Automated Extraction of Mortality Information From Publicly Available Sources Using Large Language Models: Development and Evaluation Study

Large Language Models (LLMs) have ushered in a transformative era in Natural Language Processing (NLP), reshaping research and extending NLP's influence to other fields of study. However, there is little to no work examining the degree to which LLMs influence other research fields. This work empirically and systematically examines the influence and use of LLMs in fields beyond NLP. We curate 106 LLMs and analyze ∼148k papers citing LLMs to quantify their influence and reveal trends in their usage patterns. Our analysis reveals not only the increasing prevalence of LLMs in non-CS fields but also the disparities in their usage, with some fields utilizing them more frequently than others since 2018, notably Linguistics and Engineering together accounting for ∼45% of LLM citations. Our findings further indicate that most of these fields predominantly employ task-agnostic LLMs, proficient in zero or few-shot learning without requiring further fine-tuning, to address their domain-specific problems. This study sheds light on the cross-disciplinary impact of NLP through LLMs, providing a better understanding of the opportunities and challenges.

Background and Aims Large language models (LLMs) have gained significant attention in the field of natural language processing (NLP), marking a shift from traditional techniques like Term Frequency-Inverse Document Frequency (TF-IDF). We developed a traditional NLP model to predict arteriovenous fistula (AVF) failure within next 30 days using clinical notes. The goal of this analysis was to investigate whether LLMs would outperform traditional NLP techniques, specifically in the context of predicting AVF failure within the next 30 days using clinical notes. Method We defined AVF failure as the change in status from active to permanently unusable status or temporarily unusable status. We used data from a large kidney care network from January 2021 to December 2021. Two models were created using LLMs and traditional TF-IDF technique. We used “distilbert-base-uncased”, a distilled version of BERT base model [1], and compared its performance with traditional TF-IDF-based NLP techniques. The dataset was randomly divided into 60% training, 20% validation and 20% test dataset. The test data, comprising of unseen patients’ data was used to evaluate the performance of the model. Both models were evaluated using metrics such as area under the receiver operating curve (AUROC), accuracy, sensitivity, and specificity. Results The incidence of 30 days AVF failure rate was 2.3% in the population. Both LLMs and traditional showed similar overall performance as summarized in Table 1. Notably, LLMs showed marginally better performance in certain evaluation metrics. Both models had same AUROC of 0.64 on test data. The accuracy and balanced accuracy for LLMs were 72.9% and 59.7%, respectively, compared to 70.9% and 59.6% for the traditional TF-IDF approach. In terms of specificity, LLMs scored 73.2%, slightly higher than the 71.2% observed for traditional NLP methods. However, LLMs had a lower sensitivity of 46.1% compared to 48% for traditional NLP. However, it is worth noting that training on LLMs took considerably longer than TF-IDF. Moreover, it also used higher computational resources such as utilization of graphics processing units (GPU) instances in cloud-based services, leading to higher cost. Conclusion In our study, we discovered that advanced LLMs perform comparably to traditional TF-IDF modeling techniques in predicting the failure of AVF. Both models demonstrated identical AUROC. While specificity was higher in LLMs compared to traditional NLP, sensitivity was higher in traditional NLP compared to LLMs. LLM was fine-tuned with a limited dataset, which could have influenced its performance to be similar to that of traditional NLP methods. This finding suggests that while LLMs may excel in certain scenarios, such as performing in-depth sentiment analysis of patient data for complex tasks, their effectiveness is highly dependent on the specific use case. It is crucial to weigh the benefits against the resources required for LLMs, as they can be significantly more resource-intensive and costly compared to traditional TF-IDF methods. This highlights the importance of a use-case-driven approach in selecting the appropriate NLP technique for healthcare applications.

Evaluating gpt-4 for zero-shot classification of bleeding and clotting events: Can large language models serve as second reviewers?

Picture description tasks, such as the Cookie Theft task, are widely used in neuropsychological assessments to detect cognitive impairment. However, manual scoring is time-consuming, requires specialized training, and is subject to interrater variability. Recent advancements in natural language processing, particularly large language models (LLMs), offer a promising solution to automate and standardize the scoring process. This study evaluated the performance and reliability of five LLMs (GPT-4 Turbo, GPT-4o, Claude 3 Opus, Claude 3 Sonnet, and Llama 3 70b) in scoring the Cookie Theft picture description task. A subset of 25 participants were selected from the DementiaBank corpus. The LLMs were tasked with scoring 22 content units in the participants' responses using various prompt strategies, including few-shot learning, prompt chaining, and self-consistency. LLM performance was compared to the consensus score of three human raters. LLMs demonstrated comparable accuracy to human raters in scoring the Cookie Theft task, with no significant differences in mean absolute error (MAE) between the best performing models and human raters. Few-shot learning significantly improved LLM performance, while prompt chaining and self-consistency showed limited benefits. Claude 3 Opus and GPT-4o exhibited the highest accuracy and reliability. Notably, LLMs showed significantly higher interrater reliability compared to human raters. The findings demonstrate the potential of LLMs to accurately and reliably score picture description tasks, offering a promising approach to streamline and standardize neuropsychological assessments. By automating the scoring process, clinicians and researchers can benefit from increased efficiency, reduced subjectivity, and improved scalability in evaluating cognitive functions.

Abstract. Large language models (LLMs) have revolutionized the field of natural language processing (NLP), demonstrating remarkable capabilities in understanding, generating, and manipulating human language. This comprehensive review explores the development, applications, optimizations, and challenges of LLMs. This paper begin by tracing the evolution of these models and their foundational architectures, such as the Transformer, GPT, and BERT. We then delve into the applications of LLMs in natural language understanding tasks, including sentiment analysis, named entity recognition, question answering, and text summarization, highlighting real-world use cases. Next, we examine the role of LLMs in natural language generation, covering areas such as content creation, language translation, personalized recommendations, and automated responses. We further discuss LLM applications in other NLP tasks like text style transfer, text correction, and language model pre-training. Subsequently, we explore techniques for optimizing and improving LLMs, including model compression, explainability, robustness, and security. Finally, we address the challenges posed by the significant computational requirements, sample inefficiency, and ethical considerations surrounding LLMs. We conclude by discussing potential future research directions, such as efficient architectures, few-shot learning, bias mitigation, and privacy-preserving techniques, which will shape the ongoing development and responsible deployment of LLMs in NLP.

Generative large language models (LLMs) are a subset of transformers-based neural network architecture models. LLMs have successfully leveraged a combination of an increased number of parameters, improvements in computational efficiency, and large pre-training datasets to perform a wide spectrum of natural language processing (NLP) tasks. Using a few examples (few-shot) or no examples (zero-shot) for prompt-tuning has enabled LLMs to achieve state-of-the-art performance in a broad range of NLP applications. This article by the American Medical Informatics Association (AMIA) NLP Working Group characterizes the opportunities, challenges, and best practices for our community to leverage and advance the integration of LLMs in downstream NLP applications effectively. This can be accomplished through a variety of approaches, including augmented prompting, instruction prompt tuning, and reinforcement learning from human feedback (RLHF). Our focus is on making LLMs accessible to the broader biomedical informatics community, including clinicians and researchers who may be unfamiliar with NLP. Additionally, NLP practitioners may gain insight from the described best practices. We focus on 3 broad categories of NLP tasks, namely natural language understanding, natural language inferencing, and natural language generation. We review the emerging trends in prompt tuning, instruction fine-tuning, and evaluation metrics used for LLMs while drawing attention to several issues that impact biomedical NLP applications, including falsehoods in generated text (confabulation/hallucinations), toxicity, and dataset contamination leading to overfitting. We also review potential approaches to address some of these current challenges in LLMs, such as chain of thought prompting, and the phenomena of emergent capabilities observed in LLMs that can be leveraged to address complex NLP challenge in biomedical applications.

Identifying policy topics from lengthy text documents such as official reports is an important analytical task for policy evaluation purposes; yet it is a time-consuming process if done manually. Advanced Natural Language Processing (NLP) models such as Bidirectional Encoder Representations from Transformers (BERT) model and other emerging Large Language Models (LLMs) have demonstrated the capability to capture semantic meanings within sentences. However, BERT-based models require substantial expert-labelled training data for fine-tuning for optimal performance, whereas off-the-shelf LLMs provide greater flexibility but tend to overgeneralise. This paper aims to (1) demonstrate three NLP/LLMs methods (fine-tuned BERT, with 10,000 manually labelled sentences; standard GPT-4o; and GPT-4o with in-context learning, with five example sentences provided for each policy domain) for identifying planning policies from planning documents at sentence level and (2) assess the accuracy of NLP/LLMs in policy identification, using 2,000 manually identified results by planning experts as the benchmark. Our results demonstrate that policy identification can be performed effectively and accurately when in-domain labelled training data is available, achieving a high out-of-sample accuracy of 92.50%. However, the time and labor cost of manual labelling is significant. In cases where in-domain training data is lacking, LLMs can still achieve a notable accuracy of 72.50%, which improves to 87.75% when given a small number of examples and 89.00% with role-prompting that guides the model to act as an urban planning research expert. We applied this method to analyse policy priority across 1,026 official government annual reports for both the national level and across 113 prefecture-level cities in China between 2011 and 2019. We found significant divergence between national and local planning policies and cross-city heterogeneity in planning policies.

Large language models (LLMs) such as ChatGPT have shown significant potential in radiology. Their effectiveness often depends on prompt engineering, which optimizes the interaction with the chatbot for accurate results. Here, we highlight the critical role of prompt engineering in tailoring the LLMs' responses to specific medical tasks. Using a clinical case, we elucidate different prompting strategies to adapt the LLM ChatGPT using GPT4 to new tasks without additional training of the base model. These approaches range from precision prompts to advanced in-context methods such as few-shot and zero-shot learning. Additionally, the significance of embeddings, which serve as a data representation technique, is discussed. Prompt engineering substantially improved and focused the chatbot's output. Moreover, embedding of specialized knowledge allows for more transparent insight into the model's decision-making and thus enhances trust. Despite certain challenges, prompt engineering plays a pivotal role in harnessing the potential of LLMs for specialized tasks in the medical domain, particularly radiology. As LLMs continue to evolve, techniques like few-shot learning, zero-shot learning, and embedding-based retrieval mechanisms will become indispensable in delivering tailored outputs. · Large language models might impact radiological practice and decision-masking.. · However, implementation and performance are dependent on the assigned task.. · Optimization of prompting strategies can substantially improve model performance.. · Strategies for prompt engineering range from precision prompts to zero-shot learning.. · Russe MF, Reisert M, Bamberg F et al. Improving the use of LLMs in radiology through prompt engineering: from precision prompts to zero-shot learning . Fortschr Röntgenstr 2024; 196: 1166 - 1170.

Model tuning or prompt Tuning? a study of large language models for clinical concept and relation extraction

Leveraging few-shot learning and large language models for analyzing blood pressure variations across biological sex from scientific literature.

Mental health diagnoses possess unique challenges that often lead to nuanced difficulties in managing an individual’s well-being and daily functioning. Self-report questionnaires are a common practice in clinical settings to help mitigate the challenges involved in mental health disorder screening. However, these questionnaires rely on an individual’s subjective response which can be influenced by various factors. Despite the advancements of Large Language Models (LLMs), quantifying self-reported experiences with natural language processing has resulted in imperfect accuracy. This project aims to demonstrate the effectiveness of zero-shot learning LLMs for screening and assessing item scales for depression using LLMs. The DAIC-WOZ is a publicly available mental health dataset that contains textual data from clinical interviews and self-report questionnaires with relevant mental health disorder labels. The RISEN prompt engineering framework was utilized to evaluate LLMs’ effectiveness in predicting depression symptoms based on individual PHQ-8 items. Various LLMs, including GPT models, Llama3_8B, Cohere, and Gemini were assessed based on performance. The GPT models, especially GPT-4o, were consistently better than other LLMs (Llama3_8B, Cohere, Gemini) across all eight items of the PHQ-8 scale in accuracy (M = 75.9%), and F1 score (0.74). GPT models were able to predict PHQ-8 items related to emotional and cognitive states. Llama 3_8B demonstrated superior detection of anhedonia-related symptoms and the Cohere LLM’s strength was identifying and predicting psychomotor activity symptoms. This study provides a novel outlook on the potential of LLMs for predicting self-reported questionnaire scores from textual interview data. The promising preliminary performance of the various models indicates there is potential that these models could effectively assist in the screening of depression. Further research is needed to establish a framework for which LLM can be used for specific mental health symptoms and other disorders. As well, analysis of additional datasets while fine-tuning models should be explored.

Ensuring compliance with complex industry standards and regulations during the design and implementation phases of construction projects is a significant challenge in the building information modeling (BIM) domain. Traditional manual compliance checking methods are inefficient and error-prone, failing to meet modern engineering demands. Natural language processing (NLP) and deep learning methods have improved efficiency and accuracy in rule interpretation and compliance checking. However, these methods still require extensive manual feature engineering, large, annotated datasets, and significant computational resources. Large language models (LLMs) provide robust language understanding with minimal labeled data due to their pre-training and few-shot learning capabilities. However, their application in the AEC field is still limited by the need for fine-tuning for specific tasks, handling complex texts with nested clauses and conditional statements. This study introduces an innovative automated compliance checking framework that integrates LLM, deep learning models, and ontology knowledge models. The use of LLM is motivated by its few-shot learning capability, which significantly reduces the need for large, annotated datasets required by previous methods. Deep learning is employed to preliminarily classify regulatory texts, which further enhances the accuracy of structured information extraction by the LLM compared to directly feeding raw data into the LLM. This novel combination of deep learning and LLM significantly enhances the efficiency and accuracy of compliance checks by automating the processing of regulatory texts and reducing manual intervention. This approach is crucial for architects, engineers, project managers, and regulators, providing a scalable and adaptable solution for automated compliance in the construction industry with broad application prospects.

Large Language Models (LLMs) recently demonstrated extraordinary capability, including natural language processing (NLP), language translation, text generation, question answering, etc. Moreover, LLMs are a new and essential part of computerized language processing, having the ability to understand complex verbal patterns and generate coherent and appropriate replies for the situation. Though this success of LLMs has prompted a substantial increase in research contributions, rapid growth has made it difficult to understand the overall impact of these improvements. Since a lot of new research on LLMs is coming out quickly, it is getting tough to get an overview of all of them in a short note. Consequently, the research community would benefit from a short but thorough review of the recent changes in this area. This article thoroughly overviews LLMs, including their history, architectures, transformers, resources, training methods, applications, impacts, challenges, etc. This paper begins by discussing the fundamental concepts of LLMs with its traditional pipeline of the LLMs training phase. It then provides an overview of the existing works, the history of LLMs, their evolution over time, the architecture of transformers in LLMs, the different resources of LLMs, and the different training methods that have been used to train them. It also demonstrated the datasets utilized in the studies. After that, the paper discusses the wide range of applications of LLMs, including biomedical and healthcare, education, social, business, and agriculture. It also illustrates how LLMs create an impact on society and shape the future of AI and how they can be used to solve real-world problems. Then it also explores open issues and challenges to deploying LLMs in real-world scenario. Our review paper aims to help practitioners, researchers, and experts thoroughly understand the evolution of LLMs, pre-trained architectures, applications, challenges, and future goals.

In an increasingly technologized and automated world, workplace safety and health remain a major global challenge. After decades of regulatory frameworks and substantial technical and organizational advances, the expanding interaction between humans and machines and the growing complexity of work systems are gaining importance. In parallel, the digitalization of Industry 4.0/5.0 is generating unprecedented volumes of safety-relevant data and new opportunities to move from reactive analysis to proactive, data-driven prevention. This review maps how artificial intelligence (AI), with a specific focus on natural language processing (NLP) and large language models (LLMs), is being applied to occupational risk prevention across sectors. A structured search of the Web of Science Core Collection (2013–October 2025), combined OSH-related terms with AI, NLP and LLM terms. After screening and full-text assessment, 123 studies were discussed. Early work relied on text mining and traditional machine learning to classify accident types and causes, extract risk factors and support incident analysis from free-text narratives. More recent contributions use deep learning to predict injury severity, potential serious injuries and fatalities (PSIF) and field risk control program (FRCP) levels and to fuse textual data with process, environmental and sensor information in multi-source risk models. The latest wave of studies deploys LLMs, retrieval-augmented generation and vision–language architectures to generate task-specific safety guidance, support accident investigation, map occupations and job tasks and monitor personal protective equipment (PPE) compliance. Together, these developments show that AI-, NLP- and LLM-based systems can exploit unstructured OSH information to provide more granular, timely and predictive safety insights. However, the field is still constrained by data quality and bias, limited external validation, opacity, hallucinations and emerging regulatory and ethical requirements. In conclusion, this review positions AI and LLMs as tools to support human decision-making in OSH and outlines a research agenda centered on high-quality datasets and rigorous evaluation of fairness, robustness, explainability and governance.

As large language models (LLMs) achieve remarkable success in natural language processing (NLP) domains, LLM-enhanced recommender systems have received much attention and are being actively explored currently. In this article, we focus on adapting and enhancing large language models for recommendation tasks. First and foremost, we identify and formulate the lifelong sequential behavior incomprehension problem for LLMs in recommendation realms, i.e., LLMs fail to effectively extract useful information from a pure textual context of long user behavior sequence, even if the length of context is well below the context limitation of LLMs. To address such an issue and improve the recommendation performance of LLMs, we propose a novel framework, namely, R etrieval- e nhanced L arge La nguage models Plus (ReLLaX), which provides full-stack optimization from three perspectives, i.e., data, prompt, and parameter. For data-level enhancement, we design semantic user behavior retrieval (SUBR) to reduce the heterogeneity of the behavior sequence, thus lowering the difficulty for LLMs to extract the essential information from user behavior sequences. Although SUBR can improve the data quality, further increase in the sequence length will still raise its heterogeneity to a level where LLMs can no longer comprehend it. Hence, we further propose to perform prompt-level and parameter-level enhancement, with the integration of conventional recommendation models (CRMs). As for prompt-level enhancement, we apply soft prompt augmentation (SPA) to explicitly inject collaborative knowledge from CRMs into the prompt. The item representations of LLMs are thus more aligned with recommendation, helping LLMs better explore the item relationships in the sequence and facilitating comprehension. Finally, for parameter-level enhancement, we propose component fully-interactive LoRA (CFLoRA). By enabling sufficient interaction between the LoRA atom components, the expressive ability of LoRA is extended, making the parameters effectively capture more sequence information. Moreover, we present new perspectives to compare current LoRA-based LLM4Rec methods, i.e., from both a composite and a decomposed view. We theoretically demonstrate that the ways they employ LoRA for recommendation are degraded versions of our CFLoRA, with different constraints on atom component interactions. Extensive experiments are conducted on three real-world public datasets to demonstrate the superiority of ReLLaX compared with existing baseline models, as well as its capability to alleviate lifelong sequential behavior incomprehension. Our code is available. 1