"What's Up, Doc?": Analyzing How Users Seek Health Information in Large-Scale Conversational AI Datasets

People are increasingly seeking healthcare information from large language models (LLMs) via interactive chatbots, yet the nature and inherent risks of these conversations remain largely unexplored. In this paper, we filter large-scale conversational AI datasets to achieve HealthChat-11K, a curated dataset of 11K real-world conversations composed of 25K user messages. We use HealthChat-11K and a clinician-driven taxonomy for how users interact with LLMs when seeking healthcare information in order to systematically study user interactions across 21 distinct health specialties. Our analysis reveals insights into the nature of how and why users seek health information, such as common interactions, instances of incomplete context, affective behaviors, and interactions (e.g., leading questions) that can induce sycophancy, underscoring the need for improvements in the healthcare support capabilities of LLMs deployed as conversational AI. Code and artifacts to retrieve our analyses and combine them into a curated dataset can be found here: https://github.com/yahskapar/HealthChat

FixCLR: Negative-Class Contrastive Learning for Semi-Supervised Domain Generalization

Semi-supervised domain generalization (SSDG) aims to solve the problem of generalizing to out-of-distribution data when only a few labels are available. Due to label scarcity, applying domain generalization methods often underperform. Consequently, existing SSDG methods combine semi-supervised learning methods with various regularization terms. However, these methods do not explicitly regularize to learn domains invariant representations across all domains, which is a key goal for domain generalization. To address this, we introduce FixCLR. Inspired by success in self-supervised learning, we change two crucial components to adapt contrastive learning for explicit domain invariance regularization: utilization of class information from pseudo-labels and using only a repelling term. FixCLR can also be added on top of most existing SSDG and semi-supervised methods for complementary performance improvements. Our research includes extensive experiments that have not been previously explored in SSDG studies. These experiments include benchmarking different improvements to semi-supervised methods, evaluating the performance of pretrained versus non-pretrained models, and testing on datasets with many domains. Overall, FixCLR proves to be an effective SSDG method, especially when combined with other semi-supervised methods.

Truncated Proximal Policy Optimization

Recently, test-time scaling Large Language Models (LLMs) have demonstrated exceptional reasoning capabilities across scientific and professional tasks by generating long chains-of-thought (CoT). As a crucial component for developing these reasoning models, reinforcement learning (RL), exemplified by Proximal Policy Optimization (PPO) and its variants, allows models to learn through trial and error. However, PPO can be time-consuming due to its inherent on-policy nature, which is further exacerbated by increasing response lengths. In this work, we propose Truncated Proximal Policy Optimization (T-PPO), a novel extension to PPO that improves training efficiency by streamlining policy update and length-restricted response generation. T-PPO mitigates the issue of low hardware utilization, an inherent drawback of fully synchronized long-generation procedures, where resources often sit idle during the waiting periods for complete rollouts. Our contributions are two-folds. First, we propose Extended Generalized Advantage Estimation (EGAE) for advantage estimation derived from incomplete responses while maintaining the integrity of policy learning. Second, we devise a computationally optimized mechanism that allows for the independent optimization of the policy and value models. By selectively filtering prompt and truncated tokens, this mechanism reduces redundant computations and accelerates the training process without sacrificing convergence performance. We demonstrate the effectiveness and efficacy of T-PPO on AIME 2024 with a 32B base model. The experimental results show that T-PPO improves the training efficiency of reasoning LLMs by up to 2.5x and outperforms its existing competitors.

Tiered Agentic Oversight: A Hierarchical Multi-Agent System for AI Safety in Healthcare

Current large language models (LLMs), despite their power, can introduce safety risks in clinical settings due to limitations such as poor error detection and single point of failure. To address this, we propose Tiered Agentic Oversight (TAO), a hierarchical multi-agent framework that enhances AI safety through layered, automated supervision. Inspired by clinical hierarchies (e.g., nurse, physician, specialist), TAO conducts agent routing based on task complexity and agent roles. Leveraging automated inter- and intra-tier collaboration and role-playing, TAO creates a robust safety framework. Ablation studies reveal that TAO's superior performance is driven by its adaptive tiered architecture, which improves safety by over 3.2% compared to static single-tier configurations; the critical role of its lower tiers, particularly tier 1, whose removal most significantly impacts safety; and the strategic assignment of more advanced LLM to these initial tiers, which boosts performance by over 2% compared to less optimal allocations while achieving near-peak safety efficiently. These mechanisms enable TAO to outperform single-agent and multi-agent frameworks in 4 out of 5 healthcare safety benchmarks, showing up to an 8.2% improvement over the next-best methods in these evaluations. Finally, we validate TAO via an auxiliary clinician-in-the-loop study where integrating expert feedback improved TAO's accuracy in medical triage from 40% to 60%.

SwiftSpec: Ultra-Low Latency LLM Decoding by Scaling Asynchronous Speculative Decoding

Low-latency decoding for large language models (LLMs) is crucial for applications like chatbots and code assistants, yet generating long outputs remains slow in single-query settings. Prior work on speculative decoding (which combines a small draft model with a larger target model) and tensor parallelism has each accelerated decoding. However, conventional approaches fail to apply both simultaneously due to imbalanced compute requirements (between draft and target models), KV-cache inconsistencies, and communication overheads under small-batch tensor-parallelism. This paper introduces SwiftSpec, a system that targets ultra-low latency for LLM decoding. SwiftSpec redesigns the speculative decoding pipeline in an asynchronous and disaggregated manner, so that each component can be scaled flexibly and remove draft overhead from the critical path. To realize this design, SwiftSpec proposes parallel tree generation, tree-aware KV cache management, and fused, latency-optimized kernels to overcome the challenges listed above. Across 5 model families and 6 datasets, SwiftSpec achieves an average of 1.75x speedup over state-of-the-art speculative decoding systems and, as a highlight, serves Llama3-70B at 348 tokens/s on 8 Nvidia Hopper GPUs, making it the fastest known system for low-latency LLM serving at this scale.

DUN-SRE: Deep Unrolling Network with Spatiotemporal Rotation Equivariance for Dynamic MRI Reconstruction

Dynamic Magnetic Resonance Imaging (MRI) exhibits transformation symmetries, including spatial rotation symmetry within individual frames and temporal symmetry along the time dimension. Explicit incorporation of these symmetry priors in the reconstruction model can significantly improve image quality, especially under aggressive undersampling scenarios. Recently, Equivariant convolutional neural network (ECNN) has shown great promise in exploiting spatial symmetry priors. However, existing ECNNs critically fail to model temporal symmetry, arguably the most universal and informative structural prior in dynamic MRI reconstruction. To tackle this issue, we propose a novel Deep Unrolling Network with Spatiotemporal Rotation Equivariance (DUN-SRE) for Dynamic MRI Reconstruction. The DUN-SRE establishes spatiotemporal equivariance through a (2+1)D equivariant convolutional architecture. In particular, it integrates both the data consistency and proximal mapping module into a unified deep unrolling framework. This architecture ensures rigorous propagation of spatiotemporal rotation symmetry constraints throughout the reconstruction process, enabling more physically accurate modeling of cardiac motion dynamics in cine MRI. In addition, a high-fidelity group filter parameterization mechanism is developed to maintain representation precision while enforcing symmetry constraints. Comprehensive experiments on Cardiac CINE MRI datasets demonstrate that DUN-SRE achieves state-of-the-art performance, particularly in preserving rotation-symmetric structures, offering strong generalization capability to a broad range of dynamic MRI reconstruction tasks.

Non-Contact Health Monitoring During Daily Personal Care Routines

Remote photoplethysmography (rPPG) enables non-contact, continuous monitoring of physiological signals and offers a practical alternative to traditional health sensing methods. Although rPPG is promising for daily health monitoring, its application in long-term personal care scenarios, such as mirror-facing routines in high-altitude environments, remains challenging due to ambient lighting variations, frequent occlusions from hand movements, and dynamic facial postures. To address these challenges, we present LADH (Long-term Altitude Daily Health), the first long-term rPPG dataset containing 240 synchronized RGB and infrared (IR) facial videos from 21 participants across five common personal care scenarios, along with ground-truth PPG, respiration, and blood oxygen signals. Our experiments demonstrate that combining RGB and IR video inputs improves the accuracy and robustness of non-contact physiological monitoring, achieving a mean absolute error (MAE) of 4.99 BPM in heart rate estimation. Furthermore, we find that multi-task learning enhances performance across multiple physiological indicators simultaneously. Dataset and code are open at https://github.com/McJackTang/FusionVitals.

SensorLM: Learning the Language of Wearable Sensors

We present SensorLM, a family of sensor-language foundation models that enable wearable sensor data understanding with natural language. Despite its pervasive nature, aligning and interpreting sensor data with language remains challenging due to the lack of paired, richly annotated sensor-text descriptions in uncurated, real-world wearable data. We introduce a hierarchical caption generation pipeline designed to capture statistical, structural, and semantic information from sensor data. This approach enabled the curation of the largest sensor-language dataset to date, comprising over 59.7 million hours of data from more than 103,000 people. Furthermore, SensorLM extends prominent multimodal pretraining architectures (e.g., CLIP, CoCa) and recovers them as specific variants within a generic architecture. Extensive experiments on real-world tasks in human activity analysis and healthcare verify the superior performance of SensorLM over state-of-the-art in zero-shot recognition, few-shot learning, and cross-modal retrieval. SensorLM also demonstrates intriguing capabilities including scaling behaviors, label efficiency, sensor captioning, and zero-shot generalization to unseen tasks.

RADAR: Benchmarking Language Models on Imperfect Tabular Data

Language models (LMs) are increasingly being deployed to perform autonomous data analyses. However, their data awareness -- the ability to recognize, reason over, and appropriately handle data artifacts such as missing values, outliers, and logical inconsistencies -- remains underexplored. These artifacts are especially common in real-world tabular data and, if mishandled, can significantly compromise the validity of analytical conclusions. To address this gap, we present RADAR, a benchmark for systematically evaluating data-aware reasoning on tabular data. We develop a framework to simulate data artifacts via programmatic perturbations to enable targeted evaluation of model behavior. RADAR comprises 2980 table query pairs, grounded in real-world data spanning 9 domains and 5 data artifact types. In addition to evaluating artifact handling, RADAR systematically varies table size to study how reasoning performance holds when increasing table size. Our evaluation reveals that, despite decent performance on tables without data artifacts, frontier models degrade significantly when data artifacts are introduced, exposing critical gaps in their capacity for robust, data-aware analysis. Designed to be flexible and extensible, RADAR supports diverse perturbation types and controllable table sizes, offering a valuable resource for advancing tabular reasoning.

LSM-2: Learning from Incomplete Wearable Sensor Data

Foundation models, a cornerstone of recent advancements in machine learning, have predominantly thrived on complete and well-structured data. Wearable sensor data frequently suffers from significant missingness, posing a substantial challenge for self-supervised learning (SSL) models that typically assume complete data inputs. This paper introduces the second generation of Large Sensor Model (LSM-2) with Adaptive and Inherited Masking (AIM), a novel SSL approach that learns robust representations directly from incomplete data without requiring explicit imputation. AIM's core novelty lies in its use of learnable mask tokens to model both existing ("inherited") and artificially introduced missingness, enabling it to robustly handle fragmented real-world data during inference. Pre-trained on an extensive dataset of 40M hours of day-long multimodal sensor data, our LSM-2 with AIM achieves the best performance across a diverse range of tasks, including classification, regression and generative modeling. Furthermore, LSM-2 with AIM exhibits superior scaling performance, and critically, maintains high performance even under targeted missingness scenarios, reflecting clinically coherent patterns, such as the diagnostic value of nighttime biosignals for hypertension prediction. This makes AIM a more reliable choice for real-world wearable data applications.