Llama-3.1-FoundationAI-SecurityLLM-Base-8B Technical Report

As transformer-based large language models (LLMs) increasingly permeate society, they have revolutionized domains such as software engineering, creative writing, and digital arts. However, their adoption in cybersecurity remains limited due to challenges like scarcity of specialized training data and complexity of representing cybersecurity-specific knowledge. To address these gaps, we present Foundation-Sec-8B, a cybersecurity-focused LLM built on the Llama 3.1 architecture and enhanced through continued pretraining on a carefully curated cybersecurity corpus. We evaluate Foundation-Sec-8B across both established and new cybersecurity benchmarks, showing that it matches Llama 3.1-70B and GPT-4o-mini in certain cybersecurity-specific tasks. By releasing our model to the public, we aim to accelerate progress and adoption of AI-driven tools in both public and private cybersecurity contexts.

A Multi-Phase Analysis of Blood Culture Stewardship: Machine Learning Prediction, Expert Recommendation Assessment, and LLM Automation

Blood cultures are often over ordered without clear justification, straining healthcare resources and contributing to inappropriate antibiotic use pressures worsened by the global shortage. In study of 135483 emergency department (ED) blood culture orders, we developed machine learning (ML) models to predict the risk of bacteremia using structured electronic health record (EHR) data and provider notes via a large language model (LLM). The structured models AUC improved from 0.76 to 0.79 with note embeddings and reached 0.81 with added diagnosis codes. Compared to an expert recommendation framework applied by human reviewers and an LLM-based pipeline, our ML approach offered higher specificity without compromising sensitivity. The recommendation framework achieved sensitivity 86%, specificity 57%, while the LLM maintained high sensitivity (96%) but over classified negatives, reducing specificity (16%). These findings demonstrate that ML models integrating structured and unstructured data can outperform consensus recommendations, enhancing diagnostic stewardship beyond existing standards of care.

Antibiotic Resistance Microbiology Dataset (ARMD): A De-identified Resource for Studying Antimicrobial Resistance Using Electronic Health Records

The Antibiotic Resistance Microbiology Dataset (ARMD) is a de-identified resource derived from electronic health records (EHR) that facilitates research into antimicrobial resistance (AMR). ARMD encompasses data from adult patients, focusing on microbiological cultures, antibiotic susceptibilities, and associated clinical and demographic features. Key attributes include organism identification, susceptibility patterns for 55 antibiotics, implied susceptibility rules, and de-identified patient information. This dataset supports studies on antimicrobial stewardship, causal inference, and clinical decision-making. ARMD is designed to be reusable and interoperable, promoting collaboration and innovation in combating AMR. This paper describes the dataset's acquisition, structure, and utility while detailing its de-identification process.