REALM: RAG-Driven Enhancement of Multimodal Electronic Health Records Analysis via Large Language Models

The integration of multimodal Electronic Health Records (EHR) data has significantly improved clinical predictive capabilities. Leveraging clinical notes and multivariate time-series EHR, existing models often lack the medical context relevent to clinical tasks, prompting the incorporation of external knowledge, particularly from the knowledge graph (KG). Previous approaches with KG knowledge have primarily focused on structured knowledge extraction, neglecting unstructured data modalities and semantic high dimensional medical knowledge. In response, we propose REALM, a Retrieval-Augmented Generation (RAG) driven framework to enhance multimodal EHR representations that address these limitations. Firstly, we apply Large Language Model (LLM) to encode long context clinical notes and GRU model to encode time-series EHR data. Secondly, we prompt LLM to extract task-relevant medical entities and match entities in professionally labeled external knowledge graph (PrimeKG) with corresponding medical knowledge. By matching and aligning with clinical standards, our framework eliminates hallucinations and ensures consistency. Lastly, we propose an adaptive multimodal fusion network to integrate extracted knowledge with multimodal EHR data. Our extensive experiments on MIMIC-III mortality and readmission tasks showcase the superior performance of our REALM framework over baselines, emphasizing the effectiveness of each module. REALM framework contributes to refining the use of multimodal EHR data in healthcare and bridging the gap with nuanced medical context essential for informed clinical predictions.

Deep Dict: Deep Learning-based Lossy Time Series Compressor for IoT Data

We propose Deep Dict, a deep learning-based lossy time series compressor designed to achieve a high compression ratio while maintaining decompression error within a predefined range. Deep Dict incorporates two essential components: the Bernoulli transformer autoencoder (BTAE) and a distortion constraint. BTAE extracts Bernoulli representations from time series data, reducing the size of the representations compared to conventional autoencoders. The distortion constraint limits the prediction error of BTAE to the desired range. Moreover, in order to address the limitations of common regression losses such as L1/L2, we introduce a novel loss function called quantized entropy loss (QEL). QEL takes into account the specific characteristics of the problem, enhancing robustness to outliers and alleviating optimization challenges. Our evaluation of Deep Dict across ten diverse time series datasets from various domains reveals that Deep Dict outperforms state-of-the-art lossy compressors in terms of compression ratio by a significant margin by up to 53.66%.

YOLO-World: Real-Time Open-Vocabulary Object Detection

The You Only Look Once (YOLO) series of detectors have established themselves as efficient and practical tools. However, their reliance on predefined and trained object categories limits their applicability in open scenarios. Addressing this limitation, we introduce YOLO-World, an innovative approach that enhances YOLO with open-vocabulary detection capabilities through vision-language modeling and pre-training on large-scale datasets. Specifically, we propose a new Re-parameterizable Vision-Language Path Aggregation Network (RepVL-PAN) and region-text contrastive loss to facilitate the interaction between visual and linguistic information. Our method excels in detecting a wide range of objects in a zero-shot manner with high efficiency. On the challenging LVIS dataset, YOLO-World achieves 35.4 AP with 52.0 FPS on V100, which outperforms many state-of-the-art methods in terms of both accuracy and speed. Furthermore, the fine-tuned YOLO-World achieves remarkable performance on several downstream tasks, including object detection and open-vocabulary instance segmentation.

Classifying Nodes in Graphs without GNNs

Graph neural networks (GNNs) are the dominant paradigm for classifying nodes in a graph, but they have several undesirable attributes stemming from their message passing architecture. Recently, distillation methods succeeded in eliminating the use of GNNs at test time but they still require them during training. We perform a careful analysis of the role that GNNs play in distillation methods. This analysis leads us to propose a fully GNN-free approach for node classification, not requiring them at train or test time. Our method consists of three key components: smoothness constraints, pseudo-labeling iterations and neighborhood-label histograms. Our final approach can match the state-of-the-art accuracy on standard popular benchmarks such as citation and co-purchase networks, without training a GNN.

Solving Hierarchical Information-Sharing Dec-POMDPs: An Extensive-Form Game Approach

A recent theory shows that a multi-player decentralized partially observable Markov decision process can be transformed into an equivalent single-player game, enabling the application of \citeauthor{bellman}'s principle of optimality to solve the single-player game by breaking it down into single-stage subgames. However, this approach entangles the decision variables of all players at each single-stage subgame, resulting in backups with a double-exponential complexity. This paper demonstrates how to disentangle these decision variables while maintaining optimality under hierarchical information sharing, a prominent management style in our society. To achieve this, we apply the principle of optimality to solve any single-stage subgame by breaking it down further into smaller subgames, enabling us to make single-player decisions at a time. Our approach reveals that extensive-form games always exist with solutions to a single-stage subgame, significantly reducing time complexity. Our experimental results show that the algorithms leveraging these findings can scale up to much larger multi-player games without compromising optimality.

Dynamic Q-planning for Online UAV Path Planning in Unknown and Complex Environments

Unmanned Aerial Vehicles need an online path planning capability to move in high-risk missions in unknown and complex environments to complete them safely. However, many algorithms reported in the literature may not return reliable trajectories to solve online problems in these scenarios. The Q-Learning algorithm, a Reinforcement Learning Technique, can generate trajectories in real-time and has demonstrated fast and reliable results. This technique, however, has the disadvantage of defining the iteration number. If this value is not well defined, it will take a long time or not return an optimal trajectory. Therefore, we propose a method to dynamically choose the number of iterations to obtain the best performance of Q-Learning. The proposed method is compared to the Q-Learning algorithm with a fixed number of iterations, A*, Rapid-Exploring Random Tree, and Particle Swarm Optimization. As a result, the proposed Q-learning algorithm demonstrates the efficacy and reliability of online path planning with a dynamic number of iterations to carry out online missions in unknown and complex environments.

Distilling Morphology-Conditioned Hypernetworks for Efficient Universal Morphology Control

Learning a universal policy across different robot morphologies can significantly improve learning efficiency and enable zero-shot generalization to unseen morphologies. However, learning a highly performant universal policy requires sophisticated architectures like transformers (TF) that have larger memory and computational cost than simpler multi-layer perceptrons (MLP). To achieve both good performance like TF and high efficiency like MLP at inference time, we propose HyperDistill, which consists of: (1) A morphology-conditioned hypernetwork (HN) that generates robot-wise MLP policies, and (2) A policy distillation approach that is essential for successful training. We show that on UNIMAL, a benchmark with hundreds of diverse morphologies, HyperDistill performs as well as a universal TF teacher policy on both training and unseen test robots, but reduces model size by 6-14 times, and computational cost by 67-160 times in different environments. Our analysis attributes the efficiency advantage of HyperDistill at inference time to knowledge decoupling, i.e., the ability to decouple inter-task and intra-task knowledge, a general principle that could also be applied to improve inference efficiency in other domains.

Cooperative Nonlinear Guidance Strategies for Guaranteed Pursuit-Evasion

This paper addresses the pursuit-evasion problem involving three agents -- a purser, an evader, and a defender. We develop cooperative guidance laws for the evader-defender team that guarantee that the defender intercepts the pursuer before it reaches the vicinity of the evader. Unlike heuristic methods, optimal control, differential game formulation, and recently proposed time-constrained guidance techniques, we propose a geometric solution to safeguard the evader from the pursuer's incoming threat. The proposed strategy is computationally efficient and expected to be scalable as the number of agents increases. Another alluring feature of the proposed strategy is that the evader-defender team does not require the knowledge of the pursuer's strategy and that the pursuer's interception is guaranteed from arbitrary initial engagement geometries. We further show that the necessary error variables for the evader-defender team vanish within a time that can be exactly prescribed prior to the three-body engagement. Finally, we demonstrate the efficacy of the proposed cooperative defense strategy via simulation in diverse engagement scenarios.

Improving Black-box Robustness with In-Context Rewriting

Machine learning models often excel on in-distribution (ID) data but struggle with unseen out-of-distribution (OOD) inputs. Most techniques for improving OOD robustness are not applicable to settings where the model is effectively a black box, such as when the weights are frozen, retraining is costly, or the model is leveraged via an API. Test-time augmentation (TTA) is a simple post-hoc technique for improving robustness that sidesteps black-box constraints by aggregating predictions across multiple augmentations of the test input. TTA has seen limited use in NLP due to the challenge of generating effective natural language augmentations. In this work, we propose LLM-TTA, which uses LLM-generated augmentations as TTA's augmentation function. LLM-TTA outperforms conventional augmentation functions across sentiment, toxicity, and news classification tasks for BERT and T5 models, with BERT's OOD robustness improving by an average of 4.30 percentage points without regressing average ID performance. We explore selectively augmenting inputs based on prediction entropy to reduce the rate of expensive LLM augmentations, allowing us to maintain performance gains while reducing the average number of generated augmentations by 57.76%. LLM-TTA is agnostic to the task model architecture, does not require OOD labels, and is effective across low and high-resource settings. We share our data, models, and code for reproducibility.

Leveraging cough sounds to optimize chest x-ray usage in low-resource settings

Chest X-ray is a commonly used tool during triage, diagnosis and management of respiratory diseases. In resource-constricted settings, optimizing this resource can lead to valuable cost savings for the health care system and the patients as well as to and improvement in consult time. We used prospectively-collected data from 137 patients referred for chest X-ray at the Christian Medical Center and Hospital (CMCH) in Purnia, Bihar, India. Each patient provided at least five coughs while awaiting radiography. Collected cough sounds were analyzed using acoustic AI methods. Cross-validation was done on temporal and spectral features on the cough sounds of each patient. Features were summarized using standard statistical approaches. Three models were developed, tested and compared in their capacity to predict an abnormal result in the chest X-ray. All three methods yielded models that could discriminate to some extent between normal and abnormal with the logistic regression performing best with an area under the receiver operating characteristic curves ranging from 0.7 to 0.78. Despite limitations and its relatively small sample size, this study shows that AI-enabled algorithms can use cough sounds to predict which individuals presenting for chest radiographic examination will have a normal or abnormal results. These results call for expanding this research given the potential optimization of limited health care resources in low- and middle-income countries.