Ahmad ALBarqawi

David Menzies, Sean Kirwan, Ahmad Albarqawi

This study investigates the use of a large language model system to improve efficiency and quality in emergency department (ED) discharge letter writing. Time constraints and infrastructural deficits make compliance with current discharge letter targets difficult. We explored potential efficiencies from an artificial intelligence software in the generation of ED discharge letters and the attitudes of doctors toward this technology. The evaluated system leverages advanced techniques to fine-tune a model to generate discharge summaries from short-hand inputs, including voice, text, and electronic health record data. Nineteen physicians with emergency medicine experience evaluated the system text and voice-to-text interfaces against manual typing. The results showed significant time savings with MedWrite LLM interfaces compared to manual methods.

Ahmad ALBarqawi, Mahmoud Nazzal, Issa Khalil et al.

The rapid rise of deepfake technology, which produces realistic but fraudulent digital content, threatens the authenticity of media. Traditional deepfake detection approaches often struggle with sophisticated, customized deepfakes, especially in terms of generalization and robustness against malicious attacks. This paper introduces ViGText, a novel approach that integrates images with Vision Large Language Model (VLLM) Text explanations within a Graph-based framework to improve deepfake detection. The novelty of ViGText lies in its integration of detailed explanations with visual data, as it provides a more context-aware analysis than captions, which often lack specificity and fail to reveal subtle inconsistencies. ViGText systematically divides images into patches, constructs image and text graphs, and integrates them for analysis using Graph Neural Networks (GNNs) to identify deepfakes. Through the use of multi-level feature extraction across spatial and frequency domains, ViGText captures details that enhance its robustness and accuracy to detect sophisticated deepfakes. Extensive experiments demonstrate that ViGText significantly enhances generalization and achieves a notable performance boost when it detects user-customized deepfakes. Specifically, average F1 scores rise from 72.45% to 98.32% under generalization evaluation, and reflects the model's superior ability to generalize to unseen, fine-tuned variations of stable diffusion models. As for robustness, ViGText achieves an increase of 11.1% in recall compared to other deepfake detection approaches. When facing targeted attacks that exploit its graph-based architecture, ViGText limits classification performance degradation to less than 4%. ViGText uses detailed visual and textual analysis to set a new standard for detecting deepfakes, helping ensure media authenticity and information integrity.

Ying-Jung Chen, Ahmad Albarqawi, Chi-Sheng Chen

Recent advances in the data-driven medicine approach, which integrates ethically managed and explainable artificial intelligence into clinical decision support systems (CDSS), are critical to ensure reliable and effective patient care. This paper focuses on comparing novel agent system designs that use modular agents to analyze laboratory results, vital signs, and clinical context, and to predict and validate results. We implement our agent system with the eICU database, including running lab analysis, vitals-only interpreters, and contextual reasoners agents first, then sharing the memory into the integration agent, prediction agent, transparency agent, and a validation agent. Our results suggest that the multi-agent system (MAS) performed better than the single-agent system (SAS) with mortality prediction accuracy (59\%, 56\%) and the mean error for length of stay (LOS)(4.37 days, 5.82 days), respectively. However, the transparency score for the SAS (86.21) is slightly better than the transparency score for MAS (85.5). Finally, this study suggests that our agent-based framework not only improves process transparency and prediction accuracy but also strengthens trustworthy AI-assisted decision support in an intensive care setting.