Abstract:In August 2025, OpenAI released GPT-OSS models, its first open weight large language models since GPT-2 in 2019, comprising two mixture of experts architectures with 120B and 20B parameters. We evaluated both variants against six contemporary open source large language models ranging from 14.7B to 235B parameters, representing both dense and sparse designs, across ten benchmarks covering general knowledge, mathematical reasoning, code generation, multilingual understanding, and conversational ability. All models were tested in unquantised form under standardised inference settings, with statistical validation using McNemars test and effect size analysis. Results show that gpt-oss-20B consistently outperforms gpt-oss-120B on several benchmarks, such as HumanEval and MMLU, despite requiring substantially less memory and energy per response. Both models demonstrate mid-tier overall performance within the current open source landscape, with relative strength in code generation and notable weaknesses in multilingual tasks. These findings provide empirical evidence that scaling in sparse architectures may not yield proportional performance gains, underscoring the need for further investigation into optimisation strategies and informing more efficient model selection for future open source deployments.
Abstract:Early identification of high-risk ICU patients is crucial for directing limited medical resources. We introduce ALFIA (Adaptive Layer Fusion with Intelligent Attention), a modular, attention-based architecture that jointly trains LoRA (Low-Rank Adaptation) adapters and an adaptive layer-weighting mechanism to fuse multi-layer semantic features from a BERT backbone. Trained on our rigorous cw-24 (CriticalWindow-24) benchmark, ALFIA surpasses state-of-the-art tabular classifiers in AUPRC while preserving a balanced precision-recall profile. The embeddings produced by ALFIA's fusion module, capturing both fine-grained clinical cues and high-level concepts, enable seamless pairing with GBDTs (CatBoost/LightGBM) as ALFIA-boost, and deep neuro networks as ALFIA-nn, yielding additional performance gains. Our experiments confirm ALFIA's superior early-warning performance, by operating directly on routine clinical text, it furnishes clinicians with a convenient yet robust tool for risk stratification and timely intervention in critical-care settings.