Code-switching (CS), which is when Vietnamese speech uses English words like drug names or procedures, is a common phenomenon in Vietnamese medical communication. This creates challenges for Automatic Speech Recognition (ASR) systems, especially in low-resource languages like Vietnamese. Current most ASR systems struggle to recognize correctly English medical terms within Vietnamese sentences, and no benchmark addresses this challenge. In this paper, we construct a 34-hour Vietnamese Medical Code-Switching Speech dataset (ViMedCSS) containing 16,576 utterances. Each utterance includes at least one English medical term drawn from a curated bilingual lexicon covering five medical topics. Using this dataset, we evaluate several state-of-the-art ASR models and examine different specific fine-tuning strategies for improving medical term recognition to investigate the best approach to solve in the dataset. Experimental results show that Vietnamese-optimized models perform better on general segments, while multilingual pretraining helps capture English insertions. The combination of both approaches yields the best balance between overall and code-switched accuracy. This work provides the first benchmark for Vietnamese medical code-switching and offers insights into effective domain adaptation for low-resource, multilingual ASR systems.

Sparse autoencoder (SAE) features are increasingly used to explain and steer language-model behavior, but it remains unclear whether a feature found in one language context plays the same causal role when processing prompts in another language. We study this question using translation-initiation features (Wu et al., 2026). We reproduce the SAE feature discovery method from Wu et al. in Gemma 2 and extend it to multilingual settings that vary prompt language, source language, and target language. We then test whether features that recur across settings affect translation behavior by amplifying or ablating their activations during inference. We also examine whether the method can be applied to Gemma 3.

In both models, we observe an identical finding: although we can find more than 20 features that activate frequently across all discovery settings, causal validation shows that nearly all have small or inconsistent effects. In contrast, one feature – Gemma 2’s (L10, 5717) and Gemma 3’s (L20, 2456) – consistently improves COMET scores when amplified and degrades them when ablated across 23 language settings. These results show that feature recurrence can overstate cross-lingual transfer, while identifying a language-agnostic translation-initiation direction in Gemma 2 and Gemma 3.