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Dec 9

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

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

  • 14 authors
·
Aug 11, 2023

Empirical Study of Market Impact Conditional on Order-Flow Imbalance

In this research, we have empirically investigated the key drivers affecting liquidity in equity markets. We illustrated how theoretical models, such as Kyle's model, of agents' interplay in the financial markets, are aligned with the phenomena observed in publicly available trades and quotes data. Specifically, we confirmed that for small signed order-flows, the price impact grows linearly with increase in the order-flow imbalance. We have, further, implemented a machine learning algorithm to forecast market impact given a signed order-flow. Our findings suggest that machine learning models can be used in estimation of financial variables; and predictive accuracy of such learning algorithms can surpass the performance of traditional statistical approaches. Understanding the determinants of price impact is crucial for several reasons. From a theoretical stance, modelling the impact provides a statistical measure of liquidity. Practitioners adopt impact models as a pre-trade tool to estimate expected transaction costs and optimize the execution of their strategies. This further serves as a post-trade valuation benchmark as suboptimal execution can significantly deteriorate a portfolio performance. More broadly, the price impact reflects the balance of liquidity across markets. This is of central importance to regulators as it provides an all-encompassing explanation of the correlation between market design and systemic risk, enabling regulators to design more stable and efficient markets.

  • 1 authors
·
Apr 17, 2020

Nemotron-Flash: Towards Latency-Optimal Hybrid Small Language Models

Efficient deployment of small language models (SLMs) is essential for numerous real-world applications with stringent latency constraints. While previous work on SLM design has primarily focused on reducing the number of parameters to achieve parameter-optimal SLMs, parameter efficiency does not necessarily translate into proportional real-device speed-ups. This work aims to identify the key determinants of SLMs' real-device latency and offer generalizable principles and methodologies for SLM design and training when real-device latency is the primary consideration. Specifically, we identify two central architectural factors: depth-width ratios and operator choices. The former is crucial for small-batch-size latency, while the latter affects both latency and large-batch-size throughput. In light of this, we first study latency-optimal depth-width ratios, with the key finding that although deep-thin models generally achieve better accuracy under the same parameter budget, they may not lie on the accuracy-latency trade-off frontier. Next, we explore emerging efficient attention alternatives to evaluate their potential as candidate building operators. Using the identified promising operators, we construct an evolutionary search framework to automatically discover latency-optimal combinations of these operators within hybrid SLMs, thereby advancing the accuracy-latency frontier. In addition to architectural improvements, we further enhance SLM training using a weight normalization technique that enables more effective weight updates and improves final convergence. Combining these methods, we introduce a new family of hybrid SLMs, called Nemotron-Flash, which significantly advances the accuracy-efficiency frontier of state-of-the-art SLMs, e.g., achieving over +5.5% average accuracy, 1.3x/1.9x lower latency, and 18.7x/45.6x higher throughput compared to Qwen3-1.7B/0.6B, respectively.

nvidia NVIDIA
·
Nov 24 2

Learning to Reason as Action Abstractions with Scalable Mid-Training RL

Large language models excel with reinforcement learning (RL), but fully unlocking this potential requires a mid-training stage. An effective mid-training phase should identify a compact set of useful actions and enable fast selection among them through online RL. We formalize this intuition by presenting the first theoretical result on how mid-training shapes post-training: it characterizes an action subspace that minimizes both the value approximation error from pruning and the RL error during subsequent planning. Our analysis reveals two key determinants of mid-training effectiveness: pruning efficiency, which shapes the prior of the initial RL policy, and its impact on RL convergence, which governs the extent to which that policy can be improved via online interactions. These results suggest that mid-training is most effective when the decision space is compact and the effective horizon is short, highlighting the importance of operating in the space of action abstractions rather than primitive actions. Building on these insights, we propose Reasoning as Action Abstractions (RA3), a scalable mid-training algorithm. Specifically, we derive a sequential variational lower bound and optimize it by iteratively discovering temporally-consistent latent structures via RL, followed by fine-tuning on the bootstrapped data. Experiments on code generation tasks demonstrate the effectiveness of our approach. Across multiple base models, RA3 improves the average performance on HumanEval and MBPP by 8 and 4 points over the base model and the next-token prediction baseline. Furthermore, RA3 achieves faster convergence and higher asymptotic performance in RLVR on HumanEval+, MBPP+, LiveCodeBench, and Codeforces.

apple Apple
·
Sep 30 2

Grokking as the Transition from Lazy to Rich Training Dynamics

We propose that the grokking phenomenon, where the train loss of a neural network decreases much earlier than its test loss, can arise due to a neural network transitioning from lazy training dynamics to a rich, feature learning regime. To illustrate this mechanism, we study the simple setting of vanilla gradient descent on a polynomial regression problem with a two layer neural network which exhibits grokking without regularization in a way that cannot be explained by existing theories. We identify sufficient statistics for the test loss of such a network, and tracking these over training reveals that grokking arises in this setting when the network first attempts to fit a kernel regression solution with its initial features, followed by late-time feature learning where a generalizing solution is identified after train loss is already low. We provide an asymptotic theoretical description of the grokking dynamics in this model using dynamical mean field theory (DMFT) for high dimensional data. We find that the key determinants of grokking are the rate of feature learning -- which can be controlled precisely by parameters that scale the network output -- and the alignment of the initial features with the target function y(x). We argue this delayed generalization arises when (1) the top eigenvectors of the initial neural tangent kernel and the task labels y(x) are misaligned, but (2) the dataset size is large enough so that it is possible for the network to generalize eventually, but not so large that train loss perfectly tracks test loss at all epochs, and (3) the network begins training in the lazy regime so does not learn features immediately. We conclude with evidence that this transition from lazy (linear model) to rich training (feature learning) can control grokking in more general settings, like on MNIST, one-layer Transformers, and student-teacher networks.

  • 4 authors
·
Oct 9, 2023

Fixed-Budget Differentially Private Best Arm Identification

We study best arm identification (BAI) in linear bandits in the fixed-budget regime under differential privacy constraints, when the arm rewards are supported on the unit interval. Given a finite budget T and a privacy parameter varepsilon>0, the goal is to minimise the error probability in finding the arm with the largest mean after T sampling rounds, subject to the constraint that the policy of the decision maker satisfies a certain {\em varepsilon-differential privacy} (varepsilon-DP) constraint. We construct a policy satisfying the varepsilon-DP constraint (called {\sc DP-BAI}) by proposing the principle of {\em maximum absolute determinants}, and derive an upper bound on its error probability. Furthermore, we derive a minimax lower bound on the error probability, and demonstrate that the lower and the upper bounds decay exponentially in T, with exponents in the two bounds matching order-wise in (a) the sub-optimality gaps of the arms, (b) varepsilon, and (c) the problem complexity that is expressible as the sum of two terms, one characterising the complexity of standard fixed-budget BAI (without privacy constraints), and the other accounting for the varepsilon-DP constraint. Additionally, we present some auxiliary results that contribute to the derivation of the lower bound on the error probability. These results, we posit, may be of independent interest and could prove instrumental in proving lower bounds on error probabilities in several other bandit problems. Whereas prior works provide results for BAI in the fixed-budget regime without privacy constraints or in the fixed-confidence regime with privacy constraints, our work fills the gap in the literature by providing the results for BAI in the fixed-budget regime under the varepsilon-DP constraint.

  • 4 authors
·
Jan 17, 2024

Generative Large Language Models Are All-purpose Text Analytics Engines: Text-to-text Learning Is All Your Need

Objective To solve major clinical natural language processing (NLP) tasks using a unified text-to-text learning architecture based on a generative large language model (LLM) via prompt tuning. Methods We formulated 7 key clinical NLP tasks as text-to-text learning and solved them using one unified generative clinical LLM, GatorTronGPT, developed using GPT-3 architecture and trained with up to 20 billion parameters. We adopted soft prompts (i.e., trainable vectors) with frozen LLM, where the LLM parameters were not updated (i.e., frozen) and only the vectors of soft prompts were updated, known as prompt tuning. We added additional soft prompts as a prefix to the input layer, which were optimized during the prompt tuning. We evaluated the proposed method using 7 clinical NLP tasks and compared them with previous task-specific solutions based on Transformer models. Results and Conclusion The proposed approach achieved state-of-the-art performance for 5 out of 7 major clinical NLP tasks using one unified generative LLM. Our approach outperformed previous task-specific transformer models by ~3% for concept extraction and 7% for relation extraction applied to social determinants of health, 3.4% for clinical concept normalization, 3.4~10% for clinical abbreviation disambiguation, and 5.5~9% for natural language inference. Our approach also outperformed a previously developed prompt-based machine reading comprehension (MRC) model, GatorTron-MRC, for clinical concept and relation extraction. The proposed approach can deliver the ``one model for all`` promise from training to deployment using a unified generative LLM.

  • 9 authors
·
Dec 10, 2023

Characterizing Mechanisms for Factual Recall in Language Models

Language Models (LMs) often must integrate facts they memorized in pretraining with new information that appears in a given context. These two sources can disagree, causing competition within the model, and it is unclear how an LM will resolve the conflict. On a dataset that queries for knowledge of world capitals, we investigate both distributional and mechanistic determinants of LM behavior in such situations. Specifically, we measure the proportion of the time an LM will use a counterfactual prefix (e.g., "The capital of Poland is London") to overwrite what it learned in pretraining ("Warsaw"). On Pythia and GPT2, the training frequency of both the query country ("Poland") and the in-context city ("London") highly affect the models' likelihood of using the counterfactual. We then use head attribution to identify individual attention heads that either promote the memorized answer or the in-context answer in the logits. By scaling up or down the value vector of these heads, we can control the likelihood of using the in-context answer on new data. This method can increase the rate of generating the in-context answer to 88\% of the time simply by scaling a single head at runtime. Our work contributes to a body of evidence showing that we can often localize model behaviors to specific components and provides a proof of concept for how future methods might control model behavior dynamically at runtime.

  • 3 authors
·
Oct 24, 2023

Unveiling Intrinsic Dimension of Texts: from Academic Abstract to Creative Story

Intrinsic dimension (ID) is an important tool in modern LLM analysis, informing studies of training dynamics, scaling behavior, and dataset structure, yet its textual determinants remain underexplored. We provide the first comprehensive study grounding ID in interpretable text properties through cross-encoder analysis, linguistic features, and sparse autoencoders (SAEs). In this work, we establish three key findings. First, ID is complementary to entropy-based metrics: after controlling for length, the two are uncorrelated, with ID capturing geometric complexity orthogonal to prediction quality. Second, ID exhibits robust genre stratification: scientific prose shows low ID (~8), encyclopedic content medium ID (~9), and creative/opinion writing high ID (~10.5) across all models tested. This reveals that contemporary LLMs find scientific text "representationally simple" while fiction requires additional degrees of freedom. Third, using SAEs, we identify causal features: scientific signals (formal tone, report templates, statistics) reduce ID; humanized signals (personalization, emotion, narrative) increase it. Steering experiments confirm these effects are causal. Thus, for contemporary models, scientific writing appears comparatively "easy", whereas fiction, opinion, and affect add representational degrees of freedom. Our multi-faceted analysis provides practical guidance for the proper use of ID and the sound interpretation of ID-based results.

  • 8 authors
·
Nov 19 3

Gaining Insight into SARS-CoV-2 Infection and COVID-19 Severity Using Self-supervised Edge Features and Graph Neural Networks

A molecular and cellular understanding of how SARS-CoV-2 variably infects and causes severe COVID-19 remains a bottleneck in developing interventions to end the pandemic. We sought to use deep learning to study the biology of SARS-CoV-2 infection and COVID-19 severity by identifying transcriptomic patterns and cell types associated with SARS-CoV-2 infection and COVID-19 severity. To do this, we developed a new approach to generating self-supervised edge features. We propose a model that builds on Graph Attention Networks (GAT), creates edge features using self-supervised learning, and ingests these edge features via a Set Transformer. This model achieves significant improvements in predicting the disease state of individual cells, given their transcriptome. We apply our model to single-cell RNA sequencing datasets of SARS-CoV-2 infected lung organoids and bronchoalveolar lavage fluid samples of patients with COVID-19, achieving state-of-the-art performance on both datasets with our model. We then borrow from the field of explainable AI (XAI) to identify the features (genes) and cell types that discriminate bystander vs. infected cells across time and moderate vs. severe COVID-19 disease. To the best of our knowledge, this represents the first application of deep learning to identifying the molecular and cellular determinants of SARS-CoV-2 infection and COVID-19 severity using single-cell omics data.

  • 3 authors
·
Jun 23, 2020