Hajar Homayouni

Aditi Naiknaware, Sanchit Singh, Hajar Homayouni et al.

Open-world learning (OWL) requires models that can adapt to evolving environments while reliably detecting out-of-distribution (OOD) inputs. Existing approaches, such as SCONE, achieve robustness to covariate and semantic shifts but assume static environments, leading to degraded performance in dynamic domains. In this paper, we propose Temp-SCONE, a temporally consistent extension of SCONE designed to handle temporal shifts in dynamic environments. Temp-SCONE introduces a confidence-driven regularization loss based on Average Thresholded Confidence (ATC), penalizing instability in predictions across time steps while preserving SCONE's energy-margin separation. Experiments on dynamic datasets demonstrate that Temp-SCONE significantly improves robustness under temporal drift, yielding higher corrupted-data accuracy and more reliable OOD detection compared to SCONE. On distinct datasets without temporal continuity, Temp-SCONE maintains comparable performance, highlighting the importance and limitations of temporal regularization. Our theoretical insights on temporal stability and generalization error further establish Temp-SCONE as a step toward reliable OWL in evolving dynamic environments.

Arshia Ilaty, Hossein Shirazi, Amir Rahmani et al.

The development of robust clinical decision support systems is frequently impeded by the scarcity of high-fidelity, privacy-preserving biomedical data. While Generative Large Language Models (LLMs) offer a promising avenue for synthetic data generation, they often struggle to capture the complex, non-linear dependencies and severe class imbalances inherent in Electronic Health Records (EHR), leading to statistically plausible but clinically invalid records. To bridge this gap, we introduce DISCO-TAB (DIScriminator-guided COntrol for TABular synthesis), a novel framework that orchestrates a fine-tuned LLM with a multi-objective discriminator system optimized via Reinforcement Learning. Unlike prior methods relying on scalar feedback, DISCO-TAB evaluates synthesis at four granularities, token, sentence, feature, and row, while integrating Automated Constraint Discovery and Inverse-Frequency Reward Shaping to autonomously preserve latent medical logic and resolve minority-class collapse. We rigorously validate our framework across diverse benchmarks, including high-dimensional, small-sample medical datasets (e.g., Heart Failure, Parkinson's). Our results demonstrate that hierarchical feedback yields state-of-the-art performance, achieving up to 38.2% improvement in downstream clinical classifier utility compared to GAN and Diffusion baselines, while ensuring exceptional statistical fidelity (JSD < 0.01) and robust resistance to membership inference attacks. This work establishes a new standard for generating trustworthy, utility-preserving synthetic tabular data for sensitive healthcare applications.

Arshia Ilaty, Hossein Shirazi, Hajar Homayouni

Access to real-world medical data is often restricted due to privacy regulations, posing a significant barrier to the advancement of healthcare research. Synthetic data offers a promising alternative; however, generating realistic, clinically valid, and privacy-conscious records remains a major challenge. Recent advancements in Large Language Models (LLMs) offer new opportunities for structured data generation; however, existing approaches frequently lack systematic prompting strategies and comprehensive, multi-dimensional evaluation frameworks. In this paper, we present SynLLM, a modular framework for generating high-quality synthetic medical tabular data using 20 state-of-the-art open-source LLMs, including LLaMA, Mistral, and GPT variants, guided by structured prompts. We propose four distinct prompt types, ranging from example-driven to rule-based constraints, that encode schema, metadata, and domain knowledge to control generation without model fine-tuning. Our framework features a comprehensive evaluation pipeline that rigorously assesses generated data across statistical fidelity, clinical consistency, and privacy preservation. We evaluate SynLLM across three public medical datasets, including Diabetes, Cirrhosis, and Stroke, using 20 open-source LLMs. Our results show that prompt engineering significantly impacts data quality and privacy risk, with rule-based prompts achieving the best privacy-quality balance. SynLLM establishes that, when guided by well-designed prompts and evaluated with robust, multi-metric criteria, LLMs can generate synthetic medical data that is both clinically plausible and privacy-aware, paving the way for safer and more effective data sharing in healthcare research.