Artificial intelligence and large language models as a new threat to scientific truth - a call to action.

The high performance of generative artificial intelligence (AI) and large language models (LLM) in examination contexts has triggered an intense debate about their applications, effects and risks. What legal aspects need to be considered when using LLM in teaching and assessment? What possibilities do language models offer? Statutes and laws are used to assess the use of LLM: - University statutes, state higher education laws, licensing regulations for doctors - Copyright Act (UrhG) - General Data Protection Regulation (DGPR) - AI Regulation (EU AI Act) LLM and AI offer opportunities but require clear university frameworks. These should define legitimate uses and areas where use is prohibited. Cheating and plagiarism violate good scientific practice and copyright laws. Cheating is difficult to detect. Plagiarism by AI is possible. Users of the products are responsible. LLM are effective tools for generating exam questions. Nevertheless, careful review is necessary as even apparently high-quality products may contain errors. However, the risk of copyright infringement with AI-generated exam questions is low, as copyright law allows up to 15% of protected works to be used for teaching and exams. The grading of exam content is subject to higher education laws and regulations and the GDPR. Exclusively computer-based assessment without human review is not permitted. For high-risk applications in education, the EU's AI Regulation will apply in the future. When dealing with LLM in assessments, evaluation criteria for existing assessments can be adapted, as can assessment programmes, e.g. to reduce the motivation to cheat. LLM can also become the subject of the examination themselves. Teachers should undergo further training in AI and consider LLM as an addition.

BackgroundIn recent years, generative artificial intelligence and large language models (LLMs) have rapidly advanced, offering significant potential to transform medical education. Several studies have evaluated the performance of chatbots on multiple-choice medical examinations.ObjectiveThe study aims to assess the performance of two LLMs—GPT-4o and OpenAI o1—on the Médico Interno Residente (MIR) 2024 examination, the Spanish national medical test that determines eligibility for competitive medical specialist training positions.MethodsA total of 176 questions from the MIR 2024 examination were analyzed. Each question was presented individually to the chatbots to ensure independence and prevent memory retention bias. No additional prompts were introduced to minimize potential bias. For each LLM, response consistency under verification prompting was assessed by systematically asking, “Are you sure?” after each response. Accuracy was defined as the percentage of correct responses compared to the official answers provided by the Spanish Ministry of Health. It was assessed for GPT-4o, OpenAI o1, and, as a benchmark, for a consensus of medical specialists and for the average MIR candidate. Subanalyses included performance across different medical subjects, question difficulty (quintiles based on the percentage of examinees correctly answering each question), and question types (clinical cases vs theoretical questions; positive vs negative questions).ResultsOverall accuracy was 89.8% (158/176) for GPT-4o and 90% (160/176) after verification prompting, 92.6% (163/176) for OpenAI o1 and 93.2% (164/176) after verification prompting, 94.3% (166/176) for the consensus of medical specialists, and 56.6% (100/176) for the average MIR candidate. Both LLMs and the consensus of medical specialists outperformed the average MIR candidate across all 20 medical subjects analyzed, with ≥80% LLMs’ accuracy in most domains. A performance gradient was observed: LLMs’ accuracy gradually declined as question difficulty increased. Slightly higher accuracy was observed for clinical cases compared to theoretical questions, as well as for positive questions compared to negative ones. Both models demonstrated high response consistency, with near-perfect agreement between initial responses and those after the verification prompting.ConclusionsThese findings highlight the excellent performance of GPT-4o and OpenAI o1 on the MIR 2024 examination, demonstrating consistent accuracy across medical subjects and question types. The integration of LLMs into medical education presents promising opportunities and is likely to reshape how students prepare for licensing examinations and change our understanding of medical education. Further research should explore how the wording, language, prompting techniques, and image-based questions can influence LLMs’ accuracy, as well as evaluate the performance of emerging artificial intelligence models in similar assessments.

In today’s rapidly evolving business landscape, Artificial Intelligence (AI), and specifically Large Language Models (LLMs), are redefining how organizations operate, make decisions, and engage with customers. AI-driven technologies have become indispensable, providing businesses with powerful tools to streamline operations, derive actionable insights from vast data, and foster more meaningful customer interactions. For business leaders, scholars, and practitioners alike, understanding the transformative potential of AI isn’t just advantageous—it’s essential to staying competitive in an increasingly data-driven world.This editorial delves into recent scholarly advancements in LLM applications within business contexts, analyzing studies that explore AI’s potential across various domains, from decision support to creative industries. By introducing a structured framework, this editorial highlights key insights and contributions from recent studies, assessing their value to academia and industry. The following comparative analysis sheds light on how these innovations shape our understanding of AI’s role in business while pointing to future research directions.Puyt and Madsen's (2024) study stands out as a foundational exploration of LLM accuracy, assessing ChatGPT-4's ability to recount the history of the SWOT analysis-a vital business strategy tool. Their findings reveal that, while ChatGPT-4 effectively conveys general concepts, it struggles with detailed historical information, often producing inaccuracies or "hallucinations." This gap underscores the need for LLMs to be trained with verified academic data, particularly for strategic business applications that demand precision. This study not only contributes to the literature by proposing methods to evaluate AI accuracy in historical contexts but also highlights the importance of rigorous information vetting in industry settings where reliability is crucial.In contrast, Raikov et al. (2024) explore a hybrid intelligence model that combines LLM capabilities with explainable AI (XAI) principles to enhance human-machine collaboration. Their approach emphasizes cognitive semantics, improving transparency and decision-making efficiency. The hybrid model's real-time adaptability addresses the needs of complex, regulated industries such as finance and healthcare, where trust in AI decisions is paramount. Academically, this study provides a valuable addition to XAI literature by demonstrating how LLMs can bridge the gap between AI autonomy and human oversight, making it a model for future human-AI interactions in complex business environments.Another significant study by Mariotti and colleagues (2024) examines the integration of LLMs with enterprise knowledge graphs to enhance data-driven decision-making. By enabling organizations to leverage knowledge graphs for more accurate and scalable data retrieval, this research provides a robust framework for businesses seeking efficient knowledge management systems. The academic contribution here lies in advancing the dialogue between LLMs and knowledge graphs, emphasizing ethical data handling and quality standards essential for industry applications. For enterprises, the study offers practical solutions to achieve streamlined data management, balancing automation with privacy and security. 2024) take a different approach, investigating LLMs' role in creative industries, specifically within fashion design. They introduce a hybrid intelligence model that supports creative processes, allowing AI to complement rather than replace human ingenuity. While LLMs in this field demonstrate potential in automating repetitive design tasks and enhancing customer personalization, the study reveals limitations in AI's ability to handle spatial and stylistic nuances. This study's academic contribution lies in promoting human-AI co-creation, inspiring further research into AI applications across diverse creative sectors, including media and marketing.Collectively, these studies not only illuminate LLMs' transformative potential in business but also highlight critical ethical and operational considerations. Ensuring accuracy, transparency, and data privacy are vital to responsibly integrating AI into business workflows. Future research should focus on enhancing LLM accuracy, refining hybrid intelligence models, and exploring creative AI applications, all while maintaining ethical standards. As LLMs evolve, interdisciplinary collaborations will be essential to harness their full potential, making AI an ethical, effective, and innovative force in the business world.

Real-World Surveillance of FDA-Cleared Artificial Intelligence Models: Rationale and Logistics.

Background:Artificial intelligence (AI) and large language models (LLMs) are increasingly integrated into healthcare, yet their adoption in pediatric urology remains insufficiently explored. Pediatric urology, with its complex and rare conditions, may particularly benefit from AI-based innovations.Objectives:This study aimed to assess pediatric urologists’ awareness, usage patterns, and perceptions regarding AI and LLMs, while also identifying potential applications, barriers, and educational needs.Design:A cross-sectional, descriptive survey was conducted among pediatric urologists.Methods:Between May and July 2025, a 21-item questionnaire was distributed via professional networks and mailing lists. Items addressed demographics, knowledge of AI, frequency and purpose of AI and LLM use, perceived clinical and surgical applications, ethical concerns, and interest in AI training. Descriptive statistics were used for analysis.Results:Of 368 invited pediatric urologists, 103 (28%) responded. Most reported moderate (35.0%) or low (29.1%) knowledge of AI, yet more than half (51.5%) used AI tools daily. LLMs had been used by 96.1% of participants, mainly for scientific writing (78.8%), language editing (54.5%), and text summarization (46.5%). Surgical simulation (46.6%), imaging-based strategy planning (40.8%), and preoperative planning (36.9%) were identified as promising clinical applications. Barriers included lack of trust (52.4%), ethical concerns (43.7%), and insufficient knowledge (35.0%). A strong interest in structured AI training was expressed by 81% of participants. Although responses were obtained from multiple countries, the majority of participants were based in Turkey, and the findings should be interpreted accordingly.Conclusion:Pediatric urologists demonstrate substantial engagement with AI in academic work, while clinical integration is still limited. The findings highlight a strong demand for AI education and emphasize the need for regulatory clarity, ethical frameworks, and validated tools to enable safe and effective use of AI in pediatric urology.

Background Syphilis, caused by Treponema pallidum, is a significant global health concern with potentially severe complications if untreated. Advances in artificial intelligence (AI), particularly large language models (LLMs), offer opportunities to enhance medical diagnosis and public health education. This study aims to assess LLMs' ability to provide readable, accurate, and comprehensive syphilis information by comparing it with WHO datasheets and validating through specialist evaluation for clinical relevance.Material and Methods Ten AI-based LLMs were evaluated. Ten questions addressing symptoms, transmission, diagnosis, treatment, and prevention were crafted by researchers. Responses from the LLMs were compared to World Health Organization (WHO) syphilis fact sheets, and a panel of specialists assessed the accuracy, clinical relevance, and readability of the AI-generated information.Results Among the evaluated LLMs, ChatGPT 4.0 and Claude demonstrated the highest accuracy, scoring 92% and 89% alignment with WHO standards, respectively. Perplexity and Llama3 performed less reliably, with scores between 60-70%, especially in areas like tertiary syphilis and neurosyphilis. Specialists identified common errors, such as outdated treatment protocols and incorrect descriptions of transmission pathways. Expert reviews further revealed that while LLMs provided adequate information on early syphilis symptoms, they struggled with complex clinical nuances. The specialists' evaluation showed that only 60% of the AI-generated content was deemed clinically reliable without further edits, with ChatGPT 4.0 rated highest by experts in terms of readability and clinical accuracy.Conclusions LLMs hold promise for disseminating syphilis information, but human oversight is crucial. AI models need refinement to improve their accuracy, especially in complex medical scenarios. Key words:Artificial intelligence, large language models, pathology, syphilis.

Generative artificial intelligence (AI) and large language models, such as OpenAI's ChatGPT, have shown promising potential in supporting medical education and clinical decision-making, given their vast knowledge base and natural language processing capabilities. As a general purpose AI system, ChatGPT can complete a wide range of tasks, including differential diagnosis without additional training. However, the specific application of ChatGPT in learning and applying a series of specialized, context-specific tasks mimicking the workflow of a human assessor, such as administering a standardized assessment questionnaire, followed by inputting assessment results in a standardized form, and interpretating assessment results strictly following credible, published scoring criteria, have not been thoroughly studied. This exploratory study aims to evaluate and optimize ChatGPT's capabilities in administering and interpreting the Sour Seven Questionnaire, an informant-based delirium assessment tool. Specifically, the objectives were to train ChatGPT-3.5 and ChatGPT-4 to understand and correctly apply the Sour Seven Questionnaire to clinical vignettes using prompt engineering, assess the performance of these AI models in identifying and scoring delirium symptoms against scores from human experts, and refine and enhance the models' interpretation and reporting accuracy through iterative prompt optimization. We used prompt engineering to train ChatGPT-3.5 and ChatGPT-4 models on the Sour Seven Questionnaire, a tool for assessing delirium through caregiver input. Prompt engineering is a methodology used to enhance the AI's processing of inputs by meticulously structuring the prompts to improve accuracy and consistency in outputs. In this study, prompt engineering involved creating specific, structured commands that guided the AI models in understanding and applying the assessment tool's criteria accurately to clinical vignettes. This approach also included designing prompts to explicitly instruct the AI on how to format its responses, ensuring they were consistent with clinical documentation standards. Both ChatGPT models demonstrated promising proficiency in applying the Sour Seven Questionnaire to the vignettes, despite initial inconsistencies and errors. Performance notably improved through iterative prompt engineering, enhancing the models' capacity to detect delirium symptoms and assign scores. Prompt optimizations included adjusting the scoring methodology to accept only definitive "Yes" or "No" responses, revising the evaluation prompt to mandate responses in a tabular format, and guiding the models to adhere to the 2 recommended actions specified in the Sour Seven Questionnaire. Our findings provide preliminary evidence supporting the potential utility of AI models such as ChatGPT in administering standardized clinical assessment tools. The results highlight the significance of context-specific training and prompt engineering in harnessing the full potential of these AI models for health care applications. Despite the encouraging results, broader generalizability and further validation in real-world settings warrant additional research.

In the case of chronic management diseases like diabetes, cardiovascular disorders, and cancer, there is a significant challenge of predicting the reaction of patients to medical treatment. Patient health status, medical history, genetic and treatment arrangements create difficulty in the health practitioners determining the most effective treatment to be offered to each individual. The latest developments in Artificial Intelligence (AI) can open new possibilities in terms of using the large amounts of medical data and helping in the clinical decision-making. The proposed project aims at the creation of a smart system where Generative Artificial Intelligence and Large Language Models (LLMs) are applied to forecast patient treatment reactions and help in customized care. The suggested system will challenge structured and unstructured healthcare data, such as establishment health records, lab reports, treatment history, and clinical notes. Identifying treatment outcome patterns based on patient characteristics is done using machine learning and deep learning techniques. Large Language Models are also integrated to analyze and comprehend written medical data including doctor notes and patient reports so that clinical data could be interpreted more accurately. Python is used to implement the system along with deep learning systems such as PyTorch or TensorFlow, and healthcare datasets made publicly available are used in training and evaluation. Some of the standard metrics that are used to evaluate the performance of the system are accuracy, precision, recall, and F1-score in order to determine the effectiveness of prediction. The last system gives insights on whether a patient is likely to respond a given treatment in a positive way to assist medical practitioners give more effective and personalized treatment. The proposed system helps to reveal the potential of intelligent healthcare technologies by allowing them to enhance the planning of the treatment and supporting the personalized medicine through the combination of Generative AI, predictive analytics, and natural language processing.

Artificial intelligence (AI) and large language models (LLMs), are potential tools for enhancing healthcare delivery and clinical research. Presently, there is a scarcity of research regarding the viewpoints of medical students toward LLMs. This study aims to explore the perceptions of LLMs and their applications among this demographic. A cross-sectional study was done using an online survey. It was designed using Google Forms and circulated from July 2023 to August 2023. The target population included medical students from Ecuador, Ethiopia, India, Mauritius, Pakistan, United Arab Emirates (UAE), and the United States (USA). A total of 1180 responses were collected from 10 medical colleges across 7 countries. The UAE had the largest number of responses (31.7%), followed by Ecuador (17.6%), and Mauritius (13.7%). And 77.4% respondents were already aware about LLMs before attempting the survey, most popularly, ChatGPT. Participants were most familiar with the specific use of LLMs in research (46%), and the lowest familiarity was seen in the use of LLMs in healthcare (37%). More than half of the participants (52%) support the use of LLMs healthcare, yet a significant number of them remained neutral (37%) or disagreed (31%) on LLMs being safe in this context. While most of the medical students are aware of LLMs and their applications, the multinational survey demonstrated hesitancy among medical students in fully adopting LLMs into healthcare practice and clinical research. This study prompts further exploration of medical students' attitudes and acceptance concerning the integration of LLMs for research methodologies, ethical considerations, and healthcare practice.

The rise of chronic diseases and pandemics, such as COVID-19 has emphasized the need for effective patient data processing while ensuring privacy through anonymization and de-identification of protected health information. Anonymized data facilitates research without compromising patient confidentiality. This paper introduces expert small artificial intelligence (AI) models developed using the large language model (LLM)-in-the-loop methodology to meet the demand for domain-specific de-identification of named entity recognition (NER) models. These models overcome the privacy risks associated with LLMs used through application programming interfaces by eliminating the need to transmit or store sensitive data. More importantly, they consistently outperform LLMs in de-identification tasks, offering superior performance and reliability. Our de-identification NER models, developed in eight languages—English, German, Italian, French, Romanian, Turkish, Spanish, and Arabic—achieved F1-macro score averages of 0.931, 0.960, 0.955, 0.937, 0.930, 0.963, 0.957, and 0.922, respectively. These results establish our de-identification NER models as the most accurate healthcare anonymization solutions, surpassing existing small models and even general-purpose LLMs, such as GPT-4o. While Part I of this series introduced the LLM-in-the-loop methodology for biomedical document translation, this second paper showcases its success in developing cost-effective expert small NER models in de-identification tasks. Our findings lay the groundwork for future healthcare AI innovations, including biomedical entity and relation extraction, demonstrating the value of specialized models for domain-specific challenges.

Background The evolution of artificial intelligence (AI) and large language models (LLMs) offers promising opportunities in infection management. Sepsis identification using AI has been integrated into many Electronic Medical Recording systems and applications for diagnostics and antimicrobial stewardship are emerging. This pilot study assessed ChatGPT-4® as a clinical decision aid for the management of septic shock and severe pneumonia.Flowchart showing methodology of pilot studyTable showing comparison of Physician and Chat-GPT4 performance Methods A retrospective study was conducted at Saint Vincent Hospital, Worcester on 50 cases (2023-2024). Physician-documented investigations and antibiotics were compared with ChatGPT-4® outputs generated using standard prompts with full blinding. Infectious Diseases Society of America guidelines served as the standard. Paired t-tests and McNemar’s test evaluated investigation appropriateness and antibiotic selection accuracy respectively, using Statistical Analysis Software® Version 9.4.Fig 3:Clinical template used to input H&P data into ChatGPT-4 Results Severe Pneumonia: Physicians recommended more appropriate investigations (mean difference 1.45 out of 4 tests) and antibiotics (0.91 more/case) compared to ChatGPT-4®, with no significant difference in MRSA or Pseudomonas coverage. Septic Shock: Physicians outperformed ChatGPT-4® in investigations (mean difference 1 out of 3 tests) and antibiotic choices (1 more/case), with greater accuracy for MRSA coverage; concordance was noted for Multi-Drug Resistant (MDR) organisms. Conclusion Physicians outperformed ChatGPT-4 across both conditions. However, ChatGPT-4® demonstrated comparable pathogen-specific antimicrobial selection and accuracy in MDR coverage, suggesting potential with diagnosis-specific prompting and antimicrobial stewardship. The results highlight the enduring importance of physician-led decision-making in an era increasingly shaped by AI. LLMs still face limitations including data privacy concerns and need for individualized contextual judgement that prevent their autonomous use. However, with refinement and responsible implementation, LLMs may evolve into a trusted aid to enhance physician decision-making, especially in areas with limited access to specialist care. This study has led to a prospective trial exploring ChatGPT-4’s use with real-time, targeted prompts throughout hospitalization. Disclosures All Authors: No reported disclosures

CAMERON VU, Dept of Computer Science and Math & ENGR, Shepherd University, Shepherdstown, WV, 25443, and DARIA PANOVA, Dept of Computer Science and Math & ENGR, Shepherd University, Shepherdstown, WV, 25443, and JOSIAH KOWALSKI, Dept of Computer Science and Math & ENGR, Shepherd University, Shepherdstown, WV, 25443, and Dr. W. LIAO (Faculty Advisor), Dept of Computer Science and Math & ENGR, Shepherd University, Shepherdstown, WV, 25443, and Dr. O. Guzide (Faculty Advisor), Dept of Computer Science and Math & ENGR, Shepherd University, Shepherdstown, WV, 25443. Smart Parking Space Detection with Generative Artificial Intelligence and Large Language Models. The increasing relevance of generative AI and large language models is reshaping various sectors of modern society. These advancements have spurred notable progress in fields such as healthcare, finance, and education. Yet, the application of AI extends beyond expert domains, offering simplified solutions to everyday tasks for the general populace. This project harnesses the power of generative artificial intelligence and large language models to develop a practical application: smart parking space detection. By leveraging these technologies, individuals can effortlessly ascertain the availability of parking spots in monitored lots via camera or photographic monitoring, facilitated by a straightforward algorithm. The overarching objective is twofold: to engineer a user-friendly system utilizing generative AI principles and to demonstrate the potential for such technologies to enhance the daily experiences of ordinary individuals.

This work aims to present an overview of using some artificial intelligence (AI) models in machine translation (MT). This work aims to integrate machine learning (ML), deep learning (DL), large language models (LLMs) to enhance machine translation between natural languages. The focus is directed to present the neural-based machine translation (NMT), and some DL models are presented. The bidirectional-encoder-representation from transformer (BERT) and LLMs are presented to utilize the big amount of textual data to learn translation patterns. The main measurable criteria that are used to evaluate the performance of MT and Arabic machine translation (AMT) are also presented. Some linguistic and technical challenges of MT and AMT are discussed. Some key points of future works in NMT are mentioned. A comparative study among some recent published related works is presented. A critical survey is presented to show the important role of DL and LLMs in MT. Some open-source toolkits, datasets and some commercial MT systems are collected and briefly presented. This work is expected to be useful for those people interested to know the up-to-date knowledge of MT and the potential role of DL and LLM in automatic translation.

BackgroundGestational diabetes mellitus (GDM) is a prevalent chronic condition that affects maternal and fetal health outcomes worldwide, increasingly in underserved populations. While generative artificial intelligence (AI) and large language models (LLMs) have shown promise in health care, their application in GDM management remains underexplored.ObjectiveThis study aimed to investigate whether retrieval-augmented generation techniques, when combined with knowledge graphs (KGs), could improve the contextual relevance and accuracy of AI-driven clinical decision support. For this, we developed and validated a graph-based retrieval-augmented generation (GraphRAG)–enabled local LLM as a clinical support tool for GDM management, assessing its performance against open-source LLM tools.MethodsA prototype clinical AI assistant was developed using a GraphRAG constructed from 1212 peer-reviewed research articles on GDM interventions, retrieved from the Semantic Scholar API (2000‐2024). The GraphRAG prototype integrated entity extraction, KG construction using Neo4j, and retrieval-augmented response generation. The performance was evaluated in a simulated environment using clinical and layperson prompts, comparing the outputs of the systems against ChatGPT (OpenAI), Claude (Anthropic), and BioMistral models across 5 common natural language generation metrics.ResultsThe GraphRAG-enabled local LLM showed higher accuracy in generating clinically relevant responses. It achieved a bilingual evaluation understudy score of 0.99, Jaccard similarity of 0.98, and BERTScore of 0.98, outperforming the benchmark LLMs. The prototype also produced accurate, evidence-based recommendations for clinicians and patients, demonstrating its feasibility as a clinical support tool.ConclusionsGraphRAG-enabled local LLMs show much potential for improving personalized GDM care by integrating domain-specific evidence and contextual retrieval. Our prototype proof-of-concept serves two purposes: (1) the local LLM architecture gives practitioners from underserved locations access to state-of-the-art medical research in the treatment of chronic conditions and (2) the KG schema may be feasibly built on peer-reviewed, indexed publications, devoid of hallucinations and contextualized with patient data. We conclude that advanced AI techniques such as KGs, retrieval-augmented generation, and local LLMs improve GDM management decisions and other similar conditions and advance equitable health care delivery in resource-constrained health care environments.

As large language models gain traction in the financial sector, they are revolutionizing the workflows of financial professionals. From data analysis and market forecasting to risk assessment and customer management, these models demonstrate significant potential and value. By automating data processing tasks, they enhance productivity and empower professionals to derive deeper insights and make more precise decisions. This article explores the application of conversational intelligent reporting systems, leveraging artificial intelligence and large language models, within the financial industry. It examines how these systems streamline reporting processes, facilitate efficient communication, and contribute to informed decision-making, ultimately reshaping the landscape of financial market operations.