Predicting Healthcare System Visitation Flow by Integrating Hospital Attributes and Population Socioeconomics with Human Mobility Data

Healthcare visitation patterns are influenced by a complex interplay of hospital attributes, population socioeconomics, and spatial factors. However, existing research often adopts a fragmented approach, examining these determinants in isolation. This study addresses this gap by integrating hospital capacities, occupancy rates, reputation, and popularity with population SES and spatial mobility patterns to predict visitation flows and analyze influencing factors. Utilizing four years of SafeGraph mobility data and user experience data from Google Maps Reviews, five flow prediction models, Naive Regression, Gradient Boosting, Multilayer Perceptrons (MLPs), Deep Gravity, and Heterogeneous Graph Neural Networks (HGNN),were trained and applied to simulate visitation flows in Houston, Texas, U.S. The Shapley additive explanation (SHAP) analysis and the Partial Dependence Plot (PDP) method were employed to examine the combined impacts of different factors on visitation patterns. The findings reveal that Deep Gravity outperformed other models. Hospital capacities, ICU occupancy rates, ratings, and popularity significantly influence visitation patterns, with their effects varying across different travel distances. Short-distance visits are primarily driven by convenience, whereas long-distance visits are influenced by hospital ratings. White-majority areas exhibited lower sensitivity to hospital ratings for short-distance visits, while Asian populations and those with higher education levels prioritized hospital rating in their visitation decisions. SES further influence these patterns, as areas with higher proportions of Hispanic, Black, under-18, and over-65 populations tend to have more frequent hospital visits, potentially reflecting greater healthcare needs or limited access to alternative medical services.

Does Memory Need Graphs? A Unified Framework and Empirical Analysis for Long-Term Dialog Memory

Graph structures are increasingly used in dialog memory systems, but empirical findings on their effectiveness remain inconsistent, making it unclear which design choices truly matter. We present an experimental, system-oriented analysis of long-term dialog memory architectures. We introduce a unified framework that decomposes dialog memory systems into core components and supports both graph-based and non-graph approaches. Under this framework, we conduct controlled, stage-wise experiments on LongMemEval and HaluMem, comparing common design choices in memory representation, organization, maintenance, and retrieval. Our results show that many performance differences are driven by foundational system settings rather than specific architectural innovations. Based on these findings, we identify stable and reliable strong baselines for future dialog memory research.

Detecting Hallucinations in Retrieval-Augmented Generation via Semantic-level Internal Reasoning Graph

The Retrieval-augmented generation (RAG) system based on Large language model (LLM) has made significant progress. It can effectively reduce factuality hallucinations, but faithfulness hallucinations still exist. Previous methods for detecting faithfulness hallucinations either neglect to capture the models' internal reasoning processes or handle those features coarsely, making it difficult for discriminators to learn. This paper proposes a semantic-level internal reasoning graph-based method for detecting faithfulness hallucination. Specifically, we first extend the layer-wise relevance propagation algorithm from the token level to the semantic level, constructing an internal reasoning graph based on attribution vectors. This provides a more faithful semantic-level representation of dependency. Furthermore, we design a general framework based on a small pre-trained language model to utilize the dependencies in LLM's reasoning for training and hallucination detection, which can dynamically adjust the pass rate of correct samples through a threshold. Experimental results demonstrate that our method achieves better overall performance compared to state-of-the-art baselines on RAGTruth and Dolly-15k.

GILT: An LLM-Free, Tuning-Free Graph Foundational Model for In-Context Learning

Graph Neural Networks (GNNs) are powerful tools for precessing relational data but often struggle to generalize to unseen graphs, giving rise to the development of Graph Foundational Models (GFMs). However, current GFMs are challenged by the extreme heterogeneity of graph data, where each graph can possess a unique feature space, label set, and topology. To address this, two main paradigms have emerged. The first leverages Large Language Models (LLMs), but is fundamentally text-dependent, thus struggles to handle the numerical features in vast graphs. The second pre-trains a structure-based model, but the adaptation to new tasks typically requires a costly, per-graph tuning stage, creating a critical efficiency bottleneck. In this work, we move beyond these limitations and introduce \textbf{G}raph \textbf{I}n-context \textbf{L}earning \textbf{T}ransformer (GILT), a framework built on an LLM-free and tuning-free architecture. GILT introduces a novel token-based framework for in-context learning (ICL) on graphs, reframing classification tasks spanning node, edge and graph levels in a unified framework. This mechanism is the key to handling heterogeneity, as it is designed to operate on generic numerical features. Further, its ability to understand class semantics dynamically from the context enables tuning-free adaptation. Comprehensive experiments show that GILT achieves stronger few-shot performance with significantly less time than LLM-based or tuning-based baselines, validating the effectiveness of our approach.

GAP: Graph-Assisted Prompts for Dialogue-based Medication Recommendation

Medication recommendations have become an important task in the healthcare domain, especially in measuring the accuracy and safety of medical dialogue systems (MDS). Different from the recommendation task based on electronic health records (EHRs), dialogue-based medication recommendations require research on the interaction details between patients and doctors, which is crucial but may not exist in EHRs. Recent advancements in large language models (LLM) have extended the medical dialogue domain. These LLMs can interpret patients' intent and provide medical suggestions including medication recommendations, but some challenges are still worth attention. During a multi-turn dialogue, LLMs may ignore the fine-grained medical information or connections across the dialogue turns, which is vital for providing accurate suggestions. Besides, LLMs may generate non-factual responses when there is a lack of domain-specific knowledge, which is more risky in the medical domain. To address these challenges, we propose a \textbf{G}raph-\textbf{A}ssisted \textbf{P}rompts (\textbf{GAP}) framework for dialogue-based medication recommendation. It extracts medical concepts and corresponding states from dialogue to construct an explicitly patient-centric graph, which can describe the neglected but important information. Further, combined with external medical knowledge graphs, GAP can generate abundant queries and prompts, thus retrieving information from multiple sources to reduce the non-factual responses. We evaluate GAP on a dialogue-based medication recommendation dataset and further explore its potential in a more difficult scenario, dynamically diagnostic interviewing. Extensive experiments demonstrate its competitive performance when compared with strong baselines.

Hyperlocal disaster damage assessment using bi-temporal street-view imagery and pre-trained vision models

Street-view images offer unique advantages for disaster damage estimation as they capture impacts from a visual perspective and provide detailed, on-the-ground insights. Despite several investigations attempting to analyze street-view images for damage estimation, they mainly focus on post-disaster images. The potential of time-series street-view images remains underexplored. Pre-disaster images provide valuable benchmarks for accurate damage estimations at building and street levels. These images could aid annotators in objectively labeling post-disaster impacts, improving the reliability of labeled data sets for model training, and potentially enhancing the model performance in damage evaluation. The goal of this study is to estimate hyperlocal, on-the-ground disaster damages using bi-temporal street-view images and advanced pre-trained vision models. Street-view images before and after 2024 Hurricane Milton in Horseshoe Beach, Florida, were collected for experiments. The objectives are: (1) to assess the performance gains of incorporating pre-disaster street-view images as a no-damage category in fine-tuning pre-trained models, including Swin Transformer and ConvNeXt, for damage level classification; (2) to design and evaluate a dual-channel algorithm that reads pair-wise pre- and post-disaster street-view images for hyperlocal damage assessment. The results indicate that incorporating pre-disaster street-view images and employing a dual-channel processing framework can significantly enhance damage assessment accuracy. The accuracy improves from 66.14% with the Swin Transformer baseline to 77.11% with the dual-channel Feature-Fusion ConvNeXt model. This research enables rapid, operational damage assessments at hyperlocal spatial resolutions, providing valuable insights to support effective decision-making in disaster management and resilience planning.

A Comprehensive Survey of Reward Models: Taxonomy, Applications, Challenges, and Future

Reward Model (RM) has demonstrated impressive potential for enhancing Large Language Models (LLM), as RM can serve as a proxy for human preferences, providing signals to guide LLMs' behavior in various tasks. In this paper, we provide a comprehensive overview of relevant research, exploring RMs from the perspectives of preference collection, reward modeling, and usage. Next, we introduce the applications of RMs and discuss the benchmarks for evaluation. Furthermore, we conduct an in-depth analysis of the challenges existing in the field and dive into the potential research directions. This paper is dedicated to providing beginners with a comprehensive introduction to RMs and facilitating future studies. The resources are publicly available at github\footnote{https://github.com/JLZhong23/awesome-reward-models}.

Exploiting Prefix-Tree in Structured Output Interfaces for Enhancing Jailbreak Attacking

The rise of Large Language Models (LLMs) has led to significant applications but also introduced serious security threats, particularly from jailbreak attacks that manipulate output generation. These attacks utilize prompt engineering and logit manipulation to steer models toward harmful content, prompting LLM providers to implement filtering and safety alignment strategies. We investigate LLMs' safety mechanisms and their recent applications, revealing a new threat model targeting structured output interfaces, which enable attackers to manipulate the inner logit during LLM generation, requiring only API access permissions. To demonstrate this threat model, we introduce a black-box attack framework called AttackPrefixTree (APT). APT exploits structured output interfaces to dynamically construct attack patterns. By leveraging prefixes of models' safety refusal response and latent harmful outputs, APT effectively bypasses safety measures. Experiments on benchmark datasets indicate that this approach achieves higher attack success rate than existing methods. This work highlights the urgent need for LLM providers to enhance security protocols to address vulnerabilities arising from the interaction between safety patterns and structured outputs.

DySpec: Faster Speculative Decoding with Dynamic Token Tree Structure

While speculative decoding has recently appeared as a promising direction for accelerating the inference of large language models (LLMs), the speedup and scalability are strongly bounded by the token acceptance rate. Prevalent methods usually organize predicted tokens as independent chains or fixed token trees, which fails to generalize to diverse query distributions. In this paper, we propose DySpec, a faster speculative decoding algorithm with a novel dynamic token tree structure. We begin by bridging the draft distribution and acceptance rate from intuitive and empirical clues, and successfully show that the two variables are strongly correlated. Based on this, we employ a greedy strategy to dynamically expand the token tree at run time. Theoretically, we show that our method can achieve optimal results under mild assumptions. Empirically, DySpec yields a higher acceptance rate and speedup than fixed trees. DySpec can drastically improve the throughput and reduce the latency of token generation across various data distribution and model sizes, which significantly outperforms strong competitors, including Specinfer and Sequoia. Under low temperature setting, DySpec can improve the throughput up to 9.1$\times$ and reduce the latency up to 9.4$\times$ on Llama2-70B. Under high temperature setting, DySpec can also improve the throughput up to 6.21$\times$, despite the increasing difficulty of speculating more than one token per step for draft model.

MedDiT: A Knowledge-Controlled Diffusion Transformer Framework for Dynamic Medical Image Generation in Virtual Simulated Patient

Medical education relies heavily on Simulated Patients (SPs) to provide a safe environment for students to practice clinical skills, including medical image analysis. However, the high cost of recruiting qualified SPs and the lack of diverse medical imaging datasets have presented significant challenges. To address these issues, this paper introduces MedDiT, a novel knowledge-controlled conversational framework that can dynamically generate plausible medical images aligned with simulated patient symptoms, enabling diverse diagnostic skill training. Specifically, MedDiT integrates various patient Knowledge Graphs (KGs), which describe the attributes and symptoms of patients, to dynamically prompt Large Language Models' (LLMs) behavior and control the patient characteristics, mitigating hallucination during medical conversation. Additionally, a well-tuned Diffusion Transformer (DiT) model is incorporated to generate medical images according to the specified patient attributes in the KG. In this paper, we present the capabilities of MedDiT through a practical demonstration, showcasing its ability to act in diverse simulated patient cases and generate the corresponding medical images. This can provide an abundant and interactive learning experience for students, advancing medical education by offering an immersive simulation platform for future healthcare professionals. The work sheds light on the feasibility of incorporating advanced technologies like LLM, KG, and DiT in education applications, highlighting their potential to address the challenges faced in simulated patient-based medical education.