Leveraging LLMs for Predicting Unknown Diagnoses from Clinical Notes

Electronic Health Records (EHRs) often lack explicit links between medications and diagnoses, making clinical decision-making and research more difficult. Even when links exist, diagnosis lists may be incomplete, especially during early patient visits. Discharge summaries tend to provide more complete information, which can help infer accurate diagnoses, especially with the help of large language models (LLMs). This study investigates whether LLMs can predict implicitly mentioned diagnoses from clinical notes and link them to corresponding medications. We address two research questions: (1) Does majority voting across diverse LLM configurations outperform the best single configuration in diagnosis prediction? (2) How sensitive is majority voting accuracy to LLM hyperparameters such as temperature, top-p, and summary length? To evaluate, we created a new dataset of 240 expert-annotated medication-diagnosis pairs from 20 MIMIC-IV notes. Using GPT-3.5 Turbo, we ran 18 prompting configurations across short and long summary lengths, generating 8568 test cases. Results show that majority voting achieved 75 percent accuracy, outperforming the best single configuration at 66 percent. No single hyperparameter setting dominated, but combining deterministic, balanced, and exploratory strategies improved performance. Shorter summaries generally led to higher accuracy.In conclusion, ensemble-style majority voting with diverse LLM configurations improves diagnosis prediction in EHRs and offers a promising method to link medications and diagnoses in clinical texts.

Cache-of-Thought: Master-Apprentice Framework for Cost-Effective Vision Language Model Inference

Vision Language Models (VLMs) have achieved remarkable success in a wide range of vision applications of increasing complexity and scales, yet choosing the right VLM model size involves a trade-off between response quality and cost. While smaller VLMs are cheaper to run, they typically produce responses only marginally better than random guessing on benchmarks such as MMMU. In this paper, we propose Cache of Thought (CoT), a master apprentice framework for collaborative inference between large and small VLMs. CoT manages high quality query results from large VLMs (master) in a cache, which are then selected via a novel multi modal retrieval and in-context learning to aid the performance of small VLMs (apprentice). We extensively evaluate CoT on various widely recognized and challenging general VQA benchmarks, and show that CoT increases overall VQA performance by up to 7.7% under the same budget, and specifically boosts the performance of apprentice VLMs by up to 36.6%.

The Law of Knowledge Overshadowing: Towards Understanding, Predicting, and Preventing LLM Hallucination

Hallucination is a persistent challenge in large language models (LLMs), where even with rigorous quality control, models often generate distorted facts. This paradox, in which error generation continues despite high-quality training data, calls for a deeper understanding of the underlying LLM mechanisms. To address it, we propose a novel concept: knowledge overshadowing, where model's dominant knowledge can obscure less prominent knowledge during text generation, causing the model to fabricate inaccurate details. Building on this idea, we introduce a novel framework to quantify factual hallucinations by modeling knowledge overshadowing. Central to our approach is the log-linear law, which predicts that the rate of factual hallucination increases linearly with the logarithmic scale of (1) Knowledge Popularity, (2) Knowledge Length, and (3) Model Size. The law provides a means to preemptively quantify hallucinations, offering foresight into their occurrence even before model training or inference. Built on overshadowing effect, we propose a new decoding strategy CoDa, to mitigate hallucinations, which notably enhance model factuality on Overshadow (27.9%), MemoTrap (13.1%) and NQ-Swap (18.3%). Our findings not only deepen understandings of the underlying mechanisms behind hallucinations but also provide actionable insights for developing more predictable and controllable language models.

ORBIT: Cost-Effective Dataset Curation for Large Language Model Domain Adaptation with an Astronomy Case Study

Recent advances in language modeling demonstrate the need for high-quality domain-specific training data, especially for tasks that require specialized knowledge. General-purpose models, while versatile, often lack the depth needed for expert-level tasks because of limited domain-specific information. Domain adaptation training can enhance these models, but it demands substantial, high-quality data. To address this, we propose ORBIT, a cost-efficient methodology for curating massive, high-quality domain-specific datasets from noisy web sources, tailored for training specialist large language models. Using astronomy as a primary case study, we refined the 1.3T-token FineWeb-Edu dataset into a high-quality, 10B-token subset focused on astronomy. Fine-tuning \textsc{LLaMA-3-8B} on a 1B-token astronomy subset improved performance on the MMLU astronomy benchmark from 69\% to 76\% and achieved top results on AstroBench, an astronomy-specific benchmark. Moreover, our model (Orbit-LLaMA) outperformed \textsc{LLaMA-3-8B-base}, with GPT-4o evaluations preferring it in 73\% of cases across 1000 astronomy-specific questions. Additionally, we validated ORBIT's generalizability by applying it to law and medicine, achieving a significant improvement of data quality compared to an unfiltered baseline. We open-source the ORBIT methodology, including the curated datasets, the codebase, and the resulting model at \href{https://github.com/ModeEric/ORBIT-Llama}{https://github.com/ModeEric/ORBIT-Llama}.

What Makes In-context Learning Effective for Mathematical Reasoning: A Theoretical Analysis

Owing to the capability of in-context learning, large language models (LLMs) have shown impressive performance across diverse mathematical reasoning benchmarks. However, we find that few-shot demonstrations can sometimes bring negative performance and their effectiveness on LLMs' reasoning abilities remains unreliable. To this end, in this paper, we aim to theoretically analyze the impact of in-context demonstrations on LLMs' reasoning performance. We prove that the reasoning efficacy (measured by empirical prediction loss) can be bounded by a LLM-oriented semantic similarity and an inference stability of demonstrations, which is general for both one-shot and few-shot scenarios. Based on this finding, we propose a straightforward, generalizable, and low-complexity demonstration selection method named LMS3. It can adaptively facilitate to select the most pertinent samples for different LLMs and includes a novel demonstration rejection mechanism to automatically filter out samples that are unsuitable for few-shot learning. Through experiments on three representative benchmarks, two LLM backbones, and multiple few-shot settings, we verify that our LMS3 has superiority and achieves consistent improvements on all datasets, which existing methods have been unable to accomplish.

Learning by Analogy: Enhancing Few-Shot Prompting for Math Word Problem Solving with Computational Graph-Based Retrieval

Large language models (LLMs) are known to struggle with complicated reasoning tasks such as math word problems (MWPs). In this paper, we present how analogy from similarly structured questions can improve LLMs' problem-solving capabilities for MWPs. Specifically, we rely on the retrieval of problems with similar computational graphs to the given question to serve as exemplars in the prompt, providing the correct reasoning path for the generation model to refer to. Empirical results across six math word problem datasets demonstrate the effectiveness of our proposed method, which achieves a significant improvement of up to 6.7 percent on average in absolute value, compared to baseline methods. These results highlight our method's potential in addressing the reasoning challenges in current LLMs.

UOUO: Uncontextualized Uncommon Objects for Measuring Knowledge Horizons of Vision Language Models

Smaller-scale Vision-Langauge Models (VLMs) often claim to perform on par with larger models in general-domain visual grounding and question-answering benchmarks while offering advantages in computational efficiency and storage. However, their ability to handle rare objects, which fall into the long tail of data distributions, is less understood. To rigorously evaluate this aspect, we introduce the "Uncontextualized Uncommon Objects" (UOUO) benchmark. This benchmark focuses on systematically testing VLMs with both large and small parameter counts on rare and specialized objects. Our comprehensive analysis reveals that while smaller VLMs maintain competitive performance on common datasets, they significantly underperform on tasks involving uncommon objects. We also propose an advanced, scalable pipeline for data collection and cleaning, ensuring the UOUO benchmark provides high-quality, challenging instances. These findings highlight the need to consider long-tail distributions when assessing the true capabilities of VLMs.

Prejudice and Caprice: A Statistical Framework for Measuring Social Discrimination in Large Language Models

The growing integration of large language models (LLMs) into social operations amplifies their impact on decisions in crucial areas such as economics, law, education, and healthcare, raising public concerns about these models' discrimination-related safety and reliability. However, prior discrimination measuring frameworks solely assess the average discriminatory behavior of LLMs, often proving inadequate due to the overlook of an additional discrimination-leading factor, i.e., the LLMs' prediction variation across diverse contexts. In this work, we present the Prejudice-Caprice Framework (PCF) that comprehensively measures discrimination in LLMs by considering both their consistently biased preference and preference variation across diverse contexts. Specifically, we mathematically dissect the aggregated contextualized discrimination risk of LLMs into prejudice risk, originating from LLMs' persistent prejudice, and caprice risk, stemming from their generation inconsistency. In addition, we utilize a data-mining approach to gather preference-detecting probes from sentence skeletons, devoid of attribute indications, to approximate LLMs' applied contexts. While initially intended for assessing discrimination in LLMs, our proposed PCF facilitates the comprehensive and flexible measurement of any inductive biases, including knowledge alongside prejudice, across various modality models. We apply our discrimination-measuring framework to 12 common LLMs, yielding intriguing findings: i) modern LLMs demonstrate significant pro-male stereotypes, ii) LLMs' exhibited discrimination correlates with several social and economic factors, iii) prejudice risk dominates the overall discrimination risk and follows a normal distribution, and iv) caprice risk contributes minimally to the overall risk but follows a fat-tailed distribution, suggesting that it is wild risk requiring enhanced surveillance.

If LLM Is the Wizard, Then Code Is the Wand: A Survey on How Code Empowers Large Language Models to Serve as Intelligent Agents

The prominent large language models (LLMs) of today differ from past language models not only in size, but also in the fact that they are trained on a combination of natural language and formal language (code). As a medium between humans and computers, code translates high-level goals into executable steps, featuring standard syntax, logical consistency, abstraction, and modularity. In this survey, we present an overview of the various benefits of integrating code into LLMs' training data. Specifically, beyond enhancing LLMs in code generation, we observe that these unique properties of code help (i) unlock the reasoning ability of LLMs, enabling their applications to a range of more complex natural language tasks; (ii) steer LLMs to produce structured and precise intermediate steps, which can then be connected to external execution ends through function calls; and (iii) take advantage of code compilation and execution environment, which also provides diverse feedback for model improvement. In addition, we trace how these profound capabilities of LLMs, brought by code, have led to their emergence as intelligent agents (IAs) in situations where the ability to understand instructions, decompose goals, plan and execute actions, and refine from feedback are crucial to their success on downstream tasks. Finally, we present several key challenges and future directions of empowering LLMs with code.

Learning by Applying: A General Framework for Mathematical Reasoning via Enhancing Explicit Knowledge Learning

Mathematical reasoning is one of the crucial abilities of general artificial intelligence, which requires machines to master mathematical logic and knowledge from solving problems. However, existing approaches are not transparent (thus not interpretable) in terms of what knowledge has been learned and applied in the reasoning process. In this paper, we propose a general Learning by Applying (LeAp) framework to enhance existing models (backbones) in a principled way by explicit knowledge learning. In LeAp, we perform knowledge learning in a novel problem-knowledge-expression paradigm, with a Knowledge Encoder to acquire knowledge from problem data and a Knowledge Decoder to apply knowledge for expression reasoning. The learned mathematical knowledge, including word-word relations and word-operator relations, forms an explicit knowledge graph, which bridges the knowledge "learning" and "applying" organically. Moreover, for problem solving, we design a semantics-enhanced module and a reasoning-enhanced module that apply knowledge to improve the problem comprehension and symbol reasoning abilities of any backbone, respectively. We theoretically prove the superiority of LeAp's autonomous learning mechanism. Experiments on three real-world datasets show that LeAp improves all backbones' performances, learns accurate knowledge, and achieves a more interpretable reasoning process.