David Sasu

Yusuf Kesmen, Fay Elhassan, Jiayi Ma et al.

Large language models are increasingly deployed as autonomous diagnostic agents, yet they conflate two fundamentally different capabilities: natural-language communication and probabilistic reasoning. We argue that this conflation is an architectural flaw, not an engineering shortcoming. We introduce BMBE (Bayesian Medical Belief Engine), a modular diagnostic dialogue framework that enforces a strict separation between language and reasoning: an LLM serves only as a sensor, parsing patient utterances into structured evidence and verbalising questions, while all diagnostic inference resides in a deterministic, auditable Bayesian engine. Because patient data never enters the LLM, the architecture is private by construction; because the statistical backend is a standalone module, it can be replaced per target population without retraining. This separation yields three properties no autonomous LLM can offer: calibrated selective diagnosis with a continuously adjustable accuracy-coverage tradeoff, a statistical separation gap where even a cheap sensor paired with the engine outperforms a frontier standalone model from the same family at a fraction of the cost, and robustness to adversarial patient communication styles that cause standalone doctors to collapse. We validate across empirical and LLM-generated knowledge bases against frontier LLMs, confirming the advantage is architectural, not informational.

Xavier Theimer-Lienhard, Mushtaha El-Amin, Fay Elhassan et al.

Clinical decision support systems (CDSS) require scrutable, auditable pipelines that enable rigorous, reproducible validation. Yet current LLM-based CDSS remain largely opaque. Most "open" models are open-weight only, releasing parameters while withholding the data provenance, curation procedures, and generation pipelines that determine model behavior. Fully Open (FO) models, which expose the complete training stack end-to-end, do not currently exist in medicine. We introduce Fully Open Meditron, the first fully open pipeline for building LLM-CDSS, comprising a clinician-audited training corpus, a reproducible data construction and training framework, and a use-aligned evaluation protocol. The corpus unifies eight public medical QA datasets into a normalized conversational format and expands coverage with three clinician-vetted synthetic extensions: exam-style QA, guideline-grounded QA derived from 46,469 clinical practice guidelines, and clinical vignettes. The pipeline enforces system-wide decontamination, gold-label resampling of teacher generations, and end-to-end validation by a four-physician panel. We evaluate using an LLM-as-a-judge protocol over expert-written clinical vignettes, calibrated against 204 human raters. We apply the recipe to five FO base models (Apertus-70B/8B-Instruct, OLMo-2-32B-SFT, EuroLLM-22B/9B-Instruct). All MeditronFO variants are preferred over their bases. Apertus-70B-MeditronFO improves +6.6 points over its base (47.2% to 53.8%) on aggregate medical benchmarks, establishing a new FO SoTA. Gemma-3-27B-MeditronFO is preferred over MedGemma in 58.6% of LLM-as-a-judge comparisons and outperforms it on HealthBench (58% vs 55.9%). These results show that fully open pipelines can achieve state-of-the-art domain-specific performance without sacrificing auditability or reproducibility.

David Sasu, Zehui Wu, Ziwei Gong et al.

In this paper, we introduce the Akan Conversation Emotion (ACE) dataset, the first multimodal emotion dialogue dataset for an African language, addressing the significant lack of resources for low-resource languages in emotion recognition research. ACE, developed for the Akan language, contains 385 emotion-labeled dialogues and 6,162 utterances across audio, visual, and textual modalities, along with word-level prosodic prominence annotations. The presence of prosodic labels in this dataset also makes it the first prosodically annotated African language dataset. We demonstrate the quality and utility of ACE through experiments using state-of-the-art emotion recognition methods, establishing solid baselines for future research. We hope ACE inspires further work on inclusive, linguistically and culturally diverse NLP resources.

Ziwei Gong, Pengyuan Shi, Kaan Donbekci et al.

Speech Emotion Recognition (SER) has seen significant progress with deep learning, yet remains challenging for Low-Resource Languages (LRLs) due to the scarcity of annotated data. In this work, we explore unsupervised learning to improve SER in low-resource settings. Specifically, we investigate contrastive learning (CL) and Bootstrap Your Own Latent (BYOL) as self-supervised approaches to enhance cross-lingual generalization. Our methods achieve notable F1 score improvements of 10.6% in Urdu, 15.2% in German, and 13.9% in Bangla, demonstrating their effectiveness in LRLs. Additionally, we analyze model behavior to provide insights on key factors influencing performance across languages, and also highlighting challenges in low-resource SER. This work provides a foundation for developing more inclusive, explainable, and robust emotion recognition systems for underrepresented languages.

David Sasu, Natalie Schluter

We show the performance of Automatic Speech Recognition (ASR) systems that use semi-supervised speech representations can be boosted by a complimentary pitch accent detection module, by introducing a joint ASR and pitch accent detection model. The pitch accent detection component of our model achieves a significant improvement on the state-of-the-art for the task, closing the gap in F1-score by 41%. Additionally, the ASR performance in joint training decreases WER by 28.3% on LibriSpeech, under limited resource fine-tuning. With these results, we show the importance of extending pretrained speech models to retain or re-learn important prosodic cues such as pitch accent.

David Sasu, Kweku Andoh Yamoah, Benedict Quartey et al.

Enabling robots to accurately interpret and execute spoken language instructions is essential for effective human-robot collaboration. Traditional methods rely on speech recognition to transcribe speech into text, often discarding crucial prosodic cues needed for disambiguating intent. We propose a novel approach that directly leverages speech prosody to infer and resolve instruction intent. Predicted intents are integrated into large language models via in-context learning to disambiguate and select appropriate task plans. Additionally, we present the first ambiguous speech dataset for robotics, designed to advance research in speech disambiguation. Our method achieves 95.79% accuracy in detecting referent intents within an utterance and determines the intended task plan of ambiguous instructions with 71.96% accuracy, demonstrating its potential to significantly improve human-robot communication.