LLM Retrieval for Stable and Predictable Ad Recommendations

Traditional ads recommendation systems have primarily focused on optimizing for prediction accuracy of click or conversion events using canonical metrics such as recall or normalized discounted cumulative gain (NDCG). With the hyper-growth of ads inventory and liquidity with generative AI technologies, the prediction stability and predictability is becoming increasingly critical. Intuitively, prediction stability and predictability can be defined to quantify system robustness with respect to minor/noisy input (ads, creatives) perturbations, the lack of which could lead to advertiser perceivable problems such as repeatability, cold start and under-exploration. In this paper, we introduce a new evaluation framework for quantifying stability and predictability of an ads recommender system, and present an online validated semantic candidate generation framework powered by fine-tuned Large Language Models (LLMs) that showed significant improvement along these metrics by fundamentally improving the semantic-awareness of the system. The approach extracts hierarchical semantic attributes from ad creatives to obtain LLM representations, which serve as the foundation for graph-based expansion, ensuring the retrieved candidates encapsulate semantic variants of an ad, guaranteeing that small creative variants from the advertiser yield consistent and explainable delivery results to the user. We tested this LLM ads retrieval framework in a large-scale industrial ads recommendation system, demonstrating significant improvements across offline and online A/B experiments, showcasing gains in both predictability and traditional performance metrics. Although evaluated in the ads stack, this is a general framework that can be applied broadly to any large-scale recommendation and retrieval systems facing similar scaling and predictability challenges.

Real-Time Multimodal Cognitive Assistant for Emergency Medical Services

Emergency Medical Services (EMS) responders often operate under time-sensitive conditions, facing cognitive overload and inherent risks, requiring essential skills in critical thinking and rapid decision-making. This paper presents CognitiveEMS, an end-to-end wearable cognitive assistant system that can act as a collaborative virtual partner engaging in the real-time acquisition and analysis of multimodal data from an emergency scene and interacting with EMS responders through Augmented Reality (AR) smart glasses. CognitiveEMS processes the continuous streams of data in real-time and leverages edge computing to provide assistance in EMS protocol selection and intervention recognition. We address key technical challenges in real-time cognitive assistance by introducing three novel components: (i) a Speech Recognition model that is fine-tuned for real-world medical emergency conversations using simulated EMS audio recordings, augmented with synthetic data generated by large language models (LLMs); (ii) an EMS Protocol Prediction model that combines state-of-the-art (SOTA) tiny language models with EMS domain knowledge using graph-based attention mechanisms; (iii) an EMS Action Recognition module which leverages multimodal audio and video data and protocol predictions to infer the intervention/treatment actions taken by the responders at the incident scene. Our results show that for speech recognition we achieve superior performance compared to SOTA (WER of 0.290 vs. 0.618) on conversational data. Our protocol prediction component also significantly outperforms SOTA (top-3 accuracy of 0.800 vs. 0.200) and the action recognition achieves an accuracy of 0.727, while maintaining an end-to-end latency of 3.78s for protocol prediction on the edge and 0.31s on the server.