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Sep 7

Towards a Personal Health Large Language Model

In health, most large language model (LLM) research has focused on clinical tasks. However, mobile and wearable devices, which are rarely integrated into such tasks, provide rich, longitudinal data for personal health monitoring. Here we present Personal Health Large Language Model (PH-LLM), fine-tuned from Gemini for understanding and reasoning over numerical time-series personal health data. We created and curated three datasets that test 1) production of personalized insights and recommendations from sleep patterns, physical activity, and physiological responses, 2) expert domain knowledge, and 3) prediction of self-reported sleep outcomes. For the first task we designed 857 case studies in collaboration with domain experts to assess real-world scenarios in sleep and fitness. Through comprehensive evaluation of domain-specific rubrics, we observed that Gemini Ultra 1.0 and PH-LLM are not statistically different from expert performance in fitness and, while experts remain superior for sleep, fine-tuning PH-LLM provided significant improvements in using relevant domain knowledge and personalizing information for sleep insights. We evaluated PH-LLM domain knowledge using multiple choice sleep medicine and fitness examinations. PH-LLM achieved 79% on sleep and 88% on fitness, exceeding average scores from a sample of human experts. Finally, we trained PH-LLM to predict self-reported sleep quality outcomes from textual and multimodal encoding representations of wearable data, and demonstrate that multimodal encoding is required to match performance of specialized discriminative models. Although further development and evaluation are necessary in the safety-critical personal health domain, these results demonstrate both the broad knowledge and capabilities of Gemini models and the benefit of contextualizing physiological data for personal health applications as done with PH-LLM.

  • 34 authors
·
Jun 10, 2024

Beyond the Assistant Turn: User Turn Generation as a Probe of Interaction Awareness in Language Models

Standard LLM benchmarks evaluate the assistant turn: the model generates a response to an input, a verifier scores correctness, and the analysis ends. This paradigm leaves unmeasured whether the LLM encodes any awareness of what follows the assistant response. We propose user-turn generation as a probe of this gap: given a conversation context of user query and assistant response, we let a model generate under the user role. If the model's weights encode interaction awareness, the generated user turn will be a grounded follow-up that reacts to the preceding context. Through experiments across 11 open-weight LLMs (Qwen3.5, gpt-oss, GLM) and 5 datasets (math reasoning, instruction following, conversation), we show that interaction awareness is decoupled from task accuracy. In particular, within the Qwen3.5 family, GSM8K accuracy scales from 41% (0.8B) to 96.8% (397B-A17B), yet genuine follow-up rates under deterministic generation remain near zero. In contrast, higher temperature sampling reveals interaction awareness is latent with follow up rates reaching 22%. Controlled perturbations validate that the proposed probe measures a real property of the model, and collaboration-oriented post-training on Qwen3.5-2B demonstrates an increase in follow-up rates. Our results show that user-turn generation captures a dimension of LLM behavior, interaction awareness, that is unexplored and invisible with current assistant-only benchmarks.

CyberRAG: An Agentic RAG cyber attack classification and reporting tool

Intrusion Detection and Prevention Systems (IDS/IPS) in large enterprises can generate hundreds of thousands of alerts per hour, overwhelming analysts with logs requiring rapidly evolving expertise. Conventional machine-learning detectors reduce alert volume but still yield many false positives, while standard Retrieval-Augmented Generation (RAG) pipelines often retrieve irrelevant context and fail to justify predictions. We present CyberRAG, a modular agent-based RAG framework that delivers real-time classification, explanation, and structured reporting for cyber-attacks. A central LLM agent orchestrates: (i) fine-tuned classifiers specialized by attack family; (ii) tool adapters for enrichment and alerting; and (iii) an iterative retrieval-and-reason loop that queries a domain-specific knowledge base until evidence is relevant and self-consistent. Unlike traditional RAG, CyberRAG adopts an agentic design that enables dynamic control flow and adaptive reasoning. This architecture autonomously refines threat labels and natural-language justifications, reducing false positives and enhancing interpretability. It is also extensible: new attack types can be supported by adding classifiers without retraining the core agent. CyberRAG was evaluated on SQL Injection, XSS, and SSTI, achieving over 94\% accuracy per class and a final classification accuracy of 94.92\% through semantic orchestration. Generated explanations reached 0.94 in BERTScore and 4.9/5 in GPT-4-based expert evaluation, with robustness preserved against adversarial and unseen payloads. These results show that agentic, specialist-oriented RAG can combine high detection accuracy with trustworthy, SOC-ready prose, offering a flexible path toward partially automated cyber-defense workflows.

  • 5 authors
·
Jul 3, 2025