arXiv AI

LLMs Remember First, Forget Last: Dual-Process Interference in Large Language Models

arXiv:2603. 00270v3 Announce Type: replace-cross Abstract: Large language models can process millions of tokens, yet how they handle conflicting information within context remains poorly understood.

arXiv AI
Aug 6

Memorization in Large Language Models in Medicine: Prevalence, Characteristics, and Implications

arXiv:2509. 08604v5 Announce Type: replace-cross Abstract: Large Language Models (LLMs) have demonstrated significant potential in medicine, with many studies adapting them through continued pre-training or fine-tuning on medical data to enhance domain-specific accuracy and safety.

By Anran Li, Lingfei Qian, Mengmeng Du, Yu Yin, Yan Hu, Zihao Sun, Yihang Fu, Hyunjae Kim, Erica Stutz, Xuguang Ai, Qianqian Xie, Rui Zhu, Jimin Huang, Yifan Yang, Siru Liu, Yih-Chung Tham, Lucila Ohno-Machado, Hyunghoon Cho, Zhiyong Lu, Hua Xu, Qingyu Chen
arXiv AI
Aug 25

Lexical Perturbations Disrupt LLM Reasoning: An Empirical Study of Attention Diversion

The study investigates how lexical perturbations—such as keyboard noise, character swaps, and filler insertion—affect large language models (LLMs) on reasoning benchmarks. Four open-weight instruction-tuned models and frontier models were evaluated, revealing that character-level perturbations significantly reduce accuracy, especially on multi-step reasoning tasks, while filler insertion has minimal impact. The authors attribute this asymmetry to Attention Diversion, where fragmented subword tokenization draws disproportionate attention in middle and final transformer layers; they demonstrate that both token content and attention allocation are coupled, making it difficult for inference-time repair strategies to fully recover performance.

By Jiaqian Zhu, Yang Zhang, Junhua Ding, Xiaowei Yu
arXiv AI
Jul 16

Not All Needles Are Found: How Fact Distribution and Don't Make It Up Prompts Shape Retrieval, Reasoning, and Hallucination in Long-Context LLMs

arXiv:2601. 02023v2 Announce Type: replace-cross Abstract: As Large Language Models (LLMs) increasingly utilize massive context windows as working memory for autonomous tasks, their reliability fluctuates significantly depending on how information is distributed in real-world corpora.

By Amirali Ebrahimzadeh, Seyyed M. Salili
arXiv Computation and Language
Sep 22

LLMs Anchor on Chief Complaint and Fail to Integrate Evidence in Sequential Clinical Triage

The study evaluates large language models (LLMs) on sequential emergency department triage, where acuity labels are predicted from progressively longer nurse‑patient conversations. Six LLMs were tested at five checkpoints on simulated and physician‑authored dialogues, showing a decline from moderate‑to‑substantial agreement on full records to only fair‑to‑moderate agreement at each checkpoint. The models consistently anchor on chief complaint exchanges and fail to integrate later evidence, yielding low agreement with clinicians (QWK 0.295 vs. 0.887‑0.929) and concentrating predictions on ESI‑2 and ESI‑3. whyItMatters":"The findings reveal that LLMs, despite strong offline performance, cannot reliably handle the sequential nature of real‑time triage, highlighting a critical gap for safe deployment in emergency settings."

By Dipankar Srirag, Haokai Zhao, Ashutosh Kumar, Eleanor Hopper, Michael Dalton, Quoc Dung Nguyen, Aditya Joshi, Salil S. Kanhere, Padmanesan Narasimhan