MIRA is a bilingual benchmark that evaluates whether large language models (LLMs) provide consistent medical information across different user phrasings, languages, and health literacy levels. It contains 4,320 prompts derived from 60 medically reviewed low‑risk health questions and reveals that models tend to omit key information and offer fewer concrete next steps when responding to low health‑literacy signals, a phenomenon termed Differential Information Dilution (DID). A knowledge‑guided mitigation prompt can reduce this dilution for most models, notably improving Claude and Qwen.
By Mengyu Xu, Qiaoxin Yang, Qianqian Wang, Xiwei Dai, Weiyi Wu, Chongyang Gao
CrisiLangs is a multilingual extension of the CrisiText dataset, adding Italian, Bulgarian, German, and Greek translations of warning messages for 1,000 crisis events, resulting in 5,000 event‑message pairs across five languages. The resource was used to fine‑tune a multilingual model, which outperformed a zero‑shot baseline on ROUGE‑L, BLEU, and BERTScore in every language and configuration. Human preference studies showed that low decoding temperatures were favored across all languages, while the impact of emergency guidelines varied by language.
By Giacomo Gonella, Stefano Menini, Marco Guerini
arXiv:2511.00421v2 Announce Type: replace-cross
Abstract: Large language models (LLMs) show promise in medical applications, but their ability to detect and correct errors in clinical texts remains u...
By Naoto Iwase, Hiroki Okuyama, Junichiro Iwasawa
arXiv:2605.05662v2 Announce Type: replace-cross
Abstract: Current LLM safety benchmarks are predominantly English-centric and often rely on translation, failing to capture country-specific harms. Mor...
By Dasol Choi, Eugenia Kim, Jaewon Noh, Sang Seo, Eunmi Kim, Myunggyo Oh, Yunjin Park, Brigitta Jesica Kartono, Josef Pichlmeier, Helena Berndt, Sai Krishna Mendu, Glenn Johannes Tungka, \"Ozlem G\"ok\c{c}e, Suresh Gehlot, Katherine Pratt, Amanda Minnich, Haon Park
The study evaluates whether a single confidence threshold in typed decision interfaces treats all languages equally. Using 1,000 items in 51 languages across three vendors, it finds that English consistently achieves higher coverage—clearing the 0.9 threshold 8.6–11.7 percentage points more often than other languages—despite similar accuracy. Even when thresholds are re‑weighted or calibrated per language, the gap persists, and translating inputs into English reduces but does not eliminate it. The authors recommend reporting per‑language coverage at the operating threshold.
By Junwei Yao, Yongxi Zhou, Zike Yang, Zhijun Wang, Jianan Liu, Yanxian Chen, Wenbo Ye
arXiv:2606. 07853v1 Announce Type: cross Abstract: Large Language Models are transforming the support for clinical decision and their application in real scenarios.
By Giordano de Pinho Souza, Glaucia Melo, Josefino Cabral Melo Lima, Daniel Schneider
arXiv:2604.26766v2 Announce Type: replace-cross
Abstract: Accurate and consistent Emergency Severity Index (ESI) assignment remains a persistent challenge in emergency departments, where highly varia...
By Manar Aljohani, Brandon Ho, Kenneth McKinley, Dennis Ren, Xuan Wang
HerHealthEval is a controlled evaluation framework that tests multilingual understanding of women's-health communication across English, French, and Modern Standard Arabic. It provides six communicative forms—canonical, clinical, layperson, indirect or hedged, emotionally concerned, and deliberately under-specified—each conveying the same clinical concern except the under-specified form omits details to assess clarification needs. The study evaluates multilingual instruction models and QLoRA-adapted variants on tasks such as concern classification, risk calibration, clarification behavior, parse compliance, and cross-form consistency, revealing that high aggregate accuracy can mask safety-relevant failures and that language-invariant risk labels improve performance.
By Hassan Saeed Hassan Albattra, Mazen Mohammed Bahgat, Rahatara Ferdousi, Hana Essam Sayed Ahmed Amrya, Mariam Mousa
The study evaluates counterfactual bias in ten open‑source large language models (LLMs) for pediatric Emergency Severity Index (ESI) prediction. By creating paired clinical vignettes that differ only in demographic or socioeconomic variables, the authors measure shifts in acuity assignment, finding that counterfactual sensitivity varies widely across model families and sizes. A fine‑tuned Qwen2.5‑7B model exhibited the lowest sensitivity, while larger or medical‑domain models sometimes showed greater shifts, highlighting the need for fairness assessment before clinical deployment.
By Manar Aljohani, Brandon Ho, Kenneth McKinley, Dennis Ren, Xuan Wang
arXiv:2608. 19981v1 Announce Type: new Abstract: We present HealMed, an expert-reviewed benchmark for multilingual evaluation of large language models in medicine.
By Yingjian Chen (Drew), Fan Gao (Drew), Sherry T. Tong (Drew), Haoyu Zhang (Drew), Aosong Feng (Drew), Kevin W. Jin (Drew), Xing Wu (Drew), Jinghui Lu (Drew), Abdul Samad (Drew), Akbar Faruqi (Drew), Cesar Caraballo (Drew), Cibele Brand\~ao (Drew), Dhruva (Drew), Gupta, Eunji Jeon, Gabriel Madera-Santiago, Geon Lee, Hugo Toshio Itikawa, Insook Cho, Isabelli Martins, Isarar Siddique, Israr Ahmed, Jihyo Kwak, Kanyakorn Veerakanjana, Luis Guilherme Cardoso, Minjin Kim, Piyalitt Ittichaiwong, Renee Dua, Santiago Gudi\~no-Rosales, Xiujie Chen, Zeo Lapalus, Zixin Xu, Michihiro Yasunaga, Rex Ying, Heuiseok Lim, Jaewoo Kang, Chanjun Park, Hang Jiang, Ethan Goh, Hyunjae Kim, Edison Marrese-Taylor, Yusuke Iwasawa, Yutaka Matsuo, Qingyu Chen, Irene Li
arXiv:2610.08159v1 Announce Type: cross
Abstract: COMET reports translation quality as a single number, and that number is routinely compared across target languages written in different scripts. Suc...
By G. L. John Salvin (Indian Institute of Technology Palakkad), Swapnil Hingmire (Indian Institute of Technology Palakkad)
EviSI is an evidence‑based evaluation agent for low‑latency simultaneous speech‑to‑speech translation. It combines Multidimensional Quality Metrics with interpreter‑developed criteria, using shared source evidence to assess four dimensions—Anchor, Event, Logic, and Fluency—while deduplicating verified errors before scoring. On English‑to‑Chinese and Chinese‑to‑English data, EviSI’s rankings correlate strongly with human judgments, outperforming BLEU and COMET, and its multilingual extension maintains these correlations across five language directions.
By Ben Yan, Zongyao Li, Xiaoyu Chen, Daimeng Wei, Weidong Liu, Huan Zhao, Chong Li, Yaode Wang, Yuzhe Shang