Daily Papers

Effective training and debriefing are critical in high-stakes, mission-critical environments such as disaster response, military simulations, and industrial safety, where precision and minimizing errors are paramount. The traditional post-training analysis relies on manually reviewing 2D videos, a time-consuming process that lacks comprehensive situational awareness. To address these limitations, we introduce ACT360, a system that leverages 360-degree videos and machine learning for automated action detection and structured debriefing. ACT360 integrates 360YOWO, an enhanced You Only Watch Once (YOWO) model with spatial attention and equirectangular-aware convolution (EAC) to mitigate panoramic video distortions. To enable deployment in resource-constrained environments, we apply quantization and model pruning, reducing the model size by 74% while maintaining robust accuracy (mAP drop of only 1.5%, from 0.865 to 0.850) and improving inference speed. We validate our approach on a publicly available dataset of 55 labeled 360-degree videos covering seven key operational actions, recorded across various real-world training sessions and environmental conditions. Additionally, ACT360 integrates 360AIE (Action Insight Explorer), a web-based interface for automatic action detection, retrieval, and textual summarization using large language models (LLMs), significantly enhancing post-incident analysis efficiency. ACT360 serves as a generalized framework for mission-critical debriefing, incorporating EAC, spatial attention, summarization, and model optimization. These innovations apply to any training environment requiring lightweight action detection and structured post-exercise analysis.

Research in emergency triage is restricted to structured electronic health records (EHR) due to regulatory constraints on nurse-patient interactions. We introduce TriageSim, a simulation framework for generating persona-conditioned triage conversations from structured records. TriageSim enables multi-turn nurse-patient interactions with explicit control over disfluency and decision behaviour, producing a corpus of ~800 synthetic transcripts and corresponding audio. We use a combination of automated analysis for linguistic, behavioural and acoustic fidelity alongside manual evaluation for medical fidelity using a random subset of 50 conversations. The utility of the generated corpus is examined via conversational triage classification. We observe modest agreement for acuity levels across three modalities: generated synthetic text, ASR transcripts, and direct audio inputs. The code, persona schemata and triage policy prompts for TriageSim will be available upon acceptance.

In recent years, large language models have shown substantial potential in psychological support tasks. However, existing psychological counseling data mostly rely on single-turn question answering or short multi-turn dialogues, making it difficult to characterize how college students' psychological distress accumulates, interacts, and gradually evolves over long periods within campus life events. To address this issue, this paper proposes Psy-Chronicle, a structured data-generation framework for synthesizing long-horizon campus psychological counseling dialogues. We generate a semester-spanning temporal stress event graph to model the chronological order and evolutionary dependencies among campus stress events. Through interactive simulation between a student agent and a counselor agent, together with a structured memory integration mechanism, Psy-Chronicle generates long-horizon dialogues with continuity across counseling sessions. Based on Psy-Chronicle, we construct and open-source CPCD, a Chinese long-horizon dialogue dataset for college psychological counseling, containing 100 student profiles, 90,000 counseling dialogues. We further build CPCD-Bench to evaluate models' long-horizon campus counseling capabilities from three dimensions: session-level response, long-horizon memory recall, and temporal-causal reasoning. Experimental results show that CPCD effectively improves session-level response generation and long-horizon memory recall for models with the same base architecture. Meanwhile, improvements in temporal-causal reasoning remain limited, indicating that event-chain organization and causal explanation are key challenges in long-horizon psychological counseling modeling. The related code and data are available at: https://github.com/EdwinUSTB/Psy-Chronicle

During crisis events, people often use social media platforms such as Twitter to disseminate information about the situation, warnings, advice, and support. Emergency relief organizations leverage such information to acquire timely crisis circumstances and expedite rescue operations. While existing works utilize such information to build models for crisis event analysis, fully-supervised approaches require annotating vast amounts of data and are impractical due to limited response time. On the other hand, semi-supervised models can be biased, performing moderately well for certain classes while performing extremely poorly for others, resulting in substantially negative effects on disaster monitoring and rescue. In this paper, we first study two recent debiasing methods on semi-supervised crisis tweet classification. Then we propose a simple but effective debiasing method, DeCrisisMB, that utilizes a Memory Bank to store and perform equal sampling for generated pseudo-labels from each class at each training iteration. Extensive experiments are conducted to compare different debiasing methods' performance and generalization ability in both in-distribution and out-of-distribution settings. The results demonstrate the superior performance of our proposed method. Our code is available at https://github.com/HenryPengZou/DeCrisisMB.

For monitoring crises, political events are extracted from the news. The large amount of unstructured full-text event descriptions makes a case-by-case analysis unmanageable, particularly for low-resource humanitarian aid organizations. This creates a demand to classify events into event types, a task referred to as event coding. Typically, domain experts craft an event type ontology, annotators label a large dataset and technical experts develop a supervised coding system. In this work, we propose PR-ENT, a new event coding approach that is more flexible and resource-efficient, while maintaining competitive accuracy: first, we extend an event description such as "Military injured two civilians'' by a template, e.g. "People were [Z]" and prompt a pre-trained (cloze) language model to fill the slot Z. Second, we select answer candidates Z* = {"injured'', "hurt"...} by treating the event description as premise and the filled templates as hypothesis in a textual entailment task. This allows domain experts to draft the codebook directly as labeled prompts and interpretable answer candidates. This human-in-the-loop process is guided by our interactive codebook design tool. We evaluate PR-ENT in several robustness checks: perturbing the event description and prompt template, restricting the vocabulary and removing contextual information.

Failure attribution in multi-agent systems -- pinpointing the exact step where a decisive error occurs -- is a critical yet unsolved challenge. Current methods treat this as a pattern recognition task over long conversation logs, leading to critically low step-level accuracy (below 17\%), which renders them impractical for debugging complex systems. Their core weakness is a fundamental inability to perform robust counterfactual reasoning: to determine if correcting a single action would have actually averted the task failure. To bridge this counterfactual inference gap, we introduce Abduct-Act-Predict (A2P) Scaffolding, a novel agent framework that transforms failure attribution from pattern recognition into a structured causal inference task. A2P explicitly guides a large language model through a formal three-step reasoning process within a single inference pass: (1) Abduction, to infer the hidden root causes behind an agent's actions; (2) Action, to define a minimal corrective intervention; and (3) Prediction, to simulate the subsequent trajectory and verify if the intervention resolves the failure. This structured approach leverages the holistic context of the entire conversation while imposing a rigorous causal logic on the model's analysis. Our extensive experiments on the Who\&When benchmark demonstrate its efficacy. On the Algorithm-Generated dataset, A2P achieves 47.46\% step-level accuracy, a 2.85times improvement over the 16.67\% of the baseline. On the more complex Hand-Crafted dataset, it achieves 29.31\% step accuracy, a 2.43times improvement over the baseline's 12.07\%. By reframing the problem through a causal lens, A2P Scaffolding provides a robust, verifiable, and significantly more accurate solution for automated failure attribution. Ours code are released at https://github.com/ResearAI/A2P.

Human understanding of video dynamics is typically grounded in a structured mental representation of entities, actions, and temporal relations, rather than relying solely on immediate deductive reasoning. In contrast, existing Video-LLMs largely depend on unstructured video reasoning, where critical visual evidence is embedded in verbose textual descriptions and temporal causality is often weakly modeled. This leads to inefficient processes and fragile causal inference. To bridge this cognitive gap, we propose constructing a compact representation of salient events and their causal relationships, which we name Structured Event Facts, prior to the reasoning stage. This structured prior serves as an explicit constraint to promote concise and causally grounded reasoning, while also making intermediate evidence easier to verify. To effectively train models on such structured facts, we introduce CausalFact-60K and a four-stage training pipeline comprising facts alignment, format warm-start, thinking warm-start, and reinforcement learning-based post-training. During RL stage, we find that this framework introduces competing objectives, as structural completeness and causal fidelity must be balanced against reasoning length, making it difficult to optimize. We address this challenge by formulating the optimization as a Multi-Objective Reinforcement Learning (MORL) problem and explicitly optimizing toward the Pareto-Frontier to balance these trade-offs. As a result, we introduce Factum-4B, which yields more reliable reasoning and delivers stronger performance on challenging video understanding tasks requiring fine-grained temporal inference.

Emotional support conversations require more than fluent responses. Supporters need to understand the seeker's situation and emotions, adopt an appropriate strategy, and respond in a natural, human-like manner. Despite advances in large language models, current systems often lack structured, psychology-informed reasoning. Additionally, it is challenging to enhance these systems through reinforcement learning because of unreliable reward signals. Moreover, reinforcement fine-tuning can amplify repetitive response patterns. We propose structured empathetic reasoning, which breaks support into three steps: conversation history analysis, multimodal emotional state inference, and strategy selection, prior to generating the final reply. To implement this, we introduce SER, a fine-grained dataset with step-level correctness labels and pairwise response preferences. We then present PEER, which uses GRPO with UnifiReward, a unified process-outcome reward model for evaluating both reasoning steps and final responses in multi-turn interactions. To reduce repetition, we enhance data with personality-based rewriting and down-weight redundant outputs. Comprehensive experiments show improved empathy, strategy alignment, and human-likeness without sacrificing diversity.

Acute poly-substance intoxication requires rapid, life-saving decisions under substantial uncertainty, as clinicians must rely on incomplete ingestion details and nonspecific symptoms. Effective diagnostic reasoning in this chaotic environment requires fusing unstructured, non-medical narratives (e.g. paramedic scene descriptions and unreliable patient self-reports or known histories), with structured medical data like vital signs. While Large Language Models (LLMs) show potential for processing such heterogeneous inputs, they struggle in this setting, often underperforming simple baselines that rely solely on patient histories. To address this, we present DeToxR (Decision-support for Toxicology with Reasoning), the first adaptation of Reinforcement Learning (RL) to emergency toxicology. We design a robust data-fusion engine for multi-label prediction across 14 substance classes based on an LLM finetuned with Group Relative Policy Optimization (GRPO). We optimize the model's reasoning directly using a clinical performance reward. By formulating a multi-label agreement metric as the reward signal, the model is explicitly penalized for missing co-ingested substances and hallucinating absent poisons. Our model significantly outperforms its unadapted base LLM counterpart and supervised baselines. Furthermore, in a clinical validation study, the model indicates a clinical advantage by outperforming an expert toxicologist in identifying the correct poisons (Micro-F1: 0.644 vs. 0.473). These results demonstrate the potential of RL-aligned LLMs to synthesize unstructured pre-clinical narratives and structured medical data for decision support in high-stakes environments.

LLM-based autonomous agents lack persistent procedural memory: they re-derive solutions from scratch even when structurally identical tasks have been solved before. We present APEX-EM, a non-parametric online learning framework that accumulates, retrieves, and reuses structured procedural plans without modifying model weights. APEX-EM introduces: (1) a structured experience representation encoding the full procedural-episodic trace of each execution -- planning steps, artifacts, iteration history with error analysis, and quality scores; (2) a Plan-Retrieve-Generate-Iterate-Ingest (PRGII) workflow with Task Verifiers providing multi-dimensional reward signals; and (3) a dual-outcome Experience Memory with hybrid retrieval combining semantic search, structural signature matching, and plan DAG traversal -- enabling cross-domain transfer between tasks sharing no lexical overlap but analogous operational structure. Successful experiences serve as positive in-context examples; failures as negative examples with structured error annotations. We evaluate on BigCodeBench, KGQAGen-10k, and Humanity's Last Exam using Claude Sonnet 4.5 and Opus 4.5. On KGQAGen-10k, APEX-EM achieves 89.6% accuracy versus 41.3% without memory (+48.3pp), surpassing the oracle-retrieval upper bound (84.9%). On BigCodeBench, it reaches 83.3% SR from a 53.9% baseline (+29.4pp), exceeding MemRL's +11.0pp gain under comparable frozen-backbone conditions (noting backbone differences controlled for in our analysis). On HLE, entity graph retrieval reaches 48.0% from 25.2% (+22.8pp). Ablations show component value is task-dependent: rich judge feedback is negligible for code generation but critical for structured queries (+10.3pp), while binary-signal iteration partially compensates for weaker feedback.

Intensive care units (ICU) generate long, dense and evolving streams of clinical information, where physicians must repeatedly reassess patient states under time pressure, underscoring a clear need for reliable AI decision support. Existing ICU benchmarks typically treat historical clinician actions as ground truth. However, these actions are made under incomplete information and limited temporal context of the underlying patient state, and may therefore be suboptimal, making it difficult to assess the true reasoning capabilities of AI systems. We introduce RealICU, a hindsight-annotated benchmark for evaluating large language models (LLMs) under realistic ICU conditions, where labels are created after senior physicians review the full patient trajectory. We formulate four physician-motivated tasks: assess Patient Status, Acute Problems, Recommended Actions, and Red Flag actions that risk unsafe outcomes. We partition each trajectory with 30-min windows and release two datasets: RealICU-Gold with 930-window annotations from 94 MIMIC-IV patients, and RealICU-Scale with 11,862 windows extended by Oracle, a physician-validated LLM hindsight labeler. Existing LLMs including memory-augmented ones performed poorly on RealICU, exposing two failure modes: a recall-safety tradeoff for clinical recommendations, and an anchoring bias to early interpretations of the patient. We further introduce ICU-Evo to study structured-memory agents that improves long-horizon reasoning but does not fully eliminate safety failures. Together, RealICU provides a clinically grounded testbed for measuring and improving AI sequential decision-support in high-stakes care. Project page: https://chengzhi-leo.github.io/RealICU-Bench/

The work in this paper evaluates zero-shot and few-shot large language models (LLMs) for safety-critical clinical action extraction using the CLIP discharge-note dataset, with particular emphasis on transitions of care and post-discharge patient safety. To manage the complexity of clinical documentation, we introduce a two-stage extraction framework that decomposes discharge notes, that are written in narrative form, into fine-grained, explicitly actionable clinical tasks through a staged prompting strategy. Our contributions include a systematic assessment of generative LLMs for clinical action extraction, a detailed comparison between general-purpose LLMs and task-specific supervised BERT-based models, and an analysis of annotation inconsistencies across different action categories. We show that contemporary LLMs achieve performance comparable to or exceeding supervised models on binary actionability detection, while supervised baselines retain a meaningful advantage on fine-grained multi-label category classification, despite the absence of task-specific fine-tuning and under strict data-privacy constraints. Qualitative error analysis reveals that many failures stem from misalignment between model reasoning and dataset annotation conventions, particularly in cases involving implicit clinical actions and rigid structural labeling rules. These results indicate that reported performance reflects model limitations due to lack of clinical reasoning, that is not captured by plain annotations. Labels without rationales make it impossible to distinguish clinical reasoning failures from annotation convention mismatches. Advancing clinical NLP requires reasoning-annotated datasets that document why specific spans are actionable, not merely which spans were labeled, enabling proper evaluation of model clinical understanding.

Longitudinal health agents must reason across multi-source trajectories that combine continuous device streams, sparse clinical exams, and episodic life events - yet evaluating them is hard: real-world data cannot be released at scale, and temporally grounded attribution questions seldom admit definitive answers without structured ground truth. We present ESL-Bench, an event-driven synthesis framework and benchmark providing 100 synthetic users, each with a 1-5 year trajectory comprising a health profile, a multi-phase narrative plan, daily device measurements, periodic exam records, and an event log with explicit per-indicator impact parameters. Each indicator follows a baseline stochastic process driven by discrete events with sigmoid-onset, exponential-decay kernels under saturation and projection constraints; a hybrid pipeline delegates sparse semantic artifacts to LLM-based planning and dense indicator dynamics to algorithmic simulation with hard physiological bounds. Users are each paired with 100 evaluation queries across five dimensions - Lookup, Trend, Comparison, Anomaly, Explanation - stratified into Easy, Medium, and Hard tiers, with all ground-truth answers programmatically computable from the recorded event-indicator relationships. Evaluating 13 methods spanning LLMs with tools, DB-native agents, and memory-augmented RAG, we find that DB agents (48-58%) substantially outperform memory RAG baselines (30-38%), with the gap concentrated on Comparison and Explanation queries where multi-hop reasoning and evidence attribution are required.

LLM agents increasingly rely on reusable skills, capability packages that combine instructions, control flow, constraints, and tool calls. In most current agent systems, however, skills are still represented by text-heavy artifacts, including SKILL.md-style documents and structured records whose machine-usable evidence remains embedded largely in natural-language descriptions. This poses a challenge for skill-centered agent systems: managing skill collections and using skills to support agent both require reasoning over invocation interfaces, execution structure, and concrete side effects that are often entangled in a single textual surface. An explicit representation of skill knowledge may therefore help make these artifacts easier for machines to acquire and leverage. Drawing on Memory Organization Packets, Script Theory, and Conceptual Dependency from Schank and Abelson's classical work on linguistic knowledge representation, we introduce what is, to our knowledge, the first structured representation for agent skill artifacts that disentangles skill-level scheduling signals, scene-level execution structure, and logic-level action and resource-use evidence: the Scheduling-Structural-Logical (SSL) representation. We instantiate SSL with an LLM-based normalizer and evaluate it on a corpus of skills in two tasks, Skill Discovery and Risk Assessment, and superiorly outperform the text-only baselines: in Skill Discovery, SSL improves MRR from 0.573 to 0.707; in Risk Assessment, it improves macro F1 from 0.744 to 0.787. These findings reveal that explicit, source-grounded structure makes agent skills easier to search and review. They also suggest that SSL is best understood as a practical step toward more inspectable, reusable, and operationally actionable skill representations for agent systems, rather than as a finished standard or an end-to-end mechanism for managing and using skills.

Summarization of clinical narratives is a long-standing research problem. Here, we introduce the task of hospital-course summarization. Given the documentation authored throughout a patient's hospitalization, generate a paragraph that tells the story of the patient admission. We construct an English, text-to-text dataset of 109,000 hospitalizations (2M source notes) and their corresponding summary proxy: the clinician-authored "Brief Hospital Course" paragraph written as part of a discharge note. Exploratory analyses reveal that the BHC paragraphs are highly abstractive with some long extracted fragments; are concise yet comprehensive; differ in style and content organization from the source notes; exhibit minimal lexical cohesion; and represent silver-standard references. Our analysis identifies multiple implications for modeling this complex, multi-document summarization task.

Prior work has shown that coupling sequential latent variable models with semantic ontological knowledge can improve the representational capabilities of event modeling approaches. In this work, we present a novel, doubly hierarchical, semi-supervised event modeling framework that provides structural hierarchy while also accounting for ontological hierarchy. Our approach consists of multiple layers of structured latent variables, where each successive layer compresses and abstracts the previous layers. We guide this compression through the injection of structured ontological knowledge that is defined at the type level of events: importantly, our model allows for partial injection of semantic knowledge and it does not depend on observing instances at any particular level of the semantic ontology. Across two different datasets and four different evaluation metrics, we demonstrate that our approach is able to out-perform the previous state-of-the-art approaches by up to 8.5%, demonstrating the benefits of structured and semantic hierarchical knowledge for event modeling.

Objectives: While Large Language Models (LLMs) have been widely used to assist clinicians and support patients, no existing work has explored dialogue systems for standard diagnostic interviews and assessments. This study aims to bridge the gap in mental healthcare accessibility by developing an LLM-powered dialogue system that replicates clinician behavior. Materials and Methods: We introduce TRUST, a framework of cooperative LLM modules capable of conducting formal diagnostic interviews and assessments for Post-Traumatic Stress Disorder (PTSD). To guide the generation of appropriate clinical responses, we propose a Dialogue Acts schema specifically designed for clinical interviews. Additionally, we develop a patient simulation approach based on real-life interview transcripts to replace time-consuming and costly manual testing by clinicians. Results: A comprehensive set of evaluation metrics is designed to assess the dialogue system from both the agent and patient simulation perspectives. Expert evaluations by conversation and clinical specialists show that TRUST performs comparably to real-life clinical interviews. Discussion: Our system performs at the level of average clinicians, with room for future enhancements in communication styles and response appropriateness. Conclusions: Our TRUST framework shows its potential to facilitate mental healthcare availability.

Effective and efficient access to relevant information is essential for disaster management. However, no retrieval model is specialized for disaster management, and existing general-domain models fail to handle the varied search intents inherent to disaster management scenarios, resulting in inconsistent and unreliable performance. To this end, we introduce DMRetriever, the first series of dense retrieval models (33M to 7.6B) tailored for this domain. It is trained through a novel three-stage framework of bidirectional attention adaptation, unsupervised contrastive pre-training, and difficulty-aware progressive instruction fine-tuning, using high-quality data generated through an advanced data refinement pipeline. Comprehensive experiments demonstrate that DMRetriever achieves state-of-the-art (SOTA) performance across all six search intents at every model scale. Moreover, DMRetriever is highly parameter-efficient, with 596M model outperforming baselines over 13.3 X larger and 33M model exceeding baselines with only 7.6% of their parameters. All codes, data, and checkpoints are available at https://github.com/KaiYin97/DMRETRIEVER

Multimodal Large Language Models (MLLMs) are set to transform how machines process and generate human-like responses by integrating diverse modalities such as text, images, and code. Yet, effectively harnessing their capabilities hinges on optimal prompt engineering. We present a comprehensive experimental evaluation of seven prompt engineering methods applied to 13 open-source MLLMs over 24 tasks spanning Reasoning and Compositionality, Multimodal Understanding and Alignment, Complex Code Generation and Execution, and Knowledge Retrieval and Integration. Our approach stratifies models by parameter count into Small (<4B), Medium (4B-10B), and Large (>10B) categories and compares prompting techniques including Zero-Shot, One-Shot, Few-Shot, Chain-of-Thought, Analogical, Generated Knowledge, and Tree-of-Thought. While Large MLLMs excel in structured tasks such as code generation, achieving accuracies up to 96.88% under Few-Shot prompting, all models struggle with complex reasoning and abstract understanding, often yielding accuracies below 60% and high hallucination rates. Structured reasoning prompts frequently increased hallucination up to 75% in small models and led to longer response times (over 20 seconds in Large MLLMs), while simpler prompting methods provided more concise and efficient outputs. No single prompting method uniformly optimises all task types. Instead, adaptive strategies combining example-based guidance with selective structured reasoning are essential to enhance robustness, efficiency, and factual accuracy. Our findings offer practical recommendations for prompt engineering and support more reliable deployment of MLLMs across applications including AI-assisted coding, knowledge retrieval, and multimodal content understanding.

Current approaches to memory in Large Language Models (LLMs) predominantly rely on static Retrieval-Augmented Generation (RAG), which often results in scattered retrieval and fails to capture the structural dependencies required for complex reasoning. For autonomous agents, these passive and flat architectures lack the cognitive organization necessary to model the dynamic and associative nature of long-term interaction. To address this, we propose Structured Episodic Event Memory (SEEM), a hierarchical framework that synergizes a graph memory layer for relational facts with a dynamic episodic memory layer for narrative progression. Grounded in cognitive frame theory, SEEM transforms interaction streams into structured Episodic Event Frames (EEFs) anchored by precise provenance pointers. Furthermore, we introduce an agentic associative fusion and Reverse Provenance Expansion (RPE) mechanism to reconstruct coherent narrative contexts from fragmented evidence. Experimental results on the LoCoMo and LongMemEval benchmarks demonstrate that SEEM significantly outperforms baselines, enabling agents to maintain superior narrative coherence and logical consistency.

We present eCream-MedCorpus, a new and unique large-scale dataset of clinical notes produced in Emergency Departments of Italian hospitals. The corpus, in its current version, is composed of approximately 4 million clinical notes fully anonymized, covering diverse phases of patient care during the stay in the emergency department. In addition, a subset of about six thousand notes has been manually annotated by clinical experts through a structured Case Report Form (CRF) containing 132 items relevant for two patient situations in emergency departments, dyspnea and loss of consciousness. Items may assume numerical values (e.g., for blood saturation), categorical (e.g., for level of consciousness ), binary (e.g., for presence of traumas), and mixed value types. The annotation process involved multiple clinicians and underwent iterative revision to resolve ambiguities in item formulation, resulting in a richly structured (although high imbalanced) resource. The dataset aims to fill a relevant gap of data able to support both the development and the use of Large Language Models in concrete medical applications. We describe the data collection protocol, the on-site anonymisation pipeline, corpus statistics, and the annotation scheme. Finally, we propose CRF-filling as a novel structured information extraction benchmark, and provide zero-shot baseline resulting from Gemma-27B and MedGemma-27B. To the best of our knowledge, eCream-MedCorpus is the largest freely available dataset of clinical notes existing for the Italian language.

Social media platforms play an essential role in crisis communication, but analyzing crisis-related social media texts is challenging due to their informal nature. Transformer-based pre-trained models like BERT and RoBERTa have shown success in various NLP tasks, but they are not tailored for crisis-related texts. Furthermore, general-purpose sentence encoders are used to generate sentence embeddings, regardless of the textual complexities in crisis-related texts. Advances in applications like text classification, semantic search, and clustering contribute to effective processing of crisis-related texts, which is essential for emergency responders to gain a comprehensive view of a crisis event, whether historical or real-time. To address these gaps in crisis informatics literature, this study introduces CrisisTransformers, an ensemble of pre-trained language models and sentence encoders trained on an extensive corpus of over 15 billion word tokens from tweets associated with more than 30 crisis events, including disease outbreaks, natural disasters, conflicts, and other critical incidents. We evaluate existing models and CrisisTransformers on 18 crisis-specific public datasets. Our pre-trained models outperform strong baselines across all datasets in classification tasks, and our best-performing sentence encoder improves the state-of-the-art by 17.43% in sentence encoding tasks. Additionally, we investigate the impact of model initialization on convergence and evaluate the significance of domain-specific models in generating semantically meaningful sentence embeddings. All models are publicly released (https://huggingface.co/crisistransformers), with the anticipation that they will serve as a robust baseline for tasks involving the analysis of crisis-related social media texts.

Long-term emotional-support agents require memory mechanisms for personalized understanding across sessions. However, emotional-support dialogue is often low-density: turns are incomplete, evidence is scattered, and user states evolve over time. Existing memory methods usually rely on fixed units, such as turn-level notes or session summaries, which may lose details or introduce redundant noise. We propose FTA-Mem, a structured memory framework for low-density long-term dialogue. FTA-Mem uses Boundary-preserving Window Segmentation (BWS) to form coherent situation fragments, and constructs Fact-Time-Affect Memory Units (FTA Units) that jointly encode factual content, temporal grounding, and affective context. Retrieved units are then synthesized into structured context for answer generation. Experiments on ES-MemEval and LoCoMo show that FTA-Mem improves overall long-term memory question answering across benchmarks with different information-density characteristics. On ES-MemEval, FTA-Mem achieves 0.3871 F1 and 0.6668 BERTScore. Further analysis shows that situation-level FTA construction better balances evidence preservation and construction cost than coarse session-level or overly fine-grained turn-pair construction, providing an effective granularity trade-off for long-term dialogue memory.

Wildfires have become increasingly frequent, irregular, and severe in recent years. Understanding how affected populations perceive and respond during wildfire crises is critical for timely and empathetic disaster response. Social media platforms offer a crowd-sourced channel to capture evolving public discourse, providing hyperlocal information and insight into public sentiment. This study analyzes Reddit discourse during the 2025 Los Angeles wildfires, spanning from the onset of the disaster to full containment. We collect 385 posts and 114,879 comments related to the Palisades and Eaton fires. We adopt topic modeling methods to identify the latent topics, enhanced by large language models (LLMs) and human-in-the-loop (HITL) refinement. Furthermore, we develop a hierarchical framework to categorize latent topics, consisting of two main categories, Situational Awareness (SA) and Crisis Narratives (CN). The volume of SA category closely aligns with real-world fire progressions, peaking within the first 2-5 days as the fires reach the maximum extent. The most frequent co-occurring category set of public health and safety, loss and damage, and emergency resources expands on a wide range of health-related latent topics, including environmental health, occupational health, and one health. Grief signals and mental health risks consistently accounted for 60 percentage and 40 percentage of CN instances, respectively, with the highest total volume occurring at night. This study contributes the first annotated social media dataset on the 2025 LA fires, and introduces a scalable multi-layer framework that leverages topic modeling for crisis discourse analysis. By identifying persistent public health concerns, our results can inform more empathetic and adaptive strategies for disaster response, public health communication, and future research in comparable climate-related disaster events.

Reasoning about real-life events is a unifying challenge in AI and NLP that has profound utility in a variety of domains, while fallacy in high-stake applications could be catastrophic. Able to work with diverse text in these domains, large language models (LLMs) have proven capable of answering questions and solving problems. However, I show that end-to-end LLMs still systematically fail to reason about complex events, and they lack interpretability due to their black-box nature. To address these issues, I propose three general approaches to use LLMs in conjunction with a structured representation of events. The first is a language-based representation involving relations of sub-events that can be learned by LLMs via fine-tuning. The second is a semi-symbolic representation involving states of entities that can be predicted and leveraged by LLMs via few-shot prompting. The third is a fully symbolic representation that can be predicted by LLMs trained with structured data and be executed by symbolic solvers. On a suite of event reasoning tasks spanning common-sense inference and planning, I show that each approach greatly outperforms end-to-end LLMs with more interpretability. These results suggest manners of synergy between LLMs and structured representations for event reasoning and beyond.

Existing neural generation approaches create multi-sentence text as a single sequence. In this paper we propose a structured convolutional decoder that is guided by the content structure of target summaries. We compare our model with existing sequential decoders on three data sets representing different domains. Automatic and human evaluation demonstrate that our summaries have better content coverage.

Existing emotional support conversation (ESC) systems mainly rely on end-to-end response generation or coarse strategy supervision, offering limited interpretability and little support for systematic skill improvement. We propose ESC-Skills, a skill-centric framework that discovers and self-evolves executable emotional support skills. We first model localized support interactions as Intervention Units (IUs), which capture state--action--outcome dynamics between seeker states, support interventions, and post-response emotional changes. Based on IUs extracted from both successful and failed ESC dialogues, we construct the ESC-Skills Bank, a repository of executable emotional support skills containing intervention guidance, applicability conditions, expected outcomes, and potential risks. To further improve robustness, we introduce a multi-profile self-evolutionary refinement framework in which an ESC agent interacts with diverse simulated seeker profiles under SAGE evaluation. The resulting interaction traces are analyzed to identify missing skills, unsafe interventions, and profile-specific failure patterns, which are then used to refine the Skills Bank through simulation-based verification. Experimental results demonstrate that ESC-Skills improves both response-level quality and dialogue-level emotional outcomes while providing more interpretable and controllable support behaviors. We will release the code, prompts, and ESC-Skills Bank at https://github.com/aliyun/qwen-dianjin.

Emergency Medical Services (EMS) responders often operate under time-sensitive conditions, facing cognitive overload and inherent risks, requiring essential skills in critical thinking and rapid decision-making. This paper presents CognitiveEMS, an end-to-end wearable cognitive assistant system that can act as a collaborative virtual partner engaging in the real-time acquisition and analysis of multimodal data from an emergency scene and interacting with EMS responders through Augmented Reality (AR) smart glasses. CognitiveEMS processes the continuous streams of data in real-time and leverages edge computing to provide assistance in EMS protocol selection and intervention recognition. We address key technical challenges in real-time cognitive assistance by introducing three novel components: (i) a Speech Recognition model that is fine-tuned for real-world medical emergency conversations using simulated EMS audio recordings, augmented with synthetic data generated by large language models (LLMs); (ii) an EMS Protocol Prediction model that combines state-of-the-art (SOTA) tiny language models with EMS domain knowledge using graph-based attention mechanisms; (iii) an EMS Action Recognition module which leverages multimodal audio and video data and protocol predictions to infer the intervention/treatment actions taken by the responders at the incident scene. Our results show that for speech recognition we achieve superior performance compared to SOTA (WER of 0.290 vs. 0.618) on conversational data. Our protocol prediction component also significantly outperforms SOTA (top-3 accuracy of 0.800 vs. 0.200) and the action recognition achieves an accuracy of 0.727, while maintaining an end-to-end latency of 3.78s for protocol prediction on the edge and 0.31s on the server.

Multimedia content in social media platforms provides significant information during disaster events. The types of information shared include reports of injured or deceased people, infrastructure damage, and missing or found people, among others. Although many studies have shown the usefulness of both text and image content for disaster response purposes, the research has been mostly focused on analyzing only the text modality in the past. In this paper, we propose to use both text and image modalities of social media data to learn a joint representation using state-of-the-art deep learning techniques. Specifically, we utilize convolutional neural networks to define a multimodal deep learning architecture with a modality-agnostic shared representation. Extensive experiments on real-world disaster datasets show that the proposed multimodal architecture yields better performance than models trained using a single modality (e.g., either text or image).

Tasks such as semantic search and clustering on crisis-related social media texts enhance our comprehension of crisis discourse, aiding decision-making and targeted interventions. Pre-trained language models have advanced performance in crisis informatics, but their contextual embeddings lack semantic meaningfulness. Although the CrisisTransformers family includes a sentence encoder to address the semanticity issue, it remains monolingual, processing only English texts. Furthermore, employing separate models for different languages leads to embeddings in distinct vector spaces, introducing challenges when comparing semantic similarities between multi-lingual texts. Therefore, we propose multi-lingual sentence encoders (CT-XLMR-SE and CT-mBERT-SE) that embed crisis-related social media texts for over 50 languages, such that texts with similar meanings are in close proximity within the same vector space, irrespective of language diversity. Results in sentence encoding and sentence matching tasks are promising, suggesting these models could serve as robust baselines when embedding multi-lingual crisis-related social media texts. The models are publicly available at: https://huggingface.co/crisistransformers.

Despite recent advancements in speech recognition, there are still difficulties in accurately transcribing conversational and emotional speech in noisy and reverberant acoustic environments. This poses a particular challenge in the search and rescue (SAR) domain, where transcribing conversations among rescue team members is crucial to support real-time decision-making. The scarcity of speech data and associated background noise in SAR scenarios make it difficult to deploy robust speech recognition systems. To address this issue, we have created and made publicly available a German speech dataset called RescueSpeech. This dataset includes real speech recordings from simulated rescue exercises. Additionally, we have released competitive training recipes and pre-trained models. Our study indicates that the current level of performance achieved by state-of-the-art methods is still far from being acceptable.

Long-horizon agents are beginning to automate complete workflows that produce code, reports, and research artifacts. Medical imaging workflows are multi-stage and data-sensitive, while expert trajectories remain scarce and difficult to share. Structured benchmarks can localize failures through stage-level rubrics, but standard post-training discards these diagnostics before the next training round. We present Benchmark-as-Teacher (BaT), a recursive self-improvement system for agent post-training. BaT contains two linked components: the asynchronous Stage Bank data pipeline and BiCuRL (Bilevel Curriculum Reinforcement Learning), its self-improving post-training method. Stage Bank synthesizes content-isolated training states outside the policy-update loop. BiCuRL uses a fixed held-out evaluation to select the next stage curriculum, verifies rollouts with task rubrics, updates the policy with GRPO, and returns the candidate checkpoint to evaluation. On AutoMedBench-Lite, BaT-4B and BaT-9B more than double the Overall scores of their Qwen Instruct baselines. BaT-9B Agent reaches 79.6 Overall, exceeding Claude Opus 4.6 with Claude Code at 77.5.

Recent LLM agents benefit from skills for solving complex tasks. Skills encapsulate modular packages of procedural knowledge and instructions for performing specialized tasks, such as setting up a sandboxed environment, running a test suite, or refactoring a function across multiple files. As skill libraries grow and become reusable across tasks and domains, selecting an appropriate skill composition has emerged as a central bottleneck. Existing approaches fall into two categories. One exposes the agent's reasoning to the entire skill collection; the other performs skill retrieval via embeddings or LLM-based rerankers. Both provide useful insights; however, they miss the structural nature of skill composition, which is a joint decision over which skills, how many, and in what order -- three dimensions that cannot be decoupled. We formalize this as structured skill composition: given a task and a skill library, predict an executable skill plan that jointly specifies the activated subset, count, and execution order. We propose SkillComposer, which instantiates structured skill composition as task-conditioned skill sequence prediction. SkillComposer uses a constrained autoregressive decoder over skill identifiers, so subset, count, and order emerge jointly from a single decoding pass, and dependencies between successive skills are captured naturally. We build a training set of task-composition pairs from a real, human-curated skill library. We then evaluate SkillComposer along two axes: composition quality on a held-out test set, and downstream task success on SkillsBench across two production-grade coding agents. On GPT-5.2-Codex, Gemini-3-Pro-Preview, SkillComposer raises the pass rate by +23.1, +18.2pp over the no-skill baseline, surpassing top-3 retrieval and matching the gold-skill retrieval upper bound at lower prompt-token cost.

Medication reconciliation at clinical handoffs is a high-stakes, error-prone process. Large language models are increasingly proposed to assist with this task using FHIR-structured patient records, but a fundamental and largely unstudied variable is how the FHIR data is serialised before being passed to the model. We present the first systematic comparison of four FHIR serialisation strategies (Raw JSON, Markdown Table, Clinical Narrative, and Chronological Timeline) across five open-weight models (Phi-3.5-mini, Mistral-7B, BioMistral-7B, Llama-3.1-8B, Llama-3.3-70B) on a controlled benchmark of 200 synthetic patients, totalling 4,000 inference runs. We find that serialisation strategy has a large, statistically significant effect on performance for models up to 8B parameters: Clinical Narrative outperforms Raw JSON by up to 19 F1 points for Mistral-7B (r = 0.617, p < 10^{-10}). This advantage reverses at 70B, where Raw JSON achieves the best mean F1 of 0.9956. In all 20 model and strategy combinations, mean precision exceeds mean recall: omission is the dominant failure mode, with models more often missing an active medication than fabricating one, which changes how clinical safety auditing priorities should be set. Smaller models plateau at roughly 7-10 concurrent active medications, leaving polypharmacy patients, the patients most at risk from reconciliation errors, systematically underserved. BioMistral-7B, a domain-pretrained model without instruction tuning, produces zero usable output in all conditions, showing that domain pretraining alone is not sufficient for structured extraction. These results offer practical, evidence-based format recommendations for clinical LLM deployment: Clinical Narrative for models up to 8B, Raw JSON for 70B and above. The complete pipeline is reproducible on open-source tools running on an AWS g6e.xlarge instance (NVIDIA L40S, 48 GB VRAM).

AI systems increasingly retrieve from records that revise themselves: issue threads, encyclopedic histories, policy logs, and long conversations. The challenge is not only finding relevant evidence, but deciding which claims remain in force, which were superseded, and when to abstain. Structured memories promise to solve this with typed edges, temporal updates, and conflict status, yet evaluations often change mechanism and prompt presentation together. We study this as Evidence-State Revision, comparing flat retrieval, coarse edge invalidation, and fine-grained RevisionLedger on 2,907 high-agreement questions from GitHub, multi-repo issue histories, Wikipedia, and DyKnow-style temporal streams. A render-matched control (same layout, deprecation disabled) reveals the central confound: when a value is changed and later restored, RevisionLedger appears to beat a flat baseline by +0.182, but almost all the gain comes from easier presentation; the fine-grained mechanism residual is indistinguishable from zero (+0.021 to +0.025 across two judge families). After presentation is controlled, coarse invalidation is the only mechanism that pays for current-state queries, beating the fine ledger by 0.084; the same query-sufficiency principle says provenance mainly needs retained invalidated evidence, not richer typing. Memory evaluations should hold render fixed, and deprecation-aware systems should deploy the coarsest retained state that covers their queries.

Disasters are inevitable and increasingly costly, and effective response depends on querying structured tabular data: precise, information-dense records of hazard, exposure, vulnerability, and lifeline infrastructure that underpin disaster management. Current text-to-SQL methods enable natural-language access to such tables but transfer poorly to the disaster domain, where queries span heterogeneous geospatial schemas and require reasoning over causal relations. We introduce DisasterLex, a knowledge-graph-mediated framework that inserts an Expert Knowledge Graph (EKG) of curated concepts and typed causal edges between the user query and the database, bridged to schema by concept-to-table links. The orchestration runs four stages (identifying query entities, routing to the operational domain, planning over causal edges, and grounding the SQL), restricting the schema passed to the model at each step. We instantiate it on a disaster-analytics database (36 geospatial tables, 150 columns) with an EKG of 107 concepts, 117 causal edges, and 52 concept-to-schema links, evaluated on a 75-query test set. On all seven base models spanning proprietary and open-weight families, DisasterLex beats four state-of-the-art baselines (LightRAG, HippoRAG 2, ReFoRCE, CHESS) by 1.4x to 2.75x, with absolute scores of 1.65 to 3.56 (of 5.0). Error analysis shows baseline failures cluster in routing and multi-table SQL composition, the operations our orchestration explicitly addresses. Code, data, and the EKG artifact are available at https://github.com/YimingXiao98/DisasterLex and on Zenodo at https://doi.org/10.5281/zenodo.20388029.

Rapid extraction of structured information from social media is important for humanitarian response, yet existing disaster tweet resources mainly provide document-level category labels without span-level entity annotations. We introduce HUMAID-NER, the first named entity recognition dataset built on the HumAID benchmark, containing 60,000 English disaster tweets annotated in BIO format across ten operationally motivated entity types and yielding approximately 175,000 labelled entity spans. Annotations are generated through a reproducible three-stage hybrid pipeline combining a spaCy transformer model, disaster-domain EntityRuler patterns, and structured regular expressions with priority-based overlap resolution. We also propose a joint multitask learning framework that performs disaster-specific named entity recognition and humanitarian event classification using a shared RoBERTa-large encoder. To reduce task conflict during joint training, the model uses homoscedastic uncertainty weighting with learnable task parameters and a two-stage training schedule that freezes the lower 18 of 24 encoder layers in the second stage. On the HUMAID-NER validation set, the proposed system achieves NER span micro-F1 of 0.841 and classification macro-F1 of 0.761 simultaneously. A real-time web dashboard demonstrates end-to-end deployment. The dataset, models, and pipeline code are released to support reproducibility and future crisis informatics research.

Following each patient visit, physicians draft long semi-structured clinical summaries called SOAP notes. While invaluable to clinicians and researchers, creating digital SOAP notes is burdensome, contributing to physician burnout. In this paper, we introduce the first complete pipelines to leverage deep summarization models to generate these notes based on transcripts of conversations between physicians and patients. After exploring a spectrum of methods across the extractive-abstractive spectrum, we propose Cluster2Sent, an algorithm that (i) extracts important utterances relevant to each summary section; (ii) clusters together related utterances; and then (iii) generates one summary sentence per cluster. Cluster2Sent outperforms its purely abstractive counterpart by 8 ROUGE-1 points, and produces significantly more factual and coherent sentences as assessed by expert human evaluators. For reproducibility, we demonstrate similar benefits on the publicly available AMI dataset. Our results speak to the benefits of structuring summaries into sections and annotating supporting evidence when constructing summarization corpora.

LLM-based coding agents rely on skills, pre-packaged instruction sets that extend agent capabilities, yet every token of skill content injected into the context window incurs both monetary cost and attention dilution. To understand the severity of this problem, we conduct a large-scale empirical study of 55,315 publicly available skills and find systemic inefficiencies: 26.4\% lack routing descriptions entirely, over 60\% of body content is non-actionable, and reference files can inject tens of thousands of tokens per invocation. Motivated by these findings, we present SkillReducer, a two-stage optimization framework. Stage~1 optimizes the routing layer by compressing verbose descriptions and generating missing ones via adversarial delta debugging. Stage~2 restructures skill bodies through taxonomy-driven classification and progressive disclosure, separating actionable core rules from supplementary content loaded on demand, validated by faithfulness checks and a self-correcting feedback loop. Evaluated on 600 skills and the SkillsBench benchmark, SkillReducer achieves 48\% description compression and 39\% body compression while improving functional quality by 2.8\%, revealing a less-is-more effect where removing non-essential content reduces distraction in the context window. These benefits transfer across five models from four families with a mean retention of 0.965, and generalize to an independent agent framework.

Large language model-powered chatbots have transformed how people seek information, especially in high-stakes contexts like mental health. Despite their support capabilities, safe detection and response to crises such as suicidal ideation and self-harm are still unclear, hindered by the lack of unified crisis taxonomies and clinical evaluation standards. We address this by creating: (1) a taxonomy of six crisis categories; (2) a dataset of over 2,000 inputs from 12 mental health datasets, classified into these categories; and (3) a clinical response assessment protocol. We also use LLMs to identify crisis inputs and audit five models for response safety and appropriateness. First, we built a clinical-informed crisis taxonomy and evaluation protocol. Next, we curated 2,252 relevant examples from over 239,000 user inputs, then tested three LLMs for automatic classification. In addition, we evaluated five models for the appropriateness of their responses to a user's crisis, graded on a 5-point Likert scale from harmful (1) to appropriate (5). While some models respond reliably to explicit crises, risks still exist. Many outputs, especially in self-harm and suicidal categories, are inappropriate or unsafe. Different models perform variably; some, like gpt-5-nano and deepseek-v3.2-exp, have low harm rates, but others, such as gpt-4o-mini and grok-4-fast, generate more unsafe responses. All models struggle with indirect signals, default replies, and context misalignment. These results highlight the urgent need for better safeguards, crisis detection, and context-aware responses in LLMs. They also show that alignment and safety practices, beyond scale, are crucial for reliable crisis support. Our taxonomy, datasets, and evaluation methods support ongoing AI mental health research, aiming to reduce harm and protect vulnerable users.

Large language models (LLMs) achieve strong performance by generating long chains of thought, but longer traces always introduce redundant or ineffective reasoning steps. One typical behavior is that they often perform unnecessary verification and revisions even if they have reached the correct answers. This limitation stems from the unstructured nature of reasoning trajectories and the lack of targeted supervision for critical reasoning abilities. To address this, we propose Structured Reasoning (SCR), a framework that decouples reasoning trajectories into explicit, evaluable, and trainable components. We mainly implement SCR using a Generate-Verify-Revise paradigm. Specifically, we construct structured training data and apply Dynamic Termination Supervision to guide the model in deciding when to terminate reasoning. To avoid interference between learning signals for different reasoning abilities, we adopt a progressive two-stage reinforcement learning strategy: the first stage targets initial generation and self-verification, and the second stage focuses on revision. Extensive experiments on three backbone models show that SCR substantially improves reasoning efficiency and self-verification. Besides, compared with existing reasoning paradigms, it reduces output token length by up to 50%.

Emergency Medical Services (EMS) are critical to patient survival in emergencies, but first responders often face intense cognitive demands in high-stakes situations. AI cognitive assistants, acting as virtual partners, have the potential to ease this burden by supporting real-time data collection and decision making. In pursuit of this vision, we introduce EgoEMS, the first end-to-end, high-fidelity, multimodal, multiperson dataset capturing over 20 hours of realistic, procedural EMS activities from an egocentric view in 233 simulated emergency scenarios performed by 62 participants, including 46 EMS professionals. Developed in collaboration with EMS experts and aligned with national standards, EgoEMS is captured using an open-source, low-cost, and replicable data collection system and is annotated with keysteps, timestamped audio transcripts with speaker diarization, action quality metrics, and bounding boxes with segmentation masks. Emphasizing realism, the dataset includes responder-patient interactions reflecting real-world emergency dynamics. We also present a suite of benchmarks for real-time multimodal keystep recognition and action quality estimation, essential for developing AI support tools for EMS. We hope EgoEMS inspires the research community to push the boundaries of intelligent EMS systems and ultimately contribute to improved patient outcomes.

Automated fact-checking remains a challenge for Large Language Models (LLMs) due to "query brittleness" in traditional retrieval systems. We propose DeLIVeR (Decomposed Learning for Information-grounded Veracity Recognition), a framework that treats evidence retrieval as a reinforced strategic exploration task. DeLIVeR utilizes a Planner LLM to decompose complex claims into targeted question sets, which are used to traverse structured Knowledge Graphs (KGs) for high-precision evidence. We optimize the Planner's policy using Group Relative Policy Optimization (GRPO) with a reward system prioritizing structural diversity and verdict accuracy. Our evaluation on LIAR, FEVER, and PolitiFact shows that DeLIVeR significantly outperforms state-of-the-art baselines. Using Qwen2.5-7B, our framework achieved peak F1-scores of 83.73, 84.57, and 79.70 respectively, representing a 10-15% improvement over HippoRAG2. By shifting to a reinforced question-planning strategy, DeLIVeR effectively bridges multi-hop reasoning gaps and provides an auditable, transparent path for verifiable misinformation detection.

The importance of social media is again exposed in the recent tragedy of the 2023 Turkey and Syria earthquake. Many victims who were trapped under the rubble called for help by posting messages in Twitter. We present an interactive tool to provide situational awareness for missing and trapped people, and disaster relief for rescue and donation efforts. The system (i) collects tweets, (ii) classifies the ones calling for help, (iii) extracts important entity tags, and (iv) visualizes them in an interactive map screen. Our initial experiments show that the performance in terms of the F1 score is up to 98.30 for tweet classification, and 84.32 for entity extraction. The demonstration, dataset, and other related files can be accessed at https://github.com/avaapm/deprem

Rising demand for mental health support has increased interest in using Large Language Models (LLMs) for counseling. However, adapting LLMs to this high-risk safety-critical domain is hindered by the scarcity of real-world counseling data due to privacy constraints. Synthetic datasets provide a promising alternative, but existing approaches often rely on unstructured or semi-structured text inputs and overlook structural dependencies between a client's cognitive, emotional, and behavioral states, often producing psychologically inconsistent interactions and reducing data realism and quality. We introduce Graph2Counsel, a framework for generating synthetic counseling sessions grounded in Client Psychological Graphs (CPGs) that encode relationships among clients' thoughts, emotions, and behaviors. Graph2Counsel employs a structured prompting pipeline guided by counselor strategies and CPG, and explores prompting strategies including CoT (Wei et al., 2022) and Multi-Agent Feedback (Li et al., 2025a). Graph2Counsel produces 760 sessions from 76 CPGs across diverse client profiles. In expert evaluation, our dataset outperforms prior datasets on specificity, counselor competence, authenticity, conversational flow, and safety, with substantial inter-annotator agreement (Krippendorff's α = 0.70). Fine-tuning an open-source model on this dataset improves performance on CounselingBench (Nguyen et al., 2025) and CounselBench (Li et al., 2025b), showing downstream utility. We also make our code and data public.

Foreshadowing and payoff are ubiquitous narrative devices through which authors introduce commitments early in a story and resolve them through concrete, observable outcomes. However, despite advances in story generation, large language models (LLMs) frequently fail to bridge these long-range narrative dependencies, often leaving "Chekhov's guns" unfired even when the necessary context is present. Existing evaluations largely overlook this structural failure, focusing on surface-level coherence rather than the logical fulfillment of narrative setups. In this paper, we introduce Codified Foreshadowing-Payoff Generation (CFPG), a novel framework that reframes narrative quality through the lens of payoff realization. Recognizing that LLMs struggle to intuitively grasp the "triggering mechanism" of a foreshadowed event, CFPG transforms narrative continuity into a set of executable causal predicates. By mining and encoding Foreshadow-Trigger-Payoff triples from the BookSum corpus, we provide structured supervision that ensures foreshadowed commitments are not only mentioned but also temporally and logically fulfilled. Experiments demonstrate that CFPG significantly outperforms standard prompting baselines in payoff accuracy and narrative alignment. Our findings suggest that explicitly codifying narrative mechanics is essential for moving LLMs from surface-level fluency to genuine narrative competence.

Long-term conversational memory in multi-party settings requires more than retrieving relevant content from long-term conversations: it must distinguish who said what, whom each statement concerns, how individuals perceive one another, what information is shared by the group, and how states change over time. Recent studies on multi-party dialogue benchmarks show that existing general-purpose LLM memory systems tend to lose person and group relations or struggle to integrate clues distributed across members, groups, and time. Together, these issues reveal two core bottlenecks: message attribution and relational understanding in multi-party dialogue, and state reconstruction from interleaved histories. To address both, we propose SpeakerMem-R1: its dual-track memory stores speaker-labeled verbatim messages and derived states organized into person-level and group-level views, then combines evidence from both tracks by entity, event, and time at query time. To reduce attribution and update errors during structured memory construction while enabling local deployment, we train Writer-R1 with SpeakerLevenshtein and speaker-conditioned GRPO. On GroupMemBench, SocialMemBench, and EverMemBench, SpeakerMem-R1 achieves binary accuracies of 47.9%, 69.2%, and 61.9%, respectively. On the publicly reported EverMemBench leaderboard from EverMind-AI, we achieves 62.33%, the best reported result among the latest state-of-the-art frameworks. It also achieves 70.85% on all 1,986 LoCoMo questions, which we use as a two-person long-term conversation boundary test. In a controlled evaluation of 305 questions, RL raises the SFT Writer's mean accuracy from 57.38% to 68.20%. We report both binary accuracy and token-F1, and ablations show that the verbatim and structured tracks, as well as person-level and group-level views, are complementary under the standardized evaluation interface.

We introduce a new method for extracting structured threat behaviors from threat intelligence text. Our method is based on a multi-stage ranking architecture that allows jointly optimizing for efficiency and effectiveness. Therefore, we believe this problem formulation better aligns with the real-world nature of the task considering the large number of adversary techniques and the extensive body of threat intelligence created by security analysts. Our findings show that the proposed system yields state-of-the-art performance results for this task. Results show that our method has a top-3 recall performance of 81\% in identifying the relevant technique among 193 top-level techniques. Our tests also demonstrate that our system performs significantly better (+40\%) than the widely used large language models when tested under a zero-shot setting.

Large language models (LLMs) show promise for clinical reasoning and decision support, but evaluation in realistic, electronic health record-congruent settings remains limited. Existing benchmarks often rely on static datasets or unstructured inputs that do not reflect the structured, interoperable data formats used in clinical systems. We introduce a pipeline for generating clinically realistic HL7 FHIR R4 bundles from unstructured text, enabling controllable evaluation of clinical decision support systems. The pipeline combines staged LLM generation with terminology-grounded validation and repair to reduce hallucinated codes and enforce structural and semantic consistency. Applying this approach to MedCaseReasoning, we construct MedCase-Structured, a synthetic dataset aligned with clinician-authored diagnostic cases, achieving valid FHIR generation for 82.5% of cases. Evaluation on MedCase-Structured reveals consistently lower diagnostic accuracy for LLMs on structured FHIR inputs than with plain text, highlighting the importance of deployment-aligned benchmarking.

We study learning to learn for the multi-task structured bandit problem where the goal is to learn a near-optimal algorithm that minimizes cumulative regret. The tasks share a common structure and an algorithm should exploit the shared structure to minimize the cumulative regret for an unseen but related test task. We use a transformer as a decision-making algorithm to learn this shared structure from data collected by a demonstrator on a set of training task instances. Our objective is to devise a training procedure such that the transformer will learn to outperform the demonstrator's learning algorithm on unseen test task instances. Prior work on pretraining decision transformers either requires privileged information like access to optimal arms or cannot outperform the demonstrator. Going beyond these approaches, we introduce a pre-training approach that trains a transformer network to learn a near-optimal policy in-context. This approach leverages the shared structure across tasks, does not require access to optimal actions, and can outperform the demonstrator. We validate these claims over a wide variety of structured bandit problems to show that our proposed solution is general and can quickly identify expected rewards on unseen test tasks to support effective exploration.

Effectively identifying threats and mitigating their potential damage during crisis situations, such as natural disasters or violent attacks, is paramount for safeguarding endangered individuals. To tackle these challenges, AI has been used in assisting humans in emergency situations. Still, the use of NLP techniques remains limited and mostly focuses on classification tasks. The significant potential of timely warning message generation using NLG architectures, however, has been largely overlooked. In this paper we present CrisiText, the first large-scale dataset for the generation of warning messages across 13 different types of crisis scenarios. The dataset contains more than 400,000 warning messages (spanning almost 18,000 crisis situations) aimed at assisting civilians during and after such events. To generate the dataset, we started from existing crisis descriptions and created chains of events related to the scenarios. Each event was then paired with a warning message. The generations follow experts' written guidelines to ensure correct terminology and factuality of their suggestions. Additionally, each message is accompanied by three suboptimal warning types to allow for the study of different NLG approaches. To this end, we conducted a series of experiments comparing supervised fine-tuning setups with preference alignment, zero-shot, and few-shot approaches. We further assessed model performance in out-of-distribution scenarios and evaluated the effectiveness of an automatic post-editor.

Predicting disease trajectories from electronic health records (EHRs) is a complex task due to major challenges such as data non-stationarity, high granularity of medical codes, and integration of multimodal data. EHRs contain both structured data, such as diagnostic codes, and unstructured data, such as clinical notes, which hold essential information often overlooked. Current models, primarily based on structured data, struggle to capture the complete medical context of patients, resulting in a loss of valuable information. To address this issue, we propose an approach that integrates unstructured clinical notes into transformer-based deep learning models for sequential disease prediction. This integration enriches the representation of patients' medical histories, thereby improving the accuracy of diagnosis predictions. Experiments on MIMIC-IV datasets demonstrate that the proposed approach outperforms traditional models relying solely on structured data.

The narrative composition of web-scale LLM pretraining corpora remains largely unexplored even though narrative is a fundamental mode of human communication. We present the first fine-grained study of narrative features in Dolma, a 3-trillion-token open pretraining corpus. Drawing on narrative theory, we design a framework spanning three core narrative elements (agency, setting, and events) operationalized as 11 interpretable dimensions. After sampling and annotating a diverse set of 400 passages, we finetune and validate NarraBERT, a RoBERTa-based model for fine-grained narrative prediction. We apply NarraBERT to 3M passages, resulting in a new dataset, NarraDolma. We find (i) narrative structure is measurable at scale across extremely heterogeneous data, (ii) we uncover a continuous, multidimensional narrative structure underlying web text, and (iii) narrative qualities are unequally distributed across pretraining sources and topics in ways that current curation practices neither measure nor account for. Our framework, dataset, and analyses provide a foundation for understanding how narrative qualities are distributed in LLM pretraining data and for studying how data composition affects narrative reasoning tasks. We publicly release NarraDolma and NarraBERT.

As the use of interactive machines grow, the task of Emotion Recognition in Conversation (ERC) became more important. If the machine-generated sentences reflect emotion, more human-like sympathetic conversations are possible. Since emotion recognition in conversation is inaccurate if the previous utterances are not taken into account, many studies reflect the dialogue context to improve the performances. Many recent approaches show performance improvement by combining knowledge into modules learned from external structured data. However, structured data is difficult to access in non-English languages, making it difficult to extend to other languages. Therefore, we extract the pre-trained memory using the pre-trained language model as an extractor of external knowledge. We introduce CoMPM, which combines the speaker's pre-trained memory with the context model, and find that the pre-trained memory significantly improves the performance of the context model. CoMPM achieves the first or second performance on all data and is state-of-the-art among systems that do not leverage structured data. In addition, our method shows that it can be extended to other languages because structured knowledge is not required, unlike previous methods. Our code is available on github (https://github.com/rungjoo/CoMPM).

Large language models (LLMs) routinely face requests that should be refused, creating a trade-off between helpfulness and harm prevention. However, refusals themselves can be helpful. In high-risk interactions involving crisis, coercion, or escalating intent, blunt non-compliance may prevent direct harm while still failing to support the needs of the person behind the request. We present PsychoSafe, a psychologically-informed refusal framework that reframes refusal as structured supportive communication grounded in evidence-based intervention strategies. To develop PsychoSafe, we construct a corpus of 8019 prompt-response pairs spanning five psychologically salient risk domains and apply prompting and parameter-efficient fine-tuning to Qwen 3.5 27B. On a balanced validation set of 500 prompts, evaluated with an LLM judge and validated through human ratings, PsychoSafe prompting improves overall refusal quality by 28.1% over a generic baseline, with particularly strong gains in external resource referral (+46.8%) and psychological grounding (+34.8%), while preserving downstream performance on non-refusal tasks. Fine-tuning achieves near-perfect refusal and resource-referral rates but reduces response relevance. Additional evaluations on SORRY-Bench and XSTest show strong in-domain robustness but limited out-of-domain generalization, suggesting that future work should diversify fine-tuning data to help models apply interventions selectively rather than schematically.

During natural and man-made disasters, people use social media platforms such as Twitter to post textual and multime- dia content to report updates about injured or dead people, infrastructure damage, and missing or found people among other information types. Studies have revealed that this on- line information, if processed timely and effectively, is ex- tremely useful for humanitarian organizations to gain situational awareness and plan relief operations. In addition to the analysis of textual content, recent studies have shown that imagery content on social media can boost disaster response significantly. Despite extensive research that mainly focuses on textual content to extract useful information, limited work has focused on the use of imagery content or the combination of both content types. One of the reasons is the lack of labeled imagery data in this domain. Therefore, in this paper, we aim to tackle this limitation by releasing a large multi-modal dataset collected from Twitter during different natural disasters. We provide three types of annotations, which are useful to address a number of crisis response and management tasks for different humanitarian organizations.

We apply a generative segmental model of task structure, guided by narration, to action segmentation in video. We focus on unsupervised and weakly-supervised settings where no action labels are known during training. Despite its simplicity, our model performs competitively with previous work on a dataset of naturalistic instructional videos. Our model allows us to vary the sources of supervision used in training, and we find that both task structure and narrative language provide large benefits in segmentation quality.

Counterfactual story retelling exposes LLM shortcomings in constrained narrative solution spaces where they can no longer rely on recalling memorised training data. Ground-truth-based post-training, such as SFT, fails to teach LLMs how to generate logical and rational narrative events. In this paper, we introduce Retell, Reward, Repeat (RRR), an RL-based pipeline synthesising Structuralist Narratology with scalar narrativity to teach storytelling structure. We extend the TimeTravel dataset with human-annotated stages of narrative equilibrium to evaluate reward models. By using d-RLAIF, RRR derives training signals from the narrativity of textual features without the need for reference outputs. Evaluations demonstrate that RRR-trained LLMs outperform few-shot and SFT baselines in logic, rationality, and completeness, with output quality additionally validated by blind human preference. Relying on a small, query-only dataset, RRR provides a linguistically grounded, cost-effective post-training mechanism for storytelling--a domain currently lacking effective post-training methods. RRR highlights the continued relevance of integrating established linguistic theories into contemporary NLP.

Large language models (LLMs) represent a transformative class of AI tools capable of revolutionizing various aspects of healthcare by generating human-like responses across diverse contexts and adapting to novel tasks following human instructions. Their potential application spans a broad range of medical tasks, such as clinical documentation, matching patients to clinical trials, and answering medical questions. In this primer paper, we propose an actionable guideline to help healthcare professionals more efficiently utilize LLMs in their work, along with a set of best practices. This approach consists of several main phases, including formulating the task, choosing LLMs, prompt engineering, fine-tuning, and deployment. We start with the discussion of critical considerations in identifying healthcare tasks that align with the core capabilities of LLMs and selecting models based on the selected task and data, performance requirements, and model interface. We then review the strategies, such as prompt engineering and fine-tuning, to adapt standard LLMs to specialized medical tasks. Deployment considerations, including regulatory compliance, ethical guidelines, and continuous monitoring for fairness and bias, are also discussed. By providing a structured step-by-step methodology, this tutorial aims to equip healthcare professionals with the tools necessary to effectively integrate LLMs into clinical practice, ensuring that these powerful technologies are applied in a safe, reliable, and impactful manner.

The advancement of AI systems for mental health support is hindered by limited access to therapeutic conversation data, particularly for trauma treatment. We present Thousand Voices of Trauma, a synthetic benchmark dataset of 3,000 therapy conversations based on Prolonged Exposure therapy protocols for Post-traumatic Stress Disorder (PTSD). The dataset comprises 500 unique cases, each explored through six conversational perspectives that mirror the progression of therapy from initial anxiety to peak distress to emotional processing. We incorporated diverse demographic profiles (ages 18-80, M=49.3, 49.4% male, 44.4% female, 6.2% non-binary), 20 trauma types, and 10 trauma-related behaviors using deterministic and probabilistic generation methods. Analysis reveals realistic distributions of trauma types (witnessing violence 10.6%, bullying 10.2%) and symptoms (nightmares 23.4%, substance abuse 20.8%). Clinical experts validated the dataset's therapeutic fidelity, highlighting its emotional depth while suggesting refinements for greater authenticity. We also developed an emotional trajectory benchmark with standardized metrics for evaluating model responses. This privacy-preserving dataset addresses critical gaps in trauma-focused mental health data, offering a valuable resource for advancing both patient-facing applications and clinician training tools.

Modality following serves as the capacity of multimodal large language models (MLLMs) to selectively utilize multimodal contexts based on user instructions. It is fundamental to ensuring safety and reliability in real-world deployments. However, the underlying mechanisms governing this decision-making process remain poorly understood. In this paper, we investigate its working mechanism through an information flow lens. Our findings reveal that instruction tokens function as structural anchors for modality arbitration: Shallow attention layers perform non-selective information transfer, routing multimodal cues to these anchors as a latent buffer; Modality competition is resolved within deep attention layers guided by the instruction intent, while MLP layers exhibit semantic inertia, acting as an adversarial force. Furthermore, we identify a sparse set of specialized attention heads that drive this arbitration. Causal interventions demonstrate that manipulating a mere 5% of these critical heads can decrease the modality-following ratio by 60% through blocking, or increase it by 60% through targeted amplification of failed samples. Our work provides a substantial step toward model transparency and offers a principled framework for the orchestration of multimodal information in MLLMs.

During crises, social media serves as a crucial coordination tool, but the vast influx of posts--from "actionable" requests and offers to generic content like emotional support, behavioural guidance, or outdated information--complicates effective classification. Although generative LLMs (Large Language Models) can address this issue with few-shot classification, their high computational demands limit real-time crisis response. While fine-tuning encoder-only models (e.g., BERT) is a popular choice, these models still exhibit higher inference times in resource-constrained environments. Moreover, although distilled variants (e.g., DistilBERT) exist, they are not tailored for the crisis domain. To address these challenges, we make two key contributions. First, we present CrisisHelpOffer, a novel dataset of 101k tweets collaboratively labelled by generative LLMs and validated by humans, specifically designed to distinguish actionable content from noise. Second, we introduce the first crisis-specific mini models optimized for deployment in resource-constrained settings. Across 13 crisis classification tasks, our mini models surpass BERT (also outperform or match the performance of RoBERTa, MPNet, and BERTweet), offering higher accuracy with significantly smaller sizes and faster speeds. The Medium model is 47% smaller with 3.8% higher accuracy at 3.5x speed, the Small model is 68% smaller with a 1.8% accuracy gain at 7.7x speed, and the Tiny model, 83% smaller, matches BERT's accuracy at 18.6x speed. All models outperform existing distilled variants, setting new benchmarks. Finally, as a case study, we analyze social media posts from a global crisis to explore help-seeking and assistance-offering behaviours in selected developing and developed countries.

Process mining (PM) provides a powerful framework for discovering and optimizing operational processes from event data. However, the efficacy of PM techniques is strictly predicated on the availability of structured event logs. Thus far, event logs have often been laboriously created by domain and process mining experts. This costly effort causes large portions of organizational knowledge, including incident tickets, manuals, and textual reports, to remain underutilized. We address this bottleneck by investigating the efficacy of Large Language Models (LLMs) as automated data translators. We propose a scalable framework that leverages LLMs as data translators to bridge the gap between unstructured textual resources and structured event data. We finetune LLMs on a newly created text-to-log dataset, demonstrating that the resulting models can extract high-fidelity event logs from unstructured resources. Our results show that this finetuning approach outperforms few-shot or zero-shot prompting by a large amount, highlighting finetuning as a necessary pre-condition for generating reliable event data. We conclude that our method provides a promising pipeline for making previously unused data available to process mining ecosystems, effectively expanding the possibilities of using PM to further investigate organizational workflows.

We study the problem of procedure planning in instructional videos, which aims to make a goal-oriented sequence of action steps given partial visual state observations. The motivation of this problem is to learn a structured and plannable state and action space. Recent works succeeded in sequence modeling of steps with only sequence-level annotations accessible during training, which overlooked the roles of states in the procedures. In this work, we point out that State CHangEs MAtter (SCHEMA) for procedure planning in instructional videos. We aim to establish a more structured state space by investigating the causal relations between steps and states in procedures. Specifically, we explicitly represent each step as state changes and track the state changes in procedures. For step representation, we leveraged the commonsense knowledge in large language models (LLMs) to describe the state changes of steps via our designed chain-of-thought prompting. For state change tracking, we align visual state observations with language state descriptions via cross-modal contrastive learning, and explicitly model the intermediate states of the procedure using LLM-generated state descriptions. Experiments on CrossTask, COIN, and NIV benchmark datasets demonstrate that our proposed SCHEMA model achieves state-of-the-art performance and obtains explainable visualizations.

Structured pruning is a hardware-friendly way to compress LLMs, but it is mostly validated on multiple-choice recognition tasks, while the same compressed checkpoints can collapse on the free-form generation that deployment actually requires. Two observations trace this gap. First, greedy pass@1 nearly vanishes after compression, yet pass@k recovers substantially under repeated sampling: useful generations are demoted, not erased. Second, the recoverable regime fails mainly through suffix repetition. Recovery should therefore train on the compressed model's own on-policy states with dense token-level supervision, which On-Policy Distillation (OPD) provides by reusing the pre-compression model as a frozen teacher. However, long on-policy rollouts spend early recovery budget on low-information repetitive suffixes, delaying loss descent. To mitigate this waste, we propose \shortopd, a short-to-long OPD schedule that detects teacher-confirmed repetitive suffixes, treats the surviving prefix as each rollout's effective length, and allocates future rollout budgets to the effective lengths the policy can currently use. Across math, code, and open-ended generation, \shortopd\ raises the compressed model's score to about 9times its unrecovered value and 1.6--4.4times standard recovery recipes (SFT w/o KD, KD, and SeqKD), and it matches a fixed 8192-token rollout horizon within two points using a quarter of the training time (8.5 vs.\ 35.9 hours) and 71% fewer rollout tokens. We hope this recipe helps move structured pruning beyond marginal gains on perplexity and multiple-choice benchmarks, a step closer to deployment-ready generation quality.

Despite the power of Large Language Models (LLMs) like GPT-4, they still struggle with tasks that require generating complex, structured outputs. In this study, we assess the capability of Current LLMs in generating complex structured data and propose a structure-aware fine-tuning approach as a solution to improve this ability. To perform a comprehensive evaluation, we propose Struc-Bench, include five representative LLMs (i.e., GPT-NeoX 20B, GPT-3.5, GPT-4, and Vicuna) and evaluate them on our carefully constructed datasets spanning raw text, HTML, and LaTeX tables. Based on our analysis of current model performance, we identify specific common formatting errors and areas of potential improvement. To address complex formatting requirements, we utilize FormatCoT (Chain-of-Thought) to generate format instructions from target outputs. Our experiments show that our structure-aware fine-tuning method, when applied to LLaMA-7B, significantly improves adherence to natural language constraints, outperforming other evaluated LLMs. Based on these results, we present an ability map of model capabilities from six dimensions (i.e., coverage, formatting, reasoning, comprehension, pragmatics, and hallucination). This map highlights the weaknesses of LLMs in handling complex structured outputs and suggests promising directions for future work. Our code and models can be found at https://github.com/gersteinlab/Struc-Bench.

Long-horizon LLM agents must preserve information from past interactions to support future tasks. Existing memory systems typically rely on eager consolidation, invoking LLMs after each interaction to extract, summarize, or update memories. This design makes memory construction increasingly costly as conversations grow. Coarse summarization can reduce construction cost but risks discarding fine-grained contextual evidence, whereas larger retrieval contexts or multi-hop LLM reasoning shift the overhead to query time. We present LycheeMemory V2, an efficient long-term memory framework that replaces turn-level consolidation with semantic segment-level consolidation. Instead of consolidating every interaction, LycheeMemory batches multiple exchanges into segments and encodes each finalized segment into context-independent typed memory records. Segment-level batching lowers LLM encoding frequency, while semantic boundary detection helps preserve coherent event-level and temporal evidence compared with fixed-window batching. The resulting records are organized with lightweight structured indexes for query-planned evidence retrieval. Experiments using GPT-4.1-Mini show that LycheeMemory achieves state-of-the-art performance, reaching 89.22% on LoCoMo and 92.20% on LongMemEval-S. Compared with A-Mem, it reduces construction tokens by 86.0% on LoCoMo and 75.9% on LongMemEval-S without increasing query-time token usage. More broadly, our results suggest that the accuracy--cost trade-off of long-term agent memory depends not only on what information is retained, but also on the granularity at which it is consolidated.

De-identification of clinical text is a prerequisite for the secondary use of electronic health records. Existing public benchmarks such as the i2b2 2006 and 2014 corpora are over a decade old and lack the semantic and demographic diversity of modern clinical narratives. Large Language Models (LLMs) reach state-of-the-art zero-shot extraction, but their use at enterprise scale is limited by computational cost and by hospital data governance that restricts sending Protected Health Information (PHI) to cloud APIs. We introduce SHIELD (Synthetic Human-annotated Identifier-replaced Entries for Learning and De-identification), a diverse clinical note dataset of 1,381 notes with 10,229 gold-standard PHI spans across 9 categories, built with set-cover diversity sampling across demographic and document-type strata and human-in-the-loop adjudication. We evaluate four LLMs (two proprietary, two open-weight) to establish a performance ceiling on SHIELD, then show that a teacher-student distillation framework transfers these capabilities into locally deployable Small Language Models. Our best distilled model reaches micro-averaged span-level precision of 0.89 and recall of 0.88 while running on standard workstation hardware. It trails its cloud teacher on per-category recall (0.90 vs. 0.81 macro-averaged) but remains competitive given its lower cost and on-premise deployability. Cross-dataset evaluation shows that diversity-trained models generalize well on universal structured PHI categories, while institution-specific entities remain hard to transfer in both directions, which suggests pairing broad-coverage models with specialized models for high-volume, semi-structured note types. We publicly release the SHIELD dataset and the distilled DeBERTa v3 model to provide an accurate, cost-effective de-identification pipeline deployable entirely behind institutional firewalls.

Traditional systems designed for task oriented dialog utilize knowledge present only in structured knowledge sources to generate responses. However, relevant information required to generate responses may also reside in unstructured sources, such as documents. Recent state of the art models such as HyKnow and SeKnow aimed at overcoming these challenges make limiting assumptions about the knowledge sources. For instance, these systems assume that certain types of information, such as a phone number, is always present in a structured knowledge base (KB) while information about aspects such as entrance ticket prices, would always be available in documents. In this paper, we create a modified version of the MutliWOZ-based dataset prepared by SeKnow to demonstrate how current methods have significant degradation in performance when strict assumptions about the source of information are removed. Then, in line with recent work exploiting pre-trained language models, we fine-tune a BART based model using prompts for the tasks of querying knowledge sources, as well as, for response generation, without making assumptions about the information present in each knowledge source. Through a series of experiments, we demonstrate that our model is robust to perturbations to knowledge modality (source of information), and that it can fuse information from structured as well as unstructured knowledge to generate responses.

Real-world tasks consist of multiple inter-dependent subtasks (e.g., a dirty pan needs to be washed before it can be used for cooking). In this work, we aim to model the causal dependencies between such subtasks from instructional videos describing the task. This is a challenging problem since complete information about the world is often inaccessible from videos, which demands robust learning mechanisms to understand the causal structure of events. We present Multimodal Subtask Graph Generation (MSG2), an approach that constructs a Subtask Graph defining the dependency between a task's subtasks relevant to a task from noisy web videos. Graphs generated by our multimodal approach are closer to human-annotated graphs compared to prior approaches. MSG2 further performs the downstream task of next subtask prediction 85% and 30% more accurately than recent video transformer models in the ProceL and CrossTask datasets, respectively.

Multimodal Foundation Models (MMFMs) have shown remarkable performance on various computer vision and natural language processing tasks. However, their performance on particular tasks such as document understanding is still limited. They also require more compute, time, and engineering resources to finetune and deploy compared to traditional, unimodal models. In this report, we present Multimodal Structured Generation, a general framework which constrains the output logits of frozen MMFMs to force them to reason before responding with structured outputs that downstream APIs can parse and use. We provide a detailed account of our approach, including the technical details, theoretical discussions, and final evaluation results in the 2nd Multimodal Foundation Models Challenge hosted by the Computer Vision and Pattern Recognition (CVPR) conference. Our approach achieved the second highest score in the hidden test set for Phase 2 and third highest overall. This shows the method's ability to generalize to unseen tasks. And that simple engineering can beat expensive & complicated modelling steps as we first discussed in our paper, Retrieval Augmented Structured Generation: Business Document Information Extraction as Tool Use. All of our scripts, deployment steps, and evaluation results can be accessed in https://github.com/leloykun/MMFM-Challenge

Structured pruning is a commonly used technique in deploying deep neural networks (DNNs) onto resource-constrained devices. However, the existing pruning methods are usually heuristic, task-specified, and require an extra fine-tuning procedure. To overcome these limitations, we propose a framework that compresses DNNs into slimmer architectures with competitive performances and significant FLOPs reductions by Only-Train-Once (OTO). OTO contains two keys: (i) we partition the parameters of DNNs into zero-invariant groups, enabling us to prune zero groups without affecting the output; and (ii) to promote zero groups, we then formulate a structured-sparsity optimization problem and propose a novel optimization algorithm, Half-Space Stochastic Projected Gradient (HSPG), to solve it, which outperforms the standard proximal methods on group sparsity exploration and maintains comparable convergence. To demonstrate the effectiveness of OTO, we train and compress full models simultaneously from scratch without fine-tuning for inference speedup and parameter reduction, and achieve state-of-the-art results on VGG16 for CIFAR10, ResNet50 for CIFAR10 and Bert for SQuAD and competitive result on ResNet50 for ImageNet. The source code is available at https://github.com/tianyic/only_train_once.

In this work, we introduce Multiple Embedding Model for EHR (MEME), an approach that views Electronic Health Records (EHR) as multimodal data. This approach incorporates "pseudo-notes", textual representations of tabular EHR concepts such as diagnoses and medications, and allows us to effectively employ Large Language Models (LLMs) for EHR representation. This framework also adopts a multimodal approach, embedding each EHR modality separately. We demonstrate the effectiveness of MEME by applying it to several tasks within the Emergency Department across multiple hospital systems. Our findings show that MEME surpasses the performance of both single modality embedding methods and traditional machine learning approaches. However, we also observe notable limitations in generalizability across hospital institutions for all tested models.

Structured Complex Task Decomposition (SCTD) is the problem of breaking down a complex real-world task (such as planning a wedding) into a directed acyclic graph over individual steps that contribute to achieving the task, with edges specifying temporal dependencies between them. SCTD is an important component of assistive planning tools, and a challenge for commonsense reasoning systems. We probe how accurately SCTD can be done with the knowledge extracted from Large Language Models (LLMs). We introduce a high-quality human-annotated dataset for this problem and novel metrics to fairly assess performance of LLMs against several baselines. Our experiments reveal that LLMs are able to decompose complex tasks into individual steps effectively, with a relative improvement of 15% to 280% over the best baseline. We also propose a number of approaches to further improve their performance, with a relative improvement of 7% to 37% over the base model. However, we find that LLMs still struggle to predict pairwise temporal dependencies, which reveals a gap in their understanding of complex tasks.

Existing long-horizon memory benchmarks mostly use multi-turn dialogues or synthetic user histories, which makes retrieval performance an imperfect proxy for person understanding. We present \BenchName, a publicly releasable benchmark built from long-form autobiographical narratives, where actions, context, and inner thoughts provide dense evidence for inferring stable motivations and decision principles. \BenchName~reconstructs each narrative into a flashback-aware, time-anchored stream and evaluates models with evidence-linked questions spanning factual recall, subjective state attribution, and principle-level reasoning. Across diverse narrative sources, retrieval-augmented systems mainly improve factual accuracy, while errors persist on temporally grounded explanations and higher-level inferences, highlighting the need for memory mechanisms beyond retrieval. Our data is in KnowMeBench{https://github.com/QuantaAlpha/KnowMeBench}.

We propose a novel framework for generating causal graphs from narrative texts, bridging high-level causality and detailed event-specific relationships. Our method first extracts concise, agent-centered vertices using large language model (LLM)-based summarization. We introduce an "Expert Index," comprising seven linguistically informed features, integrated into a Situation-Task-Action-Consequence (STAC) classification model. This hybrid system, combining RoBERTa embeddings with the Expert Index, achieves superior precision in causal link identification compared to pure LLM-based approaches. Finally, a structured five-iteration prompting process refines and constructs connected causal graphs. Experiments on 100 narrative chapters and short stories demonstrate that our approach consistently outperforms GPT-4o and Claude 3.5 in causal graph quality, while maintaining readability. The open-source tool provides an interpretable, efficient solution for capturing nuanced causal chains in narratives.

Despite the growing use of large language models (LLMs) in clinical dialogue systems, existing evaluations focus on task completion or fluency, offering little insight into the behavioral and risk management requirements essential for safety-critical systems. This paper presents MATRIX (Multi-Agent simulaTion fRamework for safe Interactions and conteXtual clinical conversational evaluation), a structured, extensible framework for safety-oriented evaluation of clinical dialogue agents. MATRIX integrates three components: (1) a safety-aligned taxonomy of clinical scenarios, expected system behaviors and failure modes derived through structured safety engineering methods; (2) BehvJudge, an LLM-based evaluator for detecting safety-relevant dialogue failures, validated against expert clinician annotations; and (3) PatBot, a simulated patient agent capable of producing diverse, scenario-conditioned responses, evaluated for realism and behavioral fidelity with human factors expertise, and a patient-preference study. Across three experiments, we show that MATRIX enables systematic, scalable safety evaluation. BehvJudge with Gemini 2.5-Pro achieves expert-level hazard detection (F1 0.96, sensitivity 0.999), outperforming clinicians in a blinded assessment of 240 dialogues. We also conducted one of the first realism analyses of LLM-based patient simulation, showing that PatBot reliably simulates realistic patient behavior in quantitative and qualitative evaluations. Using MATRIX, we demonstrate its effectiveness in benchmarking five LLM agents across 2,100 simulated dialogues spanning 14 hazard scenarios and 10 clinical domains. MATRIX is the first framework to unify structured safety engineering with scalable, validated conversational AI evaluation, enabling regulator-aligned safety auditing. We release all evaluation tools, prompts, structured scenarios, and datasets.

Modeling long range dependencies in sequential data is a fundamental step towards attaining human-level performance in many modalities such as text, vision, audio and video. While attention-based models are a popular and effective choice in modeling short-range interactions, their performance on tasks requiring long range reasoning has been largely inadequate. In an exciting result, Gu et al. (ICLR 2022) proposed the Structured State Space (S4) architecture delivering large gains over state-of-the-art models on several long-range tasks across various modalities. The core proposition of S4 is the parameterization of state matrices via a diagonal plus low rank structure, allowing efficient computation. In this work, we show that one can match the performance of S4 even without the low rank correction and thus assuming the state matrices to be diagonal. Our Diagonal State Space (DSS) model matches the performance of S4 on Long Range Arena tasks, speech classification on Speech Commands dataset, while being conceptually simpler and straightforward to implement.

We address a challenging and practical task of labeling questions in speech in real time during telephone calls to emergency medical services in English, which embeds within a broader decision support system for emergency call-takers. We propose a novel multimodal approach to real-time sequence labeling in speech. Our model treats speech and its own textual representation as two separate modalities or views, as it jointly learns from streamed audio and its noisy transcription into text via automatic speech recognition. Our results show significant gains of jointly learning from the two modalities when compared to text or audio only, under adverse noise and limited volume of training data. The results generalize to medical symptoms detection where we observe a similar pattern of improvements with multimodal learning.

Memory retention challenges in deep neural architectures have ongoing limitations in the ability to process and recall extended contextual information. Token dependencies degrade as sequence length increases, leading to a decline in coherence and factual consistency across longer outputs. A structured approach is introduced to mitigate this issue through the reweaving of latent states captured at different processing layers, reinforcing token representations over extended sequences. The proposed Contextual Memory Reweaving framework incorporates a Layered Latent State Reconstruction mechanism to systematically integrate past contextual embeddings without introducing external memory modules. Experimental results demonstrate improvements in recall accuracy across a range of sequence lengths, with notable gains in the retention of rarely occurring tokens and numerical reasoning consistency. Further analysis of computational efficiency indicates that the additional processing overhead remains within acceptable thresholds, enabling scalability across different model sizes. Evaluations in long-form text generation and ambiguous query resolution highlight the capacity of memory reweaving to enhance continuity and reduce inconsistencies over extended outputs. Attention weight distributions reveal more structured allocation patterns, suggesting that reweaved latent states contribute to improved contextual awareness. The findings establish a framework for refining memory retention mechanisms in language models, addressing long-standing challenges in handling complex, multi-step reasoning tasks.

Structured data sources, such as tables, graphs, and databases, are ubiquitous knowledge sources. Despite the demonstrated capabilities of large language models (LLMs) on plain text, their proficiency in interpreting and utilizing structured data remains limited. Our investigation reveals a notable deficiency in LLMs' ability to process structured data, e.g., ChatGPT lags behind state-of-the-art (SoTA) model by an average of 35%. To augment the Structured Knowledge Grounding (SKG) capabilities in LLMs, we have developed a comprehensive instruction tuning dataset comprising 1.1 million examples. Utilizing this dataset, we train a series of models, referred to as StructLM, based on the Code-LLaMA architecture, ranging from 7B to 34B parameters. Our StructLM series surpasses task-specific models on 14 out of 18 evaluated datasets and establishes new SoTA achievements on 7 SKG tasks. Furthermore, StructLM demonstrates exceptional generalization across 6 novel SKG tasks. Contrary to expectations, we observe that scaling model size offers marginal benefits, with StructLM-34B showing only slight improvements over StructLM-7B. This suggests that structured knowledge grounding is still a challenging task and requires more innovative design to push to a new level.

Synthetic insider threat benchmarks face a consistency problem: corpora generated without an external factual constraint cannot rule out cross-artifact contradictions. The CERT dataset -- the field's canonical benchmark -- is also static, lacks cross-surface correlation scenarios, and predates the LLM era. We present OrgForge-IT, a verifiable synthetic benchmark in which a deterministic simulation engine maintains ground truth and language models generate only surface prose, making cross-artifact consistency an architectural guarantee. The corpus spans 51 simulated days, 2,904 telemetry records at a 96.4% noise rate, and four detection scenarios designed to defeat single-surface and single-day triage strategies across three threat classes and eight injectable behaviors. A ten-model leaderboard reveals several findings: (1) triage and verdict accuracy dissociate - eight models achieve identical triage F1=0.80 yet split between verdict F1=1.0 and 0.80; (2) baseline false-positive rate is a necessary companion to verdict F1, with models at identical verdict accuracy differing by two orders of magnitude on triage noise; (3) victim attribution in the vishing scenario separates tiers - Tier A models exonerate the compromised account holder while Tier B models detect the attack but misclassify the victim; (4) rigid multi-signal thresholds structurally exclude single-surface negligent insiders, demonstrating the necessity of parallel, threat-class-specific triage pipelines; and (5) agentic software-engineering training acts as a force multiplier for multi-day temporal correlation, but only when paired with frontier-level parameter scale. Finally, prompt sensitivity analysis reveals that unstructured prompts induce vocabulary hallucination, motivating a two-track scoring framework separating prompt adherence from reasoning capability. OrgForge-IT is open source under the MIT license.

Can small language models with 0.5B to 5B parameters meaningfully engage in trauma-informed, empathetic dialogue for individuals with PTSD? We address this question by introducing TIDE, a dataset of 10,000 two-turn dialogues spanning 500 diverse PTSD client personas and grounded in a three-factor empathy model: emotion recognition, distress normalization, and supportive reflection. All scenarios and reference responses were reviewed for realism and trauma sensitivity by a clinical psychologist specializing in PTSD. We evaluate eight small language models before and after fine-tuning, comparing their outputs to a frontier model (Claude Sonnet 3.5). Our IRB-approved human evaluation and automatic metrics show that fine-tuning generally improves perceived empathy, but gains are highly scenario- and user-dependent, with smaller models facing an empathy ceiling. Demographic analysis shows older adults value distress validation and graduate-educated users prefer nuanced replies, while gender effects are minimal. We highlight the limitations of automatic metrics and the need for context- and user-aware system design. Our findings, along with the planned release of TIDE, provide a foundation for building safe, resource-efficient, and ethically sound empathetic AI to supplement, not replace, clinical mental health care.

Incomplete or inconsistent discharge documentation drives care fragmentation and avoidable readmissions. Despite its critical role in patient safety, auditing discharge summaries relies on manual review and does not scale. We propose an automated framework for auditing discharge summaries using large language models (LLMs). Our approach operationalizes the DISCHARGED framework into a checklist of 46 questions. Using 50 summaries from the MIMIC-IV database, with clinician ground-truth labels, we benchmark 11 LLMs. Model-assessed mean documentation completeness ranges from 54.9% to 74.2%, and the best-performing models achieve a Cohen's kappa values around 0.5 against clinician labels, indicating moderate agreement. All models struggle to identify ambiguous documentation (Unclear), highlighting a key gap in current automated auditing. This work provides a clinician-validated benchmark and zero-shot baselines for systematic quality improvement in clinical documentation.

Online social media platforms, such as Twitter, provide valuable information during disaster events. Existing tweet disaster summarization approaches provide a summary of these events to aid government agencies, humanitarian organizations, etc., to ensure effective disaster response. In the literature, there are two types of approaches for disaster summarization, namely, supervised and unsupervised approaches. Although supervised approaches are typically more effective, they necessitate a sizable number of disaster event summaries for testing and training. However, there is a lack of good number of disaster summary datasets for training and evaluation. This motivates us to add more datasets to make supervised learning approaches more efficient. In this paper, we present ADSumm, which adds annotated ground-truth summaries for eight disaster events which consist of both natural and man-made disaster events belonging to seven different countries. Our experimental analysis shows that the newly added datasets improve the performance of the supervised summarization approaches by 8-28% in terms of ROUGE-N F1-score. Moreover, in newly annotated dataset, we have added a category label for each input tweet which helps to ensure good coverage from different categories in summary. Additionally, we have added two other features relevance label and key-phrase, which provide information about the quality of a tweet and explanation about the inclusion of the tweet into summary, respectively. For ground-truth summary creation, we provide the annotation procedure adapted in detail, which has not been described in existing literature. Experimental analysis shows the quality of ground-truth summary is very good with Coverage, Relevance and Diversity.

Structured State Space Models (SSMs) have emerged as alternatives to transformers. While SSMs are often regarded as effective in capturing long-sequence dependencies, we rigorously demonstrate that they are inherently limited by strong recency bias. Our empirical studies also reveal that this bias impairs the models' ability to recall distant information and introduces robustness issues. Our scaling experiments then discovered that deeper structures in SSMs can facilitate the learning of long contexts. However, subsequent theoretical analysis reveals that as SSMs increase in depth, they exhibit another inevitable tendency toward over-smoothing, e.g., token representations becoming increasingly indistinguishable. This fundamental dilemma between recency and over-smoothing hinders the scalability of existing SSMs. Inspired by our theoretical findings, we propose to polarize two channels of the state transition matrices in SSMs, setting them to zero and one, respectively, simultaneously addressing recency bias and over-smoothing. Experiments demonstrate that our polarization technique consistently enhances the associative recall accuracy of long-range tokens and unlocks SSMs to benefit further from deeper architectures. All source codes are released at https://github.com/VITA-Group/SSM-Bottleneck.

Large Language Models (LLMs) offer numerous applications, the full extent of which is not yet understood. This paper investigates if LLMs can be applied for editing structured and semi-structured documents with minimal effort. Using a qualitative research approach, we conduct two case studies with ChatGPT and thoroughly analyze the results. Our experiments indicate that LLMs can effectively edit structured and semi-structured documents when provided with basic, straightforward prompts. ChatGPT demonstrates a strong ability to recognize and process the structure of annotated documents. This suggests that explicitly structuring tasks and data in prompts might enhance an LLM's ability to understand and solve tasks. Furthermore, the experiments also reveal impressive pattern matching skills in ChatGPT. This observation deserves further investigation, as it may contribute to understanding the processes leading to hallucinations in LLMs.

We introduce SoftTiger, a clinical large language model (CLaM) designed as a foundation model for healthcare workflows. The narrative and unstructured nature of clinical notes is a major obstacle for healthcare intelligentization. We address a critical problem of structuring clinical notes into clinical data, according to international interoperability standards. We collect and annotate data for three subtasks, namely, international patient summary, clinical impression and medical encounter. We then supervised fine-tuned a state-of-the-art LLM using public and credentialed clinical data. The training is orchestrated in a way that the target model can first support basic clinical tasks such as abbreviation expansion and temporal information extraction, and then learn to perform more complex downstream clinical tasks. Moreover, we address several modeling challenges in the healthcare context, e.g., extra long context window. Our blind pairwise evaluation shows that SoftTiger outperforms other popular open-source models and GPT-3.5, comparable to Gemini-pro, with a mild gap from GPT-4. We believe that LLMs may become a step-stone towards healthcare digitalization and democratization. Therefore, we publicly release SoftTiger models at scales of 13 billion and 70 billion parameters, as well as datasets and code for our innovative scalable evaluation, hopefully, making a significant contribution to the healthcare industry.

Large Language Models (LLMs) have demonstrated strong capabilities in general conversation, instruction following, and complex reasoning. However, in long-term dialogue settings, they often struggle to locate and utilize historical information most relevant to the current query. Existing approaches address this issue by constructing structured text-centered memory units through compressing and reorganizing user interaction history. However, these systems often rely on brute-force extraction of crucial evidence to associate episodes across dialogue sessions, causing substantial computational overhead and weakening structural cues such as speaker transitions, turn boundaries, and local contextual relationships. To avoid fragile text-based memory representations, we propose MemShot, which leverages dialogue structuring for long-term dialogue modeling and relies on the model's internal visual reasoning capabilities to associate key episodes. Specifically, MemShot renders local contiguous dialogue spans into structured visual memory units, preserving meta-information and chronological dialogue turns while avoiding heavy-weight textual memory construction. Experimental results show that MemShot achieves stable and competitive performance on both LoCoMo and LongMemEval, while substantially shortening the memory construction pipeline and delivering 70times speedup. Further analysis reveals that MemShot enhances the localization and utilization of historical evidence by directing memory processing toward structured local dialogue cues rather than surface-level lexical matching in a flat text stream. All codes are released on https://github.com/NEUIR/MemShot.

Large language model (LLM) agents struggle with long-horizon tasks due to their inherent statelessness, requiring all task-relevant information to be encoded in growing input contexts. The resulting degraded reasoning quality, increased inference cost, and higher latency necessitate efficient working memory mechanisms. However, existing approaches either rely on lossy compression or similarity-based retrieval, which often fail to capture temporal structure and causal dependencies required for multi-step agentic tasks. In this work, we present HORMA, a Hierarchical Organize-and-Retrieve Memory Agent that organizes experience into a file-system-like hierarchical structure, where summarized entities are linked to the corresponding raw trajectories, enabling efficient access without losing detailed information. HORMA decomposes working memory into two stages: structured memory construction and navigation-based retrieval. The construction module iteratively refines how experiences are structured by distinguishing between failures caused by missing information and those caused by misleading or overloaded context. The navigation module retrieves task-relevant context by traversing the hierarchy using a lightweight agent trained with reinforcement learning to select minimal yet sufficient context, thereby reducing latency along the critical execution path. Across ALFWorld, LoCoMo, and LongMemEval, HORMA improves task performance under constrained context budgets while requiring at most 22.17% of the baseline token usage in long conversation tasks. Compared to existing methods, it consistently achieves better efficiency-performance trade-offs and generalizes effectively to unseen tasks.

As language models (LMs) are increasingly adopted across domains, high-quality benchmarking frameworks that accurately estimate performance are essential for guiding deployment decisions. While frameworks such as Holistic Evaluation of Language Models (HELM) enable broad evaluation across tasks, they often rely on fixed prompts that fail to generalize across LMs, yielding unrepresentative performance estimates. Unless we approximate each LM's ceiling (maximum achievable via changes to the prompt), we risk underestimating performance. Declarative prompting frameworks, such as DSPy, offer a scalable alternative to manual prompt engineering by crafting structured prompts that can be optimized per task. However, such frameworks have not been systematically evaluated across established benchmarks. We present a reproducible DSPy+HELM framework that introduces structured prompting methods which elicit reasoning, enabling more accurate LM benchmarking. Using four prompting methods, we evaluate four frontier LMs across seven benchmarks (general/medical domain) against existing HELM baseline scores. We find that without structured prompting: (i) HELM underestimates LM performance (by 4% average), (ii) performance estimates vary more across benchmarks (+2% standard deviation), (iii) performance gaps are misrepresented (leaderboard rankings flip on 3/7 benchmarks), and (iv) introducing chain-of-thought reduces LM sensitivity to prompt design (smaller Δ across prompts). To our knowledge, this is the first benchmarking study to systematically integrate structured prompting into an established evaluation framework, demonstrating how scalable performance-ceiling approximation yields more robust, decision-useful benchmarks. We open-source (i) DSPy+HELM Integration (https://github.com/stanford-crfm/helm/pull/3893) and (ii) Prompt Optimization Pipeline (https://github.com/StanfordMIMI/dspy-helm).

Answering natural-language questions over multi-hour audio requires reliable event recognition, temporal grounding, and efficient retrieval. We present LA-RAG (Long Audio Retrieval-Augmented Generation), a structured framework that converts audio into timestamped event records, stores them in an event database, and answers questions using intent-aware retrieval and LLM-based generation. LA-RAG supports two deployment settings: offline grounding mode, in which long recordings are pre-indexed for low-latency querying, and inference-time grounding mode, which performs query-conditioned grounding over shorter, open-ended clips. We evaluate LA-RAG on controlled 24-hour Home-IoT and Industrial-IoT benchmarks and on CASTELLA-QA, derived from real-world audio recordings. The results demonstrate effective long-audio question answering with low query-time latency after grounding and indexing. They also reveal a substantial gap between event detection and temporal localization in current large audio-language models, while showing that explicit timestamped grounding consistently improves temporal reasoning. These findings establish structured grounding and retrieval as a practical complement to generative audio-language models for deployment-oriented long-audio understanding.

While large language models (LLMs) demonstrate impressive capabilities, their reliance on parametric knowledge often leads to factual inaccuracies. Retrieval-Augmented Generation (RAG) mitigates this by leveraging external documents, yet existing approaches treat retrieved passages as isolated chunks, ignoring valuable structure that is crucial for document organization. Motivated by this gap, we propose Retrieve-DocumentRoute-Read (RDR2), a novel framework that explicitly incorporates structural information throughout the RAG process. RDR2 employs an LLM-based router to dynamically navigate document structure trees, jointly evaluating content relevance and hierarchical relationships to assemble optimal evidence. Our key innovation lies in formulating document routing as a trainable task, with automatic action curation and structure-aware passage selection inspired by human reading strategies. Through comprehensive evaluation on five challenging datasets, RDR2 achieves state-of-the-art performance, demonstrating that explicit structural awareness significantly enhances RAG systems' ability to acquire and utilize knowledge, particularly in complex scenarios requiring multi-document synthesis.

Recent years have seen a paradigm shift in NLP towards using pretrained language models ({PLM}) for a wide range of tasks. However, there are many difficult design decisions to represent structures (e.g. tagged text, coreference chains) in a way such that they can be captured by PLMs. Prior work on structured prediction with PLMs typically flattens the structured output into a sequence, which limits the quality of structural information being learned and leads to inferior performance compared to classic discriminative models. In this work, we describe an approach to model structures as sequences of actions in an autoregressive manner with PLMs, allowing in-structure dependencies to be learned without any loss. Our approach achieves the new state-of-the-art on all the structured prediction tasks we looked at, namely, named entity recognition, end-to-end relation extraction, and coreference resolution.

Although many pretrained models exist for text or images, there have been relatively fewer attempts to train representations specifically for dialog understanding. Prior works usually relied on finetuned representations based on generic text representation models like BERT or GPT-2. But such language modeling pretraining objectives do not take the structural information of conversational text into consideration. Although generative dialog models can learn structural features too, we argue that the structure-unaware word-by-word generation is not suitable for effective conversation modeling. We empirically demonstrate that such representations do not perform consistently across various dialog understanding tasks. Hence, we propose a structure-aware Mutual Information based loss-function DMI (Discourse Mutual Information) for training dialog-representation models, that additionally captures the inherent uncertainty in response prediction. Extensive evaluation on nine diverse dialog modeling tasks shows that our proposed DMI-based models outperform strong baselines by significant margins.

Large language models (LLMs) are increasingly explored as scalable tools for mental health counseling, yet evaluating their safety remains challenging due to the interactional and context-dependent nature of clinical harm. Existing evaluation frameworks predominantly assess isolated responses using coarse-grained taxonomies or static datasets, limiting their ability to diagnose how harms emerge and accumulate over multi-turn counseling interactions. In this work, we introduce R-MHSafe, a role-aware mental health safety taxonomy that characterizes clinically significant harm in terms of the interactional roles an AI counselor adopts, including perpetrator, instigator, facilitator, or enabler, combined with clinically grounded harm categories. Then, we propose MHSafeEval, a closed-loop, agent-based evaluation framework that formulates safety assessment as trajectory-level discovery of harm through adversarial multi-turn interactions, guided by role-aware modeling. Using R-MHSafe and MHSafeEval, we conduct a large-scale evaluation across state-of-the-art LLMs. Our results reveal substantial role-dependent and cumulative safety failures that are systematically missed by existing static benchmarks, and show that our framework significantly improves failure-mode coverage and diagnostic granularity.

Skills play a central role in the job market and many human resources (HR) processes. In the wake of other digital experiences, today's online job market has candidates expecting to see the right opportunities based on their skill set. Similarly, enterprises increasingly need to use data to guarantee that the skills within their workforce remain future-proof. However, structured information about skills is often missing, and processes building on self- or manager-assessment have shown to struggle with issues around adoption, completeness, and freshness of the resulting data. Extracting skills is a highly challenging task, given the many thousands of possible skill labels mentioned either explicitly or merely described implicitly and the lack of finely annotated training corpora. Previous work on skill extraction overly simplifies the task to an explicit entity detection task or builds on manually annotated training data that would be infeasible if applied to a complete vocabulary of skills. We propose an end-to-end system for skill extraction, based on distant supervision through literal matching. We propose and evaluate several negative sampling strategies, tuned on a small validation dataset, to improve the generalization of skill extraction towards implicitly mentioned skills, despite the lack of such implicit skills in the distantly supervised data. We observe that using the ESCO taxonomy to select negative examples from related skills yields the biggest improvements, and combining three different strategies in one model further increases the performance, up to 8 percentage points in RP@5. We introduce a manually annotated evaluation benchmark for skill extraction based on the ESCO taxonomy, on which we validate our models. We release the benchmark dataset for research purposes to stimulate further research on the task.

Often we wish to predict a large number of variables that depend on each other as well as on other observed variables. Structured prediction methods are essentially a combination of classification and graphical modeling, combining the ability of graphical models to compactly model multivariate data with the ability of classification methods to perform prediction using large sets of input features. This tutorial describes conditional random fields, a popular probabilistic method for structured prediction. CRFs have seen wide application in natural language processing, computer vision, and bioinformatics. We describe methods for inference and parameter estimation for CRFs, including practical issues for implementing large scale CRFs. We do not assume previous knowledge of graphical modeling, so this tutorial is intended to be useful to practitioners in a wide variety of fields.

Large language models (LLMs) excel at function calling, but inference scaling has been explored mainly for unstructured generation. We propose an inference-scaling framework for structured outputs that combines fine-grained beam search with ToolPRM, a process reward model scoring each intra-call decision (function name and argument filling). We build the first fine-grained intra-call supervision dataset via function masking, rollout collection, and step-level annotation. ToolPRM outperforms outcome and coarse-grained reward models in predictive accuracy and yields consistent test-time gains on multiple function-calling benchmarks. We further show that structured generation follows ``explore more but retain less'', since early JSON errors are unrecoverable.

Medical triage is the task of allocating medical resources and prioritizing patients based on medical need. This paper introduces the first large-scale public dataset for studying medical triage in the context of asynchronous outpatient portal messages. Our novel task formulation views patient message triage as a pairwise inference problem, where we train LLMs to choose `"which message is more medically urgent" in a head-to-head tournament-style re-sort of a physician's inbox. Our novel benchmark PMR-Bench contains 1569 unique messages and 2,000+ high-quality test pairs for pairwise medical urgency assessment alongside a scalable training data generation pipeline. PMR-Bench includes samples that contain both unstructured patient-written messages alongside real electronic health record (EHR) data, emulating a real-world medical triage scenario. We develop a novel automated data annotation strategy to provide LLMs with in-domain guidance on this task. The resulting data is used to train two model classes, UrgentReward and UrgentSFT, leveraging Bradley-Terry and next token prediction objective, respectively to perform pairwise urgency classification. We find that UrgentSFT achieves top performance on PMR-Bench, with UrgentReward showing distinct advantages in low-resource settings. For example, UrgentSFT-8B and UrgentReward-8B provide a 15- and 16-point boost, respectively, on inbox sorting metrics over off-the-shelf 8B models. Paper resources can be found at https://tinyurl.com/Patient-Message-Triage

LLM-based conversational agents still struggle to maintain coherent, personalized interaction over many sessions: fixed context windows limit how much history can be kept in view, and most external memory approaches trade off between coarse retrieval over large chunks and fine-grained but fragmented views of the dialogue. Motivated by neo-Davidsonian event semantics, we propose an event-centric alternative that represents conversational history as short, event-like propositions which bundle together participants, temporal cues, and minimal local context, rather than as independent relation triples or opaque summaries. In contrast to work that aggressively compresses or forgets past content, our design aims to preserve information in a non-compressive form and make it more accessible, rather than more lossy. Concretely, we instruct an LLM to decompose each session into enriched elementary discourse units (EDUs) -- self-contained statements with normalized entities and source turn attributions -- and organize sessions, EDUs, and their arguments in a heterogeneous graph that supports associative recall. On top of this representation we build two simple retrieval-based variants that use dense similarity search and LLM filtering, with an optional graph-based propagation step to connect and aggregate evidence across related EDUs. Experiments on the LoCoMo and LongMemEval_S benchmarks show that these event-centric memories match or surpass strong baselines, while operating with much shorter QA contexts. Our results suggest that structurally simple, event-level memory provides a principled and practical foundation for long-horizon conversational agents. Our code and data will be released at https://github.com/KevinSRR/EMem.

This work introduces the first framework for reconstructing surgical dialogue from unstructured real-world recordings, which is crucial for characterizing teaching tasks. In surgical training, the formative verbal feedback that trainers provide to trainees during live surgeries is crucial for ensuring safety, correcting behavior immediately, and facilitating long-term skill acquisition. However, analyzing and quantifying this feedback is challenging due to its unstructured and specialized nature. Automated systems are essential to manage these complexities at scale, allowing for the creation of structured datasets that enhance feedback analysis and improve surgical education. Our framework integrates voice activity detection, speaker diarization, and automated speech recaognition, with a novel enhancement that 1) removes hallucinations (non-existent utterances generated during speech recognition fueled by noise in the operating room) and 2) separates speech from trainers and trainees using few-shot voice samples. These aspects are vital for reconstructing accurate surgical dialogues and understanding the roles of operating room participants. Using data from 33 real-world surgeries, we demonstrated the system's capability to reconstruct surgical teaching dialogues and detect feedback instances effectively (F1 score of 0.79+/-0.07). Moreover, our hallucination removal step improves feedback detection performance by ~14%. Evaluation on downstream clinically relevant tasks of predicting Behavioral Adjustment of trainees and classifying Technical feedback, showed performances comparable to manual annotations with F1 scores of 0.82+/0.03 and 0.81+/0.03 respectively. These results highlight the effectiveness of our framework in supporting clinically relevant tasks and improving over manual methods.

We introduce DeepSearchQA, a 900-prompt benchmark for evaluating agents on difficult multi-step information-seeking tasks across 17 different fields. Unlike traditional benchmarks that target single answer retrieval or broad-spectrum factuality, DeepSearchQA features a dataset of challenging, handcrafted tasks designed to evaluate an agent's ability to execute complex search plans to generate exhaustive answer lists. This shift in design explicitly tests three critical, yet under-evaluated capabilities: 1) systematic collation of fragmented information from disparate sources, 2) de-duplication and entity resolution to ensure precision, and 3) the ability to reason about stopping criteria within an open-ended search space. Each task is structured as a causal chain, where discovering information for one step is dependent on the successful completion of the previous one, stressing long-horizon planning and context retention. All tasks are grounded in the open web with objectively verifiable answer sets. Our comprehensive evaluation of state-of-the-art agent architectures reveals significant performance limitations: even the most advanced models struggle to balance high recall with precision. We observe distinct failure modes ranging from premature stopping (under-retrieval) to hedging behaviors, where agents cast an overly wide net of low-confidence answers to artificially boost recall. These findings highlight critical headroom in current agent designs and position DeepSearchQA as an essential diagnostic tool for driving future research toward more robust, deep-research capabilities.

Recent advancements in sequence modeling have led to the emergence of Structured State Space Models (SSMs) as an efficient alternative to Recurrent Neural Networks (RNNs) and Transformers, addressing challenges in long-range dependency modeling and computational efficiency. While RNNs suffer from vanishing gradients and sequential inefficiencies, and Transformers face quadratic complexity, SSMs leverage structured recurrence and state-space representations to achieve superior long-sequence processing with linear or near-linear complexity. This survey provides a comprehensive review of SSMs, tracing their evolution from the foundational S4 model to its successors like Mamba, Simplified Structured State Space Sequence Model (S5), and Jamba, highlighting their improvements in computational efficiency, memory optimization, and inference speed. By comparing SSMs with traditional sequence models across domains such as natural language processing (NLP), speech recognition, vision, and time-series forecasting, we demonstrate their advantages in handling long-range dependencies while reducing computational overhead. Despite their potential, challenges remain in areas such as training optimization, hybrid modeling, and interpretability. This survey serves as a structured guide for researchers and practitioners, detailing the advancements, trade-offs, and future directions of SSM-based architectures in AI and deep learning.

LLM agents extend large language models with tool-calling capabilities, but ambiguous user instructions often lead to incorrect invocations and task failures. We introduce a principled formulation of structured uncertainty over tool-call parameters, modeling joint tool-argument clarification as a POMDP with Expected Value of Perfect Information (EVPI) objective for optimal question selection and aspect-based cost modeling to prevent redundancy. Our SAGE-Agent leverages this structured uncertainty to achieve superior efficiency: increasing coverage on ambiguous tasks by 7-39\% while reducing clarification questions by 1.5-2.7times compared to strong prompting and uncertainty-based baselines. We present ClarifyBench, the first multi-turn tool-augmented disambiguation benchmark with realistic LLM-based user simulation across diverse domains including document editing, vehicle control, and travel booking. Additionally, we demonstrate that structured uncertainty provides effective training signals for reinforcement learning, boosting When2Call accuracy from 36.5\% to 65.2\% (3B model) and 36.7\% to 62.9\% (7B model) through uncertainty-weighted GRPO training. These results establish structured uncertainty as a principled, efficient approach for tool-augmented agents, improving both task success and interaction efficiency in real-world scenarios.

Discharge summaries require extracting critical information from lengthy electronic health records (EHRs), a process that is labor-intensive when performed manually. Large language models (LLMs) can improve generation efficiency; however, they are prone to producing faithfulness hallucinations, statements that contradict source records, posing direct risks to patient safety. To address this, we present CuraView, a multi-agent framework for sentence-level detection and evidence-grounded explanation of faithfulness hallucinations in discharge summaries. CuraView constructs a GraphRAG-based knowledge graph from patient-level EHRs and implements a closed-loop generation-detection pipeline with sentence-level evidence retrieval and classification spanning four evidence grades from strong support to direct contradiction (E1-E4), yielding structured and interpretable evidence chains. We evaluate CuraView on a subset of 250 patients from the Discharge-Me benchmark, with 50 patients held out for testing. Our fine-tuned Qwen3-14B detection model achieves an F1 of 0.831 on the safety-critical E4 metric (90.9% recall, 76.5% precision) and an F1 of 0.823 on E3+E4, representing a 50.0% relative improvement over the base model and outperforming RAGTruth-style and QAGS-style baselines. These results demonstrate that evidence-chain-based graph retrieval verification substantially improves the factual reliability of clinical documentation, while simultaneously producing reusable annotated datasets for downstream model training and distillation.

Large language models (LLMs) have demonstrated remarkable capabilities in natural language understanding and task generalization. However, their application to structured data analysis remains fragile due to inconsistencies in schema interpretation, misalignment between user intent and model output, and limited mechanisms for self-correction when failures occur. This paper introduces the STROT Framework (Structured Task Reasoning and Output Transformation), a method for structured prompting and feedback-driven transformation logic generation aimed at improving the reliability and semantic alignment of LLM-based analytical workflows. STROT begins with lightweight schema introspection and sample-based field classification, enabling dynamic context construction that captures both the structure and statistical profile of the input data. This contextual information is embedded in structured prompts that guide the model toward generating task-specific, interpretable outputs. To address common failure modes in complex queries, STROT incorporates a refinement mechanism in which the model iteratively revises its outputs based on execution feedback and validation signals. Unlike conventional approaches that rely on static prompts or single-shot inference, STROT treats the LLM as a reasoning agent embedded within a controlled analysis loop -- capable of adjusting its output trajectory through planning and correction. The result is a robust and reproducible framework for reasoning over structured data with LLMs, applicable to diverse data exploration and analysis tasks where interpretability, stability, and correctness are essential.

Large language models (LLMs) excel at text generation, but their ability to handle clinical classification tasks involving structured data, such as time series, remains underexplored. In this work, we adapt instruction-tuned LLMs using DSPy-based prompt optimization to process clinical notes and structured EHR inputs jointly. Our results show that this approach achieves performance on par with specialized multimodal systems while requiring less complexity and offering greater adaptability across tasks.

The drive for predictable LLM reasoning in their integration with compound systems has popularized structured outputs, yet concerns remain about performance trade-offs compared to unconstrained natural language. At the same time, training on unconstrained Chain of Thought (CoT) traces has brought about a new class of strong reasoning models that nevertheless present novel compute budget and faithfulness challenges. This paper introduces iSelf-Discover, an instance-level adaptation of the Self-Discover framework, and using it compares dynamically generated structured JSON reasoning with its unstructured counterpart. Our empirical evaluation across diverse benchmarks using state-of-the-art open-source models supports a consistent advantage for unstructured reasoning. Notably, on the complex MATH benchmark, unstructured plans achieved relative performance improvements of up to 18.90\% over structured approaches. Zero-shot unstructured iSelf-Discover variants are also shown to outperform their five-shot structured counterparts, underscoring the significance of this gap, even when structured plans are dynamically generated to ensure reasoning precedes the final answer. We further demonstrate that the optimal granularity of plan generation (instance-level vs. task-level) is context-dependent. These findings invite re-evaluation of the reliance on structured formats for complex problem-solving and how compound systems should be organized.

Large language models (LLMs) such as GPT-4o and o1 have demonstrated strong performance on clinical natural language processing (NLP) tasks across multiple medical benchmarks. Nonetheless, two high-impact NLP tasks - structured tabular reporting from nurse dictations and medical order extraction from doctor-patient consultations - remain underexplored due to data scarcity and sensitivity, despite active industry efforts. Practical solutions to these real-world clinical tasks can significantly reduce the documentation burden on healthcare providers, allowing greater focus on patient care. In this paper, we investigate these two challenging tasks using private and open-source clinical datasets, evaluating the performance of both open- and closed-weight LLMs, and analyzing their respective strengths and limitations. Furthermore, we propose an agentic pipeline for generating realistic, non-sensitive nurse dictations, enabling structured extraction of clinical observations. To support further research in both areas, we release SYNUR and SIMORD, the first open-source datasets for nurse observation extraction and medical order extraction.

Structured state space sequence (S4) models have recently achieved state-of-the-art performance on long-range sequence modeling tasks. These models also have fast inference speeds and parallelisable training, making them potentially useful in many reinforcement learning settings. We propose a modification to a variant of S4 that enables us to initialise and reset the hidden state in parallel, allowing us to tackle reinforcement learning tasks. We show that our modified architecture runs asymptotically faster than Transformers in sequence length and performs better than RNN's on a simple memory-based task. We evaluate our modified architecture on a set of partially-observable environments and find that, in practice, our model outperforms RNN's while also running over five times faster. Then, by leveraging the model's ability to handle long-range sequences, we achieve strong performance on a challenging meta-learning task in which the agent is given a randomly-sampled continuous control environment, combined with a randomly-sampled linear projection of the environment's observations and actions. Furthermore, we show the resulting model can adapt to out-of-distribution held-out tasks. Overall, the results presented in this paper show that structured state space models are fast and performant for in-context reinforcement learning tasks. We provide code at https://github.com/luchris429/popjaxrl.

Vision-Language Models (VLMs) have demonstrated impressive capabilities in understanding visual content, but their reliability in safety-critical contexts remains under-explored. We introduce VERI (Visual Emergency Recognition Dataset), a carefully designed diagnostic benchmark of 200 images (100 contrastive pairs). Each emergency scene is matched with a visually similar but safe counterpart through multi-stage human verification and iterative refinement. Using a two-stage protocol - risk identification and emergency response - we evaluate 14 VLMs (2B-124B parameters) across medical emergencies, accidents, and natural disasters. Our analysis reveals a systematic overreaction problem: models excel at identifying real emergencies (70-100 percent success rate) but suffer from an alarming rate of false alarms, misidentifying 31-96 percent of safe situations as dangerous, with 10 scenarios failed by all models regardless of scale. This "better-safe-than-sorry" bias manifests primarily through contextual overinterpretation (88-93 percent of errors), challenging VLMs' reliability for safety applications. These findings highlight persistent limitations that are not resolved by increasing model scale, motivating targeted approaches for improving contextual safety assessment in visually misleading scenarios.

Agent skills are the de facto mechanism for extending LLM agents with reusable guidance. A skill can shape the agent's task execution, including planning, tool use, problem-solving, and validation. Prior work reported mixed results of agent skills: some skills improve task success rates, while others have no effect, increase token use and execution time, and even reduce success rates. This paper presents a comprehensive analysis of skill-induced agent failures by attributing task failures and cost regressions to specific loaded skills. We introduce a differential analysis framework that attributes a failure or regression to a skill by comparing a target skill-guided run against a no-skill or semantically matched skill reference run that solves the same task, or solves it more cheaply. We instantiate this framework on SkillsBench and SWE-Skills-Bench, yielding 307 skill-induced failures, including 125 functional failures and 182 efficiency regressions. We also build SkillTriage, a taxonomy-guided attribution tool that normalizes paired cases, extracts differential evidence, and produces triage reports. Our major findings include: (1) Skill induced functional failures are rarely caused by obviously irrelevant skills; instead, seemingly relevant skills often make the agent incorrectly implement or omit task-required implementation elements. (2) Skill-induced efficiency regressions are not explained by prompt length alone. (3) The largest sources within Excessive Procedure are excessive verification and heavy implementation pipelines, contributing 67 and 30 cases, respectively. This shows that skills often turn validation checklists and construction recipes into mandatory work. Based on our findings, we propose research topics and tooling improvements for safer and more cost-aware skill reuse.

Medical image segmentation faces a fundamental challenge in continual learning: data arrives sequentially from heterogeneous sources, yet effective continual learning requires discovering which tasks share sufficient structure to benefit from joint learning. Existing methods either apply uniform constraints across all tasks, causing catastrophic forgetting when tasks conflict, or require predefined task groupings that cannot anticipate future task diversity. We introduce MedCRP-CL, a framework that performs online task structure discovery and structure-aware continual learning. Leveraging the Chinese Restaurant Process (CRP), our method dynamically infers task groupings from clinical text prompts as tasks arrive, without requiring predefined cluster counts or access to future tasks. We term these discovered groupings semantic modalities, as they capture finer-grained structure than physical imaging modalities by integrating anatomical region and pathological context. Guided by this discovered structure, we maintain semantic modality-specific LoRA adapters regularized by intra-modality EWC, ensuring parameter isolation across dissimilar task groups while facilitating knowledge transfer within similar ones. The framework is also replay-free, storing only aggregate statistics rather than raw patient data. Experiments on 16 medical segmentation tasks across four imaging modalities demonstrate that MedCRP-CL achieves 73.3% Dice score with only 4.1% forgetting, outperforming the best baseline by 8.0% while requiring 6times fewer parameters. Code is available at https://github.com/zygao930/MedCRP-CL.

As real-world datasets become increasingly complex and heterogeneous, supervised learning is often bottlenecked by input representation design. Modeling multimodal data for downstream tasks, such as time-series, free text, and structured records, often requires non-trivial domain-specific engineering. We propose an agentic pipeline to streamline this process. First, an LLM analyzes a small but diverse subset of text-serialized input examples in-context to synthesize a global rubric, which acts as a programmatic specification for extracting and organizing evidence. This rubric is then used to transform naive text-serializations of inputs into a more standardized format for downstream models. We also describe local rubrics, which are task-conditioned summaries generated by an LLM. Across 15 clinical tasks from the EHRSHOT benchmark, our rubric-based approaches significantly outperform traditional count-feature models, naive text-serialization-based LLM baselines, and a clinical foundation model, which is pretrained on orders of magnitude more data. Beyond performance, rubrics offer several advantages for operational healthcare settings such as being easy to audit, cost-effectiveness to deploy at scale, and they can be converted to tabular representations that unlock a swath of machine learning techniques.

LLM-powered agents face a persistent challenge: learning from their execution experiences to improve future performance. While agents can successfully complete many tasks, they often repeat inefficient patterns, fail to recover from similar errors, and miss opportunities to apply successful strategies from past executions. We present a novel framework for automatically extracting actionable learnings from agent execution trajectories and utilizing them to improve future performance through contextual memory retrieval. Our approach comprises four components: (1) a Trajectory Intelligence Extractor that performs semantic analysis of agent reasoning patterns, (2) a Decision Attribution Analyzer that identifies which decisions and reasoning steps led to failures, recoveries, or inefficiencies, (3) a Contextual Learning Generator that produces three types of guidance -- strategy tips from successful patterns, recovery tips from failure handling, and optimization tips from inefficient but successful executions, and (4) an Adaptive Memory Retrieval System that injects relevant learnings into agent prompts based on multi-dimensional similarity. Unlike existing memory systems that store generic conversational facts, our framework understands execution patterns, extracts structured learnings with provenance, and retrieves guidance tailored to specific task contexts. Evaluation on the AppWorld benchmark demonstrates consistent improvements, with up to 14.3 percentage point gains in scenario goal completion on held-out tasks and particularly strong benefits on complex tasks (28.5~pp scenario goal improvement, a 149\% relative increase).

Applying existing methods to emotional support conversation -- which provides valuable assistance to people who are in need -- has two major limitations: (a) they generally employ a conversation-level emotion label, which is too coarse-grained to capture user's instant mental state; (b) most of them focus on expressing empathy in the response(s) rather than gradually reducing user's distress. To address the problems, we propose a novel model MISC, which firstly infers the user's fine-grained emotional status, and then responds skillfully using a mixture of strategy. Experimental results on the benchmark dataset demonstrate the effectiveness of our method and reveal the benefits of fine-grained emotion understanding as well as mixed-up strategy modeling. Our code and data could be found in https://github.com/morecry/MISC.

To overcome the limitations of manual administrative coding in geriatric Cardiovascular Risk Management, this study introduces an automated classification framework leveraging unstructured Electronic Health Records (EHRs). Using a dataset of 3,482 patients, we benchmarked three distinct modeling paradigms on longitudinal Dutch clinical narratives: classical machine learning baselines, specialized deep learning architectures optimized for large-context sequences, and general-purpose generative Large Language Models (LLMs) in a zero-shot setting. Additionally, we evaluated a late fusion strategy to integrate unstructured text with structured medication embeddings and anthropometric data. Our analysis reveals that the custom Transformer architecture outperforms both traditional methods and generative llms, achieving the highest F1-scores and Matthews Correlation Coefficients. These findings underscore the critical role of specialized hierarchical attention mechanisms in capturing long-range dependencies within medical texts, presenting a robust, automated alternative to manual workflows for clinical risk stratification.

Reliably transferring specialized human knowledge from text into large language models remains a fundamental challenge in artificial intelligence. Fine-tuning on domain corpora has enabled substantial capability gains, but the process operates without feedback: when a model fails on a domain task, there is no method to diagnose what is deficient in the training data, and the only recourse is to add more data indiscriminately. Here we show that when a structured knowledge representation extracted from the source corpus serves as the shared foundation for both training data and evaluation, the complete data-engineering lifecycle maps onto the software development lifecycle in a precise and operative way: training data becomes source code specifying what the model should learn, model training becomes compilation, benchmarking becomes unit testing, and failure-driven data repair becomes debugging. Under this correspondence, model failures decompose into concept-level gaps and reasoning-chain breaks that can be traced back to specific deficiencies in the data and repaired through targeted patches, with each repair cycle producing consistent improvements across model scales and architectures without degrading general capabilities. We formalize this principle as Programming with Data and instantiate it across sixteen disciplines spanning the natural sciences, engineering, biomedicine, and the social sciences, releasing a structured knowledge base, benchmark suite, and training corpus as open resources. By demonstrating that the relationship between training data and model behaviour is structurally traceable and systematically repairable, this work establishes a principled foundation for the reliable engineering of human expertise into language models.

Retrieval-Augmented Generation (RAG) helps large language models (LLMs) answer knowledge-intensive and time-sensitive questions by conditioning generation on external evidence. However, most RAG systems still retrieve unstructured chunks and rely on one-shot generation, which often yields redundant context, low information density, and brittle multi-hop reasoning. While structured RAG pipelines can improve grounding, they typically require costly and error-prone graph construction or impose rigid entity-centric structures that do not align with the query's reasoning chain. We propose TaSR-RAG, a taxonomy-guided structured reasoning framework for evidence selection. We represent both queries and documents as relational triples, and constrain entity semantics with a lightweight two-level taxonomy to balance generalization and precision. Given a complex question, TaSR-RAG decomposes it into an ordered sequence of triple sub-queries with explicit latent variables, then performs step-wise evidence selection via hybrid triple matching that combines semantic similarity over raw triples with structural consistency over typed triples. By maintaining an explicit entity binding table across steps, TaSR-RAG resolves intermediate variables and reduces entity conflation without explicit graph construction or exhaustive search. Experiments on multiple multi-hop question answering benchmarks show that TaSR-RAG consistently outperforms strong RAG and structured-RAG baselines by up to 14\%, while producing clearer evidence attribution and more faithful reasoning traces.