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Jun 16

Aortic Valve Disease Detection from PPG via Physiology-Informed Self-Supervised Learning

Traditional diagnosis of aortic valve disease relies on echocardiography, but its cost and required expertise limit its use in large-scale early screening. Photoplethysmography (PPG) has emerged as a promising screening modality due to its widespread availability in wearable devices and its ability to reflect underlying hemodynamic dynamics. However, the extreme scarcity of gold-standard labeled PPG data severely constrains the effectiveness of data-driven approaches. To address this challenge, we propose and validate a new paradigm, Physiology-Guided Self-Supervised Learning (PG-SSL), aimed at unlocking the value of large-scale unlabeled PPG data for efficient screening of Aortic Stenosis (AS) and Aortic Regurgitation (AR). Using over 170,000 unlabeled PPG samples from the UK Biobank, we formalize clinical knowledge into a set of PPG morphological phenotypes and construct a pulse pattern recognition proxy task for self-supervised pre-training. A dual-branch, gated-fusion architecture is then employed for efficient fine-tuning on a small labeled subset. The proposed PG-SSL framework achieves AUCs of 0.765 and 0.776 for AS and AR screening, respectively, significantly outperforming supervised baselines trained on limited labeled data. Multivariable analysis further validates the model output as an independent digital biomarker with sustained prognostic value after adjustment for standard clinical risk factors. This study demonstrates that PG-SSL provides an effective, domain knowledge-driven solution to label scarcity in medical artificial intelligence and shows strong potential for enabling low-cost, large-scale early screening of aortic valve disease.

  • 7 authors
·
Feb 3

ROAD: Reflective Optimization via Automated Debugging for Zero-Shot Agent Alignment

Automatic Prompt Optimization (APO) has emerged as a critical technique for enhancing Large Language Model (LLM) performance, yet current state-of-the-art methods typically rely on large, labeled gold-standard development sets to compute fitness scores for evolutionary or Reinforcement Learning (RL) approaches. In real-world software engineering, however, such curated datasets are rarely available during the initial cold start of agent development, where engineers instead face messy production logs and evolving failure modes. We present ROAD (Reflective Optimization via Automated Debugging), a novel framework that bypasses the need for refined datasets by treating optimization as a dynamic debugging investigation rather than a stochastic search. Unlike traditional mutation strategies, ROAD utilizes a specialized multi-agent architecture, comprising an Analyzer for root-cause analysis, an Optimizer for pattern aggregation, and a Coach for strategy integration, to convert unstructured failure logs into robust, structured Decision Tree Protocols. We evaluated ROAD across both a standardized academic benchmark and a live production Knowledge Management engine. Experimental results demonstrate that ROAD is highly sample-efficient, achieving a 5.6 percent increase in success rate (73.6 percent to 79.2 percent) and a 3.8 percent increase in search accuracy within just three automated iterations. Furthermore, on complex reasoning tasks in the retail domain, ROAD improved agent performance by approximately 19 percent relative to the baseline. These findings suggest that mimicking the human engineering loop of failure analysis and patching offers a viable, data-efficient alternative to resource-intensive RL training for deploying reliable LLM agents.

  • 9 authors
·
Dec 30, 2025

Supervised Topical Key Phrase Extraction of News Stories using Crowdsourcing, Light Filtering and Co-reference Normalization

Fast and effective automated indexing is critical for search and personalized services. Key phrases that consist of one or more words and represent the main concepts of the document are often used for the purpose of indexing. In this paper, we investigate the use of additional semantic features and pre-processing steps to improve automatic key phrase extraction. These features include the use of signal words and freebase categories. Some of these features lead to significant improvements in the accuracy of the results. We also experimented with 2 forms of document pre-processing that we call light filtering and co-reference normalization. Light filtering removes sentences from the document, which are judged peripheral to its main content. Co-reference normalization unifies several written forms of the same named entity into a unique form. We also needed a "Gold Standard" - a set of labeled documents for training and evaluation. While the subjective nature of key phrase selection precludes a true "Gold Standard", we used Amazon's Mechanical Turk service to obtain a useful approximation. Our data indicates that the biggest improvements in performance were due to shallow semantic features, news categories, and rhetorical signals (nDCG 78.47% vs. 68.93%). The inclusion of deeper semantic features such as Freebase sub-categories was not beneficial by itself, but in combination with pre-processing, did cause slight improvements in the nDCG scores.

  • 5 authors
·
Jun 20, 2013

Spread Love Not Hate: Undermining the Importance of Hateful Pre-training for Hate Speech Detection

Pre-training large neural language models, such as BERT, has led to impressive gains on many natural language processing (NLP) tasks. Although this method has proven to be effective for many domains, it might not always provide desirable benefits. In this paper, we study the effects of hateful pre-training on low-resource hate speech classification tasks. While previous studies on the English language have emphasized its importance, we aim to augment their observations with some non-obvious insights. We evaluate different variations of tweet-based BERT models pre-trained on hateful, non-hateful, and mixed subsets of a 40M tweet dataset. This evaluation is carried out for the Indian languages Hindi and Marathi. This paper is empirical evidence that hateful pre-training is not the best pre-training option for hate speech detection. We show that pre-training on non-hateful text from the target domain provides similar or better results. Further, we introduce HindTweetBERT and MahaTweetBERT, the first publicly available BERT models pre-trained on Hindi and Marathi tweets, respectively. We show that they provide state-of-the-art performance on hate speech classification tasks. We also release hateful BERT for the two languages and a gold hate speech evaluation benchmark HateEval-Hi and HateEval-Mr consisting of manually labeled 2000 tweets each. The models and data are available at https://github.com/l3cube-pune/MarathiNLP .

  • 5 authors
·
Oct 9, 2022

MHQA: A Diverse, Knowledge Intensive Mental Health Question Answering Challenge for Language Models

Mental health remains a challenging problem all over the world, with issues like depression, anxiety becoming increasingly common. Large Language Models (LLMs) have seen a vast application in healthcare, specifically in answering medical questions. However, there is a lack of standard benchmarking datasets for question answering (QA) in mental health. Our work presents a novel multiple choice dataset, MHQA (Mental Health Question Answering), for benchmarking Language models (LMs). Previous mental health datasets have focused primarily on text classification into specific labels or disorders. MHQA, on the other hand, presents question-answering for mental health focused on four key domains: anxiety, depression, trauma, and obsessive/compulsive issues, with diverse question types, namely, factoid, diagnostic, prognostic, and preventive. We use PubMed abstracts as the primary source for QA. We develop a rigorous pipeline for LLM-based identification of information from abstracts based on various selection criteria and converting it into QA pairs. Further, valid QA pairs are extracted based on post-hoc validation criteria. Overall, our MHQA dataset consists of 2,475 expert-verified gold standard instances called MHQA-gold and ~56.1k pairs pseudo labeled using external medical references. We report F1 scores on different LLMs along with few-shot and supervised fine-tuning experiments, further discussing the insights for the scores.

  • 7 authors
·
Feb 21, 2025

Vision-Language Enhanced Foundation Model for Semi-supervised Medical Image Segmentation

Semi-supervised learning (SSL) has emerged as an effective paradigm for medical image segmentation, reducing the reliance on extensive expert annotations. Meanwhile, vision-language models (VLMs) have demonstrated strong generalization and few-shot capabilities across diverse visual domains. In this work, we integrate VLM-based segmentation into semi-supervised medical image segmentation by introducing a Vision-Language Enhanced Semi-supervised Segmentation Assistant (VESSA) that incorporates foundation-level visual-semantic understanding into SSL frameworks. Our approach consists of two stages. In Stage 1, the VLM-enhanced segmentation foundation model VESSA is trained as a reference-guided segmentation assistant using a template bank containing gold-standard exemplars, simulating learning from limited labeled data. Given an input-template pair, VESSA performs visual feature matching to extract representative semantic and spatial cues from exemplar segmentations, generating structured prompts for a SAM2-inspired mask decoder to produce segmentation masks. In Stage 2, VESSA is integrated into a state-of-the-art SSL framework, enabling dynamic interaction with the student model: as student predictions become more refined, they are fed back to VESSA as prompts, allowing it to generate higher-quality pseudo-labels and stronger guidance. Extensive experiments across multiple segmentation datasets and domains show that VESSA-augmented SSL significantly enhances segmentation accuracy, outperforming state-of-the-art baselines under extremely limited annotation conditions.

  • 7 authors
·
Nov 24, 2025

L3Cube-MahaEmotions: A Marathi Emotion Recognition Dataset with Synthetic Annotations using CoTR prompting and Large Language Models

Emotion recognition in low-resource languages like Marathi remains challenging due to limited annotated data. We present L3Cube-MahaEmotions, a high-quality Marathi emotion recognition dataset with 11 fine-grained emotion labels. The training data is synthetically annotated using large language models (LLMs), while the validation and test sets are manually labeled to serve as a reliable gold-standard benchmark. Building on the MahaSent dataset, we apply the Chain-of-Translation (CoTR) prompting technique, where Marathi sentences are translated into English and emotion labeled via a single prompt. GPT-4 and Llama3-405B were evaluated, with GPT-4 selected for training data annotation due to superior label quality. We evaluate model performance using standard metrics and explore label aggregation strategies (e.g., Union, Intersection). While GPT-4 predictions outperform fine-tuned BERT models, BERT-based models trained on synthetic labels fail to surpass GPT-4. This highlights both the importance of high-quality human-labeled data and the inherent complexity of emotion recognition. An important finding of this work is that generic LLMs like GPT-4 and Llama3-405B generalize better than fine-tuned BERT for complex low-resource emotion recognition tasks. The dataset and model are shared publicly at https://github.com/l3cube-pune/MarathiNLP

  • 2 authors
·
Jun 1, 2025

Hate Speech detection in the Bengali language: A dataset and its baseline evaluation

Social media sites such as YouTube and Facebook have become an integral part of everyone's life and in the last few years, hate speech in the social media comment section has increased rapidly. Detection of hate speech on social media websites faces a variety of challenges including small imbalanced data sets, the findings of an appropriate model and also the choice of feature analysis method. further more, this problem is more severe for the Bengali speaking community due to the lack of gold standard labelled datasets. This paper presents a new dataset of 30,000 user comments tagged by crowd sourcing and varified by experts. All the comments are collected from YouTube and Facebook comment section and classified into seven categories: sports, entertainment, religion, politics, crime, celebrity and TikTok & meme. A total of 50 annotators annotated each comment three times and the majority vote was taken as the final annotation. Nevertheless, we have conducted base line experiments and several deep learning models along with extensive pre-trained Bengali word embedding such as Word2Vec, FastText and BengFastText on this dataset to facilitate future research opportunities. The experiment illustrated that although all deep learning models performed well, SVM achieved the best result with 87.5% accuracy. Our core contribution is to make this benchmark dataset available and accessible to facilitate further research in the field of in the field of Bengali hate speech detection.

  • 4 authors
·
Dec 17, 2020

RealICU: Do LLM Agents Understand Long-Context ICU Data? A Benchmark Beyond Behavior Imitation

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/