Structured Insight from Unstructured Data: Large Language Models for SDOH-Driven Diabetes Risk Prediction

Social determinants of health (SDOH) play a critical role in Type 2 Diabetes (T2D) management but are often absent from electronic health records and risk prediction models. Most individual-level SDOH data is collected through structured screening tools, which lack the flexibility to capture the complexity of patient experiences and unique needs of a clinic's population. This study explores the use of large language models (LLMs) to extract structured SDOH information from unstructured patient life stories and evaluate the predictive value of both the extracted features and the narratives themselves for assessing diabetes control. We collected unstructured interviews from 65 T2D patients aged 65 and older, focused on their lived experiences, social context, and diabetes management. These narratives were analyzed using LLMs with retrieval-augmented generation to produce concise, actionable qualitative summaries for clinical interpretation and structured quantitative SDOH ratings for risk prediction modeling. The structured SDOH ratings were used independently and in combination with traditional laboratory biomarkers as inputs to linear and tree-based machine learning models (Ridge, Lasso, Random Forest, and XGBoost) to demonstrate how unstructured narrative data can be applied in conventional risk prediction workflows. Finally, we evaluated several LLMs on their ability to predict a patient's level of diabetes control (low, medium, high) directly from interview text with A1C values redacted. LLMs achieved 60% accuracy in predicting diabetes control levels from interview text. This work demonstrates how LLMs can translate unstructured SDOH-related data into structured insights, offering a scalable approach to augment clinical risk models and decision-making.

BountyBench: Dollar Impact of AI Agent Attackers and Defenders on Real-World Cybersecurity Systems

AI agents have the potential to significantly alter the cybersecurity landscape. To help us understand this change, we introduce the first framework to capture offensive and defensive cyber-capabilities in evolving real-world systems. Instantiating this framework with BountyBench, we set up 25 systems with complex, real-world codebases. To capture the vulnerability lifecycle, we define three task types: Detect (detecting a new vulnerability), Exploit (exploiting a specific vulnerability), and Patch (patching a specific vulnerability). For Detect, we construct a new success indicator, which is general across vulnerability types and provides localized evaluation. We manually set up the environment for each system, including installing packages, setting up server(s), and hydrating database(s). We add 40 bug bounties, which are vulnerabilities with monetary awards from \$10 to \$30,485, and cover 9 of the OWASP Top 10 Risks. To modulate task difficulty, we devise a new strategy based on information to guide detection, interpolating from identifying a zero day to exploiting a specific vulnerability. We evaluate 5 agents: Claude Code, OpenAI Codex CLI, and custom agents with GPT-4.1, Gemini 2.5 Pro Preview, and Claude 3.7 Sonnet Thinking. Given up to three attempts, the top-performing agents are Claude Code (5% on Detect, mapping to \$1,350), Custom Agent with Claude 3.7 Sonnet Thinking (5% on Detect, mapping to \$1,025; 67.5% on Exploit), and OpenAI Codex CLI (5% on Detect, mapping to \$2,400; 90% on Patch, mapping to \$14,422). OpenAI Codex CLI and Claude Code are more capable at defense, achieving higher Patch scores of 90% and 87.5%, compared to Exploit scores of 32.5% and 57.5% respectively; in contrast, the custom agents are relatively balanced between offense and defense, achieving Exploit scores of 40-67.5% and Patch scores of 45-60%.