Recommendation is the task of providing personalized suggestions to users based on their preferences and behavior.
Moving to a new culture and adapting to a new life, as an international student, can be a stressful experience. In the US, international students face unique overlapping challenges, yet the current support ecosystem, including university support systems and informal social networks, remains largely fragmented. While conversational AI has emerged as a tool used by many (e.g., generative AI chatbots like ChatGPT and Google Gemini), we do not have a clear understanding of how international students adopt and perceive these technologies as support tools. We conducted a survey study (n=60) to map the relationship between international students' challenges and AI adoption patterns, followed by an interview study with 14 participants to identify the underlying motivations and boundaries of use. Our findings show that AI is perceived as a first-aid tool for immediate challenges, however, there is an interest in transforming AI from a tool for short-term help into a long-term support companion. By identifying where and how AI can provide long-term support, and where it is insufficient, we contribute recommendations for creating AI-powered support tailored to the unique needs of international students.
Off-policy evaluation (OPE) estimates the value of a target treatment policy (e.g., a recommender system) using data collected by a different logging policy. It enables high-stakes experimentation without live deployment, yet in practice accuracy depends heavily on the logging policy used to collect data for computing the estimate. We study how to design logging policies that minimize OPE error for given target policies. We characterize a fundamental reward-coverage tradeoff: concentrating probability mass on high-reward actions reduces variance but risks missing signal on actions the target policy may take. We propose a unifying framework for logging policy design and derive optimal policies in canonical informational regimes where the target policy and reward distribution are (i) known, (ii) unknown, and (iii) partially known through priors or noisy estimates at logging time. Our results provide actionable guidance for firms choosing among multiple candidate recommendation systems. We demonstrate the importance of treatment selection when gathering data for OPE, and describe theoretically optimal approaches when this is a firm's primary objective. We also distill practical design principles for selecting logging policies when operational constraints prevent implementing the theoretical optimum.
Premature closure, or committing to a conclusion before sufficient information is available, is a recognized contributor to diagnostic error but remains underexamined in large language models (LLMs). We define LLM premature closure as inappropriate commitment under uncertainty: providing an answer, recommendation, or clinical guidance when the safer response would be clarification, abstention, escalation, or refusal. We evaluated five frontier LLMs across structured and open-ended medical tasks. In MedQA (n = 500) and AfriMed-QA (n = 490) questions where the correct choice had been removed, models still selected an answer at high rates, with baseline false-action rates of 55-81% and 53-82%, respectively. In open-ended evaluation, models gave inappropriate answers on an average of 30% of 861 HealthBench questions and 78% of 191 physician-authored adversarial queries. Safety-oriented prompting reduced premature closure across models, but residual failure persisted, highlighting the need to evaluate whether medical LLMs know when not to answer.
Scaled Outer Product (SOP) is a post-training quantization methodology for large language model weights, designed to deliver near-lossless fidelity at 4.5--6 bits per weight on hardware with per-layer LUT decode. The methodology combines per-layer search of fixed and dynamic codebook pairs selected by a per-block selection bit, signed per-block scales, activation-weighted cosine selection, and multiple-choice knapsack promotion of sensitive layers with outlier and sparse-residual correction. Fixed codebooks include NF4, BOF4, Split87, and SH4; per-layer optimized codebooks (DD4) are hosted in LUT SRAM. A new hardware-efficient LUT output format (HIF) is proposed to improve performance, energy, and cost. Across six open model families, the recommended FP6 operating point (E2M3sUE4M4, 6.5 bpw) achieves lower weight reconstruction error than the conventional per-layer-POT FP8 baseline (E4M3, 8.0 bpw) at 1.5 bpw lower storage cost, demonstrating that block-scaled small atoms with carefully chosen scale precision can replace conventionally-deployed FP8. Full evaluation across the 4.5--6 bpw range, including layer promotion and sparse residual correction, is reported in a companion paper.
Imbalanced learning remains a fundamental challenge in tabular data applications. Despite decades of research and numerous proposed algorithms, a systematic empirical understanding of how different imbalanced learning methods behave across diverse data characteristics is still lacking. In particular, it remains unclear how different method families compare in predictive performance, robustness under varying data characteristics, and computational scalability. In this work, we present Tabular Imbalanced Learning Benchmark (TILBench), a large-scale empirical benchmark for tabular imbalanced learning. TILBench evaluates more than 40 representative algorithms across 57 diverse tabular datasets, resulting in over 200000 controlled experiments across a wide range of data characteristics. Our findings show that no single method consistently dominates across all settings; instead, the effectiveness of imbalanced learning methods depends strongly on dataset characteristics and computational constraints. Based on these findings, we provide practical recommendations for selecting appropriate methods in real-world applications.
Semantic IDs (SIDs) define the generation space of generative recommendation and directly determine its personalization ceiling. However, existing tokenizers are trained independently with retrieval objectives, leaving personalization signals fully decoupled from the SID construction process -- a fundamental gap that causes generative retrieval to persistently lag behind discriminative ranking. In this paper, we rethink the essence of SIDs: \emph{ranking seeks argmax in item space while retrieval seeks argmax in token space; both are the same problem solved at different granularities.} Based on this insight, we propose \DIG (\textbf{D}iscrimination \textbf{I}s \textbf{G}eneration), which embeds the tokenizer inside a discriminative ranking model for end-to-end training -- the ranker naturally becomes a retrieval model, yielding two models from a single training run. \DIG is organized around a \emph{feature assignment taxonomy}: item-intrinsic static features are encoded into SIDs, user-item cross features (u2i) implicitly drive codebook boundaries toward recommendation decision boundaries during training, and an MLP$_\mathrm{u2t}$ distillation module approximates u2i at the token level for inference. Experiments on three public benchmarks and two industrial datasets demonstrate that \DIG simultaneously improves ranking, retrieval, and unified retrieval-ranking quality.
Sepsis management in the ICU requires sequential treatment decisions under rapidly evolving patient physiology. Although large language models (LLMs) encode broad clinical knowledge and can reason over guidelines, they are not inherently grounded in action-conditioned patient dynamics. We introduce SepsisAgent, a world model-augmented LLM agent for sepsis treatment recommendation. SepsisAgent uses a learned Clinical World Model to simulate patient responses under candidate fluid--vasopressor interventions, and follows a propose--simulate--refine workflow before committing to a prescription. We first show that world-model access alone yields inconsistent LLM decision performance, motivating agent-specific training. We then train SepsisAgent through a three-stage curriculum: patient-dynamics supervised fine-tuning, propose--simulate--refine behavior cloning, and world-model-based agentic reinforcement learning. On MIMIC-IV sepsis trajectories, SepsisAgent outperforms all traditional RL and LLM-based baselines in off-policy value while achieving the best safety profile under guideline adherence and unsafe-action metrics. Further analysis shows that repeated interaction with the Clinical World Model enables the agent to learn regularities in patient evolution, which remain useful even when simulator access is removed.
Inpatient medication recommendation requires clinicians to repeatedly select specific medications, doses, and routes as a patient's condition evolves. Existing benchmarks formulate this task as admission-level prediction over coarse drug codes with multi-hot diagnostic and procedure code inputs, failing to capture the per-timepoint, information-rich nature of real prescribing. We propose RxEval, a prescription-level benchmark that evaluates LLM prescribing capability by multiple-choice questions: each question presents a detailed patient profile and time-ordered clinical trajectory, requiring selection of specific medication-dose-route triples from real prescriptions and patient-specific distractors generated via reasoning-chain perturbation. RxEval comprises 1,547 questions spanning 584 patients, 18 diagnostic categories, and 969 unique medications. Evaluation of 16 LLMs shows that RxEval is both challenging and discriminative: F1 ranges from 45.18 to 77.10 across models, and the best Exact Match is only 46.10%. Error analysis reveals that even frontier models may overlook stated patient information and fail to derive clinical conclusions.
A skilled live-commerce host is not merely a narrator, but a sales agent who converts viewer curiosity into purchase intent through expert product knowledge, emotionally intelligent response tactics, and entertainment that serves as a vehicle for product exposure. Yet no existing AI system replicates this: conversational recommenders treat recommendation as a terminal act, while general-purpose LLMs hallucinate product claims and default to generic promotional templates that fail to engage or persuade. We present VerbalValue, a sales-conversion-oriented virtual host that turns exceptional verbal ability into real commercial value, built on three contributions. First, we construct a domain knowledge base of product specifications and a curated sales terminology lexicon that anchor product-related responses in verified expertise. Second, we collect and annotate 1,475 live-commerce interactions spanning diverse viewer intents. Third, we fine-tune a large language model on this data to deliver empathetic, commercially oriented responses, adapting to viewer intent through empathetic amplification, evidence-backed rebuttal, and humor-mediated deflection. Experiments against GPT-5.4, Claude Sonnet 4.6, Gemini 3.1 Pro, and other baselines demonstrate gains of 23% on informativeness and 18% on factual correctness, with consistent advantages in tactfulness and viewer engagement.
Generative Recommendation (GenRec) models reformulate recommendation as a sequence generation task, representing items as discrete Semantic IDs used symmetrically as both inputs and prediction targets. We identify a critical dual-stage information bottleneck in this design: (1) the Input Bottleneck, where lossy quantization degrades fine-grained semantics, while popularity bias skews the learned representations toward frequent items, and (2) the Output Bottleneck, where imprecise discrete targets limit supervision quality. To address these issues, we propose AsymRec, an asymmetric continuous-discrete framework that decouples input and output representations. Specifically, Multi-expert Semantic Projection (MSP) maps continuous embeddings into the Transformer's hidden space via expert-specialized projections, preserving semantic richness and improving generalization to infrequent items. Multi-faceted Hierarchical Quantization (MHQ) constructs high-capacity, structured discrete targets through multi-view and multi-level quantization with semantic regularization, preventing dimensional collapse while retaining fine-grained distinctions. Extensive experiments demonstrate that AsymRec consistently outperforms state-of-the-art generative recommenders by an average of 15.8 %. The code will be released.