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AWS Machine Learning Blog

ICYMI: What landed for AI builders in August 2026

A recap of August 2026 launches for AI builders across Amazon Bedrock, Amazon Bedrock AgentCore, and Strands: million-token context for OpenAI models, cross-Region inference, agents that run for up to 14 days on dedicated compute, expanded AWS GovCloud availability, and Strands Robots for physical deployment.

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arXiv AI Papers

Emergency Department Revisit Quality Review Screening: Exploring Human Decision-Making and Artificial Intelligence Support

Background: Emergency Department (ED) return visits are commonly reviewed for quality assurance, but are often limited (e.g., to revisits within 48-72 hours) to increase actionable finding yield while minimizing chart review burden. Those limitations may lead to missed quality improvement opportunities. Methods: We conducted an exploratory, retrospective study of randomly selected ED visits to a multihospital health system having an ED revisit within 1-14 days to the same health system. Given only each visit's primary diagnosis, raters (2-3 clinicians and GPT-4 large language model [LLM]) assessed characteristics of the diagnosis pairs, including the "target": whether a pair warranted further assessment. Informed by rater response analyses, an algorithm leveraging an LLM-populated knowledge graph ("KGA") was created to automatically screen for potentially concerning pairs, then preliminarily assessed. Results: 99 diagnosis pairs were included. GPT-4 responses poorly correlated to clinician raters, rating nearly all (94%) pairs as warranting follow-up (4.4-13.3 times more than clinicians). However, prompt engineering was minimal. Among clinician raters, revisit medical gravity was consistently significantly associated with the target, while a differential diagnosis/complication composite was significantly associated on unadjusted, but not adjusted (though less powered) analysis. The KGA achieved 83-100% positive predictive value for at least one clinician rater determining further assessment was warranted based on the diagnosis pair. Conclusion: These results can inform next steps for improving screening with LLMs like ChatGPT. Further research is warranted to validate this preliminary work's finding that the KGA may enable enhancing the scope and yield of screening without substantially increasing reviewer workload.

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arXiv AI Papers

Kernel-Managed Shared Memory for System-Wide Personalization

AI systems become more useful when they can adapt to the people using them, but in multi-agent systems, useful context learned by one agent often remains unavailable to others. We present kernel-managed shared memory, a system-level abstraction in which specialized agents write structured, tagged memories while the agent-system kernel, not individual agents, governs retrieval, privacy enforcement, and prompt injection. We implement and evaluate this design on AIOS and compare it against three alternatives across three assistant models (GPT-4o, Llama-3.1:8B, Qwen-2.5:7B) and 1,800 total trials. Against an unmanaged external memory backend (Mem0) using identical underlying storage, kernel-managed retrieval and injection improve personalization scores by 2.4-4.0 points on a 5-point scale (e.g., 1.05 to 4.69 profile usage on GPT-4o), with every comparison significant at p < 10^-18. Against standard retrieval-augmented injection, gains are similarly large and consistent across all three models. Against full, unfiltered context concatenation, a soft ceiling on available context rather than on response quality, kernel-managed injection statistically matches performance on two of three models and shows a small, model-specific deficit on the third, while using substantially shorter prompts: end-to-end latency is 15-61% lower across all three models, with corresponding reductions in per-call token usage and inference cost. These results indicate that centralizing memory management in the agent-system kernel, rather than leaving retrieval and privacy enforcement to individual agents, delivers most of the personalization benefit of unconstrained context at a fraction of its cost.

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