Transformer-Based Sleep Stage Classification Enhanced by Clinical Information

Manual sleep staging from polysomnography (PSG) is labor-intensive and prone to inter-scorer variability. While recent deep learning models have advanced automated staging, most rely solely on raw PSG signals and neglect contextual cues used by human experts. We propose a two-stage architecture that combines a Transformer-based per-epoch encoder with a 1D CNN aggregator, and systematically investigates the effect of incorporating explicit context: subject-level clinical metadata (age, sex, BMI) and per-epoch expert event annotations (apneas, desaturations, arousals, periodic breathing). Using the Sleep Heart Health Study (SHHS) cohort (n=8,357), we demonstrate that contextual fusion substantially improves staging accuracy. Compared to a PSG-only baseline (macro-F1 0.7745, micro-F1 0.8774), our final model achieves macro-F1 0.8031 and micro-F1 0.9051, with event annotations contributing the largest gains. Notably, feature fusion outperforms multi-task alternatives that predict the same auxiliary labels. These results highlight that augmenting learned representations with clinically meaningful features enhances both performance and interpretability, without modifying the PSG montage or requiring additional sensors. Our findings support a practical and scalable path toward context-aware, expert-aligned sleep staging systems.

Rethinking Caching for LLM Serving Systems: Beyond Traditional Heuristics

Serving Large Language Models (LLMs) at scale requires meeting strict Service Level Objectives (SLOs) under severe computational and memory constraints. Nevertheless, traditional caching strategies fall short: exact-matching and prefix caches neglect query semantics, while state-of-the-art semantic caches remain confined to traditional intuitions, offering little conceptual departure. Building on this, we present SISO, a semantic caching system that redefines efficiency for LLM serving. SISO introduces centroid-based caching to maximize coverage with minimal memory, locality-aware replacement to preserve high-value entries, and dynamic thresholding to balance accuracy and latency under varying workloads. Across diverse datasets, SISO delivers up to 1.71$\times$ higher hit ratios and consistently stronger SLO attainment compared to state-of-the-art systems.