Jing Li

Kihyuk Yoon, Lingchao Mao, Catherine Chong et al.

Temporal information in structured electronic health records (EHRs) is often lost in sparse one-hot or count-based representations, while sequence models can be costly and data-hungry. We propose PaReGTA, an LLM-based encoding framework that (i) converts longitudinal EHR events into visit-level templated text with explicit temporal cues, (ii) learns domain-adapted visit embeddings via lightweight contrastive fine-tuning of a sentence-embedding model, and (iii) aggregates visit embeddings into a fixed-dimensional patient representation using hybrid temporal pooling that captures both recency and globally informative visits. Because PaReGTA does not require training from scratch but instead utilizes a pre-trained LLM, it can perform well even in data-limited cohorts. Furthermore, PaReGTA is model-agnostic and can benefit from future EHR-specialized sentence-embedding models. For interpretability, we introduce PaReGTA-RSS (Representation Shift Score), which quantifies clinically defined factor importance by recomputing representations after targeted factor removal and projecting representation shifts through a machine learning model. On 39,088 migraine patients from the All of Us Research Program, PaReGTA outperforms sparse baselines for migraine type classification while deep sequential models were unstable in our cohort.

Xuan Luo, Yubin Chen, Zhiyu Hou et al.

As large language models (LLMs) are increasingly embedded in everyday decision-making, their safety responsibilities extend beyond reacting to explicit harmful intent toward anticipating unintended but consequential risks. In this work, we introduce a proactive risk awareness evaluation framework that measures whether LLMs can anticipate potential harms and provide warnings before damage occurs. We construct the Butterfly dataset to instantiate this framework in the environmental and ecological domain. It contains 1,094 queries that simulate ordinary solution-seeking activities whose responses may induce latent ecological impact. Through experiments across five widely used LLMs, we analyze the effects of response length, languages, and modality. Experimental results reveal consistent, significant declines in proactive awareness under length-restricted responses, cross-lingual similarities, and persistent blind spots in (multimodal) species protection. These findings highlight a critical gap between current safety alignment and the requirements of real-world ecological responsibility, underscoring the need for proactive safeguards in LLM deployment.