arXiv:2603.24750v2 Announce Type: replace-cross Abstract: Online Health Communities connect patients for peer support, but users face a discovery challenge when they have minimal prior interactions to guide personalization. We study recommendation under extreme interaction sparsity in a survey driven setting where each user provides a 16 dimensional intake vector and each support group has a structured feature profile. We extend Neural Collaborative Filtering architectures, including Matrix Factorization, Multi Layer Perceptron, and NeuMF, with an auxiliary pseudo label objective derived from survey group feature alignment using cosine similarity mapped to [0, 1]. The resulting Pseudo Label NCF learns dual embedding spaces: main embeddings for ranking and pseudo label embeddings for semantic alignment. We evaluate on a dataset of 165 users and 498 support groups using a leave one out protocol that reflects cold start conditions. All pseudo label variants improve ranking performance: MLP improves HR@5 from 2.65% to 5.30%, NeuMF from 4.46% to 5.18%, and MF from 4.58% to 5.42%. Pseudo label embedding spaces also show higher cosine silhouette scores than baseline embeddings, with MF improving from 0.0394 to 0.0684 and NeuMF from 0.0263 to 0.0653. We further observe a negative correlation between embedding separability and ranking accuracy, indicating a trade off between interpretability and performance. These results show that survey derived pseudo labels improve recommendation under extreme sparsity while producing interpretable task specific embedding spaces.

arXiv:2603.22752v1 Announce Type: new Abstract: Automated classification of clinical transcriptions into medical specialties is essential for routing, coding, and clinical decision support, yet prior work on the widely used MTSamples benchmark suffers from severe data leakage caused by applying SMOTE oversampling before train test splitting. We first document this methodological flaw and establish a leakage free benchmark across 40 medical specialties (4966 records), revealing that the true task difficulty is substantially higher than previously reported. We then introduce CLiGNet (Clinical Label Interaction Graph Network), a neural architecture that combines a Bio ClinicalBERT text encoder with a two layer Graph Convolutional Network operating on a specialty label graph constructed from semantic similarity and ICD 10 chapter priors. Per label attention gates fuse document and label graph representations, trained with focal binary cross entropy loss to handle extreme class imbalance (181 to 1 ratio). Across seven baselines ranging from TF IDF classifiers to Clinical Longformer, CLiGNet without calibration achieves the highest macro F1 of 0.279, with an ablation study confirming that the GCN label graph provides the single largest component gain (increase of 0.066 macro F1). Adding per label Platt scaling calibration yields an expected calibration error of 0.007, demonstrating a principled trade off between ranking performance and probability reliability. We provide comprehensive failure analysis covering pairwise specialty confusions, rare class behaviour, document length effects, and token level Integrated Gradients attribution, offering actionable insights for clinical NLP system deployment.