Implicit Framing in Obstetric Counseling Notes: A Grounded LLM Pipeline on a VBAC-Eligible Cohort

Fuente: arXiv

Salvato in:

Dettagli Bibliografici
Autori principali:	Karacan, Baris, Di Eugenio, Barbara, Thornton, Patrick, Tess, Joanna, Kolar, Subhash Kumar
Natura:	Preprint
Pubblicazione:	2026
Soggetti:	Computation and Language
Accesso online:	Acceder al recurso
Tags:	Aggiungi Tag Nessun Tag, puoi essere il primo ad aggiungerne!!

Documenti analoghi

When Rating Scales Fall Short: LLM-Assisted Discovery of ADHD Signals in Turkish Teacher Narratives
di: Karacan, Baris, et al.
Pubblicazione: (2026)

Enhancing Psychotherapy Counseling: A Data Augmentation Pipeline Leveraging Large Language Models for Counseling Conversations
di: Kim, Jun-Woo, et al.
Pubblicazione: (2024)

COACH meets QUORUM: A Framework and Pipeline for Aligning User, Expert and Developer Perspectives in LLM-generated Health Counselling
di: Ng, Yee Man, et al.
Pubblicazione: (2026)

Graph2Counsel: Clinically Grounded Synthetic Counseling Dialogue Generation from Client Psychological Graphs
di: Mandal, Aishik, et al.
Pubblicazione: (2026)

LLM-Human Pipeline for Cultural Context Grounding of Conversations
di: Pujari, Rajkumar, et al.
Pubblicazione: (2024)

Veracity Bias and Beyond: Uncovering LLMs' Hidden Beliefs in Problem-Solving Reasoning
di: Zhou, Yue, et al.
Pubblicazione: (2025)

Psy-Chronicle:A Structured Pipeline for Synthesizing Long-Horizon Campus Psychological Counseling Dialogues
di: Gou, Chaogui, et al.
Pubblicazione: (2026)

Bike Frames: Understanding the Implicit Portrayal of Cyclists in the News
di: Zhao, Xingmeng, et al.
Pubblicazione: (2023)

Density-Guided Response Optimization: Community-Grounded Alignment via Implicit Acceptance Signals
di: Gerard, Patrick, et al.
Pubblicazione: (2026)

Early Risk Prediction with Temporally and Contextually Grounded Clinical Language Processing
di: Chaturvedi, Rochana, et al.
Pubblicazione: (2025)

ConvCounsel: A Conversational Dataset for Student Counseling
di: Chen, Po-Chuan, et al.
Pubblicazione: (2024)

LAMDAS: LLM as an Implicit Classifier for Domain-specific Data Selection
di: Wu, Jian, et al.
Pubblicazione: (2025)

Framing Matters: Addressing Framing Sensitivity in Decision-Making through Behaviorally-Grounded Value Alignment
di: Hwang, Seojin, et al.
Pubblicazione: (2026)

K/DA: Automated Data Generation Pipeline for Detoxifying Implicitly Offensive Language in Korean
di: Jeon, Minkyeong, et al.
Pubblicazione: (2025)

Unveiling Performance Challenges of Large Language Models in Low-Resource Healthcare: A Demographic Fairness Perspective
di: Zhou, Yue, et al.
Pubblicazione: (2024)

Virtual Agents for Alcohol Use Counseling: Exploring LLM-Powered Motivational Interviewing
di: Steenstra, Ian, et al.
Pubblicazione: (2024)

Better with Experience: Self-Evolving LLM Agents for Evidence-Grounded Health Community Notes
di: Fu, Zihang, et al.
Pubblicazione: (2026)

A Hybrid Supervised-LLM Pipeline for Actionable Suggestion Mining in Unstructured Customer Reviews
di: Trivedi, Aakash, et al.
Pubblicazione: (2026)

HealthNLP_Retrievers at ArchEHR-QA 2026: Cascaded LLM Pipeline for Grounded Clinical Question Answering
di: Hosen, Md Biplob, et al.
Pubblicazione: (2026)

Psychological Counseling Cannot Be Achieved Overnight: Automated Psychological Counseling Through Multi-Session Conversations
di: Wang, Junzhe, et al.
Pubblicazione: (2025)

Diagnosing LLM Reranker Behavior Under Fixed Evidence Pools
di: Arat, Baris, et al.
Pubblicazione: (2026)

PromptMind Team at MEDIQA-CORR 2024: Improving Clinical Text Correction with Error Categorization and LLM Ensembles
di: Gundabathula, Satya Kesav, et al.
Pubblicazione: (2024)

Abstract Meaning Representation for Hospital Discharge Summarization
di: Landes, Paul, et al.
Pubblicazione: (2025)

Evaluating Novelty in AI-Generated Research Plans Using Multi-Workflow LLM Pipelines
di: Saraogi, Devesh, et al.
Pubblicazione: (2025)

Reliable Use of Lemmas via Eligibility Reasoning and Section$-$Aware Reinforcement Learning
di: Xu, Zhikun, et al.
Pubblicazione: (2026)

PsyDT: Using LLMs to Construct the Digital Twin of Psychological Counselor with Personalized Counseling Style for Psychological Counseling
di: Xie, Haojie, et al.
Pubblicazione: (2024)

Multi-Label Clinical Text Eligibility Classification and Summarization System
di: Yerramsetty, Surya Tejaswi, et al.
Pubblicazione: (2025)

A Large Language Model Based Pipeline for Review of Systems Entity Recognition from Clinical Notes
di: Nghiem, Hieu, et al.
Pubblicazione: (2025)

Not What, But How: A Communicative Audit of LLM Response Framing
di: Pawar, Siddhesh Milind, et al.
Pubblicazione: (2026)

Psy-Copilot: Visual Chain of Thought for Counseling
di: Chen, Keqi, et al.
Pubblicazione: (2025)

DistillNote: Toward a Functional Evaluation Framework of LLM-Generated Clinical Note Summaries
di: Boll, Heloisa Oss, et al.
Pubblicazione: (2025)

Frame of Reference: Addressing the Challenges of Common Ground Representation in Situational Dialogs
di: Mohapatra, Biswesh, et al.
Pubblicazione: (2026)

Multilingual KokoroChat: A Multi-LLM Ensemble Translation Method for Creating a Multilingual Counseling Dialogue Dataset
di: Suzuki, Ryoma, et al.
Pubblicazione: (2026)

AD-CDO: A Lightweight Ontology for Representing Eligibility Criteria in Alzheimer's Disease Clinical Trials
di: Sun, Zenan, et al.
Pubblicazione: (2025)

Token Prediction as Implicit Classification to Identify LLM-Generated Text
di: Chen, Yutian, et al.
Pubblicazione: (2023)

NITP: Next Implicit Token Prediction for LLM Pre-training
di: Zhang, Xiangdong, et al.
Pubblicazione: (2026)

STACK: Adversarial Attacks on LLM Safeguard Pipelines
di: McKenzie, Ian R., et al.
Pubblicazione: (2025)

A Dialectic Pipeline for Improving LLM Robustness
di: Candussio, Sara
Pubblicazione: (2026)

Grounding LLM Reasoning with Knowledge Graphs
di: Amayuelas, Alfonso, et al.
Pubblicazione: (2025)

MALIBU Benchmark: Multi-Agent LLM Implicit Bias Uncovered
di: Mirza, Imran, et al.
Pubblicazione: (2025)

if (filemtime($filename) + $maxlifetime < time()) { unlink($filename); $count++; } } return $count; } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ protected function saveSession($sessId, $data): bool { $sessFile = $this->path . '/sess_' . $sessId; if ($handle = fopen($sessFile, 'w')) { $return = false; // Lock the file for exclusive access to avoid issues with multiple // processes writing session simultaneously: if (flock($handle, LOCK_EX)) { $return = fwrite($handle, $data); // Make sure that there's no trailing data by truncating the file to // the correct length: ftruncate($handle, strlen($data)); fflush($handle); flock($handle, LOCK_UN); } fclose($handle); if ($return !== false) { return true; } } // If we got this far, something went wrong with the file output... // It is tempting to throw an exception here, but this code is called // outside of the context of exception handling, so all we can do is // echo a message.

// Anecdotal testing Today and Yesterday seems to indicate destroy() // is called by the garbage collector and everything is good. // Something to keep in mind though. return 0; } /** * Write function that is called when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ public function write($sessId, $data): bool { if ($this->writesDisabled) { return true; } return $this->saveSession($sessId, $data); } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ abstract protected function saveSession($sessId, $data): bool; }

* * @return void */ public function writeClose() { // The assumption is that we're using PHP's ext/session. // session_write_close() will actually overwrite $_SESSION with an // empty array on completion -- which leads to a mismatch between what // is in the storage object and $_SESSION. To get around this, we // temporarily reset $_SESSION to an array, and then re-link it to // the storage object. // // Additionally, while you _can_ write to $_SESSION following a // session_write_close() operation, no changes made to it will be // flushed to the session handler. As such, we now mark the storage // object isImmutable. $storage = $this->getStorage(); if (! $storage->isImmutable()) { $_SESSION = $storage->toArray(true); session_write_close(); $storage->fromArray($_SESSION); $storage->markImmutable(); } } /** * Attempt to set the session name * * If the session has already been started, or if the name provided fails * validation, an exception will be raised. * * @param string $name * @return SessionManager * @throws Exception\InvalidArgumentException */ public function setName($name) { if ($this->sessionExists()) { throw new Exception\InvalidArgumentException( 'Cannot set session name after a session has already started'

Environment & details:

GET Data empty

POST Data empty

Files empty

Key	Value
ui	"standard"
VUFIND_SESSION	"ed76789417e352e3e983bb8391524723"
language	"it"

Session

Key	Value
__Laminas	array:2 [`"_REQUEST_ACCESS_TIME" => 1790867850.889 "_VALID" => array:1 [ "Laminas\Session\Validator\Id" => "ed76789417e352e3e983bb8391524723" ]`]
SessionState	Laminas\Stdlib\ArrayObject {#938}
FlashMessenger	Laminas\Stdlib\ArrayObject {#1433}
SessionHelper	Laminas\Stdlib\ArrayObject {#1759}

Server/Request Data

Key	Value
REDIRECT_VUFIND_LOCAL_DIR	"/usr/local/vufind/local"
REDIRECT_HTTPS	"on"
REDIRECT_SSL_TLS_SNI	"info.umar.mx"
REDIRECT_STATUS	"200"
VUFIND_LOCAL_DIR	"/usr/local/vufind/local"
HTTPS	"on"
SSL_TLS_SNI	"info.umar.mx"
HTTP_ACCEPT	"/"
HTTP_USER_AGENT	"Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)"
HTTP_COOKIE	"ui=standard; VUFIND_SESSION=ed76789417e352e3e983bb8391524723; language=it"
HTTP_ACCEPT_ENCODING	"gzip, br, zstd, deflate"
HTTP_HOST	"info.umar.mx"
PATH	"/usr/local/sbin:/usr/local/bin:/usr/sbin:/usr/bin:/snap/bin"
SERVER_SIGNATURE	"<address>Apache/2.4.66 (Ubuntu) Server at info.umar.mx Port 443</address>\n"
SERVER_SOFTWARE	"Apache/2.4.66 (Ubuntu)"
SERVER_NAME	"info.umar.mx"
SERVER_ADDR	"200.23.222.19"
SERVER_PORT	"443"
REMOTE_ADDR	"216.73.216.147"
DOCUMENT_ROOT	"/usr/local/vufind/public"
REQUEST_SCHEME	"https"
CONTEXT_PREFIX	""
CONTEXT_DOCUMENT_ROOT	"/usr/local/vufind/public"
SERVER_ADMIN	"admin@localhost"
SCRIPT_FILENAME	"/usr/local/vufind/public/index.php"
REMOTE_PORT	"25335"
REDIRECT_URL	""" /Record/\n arxiv_https___arxiv_org_abs_2604_23059/Similar """
GATEWAY_INTERFACE	"CGI/1.1"
SERVER_PROTOCOL	"HTTP/1.1"
REQUEST_METHOD	"GET"
QUERY_STRING	""
REQUEST_URI	"/Record/%0Aarxiv_https___arxiv_org_abs_2604_23059/Similar"
SCRIPT_NAME	"/index.php"
PHP_SELF	"/index.php"
REQUEST_TIME_FLOAT	1790867850.8845
REQUEST_TIME	1790867850

Environment Variables empty

Registered Handlers

0. Whoops\Handler\PrettyPageHandler