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James Anibal

Publications and source records attributed to James Anibal.

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A global log for medical AI

Modern computer systems rely on syslog, a universal protocol that records critical events across heterogeneous infrastructure. Medicine's rapidly growing AI stack has no equivalent. As medicine deploys AI tools at scale, there is no standard way to record how, when, by whom, and for whom these models are used. Without such records, it is difficult to measure real-world performance and outcomes, detect adverse events, or identify bias and dataset drift. Here we introduce MedLog, a protocol for event-level logging of medical AI. Each time an AI model interacts with a human, another algorithm, or an automated workflow, MedLog creates a record. Each record contains nine core fields: header, model, user, target, inputs, artifacts, outputs, outcomes, and feedback. We apply MedLog across four deployments in the US, Switzerland, and Vietnam: ICU deterioration prediction, tetanus progression monitoring from wearable signals, automated sepsis quality reporting, and patient attendance prediction. MedLog records capture model behavior, workflow interactions, and downstream outcomes, including AI performance degradation during severe weather events in patient attendance prediction and increased laboratory testing after ICU deterioration alerts. MedLog limits the data footprint through risk-based sampling, lifecycle-aware retention policies, and write-behind caching, enabling deployment in low-resource settings. It also supports detailed traces for complex, agentic, or multi-stage workflows, creating a foundation for continuous monitoring, auditing, and improvement of medical AI.

cs.AI

The doctor will polygraph you now: ethical concerns with AI for fact-checking patients

Artificial intelligence (AI) methods have been proposed for the prediction of social behaviors which could be reasonably understood from patient-reported information. This raises novel ethical concerns about respect, privacy, and control over patient data. Ethical concerns surrounding clinical AI systems for social behavior verification can be divided into two main categories: (1) the potential for inaccuracies/biases within such systems, and (2) the impact on trust in patient-provider relationships with the introduction of automated AI systems for fact-checking, particularly in cases where the data/models may contradict the patient. Additionally, this report simulated the misuse of a verification system using patient voice samples and identified a potential LLM bias against patient-reported information in favor of multi-dimensional data and the outputs of other AI methods (i.e., AI self-trust). Finally, recommendations were presented for mitigating the risk that AI verification methods will cause harm to patients or undermine the purpose of the healthcare system.

cs.CY

Voice EHR: Introducing Multimodal Audio Data for Health

Artificial intelligence (AI) models trained on audio data may have the potential to rapidly perform clinical tasks, enhancing medical decision-making and potentially improving outcomes through early detection. Existing technologies depend on limited datasets collected with expensive recording equipment in high-income countries, which challenges deployment in resource-constrained, high-volume settings where audio data may have a profound impact on health equity. This report introduces a novel data type and a corresponding collection system that captures health data through guided questions using only a mobile/web application. The app facilitates the collection of an audio electronic health record (Voice EHR) which may contain complex biomarkers of health from conventional voice/respiratory features, speech patterns, and spoken language with semantic meaning and longitudinal context, potentially compensating for the typical limitations of unimodal clinical datasets. This report presents the application used for data collection, initial experiments on data quality, and case studies which demonstrate the potential of voice EHR to advance the scalability/diversity of audio AI.

cs.SD

Harnessing PubMed User Query Logs for Post Hoc Explanations of Recommended Similar Articles

Searching for a related article based on a reference article is an integral part of scientific research. PubMed, like many academic search engines, has a "similar articles" feature that recommends articles relevant to the current article viewed by a user. Explaining recommended items can be of great utility to users, particularly in the literature search process. With more than a million biomedical papers being published each year, explaining the recommended similar articles would facilitate researchers and clinicians in searching for related articles. Nonetheless, the majority of current literature recommendation systems lack explanations for their suggestions. We employ a post hoc approach to explaining recommendations by identifying relevant tokens in the titles of similar articles. Our major contribution is building PubCLogs by repurposing 5.6 million pairs of coclicked articles from PubMed's user query logs. Using our PubCLogs dataset, we train the Highlight Similar Article Title (HSAT), a transformer-based model designed to select the most relevant parts of the title of a similar article, based on the title and abstract of a seed article. HSAT demonstrates strong performance in our empirical evaluations, achieving an F1 score of 91.72 percent on the PubCLogs test set, considerably outperforming several baselines including BM25 (70.62), MPNet (67.11), MedCPT (62.22), GPT-3.5 (46.00), and GPT-4 (64.89). Additional evaluations on a separate, manually annotated test set further verifies HSAT's performance. Moreover, participants of our user study indicate a preference for HSAT, due to its superior balance between conciseness and comprehensiveness. Our study suggests that repurposing user query logs of academic search engines can be a promising way to train state-of-the-art models for explaining literature recommendation.

cs.IR

VieSum: How Robust Are Transformer-based Models on Vietnamese Summarization?

Text summarization is a challenging task within natural language processing that involves text generation from lengthy input sequences. While this task has been widely studied in English, there is very limited research on summarization for Vietnamese text. In this paper, we investigate the robustness of transformer-based encoder-decoder architectures for Vietnamese abstractive summarization. Leveraging transfer learning and self-supervised learning, we validate the performance of the methods on two Vietnamese datasets.

cs.CL

SPBERT: An Efficient Pre-training BERT on SPARQL Queries for Question Answering over Knowledge Graphs

In this paper, we propose SPBERT, a transformer-based language model pre-trained on massive SPARQL query logs. By incorporating masked language modeling objectives and the word structural objective, SPBERT can learn general-purpose representations in both natural language and SPARQL query language. We investigate how SPBERT and encoder-decoder architecture can be adapted for Knowledge-based QA corpora. We conduct exhaustive experiments on two additional tasks, including SPARQL Query Construction and Answer Verbalization Generation. The experimental results show that SPBERT can obtain promising results, achieving state-of-the-art BLEU scores on several of these tasks.

cs.CL

CoTexT: Multi-task Learning with Code-Text Transformer

We present CoTexT, a pre-trained, transformer-based encoder-decoder model that learns the representative context between natural language (NL) and programming language (PL). Using self-supervision, CoTexT is pre-trained on large programming language corpora to learn a general understanding of language and code. CoTexT supports downstream NL-PL tasks such as code summarizing/documentation, code generation, defect detection, and code debugging. We train CoTexT on different combinations of available PL corpus including both "bimodal" and "unimodal" data. Here, bimodal data is the combination of text and corresponding code snippets, whereas unimodal data is merely code snippets. We first evaluate CoTexT with multi-task learning: we perform Code Summarization on 6 different programming languages and Code Refinement on both small and medium size featured in the CodeXGLUE dataset. We further conduct extensive experiments to investigate CoTexT on other tasks within the CodeXGlue dataset, including Code Generation and Defect Detection. We consistently achieve SOTA results in these tasks, demonstrating the versatility of our models.

cs.AI