A Locally Executable AI System for Improving Preoperative Patient Communication: A Multi-Domain Clinical Evaluation

Patients awaiting invasive procedures often have unanswered pre-procedural questions; however, time-pressured workflows and privacy constraints limit personalized counseling. We present LENOHA (Low Energy, No Hallucination, Leave No One Behind Architecture), a safety-first, local-first system that routes inputs with a high-precision sentence-transformer classifier and returns verbatim answers from a clinician-curated FAQ for clinical queries, eliminating free-text generation in the clinical path. We evaluated two domains (tooth extraction and gastroscopy) using expert-reviewed validation sets (n=400/domain) for thresholding and independent test sets (n=200/domain). Among the four encoders, E5-large-instruct (560M) achieved an overall accuracy of 0.983 (95% CI 0.964-0.991), AUC 0.996, and seven total errors, which were statistically indistinguishable from GPT-4o on this task; Gemini made no errors on this test set. Energy logging shows that the non-generative clinical path consumes ~1.0 mWh per input versus ~168 mWh per small-talk reply from a local 8B SLM, a ~170x difference, while maintaining ~0.10 s latency on a single on-prem GPU. These results indicate that near-frontier discrimination and generation-induced errors are structurally avoided in the clinical path by returning vetted FAQ answers verbatim, supporting privacy, sustainability, and equitable deployment in bandwidth-limited environments.

PulseReddit: A Novel Reddit Dataset for Benchmarking MAS in High-Frequency Cryptocurrency Trading

High-Frequency Trading (HFT) is pivotal in cryptocurrency markets, demanding rapid decision-making. Social media platforms like Reddit offer valuable, yet underexplored, information for such high-frequency, short-term trading. This paper introduces \textbf{PulseReddit}, a novel dataset that is the first to align large-scale Reddit discussion data with high-frequency cryptocurrency market statistics for short-term trading analysis. We conduct an extensive empirical study using Large Language Model (LLM)-based Multi-Agent Systems (MAS) to investigate the impact of social sentiment from PulseReddit on trading performance. Our experiments conclude that MAS augmented with PulseReddit data achieve superior trading outcomes compared to traditional baselines, particularly in bull markets, and demonstrate robust adaptability across different market regimes. Furthermore, our research provides conclusive insights into the performance-efficiency trade-offs of different LLMs, detailing significant considerations for practical model selection in HFT applications. PulseReddit and our findings establish a foundation for advanced MAS research in HFT, demonstrating the tangible benefits of integrating social media.