Retrieval-Augmented Generation Based Nurse Observation Extraction

Recent advancements in Large Language Models (LLMs) have played a significant role in reducing human workload across various domains, a trend that is increasingly extending into the medical field. In this paper, we propose an automated pipeline designed to alleviate the burden on nurses by automatically extracting clinical observations from nurse dictations. To ensure accurate extraction, we introduce a method based on Retrieval-Augmented Generation (RAG). Our approach demonstrates effective performance, achieving an F1-score of 0.796 on the MEDIQA-SYNUR test dataset.

AuthorityBench: Benchmarking LLM Authority Perception for Reliable Retrieval-Augmented Generation

Retrieval-Augmented Generation (RAG) enhances Large Language Models (LLMs) with external knowledge but remains vulnerable to low-authority sources that can propagate misinformation. We investigate whether LLMs can perceive information authority - a capability extending beyond semantic understanding. To address this, we introduce AuthorityBench, a comprehensive benchmark for evaluating LLM authority perception comprising three datasets: DomainAuth (10K web domains with PageRank-based authority), EntityAuth (22K entities with popularity-based authority), and RAGAuth (120 queries with documents of varying authority for downstream evaluation). We evaluate five LLMs using three judging methods (PointJudge, PairJudge, ListJudge) across multiple output formats. Results show that ListJudge and PairJudge with PointScore output achieve the strongest correlation with ground-truth authority, while ListJudge offers optimal cost-effectiveness. Notably, incorporating webpage text consistently degrades judgment performance, suggesting authority is distinct from textual style. Downstream experiments on RAG demonstrate that authority-guided filtering largely improves answer accuracy, validating the practical importance of authority perception for reliable knowledge retrieval. Code and benchmark are available at: https://github.com/Trustworthy-Information-Access/AuthorityBench.

MemBoost: A Memory-Boosted Framework for Cost-Aware LLM Inference

Large Language Models (LLMs) deliver strong performance but incur high inference cost in real-world services, especially under workloads with repeated or near-duplicate queries across users and sessions. In this work, we propose MemBoost, a memory-boosted LLM serving framework that enables a lightweight model to reuse previously generated answers and retrieve relevant supporting information for cheap inference, while selectively escalating difficult or uncertain queries to a stronger model. Unlike standard retrieval-augmented generation, which primarily grounds a single response, MemBoost is designed for interactive settings by supporting answer reuse, continual memory growth, and cost-aware routing. Experiments across multiple models under simulated workloads show that MemBoost substantially reduces expensive large-model invocations and overall inference cost, while maintaining high answer quality comparable to the strong model baseline.

GraphER: An Efficient Graph-Based Enrichment and Reranking Method for Retrieval-Augmented Generation

Semantic search in retrieval-augmented generation (RAG) systems is often insufficient for complex information needs, particularly when relevant evidence is scattered across multiple sources. Prior approaches to this problem include agentic retrieval strategies, which expand the semantic search space by generating additional queries. However, these methods do not fully leverage the organizational structure of the data and instead rely on iterative exploration, which can lead to inefficient retrieval. Another class of approaches employs knowledge graphs to model non-semantic relationships through graph edges. Although effective in capturing richer proximities, such methods incur significant maintenance costs and are often incompatible with the vector stores used in most production systems. To address these limitations, we propose GraphER, a graph-based enrichment and reranking method that captures multiple forms of proximity beyond semantic similarity. GraphER independently enriches data objects during offline indexing and performs graph-based reranking over candidate objects at query time. This design does not require a knowledge graph, allowing GraphER to integrate seamlessly with standard vector stores. In addition, GraphER is retriever-agnostic and introduces negligible latency overhead. Experiments on multiple retrieval benchmarks demonstrate the effectiveness of the proposed approach.

CADSmith: Multi-Agent CAD Generation with Programmatic Geometric Validation

Existing methods for text-to-CAD generation either operate in a single pass with no geometric verification or rely on lossy visual feedback that cannot resolve dimensional errors. We present CADSmith, a multi-agent pipeline that generates CadQuery code from natural language. It then undergoes an iterative refinement process through two nested correction loops: an inner loop that resolves execution errors and an outer loop grounded in programmatic geometric validation. The outer loop combines exact measurements from the OpenCASCADE kernel (bounding box dimensions, volume, solid validity) with holistic visual assessment from an independent vision-language model Judge. This provides both the numerical precision and the high-level shape awareness needed to converge on the correct geometry. The system uses retrieval-augmented generation over API documentation rather than fine-tuning, maintaining a current database as the underlying CAD library evolves. We evaluate on a custom benchmark of 100 prompts in three difficulty tiers (T1 through T3) with three ablation configurations. Against a zero-shot baseline, CADSmith achieves a 100% execution rate (up from 95%), improves the median F1 score from 0.9707 to 0.9846, the median IoU from 0.8085 to 0.9629, and reduces the mean Chamfer Distance from 28.37 to 0.74, demonstrating that closed-loop refinement with programmatic geometric feedback substantially improves the quality and reliability of LLM-generated CAD models.

Beyond Code Snippets: Benchmarking LLMs on Repository-Level Question Answering

Large Language Models (LLMs) have shown impressive capabilities across software engineering tasks, including question answering (QA). However, most studies and benchmarks focus on isolated functions or single-file snippets, overlooking the challenges of real-world program comprehension, which often spans multiple files and system-level dependencies. In this work, we introduce StackRepoQA, the first multi-project, repository-level question answering dataset constructed from 1,318 real developer questions and accepted answers across 134 open-source Java projects. Using this dataset, we systematically evaluate two widely used LLMs (Claude 3.5 Sonnet and GPT-4o) under both direct prompting and agentic configurations. We compare baseline performance with retrieval-augmented generation methods that leverage file-level retrieval and graph-based representations of structural dependencies. Our results show that LLMs achieve moderate accuracy at baseline, with performance improving when structural signals are incorporated. Nonetheless, overall accuracy remains limited for repository-scale comprehension. The analysis reveals that high scores often result from verbatim reproduction of Stack Overflow answers rather than genuine reasoning. To our knowledge, this is the first empirical study to provide such evidence in repository-level QA. We release StackRepoQA to encourage further research into benchmarks, evaluation protocols, and augmentation strategies that disentangle memorization from reasoning, advancing LLMs as reliable tool for repository-scale program comprehension.

PIDP-Attack: Combining Prompt Injection with Database Poisoning Attacks on Retrieval-Augmented Generation Systems

Large Language Models (LLMs) have demonstrated remarkable performance across a wide range of applications. However, their practical deployment is often hindered by issues such as outdated knowledge and the tendency to generate hallucinations. To address these limitations, Retrieval-Augmented Generation (RAG) systems have been introduced, enhancing LLMs with external, up-to-date knowledge sources. Despite their advantages, RAG systems remain vulnerable to adversarial attacks, with data poisoning emerging as a prominent threat. Existing poisoning-based attacks typically require prior knowledge of the user's specific queries, limiting their flexibility and real-world applicability. In this work, we propose PIDP-Attack, a novel compound attack that integrates prompt injection with database poisoning in RAG. By appending malicious characters to queries at inference time and injecting a limited number of poisoned passages into the retrieval database, our method can effectively manipulate LLM response to arbitrary query without prior knowledge of the user's actual query. Experimental evaluations across three benchmark datasets (Natural Questions, HotpotQA, MS-MARCO) and eight LLMs demonstrate that PIDP-Attack consistently outperforms the original PoisonedRAG. Specifically, our method improves attack success rates by 4% to 16% on open-domain QA tasks while maintaining high retrieval precision, proving that the compound attack strategy is both necessary and highly effective.

Knowledge-Guided Retrieval-Augmented Generation for Zero-Shot Psychiatric Data: Privacy Preserving Synthetic Data Generation

AI systems in healthcare research have shown potential to increase patient throughput and assist clinicians, yet progress is constrained by limited access to real patient data. To address this issue, we present a zero-shot, knowledge-guided framework for psychiatric tabular data in which large language models (LLMs) are steered via Retrieval-Augmented Generation using the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and the International Classification of Diseases (ICD-10). We conducted experiments using different combinations of knowledge bases to generate privacy-preserving synthetic data. The resulting models were benchmarked against two state-of-the-art deep learning models for synthetic tabular data generation, namely CTGAN and TVAE, both of which rely on real data and therefore entail potential privacy risks. Evaluation was performed on six anxiety-related disorders: specific phobia, social anxiety disorder, agoraphobia, generalized anxiety disorder, separation anxiety disorder, and panic disorder. CTGAN typically achieves the best marginals and multivariate structure, while the knowledge-augmented LLM is competitive on pairwise structure and attains the lowest pairwise error in separation anxiety and social anxiety. An ablation study shows that clinical retrieval reliably improves univariate and pairwise fidelity over a no-retrieval LLM. Privacy analyses indicate that the real data-free LLM yields modest overlaps and a low average linkage risk comparable to CTGAN, whereas TVAE exhibits extensive duplication despite a low k-map score. Overall, grounding an LLM in clinical knowledge enables high-quality, privacy-preserving synthetic psychiatric data when real datasets are unavailable or cannot be shared.

Training the Knowledge Base through Evidence Distillation and Write-Back Enrichment

The knowledge base in a retrieval-augmented generation (RAG) system is typically assembled once and never revised, even though the facts a query requires are often fragmented across documents and buried in irrelevant content. We argue that the knowledge base should be treated as a trainable component and propose WriteBack-RAG, a framework that uses labeled examples to identify where retrieval succeeds, isolate the relevant documents, and distill them into compact knowledge units that are indexed alongside the original corpus. Because the method modifies only the corpus, it can be applied once as an offline preprocessing step and combined with any RAG pipeline. Across four RAG methods, six benchmarks, and two LLM backbones, WriteBack-RAG improves every evaluated setting, with gains averaging +2.14%. Cross-method transfer experiments further show that the distilled knowledge benefits RAG pipelines other than the one used to produce it, confirming that the improvement resides in the corpus itself.

Evaluating Chunking Strategies For Retrieval-Augmented Generation in Oil and Gas Enterprise Documents

Retrieval-Augmented Generation (RAG) has emerged as a framework to address the constraints of Large Language Models (LLMs). Yet, its effectiveness fundamentally hinges on document chunking - an often-overlooked determinant of its quality. This paper presents an empirical study quantifying performance differences across four chunking strategies: fixed-size sliding window, recursive, breakpoint-based semantic, and structure-aware. We evaluated these methods using a proprietary corpus of oil and gas enterprise documents, including text-heavy manuals, table-heavy specifications, and piping and instrumentation diagrams (P and IDs). Our findings show that structure-aware chunking yields higher overall retrieval effectiveness, particularly in top-K metrics, and incurs significantly lower computational costs than semantic or baseline strategies. Crucially, all four methods demonstrated limited effectiveness on P and IDs, underscoring a core limitation of purely text-based RAG within visually and spatially encoded documents. We conclude that while explicit structure preservation is essential for specialised domains, future work must integrate multimodal models to overcome current limitations.