Daily Papers

In this paper, we describe SpeakerStew - a hybrid system to perform speaker verification on 46 languages. Two core ideas were explored in this system: (1) Pooling training data of different languages together for multilingual generalization and reducing development cycles; (2) A novel triage mechanism between text-dependent and text-independent models to reduce runtime cost and expected latency. To the best of our knowledge, this is the first study of speaker verification systems at the scale of 46 languages. The problem is framed from the perspective of using a smart speaker device with interactions consisting of a wake-up keyword (text-dependent) followed by a speech query (text-independent). Experimental evidence suggests that training on multiple languages can generalize to unseen varieties while maintaining performance on seen varieties. We also found that it can reduce computational requirements for training models by an order of magnitude. Furthermore, during model inference on English data, we observe that leveraging a triage framework can reduce the number of calls to the more computationally expensive text-independent system by 73% (and reduce latency by 59%) while maintaining an EER no worse than the text-independent setup.

As supervised fine-tuning (SFT) evolves from a lightweight post-training step into a compute-intensive phase rivaling mid-training in scale, data efficiency has become critical for aligning large language models (LLMs) under tight budgets. Existing data pruning methods suffer from a fragmented design: they operate either at the sample level or the token level in isolation, failing to jointly optimize both dimensions. This disconnect leads to significant inefficiencies--high-value samples may still contain redundant tokens, while token-level pruning often discards crucial instructional or corrective signals embedded in individual examples. To address this bottleneck, we introduce the Error-Uncertainty (EU) Plane, a diagnostic framework that jointly characterizes the heterogeneous utility of training data across samples and tokens. Guided by this insight, we propose Quadrant-based Tuning (Q-Tuning), a unified framework that strategically coordinates sample pruning and token pruning. Q-Tuning employs a two-stage strategy: first, it performs sample-level triage to retain examples rich in informative misconceptions or calibration signals; second, it applies an asymmetric token-pruning policy, using a context-aware scoring mechanism to trim less salient tokens exclusively from misconception samples while preserving calibration samples in their entirety. Our method sets a new state of the art across five diverse benchmarks. Remarkably, on SmolLM2-1.7B, Q-Tuning achieves a +38\% average improvement over the full-data SFT baseline using only 12.5\% of the original training data. As the first dynamic pruning approach to consistently outperform full-data training, Q-Tuning provides a practical and scalable blueprint for maximizing data utilization in budget-constrained LLM SFT.

Many court systems are overwhelmed all over the world, leading to huge backlogs of pending cases. Effective triage systems, like those in emergency rooms, could ensure proper prioritization of open cases, optimizing time and resource allocation in the court system. In this work, we introduce the Criticality Prediction dataset, a novel resource for evaluating case prioritization. Our dataset features a two-tier labeling system: (1) the binary LD-Label, identifying cases published as Leading Decisions (LD), and (2) the more granular Citation-Label, ranking cases by their citation frequency and recency, allowing for a more nuanced evaluation. Unlike existing approaches that rely on resource-intensive manual annotations, we algorithmically derive labels leading to a much larger dataset than otherwise possible. We evaluate several multilingual models, including both smaller fine-tuned models and large language models in a zero-shot setting. Our results show that the fine-tuned models consistently outperform their larger counterparts, thanks to our large training set. Our results highlight that for highly domain-specific tasks like ours, large training sets are still valuable.

The demand for emergency department (ED) services is increasing across the globe, particularly during the current COVID-19 pandemic. Clinical triage and risk assessment have become increasingly challenging due to the shortage of medical resources and the strain on hospital infrastructure caused by the pandemic. As a result of the widespread use of electronic health records (EHRs), we now have access to a vast amount of clinical data, which allows us to develop predictive models and decision support systems to address these challenges. To date, however, there are no widely accepted benchmark ED triage prediction models based on large-scale public EHR data. An open-source benchmarking platform would streamline research workflows by eliminating cumbersome data preprocessing, and facilitate comparisons among different studies and methodologies. In this paper, based on the Medical Information Mart for Intensive Care IV Emergency Department (MIMIC-IV-ED) database, we developed a publicly available benchmark suite for ED triage predictive models and created a benchmark dataset that contains over 400,000 ED visits from 2011 to 2019. We introduced three ED-based outcomes (hospitalization, critical outcomes, and 72-hour ED reattendance) and implemented a variety of popular methodologies, ranging from machine learning methods to clinical scoring systems. We evaluated and compared the performance of these methods against benchmark tasks. Our codes are open-source, allowing anyone with MIMIC-IV-ED data access to perform the same steps in data processing, benchmark model building, and experiments. This study provides future researchers with insights, suggestions, and protocols for managing raw data and developing risk triaging tools for emergency care.

Understanding the prevalence of misinformation in health topics online can inform public health policies and interventions. However, measuring such misinformation at scale remains a challenge, particularly for high-stakes but understudied topics like opioid-use disorder (OUD)--a leading cause of death in the U.S. We present the first large-scale study of OUD-related myths on YouTube, a widely-used platform for health information. With clinical experts, we validate 8 pervasive myths and release an expert-labeled video dataset. To scale labeling, we introduce MythTriage, an efficient triage pipeline that uses a lightweight model for routine cases and defers harder ones to a high-performing, but costlier, large language model (LLM). MythTriage achieves up to 0.86 macro F1-score while estimated to reduce annotation time and financial cost by over 76% compared to experts and full LLM labeling. We analyze 2.9K search results and 343K recommendations, uncovering how myths persist on YouTube and offering actionable insights for public health and platform moderation.

This work proposes a framework for optimizing machine learning algorithms. The practicality of the framework is illustrated using an important case study from the healthcare domain, which is predicting the admission status of emergency department (ED) patients (e.g., admitted vs. discharged) using patient data at the time of triage. The proposed framework can mitigate the crowding problem by proactively planning the patient boarding process. A large retrospective dataset of patient records is obtained from the electronic health record database of all ED visits over three years from three major locations of a healthcare provider in the Midwest of the US. Three machine learning algorithms are proposed: T-XGB, T-ADAB, and T-MLP. T-XGB integrates extreme gradient boosting (XGB) and Tabu Search (TS), T-ADAB integrates Adaboost and TS, and T-MLP integrates multi-layer perceptron (MLP) and TS. The proposed algorithms are compared with the traditional algorithms: XGB, ADAB, and MLP, in which their parameters are tunned using grid search. The three proposed algorithms and the original ones are trained and tested using nine data groups that are obtained from different feature selection methods. In other words, 54 models are developed. Performance was evaluated using five measures: Area under the curve (AUC), sensitivity, specificity, F1, and accuracy. The results show that the newly proposed algorithms resulted in high AUC and outperformed the traditional algorithms. The T-ADAB performs the best among the newly developed algorithms. The AUC, sensitivity, specificity, F1, and accuracy of the best model are 95.4%, 99.3%, 91.4%, 95.2%, 97.2%, respectively.

We develop a Multi-Agent Reinforcement Learning (MARL) method to learn scalable control policies for target tracking. Our method can handle an arbitrary number of pursuers and targets; we show results for tasks consisting up to 1000 pursuers tracking 1000 targets. We use a decentralized, partially-observable Markov Decision Process framework to model pursuers as agents receiving partial observations (range and bearing) about targets which move using fixed, unknown policies. An attention mechanism is used to parameterize the value function of the agents; this mechanism allows us to handle an arbitrary number of targets. Entropy-regularized off-policy RL methods are used to train a stochastic policy, and we discuss how it enables a hedging behavior between pursuers that leads to a weak form of cooperation in spite of completely decentralized control execution. We further develop a masking heuristic that allows training on smaller problems with few pursuers-targets and execution on much larger problems. Thorough simulation experiments, ablation studies, and comparisons to state of the art algorithms are performed to study the scalability of the approach and robustness of performance to varying numbers of agents and targets.

The paper presents the vehicles integrated monitoring system giving priorities for emergency vehicles. The described system exploits the data gathered by: geographical positioning systems and geographical information systems. The digital maps and roadside cameras provide the dispatchers with aims for in town ambulances traffic management. The method of vehicles positioning in the city network and algorithms for ambulances recognition by image processing techniques have been discussed in the paper. These priorities are needed for an efficient life-saving actions that require the real-time controlling strategies.

In recent years, medical information technology has made it possible for electronic health record (EHR) to store fairly complete clinical data. This has brought health care into the era of "big data". However, medical data are often sparse and strongly correlated, which means that medical problems cannot be solved effectively. With the rapid development of deep learning in recent years, it has provided opportunities for the use of big data in healthcare. In this paper, we propose a temporal-saptial correlation attention network (TSCAN) to handle some clinical characteristic prediction problems, such as predicting death, predicting length of stay, detecting physiologic decline, and classifying phenotypes. Based on the design of the attention mechanism model, our approach can effectively remove irrelevant items in clinical data and irrelevant nodes in time according to different tasks, so as to obtain more accurate prediction results. Our method can also find key clinical indicators of important outcomes that can be used to improve treatment options. Our experiments use information from the Medical Information Mart for Intensive Care (MIMIC-IV) database, which is open to the public. Finally, we have achieved significant performance benefits of 2.0\% (metric) compared to other SOTA prediction methods. We achieved a staggering 90.7\% on mortality rate, 45.1\% on length of stay. The source code can be find: https://github.com/yuyuheintju/TSCAN.

Medical Large Vision-Language Models (Med-LVLMs) have shown strong potential in multimodal diagnostic tasks. However, existing single-agent models struggle to generalize across diverse medical specialties, limiting their performance. Recent efforts introduce multi-agent collaboration frameworks inspired by clinical workflows, where general practitioners (GPs) and specialists interact in a fixed sequence. Despite improvements, these static pipelines lack flexibility and adaptability in reasoning. To address this, we propose MMedAgent-RL, a reinforcement learning (RL)-based multi-agent framework that enables dynamic, optimized collaboration among medical agents. Specifically, we train two GP agents based on Qwen2.5-VL via RL: the triage doctor learns to assign patients to appropriate specialties, while the attending physician integrates the judgments from multi-specialists and its own knowledge to make final decisions. To address the inconsistency in specialist outputs, we introduce a curriculum learning (CL)-guided RL strategy that progressively teaches the attending physician to balance between imitating specialists and correcting their mistakes. Experiments on five medical VQA benchmarks demonstrate that MMedAgent-RL not only outperforms both open-source and proprietary Med-LVLMs, but also exhibits human-like reasoning patterns. Notably, it achieves an average performance gain of 20.7% over supervised fine-tuning baselines.

Public service systems in many African regions suffer from delayed emergency response and spatial inequity, causing avoidable suffering. This paper introduces OPTIC-ER, a reinforcement learning (RL) framework for real-time, adaptive, and equitable emergency response. OPTIC-ER uses an attention-guided actor-critic architecture to manage the complexity of dispatch environments. Its key innovations are a Context-Rich State Vector, encoding action sub-optimality, and a Precision Reward Function, which penalizes inefficiency. Training occurs in a high-fidelity simulation using real data from Rivers State, Nigeria, accelerated by a precomputed Travel Time Atlas. The system is built on the TALS framework (Thin computing, Adaptability, Low-cost, Scalability) for deployment in low-resource settings. In evaluations on 500 unseen incidents, OPTIC-ER achieved a 100.00% optimality rate with negligible inefficiency, confirming its robustness and generalization. Beyond dispatch, the system generates Infrastructure Deficiency Maps and Equity Monitoring Dashboards to guide proactive governance and data-informed development. This work presents a validated blueprint for AI-augmented public services, showing how context-aware RL can bridge the gap between algorithmic decision-making and measurable human impact.

Motivated by the operational problems in click and collect systems, such as curbside pickup programs, we study a joint admission control and capacity allocation problem. We consider a system where arriving customers have preferred service delivery times and gauge the service quality based on the service provider's ability to complete the service as close as possible to the preferred time. Customers can be of different priority classes, and their priority may increase as they wait longer in the queue. The service provider can reject customers upon their arrival if the system is overloaded or outsource the service (alternatively work overtime) when the capacity is not enough. The service provider's goal is to find the minimum-cost admission and capacity allocation policy to dynamically decide when to serve and whom to serve. We model this problem as a Markov Decision Process. Our structural results partially characterize a set of suboptimal solutions, and we develop solution methods using these results. We also develop a problem-specific approximation method that is based on state aggregation to overcome the computational challenges. We present extensive computational results and discuss the impact of problem parameters on the optimal policy.

Magnetic Resonance Imaging (MRI) is a widely-accepted imaging technique for knee injury analysis. Its advantage of capturing knee structure in three dimensions makes it the ideal tool for radiologists to locate potential tears in the knee. In order to better confront the ever growing workload of musculoskeletal (MSK) radiologists, automated tools for patients' triage are becoming a real need, reducing delays in the reading of pathological cases. In this work, we present the Efficiently-Layered Network (ELNet), a convolutional neural network (CNN) architecture optimized for the task of initial knee MRI diagnosis for triage. Unlike past approaches, we train ELNet from scratch instead of using a transfer-learning approach. The proposed method is validated quantitatively and qualitatively, and compares favorably against state-of-the-art MRNet while using a single imaging stack (axial or coronal) as input. Additionally, we demonstrate our model's capability to locate tears in the knee despite the absence of localization information during training. Lastly, the proposed model is extremely lightweight (< 1MB) and therefore easy to train and deploy in real clinical settings. The code for our model is provided at: https://github.com/mxtsai/ELNet.

Urgent care clinics and emergency departments around the world periodically suffer from extended wait times beyond patient expectations due to inadequate staffing levels. These delays have been linked with adverse clinical outcomes. Previous research into forecasting demand this domain has mostly used a collection of statistical techniques, with machine learning approaches only now beginning to emerge in recent literature. The forecasting problem for this domain is difficult and has also been complicated by the COVID-19 pandemic which has introduced an additional complexity to this estimation due to typical demand patterns being disrupted. This study explores the ability of machine learning methods to generate accurate patient presentations at two large urgent care clinics located in Auckland, New Zealand. A number of machine learning algorithms were explored in order to determine the most effective technique for this problem domain, with the task of making forecasts of daily patient demand three months in advance. The study also performed an in-depth analysis into the model behaviour in respect to the exploration of which features are most effective at predicting demand and which features are capable of adaptation to the volatility caused by the COVID-19 pandemic lockdowns. The results showed that ensemble-based methods delivered the most accurate and consistent solutions on average, generating improvements in the range of 23%-27% over the existing in-house methods for estimating the daily demand.

Effective and efficient access to relevant information is essential for disaster management. However, no retrieval model is specialized for disaster management, and existing general-domain models fail to handle the varied search intents inherent to disaster management scenarios, resulting in inconsistent and unreliable performance. To this end, we introduce DMRetriever, the first series of dense retrieval models (33M to 7.6B) tailored for this domain. It is trained through a novel three-stage framework of bidirectional attention adaptation, unsupervised contrastive pre-training, and difficulty-aware progressive instruction fine-tuning, using high-quality data generated through an advanced data refinement pipeline. Comprehensive experiments demonstrate that DMRetriever achieves state-of-the-art (SOTA) performance across all six search intents at every model scale. Moreover, DMRetriever is highly parameter-efficient, with 596M model outperforming baselines over 13.3 X larger and 33M model exceeding baselines with only 7.6% of their parameters. All codes, data, and checkpoints are available at https://github.com/KaiYin97/DMRETRIEVER