United States

The introduction of Large Language Models (LLMs) has advanced data representation and analysis, bringing significant progress in their use for medical questions and answering. Despite these advancements, integrating tabular data, especially numerical data pivotal in clinical contexts, into LLM paradigms has not been thoroughly explored. In this study, we examine the effectiveness of vector representations from last hidden states of LLMs for medical diagnostics and prognostics using electronic health record (EHR) data. We compare the performance of these embeddings with that of raw numerical EHR data when used as feature inputs to traditional machine learning (ML) algorithms that excel at tabular data learning, such as eXtreme Gradient Boosting. We focus on instruction-tuned LLMs in a zero-shot setting to represent abnormal physiological data and evaluating their utilities as feature extractors to enhance ML classifiers for predicting diagnoses, length of stay, and mortality. Furthermore, we examine prompt engineering techniques on zero-shot and few-shot LLM embeddings to measure their impact comprehensively. Although findings suggest the raw data features still prevail in medical ML tasks, zero-shot LLM embeddings demonstrate competitive results, suggesting a promising avenue for future research in medical applications.

EMNLP 2024

When Raw Data Prevails: Are Large Language Model Embeddings Effective in Numerical Data Representation for Medical Machine Learning Applications?

needle-in-a-haystack

extractive reasoning

visual question-answering

vision language models

long-context

state-of-the-art

large language models

benchmark

## Welcome to EMNLP 2024! 
We are excited to welcome you to one of the most prominent conferences in the field of Natural Language Processing. This year, EMNLP 2024 is being held in a hybrid format,
offering both virtual and in-person participation in beautiful Miami. Due to a record-breaking number of submissions, we've expanded the total number of accepted papers to accommodate more cutting-edge research from around the globe.
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EMNLP 2024 will take place in Miami, Florida from Nov 12th to Nov 16th, 2024, at the Hyatt Regency Miami Hote and on Underline for remote participants.

poster

The global escalation in emergency department patient visits poses significant challenges to efficient clinical management, particularly in clinical triage. Traditionally managed by human professionals, clinical triage is susceptible to substantial variability and high workloads. Although large language models (LLMs) demonstrate promising reasoning and understanding capabilities, directly applying them to clinical triage remains challenging due to the complex and dynamic nature of the clinical triage task. To address these issues, we introduce TriageAgent, a novel heterogeneous multi-agent framework designed to enhance collaborative decision-making in clinical triage. TriageAgent leverages LLMs for role-playing, incorporating self-confidence and early-stopping mechanisms in multi-round discussions to improve document reasoning and classification precision for triage tasks. In addition, TriageAgent employs the medical Emergency Severity Index (ESI) handbook through a retrieval-augmented generation (RAG) approach to provide precise clinical knowledge and integrates both coarse- and fine-grained ESI-level predictions in the decision-making process. Extensive experiments demonstrate that TriageAgent outperforms state-of-the-art LLM-based methods on three clinical triage test sets. Furthermore, we have released the first public benchmark dataset for clinical triage with corresponding ESI levels and human expert performance for comparison.

TriageAgent: Towards Better Multi-Agents Collaborations for Large Language Model-Based Clinical Triage

We propose a neuro-symbolic approach for realistic few-shot relation classification via rules. Instead of building neural models to predict relations, we design them to output straightforward rules that can be used to extract relations. The rules are generated using custom T5-style Encoder-Decoder Language Models. Crucially, our rules are fully interpretable and pliable (i.e., humans can easily modify them to boost performance). Through a combination of rules generated by these models along with a very effective, novel baseline, we demonstrate a few-shot relation-classification performance that is comparable to or stronger than the state of the art on the Few-Shot TACRED and NYT29 benchmarks while increasing interpretability and maintaining pliability.

Learning to Generate Rules for Realistic Few-Shot Relation Classification: An Encoder-Decoder Approach

Political discourse on Twitter is a moving target: politicians continuously make statements about their positions. It is therefore crucial to track their discourse on social media to understand their ideological positions and goals. However, Twitter data is also challenging to work with since it is ambiguous and often dependent on social context, and consequently, recent work on political positioning has tended to focus strongly on manifestos (parties' electoral programs) rather than social media.

In this paper, we extend recently proposed methods to predict pairwise positional similarities between parties from the manifesto case to the Twitter case, using hashtags as a signal to fine-tune text representations, without the need for manual annotation. We verify the efficacy of fine-tuning and conduct a series of experiments that assess the robustness of our method for low-resource scenarios. We find that our method yields stable positionings reflective of manifesto positionings, both in scenarios with all tweets of candidates across years available and when only smaller subsets from shorter time periods are available. This indicates that it is possible to reliably analyze the relative positioning of actors without the need for manual annotation, even in the noisier context of social media.

Toeing the party line: election manifestos as a key to understand political discourse on Twitter

Task-oriented Dialog (ToD) systems have to solve multiple subgoals to accomplish user goals, whereas feedback is often obtained only at the end of the dialog. In this work, we propose SUIT (SUbgoal-aware ITerative Training), an iterative training approach for improving ToD systems. We sample dialogs from the model we aim to improve and determine subgoals that contribute to dialog success using distant supervision to obtain high quality training samples. We show how this data improves supervised fine-tuning or, alternatively, preference learning results. Performance improves when applying these steps over several iterations: SUIT reaches new state-of-the-art performance on a popular ToD benchmark.

Learning from Relevant Subgoals in Successful Dialogs using Iterative Training for Task-oriented Dialog Systems

Pre-trained Language Models (PLMs) exhibit good accuracy and generalization ability across various tasks using self-supervision, but their large size results in high inference latency. Early Exit (EE) strategies handle the issue by allowing the samples to exit from classifiers attached to the intermediary layers, but they do not generalize well, as exit classifiers can be sensitive to domain changes. To address this, we propose Unsupervised Domain Adaptation in EE framework (DAdEE) that employs multi-level adaptation using knowledge distillation. DAdEE utilizes GAN-based adversarial adaptation at each layer to achieve domain-invariant representations, reducing the domain gap between the source and target domain across all layers. The attached exits not only speed up inference but also enhance domain adaptation by reducing catastrophic forgetting and mode collapse, making it more suitable for real-world scenarios. Experiments on tasks such as sentiment analysis, entailment classification, and natural language inference demonstrate that DAdEE consistently outperforms not only early exit methods but also various domain adaptation methods under domain shift scenarios. The anonymized source code is available at https://github.com/Div290/DAdEE.

DAdEE: Unsupervised Domain Adaptation in Early Exit PLMs

When engaging in collaborative tasks, humans efficiently exploit the semantic structure of a conversation to optimize verbal and nonverbal interactions. But in recent "language to code'' or "language to action'' models, this information is lacking. We show how incorporating the prior discourse and nonlinguistic context of a conversation situated in a nonlinguistic environment can improve the "language to action" component of such interactions. We finetune an LLM to predict actions based on prior context; our model, Nebula, doubles the net-action F1 score over the baseline on this task of Jayannavar et al. (2020). We also investigate our model's ability to construct shapes and understand location descriptions using a synthetic dataset.

NeBuLa: A discourse aware Minecraft Builder

Rigour is crucial for scientific research as it ensures the reproducibility and validity of results and findings. Despite its importance, little work exists on modelling rigour computationally, and there is a lack of analysis on whether these criteria can effectively signal or measure the rigour of scientific papers in practice. In this paper, we introduce a bottom-up, data-driven framework to automatically identify and define rigour criteria and assess their relevance in scientific writing. Our framework includes rigour keyword extraction, detailed rigour definition generation, and salient criteria identification. Furthermore, our framework is domain-agnostic and can be tailored to the evaluation of scientific rigour for different areas, accommodating the distinct salient criteria across fields. We conducted comprehensive experiments based on datasets collected from different domains (e.g. ICLR, ACL) to demonstrate the effectiveness of our framework in modelling rigour. In addition, we analyse linguist patterns of rigour, revealing that framing certainty is crucial for enhancing the perception of scientific rigour, while suggestion certainty and probability uncertainty diminish it.

On the Rigour of Scientific Writing: Criteria, Analysis, and Insights

With the advancement of multimedia technologies, news documents and user-generated content are often represented as multiple modalities, making Multimedia Event Extraction (MEE) an increasingly important challenge. However, recent MEE methods employ weak alignment strategies and data augmentation with simple classification models, which ignore the capabilities of natural language-formulated event templates for the challenging Event Argument Extraction (EAE) task. In this work, we focus on EAE and address this issue by introducing a unified template filling model that connects the textual and visual modalities via textual prompts. This approach enables the exploitation of cross-ontology transfer and the incorporation of event-specific semantics. Experiments on the M2E2 benchmark demonstrate the effectiveness of our approach. Our system surpasses the current SOTA on textual EAE by +7% F1, and performs generally better than the second-best systems for multimedia EAE.

MMUTF: Multimodal Multimedia Event Argument Extraction with Unified Template Filling

Recently, we have observed that Large Multi-modal Models (LMMs) are revolutionizing the way machines interact with the world, unlocking new possibilities across various multi-modal applications. To adapt LMMs for downstream tasks, parameter-efficient fine-tuning (PEFT) which only trains additional prefix tokens or modules, has gained popularity. Nevertheless, there has been little analysis of how PEFT works in LMMs. In this paper, we delve into the strengths and weaknesses of each tuning strategy, shifting the focus from the efficiency typically associated with these approaches. We first discover that model parameter tuning methods such as LoRA and Adapters, distort the feature representation space learned during pre-training, limiting the full utilization of pre-trained knowledge. We also demonstrate that prefix-tuning excels at preserving the representation space, despite of its lower performance on downstream tasks. These findings suggest a simple two-step PEFT strategy called \textbf{Prefix-Tuned PEFT (PT-PEFT)}, which successively performs prefix-tuning and then other PEFT (i.e., Adapter, LoRA), combines the benefits of both. Experimental results show that PT-PEFT not only improves performance in image captioning and visual question answering compared to vanilla PEFT methods but also helps preserve the representation space of the four pre-trained models.

Preserving Pre-trained Representation Space: On Effectiveness of Prefix-tuning for Large Multi-modal Models

Hate speech (HS) is a widely acknowledged societal problem with potentially grave effects on vulnerable individuals and minority groups. Developing counter-narratives (CNs) that confront biases and stereotypes driving hateful narratives is considered an impactful strategy. Current automatic methods focus on isolated utterances to detect and react to hateful content online, often omitting the conversational context where HS naturally occurs. In this work, we explore strategies for the incorporation of conversational history for CN generation, comparing text and graphical representations with varying degrees of context. Overall, automatic and human evaluations show that 1) contextualized representations are comparable to those of isolated utterances, and 2) models based on graph representations outperform text representations, thus opening new research directions for future work.

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Next from EMNLP 2024

TriageAgent: Towards Better Multi-Agents Collaborations for Large Language Model-Based Clinical Triage

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