new

Get trending papers in your email inbox!

Subscribe

byAK and the research community

Mar 11

Large Language Models to Identify Social Determinants of Health in Electronic Health Records

Social determinants of health (SDoH) have an important impact on patient outcomes but are incompletely collected from the electronic health records (EHR). This study researched the ability of large language models to extract SDoH from free text in EHRs, where they are most commonly documented, and explored the role of synthetic clinical text for improving the extraction of these scarcely documented, yet extremely valuable, clinical data. 800 patient notes were annotated for SDoH categories, and several transformer-based models were evaluated. The study also experimented with synthetic data generation and assessed for algorithmic bias. Our best-performing models were fine-tuned Flan-T5 XL (macro-F1 0.71) for any SDoH, and Flan-T5 XXL (macro-F1 0.70). The benefit of augmenting fine-tuning with synthetic data varied across model architecture and size, with smaller Flan-T5 models (base and large) showing the greatest improvements in performance (delta F1 +0.12 to +0.23). Model performance was similar on the in-hospital system dataset but worse on the MIMIC-III dataset. Our best-performing fine-tuned models outperformed zero- and few-shot performance of ChatGPT-family models for both tasks. These fine-tuned models were less likely than ChatGPT to change their prediction when race/ethnicity and gender descriptors were added to the text, suggesting less algorithmic bias (p<0.05). At the patient-level, our models identified 93.8% of patients with adverse SDoH, while ICD-10 codes captured 2.0%. Our method can effectively extracted SDoH information from clinic notes, performing better compare to GPT zero- and few-shot settings. These models could enhance real-world evidence on SDoH and aid in identifying patients needing social support.

Precision measurement of the last bound states in H$_2$ and determination of the H + H scattering length

The binding energies of the five bound rotational levels J=0-4 in the highest vibrational level v=14 in the X^1Sigma_g^+ ground electronic state of H_2 were measured in a three-step ultraviolet-laser experiment. Two-photon UV-photolysis of H_2S produced population in these high-lying bound states, that were subsequently interrogated at high precision via Doppler-free spectroscopy of the F^1Sigma_g^+ - X^1Sigma_g^+ system. A third UV-laser was used for detection through auto-ionizing resonances. The experimentally determined binding energies were found to be in excellent agreement with calculations based on non-adiabatic perturbation theory, also including relativistic and quantum electrodynamical contributions. The s-wave scattering length of the H + H system is derived from the binding energy of the last bound J=0 level via a direct semi-empirical approach, yielding a value of a_s = 0.2724(5) a_0, in good agreement with a result from a previously followed theoretical approach. The subtle effect of the malpha^4 relativity contribution to a_s was found to be significant. In a similar manner a value for the p-wave scattering volume is determined via the J=1 binding energy yielding a_p = -134.0000(6) a_0^3. The binding energy of the last bound state in H_2, the (v=14, J=4) level, is determined at 0.023(4) cm^{-1}, in good agreement with calculation. The effect of the hyperfine substructure caused by the two hydrogen atoms at large internuclear separation, giving rise to three distinct dissociation limits, is discussed.

Visual Reasoning Evaluation of Grok, Deepseek Janus, Gemini, Qwen, Mistral, and ChatGPT

Traditional evaluations of multimodal large language models (LLMs) have been limited by their focus on single-image reasoning, failing to assess crucial aspects like contextual understanding, reasoning stability, and uncertainty calibration. This study addresses these limitations by introducing a novel benchmark that integrates multi-image reasoning tasks with rejection-based evaluation and positional bias detection. To evaluate these dimensions, we further introduce entropy as a novel metric for quantifying reasoning consistency across reordered answer variants. We applied this benchmark to assess Grok 3, ChatGPT-4o, ChatGPT-o1, Gemini 2.0 Flash Experimental, DeepSeek Janus models, Qwen2.5-VL-72B-Instruct, QVQ-72B-Preview, and Pixtral 12B across eight visual reasoning tasks, including difference spotting and diagram interpretation. Our findings reveal ChatGPT-o1 leading in overall accuracy (82.5\%) and rejection accuracy (70.0\%), closely followed by Gemini 2.0 Flash Experimental (70.8\%). QVQ-72B-Preview demonstrated superior rejection accuracy (85.5\%). Notably, Pixtral 12B (51.7\%) showed promise in specific domains, while Janus models exhibited challenges in bias and uncertainty calibration, reflected in low rejection accuracies and high entropy scores. High entropy scores in Janus models (Janus 7B: 0.8392, Janus 1B: 0.787) underscore their susceptibility to positional bias and unstable reasoning, contrasting with the low entropy and robust reasoning of ChatGPT models. The study further demonstrates that model size is not the sole determinant of performance, as evidenced by Grok 3 underperformance despite its substantial parameter count. By employing multi-image contexts, rejection mechanisms, and entropy-based consistency metrics, this benchmark sets a new standard for evaluating multimodal LLMs, enabling a more robust and reliable assessment of next-generation AI systems.

Towards Personality-Aware Recommendation

In the last decade new ways of shopping online have increased the possibility of buying products and services more easily and faster than ever. In this new context, personality is a key determinant in the decision making of the consumer when shopping. The two main reasons are: firstly, a person's buying choices are influenced by psychological factors like impulsiveness, and secondly, some consumers may be more susceptible to making impulse purchases than others. To the best of our knowledge, the impact of personality factors on advertisements has been largely neglected at the level of recommender systems. This work proposes a highly innovative research which uses a personality perspective to determine the unique associations among the consumer's buying tendency and advert recommendations. As a matter of fact, the lack of a publicly available benchmark for computational advertising do not allow both the exploration of this intriguing research direction and the evaluation of state-of-the-art algorithms. We present the ADS Dataset, a publicly available benchmark for computational advertising enriched with Big-Five users' personality factors and 1,200 personal users' pictures. The proposed benchmark allows two main tasks: rating prediction over 300 real advertisements (i.e., Rich Media Ads, Image Ads, Text Ads) and click-through rate prediction. Moreover, this work carries out experiments, reviews various evaluation criteria used in the literature, and provides a library for each one of them within one integrated toolbox.