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Ananya Joshi

Publications and source records attributed to Ananya Joshi.

At least 19 recordsLinked to original sources

Adaptive KV Retention for LLM Agents at Human-Approval Timescales

Unlike the seconds-scale tool-call pauses targeted by prior agent-serving systems, agentic LLM requests can be suspended for minutes or hours while waiting for human approval. We study how suspension and resumption affect GPU serving performance and develop a retention policy that balances active-serving capacity against future recomputation under uncertain approval waits. The central tension is severe because retaining suspended KV preserves fast resume but can consume enough GPU capacity to reduce active-serving goodput by 41%, while evicting it avoids that residency cost at the expense of nearly $10\times$ higher resume latency when the request returns. We develop a tiered retention controller around GPU opportunity cost, which expresses the serving capacity consumed by preserving or reconstructing a suspended request's KV state in a common GPU-time cost. Within host memory, the controller selects between indefinite retention and load-indexed expiration using calibration wait samples, without requiring per-request wait prediction. On human-scale approval workloads, our controller improves active-request goodput by 23-51% over the vLLM baselines, 22-29% over MORI, and 41-52% over Continuum.

cs.OS

Context-Aware Hospitalization Forecasting Evaluations for Decision Support using LLMs

Medical and public health experts must make real-time resource decisions, such as expanding hospital bed capacity, based on projected hospitalization trends during large-scale healthcare disruptions (e.g., operational failures or pandemics). Forecasting models can assist in this task by analyzing large volumes of resource-related data at the facility level, but they must be reliable for decision-making under real-world data conditions. Recent work shows that large language models (LLMs) can incorporate richer forms of context into numerical forecasting. Whereas traditional models rely primarily on temporal context (i.e., past observations), LLMs can also leverage non-temporal public health context such as demographic, geographic, and population-level features. However, it remains unclear how these models should be used to produce stable or decision-relevant predictions in real-world healthcare settings. To evaluate how LLMs can be effectively used in this setting, we evaluate three approaches across 60 counties with low-,mid-, and high-hospitalization intensities in the United States: direct LLM-based forecasting, classical time-series models, and a context-augmented hybrid pipeline (HybridARX) that incorporates LLM-derived signals into structured models. Because the goal is operational decision-making rather than error minimization alone, we evaluate performance with bias and lead-lag alignment in addition to standard forecasting metrics. Our results show that HybridARX improves over classical ARX by yielding more stable and better-calibrated forecasts, particularly when incorporating noisy contextual signals into structured time-series models. These findings suggest that, in non-stationary healthcare resource forecasting, LLMs are most useful when embedded within structured hybrid models.

cs.AI

Reliable Self-Harm Risk Screening via Adaptive Multi-Agent LLM Systems

Emerging AI systems in behavioral health and psychiatry use multi-step or multi-agent LLM pipelines for tasks like assessing self-harm risk and screening for depression. However, common evaluation approaches, like LLM-as-a-judge, do not indicate when a decision is reliable or how errors may accumulate across multiple LLM judgements, limiting their suitability for safety-critical settings. We present a statistical framework for multi-agent pipelines structured as directed acyclic graphs (DAGs) that provides an alternative to heuristic voting with principled, adaptive decision-making. We model each agent as a stochastic categorical decision and introduce (1) tighter agent-level performance confidence bounds, (2) a bandit-based adaptive sampling strategy based on input difficulty, and (3) regret guarantees over the multi-agent system that shows logarithmic error growth when deployed. We evaluate our system on two labeled datasets in behavioral health : the AEGIS 2.0 behavioral health subset (N=161) and a stratified sample of SWMH Reddit posts (N=250). Empirically, our adaptive sampling strategy achieves the lowest false positive rate of any condition across both datasets, 0.095 on AEGIS 2.0 compared to 0.159 for single-agent models, reducing incorrect flagging of safe content by 40\% and still having similar false negative rates across all conditions. These results suggest that principled adaptive sampling offers a meaningful improvement in precision without reducing recall in this setting.

cs.LG

Reliability Auditing for Downstream LLM tasks in Psychiatry: LLM-Generated Hospitalization Risk Scores

Large language models (LLMs) are increasingly utilized in clinical reasoning and risk assessment. However, their interpretive reliability in critical and indeterminate domains such as psychiatry remains unclear. Prior work has identified algorithmic biases and prompt sensitivity in these systems, raising concerns about how contextual information may influence model outputs, but there remains no systematic way to assess these, especially in the psychiatric domain. We propose an approach for reliability auditing downstream LLM tasks by structuring evaluation around the impact of prompt design and the inclusion of medically insignificant inputs on predicted hospitalization risk scores, which is often the first downstream AI clinical-decision-making task. In our audit, a cohort of synthetic patient profiles (n = 50) is generated, each consisting of 15 clinically relevant features and up to 50 clinically insignificant features, across four prompt reframings (neutral, logical, human impact, clinical judgment). We audit four LLMs (Gemini 2.5 Flash, LLaMa 3.3 70b, Claude Sonnet 4.6, GPT-4o mini), and our results show that including medically insignificant variables resulted in a statistically significant increase in the absolute mean predicted hospitalization risk and output variability across all models and prompts, indicating reduced predictive stability as contextual noise increased. Clinically insignificant features had an effect on instability across many model-prompt conditions, and prompt variations independently affected the trajectory of instability in a model-dependent manner. These findings quantify how LLM-based psychiatric risk assessments are sensitive to non-clinical information, highlighting the need for systematic evaluations of attributional stability and uncertainty behavior like this before clinical deployments.

cs.LG

Optimal Question Selection from a Large Question Bank for Clinical Field Recovery in Conversational Psychiatric Intake

Psychiatric intake is a sequential, high-stakes information-gathering process in which clinicians must decide what to ask, in what order, and how to interpret incomplete or ambiguous responses under limited time. Despite growing interest in conversational AI for healthcare, there is still limited infrastructure for conversational AI in this application. Accordingly, we formulate this task as a question-selection problem with clinically grounded questions, known target information, and controllable patient difficulty. We also introduce a task-specific question-selection benchmark based on a bank of 655 clinician-authored intake questions and corresponding synthetic patient vignettes with 5 different behavioral conditions. In our evaluation, we compare random questioning, a clinical psychiatric intake form baseline, and an LLM-guided adaptive policy across 300 interview sessions spanning four patients and five behavioral conditions. Across the benchmark, the clinically ordered fixed form substantially outperforms random questioning, and the LLM-guided policy achieves the strongest overall recovery. The advantage of adaptation grows sharply under patient behavior that is less amenable to field recovery, especially under guarded-concise conditions. These findings suggest that performance in conversational clinical systems depends not only on language understanding after information is disclosed, but also on whether the system reaches the right topics within a limited interaction budget. More broadly, the benchmark provides a controlled framework for studying how clinical structure and adaptive follow-up contribute to information recovery in interactive clinical machine learning.

cs.CL

Constrained Process Maps for Multi-Agent Generative AI Workflows

Large language model (LLM)-based agents are increasingly used to perform complex, multi-step workflows in regulated settings such as compliance and due diligence. However, many agentic architectures rely primarily on prompt engineering of a single agent, making it difficult to observe or compare how models handle uncertainty and coordination across interconnected decision stages and with human oversight. We introduce a multi-agent system formalized as a finite-horizon Markov Decision Process (MDP) with a directed acyclic structure. Each agent corresponds to a specific role or decision stage (e.g., content, business, or legal review in a compliance workflow), with predefined transitions representing task escalation or completion. Epistemic uncertainty is quantified at the agent level using Monte Carlo estimation, while system-level uncertainty is captured by the MDP's termination in either an automated labeled state or a human-review state. We illustrate the approach through a case study in AI safety evaluation for self-harm detection, implemented as a multi-agent compliance system. Results demonstrate improvements over a single-agent baseline, including up to a 19\% increase in accuracy, up to an 85x reduction in required human review, and, in some configurations, reduced processing time.

cs.AI

Decomposing Theory of Mind: How Emotional Processing Mediates ToM Abilities in LLMs

Recent work shows activation steering substantially improves language models' Theory of Mind (ToM) (Bortoletto et al. 2024), yet the mechanisms of what changes occur internally that leads to different outputs remains unclear. We propose decomposing ToM in LLMs by comparing steered versus baseline LLMs' activations using linear probes trained on 45 cognitive actions. We applied Contrastive Activation Addition (CAA) steering to Gemma-3-4B and evaluated it on 1,000 BigToM forward belief scenarios (Gandhi et al. 2023), we find improved performance on belief attribution tasks (32.5\% to 46.7\% accuracy) is mediated by activations processing emotional content : emotion perception (+2.23), emotion valuing (+2.20), while suppressing analytical processes: questioning (-0.78), convergent thinking (-1.59). This suggests that successful ToM abilities in LLMs are mediated by emotional understanding, not analytical reasoning.

cs.AI

Predicting Language Models' Success at Zero-Shot Probabilistic Prediction

Recent work has investigated the capabilities of large language models (LLMs) as zero-shot models for generating individual-level characteristics (e.g., to serve as risk models or augment survey datasets). However, when should a user have confidence that an LLM will provide high-quality predictions for their particular task? To address this question, we conduct a large-scale empirical study of LLMs' zero-shot predictive capabilities across a wide range of tabular prediction tasks. We find that LLMs' performance is highly variable, both on tasks within the same dataset and across different datasets. However, when the LLM performs well on the base prediction task, its predicted probabilities become a stronger signal for individual-level accuracy. Then, we construct metrics to predict LLMs' performance at the task level, aiming to distinguish between tasks where LLMs may perform well and where they are likely unsuitable. We find that some of these metrics, each of which are assessed without labeled data, yield strong signals of LLMs' predictive performance on new tasks.

cs.LG

L3Cube-MahaSTS: A Marathi Sentence Similarity Dataset and Models

We present MahaSTS, a human-annotated Sentence Textual Similarity (STS) dataset for Marathi, along with MahaSBERT-STS-v2, a fine-tuned Sentence-BERT model optimized for regression-based similarity scoring. The MahaSTS dataset consists of 16,860 Marathi sentence pairs labeled with continuous similarity scores in the range of 0-5. To ensure balanced supervision, the dataset is uniformly distributed across six score-based buckets spanning the full 0-5 range, thus reducing label bias and enhancing model stability. We fine-tune the MahaSBERT model on this dataset and benchmark its performance against other alternatives like MahaBERT, MuRIL, IndicBERT, and IndicSBERT. Our experiments demonstrate that MahaSTS enables effective training for sentence similarity tasks in Marathi, highlighting the impact of human-curated annotations, targeted fine-tuning, and structured supervision in low-resource settings. The dataset and model are publicly shared at https://github.com/l3cube-pune/MarathiNLP

cs.CL

MahaParaphrase: A Marathi Paraphrase Detection Corpus and BERT-based Models

Paraphrases are a vital tool to assist language understanding tasks such as question answering, style transfer, semantic parsing, and data augmentation tasks. Indic languages are complex in natural language processing (NLP) due to their rich morphological and syntactic variations, diverse scripts, and limited availability of annotated data. In this work, we present the L3Cube-MahaParaphrase Dataset, a high-quality paraphrase corpus for Marathi, a low resource Indic language, consisting of 8,000 sentence pairs, each annotated by human experts as either Paraphrase (P) or Non-paraphrase (NP). We also present the results of standard transformer-based BERT models on these datasets. The dataset and model are publicly shared at https://github.com/l3cube-pune/MarathiNLP

cs.CL

Enabling Precise Topic Alignment in Large Language Models Via Sparse Autoencoders

Recent work shows that Sparse Autoencoders (SAE) applied to large language model (LLM) layers have neurons corresponding to interpretable concepts. These SAE neurons can be modified to align generated outputs, but only towards pre-identified topics and with some parameter tuning. Our approach leverages the observational and modification properties of SAEs to enable alignment for any topic. This method 1) scores each SAE neuron by its semantic similarity to an alignment text and uses them to 2) modify SAE-layer-level outputs by emphasizing topic-aligned neurons. We assess the alignment capabilities of this approach on diverse public topic datasets including Amazon reviews, Medicine, and Sycophancy, across the currently available open-source LLMs and SAE pairs (GPT2 and Gemma) with multiple SAEs configurations. Experiments aligning to medical prompts reveal several benefits over fine-tuning, including increased average language acceptability (0.25 vs. 0.5), reduced training time across multiple alignment topics (333.6s vs. 62s), and acceptable inference time for many applications (+0.00092s/token). Our open-source code is available at github.com/IBM/sae-steering.

cs.CL

Inhibiting Alzheimer's Disease by Targeting Aggregation of Beta-Amyloid

Alzheimer's disease is characterized by dangerous amyloid plaques formed by deposits of the protein Beta-Amyloid aggregates in the brain. The specific amino acid sequence that is responsible for the aggregates of Beta-Amyloid is lys-leu-val-phe-phe (KLVFF). KLVFF aggregation inhibitors, which we design in this paper, prevent KLVFF from binding with itself to form oligomers or fibrils (and eventually plaques) that cause neuronal death. Our binder-blocker peptides are designed such that, on one side, they bind strongly to KLVFF, and on the other side, they disrupt critical interactions, thus preventing aggregation. Our methods use optimization techniques and molecular simulations and identify 10 candidate sequences for trial of the 3.2 million possible sequences. This approach for inhibitor identification can be generalized to other diseases characterized by protein aggregation, such as Parkinson's, Huntington's, and prion diseases.

q-bio.QM

An AI-Based Public Health Data Monitoring System

Public health experts need scalable approaches to monitor large volumes of health data (e.g., cases, hospitalizations, deaths) for outbreaks or data quality issues. Traditional alert-based monitoring systems struggle with modern public health data monitoring systems for several reasons, including that alerting thresholds need to be constantly reset and the data volumes may cause application lag. Instead, we propose a ranking-based monitoring paradigm that leverages new AI anomaly detection methods. Through a multi-year interdisciplinary collaboration, the resulting system has been deployed at a national organization to monitor up to 5,000,000 data points daily. A three-month longitudinal deployed evaluation revealed a significant improvement in monitoring objectives, with a 54x increase in reviewer speed efficiency compared to traditional alert-based methods. This work highlights the potential of human-centered AI to transform public health decision-making.

cs.AI

Universal Cross-Lingual Text Classification

Text classification, an integral task in natural language processing, involves the automatic categorization of text into predefined classes. Creating supervised labeled datasets for low-resource languages poses a considerable challenge. Unlocking the language potential of low-resource languages requires robust datasets with supervised labels. However, such datasets are scarce, and the label space is often limited. In our pursuit to address this gap, we aim to optimize existing labels/datasets in different languages. This research proposes a novel perspective on Universal Cross-Lingual Text Classification, leveraging a unified model across languages. Our approach involves blending supervised data from different languages during training to create a universal model. The supervised data for a target classification task might come from different languages covering different labels. The primary goal is to enhance label and language coverage, aiming for a label set that represents a union of labels from various languages. We propose the usage of a strong multilingual SBERT as our base model, making our novel training strategy feasible. This strategy contributes to the adaptability and effectiveness of the model in cross-lingual language transfer scenarios, where it can categorize text in languages not encountered during training. Thus, the paper delves into the intricacies of cross-lingual text classification, with a particular focus on its application for low-resource languages, exploring methodologies and implications for the development of a robust and adaptable universal cross-lingual model.

cs.CL

Computationally Assisted Quality Control for Public Health Data Streams

Irregularities in public health data streams (like COVID-19 Cases) hamper data-driven decision-making for public health stakeholders. A real-time, computer-generated list of the most important, outlying data points from thousands of daily-updated public health data streams could assist an expert reviewer in identifying these irregularities. However, existing outlier detection frameworks perform poorly on this task because they do not account for the data volume or for the statistical properties of public health streams. Accordingly, we developed FlaSH (Flagging Streams in public Health), a practical outlier detection framework for public health data users that uses simple, scalable models to capture these statistical properties explicitly. In an experiment where human experts evaluate FlaSH and existing methods (including deep learning approaches), FlaSH scales to the data volume of this task, matches or exceeds these other methods in mean accuracy, and identifies the outlier points that users empirically rate as more helpful. Based on these results, FlaSH has been deployed on data streams used by public health stakeholders.

cs.AI

Outlier Ranking in Large-Scale Public Health Streams

Disease control experts inspect public health data streams daily for outliers worth investigating, like those corresponding to data quality issues or disease outbreaks. However, they can only examine a few of the thousands of maximally-tied outliers returned by univariate outlier detection methods applied to large-scale public health data streams. To help experts distinguish the most important outliers from these thousands of tied outliers, we propose a new task for algorithms to rank the outputs of any univariate method applied to each of many streams. Our novel algorithm for this task, which leverages hierarchical networks and extreme value analysis, performed the best across traditional outlier detection metrics in a human-expert evaluation using public health data streams. Most importantly, experts have used our open-source Python implementation since April 2023 and report identifying outliers worth investigating 9.1x faster than their prior baseline. Other organizations can readily adapt this implementation to create rankings from the outputs of their tailored univariate methods across large-scale streams.

cs.AI

Harnessing Pre-Trained Sentence Transformers for Offensive Language Detection in Indian Languages

In our increasingly interconnected digital world, social media platforms have emerged as powerful channels for the dissemination of hate speech and offensive content. This work delves into the domain of hate speech detection, placing specific emphasis on three low-resource Indian languages: Bengali, Assamese, and Gujarati. The challenge is framed as a text classification task, aimed at discerning whether a tweet contains offensive or non-offensive content. Leveraging the HASOC 2023 datasets, we fine-tuned pre-trained BERT and SBERT models to evaluate their effectiveness in identifying hate speech. Our findings underscore the superiority of monolingual sentence-BERT models, particularly in the Bengali language, where we achieved the highest ranking. However, the performance in Assamese and Gujarati languages signifies ongoing opportunities for enhancement. Our goal is to foster inclusive online spaces by countering hate speech proliferation.

cs.CL

L3Cube-IndicSBERT: A simple approach for learning cross-lingual sentence representations using multilingual BERT

The multilingual Sentence-BERT (SBERT) models map different languages to common representation space and are useful for cross-language similarity and mining tasks. We propose a simple yet effective approach to convert vanilla multilingual BERT models into multilingual sentence BERT models using synthetic corpus. We simply aggregate translated NLI or STS datasets of the low-resource target languages together and perform SBERT-like fine-tuning of the vanilla multilingual BERT model. We show that multilingual BERT models are inherent cross-lingual learners and this simple baseline fine-tuning approach without explicit cross-lingual training yields exceptional cross-lingual properties. We show the efficacy of our approach on 10 major Indic languages and also show the applicability of our approach to non-Indic languages German and French. Using this approach, we further present L3Cube-IndicSBERT, the first multilingual sentence representation model specifically for Indian languages Hindi, Marathi, Kannada, Telugu, Malayalam, Tamil, Gujarati, Odia, Bengali, and Punjabi. The IndicSBERT exhibits strong cross-lingual capabilities and performs significantly better than alternatives like LaBSE, LASER, and paraphrase-multilingual-mpnet-base-v2 on Indic cross-lingual and monolingual sentence similarity tasks. We also release monolingual SBERT models for each of the languages and show that IndicSBERT performs competitively with its monolingual counterparts. These models have been evaluated using embedding similarity scores and classification accuracy.

cs.CL