Table 3 Few questions and answers.

From: GPT-agents based on medical guidelines can improve the responsiveness and explainability of outcomes for traumatic brain injury rehabilitation

Index

Question

GPT-4

GPT-Agents

 
   

Answer

Evalue and Source Citation

1

When is it appropriate to intervene in a brain trauma patient with hyperbaric oxygen therapy?

Within 24–48 h after brain injury

For patients with severe traumatic brain injury with stable vital signs, no active intracranial hemorrhage, no untreated brain hernia, no external ventricular drainage, no severe lung injury, and no cerebrospinal fluid leakage, hyperbaric oxygen therapy should be performed early. The earlier the start of HBO, the better the effect

1. Evaluation of whether it is correct and appropriate: Yes, the answer is correct and appropriate

2. The original text of the relevant knowledge in the guidelines corresponding to the solution to the problem: {For patients with severe traumatic brain injury with stable vital signs, no active intracranial hemorrhage, untreated brain herniation, external ventricular drainage, severe lung injury and cerebrospinal fluid leakage, hyperbaric oxygen therapy should be performed early. The results showed that HBO can significantly increase brain tissue oxygen tension, improve brain tissue metabolism and reduce intracranial pressure. At the same time, HBO can significantly reduce mortality and improve functional prognosis at 6 months. No lung and brain tissue oxygen poisoning was found, and the earlier the HBO started, the better the effect.}

2

What if the patient can't read?

Recommend evaluation and treatment by a speech-language pathologist, which may include speech therapy and use of assistive reading devices. Cognitive training and physical rehabilitation may also be considered

In cases where the patient is unable to read, the following methods can be tried:

1. Use pictures and symbols to communicate

2. Use non-verbal communication methods, such as body language or facial expressions

3. Use electronic voice synthesis devices to help the patient express themselves

4. Try music therapy, especially melodic intonation therapy

5. If possible, try physical therapies such as transcranial direct current stimulation (tDCS)

6. Drug therapy and acupuncture may also be helpful. Please proceed under the guidance of a doctor

1. Evaluation of whether it is correct and appropriate: Yes, the answer is correct and appropriate

2. The original text of the relevant knowledge in the guidelines corresponding to the solution to the problem:

- "The basic treatment methods for aphasia can be divided into two categories according to the treatment goals: one category aims to improve language function, including: Schuell stimulation method, blocking removal method, melody therapy; the other category aims to improve daily communication skills, including communication promotion method, compensation method training."

- "The training methods for aphasia treatment include: individual training, self-training, group training and family training."

- "Music therapy: There are many music therapies that can be used to treat aphasia. The most prominent is the melody intonation therapy of Massachusetts Institute of Technology. This therapy includes two main parts of music therapy: melody intonation and rhythmic typing, and finally to phrase repetition."

- "Forced induction therapy for aphasia: Forced induction for the treatment of aphasia is based on 3 principles: Short-term use of intensive exercise is more effective than long-term, lower-frequency exercise. Patients can be forced to use intensive exercises that they usually avoid. Treatment focuses on relevant behaviors in daily life. Many studies have shown that forced induction therapy is effective, and further studies are needed to expand the sample size."

"Transcranial direct current stimulation (tDCS): A systematic analysis showed that although the mechanism by which tDCS can enhance aphasia training is still unclear, studies have shown that tDCS is effective in treating aphasia patients. Another meta-analysis showed that speech rehabilitation training combined with tDCS can improve the naming ability of aphasia patients. In addition, aphasia can also be treated with medication and acupuncture."

3

Can patients with deep vein thrombosis in the lower extremities still undergo rehabilitation training?

Yes

I am sorry, I do not have any relevant reference content. I suggest you consult a doctor or a professional rehabilitation therapist for the most accurate information. Please note that any medical advice should be provided by a suitably qualified healthcare professional

1. Evaluation of correctness and appropriateness: The response content is appropriate. Since no relevant reference content was found, it is correct to suggest consulting a doctor or a professional rehabilitation therapist. In addition, it is also very important to emphasize that any medical advice should be provided by a qualified medical professional

2. The original text of the relevant knowledge in the guidelines corresponding to the solution of the problem: I'm sorry, I couldn't find any relevant reference content. I suggest you consult a doctor or a professional rehabilitation therapist to get the most accurate information. Please note that any medical advice should be provided by a qualified medical professional. This is all the relevant information I could find. If you need more information, I suggest you contact a healthcare professional directly. They can provide more specific and detailed information