevant and correct information. In this paper, we consider the problem of detecting and identifying Internet trolls, almost all of which are human agents. Identifying a human agent among a human population presents significant challenges compared to detecting automated spam or computerized robots. To learn a troll's behavior, we use contextual anomaly detection to profile each chat user. Using clustering and distance-based methods, we use contextual data such as the group's current goal, the current time, and the username to classify each point as an anomaly. A user whose features significantly differ from the norm will be classified as a troll. We collected 38 million data points from the viral Internet fad, Twitch Plays Pokemon. Using clustering and distance-based methods, we develop heuristics for identifying trolls. Using MapReduce techniques for preprocessing and user profiling, we are able to classify trolls based on 10 features extracted from a user's lifetime history.

Identifying disease phenotypes from electronic health records (EHRs) is critical for numerous secondary uses. Manually encoding physician knowledge into rules is particularly challenging for rare diseases due to inadequate EHR coding, necessitating review of clinical notes. Large language models (LLMs) offer promise in text understanding but may not efficiently handle real-world clinical documentation. We propose a zero-shot LLM-based method enriched by retrieval-augmented generation and MapReduce, which pre-identifies disease-related text snippets to be used in parallel as queries for the LLM to establish diagnosis. We show that this method as applied to pulmonary hypertension (PH), a rare disease characterized by elevated arterial pressures in the lungs, significantly outperforms physician logic rules (F_1 score of 0.62 vs. 0.75). This method has the potential to enhance rare disease cohort identification, expanding the scope of robust clinical research and care gap identification.