Manurag Khullar

Manurag Khullar, Utkarsh Desai, Poorva Malviya et al.

Large Language Models (LLMs) are increasingly deployed in high-stakes clinical applications in India. In many such settings, speakers of Indian languages frequently communicate using romanized text rather than native scripts, yet existing research rarely evaluates this orthographic variation using real-world data. We investigate how romanization impacts the reliability of LLMs in a critical domain: maternal and newborn healthcare triage. We benchmark leading LLMs on a real-world dataset of user-generated queries spanning five Indian languages and Nepali. Our results reveal consistent degradation in performance for romanized messages, with F1 scores trailing those of native scripts by 5-12 points. At our partner maternal health organization in India, this gap could cause nearly 2 million excess errors in triage. Crucially, this performance gap by scripts is not due to a failure in clinical reasoning. We demonstrate that LLMs often correctly infer the semantic intent of romanized queries. Nevertheless, their final classification outputs remain brittle in the presence of orthographic noise in romanized inputs. Our findings highlight a critical safety blind spot in LLM-based health systems: models that appear to understand romanized input may still fail to act on it reliably.

Hardik Shukla, Manurag Khullar, Vismay Churiwala

Physics-Informed Neural Networks (PINNs) have emerged as a powerful framework for solving partial differential equations (PDEs) by embedding physical constraints into the loss function. However, standard optimizers such as Adam often struggle to balance competing loss terms, particularly in stiff or ill-conditioned systems. In this work, we propose a PDE-aware optimizer that adapts parameter updates based on the variance of per-sample PDE residual gradients. This method addresses gradient misalignment without incurring the heavy computational costs of second-order optimizers such as SOAP. We benchmark the PDE-aware optimizer against Adam and SOAP on 1D Burgers', Allen-Cahn and Korteweg-de Vries(KdV) equations. Across both PDEs, the PDE-aware optimizer achieves smoother convergence and lower absolute errors, particularly in regions with sharp gradients. Our results demonstrate the effectiveness of PDE residual-aware adaptivity in enhancing stability in PINNs training. While promising, further scaling on larger architectures and hardware accelerators remains an important direction for future research.