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Mar 13

Improving the Model Consistency of Decentralized Federated Learning

To mitigate the privacy leakages and communication burdens of Federated Learning (FL), decentralized FL (DFL) discards the central server and each client only communicates with its neighbors in a decentralized communication network. However, existing DFL suffers from high inconsistency among local clients, which results in severe distribution shift and inferior performance compared with centralized FL (CFL), especially on heterogeneous data or sparse communication topology. To alleviate this issue, we propose two DFL algorithms named DFedSAM and DFedSAM-MGS to improve the performance of DFL. Specifically, DFedSAM leverages gradient perturbation to generate local flat models via Sharpness Aware Minimization (SAM), which searches for models with uniformly low loss values. DFedSAM-MGS further boosts DFedSAM by adopting Multiple Gossip Steps (MGS) for better model consistency, which accelerates the aggregation of local flat models and better balances communication complexity and generalization. Theoretically, we present improved convergence rates small Obig(1{KT}+1{T}+1{K^{1/2}T^{3/2}(1-lambda)^2}big) and small Obig(1{KT}+1{T}+lambda^Q+1{K^{1/2}T^{3/2}(1-lambda^Q)^2}big) in non-convex setting for DFedSAM and DFedSAM-MGS, respectively, where 1-lambda is the spectral gap of gossip matrix and Q is the number of MGS. Empirically, our methods can achieve competitive performance compared with CFL methods and outperform existing DFL methods.

Towards Robust and Efficient Cloud-Edge Elastic Model Adaptation via Selective Entropy Distillation

The conventional deep learning paradigm often involves training a deep model on a server and then deploying the model or its distilled ones to resource-limited edge devices. Usually, the models shall remain fixed once deployed (at least for some period) due to the potential high cost of model adaptation for both the server and edge sides. However, in many real-world scenarios, the test environments may change dynamically (known as distribution shifts), which often results in degraded performance. Thus, one has to adapt the edge models promptly to attain promising performance. Moreover, with the increasing data collected at the edge, this paradigm also fails to further adapt the cloud model for better performance. To address these, we encounter two primary challenges: 1) the edge model has limited computation power and may only support forward propagation; 2) the data transmission budget between cloud and edge devices is limited in latency-sensitive scenarios. In this paper, we establish a Cloud-Edge Elastic Model Adaptation (CEMA) paradigm in which the edge models only need to perform forward propagation and the edge models can be adapted online. In our CEMA, to reduce the communication burden, we devise two criteria to exclude unnecessary samples from uploading to the cloud, i.e., dynamic unreliable and low-informative sample exclusion. Based on the uploaded samples, we update and distribute the affine parameters of normalization layers by distilling from the stronger foundation model to the edge model with a sample replay strategy. Extensive experimental results on ImageNet-C and ImageNet-R verify the effectiveness of our CEMA.

The impact of using an AI chatbot to respond to patient messages

Documentation burden is a major contributor to clinician burnout, which is rising nationally and is an urgent threat to our ability to care for patients. Artificial intelligence (AI) chatbots, such as ChatGPT, could reduce clinician burden by assisting with documentation. Although many hospitals are actively integrating such systems into electronic medical record systems, AI chatbots utility and impact on clinical decision-making have not been studied for this intended use. We are the first to examine the utility of large language models in assisting clinicians draft responses to patient questions. In our two-stage cross-sectional study, 6 oncologists responded to 100 realistic synthetic cancer patient scenarios and portal messages developed to reflect common medical situations, first manually, then with AI assistance. We find AI-assisted responses were longer, less readable, but provided acceptable drafts without edits 58% of time. AI assistance improved efficiency 77% of time, with low harm risk (82% safe). However, 7.7% unedited AI responses could severely harm. In 31% cases, physicians thought AI drafts were human-written. AI assistance led to more patient education recommendations, fewer clinical actions than manual responses. Results show promise for AI to improve clinician efficiency and patient care through assisting documentation, if used judiciously. Monitoring model outputs and human-AI interaction remains crucial for safe implementation.

Synthetic Patients: Simulating Difficult Conversations with Multimodal Generative AI for Medical Education

Problem: Effective patient-centered communication is a core competency for physicians. However, both seasoned providers and medical trainees report decreased confidence in leading conversations on sensitive topics such as goals of care or end-of-life discussions. The significant administrative burden and the resources required to provide dedicated training in leading difficult conversations has been a long-standing problem in medical education. Approach: In this work, we present a novel educational tool designed to facilitate interactive, real-time simulations of difficult conversations in a video-based format through the use of multimodal generative artificial intelligence (AI). Leveraging recent advances in language modeling, computer vision, and generative audio, this tool creates realistic, interactive scenarios with avatars, or "synthetic patients." These synthetic patients interact with users throughout various stages of medical care using a custom-built video chat application, offering learners the chance to practice conversations with patients from diverse belief systems, personalities, and ethnic backgrounds. Outcomes: While the development of this platform demanded substantial upfront investment in labor, it offers a highly-realistic simulation experience with minimal financial investment. For medical trainees, this educational tool can be implemented within programs to simulate patient-provider conversations and can be incorporated into existing palliative care curriculum to provide a scalable, high-fidelity simulation environment for mastering difficult conversations. Next Steps: Future developments will explore enhancing the authenticity of these encounters by working with patients to incorporate their histories and personalities, as well as employing the use of AI-generated evaluations to offer immediate, constructive feedback to learners post-simulation.

Large Content And Behavior Models To Understand, Simulate, And Optimize Content And Behavior

Shannon, in his seminal paper introducing information theory, divided the communication into three levels: technical, semantic, and effectivenss. While the technical level is concerned with accurate reconstruction of transmitted symbols, the semantic and effectiveness levels deal with the inferred meaning and its effect on the receiver. Thanks to telecommunications, the first level problem has produced great advances like the internet. Large Language Models (LLMs) make some progress towards the second goal, but the third level still remains largely untouched. The third problem deals with predicting and optimizing communication for desired receiver behavior. LLMs, while showing wide generalization capabilities across a wide range of tasks, are unable to solve for this. One reason for the underperformance could be a lack of "behavior tokens" in LLMs' training corpora. Behavior tokens define receiver behavior over a communication, such as shares, likes, clicks, purchases, retweets, etc. While preprocessing data for LLM training, behavior tokens are often removed from the corpora as noise. Therefore, in this paper, we make some initial progress towards reintroducing behavior tokens in LLM training. The trained models, other than showing similar performance to LLMs on content understanding tasks, show generalization capabilities on behavior simulation, content simulation, behavior understanding, and behavior domain adaptation. Using a wide range of tasks on two corpora, we show results on all these capabilities. We call these models Large Content and Behavior Models (LCBMs). Further, to spur more research on LCBMs, we release our new Content Behavior Corpus (CBC), a repository containing communicator, message, and corresponding receiver behavior.

Cross-Layer Protocols for Multimedia Communications over Wireless Networks

In the last few years, the Internet throughput, usage and reliability have increased almost exponentially. The introduction of broadband wireless mobile ad hoc networks (MANETs) and cellular networks together with increased computational power have opened the door for a new breed of applications to be created, namely real-time multimedia applications. Delivering real-time multimedia traffic over a complex network like the Internet is a particularly challenging task since these applications have strict quality-of-service (QoS) requirements on bandwidth, delay, and delay jitter. Traditional Internet protocol (IP)-based best effort service is not able to meet these stringent requirements. The time-varying nature of wireless channels and resource constrained wireless devices make the problem even more difficult. To improve perceived media quality by end users over wireless Internet, QoS supports can be addressed in different layers, including application layer, transport layer and link layer. Cross layer design is a well-known approach to achieve this adaptation. In cross-layer design, the challenges from the physical wireless medium and the QoS-demands from the applications are taken into account so that the rate, power, and coding at the physical (PHY) layer can adapted to meet the requirements of the applications given the current channel and network conditions. A number of propositions for cross-layer designs exist in the literature. In this chapter, an extensive review has been made on these cross-layer architectures that combine the application-layer, transport layer and the link layer controls. Particularly, the issues like channel estimation techniques, adaptive controls at the application and link layers for energy efficiency, priority based scheduling, transmission rate control at the transport layer, and adaptive automatic repeat request (ARQ) are discussed in detail.